+ All Categories
Home > Documents > D.O. Plaza Memorial Hospital

D.O. Plaza Memorial Hospital

Date post: 01-Jan-2017
Category:
Upload: danghuong
View: 268 times
Download: 0 times
Share this document with a friend
35
No # Name of Patient Address Indorsement Date Assistance Amount 1 Arvin Agnes Prosperidad (capital), Agusan Del Sur January 7, 2016 Hospital Bills 1,643.00 2 Nestor Alfaro Talacogon, Agusan Del Sur January 7, 2016 Hospital Bills 10,000.00 3 Elena Antiga Prosperidad (capital), Agusan Del Sur January 7, 2016 Hospital Bills 2,900.00 4 Ryan Jay A. Arim Fili City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 10,000.00 5 Jovito B. Batilaran City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 10,000.00 6 Jhamiel Bendoy City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 4,800.00 7 Phast Buyog San Luis, Agusan Del Sur January 7, 2016 Hospital Bills 6,000.00 8 Jerome Calderon Prosperidad (capital), Agusan Del Sur January 7, 2016 Hospital Bills 6,000.00 9 Julius Canuta City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 5,800.00 10 Jerfiel Loye T. Carbonilla Esperanza, Agusan Del Sur January 7, 2016 Hospital Bills 20,000.00 11 Melodia Castro City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 2,600.00 12 Sugar Rey Colorado Prosperidad (capital), Agusan Del Sur January 7, 2016 Hospital Bills 16,932.00 13 Toto D. Comcom Sibagat, Agusan Del Sur January 7, 2016 Hospital Bills 7,300.00 14 Jomel Delos Santos Prosperidad (capital), Agusan Del Sur January 7, 2016 Hospital Bills 6,000.00 15 Rowena G. Domosmog City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 3,700.00 16 Melva G. Echem Prosperidad (capital), Agusan Del Sur January 7, 2016 Hospital Bills 5,000.00 17 Alvin T. Escartin City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 15,000.00 18 Rechelle L. Germino San Luis, Agusan Del Sur January 7, 2016 Hospital Bills 4,000.00 19 Edward Jamito Prosperidad (capital), Agusan Del Sur January 7, 2016 Hospital Bills 15,000.00 20 Jonel Labador City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 6,000.00 21 Fernando M. Ladeca City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 10,000.00 22 Jesmark A. Lanogon Santa Irene Prosperidad (capital), Agusan Del Sur January 7, 2016 Hospital Bills 5,000.00 23 Leah R. Layno Prosperidad (capital), Agusan Del Sur January 7, 2016 Hospital Bills 8,000.00 Republic of the Philippines Department of Health D.O PLAZA MEMORIAL HOSPITAL For the month of January year 2016 MEDICAL ASSISTANCE PROGRAM
Transcript
Page 1: D.O. Plaza Memorial Hospital

