MAY 24, 2014 LIAN MARIZZE S.

INFANTE

LIAN MARIZZE S.
INFANTE
COLLEGE OF PHARMACY AND MEDICAL TECHNOLOGY
UNIVERSITY OF SAN AGUSTIN
ILOILO CITY 5000 PHILIPPINES
SUMMARY REPORT ON PHARMACY INTERNSHIP
NAME OF STUDENT DATE OF
GRADUATION
I.BASIC TRAINING
Nature Institution an Aress In!"usi#e $ates Tota" %ours
C&MM'NITY
(%ARMACY
I"oi"o Gra!e ()ar*a!+,
Lees*a St., I"oi"o Cit+ 04,10,12 -0.,1.,12 200 )ours
%&S(ITAL
(%ARMACY
St. T)erese - MTC
Co""e/es %os0ita", San
A/ustin St., I"oi"o Cit+
01,01,11 2
&2,23,11
200 )ours
MAN'FACT'RING
(%ARMACY
Re4nette Cos*eti!
Inustr+, 141 &" Ta5an/
R., Ta5an/ Gui/uinto,
Bu"a!an
0.,06,11 2 06,07,11
200 )ours
Tota"
600 )ours
II. TRAINING AREA &F S(ECIALIZATI&N 8in an+ o9 t)e t)ree areas,4e"s:
Nature Institution an Aress In!"usi#e $ates Tota" %ours
C&MM'NITY
(%ARMACY
Eros Boti!a, Gen. Luna
St., Br/+. $anao Cit+
(ro0er, I"oi"o Cit+
11,04,11-02,1.,14 160 )ours
%&S(ITAL
(%ARMACY
MAN'FACT'RING
(%ARMACY
Tota"
160 )ours
I hereby declare the veracity of the above data based on the attached daily time records and
certicates si!ned by the res"ective s#"ervisin! "harmacists of the above instit#tions in my
comm#nity$ hos"ital$ man#fact#rin! and s"eciali%ation areas of internshi"&
'rinted name and
si!nat#re
Noted by(
REMI C%ARLENE M. SAL;ILLA, R(%, MS (%AR
)ead of 'harmacy
MAY 24, 2014 LIAN MARIZZE S.
INFANTE
600
)ours
160
)ours
ZESIL GAY E. GELLE, RMT, MSMT
Dean
*c"mt+#ne,-./ Form ,
COLLEGE OF PHARMACY AND MEDICAL TECHNOLOGY
UNIVERSITY OF SAN AGUSTIN
ILOILO CITY 5000 PHILIPPINES
SUMMARY REPORT ON PHARMACY INTERNSHIP
NAME OF STUDENT DATE OF
GRADUATION
I& 0ASI1 TRAINING
Nat#re Instit#tion and Address Incl#sive Dates Total
)o#r
s
1oordinator2s name
and si!nat#re
C&MM'NITY
(%ARMACY
I"oi"o Gra!e
()ar*a!+,
Lees*a St., I"oi"o
Cit+
04,10,12
-0.,1.,12
200
)ou
rs
Ra*on Sa"anio <r.,
R(), RN
%&S(ITAL
(%ARMACY
St. T)erese - MTC
Co""e/es %os0ita",
San A/ustin St.,
I"oi"o Cit+
01,01,11
-&2,23,11
200
)ou
rs
Marian Ba!ani, R()
MAN'FACT'
RING
(%ARMACY
Re4nette Cos*eti!
Inustr+, 141 &"
Ta5an/ R., Ta5an/
Gui/uinto, Bu"a!an
0.,06,11 2
06,07,11 200
)ou
rs
Mar+ Co""een
Go*ie/a, R()
Ri!!i Besana, R()
Total
II& TRAINING AREA OF S'E1IA3I4ATION 5in any of the three areas*elds6
Nat#re Instit#tion and
Address
Incl#sive Dates Total
)o#rs
1oordinator2s name
and si!nat#re
C&MM'NITY
(%ARMACY
Eros Boti!a, Gen.
Luna St., Br/+.
$anao Cit+
(ro0er, I"oi"o Cit+
11,04,11-
02,1.,14
160
)ours
Gene#ie#e
Gu*5an, R()
Total
I hereby declare the veracity of the above data based on the attached daily time records and
certicates si!ned by the res"ective s#"ervisin! "harmacists of the above instit#tions in my
comm#nity$ hos"ital$ man#fact#rin! and s"eciali%ation areas of internshi"&
LIAN MARIZZE S.
INFANTE 'rinted name and
si!nat#re