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Republic of the Philippines

Province of Negros Oriental

NEGROS ORIENTAL PROVINCIAL HOSPITAL
Dumaguete City 6200
PHILHEALTH Accredited

DOCUMENT DISSEMINATION FORM

DOCUMENT TITLE: OFFICE ORDER ON CREATION OF LOGBOOK FOR DISCHARGES
DISSEMINATION DATE: NOVEMBER 22, 2018

AFIXING YOUR SIGNATURE MEANS YOU FULLY UNDERSTOOD THE DISSEMINATED INFORMATION

NAME POSITION DEPARTMENT SIGNATURE

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