UNIVERSITY OF SAN AGUSTIN

Iloilo City, Philippines

COLLEGE OF HEALTH and ALLIED MEDICAL
PROFESSIONS
PHARMACY INTERNSHIP
Community Pharmacy Hospital Pharmacy
Manufacturing Pharmacy Major Pharmacy
Name of Intern: GERALDINE M. GABUTIN
Name and Address of Pharmaceutical Establishment:
NJP PHARMACY (Legaspi St., Miagao, Iloilo o
For the month of: AUGUST 2018

A.M. P.M. Number of

Arrival Departure Arrival Departure Hours Minutes
1 7:30 11:30 1:00 5:00 8
2 7:30 11:30 1:00 5:00 8
3 7:30 11:30 1:00 5:00 8
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

Certified: Total: 24 hours

Mr. Rolando Padilla
Medical Director (Intern signature)

Noted: Ma. Ella Trance, RPh

Pharmacist In-charge
Reg. No.: 0045610
Date Issued: 08/31/2001
Professional Tax No.:
Ms. Remi Charlene Salvilla 5815817
RPh, MSPh Date Issued: 1/10/2018
Head, Pharmacy Department