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. ALA-ULI PILAR BATAAN 0.00 630.00 85.82 715.82 July 04, 2018 2018-07-1856 SHAINE BALTAZAR 225 TUGATOG ORANI BATAAN 0.00 700.00 0.00 700.00

July 04, 2018 2018-07-1857 MARICAR CAHUTAY 157 FERRER ST. LOTE PTO. RIVAS BALANGA CITY 0.00 600.00 0.00 600.00 July 04, 2018 2018-07-1858 ANGELINE KEITH TASIC NORA VILLE TUGATOG ORANI BATAAN 0.00 1,000.00 0.00 1,000.00 July 04, 2018 2018-07-1859 MARY JANE FORDAN WAKAS NORTH PILAR BATAAN 11,478.39 5,570.00 5,951.61 23,000.00

July 04, 2018 2018-07-1860 JHOMER DEL ROSARIO 1139 VILLA ADELA HEIGHTS TUGATOG ORANI BATAAN 5,000.00 0.00 0.00 5,000.00 July 04, 2018 2018-07-1469-A REZZ CORTEZ SAPANG BATO ANGELES CITY 0.00 2,063.37 0.00 2,063.37 July 04, 2018 2018-07-1861 JOEL VELONTA ST. FRANCIS II LIMAY BATAAN 10,246.30 19,753.70 0.00 30,000.00 July 04, 2018 2018-07-1862 KLAYNNE JEIRIEL PERIA BAYAN ORANI BATAAN 1,404.50 0.00 0.00 1,404.50 July 04, 2018 2018-07-1863 CESAR CRUZ ALANGAN LIMAY BATAAN 0.00 750.00 0.00 750.00 July 04, 2018 2018-07-1864 CHERILYN DE LEON MACOPA ST. KITANG I LIMAY BATAAN 0.00 710.00 0.00 710.00 July 04, 2018 2018-07-1865 EDGARDO BELEN DUALE LIMAY BATAAN 0.00 725.12 0.00 725.12 July 04, 2018 2018-07-1866 SIR WALTER JAMES BANZON PANILAO PILAR BATAAN 0.00 470.00 0.00 470.00 July 04, 2018 2018-07-1867 JHIRO LABRADOR PARANG BAGAC BATAAN 465.00 0.00 0.00 465.00 July 04, 2018 2018-07-1868 MARLYN PERDIO U.S. WAWA ABUCAY BATAAN 0.00 450.00 120.56 570.56 July 05, 2018 2018-07-1869 NELSON TIMBANG EAST CALAGUIMAN SAMAL BATAAN 1,406.58 0.00 0.00 1,406.58 July 05, 2018 2018-07-1870 ADORA VILLEGAS STO. DOMINGO ORION BATAAN 0.00 290.00 0.00 290.00 July 05, 2018 2018-07-1871 HEDI SANTIAGO TOWNSITE MARIVELES BATAAN 0.00 760.00 0.00 760.00 July 05, 2018 2018-07-1872 ROLANDO VENEGAS LATI ORION BATAAN 0.00 563.20 0.00 563.20 July 05, 2018 2018-07-1873 DANIEL SANTOS BILOLO ORION BATAAN 466.04 0.00 0.00 466.04 July 05, 2018 2018-07-1874 SEAN LOUIES LAGURA IMELDA SAMAL BATAAN 467.50 0.00 0.00 467.50 July 05, 2018 2018-07-1875 LEO ROJAS SAN BENITO DINALUPIHAN BATAAN 0.00 2,400.00 0.00 2,400.00 July 05, 2018 2018-07-1876 NILO TOLENTINO WAKAS PILAR BATAAN 0.00 1,160.00 0.00 1,160.00

July 05, 2018 2018-07-1877 RONILO ABOBO 137 CAMACHO ST. PORBLACION BALANGA CITY 13,015.06 9,227.84 10,224.78 32,467.68 July 05, 2018 2018-07-1878 ZEYDRICK FLORES PARAISO ORANI BATAAN 1,000.00 0.00 0.00 1,000.00 July 05, 2018 2018-07-1879 FELIPE PIZARRO BAGUMBAYAN PILAR BATAAN 0.00 1,300.00 0.00 1,300.00 July 05, 2018 2018-07-1880 JOVEN BARCIA MARSTEEL ALANGAN LIMAY BATAAN 0.00 300.00 0.00 300.00 July 05, 2018 2018-07-1881 FELICISIMA NAVALTA CATANING BALANGA CITY 0.00 400.00 0.00 400.00 July 05, 2018 2018-07-1882 MICHELLE PASCUAL MARIVELES MENTAL HEALTH 0.00 900.00 0.00 900.00 July 05, 2018 2018-07-1883 RENZ JOHN AMPOSTA TUYO BALANGA CITY 0.00 540.00 0.00 540.00

July 05, 2018 2018-07-1884 JEFFERSON HERNANDO 78 WAKAS CUPANG PROPER BALANGA CITY 307.96 0.00 0.00 307.96

July 05, 2018 2018-07-1885 ANGEL LISING JR. DAMA DE NOCHE ALAS-ASIN MARIVELES BATAAN 28,290.74 13,657.00 8,052.26 50,000.00 July 05, 2018 2018-07-1455-A DONNALYN CORTEZ ALAS-ASIN MARIVELES BATAAN 0.00 900.00 0.00 900.00 July 05, 2018 2018-07-1886 HANS SANDER GUILLEN PANTALAN LUMA ORANI BATAAN 1,000.00 0.00 0.00 1,000.00 July 05, 2018 2018-07-1887 JACKLYN RAMOS CAPITANGAN ABUCAY BATAAN 257.54 0.00 0.00 257.54 July 05, 2018 2018-07-1350-G EDEN CRUZ CULIS HERMOSA BATAAN 231.62 0.00 0.00 231.62 July 05, 2018 2018-07-1888 MANILYN CAYETANO BANGCAL ABUCAY BATAAN 0.00 120.00 0.00 120.00 July 05, 2018 2018-07-1889 MARILOU SOLIS SAGINGAN SABATAN ORION BATAAN 4,336.99 10,047.06 0.00 14,384.05 July 05, 2018 2018-07-1890 MELODY SEVILLA LASON TORTUGAS BALANGA CITY 9,331.48 668.52 0.00 10,000.00

July 05, 2018 2018-07-1891 MIRASOL SORIANO MASAGANA ST. CENTRAL BALANGA CITY 0.00 920.00 0.00 920.00 July 05, 2018 2018-07-1328-A RUSSEL SHERWIN AGIAS CUPANG BALANGA CITY 0.00 690.00 0.00 690.00

July 05, 2018 2018-07-1892 JOEY MONTAÑEZ LUPANG PANGAKO MT. VIEW MARIVELES BATAAN 0.00 450.00 0.00 450.00 July 06, 2018 2018-07-1893 JOLIANA ALVAREZ ALAS-ASIN MARIVELES BATAAN 0.00 701.49 0.00 701.49

July 06, 2018 2018-07-1894 ROSALINA PANDACAN BAGONG SILANG ALAS-ASIN MARIVELES BATAAN 0.00 730.00 116.13 846.13 July 06, 2018 2018-07-1895 PRINCE ARON GUILLES LAMAO LIMAY BATAAN 0.00 400.00 0.00 400.00 July 06, 2018 2018-07-1896 LIEZEL LUGTU BALUT I PILAR BATAAN 0.00 680.00 0.00 680.00 July 06, 2018 2018-07-1897 RAYCHELLE DELARIARTE 315 POBLACION PILAR BATAAN 0.00 370.00 0.00 370.00 July 06, 2018 2018-07-1898 MORENA GONZALES LUCANIN MARIVELES BATAAN 0.00 1,570.00 0.00 1,570.00 July 06, 2018 2018-07-1899 MELENCIO BANAL JR. PITA STA. LUCIA DINALUPIHAN BATAAN 0.00 675.00 0.00 675.00

July 06, 2018 2018-07-1900 MA. CECILIA MARILLA POBLACION TABING ILOG SAMAL BATAAN 465.00 0.00 0.00 465.00

July 06, 2018 2018-07-1780-A ALDRED APOSAGA 167 SORIANO DAANG BILOLO ORION BATAAN 2,852.02 4,407.98 0.00 7,260.00 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory, TOTAL NAME ADDRESS PREPARED NUMBER Drugs and Dental & Hospital ASSISTANCE Med diagnostic Fees procedures

July 06, 2018 2018-07-1901 ANGELA PASCUAL BAGONG SILANG BALANGA CITY 0.00 530.00 0.00 530.00 July 06, 2018 2018-07-1902 ROSALYN AMPARO SALIAN ABUCAY BATAAN 507.96 0.00 0.00 507.96 July 06, 2018 2018-07-1903 ROLANDO SISON MUNTING BATANGAS BALANGA CITY 0.00 260.00 0.00 260.00 July 06, 2018 2018-07-1904 JELYN EVANGELISTA MASAGANA CENTRAL BALANGA CITY 0.00 470.00 0.00 470.00 July 06, 2018 2018-07-1905 JUDY ANN LULU ALA-ULI PILAR BATAAN 0.00 470.00 0.00 470.00 July 06, 2018 2018-07-1906 MARK JESEL CORNISTA TALISAY BALANGA CITY 5,000.00 0.00 0.00 5,000.00 July 06, 2018 2018-07-1907 FLORANTE LIGGAYU JR. BANGKAL ABUCAY BATAAN 0.00 400.00 334.28 734.28 July 06, 2018 2018-07-1908 EDMUND CENITA PUROK I TIPO HERMOSA BATAAN 0.00 650.00 0.00 650.00 July 06, 2018 2018-07-1659-A EDEN DELA CRUZ OMBOY ABUCAY BATAAN 987.00 0.00 0.00 987.00 July 06, 2018 2018-07-1645-A MARICRIS DELA PAZ SALIAN ABUCAY BATAAN 0.00 750.00 0.00 750.00 July 06, 2018 2018-07-1909 PIZARRO PTO. RIVAS IBABA BALANGA CITY 0.00 7,444.76 0.00 7,444.76 July 06, 2018 2018-07-1910 JONNA BELLE SULIT WAWA ABUCAY BATAAN 0.00 1,650.00 0.00 1,650.00 July 06, 2018 2018-07-1911 ANGELINE DIVERSON BALUT II PILAR BATAAN 0.00 470.00 0.00 470.00 July 06, 2018 2018-07-1912 JOHN CARLO TUMBOKON TALISAY BALANGA CITY 265.00 0.00 0.00 265.00 July 06, 2018 2018-07-1913 FE BROSAS ROSE ST. SAN JOSE BALANGA CITY 0.00 2,780.00 0.00 2,780.00 July 06, 2018 2018-07-1914 EDNA COSTALES NAPARING DINALUPIHAN BATAAN 0.00 2,200.00 0.00 2,200.00 July 06, 2018 2018-07-1915 ALMA SALONGA KAPARANGAN ORANI BATAAN 1,404.50 0.00 0.00 1,404.50 July 06, 2018 2018-07-1916 ROSAURO ESPERANZA MALIGAYA MARIVELES BATAAN 0.00 850.00 0.00 850.00 July 06, 2018 2018-07-1917 MHARK WHIELLARD SON PEREZ 29 WAWA ORION BATAAN 0.00 500.00 0.00 500.00

July 06, 2018 2018-07-1918 EMELYN NERVAR LOWER BALANDASAN MT. VIEW MARIVELES BATAAN 0.00 1,000.00 0.00 1,000.00 July 07, 2018 2018-07-1919 KING JOHN LOYD FULLERO WAWA ABUCAY BATAAN 0.00 650.00 0.00 650.00

July 07, 2018 2018-07-1920 JOSEPH RIVERA SITIO MALUANG CUPANG PROPER BALANGA CITY 0.00 550.00 0.00 550.00 July 07, 2018 2018-07-1921 KRISTEE LORAINE MENDOZA 54 RIZAL PILAR BATAAN 0.00 510.00 0.00 510.00 July 07, 2018 2018-07-1922 ALDRIN SANTOS LOOBAN GEN. LIM ORION BATAAN 0.00 800.00 0.00 800.00 July 07, 2018 2018-07-1923 RENJANN JAMIRO JUAN MT. VIEW MARIVELES BATAAN 0.00 800.00 0.00 800.00

July 07, 2018 2018-07-1924 SEAN RHICK PABITON ADAMSON HACIENDA GUGO SAMAL BATAAN 0.00 300.00 0.00 300.00 July 07, 2018 2018-07-1925 RELAN ERIC MEDINA PANILAO PILAR BATAAN 0.00 700.00 0.00 700.00 July 07, 2018 2018-07-1926 DAREN CARI BAGONG SILANG BLISS BALANGA CITY 0.00 500.00 0.00 500.00

July 07, 2018 2018-07-1927 MELINDA BUAN BO. TOTO CUPANG PROPER BALANGA CITY 0.00 220.00 0.00 220.00 July 07, 2018 2018-07-1928 ROVELYN LOVERIA 12 LADUENA ST. ST. ANN SUBD. CUPANG PROPER BALANGACITY 0.00 1,400.00 1,682.64 3,082.64

July 07, 2018 2018-07-1929 RODELIO FERNANDEZ JR BATUNGBAKAL ST. TENEJERO BALANGA CITY 0.00 320.00 3,127.32 3,447.32 July 07, 2018 2018-07-1930 ESTEBAN LANDICHO PANDATUNG HERMOSA BATAAN 0.00 704.00 0.00 704.00 July 07, 2018 2018-07-1931 JOBERT GARCIA ST. FRANCIS II LIMAY BATAAN 405.86 3,270.00 0.00 3,675.86 July 07, 2018 2018-07-1498-B HECTOR QUICHO LOTE PTO. RIVAS BALANGA CITY 0.00 1,100.00 0.00 1,100.00

