No # Name of Patient Address Indorsement Date Assistance Amount
1 Geronimo D. Ballescas Jr. Placer, Surigao Del Norte August 5, 2015 Hospital Bills 2,106.00
2 Jericho Salan Claver, Surigao Del Norte August 5, 2015Hospital Bills and other needs
1,035.00
3 Jenesis B. Saday Placer, Surigao Del Norte August 5, 2015Hospital Bills and other needs
2,511.00
4 Renz Acabo Placer, Surigao Del Norte August 5, 2015Hospital Bills and other needs
507.5
5 Riza E. Elimanco Placer, Surigao Del Norte August 5, 2015Hospital Bills and other needs
900
6 Charlito L. Laguna Placer, Surigao Del Norte August 5, 2015 Hospital Bills 1,392.00
7 Jeremy Acibo Gigaquit, Surigao Del Norte August 5, 2015Hospital Bills and other needs
2,650.00
8 Rejie Yubos Gigaquit, Surigao Del Norte August 5, 2015Hospital Bills and other needs
1,700.00
9 Kate Yshine E. Bunag Placer, Surigao Del Norte August 5, 2015Hospital Bills and other needs
1,435.00
10 Arman Hubasan Gigaquit, Surigao Del Norte August 5, 2015Hospital Bills and other needs
1,923.00
11 Jennifer Mortil Gigaquit, Surigao Del Norte August 5, 2015Hospital Bills and other needs
950
12 Iandy Sison Gigaquit, Surigao Del Norte August 5, 2015Hospital Bills and other needs
630
13 Mary Ann Sapio Gigaquit, Surigao Del Norte August 5, 2015Hospital Bills and other needs
2,397.00
14 ,baby Boy Sapio Gigaquit, Surigao Del Norte August 5, 2015 Medical Assistance 700
15 Lera Mae L. Calinawan Gigaquit, Surigao Del Norte August 5, 2015Hospital Bills and other needs
1,275.00
16 Carmela P. Pacilan Placer, Surigao Del Norte August 5, 2015Hospital Bills and other needs
1,140.00
Republic of the Philippines
Department of Health
PLACER DISTRICT HOSPITAL
For the month of August year 2015
MEDICAL ASSISTANCE PROGRAM
17 Rene Floria Placer, Surigao Del Norte August 5, 2015Hospital Bills and other needs
865
18 Sammy Poliran Placer, Surigao Del Norte August 5, 2015 Hospital Bills 2,146.31
19 Mary Joy` Ajoc Placer, Surigao Del Norte August 5, 2015Hospital Bills and other needs
1,450.00
20 Tyler S. Juan Placer, Surigao Del Norte August 5, 2015 Hospital Bills 2,761.00
21 Baby Boy Ajoc Placer, Surigao Del Norte August 5, 2015Hospital Bills and other needs
973
22 Susan M. Dumas Placer, Surigao Del Norte August 5, 2015 Hospital Bills 1,948.42
23 Donking Bentulan Claver, Surigao Del Norte August 5, 2015Hospital Bills and other needs
675
24 Erlinda E. Cavan Placer, Surigao Del Norte August 5, 2015 Hospital Bills 3,810.00
25 Carla Suazo Gigaquit, Surigao Del Norte August 5, 2015Hospital Bills and other needs
1,945.00
26 Aurelia Escabal Placer, Surigao Del Norte August 5, 2015 Hospital Bills 4,789.22
27 Zach Quiban Socorro, Surigao Del Norte August 5, 2015Hospital Bills and other needs
800
28 Melecio Elludar Placer, Surigao Del Norte August 5, 2015 Hospital Bills 6,714.00
29 Zilliana Kate Estante Placer, Surigao Del Norte August 5, 2015Hospital Bills and other needs
1,015.00
30 Zilliana Kate Estante Placer, Surigao Del Norte August 5, 2015Hospital Bills and other needs
1,015.00
31 ,leon T. Samson Placer, Surigao Del Norte August 5, 2015Hospital Bills and other needs
804
32 Angel Loab Placer, Surigao Del Norte August 5, 2015 Hospital Bills 1,700.00
33 Jasmine S. Atiga Placer, Surigao Del Norte August 5, 2015 Hospital Bills 920
34 Krishella Vianca T. Aquino Placer, Surigao Del Norte August 5, 2015 Hospital Bills 900
35 Maricel C. Dadong Placer, Surigao Del Norte August 5, 2015 Hospital Bills 2,946.50
36 Mara T. Morales Placer, Surigao Del Norte August 5, 2015 Hospital Bills 2,484.50
37 Morgan Brylle B. Payosing Placer, Surigao Del Norte August 5, 2015 Hospital Bills 960
38 Norma Hukman Placer, Surigao Del Norte August 5, 2015 Hospital Bills 2,790.50
39 Ferdina P. Galgo Placer, Surigao Del Norte August 5, 2015 Hospital Bills 750
40 Lfredo B. Mejor Placer, Surigao Del Norte August 5, 2015 Hospital Bills 1,255.00
41 Berlinda H. Ranan Placer, Surigao Del Norte August 5, 2015 Hospital Bills 2,112.42
42 Kristine Cabasa Placer, Surigao Del Norte August 5, 2015 Hospital Bills 1,575.67
43 Gerlyn P. Bago Placer, Surigao Del Norte August 5, 2015 Hospital Bills 306
44 Carmelita D. Cabajes Placer, Surigao Del Norte August 5, 2015 Hospital Bills 1,013.50
45 Jeremy Acibo Gigaquit, Surigao Del Norte August 6, 2015 Medical Assistance 1,570.00
46 Eryn Paz Satacera Tagana-an, Surigao Del Norte August 6, 2015Hospital Bills and other needs
825
47 Kristine Cabasa Placer, Surigao Del Norte August 6, 2015Hospital Bills and other needs
1,580.00
48 Mario Gabeligno Placer, Surigao Del Norte August 6, 2015Hospital Bills and other needs
1,678.00
49 Nissan T. Buyo Alegria, Surigao Del Norte August 6, 2015Hospital Bills and other needs
1,305.00
50 Rylle Raffy Mara Bacuag, Surigao Del Norte August 6, 2015Hospital Bills and other needs
970
51 Jenesis B. Saday Placer, Surigao Del Norte August 6, 2015Hospital Bills and other needs
445
52 Rhea Iligan Gigaquit, Surigao Del Norte August 6, 2015Hospital Bills and other needs
1,160.00
53 Urane Mondaya Placer, Surigao Del Norte August 6, 2015Hospital Bills and other needs
1,405.00
54 Romer Jay Sajorga Placer, Surigao Del Norte August 6, 2015Hospital Bills and other needs
452.5
55 Wenijen T. Agujar Sison, Surigao Del Norte August 6, 2015Hospital Bills and other needs
620
56 Liesly Aguirre Gigaquit, Surigao Del Norte August 6, 2015 Oncologic Treatment 1,200.00
57 Jeric V. Tamayo Placer, Surigao Del Norte August 6, 2015Hospital Bills and other needs
771
58 Maricris C. Escosies Gigaquit, Surigao Del Norte August 6, 2015 Oncologic Treatment 1,085.00
59 Rosemarie E. Edao Placer, Surigao Del Norte August 6, 2015Hospital Bills and other needs
1,685.00
60 Cristel Jean Clavacio Placer, Surigao Del Norte August 6, 2015Hospital Bills and other needs
350
61 Eshiee Besinga Sison, Surigao Del Norte August 6, 2015Hospital Bills and other needs
847
62 Jurielou N. Escaro Gigaquit, Surigao Del Norte August 6, 2015Hospital Bills and other needs
1,480.00
63 Geneveb Dizon Socorro, Surigao Del Norte August 6, 2015Hospital Bills and other needs
1,560.00
64 Roshaidel L. Pegte Mainit, Surigao Del Norte August 6, 2015Hospital Bills and other needs
954
65 Eusebio Samuya Iii Kitcharao, Agusan Del Norte August 6, 2015Hospital Bills and other needs
1,200.00
66 Virgilio Budlat Cupin Butuan City (capital), Agusan Del Norte August 6, 2015Hospital Bills and other needs
1,800.00
67 ,anthony Lopez Placer, Surigao Del Norte August 6, 2015Hospital Bills and other needs
500
68 Sherwin C. Azariz Placer, Surigao Del Norte August 6, 2015Hospital Bills and other needs
1,745.00
69 Teofila C. Garredo Placer, Surigao Del Norte August 6, 2015Hospital Bills and other needs
1,225.00
70 Lucino D. Buslon Placer, Surigao Del Norte August 6, 2015Hospital Bills and other needs
2,244.00
71 Cristito E. Salise Sison, Surigao Del Norte August 6, 2015Hospital Bills and other needs
2,625.00
72 Apple Mae A. Elsisura Alegria, Surigao Del Norte August 6, 2015Hospital Bills and other needs
2,380.00
73 Virginia Baradillo Placer, Surigao Del Norte August 6, 2015 Medical Assistance 2,157.00
74 Noel B. Hansor Placer, Surigao Del Norte August 6, 2015Hospital Bills and other needs
920
75 Vicky C. Orpilla Placer, Surigao Del Norte August 6, 2015Hospital Bills and other needs
1,701.00
76 Angelita R. Precioso Kitcharao, Agusan Del Norte August 6, 2015Hospital Bills and other needs
3,764.00
77 Mardion P. Perocho Placer, Surigao Del Norte August 6, 2015Hospital Bills and other needs
1,960.00
78 Junel A. Biog Kitcharao, Agusan Del Norte August 6, 2015Hospital Bills and other needs
2,505.00
79 Angel Dadong Tubod, Surigao Del Norte August 6, 2015Hospital Bills and other needs
1,320.00
80 Kent Algier Eliot Placer, Surigao Del Norte August 6, 2015Hospital Bills and other needs
4,376.00
81 Jade L. Eledia Placer, Surigao Del Norte August 6, 2015Hospital Bills and other needs
1,375.00
82 Ellamae Arado Placer, Surigao Del Norte August 6, 2015Hospital Bills and other needs
1,930.00
83 Kent Isaac Bastida Tagana-an, Surigao Del Norte August 6, 2015Hospital Bills and other needs
1,975.00
84 ,eric G. Cruz Placer, Surigao Del Norte August 6, 2015Hospital Bills and other needs
2,110.00
85 Ace Relleta Placer, Surigao Del Norte August 6, 2015 Medical Assistance 2,227.00
86 Marivic Billona Placer, Surigao Del Norte August 6, 2015Hospital Bills and other needs
1,412.00
87 Chinnie R. Dinolan Placer, Surigao Del Norte August 6, 2015Hospital Bills and other needs
3,095.00
88 Irene Salubre Placer, Surigao Del Norte August 6, 2015Hospital Bills and other needs
1,664.00
89 ,baby Boy Salubre Placer, Surigao Del Norte August 6, 2015Hospital Bills and other needs
250
90 Francisco Revolos Gigaquit, Surigao Del Norte August 6, 2015Hospital Bills and other needs
1,520.00
91 Smile Revolos Gigaquit, Surigao Del Norte August 6, 2015 Medical Assistance 1,875.00
92 Renz Airon E. Bangga Placer, Surigao Del Norte August 6, 2015Hospital Bills and other needs
845
93 Gia Leine E. Descartin Placer, Surigao Del Norte August 6, 2015Hospital Bills and other needs
1,220.00
94 Abegai Pedrosa Placer, Surigao Del Norte August 6, 2015Hospital Bills and other needs
2,641.00
95 Justine Chase A. Tecson Mainit, Surigao Del Norte August 6, 2015Hospital Bills and other needs
1,625.00
96 ,linda Campos Placer, Surigao Del Norte August 6, 2015Hospital Bills and other needs
3,091.00
97 Alyssa Eliot Placer, Surigao Del Norte August 6, 2015Hospital Bills and other needs
1,895.00
98 Estrelita Caja Sison, Surigao Del Norte August 6, 2015Hospital Bills and other needs
2,535.00
99 Rovelyn Garrido Placer, Surigao Del Norte August 7, 2015Hospital Bills and other needs
1,985.00
100 Baby Boy Garrido Placer, Surigao Del Norte August 7, 2015 Medical Assistance 250
101 Christine O. Eugenio Claver, Surigao Del Norte August 7, 2015Hospital Bills and other needs
2,514.50
102 Vanessa Sardovia Placer, Surigao Del Norte August 7, 2015Hospital Bills and other needs
2,325.00
103 Baby Boy Sardovia Placer, Surigao Del Norte August 7, 2015Hospital Bills and other needs
520
104 Baby Girl Sardovia Placer, Surigao Del Norte August 7, 2015Hospital Bills and other needs