No # Name of Patient Address Indorsement Date Assistance Amount

1 Arvin Agnes Prosperidad (capital), Agusan Del Sur January 7, 2016 Hospital Bills 1,643.00

2 Nestor Alfaro Talacogon, Agusan Del Sur January 7, 2016 Hospital Bills 10,000.00

3 Elena Antiga Prosperidad (capital), Agusan Del Sur January 7, 2016 Hospital Bills 2,900.00

4 Ryan Jay A. Arim Fili City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 10,000.00

5 Jovito B. Batilaran City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 10,000.00

6 Jhamiel Bendoy City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 4,800.00

7 Phast Buyog San Luis, Agusan Del Sur January 7, 2016 Hospital Bills 6,000.00

8 Jerome Calderon Prosperidad (capital), Agusan Del Sur January 7, 2016 Hospital Bills 6,000.00

9 Julius Canuta City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 5,800.00

10 Jerfiel Loye T. Carbonilla Esperanza, Agusan Del Sur January 7, 2016 Hospital Bills 20,000.00

11 Melodia Castro City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 2,600.00

12 Sugar Rey Colorado Prosperidad (capital), Agusan Del Sur January 7, 2016 Hospital Bills 16,932.00

13 Toto D. Comcom Sibagat, Agusan Del Sur January 7, 2016 Hospital Bills 7,300.00

14 Jomel Delos Santos Prosperidad (capital), Agusan Del Sur January 7, 2016 Hospital Bills 6,000.00

15 Rowena G. Domosmog City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 3,700.00

16 Melva G. Echem Prosperidad (capital), Agusan Del Sur January 7, 2016 Hospital Bills 5,000.00

17 Alvin T. Escartin City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 15,000.00

18 Rechelle L. Germino San Luis, Agusan Del Sur January 7, 2016 Hospital Bills 4,000.00

19 Edward Jamito Prosperidad (capital), Agusan Del Sur January 7, 2016 Hospital Bills 15,000.00

20 Jonel Labador City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 6,000.00

21 Fernando M. Ladeca City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 10,000.00

22 Jesmark A. Lanogon Santa Irene Prosperidad (capital), Agusan Del Sur January 7, 2016 Hospital Bills 5,000.00

23 Leah R. Layno Prosperidad (capital), Agusan Del Sur January 7, 2016 Hospital Bills 8,000.00

Republic of the Philippines

Department of Health

D.O PLAZA MEMORIAL HOSPITAL

For the month of January year 2016

MEDICAL ASSISTANCE PROGRAM

Page 2: D.O. Plaza Memorial Hospital

24 Loutam R. Ligaya San Luis, Agusan Del Sur January 7, 2016Dietary Supplement/Medical

Assistance/Medicines 2,200.00

25 Ejoylie Lumoya City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 4,600.00

26 Jenevev Manbiotan Talacogon, Agusan Del Sur January 7, 2016 Hospital Bills 5,200.00

27 Mary Ann Mendoza. San Luis, Agusan Del Sur January 7, 2016 Hospital Bills 15,000.00

28 Jhunwell A. Moscosa City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 2,400.00

29 Mary Grace L. Pagios Esperanza, Agusan Del Sur January 7, 2016 Hospital Bills 5,000.00

30 Roseshell Paho City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 5,000.00

31 Nenita C. Pamutunan Prosperidad (capital), Agusan Del Sur January 7, 2016 Hospital Bills 2,230.00

32 Lyn-lyn Panlaan Esperanza, Agusan Del Sur January 7, 2016 Hospital Bills 5,000.00

33 Cheryl Jane P. Parba City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 2,500.00

34 Annica O. Perez Prosperidad (capital), Agusan Del Sur January 7, 2016 Hospital Bills 3,000.00

35 April Joy Ramos Prosperidad (capital), Agusan Del Sur January 7, 2016 Hospital Bills 2,500.00

36 Angrechell J. Relliquite Esperanza, Agusan Del Sur January 7, 2016 Hospital Bills 6,100.00

37 Renejoy T. Rola City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 15,000.00

38 Roberto Ronquillo City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 9,614.00

39 Joven K. Sanchez City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 5,000.00

40 Warren Sanchez City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 5,000.00

41 Rose Jean Socaoco Esperanza, Agusan Del Sur January 7, 2016 Hospital Bills 8,200.00

42 Analisa Supreto Prosperidad (capital), Agusan Del Sur January 7, 2016 Hospital Bills 6,800.00

43 Joselo P. Tejero Prosperidad (capital), Agusan Del Sur January 7, 2016 Hospital Bills 3,500.00

44 Junimar Tejero Prosperidad (capital), Agusan Del Sur January 7, 2016 Hospital Bills 2,900.00

45 Maria Belen Jayme City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 10,000.00

46 Juvy Abejaron Prosperidad (capital), Agusan Del Sur January 7, 2016 Hospital Bills 4,900.00

47 Fe C. Abrenica Esperanza, Agusan Del Sur January 7, 2016 Hospital Bills 10,000.00

48 Zymon Ezekelle Asis Talacogon, Agusan Del Sur January 7, 2016 Hospital Bills 6,000.00

49 Lianery Bagay Prosperidad (capital), Agusan Del Sur January 7, 2016 Hospital Bills 3,300.00

50 Jornie Camba City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 13,000.00

51 Aida Cerna City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 6,000.00

52 Glenn M. Daga-ang Prosperidad (capital), Agusan Del Sur January 7, 2016 Hospital Bills 2,900.00

53 Ellen Joy Nabuya City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 3,000.00

54 Jolina Ogyam Prosperidad (capital), Agusan Del Sur January 7, 2016 Hospital Bills 6,000.00

55 Jovan Quinez Sibagat, Agusan Del Sur January 7, 2016 Hospital Bills 3,300.00

Page 3: D.O. Plaza Memorial Hospital

56 Elrio Trinidad City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 12,500.00

57 Divina Limbag Prosperidad (capital), Agusan Del Sur January 7, 2016 Hospital Bills 3,200.00

58 Bebs Kathleen Lapasigue City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 2,000.00

59 Edilberto Rubillos City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 9,000.00

60 Neljoy Geda Prosperidad (capital), Agusan Del Sur January 7, 2016 Hospital Bills 5,000.00

61 Lisa Narciso Prosperidad (capital), Agusan Del Sur January 7, 2016 Hospital Bills 4,500.00

62 Jolibee Gano Sibagat, Agusan Del Sur January 7, 2016 Hospital Bills 5,000.00

63 Vicente Villegas Prosperidad (capital), Agusan Del Sur January 7, 2016 Hospital Bills 17,000.00

64 Nelia Abuloc Prosperidad (capital), Agusan Del Sur January 7, 2016 Hospital Bills 8,800.00

65 Jenny Belle Palacio City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 6,000.00

66 Baby 1, 2, 3 Pelig City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 15,000.00

67 Nelson Colarat City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 3,500.00

68 Regina Guinge Prosperidad (capital), Agusan Del Sur January 7, 2016 Hospital Bills 1,900.00

69 Shirley Rafallo City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 4,000.00

70 Jojie Mondejar Talacogon, Agusan Del Sur January 7, 2016 Hospital Bills 7,500.00

71 Jovan Quines Sibagat, Agusan Del Sur January 7, 2016 Hospital Bills 3,300.00

72 Aida Gina City Of Bayugan, Agusan Del Sur January 7, 2016 Hospital Bills 6,000.00

73 Jolina Ogyam Prosperidad (capital), Agusan Del Sur January 7, 2016 Hospital Bills 6,000.00

74 Lian Rey Bacay Prosperidad (capital), Agusan Del Sur January 7, 2016 Hospital Bills 3,300.00

75 Zandra Robles Prosperidad (capital), Agusan Del Sur January 8, 2016 Hospital Bills 4,900.00

76 Elen Joy Azrcon City Of Bayugan, Agusan Del Sur January 8, 2016 Hospital Bills 3,000.00

77 Glen Dagaang Prosperidad (capital), Agusan Del Sur January 8, 2016 Hospital Bills 2,900.00

78 Juvy Abejaron Prosperidad (capital), Agusan Del Sur January 8, 2016 Hospital Bills 2,700.00

79 Paul Baldos Prosperidad (capital), Agusan Del Sur January 8, 2016 Hospital Bills 8,000.00

80 Legaya Loutam San Luis, Agusan Del Sur January 8, 2016 Hospital Bills 2,200.00

81 Sarah Jane Bordaje San Luis, Agusan Del Sur January 8, 2016 Hospital Bills 3,200.00

82 Ivyrsose Dudalo City Of Bayugan, Agusan Del Sur January 8, 2016 Hospital Bills 2,200.00

83 Jolinarose Agustilo Rosario, Agusan Del Sur January 11, 2016 Hospital Bills 27,283.00

84 Jessa P. Alex La Paz, Agusan Del Sur January 11, 2016 Hospital Bills 32,471.00

85 Chorelyn S. Ayawon City Of Bayugan, Agusan Del Sur January 11, 2016 Hospital Bills 4,660.00

86 Thom Cedrick P. Beltis San Francisco, Agusan Del Sur January 11, 2016 Hospital Bills 9,731.00

87 Gina Blancia Prosperidad (capital), Agusan Del Sur January 11, 2016 Hospital Bills 3,233.00

88 Sylvia A. Bontor La Paz, Agusan Del Sur January 11, 2016 Hospital Bills 6,676.00

Page 4: D.O. Plaza Memorial Hospital

89 Hannah C. Cadelina City Of Bayugan, Agusan Del Sur January 11, 2016 Hospital Bills 13,115.00

90 Pedrito J. Cagas San Francisco, Agusan Del Sur January 11, 2016 Hospital Bills 6,984.00

91 Elvina G. Canudas Rosario, Agusan Del Sur January 11, 2016 Hospital Bills 24,264.00

92 Juvy M. Dabalos City Of Bayugan, Agusan Del Sur January 11, 2016 Hospital Bills 2,826.00

93 Rechel R. Damasing San Francisco, Agusan Del Sur January 11, 2016 Hospital Bills 7,424.00

94 Junjet F. Famorcan San Francisco, Agusan Del Sur January 11, 2016 Hospital Bills 6,540.00

95 Milaflor P. Galido Poblacion City Of Bayugan, Agusan Del Sur January 11, 2016 Hospital Bills 7,222.00

96 Kayden Angela B. Gerona San Francisco, Agusan Del Sur January 11, 2016 Hospital Bills 7,108.00

97 Dalmacio C. Goloran San Francisco, Agusan Del Sur January 11, 2016 Hospital Bills 13,123.00

98 Baby Boy Gumahin City Of Bayugan, Agusan Del Sur January 11, 2016 Hospital Bills 4,017.00

99 Rico A. Ignacio. La Paz, Agusan Del Sur January 11, 2016 Hospital Bills 4,299.00

100 Ana Lea Lou N. Lucena Rosario, Agusan Del Sur January 11, 2016 Hospital Bills 4,558.00

101 Jocelyn D. Magbanua. San Francisco, Agusan Del Sur January 11, 2016 Hospital Bills 3,102.00

102 Junrey B. Magsigay Prosperidad (capital), Agusan Del Sur January 11, 2016 Hospital Bills 3,010.00

103 Arturo C. Maligro Barobo, Surigao Del Sur January 11, 2016 Hospital Bills 15,255.00

104 Mary Ann N. Martino Rosario, Agusan Del Sur January 11, 2016 Hospital Bills 6,100.00

105 Jenelie T. Meder San Francisco, Agusan Del Sur January 11, 2016 Hospital Bills 9,689.00

106 Jhundrew G. Mendoza San Francisco, Agusan Del Sur January 11, 2016 Hospital Bills 4,974.00

107 Jonalyn D. Monisit Barobo, Surigao Del Sur January 11, 2016 Hospital Bills 5,213.00

108 Regine S Moreno City Of Bayugan, Agusan Del Sur January 11, 2016 Hospital Bills 7,235.00

109 Leny B. Noja San Francisco, Agusan Del Sur January 11, 2016 Hospital Bills 1,030.00

110 Yolanda E. Obillos San Francisco, Agusan Del Sur January 11, 2016 Hospital Bills 4,202.00

111 Mariecris C. Olarte Barobo, Surigao Del Sur January 11, 2016 Hospital Bills 2,549.00

112 Shiela B. Pacheco San Francisco, Agusan Del Sur January 11, 2016 Hospital Bills 3,494.00

113 Rosaly S. Paganpan San Francisco, Agusan Del Sur January 11, 2016 Hospital Bills 1,312.00

114 Analie P. Pagara San Francisco, Agusan Del Sur January 11, 2016 Hospital Bills 2,607.00

115 Aljay S. Pasiolan City Of Bayugan, Agusan Del Sur January 11, 2016 Hospital Bills 1,615.00

116 Giovane G. Rodrigo Rosario, Agusan Del Sur January 11, 2016 Hospital Bills 5,962.00

117 Jolito E. Sembrano Prosperidad (capital), Agusan Del Sur January 11, 2016 Hospital Bills 5,914.00

118 Domingo S. Soscano San Francisco, Agusan Del Sur January 11, 2016 Hospital Bills 8,764.00

119 Domingo S. Soscano San Francisco, Agusan Del Sur January 11, 2016 Hospital Bills 6,285.00

120 Adolfo B. Serapion Barobo, Surigao Del Sur January 11, 2016 Hospital Bills 3,487.00

121 Xian Anthony J. Tonggol Rosario, Agusan Del Sur January 11, 2016 Hospital Bills 7,443.00

Page 5: D.O. Plaza Memorial Hospital

122 Rodolfo J. Trabucon Loreto, Agusan Del Sur January 11, 2016 Hospital Bills 5,587.00

123 Jake P. Trimidal Barobo, Surigao Del Sur January 11, 2016 Hospital Bills 3,676.00

124 Mercy A. Tumarlas San Francisco, Agusan Del Sur January 11, 2016 Hospital Bills 19,507.00

125 Joel Tundag , Agusan Del Norte January 11, 2016 Hospital Bills 24,254.00

126 Ronie G. Villaruz Prosperidad (capital), Agusan Del Sur January 11, 2016 Hospital Bills 5,374.00

127 Curt Jared L. White San Francisco, Agusan Del Sur January 11, 2016 Hospital Bills 27,577.00

128 Levie Mae P. Aquiman San Nicolas (pob.) Talacogon, Agusan Del Sur January 15, 2016 Hospital Bills 5,500.00

129 Daniel L. Besinga Poblacion City Of Bayugan, Agusan Del Sur January 15, 2016 Hospital Bills 3,500.00

