RECORD OF HOSPITAL ACTIVITIES IN

CLERKSHIP

SUBMITTED BY

NAME OF STUDENT
ROLL NO.

PharmD 5TH YEAR

2017-18
In Partial fulfillment for award of degree of
DOCTOR OF PHARMACY (PharmD)

To

ISF COLLEGE OF PHARMACY, MOGA, PUNJAB

Affiliated to

I.K. GUJRAL PUNJAB TECHNICAL UNIVERSITY

JALANDHAR, PUNJAB
(A State University Established by Govt. of Punjab vide an Act in 1997 and Under
Section 2(f) of UGC)

Signature Student Signature Head of Department Signature Principal

_____________________________________________________________________________________________________________________
VISION: To provide specialized quality education in the field of pharmacy, producing competent and skilled graduates who can face the
challenges and demands of the profession worldwide, and contribute to the health of the society.
MISSION: To ensure that students acquire optimal theoretical knowledge and practical training of the pharmacy programme through
curricular and co-curricular activities with social values and professional ethics. 
 RECORD OF HOSPITAL ACTIVITIES IN

CLERKSHIP

SUBMITTED BY

NAME OF STUDENT
ROLL NO.

PharmD 5TH YEAR

2017-18
In Partial fulfillment for award of degree of
DOCTOR OF PHARMACY (PharmD)

To

ISF COLLEGE OF PHARMACY, MOGA, PUNJAB

Affiliated to

MAHARAJA RANJIT SINGH PUNJAB TECHNICAL UNIVERSITY

BATHINDA, PUNJAB
(A State University Established By Govt. of Punjab vide Punjab Act No. 5 of 2015 and Under
Section 2(f) of UGC)

Signature Student Signature Head of Department Signature Principal

_____________________________________________________________________________________________________________________
VISION: To provide specialized quality education in the field of pharmacy, producing competent and skilled graduates who can face the
challenges and demands of the profession worldwide, and contribute to the health of the society.
MISSION: To ensure that students acquire optimal theoretical knowledge and practical training of the pharmacy programme through
curricular and co-curricular activities with social values and professional ethics. 
 Record of Hospital Activities in Clerkship
S.N Date Details of Activity Signature of Signature of
Clinical Academic
Preceptor Preceptor/Supe
rvisor
1

10

Remarks by Preceptors

_____________________________________________________________________________________________________________________
VISION: To provide specialized quality education in the field of pharmacy, producing competent and skilled graduates who can face the
challenges and demands of the profession worldwide, and contribute to the health of the society.
MISSION: To ensure that students acquire optimal theoretical knowledge and practical training of the pharmacy programme through
curricular and co-curricular activities with social values and professional ethics. 
 Preceptor Head of Department Principal

_____________________________________________________________________________________________________________________
VISION: To provide specialized quality education in the field of pharmacy, producing competent and skilled graduates who can face the
challenges and demands of the profession worldwide, and contribute to the health of the society.
MISSION: To ensure that students acquire optimal theoretical knowledge and practical training of the pharmacy programme through
curricular and co-curricular activities with social values and professional ethics.