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Patients Served Under Medical Assistance Program As of July 2018 AMOUNT of MEDICAL SERVICES

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Patients Served Under Medical Assistance Program As of July 2018 AMOUNT of MEDICAL SERVICES Patients Served Under Medical Assistance Program as of July 2018 AMOUNT OF MEDICAL SERVICES DATE REFERENCE Laboratory, TOTAL NAME ADDRESS PREPARED NUMBER Drugs and Dental & Hospital ASSISTANCE Med diagnostic Fees procedures SAA No. 2018-06-1071 15,000,000.00 June 21, 2018 2018-06-603-D SOLEDAD SALVACION BAGUMBAYAN BAGAC BATAAN 891.91 0.00 0.00 891.91 July 01, 2018 2018-07-1790 JAYSON RODA PTO. RIVAS IBABA BALANGA CITY 319.61 0.00 0.00 319.61 July 01, 2018 2018-07-1791 GERALD SANCHEZ WAWA ABUCAY BATAAN 0.00 1,000.00 0.00 1,000.00 July 01, 2018 2018-07-1792 NOEL CAMACHO GABON ABUCAY BATAAN 229.80 0.00 0.00 229.80 July 01, 2018 2018-07-1793 KIM JUSTINE MEREGILDO TOWNSITE LIMAY BATAAN 0.00 300.00 0.00 300.00 July 01, 2018 2018-07-1794 ANDREA ESTER MENDIGORIN HILLTOP SABANG MORONG BATAAN 0.00 1,800.00 0.00 1,800.00 July 01, 2018 2018-07-1795 ALBERTO TAPIA WAWA ABUCAY BATAAN 364.70 0.00 0.00 364.70 July 01, 2018 2018-07-1796 REBECCA VITUG CALAYLAYAN ABUCAY BATAAN 795.70 1,100.00 0.00 1,895.70 July 01, 2018 2018-07-1797 JENNY MANGALINDAN SAN JUAN SAMAL BATAAN 0.00 320.00 0.00 320.00 July 02, 2018 2018-07-1798 SARAH JANE ECUBE ALAS-ASIN MARIVELES BATAAN 0.00 400.00 0.00 400.00 July 02, 2018 2018-07-1498-A HECTOR QUICHO LOTE PTO. RIVAS BALANGA CITY 300.00 0.00 0.00 300.00 July 02, 2018 2018-07-1799 FRELLA GALLEGO CAMACHO BALANGA CITY BATAAN 0.00 1,000.00 0.00 1,000.00 July 02, 2018 2018-07-1800 GREGORIA DE LEON SAN RAFAEL TUYO BALANGA CITY 0.00 618.55 1,381.45 2,000.00 July 02, 2018 2018-07-1801 NELIA BATUNGBACAL SAN JOSE BALANGA CITY 0.00 300.00 0.00 300.00 July 02, 2018 2018-07-1802 JERRY ROCO ROSAL ST. ALANGAN LIMAY BATAAN 0.00 2,000.00 0.00 2,000.00 July 02, 2018 2018-07-1803 ANGELO DELA CRUZ JR. MIRAY CATANING BALANGA CITY 134.60 0.00 0.00 134.60 July 02, 2018 2018-07-1804 RILZY ANNE PANGILINAN KABALUTAN ORANI BATAAN 1,421.52 0.00 0.00 1,421.52 July 02, 2018 2018-07-1309-A OSCAR ENRIQUEZ SITIO NAGKAMAYAN UPPER TUYO BALANGA CITY 1,710.44 655.18 0.00 2,365.62 July 02, 2018 2018-07-1805 NIKKO FRANCIS ABUAN ALAS-ASIN MARIVELES BATAAN 471.39 950.00 0.00 1,421.39 July 02, 2018 2018-07-1806 ROSILA TATOY BALON ANITO MARIVELES BATAAN 0.00 750.00 0.00 750.00 July 02, 2018 2018-07-1807 JOSHUA QUIAMBAO STA. ROSA PILAR BATAAN 0.00 1,100.00 0.00 1,100.00 July 02, 2018 2018-07-1808 ANTHONY MACAM KATAASAN DINALUPIHAN BATAAN 0.00 1,060.00 0.00 1,060.00 July 02, 2018 2018-07-1809 BAYANI DUNGAN TORTUGAS BALANGA