130 Rejie G. Bongcawil San Lorenzo Prosperidad (capital), Agusan Del Sur January 15, 2016 Hospital Bills 3,800.00

131 Luis D. Cabalan City Of Bayugan, Agusan Del Sur January 15, 2016 Hospital Bills 7,800.00

132 Jorge A. Fernando Aurora Prosperidad (capital), Agusan Del Sur January 15, 2016 Hospital Bills 3,913.00

133 Mekaela MaglasangPoblacion (bahbah) Prosperidad (capital), Agusan Del

SurJanuary 15, 2016 Hospital Bills 3,100.00

134 Jennifer N. Maquiso Patin-ay Prosperidad (capital), Agusan Del Sur January 15, 2016 Hospital Bills 7,000.00

135 Judy Cantaruna Fili City Of Bayugan, Agusan Del Sur January 15, 2016 Hospital Bills 7,500.00

136 Antonio I. Neones Prosperidad (capital), Agusan Del Sur January 15, 2016 Hospital Bills 10,000.00

137 Jenalyn C. Ochotorena Lucena Prosperidad (capital), Agusan Del Sur January 15, 2016 Hospital Bills 26,000.00

138 Lynlyn T. Panlaan Esperanza, Agusan Del Sur January 15, 2016 Hospital Bills 5,000.00

139 Marilyn G. Perez Verdu City Of Bayugan, Agusan Del Sur January 15, 2016 Hospital Bills 3,000.00

140 Baby Girl Salintao La Flora Talacogon, Agusan Del Sur January 15, 2016 Hospital Bills 3,000.00

141 Rosalyn O. Salintao La Flora Talacogon, Agusan Del Sur January 15, 2016 Hospital Bills 5,000.00

142 Kathlyn P. Ubay Esperanza, Agusan Del Sur January 15, 2016 Hospital Bills 6,000.00

143 Carol J. Vocal Prosperidad (capital), Agusan Del Sur January 15, 2016 Hospital Bills 4,100.00

144 Ril Jhon Lor Dimasalang San Luis, Agusan Del Sur January 15, 2016 Hospital Bills 3,400.00

145 Wendolyn Tolibas Esperanza, Agusan Del Sur January 15, 2016 Hospital Bills 9,600.00

146 Gaudencio O. Medina City Of Bayugan, Agusan Del Sur January 15, 2016 Hospital Bills 15,000.00

147 Reshiel Mae Torres San Vicente Prosperidad (capital), Agusan Del Sur January 15, 2016 Hospital Bills 3,000.00

148 Rendo Tahodan San Luis, Agusan Del Sur January 15, 2016 Hospital Bills 3,000.00

149 Leonila J. Casil Poblacion City Of Bayugan, Agusan Del Sur January 15, 2016 Hospital Bills 10,000.00

150 Benesa Vaporoso Prosperidad (capital), Agusan Del Sur January 15, 2016 Hospital Bills 8,000.00

151 Mike Hanson Prosperidad (capital), Agusan Del Sur January 15, 2016 Medical Assistance 2,500.00

152 Gaudencio O. Medina, City Of Bayugan, Agusan Del Sur January 15, 2016 Medical Assistance. 22,876.00

Page 6: D.O. Plaza Memorial Hospital

153 Nora B. Arias Talacogon, Agusan Del Sur January 15, 2016 Medical Assistance. 25,154.00

154 Edito E. Linggo Barobo, Surigao Del Sur January 15, 2016 Medical Assistance. 5,334.00

155 Cherlie Anlugmas San Francisco, Agusan Del Sur January 18, 2016 Hospital Bills 5,785.00

156 Josephine D. Badana San Francisco, Agusan Del Sur January 18, 2016 Hospital Bills 2,648.00

157 Rhia L. Cabil Prosperidad (capital), Agusan Del Sur January 18, 2016 Hospital Bills 3,440.00

158 Dancy M. Calaylay Prosperidad (capital), Agusan Del Sur January 18, 2016 Hospital Bills 5,606.00

159 Dedith P. Canciller Barobo, Surigao Del Sur January 18, 2016 Hospital Bills 6,146.00

160 Babie Jean T. Encabo Rosario, Agusan Del Sur January 18, 2016 Hospital Bills 5,102.00

161 Jobelyn G. Espinosa San Francisco, Agusan Del Sur January 18, 2016 Hospital Bills 1,343.00

162 Joventino R. Euldan Jr. Barobo, Surigao Del Sur January 18, 2016 Hospital Bills 4,648.00

163 Merilyn M. Falcon Sibagat, Agusan Del Sur January 18, 2016 Laboratory Procedures 2,970.00

164 Rhyn Gabriel Fernandez San Francisco, Agusan Del Sur January 18, 2016 Hospital Bills 3,146.00

165 Daren F. Gesta San Francisco, Agusan Del Sur January 18, 2016 Hospital Bills 4,161.00

166 Jenalyn C. Gonzales. San Francisco, Agusan Del Sur January 18, 2016 Hospital Bills 4,728.00

167 Erlinda Guingue San Francisco, Agusan Del Sur January 18, 2016 Hospital Bills 5,222.00

168 Janice P. Gumahin City Of Bayugan, Agusan Del Sur January 18, 2016 Hospital Bills 4,075.00

169 Masadog S. Harvey Esperanza, Agusan Del Sur January 18, 2016 Hospital Bills 6,148.00

170 Anie S. Havana Prosperidad (capital), Agusan Del Sur January 18, 2016 Hospital Bills 5,458.00

171 Prince Kylle Jadol San Francisco, Agusan Del Sur January 18, 2016 Hospital Bills 4,671.00

172 Joemel M. Libando Prosperidad (capital), Agusan Del Sur January 18, 2016 Hospital Bills 6,255.00

173 Josephine D. Llamado Prosperidad (capital), Agusan Del Sur January 18, 2016 Hospital Bills 5,070.00

174 Maeman P. Lumoyan Esperanza, Agusan Del Sur January 18, 2016 Hospital Bills 4,288.00

175 Joy D. Mabras Prosperidad (capital), Agusan Del Sur January 18, 2016 Hospital Bills 5,234.00

176 Evelyn G. Macapanas Prosperidad (capital), Agusan Del Sur January 18, 2016 Hospital Bills 3,715.00

177 Nino I. Makiling San Francisco, Agusan Del Sur January 18, 2016 Hospital Bills 4,215.00

178 Ana B. Nacua Prosperidad (capital), Agusan Del Sur January 18, 2016 Hospital Bills 5,395.00

179 Benjamin C. Omanglad Talacogon, Agusan Del Sur January 18, 2016 Hospital Bills 7,056.00

180 Jeff Lixter P. Pagas San Francisco, Agusan Del Sur January 18, 2016 Hospital Bills 5,945.00

181 Mitchierose R. Pala Prosperidad (capital), Agusan Del Sur January 18, 2016 Hospital Bills 2,294.00

182 Herman M. Pamatian Prosperidad (capital), Agusan Del Sur January 18, 2016 Hospital Bills 10,917.00

183 Bellamar M. Pangcovilla Rosario, Agusan Del Sur January 18, 2016 Hospital Bills 5,253.00

184 John Rey B. Penas Barobo, Surigao Del Sur January 18, 2016 Hospital Bills 12,931.00

185 Razel Jay L. Sabatin Barobo, Surigao Del Sur January 18, 2016 Hospital Bills 2,841.00

Page 7: D.O. Plaza Memorial Hospital

186 Baby Girl Salintao La Flora Talacogon, Agusan Del Sur January 18, 2016 Hospital Bills 656.00

187 Ronalyn O. Salintao Talacogon, Agusan Del Sur January 18, 2016 Hospital Bills 748.00

188 Roberto B. Sangalla Hinatuan, Surigao Del Sur January 18, 2016 Hospital Bills 28,379.00

189 Glory Jane S. Santillan San Francisco, Agusan Del Sur January 18, 2016 Hospital Bills 7,258.00

190 Wilmar P. Sazon Loreto, Agusan Del Sur January 18, 2016 Hospital Bills 3,248.00

191 Ybonne S. Simbajon Prosperidad (capital), Agusan Del Sur January 18, 2016 Hospital Bills 1,720.00

192 Mary Ann A. Malubay City Of Bayugan, Agusan Del Sur January 25, 2016 Hospital Bills 2,256.00

193 Yanita A. Sunjay City Of Bayugan, Agusan Del Sur January 25, 2016 Hospital Bills 4,597.00

194 April Love Oclarit City Of Bayugan, Agusan Del Sur January 25, 2016 Hospital Bills 10,562.00

195 Rene Joy V. Espina City Of Bayugan, Agusan Del Sur January 25, 2016Dietary Supplement/Medical

Assistance/Medicines 1,283.00

196 Rafael B. Blanco Jr. Trento, Agusan Del Sur January 25, 2016 Hospital Bills 6,274.00

197 Delbert G. Loterte Prosperidad (capital), Agusan Del Sur January 25, 2016 Hospital Bills 5,615.00

198 Rose Marie Larazo Mainit, Surigao Del Norte January 25, 2016 Hospital Bills 3,944.00

199 Cerilo Noay San Francisco, Agusan Del Sur January 25, 2016 Hospital Bills 8,994.00

200 Sarah Jane Arman San Francisco, Agusan Del Sur January 25, 2016 Hospital Bills 3,266.00

201 Shiela Flor D. Cabalan Prosperidad (capital), Agusan Del Sur January 25, 2016 Laboratory Procedures 1,190.00

202 Keisha P. Ranario San Francisco, Agusan Del Sur January 25, 2016 Hospital Bills 6,297.00

203 Bernabe Mirsola Esperanza, Agusan Del Sur January 25, 2016 Hospital Bills 11,106.00

204 Levie Opialda Rosario, Agusan Del Sur January 25, 2016 Hospital Bills 6,336.00

205 Jerome Taray San Francisco, Agusan Del Sur January 25, 2016 Hospital Bills 2,431.00

206 Val Havana Trento, Agusan Del Sur January 25, 2016 Hospital Bills 21,000.00

207 Ken Airyl B. Tagleong Trento, Agusan Del Sur January 25, 2016 Hospital Bills 4,413.00

208 Judy Ann Rafael San Francisco, Agusan Del Sur January 25, 2016 Hospital Bills 6,051.00

209 Letecia Otaza Rosario, Agusan Del Sur January 25, 2016 Hospital Bills 7,462.00

210 Simeon D. Malabo San Francisco, Agusan Del Sur January 25, 2016 Laboratory Procedures 1,670.00

211 Monica Faye F. Cornetis San Francisco, Agusan Del Sur January 25, 2016 Hospital Bills 3,414.00

212 Marivel Morito San Francisco, Agusan Del Sur January 25, 2016 Hospital Bills 13,730.00

213 Mailyn M. Pueblos San Francisco, Agusan Del Sur January 25, 2016 Hospital Bills 1,308.00

214 Merlie Jane P. Pejano Rosario, Agusan Del Sur January 25, 2016 Hospital Bills 3,827.00

215 Mae Jhan Balibad La Paz, Agusan Del Sur January 25, 2016 Hospital Bills 633.00

216 Verna O. Olis. La Paz, Agusan Del Sur January 25, 2016 Hospital Bills 2,861.00

217 Aiza N. Balderas Prosperidad (capital), Agusan Del Sur January 25, 2016 Hospital Bills 750.00

Page 8: D.O. Plaza Memorial Hospital

218 Sunshine R. Oriol Rosario, Agusan Del Sur January 25, 2016 Hospital Bills 1,748.00

219 Leonila J. Casil Poblacion City Of Bayugan, Agusan Del Sur January 25, 2016 Hospital Bills 55,740.00

220 Althea Q. Eliguero Rosario, Agusan Del Sur January 25, 2016 Hospital Bills 2,638.00

221 Domingo S. Soscano San Francisco, Agusan Del Sur January 25, 2016 Hospital Bills 5,654.00

222 Claresa S. Elpanag Prosperidad (capital), Agusan Del Sur January 25, 2016 Hospital Bills 12,364.00

223 Neckell B. Corvera Prosperidad (capital), Agusan Del Sur January 25, 2016 Hospital Bills 3,225.00

224 Jovelyn Abejaron Prosperidad (capital), Agusan Del Sur January 25, 2016 Hospital Bills 10,863.00

225 Onorio Alvizo Rosario, Agusan Del Sur January 25, 2016 Hospital Bills 11,541.00

226 Rubin Precioso Esperanza, Agusan Del Sur January 25, 2016 Hospital Bills 23,426.00

227 Dominador R. Rosello Hinatuan, Surigao Del Sur January 25, 2016 Hospital Bills 6,997.00

228 Dames Ryan Alquisar Rosario, Agusan Del Sur January 25, 2016 Hospital Bills 1,980.00

229 Jessa Santisas Prosperidad (capital), Agusan Del Sur January 25, 2016 Hospital Bills 7,341.00

230 Maria Fe Sanchez Prosperidad (capital), Agusan Del Sur January 25, 2016 Hospital Bills 40,552.00

231 Hermogena Altimeraz San Francisco, Agusan Del Sur January 26, 2016 Hospital Bills 6,000.00

232 Merlina Garcia San Francisco, Agusan Del Sur January 26, 2016 Hospital Bills 1,500.00

233 Elena M. Santa Rosario, Agusan Del Sur January 26, 2016 Hospital Bills 10,000.00

234 Jericho Lindahay San Francisco, Agusan Del Sur January 26, 2016 Hospital Bills 1,400.00

235 Rene Joy V. Espina City Of Bayugan, Agusan Del Sur January 26, 2016 Hospital Bills 8,000.00

236 Timtim Jorena San Francisco, Agusan Del Sur January 26, 2016 Hospital Bills 3,000.00

237 Charlene Man-anohog La Paz, Agusan Del Sur January 26, 2016 Hospital Bills 8,000.00

238 Silverio Prochina Santa Josefa, Agusan Del Sur January 26, 2016 Hospital Bills 5,000.00

239 Kent Chester Espana San Francisco, Agusan Del Sur January 26, 2016 Hospital Bills 3,000.00

240 Kent Harvey Espana San Francisco, Agusan Del Sur January 26, 2016 Hospital Bills 4,000.00

241 Marvan Andaya La Paz, Agusan Del Sur January 26, 2016 Hospital Bills 2,500.00

242 Janeth Macarayo La Paz, Agusan Del Sur January 26, 2016 Hospital Bills 8,000.00

243 Najine Manla Rosario, Agusan Del Sur January 26, 2016 Hospital Bills 1,600.00

244 Janine Canggo Rosario, Agusan Del Sur January 26, 2016 Hospital Bills 600.00

245 Narcisa Escalante San Francisco, Agusan Del Sur January 26, 2016 Hospital Bills 2,000.00

246 Rogilio Milo Lopez San Francisco, Agusan Del Sur January 26, 2016 Hospital Bills 2,000.00

247 Merlie Pejano, Rosario, Agusan Del Sur January 26, 2016 Hospital Bills 4,000.00

248 Joan Dela Cruz San Francisco, Agusan Del Sur January 26, 2016 Hospital Bills 1,500.00

249 Deligayo Dela Torre Rosario, Agusan Del Sur January 26, 2016 Hospital Bills 3,000.00

250 Franchmar Duhaylungsod Rosario, Agusan Del Sur January 26, 2016 Hospital Bills 5,000.00

Page 9: D.O. Plaza Memorial Hospital

251 Marites Baconva San Francisco, Agusan Del Sur January 26, 2016 Hospital Bills 9,000.00

252 Mailyn M. Pueblos San Francisco, Agusan Del Sur January 26, 2016 Hospital Bills 5,000.00

253 Marivel Morito San Francisco, Agusan Del Sur January 26, 2016 Hospital Bills 10,000.00

254 Benjie Bermiso San Francisco, Agusan Del Sur January 26, 2016 Hospital Bills 1,800.00

255 Louie Jaen Bernaldez San Francisco, Agusan Del Sur January 26, 2016 Hospital Bills 5,000.00

256 Richelle Pantonial San Francisco, Agusan Del Sur January 26, 2016 Medical Assistance 10,000.00

