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  • Jose B. Lingad Memorial Regional Hospital: DATE

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    Adrian Canlas
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    This document is a list from the outpatient department of Jose B. Lingad Memorial Regional Hospital recording the names of 30 patients who received JPIDs cards on an unspecified date. It includes columns for the patient's name and card number, who the card was issued to, and a signature. There is also a second blank form to record the daily census of registered, printed, and issued JPIDs cards.

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    log sheet

    Original Title

    JPID Form

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    This document is a list from the outpatient department of Jose B. Lingad Memorial Regional Hospital recording the names of 30 patients who received JPIDs cards on an unspecified date. It includes columns for the patient's name and card number, who the card was issued to, and a signature. There is also a second blank form to record the daily census of registered, printed, and issued JPIDs cards.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    7 views3 pages

    Jose B. Lingad Memorial Regional Hospital: DATE

    Uploaded by

    Adrian Canlas
    This document is a list from the outpatient department of Jose B. Lingad Memorial Regional Hospital recording the names of 30 patients who received JPIDs cards on an unspecified date. It includes columns for the patient's name and card number, who the card was issued to, and a signature. There is also a second blank form to record the daily census of registered, printed, and issued JPIDs cards.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 3

    Republic of the Philippines

    DEPARTMENT OF HEALTH
    Center for Health Development 3
    JOSE B. LINGAD MEMORIAL REGIONAL HOSPITAL
    Dolores, City of San Fernando Pampanga
    Telephone No. (045) 961-3575

    OUT PATIENT DEPARTMENT


    LIST OF ISSUED JPID CARDS
    DATE: ________________

    NO. NAME(CARD) ISSUED TO SIGNATURE

    1
    2
    3
    4
    5
    6
    7
    8
    9
    10
    11
    12
    13
    14
    15
    16
    17
    18
    19
    20
    21
    22
    23
    24
    25
    26
    27
    28
    29
    30
    Republic of the Philippines
    DEPARTMENT OF HEALTH
    Center for Health Development 3
    JOSE B. LINGAD MEMORIAL REGIONAL HOSPITAL
    Dolores, City of San Fernando Pampanga
    Telephone No. (045) 961-3575

    OUT PATIENT DEPARTMENT


    DAILY JPID CARD CENSUS

    DATE REGISTERED PRINTED ISSUED

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