Académique Documents
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Manila
BOARD OF MIDWIFERY
Case No.
Complete Diagnosis
(Gravida_Para_)
Supervised By:
Printed Name &
Contact No.
1.
1402002136
Calabanit, Glan
Sarangani Province
2.
Dayanan, Cherlita
1403002842
Purok 8A Alabel
Sarangani Province
3.
4.
Tusan, Stephanie
Aiza
Purok 10 Alabel
Poblacion Sarangani
Province
Pines, Jocelyn
1405004337
1405004725
Balite, Lagao
General Santos City
5.
Legaspi, Juvelyn
1406005966
Purok 8A Poblacion
Malapatan,
Sarangani Province
6
Bautista, Maria
Cristy
Zone 2-C Bula
General Santos City
1406005957
Registered Nurse
May 8, 2014
8:50 pm
Arline J.Magan
083-3015866
09325148837
Position/
Designation
Clinical
Instructor
Signature
Arline J. Magan
083-3015866
09325148837
Clinical
Instructor
Arline J. Magan
083-3015866
09325148837-
Clinical
Instructor
Arline J. Magan
083-3015866
09325148837
Clinical
Instructor
Arline J. Magan
083-3015866
09325148837
Clinical
Instructor
Arline J.Magan
083-3015866
09325148837
Clinical
Instructor
7.
Torregoza, Teodora
1407006439-B
Poblacion
Malapatan,
Sarangani Province
8.
Manza, Flordeliz
1407006472
Purok Kalonlama
Kihan
9.
14070069440.
Purok 2, Tinagacan
General Santos City
10.
Eclapis, Barbara
11.
12
13.
1407006967
1407007166
1407007234
1407007450
Purok 5 Poblacion
Malapatan Sarangani
Province
14.
Mamada, Lynlyn
1408008056
Abiso, Anacel
Tinago 9-B,
Dadiangas South
General Santos City
1408008236
July 3, 2014
7:59 am
July 4, 2014
7:40 am
Arline J. Magan
083-3015866
09325148837
Clinical
Instructor
Arline J. Magan
083-3015866
09325148837-
Clinical
Instructor
Arline J. Magan
083-3015866
09325148837
Clinical
Instructor
Arline J. Magan
083-3015866
09325148837
Clinical
Instructor
Arline J. Magan
083-3015866
09325148837
Clinical
Instructor
Arline J. Magan
083-3015866
09325148837
Clinical
Instructor
Arline J. Magan
083-3015866
09325148837
Clinical
Instructor
Arline J. Magan
083-3015866
09325148837
Clinical
Instructor
Arline J. Magan
083-3015866
09325148837
Clinical
Instructor
16.
Recibas, Magdalena
1408008265
Purok 2 Ligaya
General Santos City
17.
Franco, Miaflor
1409009243
Labangal, General
Santos City
18
Ensomo, Rebecca
1409009519
Calumpang, General
Santos City
19.
Dianga, Junalyn
1410009763
Malalag, Cogon
Malungon Sarangani
Province
20.
Villarba, Madelyn
1410010000
Purok Balunto
Labangal General
Santos City
October 2, 2014
11:19 am
October 9, 2014
8:50 am
Arline J. Magan
083-3015866
09325148837
Clinical
Instructor
Arline J. Magan
083-3015866
09325148837
Clinical
Instructor
Arline J. Magan
083-3015866
09325148837
Clinical
Instructor
Arline J. Magan
083-3015866
09325148837
Clinical
Instructor
Arline J. Magan
083-3015866
09325148837
Clinical
Instructor
Note: 1.) for graduate midwives: Supervision must be by qualified/ clinical instructor.
2.) Registered Midwifes/ Clinical Instructors who supervise the student midwives and the affix their signature in this form must be present a Certificate of Training on Intravenous to the Board pursuant to Board Resolution No. 100, Series of 1993, dated
December 1, 1993.
SUBSCRIBED AND SWORN TO before me this_________________at______________________Affiant exhibiting to me his/her Residence Certificate No.02735805 issued at General Santos City on March 11, 2013
Affix
Doc. Stamp
(To be posted on the last
page)
CERTIFIED CORRECT:
Signature:_______________Date:___________
No.
1.
Date of Birth
and Time
January 26,
2014
Family
Name of
Child
Sex
Soriba
Female
Mother
Soriba, Jane
Weight
In lbs.
6.38 lbs.
Length
In
Cms.
Head
Cms.
