Name of Student: VIDAL, CELESTE BALBIN

Name & Address of School: Manila Doctors College, President Diosdado Macapagal Boulevard, Metropolitan Park, Pasay City
Accreditation Level (if any): PAASCU Level II Re-accredited Status Year Granted: January 31, 2009 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: 2006
Year Graduated (BSN Program): 2010

I. Major Operations
Date of Name of Operation Type of Name of Name of Name and Signature Supervised by Qualified Clinical
No Case No. Diagnosis
Operation Patient Performed Anesthesia Surgeon Hospital of O.R. Scrub Nurse Instructor
______________________ ____________________________________
1 March 10, Chronic Calculi Dr. Nicomedes Manila Doctors
1234 C.B.V. Cholecystectomy General Mark Vincent Macapagal, Celeste B. Vidal, RN, MD, MAN
2010 Cholecystitis Cruz Hospital RN PRC No.: 0296107 PNA No.: 049809
Valid Until: November 16, 2012 Valid Until: October 31, 2010

Noted by: Concurred by: Approved by:

Evelyn J. Torio Celeste B. Vidal Norma M. Dumadag

Clinical Coordinator Chief Nurse Dean, College of Nursing
Manila Doctors College Manila Doctors Hospital Manila Doctors College
Date Signed: __________ Date Signed: ___________ Date Signed: ___________
Degree: RN, MAN Degree: RN, MD, MAN Degree: RN, MN
a. PRC No.: 0088770 a. PRC No.: 0296107 a. PRC No.: 0018659
Valid Until: October 23, 2010 Valid Until: November 16, 2012 Valid Until: December 29, 2011
b. PNA No.: 008328 b. PNA No.: 049809 b. PNA No.: 5350
Valid Until: October 2010 Valid Until: October 31, 2010 Valid Until: Lifetime
c. ADPCN: 0802
Valid Until: October 2009
Name of Student: VIDAL, CELESTE BALBIN
Name & Address of School: Manila Doctors College, President Diosdado Macapagal Boulevard, Metropolitan Park, Pasay City
Accreditation Level (if any): PAASCU Level II Re-accredited Status Year Granted: January 31, 2009 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: 2006
Year Graduated (BSN Program): 2010

II. Minor Operations

Date of Name of Type of Supervised by Qualified Clinical
No Case No. Diagnosis Operation Performed Name of Surgeon Name of Hospital
Operation Patient Anesthesia Instructor

1 March 10, Debridement, Drainage Dr. Jose Ronaldo Manila Doctors ____________________________________
1234 C.B.V. Diabetic Foot, Left Spinal Celeste B. Vidal, RN, MD, MAN
2010 of Abscess Galang Hospital PRC No.: 0296107 PNA No.: 049809
Valid Until: November 16, 2012 Valid Until: October 31, 2010

Noted by: Concurred by: Approved by:

Evelyn J. Torio Celeste B. Vidal Norma M. Dumadag

Clinical Coordinator
Manila Doctors College
Date Signed: __________
Degree: RN, MAN
a. PRC No.: 0088770
Valid Until: October 23, 2010
b. PNA No.: 008328
Valid Until: October 2010
Chief Nurse
Manila Doctors Hospital
Date Signed: ___________
Degree: RN, MD, MAN
a. PRC No.: 0296107
Valid Until: November 16, 2012
b. PNA No.: 049809
Valid Until: October 31, 2010
Dean, College of Nursing
Manila Doctors College
Date Signed: ___________
Degree: RN, MN
a. PRC No.: 0018659
Valid Until: December 29, 2011
b. PNA No.: 5350
Valid Until: Lifetime
c. ADPCN: 0802
Valid Until: October 2009
Name of Student: VIDAL, CELESTE BALBIN
Name & Address of School: Manila Doctors College, President Diosdado Macapagal Boulevard, Metropolitan Park, Pasay City
Accreditation Level (if any): PAASCU Level II Re-accredited Status Year Granted: January 31, 2009 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: 2006
Year Graduated (BSN Program): 2010

III. Actual Deliveries

Name of Date of Time of Gender of Supervised by Qualified
No Case No. Diagnosis Age Name of Hospital Type of Delivery
Mother Delivery Delivery Baby Clinical Instructor
Pregnancy Uterine Full
Normal ____________________________________
Term 39 5/7 Weeks. March 10, Manila Doctors
1 1234 Age of Gestation, C.B.V. 28 1:00 am Boy Spontaneous Celeste B. Vidal, RN, MD, MAN
Cephalic in Labor, 2010 Hospital
Gravida 3 Parity 2 Delivery PRC No.: 0296107 PNA No.: 049809
Valid Until: November 16, 2012 Valid Until: October 31, 2010

