CENTRO ESCOLAR UNTVERSITY Manila * Makati * Malolos SCHOOL OF PHARMACY

Pharrnacy InternshtF Daily TIme Record Name of Intcm
Name of Establisbrnent

Conmmity Pharaacy
For the Monih

Hospital Pharmacy _ Manufachrring Pharmacy

-

Certified:

Directorfi{.anager of Firm

lntern's Signature

NOTED BY;
Signature Over Printed Nan:e

of Pharmacist In Charge RegistrationNo.
Dean

Date Issued:

PTRNo.
Date Issued:

AAF.PH

OO5

06t30120t0

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