48 cm
33 cm
Temperature
36.8 C
Name who
Cord Dressed
6:30 pm
2.
March 04,
2014
Female
Rosales,
Jenive
6.38 lbs.
47 cm
34 cm
37.5 C
12:02 pm
3.
March 11,
2014
March 17,
2014
Madio
Female
Madio, Leah
Grace
6.38 lbs.
46 cm
33 cm
37.1 C
April 24,
2014
05:48 pm
Batoctoy
Male
Batoctoy, Ruffa
Jean
6.82 lbs.
48 cm
36 cm
36.0 C
04:00 pm
5.
083-3015866
10:09 am
4.
083-3015866
Rosales
Villacorte
Male
Villacorte,
Geraldine
Registered Nurse
6.6 lbs.
52 cm
33 cm
37.7 C
Supervised by:
Clinical Instructor License No./ exp. Date
Signature
1401001030
1403002742
1404004040
1403002362
1403002595
6.
Masabio
Male
Masabio,
Jovelyn
6.38 lbs.
51 cm
32 cm
36.7 C
07:43 pm
083-3015866
7.
Sobel
Male
Sobel, Melanie
6.6 lbs.
49 cm
34 cm
37.4 C
09:19 pm
083-3015866
8.
Bensorto
Female
Bensorto,
Jimvic
6.16 lbs.
46 cm
31 cm
36.9 C
04:57 pm
083-3015866
9.
Sabdullah
Female
Sabdullah,
Munirah
5.5 lbs.
50 cm
30 cm
37.1 C
09:26 pm
083-3015866
10.
June 20,
2014
Lopez
Male
Lopez, Daniela
7.04 lbs.
51 cm
32 cm
37.3 C
08:20 am
11.
Josoy
Female
Josoy, Jenny
Rose
5.28 lbs.
47 cm
32 cm
37.6 C
09:36 am
083-3015866
12.
July 4, 2014
Sagad
Female
Sagad, Michel
6.16 lbs.
51 cm
32 cm
37.8 C
08:54 pm
083-3015866
13.
Requilme
Male
Requilme,
Aileen Hazel
5.5 lbs.
47 cm
33 cm
37.0 C
10:15 am
083-3015866
1405004274
1405004483
1405004996
1405005008
1406005982
1407006437
1407006484
1407006488
14.
Pineda
Male
Pineda, Lovella
6.16 lbs.
43 cm
32 cm
36.6 C
03:35 pm
083-3015866
15.
Lanubay
Female
Lanubay,
Shenna Mae
6.16 lbs.
50 cm
31 cm
36.2 C
05:42pm
083-3015866
16.
Organiza
Female
Organiza,
Sarah May
6.38 bs.
49 cm
32 cm
36.6 C
04:45 pm
083-3015866
17.
August 01,
2014
Damie
Male
Damie, Raipa
6.16 lbs.
53 cm
33 cm
36.3 C
11:11 am
18.
August 08,
2014
083-3015866
Escribano
Male
Escribano,
Jonezy
9.46 lbs.
54 cm
35 cm
36.2 C
07:10 pm
19.
August 17,
2014
August 22,
2014
Alba
Female
Alba, Ellen
5.5 lbs.
48 cm
32 cm
37.2 C
04:45 pm
20.
Gonzaga
Male
Gonzaga,
Jessa
6.6 lbs.
49 cm
33 cm
09:50 am
35.3 C
1407006997
1407007172
1407007229
1408007477
1408007718
1408008087
1408008261
Note: 1.) for graduate midwives: Supervision must be by qualified/ clinical instructor.
2.) Registered Midwifes/ Clinical Instructors who supervise the student midwives and the affix their signature in this form must be present a Certificate of Training on Intravenous to the Board pursuant to Board Resolution No. 100, Series of 1993, dated
December 1, 1993.
SUBSCRIBED AND SWORN TO before me this_________________at______________________Affiant exhibiting to me his/her Residence Certificate No.02735805 issued at General Santos City on March 11, 2013
Affix
Doc. Stamp
(To be posted on the last
page)
CERTIFIED CORRECT:
Signature:_______________Date:___________
1.
Case No.
1405004238
Zone 3, Block 5,
Barangay Fatima
Uhaw General Santos
City
2.
1407006414
Purok 5, Block 4,
Barangay Fatima
Uhaw General Santos
City
3.
1408008250
Purok 6 Poblacion
Maasim, Sarangani
Province
4.
