CS FORM 48

DAILY TIME RECORD

Camiling District Hospital

MARK B. PATEL
(Name)
For the month of: JULY
Official hours of arrival Regular days _______________
and departure Saturdays _________________
A.M. P.M. Undertime
DAY
Arrival Depature Arrival Departure Hours Minutes
1 7:00 3:00
2 7:00 3:00
3 7:00 3:00
4 7:00 3:00
5 7:00 3:00
6 7:00 3:00
7 7:00 3:00
8 7:00 3:00
9 7:00 3:00
10 REST DAY
11 7:00 3:00
12 12:00 10:00
13 12:00 10:00
14 12:00 10:00
15 12:00 10:00
16 12:00 10:00
17 12:00 10:00
18 12:00 10:00
19 12:00 10:00
20 REST DAY
21 12:00 10:00
22 12:00 10:00
23 12:00 10:00
24 12:00 10:00
25 12:00 10:00
26 12:00 10:00
27 12:00 10:00
28 12:00 10:00
29 12:00 10:00
30 12:00 10:00
31
TOTAL

I certify on my honor that the above is a true and correct report of hours
performed, record of which was made daily at the time of arrival and
depature from office.

____________________________________________________________
VERIFIED as to the prescribed office hours:

CARMELA S.LAUDE
in Charge