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  • Sam Form

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    Louie Atnhony Tan
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    This document is a screening attendance and monitoring form for a business event held on March 18, 2023 from 11am to 6pm at Watsons Branch in Ormoc City. It lists the team members in attendance along with their professions and signatures. It also tracks vaccination statistics for flu, pneumonia and HPV for three days as well as bank details for payments to medical doctors and nurses.

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    SAM FORM

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    This document is a screening attendance and monitoring form for a business event held on March 18, 2023 from 11am to 6pm at Watsons Branch in Ormoc City. It lists the team members in attendance along with their professions and signatures. It also tracks vaccination statistics for flu, pneumonia and HPV for three days as well as bank details for payments to medical doctors and nurses.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    28 views2 pages

    Sam Form

    Uploaded by

    Louie Atnhony Tan
    This document is a screening attendance and monitoring form for a business event held on March 18, 2023 from 11am to 6pm at Watsons Branch in Ormoc City. It lists the team members in attendance along with their professions and signatures. It also tracks vaccination statistics for flu, pneumonia and HPV for three days as well as bank details for payments to medical doctors and nurses.

    Copyright:

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

    FDR-SAMF-08/2022

    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 Venue's Authorized


    Name in Print Profession Signature Time-In Time-Out Signature
    MD
    RN
    MD
    RN
    MD
    RN
    Day 1 Census Day 2 Census Day 3 Census
    Vaccinated Took Home Vaccinated Took Home Vaccinated Took Home
    Flu: Flu: Flu: Flu: Flu: Flu:
    Pneumo: Pneumo: Pneumo: Pneumo: Pneumo: Pneumo:
    HPV: 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

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