Mantalaba, Joan
Purok Bag-o, Malalag
Poblacion Maitum,
Sarangani Province
1411011159
Registered Nurse
Date &
Time
Perfomed
May 2,
2014
5:35 pm
July 4,
2014
10:48 am
August
22, 2014
8:05 am
Nov. 13,
2014
8:04 am
Supervised By:
Printed Name &
Contact No.
Arline J. Magan
Position/
Designation
Clinical
Instructor
Signature
09325148837
License No. RM 0162958
Expiry Date: November 15, 2015
Arline J. Magan
Clinical
Instructor
09325148837
License No. RM 0162958
Expiry Date: November 15, 2015
Arline J. Magan
Clinical
Instructor
09325148837
License No. RM 0162958
Expiry Date: November 15, 2015
Arline J. Magan
Clinical
Instructor
09325148837
License No. RM 0162958
Expiry Date: November 15, 2015
5.
Girvan, Jorfa
1412012042
Purok Malinawon,
Tuyan Malapatan
Sarangani Province
December
10, 2014
1:07 pm
Arline J. Magan
Clinical
Instructor
09325148837
License No. RM 0162958
Expiry Date: November 15, 2015
Note: 1.) For graduate midwives: Supervision must be by qualified/ clinical instructor.
2.) Registered Midwifes/ Clinical Instructors who supervise the student midwives and the affix their signature in this form must be present a Certificate of Training on Intravenous to the Board pursuant to Board Resolution No. 100, Series of 1993, dated
December 1, 1993.
SUBSCRIBED AND SWORN TO before me this_________________at______________________Affiant exhibiting to me his/her Residence Certificate No.02735805 issued at General Santos City on March 11, 2013
Affix
Doc. Stamp
(To be posted on the last
page)
CERTIFIED CORRECT:
Signature:_______________Date:___________
Printed Name: Sersosa B. Aromin, RM,RN,MAN
Designation: Dean/Principal
Lic. No: RM 0027789 Exp. Date: 2/20/15
Lic. No: RN 0428561 EXP. Date: 2/28/16
Registered Nurse
Case
No.
Complete Diagnosis
(Gravida_Para_)
Supervised By:
Printed Name &
Contact No.
1.
Manza, Flordeliz
1407006
472
July 4, 2014
8:05 am
Purok Kalonlama
Kihan
2.
Abiso, Anacel
083-3015866
Ensomo, Rebecca
Calumpang, General
Santos City
Arline J. Magan
Clinical
Instructor
Signature
09325148837
License No. RM 0162958
Expiry Date: November 15, 2015
1408008
236
3.
Position/ Designation
August 22,
2014
8:22 am
Arline J. Magan
Clinical
Instructor
09325148837
License No. RM 0162958
Expiry Date: November 15, 2015
1409009
519
September
25, 2014
1:05 pm
Arline J. Magan
Clinical
Instructor
09325148837
License No. RM 0162958
Expiry Date: November 15, 2015
4.
Villarba, Madelyn
1410010
000
Purok Balunto,
Labangal General
Santos City
5.
Estrada, Jovelyn
October 9,
2014
9:15 am
Arline J. Magan
Clinical
Instructor
09325148837
License No. RM 0162958
Expiry Date: November 15, 2015
1411011
371
November
19, 2014
12:30 pm
Arline J. Magan
Clinical
Instructor
09325148837
License No. RM 0162958
Expiry Date: November 15, 2015
Note: 1.) For graduate midwives: Supervision must be by qualified/ clinical instructor.
2.) Registered Midwifes/ Clinical Instructors who supervise the student midwives and the affix their signature in this form must be present a Certificate of Training on Intravenous to the Board pursuant to Board Resolution No. 100, Series of 1993, dated
December 1, 1993.
SUBSCRIBED AND SWORN TO before me this_________________at______________________Affiant exhibiting to me his/her Residence Certificate No.02735805 issued at General Santos City on March 11, 2013
Affix
Doc. Stamp
(To be posted on the last
page)
CERTIFIED CORRECT:
Signature:_______________Date:___________
Printed Name: Sersosa B. Aromin, RM,RN,MAN
Designation: Dean/Principal
Lic. No: RM 0027789 Exp. Date: 2/20/15
Registered Nurse
1.
Case No.
1401000787
Hinuguin, Robelyn
1401000900
Valencia Alegria,
Sarangani Province
3.
Dingal, Emelyn
1403002334
Purok Magiting,
Townsite Buayan
General Santos City
4.
1403002835
Malungon, Sarangani
Province
5.