July 07, 2018 2018-07-1932 SHEINALYN BASUEL 694 MANGGAHAN ST. CENTRAL BALANGA CITY 0.00 560.00 0.00 560.00

July 07, 2018 2018-07-1780-B ALDRED APOSAGA 167 SORIANO DAANG BILOLO ORION BATAAN 329.00 0.00 0.00 329.00 July 08, 2018 2018-07-239-D EMILY MORIDO PUTING BUHANGIN ORION BATAAN 108.42 1,600.00 0.00 1,708.42 July 08, 2018 2018-07-1933 CHRISTOPHER HERMINO PALILI SAMAL BATAAN 358.39 0.00 0.00 358.39 July 08, 2018 2018-07-1934 MENARD CASTILLO SISIMAN MARIVELES BATAAN 268.93 1,110.00 0.00 1,378.93 July 08, 2018 2018-07-1935 GILDA DE LARA DAAN PARE ORION BATAAN 0.00 146.43 2,437.61 2,584.04 July 08, 2018 2018-07-1936 IRENE PAYAD PARANG BAGAC BATAAN 0.00 340.00 0.00 340.00 July 09, 2018 2018-07-1937 VIRGINIA OCAY STA. ROSA PILAR BATAAN 3,505.67 1,494.33 0.00 5,000.00

July 09, 2018 2018-07-1938 CRISTINA MARIANO SITIO CLOVER UPPER TUYO BALANGA CITY 0.00 500.00 0.00 500.00

July 09, 2018 2018-07-1939 RAYSHA ANN GARCIA TERECE MARTIREZ WAWA ORANI BATAAN 75,000.00 0.00 0.00 75,000.00 July 09, 2018 2018-07-1940 JOY MARIE ISIDRO STO. DOMINGO ORION BATAAN 0.00 1,000.00 0.00 1,000.00 July 09, 2018 2018-07-1941 JENALYN ESTRELLA CUPANG PROPER BALANGA CTIY 1,619.72 0.00 0.00 1,619.72 July 09, 2018 2018-07-1942 MARICAR CARAGAY LARA ST. WAWA ABUCAY BATAAN 0.00 300.00 0.00 300.00

July 09, 2018 2018-07-1943 DANILO CASTRO PAGALANGGANG DINALUPIHAN BATAAN 3,192.31 3,800.00 4,007.69 11,000.00 July 09, 2018 2018-07-1944 PEPITO SEVILLA DOÑA ORANI BATAAN 144.86 3,900.00 0.00 4,044.86 July 09, 2018 2018-07-1945 NATHAN EUGENIO ALA-ULI PILAR BATAAN 0.00 300.00 0.00 300.00 July 09, 2018 2018-07-1946 BERNADETTE YUGA JRC MANDAMA HERMOSA BATAAN 23.80 665.00 68.57 757.37 July 09, 2018 2018-07-1947 EMY DIWA PANDATUNG HERMOSA BATAAN 0.00 1,000.00 0.00 1,000.00 July 09, 2018 2018-07-1948 MA. MONICA TOLENTINO PUKSUAN ORANI BATAAN 1,166.19 8,833.81 0.00 10,000.00

July 09, 2018 2018-07-1949 ALFREDO LIBANAN SITIO LIBANAN MT. VIEW MARIVELES BATAAN 2,538.69 12,760.29 0.00 15,298.98 July 09, 2018 2018-07-1950 JAY MARK BESOÑA BALUT I PILAR BATAAN 0.00 520.00 0.00 520.00 July 09, 2018 2018-07-1951 REBECCA GORDO ALANGAN LIMAY BATAAN 0.00 300.00 0.00 300.00 July 09, 2018 2018-07-1952 JOHN ALBERT CUARESMA JR. CUPANG PROPER BALANGA CTIY 474.50 0.00 0.00 474.50 July 09, 2018 2018-07-1953 RASHLIE SARAZA PALIHAN ORANI BATAAN 374.50 0.00 0.00 374.50

July 09, 2018 2018-07-1954 BERNADETH SAMAR SITIO MALAKING BATO MABATANG ABUCAY BATAAN 0.00 670.00 0.00 670.00 July 09, 2018 2018-07-1955 ARMIDA LADAO CRUSHER SITE LAMAO LIMAY BATAAN 0.00 700.00 0.00 700.00 July 09, 2018 2018-07-436-D ALLAN MIRASOL MT. VIEW MARIVELES BATAAN 0.00 1,000.00 0.00 1,000.00

July 09, 2018 2018-07-1956 EDUARDO SAMONTE JR. AGKAWAN SISIMAN MARIVELES BATAAN 0.00 500.00 0.00 500.00 July 09, 2018 2018-07-1957 MYRNA NARCISO IBIS BAGAC BATAAN 0.00 1,000.00 0.00 1,000.00 July 09, 2018 2018-07-1958 HERMINIO DAVID JR. TALISAY BALANGA CITY 0.00 840.15 0.00 840.15 July 09, 2018 2018-07-1494-C MARVIE TAPNIO LUCANIN MARIVELES BATAAN 0.00 1,350.00 0.00 1,350.00 July 09, 2018 2018-07-1299-B LORENA ALCANTARA DEL ROSARIO PILAR BATAAN 1,235.02 170.00 0.00 1,405.02 July 09, 2018 2018-07-1959 DELIA ATON ALAS-ASIN MARIVELES BATAAN 0.00 350.00 0.00 350.00 July 09, 2018 2018-07-1960 TRIXIE MAE ALCANTARA CABOG-CABOG BALANGA CITY 0.00 320.00 0.00 320.00 July 09, 2018 2018-07-1961 ROMUALDO MORADA SALIAN ABUCAY BATAAN 700.00 0.00 0.00 700.00 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory, TOTAL NAME ADDRESS PREPARED NUMBER Drugs and Dental & Hospital ASSISTANCE Med diagnostic Fees procedures

July 09, 2018 2018-07-1962 ELIZABETH BANTUCAN CATANING BALANGA CITY 187.29 3,750.00 1,062.71 5,000.00

July 09, 2018 2018-07-1963 JOVEN REYES PUROK I STO. NIÑO DINAPULIHAN BATAAN 945.74 0.00 0.00 945.74 July 09, 2018 2018-07-1964 ENRIQUETA GONZALES CABCABEN MARIVELES BATAAN 0.00 1,420.00 0.00 1,420.00 July 09, 2018 2018-07-1965 JOHNREX CARANZA DANGCOL BALANGA CITY 0.00 400.00 0.00 400.00

July 09, 2018 2018-07-1966 JENELYN LUNA 577 BLK 12 PLAZA NAT'L RD SAN ISIDRO MARIVELES BATAAN 474.50 0.00 0.00 474.50 July 09, 2018 2018-07-1967 JEWEL JOY PAGDAYUNAN BALON ANITO MARIVELES BATAAN 474.50 0.00 0.00 474.50 July 10, 2018 2018-07-1968 RONALD CANTERO PARANG BAGAC BATAAN 13,563.27 9,336.73 0.00 22,900.00 July 10, 2018 2018-07-1969 ANJENETH BALLA REFORMISTA LIMAY BATAAN 0.00 670.00 0.00 670.00 July 10, 2018 2018-07-1549-A VIOLETA SOMO BLVD. LAMAO LIMAY BATAAN 1,511.86 10,394.16 0.00 11,906.02 July 10, 2018 2018-07-1970 ANGELO SABADO BAYAN ORANI BATAAN 265.00 0.00 0.00 265.00 July 10, 2018 2018-07-1971 MA. THERESA LOPEZ ALA-ULI PILAR BATAAN 0.00 400.00 0.00 400.00 July 10, 2018 2018-07-1972 CJ LAWRENCE URBANO BLISS BAGONG SILANG BALANGA CITY 0.00 300.00 0.00 300.00 July 10, 2018 2018-07-1973 JELIANNE DANCALAN POBLACION MARIVELES BATAAN 0.00 300.00 0.00 300.00 July 10, 2018 2018-07-1974 MYRNA SALAZAR ALA-ULI PILAR BATAAN 0.00 700.00 0.00 700.00 July 10, 2018 2018-07-1975 CORAZON RENTON 76 MEDINA ST. BILOLO ORION BATAAN 0.00 422.51 0.00 422.51 July 10, 2018 2018-07-1976 ERNESTO MAMALATEO JR. CALAYLAYAN ABUCAY BATAAN 0.00 1,253.12 0.00 1,253.12 July 10, 2018 2018-07-1977 MA. CORAZON MAGAT A. RIVERA HERMOSA BATAAN 0.00 650.00 450.00 1,100.00 July 10, 2018 2018-07-1978 ERLINDA MATURGO BAGONG SILANG BALANGA CITY 0.00 590.00 0.00 590.00 July 10, 2018 2018-07-1979 AILE REGIO GEN. LIM ORION BATAAN 195.94 500.00 28.57 724.51 July 10, 2018 2018-07-1980 ALFREDO CATANGHAL LALAWIGAN SAMAL BATAAN 0.00 1,548.80 0.00 1,548.80 July 10, 2018 2018-07-1981 MARILYN BARTAL CENTRAL BALANGA CITY 0.00 900.00 0.00 900.00 July 10, 2018 2018-07-1982 JOCELYN DE LEON BALUT II ORION BATAAN 0.00 2,800.00 0.00 2,800.00 July 10, 2018 2018-07-1659-B EDEN DELA CRUZ OMBOY ABUCAY BATAAN 987.00 0.00 0.00 987.00

July 10, 2018 2018-07-1983 AVEGAIL GALANTO D. REYES PAG-ASA ST. LAMAO LIMAY BATAAN 0.00 500.00 0.00 500.00 July 10, 2018 2018-07-843-B JUANITO GALVEZ CULIS HERMOSA BATAAN 0.00 950.40 0.00 950.40 July 10, 2018 2018-07-1984 MARICRIS SISON 60 CUPANG WEST BALANGA CITY 0.00 2,102.66 0.00 2,102.66 July 10, 2018 2018-07-1985 MARY GRACE VELASCO DAAN PARE ORION BATAAN 0.00 370.00 0.00 370.00 July 10, 2018 2018-07-1986 RENZ ISAIAH TOLEDO PARANG BAGAC BATAAN 0.00 540.00 0.00 540.00 July 10, 2018 2018-07-1987 DESIREE RAMIREZ A. BANZON IBAYO BALANGA CITY 0.00 370.00 0.00 370.00 July 10, 2018 2018-07-1165-B ADONES LINTAG DAAN BILOLO ORION BATAAN 0.00 1,300.00 0.00 1,300.00 July 10, 2018 2018-07-1808-A ANTHONY MACAM KATAASAN DINALUPIHAN BATAAN 0.00 0.00 2,368.77 2,368.77 July 10, 2018 2018-07-1988 CHERRY ANN LEAÑO SIBACAN BALANGA CITY 0.00 590.00 0.00 590.00 July 10, 2018 2018-07-1989 BOBBY SANTIAGO CATANING HERMOSA BATAAN 0.00 420.00 0.00 420.00

July 10, 2018 2018-07-1990 RAMON BAGSIC LOOC ST. CABCABEN MARIVELES BATAAN 0.00 2,270.00 0.00 2,270.00 July 10, 2018 2018-07-740-C DIVINE MARY BORGUETA SAN JOSE BALANGA CITY 0.00 730.00 0.00 730.00

July 11, 2018 2018-07-1991 EDNA JACOB 9 NAVAL ST. CUPANG PROPER BALANGA CITY 0.00 590.00 0.00 590.00 July 11, 2018 2018-07-1992 SOCORRO ARELLANO TENEJERO BALANGA CITY 0.00 900.00 0.00 900.00 July 11, 2018 2018-07-1993 LYNYRD PAGUIO LOBRE ST. ST. FRANCIS I LIMAY BATAAN 362.83 0.00 0.00 362.83 July 11, 2018 2018-07-1994 SHARON BALO MARIVELES MENTAL HEALTH 0.00 2,800.00 0.00 2,800.00 July 11, 2018 2018-07-1995 ALVIN SALVADOR ALAS-ASIN MARIVELES BATAAN 0.00 300.00 0.00 300.00 July 11, 2018 2018-07-1491-A MELITO CAMAING TENEJERO BALANGA CITY 0.00 780.00 0.00 780.00 July 11, 2018 2018-07-002-G ANDREW JAMES LINTAG BAYAN ORANI BATAAN 0.00 2,200.00 0.00 2,200.00

July 11, 2018 2018-07-1851-A JERKS CAYRONE RAMOS DEL ROSARIO TOWNSITE LIMAY BATAAN 474.50 0.00 0.00 474.50

July 11, 2018 2018-07-1996 MARIA LUISA REYES PIGEON ST. LA KATRINA DFS BALANGA CITY 0.00 750.00 0.00 750.00 July 11, 2018 2018-07-082-E MARITESS SULIT WAWA ABUCAY BATAAN 3,136.50 0.00 0.00 3,136.50 July 11, 2018 2018-07-1997 ABNER MARASIGAN POBLACION MORONG BATAAN 0.00 500.00 0.00 500.00 July 11, 2018 2018-07-1998 DUIANE POE ALABA CATANING BALANGA CITY 0.00 445.00 0.00 445.00 July 11, 2018 2018-07-1999 FRANQUELINA SALENGA TAPULAO ORANI BATAAN 474.50 0.00 0.00 474.50 July 11, 2018 2018-07-2000 NOEL LEBECO LAMAO LIMAY BATAAN 0.00 1,050.00 0.00 1,050.00 July 11, 2018 2018-07-2001 KEVIN MALANUM JR. BALON ANITO MARIVELES BATAAN 4,014.07 13,650.00 8,724.22 26,388.29 July 11, 2018 2018-07-2002 LORAINE JADE RAMIREZ CENTRO COLO DINALUPIHAN BATAAN 0.00 2,061.61 0.00 2,061.61 July 11, 2018 2018-07-2003 FAITH CABIGAN PARANG BAGAC BATAAN 0.00 800.00 0.00 800.00 July 11, 2018 2018-07-2004 FELIZA DONES CABCABEN MARIVELES BATAAN 0.00 850.00 0.00 850.00

