Republic of the Philippines

Department of Health

CENTER FOR HEALTH DEVELOPMENT

MIMAROPA

PROPERTY RETURN SLIP

Employee Name:
Division/Unit/Cluster : CRE@TE PAR No.: _____________________

Quantity Unit Description Serial Number Inventory Number Date Returned

1 unit Laptop: Asus Vivobook LAN0XC11K610439 03/01/2023

1 pc Laptop Charger

Returned by: Received by:

Kalusugan sa mga Isla, Kayamanan ng MIMAROPA

Quirino Memorial Medical Center Compound, P. Tuazon Blvd., Project 4, Quezon City *Trunkline no. (632) 912-0195

Direct Line: (632) 913-4650 *Fax no.: (632) 912-7754 *URL: http://www.ro4b.doh,gov.ph; email: chdmimaropa@gmail.com
 Republic of the Philippines

Department of Health

CENTER FOR HEALTH DEVELOPMENT

MIMAROPA

Ralph Joseph B. Aquino Rommel Carlo Cayabyab

Signature over Printed Name of End User Signature over Printed Name

HPO II / CRE@TE CMT III / CRE@TE

Position/Office Position/Office

03/01/2023 03/01/2023

Date Date

Kalusugan sa mga Isla, Kayamanan ng MIMAROPA

Quirino Memorial Medical Center Compound, P. Tuazon Blvd., Project 4, Quezon City *Trunkline no. (632) 912-0195

Direct Line: (632) 913-4650 *Fax no.: (632) 912-7754 *URL: http://www.ro4b.doh,gov.ph; email: chdmimaropa@gmail.com