257 Pedro Justo Rosario, Agusan Del Sur January 26, 2016 Hospital Bills 5,000.00

258 Joey Cris Gulmatico San Francisco, Agusan Del Sur January 26, 2016 Hospital Bills 7,000.00

259 Maricel Ohil San Francisco, Agusan Del Sur January 26, 2016 Hospital Bills 1,000.00

260 Lorna Moreno San Francisco, Agusan Del Sur January 26, 2016 Hospital Bills 5,000.00

261 Reymond Montes La Paz, Agusan Del Sur January 26, 2016 Hospital Bills 4,000.00

262 Jan Cyril Asena San Francisco, Agusan Del Sur January 26, 2016 Hospital Bills 7,000.00

263 Divine Cyris Tamayo San Francisco, Agusan Del Sur January 26, 2016 Hospital Bills 3,000.00

264 Julie Failano Rosario, Agusan Del Sur January 26, 2016 Hospital Bills 5,000.00

265 Romulo Panis Rosario, Agusan Del Sur January 26, 2016 Hospital Bills 10,000.00

266 Jemaylen E. Daguplo City Of Bayugan, Agusan Del Sur January 28, 2016 Hospital Bills 4,500.00

267 Abegel Degamo Prosperidad (capital), Agusan Del Sur January 28, 2016 Hospital Bills 5,000.00

268 Melita Encarnacion Talacogon, Agusan Del Sur January 28, 2016 Hospital Bills 2,000.00

269 Louie Jade A. Espallaga City Of Bayugan, Agusan Del Sur January 28, 2016 Hospital Bills 2,300.00

270 Shaina B. MangadlaoPoblacion (bahbah) Prosperidad (capital), Agusan Del

SurJanuary 28, 2016 Hospital Bills 5,300.00

271 Maricel Josol Noli City Of Bayugan, Agusan Del Sur January 28, 2016 Hospital Bills 2,200.00

272 Maeple L. Pacot City Of Bayugan, Agusan Del Sur January 28, 2016 Hospital Bills 2,200.00

273 Lenny J. Raca, Prosperidad (capital), Agusan Del Sur January 28, 2016 Hospital Bills 4,000.00

274 Elsa S. Delos Reyes Patin-ay Prosperidad (capital), Agusan Del Sur January 28, 2016 Hospital Bills 12,900.00

275 Baby Jane F. Plaza Talacogon, Agusan Del Sur January 28, 2016 Hospital Bills 4,700.00

276 Cleofel P. Mejares City Of Bayugan, Agusan Del Sur January 28, 2016 Hospital Bills 8,600.00

277 Mae Jhan Balibad La Paz, Agusan Del Sur January 28, 2016 Hospital Bills 4,000.00

278 Bernabe Mirsola Esperanza, Agusan Del Sur January 28, 2016 Hospital Bills 10,000.00

279 Jimmy Mendoza, Esperanza, Agusan Del Sur January 28, 2016 Hospital Bills 8,000.00

280 Jasmy Napone Prosperidad (capital), Agusan Del Sur January 28, 2016 Hospital Bills 4,000.00

281 Airen Joy Bayud Talacogon, Agusan Del Sur January 28, 2016 Hospital Bills 5,000.00

282 Ethan John Quimson City Of Bayugan, Agusan Del Sur January 28, 2016 Hospital Bills 11,000.00

Page 10: D.O. Plaza Memorial Hospital

283 Chris John Robles Prosperidad (capital), Agusan Del Sur January 28, 2016 Medical Assistance 4,600.00

284 Dimple Magbanua La Union Prosperidad (capital), Agusan Del Sur January 28, 2016 Hospital Bills 3,800.00

285 Remegio Costelo Prosperidad (capital), Agusan Del Sur January 28, 2016 Hospital Bills 3,900.00

286 Cris Mark Aceron Prosperidad (capital), Agusan Del Sur January 28, 2016 Hospital Bills 4,000.00

287 Billy Malamun Noli City Of Bayugan, Agusan Del Sur January 28, 2016 Hospital Bills 4,000.00

288 Jona Jean Noval Talacogon, Agusan Del Sur January 28, 2016 Hospital Bills 5,600.00

289 Mark Kelly Moreno Prosperidad (capital), Agusan Del Sur January 28, 2016 Hospital Bills 5,500.00

290 Leonilave Vega Prosperidad (capital), Agusan Del Sur January 28, 2016 Hospital Bills 5,000.00

291 Lolita Tagleong Taglatawan City Of Bayugan, Agusan Del Sur January 28, 2016 Hospital Bills 7,000.00

292 Elim Urbiztundo Prosperidad (capital), Agusan Del Sur January 28, 2016 Hospital Bills 4,000.00

293 Moises TecsonPoblacion (bahbah) Prosperidad (capital), Agusan Del

SurJanuary 28, 2016 Hospital Bills 2,500.00

294 Baby Jane F. Plaza Talacogon, Agusan Del Sur January 28, 2016 Hospital Bills 4,700.00

295 Cleofel Mejores City Of Bayugan, Agusan Del Sur January 28, 2016 Hospital Bills 8,600.00

296 Demetrio Bahinting San Luis, Agusan Del Sur January 28, 2016 Hospital Bills 2,000.00

297 Rex Pomar Talacogon, Agusan Del Sur January 28, 2016 Hospital Bills 1,800.00

298 Bernabe Mirasola Esperanza, Agusan Del Sur January 28, 2016 Hospital Bills 10,000.00

299 John Aquino Magsaysay Prosperidad (capital), Agusan Del Sur January 28, 2016 Hospital Bills 3,900.00

300 Nathaniel Boligor Azpetia Prosperidad (capital), Agusan Del Sur January 28, 2016 Hospital Bills 6,400.00

301 Maricel Josol Noli City Of Bayugan, Agusan Del Sur January 28, 2016 Hospital Bills 2,200.00

302 Jovanni Sanico Taglatawan City Of Bayugan, Agusan Del Sur January 28, 2016 Hospital Bills 2,700.00

303 Louie Jade Espellaga City Of Bayugan, Agusan Del Sur January 28, 2016 Hospital Bills 2,300.00

304 Ricky Mondejar Remedios Esperanza, Agusan Del Sur January 28, 2016 Hospital Bills 4,000.00

Total Patient: 304 1,998,401.00

Page 11: D.O. Plaza Memorial Hospital

No # Name of Patient Address Indorsement Date Assistance Amount

1 Jerick R. Ambason San Luis, Agusan Del Sur February 1, 2016 Hospital Bills 299.00

2 Cerrelo H. Balidio Jr. Bunawan, Agusan Del Sur February 1, 2016 Hospital Bills 9,777.00

3 Ronald P. Boong Loreto, Agusan Del Sur February 1, 2016 Hospital Bills 12,472.00

4 Kepsi Karen C. Corbitam Prosperidad (capital), Agusan Del Sur February 1, 2016 Hospital Bills 6,604.00

5 Remegio Y. Costelo Sr. Prosperidad (capital), Agusan Del Sur February 1, 2016 Hospital Bills 3,900.00

6 Teresita D. Dela Rosa,. San Francisco, Agusan Del Sur February 1, 2016 Hospital Bills 1,943.00

7 Luz D. Desales Prosperidad (capital), Agusan Del Sur February 1, 2016 Hospital Bills 4,886.00

8 Letty P. Garlet City Of Bayugan, Agusan Del Sur February 1, 2016 Hospital Bills 5,279.00

9 Efraim P. Gentio San Francisco, Agusan Del Sur February 1, 2016 Hospital Bills 25,000.00

10 Angelo Guzman., San Francisco, Agusan Del Sur February 1, 2016 Hospital Bills 14,698.00

11 Sherryl Mae R. Lagnada City Of Bayugan, Agusan Del Sur February 1, 2016 Hospital Bills 1,363.00

12 Lorenza D. Ledama Rosario, Agusan Del Sur February 1, 2016 Hospital Bills 2,910.00

13 Roselyn P. Montes Bunawan, Agusan Del Sur February 1, 2016 Hospital Bills 19,600.00

14 Everdina G. Ninofranco Prosperidad (capital), Agusan Del Sur February 1, 2016 Hospital Bills 2,290.00

15 Mary Grace Ontua Barobo, Surigao Del Sur February 1, 2016 Hospital Bills 7,970.00

16 Richelle G. Pantonial,. San Francisco, Agusan Del Sur February 1, 2016 Hospital Bills 2,933.00

17 Mercy D. Pelesco Barobo, Surigao Del Sur February 1, 2016 Hospital Bills 3,989.00

18 Gerelyn L. Ramos San Francisco, Agusan Del Sur February 1, 2016 Hospital Bills 8,941.00

19 Arnel B. Rosello Loreto, Agusan Del Sur February 1, 2016 Hospital Bills 932.00

20 Ressell O. Samson San Agustin, Surigao Del Sur February 1, 2016 Hospital Bills 13,807.00

21 Eden B. Serrrano Prosperidad (capital), Agusan Del Sur February 1, 2016 Hospital Bills 913.00

22 Domingo S. Soscano San Francisco, Agusan Del Sur February 1, 2016 Hospital Bills 3,884.00

23 Jinky M. Tiston Prosperidad (capital), Agusan Del Sur February 1, 2016 Hospital Bills 12,168.00

24 Jocelyn Torres,. , Agusan Del Norte February 1, 2016 Hospital Bills 5,460.00

Republic of the Philippines

Department of Health

D.O PLAZA MEMORIAL HOSPITAL

For the month of February year 2016

MEDICAL ASSISTANCE PROGRAM

Page 12: D.O. Plaza Memorial Hospital

25 Rosalinda G. Yecyec La Paz, Agusan Del Sur February 1, 2016 Hospital Bills 4,925.00

26 Maeple L. Pacot City Of Bayugan, Agusan Del Sur February 5, 2016Medical Assistance /

Medicines. 3,700.00

27 Josephine Villanueva La Paz, Agusan Del Sur February 9, 2016 Hospital Bills 4,000.00

28 Roselyn P. Montes Bunawan, Agusan Del Sur February 9, 2016 Hospital Bills 10,000.00

29 Arnle Rosello La Paz, Agusan Del Sur February 9, 2016 Hospital Bills 5,000.00

30 Arnle Rosello La Paz, Agusan Del Sur February 9, 2016 Hospital Bills 5,000.00

31 Cerilo Balidio Jr. Bunawan, Agusan Del Sur February 9, 2016 Hospital Bills 3,500.00

32 Reymark Alferez San Francisco, Agusan Del Sur February 9, 2016 Hospital Bills 2,000.00

33 Lorenza D. Ledama Rosario, Agusan Del Sur February 9, 2016 Hospital Bills 10,000.00

34 Evelyn Ramos, San Francisco, Agusan Del Sur February 9, 2016 Hospital Bills 10,000.00

35 Efraim P. Gentio San Francisco, Agusan Del Sur February 9, 2016 Hospital Bills 10,000.00

36 Antonio De Paz, Jr San Francisco, Agusan Del Sur February 9, 2016 Hospital Bills 10,000.00

37 Pascual Ontua Rosario, Agusan Del Sur February 9, 2016 Hospital Bills 3,000.00

38 Emilia Amano Rosario, Agusan Del Sur February 9, 2016 Hospital Bills 5,000.00

39 Kate Mita Guiadiano San Francisco, Agusan Del Sur February 9, 2016 Hospital Bills 2,500.00

40 Rosela Siapo Rosario, Agusan Del Sur February 9, 2016 Hospital Bills 5,000.00

41 Merry Rose Culagbang San Francisco, Agusan Del Sur February 9, 2016 Hospital Bills 3,000.00

42 Angela Arguilles Rosario, Agusan Del Sur February 9, 2016 Hospital Bills 5,000.00

43 Rosemar Perez La Paz, Agusan Del Sur February 9, 2016 Hospital Bills 10,000.00

44 Ramil Martinez Bunawan, Agusan Del Sur February 9, 2016 Hospital Bills 5,000.00

45 Jhumex Manawatao Rosario, Agusan Del Sur February 9, 2016 Hospital Bills 10,000.00

46 Cherryl Labrador Rosario, Agusan Del Sur February 9, 2016 Hospital Bills 1,500.00

47 Margie Perocillo Rosario, Agusan Del Sur February 9, 2016 Hospital Bills 5,000.00

48 Eddie Tagsip La Paz, Agusan Del Sur February 9, 2016 Hospital Bills 6,000.00

49 James Loar Rosario, Agusan Del Sur February 9, 2016 Hospital Bills 2,000.00

50 Kingjhon Dagamac Rosario, Agusan Del Sur February 9, 2016 Hospital Bills 5,000.00

51 Lilia Guma San Francisco, Agusan Del Sur February 9, 2016 Hospital Bills 10,000.00

52 Brenda Costan San Francisco, Agusan Del Sur February 9, 2016 Hospital Bills 9,000.00

53 Domingo Suscano San Francisco, Agusan Del Sur February 9, 2016 Hospital Bills 4,500.00

54 Jimmy Rosales San Francisco, Agusan Del Sur February 9, 2016 Hospital Bills 10,000.00

55 Antonio De Paz, Jr San Francisco, Agusan Del Sur February 11, 2016 Hospital Bills 9,135.00

56 Benedicta O. Reformina San Juan City Of Bayugan, Agusan Del Sur February 11, 2016 Hospital Bills 15,987.00

Page 13: D.O. Plaza Memorial Hospital

57 Rose G. Acera Wawa City Of Bayugan, Agusan Del Sur February 11, 2016 Hospital Bills 1,400.00

58 Moises Surban Prosperidad (capital), Agusan Del Sur February 11, 2016 Hospital Bills 23,370.00

59 Cheryl A. Guirigay Prosperidad (capital), Agusan Del Sur February 11, 2016 Hospital Bills 2,000.00

60 Rosela Siapo Rosario, Agusan Del Sur February 11, 2016 Hospital Bills 1,400.00

61 Rosela Siapo Rosario, Agusan Del Sur February 11, 2016 Hospital Bills 1,400.00

62 Merry Rose Culagbang San Francisco, Agusan Del Sur February 11, 2016 Hospital Bills 1,399.00

63 Aileen Tubay Rosario, Agusan Del Sur February 11, 2016 Hospital Bills 4,206.00

64 Anesia Espuerta Prosperidad (capital), Agusan Del Sur February 11, 2016 Hospital Bills 2,470.00

65 Marjun T. Laurente Prosperidad (capital), Agusan Del Sur February 11, 2016 Hospital Bills 4,372.00

66 Armando A. Lopez Barobo, Surigao Del Sur February 11, 2016 Hospital Bills 4,924.00

67 Felipa Sombrio San Francisco, Agusan Del Sur February 11, 2016 Hospital Bills 17,383.00

68 Domingo S. Soscano San Francisco, Agusan Del Sur February 11, 2016 Hospital Bills 11,000.00

69 Chabby B. Saguyong City Of Bayugan, Agusan Del Sur February 11, 2016 Hospital Bills 6,860.00

70 Rizza Mae Quinonez Barobo, Surigao Del Sur February 11, 2016 Hospital Bills 9,527.00

71 Josefino L. Corvera Prosperidad (capital), Agusan Del Sur February 11, 2016 Hospital Bills 2,005.00

72 Dioscoro Alabat San Francisco, Agusan Del Sur February 11, 2016 Hospital Bills 15,187.00

73 Jhunex S. Manawatao Rosario, Agusan Del Sur February 11, 2016 Hospital Bills 6,009.00

74 Romulo Panes Rosario, Agusan Del Sur February 11, 2016 Hospital Bills 7,038.00

75 Michelle Meyer Talacogon, Agusan Del Sur February 12, 2016 Hospital Bills 5,523.00

76 Fea Nicole Noja Prosperidad (capital), Agusan Del Sur February 12, 2016 Hospital Bills 4,100.00

77 King John Dagamac Rosario, Agusan Del Sur February 12, 2016 Hospital Bills 6,297.00

78 Lendy Galve Bayugan 3 Rosario, Agusan Del Sur February 12, 2016 Hospital Bills 3,246.00

79 Samuel Cafe Barobo, Surigao Del Sur February 12, 2016 Hospital Bills 6,867.00

80 Cresilda Caayohan Lianga, Surigao Del Sur February 12, 2016 Hospital Bills 2,885.00