July 11, 2018 2018-07-2005 RAMON FERNANDO 247 MACAPAGAL ST. BO. LUZ LIMAY BATAAN 739.25 4,230.00 136.16 5,105.41 July 11, 2018 2018-07-662-C KENT BO JR. CALERO ORANI BATAAN 0.00 5,500.00 0.00 5,500.00 July 11, 2018 2018-07-2006 MARK JUN AYSON BILOLO ORION BATAAN 0.00 370.00 0.00 370.00 July 11, 2018 2018-07-2007 MICHAEL ROY HERMO PAG-ASA ORION BATAAN 0.00 370.00 0.00 370.00 July 11, 2018 2018-07-623-A NENA DANGO KAWAYAN TUGATOG ORANI BATAAN 10,000.00 0.00 0.00 10,000.00 July 11, 2018 2018-07-2008 SHERYLL RONQUILLO STO. NIÑO DINALUPIHAN BATAAN 61.40 0.00 0.00 61.40 July 11, 2018 2018-07-2009 UNICE DAVID PARAISO ORANI BATAAN 0.00 1,520.00 0.00 1,520.00 July 11, 2018 2018-07-2010 LEA KATRINA PANTALEON MUNTING BATANGAS BALANGA CITY 0.00 970.00 0.00 970.00 July 11, 2018 2018-07-2011 PATRICK DELA CRUZ CULIS HERMOSA BATAAN 0.00 2,200.00 0.00 2,200.00 July 11, 2018 2018-07-2012 JOHN CHOLO TUMBOKON TALISAY BALANGA CITY 274.50 0.00 0.00 274.50 July 11, 2018 2018-07-2013 KAREN RODRIGO ST. FRANCIS I LIMAY BATAAN 0.00 420.00 0.00 420.00 July 12, 2018 2018-07-2014 DIWELLY ANGEL DIMAYUGA PARANG BAGAC BATAAN 0.00 2,650.00 2,350.00 5,000.00 July 13, 2018 2018-07-1350-H EDEN CRUZ CULIS HERMOSA BATAAN 231.62 0.00 0.00 231.62 July 16, 2018 2018-07-2015 FLORENTINO VENEGAS LATI ORION BATAAN 4,327.27 4,100.67 0.00 8,427.94 July 18, 2018 2018-07-2016 ROWEL CASTAÑEDA LAMAO LIMAY BATAAN 144.52 150.00 0.00 294.52 July 18, 2018 2018-07-2017 ROBERT LAYSON PTO. RIVAS IBABA BALANGA CITY 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 18, 2018 2018-07-2018 CARMELA VALENTON BILOLO ORION BATAAN 0.00 650.00 0.00 650.00 July 18, 2018 2018-07-2019 MINDA BENDITA ALA-ULI PILAR BATAAN 380.50 0.00 0.00 380.50

July 18, 2018 2018-07-2020 MICHAEL DE CASTRO 50 JAINA ST. CUPANG PROPER BALANGA CITY 0.00 1,350.00 0.00 1,350.00

July 19, 2018 2018-07-2021 MARIA LINDA RODRIGUEZ PASCUAL ST. LUSUNGAN ORION BATAAN 0.00 700.00 57.14 757.14 July 19, 2018 2018-07-2022 CLARISSA CINIO UPPER DUALE LIMAY BATAAN 76.11 150.00 0.00 226.11

July 19, 2018 2018-07-2023 CARMEN RIVERA 307 DAMPALIT TAPULAO ORANI BATAAN 1,293.10 0.00 0.00 1,293.10 July 19, 2018 2018-07-2024 MA. CARMEN LAZARO GEN. LIM ORION BATAAN 0.00 500.00 0.00 500.00 July 19, 2018 2018-07-2025 ANALISSA BAUTISTA TORRES DINALUPIHAN BATAAN 0.00 1,000.00 0.00 1,000.00 July 19, 2018 2018-07-2026 CRISANTA AGULTO 317 MA. FE ORANI BATAAN 9,565.50 0.00 0.00 9,565.50 July 19, 2018 2018-07-2027 KATHREEN ANDRADA MARIVELES MENTAL HEALTH 0.00 350.00 0.00 350.00

July 19, 2018 2018-07-2028 JUSTINE APOSTOL 136 ILANG-ILANG ST. BAGONG SILANG BALANGA CITY 0.00 600.00 0.00 600.00 July 20, 2018 2018-07-2029 PRECIOUS LEI ECHAVARIA ALION MARIVELES BATAAN 0.00 1,050.00 0.00 1,050.00 July 20, 2018 2018-06-1372-A JOCELYN MADRIAGA IBAYO BALANGA CITY 0.00 542.08 0.00 542.08 July 20, 2018 2018-07-2030 ALYSSA MARIE QUEZON BAGUMBAYAN ORION BATAAN 0.00 300.00 0.00 300.00

July 20, 2018 2018-07-2031 LHEN JANE CUENCO 326 ESTEBAN ST. CENTRAL BALANGA CITY 0.00 800.00 0.00 800.00 July 19, 2018 2018-07-2032 ZHIELA YVONNE AGUSTIN BURGOS HERMOSA BATAAN 0.00 790.00 0.00 790.00 July 19, 2018 2018-07-2033 NADELYN ZAPANTA TOWNSITE LIMAY BATAAN 0.00 1,150.00 0.00 1,150.00 July 19, 2018 2018-07-2034 THELMA MUNOZ LAON ABUCAY BATAAN 0.00 1,548.80 0.00 1,548.80 July 19, 2018 2018-07-2035 FLORENCIA OCBIAN BAYAN ORANI BATAAN 0.00 780.00 0.00 780.00 July 19, 2018 2018-07-2036 ROMEL MENDOZA CATANING BALANGA CITY 0.00 1,250.00 0.00 1,250.00 July 19, 2018 2018-07-2037 DELIA GUTTANG TALIMUNDOC ORANI BATAAN 0.00 500.00 0.00 500.00 July 19, 2018 2018-07-2038 REMEGIO ENRIQUEZ DAAN PARE ORION BATAAN 0.00 840.00 0.00 840.00 July 19, 2018 2018-07-2039 GRADY RUI TRIA GABON ABUCAY BATAAN 0.00 1,850.00 150.00 2,000.00 July 19, 2018 2018-07-2040 SHIELA SANTIAGO BASECO COUNTRY MARIVELES BATAAN 2,547.32 154.43 298.25 3,000.00 July 19, 2018 2018-07-2041 REMEGIO MACALALAG CENTRAL BALANGA CITY 837.35 970.00 201.53 2,008.88 July 20, 2018 2018-07-2042 MACY VILLANUEVA DEL ROSARIO SAMAL BATAAN 0.00 360.00 0.00 360.00 July 20, 2018 2018-07-117-F BENRONDIO JUNGAY MT. VIEW MARIVELES BATAAN 0.00 800.00 0.00 800.00 July 20, 2018 2018-07-2043 ELIZABETH PICARDAL SITIO BANLIC SAN JUAN SAMAL BATAAN 0.00 880.00 0.00 880.00 July 20, 2018 2018-07-368-G MARY JANE SAMSON LAON ABUCAY BATAAN 0.00 10,000.00 0.00 10,000.00 July 20, 2018 2018-07-1350-I EDEN CRUZ CULIS HERMOSA BATAAN 231.62 0.00 0.00 231.62 July 20, 2018 2018-07-2044 ROGELIO FLORES 36 SIMSON ST. GORDON OLONGAPO 16.33 2,750.00 0.00 2,766.33 July 20, 2018 2018-07-2045 ELIZABETH ESCOLLANTE ALMACEN HERMOSA BATAAN 0.00 850.00 0.00 850.00 July 20, 2018 2018-07-2046 ARIANE JIEWEL SAPNO HAPPY VALLEY DINALUPIHAN BATAAN 1,830.34 1,161.60 93.38 3,085.32 July 20, 2018 2018-07-2047 JECEIL REALO PANILAO PILAR BATAAN 0.00 350.00 0.00 350.00

July 20, 2018 2018-07-2048 IRENE SUMARIA CENTRO I BATANGAS II MARIVELES BATAAN 0.00 530.00 0.00 530.00 July 08, 2018 2018-07-2049 RENNIAN KING MANAYUBA DUALE LIMAY BATAAN 552.14 0.00 0.00 552.14 July 10, 2018 2018-07-2050 DONITA OÑO ALAS-ASIN MARIVELES BATAAN 0.00 670.00 0.00 670.00

July 11, 2018 2018-07-2051 DOMINADOR MATEO JR. DEL ROSARIO ST. PTO. RIVAS BALANGA CITY 462.81 480.00 57.14 999.95

July 11, 2018 2018-07-2052 BERNABE CASUELA SITIO STO. NIÑO ST. FRANCIS II LIMAY BATAAN 373.08 0.00 0.00 373.08

July 11, 2018 2018-07-2053 RICA EXTRIMADORA SITIO PAG-ASA CAMAYA MARIVELES BATAAN 0.00 0.00 1,565.91 1,565.91 July 11, 2018 2018-07-2054 CARISALYN ENRIQUEZ MOLAVE ST. PANILAO PILAR BATAAN 0.00 350.00 0.00 350.00 July 11, 2018 2018-07-2055 ARLENE NITURA POBLACION MARIVELES BATAAN 300.00 0.00 0.00 300.00 July 11, 2018 2018-07-2056 DIOSDADO BASILIO NAGWALING PILAR BATAAN 0.00 1,971.20 0.00 1,971.20 July 11, 2018 2018-07-2057 JUDY PAYANG BAMBAN HERMOSA BATAAN 733.90 0.00 0.00 733.90

July 11, 2018 2018-07-2058 CAIRO JOHANNE DIWA BATUNGBAKAL ST. TENEJERO BALANGA CITY 1,939.31 3,060.69 0.00 5,000.00 July 12, 2018 2018-07-2059 EMILY MALLARI MANDURAY HERMOSA BATAAN 0.00 500.00 0.00 500.00 July 12, 2018 2018-07-2060 ESTELA VALENCIA WAWA ABUCAY BATAAN 1,026.27 3,973.73 0.00 5,000.00 July 12, 2018 2018-07-2061 FRANCISCO RODRIGUEZ JR. SAN PEDRO HERMOSA BATAAN 0.00 2,800.00 200.00 3,000.00 July 12, 2018 2018-07-2062 NORLYN BARTAL CENTRAL BALANGA CITY 0.00 600.00 0.00 600.00 July 12, 2018 2018-07-2063 MANRIQUE ARCEBIDO TORTUGAS BALANGA CITY 0.00 300.00 0.00 300.00 July 12, 2018 2018-07-2064 SONNY NOVICIO TENEJERO BALANGA CITY 976.93 150.00 173.28 1,300.21

July 12, 2018 2018-07-2065 ROSE ANN BEATO 309 DOMINGUEZ ST. MABATANG ABUCAY BATAAN 0.00 700.00 0.00 700.00 July 12, 2018 2018-07-2066 SALVADOR DELA FUENTE JR. ADAMSON GUGO SAMAL BATAAN 0.00 1,500.00 0.00 1,500.00 July 12, 2018 2018-07-2067 ARNEL NATIVIDAD BANTAN MUNTI PILAR BATAAN 0.00 300.00 0.00 300.00 July 12, 2018 2018-07-2068 MARDIE TRINIDAD STO. DOMINGO ORION BATAAN 0.00 300.00 0.00 300.00 July 12, 2018 2018-07-2069 JONAS GUTIERREZ ST. FRANCIS I LIMAY BATAAN 474.50 0.00 0.00 474.50 July 12, 2018 2018-07-2070 JERCY OBON WAWA ABUCAY BATAAN 5,000.00 0.00 0.00 5,000.00

July 12, 2018 2018-07-2071 CATHERINE MABULA 4-115 ZONE IV CAMAYA MARIVELES BATAAN 0.00 1,146.29 291.82 1,438.11 July 12, 2018 2018-07-2072 GILDA MONTA CAMACHILE ORION BATAAN 0.00 1,150.00 0.00 1,150.00 July 12, 2018 2018-07-2073 BRIXSON CERALDE MA. FE ORANI BATAAN 0.00 540.00 0.00 540.00 July 12, 2018 2018-07-2074 KYLE PUNZALAN PUROK III BALSIK HERMOSA BATAAN 329.00 0.00 0.00 329.00 July 12, 2018 2018-07-2075 JULIA ROBLES 52 JAENA ST. CUPANG BALANGA CITY 0.00 1,030.00 0.00 1,030.00

July 12, 2018 2018-07-2076 BERNADETTE VERGARA 293 MAGSAYSAY ST. SAN JOSE BALANGA CITY 0.00 1,530.00 0.00 1,530.00 July 12, 2018 2018-07-2077 ANTONIO CARABEO 524 KAWAYAN ORANI BATAAN 0.00 13,084.22 3,307.88 16,392.10

July 12, 2018 2018-07-2078 VICTORIA STA. ANA SITIO BACAWAN WAWA ABUCAY BATAAN 134.72 2,140.00 0.00 2,274.72

July 12, 2018 2018-07-2079 LUCIA BRANZUELA MAHARLIKA ST. ALAS-ASIN MARIVELES BATAAN 0.00 430.00 0.00 430.00

July 13, 2018 2018-07-2080 JESUS UMAHON 36 SAN VICENTE ST. CUPANG PROPER BALANGA CITY 0.00 1,072.00 0.00 1,072.00 July 13, 2018 2018-07-2055-A ARLENE NITURA POBLACION MARIVELES BATAAN 200.00 0.00 0.00 200.00 July 13, 2018 2018-07-2081 PABLO TERRE BINUANGAN BAGAC BATAAN 0.00 748.80 0.00 748.80 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory, TOTAL NAME ADDRESS PREPARED NUMBER Drugs and Dental & Hospital ASSISTANCE Med diagnostic Fees procedures

July 13, 2018 2018-07-2082 ANACITA YANDOC MAMBOG MANDAMA HERMOSA BATAAN 0.00 550.40 0.00 550.40 July 13, 2018 2018-07-2083 SEDRICK SAPURNA MARSTEEL ST. ALANGAN LIMAY BATAAN 0.00 600.00 0.00 600.00 July 13, 2018 2018-07-1999-A FRANQUELINA SALENGA TAPULAO ORANI BATAAN 474.50 0.00 0.00 474.50 July 13, 2018 2018-07-2084 KATARINA LLAE SANTOS PANTALAN LUMA ORANI BATAAN 474.50 0.00 0.00 474.50 July 13, 2018 2018-07-2085 AISA SALAMAT MIRAY CATANING BALANGA CITY 0.00 320.00 0.00 320.00

