Name of Student Sheena Marie A. Isaloc Name and Address of School: Brokenshire College, Madapo, Davao City Accreditation Level:3 Date School / Program Recognized: June 14, 1983 First Course (if any): Year of Admission in the Bachelor of Science in Nursing Program: 2007 Year Graduated (BSN Program): 2011 No. Case No. Diagnosis Name of Mother Age Date of Delivery Year Granted: August 2007 - April 2012 Number: 012 School Graduated From: ACTUAL DELIVERIES Time of Delivery 11:22 AM Gender of Baby Name of Hospital Brokenshire Integrated Health Ministries Incorporated Type of Delivery Normal Spontaneous Vaginal Delivery Supervised by: Name & Sig. of Qualified C.I. Marie Theresa T. De Leon, R.N.,M.N.
Year: 1984
021643
Pregnancy Uterine Cephalic Delivered Term Live Birth Baby Boy Gravida 2 Parity 2 (2002) Noted by
Rizza D. Sion
35 Years Old
May 8, 2010
Male
Concurred by: PERLITA A. MICIANO, R.N., M.A.N Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing Master of Arts in Nursing a) PRC No.: 0052653 Valid Until: July 1, 2012 b) PNA No.:17206 Valid Until: LIFETIME c) ANSAP No.: 0356 Valid Until: LIFETIME
Approved by: RUBY M. UY, R.N., M.A.N., Ph.D. Dean, Brokenshire College Date Signed: Degree: Bachelor of Science in Nursing Master of Arts in Nursing DOCTOR OF PHILOSOPHY in EDUCATION ADMINISTRATION a) PRC No. : 0094395 Valid Until: December 9, 2013 b) PNA No.: 11602 Valid Until: LIFETIME c) ADPCN No.: 0587 Valid Until: December 2011 FRM-NSG-18A Rev. No. 0001
CHERYL M. REYES, R.N., M.N. Clinical Coordinator Date Signed: Degree: Bachelor of Science in Nursing Master in Nursing a) PRC No.: 0290750 Valid Until: March 29, 2014 b) PNA No: 13865 Valid Until: LIFETIME
Year Granted: August 2007 - April 2012 Number: 012 School Graduated From: ACTUAL DELIVERIES Age Date of Delivery Time of Delivery 4:30 PM Gender of Baby Female Name of Hospital Davao Regional Hospital Type of Delivery Normal Spontaneous Vaginal Delivery
Year: 1984
Supervised by: Name & Sig. of Qualified C.I. Lourie T. Rionda, R.N.,M.N.
286022
Milyn E. Miranda
29 Years Old
Tagum
Year: 1984
030064
Pregnancy Uterine Term Delivered Via Normal Spontaneous Vaginal Delivery Cephalic Live Birth Gravida 2, Parity 2 (2002)
Rosalyn D. Paniamogan
29 Years Old
1:36 AM
Male
30428
Pregnancy Uterine Ter Delivered Via Normal Spontaneous Vaginal Delivery Cephalic Live Birth Baby Boy APGAR Score 8,9, Birth Weight 2.7 Kilograms Gravida 2, Parity 2 (2002) Pregnancy Uterine Term Delivered Via Normal Spontaneous Vaginal Delivery Cephalic Live Birth Baby Girl, Birth Weight 3 Kilogras, Birth Length 49 Centimeters, APGAR Score 8,9, Gravida 3, Parity 2 (2012) Noted by CHERYL M. REYES, R.N., M.N. Clinical Coordinator Date Signed: Degree: Bachelor of Science in Nursing Master in Nursing a) PRC No.: 0290750 Valid Until: March 29, 2014 b) PNA No: 13865 Valid Until: LIFETIME
Joyce G. Laya
33 Years Old
2:28 PM
Male
030559
Milyn E. Miranda
29 Years Old
4:30 PM
Female
Concurred by: PERLITA A. MICIANO, R.N., M.A.N Chief Nurse Date Signed: Degree: Bachelor of Science in Nursing Master of Arts in Nursing a) PRC No.: 0052653 Valid Until: July 1, 2012 b) PNA No.:17206 Valid Until: LIFETIME c) ANSAP No.: 0356 Valid Until: LIFETIME
Approved by: RUBY M. UY, R.N., M.A.N., Ph.D. Dean, Brokenshire College Date Signed: Degree: Bachelor of Science in Nursing Master of Arts in Nursing DOCTOR OF PHILOSOPHY in EDUCATION ADMINISTRATION a) PRC No. : 0094395 Valid Until: December 9, 2013 b) PNA No.: 11602 Valid Until: LIFETIME c) ADPCN No.: 0587 Valid Until: December 2011 FRM-NSG-18A Rev. No. 0001