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  • OPD & ER Consumption Report

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    Jerome Cid
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    This document is a consumption report for OPD & ER triage that lists the date requested and received, quantity issued, issuer, and receiver for triage form requests from March 30, 2020 to August 24, 2020. A total of 100 reams of paper containing 50,000 health declaration forms were consumed over this period to facilitate triage screening at the outpatient department. The report was prepared by Jerome Clark C. Cid and verified by Madonnah B. Asuncion with notation by Wilfredo R. Magcalas.

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    This document is a consumption report for OPD & ER triage that lists the date requested and received, quantity issued, issuer, and receiver for triage form requests from March 30, 2020 to August 24, 2020. A total of 100 reams of paper containing 50,000 health declaration forms were consumed over this period to facilitate triage screening at the outpatient department. The report was prepared by Jerome Clark C. Cid and verified by Madonnah B. Asuncion with notation by Wilfredo R. Magcalas.

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    16 views1 page

    OPD & ER Consumption Report

    Uploaded by

    Jerome Cid
    This document is a consumption report for OPD & ER triage that lists the date requested and received, quantity issued, issuer, and receiver for triage form requests from March 30, 2020 to August 24, 2020. A total of 100 reams of paper containing 50,000 health declaration forms were consumed over this period to facilitate triage screening at the outpatient department. The report was prepared by Jerome Clark C. Cid and verified by Madonnah B. Asuncion with notation by Wilfredo R. Magcalas.

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    OPD & ER Triage Consumption Report

    Date requested & Date received & Quantity Issued By Received By


    Time Time
    03/30/2020 03/31/2020 @ 11 3 C. Ragasa Ralph Giron
    AM
    04/08/2020 04/08/2020 5 P. Sagnep Suerte Gilana
    04/22/2020 04/23/2020 5 D. Ragasa Agnes Dela Cruz
    05/04/2020 05/06/2020 @11 AM 6 C. Ragasa Bernardo Yaba
    05/18/2020 05/20/2020 @ 04:12 5 D. Ragasa Kier Vea
    PM
    05/29/2020 05/29/2020 @ 03:02 7 C. Ragasa Kier Vea
    PM
    06/09/2020 06/10/2020 @ 03.47 10 D. Ragasa Kier Vea
    PM
    06/28/2020 06/29/2020 @ 2PM 10 C. Ragasa Jerome Cid/ Kier Vea
    07/02/2020 07/03/2020 5 J. Abellon Jerome Cid
    07/09/2020 07/10/2020 @04:15 10 M. Yapo Jerome Cid
    PM
    07/24/2020 07/24/2020 @ 03:00 15 Jayson Abellon Jerome Cid
    PM
    08/24/2020 08/24/2020 @ 07:25 15 + 4 D. Ragasa Jerome Cid
    TOTAL: 100 ream/ 50, 000 paper
    50, 000 paper x 2 = 100, 000 Health Declaration Form

    Prepared By: Checked and Verified by: Noted by:

    JEROME CLARK C. CID, RN MADONNAH B. ASUNCION, RN WILFREDO R. MAGCALAS, MD, FPAMS


    OPD- Triage Officer OPD Supervisor OPD Chief

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