CITY 0.00 0.00 1,500.00 1,500.00 July 02, 2018 2018-07-1810 ESMERALDA BALAZON CAMAYA MARIVELES BATAAN 85.49 4,914.51 0.00 5,000.00 July 02, 2018 2018-07-1811 ADRIAN VICENCIO CUPANG BALANGA CITY BATAAN 200.00 0.00 0.00 200.00 July 02, 2018 2018-07-1812 RAYMUNDO SANCHEZ PTO. RIVAS IBABA BALANGA CITY 250.00 0.00 0.00 250.00 July 02, 2018 2018-06-368-E MARY JANE SAMSON LAON ABUCAY BATAAN 0.00 7,500.00 0.00 7,500.00 July 02, 2018 2018-07-1813 JENELYN MIRANDA CATANING HERMOSA BATAAN 0.00 300.00 0.00 300.00 July 02, 2018 2018-07-1814 MARY JOE SANTOS DOÑA FRANCISCA BALANGA CITY 0.00 220.00 0.00 220.00 July 02, 2018 2018-07-1815 ANNALIZA PIZARRO CALAYLAYAN ABUCAY BATAAN 0.00 700.00 0.00 700.00 July 02, 2018 2018-07-1816 MERLITA GUINTO CAMACHO BALANGA CITY BATAAN 0.00 1,180.00 0.00 1,180.00 July 02, 2018 2018-07-1817 DANNIELLE MAE DIMAL STA. ROSA PILAR BATAAN 0.00 800.00 0.00 800.00 July 02, 2018 2018-07-1818 MARGARITA PAREDES MUNTING BATANGAS BALANGA CITY 0.00 500.00 0.00 500.00 July 02, 2018 2018-07-1819 VINCENT MARK CRUZ CUPANG PROPER BALANGA CTIY 0.00 500.00 0.00 500.00 July 02, 2018 2018-07-1820 JOSEPH SALAMAT CATANING BALANGA CITY 301.06 0.00 0.00 301.06 July 02, 2018 2018-07-1821 BENITO JAPSAY EAST DAANG BAGO SAMAL BATAAN 6,595.09 17,588.00 0.00 24,183.09 July 02, 2018 2018-07-1822 JOAN SALAS ALA-ULI PILAR BATAAN 0.00 670.00 0.00 670.00 June 17, 2018 2018-07-1823 GREGORIO JELOMIO BALUT II PILAR BATAAN 0.00 1,300.00 0.00 1,300.00 June 28, 2018 2018-07-1824 ARMIDA GAMBOA SAN ISIDRO MARIVELES BATAAN 0.00 1,350.00 0.00 1,350.00 July 03, 2018 2018-07-1391-A PAULO ALCANTARA ZAMORA ST. BAGUMBAYAN BALANGA CITY 2,000.00 0.00 0.00 2,000.00 July 02, 2018 2018-07-1825 LHANCE DERRICK SANTIAGO DEL ROSARIO PILAR BATAAN 300.00 0.00 0.00 300.00 July 03, 2018 2018-07-1430-A VIRGINIA NAVARRO CALUNGUSAN ORION BATAAN 0.00 1,380.00 0.00 1,380.00 July 03, 2018 2018-07-1826 ELIZABETH BAUTISTA CABOG-CABOG BALANGA CITY 0.00 500.00 0.00 500.00 July 03, 2018 2018-07-1827 RANDY LINGAD POBLACION PILAR BATAAN 0.00 2,245.76 0.00 2,245.76 July 03, 2018 2018-07-1828 REYNO ABBU DAMULOG ST. DAANG PARE ORION BATAAN 0.00 1,800.00 0.00 1,800.00 July 03, 2018 2018-07-1829 KATHRYN MAE FERNANDEZ ST. FRANCIS II LIMAY BATAAN 0.00 300.00 0.00 300.00 July 03, 2018 2018-07-1830 DANILO DE GUZMAN 244 PUROK VI MAMBOG HERMOSA BATAAN 0.00 700.00 0.00 700.00 July 03, 2018 2018-07-1831 MARISA ALMARIO STA. ISABEL DINALUPIHAN BATAAN 0.00 370.00 0.00 370.00 July 03, 2018 2018-07-1832 FAISALIN DIMAAMPAO SITIO ACAPULCO CAMAYA MARIVELES BATAAN 0.00 200.00 0.00 200.00 July 03, 2018 2018-07-368-E MARY JANE SAMSON LAON ABUCAY BATAAN 300.00 0.00 0.00 300.00 July 03, 2018 2018-07-1833 TERESITA GUEVARRA TUGATOG ORANI BATAAN 0.00 500.00 