July 13, 2018 2018-07-2086 JENNIFER BARTOLOME 169 ILANG-ILANG BAGONG SILANG BALANGA CITY 0.00 470.00 0.00 470.00 July 13, 2018 2018-07-2087 AUBREY JAMES ARRIOLA ZAMORA ST. POBLACION PILAR BATAAN 5,655.33 6,470.00 3,679.80 15,805.13 July 13, 2018 2018-07-2088 ROBERTO VILLARBA MARIVELES MENTAL HEALTH 0.00 550.00 0.00 550.00 July 13, 2018 2018-07-2089 AISEYAH ELISSE MANANSALA STO. DOMINGO ORION BATAAN 0.00 300.00 201.91 501.91

July 13, 2018 2018-07-2090 JENNE VARGAS STA. MONICA CABCABEN MARIVELES BATAAN 0.00 2,670.00 330.00 3,000.00 July 13, 2018 2018-07-2091 ANGELINE BRILLANTE STA. ROSA PILAR BATAAN 0.00 200.00 214.53 414.53 July 13, 2018 2018-07-2092 DOMINADOR LIPOMANO JR. CAMAYA MARIVELES BATAAN 0.00 600.00 0.00 600.00 July 13, 2018 2018-07-2093 LOLITA PAGUIO LAMAO LIMAY BATAAN 364.29 0.00 0.00 364.29 July 13, 2018 2018-07-2094 DAVE MARGEN 369 GABON ABUCAY BATAAN 473.81 670.00 60.67 1,204.48 July 13, 2018 2018-07-002-H ANDREW JAMES LINTAG BAYAN ORANI BATAAN 17,544.50 0.00 851.55 18,396.05 July 13, 2018 2018-07-2095 SALVADOR ROMUALDO NAGWALING PILAR BATAAN 0.00 2,630.00 0.00 2,630.00 July 13, 2018 2018-07-2096 ANACITA REYES PTO. RIVAS IBABA BALANGA CITY 0.00 410.00 0.00 410.00

July 13, 2018 2018-07-2097 SYLVIA ESCONDE TOREMENTO ST. PANTALAN LUMA ORANI BATAAN 300.00 400.00 0.00 700.00 July 13, 2018 2018-07-1429-A EFREN GANTIGA BAYAN ORANI BATAAN 0.00 1,425.71 0.00 1,425.71 July 13, 2018 2018-07-2098 JHONRE CABALUNA WAWA ABUCAY BATAAN 592.85 0.00 0.00 592.85 July 13, 2018 2018-07-2099 LILIBETH ANGELES WAWA ABUCAY BATAAN 0.00 570.00 0.00 570.00 July 13, 2018 2018-07-603-E SOLEDAD SALVACION BAGUMBAYAN BAGAC BATAAN 23,444.81 2,100.00 392.54 25,937.35 July 13, 2018 2018-07-2100 MANNILYN SAMAR OLD ALION MARIVELES BATAAN 0.00 700.00 0.00 700.00 July 13, 2018 2018-07-1015-A MA. VICTORIA DALUMPINES CATANING BALANGA CITY 0.00 1,740.00 0.00 1,740.00 July 13, 2018 2018-07-2101 MELLIE GUINA CALUNGUSAN ORION BATAAN 206.43 91.52 0.00 297.95 July 13, 2018 2018-07-2102 VIRGILIO MARTINEZ JR. SUMALO HERMOSA BATAAN 3,187.31 1,400.00 165.20 4,752.51 July 13, 2018 2018-07-2103 SNOOKY PABALATE CATANING HERMOSA BATAAN 0.00 500.00 0.00 500.00

July 14, 2018 2018-07-2104 DAVID JOSHUA SABINO 13 PANGANIBAN ST. LATI ORION BATAAN 0.00 820.00 0.00 820.00

July 14, 2018 2018-07-2105 JOHN MARK VILAN PORTO CIRCLE BALON ANITO MARIVELES BATAAN 0.00 0.00 580.94 580.94 July 14, 2018 2018-07-2106 YOLANDA PINCIL LOTE PTO. RIVAS BALANGA CITY 4,545.59 0.00 454.41 5,000.00

July 14, 2018 2018-07-2107 BERNARDO DELA PEÑA JR. SITIO NIYUGAN CUPANG PROPER BALANGA CITY 0.00 250.00 0.00 250.00 July 14, 2018 2018-07-2108 JAVIER ADRANEDA 02 STA. LUCIA SAMAL BATAAN 0.00 387.20 0.00 387.20 July 14, 2018 2018-07-1629-A RHEDA ALMAZAR BALUT PILAR BATAAN 0.00 500.00 0.00 500.00 July 14, 2018 2018-07-2109 ARNOLD DE SILVA SAPA SAMAL BATAAN 145.86 1,070.00 0.00 1,215.86 July 14, 2018 2018-07-2110 MARIA THERESA RODRIGO CAPITANGAN ABUCAY BATAAN 111.98 420.00 0.00 531.98 July 14, 2018 2018-07-2111 GLECERIO DE LUNA PUTING BUHANGIN ORION BATAAN 0.00 430.00 0.00 430.00 July 14, 2018 2018-07-2112 HERMINIA MORA BUKLAW ST. IBAYO BALANGA CITY 0.00 900.00 118.21 1,018.21 July 14, 2018 2018-07-1165-C ADONES LINTAG DAAN BILOLO ORION BATAAN 0.00 1,348.70 0.00 1,348.70

July 14, 2018 2018-07-2113 JAVIER MALIT 400 PUROK VII DAANG BAGO DINALUPIHAN BATAAN 1,456.95 1,434.15 0.00 2,891.10

July 14, 2018 2018-07-2114 FRENCESS NIKKA ACOSTA 2001 FAJARDO ST. LAMAO LIMAY BATAAN 59.15 170.00 2,418.89 2,648.04 July 14, 2018 2018-07-2115 MICHAEL BERNABE CENTRAL BALANGA CITY 0.00 470.00 0.00 470.00 July 14, 2018 2018-07-2116 JETHRO ART ONING CAMP SITE TENEJERO BALANGA CITY 125.22 130.00 0.00 255.22 July 14, 2018 2018-07-2117 RYAN CHRISTIAN DELA CRUZ LAMAO LIMAY BATAAN 0.00 0.00 980.22 980.22

July 14, 2018 2018-07-1780-C ALDRED APOSAGA 167 SORIANO DAANG BILOLO ORION BATAAN 329.00 0.00 0.00 329.00 July 14, 2018 2018-07-2008-A SHERYLL RONQUILLO STO. NIÑO DINALUPIHAN BATAAN 307.00 0.00 0.00 307.00 July 08, 2018 2018-07-2118 EUNICE MYKA BARATA 162 PTO. RIVAS IBABA BALANGA CITY 0.00 330.00 5.21 335.21 July 10, 2018 2018-07-1350-J EDEN CRUZ CULIS HERMOSA BATAAN 231.62 0.00 0.00 231.62

July 15, 2018 2018-07-2119 JAMES AURELIA SITIO TACLOBAN LUCANIN MARIVELES BATAAN 0.00 450.00 0.00 450.00 July 15, 2018 2018-07-2120 MELIZA PANTALEON TALISAY BALANGA CITY 0.00 500.00 0.00 500.00 July 15, 2018 2018-07-2121 ROSE ALBORO MALIGAYA MARIVELES BATAAN 0.00 800.00 0.00 800.00 July 15, 2018 2018-07-2122 HONEY CRISEL CARILLO ALANGAN LIMAY BATAAN 0.00 0.00 1,891.55 1,891.55 July 15, 2018 2018-07-2123 AMELIA MAGAT TALIMUNDOC ORANI BATAAN 0.00 1,250.00 0.00 1,250.00 July 15, 2018 2018-07-2124 MARICRIS PASAYLO PUROK VI IPAG MARIVELES BATAAN 0.00 2,520.16 221.61 2,741.77 July 15, 2018 2018-07-2125 DOMINIQUE OLEGARIO CUPANG PROPER BALANGA CTIY 0.00 704.00 0.00 704.00

July 15, 2018 2018-07-2126 JARED SAGUN SAN RAFAEL ST. SITIO CAMALIG TUYO BALANGA CITY 0.00 200.00 0.00 200.00 July 15, 2018 2018-07-2127 TRINIDAD LAPEDARIO GEN. LIM ORION BATAAN 402.66 0.00 0.00 402.66

July 15, 2018 2018-07-2128 ECHO AVILA QUADRO MALIGAYA MARIVELES BATAAN 0.00 450.00 0.00 450.00 July 16, 2018 2018-07-2129 WILFREDO DILIG JR. BAGONG SILANG BALANGA CITY 405.16 0.00 0.00 405.16 July 16, 2018 2018-07-2130 STEVEN BIADO OMBOY ABUCAY BATAAN 0.00 590.00 0.00 590.00 July 16, 2018 2018-07-2131 ANICITO SILDO BIAAN MARIVELES BATAAN 579.98 950.00 0.00 1,529.98 July 16, 2018 2018-07-2132 RISHIALYN SARILI BILOLO ORION BATAAN 0.00 2,200.00 0.00 2,200.00 July 16, 2018 2018-07-2133 KIMBERLY DIGNO JC PAYUMO DINALUPIHAN BATAAN 0.00 2,200.00 0.00 2,200.00 July 16, 2018 2018-07-2134 MARIO BUSTAMANTE NAGWALING PILAR BATAAN 0.00 400.00 0.00 400.00 July 16, 2018 2018-07-2135 RELIGIO DIWA PTO. RIVAS IBABA BALANGA CITY 0.00 600.15 0.00 600.15 July 16, 2018 2018-07-2136 HONEY MARIE TRASPORTE TIPO HERMOSA BATAAN 0.00 500.00 0.00 500.00 July 16, 2018 2018-07-2137 EDWIN PERAEJA LIYANG PILAR BATAAN 354.13 550.00 0.00 904.13 July 16, 2018 2018-07-2138 AILEEN CARDIÑO POBLACION MARIVELES BATAAN 0.00 900.00 0.00 900.00 July 16, 2018 2018-07-2139 DOMINADOR ARCANGEL JR. LEGUA PAG-ASA ORANI BATAAN 0.00 1,200.00 0.00 1,200.00 July 16, 2018 2018-07-2140 RENIEL PINEDA STO. DOMINGO ORION BATAAN 4,102.02 7,460.00 1,357.20 12,919.22 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory, TOTAL NAME ADDRESS PREPARED NUMBER Drugs and Dental & Hospital ASSISTANCE Med diagnostic Fees procedures

July 16, 2018 2018-07-2141 CEZAR MARTINEZ SALAZAR TUYO BALANG CITY 0.00 1,720.00 0.00 1,720.00 July 16, 2018 2018-07-2142 JULIANA BERNARDO BAGONG SILANG BALANGA CITY 0.00 1,700.00 0.00 1,700.00 July 16, 2018 2018-07-2143 ELLA REIN OLIVAR SABATAN ORION BATAAN 0.00 2,200.00 0.00 2,200.00

July 16, 2018 2018-07-2144 JHON WARREN DE GUZMAN 413 DAMPALIT II TAPULAO ORANI BATAAN 0.00 2,733.79 0.00 2,733.79 July 16, 2018 2018-07-2145 JOEY CAYETANO PTO. RIVAS IBABA BALANGA CITY 278.75 0.00 0.00 278.75 July 16, 2018 2018-07-2146 RAVENACE BALUYOT PALIHAN ORANI BATAAN 0.00 996.80 0.00 996.80 July 17, 2018 2018-07-2147 ROBERT DELA ROSA PAG-ASA ORANI BATAAN 0.00 380.00 0.00 380.00 July 17, 2018 2018-07-2148 FERDINAND GALANG APALIT PAMPANGA 474.50 0.00 0.00 474.50 July 17, 2018 2018-07-2149 ROWENA VINZON SAN JUAN SAMAL BATAAN 0.00 0.00 13,190.82 13,190.82 July 17, 2018 2018-07-2150 ISRAEL DANAN 289 TAPULAO ORANI BATAAN 1,423.50 0.00 0.00 1,423.50 July 17, 2018 2018-07-2151 JUNOH AQUINO TAPULAO ORANI BATAAN 474.50 0.00 0.00 474.50 July 17, 2018 2018-07-2152 GARY DE VERA LIGAYA ST. STA. ROSA PILAR BATAAN 0.00 700.00 0.00 700.00 July 17, 2018 2018-07-2153 REYNALDO BAGSIC WAKAS ORION BATAAN 0.00 700.00 0.00 700.00 July 17, 2018 2018-07-2154 ALILIE BOTON SITIO MATHAY TUYO BALANGA CITY 0.00 320.00 0.00 320.00 July 17, 2018 2018-07-2155 LOURDES PRUNA TABING ILOG SAMAL BATAAN 0.00 550.00 0.00 550.00

July 17, 2018 2018-07-2156 EDUARDO ECOL MABATO ST. BAGONG SILANG BALANGA CITY 0.00 1,400.00 0.00 1,400.00 July 17, 2018 2018-07-2157 MICHAEL ANGELO LORAYES CENTRAL BALANGA CITY 75.06 300.00 0.00 375.06 July 17, 2018 2018-07-2158 RIZAMAINE DELA TORRE TABING ILOG SAMAL BATAAN 201.83 300.00 0.00 501.83 July 17, 2018 2018-07-2159 REGINE MARTINEZ PANDATUNG HERMOSA BATAAN 20,000.00 0.00 0.00 20,000.00 July 17, 2018 2018-07-2160 LEONEL ATIBO BASECO MARIVELES BATAAN 474.50 0.00 0.00 474.50 July 17, 2018 2018-07-2161 CHARITO CARLOS WAWA ABUCAY BATAAN 334.05 0.00 0.00 334.05 July 17, 2018 2018-07-2162 HERNAN GUEVARRA NAGWALING PILAR BATAAN 0.00 1,120.00 0.00 1,120.00 July 17, 2018 2018-07-2093-A LOLITA PAGUIO LAMAO LIMAY BATAAN 334.05 0.00 0.00 334.05 July 17, 2018 2018-07-2163 YNIGO CLYD CALIMAG MABIGA HERMOSA BATAAN 0.00 1,000.00 0.00 1,000.00 July 17, 2018 2018-07-1659-C EDEN DELA CRUZ OMBOY ABUCAY BATAAN 987.00 0.00 0.00 987.00 July 17, 2018 2018-07-2164 TERESITA MALIBIRAN GABON ABUCAY BATAAN 987.00 0.00 0.00 987.00

