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2 July 8, 2006 2006- Owen Oribello Seli Acute Emergency Subarachnoid Dolores Dicdican, Ilocos Training Flordeliza G. Elnar Jubilo
0015134 Appendicitis Appendectomy Block MD and Regional Galvez PRC No.: 0348366
Medical Center PRC No.: 0130411
PNA No.: 16263
(ITRMC) MAN units: 33 units
3 June 22, 2006 2006- Redentor A. Soriano Bronchial Asthma, Cut Down Insertion Local Edward Passi, MD Ilocos Training Flordeliza G. Divina Tabios
0008875 Pneumonia with Anesthesia and Regional Galvez PRC No.: 0348392
Moderate Medical Center PRC No.: 0130411
PNA No.: 16263
Exacerbation (ITRMC) MAN units: 33 units
4 April 29, 2006 Emergency John Kirby Gregori Redundant Circumcision Local Jessie Miranda, MD City Health Flordeliza G. Emily Laroya
Medical Prepuce Anesthesia Office Galvez PRC No.: 0164680
Service City of San PRC No.: 0130411
Fernando, PNA No.: 16263
(E.M.S.) MAN units: 33 units
La Union
5 January 4, 84 Arturo A. Laigo Tendon Cyst Right Excision of Tendon Cyst Local Maria Teresa Bethany Flordeliza G. Cresencia
2006 Wrist Anesthesia Corpuz, MD Hospital Inc. Galvez Gonzales
PRC No.: 0130411 PRC No.: 0228817
PNA No.: 16263
MAN units: 33 units
Prepared by:
AGUILA, Jefferson G.
Name of Student
NORBERTO G. PREPOSE, JR., RN, MAN FLORDELIZA R. BOBILES, RN, MAN MARITES G. CALUGAN, RN, MAN
CRISTETA E. BAGTANG, RN, MPH, MAN
Signature over printed Name of Clinical Coordinator Signature over printed name of Assistant Chief Nurse Signature over printed name of Chief Nurse Signature over
printed Name of Dean
Date Signed: ________________________ Date Signed: _____________________ Date Signed: ________________________ Date Signed:
_____________________
Degree: BSN, RN, MAN Degree: BSN, RN, MAN Degree: BSN, RN, MAN Degree: BSN,
RN, MPH, MAN
a. PRC No.: 0209483 a. PRC NO.: 0114833 a. PRC NO.: 0166707 a. PRC NO.:
125448
Valid Until: April 2, 2009 Valid Until: March 27, 2008 Valid Until: May 16, 2009 Valid Until:
October 24, 2009
b. PNA No.: 16232 b. PNA No.: 17945 b. PNA No.: 14801 b. PNA No.: 3051
Valid Until: December 2007 Valid Until: Lifetime Member Valid Until: Lifetime Member Valid Until:
Lifetime Member
c. ANSAP No: 00077 c. ANSAP No: 01324 c. ANSAP No.: 02252 c. ADPCN No.:
356
Valid Until: Lifetime Member Valid Until: December 2007 Valid Until: December 2007 Valid Until:
December 2007