FORM User Role Assignment Administrator



MINISTRY OF HEALTH
PHARMACY INFORMATION SYSTEM (PhIS) AND
CLINIC PHARMACY SYSTEM (CPS)




USER ROLE ASSIGNMENT
SYSTEM ADMINISTRATOR

Type of Request: □ New □ Add Role □ Remove Role
Name:

ID No:

Designation/ Job Function:




Role Name

Description



FacilityAdmin Pharmacy



FacilityAdmin General



Find and Merge duplicate patient

System administrator for Pharmacy/Store database/information at
facility
System administrator for managing User Profile & Other General
information at facility

Merge duplicate patient record



Approve by:

Date:


User Roles assignment created/ amended by:


Date:

1