Republic of the Philippines

PROFESSIONAL REGULATION COMMISION

Baguio City

BOARD OF MIDWIFERY

RECORD OF DELIVERIES HANDLED

Name of Applicant: APRIL R. PAET School: ILOCOS SUR COMMUNITY COLLEGE (ISCC) Date of Graduation: MARCH 30, 2009

Name of Patient Address Date Name of Hospital Hospital Check if

Case Home SUPERVISED BY FACULTY
Number Delivery Name in Print Signature Desisnation Reg. No.
Jamael c. Sultan San Julian Norte, Vigan City 06/20/07 / REMIGIA F. AZURIN Municipal Health Midwife 0028414
Jennifer S. Bascao San Jose, Vigan City 06/24/07 / REMIGIA F. AZURIN Municipal Health Midwife 0028414
Diana G. Apelin Capangpangan, Vigan City 07/02/07 / REMIGIA F. AZURIN Municipal Health Midwife 0028414
Noemie P. Tayaoan San Jose, Vigan City 07/17/07 / REMIGIA F. AZURIN Municipal Health Midwife 0028414
Julie Ann S. Manuel San Julian Norte, Vigan City 08/03/08 / REMIGIA F. AZURIN Municipal Health Midwife 0028414
Blessy F. Sanchez San Julian Norte, Vigan City 08/31/07 / REMIGIA F. AZURIN Municipal Health Midwife 0028414
Andrea V. Eugenio Brgy. VI, Vigan City 09/02/07 / REMIGIA F. AZURIN Municipal Health Midwife 0028414
Carol A. Agpa San Julian Sur, Vigan City 09/09/07 / REMIGIA F. AZURIN Municipal Health Midwife 0028414
Teresa L. Corpuz San Julian Norte, Vigan City 09/22/07 / REMIGIA F. AZURIN Municipal Health Midwife 0028414
Arsula S. Aspan San Julian Sur, Vigan City 10/12/07 / REMIGIA F. AZURIN Municipal Health Midwife 0028414
Carmelita F. Alquetra Magsingal, Ilocos Sur 06/14/08 Gabriela Silang General Hospital 08003381 EDNALYN PABLICO Registered Nurse 0458882
Milargos P. Rivada Poblacion, San Vicente, Ilocos Sur 07/06/08 Gabriela Silang General Hospital 08003916 EDNALYN PABLICO Registered Nurse 0458882
Analor Cantor San Jose, Vigan City 07/07/08 Gabriela Silang General Hospital 08003928 EDNALYN PABLICO Registered Nurse 0458882
Cosmedine Guimangal San Julian Norte, Vigan City 07/09/08 Gabriela Silang General Hospital 08003980 EDNALYN PABLICO Registered Nurse 0458882
Marites Arellano Puro, Magsingal, ILocos Sur 09/11/08 Magsingal District Hospital 148674 MA. SUZETTE VILLION Registered Midwife, Registered Nurse 0413191
Sonia T. Garrido Puro, Magsingal, Ilocos Sur 09/20/08 Magsingal District Hospital 147823 MA. SUZETTE VILLION Registered Midwife, Registered Nurse 0413191
Irene P. Guillermo Parada, Sto. Domingo 12/03/08 Gabriela Silang General Hospital 08008685 EDNALYN PABLICO Registered Nurse 0458882
Maribel Toledo Bantaoay, San Vicente, Ilocos Sur 12/03/08 Gabriela Silang General Hospital 08003916 EDNALYN PABLICO Registered Nurse 0458882
Arlene T. Natividad Muraya, San Juan, Ilocos Sur 12/30/08 Magsingal District Hospital 148672 MA. SUZETTE VILLION Registered Midwife, Registered Nurse 0413191
Estrelita A. Manamtan Pandaya, San Juan, Ilocos Sur 12/30/08 Magsingal District Hospital 148674 MA. SUZETTE VILLION Registered Midwife, Registered Nurse 0413191
 Name of Patient Address Date Name of Hospital Hospital Check if
Case Home SUPERVISED BY FACULTY
Number Delivery Name in Print Signature Desisnation Reg. No.
Marites Arellano Puro, Magsingal, Ilocos Sur 09/11/08 Magsingal District Hospital 148674 MA. SUZETTE VILLION Registered Midwife, Registered Nurse 0413191
Gina Mercado Maruya, Magsingal, Ilosos Sus 09/11/08 Magsingal District Hospital 148674 MA. SUZETTE VILLION Registered Midwife, Registered Nurse 0413191
Sonia T. Garrido Puro, Magsingal, Ilocos Sur 09/20/08 Magsingal District Hospital 147823 MA. SUZETTE VILLION Registered Midwife, Registered Nurse 0413191
Arlene T. Natividad Muraya, San Juan, Ilocos Sur 12/30/08 Magsingal District Hospital 148672 MA. SUZETTE VILLION Registered Midwife, Registered Nurse 0413191
Estrelita A. Manamtan Pandaya, San Juan, Ilocos Sur 12/30/08 Magsingal District Hospital 148674 MA. SUZETTE VILLION Registered Midwife, Registered Nurse 0413191
SUTURING:

INTRAVENOUS:

Name of Patient Address Date Name of Hospital Hospital Check if

Case Home SUPERVISED BY FACULTY
Number Delivery Name in Print Signature Desisnation Reg. No.
Jacqueline Calina San Esteban, Ilocos Sur 07/26/08 Gabriela Silang General Hospital 0800356 RIA MARIE VILORIA Registered Midwife, Registered Nurse 0429509
Merlina De Guzman San Jose, Candon City 07/29/08 Gabriela Silang General Hospital 0800308 RIA MARIE VILORIA Registered Midwife, Registered Nurse 0429509
Cheryl Bueno Puro, Caoayan, Ilocos Sur 08/02/08 Gabriela Silang General Hospital 08004841 RIA MARIE VILORIA Registered Midwife, Registered Nurse 0429509
Kenneth Quilopo Puro, Caoayan, Ilocos Sur 08/11/08 Gabriela Silang General Hospital 08004616 RIA MARIE VILORIA Registered Midwife, Registered Nurse 0429509
Maribel Aquimaran Pagburnayan, Ilocos Sur 08/18/08 Gabriela Silang General Hospital 08004973 RIA MARIE VILORIA Registered Midwife, Registered Nurse 0429509

SUBSCRIBED AND SWORN before me this CERTIFIED CORRECT:

At affiant exhibiting

To me his/her Residence Certificate No. MAUREEN B. AMANO RM, RN MA. MICHELLE L. RIGLOS RN.

Issued at on Midwifery Program Coordinator Health Science Department Head

NOTED BY:

CARMENCITA REYES-PAZ. Ph.D. Ed. D.

College Administrator