NATIONAL UNIVERSITY

NATIONAL UNIVERSITY Manila

Manila COLLEGE OF PHARMACY
COLLEGE OF PHARMACY
Internship Daily Time Record
Internship Daily Time Record _______________________________________
_______________________________________ Name of Intern:
JOSE MIGUEL M. REYES
_______________________________________
Name of Intern:
PATRICK LANCE D.
JOSE MIGUEL M.BENAVIDEZ
REYES
______________________________________________ Name of Pharmaceutical establishment:
Name of Pharmaceutical establishment: Medi-RX Inc.
_______________________________________
Medi-RX Inc.
______________________________________________ For the Month of:
JUNE 2018
For the Month of: _______________________________________
_________________________________________
MAY 2018 A.M. P.M.
DATE
A.M. P.M. Arrival Departure Arrival Departure Hours Minutes
DATE Arrival Departure Arrival Departure Hours Minutes 1 7:00 12:00 1:00 4:00 8
1 2
2 7:00 12:00 1:00 4:00 8 3
3 7:00 12:00 1:00 4:00 8 4 7:00 12:00 1:00 4:00 8
4 7:00 12:00 1:00 4:00 8 5 7:00 12:00 1:00 4:00 8
5 6 7:00 12:00 1:00 4:00 8
6 7
7 7:00 12:00 1:00 4:00 8 8
8 7:00 12:00 1:00 4:00 8 9
9 7:00 12:00 1:00 4:00 8 10
10 7:00 12:00 1:00 4:00 8 11
11 7:00 12:00 1:00 4:00 8 12
12 13
13 14
14 7:00 12:00 1:00 4:00 8 15
15 7:00 12:00 1:00 4:00 8 16
16 7:00 12:00 1:00 4:00 8 17
17 7:00 12:00 1:00 4:00 8 18
18 7:00 12:00 1:00 4:00 8 19
19 20
20 21
21 7:00 12:00 1:00 4:00 8 22
22 7:00 12:00 1:00 4:00 8 23
23 7:00 12:00 1:00 4:00 8 24
24 7:00 12:00 1:00 4:00 8 25
25 7:00 12:00 1:00 4:00 8 26
26 27
27 28
28 7:00 12:00 1:00 4:00 8 29
29 7:00 12:00 1:00 4:00 8 30
30 7:00 12:00 1:00 4:00 8 31
31 TOTAL= 32 HOURS
TOTAL= 168 HOURS ---------------------------------------------------------
--------------------------------------------------------- ----- Hospital Pharmacy
----- Hospital Pharmacy Community Pharmacy
Community Pharmacy Manufacturing Pharmacy __________________
Manufacturing Pharmacy __________________ (Intern’s Signature)
(Intern’s Signature) Prof. Tax No.
Prof. Tax No. _________5610995________
______5610995_________ Date Issued 1/8/18 Elena M. Ladines, RPh
Date Issued 1/8/18 Elena M. Ladines, RPh Reg. No. 0058469 Pharmacist-in-Charge
Reg. No.0022453 Pharmacist-in-Charge Certified: Noted:
Certified: Noted:

Corazon O. Pagulayan Nimfa B. Gambalan RPh, MSPh,PhD

Corazon O. Pagulayan Nimfa B. Gambalan RPh, MSPh,PhD
Director or Manager of Firm Dean
Director or Manager of Firm Dean
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---------------------------------------------------------- PHA-FO-008.1
PHA-FO-008.1