PRC Form - Delivery Cases

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PROFESSIONAL REGULATION COMMISSION

Manila
BOARD OF MIDWIFERY
RECORD OF DELIVERIES HANDLED
Name of Applicant:_ ALLAN O. DIMAANO, RN, MAN School: GOLDEN GATE COLLEGES

Check Supervised by: The Faculty


Hospital if
Name of Patient Address Date Name of Hospital Case Home Signatur Designati Reg.
Number Deliver Name in Print
e on No.
y
Batangas City Maternity
Libjo, Central, Batangas Catalina M. 13864
1 Eden Marasigan 6/2/2008 House and Puericulture 08-186 RN, RM
City Cabañas 7
Center (BCMHPC)
Catalina M. 13864
RN, RM
2 Jocelyn Bentillo Ambulong, Bats. City 6/3/2008 BCMHPC 08-193 Cabañas 7
Pob. San Pascual, Catalina M. 13864
RN, RM
3 Marisol Melo Batangas 6/4/2008 BCMHPC 08-194 Cabañas 7
Mañorez, Gwenhawa, Catalina M. 13864
4 Eugenia Maralit 6/11/2008 BCMHPC 08-205 RN, RM
Taysan, Batangas Cabañas 7
Catalina M. 13864
RN, RM
5 Mildred de Castro Calicanto, Bats. City 6/14/2008 BCMHPC 08-210 Cabañas 7
Catalina M. 13864
RN, RM
6 Melody Fajilan Alangilan, Bats. City 7/2/2008 BCMHPC 08-234 Cabañas 7
Catalina M. 13864
RN, RM
7 Jane Castaño Kumitang Ilaya, Bats. City 7/6/2008 BCMHPC 08-243 Cabañas 7
Jacqueline Catalina M. 13864
RN, RM
8 Marasigan Ambulong, Bats. City 7/6/2008 BCMHPC 08-244 Cabañas 7
Mayeth Catalina M. 13864
RN, RM
9 Hernandez Calicanto, Bats. City 7/12/2008 BCMHPC 08-250 Cabañas 7
1 Catalina M. 13864
RN, RM
0 Lineth Rivera Sta. Clara, Batangas City 7/24/2008 BCMHPC 08-256 Cabañas 7
1 Mary Joyce Pallocan West, Batangas Catalina M. 13864
RN, RM
1 Santiago City 8/2/2008 BCMHPC 08-267 Cabañas 7
1 Libjo, Tacad Batangas Catalina M. 13864
RN, RM
2 Karen Blando City 8/15/2008 BCMHPC 08-205 Cabañas 7
1 Puyo, Sta. Clara, Bats. Catalina M. 13864
RN, RM
3 Ruth Mendoza City 8/22/2008 BCMHPC 08-296 Cabañas 7
1 Catalina M. 13864
RN, RM
4 Leah Cortez Ambulong, Bats. City 8/23/2008 BCMHPC 08-303 Cabañas 7
1 Catalina M. 13864
RN, RM
5 Ivy Lucero Tulo, Bats. City 9/1/2008 BCMHPC 08-311 Cabañas 7
1 Catalina M. 13864
RN, RM
6 Joane Manalo Tierra Verde, Bats. City 9/7/2008 BCMHPC 08-322 Cabañas 7
1 St. Paul Subd., Alangilan, Catalina M. 13864
RN, RM
7 Anabel Cabaluna Bats. City 9/10/2008 BCMHPC 08-325 Cabañas 7
1 Catalina M. 13864
RN, RM
8 Arlene Baxa San Isidro, Bats. City 9/10/2008 BCMHPC 08-327 Cabañas 7
1 Catalina M. 13864
RN, RM
9 Rechelle Macuha San Pascual, Batangas 10/6/2008 BCMHPC 08-358 Cabañas 7
2 10/18/200 Catalina M. 13864
RN, RM
0 Vergie Toralba Cuta, Bats. City 8 BCMHPC 08-375 Cabañas 7
Check Supervised by: The Faculty
Hospita if
Name of Patient
Address Date Name of Hospital l Case Home Signatur Designati Reg.
(Sutures) Name in Print
Number Deliver e on No.
y
Arlene Tabangao Sitio, 13864
Catalina M. Cabañas RN, RM
1 Carandang Berberabe, Bats. City 6/4/2008 BCMHPC 08-196 7
Pallocan West, Bats 13864
Catalina M. Cabañas RN, RM
2 Jocelyn Catilo .City 6/5/2008 BCMHPC 08-198 7
Mylene 6/12/200 13864
Catalina M. Cabañas RN, RM
3 Villano Cuta, Batangas City 8 BCMHPC 08-206 7
Maricar 6/24/200 13864
Catalina M. Cabañas RN, RM
4 Borbon San Isidro, Bats. City 8 BCMHPC 08-220 7
Michelle 6/24/200 13864
Catalina M. Cabañas RN, RM
5 Deliso Bilogo, Bats. City 8 BCMHPC 08-221 7

Check Supervised by: The Faculty


Name of Patient Hospita if
(Intravenous Address Date Name of Hospital l Case Home Signatur Designati Reg.
Injections) Number Deliver Name in Print
e on No.
y
Jean 7/3/200 13864
Catalina M. Cabañas RN, RM
1 Dacemon Libjo, Lamao, Bats. City 8 BCMHPC 08-235 7
Maricel 7/3/200 13864
Catalina M. Cabañas RN, RM
2 Palmes Tingloy, Batangas City 8 BCMHPC 08-236 7
Edith Paharang East, Bats. 7/4/200 13864
Catalina M. Cabañas RN, RM
3 Macaraig City 8 BCMHPC 08-241 7
7/4/200 13864
Catalina M. Cabañas RN, RM
4 Sheryl Culla Gulod Itaas, Bats. City 8 BCMHPC 08-242 7
Melody 8/1/200 13864
Catalina M. Cabañas RN, RM
5 Fronda Ambulong, Bats. City 8 BCMHPC 08-265 7

SUBSCRIBED AND SWORN TO before me this


___________ at ____________ affiant exhibiting to me AFFIX DOCUMENTARY CERTIFIED CORRECT:
His/her Residence Certificate No. _________ issued at STAMP

___________ on ____________ . CATALINA M. CABANAS, RM, RN


ADMINISTRATOR
____________________
Notary Public

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