0.00 500.00 July 03, 2018 2018-07-1350-F EDEN CRUZ CULIS HERMOSA BATAAN 231.62 0.00 0.00 231.62 July 03, 2018 2018-07-1834 BERNARDO ROSETE CAMACHILE ORION BATAAN 0.00 1,260.00 0.00 1,260.00 July 03, 2018 2018-07-1835 EDWIN JORGE KITANG II BO. LUZ LIMAY BATAAN 0.00 900.00 0.00 900.00 July 03, 2018 2018-07-1836 JANOLINO GONZALES CUPANG PROPER BALANGA CTIY 5,000.00 0.00 0.00 5,000.00 July 03, 2018 2018-07-1837 LOURDES SANTOS EAST CALAGUIMAN SAMAL BATAAN 0.00 1,350.00 0.00 1,350.00 July 03, 2018 2018-07-1838 CINDY AMIOTE ST. FRANCIS II LIMAY BATAAN 0.00 900.00 0.00 900.00 July 03, 2018 2018-07-1312-C RUFINO BANATAO IPAG MARIVELES BATAAN 0.00 1,325.71 0.00 1,325.71 July 03, 2018 2018-07-223-D REN MARK SAPIT ALAS-ASIN MARIVELES BATAAN 0.00 300.00 0.00 300.00 AMOUNT OF MEDICAL SERVICES DATE REFERENCE Laboratory, TOTAL NAME ADDRESS PREPARED NUMBER Drugs and Dental & Hospital ASSISTANCE Med diagnostic Fees procedures July 03, 2018 2018-07-1839 CHARLES KYLE TICA BILOLO ORION BATAAN 0.00 390.00 0.00 390.00 July 03, 2018 2018-07-1840 ROGELIA BUENAFLOR CAMAYA MARIVELES BATAAN 517.46 0.00 0.00 517.46 July 03, 2018 2018-07-1841 DANILO BASBAS ST. FRANCIS I LIMAY BATAAN 0.00 1,390.00 0.00 1,390.00 July 03, 2018 2018-07-1842 REBECCA PEÑA PALIHAN ORANI BATAAN 0.00 711.04 0.00 711.04 July 03, 2018 2018-07-1170-C ROSITA GELLEGANI SACRIFICE VALLEY HERMOSA BATAAN 526.80 0.00 0.00 526.80 July 04, 2018 2018-07-1843 MA. THERYSSE LYNN BIANCA ARRIOLA WAKAS SOUTH PILAR BATAAN 0.00 470.00 0.00 470.00 July 04, 2018 2018-07-1844 JOAN JAVIER GUGO SAMAL BATAAN 0.00 450.00 0.00 450.00 July 04, 2018 2018-07-1845 RONEL SURLA IBABA BAGAC BATAAN 0.00 1,740.00 0.00 1,740.00 July 04, 2018 2018-07-1846 HERSHEY ANN QUIAMBAO CAPITANGAN ABUCAY BATAAN 0.00 300.00 0.00 300.00 July 04, 2018 2018-07-1847 LOIDA GUESE GEN. LIM ORION BATAAN 0.00 385.00 0.00 385.00 July 04, 2018 2018-07-1848 JAMES IGNACIO BAGUMBAYAN BAGAC BATAAN 50.26 550.00 0.00 600.26 July 04, 2018 2018-07-1849 CELIA DELITO CABOG-CABOG BALANGA CITY 0.00 1,820.00 0.00 1,820.00 July 04, 2018 2018-07-1850 BHEBERLY PERDON SILVERLAND PHASE II DUALE LIMAY BATAAN 0.00 0.00 3,456.04 3,456.04 July 04, 2018 2018-07-1851 JERKS CAYRONE RAMOS TOWNSITE LIMAY BATAAN 465.00 0.00 0.00 465.00 July 04, 2018 2018-07-1852 TRIXZIE NABATILAN HACIENDA GABON ABUCAY BATAAN 939.50 0.00 0.00 939.50 July 04, 2018 2018-07-1266-A HAILIE JADE HIPOLITO PALIHAN ORANI BATAAN 465.00 0.00 0.00 465.00 July 04, 2018 2018-07-1853 JOSH LORENZ BAUL SAN VICENTE ORION BATAAN 0.00 2,200.00 0.00 2,200.00 July 04, 2018 2018-07-1854 ANUNSACION JARINA SAN VICENTE ORION BATAAN 0.00 1,420.00 0.00 1,420.00 July 04, 2018 2018-07-1855 GILMAR DAYAN MASAYA ST.
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