Maria Emily D. Lagumbay Md/Rowena A Cordero MD Fpogs

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DAVAO MEDICAL SCHOOL FOUNDATION INC.

ATTENDANCE CLEARANCE FORM


NAME OF CLERK: ______________________________ DEPARTMENT: OB-GYNE
DATE OF ROTATION: 07/29-08/24/2018
EXPOSURE LATE ABSENT NOTED BY SANCTION DATE & TIME REMARKS SIGNATURES
DATE & TIME SERVED OR
TO BE
SERVED
SKILLS LAB RUBY E.
ROBISO MD
FPOGS
ORIENTATION RUBY E.
ROBISO MD
FPOGS
SIMULATION RUBY E.
ROBISO MD
FPOGS
INTERHOSPITAL RUBY E.
CONFERENCES ROBISO MD
FPOGS
SPMC

PRIVATE
HOSPITAL:
BROKENSHIRE
HOSPITAL
REVIEW CLASSES NOT APPLICABLE

NOTE: LATE 30 minutes or less; late more than 30 minutes is considered absent
EXCUSED late or absent: 1:1 make up duty, UNEXCUSED late or absent 1:3
Signatories over printed name:

MARIA EMILY D. LAGUMBAY MD/ROWENA A CORDERO MD FPOGS RUBY E ROBISO MD FPOGS FIDES R. ABABON MD FPOGS
Resident/Consultant Preceptors (SPMC) Clerk’s Coordinator Chairpersonm

KRISLYN KATE DUBLIN-ZALDIVAR MD/GERALDINE DELA VICTORIA MD FPOGS


Resident/Consultant Preceptors (BIHMI)

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