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Placer District Hospital

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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, 2015 Hospital Bills and other needs 1,035.00 3 Jenesis B. Saday Placer, Surigao Del Norte August 5, 2015 Hospital Bills and other needs 2,511.00 4 Renz Acabo Placer, Surigao Del Norte August 5, 2015 Hospital Bills and other needs 507.5 5 Riza E. Elimanco Placer, Surigao Del Norte August 5, 2015 Hospital 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, 2015 Hospital Bills and other needs 2,650.00 8 Rejie Yubos Gigaquit, Surigao Del Norte August 5, 2015 Hospital Bills and other needs 1,700.00 9 Kate Yshine E. Bunag Placer, Surigao Del Norte August 5, 2015 Hospital Bills and other needs 1,435.00 10 Arman Hubasan Gigaquit, Surigao Del Norte August 5, 2015 Hospital Bills and other needs 1,923.00 11 Jennifer Mortil Gigaquit, Surigao Del Norte August 5, 2015 Hospital Bills and other needs 950 12 Iandy Sison Gigaquit, Surigao Del Norte August 5, 2015 Hospital Bills and other needs 630 13 Mary Ann Sapio Gigaquit, Surigao Del Norte August 5, 2015 Hospital 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, 2015 Hospital Bills and other needs 1,275.00 16 Carmela P. Pacilan Placer, Surigao Del Norte August 5, 2015 Hospital 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
Transcript
Page 1: Placer District Hospital

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

Page 2: Placer District Hospital

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

Page 3: Placer District Hospital

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

Page 4: Placer District Hospital

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

Page 5: Placer District Hospital

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

Page 6: Placer District Hospital

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

Page 7: Placer District Hospital

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

Page 8: Placer District Hospital

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

Page 9: Placer District Hospital

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

Page 10: Placer District Hospital

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

Page 11: Placer District Hospital

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

Page 12: Placer District Hospital

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

Page 13: Placer District Hospital

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

Page 14: Placer District Hospital

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

Page 15: Placer District Hospital

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

Page 16: Placer District Hospital

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

Page 17: Placer District Hospital

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

Page 18: Placer District Hospital

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

Page 19: Placer District Hospital

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

Page 20: Placer District Hospital

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

Page 21: Placer District Hospital

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

Page 22: Placer District Hospital

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

Page 23: Placer District Hospital

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

Page 24: Placer District Hospital

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

Page 25: Placer District Hospital

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

Page 26: Placer District Hospital

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

Page 27: Placer District Hospital

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

Page 28: Placer District Hospital

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

Page 29: Placer District Hospital

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

Page 30: Placer District Hospital

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

Page 31: Placer District Hospital

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

Page 32: Placer District Hospital

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

Page 33: Placer District Hospital

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

Page 34: Placer District Hospital

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


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