520
105 Sophia Denise Pagaura Placer, Surigao Del Norte August 7, 2015Hospital Bills and other needs
985
106 Mark P. Fabio Placer, Surigao Del Norte August 7, 2015Hospital Bills and other needs
1,985.00
107 Joel M. Aidao Alegria, Surigao Del Norte August 7, 2015Hospital Bills and other needs
2,880.00
108 Aliyah C. Tumoling Placer, Surigao Del Norte August 7, 2015Hospital Bills and other needs
1,363.00
109 Chona G. Iligan Gigaquit, Surigao Del Norte August 7, 2015Hospital Bills and other needs
2,030.00
110 Baby Girl Iligan Placer, Surigao Del Norte August 7, 2015Hospital Bills and other needs
600
111 Josie Mae L. Bentulan Tubod, Surigao Del Norte August 7, 2015 Medical Assistance 1,674.00
112 James Mosura Placer, Surigao Del Norte August 7, 2015Hospital Bills and other needs
895
113 Creshel Macalolot Placer, Surigao Del Norte August 7, 2015Hospital Bills and other needs
2,215.00
114 Baby Boy Macalolot Placer, Surigao Del Norte August 7, 2015Hospital Bills and other needs
950
115 Jociline M. Biyog Tubod, Surigao Del Norte August 7, 2015Hospital Bills and other needs
2,718.00
116 Elda Pecenio Placer, Surigao Del Norte August 7, 2015Hospital Bills and other needs
1,664.00
117 Delia S. Padal Placer, Surigao Del Norte August 10, 2015 Hospital Bills 1,859.00
118 Baby Boy Padal Placer, Surigao Del Norte August 10, 2015 Hospital Bills 250
119 Efcel G. Handayan Placer, Surigao Del Norte August 10, 2015 Hospital Bills 760
120 Virgilio G. Tampong Placer, Surigao Del Norte August 10, 2015 Hospital Bills 1,230.00
121 Jonel Mae Nardo Placer, Surigao Del Norte August 10, 2015 Hospital Bills 1,035.00
122 Jocelyn B. Lozada. Placer, Surigao Del Norte August 10, 2015 Hospital Bills 1,330.00
123 Shaquille C. Galido Placer, Surigao Del Norte August 10, 2015 Hospital Bills 1,620.00
124 Nathan R. Lamigo Placer, Surigao Del Norte August 10, 2015 Hospital Bills 1,310.00
125 Agapito Barcos Placer, Surigao Del Norte August 10, 2015 Hospital Bills 2,549.00
126 Clint John T. Dapar Placer, Surigao Del Norte August 10, 2015 Hospital Bills 2,625.00
127 Apple T. Fernandez Placer, Surigao Del Norte August 10, 2015 Hospital Bills 2,790.00
128 Joyce T. Pico Placer, Surigao Del Norte August 10, 2015 Hospital Bills 2,870.00
129 Junel A. Biog Kitcharao, Agusan Del Norte August 10, 2015 Hospital Bills 2,538.00
130 Richell P. Enao Placer, Surigao Del Norte August 10, 2015 Hospital Bills 3,516.00
131 Christine Abegail C. Amarille Placer, Surigao Del Norte August 10, 2015 Hospital Bills 1,950.00
132 Jethrovel Angelo Etac Placer, Surigao Del Norte August 10, 2015 Hospital Bills 3,405.00
133 April Rich N. Buisa Placer, Surigao Del Norte August 10, 2015 Hospital Bills 2,786.00
134 Jolybeth M. Paster Placer, Surigao Del Norte August 10, 2015 Hospital Bills 4,955.00
135 Azahiel G. Nalitan Placer, Surigao Del Norte August 10, 2015 Hospital Bills 4,730.00
136 Mariwane Mayag Timamana Tubod, Surigao Del Norte August 12, 2015 Hospital Bills 1,430.00
137 Junjun Yubos Timamana Tubod, Surigao Del Norte August 12, 2015 Hospital Bills 1,061.00
138 Romnick Biyog Poblacion Kitcharao, Agusan Del Norte August 12, 2015 Hospital Bills 1,310.00
139 Reymer Asay Kitcharao, Agusan Del Norte August 12, 2015 Hospital Bills 1,450.00
140 Sophia Franchescka Simene Central (pob.) Placer, Surigao Del Norte August 12, 2015 Hospital Bills 1,470.00
141 Louwena Ryza Cabillo Santa Cruz Placer, Surigao Del Norte August 12, 2015 Hospital Bills 1,085.00
142 Richelle Enao , Surigao Del Norte August 12, 2015 Hospital Bills 1,736.00
143 Jason T. Macopahon Timamana Tubod, Surigao Del Norte August 12, 2015 Hospital Bills 1,995.00
144 Cherrilyn A. Tiambong Tubod, Surigao Del Norte August 12, 2015 Hospital Bills 1,810.00
145 Rojea Mae Siona Placer, Surigao Del Norte August 12, 2015 Hospital Bills 1,455.00
146 Johny Silagan Placer, Surigao Del Norte August 12, 2015 Hospital Bills 1,595.00
147 Marciano Ajoc Placer, Surigao Del Norte August 12, 2015 Hospital Bills 1,797.00
148 Rebecca S. Mante Bad-as Placer, Surigao Del Norte August 12, 2015 Hospital Bills 2,265.00
149 Josh Krishnan Romero Placer, Surigao Del Norte August 12, 2015 Hospital Bills 3,575.00
150 Kyle Andrew Edillor Amoslog Placer, Surigao Del Norte August 12, 2015 Hospital Bills 3,320.00
151 Althea S. Antrigo Taganito Claver, Surigao Del Norte August 12, 2015 Hospital Bills 3,932.00
152 Joan N Nunez, Kitcharao, Agusan Del Norte August 12, 2015 Hospital Bills 2,501.00
153 Joel M. Canedo Amoslog Placer, Surigao Del Norte August 12, 2015 Hospital Bills 1,920.00
154 Anthon John Lumantas Mabini Mainit, Surigao Del Norte August 12, 2015 Hospital Bills 2,235.00
155 Emilda P. Ruaza Villaflor Gigaquit, Surigao Del Norte August 12, 2015 Hospital Bills 2,435.00
156 Nestor P. Perodes Placer, Surigao Del Norte August 12, 2015 Hospital Bills 2,365.00
157 Manilyn Botecario Santa Cruz Placer, Surigao Del Norte August 12, 2015 Hospital Bills 1,550.50
158 Noe A. Agan Timamana Tubod, Surigao Del Norte August 12, 2015 Hospital Bills 856
159 Juvy G. Tabor Santa Cruz Placer, Surigao Del Norte August 12, 2015 Hospital Bills 2,246.50
160 Maricel Calang Timamana Tubod, Surigao Del Norte August 12, 2015 Hospital Bills 1,540.00
161 Ritcie Y Tiambong Tubod, Surigao Del Norte August 12, 2015 Hospital Bills 968
162 Jinalyn I. Castillo Mahanub Gigaquit, Surigao Del Norte August 12, 2015 Hospital Bills 1,796.00
163 Keyser Orpilla Placer, Surigao Del Norte August 12, 2015 Hospital Bills 1,365.00
164 Mary Ann B. Magsaganay Timamana Tubod, Surigao Del Norte August 12, 2015 Hospital Bills 900
165 Jenalyn S. Goma Mahayahay Kitcharao, Agusan Del Norte August 12, 2015 Hospital Bills 1,621.00
166 Jason T. Macopahon Timamana Tubod, Surigao Del Norte August 12, 2015 Hospital Bills 1,995.00
167 Chritian A. Langyabao Mahayahay Kitcharao, Agusan Del Norte August 14, 2015 Hospital Bills 1,071.00
168 Roy P. Trillo Cabugao Bacuag, Surigao Del Norte August 14, 2015 Hospital Bills 4,521.00
169 Jane B. Paniamogan Cagdianao Claver, Surigao Del Norte August 14, 2015 Hospital Bills 1,090.00
170 Raneva Dalapa Cagdianao Claver, Surigao Del Norte August 14, 2015 Hospital Bills 620
171 Ophelia D. Danapa Cagdianao Claver, Surigao Del Norte August 14, 2015 Hospital Bills 688
172 Maorin Jun L. Mangaliman Cawilan Tubod, Surigao Del Norte August 14, 2015 Hospital Bills 3,225.00
173 Steven Danapa Kitcharao, Agusan Del Norte August 19, 2015 Hospital Bills 1,965.00
174 Xian Curt S. Mosquito Placer, Surigao Del Norte August 19, 2015 Hospital Bills 1,450.00
175 Jason T. Yubos Mainit, Surigao Del Norte August 19, 2015 Hospital Bills 1,735.00
176 Razel L. Dumanig Gigaquit, Surigao Del Norte August 19, 2015 Hospital Bills 1,575.00
177 Gracelyn C. Semacio Gigaquit, Surigao Del Norte August 19, 2015 Hospital Bills 2,210.00
178 Rea Luz L. Piosang Claver, Surigao Del Norte August 19, 2015 Hospital Bills 988
179 Jelian A. Boboy Mainit, Surigao Del Norte August 19, 2015 Hospital Bills 1,915.00
180 Jelly D. Napal Taganito Claver, Surigao Del Norte August 19, 2015 Hospital Bills 1,820.00
181 Delma Eledia Gigaquit, Surigao Del Norte August 19, 2015 Hospital Bills 1,876.00
182 Juvy S. Perez Placer, Surigao Del Norte August 19, 2015 Hospital Bills 2,286.00
183 Loraine P. Hingpit Alegria, Surigao Del Norte August 19, 2015 Hospital Bills 1,412.00
184 Efcel G. Handayan Placer, Surigao Del Norte August 19, 2015 Hospital Bills 1,885.00
185 Jade Lester T. Ganot Mainit, Surigao Del Norte August 19, 2015 Hospital Bills 605
186 Girlie B. Millari Placer, Surigao Del Norte August 19, 2015 Hospital Bills 2,104.00
187 Sed Marie Ralleta Placer, Surigao Del Norte August 19, 2015 Hospital Bills 1,145.00
188 Jeolito B. Yarso Mainit, Surigao Del Norte August 19, 2015 Hospital Bills 1,776.00
189 Maria Nicole O. Tanguihan Placer, Surigao Del Norte August 19, 2015 Hospital Bills 1,210.00
190 Junjun Yubos Timamana Tubod, Surigao Del Norte August 20, 2015 Hospital Bills 1,061.00
191 Mariwane Mayag Timamana Tubod, Surigao Del Norte August 20, 2015 Hospital Bills 1,430.00
192 Romnick Biyog Poblacion Kitcharao, Agusan Del Norte August 20, 2015 Hospital Bills 1,310.00
193 Reymer Asay Kitcharao, Agusan Del Norte August 20, 2015 Hospital Bills 1,450.00
194 Sophia Francheska Simene Placer, Surigao Del Norte August 20, 2015 Hospital Bills 1,470.00
195 Louwena Ryza Cabillo Santa Cruz Placer, Surigao Del Norte August 20, 2015 Hospital Bills 1,085.00
196 Richelle Enao , Surigao Del Norte August 20, 2015 Hospital Bills 1,736.00
197 Jason T. Macopahon Timamana Tubod, Surigao Del Norte August 20, 2015 Hospital Bills 1,995.00
198 Cherrilyn A. Tiambong Tubod, Surigao Del Norte August 20, 2015 Hospital Bills 1,810.00
199 Rojea Mae Siona Placer, Surigao Del Norte August 20, 2015 Hospital Bills 1,455.00
200 Johny Silagan Placer, Surigao Del Norte August 20, 2015 Hospital Bills 1,595.00
201 Marciano Ajoc Placer, Surigao Del Norte August 20, 2015 Hospital Bills 1,797.00
202 Rebecca S. Mante Bad-as Placer, Surigao Del Norte August 20, 2015 Hospital Bills 2,265.00
203 Josh Krischnan Romero Placer, Surigao Del Norte August 20, 2015 Hospital Bills 3,575.00
204 Kyle Andrew Edillor Amoslog Placer, Surigao Del Norte August 24, 2015 Hospital Bills 3,320.00
205 Althea S. Antrigo Taganito Claver, Surigao Del Norte August 24, 2015 Hospital Bills 3,932.00
206 Joan N Nunez, Kitcharao, Agusan Del Norte August 24, 2015 Hospital Bills 2,501.00
207 Joel M. Canedo Amoslog Placer, Surigao Del Norte August 24, 2015 Hospital Bills 1,920.00
208 Anthon John Lumantas Mabini Mainit, Surigao Del Norte August 24, 2015 Hospital Bills 2,235.00
209 Emilda P. Ruaza Villaflor Gigaquit, Surigao Del Norte August 24, 2015 Hospital Bills 2,435.00
210 Nestor P. Perodes Placer, Surigao Del Norte August 24, 2015 Hospital Bills 2,365.00
211 Manilyn Botecario Santa Cruz Placer, Surigao Del Norte August 24, 2015 Hospital Bills 1,550.50
212 Noe A. Agan Timamana Tubod, Surigao Del Norte August 24, 2015 Hospital Bills 856
213 Juvy G. Tabor Santa Cruz Placer, Surigao Del Norte August 24, 2015 Hospital Bills 2,246.50
214 Maricel Calang Timamana Tubod, Surigao Del Norte August 24, 2015 Hospital Bills 1,540.00
