Name of Student: TORIO, MON JEFFREY TAIP

Name & Address of School: Manila Doctors College, President Diosdado Macapagal Boulevard, Metropolitan Park, Pasay City
Accreditation Level (if any): PAASCU Level II Accredited Status Year Granted: November 28, 2008 to November 2011
Date School/Program was Recognized: July 6, 1981 Number: 098 Year: 1981
First Course (if any): Not Applicable School Graduated From: Not Applicable
Year of Admission in the Bachelor of Science in Nursing Program: 2007
Year Graduated (BSN Program): 2011
MAJOR OPERATIONS

Signature
Supervised by: of
Date of Name of Operation Type of Name of Name of PRC Date of PNA ID Date of
No. Case No. Diagnosis Name of Qualified Qualified
Operation Patient Performed Anesthesia Surgeon Hospital Clinical Instructor
ID # Validity # Validity
Clinical
Instructor
Pregnancy Uterine Full
–term 38 weeks age of St. Clare’s
2010 – Low Transverse Dra. Jane Jonalyn Corpuz, RN, January 6, 2011 – October
1. April 23, 2010 Teresa G. Krout gestation, Non- Spinal Medical 0204258
04198 Cesarean Section I Panaligan MAN 2013 040924 31, 2011
reassuring fetal heart Center
rate pattern

Concurred by:
Prepared by: Noted by: Approved By:
Salomia S. Dela Cruz, JULITA M.
TORIO, MON JEFFREY TAIP LATOSQUIN Lunally S. Payba, Norma M. Dumadag,
Signature Over printed name of CHIEF NURSE Signature Over printed name of RLE COORDINATOR
STUDENT Signature Over printed name of DEAN
Date Signed : Date Signed :
Degree : RN MAN
Date Signed :
Degree : RN, MSN
a). PRC No. : 50969 Degree : RN, MN
a). PRC No. : 0146866
Valid Until : November 1, 2011 a). PRC No. : 0018569
Valid Until : July 22, 2012
b). PNA No. : 013181 Valid Until : December 29, 2011
b). PNA No. : 821197
Valid Until : Lifetime b). PNA No. : 5350
Valid Until : October 31, 2011
Valid Until : Lifetime
c). ADPCN No. : 0802
Valid Until : 2011