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ODC Form 1B
ASSISTED DELIVERY FORM
ACTUAL DELIVERY in CEBU CITY MEDICAL CENTER, N. BACALSO ST., CEBU CITY
Hospital/ Home/ Lying-in Clinic, Municipality/ City/ Province
Prepared by:
Printed Name with Signature of Student: Jose M. Cruz
Case Number
PROCEDURE PERFORMED
L.E.P.
000546
ASSISTED DELIVERY
SUPERVISED BY
Clinical Instructor
(Name and Signature)
Clinical Coordinator, PRC I.D. No. 0190308 Valid Until June 22, 2011