RECORD CONTROL FORM

DEPARTMENT NAME MIS PREPARED BY

PREPARED DATE APPROVED DATE APPROVED BY
Records include Day-to-Day ledgers, forms, and other forms which requires input of information or recognitions.
ORIGIN KEEP DISPOSITION METHOD
No. RECORD NAME CODE REV. No. DISTRIBUTED TO RETENTION
AT
1 Medical Checkup Form GH-F-01 01 Regional MIS 5 years Burning or Shredding
2 Microbiology Report Generated report () -
3 Biochemistry Report -
4 Hematology Report -

ABCX-COR-F-02, Revision 0, Effective Date – 00/00/0000