borrower's slip

Republic of the Philippines NEGROS ORIENTAL STATE UNIVERSITY Main Campus I & II, Dumaguete City Negros Oriental, Philippines 6200 COLLEGE OF NURSING, DENTISTRY, PHARMACY AND ALLIED HEALTH SCIENCES NURSING DEPARTMENT BORROWER’S SLIP Date : _____________________________ Subject : _____________________________ EQUIPMENT Borrowed Quantity Unit 1. __________________________________________ _________ ________ 2. __________________________________________ _________ ________ 3. __________________________________________ _________ ________ 4. __________________________________________ _________ ________ 5. __________________________________________ _________ ________ 6. __________________________________________ _________ ________ 7. __________________________________________ _________ ________ 8. __________________________________________ _________ ________ 9. __________________________________________ _________ ________ 10. _______________________ ___________________ _________ ________ 11. _______________________ ___________________ _________ ________ 12. _______________________ ___________________ _________ ________ By: ________________________________ Student’s Name & Signature Noted By: ____________________________ Instructor’s Name & Signature _____________________________ Date/Time Released Received By: Camad C. Ali, Jr. _____________________________ Laboratory Assistant Date/Time Returned Republic of the Philippines NEGROS ORIENTAL STATE UNIVERSITY Main Campus I & II, Dumaguete City Negros Oriental, Philippines 6200 COLLEGE OF NURSING, DENTISTRY, PHARMACY AND ALLIED HEALTH SCIENCES NURSING DEPARTMENT BORROWER’S SLIP Date : _____________________________

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Republic of the PhilippinesNEGROS ORIENTAL STATE UNIVERSITY

Main Campus I & II, Dumaguete CityNegros Oriental, Philippines 6200

COLLEGE OF NURSING, DENTISTRY, PHARMACY AND ALLIED HEALTH SCIENCES

NURSING DEPARTMENTBORROWER’S SLIP

Date : _____________________________

Subject : _____________________________

EQUIPMENT Borrowed Quantity Unit

1. __________________________________________ _________ ________2. __________________________________________ _________ ________3. __________________________________________ _________ ________4. __________________________________________ _________ ________5. __________________________________________ _________ ________6. __________________________________________ _________ ________7. __________________________________________ _________ ________8. __________________________________________ _________ ________9. __________________________________________ _________ ________10. __________________________________________ _________ ________11. __________________________________________ _________ ________12. __________________________________________ _________ ________

By:

________________________________Student’s Name & Signature

Noted By:

____________________________Instructor’s Name & Signature _____________________________

Date/Time ReleasedReceived By:

Camad C. Ali, Jr. _____________________________Laboratory Assistant Date/Time Returned

Republic of the PhilippinesNEGROS ORIENTAL STATE UNIVERSITY

Main Campus I & II, Dumaguete CityNegros Oriental, Philippines 6200

COLLEGE OF NURSING, DENTISTRY, PHARMACY AND ALLIED HEALTH SCIENCES

NURSING DEPARTMENTBORROWER’S SLIP

Date : _____________________________

Subject : _____________________________

EQUIPMENT Borrowed Quantity Unit

13. __________________________________________ _________ ________14. __________________________________________ _________ ________15. __________________________________________ _________ ________16. __________________________________________ _________ ________17. __________________________________________ _________ ________18. __________________________________________ _________ ________19. __________________________________________ _________ ________20. __________________________________________ _________ ________21. __________________________________________ _________ ________22. __________________________________________ _________ ________23. __________________________________________ _________ ________24. __________________________________________ _________ ________

By:

________________________________Student’s Name & Signature

Noted By:

____________________________Instructor’s Name & Signature _____________________________

Date/Time ReleasedReceived By:

Camad C. Ali, Jr. _____________________________Laboratory Assistant Date/Time Returned

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