July 17, 2018 2018-07-2165 LALINA VERANO SAN LORENZO CABCABEN MARIVELES BATAAN 0.00 700.00 0.00 700.00 July 17, 2018 2018-07-2166 MARIETA DELA CRUZ SABATAN ORION BATAAN 0.00 800.00 0.00 800.00 July 17, 2018 2018-07-1350-K EDEN CRUZ CULIS HERMOSA BATAAN 231.62 0.00 0.00 231.62 July 17, 2018 2018-07-2167 ALFONSO MANALANG JR. SAN RAMON DINALUPIHAN BATAAN 0.00 1,180.00 0.00 1,180.00 July 17, 2018 2018-07-2168 LYSSA MICAH SUMANDAL STA. LUCIA SAMAL BATAAN 949.00 0.00 0.00 949.00 July 17, 2018 2018-07-2169 MARIA LINDA TIOMPA BATANGAS II MARIVELES BATAAN 0.00 500.00 0.00 500.00

July 18, 2018 2018-07-2170 JEAN SANTONIA SITIO ANTIPOLO BINUKAWAN BAGAC BATAAN 150.15 620.00 229.85 1,000.00 July 18, 2018 2018-07-2171 HANNAH MARQUEZ DIWA PILAR BATAAN 0.00 530.00 0.00 530.00 July 18, 2018 2018-07-2172 JOSEPHINE PINEDA SAN ISIDRO MARIVELES BATAAN 178.41 450.00 0.00 628.41 July 18, 2018 2018-07-2173 ABEGAIL DACIGAN BAGONG SILANG BALANGA CITY 0.00 1,000.00 0.00 1,000.00 July 18, 2018 2018-07-2174 MARIO GALUPO DAAN PARE ORION BATAAN 0.00 1,000.00 0.00 1,000.00

July 18, 2018 2018-07-2175 RONALDO DISTA MANAHAN ST. TENEJERO BALANGA CITY 49.08 430.00 0.00 479.08 July 18, 2018 2018-07-2176 ROSE MINDA VILLENA LARA ST. WAWA ABUCAY BATAAN 0.00 500.00 0.00 500.00 July 18, 2018 2018-07-2177 RAINE CLARIZE BUNGAT WAWA ABUCAY BATAAN 1,466.46 0.00 0.00 1,466.46 July 19, 2018 2018-07-2178 CAYETANO DE GUIA WAWA PILAR BATAAN 215.50 250.00 0.00 465.50 July 19, 2018 2018-07-2179 LIGAYA DELA CRUZ SACRIFICE VALLEY HERMOSA BATAAN 0.00 200.00 0.00 200.00 July 20, 2018 2018-07-2180 RHAN AVENEER LAMBO STA. ROSA PILAR BATAAN 657.98 0.00 342.01 999.99 July 20, 2018 2018-07-2181 MELANIE ROMERO 0103 ST. FRANCIS II LIMAY BATAAN 0.00 0.00 1,796.21 1,796.21 July 20, 2018 2018-07-2182 HARRIS JHON ABALITA ALAS-ASIN MARIVELES BATAAN 817.28 0.00 0.00 817.28 July 20, 2018 2018-07-2183 ANTONIO DE VERA ST. FRANCIS II LIMAY BATAAN 0.00 500.00 0.00 500.00

July 20, 2018 2018-07-2184 JHON CYVERR ESPINOSA SITIO TACLOBAN LUCANIN MARIVELES BATAAN 0.00 730.00 0.00 730.00 July 20, 2018 2018-07-2185 LORENA LLAMADO HIGHWAY TUYO BALANGA CITY 0.00 370.00 0.00 370.00

July 20, 2018 2018-07-2186 CARMELA DIEGO MARCOS ST. BO. CENTRAL BALANGA CITY 0.00 1,130.00 0.00 1,130.00 July 20, 2018 2018-07-2187 DIWATA GARCIA NEW SAN JOSE DINALUPIHAN BATAAN 4,728.86 6,670.00 2,387.14 13,786.00 July 20, 2018 2018-07-2188 ANNALIZA BARONDA TOWNSITE MARIVELES BATAAN 0.00 1,500.00 0.00 1,500.00 July 20, 2018 2018-07-2189 ASNOR ABOLAIS CAMAYA MARIVELES BATAAN 371.21 4,020.00 3,188.77 7,579.98 July 20, 2018 2018-07-2190 ADRIAN CORONEL WAWA PILAR BATAAN 0.00 750.00 0.00 750.00

July 20, 2018 2018-07-2191 DOMINGA TANG-O KAPIHAN CUPANG PROPER BALANGA CITY 0.00 391.36 0.00 391.36 July 20, 2018 2018-07-2192 ALKHIEN JAMES PAMINTUAN BACONG HERMOSA BATAAN 276.54 0.00 0.00 276.54 July 20, 2018 2018-07-2193 JULLIANA BACDAYAN SABATAN ORION BATAAN 0.00 500.00 0.00 500.00 July 21, 2018 2018-07-2194 WILLIAM DELA CRUZ STA. ROSA PILAR BATAAN 0.00 600.00 0.00 600.00 July 21, 2018 2018-07-2195 JOHN KEVIN IJAN IBAYO BALANGA CITY 0.00 913.21 0.00 913.21 July 21, 2018 2018-07-2196 MARISSA SANTOS DOÑA FRANCISCA BALANGA CITY 50.68 1,450.00 0.00 1,500.68 July 21, 2018 2018-07-2197 KING ALLAN ODOVER UPPER TUYO BALANGA CITY 0.00 950.00 0.00 950.00 July 21, 2018 2018-07-2198 MA. MAGDALENA CAYUBIT SACRIFICE VALLEY HERMOSA BATAAN 16.50 1,070.00 0.00 1,086.50 July 21, 2018 2018-07-2199 JEAN LAIZA RUFO SAMIRAY ST. CATANING BALANGA CITY 0.00 770.00 0.00 770.00 July 21, 2018 2018-07-2200 VIOLY VERACES CENTRAL BALANGA CITY 0.00 543.27 156.73 700.00 July 21, 2018 2018-07-2201 ALBERT OCDEN SAN JOSE BALANGA CITY 0.00 480.00 17.86 497.86 July 21, 2018 2018-07-2202 MIGGY DE LARA TORTUGAS BALANGA CITY 0.00 600.00 0.00 600.00 July 21, 2018 2018-07-2203 JOVIREECE TUÑACAO GEN. LIM ORION BATAAN 0.00 700.00 0.00 700.00 July 21, 2018 2018-07-2204 RHISSIA VERGARA BALAGTAS ORION BATAAN 1,028.88 1,200.00 221.29 2,450.17 July 21, 2018 2018-07-2205 TERESITA MENDOZA TAPULAO ORANI BATAAN 1,797.43 2,157.55 0.00 3,954.98 July 21, 2018 2018-07-2206 KIANNA CASSANRA BERIÑO ST. FRANCIS II LIMAY BATAAN 930.53 0.00 69.47 1,000.00 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory, TOTAL NAME ADDRESS PREPARED NUMBER Drugs and Dental & Hospital ASSISTANCE Med diagnostic Fees procedures

July 21, 2018 2018-07-845-B EDUARDO MARTIN BAGUMBAYAN BALANGA CITY 0.00 1,000.00 0.00 1,000.00 July 21, 2018 2018-07-2207 JADE TALASTAS BANI CATANING BALANGA CITY 0.00 300.00 0.00 300.00 July 21, 2018 2018-07-2208 WILMA AQUINO MULAWIN ORANI BATAAN 0.00 1,170.00 0.00 1,170.00

July 22, 2018 2018-07-2209 FELIX CASIDO NO. 64 CENTRAL CUPANG BALANGA CITY 412.17 249.83 0.00 662.00 July 22, 2018 2018-07-2210 RONNIE METRO PUTING BUHANGIN ORION BATAAN 293.96 0.00 0.00 293.96 July 22, 2018 2018-07-1808-B ANTHONY MACAM KATAASAN DINALUPIHAN BATAAN 0.00 600.00 0.00 600.00 July 22, 2018 2018-07-2211 FRANCIS FERNANDO LAMAO LIMAY BATAAN 428.75 700.00 0.00 1,128.75 July 22, 2018 2018-07-2212 DOLORES SAN MIGUEL 0552 ROQUE ST. LAMAO LIMAY BATAAN 0.00 330.00 0.00 330.00 July 27, 2018 2018-07-1350-L EDEN CRUZ CULIS HERMOSA BATAAN 231.62 0.00 0.00 231.62 July 27, 2018 2018-07-1428-A SHIELLA MAE DELA CRUZ CAMAYA MARIVELES BATAAN 0.00 0.00 15,116.73 15,116.73 July 27, 2018 2018-07-1256-B MARIVIC AUSTRIA DOÑA FRANCISCA BALANGA CITY 0.00 500.00 0.00 500.00 July 27, 2018 2018-07-2213 FRANCISCA BAUTISTA ST. FRANCIS I LIMAY BATAAN 950.67 820.00 129.33 1,900.00 July 27, 2018 2018-07-2214 MARTY CUBACUB PARANG-PARANG ORANI BATAAN 291.20 0.00 0.00 291.20 July 27, 2018 2018-07-2215 KIARAH ANNE RUBIANO MABATANG ABUCAY BATAAN 0.00 370.00 0.00 370.00 July 27, 2018 2018-07-2216 ANGEL NALUZ UPPER DANGCOL BALANGA CITY 474.50 0.00 0.00 474.50 July 27, 2018 2018-07-2217 OSCAR MENDOZA JR. SAMPALOC ST. LANDING LIMAY BATAAN 29,404.70 2,270.00 852.35 32,527.05 July 27, 2018 2018-07-2218 ERIL JOHN CAMILOTES BAGONG SILANG BALANGA CITY 5,099.92 2,970.00 41,641.08 49,711.00 July 27, 2018 2018-07-2219 RAINE AYESHA ZIA MENDOZA MAGSAYSAY LAMAO LIMAY BATAAN 0.00 0.00 3,527.66 3,527.66 July 27, 2018 2018-07-2220 BENJIE VILLANUEVA PTO. RIVAS IBABA BALANGA CITY 103.24 527.68 0.00 630.92 July 27, 2018 2018-07-2221 ENOVEHES TOLENTINO SACRIFICE VALLEY HERMOSA BATAAN 0.00 3,290.00 95.18 3,385.18 July 27, 2018 2018-07-2222 SHIELA MARIE ASIDERA PANTINGAN PILAR BATAAN 0.00 300.00 0.00 300.00 July 27, 2018 2018-07-2223 MYRNA CUEVAS DUALE LIMAY BATAAN 0.00 211.20 0.00 211.20 July 27, 2018 2018-07-2224 MAGDALENA SADIASA 111 CABCABEN MARIVELES BATAAN 374.50 0.00 0.00 374.50 July 27, 2018 2018-07-2225 MIRA FERNANDEZ ALANGAN LIMAY BATAAN 0.00 4,814.45 2,131.50 6,945.95

July 29, 2018 2018-07-829-A ELLEN ROSE FLORES 80 PUROK I MUNTING BATANGAS BALANGA CITY 0.00 400.00 0.00 400.00 July 27, 2018 2018-07-2226 LUISITO VALERIO CADRE CAMACHO BALANGA CITY 517.32 0.00 0.00 517.32

July 27, 2018 2018-07-2227 MARK ANGELO SALANDANAN 677 SITIO LUMANG DAAN CAPITANGAN ABUCAY BATAAN 274.50 0.00 0.00 274.50 July 27, 2018 2018-07-2008-B SHERYLL RONQUILLO STO. NIÑO DINALUPIHAN BATAAN 307.00 0.00 0.00 307.00

July 27, 2018 2018-07-2228 BERNARDO CRUZ SR. 19 NATIONAL ROAD CABCABEN MARIVELES BATAAN 0.00 6,863.48 0.00 6,863.48 July 27, 2018 2018-07-436-E ALLAN MIRASOL MT. VIEW MARIVELES BATAAN 0.00 1,600.00 0.00 1,600.00

July 27, 2018 2018-07-2229 MANUEL MAGPANTAY SITIO PALIPARAN BATANGAS II MARIVELES BATAAN 169.00 1,780.00 0.00 1,949.00 July 27, 2018 2018-07-2230 SHALOM DRAKE MALASAN SAMPALOC STA. ROSA PILAR BATAAN 474.50 0.00 0.00 474.50

July 27, 2018 2018-07-2231 KYLE JHASPER EVANGELISTA BO. TOTO CUPANG PROPER BALANGA CITY 356.67 0.00 364.55 721.22 July 27, 2018 2018-07-2232 JOSEPHINE SUAREZ CABCABEN MARIVELES BATAAN 0.00 340.00 0.00 340.00 July 28, 2018 2018-07-2233 VALERIANO NUESTRO DAANG PARE ORION BATAAN 0.00 440.00 0.00 440.00 July 28, 2018 2018-07-2234 MARY ANN BALSITA LUMANLAN ST. PORAC PAMPANGA 0.00 400.00 0.00 400.00 July 28, 2018 2018-07-1165-D ADONES LINTAG DAAN BILOLO ORION BATAAN 0.00 1,330.67 0.00 1,330.67

July 28, 2018 2018-07-2235 EDISON PALO KAPIHAN CUPANG PROPER BALANGA CITY 217.32 0.00 0.00 217.32 July 28, 2018 2018-07-2236 JAYSON SARMIENTO MUNTING BATANGAS BALANGA CITY 325.26 620.00 478.18 1,423.44 July 28, 2018 2018-07-2237 MATT DUSTIN CRUZ WAWA PILAR BATAAN 0.00 300.00 0.00 300.00 July 28, 2018 2018-07-2238 ARNOLD MANABAT NAGKAMAYAN TUYO BALANGA CITY 0.00 3,752.42 0.00 3,752.42 July 28, 2018 2018-07-2239 MARIGOLD DE GUZMAN WAWA ABUCAY BATAAN 1,180.00 620.00 1,451.00 3,251.00 July 28, 2018 2018-07-2240 ELIZABETH MIRANDA CAMACHO BALANGA CITY BATAAN 246.00 0.00 0.00 246.00