81 Remegio Y. Costelo Sr. Prosperidad (capital), Agusan Del Sur February 12, 2016 Hospital Bills 13,100.00

82 Romnick T. Aguilio Banahao Lianga, Surigao Del Sur February 17, 2016 Hospital Bills 23,987.00

83 Xyber Migs L. Argonitas Bunawan, Agusan Del Sur February 17, 2016 Hospital Bills 4,494.00

84 Carlito B. Bacona Poblacion City Of Bayugan, Agusan Del Sur February 17, 2016 Hospital Bills 18,915.00

85 Aiza N. Balderas Prosperidad (capital), Agusan Del Sur February 17, 2016 Hospital Bills 750.00

86 Rosalinda S. Bandula San Francisco, Agusan Del Sur February 17, 2016 Hospital Bills 10,703.00

87 Gloria Castro, Patin-ay Prosperidad (capital), Agusan Del Sur February 17, 2016 Hospital Bills 2,012.00

88 Christian Jake L. Famillaran Borbon San Francisco, Agusan Del Sur February 17, 2016 Hospital Bills 13,097.00

Page 14: D.O. Plaza Memorial Hospital

89 Ma.rogie Mae Juanite Marcelina City Of Bayugan, Agusan Del Sur February 17, 2016 Hospital Bills 3,069.00

90 Genisa C. Lagulao Barobo, Surigao Del Sur February 17, 2016 Hospital Bills 4,587.00

91 Geneva Meregildo Azpetia Prosperidad (capital), Agusan Del Sur February 17, 2016 Hospital Bills 3,902.00

92 Rosemar Perez La Paz, Agusan Del Sur February 17, 2016 Hospital Bills 12,973.00

93 Jimmy Rosales San Francisco, Agusan Del Sur February 17, 2016 Hospital Bills 15,000.00

94 Rosita H. Tawide La Paz, Agusan Del Sur February 17, 2016 Hospital Bills 2,017.00

95 Medelyn Gruta Rosario, Agusan Del Sur February 19, 2016Medical Assistance /

Medicines. 1,000.00

96 Angelo Guzman., San Francisco, Agusan Del Sur February 19, 2016Medical Assistance /

Medicines. 10,000.00

97 Lendy Galve Bayugan 3 Rosario, Agusan Del Sur February 19, 2016Medical Assistance /

Medicines. 10,000.00

98 Hazel Mae Kuizon San Francisco, Agusan Del Sur February 19, 2016Medical Assistance /

Medicines. 8,000.00

99 Xyber Miggz Argonitas San Francisco, Agusan Del Sur February 19, 2016Medical Assistance /

Medicines. 10,000.00

Total Patient: 99 695,239.00

Page 15: D.O. Plaza Memorial Hospital

No # Name of Patient Address Indorsement Date Assistance Amount

1 Rolly Mae Krisana Santa Josefa, Agusan Del Sur March 1, 2016 Medical Assistance 5,000.00

2 Jandell Alfrez San Francisco, Agusan Del Sur March 1, 2016 Medical Assistance 10,000.00

3 Chelita Atavana Loreto, Agusan Del Sur March 1, 2016 Medical Assistance 5,000.00

4 Rodita Casal La Paz, Agusan Del Sur March 1, 2016 Medical Assistance 10,000.00

5 Juldith Sambali San Francisco, Agusan Del Sur March 1, 2016 Medical Assistance 5,000.00

6 Lorgen Sister San Francisco, Agusan Del Sur March 1, 2016 Medical Assistance 8,000.00

7 Cristine Mirasol San Francisco, Agusan Del Sur March 1, 2016 Medical Assistance 2,500.00

8 Jandell Alferez San Francisco, Agusan Del Sur March 16, 2016 Hospital Bills 13,000.00

9 Sarah Arche Esperanza, Agusan Del Sur March 16, 2016 Hospital Bills 5,039.00

10 Lorna O. Armodia Lapinigan San Francisco, Agusan Del Sur March 16, 2016 Hospital Bills 2,300.00

11 Cheryl Batac Mangagoy City Of Bislig, Surigao Del Sur March 16, 2016 Hospital Bills 13,080.00

12 Jerome A. Carnote City Of Bayugan, Agusan Del Sur March 16, 2016 Hospital Bills 17,127.00

13 Maura A. Castro Patin-ay Prosperidad (capital), Agusan Del Sur March 16, 2016 Hospital Bills 332.00

14 Pedro Dagting Prosperidad (capital), Agusan Del Sur March 16, 2016 Hospital Bills 3,966.00

15 Irish C. Edilo Bunawan, Agusan Del Sur March 16, 2016 Hospital Bills 2,410.00

16 Saturnino Ermac Magkiangkang City Of Bayugan, Agusan Del Sur March 16, 2016 Hospital Bills 1,626.00

17 Loriejoy C. Escobal Poblacion Esperanza, Agusan Del Sur March 16, 2016 Hospital Bills 12,000.00

18 Lyca Guting Poblacion City Of Bayugan, Agusan Del Sur March 16, 2016 Hospital Bills 5,153.00

19 Allan Mateo, Bayugan 2 San Francisco, Agusan Del Sur March 16, 2016 Hospital Bills 5,403.00

20 Lourdes Millanes City Of Bayugan, Agusan Del Sur March 16, 2016 Hospital Bills 8,000.00

21 Imelda Paler, Prosperidad (capital), Agusan Del Sur March 16, 2016 Hospital Bills 4,487.00

22 Jsutiniano U. Panganoron Patin-ay Prosperidad (capital), Agusan Del Sur March 16, 2016 Hospital Bills 543.00

23 Alexis Jollane Perez Del Monte Talacogon, Agusan Del Sur March 16, 2016 Hospital Bills 2,661.00

24 Meracris Plaza Patin-ay Prosperidad (capital), Agusan Del Sur March 16, 2016 Hospital Bills 2,359.00

Republic of the Philippines

Department of Health

D.O PLAZA MEMORIAL HOSPITAL

For the month of March year 2016

MEDICAL ASSISTANCE PROGRAM

Page 16: D.O. Plaza Memorial Hospital

25 Meracris Plaza Patin-ay Prosperidad (capital), Agusan Del Sur March 16, 2016 Hospital Bills 2,358.00

26 Ariel Potestas City Of Bayugan, Agusan Del Sur March 16, 2016 Hospital Bills 3,713.00

27 Ermalyn I. Reyes Patin-ay Prosperidad (capital), Agusan Del Sur March 16, 2016 Hospital Bills 5,000.00

28 Jocelyn Roca City Of Bayugan, Agusan Del Sur March 16, 2016 Hospital Bills 12,522.00

29 Oleva Saguilay Bunaguit Esperanza, Agusan Del Sur March 16, 2016 Hospital Bills 1,500.00

30 Romeo S. Salahid Taglatawan City Of Bayugan, Agusan Del Sur March 16, 2016 Hospital Bills 4,830.00

31 Rose Salayao La Paz, Agusan Del Sur March 16, 2016 Hospital Bills 8,468.00

32 Ma. Isabel Saldino Caimpugan San Francisco, Agusan Del Sur March 16, 2016 Hospital Bills 410.00

33 Sister P. Lorjen San Francisco, Agusan Del Sur March 16, 2016 Hospital Bills 13,000.00

34 Domingo S. Soscano San Francisco, Agusan Del Sur March 16, 2016 Hospital Bills 6,231.00

35 Gina E. Yandong Hawilian Esperanza, Agusan Del Sur March 16, 2016 Hospital Bills 5,742.00

36 Edrian Caton Rosario, Agusan Del Sur March 16, 2016 Hospital Bills 3,593.00

37 Judy Ann Codenera City Of Bayugan, Agusan Del Sur March 16, 2016 Hospital Bills 7,562.00

38 Anita B. Esclana San Francisco, Agusan Del Sur March 16, 2016 Hospital Bills 330.00

39 Jocelyn Havana Prosperidad (capital), Agusan Del Sur March 16, 2016 Hospital Bills 7,481.00

40 Daisy V. Pastedio City Of Bayugan, Agusan Del Sur March 16, 2016 Hospital Bills 7,010.00

41 Jermaline N. Peniones Tagbayagan Rosario, Agusan Del Sur March 16, 2016 Hospital Bills 6,468.00

42 Jermaline N. Peniones Tagbayagan Rosario, Agusan Del Sur March 16, 2016 Hospital Bills 6,468.00

43 Julia C. Plaza San Agustin, Surigao Del Sur March 16, 2016 Hospital Bills 2,120.00

44 Cris Alexis F. Razon San Francisco, Agusan Del Sur March 16, 2016 Hospital Bills 350.00

45 Esther Tumanda Talacogon, Agusan Del Sur March 16, 2016 Hospital Bills 6,500.00

46 Eduardo, Jr. Abellana Esperanza, Agusan Del Sur March 28, 2016 Hospital Bills 3,625.00

47 Lugen Adlao San Francisco, Agusan Del Sur March 28, 2016 Hospital Bills 5,593.00

48 Alther H. Canete Rosario, Agusan Del Sur March 28, 2016 Hospital Bills 7,368.00

49 Steven Castro Patin-ay Prosperidad (capital), Agusan Del Sur March 28, 2016 Hospital Bills 847.00

50 Danny L. Cerbas San Isidro San Francisco, Agusan Del Sur March 28, 2016 Hospital Bills 2,060.00

51 Gina Dandoy Poblacion Trento, Agusan Del Sur March 28, 2016 Hospital Bills 12,813.00

52 Michelle Y. Elladora San Francisco, Agusan Del Sur March 28, 2016 Hospital Bills 879.00

53 Angel Mae Gallendo Patin-ay Prosperidad (capital), Agusan Del Sur March 28, 2016 Hospital Bills 6,041.00

54 Semporiana Garcia Rosario, Agusan Del Sur March 28, 2016 Hospital Bills 3,496.00

55 Simplecio H. Giraldez San Joaquin Prosperidad (capital), Agusan Del Sur March 28, 2016 Hospital Bills 7,448.00

56 Michael C. Insayoy Prosperidad (capital), Agusan Del Sur March 28, 2016 Hospital Bills 6,000.00

Page 17: D.O. Plaza Memorial Hospital

57 Mercedes Judar Coalicion San Luis, Agusan Del Sur March 28, 2016 Hospital Bills 750.00

58 Anania Lapinig Patin-ay Prosperidad (capital), Agusan Del Sur March 28, 2016 Hospital Bills 7,420.00

59 Rogito Llano Salimbogaon Prosperidad (capital), Agusan Del Sur March 28, 2016 Hospital Bills 1,500.00

60 Lord Jovan G. Logronio Patin-ay Prosperidad (capital), Agusan Del Sur March 28, 2016 Hospital Bills 2,600.00

61 Gemma Lumbab Santa Irene Prosperidad (capital), Agusan Del Sur March 28, 2016 Hospital Bills 4,710.00

62 Margie Ann M. Medina Mapaga Prosperidad (capital), Agusan Del Sur March 28, 2016 Hospital Bills 1,369.00

63 Warlito Meral Prosperidad (capital), Agusan Del Sur March 28, 2016 Hospital Bills 9,109.00

64 Basilisa Montes San Francisco, Agusan Del Sur March 28, 2016 Medicines 1,909.00

65 Daisyree N. Rosalida Esperanza, Agusan Del Sur March 28, 2016 Hospital Bills 4,749.00

66 Cresttito C. Rusaban Prosperidad (capital), Agusan Del Sur March 28, 2016 Hospital Bills 4,963.00

67 Baby Boy Amper Bunawan, Agusan Del Sur March 28, 2016 Hospital Bills 3,000.00

68 Myrtle C. Arendayin San Francisco, Agusan Del Sur March 28, 2016 Hospital Bills 12,415.00

69 Jhonny P. Balumaga Prosperidad (capital), Agusan Del Sur March 28, 2016 Hospital Bills 4,430.00

70 Jeziel A. Bandola Wasi-an Rosario, Agusan Del Sur March 28, 2016 Hospital Bills 4,985.00

71 Efren Jr. Batal Rosario, Agusan Del Sur March 28, 2016 Hospital Bills 2,989.00

72 Ruth Dabalos Los Arcos Prosperidad (capital), Agusan Del Sur March 28, 2016 Hospital Bills 1,500.00

73 Crisanta Escarda Taglatawan City Of Bayugan, Agusan Del Sur March 28, 2016 Hospital Bills 810.00

74 Shane C. Galinada Libuac Rosario, Agusan Del Sur March 28, 2016 Hospital Bills 1,685.00

75 Hyacinth Mae Geroy Rosario, Agusan Del Sur March 28, 2016 Hospital Bills 4,734.00

76 Jimboy Ilagan Tagbina, Surigao Del Sur March 28, 2016 Hospital Bills 6,500.00

77 Princess Jane Lansangon City Of Bayugan, Agusan Del Sur March 28, 2016 Hospital Bills 6,000.00

78 Vivian Lavisores San Francisco, Agusan Del Sur March 28, 2016 Hospital Bills 2,220.00

79 Paula Alexa E. Orozco Patin-ay Prosperidad (capital), Agusan Del Sur March 28, 2016 Hospital Bills 3,920.00

80 Mary Jane Perez Bayugan 3 Rosario, Agusan Del Sur March 28, 2016 Hospital Bills 3,741.00

81 Julia Pinatawan Esperanza, Agusan Del Sur March 28, 2016 Hospital Bills 1,615.00

82 Merbert D. Pono Sibagat, Agusan Del Sur March 28, 2016 Hospital Bills 5,000.00

83 Derlina A. Serna , Agusan Del Sur March 28, 2016 Hospital Bills 6,061.00

84 Rosela Siapo Rosario, Agusan Del Sur March 28, 2016 Hospital Bills 6,866.00

85 Saralin B. Terante Rosario, Agusan Del Sur March 28, 2016 Hospital Bills 10,000.00

86 Rizza Mae Villacampa Prosperidad (capital), Agusan Del Sur March 28, 2016 Hospital Bills 5,055.00

87 Arnold Plaza Trento, Agusan Del Sur March 29, 2016 Medical Assistance 10,000.00

88 Jericho Lindahay San Francisco, Agusan Del Sur March 29, 2016 Medical Assistance 2,000.00

Page 18: D.O. Plaza Memorial Hospital

89 Irish C. Edilo Bunawan, Agusan Del Sur March 29, 2016 Medical Assistance 8,000.00

90 Andrew Magtago Rosario, Agusan Del Sur March 29, 2016 Medical Assistance 3,000.00

91 Robie Jean Mahinay San Francisco, Agusan Del Sur March 29, 2016 Medical Assistance 5,000.00

92 Rodrigo Garbosa Jr. San Francisco, Agusan Del Sur March 29, 2016 Medical Assistance 4,000.00

93 Daisy Mae Gaviola San Francisco, Agusan Del Sur March 29, 2016 Medical Assistance 4,000.00

94 Baby Boy Llanan Loreto, Agusan Del Sur March 29, 2016 Medical Assistance 6,000.00

95 Ian John Danao Ii Rosario, Agusan Del Sur March 29, 2016 Medical Assistance 3,000.00

96 Alma Sumampan San Francisco, Agusan Del Sur March 29, 2016 Medical Assistance 1,079.30

97 Oliver Analyn Bunawan, Agusan Del Sur March 29, 2016 Medical Assistance 9,000.00

98 Marivi Gonos Rosario, Agusan Del Sur March 29, 2016 Medical Assistance 3,000.00

99 Marichu Francisco La Paz, Agusan Del Sur March 29, 2016 Medical Assistance 10,000.00

100 Semporiana Garcia Rosario, Agusan Del Sur March 29, 2016 Medical Assistance 4,000.00

101 Evelyn Libas Rosario, Agusan Del Sur March 29, 2016 Medical Assistance 4,500.00

102 Ranchel Plaza Prosperidad (capital), Agusan Del Sur March 29, 2016 Medical Assistance 595.00

103 Lucille Ytac Prosperidad (capital), Agusan Del Sur March 29, 2016 Medical Assistance 2,985.00

104 Ma. Lanaine Martin San Francisco, Agusan Del Sur March 29, 2016 Medical Assistance 4,065.00

105 Jennifer Rendon Rosario, Agusan Del Sur March 29, 2016 Medical Assistance 5,000.00

106 ,rolly Escalante San Francisco, Agusan Del Sur March 29, 2016 Medical Assistance 4,000.00

