DATA OF PWUD Form No.

Municipality: LOAY Number of PWUD: FIVE (5) NDP assigned: MR. LUIGI ANDREW U. MISSION

NO NAME AGE GENDE MIOP SESSIONS ASSIST-BI DRUG TEST

. R
(M/F) Date Enrolled Date of Completion of Date of Assessment Risk 1st Date of Drug Last Date of Drug Test
Session Test
1 OPADA , ALBERTO S. 37 M AUGUST 26, 2018 ON GOING AUGUST 26, 2018 LR FEB. 16, 2020
2 SIMBAJON , MARLON M. 30 M AUGUST 26, 2018 ARRESTED AUGUST 26, 2018 LR ARRESTED

3 SOY , JOHN REY S. 24 M AUGUST 26, 2018 ON GOING AUGUST 26, 2018 LR FEB. 16, 2020
4 TAER , RUBEN S. 25 M AUGUST 26, 2018 TRANSFERRED AUGUST 26, 2018 LR TRANSFERRED

5 TEJANO , ANTHONY C. 25 M AUGUST 26, 2018 ON GOING AUGUST 26, 2018 LR NOT COMPLIED

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7 Note: Simbajon Marlon arrested
1/16/19 & Taer Ruben transferred to CDO
last 10/2/19 for work.
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Barangay: SAGNAP Interventionist: MIKE LAURENCE A. DALEN MHO: DR. JULIUS ROMERO

Prepared by: Noted by: Approved by:

MIKE LAURENCE A. DALEN MOSES AL S. SIMBAJON DR. GREG JULIUS D. SODUSTA V
Interventionist BADAC Chairman DOH DDB Accredited Physician