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2 Home Pregnancy Uterine 40 weeks Age Glory Amin 28 January 28, 8:35 Female Tanqui Health Center Normal Spontaneous Delivery Charmaine S. Abenes
Delivery of Gestation Cephalic in Labor Valdez 2007 AM City of San Fernando, PRC #: 0266421
Gravida 2 Para 1 (G2P1) La Union PNA #:16309
MAN units: 42 units
3 2006- Pregnancy Uterine 38 5/7 weeks Marilyn Bebit 18 December 23, 6:28 Female Ilocos Training and Normal Spontaneous Delivery Charmaine S. Abenes
0033083 Age of Gestation Cephalic in Montesa 2006 AM Regional Medical with Right Medio-Lateral PRC #: 0266421
Labor Gravida 1 Para 0 (G1P0) Center (ITRMC) Episiotomy (RMLE) PNA #:16309
MAN units: 42 units
4 2006- Pregnancy Uterine 40 weeks Age Marilou De Luna 25 December 23, 1:46 Male Ilocos Training and Normal Spontaneous Delivery Charmaine S. Abenes
0033106 of Gestation Cephalic in Labor 2006 AM Regional Medical with Right Medio-Lateral PRC #: 0266421
Gravida 1 Para 0 (G1P0) Center (ITRMC) Episiotomy (RMLE) PNA #:16309
MAN units: 42 units
5 2002- Pregnancy Uterine 38 weeks Age Vilma Flores 31 June 24, 2006 8:55 Female Ilocos Training and Normal Spontaneous Delivery Charmaine S. Abenes
0011663 of Gestation Cephalic in Labor AM Regional Medical with Right Medio-Lateral PRC #: 0266421
Gravida 2 Para 1 (G2P1) Center (ITRMC) Episiotomy (RMLE) PNA #:16309
MAN units: 42 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