Total Patient: 106 538,641.30

Page 19: D.O. Plaza Memorial Hospital

No # Name of Patient Address Indorsement Date Assistance Amount

1 Analyn H. Oliver Bunawan, Agusan Del Sur April 6, 2016 Medical Assistance 983.00

2 Jundel D. Aparente City Of Bayugan, Agusan Del Sur April 6, 2016 Medical Assistance 5,786.00

3 Eddie P. Bogo Prosperidad (capital), Agusan Del Sur April 6, 2016 Medical Assistance 335.00

4 Mirasol A. Buslon Prosperidad (capital), Agusan Del Sur April 6, 2016 Medical Assistance 326.00

5 Maria Fe P. Corvera Tagbina, Surigao Del Sur April 6, 2016 Medical Assistance 3,861.00

6 Jonathan B. Paloma La Paz, Agusan Del Sur April 6, 2016 Medical Assistance 7,000.00

7 Bernabe G. Saldasal Jr. City Of Bayugan, Agusan Del Sur April 6, 2016 Medical Assistance 6,034.00

8 Aida S. Amper Bunawan, Agusan Del Sur April 19, 2016 Medical Assistance 7,000.00

9 Argie O. Baldos Bunawan, Agusan Del Sur April 19, 2016 Medical Assistance 2,820.00

10 Darwin O. Castor San Francisco, Agusan Del Sur April 19, 2016 Medical Assistance 10,000.00

11 Remy C. Claridad San Luis, Agusan Del Sur April 19, 2016 Medical Assistance 12,000.00

12 Quirah Monique N. Cupay San Francisco, Agusan Del Sur April 19, 2016 Medical Assistance 3,972.00

13 Santos L. Lamatao San Francisco, Agusan Del Sur April 19, 2016 Medical Assistance 4,664.00

14 Ronilo T. Munez San Francisco, Agusan Del Sur April 19, 2016 Medical Assistance 11,922.00

15 Eddie P. Bogo Prosperidad (capital), Agusan Del Sur April 19, 2016 Medical Assistance 3,000.00

16 Jenely B. Peduhan Prosperidad (capital), Agusan Del Sur April 19, 2016 Medical Assistance 536.00

17 Danny L. Cerbas San Isidro San Francisco, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 3,000.00

18 Shane Jane Carbaquel San Francisco, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 5,000.00

19 Jimelita Vecada La Paz, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 7,000.00

20 Rosela Siapo Rosario, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 7,000.00

21 Rosela Siapo Rosario, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 7,000.00

Republic of the Philippines

Department of Health

D.O PLAZA MEMORIAL HOSPITAL

For the month of April year 2016

MEDICAL ASSISTANCE PROGRAM

Page 20: D.O. Plaza Memorial Hospital

22 Shane C. Galinada Libuac Rosario, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 4,000.00

23 ,nenita Dinaya San Francisco, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 2,000.00

24 Abundancio Canggo Rosario, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 3,000.00

25 John Kert Culentas San Francisco, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 10,000.00

26 Jonel Otacan San Francisco, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 10,000.00

27 Arnel Sebumpan San Francisco, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 5,000.00

28 Teodulfo Huyaban San Francisco, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 10,000.00

29 Melanie Indita San Francisco, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 5,000.00

30 Temoteo Rocero Rosario, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 10,000.00

31 John Ryan Labartine San Francisco, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 5,000.00

32 Analyn Tantoy Rosario, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 10,000.00

33 Marissa Antod Loreto, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 15,000.00

34 Julita Morgadez La Paz, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 1,000.00

35 Jemely Peduhan San Francisco, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 1,500.00

36 Jorie Salahay La Paz, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 5,000.00

37 Alda Guangco San Francisco, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 5,000.00

38 Nelda Dique Bunawan, Agusan Del Sur April 25, 2016 Medical Assistance 2,500.00

39 Michelle Eladora San Francisco, Agusan Del Sur April 25, 2016 Medical Assistance 4,000.00

40 Zunnel Malweda Rosario, Agusan Del Sur April 25, 2016 Medical Assistance 4,000.00

41 Jermaline N. Peniones Tagbayagan Rosario, Agusan Del Sur April 25, 2016 Medical Assistance 1,000.00

42 Jaime Rafael Rosario, Agusan Del Sur April 25, 2016 Medical Assistance 3,000.00

43 Mike Ayala La Paz, Agusan Del Sur April 25, 2016 Medical Assistance 2,500.00

44 Oscar Delgado Loreto, Agusan Del Sur April 25, 2016 Medical Assistance 4,000.00

Page 21: D.O. Plaza Memorial Hospital

45 Wifredo Estacio Rosario, Agusan Del Sur April 25, 2016 Medical Assistance 1,000.00

46 Sandhu Tarsem Bunawan, Agusan Del Sur April 25, 2016 Medical Assistance 8,000.00

47 Ulagway Diego Loreto, Agusan Del Sur April 25, 2016 Medical Assistance 8,000.00

48 Julius Planco San Francisco, Agusan Del Sur April 25, 2016 Medical Assistance 10,000.00

49 Uriarte Ruel San Francisco, Agusan Del Sur April 25, 2016 Medical Assistance 10,000.00

50 Aileen Cabanilla Rosario, Agusan Del Sur April 25, 2016 Medical Assistance 5,000.00

51 Francisca Penas San Francisco, Agusan Del Sur April 25, 2016 Medical Assistance 4,000.00

52 Hermoso Jerson San Francisco, Agusan Del Sur April 25, 2016 Medical Assistance 5,000.00

53 Marites Salmoro San Francisco, Agusan Del Sur April 25, 2016 Medical Assistance 5,000.00

54 April Ann Espana Bunawan, Agusan Del Sur April 25, 2016 Medical Assistance 5,224.00

55 Almarie P. Daligdig Rosario, Agusan Del Sur April 25, 2016 Medical Assistance 4,000.00

56 Domingo S. Soscano San Francisco, Agusan Del Sur April 25, 2016 Medical Assistance 5,000.00

57 Nel Ballerta Rosario, Agusan Del Sur April 25, 2016 Medical Assistance 10,000.00

58 Roelma Colanse San Francisco, Agusan Del Sur April 25, 2016 Medical Assistance 10,000.00

59 Mary Jane Balbagon San Francisco, Agusan Del Sur April 25, 2016 Medical Assistance 8,000.00

60 Noor Canciller Veruela, Agusan Del Sur April 25, 2016 Medical Assistance 3,000.00

61 Joan Orit San Francisco, Agusan Del Sur April 25, 2016 Medical Assistance 4,000.00

62 Jovelyn Havana La Paz, Agusan Del Sur April 25, 2016 Medical Assistance 5,000.00

63 Lenny Otaza La Paz, Agusan Del Sur April 25, 2016 Medical Assistance 3,000.00

64 Jonalyn Udtohan Rosario, Agusan Del Sur April 25, 2016 Medical Assistance 5,000.00

65 Dania Apareche San Francisco, Agusan Del Sur April 25, 2016 Medical Assistance 1,000.00

66 Eufemia Plaza Rosario, Agusan Del Sur April 25, 2016 Medical Assistance 4,000.00

67 Vallen Jay Quita Rosario, Agusan Del Sur April 25, 2016 Medical Assistance 10,000.00

68 Jenely B. Peduhan Prosperidad (capital), Agusan Del Sur April 25, 2016 Medical Assistance 1,000.00

69 Queen Kleah Pavillar San Francisco, Agusan Del Sur April 25, 2016 Medical Assistance 4,000.00

70 Dyjilyn Bada La Paz, Agusan Del Sur April 25, 2016 Medical Assistance 5,000.00

71 Josel Cabalan San Francisco, Agusan Del Sur April 25, 2016 Medical Assistance 1,000.00

72 Hernan Gonzales La Paz, Agusan Del Sur April 25, 2016 Medical Assistance 5,000.00

73 Ellamie Pandeling Rosario, Agusan Del Sur April 25, 2016 Medical Assistance 5,000.00

74 Diosdado C. Alonzo Prosperidad (capital), Agusan Del Sur April 27, 2016 Medical Assistance 6,094.00

75 Baby Boy Costan Rosario, Agusan Del Sur April 27, 2016 Medical Assistance 4,599.00

76 Liezel Elsisura Tagbina, Surigao Del Sur April 27, 2016 Medical Assistance 6,789.00

77 Evelyn T. Libas Rosario, Agusan Del Sur April 27, 2016 Medical Assistance 8,000.00

Page 22: D.O. Plaza Memorial Hospital

78 Dyna Grace T. Quarteros Lianga, Surigao Del Sur April 27, 2016 Medical Assistance 4,862.00

79 Raizy Mae C. Reyes La Paz, Agusan Del Sur April 27, 2016 Medical Assistance 3,895.00

80 Ice Ysabel E. Saraosos Rosario, Agusan Del Sur April 27, 2016 Medical Assistance 9,900.00

Total Patient: 80 430,102.00

Page 23: D.O. Plaza Memorial Hospital

No # Name of Patient Address Indorsement Date Assistance Amount

1 Analyn H. Oliver Bunawan, Agusan Del Sur April 6, 2016 Medical Assistance 983.00

2 Jundel D. Aparente City Of Bayugan, Agusan Del Sur April 6, 2016 Medical Assistance 5,786.00

3 Eddie P. Bogo Prosperidad (capital), Agusan Del Sur April 6, 2016 Medical Assistance 335.00

4 Mirasol A. Buslon Prosperidad (capital), Agusan Del Sur April 6, 2016 Medical Assistance 326.00

5 Maria Fe P. Corvera Tagbina, Surigao Del Sur April 6, 2016 Medical Assistance 3,861.00

6 Jonathan B. Paloma La Paz, Agusan Del Sur April 6, 2016 Medical Assistance 7,000.00

7 Bernabe G. Saldasal Jr. City Of Bayugan, Agusan Del Sur April 6, 2016 Medical Assistance 6,034.00

8 Aida S. Amper Bunawan, Agusan Del Sur April 19, 2016 Medical Assistance 7,000.00

9 Argie O. Baldos Bunawan, Agusan Del Sur April 19, 2016 Medical Assistance 2,820.00

10 Darwin O. Castor San Francisco, Agusan Del Sur April 19, 2016 Medical Assistance 10,000.00

11 Remy C. Claridad San Luis, Agusan Del Sur April 19, 2016 Medical Assistance 12,000.00

12 Quirah Monique N. Cupay San Francisco, Agusan Del Sur April 19, 2016 Medical Assistance 3,972.00

13 Santos L. Lamatao San Francisco, Agusan Del Sur April 19, 2016 Medical Assistance 4,664.00

14 Ronilo T. Munez San Francisco, Agusan Del Sur April 19, 2016 Medical Assistance 11,922.00

15 Eddie P. Bogo Prosperidad (capital), Agusan Del Sur April 19, 2016 Medical Assistance 3,000.00

16 Jenely B. Peduhan Prosperidad (capital), Agusan Del Sur April 19, 2016 Medical Assistance 536.00

17 Danny L. Cerbas San Isidro San Francisco, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 3,000.00

18 Shane Jane Carbaquel San Francisco, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 5,000.00

19 Jimelita Vecada La Paz, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 7,000.00

20 Rosela Siapo Rosario, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 7,000.00

21 Rosela Siapo Rosario, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 7,000.00

Republic of the Philippines

Department of Health

D.O PLAZA MEMORIAL HOSPITAL

For the month of April year 2016

MEDICAL ASSISTANCE PROGRAM

Page 24: D.O. Plaza Memorial Hospital

22 Shane C. Galinada Libuac Rosario, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 4,000.00

23 ,nenita Dinaya San Francisco, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 2,000.00

