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ILIGAN MEDICAL CENTER COLLEGE

College of Nursing Midwifery and Health Aide


Pala-o, Iligan City

PROFESSIONAL REGULATION COMMISSION


School Code 1198

RECORD OF OPERATING AND DELIVERY ROOM CASES AND CORD DRESSINGS

Name : Unabia, Giancarlo F.


Name and address of school : Iligan Medical Center College Pala-o, Iligan City
Accreditation level (if any) : PACUCOA LEVEL II Year granted : 2005
Date school program was recognized : June 17, 1985 Number : 171 Year : 1985
First course (if any) : None School graduated from : N/A Year : N/A
Year of admission in the Bachelor of Science in Nursing program : 2002
Year graduated (BSN Program) : March 2007
III. ACTUAL DELIVERIES
No. Case No. Diagnosis Name of Mother Date of Time of Gender of Name of Hospital Type of Delivery Supervised by:
Age Delivery Delivery Baby Name and Signature of Qualified C.I.

1. 122340 Gravida 2 Para 1, Pregnancy Olandag, Ana Mojado 26 June 30, 2005 12:35 PM Male Gregorio T. Lluch Memorial Normal Spontaneous Ms. Gloria Sheila Edmilao, RN, MAN
Uterine Full Term Hospital Vaginal Delivery PRC No. 0025695

2. 06322149 Gravida 3 Para 2, Pregnancy Uterine Tupaz, Consolacion 35 June 6, 2006 10:25 PM Male St. Mary’s Maternal and Child Normal Spontaneous Ms. Gay Belen C. Pee, RN, MN, MAN
Full term Hospital Vaginal Delivery PRC No. 0197947

3. 06322155 Gravida 5 Para 4, Pregnancy Uterine Mangcas, Walida 30 June 7, 2006 10:43 PM Female St. Mary’s Maternal and Child Normal Spontaneous Ms. Gay Belen C. Pee, RN, MN, MAN
Full Term Hospital Vaginal Delivery PRC No. 0197947

4. 79253 Gravida 2 Para 1, Pregnancy Uterine Lagat, Junamay D. 19 August 1, 3:03 PM Male Kolambugan District Hospital Normal Spontaneous Mr. Ruel Cagalawan, RN, MN
Full Term 2006 Vaginal Delivery PRC No. 0215408

5. 106131 Gravida 3 Para 2, Pregnancy Uterine Penaranda, Merlyn 35 January 17, 7:36 AM Male Lanao del Norte Provincial Normal Spontaneous Mr. Ruel Cagalawan, RN, MN
Full Term 2007 Hospital Vaginal Delivery PRC No. 0215408

CONCURRED BY: CONCURRED BY: CONCURRED BY: CONCURRED BY: APPROVED BY: NOTED BY: SUPERVISED BY:

MS. MYRNA P. SUAN, RN, MN MS. CECILIA B.SARCENO RN, MN, MAN MS. TRANSFIGURACION C. LEE, RN, MN MS. DAILINA R. PERANG, RN, MN MS. ELIZABETH L. ALAGAR, RN, MAN MS. MA. CRISTINA DARLYN Q. DOCOG RN, MAN MS. SHEILA C. LABATA, RN, MM, MAN
Signature over printed name of Signature over printed name of Signature over printed name of Signature over printed name of Signature over printed name of Signature over printed name of Signature over printed name of
Chief Nurse Chief Nurse Chief Nurse Chief Nurse Dean Clinical Coordinator Assistant Dean
Gregorio T. Lluch Memorial Hospital St Mary’s Maternal and Child Hospital Lanao Del Norte Provincial Hospital Kolambugan District Hospital Iligan Medical Center College Iligan Medical Center College Iligan Medical Center College
Date signed: Date Signed: _____________________ Date Signed: _____________________ Date Signed: _________________ Date Signed: ____________________ Date Signed: ____________________ Date Signed: ____________________
Degree: BSN, RN, MN Degree: BSN, RN, MN, MAN Degree: BSN, RN, MN, MN Degree: BSN, RN, MN Degree: BSN, RN, MAN Degree: BSN, RN, MAN Degree: BSN, RN, MM, MAN
a. PRC No.: 0078434 a. PRC No.: 0222077 a. PRC No.: 0059574 a. PRC No.: 0091730 a. PRC No.: 0089156 a. PRC No.: 0181563 a. PRC No.: 0167707
Valid until: April 8, 2009 Valid Until: February 1, 2008 Valid Until: August 6, 2008 Valid Until: July 12, 2008 Valid Until: June 18, 2008 Valid Until: June 4, 2009 Valid until: June 15, 2008
b. PNA No. 4249 b. PNA No.: 16814 b. PNA No.: 12-LO-0420-1 b. PNA No.: 35574 b. PNA No.: 14137 b. PNA No.: 16821 b. PNA No.: 16807
Valid until: Lifetime Valid until: Lifetime Valid Until: Lifetime Valid Until: December 7, 2007 Valid Until: Lifetime Valid Until: Lifetime Valid until: Lifetime
c. ANSAP No.: 025 c. ANSAP No.:0254 c. ANSAP No.: 021 c. ANSAP No.: 3961 c. ADPCN No.: 125
Valid until: March 08, 2008 Valid Until: October 6, 2007 Valid Until: LIfetime Valid Until: March 8, 2008 Valid Until: December 31, 2007

Prepared by:

Giancarlo F. Unabia

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