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Republic of the Philippines 
Laguna State Polytechnic University 
Santa Cruz, Laguna 
College of Nursing and Allied Health 
ATTENDANCE 
Date: ___________________________________ 
Shift: ____________________________________ 
Area: ____________________________________ 
Hospital: __________________________________ 
Name of Students Time In Time Out Signature 
1._______________________ _______ _______ __________ 
2._______________________ _______ _______ __________ 
3._______________________ _______ _______ __________ 
4._______________________ _______ _______ __________ 
5._______________________ _______ _______ __________ 
6._______________________ _______ _______ __________ 
7._______________________ _______ _______ __________ 
8._______________________ _______ _______ __________ 
9._______________________ _______ _______ __________ 
10._______________________ _______ _______ __________ 
11._______________________ _______ _______ __________ 
Clinical Instructor: ______________________________ 
Full Name and Signature 
Republic of the Philippines 
Laguna State Polytechnic University 
Santa Cruz, Laguna 
College of Nursing and Allied Health 
ATTENDANCE 
Date: ___________________________________ 
Shift: ____________________________________ 
Area: ____________________________________ 
Hospital: __________________________________ 
Name of Students Time In Time Out Signature 
1._______________________ _______ _______ __________ 
2._______________________ _______ _______ __________ 
3._______________________ _______ _______ __________ 
4._______________________ _______ _______ __________ 
5._______________________ _______ _______ __________ 
6._______________________ _______ _______ __________ 
7._______________________ _______ _______ __________ 
8._______________________ _______ _______ __________ 
9._______________________ _______ _______ __________ 
10._______________________ _______ _______ __________ 
11._______________________ _______ _______ __________ 
Clinical Instructor: ______________________________ 
Full Name and Signature 
Republic of the Philippines 
Laguna State Polytechnic University 
Santa Cruz, Laguna 
College of Nursing and Allied Health 
ATTENDANCE 
Date: ___________________________________ 
Shift: ____________________________________ 
Area: ____________________________________ 
Hospital: __________________________________ 
Name of Students Time In Time Out Signature 
1._______________________ _______ _______ __________ 
2._______________________ _______ _______ __________ 
3._______________________ _______ _______ __________ 
4._______________________ _______ _______ __________ 
5._______________________ _______ _______ __________ 
6._______________________ _______ _______ __________ 
7._______________________ _______ _______ __________ 
8._______________________ _______ _______ __________ 
9._______________________ _______ _______ __________ 
10._______________________ _______ _______ __________ 
11._______________________ _______ _______ __________ 
Clinical Instructor: ______________________________ 
Full Name and Signature 
Republic of the Philippines 
Laguna State Polytechnic University 
Santa Cruz, Laguna 
College of Nursing and Allied Health 
ATTENDANCE 
Date: ___________________________________ 
Shift: ____________________________________ 
Area: ____________________________________ 
Hospital: __________________________________ 
Name of Students Time In Time Out Signature 
1._______________________ _______ _______ __________ 
2._______________________ _______ _______ __________ 
3._______________________ _______ _______ __________ 
4._______________________ _______ _______ __________ 
5._______________________ _______ _______ __________ 
6._______________________ _______ _______ __________ 
7._______________________ _______ _______ __________ 
8._______________________ _______ _______ __________ 
9._______________________ _______ _______ __________ 
10._______________________ _______ _______ __________ 
11._______________________ _______ _______ __________ 
Clinical Instructor: ______________________________
Full Name and Signature

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Attendance

  • 1. Republic of the Philippines Laguna State Polytechnic University Santa Cruz, Laguna College of Nursing and Allied Health ATTENDANCE Date: ___________________________________ Shift: ____________________________________ Area: ____________________________________ Hospital: __________________________________ Name of Students Time In Time Out Signature 1._______________________ _______ _______ __________ 2._______________________ _______ _______ __________ 3._______________________ _______ _______ __________ 4._______________________ _______ _______ __________ 5._______________________ _______ _______ __________ 6._______________________ _______ _______ __________ 7._______________________ _______ _______ __________ 8._______________________ _______ _______ __________ 9._______________________ _______ _______ __________ 10._______________________ _______ _______ __________ 11._______________________ _______ _______ __________ Clinical Instructor: ______________________________ Full Name and Signature Republic of the Philippines Laguna State Polytechnic University Santa Cruz, Laguna College of Nursing and Allied Health ATTENDANCE Date: ___________________________________ Shift: ____________________________________ Area: ____________________________________ Hospital: __________________________________ Name of Students Time In Time Out Signature 1._______________________ _______ _______ __________ 2._______________________ _______ _______ __________ 3._______________________ _______ _______ __________ 4._______________________ _______ _______ __________ 5._______________________ _______ _______ __________ 6._______________________ _______ _______ __________ 7._______________________ _______ _______ __________ 8._______________________ _______ _______ __________ 9._______________________ _______ _______ __________ 10._______________________ _______ _______ __________ 11._______________________ _______ _______ __________ Clinical Instructor: ______________________________ Full Name and Signature Republic of the Philippines Laguna State Polytechnic University Santa Cruz, Laguna College of Nursing and Allied Health ATTENDANCE Date: ___________________________________ Shift: ____________________________________ Area: ____________________________________ Hospital: __________________________________ Name of Students Time In Time Out Signature 1._______________________ _______ _______ __________ 2._______________________ _______ _______ __________ 3._______________________ _______ _______ __________ 4._______________________ _______ _______ __________ 5._______________________ _______ _______ __________ 6._______________________ _______ _______ __________ 7._______________________ _______ _______ __________ 8._______________________ _______ _______ __________ 9._______________________ _______ _______ __________ 10._______________________ _______ _______ __________ 11._______________________ _______ _______ __________ Clinical Instructor: ______________________________ Full Name and Signature Republic of the Philippines Laguna State Polytechnic University Santa Cruz, Laguna College of Nursing and Allied Health ATTENDANCE Date: ___________________________________ Shift: ____________________________________ Area: ____________________________________ Hospital: __________________________________ Name of Students Time In Time Out Signature 1._______________________ _______ _______ __________ 2._______________________ _______ _______ __________ 3._______________________ _______ _______ __________ 4._______________________ _______ _______ __________ 5._______________________ _______ _______ __________ 6._______________________ _______ _______ __________ 7._______________________ _______ _______ __________ 8._______________________ _______ _______ __________ 9._______________________ _______ _______ __________ 10._______________________ _______ _______ __________ 11._______________________ _______ _______ __________ Clinical Instructor: ______________________________
  • 2. Full Name and Signature