24 Abundancio Canggo Rosario, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 3,000.00

25 John Kert Culentas San Francisco, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 10,000.00

26 Jonel Otacan San Francisco, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 10,000.00

27 Arnel Sebumpan San Francisco, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 5,000.00

28 Teodulfo Huyaban San Francisco, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 10,000.00

29 Melanie Indita San Francisco, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 5,000.00

30 Temoteo Rocero Rosario, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 10,000.00

31 John Ryan Labartine San Francisco, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 5,000.00

32 Analyn Tantoy Rosario, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 10,000.00

33 Marissa Antod Loreto, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 15,000.00

34 Julita Morgadez La Paz, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 1,000.00

35 Jemely Peduhan San Francisco, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 1,500.00

36 Jorie Salahay La Paz, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 5,000.00

37 Alda Guangco San Francisco, Agusan Del Sur April 22, 2016Hospital Bills and other

needs 5,000.00

38 Nelda Dique Bunawan, Agusan Del Sur April 25, 2016 Medical Assistance 2,500.00

39 Michelle Eladora San Francisco, Agusan Del Sur April 25, 2016 Medical Assistance 4,000.00

40 Zunnel Malweda Rosario, Agusan Del Sur April 25, 2016 Medical Assistance 4,000.00

41 Jermaline N. Peniones Tagbayagan Rosario, Agusan Del Sur April 25, 2016 Medical Assistance 1,000.00

42 Jaime Rafael Rosario, Agusan Del Sur April 25, 2016 Medical Assistance 3,000.00

43 Mike Ayala La Paz, Agusan Del Sur April 25, 2016 Medical Assistance 2,500.00

44 Oscar Delgado Loreto, Agusan Del Sur April 25, 2016 Medical Assistance 4,000.00

Page 25: D.O. Plaza Memorial Hospital

45 Wifredo Estacio Rosario, Agusan Del Sur April 25, 2016 Medical Assistance 1,000.00

46 Sandhu Tarsem Bunawan, Agusan Del Sur April 25, 2016 Medical Assistance 8,000.00

47 Ulagway Diego Loreto, Agusan Del Sur April 25, 2016 Medical Assistance 8,000.00

48 Julius Planco San Francisco, Agusan Del Sur April 25, 2016 Medical Assistance 10,000.00

49 Uriarte Ruel San Francisco, Agusan Del Sur April 25, 2016 Medical Assistance 10,000.00

50 Aileen Cabanilla Rosario, Agusan Del Sur April 25, 2016 Medical Assistance 5,000.00

51 Francisca Penas San Francisco, Agusan Del Sur April 25, 2016 Medical Assistance 4,000.00

52 Hermoso Jerson San Francisco, Agusan Del Sur April 25, 2016 Medical Assistance 5,000.00

53 Marites Salmoro San Francisco, Agusan Del Sur April 25, 2016 Medical Assistance 5,000.00

54 April Ann Espana Bunawan, Agusan Del Sur April 25, 2016 Medical Assistance 5,224.00

55 Almarie P. Daligdig Rosario, Agusan Del Sur April 25, 2016 Medical Assistance 4,000.00

56 Domingo S. Soscano San Francisco, Agusan Del Sur April 25, 2016 Medical Assistance 5,000.00

57 Nel Ballerta Rosario, Agusan Del Sur April 25, 2016 Medical Assistance 10,000.00

58 Roelma Colanse San Francisco, Agusan Del Sur April 25, 2016 Medical Assistance 10,000.00

59 Mary Jane Balbagon San Francisco, Agusan Del Sur April 25, 2016 Medical Assistance 8,000.00

60 Noor Canciller Veruela, Agusan Del Sur April 25, 2016 Medical Assistance 3,000.00

61 Joan Orit San Francisco, Agusan Del Sur April 25, 2016 Medical Assistance 4,000.00

62 Jovelyn Havana La Paz, Agusan Del Sur April 25, 2016 Medical Assistance 5,000.00

63 Lenny Otaza La Paz, Agusan Del Sur April 25, 2016 Medical Assistance 3,000.00

64 Jonalyn Udtohan Rosario, Agusan Del Sur April 25, 2016 Medical Assistance 5,000.00

65 Dania Apareche San Francisco, Agusan Del Sur April 25, 2016 Medical Assistance 1,000.00

66 Eufemia Plaza Rosario, Agusan Del Sur April 25, 2016 Medical Assistance 4,000.00

67 Vallen Jay Quita Rosario, Agusan Del Sur April 25, 2016 Medical Assistance 10,000.00

68 Jenely B. Peduhan Prosperidad (capital), Agusan Del Sur April 25, 2016 Medical Assistance 1,000.00

69 Queen Kleah Pavillar San Francisco, Agusan Del Sur April 25, 2016 Medical Assistance 4,000.00

70 Dyjilyn Bada La Paz, Agusan Del Sur April 25, 2016 Medical Assistance 5,000.00

71 Josel Cabalan San Francisco, Agusan Del Sur April 25, 2016 Medical Assistance 1,000.00

72 Hernan Gonzales La Paz, Agusan Del Sur April 25, 2016 Medical Assistance 5,000.00

73 Ellamie Pandeling Rosario, Agusan Del Sur April 25, 2016 Medical Assistance 5,000.00

74 Diosdado C. Alonzo Prosperidad (capital), Agusan Del Sur April 27, 2016 Medical Assistance 6,094.00

75 Baby Boy Costan Rosario, Agusan Del Sur April 27, 2016 Medical Assistance 4,599.00

76 Liezel Elsisura Tagbina, Surigao Del Sur April 27, 2016 Medical Assistance 6,789.00

77 Evelyn T. Libas Rosario, Agusan Del Sur April 27, 2016 Medical Assistance 8,000.00

Page 26: D.O. Plaza Memorial Hospital

78 Dyna Grace T. Quarteros Lianga, Surigao Del Sur April 27, 2016 Medical Assistance 4,862.00

79 Raizy Mae C. Reyes La Paz, Agusan Del Sur April 27, 2016 Medical Assistance 3,895.00

80 Ice Ysabel E. Saraosos Rosario, Agusan Del Sur April 27, 2016 Medical Assistance 9,900.00

Total Patient: 80 430,102.00

Page 27: D.O. Plaza Memorial Hospital

No # Name of Patient Address Indorsement Date Assistance Amount

1 Emily Bontao Loreto, Agusan Del Sur June 1, 2016 Medical Assistance 5,000.00

2 Ramil Caday Rosario, Agusan Del Sur June 1, 2016 Medical Assistance 3,000.00

3 Mery Joy Guzman San Francisco, Agusan Del Sur June 1, 2016 Medical Assistance 1,500.00

4 Jerwin Arbelo San Francisco, Agusan Del Sur June 1, 2016 Medical Assistance 3,000.00

5 Romeo Serenas Rosario, Agusan Del Sur June 1, 2016 Medical Assistance 5,000.00

6 Mariane Pundog La Paz, Agusan Del Sur June 1, 2016 Medical Assistance 2,500.00

7 Maria Fe Culentas Rosario, Agusan Del Sur June 1, 2016 Medical Assistance 2,000.00

8 Mylen Baslote San Francisco, Agusan Del Sur June 1, 2016 Medical Assistance 4,000.00

9 Makigod Jovelyn San Francisco, Agusan Del Sur June 1, 2016 Medical Assistance 3,000.00

10 Baby Girl Tapic Bunawan, Agusan Del Sur June 1, 2016 Medical Assistance 1,500.00

11 Domingo S. Soscano San Francisco, Agusan Del Sur June 1, 2016 Medical Assistance 4,000.00

12 Comendador Elisa Bunawan, Agusan Del Sur June 1, 2016 Medical Assistance 5,000.00

13 Juluis Tugaon Loreto, Agusan Del Sur June 1, 2016 Medical Assistance 5,000.00

14 John Michael Bacasmot Loreto, Agusan Del Sur June 1, 2016 Medical Assistance 5,000.00

15 Riza Mae Buan Santa Josefa, Agusan Del Sur June 1, 2016 Medical Assistance 5,000.00

16 Khendra Caguman Loreto, Agusan Del Sur June 1, 2016 Medical Assistance 2,000.00

17 Emilyn Capisinio San Francisco, Agusan Del Sur June 1, 2016 Medical Assistance 5,000.00

18 Khiarra Maguinda San Francisco, Agusan Del Sur June 1, 2016 Medical Assistance 3,000.00

19 Winstone Cawe Buno San Francisco, Agusan Del Sur June 1, 2016 Medical Assistance 3,000.00

20 Conchita Lawangon San Francisco, Agusan Del Sur June 1, 2016 Medical Assistance 3,000.00

21 Mary Grace Baluca San Francisco, Agusan Del Sur June 1, 2016 Medical Assistance 8,000.00

22 Arbless Ronquillo San Francisco, Agusan Del Sur June 1, 2016 Medical Assistance 5,000.00

23 Lucresia Aguirre Rosario, Agusan Del Sur June 1, 2016 Medical Assistance 10,000.00

24 Leny Cuyubao San Francisco, Agusan Del Sur June 2, 2016 Medical Assistance 5,000.00

Republic of the Philippines

Department of Health

D.O PLAZA MEMORIAL HOSPITAL

For the month of June year 2016

MEDICAL ASSISTANCE PROGRAM

Page 28: D.O. Plaza Memorial Hospital

25 Layza Mynopas Rosario, Agusan Del Sur June 2, 2016 Medical Assistance 2,000.00

26 Melba Fuentespina Rosario, Agusan Del Sur June 2, 2016 Medical Assistance 3,000.00

27 Sylem Berdin San Francisco, Agusan Del Sur June 2, 2016 Medical Assistance 5,000.00

28 Melinda Onggo San Francisco, Agusan Del Sur June 2, 2016 Medical Assistance 5,000.00

29 Neil John Espanola Rosario, Agusan Del Sur June 2, 2016 Medical Assistance 2,000.00

30 Domingo S. Soscano San Francisco, Agusan Del Sur June 2, 2016 Medical Assistance 3,000.00

31 Novie Garcelaza San Francisco, Agusan Del Sur June 2, 2016 Medical Assistance 3,000.00

32 Mary Ann Gonzales,. San Francisco, Agusan Del Sur June 2, 2016 Medical Assistance 1,500.00

33 Elmer John Peritos San Francisco, Agusan Del Sur June 2, 2016 Medical Assistance 2,000.00

34 Maguinda Cerlino San Francisco, Agusan Del Sur June 2, 2016 Medical Assistance 5,000.00

35 Ramil Precioso Jr. La Paz, Agusan Del Sur June 2, 2016 Medical Assistance 3,000.00

36 Jessa Wabe Trento, Agusan Del Sur June 2, 2016 Medical Assistance 5,000.00

37 Sask Jaselouan Inchoco Rosario, Agusan Del Sur June 2, 2016 Medical Assistance 3,000.00

38 Lorenzo Ybanez San Francisco, Agusan Del Sur June 2, 2016 Medical Assistance 10,000.00

39 Mary Rose Tabanao San Francisco, Agusan Del Sur June 2, 2016 Medical Assistance 8,000.00

40 Fevi Fuentes La Paz, Agusan Del Sur June 2, 2016 Medical Assistance 5,000.00

41 Roby Judilla Rosario, Agusan Del Sur June 2, 2016 Medical Assistance 3,000.00

42 Stephanie Gwen Menendez Santa Josefa, Agusan Del Sur June 2, 2016 Medical Assistance 3,000.00

43 Adelfa Amemenzi San Francisco, Agusan Del Sur June 2, 2016 Medical Assistance 1,500.00

44 Ramil Judaya San Francisco, Agusan Del Sur June 2, 2016 Medical Assistance 4,000.00

45 Maicca Ambongan Rosario, Agusan Del Sur June 2, 2016 Medical Assistance 2,000.00

46 Maricel Tapic Bunawan, Agusan Del Sur June 2, 2016 Medical Assistance 800.00

47 Baby Boy Judilla Rosario, Agusan Del Sur June 2, 2016 Medical Assistance 5,000.00

48 Matthew John Jutba San Francisco, Agusan Del Sur June 2, 2016 Medical Assistance 2,000.00

49 Maricel Casiro Santa Josefa, Agusan Del Sur June 2, 2016 Medical Assistance 2,500.00

50 Judy Campos, Rosario, Agusan Del Sur June 2, 2016 Medical Assistance 8,000.00

51 Eden Jumalon San Francisco, Agusan Del Sur June 2, 2016 Medical Assistance 3,000.00

52 John Ryl B. Burgos San Francisco, Agusan Del Sur June 2, 2016 Medical Assistance 5,000.00

53 Danny L. Daya Rosario, Agusan Del Sur June 2, 2016 Medical Assistance 5,000.00

54 Ludy Boy B. Fernandez Rosario, Agusan Del Sur June 2, 2016 Medical Assistance 4,000.00

55 Jonathan A. Lahindao La Paz, Agusan Del Sur June 2, 2016 Medical Assistance 7,000.00

56 Trixie D. Lumoyan Esperanza, Agusan Del Sur June 2, 2016 Medical Assistance 4,858.00

57 Jelyn E. Mendez San Francisco, Agusan Del Sur June 2, 2016 Medical Assistance 8,000.00

Page 29: D.O. Plaza Memorial Hospital

