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UNIVERSITY OF SAN AGUSTIN UNIVERSITY OF SAN AGUSTIN

Iloilo City, Philippines Iloilo City, Philippines

COLLEGE OF HEALTH and ALLIED MEDICAL COLLEGE OF HEALTH and ALLIED MEDICAL
PROFESSIONS PROFESSIONS
PHARMACY INTERNSHIP PHARMACY INTERNSHIP
Community Pharmacy Hospital Pharmacy Community Pharmacy Hospital Pharmacy
Manufacturing Pharmacy Manufacturing Pharmacy
Minor Internship Major Internship Minor Internship Major Internship
Name of Intern: Kate Q. Ocaso Name of Intern: Kate Q. Ocaso
Name and Address of Pharmaceutical Establishment: Name and Address of Pharmaceutical Establishment:
Josmef Pharmacy – Q.Abeto St., Mandurriao, Iloilo City Josmef Pharmacy – Q. Abeto St., Mandurriao, Iloilo City
For the month of: September 2018 For the month of: October 2018

A.M. P.M. Number of A.M. P.M. Number of


Arrival Departure Arrival Departure Hours Minutes Arrival Departure Arrival Departure Hours Minutes
1 1 7:30 12:30 1:31 4:31 8 0
2 2 7:05 12:05 1:06 4:06 8 0
3 7:40 12:40 1:45 4:45 8 0 3
4 7:25 12:25 1:30 4:30 8 0 4
5 5 7:24 12:24 1:25 4:25 8 0
6 6
7 7:05 12:05 1:07 4:07 8 0 7
8 8 7:34 12:34 1:35 4:35 8 0
9 9 7:13 12:13 1:15 4:15 8 0
10 7:42 12:42 1:45 4:45 8 0 10
11 7:03 12:03 1:05 4:05 8 0 11
12 12 7:31 12:31 1:32 4:32 8 0
13 13
14 7:13 12:13 1:15 4:15 8 0 14
15 15 7:06 12:06 1:07 4:07 8 0
16 16
17 7:44 12:44 1:45 4:45 8 0 17 7:00 12:00 1:00 4:00 8 0
18 7:36 12:36 1:40 4:40 8 0 18 7:05 12:05 1:10 4:10 8 0
19 19 7:10 12:10 1:15 4:15 8 0
20 7:26 12:26 1:30 4:30 8 0 20
21 7:03 12:03 1:05 4:05 8 0 21
22 22
23 23 7:05 12:05 1:06 4:06 8 0
24 7:24 12:24 1:25 4:25 8 0 24 7:07 12:07 1:10 4:10 8 0
25 7:34 12:34 1:35 4:35 8 0 25 7:10 12:10 1:11 4:11 8 0
26 26 7:28 12:28 1:30 4:30 8 0
27 27
28 7:13 12:13 1:14 4:14 8 0 28
29 29 7:03 12:03 1:05 4:05 8 0
30 30
31

Certified: Total: 104 hours Certified: Total: 120 hours

Merly E. Ajayi Merly E. Ajayi


Manager of Establishment Intern signature Manager of Establishment Intern signature

Noted: Sheila Mae Y. Daria, RPh Noted: Sheila Mae Y. Daria, RPh
Pharmacist In-charge Pharmacist In-charge
Reg. No.: 0066595 Reg. No.: 0066595
Date Issued: January 29, 2015 Date Issued: January 29, 2015
Ms. Remi Charlene Salvilla Professional Tax No. 5884739 Ms. Remi Charlene Salvilla Professional Tax No.: 5884739
Date Issued: May 22, 2017 Date Issued: May 22, 2017
RPh, MSPhar RPh, MSPhar
Head, Pharmacy Department Head, Pharmacy Department

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