July 28, 2018 2018-07-2241 BRIXTON CRUZ ESPERANZA SUBD. LAYA ST. POBLACION MARIVELES BATAAN 52.19 932.19 0.00 984.38 July 28, 2018 2018-07-2242 JHOMEL DUYAG 121 DAAN BAGO EAST SAMAL BATAAN 0.00 800.00 0.00 800.00 July 26, 2018 2018-07-2243 MARILOU CELINDRO CABCABEN MARIVELES BATAAN 514.76 200.00 0.00 714.76 July 25, 2018 2018-07-830-B MYRA BUISING GEN. LIM ORION BATAAN 0.00 1,020.00 0.00 1,020.00 July 28, 2018 2018-07-2244 BERNA ELLANELLE DE GUZMAN SAN PEDRO SAN SIMON PAMPANGA 0.00 0.00 2,000.00 2,000.00 July 28, 2018 2018-07-2245 ERICK ANGELO JUSON BACLAIN MALAYA MARIVELES BATAAN 0.00 400.00 0.00 400.00 July 28, 2018 2018-07-2246 LARRY OBRA PAYSAIN BAGAC BATAAN 241.44 550.00 28.57 820.01

July 28, 2018 2018-07-2247 ANDREI LY REYES PUROK IV OLD SAN JOSE DINALUPIHAN BATAAN 0.00 1,000.00 0.00 1,000.00

July 28, 2018 2018-07-2248 FERNANDO SERENIO SR. SAN NICOLAS POBLACION MARIVELES BATAAN 197.57 320.00 241.69 759.26

July 28, 2018 2018-07-2249 RIZA GRATUITO RD 3 POLARIS ST. MT. VIEW MARIVELES BATAAN 0.00 0.00 1,000.00 1,000.00 July 28, 2018 2018-07-2250 CARLA YUMANG MABATANG ABUCAY BATAAN 0.00 320.00 0.00 320.00 July 28, 2018 2018-07-2251 RICARDO PERDIO 126 CALAYLAYAN ABUCAY BATAAN 0.00 350.00 0.00 350.00 July 28, 2018 2018-07-2252 BABY GIRL (MARIBEL) DIGMAN ST. FRANCIS II LIMAY BATAAN 237.52 0.00 71.17 308.69 July 28, 2018 2018-07-2253 RITA MAGPOC 065 EAST CALAGUIMAN SAMAL BATAAN 0.00 1,746.60 0.00 1,746.60 July 29, 2018 2018-07-2254 FRANCIS BACANI WAWA ABUCAY BATAAN 0.00 420.00 0.00 420.00 July 29, 2018 2018-07-2255 EDALYN BASALLO CALAYLAYAN ABUCAY BATAAN 0.00 727.29 632.88 1,360.17

July 29, 2018 2018-07-2256 MARILYN BALDOSANO 15-A CAMACHILE ST. BALON ANITO MARIVELES BATAAN 1,015.20 2,860.00 2,200.34 6,075.54 July 29, 2018 2018-07-2257 MARY JANE BACANI CENTRAL BALANGA CITY 473.80 0.00 0.00 473.80 July 29, 2018 2018-07-2258 NATHAN JAE GONZALES SIBACAN BALANGA CITY 0.00 320.00 0.00 320.00 July 29, 2018 2018-07-2259 JOSEPH GALMAN CAPITANGAN ABUCAY BATAAN 0.00 700.00 0.00 700.00

July 29, 2018 2018-07-2260 RAMIL ADRIANO CABRITIT ST. MABATANG ABUCAY BATAAN 82.86 570.00 0.00 652.86

July 29, 2018 2018-07-1337-A JOCELYN GAITANO 160 OSMEÑA BASECO COUNTRY MARIVELES BATAAN 47.61 2,370.00 582.39 3,000.00 July 29, 2018 2018-07-2261 FRANCISCO TALA BARUYA LUBAO PAMPANGA 300.67 0.00 0.00 300.67 July 29, 2018 2018-07-2262 ISAGANI PAULO 531 PTO. RIVAS IBABA BALANGA CITY 145.37 2,854.63 0.00 3,000.00 July 29, 2018 2018-07-2263 JERALD ALMAZAR LAMAO LIMAY BATAAN 0.00 340.00 0.00 340.00 July 29, 2018 2018-07-2264 ROY JENE DUMAGO BILOLO ORION BATAAN 0.00 400.00 0.00 400.00 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory, TOTAL NAME ADDRESS PREPARED NUMBER Drugs and Dental & Hospital ASSISTANCE Med diagnostic Fees procedures

July 29, 2018 2018-07-503-A GEMMA DE LEON PTO. RIVAS IBABA BALANGA CITY 0.00 830.00 0.00 830.00 July 30, 2018 2018-07-2265 MILAGROS CANTOS ALANGAN LIMAY BATAAN 400.00 0.00 0.00 400.00 July 30, 2018 2018-07-2152-A GARY DE VERA STA. ROSA PILAR BATAAN 0.00 1,232.86 0.00 1,232.86 July 30, 2018 2018-07-2266 GERALD ISIDRO ZULUETA ST. CATANING BALANGA CITY 474.50 0.00 0.00 474.50 July 30, 2018 2018-07-2267 MAURINE DUCAY GEN. LIM ORION BATAAN 274.50 0.00 0.00 274.50 July 30, 2018 2018-07-2268 BABY GIRL COMPLETADO BALON ANITO MARIVELES BATAAN 0.00 300.00 0.00 300.00 July 30, 2018 2018-07-2269 RODOLFO LAZARTE JR. STA. LUCIA SAMAL BATAAN 1,404.50 0.00 0.00 1,404.50 July 30, 2018 2018-07-503-B GEMMA DE LEON PTO. RIVAS IBABA BALANGA CITY 0.00 700.00 0.00 700.00 July 30, 2018 2018-07-2270 DOMINADOR ARANGEL SITIO LIGUA PAG-ASA ORANI BATAAN 0.00 1,000.00 0.00 1,000.00 July 30, 2018 2018-07-2271 MELINDA BUHAIN MALABIA BALANGA CITY 0.00 400.00 0.00 400.00 July 30, 2018 2018-07-2272 JUANITO VILLAREAL 5-197 CAMAYA MARIVELES BATAAN 3,537.35 3,947.01 0.00 7,484.36 July 30, 2018 2018-07-2273 RUBENELL TALIGATOS DAAN PARE ORION BATAAN 3,584.38 8,437.60 0.00 12,021.98 July 30, 2018 2018-07-2274 JOHN ANGELO TARROZA DFS BALANGA CITY BATAAN 0.00 750.00 0.00 750.00 July 30, 2018 2018-07-2275 RUTH PLAZA STA. ROSA PILAR BATAAN 0.00 1,500.00 0.00 1,500.00 July 30, 2018 2018-07-2276 JOHN GERVIE VALDEZ BAGONG SILANG BALANGA CITY 300.00 0.00 0.00 300.00 July 30, 2018 2018-07-2277 KAREN GUZMAN DAAN BILOLO ORION BATAAN 0.00 490.00 0.00 490.00 July 30, 2018 2018-07-2278 VERONICA KATE DELA CRUZ 73 WAWA ORION BATAAN 18,962.92 4,670.00 3,821.91 27,454.83 July 30, 2018 2018-07-2279 FRANCISCO CASTILLO BALOC STO. DOMINGO NUEVA ECIJA 0.00 110.02 2,723.94 2,833.96 July 30, 2018 2018-07-2280 SAMANTHA DELA ROSA EAST DAAN BAGO SAMAL BATAAN 1,404.50 0.00 0.00 1,404.50 July 30, 2018 2018-07-2281 SHIRLYN MAGNAAN LAMAO LIMAY BATAAN 274.50 0.00 0.00 274.50

July 30, 2018 2018-07-1061-B CHRIZONVER AMON MALIGAYA PHASE I RESORT MT. VIEW MARIVELES BATAAN 0.00 0.00 7,885.79 7,885.79 July 30, 2018 2018-07-2282 JAY CARLO MARAVILLA WAKAS SOUTH PILAR BATAAN 0.00 700.00 0.00 700.00 July 30, 2018 2018-07-2283 JASMINE FEONA VALENCIA CAGAYAN VALLEY 374.50 0.00 0.00 374.50 July 30, 2018 2018-07-2284 CATHERINE DAVID PARAISO ORANI BATAAN 0.00 1,740.00 0.00 1,740.00 July 30, 2018 2018-07-2285 CAMILLE JUSTINE CRUZ BALON ANITO MARIVELES BATAAN 50,639.49 4,320.82 0.00 54,960.31 July 30, 2018 2018-07-2286 RAFAEL CARBONEL GEN. LIM ORION BATAAN 424.45 0.00 0.00 424.45 July 30, 2018 2018-07-1299-C LORENA ALCANTARA DEL ROSARIO PILAR BATAAN 830.00 170.00 0.00 1,000.00 July 30, 2018 2018-07-2287 JENALIN ACERBO TANATO BALANGA CITY 0.00 400.00 0.00 400.00 July 30, 2018 2018-07-2288 NELDA TITONG DAAN BAGO DINALUPIHAN BATAAN 0.00 1,210.00 0.00 1,210.00 July 30, 2018 2018-07-2289 PHILIP JOVEN CUPANG PROPER BALANGA CTIY 0.00 1,610.00 0.00 1,610.00 July 31, 2018 2018-07-997-B ROY MANANSALA TOWNSITE LIMAY BATAAN 0.00 726.90 0.00 726.90 July 31, 2018 2018-07-2290 VICTORIA OFLAS ALAS-ASIN MARIVELES BATAAN 8,154.87 13,739.35 0.00 21,894.22 July 31, 2018 2018-07-2291 LIBERTY SIBAL BURGOS DINALUPIHAN BATAAN 0.00 325.39 674.61 1,000.00 July 31, 2018 2018-07-2292 EVELYN PANGILINAN WAWA ORION BATAAN 0.00 500.00 0.00 500.00 July 31, 2018 2018-07-1350-M EDEN CRUZ CULIS HERMOSA BATAAN 231.62 0.00 0.00 231.62 July 31, 2018 2018-07-2293 AIDA PUSONG PALIHAN HERMOSA BATAAN 0.00 1,548.80 0.00 1,548.80 July 31, 2018 2018-07-2294 CRISELDA GOCON TAGLES SAN JOSE BALANGA CITY 0.00 400.00 0.00 400.00 July 31, 2018 2018-07-2295 MATTHEW ANDREW CABRAL LAON ABUCAY BATAAN 474.50 0.00 0.00 474.50 July 31, 2018 2018-07-2296 DIVINA VELASQUEZ CABOG-CABOG BALANGA CITY 0.00 2,250.00 0.00 2,250.00 July 31, 2018 2018-07-2297 MARILOU DE LUNA WAWA ABUCAY BATAAN 0.00 1,300.00 0.00 1,300.00 July 31, 2018 2018-07-2298 JESSIBEL SILVA TOWNSITE MARIVELES BATAAN 692.42 1,070.00 297.95 2,060.37 July 31, 2018 2018-07-2299 JEMILYN INOT SISIMAN MARIVELES BATAAN 0.00 500.00 0.00 500.00 July 31, 2018 2018-07-2300 ESTRELLA ARAGON 434 BATOL IMELDA SAMAL BATAAN 0.00 2,849.93 3,037.51 5,887.44 July 31, 2018 2018-07-2301 MARY JANE BRAVO CENTRAL BALANGA CITY 517.32 0.00 0.00 517.32 July 31, 2018 2018-07-2302 CARLOS DELA CRUZ STA. ROSA PILAR BATAAN 3,471.82 3,815.38 0.00 7,287.20 July 31, 2018 2018-07-2303 JOVIN DIMLA SAPA CALAGUIMAN SAMAL BATAAN 0.00 400.00 0.00 400.00 July 31, 2018 2018-07-1165-E ADONES LINTAG DAAN BILOLO ORION BATAAN 0.00 1,330.40 0.00 1,330.40 July 31, 2018 2018-07-2304 DANICA MAE ILAYA TENEJERO BALANGA CITY 0.00 250.00 0.00 250.00 July 31, 2018 2018-07-2305 AMALIA FULGENCIO BLISS ST. FRANCIS LIMAY BATAAN 0.00 0.00 559.55 559.55

July 31, 2018 2018-07-2306 AYNALLYN MAPPE DOÑA NENE ALAS-ASIN MARIVELES BATAAN 474.50 0.00 0.00 474.50 July 31, 2018 2018-07-2307 URSULA PAGUIO CUPANG PROPER BALANGA CTIY 0.00 1,000.00 0.00 1,000.00 July 31, 2018 2018-07-2308 MAECA ELLA IGNACIO 115 WAWA PILAR BATAAN 0.00 400.00 0.00 400.00 July 31, 2018 2018-07-2309 JONEL LACERNA DAAN BILOLO ORION BATAAN 0.00 1,350.00 0.00 1,350.00 July 31, 2018 2018-07-2310 AXZEL DE GUZMAN MABATANG ABUCAY BATAAN 7,702.72 12,297.28 0.00 20,000.00 July 31, 2018 2018-07-2311 TERESITA DELA ROSA PARANG-PARANG ORANI BATAAN 1,945.16 0.00 0.00 1,945.16 July 31, 2018 2018-07-2216-A ANGEL NALUZ UPPER DANGCOL BALANGA CITY 474.50 0.00 0.00 474.50 July 31, 2018 2018-07-2214-A MARTY CUBACUB PARANG-PARANG ORANI BATAAN 231.62 0.00 0.00 231.62 July 31, 2018 2018-07-2312 JHANICE VALENCIA WAWA ABUCAY BATAAN 1,599.16 0.00 0.00 1,599.16 July 31, 2018 2018-07-2313 MARLON MARTIN CATANING BALANGA CITY 0.00 540.00 0.00 540.00 July 31, 2018 2018-07-1659-D EDEN DELA CRUZ OMBOY ABUCAY BATAAN 987.00 0.00 0.00 987.00 July 22, 2018 2018-07-2314 MARCIAL LAZARTE SR. PANILAO PILAR BATAAN 485.65 0.00 0.00 485.65 July 22, 2018 2018-07-2315 YOHAN BRENT DE MESA ALANGAN LIMAY BATAAN 0.00 720.00 0.00 720.00 July 22, 2018 2018-07-2096-A ANACITA REYES PTO. RIVAS IBABA BALANGA CITY 0.00 370.00 0.00 370.00 July 22, 2018 2018-07-2316 JOHN MAR MACUSI PTO. RIVAS IBABA BALANGA CITY 261.94 0.00 0.00 261.94 July 22, 2018 2018-07-2317 VERNADETTE MIRANDA CADRE CAMACHO BALANGA CITY 0.00 770.00 0.00 770.00 July 22, 2018 2018-07-2318 MARK ANTHONY ALONZO MULAWIN ST. PANILAO PILAR BATAAN 356.92 0.00 0.00 356.92 July 22, 2018 2018-07-2319 MARILYN PRUNA TORTUGAS BALANGA CITY 412.98 0.00 0.00 412.98

