Republic of the Philippines

Autonomous Region in Muslim Mindanao

Department of Health ARMM
Integrated Provincial Health Office Lanao
Ditsaan Ramain Rural Health Unit
Bago-a-Ingud, Ditsaan Ramain, Lanao del Sur

BP Monitoring Card Client No. (ARMMPEN): __________

(Hypertensive Club)

PHIC No: ________________

Name of Patient: ______________________________ Age/Sex: _________
Address: _____________________________________
DATE BP DATE BP DATE BP DATE BP DATE BP

*Always bring this with you when visiting health facility

*Baniyo aya phakalipati mawid igira paki-check-up kano

Republic of the Philippines

Autonomous Region in Muslim Mindanao
Department of Health ARMM
Integrated Provincial Health Office Lanao
Ditsaan Ramain Rural Health Unit
Bago-a-Ingud, Ditsaan Ramain, Lanao del Sur

BP Monitoring Card Client No. (ARMMPEN): __________

(Hypertensive Club)

PHIC No: ________________

Name of Patient: ______________________________ Age/Sex: _________
Address: _____________________________________
DATE BP DATE BP DATE BP DATE BP DATE BP

*Always bring this with you when visiting health facility

*Baniyo aya phakalipati mawid igira paki-check-up kano
 MEDICINES

Date Medicines Given Signature of Healthcare Provider Remarks

MEDICINES

Date Medicines Given Signature of Healthcare Provider Remarks