1405004238
Complete Diagnosis
(Gravida_Para_)
January 22,
2014
10:59 pm
January 26,
2014
5:30 pm
March 4,
2014
7:56 am
March 18,
2014
2:19 pm
May 2, 2014
8:20 pm
Supervised By:
Printed Name &
Contact No.
Arline J. Magan
Position/
Designation
Clinical
Instructor
Signature
09325148837
083-3015866
General Santos City
Hospital
Clinical
Instructor
Clinical
Instructor
09325148837
083-3015866
General Santos City
Hospital
Arline J. Magan
09325148837
083-3015866
General Santos City
Hospital
Clinical
Instructor
09325148837
083-3015866
Clinical
Instructor
09325148837
083-3015866
6.
Sese, Evelyn
1405004494
KPS Mabuhay,
General Santos City
7.
Taguding, Lovelyn
Mae
1406005956
Springville, Apopong
General Santos City
8.
Desaville, Evelyn
1406005988
Klinan 5, Mabuhay
General Santos City
9.
10.
Purok 5, Block 4,
Barangay Fatima
Uhaw General Santos
City
Sardido, Jesame
1407006414
1407007251
Albarida, Catherine
1408007820
Purok 7 Baluntay
Alabel, Sarangani
Province
12.
1408008250
Purok 6 Poblacion
Maasim Sarangani
Province
13.
Bantilan, Rehina
14.
1408008272
1410010038
Purok 4, Cogonal
Alabel Sarangani
Province
15.
Patcheo, Angelica
Purok Pantay-pantay,
Baluan General
Santos City
1411011147
May 8, 2014
9:55 pm
July 4, 2014
3:25 pm
August 10,
2014
5:01 pm
August 22,
2014
11:30 am
August 22,
2014
4:20 pm
October 10,
2014
9:08 am
November 12,
2014
1:00 pm
Arline J. Magan
Clinical
Instructor
09325148837
083-3015866
General Santos City
Hospital
Clinical
Instructor
09325148837
083-3015866
General Santos City
Hospital
Clinical
Instructor
Clinical
Instructor
09325148837
083-3015866
General Santos City
Hospital
Arline J. Magan
09325148837
083-3015866
General Santos City
Hospital
Clinical
Instructor
09325148837
083-3015866
General Santos City
Hospital
Clinical
Instructor
09325148837
083-3015866
General Santos City
Hospital
083-3015866
General Santos City
Hospital
Clinical
Instructor
09325148837
Arline J. Magan
Clinical
Instructor
Clinical
Instructor
09325148837
083-3015866
General Santos City
Hospital
Arline J. Magan
09325148837
083-3015866
General Santos City
Hospital
Clinical
Instructor
09325148837
083-3015866
16.
Obejero, Amy
1411011176
Mantalaba, Joan
1411011159
19.
20.
Girvan, Jorfa
Purok Malinawon,
Tuyan Malapatan,
Sarangani Province
Corompido, Rechelle
Mae
Crisostomo,
Calumpang General
Santos City
Balabagan, Arbaina
1412012042
1412012017
1501000211
November 13,
2014
8:44 am
November 13,
2014
12:07 pm
December 10,
2014
6:22 pm
December 11,
2014
12:53 pm
January 7,
2015
1:40 pm
Arline J. Magan
Clinical
Instructor
09325148837
083-3015866
General Santos City
Hospital
Clinical
Instructor
09325148837
083-3015866
General Santos City
Hospital
Clinical
Instructor
Clinical
Instructor
09325148837
083-3015866
General Santos City
Hospital
Arline J. Magan
09325148837
083-3015866
General Santos City
Hospital
Clinical
Instructor
09325148837
083-3015866
Note: 1.) For graduate midwives: Supervision must be by qualified/ clinical instructor.
2.) Registered Midwifes/ Clinical Instructors who supervise the student midwives and the affix their signature in this form must be present a Certificate of Training on Intravenous to the Board pursuant to Board Resolution No. 100, Series of 1993, dated
December 1, 1993.
SUBSCRIBED AND SWORN TO before me this _________________at______________________ Affiant exhibiting to me his/her Residence Certificate No.02735805 issued at General Santos City on March 11, 2013
Affix
Doc. Stamp
(To be posted on the last
page)
CERTIFIED CORRECT:
Signature:_______________Date:___________
Printed Name: Sersosa B. Aromin, RM,RN,MAN
Designation: Dean/Principal
Lic. No: RM 0027789 Exp. Date: 2/20/15
Lic. No: RN 0428561 EXP. Date: 2/28/16
Registered Nurse
1.
