PRC FORM No.

106
(Revised January 2011) PROFESSIONAL REGULATION COMMISSION
MANILA
BOARD OF MIDWIFERY
Record of Actual Delivery Handled
Please check if applicant is

Graduate Midwife Registered Nurse

Name of Applicant: Minguito,Ella Donna L. School: Colegio de San Antonio de Padua (CSA)

Case Complete Date & Full name, Address of Check if Supervised by

Name and Addressof Patient No diagnosis time facility & Contact Home
Printed Name and Position / Signature Liense No
(Gravida,Para) Performed Number Delivery
Contact No. Designation Expiry Date
1. Jocelyn Marintes 21169 PUFT 36 6/7 weeks Cebu Provincial Hospital
delivered via NSVD to 11-28-2018 Danao City Ms. Patricia Castillo Midwife 0176464
Taboc Maslog Danao City an alive baby boy in 6:55PM 2620819 09275815991 12-24-2021
cephalic presentation
weighing 7lbs APGAR
Score 9,9
G6P5
PUFT 38 2/7days Cebu Provincial Hospital
delivered via NSVD to Danao City
2. Maria Doniza Zamora 211484
an alive baby boy in
11-29-2018 Ms. Patricia Castillo Midwife
Cogon Compostela Cebu 7:57pm 2620819 09275815991 0176464
cephalic presentation
12-24-2021
weighing 5.7lbs
APGAR Score 9,9
G2P1
PUFT 41 4/7days
delivered via NSVD to 0176464
3. Jay Ann Baga 199436
an alive baby boy in
Cebu Provincial Hospital Ms. Patricia Castillo Midwife
Donggoan Danao City Danao City 09275815991 12-24-2021
cephalic presentation
weighing 7lbs 2620819
APGAR Score 9,9
G1P0
4. Ivy Rose Ypil PUFT 41 4/7days
201721 delivered via NSVD to Cebu Provincial Hospital Ms. Patricia Castillo Midwife 0176464
Poblacion Carmen Cebu
an alive baby boy in
Danao City 09275815991 12-24-2021
cephalic presentation
weighing 7lbs 2620819
APGAR Score 9,9
G1P0
5. Shara Dimple Ngoho PUFT 41 4/7days Cebu Provincial Hospital
212331 delivered via NSVD to Danao City Ms. Patricia Castillo 0176464
San Jose Poro, Cebu an alive baby boy in 2620819 09275815991 Midwife 12-24-2021
cephalic presentation
weighing 7lbs
APGAR Score 9,9
G1P0