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PROFESSIONAL REGULATION COMMISSION BAGUIO BOARD OF MIDWIFERY RECORD OF DELIVERIES HANDLED Name of Applicant:

Name of Pa !e" 1. Bernadette Quirolgico +.1onal$n Ga#con &. /odnal$n )ernande3 4. /eneln .. 1imene3 5. ,orena 6earl Quindica *. "den . Unifa 2. 8ilma Arellano (. /ichael Unida :. Dai#$ Nichola# 1%. -ac'#elle -alda 11. -a$ Unciano 1+. Gig#$l$n otcuera 1&. Su#an "na<e 14. atherine 1o$ =acipit 15. 1emma Arindig 1*. Amalia Um9alin 12. -adeline =am9a 1(. ri#tina 6amiltan 1:. ,orna Aco#ia +%. -arite# =a9ulog

SHERYL V. DELA CRUZ


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entro!"a#t Balle#tero# aga$an Bangag!Aparri aga$an entro!"a#t Balle#tero# aga$an entro!"a#t Balle#tero# aga$an entro!"a#t Balle#tero# aga$an 7ilanga Balle#tero# aga$an a9aritan "a#t Balle#tero# aga$an -a9uttal "a#t!Balle#tero# aga$an Anunang!A9ulug aga$an Guiddam!A9ulug aga$an 6agga Balle#tero# aga$an Sta.;ilomena A9ulug aga$an a9uluan 8e#t!Balle#tero# aga$an Bagu A9ulag aga$an entro "a#t!Balle#tero# aga$an 6alloc Balle#tero# aga$an ,inao!Aparri aga$an Banguian A9ulug aga$an Baran!Balle#tero# aga$an entro!"a#t Balle#tero# aga$an

School: ILOCOS SUR COMMUNITY COLLEGE (ISCC)


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Date of Graduation: ____________________


SUPERVISED BY/ THE FACULTY

Name Of Ho%&! a' Balle#tero# Di#trict )o#pital Balle#tero# Di#trict )o#pital Balle#tero# Di#trict )o#pital Balle#tero# Di#trict )o#pital Balle#tero# Di#trict )o#pital Balle#tero# Di#trict )o#pital Balle#tero# Di#trict )o#pital Balle#tero# Di#trict )o#pital Balle#tero# Di#trict )o#pital Balle#tero# Di#trict )o#pital Balle#tero# Di#trict )o#pital Balle#tero# Di#trict )o#pital Balle#tero# Di#trict )o#pital Balle#tero# Di#trict )o#pital Balle#tero# Di#trict )o#pital Balle#tero# Di#trict )o#pital Balle#tero# Di#trict )o#pital Balle#tero# Di#trict )o#pital Balle#tero# Di#trict )o#pital Balle#tero# Di#trict )o#pital

Ho%&! a' Ca%e N(m)e$ %('%&'1*+ %('%&'1*2 %('%4'%+% %('%4'%5% %('%4'%25 %('%4'%(1 %('%4'%(1 %('%4'1:+ %('%4'1%* %('%4'1&1 %('%4'12* %('%5'%+5 %('%*'%+2 %('%*'%45 %('1%'%%( %('1%'%%4 %('1%'1+% %('1%'12% %('1%'12* %('1%'122

C*e+, !f Home De'!-e$.

Name !" P$!"


,I-U", .. DO,O/I O ,I-U", .. DO,O/I O ,I-U", .. DO,O/I O ,I-U", .. DO,O/I O ,I-U", .. DO,O/I O ,I-U", .. DO,O/I O ,I-U", .. DO,O/I O ,I-U", .. DO,O/I O ,I-U", .. DO,O/I O ,I-U", .. DO,O/I O -AU/""N B. A-ANO -AU/""N B. A-ANO -AU/""N B. A-ANO -AU/""N B. A-ANO -AU/""N B. A-ANO -AU/""N B. A-ANO -AU/""N B. A-ANO -AU/""N B. A-ANO -AU/""N B. A-ANO -AU/""N B. A-ANO

