Name of Intern: ARNIE RUCHELLE P. NAVARRO

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Mariano Marcos State University Mariano Marcos State University

Batac, Ilocos Norte Batac, Ilocos Norte


Department of Pharmacy Department of Pharmacy
Community Pharmacy ( ) Hospital Pharmacy ( X) Community Pharmacy ( ) Hospital Pharmacy ( X)
Manufacturing Pharmacy ( ) Manufacturing Pharmacy ( )
Name of Intern: ARNIE RUCHELLE P. NAVARRO__________________ Name of Intern: ARNIE RUCHELLE P. NAVARRO__________________
Name of Pharmaceutical Name of Pharmaceutical
Establishment: BAGUIO GENERAL HOSPITAL Establishment: BAGUIO GENERAL HOSPITAL
AND MEDICAL CENTER AND MEDICAL CENTER
For the Month of: JULY 2017 For the Month of: AUGUST 2017

AM PM Number of AM PM Number of
Arrival Departure Arrival Departure Hours Minutes Arrival Departure Arrival Departure Hours Minutes
1 1 7:56 12:01 12:56 5:12 8
2 2 7:59 12:12 12:55 5:05 8
3 3 7:57 12:01 12:52 5:07 8
4 4 7:53 12:04 12:50 5:13 8
5 5
6 6
7 7 7:55 12:06 12:59 5:02 8
8 8 7:54 12:13 12:55 5:11 8
9 9 7:50 12:01 12:55 5:12 8
10 10 7:55 12:06 12:52 5:07 8
11 7:50 12:02 12:59 5:05 8 11 7:54 12:06 12:52 5:05 8
12 7:52 12:06 12:55 5:01 8 12
13 7:49 12:02 12:50 5:07 8 13
14 7:56 12:12 12:51 5:13 8 14 7;57 12:03 12:57 5:06 8
15 15
16 16
17 7:53 12:07 12:53 5:08 8 17
18 7:55 12:03 12:52 5:10 8 18
19 7:53 12:07 12:55 5:14 8 19
20 7:57 12:10 12:58 5:12 8 20
21 7:55 12:06 12:52 5:07 8 21
22 22
23 23
24 7:50 12:07 12:55 5:01 8 24
25 7:50 12:02 12:59 5:09 8 25
26 7:51 12:06 12:56 5:07 8 26
27 7:50 12:03 12:52 5:12 8 27
28 7:55 12:01 12:54 5:03 8 28
29 29
30 30
31 7:53 12:02 12:59 5:14 8 31
Total: 120 HOURS Total: 80 HOURS
Certified: Certified:

RISCILLA E. LAZATIN, MPA RISCILLA E. LAZATIN, MPA


Pharmacist In-charge Pharmacist In-charge
Prof. Tax No. _EXEMPT Prof. Tax No. _EXEMPT
Date Issued EXEMPT__ ____________________________ Date Issued EXEMPT__ ____________________________
Reg. No. 0025198 __ (Intern's Signature) Reg. No. 0025198 __ (Intern's Signature)
Date Issued March 15, 1984 Date Issued March 15, 1984
Date Expiry February 2, 2020 Date Expiry February 2, 2020

Noted: Noted:

MANOLITA S. CRISOSTOMO RICARDO B. RUNEZ, MD., MANOLITA S. CRISOSTOMO RICARDO B. RUNEZ, MD.,
Dean FPCS, MHA, CESE Dean FPCS, MHA, CESE
MEDICAL CENTER CHIEF II MEDICAL CENTER CHIEF II

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