215 Ritcie Y Tiambong Tubod, Surigao Del Norte August 24, 2015 Hospital Bills 968
216 Jinalyn I. Castillo Mahanub Gigaquit, Surigao Del Norte August 24, 2015 Hospital Bills 1,796.00
217 Keyser Orpilla Placer, Surigao Del Norte August 24, 2015 Hospital Bills 1,365.00
218 Mary Ann B. Magsaganay Timamana Tubod, Surigao Del Norte August 24, 2015 Hospital Bills 900
219 Jenalyn S. Goma Mahayahay Kitcharao, Agusan Del Norte August 24, 2015 Hospital Bills 1,621.00
220 Jason T. Macopahon Timamana Tubod, Surigao Del Norte August 24, 2015 Hospital Bills 1,995.00
221 Justine B. Catulmo Gigaquit, Surigao Del Norte August 24, 2015 Hospital Bills 1,556.00
222 Juriellon Escaro Gigaquit, Surigao Del Norte August 24, 2015 Hospital Bills 2,588.00
223 Liam R. Cruiz Claver, Surigao Del Norte August 24, 2015 Hospital Bills 680
224 Cesar R. Pagaura Magsaysay (pob.) Placer, Surigao Del Norte August 24, 2015 Hospital Bills 1,190.00
225 Eliminio L. Manaon Kitcharao, Agusan Del Norte August 24, 2015 Hospital Bills 1,666.00
226 Lorna Barinan Claver, Surigao Del Norte August 24, 2015 Hospital Bills 615
227 Mon Reo L. Mangaliman Tubod, Surigao Del Norte August 24, 2015 Hospital Bills 1,995.00
228 Zyiel L. Carla , Surigao Del Norte August 24, 2015 Hospital Bills 632
229 Tricia May Baquilo Del Carmen, Surigao Del Norte August 24, 2015 Hospital Bills 3,810.00
230 Juliet Calang Alegria, Surigao Del Norte August 24, 2015 Hospital Bills 2,295.00
231 Leopoldo Bernardo Placer, Surigao Del Norte August 25, 2015 Hospital Bills 2,378.00
232 Jose S. Macabata Sison, Surigao Del Norte August 25, 2015 Hospital Bills 12,478.00
233 Zen Dariel Carla Placer, Surigao Del Norte August 25, 2015 Hospital Bills 1,130.00
234 Juanita M. Bitor Placer, Surigao Del Norte August 25, 2015 Hospital Bills 9,971.00
235 David C. Madelo Magsaysay (pob.) Placer, Surigao Del Norte August 25, 2015 Hospital Bills 2,021.50
236 Jenny Blie Borga Kitcharao, Agusan Del Norte August 25, 2015 Hospital Bills 590
237 Mc. Jhan G. Becina Claver, Surigao Del Norte August 25, 2015 Hospital Bills 456
238 Zeck Lorenz Visabella Claver, Surigao Del Norte August 25, 2015 Hospital Bills 1,125.00
239 Cygen M. Cahagnaan Tubod, Surigao Del Norte August 25, 2015 Hospital Bills 1,140.00
240 John Esmael A. Montecillo Placer, Surigao Del Norte August 25, 2015 Hospital Bills 1,520.00
241 Evelyn B. Daytostos Placer, Surigao Del Norte August 25, 2015 Hospital Bills 682
242 Sofronio Gallardo Placer, Surigao Del Norte August 25, 2015 Hospital Bills 16,468.00
243 Cristelyn F. Salon Gigaquit, Surigao Del Norte August 25, 2015 Hospital Bills 1,760.00
244 Daryl Gumapac Mahanub Gigaquit, Surigao Del Norte August 25, 2015 Hospital Bills 1,380.00
245 Chloe Maurine Lumantas Bangayan Kitcharao, Agusan Del Norte August 25, 2015 Hospital Bills 1,580.00
246 Jean M. Asay Kitcharao, Agusan Del Norte August 25, 2015 Hospital Bills 1,865.00
247 Jomar Danapa Mainit, Surigao Del Norte August 25, 2015 Hospital Bills 2,175.00
248 Dwight Kristel Ann Mara Gigaquit, Surigao Del Norte August 25, 2015 Hospital Bills 1,585.00
249 Evelyn Q. Honrado Placer, Surigao Del Norte August 25, 2015 Hospital Bills 1,794.00
250 Dan C. Orpilla Placer, Surigao Del Norte August 25, 2015 Hospital Bills 2,277.00
251 Rey Jun Calang Sison, Surigao Del Norte August 25, 2015 Hospital Bills 1,094.00
252 Joseph C. Barbarona Jr. Placer, Surigao Del Norte August 25, 2015 Hospital Bills 2,039.00
253 Mark Aj G. Rentadiza Mainit, Surigao Del Norte August 25, 2015 Hospital Bills 1,220.00
254 Ampita Bernales Placer, Surigao Del Norte August 25, 2015 Hospital Bills 2,618.00
255 Lolito P. Alabat Placer, Surigao Del Norte August 25, 2015 Hospital Bills 5,715.00
256 Bernadeth D. Bayeta Placer, Surigao Del Norte August 25, 2015 Hospital Bills 1,000.00
257 Jade Bryan Dela Cruz Cagniog Surigao City (capital), Surigao Del Norte August 25, 2015 Hospital Bills 2,679.00
258 Friend Rhian J. Negro Placer, Surigao Del Norte August 25, 2015 Hospital Bills 1,150.00
259 Rudella Magdua San Jose Mainit, Surigao Del Norte August 25, 2015 Hospital Bills 1,723.00
260 Jhonrax Laurenciana Alegria, Surigao Del Norte August 25, 2015 Hospital Bills 1,220.00
261 John Paul Ajoc Tagana-an, Surigao Del Norte August 25, 2015 Hospital Bills 771
262 Analou Dubduban Placer, Surigao Del Norte August 25, 2015 Hospital Bills 2,224.00
263 Edgardo Orosco Placer, Surigao Del Norte August 25, 2015 Hospital Bills 2,870.00
264 Ryan Geda Claver, Surigao Del Norte August 25, 2015 Hospital Bills 1,400.00
265 Raquel H. Estroga Gigaquit, Surigao Del Norte August 25, 2015 Hospital Bills 1,586.00
266 Grace Benocilla Apolinar Macalaya Placer, Surigao Del Norte August 25, 2015 Hospital Bills 899
267 Saripa Macadaag Luna Surigao City (capital), Surigao Del Norte August 25, 2015 Hospital Bills 4,239.00
268 Felix Sulapas Luna Surigao City (capital), Surigao Del Norte August 25, 2015 Hospital Bills 1,302.00
269 Charmain Empredo Kitcharao, Agusan Del Norte August 25, 2015 Hospital Bills 847
270 Camille P. Patac Alegria Surigao City (capital), Surigao Del Norte August 25, 2015 Hospital Bills 2,007.00
271 Rica N. Diegas Kitcharao, Agusan Del Norte August 25, 2015 Hospital Bills 1,125.00
272 Jocelle Rocolcol Claver, Surigao Del Norte August 25, 2015 Hospital Bills 675
273 Jurielon Escaro Gigaquit, Surigao Del Norte August 25, 2015 Hospital Bills 2,015.00
274 Ruby B. Estroga Gigaquit, Surigao Del Norte August 25, 2015 Hospital Bills 842
275 Charisma R. Preciolo Kitcharao, Agusan Del Norte August 25, 2015 Hospital Bills 3,515.00
276 Angelica M. Rulida Placer, Surigao Del Norte August 25, 2015 Hospital Bills 560
277 Allan M. Congayo Claver, Surigao Del Norte August 25, 2015 Hospital Bills 1,202.00
278 Joy R. Bacarisas Cagdianao Claver, Surigao Del Norte August 25, 2015 Hospital Bills 922
279 Aljunmar Gato Surigao City (capital), Surigao Del Norte August 26, 2015 Hospital Bills 1,425.00
280 Marito T. Gato Surigao City (capital), Surigao Del Norte August 26, 2015 Hospital Bills 3,395.00
281 Ryanly P. Duenas Placer, Surigao Del Norte August 26, 2015 Hospital Bills 1,132.00
282 Jan Mark Selle Placer, Surigao Del Norte August 26, 2015 Hospital Bills 455
283 Rheca C. Iligan Gigaquit, Surigao Del Norte August 26, 2015 Hospital Bills 1,305.00
284 Amerah Maada-ag Alegria, Surigao Del Norte August 26, 2015 Hospital Bills 1,986.00
285 Vivian Patac , Surigao Del Norte August 26, 2015 Hospital Bills 4,467.00
286 David C. Madelo Magsaysay (pob.) Placer, Surigao Del Norte August 26, 2015 Hospital Bills 4,703.00
287 Bernina Horod Claver, Surigao Del Norte August 26, 2015 Hospital Bills 3,395.00
288 Erlinda Padica Placer, Surigao Del Norte August 26, 2015 Hospital Bills 2,530.50
289 Jeneve Macopahon Mainit, Surigao Del Norte August 26, 2015 Hospital Bills 2,133.00
290 Reniel M. Asay Kitcharao, Agusan Del Norte August 27, 2015 Hospital Bills 1,045.00
291 Marvin E. Antawan Jabonga, Agusan Del Norte August 27, 2015 Hospital Bills 2,038.00
292 Annie G. Toledo Placer, Surigao Del Norte August 27, 2015 Medical Assistance 6,152.00
293 Maylin R. Dayong Alegria, Surigao Del Norte August 27, 2015 Hospital Bills 3,393.00
294 Arjay D. Delgado Placer, Surigao Del Norte August 27, 2015 Hospital Bills 1,102.00
295 Doriosito G. Monta Bacuag, Surigao Del Norte August 27, 2015 Hospital Bills 2,089.00
296 Rose Ann B. Quimada Sison, Surigao Del Norte August 27, 2015 Hospital Bills 657
297 Kimberly D. Ceriola Claver, Surigao Del Norte August 27, 2015 Hospital Bills 510
298 Carlo Pacpac Placer, Surigao Del Norte August 27, 2015 Hospital Bills 3,475.00
299 Noreen B. Otosa Placer, Surigao Del Norte August 27, 2015 Hospital Bills 935
300 Firede C. Bolando Gigaquit, Surigao Del Norte August 27, 2015 Hospital Bills 1,860.00
301 Angelica Olorico Gigaquit, Surigao Del Norte August 27, 2015 Hospital Bills 4,190.00
302 Jhared Roseth Montaner Alegria, Surigao Del Norte August 27, 2015 Hospital Bills 1,035.00
303 Queencies Jayrah Abao Placer, Surigao Del Norte August 27, 2015 Hospital Bills 2,548.00
304 Anecito M. Gatillo Placer, Surigao Del Norte August 27, 2015 Hospital Bills 1,000.00
305 Kylle Jovit A. Macas Placer, Surigao Del Norte August 27, 2015 Hospital Bills 500
306 Shakkina V. Murcia Claver, Surigao Del Norte August 27, 2015 Hospital Bills 989
307 Mary Joy` Ajoc Placer, Surigao Del Norte August 27, 2015 Hospital Bills 4,824.00
308 Myrnalyn Ignalig Bacuag, Surigao Del Norte August 27, 2015 Hospital Bills 1,050.00
309 Mariel C. Gato Surigao City (capital), Surigao Del Norte August 27, 2015 Hospital Bills 1,465.00
Total Patient: 309 587,484.54
No # Name of Patient Address Indorsement Date Assistance Amount
1 Rosita M. Tesado Placer, Surigao Del Norte October 1, 2015Hospital Bills and other
needs750
2 Emily O. Tesado Placer, Surigao Del Norte October 1, 2015Hospital Bills and other
needs250
3 Leonilo Elico Alegria, Surigao Del Norte October 1, 2015Hospital Bills and other
needs3,861.00
4 Jasmen Fabillar Sison, Surigao Del Norte October 1, 2015Hospital Bills and other
needs2,630.00
5 Eric B. Gentiva Sison, Surigao Del Norte October 1, 2015Hospital Bills and other
needs1,311.31
6 Arlene Lapsay Gigaquit, Surigao Del Norte October 1, 2015Hospital Bills and other
needs3,723.01
7 ,rose Alvarez Claver, Surigao Del Norte October 1, 2015Hospital Bills and other
needs156
8 Jann Wade Dumay Placer, Surigao Del Norte October 1, 2015Hospital Bills and other
needs500
9 Vicente Morelos , Surigao Del Norte October 1, 2015Hospital Bills and other
needs390
10 Cristina Morado Placer, Surigao Del Norte October 1, 2015Hospital Bills and other
needs711
11 Roselyn O. Seda , Surigao Del Norte October 2, 2015Hospital Bills and other
needs1,091.00
12 Mariz B. Biog Gigaquit, Surigao Del Norte October 2, 2015Hospital Bills and other
needs3,498.50
13 ,robert Amar Placer, Surigao Del Norte October 2, 2015Hospital Bills and other
needs300
14 Jenicelle P. Catubigan Placer, Surigao Del Norte October 2, 2015Hospital Bills and other
needs2,907.00
15 Ralph P. Gumapac Gigaquit, Surigao Del Norte October 2, 2015Hospital Bills and other
needs252.26
