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ILOILO DOCTORS’ COLLEGE

COLLEGE OF NURSING
West Avenue, Molo, Iloilo City
5000, Philippines

ASSIGNMENT SHEET
ACTIVITIES:______________________________

DEPARTMENT:__________________________ YEAR / SECTION / GROUP:_____________________ Clinical Instructor:__________________________________________

NAME OF PATIENT. SEX,


NAME DATE DATE DATE AGE, ROOM NO., CC & ACTIVITY TUBINGS LABORATORY EXAMS SPECIAL ASSIGNMENTS
ATTENDING PHYSICIAN

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