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 Major Pharmacy Manufacturing Pharmacy Major Pharmacy
Name of Intern: GERALDINE M. GABUTIN Name of Intern: GERALDINE M. GABUTIN
Name and Address of Pharmaceutical Establishment: Name and Address of Pharmaceutical Establishment:
NJP PHARMACY (Legaspi St., Miagao, Iloilo o NJP PHARMACY (Legaspi St., Miagao, Iloilo o
For the month of: JULY 2018 For the month of: AUGUST 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
2 2
3 3 8:00 12:00 1:00 5:00 8
4 4
5 5
6 6 8:00 12:00 1:00 5:00 8
7 7 8:00 12:00 1:00 5:00 8
8 8
9 9
10 10 8:00 12:00 1:00 5:00 8
11 11
12 12
13 13 8:00 12:00 1:00 5:00 8
14 14 8:00 12:00 1:00 5:00 8
15 15
16 16
17 17 8:00 12:00 1:00 5:00 8
18 18
19 19
20 20 8:00 12:00 1:00 5:00 8
21 21
22 22
23 8:00 12:00 1:00 5:00 8 23
24 8:00 12:00 1:00 5:00 8 24 8:00 12:00 1:00 5:00 8
25 25
26 26
27 8:00 12:00 1:00 5:00 8 27
28 28 8:00 12:00 1:00 5:00 8
29 29
30 8:00 12:00 1:00 5:00 8 30 8:00 12:00 1:00 5:00 8
31 8:00 12:00 1:00 5:00 8 31 8:00 12:00 1:00 5:00 8

Certified: Total: 40 hours Certified: Total: 96 hours

Mr. Rolando Padilla Mr. Rolando Padilla
Medical Director (Intern signature) 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
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