16 Liezel Baling Alegria, Surigao Del Norte October 2, 2015Hospital Bills and other
needs1,863.00
Republic of the Philippines
Department of Health
PLACER DISTRICT HOSPITAL
For the month of October year 2015
MEDICAL ASSISTANCE PROGRAM
17 Edwin T. Peniero Tulunan, North Cotabato October 2, 2015Hospital Bills and other
needs2,278.00
18 Carlos Dubluis Placer, Surigao Del Norte October 2, 2015Hospital Bills and other
needs679.7
19 Jeemar B. Alcos Sison, Surigao Del Norte October 2, 2015Hospital Bills and other
needs250
20 Felipa S. Lozada Gigaquit, Surigao Del Norte October 2, 2015Hospital Bills and other
needs3,086.80
21 Alfredo M. Leopoldo Bad-as Placer, Surigao Del Norte October 2, 2015Hospital Bills and other
needs176.2
22 ,marcelo G. Sanchez Placer, Surigao Del Norte October 2, 2015Hospital Bills and other
needs164.59
23 Lara Mae Pagalan Mainit, Surigao Del Norte October 2, 2015Hospital Bills and other
needs2,550.50
24 Rey Soriaco Alegria, Surigao Del Norte October 2, 2015Hospital Bills and other
needs1,635.00
25 Jessien Rae G. Deloy Jr. Placer, Surigao Del Norte October 2, 2015Hospital Bills and other
needs1,385.00
26 Reynaldo C. Banzon Placer, Surigao Del Norte October 2, 2015Hospital Bills and other
needs1,291.50
27 Marife L. Liray Alegria, Surigao Del Norte October 2, 2015Hospital Bills and other
needs3,168.00
28 Eduardo O. Tadifa Bacuag, Surigao Del Norte October 2, 2015Hospital Bills and other
needs1,820.00
29 Conception B. Go Claver, Surigao Del Norte October 2, 2015Hospital Bills and other
needs4,400.01
30 Francis Nino D. Carael San Isidro, Surigao Del Norte October 2, 2015Hospital Bills and other
needs400
31 Fe F. Villamon , Surigao Del Norte October 2, 2015Hospital Bills and other
needs3,200.00
32 Cely Tiambong Alegria, Surigao Del Norte October 2, 2015Hospital Bills and other
needs720
33 Ruperto B. Biong Tubod, Surigao Del Norte October 2, 2015Hospital Bills and other
needs235
34 Gerald Taer Alegria, Surigao Del Norte October 2, 2015Hospital Bills and other
needs310.95
35 Clark L. Sajolan Alegria, Surigao Del Norte October 2, 2015Hospital Bills and other
needs680.95
36 Lance Venci Alegria, Surigao Del Norte October 2, 2015Hospital Bills and other
needs310.95
37 Zaldy Villaneza Placer, Surigao Del Norte October 2, 2015Hospital Bills and other
needs2,371.00
38 Aymme Pabe Claver, Surigao Del Norte October 2, 2015Hospital Bills and other
needs3,201.00
39 Francisco Sajorga Alegria, Surigao Del Norte October 2, 2015Hospital Bills and other
needs1,600.00
40 Marcelina S. Mangana Bacuag, Surigao Del Norte October 2, 2015Hospital Bills and other
needs240
41 Roldan B. Moyon Placer, Surigao Del Norte October 2, 2015Hospital Bills and other
needs1,439.00
42 Beverly Alonzo Placer, Surigao Del Norte October 2, 2015Hospital Bills and other
needs365
43 Josephine Acilo Claver, Surigao Del Norte October 2, 2015 Oncologic Treatment 350
44 Sofia F. Elajas Placer, Surigao Del Norte October 2, 2015Hospital Bills and other
needs320
45 Napoleon Butron Placer, Surigao Del Norte October 2, 2015Hospital Bills and other
needs858
46 Antonio, G. Col Placer, Surigao Del Norte October 2, 2015Hospital Bills and other
needs532
47 Rommie Panulayan Sison, Surigao Del Norte October 7, 2015 Medical Assistance* 115.8
48 Gezel Pejan Bacuag, Surigao Del Norte October 7, 2015 Hospital Bills 2,751.00
49 Tereea Bregente Placer, Surigao Del Norte October 7, 2015 Hospital Bills 2,921.00
50 Pacifica Tejada Placer, Surigao Del Norte October 7, 2015 Medical Assistance 506.26
51 Pedro Dapar Mainit, Surigao Del Norte October 7, 2015Laboratory Procedures and
other needs420
52 Junrey Alceso Bacuag, Surigao Del Norte October 7, 2015Laboratory Procedures and
other needs320
53 Zito Turtur Placer, Surigao Del Norte October 7, 2015Laboratory Procedures and
other needs1,250.00
54 Jonathan Luciano Claver, Surigao Del Norte October 7, 2015 Hospital Bills 1,612.00
55 Francisco Boiser San Francisco (anao-aon), Surigao Del Norte October 7, 2015Laboratory Procedures and
other needs1,070.00
56 Valleriana Veloz Claver, Surigao Del Norte October 7, 2015 Hospital Bills 4,634.00
57 Rutchelyn Vertudazo Alegria, Surigao Del Norte October 7, 2015Medical Assistance/Other
Needs595
58 Charity Lesano Claver, Surigao Del Norte October 7, 2015MEDICINE AND MEDICAL
SUPPLIES430
59 Mande Lesano Claver, Surigao Del Norte October 7, 2015MEDICINE AND MEDICAL
SUPPLIES430
60 Alma Yubos Mainit, Surigao Del Norte October 7, 2015LABORATORY, DIAGNOSTIC
PROCEDURES, MEDICINES595
61 Esboy Boboy Claver, Surigao Del Norte October 7, 2015Laboratory/Medicines/Medic
al Test675
62 Felipe Elizaga Claver, Surigao Del Norte October 7, 2015 Medical Assistance* 273
63 Merlyn Cabadunga Gigaquit, Surigao Del Norte October 7, 2015 Laboratory/Medicines 800
64 Marvin Patosa Kitcharao, Agusan Del Norte October 7, 2015 Laboratory/Medicines 298
65 Noel Acero Sison, Surigao Del Norte October 7, 2015 Laboratory/Medicines 510
66 Mariano Gabatan Placer, Surigao Del Norte October 7, 2015 Laboratory/Medicines 185
67 Alphene L. Lampad Mainit, Surigao Del Norte October 7, 2015 Hospital Bills 987
68 Aiko Montajos Surigao City (capital), Surigao Del Norte October 7, 2015medicine & medical
assistance495
69 Ashley Jane Macula Bacuag, Surigao Del Norte October 7, 2015 Medical Assistance* 495
70 Daisy Rey Guitigalao Sison, Surigao Del Norte October 7, 2015Laboratory Procedures and
other needs520
71 Daphne Alahas Moster San Isidro Mainit, Surigao Del Norte October 7, 2015 Medical Assistance* 782
72 Josephine Almo Alegria, Surigao Del Norte October 7, 2015 Laboratory/Medicines 782
73 Gemma Ormega Placer, Surigao Del Norte October 7, 2015 Laboratory/Medicines 185
74 Leonila Llano. Sison, Surigao Del Norte October 7, 2015 Medical Assistance* 545
75 Engrissa Pedrablanca Placer, Surigao Del Norte October 7, 2015Laboratory Procedures and
other needs320
76 Jessa Mae Cudillo Surigao City (capital), Surigao Del Norte October 7, 2015 Medical Assistance* 291.2
77 Cordilla Daguio Mainit, Surigao Del Norte October 7, 2015 Laboratory/Medicines 415
78 Estela Bangga Sison, Surigao Del Norte October 7, 2015Laboratory Procedures and
other needs310
79 Jovelyn Ty Claver, Surigao Del Norte October 7, 2015 Laboratory/Medicines 805
80 Virginia Verano Tubod, Surigao Del Norte October 7, 2015 Medical Assistance* 1,415.00
81 Jash Timer Madelo Mainit, Surigao Del Norte October 7, 2015 Medical Assistance* 255
82 Janica Saga Tubod, Surigao Del Norte October 7, 2015 Medical Assistance* 210
83 Elmero Herrera Claver, Surigao Del Norte October 7, 2015 Medical Assistance* 440
84 Traquilino Tejada Placer, Surigao Del Norte October 7, 2015 Medical Assistance* 2,200.00
85 Ben Zydrel Albiso Placer, Surigao Del Norte October 7, 2015 Medical Assistance* 245
86 Rupeta Sabaldan Surigao City (capital), Surigao Del Norte October 7, 2015 Medicines 703
87 Haidee Taculod Placer, Surigao Del Norte October 7, 2015 Laboratory/Medicines 359.2
88 Kay Gonzales Sison, Surigao Del Norte October 8, 2015 Medical Assistance* 349.2
89 April Rayjien Ajoc Placer, Surigao Del Norte October 8, 2015 Hospital Bills 2,074.00
90 Barbie Tiambong Tubod, Surigao Del Norte October 8, 2015 Hospital Bills 1,787.00
91 Nico Cuyag Placer, Surigao Del Norte October 8, 2015 Hospital Bills 2,683.00
92 Florencio R. Arco, Sr. Ellaperal (nonok) Placer, Surigao Del Norte October 8, 2015 Laboratory Procedures 850
93 Angie Balanay Placer, Surigao Del Norte October 8, 2015 Medicines 268
94 Luzviminda Ibarra Tubod, Surigao Del Norte October 8, 2015 Hospital Bills 2,907.00
95 Kint Michael Quimpan Placer, Surigao Del Norte October 9, 2015 Medicines 150
96 Candido Canlum Placer, Surigao Del Norte October 9, 2015 Medicines 127
97 Nathaniel Danapa Claver, Surigao Del Norte October 9, 2015 Hospital Bills 1,974.00
98 Nita H. Danapa Claver, Surigao Del Norte October 9, 2015 Medicines 295
99 Benizon Plaza Surigao City (capital), Surigao Del Norte October 9, 2015 Medicines 270
100 Jundie Elico Tagana-an, Surigao Del Norte October 9, 2015 Medical Assistance* 846
101 Agustine Danapa Claver, Surigao Del Norte October 9, 2015 Hospital Bills 2,851.50
102 Germa Buyser Placer, Surigao Del Norte October 9, 2015 Medicines 319.5
103 Belenda Duyan , Surigao Del Norte October 9, 2015 Medicines 345
104 Jeric Escalada Claver, Surigao Del Norte October 9, 2015 Hospital Bills 1,543.00
105 Gena Tabacon , Surigao Del Norte October 9, 2015 Laboratory/Medicines 645
106 Jun. Elico Tagana-an, Surigao Del Norte October 9, 2015 Medicines 150
107 Jade Suyman Tubod, Surigao Del Norte October 9, 2015 Hospital Bills 1,545.00
108 Jerwin Bitor Alegria, Surigao Del Norte October 9, 2015 Hospital Bills 1,791.00
109 Antonio Llano. Alegria, Surigao Del Norte October 9, 2015 Hospital Bills 2,140.50
110 Mariano Eyac Placer, Surigao Del Norte October 9, 2015Laboratory Procedures and
other needs310
111 Prince Angelo Canibil Gigaquit, Surigao Del Norte October 9, 2015 Hospital Bills 2,736.00
112 Aissie Alexis Arancon Placer, Surigao Del Norte October 9, 2015 Hospital Bills 4,128.00
113 Mery Pearl Elico Tagana-an, Surigao Del Norte October 9, 2015Medicines And Laboratory
Procedures670
114 Eduardo Maisog Alegria, Surigao Del Norte October 9, 2015Laboratory & Radiological
Procedures620
115 Dante Napana Gigaquit, Surigao Del Norte October 9, 2015Laboratory Procedures and
other needs1,120.00
116 Jelian A. Boboy Mainit, Surigao Del Norte October 9, 2015Laboratory Procedures and
other needs470
117 Lucita Delegencia Claver, Surigao Del Norte October 9, 2015 Laboratory and Medicines 1,120.00
118 Marites Robantes Sison, Surigao Del Norte October 12, 2015Laboratory & Radiological
Procedures550
119 Arian Makinano Claver, Surigao Del Norte October 12, 2015
Diagnostic Procedures,
Laboratory Test and
Medicines
475
120 Nicki Boy Lestajo Surigao City (capital), Surigao Del Norte October 12, 2015 Laboratory/Medicines 536
121 Jovencio Bayang Gigaquit, Surigao Del Norte October 12, 2015 Laboratory Procedures 700
122 Rhea Yubos Mainit, Surigao Del Norte October 12, 2015 Medical Assistance* 180
123 Rhea Yubos Mainit, Surigao Del Norte October 12, 2015 Medical Assistance* 180