Marites Malinao
Case No.
13060072
03
2.
Irene Mendoza
13050050
81
Dambol palimbang
South Cotabato
3.
Majorie Ortiz
13060072
29
Roseville mabuhay
General Santos City
4.
Zosina Zaballero
Purok 5, Apopong
General Santos Cty
13060069
07
Complete Diagnosis
(Gravida_Para_)
Date &
Time
Perfomed
June
27,2013
9:22am
May
3,2013
9:am
June
27,,2013
11:33am
June 19,
2013
9:46am
Check
If
Home
Del.
Supervised By:
Printed Name &
Contact No.
Arline J. Magan
Position/
Designation
Clinical
Instructor
Signature
09325148837
License No. RM 0162958
Expiry Date: November 15, 2015
Arline J. Magan
Clinical
Instructor
09325148837
License No. RM 0162958
Expiry Date: November 15, 2015
Arline J. Magan
Clinical
Instructor
09325148837
License No. RM 0162958
Expiry Date: November 15, 2015
Arline J. Magan
Clinical
Instructor
09325148837
License No. RM 0162958
Expiry Date: November 15, 2015
5.
01-0451
October
4,2012
2:00am
Arline J. Magan
Clinical
Instructor
09325148837
License No. RM 0162958
Expiry Date: November 15, 2015
Note: 1.) For graduate midwives: Supervision must be by qualified/ clinical instructor.
2.) Registered Midwifes/ Clinical Instructors who supervise the student midwives and the affix their signature in this form must be present a Certificate of Training on Intravenous to the Board pursuant to Board Resolution No. 100, Series of 1993, dated
December 1, 1993.
SUBSCRIBED AND SWORN TO before me this_________________at______________________Affiant exhibiting to me his/her Residence Certificate No.02735805 issued at General Santos City on March 11, 2013
Affix
Doc. Stamp
(To be posted on the last
page)
CERTIFIED CORRECT:
Signature:_______________Date:___________
Printed Name: Sersosa B. Aromin, RM,RN,MAN
Designation: Dean/Principal
Lic. No: RM 0027789 Exp. Date: 2/20/15
Lic. No: RN 0428561 EXP. Date: 2/28/16
Registered Nurse
1.
Calanao, Shina
Case
No.
01-0448
San Miguel
Calumpang
General Santos City
2.
01-0455
3.
Manlaba, Tiny
Placida Brgy.
Calumpang
General Santos City
01-0456
Complete Diagnosis
(Gravida_Para_)
February
4, 2012
7:40am
August
2, 2012
11:00pm
August
13, 2012
4:30pm
Check
If
Home
Del.
Supervised By:
Printed Name &
Contact No.
Arline J. Magan
Position/
Designation
Clinical
Instructor
Signature
09325148837
License No. RM 0162958
Expiry Date: November 15, 2015
Arline J. Magan
Clinical
Instructor
09325148837
License No. RM 0162958
Expiry Date: November 15, 2015
Arline J. Magan
Clinical
Instructor
09325148837
License No. RM 0162958
Expiry Date: November 15, 2015
4.
01-0454
City Heights
General Santos City
5.
Angos, Ann
Prk. Wal, Brgy.
Tambler General
Santos City
01-0457
August
25,2012
12:30pm
September
24, 2012
11:pm
Arline J. Magan
Clinical
Instructor
09325148837
License No. RM 0162958
Expiry Date: November 15, 2015
Arline J. Magan
Clinical
Instructor
09325148837
License No. RM 0162958
Expiry Date: November 15, 2015
Note: 1.) For graduate midwives: Supervision must be by qualified/ clinical instructor.
2.) Registered Midwifes/ Clinical Instructors who supervise the student midwives and the affix their signature in this form must be present a Certificate of Training on Intravenous to the Board pursuant to Board Resolution No. 100, Series of 1993, dated
December 1, 1993.
SUBSCRIBED AND SWORN TO before me this_________________at______________________Affiant exhibiting to me his/her Residence Certificate No.02735805 issued at General Santos City on March 11, 2013
Affix
Doc. Stamp
(To be posted on the last
page)
CERTIFIED CORRECT:
Signature:_______________Date:___________
Printed Name: Sersosa B. Aromin, RM,RN,MAN
Designation: Dean/Principal
Lic. No: RM 0027789 Exp. Date: 2/20/15
Lic. No: RN 0428561 EXP. Date: 2/28/16