July 22, 2018 2018-07-2320 AIRO GALLARDO 132 MANAHAN ST. TENEJERO BALANGA CITY 0.00 630.00 0.00 630.00 July 22, 2018 2018-07-2321 VIRGILIO IGNACIO MEDINA BILOLO ORION BATAAN 0.00 630.00 0.00 630.00 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory, TOTAL NAME ADDRESS PREPARED NUMBER Drugs and Dental & Hospital ASSISTANCE Med diagnostic Fees procedures

July 22, 2018 2018-07-2322 BAYANI DUNGAN 97 BALUYOT ST. TORTUGAS BALANGA CITY 0.00 3,594.65 5,668.21 9,262.86 July 22, 2018 2018-07-2323 DESTINY MANUEL SIBACAN BALANGA CITY 0.00 530.00 115.14 645.14 July 22, 2018 2018-07-2324 LUCITA SWIN CAPUNITAN ORION BATAAN 0.00 630.00 0.00 630.00

July 22, 2018 2018-07-2325 JUNE JOEN PONTILLAS SITIO PALIPARAN BATANGAS II MARIVELES BATAAN 0.00 530.00 0.00 530.00 July 22, 2018 2018-07-2326 JENNYKHA MAE MONTE CAMACHO BALANGA CITY BATAAN 0.00 400.00 201.98 601.98 July 23, 2018 2018-07-2327 LEONIDA RIVERA 0219 TOWNSITE LIMAY BATAAN 0.00 320.00 0.00 320.00 July 23, 2018 2018-07-2328 RACHELLE CORTEZ SAN VICENTE ORION BATAAN 0.00 700.00 0.00 700.00 July 23, 2018 2018-07-2329 PETER MILAN 28 MALABIA BALANGA CITY 303.22 0.00 0.00 303.22 July 23, 2018 2018-07-436-F ALLAN MIRASOL MT. VIEW MARIVELES BATAAN 0.00 1,626.00 0.00 1,626.00

July 23, 2018 2018-07-1449-B ROGER PAJUNAR MULAWIN ST. BALON ANITO MARIVELES BATAAN 0.00 1,151.71 0.00 1,151.71 July 23, 2018 2018-07-2330 JULITO CAMACHO OMBOY ABUCAY BATAAN 479.29 0.00 0.00 479.29 July 23, 2018 2018-07-1355-A APOLITA QUITLONG PARANG BAGAC BATAAN 4,615.00 5,385.00 0.00 10,000.00 July 23, 2018 2018-07-2331 NANCY AGAS CRUSHER SITE LAMAO LIMAY BATAAN 264.96 0.00 0.00 264.96 July 23, 2018 2018-07-2332 JESCEL BAGTAS STO. DOMINGO ORION BATAAN 182.27 180.00 0.00 362.27 July 23, 2018 2018-07-2333 JERIELYN LUMAAD CADRE CAMACHO BALANGA CITY 200.00 0.00 0.00 200.00 July 23, 2018 2018-07-2334 PRINCE RANDYL LABRADOR 135 PTO. RIVAS ITAAS BALANGA CITY 0.00 650.00 0.00 650.00 July 23, 2018 2018-07-2335 GEMMA BELLEZA Q1 KKK MALAYA MARIVELES BATAAN 258.00 0.00 0.00 258.00 July 23, 2018 2018-07-2336 RAUL GUINTO SAN JUAN SAMAL BATAAN 0.00 550.00 0.00 550.00 July 24, 2018 2018-07-2337 MODESTO MIGUEL CALUNGUSAN ORION BATAAN 3,860.49 2,639.51 0.00 6,500.00 July 24, 2018 2018-07-2338 JESSICA MAE UNGOD LIYANG PILAR BATAAN 474.50 0.00 0.00 474.50 July 24, 2018 2018-07-1467-B MARITA MENA KABALUTAN ORANI BATAAN 0.00 600.00 0.00 600.00 July 24, 2018 2018-07-2339 MARY JANE CENTINA SANTO CRISTO HERMOSA BATAAN 0.00 2,905.72 2,094.28 5,000.00 July 24, 2018 2018-07-2340 EDGARDO NOPAL BAMBAN HERMOSA BATAAN 0.00 2,000.00 0.00 2,000.00 July 24, 2018 2018-07-2341 TERESITA LEONCIO DUALE LIMAY BATAAN 0.00 600.00 0.00 600.00 July 24, 2018 2018-07-2342 SHELLA MAE ANGELES BILOLO ORION BATAAN 212.38 400.00 0.00 612.38 July 24, 2018 2018-07-2343 RAQUEL BUSCAS PANTALAN LUMA ORANI BATAAN 0.00 470.00 0.00 470.00 July 24, 2018 2018-07-997-C ROY MANANSALA TOWNSITE LIMAY BATAAN 0.00 767.20 0.00 767.20 July 24, 2018 2018-07-2344 LARA JANE MUSNI STA. ROSA PILAR BATAAN 474.50 0.00 0.00 474.50 July 24, 2018 2018-07-1983-A AVEGAIL GALANTO LAMAO LIMAY BATAAN 0.00 600.00 0.00 600.00 July 24, 2018 2018-07-2345 ARTHUR CARCELLAR REFORMISTA LIMAY BATAAN 0.00 3,000.00 0.00 3,000.00 July 24, 2018 2018-07-1350-N EDEN CRUZ CULIS HERMOSA BATAAN 231.62 0.00 0.00 231.62 July 24, 2018 2018-07-2346 LUCILLE SAMORTIN MALIGAYA MARIVELES BATAAN 0.00 380.00 0.00 380.00 July 24, 2018 2018-07-2347 MANUEL PASCUAL LALAWIGAN SAMAL BATAAN 474.50 0.00 0.00 474.50 July 24, 2018 2018-07-2348 HAZEL LARON PTO. RIVAS BALANGA CITY 0.00 520.00 0.00 520.00 July 24, 2018 2018-07-2349 GERRYFER MARIANO MAGSAYSAY DINALUPIHAN BATAAN 0.00 5,000.00 0.00 5,000.00 July 24, 2018 2018-07-2350 PATRICIA DE LEON BO. LUZ LIMAY BATAAN 417.46 0.00 0.00 417.46 July 24, 2018 2018-07-2351 MARCELO VILLARICO DUALE LIMAY BATAAN 0.00 800.00 0.00 800.00 July 24, 2018 2018-07-2352 RAQUEL SANGALANG NAPARING DINALUPIHAN BATAAN 0.00 300.00 933.63 1,233.63 July 24, 2018 2018-07-2353 ROSALINA ADVINCULA SAN ISIDRO MARIVELES BATAAN 0.00 349.12 0.00 349.12 July 24, 2018 2018-07-2354 ROSITA DELA ROSA GABON ABUCAY BATAAN 0.00 549.12 0.00 549.12 July 24, 2018 2018-07-2355 EMELITA SANCHEZ CUPANG NORTH BALANGA CITY 0.00 549.12 0.00 549.12 July 24, 2018 2018-07-2356 LEONIZA SORIANO CABOG-CABOG BALANGA CITY 0.00 500.00 0.00 500.00 July 24, 2018 2018-07-2357 ANGELO LAXAMANA TENEJERO BALANGA CITY 474.50 0.00 0.00 474.50 July 24, 2018 2018-07-2358 CARMELA BASSIG ST. FRANCIS II LIMAY BATAAN 0.00 1,200.00 0.00 1,200.00 July 25, 2018 2018-07-2359 MARLON DUMAPIT LAMAO LIMAY BATAAN 0.00 350.00 0.00 350.00 July 25, 2018 2018-07-2360 LEONISA MENDOZA BALON ANITO MARIVELES BATAAN 0.00 492.80 0.00 492.80 July 25, 2018 2018-07-2361 TOMAS ONGKINGCO CAPITANGAN ABUCAY BATAAN 0.00 1,326.90 0.00 1,326.90 July 25, 2018 2018-07-2362 JENNIFER ENGO 766 IPAG MARIVELES BATAAN 0.00 2,500.00 3,500.00 6,000.00

July 25, 2018 2018-07-2363 JARRED ANTENOR SITIO MALIGAYA CULIS HERMOSA BATAAN 0.00 1,200.00 0.00 1,200.00 July 25, 2018 2018-07-2364 PRINCE JOMS SAMILLANO SAPANG BALAS DINALUPIHAN BATAAN 0.00 300.00 0.00 300.00 July 25, 2018 2018-07-2365 SYLVESTRE MASANQUE BARUYA LUBAO PAMPANGA 2,247.12 3,300.00 5,819.32 11,366.44 July 25, 2018 2018-07-2366 NENITA DENIEGA IMELDA SAMAL BATAAN 0.00 320.00 0.00 320.00 July 25, 2018 2018-07-273-A JARED BAUTISTA OMBOY ABUCAY BATAAN 0.00 0.00 29,576.80 29,576.80 July 25, 2018 2018-07-2367 SHENA ANDALECIO BINARITAN MORONG BATAAN 0.00 470.00 0.00 470.00 July 25, 2018 2018-07-2368 JOHN JOHN CAYETANO KINARAGAN DUALE LIMAY BATAAN 0.00 400.00 0.00 400.00 July 25, 2018 2018-07-2369 RON JOSHUA BORBORAN 73 NAPARING DINALUPIHAN BATAAN 0.00 2,200.00 0.00 2,200.00

July 25, 2018 2018-07-1780-D ALDRED APOSAGA 167 SORIANO DAANG BILOLO ORION BATAAN 329.00 0.00 0.00 329.00 July 25, 2018 2018-07-2370 MIGUEL VALDEZ MARIVELES MENTAL HEALTH 0.00 2,063.37 0.00 2,063.37 July 25, 2018 2018-07-2230-A SHALOM DRAKE MALASAN SAMPALOC STA. ROSA PILAR BATAAN 474.50 0.00 0.00 474.50 July 25, 2018 2018-07-2371 MARCELINA LAYCO MALIGAYA MARIVELES BATAAN 0.00 3,440.00 0.00 3,440.00 July 25, 2018 2018-07-2372 JEROME CASTRO ALAS-ASIN MARIVELES BATAAN 250.00 0.00 0.00 250.00

July 25, 2018 2018-07-2373 EVELYN DELA CRUZ MANAHAN ST. TENEJERO BALANGA CITY 0.00 990.00 0.00 990.00 July 25, 2018 2018-07-2374 CRISTIAN CALINOG PUTING BUHANGIN ORION BATAAN 0.00 570.00 0.00 570.00 July 25, 2018 2018-07-2294-A CRISELDA GOCON TAGLES SAN JOSE BALANGA CITY 0.00 1,360.00 0.00 1,360.00 July 25, 2018 2018-07-2375 ELSA BUAN FLORIBLANCA PAMPANGA 0.00 650.00 0.00 650.00 July 25, 2018 2018-07-1891-A MIRASOL SORIANO CENTRAL BALANGA CITY 0.00 820.00 0.00 820.00

July 25, 2018 2018-07-2376 MERCIDITA MORALES SITIO LIBANAN MT. VIEW MARIVELES BATAAN 0.00 1,600.00 0.00 1,600.00 July 25, 2018 2018-07-2377 TERESITA ANTOJADO CATANING HERMOSA BATAAN 0.00 900.00 0.00 900.00 July 25, 2018 2018-07-2378 LORNA ALAAL MABATANG ABUCAY BATAAN 1,508.01 1,100.00 0.00 2,608.01 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory, TOTAL NAME ADDRESS PREPARED NUMBER Drugs and Dental & Hospital ASSISTANCE Med diagnostic Fees procedures

July 25, 2018 2018-07-2379 DARYL ANN DIZON PTO. RIVAS IBABA BALANGA CITY 0.00 500.00 0.00 500.00 July 09, 2018 2018-07-368-H MARY JANE SAMSON 77-C LAON ABUCAY BATAAN 83.55 387.20 0.00 470.75 July 26, 2018 2018-07-2380 MATTHEW MARCHAEL GARCIA SIBACAN BALANGA CITY 0.00 500.00 485.74 985.74 July 26, 2018 2018-07-1506-A GEREL PADILLA OMBOY ABUCAY BATAAN 0.00 0.00 15,000.00 15,000.00 July 26, 2018 2018-07-2267-A MAURINE DUCAY GEN. LIM ORION BATAAN 517.32 0.00 0.00 517.32 July 26, 2018 2018-07-2381 JEFFERSON DUNGON SALIAN ABUCAY BATAAN 0.00 445.00 0.00 445.00 July 26, 2018 2018-07-1165-F ADONES LINTAG DAAN BILOLO ORION BATAAN 0.00 1,871.40 0.00 1,871.40 July 26, 2018 2018-07-2382 RACHELL PAGUIO LAMAO LIMAY BATAAN 122.50 3,308.29 2,069.21 5,500.00 July 26, 2018 2018-07-2383 KATHERINE CUEVAS BATANGAS II MARIVELES BATAAN 0.00 670.00 0.00 670.00 July 26, 2018 2018-07-2280-A SAMANTHA DELA ROSA EAST DAAN BAGO SAMAL BATAAN 474.50 0.00 0.00 474.50 July 26, 2018 2018-07-2384 LYRA JOY FLORES ROOSEVELT DINALUPIHAN BATAAN 4,119.86 9,880.14 0.00 14,000.00 July 26, 2018 2018-07-2385 MARJORIE MAYUYO PANILAO PILAR BATAAN 0.00 1,180.00 0.00 1,180.00 July 26, 2018 2018-07-2386 RICHBETTE PLATAN ALANGAN LIMAY BATAAN 0.00 300.00 0.00 300.00 July 26, 2018 2018-07-2387 BERNADETH DELA PAZ 07 UGONG CATANING BALANGA CITY 540.53 7,459.47 0.00 8,000.00

