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DEPARTMENT OF MEDICAL TECHNOLOGY

Second Term, AY 2014-2015


COMMUNITY AND PUBLIC HEALTH FIELDWORK
Individual Reflections
Name of Intern: ___________________________ 4__MT
Group # _______ Barangay Assignment: _____________________________
Output # (please indicate): (1) (2) (3)

Inclusive Dates
(Tuesdays/Saturdays)

Activities/Tasks/
Responsibilities

Problem(s)
Encountered

Action(s)
Taken

Prepared by:

Noted by:

Interns Name
(with signature)

Alvin Rey F. Flores, RMT, MPH


Faculty Field Preceptor

Personal
Reflection(s)

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