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    Form-12 Karen

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    GeraldineMoletaGabutin
    Karen S. Capatayan completed her pharmacy internship from May 2018 to May 2019. She spent 200 hours each in community and hospital pharmacy settings, and 200 hours in a manufacturing pharmacy facility. Additionally, she specialized in community pharmacy, completing 360 hours. The internship was declared accurate based on time records and supervisor signatures from the institutions.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Form-12 Karen

    Uploaded by

    GeraldineMoletaGabutin
    26 views2 pages
    Karen S. Capatayan completed her pharmacy internship from May 2018 to May 2019. She spent 200 hours each in community and hospital pharmacy settings, and 200 hours in a manufacturing pharmacy facility. Additionally, she specialized in community pharmacy, completing 360 hours. The internship was declared accurate based on time records and supervisor signatures from the institutions.

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    Form-12 Karen.docx

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    Karen S. Capatayan completed her pharmacy internship from May 2018 to May 2019. She spent 200 hours each in community and hospital pharmacy settings, and 200 hours in a manufacturing pharmacy facility. Additionally, she specialized in community pharmacy, completing 360 hours. The internship was declared accurate based on time records and supervisor signatures from the institutions.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    26 views2 pages

    Form-12 Karen

    Uploaded by

    GeraldineMoletaGabutin
    Karen S. Capatayan completed her pharmacy internship from May 2018 to May 2019. She spent 200 hours each in community and hospital pharmacy settings, and 200 hours in a manufacturing pharmacy facility. Additionally, she specialized in community pharmacy, completing 360 hours. The internship was declared accurate based on time records and supervisor signatures from the institutions.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    COLLEGE OF HEALTH AND ALLIED MEDICAL PROFESSIONS

    UNIVERSITY OF SAN AGUSTIN


    ILOILO CITY 5000 PHILIPPINES

    SUMMARY REPORT ON PHARMACY INTERNSHIP

    Capatayan, Karen S. May 25, 2019


    NAME OF STUDENT DATE OF GRADUATION

    I. BASIC TRAINING
    Total
    Nature Institution and Address Inclusive Dates Coordinator’s Name and Signature
    Hours

    COMMUNITY Jenny Marie D. Blancaflor, RPh., MS


    200 hrs
    PHARMACY Pharm.

    HOSPITAL
    200 hrs Regil Capunong
    PHARMACY

    Herbanext Laboratories
    MANUFACTURING Km. 11, Brgy. Taloc, Bago 05/07/18 – 06/11/18 200 hrs Mary Anne T. Corpus, RPh
    PHARMACY City, Negros Occidental

    Total 600 hrs _

    II. TRAINING AREA OF SPECIALIZATION (in any of the three area/fields)


    Total Coordinator’s Name and
    Nature Institution and Address Inclusive Dates
    Hours Signature

    COMMUNITY PHARMACY 360 hrs Stella Rowse Gustillo, RPh

    HOSPITAL PHARMACY

    MANUFACTURING
    PHARMACY
    Total 360 hrs

    I hereby declare the veracity above data based on the attached daily time records and certificates signed by the respective
    supervising pharmacist of the above institutions in my community, hospital, manufacturing and specialization areas of internship.

    KAREN S. CAPATAYAN
    Printed Name and Signature
    COLLEGE OF HEALTH AND ALLIED MEDICAL PROFESSIONS
    UNIVERSITY OF SAN AGUSTIN
    ILOILO CITY 5000 PHILIPPINES

    SUMMARY REPORT ON PHARMACY INTERNSHIP

    Capatayan, Karen . May 25, 2019


    NAME OF STUDENT DATE OF GRADUATION

    I. BASIC TRAINING
    Nature Institution and Address Inclusive Dates Total Hours

    COMMUNITY PHARMACY 200 hrs

    HOSPITAL PHARMACY 200 hrs

    Herbanext Laboratories
    MANUFACTURING Km. 11, Brgy. Taloc, Bago City, Negros 05/07/18 – 06/11/18 200 hrs
    PHARMACY Occidental

    Total 600 hrs

    II. TRAINING AREA OF SPECIALIZATION (in any of the three area/fields)


    Nature Institution and Address Inclusive Dates Total Hours

    COMMUNITY PHARMACY 360 hrs

    HOSPITAL PHARMACY

    MANUFACTURING
    PHARMACY
    Total 360 hrs

    I hereby declare the veracity above data based on the attached daily time records and certificates signed by the respective
    supervising pharmacist of the above institutions in my community, hospital, manufacturing and specialization areas of internship.

    KAREN S. CAPATAYAN
    Printed Name and Signature
    Noted by:

    REMI CHARLENE SALVILLA, RPh, MSPhar


    Head, Pharmacy Department

    SOFIA COSETTE MONTEBLANCO, RN, MAN


    Dean, College of Health and Allied Medical Professions

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