5
Noted by: Concurred by: Approved by:

Evelyn J. Torio Celeste B. Vidal Norma M. Dumadag

Clinical Coordinator
Manila Doctors College
Date Signed: __________
Degree: RN, MAN
a. PRC No.: 0088770
Valid Until: October 23, 2010
b. PNA No.: 008328
Valid Until: October 2010
Chief Nurse
Manila Doctors Hospital
Date Signed: ___________
Degree: RN, MD, MAN
a. PRC No.: 0296107
Valid Until: November 16, 2012
b. PNA No.: 049809
Valid Until: October 31, 2010
Dean, College of Nursing
Manila Doctors College
Date Signed: ___________
Degree: RN, MN
a. PRC No.: 0018659
Valid Until: December 29, 2011
b. PNA No.: 5350
Valid Until: Lifetime
c. ADPCN: 0802
Valid Until: October 2009

Name of Student: VIDAL, CELESTE BALBIN

Name & Address of School: Manila Doctors College, President Diosdado Macapagal Boulevard, Metropolitan Park, Pasay City
Accreditation Level (if any): PAASCU Level II Re-accredited Status Year Granted: January 31, 2009 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: 2006
Year Graduated (BSN Program): 2010
 IV. Assisted Deliveries
Name of Date of Time of Gender of Supervised by Qualified
No Case No. Diagnosis Age Name of Hospital Type of Delivery
Mother Delivery Delivery Baby Clinical Instructor
Pregnancy Uterine Full
Normal ____________________________________
Term 39 5/7 Weeks. March 10, Manila Doctors
1 1234 Age of Gestation, C.B.V. 28 1:00 am Boy Spontaneous Celeste B. Vidal, RN, MD, MAN
Cephalic in Labor, 2010 Hospital
Gravida 3 Parity 2 Delivery PRC No.: 0296107 PNA No.: 049809
Valid Until: November 16, 2012 Valid Until: October 31, 2010

Noted by: Concurred by: Approved by:

Evelyn J. Torio Celeste B. Vidal Norma M. Dumadag

Clinical Coordinator Chief Nurse Dean, College of Nursing
Manila Doctors College Manila Doctors Hospital Manila Doctors College
Date Signed: __________ Date Signed: ___________ Date Signed: ___________
Degree: RN, MAN Degree: RN, MD, MAN Degree: RN, MN
a. PRC No.: 0088770 a. PRC No.: 0296107 a. PRC No.: 0018659
Valid Until: October 23, 2010 Valid Until: November 16, 2012 Valid Until: December 29, 2011
b. PNA No.: 008328 b. PNA No.: 049809 b. PNA No.: 5350
Valid Until: October 2010 Valid Until: October 31, 2010 Valid Until: Lifetime
c. ADPCN: 0802
Valid Until: October 2009
Name of Student: VIDAL, CELESTE BALBIN
Name & Address of School: Manila Doctors College, President Diosdado Macapagal Boulevard, Metropolitan Park, Pasay City
Accreditation Level (if any): PAASCU Level II Re-accredited Status Year Granted: January 31, 2009 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: 2006
Year Graduated (BSN Program): 2010

V. Cord Dressing
Date Gender of Supervised by Qualified
o Case No. Name of Baby Name of Mother Age Name of Hospital
Performed Baby Clinical Instructor

March 10, ____________________________________

1 09-0849 Baby C.B.V. Girl C.B.V. 28 Manila Doctors Hospital Celeste B. Vidal, RN, MD, MAN
2010 PRC No.: 0296107 PNA No.: 049809
Valid Until: November 16, 2012 Valid Until: October 31, 2010e

4
Noted by: Concurred by: Approved by:

Evelyn J. Torio Celeste B. Vidal Norma M. Dumadag

Clinical Coordinator
Manila Doctors College
Date Signed: __________
Degree: RN, MAN
a. PRC No.: 0088770
Valid Until: October 23, 2010
b. PNA No.: 008328
Valid Until: October 2010
Chief Nurse
Manila Doctors Hospital
Date Signed: ___________
Degree: RN, MD, MAN
a. PRC No.: 0296107
Valid Until: November 16, 2012
b. PNA No.: 049809
Valid Until: October 31, 2010
Dean, College of Nursing
Manila Doctors College
Date Signed: ___________
Degree: RN, MN
a. PRC No.: 0018659
Valid Until: December 29, 2011
b. PNA No.: 5350
Valid Until: Lifetime
c. ADPCN: 0802
Valid Until: October 2009