124 Brandon Lee Ty Gigaquit, Surigao Del Norte October 12, 2015 Medical Assistance* 566
125 Jeffrey Barcial Placer, Surigao Del Norte October 12, 2015 Hospital Bills 3,330.10
126 Mirasol Dayong Kitcharao, Agusan Del Norte October 12, 2015 Hospital Bills 2,977.50
127 Jovel Enaya Gigaquit, Surigao Del Norte October 12, 2015 Medical Assistance* 2,311.00
128 Francis Calam Claver, Surigao Del Norte October 12, 2015 Hospital Bills 5,355.00
129 Roldan Morales Gigaquit, Surigao Del Norte October 12, 2015Laboratory Procedures and
other needs320
130 Wendelino Mori Sison, Surigao Del Norte October 12, 2015Laboratory & Radiological
Procedures595
131 Susana. Ata Placer, Surigao Del Norte October 12, 2015 Hospital Bills 3,032.00
132 Ella Mae Salientes Gigaquit, Surigao Del Norte October 12, 2015 Hospital Bills 4,684.00
133 Eddie Cagatin Sison, Surigao Del Norte October 12, 2015 Medical Assistance* 395
134 Ronalyn Saga Placer, Surigao Del Norte October 12, 2015Laboratory Procedures and
other needs290
135 Adam Fadi Fakih Placer, Surigao Del Norte October 12, 2015 Hospital Bills 1,341.00
136 Nash Bayla Alegria, Surigao Del Norte October 12, 2015 Medicines 200
137 Jay Ren Alingig Placer, Surigao Del Norte October 12, 2015 Laboratory Procedures 370
138 Tarcisio Lagangga Tagana-an, Surigao Del Norte October 12, 2015 Medical Assistance* 585
139 Victor Olamit Placer, Surigao Del Norte October 12, 2015 Hospital Bills 8,125.00
140 Dorothea Migullas Placer, Surigao Del Norte October 12, 2015 Medical Assistance* 1,135.00
141 Queen Xynnah Tabor Placer, Surigao Del Norte October 12, 2015 Hospital Bills 2,789.00
142 Kurt Andrie Tumbaga Placer, Surigao Del Norte October 12, 2015Laboratory Procedures and
other needs320
143 Danilo Simulatan Surigao City (capital), Surigao Del Norte October 12, 2015 Laboratory/Medicines 1,811.00
144 Gilbert Antolin Tubod, Surigao Del Norte October 12, 2015 Medical Assistance* 195
145 Reynaldo Calinawan Tubod, Surigao Del Norte October 12, 2015 Medical Assistance* 226
146 Anthony Mayag Kitcharao, Agusan Del Norte October 12, 2015 Hospital Bills 1,996.00
147 Sanny Sanchez Placer, Surigao Del Norte October 12, 2015 Laboratory/Medicines 383
148 Ermelyn Dangatan Sison, Surigao Del Norte October 13, 2015 Laboratory/Medicines 583
149 June Mae Galanida Bacuag, Surigao Del Norte October 13, 2015Laboratory Procedures and
other needs370
150 Julito Galanida Jr. Bacuag, Surigao Del Norte October 13, 2015Laboratory Procedures and
other needs385
151 Raul Mozo Jr. Placer, Surigao Del Norte October 13, 2015 Medical Assistance* 360
152 Danilo Peligro Placer, Surigao Del Norte October 13, 2015 Hospital Bills 10,107.00
153 Mc Reynard Enaya Claver, Surigao Del Norte October 13, 2015 Laboratory/Medicines 552
154 David Labador Claver, Surigao Del Norte October 13, 2015 Medical Assistance* 2,349.00
155 Romeo Lucaberte Placer, Surigao Del Norte October 13, 2015 Medicines 406
156 Lourdes. Mira Claver, Surigao Del Norte October 13, 2015 Hospital Bills 6,280.00
157 Ace John Dela Cruz Surigao City (capital), Surigao Del Norte October 13, 2015 Laboratory Procedures 470
158 Maden Borja Placer, Surigao Del Norte October 13, 2015 Medical Assistance* 1,085.00
159 Florentina Malazarte Bacuag, Surigao Del Norte October 13, 2015 Hospital Bills 1,384.00
160 Ermelo Galindo Bacuag, Surigao Del Norte October 13, 2015 Medical Assistance* 3,415.00
161 Angelita Rico Claver, Surigao Del Norte October 13, 2015 Medical Assistance* 295
162 Pio Parona Surigao City (capital), Surigao Del Norte October 13, 2015Laboratory & Radiological
Procedures570
163 Ramil Mallorca Surigao City (capital), Surigao Del Norte October 13, 2015Laboratory & Radiological
Procedures570
164 Valintino Tandayag Sison, Surigao Del Norte October 13, 2015 Medical Assistance* 265
165 Risame Hukman Mainit, Surigao Del Norte October 13, 2015 Medicines 200
166 Louramy Libay Surigao City (capital), Surigao Del Norte October 13, 2015Laboratory Procedures and
other needs320
167 Serges Maceren Surigao City (capital), Surigao Del Norte October 13, 2015Laboratory & Radiological
Procedures620
168 Felipe Biog Tubod, Surigao Del Norte October 13, 2015Laboratory Procedures and
other needs450
169 Jonymae Lapinid Gigaquit, Surigao Del Norte October 13, 2015 Dental Procedure 250
170 Christine Ape Surigao City (capital), Surigao Del Norte October 13, 2015 Laboratory Procedures 285
171 Anthony Mayag Kitcharao, Agusan Del Norte October 13, 2015 Hospital Bills 1,996.00
172 Shiela Aseo Surigao City (capital), Surigao Del Norte October 13, 2015 Laboratory/Medicines 465
173 Karen Bacalanos Surigao City (capital), Surigao Del Norte October 13, 2015Laboratory Procedures and
other needs270
174 Roxan Asis Surigao City (capital), Surigao Del Norte October 13, 2015Laboratory Procedures and
other needs285
175 Robert Montero. Placer, Surigao Del Norte October 13, 2015Laboratory Procedures and
other needs285
176 Prima Gases Surigao City (capital), Surigao Del Norte October 13, 2015 Laboratory/Medicines 288
177 Luz. Zabala Claver, Surigao Del Norte October 13, 2015Laboratory Procedures and
other needs700
178 Wilma Adel Bacuag, Surigao Del Norte October 13, 2015 Medical Assistance* 455
179 Raymond Basillo Placer, Surigao Del Norte October 13, 2015 Medical Assistance 316.01
180 Virginia Verano Tubod, Surigao Del Norte October 13, 2015 Hospital Bills 3,015.00
181 Regiol Ann Sarceda Tubod, Surigao Del Norte October 13, 2015Laboratory Procedures and
other needs205
182 Ritchelyn Vertudazo Alegria, Surigao Del Norte October 13, 2015 Hospital Bills 450
183 Cely Tiambong Alegria, Surigao Del Norte October 26, 2015 Medical Assistance 720
184 Peachy P. Calo Surigao City (capital), Surigao Del Norte October 26, 2015 Medical Assistance 660
185 Melondina L. Tokong Surigao City (capital), Surigao Del Norte October 26, 2015 Medical Assistance 431
186 Eddie S. Samonte Placer, Surigao Del Norte October 26, 2015 Medical Assistance 250
187 Zinaida B. Bicog San Francisco (anao-aon), Surigao Del Norte October 26, 2015 Medical Assistance 650
188 Doniza H. Obatay Claver, Surigao Del Norte October 26, 2015 Medical Assistance 120
189 Martin B. Degamon Sr. San Francisco (anao-aon), Surigao Del Norte October 26, 2015 Hospital Bills 1,207.00
190 Fatima D. Bernandez Surigao City (capital), Surigao Del Norte October 26, 2015 Medical Assistance 220
191 Jhon Jared G. Lolo Sison, Surigao Del Norte October 26, 2015 Hospital Bills 285
192 Razel P. Peruda Tubod, Surigao Del Norte October 26, 2015 Medical Assistance 200
193 Jomarly M. Misa Placer, Surigao Del Norte October 26, 2015 Medical Assistance 1,530.00
194 Carmelita R. Arquilla Sison, Surigao Del Norte October 27, 2015 Medical Assistance 680
195 Elde S. Quima. Alegria, Surigao Del Norte October 27, 2015 Medical Assistance 490
196 Abegail Q. Saberon Placer, Surigao Del Norte October 27, 2015 Medical Assistance 781
197 Antonio A. Col., Placer, Surigao Del Norte October 27, 2015 Medical Assistance 654
198 Nonel B. Lampad Mainit, Surigao Del Norte October 27, 2015 Medical Assistance 1,036.00
199 Nonel B. Lampad Mainit, Surigao Del Norte October 27, 2015 Medical Assistance 435
200 Lawrence Saga Placer, Surigao Del Norte October 27, 2015 Hospital Bills 1,036.00
201 Malomi B. Repuelo Tubod, Surigao Del Norte October 27, 2015 Medical Assistance 2,960.00
202 Sharlene Cindy Monteclaro Placer, Surigao Del Norte October 27, 2015 Medical Assistance 780
203 Sharlene Cindy Monteclaro Placer, Surigao Del Norte October 27, 2015 Medical Assistance 780
204 Lucita Delegencia Claver, Surigao Del Norte October 27, 2015 Medical Assistance 1,120.00
205 Darrah G. Matela Surigao City (capital), Surigao Del Norte October 27, 2015 Medical Assistance 320
Total Patient: 205 238,047.00
No # Name of Patient Address Indorsement Date Assistance Amount
1 Rommie Panay , Surigao Del Norte November 24, 2015 Hospital Bills 847.50
2 Felipe Elizaga Claver, Surigao Del Norte November 24, 2015
Medical Assistance (bills,Meds.,laboratory procedures,Dialysis & other needs)
700.00
3 Bonifacio Palen , Surigao Del Norte November 24, 2015 Hospital Bills 6,808.00
4 Felepina Balondo San Isidro, Surigao Del Norte November 24, 2015Laboratory test and other needs
655.00
5 Angelita R. Precioso , Surigao Del Norte November 24, 2015Laboratory Procedures and other needs
411.00
6 Prince Bellona , Surigao Del Norte November 24, 2015 Hospital Bills 2,312.00
7 Maribeth Corsino Surigao City (capital), Surigao Del Norte November 24, 2015Laboratory test and other needs
1,028.00
8 Marshall Francisco , Surigao Del Norte November 24, 2015 Hospital Bills 1,889.00
9 Rizabel Miel Havana , Surigao Del Norte November 24, 2015 Hospital Bills 4,741.00
10 Julius Madelo Placer, Surigao Del Norte November 24, 2015Laboratory test and other needs
806.00
11 Meriam Ladrido , Surigao Del Norte November 24, 2015 Hospital Bills 1,628.00
12 Mirasol Lagahit Claver, Surigao Del Norte November 24, 2015 Hospital Bills 4,663.50
13 Cedric Mantawiran , Surigao Del Norte November 24, 2015 Laboratory Procedures 270.00
14 Nikka Porogoy , Surigao Del Norte November 24, 2015
Medical Assistance (bills,Meds.,laboratory procedures,Dialysis & other needs)
220.00
15 Rosario B. Col Taft (pob.) Surigao City (capital), Surigao Del Norte November 24, 2015 Hospital Bills 2,465.50
16 Sulfecia C. Delola Placer, Surigao Del Norte November 24, 2015 Hospital Bills 3,400.50
17 Cherry Maglasang Bacuag, Surigao Del Norte November 24, 2015 Medical Assistance 2,340.00
Republic of the Philippines
Department of Health
PLACER DISTRICT HOSPITAL
For the month of November year 2015
MEDICAL ASSISTANCE PROGRAM
18 Diossale Palco , Surigao Del Norte November 24, 2015
Medical Assistance (bills,Meds.,laboratory procedures,Dialysis & other needs)
270.00
19 Shella Aguillon Mainit, Surigao Del Norte November 24, 2015 Medical Assistance 2,622.00
20 Fidel Ormega , Surigao Del Norte November 24, 2015
Medical Assistance (bills,Meds.,laboratory procedures,Dialysis & other needs)
270.00
21 Jefel Thirdy E. Salvador Placer, Surigao Del Norte November 24, 2015 Medical Assistance 290.00
