Republic of the Philippines PR-003-1

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

PURCHASE REQUEST
Fund Cluster: __________________

Office/Section : PR No.: OMCC-2018-02-0062 Date: February 14, 2018

OMCC Responsibility Center Code : ___________

Stock/
Property Unit Item Description Quantity Unit Cost Total Cost
No.
pax Food and Hotel Accomodation 18 11,200.00 201,600.00

(For BEmONC Skills Training Course for Midwives on March

12-18, 2018)

Food includes meal for breakfast, lunch, dinner and AM, and
PM snacks
Room Capacity: 2-3 pax
HOTEL AMENITIES:
Serves breakfast and supper for 15-18 participants at the
hotel on March 12-18, 2018.
Shall cater AM and PM snacks, lunch for 15-18 participants
and 8 additional facilitators at CVMC function Hall on March
12-18 2018

Serves unlimited coffee and water for participants and

facilitators at CVMC on March 12-18,2018 during didactics
and practicum
With free transport from hotel to CVMC and vice-versa 8AM
to 5PM
Shall provide table cloth at CVMC function hall
***************************
BASED ON WORK AND FINANCIAL PLAN 201,600.00

Purpose: FOR CVMC USE - For BASIC EMERGENCY OBSTETRICS AND NEWBORN CARE, Skills Training Course for
Midwives
_______________________________________________________________

Requested by: Approved by:

Signature :

Printed Name CRISELINE

: D. TOLENTINO, MD, FPOGS GLENN MATHEW G. BAGGAO,MD,MHA,MSN,FPSMS
Designation : BEmONC Training Coordinator MEDICAL CENTER CHIEF II