58 Marites M. Otaza La Paz, Agusan Del Sur June 2, 2016 Medical Assistance 5,000.00

59 Romeo A. Panganiban, Loreto, Agusan Del Sur June 2, 2016 Medical Assistance 5,000.00

60 Vergilio R. Peno Rosario, Agusan Del Sur June 2, 2016 Medical Assistance 1,500.00

61 Perlita S. Polinar San Francisco, Agusan Del Sur June 2, 2016 Medical Assistance 5,000.00

62 Chinie Joy G. Quinones San Francisco, Agusan Del Sur June 2, 2016 Medical Assistance 1,000.00

63 Luz A. Salon Rosario, Agusan Del Sur June 2, 2016 Medical Assistance 1,500.00

64 Mary Jane P. Simproso Veruela, Agusan Del Sur June 2, 2016 Medical Assistance 3,000.00

65 Marivic Vidal Prosperidad (capital), Agusan Del Sur June 10, 2016 Medical Assistance 7,145.00

66 Mariel G. Bustamante San Francisco, Agusan Del Sur June 10, 2016 Medical Assistance 1,000.00

67 Elmar Digaman San Francisco, Agusan Del Sur June 10, 2016 Medical Assistance 5,000.00

68 Daniel Lagura San Francisco, Agusan Del Sur June 10, 2016 Medical Assistance 5,000.00

69 Merlie Dumalag San Francisco, Agusan Del Sur June 10, 2016 Medical Assistance 10,000.00

Total Patient: 69 282,803.00

Page 30: D.O. Plaza Memorial Hospital

No # Name of Patient Address Indorsement Date Assistance Amount

1 David Butt Sr. San Francisco, Agusan Del Sur July 11, 2016 Medical Assistance 5,000.00

2 Grace Peligro, San Francisco, Agusan Del Sur July 11, 2016 Medical Assistance 3,600.00

3 Lindalyn Hawili La Paz, Agusan Del Sur July 11, 2016 Medical Assistance 2,000.00

4 Violita Havana La Paz, Agusan Del Sur July 11, 2016 Medical Assistance 3,500.00

5 Jedida Nacario San Francisco, Agusan Del Sur July 11, 2016 Medical Assistance 4,000.00

6 Raquel Mausisa San Francisco, Agusan Del Sur July 11, 2016 Medical Assistance 3,000.00

7 Robe Lopio Bunawan, Agusan Del Sur July 11, 2016 Medical Assistance 2,000.00

8 Rhubelyn Lopio Bunawan, Agusan Del Sur July 11, 2016 Medical Assistance 2,000.00

9 Duran Tacasan Rosario, Agusan Del Sur July 11, 2016 Medical Assistance 3,000.00

10 James Sanchez, Santa Josefa, Agusan Del Sur July 18, 2016 Hospital Bills 7,000.00

11 Jeffrey Jusay La Paz, Agusan Del Sur July 18, 2016 Hospital Bills 2,000.00

12 Rey Jansen Casas San Francisco, Agusan Del Sur July 18, 2016 Hospital Bills 5,000.00

13 Manlawad Castro La Paz, Agusan Del Sur July 18, 2016 Hospital Bills 3,000.00

14 Aira Vanessa Bestre Rosario, Agusan Del Sur July 18, 2016 Hospital Bills 5,000.00

15 Melody Reyes, Rosario, Agusan Del Sur July 18, 2016 Hospital Bills 3,000.00

16 Adelberto Domagtoy San Francisco, Agusan Del Sur July 18, 2016 Hospital Bills 5,000.00

17 Jimelyn Agujetes San Francisco, Agusan Del Sur July 18, 2016 Hospital Bills 3,000.00

18 Jea Sikania Rosal, San Francisco, Agusan Del Sur July 18, 2016 Hospital Bills 1,100.00

19 Rito Liway Loreto, Agusan Del Sur July 18, 2016 Hospital Bills 5,000.00

20 Ronald Montes, Loreto, Agusan Del Sur July 18, 2016 Hospital Bills 5,000.00

21 Marian Jordan San Francisco, Agusan Del Sur July 18, 2016 Hospital Bills 1,000.00

22 Danvil N. Antod San Francisco, Agusan Del Sur July 18, 2016 Hospital Bills 2,000.00

23 Allen Subong La Paz, Agusan Del Sur July 18, 2016 Hospital Bills 5,000.00

24 Geraldo Arcayna Rosario, Agusan Del Sur July 27, 2016 Medical Assistance 3,000.00

Republic of the Philippines

Department of Health

D.O. PLAZA MEMORIAL HOSPITAL

For the month of July year 2016

MEDICAL ASSISTANCE PROGRAM

Page 31: D.O. Plaza Memorial Hospital

25 Cris Blanco, Santa Josefa, Agusan Del Sur July 27, 2016 Medical Assistance 2,000.00

26 Lucille Macabales Bunawan, Agusan Del Sur July 27, 2016 Medical Assistance 2,000.00

27 Dario Cutamora San Francisco, Agusan Del Sur July 27, 2016 Medical Assistance 2,000.00

28 Annelyn Alonzo Rosario, Agusan Del Sur July 27, 2016 Medical Assistance 1,500.00

29 Roel Custodio Loreto, Agusan Del Sur July 27, 2016 Medical Assistance 3,000.00

30 Leonorma P. Malinao San Francisco, Agusan Del Sur July 28, 2016 Hospital Bills 3,000.00

31 Elizabeth Portillo San Francisco, Agusan Del Sur July 28, 2016 Hospital Bills 1,500.00

32 Razel Bando San Francisco, Agusan Del Sur July 28, 2016 Hospital Bills 2,000.00

33 Cristina Dolon San Francisco, Agusan Del Sur July 28, 2016 Hospital Bills 3,000.00

34 Rio Cullantes Bunawan, Agusan Del Sur July 28, 2016 Hospital Bills 3,000.00

35 Jenky Salas Bunawan, Agusan Del Sur July 28, 2016 Hospital Bills 3,000.00

36 Jhun Balantucas San Francisco, Agusan Del Sur July 28, 2016 Hospital Bills 1,000.00

37 Merlyn Serrano, Rosario, Agusan Del Sur July 28, 2016 Hospital Bills 2,000.00

38 Nimfa Ranario Prosperidad (capital), Agusan Del Sur July 28, 2016 Hospital Bills 10,000.00

Total Patient: 38 122,200.00

Page 32: D.O. Plaza Memorial Hospital

No # Name of Patient Address Indorsement Date Assistance Amount

1 Nimfa Ranario Prosperidad (capital), Agusan Del Sur August 18, 2016 Medical Assistance 4,000.00

Total Patient: 1 4,000.00

Republic of the Philippines

Department of Health

MEDICAL ASSISTANCE PROGRAM

For the month of August year 2016

D. O. PLAZA MEMORIAL HOSPITAL

Page 33: D.O. Plaza Memorial Hospital

No # Name of Patient Address Indorsement Date Assistance Amount

1 Kid Marvin Tinaghanao San Francisco, Agusan Del Sur September 6, 2016 Medical Assistance 2,000.00

2 Jennifer Perez San Francisco, Agusan Del Sur September 6, 2016 Medical Assistance 2,000.00

3 Marilous Saday La Paz, Agusan Del Sur September 6, 2016 Medical Assistance 1,000.00

4 Jefelyn Aisa Distor Loreto, Agusan Del Sur September 6, 2016 Medical Assistance 2,000.00

5 Jm Perez San Francisco, Agusan Del Sur September 6, 2016 Medical Assistance 2,000.00

6 Cristian Clarang Rosario, Agusan Del Sur September 6, 2016 Medical Assistance 2,000.00

7 Edward Abalos San Francisco, Agusan Del Sur September 6, 2016 Medical Assistance 3,000.00

8 Epifany Oralde San Francisco, Agusan Del Sur September 6, 2016 Medical Assistance 2,000.00

9 Joan Juntong Rosario, Agusan Del Sur September 6, 2016 Medical Assistance 4,000.00

10 Glen Molos Rosario, Agusan Del Sur September 6, 2016 Medical Assistance 2,000.00

11 Miel Estilo Rosario, Agusan Del Sur September 6, 2016 Medical Assistance 1,000.00

12 Meijiro Lagoy San Francisco, Agusan Del Sur September 6, 2016 Medical Assistance 3,000.00

13 Estrelita Marapao Bunawan, Agusan Del Sur September 6, 2016 Medical Assistance 2,000.00

14 Judith Mondrigo, Rosario, Agusan Del Sur September 7, 2016 Medical Assistance 2,000.00

15 Lionelo Mamerto Rosario, Agusan Del Sur September 7, 2016 Medical Assistance 4,000.00

16 Emely Ganot Bunawan, Agusan Del Sur September 7, 2016 Medical Assistance 3,000.00

17 Jimelyn Agujitas San Francisco, Agusan Del Sur September 7, 2016 Medical Assistance 2,000.00

18 Joseph Plaza, Rosario, Agusan Del Sur September 7, 2016 Medical Assistance 1,000.00

19 Jerald Canaberal San Francisco, Agusan Del Sur September 7, 2016 Medical Assistance 1,000.00

20 Bensamin Gomez Loreto, Agusan Del Sur September 7, 2016 Medical Assistance 1,000.00

21 Arnolfa Bunani San Francisco, Agusan Del Sur September 7, 2016 Medical Assistance 2,000.00

22 Lot Nueva Veruela, Agusan Del Sur September 7, 2016 Medical Assistance 1,000.00

23 Albert Salahay Rosario, Agusan Del Sur September 7, 2016 Medical Assistance 2,000.00

24 Julieto Moralda Rosario, Agusan Del Sur September 7, 2016 Medical Assistance 2,000.00

Republic of the Philippines

Department of Health

MEDICAL ASSISTANCE PROGRAM

For the month of September year 2016

D.O. PLAZA MEMORIAL HOSPITAL

Page 34: D.O. Plaza Memorial Hospital

25 Jessa Mae Galupo San Francisco, Agusan Del Sur September 7, 2016 Medical Assistance 2,000.00

26 Cecilia Recto San Francisco, Agusan Del Sur September 7, 2016 Medical Assistance 1,500.00

27 Carlo Jose Montante San Francisco, Agusan Del Sur September 7, 2016 Medical Assistance 3,000.00

28 Dolores Navarro, San Francisco, Agusan Del Sur September 7, 2016 Medical Assistance 2,500.00

29 Crisanta Sampin Rosario, Agusan Del Sur September 7, 2016 Medical Assistance 1,500.00

30 Amado Jeliza La Paz, Agusan Del Sur September 7, 2016 Medical Assistance 1,500.00

31 Miraluna Fuentes San Francisco, Agusan Del Sur September 7, 2016 Medical Assistance 2,000.00

32 Laurence Dave Doroy San Francisco, Agusan Del Sur September 7, 2016 Medical Assistance 1,500.00

33 Romark Gorfredo San Francisco, Agusan Del Sur September 7, 2016 Medical Assistance 1,500.00

34 Baby Girl Somera San Francisco, Agusan Del Sur September 7, 2016 Medical Assistance 1,000.00

35 Lessy Rosero Rosario, Agusan Del Sur September 8, 2016Hospital Bills and other

needs2,000.00

36 Jimelyn Agujetas San Francisco, Agusan Del Sur September 8, 2016Hospital Bills and other

needs3,000.00

37 Thelma Dealca Loreto, Agusan Del Sur September 8, 2016Hospital Bills and other

needs2,000.00

38 ,thelma Dealca Bunawan, Agusan Del Sur September 8, 2016Hospital Bills and other

needs2,000.00

39 Alwyn Lenoa San Francisco, Agusan Del Sur September 8, 2016Hospital Bills and other

needs3,000.00

40 Liza Salvame Rosario, Agusan Del Sur September 8, 2016Hospital Bills and other

needs1,000.00

41 Raulo Matundas Loreto, Agusan Del Sur September 8, 2016Hospital Bills and other

needs2,000.00

42 Sheryl Ann Monteza Rosario, Agusan Del Sur September 8, 2016Hospital Bills and other

needs2,000.00

43 Jessa Mae Brital San Francisco, Agusan Del Sur September 8, 2016Hospital Bills and other

needs1,000.00

44 Noli Naboa Rosario, Agusan Del Sur September 8, 2016Hospital Bills and other

needs1,500.00

45 Marjun Bandoy Trento, Agusan Del Sur September 8, 2016Hospital Bills and other

needs2,000.00

46 Eric Jay Saday Rosario, Agusan Del Sur September 8, 2016Hospital Bills and other

needs1,000.00

47 Joemar Durada Loreto, Agusan Del Sur September 9, 2016 Medical Assistance 2,000.00

48 Arcadio Seron Jr. San Francisco, Agusan Del Sur September 9, 2016 Medical Assistance 3,000.00

Total Patient: 48 94,500.00

Page 35: D.O. Plaza Memorial Hospital

No # Name of Patient Address Indorsement Date Assistance Amount

1 Arcadio Seron , Jr. San Francisco, Agusan Del Sur October 17, 2016 Hospital Bills 3,000.00

2 Christy Perez Bunawan, Agusan Del Sur October 17, 2016 Hospital Bills 800

3 Arnold Dagang Trento, Agusan Del Sur October 17, 2016 Hospital Bills 2,000.00

4 Richard Calang San Francisco, Agusan Del Sur October 17, 2016 Hospital Bills 5,000.00

5 Joel Osorio San Francisco, Agusan Del Sur October 17, 2016 Hospital Bills 5,768.70

Total Patient: 5 16,568.70

Republic of the Philippines

Department of Health

MEDICAL ASSISTANCE PROGRAM

For the month of October year 2016

D. O. PLAZA MEMORIAL HOSPITAL


Recommended