22 Ian Rec Amarille , Surigao Del Norte November 24, 2015
Medical Assistance (bills,Meds.,laboratory procedures,Dialysis & other needs)
585.00
23 Priscila Villanueva Placer, Surigao Del Norte November 24, 2015Laboratory Procedures and other needs
620.00
24 Mark Dave A. Morada , Surigao Del Norte November 24, 2015 Medical Assistance 270.00
25 Eugenio P. Cahiles Placer, Surigao Del Norte November 24, 2015Laboratory Procedures and other needs
300.00
26 Benj Derick Bayang , Surigao Del Norte November 24, 2015
Medical Assistance (bills,Meds.,laboratory procedures,Dialysis & other needs)
275.00
27 Marcelina Biog Tubod, Surigao Del Norte November 24, 2015 Medical Assistance 320.00
28 Cathy Iligan , Surigao Del Norte November 24, 2015 Medical Assistance 1,768.10
29 Bartolome Bigornia Jr. , Surigao Del Norte November 24, 2015
Medical Assistance (bills,Meds.,laboratory procedures,Dialysis & other needs)
275.00
30 Oscar A. Anlagan , Surigao Del Norte November 24, 2015 Medical Assistance 205.00
31 Fe Anlagan , Surigao Del Norte November 24, 2015 Medical Assistance 305.00
32 Benj Derick. Bayang , Surigao Del Norte November 24, 2015
Medical Assistance (bills,Meds.,laboratory procedures,Dialysis & other needs)
630.00
33 Jenny E. Brillantes , Surigao Del Norte November 24, 2015 Medical Assistance 6,805.00
34 Alvie Jay Panola , Surigao Del Norte November 24, 2015LABORATORY AND MEDICATION
620.00
35 Emil Jane E. Brillantes , Surigao Del Norte November 24, 2015 Medical Assistance 320.00
36 Kyrra Nicole Lucaberte Placer, Surigao Del Norte November 24, 2015 Medical Assistance 180.00
37 Marynol R. Gemparo, Placer, Surigao Del Norte November 24, 2015 Medical Assistance 390.00
38 Jerald M. Dales Tubod, Surigao Del Norte November 24, 2015 Medical Assistance 715.00
39 Felix Zolio C. Oliverio Placer, Surigao Del Norte November 24, 2015 Medical Assistance 1,000.00
40 Jennifer P. Macopahon Tubod, Surigao Del Norte November 24, 2015Laboratory Procedures and other needs
735.00
41 Jhon Mark Lamalinao Claver, Surigao Del Norte November 24, 2015 Medical Assistance 2,410.00
42 Jenina C. Moral Mainit, Surigao Del Norte November 24, 2015Laboratory Procedures and other needs
320.00
43 Duterte Banor Placer, Surigao Del Norte November 24, 2015 Medical Assistance 810.00
44 Pancho Cacal Placer, Surigao Del Norte November 24, 2015 Medical Assistance 1,090.00
45 Vincent Kyle E. Aure Mainit, Surigao Del Norte November 24, 2015medicine & medical assistance
710.00
46 Yhoan Jay C. Balila , Surigao Del Norte November 24, 2015 Medical Assistance 1,965.00
47 Jonas L. Bocton Claver, Surigao Del Norte November 24, 2015 Medical Assistance 570.00
48 Jayson T. Iligan , Surigao Del Norte November 24, 2015 Medical Assistance 2,487.00
49 Christian Dave O. Buyser Placer, Surigao Del Norte November 24, 2015 Laboratory Procedures 170.00
50 Daisy B. Matias , Surigao Del Norte November 24, 2015 Medical Assistance 623.00
51 Gherome Danguso Placer, Surigao Del Norte November 24, 2015 Medical Assistance 426.00
52 Mark D. Nanoy Mainit, Surigao Del Norte November 24, 2015 Medical Assistance 360.00
53 Lynette S. Canda , Surigao Del Norte November 24, 2015 Medical Assistance 281.00
54 Jhon Mark C. Balila , Surigao Del Norte November 24, 2015 Medical Assistance 1,068.00
55 Ernesto Lobusta Surigao City (capital), Surigao Del Norte November 24, 2015 Medical Assistance 320.00
56 Nena E. Elipe Placer, Surigao Del Norte November 24, 2015 Medical Assistance 500.00
57 Danilo C. Nardo., Gigaquit, Surigao Del Norte November 24, 2015 Medical Assistance 1,796.00
58 Ivan Leo O. Balasabas Mainit, Surigao Del Norte November 24, 2015 Medical Assistance 250.00
59 Ehjay P. Dumaguite , Surigao Del Norte November 24, 2015 Medical Assistance 3,385.80
60 Janice A. Gabriel Alegria, Surigao Del Norte November 24, 2015 Medical Assistance 1,515.00
61 Ronilo R. Areglado Placer, Surigao Del Norte November 24, 2015 Medical Assistance 2,864.00
62 Aljie Marie R. Patinga Surigao City (capital), Surigao Del Norte November 24, 2015 Medical Assistance 423.00
63 Xian Zyrus P. Samontina Claver, Surigao Del Norte November 24, 2015 Medical Assistance 910.00
64 Jemma B. Lapsay Bacuag, Surigao Del Norte November 24, 2015 Medical Assistance 4,775.00
65 Mark Anthony G. Mordido Mainit, Surigao Del Norte November 24, 2015Laboratory Procedures and other needs
457.50
66 Aiden Kate Vidal Kitcharao, Agusan Del Norte November 24, 2015Laboratory Procedures and other needs
490.00
67 Cayetano Arong Tulang Anislagan Placer, Surigao Del Norte November 24, 2015Laboratory Procedures and other needs
2,305.00
68 Benson F. Plaza Surigao City (capital), Surigao Del Norte November 24, 2015medicine & medical assistance
180.00
69 Jacquilyn L. Casana Placer, Surigao Del Norte November 24, 2015 Laboratory Procedures 270.00
70 Arlene L. Casana Placer, Surigao Del Norte November 24, 2015 Laboratory Procedures 270.00
71 Cindy B. Madelo Placer, Surigao Del Norte November 24, 2015 Laboratory Procedures 330.00
72 Rosana M. Tubos Sison, Surigao Del Norte November 24, 2015 Hospital Bills 2,855.00
73 Ritchel C. Entena Claver, Surigao Del Norte November 24, 2015 Hospital Bills 3,300.00
74 Juliet. L. Mayag Tubod, Surigao Del Norte November 24, 2015Laboratory Procedures and other needs
405.00
75 Rodel A. Fernando Kitcharao, Agusan Del Norte November 24, 2015Laboratory Procedures and other needs
440.00
76 Alfreedo M. Leopoldo Placer, Surigao Del Norte November 24, 2015Laboratory Procedures and other needs
304.00
77 Roberto Nino J. Oclarit Tubod, Surigao Del Norte November 24, 2015Laboratory Procedures and other needs
494.00
78 Rose. S. Mahinay Tubod, Surigao Del Norte November 24, 2015Laboratory Procedures and other needs
250.00
79 Usman M. Lucsadato Placer, Surigao Del Norte November 24, 2015 Hospital Bills 1,450.00
80 Mar-ell S. Polistico Sison, Surigao Del Norte November 25, 2015medicine & medical assistance
325.00
81 Alfredo T. Bonotan Placer, Surigao Del Norte November 25, 2015 Dental Procedure 327.00
82 Maicahella M. Edradan Placer, Surigao Del Norte November 25, 2015 Medicines 200.00
83 Maricel A. Alipao Placer, Surigao Del Norte November 25, 2015 Hospital Bills 3,619.00
84 Emily C. Quinto Placer, Surigao Del Norte November 25, 2015 Hospital Bills 1,446.00
85 Blendon O. Madelo Placer, Surigao Del Norte November 25, 2015 Hospital Bills 2,804.00
86 Reynalinda Sistona Placer, Surigao Del Norte November 25, 2015MEDICINE AND MEDICAL SUPPLIES
390.00
87 Sunita S. Dumanig Placer, Surigao Del Norte November 25, 2015Medicines/Laboratory and other Needs
1,441.00
88 Janice N. Ligtas Placer, Surigao Del Norte November 25, 2015Medical Supplies and Medicines
900.00
89 Ernie Jhon D. Silagan Placer, Surigao Del Norte November 25, 2015 Medical Supplies 200.00
90 Bonifacio Padilla Mainit, Surigao Del Norte November 25, 2015 Hospital Bills 2,565.00
91 Paliane Biol Tubod, Surigao Del Norte November 25, 2015 Hospital Bills 4,120.00
92 Girlie D. Duldoco Bacuag, Surigao Del Norte November 25, 2015Laboratory Procedures and other needs
969.00
93 Delpin B. Bellona Placer, Surigao Del Norte November 25, 2015 laboratory and other needs 451.00
94 Josephine P. Acebu Tubod, Surigao Del Norte November 25, 2015 Laboratory Procedures 119.00
95 Julian Jake P. Dapar Placer, Surigao Del Norte November 25, 2015Laboratory Procedures and other needs
593.00
96 Ramil M. Cabasa Tagana-an, Surigao Del Norte November 25, 2015medicine & medical assistance
655.00
97 Reyian O. Justo Alegria, Surigao Del Norte November 25, 2015 Hospital Bills 1,350.00
98 Leonisa L. Banag-banag Tubod, Surigao Del Norte November 26, 2015 Hospital Bills 2,708.00
99 Melvin Villamon Mainit, Surigao Del Norte November 26, 2015Medicines and Other Supplies
338.00
100 Alice Patosa Gigaquit, Surigao Del Norte November 26, 2015Medicines and Other Supplies
217.50
101 Lora Moneda Surigao City (capital), Surigao Del Norte November 26, 2015 Medicines and Other Needs 321.00
102 Joel C. Evangelista Placer, Surigao Del Norte November 26, 2015 Hospital Bills 497.00
103 Mark Kirk Planas Placer, Surigao Del Norte November 26, 2015MEDICINE AND MEDICAL SUPPLIES
740.00
104 Silveno B. Lebita Placer, Surigao Del Norte November 26, 2015 Laboratory/Medicines 360.00
105 Lilibeth J. Morales Magupange Placer, Surigao Del Norte November 26, 2015Medical Equipment and Medicines
535.00
106 Roy T. Barrientos Placer, Surigao Del Norte November 27, 2015Medicines and Medical Supply
430.00
107 Jeron Angelo Laurente Placer, Surigao Del Norte November 27, 2015 Hospital Bills 590.00
108 Diosdado O. Cruzado Placer, Surigao Del Norte November 27, 2015Laboratory Procedures and other needs
609.00
109 Jason T. Yubos Mainit, Surigao Del Norte November 27, 2015 Hospital Bills 1,786.00
110 Lovelyn Angela A. Gingo Placer, Surigao Del Norte November 27, 2015 Hospital Bills 3,151.00
111 Luisito P. Patino Placer, Surigao Del Norte November 27, 2015Medical Equipment and Medicines
205.00
112 Jiver U. Delarmente Claver, Surigao Del Norte November 27, 2015Laboratory test and other needs
450.00
113 Dorothea Migullas Placer, Surigao Del Norte November 27, 2015medicine & medical assistance
190.00
114 Reynalinda Sistona Placer, Surigao Del Norte November 27, 2015medicine & medical assistance
220.00
115 Jillmier A. Lanawan Tubod, Surigao Del Norte November 27, 2015Medical Equipment and Medicines
320.00
116 Edenrose V. Sarona Kitcharao, Agusan Del Norte November 27, 2015 Laboratory/Medicines 340.00
117 Precesima O. Resullar Placer, Surigao Del Norte November 27, 2015 Laboratory/Medicines 302.00
118 Pablo F. Buba Claver, Surigao Del Norte November 27, 2015 Medicines 390.00
119 Ariel Sas. Placer, Surigao Del Norte November 27, 2015Laboratory Procedures and other needs
270.00
120 Leo. Simon Alegria, Surigao Del Norte November 27, 2015 Laboratory Procedures 420.00
121 Lawrenz Vien R. Macas Placer, Surigao Del Norte November 27, 2015Hospital Bills and other needs
535.00
122 Kent Pecan San Isidro, Surigao Del Norte November 27, 2015Hospital Bills and other needs
310.00
123 Alfredo M. Leopoldo Bad-as Placer, Surigao Del Norte November 27, 2015MEDICINES/MEDICAL ASSISTANCE/DIETARY SUPPLEMENTS.
