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  • Rising Business Concepts & Services, Inc. Screening Attendance & Monitoring Form

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    Louie Atnhony Tan
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    This document is a screening attendance and monitoring form for Rising Business Concepts & Services, Inc. It provides details of a screening event held on March 18, 2023 from 11am to 6pm at Watsons Branch in Ormoc City, Philippines. It lists the team members in attendance and their signatures, and tracks vaccination numbers and those who took vaccines home each day. It also includes bank details for payment and spaces for remarks.

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    This document is a screening attendance and monitoring form for Rising Business Concepts & Services, Inc. It provides details of a screening event held on March 18, 2023 from 11am to 6pm at Watsons Branch in Ormoc City, Philippines. It lists the team members in attendance and their signatures, and tracks vaccination numbers and those who took vaccines home each day. It also includes bank details for payment and spaces for remarks.

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    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
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    22 views2 pages

    Rising Business Concepts & Services, Inc. Screening Attendance & Monitoring Form

    Uploaded by

    Louie Atnhony Tan
    This document is a screening attendance and monitoring form for Rising Business Concepts & Services, Inc. It provides details of a screening event held on March 18, 2023 from 11am to 6pm at Watsons Branch in Ormoc City, Philippines. It lists the team members in attendance and their signatures, and tracks vaccination numbers and those who took vaccines home each day. It also includes bank details for payment and spaces for remarks.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    RISING BUSINESS CONCEPTS & SERVICES, INC.

    SCREENING ATTENDANCE & MONITORING FORM

    Date: SATURDAY MARCH 18, 2023 11AM TO 6PM


    Venue: WATSONS BRANCH 2415 SM ORMOC
    Address: ORMOC CITY

    TEAM MEMBERS
    Name in Print Profession Signature Time-In Time-Out
    MD
    RN
    MD
    RN
    MD
    RN
    Day 1 Census Day 2 Census Day 3 Census
    Vaccinated Took Home Vaccinated Took Home Vaccinated
    Flu: Flu: Flu: Flu: Flu:
    Pneumo: Pneumo: Pneumo: Pneumo: Pneumo:
    HPV: HPV: HPV: HPV: HPV:
    MD's Bank Details: RN's Bank Details: Remarks:
    Bank Account Name: Bank Account Name: Louie Anthony Tan
    Bank Account Number:: Bank Account Number: 0956499267
    Bank: Bank: LANDBANK
    FDR-SAMF-08/2022

    Venue's Authorized Signature

    Day 3 Census
    Took Home
    Flu:
    Pneumo:
    HPV:
    Remarks:

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