UNION CHRISTIAN COLLEGE

San Fernando City, La Union

Name of Student: Aguila, Jefferson Gomez
Name and Address of School: UNION CHRISTIAN COLLEGE, Widdoes Street, San Fernando City, 2500, La Union
Accreditation Level (if any): Level II Year Granted: 1999
Date School/Program was Recognized: June 14 Number: 198 Year: 1977
First Course (if any): Not Applicable School graduated from: Not Applicable Year: Not Applicable
Year of Admission in the Bachelor of Science in Nursing Program: 2003
Year Graduated (BSN Program): 2007
III. ACTUAL DELIVERIES
N Case No. Diagnosis Name of Ag Date of Time Gender Name of Type of Delivery Supervised by:
o. Mother e Delivery of of Hospital Name & Signature of
Deliv Baby Qualified Clinical
ery Instructor

1 Home Pregnancy Uterine 40 weeks Age Virginia 21 February 27, 8:30 Female Tanqui Health Center Normal Spontaneous Delivery Charmaine S. Abenes
Delivery of Gestation Cephalic in Labor Pagaling Cu 2007 AM City of San Fernando, with Right Medio-Lateral PRC #: 0266421
Gravida 1 Para 0 (G1P0) La Union Episiotomy (RMLE) PNA #:16309
MAN units: 42 units

2 Home Pregnancy Uterine 39 weeks Age Asnairah 37 January 6, 10:46 Male Cabaroan Health Normal Spontaneous Delivery Charmaine S. Abenes
Delivery of Gestation Cephalic in Labor Moctar 2007 AM Center PRC #: 0266421
Gravida 4 Para 3 (G4P3) Macapunag City of San Fernando, PNA #:16309
La Union MAN units: 42 units

3 2006- Pregnancy Uterine 40 weeks Age Marnelle Oca 18 December 23, 4:41 Male Ilocos Training and Normal Spontaneous Delivery Charmaine S. Abenes
0033127 of Gestation Cephalic in Labor 2006 AM Regional Medical with Right Medio-Lateral PRC #: 0266421
Gravida 2 Para 1 (G2P1) Center (ITRMC) Episiotomy (RMLE) PNA #:16309
MAN units: 42 units

4 2006- Pregnancy Uterine 39 ½ weeks Ednalyn 27 June 30, 2006 11:54 Male Ilocos Training and Normal Spontaneous Delivery Charmaine S. Abenes
0015243 Age of Gestation Cephalic in Labor Cabanit Obaña PM Regional Medical with Right Medio-Lateral PRC #: 0266421
Gravida 1 Para 0 (G1P0) Center (ITRMC) Episiotomy (RMLE) PNA #:16309
MAN units: 42 units

5 2006- Pregnancy Uterine 40 weeks Age Dinalyn 21 May 4, 2006 7:50 Female Ilocos Training and Normal Spontaneous Delivery Charmaine S. Abenes
0010595 of Gestation Cephalic in Labor Madayag AM Regional Medical with Right Medio-Lateral PRC #: 0266421
Gravida 1 Para o (G1P0) Baladad Center (ITRMC) Episiotomy (RMLE) PNA #:16309
MAN units: 42 units
Prepared by:

AGUILA, Jefferson G.
Name of Student
Noted by: Concurred by: Approved by:

NORBERTO G. PREPOSE, JR., RN, MAN FLORDELIZA R. BOBILES, RN, MAN MARITES G. CALUGAN, RN, MAN
CRISTETA E. BAGTANG, RN, MPH, MAN
Signature over printed Name of Clinical Coordinator Signature over printed name of Assistant Chief Nurse Signature over printed name of Chief Nurse Signature over
printed Name of Dean
Date Signed: ________________________ Date Signed: _____________________ Date Signed: ________________________ Date Signed:
_____________________
Degree: BSN, RN, MAN Degree: BSN, RN, MAN Degree: BSN, RN, MAN Degree: BSN,
RN, MPH, MAN
a. PRC No.: 0209483 a. PRC NO.: 0114833 a. PRC NO.: 0166707 a. PRC NO.:
125448
 Valid Until: April 2, 2009 Valid Until: March 27, 2008 Valid Until: May 16, 2009 Valid Until:
October 24, 2009
b. PNA No.: 16232 b. PNA No.: 17945 b. PNA No.: 14801 b. PNA No.: 3051
Valid Until: December 2007 Valid Until: Lifetime Member Valid Until: Lifetime Member Valid Until:
Lifetime Member
c. ANSAP No: 00077 c. ANSAP No: 01324 c. ANSAP No.: 02252 c. ADPCN No.:
356
Valid Until: Lifetime Member Valid Until: December 2007 Valid Until: December 2007 Valid Until:
December 2007