205.00
124 Enecita Yubos Mainit, Surigao Del Norte November 27, 2015Hospital Bills and other needs
350.00
125 Elmer Patagan Placer, Surigao Del Norte November 27, 2015Hospital Bills and other needs
400.00
126 ,emedio I. Monta , Surigao Del Norte November 27, 2015Hospital Bills and other needs
300.00
127 Charity Lizano Claver, Surigao Del Norte November 27, 2015Hospital Bills and other needs
337.00
128 Jayson Creencia Placer, Surigao Del Norte November 27, 2015Hospital Bills and other needs
320.00
129 Victor Maceren , Surigao Del Norte November 27, 2015Hospital Bills and other needs
463.00
130 Nora Micompal Placer, Surigao Del Norte November 27, 2015Hospital Bills and other needs
3,325.00
131 Maria Virginia L. Diago Alegria, Surigao Del Norte November 27, 2015Hospital Bills and other needs
4,851.00
132 Erica Faith D. Salubre Placer, Surigao Del Norte November 27, 2015Hospital Bills and other needs
220.00
133 Fabian O. Bagacay Alegria, Surigao Del Norte November 27, 2015Hospital Bills and other needs
405.00
134 Eunice Jelen D. Corvera Tagana-an, Surigao Del Norte November 27, 2015Hospital Bills and other needs
1,840.00
135 Clark G. Febrero Claver, Surigao Del Norte November 27, 2015Hospital Bills and other needs
4,345.00
136 Blaire Emirhy A. Galeon Placer, Surigao Del Norte November 27, 2015Hospital Bills and other needs
250.00
137 Jovie Lapyahan Kitcharao, Agusan Del Norte November 27, 2015Hospital Bills and other needs
660.00
138 Jennifer B. Anino Placer, Surigao Del Norte November 27, 2015Hospital Bills and other needs
770.00
139 Jerry E. Reambonanza Claver, Surigao Del Norte November 27, 2015Hospital Bills and other needs
320.00
140 Jelay H. Guy-an Kitcharao, Agusan Del Norte November 27, 2015Hospital Bills and other needs
250.00
141 Reylle Rj B. Malaza Tubod, Surigao Del Norte November 27, 2015Hospital Bills and other needs
370.00
142 Elvin O. Encinada Claver, Surigao Del Norte November 27, 2015Hospital Bills and other needs
596.00
143 Wendelle Batobalanos Surigao City (capital), Surigao Del Norte November 27, 2015Hospital Bills and other needs
3,662.00
144 Felixberto P. Acebu Tubod, Surigao Del Norte November 27, 2015Hospital Bills and other needs
170.00
145 Angela Gijan Claver, Surigao Del Norte November 27, 2015Hospital Bills and other needs
2,623.50
146 Cris John Tabiolo Placer, Surigao Del Norte November 27, 2015Hospital Bills and other needs
540.00
147 Dindo Benjamin Tagana-an, Surigao Del Norte November 27, 2015Hospital Bills and other needs
855.00
148 Richard N. Rivas Bacuag, Surigao Del Norte November 27, 2015Hospital Bills and other needs
330.00
149 Evangeline Asumen Placer, Surigao Del Norte November 27, 2015Hospital Bills and other needs
723.00
150 Karl Vincent Peral Alegria, Surigao Del Norte November 27, 2015Hospital Bills and other needs
1,940.00
151 Marilyn Calinawan Claver, Surigao Del Norte November 27, 2015Hospital Bills and other needs
630.00
152 Sales C. Salino Mainit, Surigao Del Norte November 27, 2015Hospital Bills and other needs
320.00
153 Baby Boy Mahinay Placer, Surigao Del Norte November 27, 2015Hospital Bills and other needs
5,809.00
154 Cristituto Tago-on Alegria, Surigao Del Norte November 27, 2015Hospital Bills and other needs
4,450.50
155 Genevic Macupahon Mainit, Surigao Del Norte November 27, 2015Hospital Bills and other needs
385.00
156 Meryl Ancheta , Surigao Del Norte November 27, 2015Hospital Bills and other needs
120.00
157 Juliet Sangag San Isidro, Surigao Del Norte November 27, 2015Hospital Bills and other needs
4,924.00
158 Benizon Plaza Surigao City (capital), Surigao Del Norte November 27, 2015Hospital Bills and other needs
104.00
159 Eutelia Sual San Isidro, Surigao Del Norte November 27, 2015Hospital Bills and other needs
5,868.50
160 Marvin J. Banola Tubod, Surigao Del Norte November 27, 2015Hospital Bills and other needs
165.00
161 Gena H. Tabacon Mainit, Surigao Del Norte November 27, 2015Hospital Bills and other needs
450.00
162 Wence Joymarry H. Tabacon Mainit, Surigao Del Norte November 27, 2015Hospital Bills and other needs
215.00
163 Gerald Tabacon Mainit, Surigao Del Norte November 27, 2015Hospital Bills and other needs
360.00
164 Carren Balangay Kitcharao, Agusan Del Norte November 27, 2015Hospital Bills and other needs
610.00
165 Jazzel F. Bagnol Claver, Surigao Del Norte November 27, 2015Hospital Bills and other needs
320.00
166 Rhianna I. Canoy Mainit, Surigao Del Norte November 27, 2015Hospital Bills and other needs
200.00
167 Hana N. Baltar Sison, Surigao Del Norte November 27, 2015Hospital Bills and other needs
405.00
168 Gemma Morales Kitcharao, Agusan Del Norte November 27, 2015Hospital Bills and other needs
759.00
169 Ernesto D. Omega Placer, Surigao Del Norte November 27, 2015Hospital Bills and other needs
478.50
170 Jane Rose Trisha C. Fabiosa Placer, Surigao Del Norte November 27, 2015Hospital Bills and other needs
220.00
171 Susan A. Fabiosa Placer, Surigao Del Norte November 27, 2015Hospital Bills and other needs
272.50
172 Elly Noguerra Placer, Surigao Del Norte November 27, 2015Hospital Bills and other needs
506.00
173 Raprap Mayag Kitcharao, Agusan Del Norte November 27, 2015Hospital Bills and other needs
610.00
174 Sienamae Calva Gigaquit, Surigao Del Norte November 27, 2015Hospital Bills and other needs
2,803.00
175 Irish Queen Degolto Claver, Surigao Del Norte November 27, 2015Hospital Bills and other needs
1,385.00
176 Jean Padere Tubod, Surigao Del Norte November 27, 2015Hospital Bills and other needs
1,460.00
177 Aj Cleo Nada Gigaquit, Surigao Del Norte November 27, 2015Hospital Bills and other needs
330.00
178 Norberta V. Canong Placer, Surigao Del Norte November 27, 2015Hospital Bills and other needs
448.00
179 Cedric Mantawiran , Surigao Del Norte November 27, 2015Hospital Bills and other needs
4,389.00
180 Jemma B. Lapsay Bacuag, Surigao Del Norte November 27, 2015Hospital Bills and other needs
475.00
181 Lovelyn Angela A. Gingo Placer, Surigao Del Norte November 27, 2015Hospital Bills and other needs
270.00
182 Carl Paronia Sison, Surigao Del Norte November 27, 2015Hospital Bills and other needs
220.00
Total Patient: 182 208,875.40
No # Name of Patient Address Indorsement Date Assistance Amount
1 Reiyel Cuevas Tubod, Surigao Del Norte December 3, 2015Hospital Bills and other needs
50,000.00
2 Marcia J. Boiser , Surigao Del Norte December 7, 2015 Laboratory Procedures 1,100.00
3 Nida G. Gastardo , Surigao Del Norte December 7, 2015 Laboratory Procedures 1,100.00
4 Jezer Nasayao Sison, Surigao Del Norte December 7, 2015 Medical Assistance 906.00
5 Paulina Madronal. Placer, Surigao Del Norte December 7, 2015Laboratory Procedures and other needs
120.00
6 Josephine M. Mendiola , Surigao Del Norte December 7, 2015Laboratory Procedures and other needs
850.00
7 Lovely J. Billiona Tubod, Surigao Del Norte December 7, 2015 Medical Assistance 315.00
8 Irish Mae S. Alindig Placer, Surigao Del Norte December 7, 2015Laboratory Procedures and other needs
250.00
9 Christopher Hukman Mainit, Surigao Del Norte December 7, 2015 Medical Assistance 210.00
10 Sheryll L. Maglasang Bacuag, Surigao Del Norte December 7, 2015 Medical Assistance 150.00
11 Gorgina G. Martinez Tagana-an, Surigao Del Norte December 7, 2015 Hospital Bills 3,309.00
12 Jasmine Macula Tubod, Surigao Del Norte December 17, 2015 Hospital Bills 3,967.00
13 Regin Jay M. Sombrado Tubod, Surigao Del Norte December 17, 2015 Hospital Bills 6,659.00
14 Werlinda S. Macarayo Hayanggabon Claver, Surigao Del Norte December 17, 2015 Hospital Bills 341.00
15 Benjie T. Buyo Budlingin Alegria, Surigao Del Norte December 17, 2015 Hospital Bills 420.00
16 Reynaldo Digol Veyra Gigaquit, Surigao Del Norte December 17, 2015 Hospital Bills 8,941.15
17 Ernesto B. Trongcoso Santa Cruz Placer, Surigao Del Norte December 17, 2015 Hospital Bills 937.00
18 Halid P. Ambolo Placer, Surigao Del Norte December 17, 2015 Hospital Bills 250.00
19 Richard Sardovia San Benito, Surigao Del Norte December 17, 2015 Hospital Bills 565.00
20 Herman M. Galope Mainit, Surigao Del Norte December 17, 2015 Hospital Bills 905.00
21 Jason P. Diaz Mainit, Surigao Del Norte December 17, 2015 Hospital Bills 2,321.00
22 Bernalyn L. Teves Central (pob.) Placer, Surigao Del Norte December 17, 2015 Hospital Bills 465.00
Republic of the Philippines
Department of Health
PLACER DISTRICT HOSPITAL
For the month of December year 2015
MEDICAL ASSISTANCE PROGRAM
23 Nenito P. Cuyag Placer, Surigao Del Norte December 17, 2015 Hospital Bills 411.20
24 Bebie Jen N. Montibon Timamana Tubod, Surigao Del Norte December 17, 2015 Hospital Bills 3,659.00
25 Lenevie R. Navidas Mahayahay Kitcharao, Agusan Del Norte December 17, 2015 Hospital Bills 727.00
26 Eume G. Binag Macalaya Placer, Surigao Del Norte December 17, 2015 Hospital Bills 3,161.00
27 Riezel Cuevas Tubod, Surigao Del Norte December 17, 2015 Hospital Bills 21,000.00
28 Arlene T. Matildo Poblacion Bacuag, Surigao Del Norte December 17, 2015 Hospital Bills 320.00
29 Angeles G. Pasilan Tayaga (pob. East) Claver, Surigao Del Norte December 17, 2015 Hospital Bills 500.00