S!0"a ($e

De%!0"a !o"
/egi#tered Nur#e -id0ife /egi#tered Nur#e -id0ife /egi#tered Nur#e -id0ife /egi#tered Nur#e -id0ife /egi#tered Nur#e -id0ife /egi#tered Nur#e -id0ife /egi#tered Nur#e -id0ife /egi#tered Nur#e -id0ife /egi#tered Nur#e -id0ife /egi#tered Nur#e -id0ife /egi#tered Nur#e -id0ife /egi#tered Nur#e -id0ife /egi#tered Nur#e -id0ife /egi#tered Nur#e -id0ife /egi#tered Nur#e -id0ife /egi#tered Nur#e -id0ife /egi#tered Nur#e -id0ife /egi#tered Nur#e -id0ife /egi#tered Nur#e -id0ife /egi#tered Nur#e -id0ife

Re0 No.

INTRAVENOUS INSERTIONS

Name of Pa !e"

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Name Of Ho%&! a'

Ho%&! a' Ca%e N(m)e$ %('1%'1(1 %('1%'1(( %('1%'1(: %('1%'1:% %('1%'1:+

C*e+, !f Home De'!-e$.

SUPERVISED BY/ THE FACULTY Name !" P$!" S!0"a ($e De%!0"a !o"
-AU/""N B. A-ANO -AU/""N B. A-ANO -AU/""N B. A-ANO -AU/""N B. A-ANO -AU/""N B. A-ANO /egi#tered Nur#e -id0ife /egi#tered Nur#e -id0ife /egi#tered Nur#e -id0ife /egi#tered Nur#e -id0ife /egi#tered Nur#e -id0ife

Re0 No.

1. ,orna Gon3ale# +. -arl$n /e$non &. harmaine de =a99ali 4. Norma 6arale<o 5. Ai3a .i#te -arie

6alloc!Balle#tero# aga$an entro "a#t Balle#tero# aga$an entro A9ulug aga$an antro "a#t Balle#tero# aga$an a9aritan 8e#t Balle#tero# aga$an

1%'+4'%( 1%'+4'%( 1%'+5'%( 1%'+('%( 11'%1'%(

Balle#tero# Di#trict )o#pital Balle#tero# Di#trict )o#pital Balle#tero# Di#trict )o#pital Balle#tero# Di#trict )o#pital Balle#tero# Di#trict )o#pital

SUTURING of PERINEAL LACERATIONS


Name of Pa !e"
1. Di>ina /ona +. ">angeline Alon3o &. ;elma -angilot 4. /o#el$n Duma$a# 5. ,i3el 6. 6a#ion

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Guiddam A9ulug aga$an Sta. ru3 Balle#tero# aga$an 6alloc Balle#tero# aga$an ,uc9an A9ulug! aga$an Alinunu! A9ulug aga$an

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Name Of Ho%&! a'


Balle#tero# Di#trict )o#pital Balle#tero# Di#trict )o#pital Balle#tero# Di#trict )o#pital Balle#tero# Di#trict )o#pital Balle#tero# Di#trict )o#pital

Ho%&! a' Ca%e N(m)e$


%('1%'1:* %('1%'1:2 %('1+'151 %('1+'151 %('1+'1*&

C*e+, !f Home De'!-e$.

SUPERVISED BY/ THE FACULTY S!0"a ($e Name !" P$!" De%!0"a !o"
,I-U", .. DO,O/I O ,I-U", .. DO,O/I O ,I-U", .. DO,O/I O ,I-U", .. DO,O/I O ,I-U", .. DO,O/I O

Re0 No.

/egi#tered Nur#e -id0ife /egi#tered Nur#e -id0ife /egi#tered Nur#e -id0ife /egi#tered Nur#e -id0ife /egi#tered Nur#e -id0ife

CERTIFIED CORRECT/ SUBS /IB"D AND S8O/N =O 9efore me thi# ______________ at _________ affiant e?hi9iting to me hi#@her /e#idence ertificate No. ________ I##ued at _____________ on ________________ MAUREEN B. AMANO1 RM1 RN Midwifery Program Coordinator NOTED BY/ MA. MICHELLE L. RIGLOS1 RN Health Science Department Head CARMENCITA REYES PAZ1 P*.D1 E#.D College Administrator

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