30 Rodel Bernal Surigao City (capital), Surigao Del Norte December 17, 2015 Hospital Bills 361.00
31 Raffy Nalita Tubod, Surigao Del Norte December 17, 2015 Hospital Bills 320.00
32 Cristita B. Jenovita Poblacion (san Pedro) Sison, Surigao Del Norte December 17, 2015 Hospital Bills 3,196.00
33 Rodilyn Albiso Surigao City (capital), Surigao Del Norte December 17, 2015 Medical Assistance 145.00
34 Sean Albiso Surigao City (capital), Surigao Del Norte December 17, 2015 Medicines 120.00
35 Zhalamor A. Gordonas Placer, Surigao Del Norte December 17, 2015 Hospital Bills 930.00
36 Rolygem Y. Pongaron Placer, Surigao Del Norte December 17, 2015 Hospital Bills 456.00
37 Jaime Tejada Bacolod City (capital), Negros Occidental December 17, 2015 Hospital Bills 235.00
38 Van Zydriel Albiso Surigao City (capital), Surigao Del Norte December 17, 2015 Hospital Bills 255.00
39 Shaun Jireh D. Sumaguila Santa Cruz Placer, Surigao Del Norte December 17, 2015 Hospital Bills 320.00
40 Renato B. Ranay Tubod, Surigao Del Norte December 17, 2015 Hospital Bills 440.00
41 Madel B. Catubigan Kitcharao, Agusan Del Norte December 17, 2015 Hospital Bills 420.00
42 Herminigildo P. Lluvido Mainit, Surigao Del Norte December 17, 2015 Hospital Bills 302.00
43 Arkel Balangay Kitcharao, Agusan Del Norte December 17, 2015 Hospital Bills 240.00
44 Avelina B. Montil , Agusan Del Norte December 17, 2015 Hospital Bills 3,925.00
45 Aldin C. Gingane Claver, Surigao Del Norte December 17, 2015 Hospital Bills 270.00
46 Jay-r R. Nalitan Tubod, Surigao Del Norte December 17, 2015 Hospital Bills 100.00
47 Egiel Gayo Estrada Cagdianao Claver, Surigao Del Norte December 17, 2015 Hospital Bills 1,761.00
48 Ramil E. Balangay Kitcharao, Agusan Del Norte December 17, 2015 Hospital Bills 270.00
49 Charlyn D. Guimare Claver, Surigao Del Norte December 17, 2015 Hospital Bills 490.00
50 Johnna Ammelya P. Acha Claver, Surigao Del Norte December 17, 2015 Hospital Bills 908.00
51 Analyn Sanchez City Of Santiago, Isabela December 17, 2015 Hospital Bills 550.00
52 Adonis P. Brunidor Claver, Surigao Del Norte December 17, 2015 Hospital Bills 755.00
53 Reynan L. Campos Claver, Surigao Del Norte December 17, 2015 Hospital Bills 386.00
54 Genesis R. Manalo San Jose Mainit, Surigao Del Norte December 17, 2015 Hospital Bills 2,550.00
55 Nichole Simborio Claver, Surigao Del Norte December 17, 2015 Hospital Bills 320.00
56 Marcelino G. Toca Mainit, Surigao Del Norte December 17, 2015 Hospital Bills 1,745.00
57 Renato B. Ranay Tubod, Surigao Del Norte December 17, 2015 Hospital Bills 1,020.00
58 Baby Girl Nada Gigaquit, Surigao Del Norte December 17, 2015 Hospital Bills 525.00
59 Cely Tiambong Alegria, Surigao Del Norte December 17, 2015 Hospital Bills 720.00
60 Rufino Chato Placer, Surigao Del Norte December 17, 2015 Hospital Bills 6,401.00
61 Pregentino Montes Surigao City (capital), Surigao Del Norte December 17, 2015 Hospital Bills 597.00
62 Jastin P. Dulpina Alegria, Surigao Del Norte December 17, 2015 Hospital Bills 320.00
63 Asiah L. Macadaag Surigao City (capital), Surigao Del Norte December 17, 2015 Hospital Bills 1,535.00
64 Nena T. Reambonanza Alegria, Surigao Del Norte December 17, 2015 Hospital Bills 4,774.00
65 Jeca M. Olise Gigaquit, Surigao Del Norte December 17, 2015 Hospital Bills 1,269.00
66 Justine L. Trasona Claver, Surigao Del Norte December 17, 2015 Hospital Bills 1,603.00
67 Nita L. Damapa Claver, Surigao Del Norte December 17, 2015 Hospital Bills 1,220.00
68 Gregoria A. Ragas Alegria, Surigao Del Norte December 17, 2015 Hospital Bills 3,878.00
69 Felix P. Solis Placer, Surigao Del Norte December 17, 2015 Hospital Bills 470.00
70 Luciana P. Cortez Placer, Surigao Del Norte December 17, 2015 Hospital Bills 1,010.00
71 Lhea Lane C. Lopez Tubod, Surigao Del Norte December 17, 2015 Hospital Bills 1,340.00
72 Elsie T. Bayla Placer, Surigao Del Norte December 17, 2015 Hospital Bills 5,470.00
73 Angela P. Tiambong Alegria, Surigao Del Norte December 17, 2015 Hospital Bills 315.00
74 Bernard Arsen D. Joven Mainit, Surigao Del Norte December 17, 2015 Hospital Bills 2,587.00
75 Renel D. Aidao Mainit, Surigao Del Norte December 17, 2015 Hospital Bills 495.00
76 Hermana L. Madelo Placer, Surigao Del Norte December 17, 2015 Medical Assistance 1,075.00
77 Rojane C. Quino Placer, Surigao Del Norte December 17, 2015 Hospital Bills 1,515.00
78 Jastin P. Dulpina Alegria, Surigao Del Norte December 17, 2015 Hospital Bills 530.00
79 Roldan Alcantara Sison, Surigao Del Norte December 17, 2015 Hospital Bills 2,679.00
80 Angel D. Robuca Gigaquit, Surigao Del Norte December 17, 2015 Hospital Bills 670.00
81 Wenefreda M Militante Tubod, Surigao Del Norte December 17, 2015 Hospital Bills 355.00
82 Barbie B. Biog Tubod, Surigao Del Norte December 17, 2015 Hospital Bills 250.00
83 Jaime R. Cuarez Tayaga (pob. East) Claver, Surigao Del Norte December 17, 2015 Hospital Bills 4,481.00
84 Aguido V. Carlis Placer, Surigao Del Norte December 17, 2015 Hospital Bills 348.00
85 Doming R. Tavis Surigao City (capital), Surigao Del Norte December 17, 2015 Hospital Bills 104.00
86 Joseph Lie S. Elizaga Surigao City (capital), Surigao Del Norte December 17, 2015 Hospital Bills 3,072.00
87 Ella Mae Salientes Gigaquit, Surigao Del Norte December 17, 2015 Hospital Bills 288.50
88 Precil E. Tarefe Surigao City (capital), Surigao Del Norte December 17, 2015 Hospital Bills 150.00
89 Susana Ybanez Surigao City (capital), Surigao Del Norte December 17, 2015 Hospital Bills 335.00
90 Melba C. Aidao Alegria, Surigao Del Norte December 17, 2015 Hospital Bills 420.00
91 Edward S. Seguis Mainit, Surigao Del Norte December 17, 2015 Hospital Bills 320.00
92 Christine Mae Dejamo Tubod, Surigao Del Norte December 17, 2015 Hospital Bills 4,715.00
93 John Ray G. Edis Surigao City (capital), Surigao Del Norte December 18, 2015 Hospital Bills 607.00
94 July O. Selim Surigao City (capital), Surigao Del Norte December 18, 2015 Hospital Bills 378.00
95 Renaldo Decap Claver, Surigao Del Norte December 18, 2015 Hospital Bills 967.00
96 Ginalyn Adis San Isidro, Surigao Del Norte December 18, 2015 Hospital Bills 685.00
97 Emelita S. Bolanggaita Marga Tubod, Surigao Del Norte December 18, 2015 Hospital Bills 500.00
98 Reynalinda Sistona Placer, Surigao Del Norte December 18, 2015 Hospital Bills 155.00
99 Marry M. Biog Gigaquit, Surigao Del Norte December 18, 2015 Hospital Bills 415.00
100 Rochelle H. Abad Mahanub Gigaquit, Surigao Del Norte December 18, 2015 Hospital Bills 201.00
101 Ailyn Baid, Gigaquit, Surigao Del Norte December 18, 2015 Hospital Bills 205.90
102 Raymond A. Diez Placer, Surigao Del Norte December 18, 2015 Hospital Bills 250.00
103 Angelica T. Tiambong Kitcharao, Agusan Del Norte December 18, 2015 Hospital Bills 285.00
104 Pablita Yparraguirre Macalaya Placer, Surigao Del Norte December 18, 2015 Hospital Bills 100.00
105 Catherine M. Biog Paco Mainit, Surigao Del Norte December 18, 2015 Hospital Bills 1,825.00
106 Emmanuel M. Pasuquin Paco Mainit, Surigao Del Norte December 18, 2015 Hospital Bills 545.00
107 Temoteo Napitan Gigaquit, Surigao Del Norte December 18, 2015 Hospital Bills 395.00
108 Adrian Vic Rolida , Surigao Del Norte December 18, 2015 Hospital Bills 162.00
109 June P. Masumay Camam-onan Gigaquit, Surigao Del Norte December 18, 2015 Hospital Bills 210.00
110 Fortunata Moreno Claver, Surigao Del Norte December 18, 2015 Hospital Bills 1,485.00
111 Perfecto P. Tagoc Gigaquit, Surigao Del Norte December 18, 2015 Hospital Bills 4,645.00
112 Jaime R. Jarina Bad-as Placer, Surigao Del Norte December 18, 2015 Hospital Bills 3,919.50
113 Kelvin Mark I. Lincuna Tubod, Surigao Del Norte December 18, 2015 Hospital Bills 280.00
114 Cris Evan O. Libay Placer, Surigao Del Norte December 18, 2015 Hospital Bills 1,686.00
115 Rosario Elimanco Placer, Surigao Del Norte December 18, 2015 Hospital Bills 650.00
116 Chael Mike Salientes Gigaquit, Surigao Del Norte December 18, 2015 Hospital Bills 750.00
117 Constantino T. Manaog Bad-as Placer, Surigao Del Norte December 18, 2015 Hospital Bills 695.00
118 Razel A. Napoco Gigaquit, Surigao Del Norte December 18, 2015 Hospital Bills 420.00
119 Cristina M. Vista Placer, Surigao Del Norte December 18, 2015 Hospital Bills 383.00
120 Arsencia P. Dalagan Gigaquit, Surigao Del Norte December 18, 2015 Hospital Bills 530.00
121 Segundo P. Ormega Anislagan Placer, Surigao Del Norte December 18, 2015 Hospital Bills 508.00
122 Mylene B. Esclamado Alegria, Surigao Del Norte December 18, 2015 Hospital Bills 681.00
123 Dorothea Migullas Placer, Surigao Del Norte December 18, 2015 Hospital Bills 575.00
124 Nena Catong Claver, Surigao Del Norte December 18, 2015 Hospital Bills 1,471.00
125 Rowena A. Anlagan , Surigao Del Norte December 18, 2015 Hospital Bills 370.00
126 Juanito L. Rana Bacuag, Surigao Del Norte December 18, 2015 Hospital Bills 110.00
127 Twins Mika M. Dal Placer, Surigao Del Norte December 18, 2015 Hospital Bills 1,050.00
128 Suzette Ayala Quezon (pob.) Mainit, Surigao Del Norte December 18, 2015 Hospital Bills 320.00
129 Lesley M. Laparan Placer, Surigao Del Norte December 18, 2015 Hospital Bills 380.00
Total Patient: 129 221,280.25