July 26, 2018 2018-07-2388 MARY GRACE CERVANTES SEA BREEZE ST. FRANCIS II LIMAY BATAAN 0.00 1,050.00 0.00 1,050.00 July 26, 2018 2018-07-2389 MIRASOL JUANAS BALON ANITO MARIVELES BATAAN 1,243.25 0.00 5,263.75 6,507.00 July 26, 2018 2018-07-1312-D RUFINO BANATAO IPAG MARIVELES BATAAN 0.00 1,229.71 0.00 1,229.71 July 26, 2018 2018-07-2390 GINA GUARENO CUPANG PROPER BALANGA CTIY 0.00 350.00 0.00 350.00 July 26, 2018 2018-07-1456-A ROLLY BUAL VILLA JUANA RIZAL PILAR BATAAN 0.00 1,600.00 0.00 1,600.00 July 26, 2018 2018-07-1035-B ZENAIDA NATE MABIGA HERMOSA BATAAN 2,303.49 6,696.51 0.00 9,000.00 July 26, 2018 2018-07-2391 JOEL BANGCO JR. CATANING BALANGA CITY 0.00 530.00 121.63 651.63 July 26, 2018 2018-07-2392 SER ESTINRICH PALLIRIA ALAS-ASIN MARIVELES BATAAN 0.00 60.00 440.00 500.00 July 26, 2018 2018-07-2393 MARY VI GULISAN BANGKAL ABUCAY BATAAN 474.50 0.00 0.00 474.50 July 26, 2018 2018-07-2394 GLENDA DE GUZMAN PANILAO PILAR BATAAN 0.00 0.00 1,000.00 1,000.00 TOTAL 1,616,309.33 BALANCE 13,383,690.67 Patients Served Under Medical Assistance for Indigent Patient as of August 2018 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory, TOTAL NAME ADDRESS Dental & PREPARED Drugs and Med Hospital Fees NUMBER diagnostic ASSISTANCE procedures 13,383,690.67 August 01, 2018 2018-08-2395 EDUARDO GARBIN UPPER BILOLO ORION BATAAN 1,842.59 1,896.11 0.00 3,738.70 August 01, 2018 2018-08-2396 VIRGILIO AUSTRIA JR. MALAKING BATO MABATANG ABUCAY BATAAN 0.00 2,450.00 0.00 2,450.00 August 01, 2018 2018-08-082-F MARITESS SULIT WAWA ABUCAY BATAAN 2,596.22 0.00 100.86 2,697.08 August 01, 2018 2018-08-2397 GLADYS LOPEZ ST. FRANCIS II LIMAY BATAAN 0.00 500.00 0.00 500.00 August 01, 2018 2018-08-2398 JERALYN ROQUE 36 PUKSUAN ORANI BATAAN 0.00 700.00 0.00 700.00 August 01, 2018 2018-08-2399 SATURNINA BASILLO LUCANIN MARIVELES BATAAN 0.00 0.00 35,000.00 35,000.00 August 01, 2018 2018-08-2060-A ESTELA VALENCIA WAWA ABUCAY BATAAN 6,389.06 3,058.12 0.00 9,447.18 August 01, 2018 2018-08-2400 GREGORIO TOLOSA SAN JOSE BALANGA CITY 0.00 850.00 0.00 850.00 August 01, 2018 2018-08-2060-B ESTELA VALENCIA WAWA ABUCAY BATAAN 0.00 0.00 10,000.00 10,000.00 August 01, 2018 2018-08-2401 MANUEL MENDOZA JR STO. DOMINGO ORION BATAAN 474.50 0.00 0.00 474.50 August 01, 2018 2018-08-1780-E ALDRED APOSAGA 167 SORIANO DAANG BILOLO ORION BATAAN 0.00 2,888.37 0.00 2,888.37 August 01, 2018 2018-08-2266-A GERALD ISIDRO ZULUETA ST. CATANING BALANGA CITY 474.50 0.00 0.00 474.50 August 01, 2018 2018-08-2402 DEXTER TAURO TOWNSITE LIMAY BATAAN 0.00 800.00 0.00 800.00 August 01, 2018 2018-08-2261-A FRANCISCO TALA BARUYA LUBAO PAMPANGA 400.00 0.00 0.00 400.00 August 01, 2018 2018-08-2403 JUSTINE PORTILLO BAYAN ORANI BATAAN 1,429.13 0.00 0.00 1,429.13 August 01, 2018 2018-08-2404 SOTERO AGUSTIN JR. ROOSEVELT DINALUPIHAN BATAAN 949.97 0.00 50.03 1,000.00 August 01, 2018 2018-08-1344-A MARLET TADINA 140 PANILAO PILAR BATAAN 0.00 500.00 0.00 500.00 August 01, 2018 2018-08-2405 CECILIA CALIMBAS LAMAO LIMAY BATAAN 1,429.13 0.00 0.00 1,429.13

August 01, 2018 2018-08-2227-A MARK ANGELO SALANDANAN 677 SITIO LUMANG DAAN CAPITANGAN ABUCAY BATAAN 474.50 0.00 0.00 474.50 August 01, 2018 2018-08-2406 ALYN CATURAO LUSUNGAN ORION BATAAN 0.00 500.00 0.00 500.00 August 01, 2018 2018-08-2407 LOURDES SANTOS STO. DOMINGO ORION BATAAN 0.00 2,200.00 0.00 2,200.00 August 01, 2018 2018-08-2408 RAMIL JARABA TENEJERO BALANGA CITY 0.00 360.00 0.00 360.00 August 01, 2018 2018-08-2409 ESTRELITA CARAGAY LALAWIGAN SAMAL BATAAN 0.00 700.00 0.00 700.00 August 01, 2018 2018-08-2410 BABY GIRL ABLIAN KABALUTAN ORANI BATAAN 0.00 600.00 0.00 600.00 August 01, 2018 2018-08-2411 KENNETH LELIS PTO. RIVAS IBABA BALANGA CITY 0.00 670.00 0.00 670.00 August 01, 2018 2018-08-2412 RODOLFO SANTOS PAG-ASA ORANI BATAAN 1,423.50 0.00 35.20 1,458.70 August 02, 2018 2018-08-2413 ANDREI AGUSTIN LAON ABUCAY BATAAN 0.00 430.00 0.00 430.00 August 02, 2018 2018-08-2414 RUDOLF SALEN PALIHAN HERMOSA BATAAN 0.00 1,120.00 0.00 1,120.00 August 02, 2018 2018-08-029-B CESAR MARTINEZ TUYO BALANGA CITY 0.00 776.08 0.00 776.08 August 02, 2018 2018-08-2146-A RAVENACE BALUYOT PALIHAN ORANI BATAAN 0.00 4,916.13 0.00 4,916.13 August 02, 2018 2018-08-2415 JIMMY BRIONES ROXAS DINALUPIHAN BATAAN 0.00 850.00 0.00 850.00 August 02, 2018 2018-08-2416 AURORA DIMLA PALIHAN HERMOSA BATAAN 0.00 492.80 0.00 492.80 August 02, 2018 2018-08-2417 GLYDEN ALBAY SITIO GOMEZ MABATANG ABUCAY BATAAN 0.00 400.00 0.00 400.00 August 02, 2018 2018-08-2301-A MARY JANE BRAVO CENTRAL BALANGA CITY 474.50 0.00 0.00 474.50 August 02, 2018 2018-08-1299-D LORENA ALCANTARA DEL ROSARIO PILAR BATAAN 91.72 1,130.00 115.57 1,337.29 August 02, 2018 2018-08-2418 JONALIE BALO SACRIFICE VALLEY HERMOSA BATAAN 0.00 990.00 0.00 990.00 August 02, 2018 2018-08-2419 MARIA CRISTINA BELLEN SACRIFICE VALLEY HERMOSA BATAAN 0.00 990.00 0.00 990.00 August 02, 2018 2018-08-2420 MARY JOY TOLOSA CATANING BALANGA CITY 0.00 500.00 0.00 500.00 August 02, 2018 2018-08-2421 SHIELA BOHOL ZONE IV CAMAYA MARIVELES BATAAN 0.00 800.00 0.00 800.00 August 02, 2018 2018-08-2422 ABRAR ASGHAR TENEJERO BALANGA CITY 0.00 200.00 800.00 1,000.00 August 02, 2018 2018-08-2423 IMELDA BABAO PAG-ASA BAGAC BATAAN 21,649.32 4,420.00 5,868.53 31,937.85 August 02, 2018 2018-08-2424 ROSEMARIE MA MT. VIEW MARIVELES BATAAN 0.00 400.00 0.00 400.00

August 02, 2018 2018-08-2425 RENATO GUEVARRA 129 GASAK ST. SITIO MALIGAYA CULIS HERMOSA BATAAN 1,482.51 3,409.91 0.00 4,892.42 August 02, 2018 2018-08-2426 FELIX BALASTIGUE CENTRO II ORANI BATAAN 5,646.33 650.85 0.00 6,297.18 August 02, 2018 2018-08-2427 JANICE LLANDA TOWNSITE LIMAY BATAAN 0.00 500.00 0.00 500.00 August 02, 2018 2018-08-1170-D ROSITA GELLEGANI SACRIFICE VALLEY HERMOSA BATAAN 526.80 170.00 0.00 696.80 August 02, 2018 2018-08-2428 MAUIE PANLAQUE MABINI ST. PARAISO ORANI BATAAN 1,945.16 0.00 0.00 1,945.16 August 02, 2018 2018-08-2429 RESHEL SANTOS BAMBAN HERMOSA BATAAN 0.00 1,000.00 0.00 1,000.00 August 02, 2018 2018-08-2430 SERIO MARQUEZ ST. FRANCIS I LIMAY BATAAN 517.32 0.00 0.00 517.32 August 02, 2018 2018-08-2431 MARICEL SANTOS MABATANG ABUCAY BATAAN 0.00 1,000.00 0.00 1,000.00 August 02, 2018 2018-08-2432 NOEL DESINGANIO PALIHAN HERMOSA BATAAN 0.00 1,170.00 0.00 1,170.00 August 02, 2018 2018-08-2433 CARLITO DELOS SANTOS JR. TAPULAO ORANI BATAAN 1,902.34 0.00 0.00 1,902.34 August 02, 2018 2018-08-2434 JOANAH MECAELLA BARIAS CAMACHO BALANGA CITY BATAAN 0.00 900.00 0.00 900.00 August 02, 2018 2018-08-1165-G ADONES LINTAG DAAN BILOLO ORION BATAAN 0.00 1,830.40 0.00 1,830.40 August 02, 2018 2018-08-2435 FLORIZEL ROMAN CALERO ORANI BATAAN 0.00 1,400.00 0.00 1,400.00 August 02, 2018 2018-08-2436 ALTHEA KESHALYN ROXAS CAMAYA MARIVELES BATAAN 4,680.44 1,555.50 897.29 7,133.23 August 02, 2018 2018-08-2437 FLORDELIZA RIVESENCIO SAN JOSE BALANGA CITY 0.00 350.00 0.00 350.00 August 02, 2018 2018-08-2438 IAN OMOLON ST. FRANCIS I LIMAY BATAAN 0.00 760.00 4,240.00 5,000.00 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory, TOTAL NAME ADDRESS Dental & PREPARED Drugs and Med Hospital Fees NUMBER diagnostic ASSISTANCE procedures

August 02, 2018 2018-08-2439 JOMABELLE VERTIDO TALISAY BALANGA CITY 0.00 1,240.00 0.00 1,240.00 August 02, 2018 2018-08-2440 MARIE FAYE CALMA LIYANG PILAR BATAAN 0.00 670.00 0.00 670.00 August 02, 2018 2018-08-2441 ISIDRO HABANA JR. ST. FRANCIS II LIMAY BATAAN 179.79 910.00 0.00 1,089.79 August 03, 2018 2018-08-2442 BABY GIRL (IMEE) GADIM GEN. LIM ORION BATAAN 467.04 0.00 0.00 467.04 August 03, 2018 2018-07-772-B ARMIE LIAN FERNANDEZ MULAWIN ORANI BATAAN 0.00 0.00 10,000.00 10,000.00 August 03, 2018 2018-08-2443 RESCO SIPIT CULIS HERMOSA BATAAN 1,630.33 2,687.60 5,408.97 9,726.90 August 03, 2018 2018-08-2444 FEDERICO CATCHILLAR DIWA PILAR BATAAN 0.00 1,000.00 0.00 1,000.00 August 03, 2018 2018-08-2445 RODOLFO MANGALINDAN CATANING BALANGA CITY 50,063.82 0.00 0.00 50,063.82 August 03, 2018 2018-08-2214-B MARTY CUBACUB PARANG-PARANG ORANI BATAAN 231.62 0.00 0.00 231.62 August 03, 2018 2018-08-2446 AARON GATMAITAN DRAGA PTO. RIVAS IBABA BALANGA CITY 0.00 1,200.00 0.00 1,200.00 August 03, 2018 2018-08-2447 NARCISA MUÑOZ OMBOY ABUCAY BATAAN 0.00 943.36 0.00 943.36 August 03, 2018 2018-08-368-I MARY JANE SAMSON 77-C LAON ABUCAY BATAAN 463.23 0.00 0.00 463.23 August 03, 2018 2018-08-2448 ROBILYN BANIQUED LAMAO LIMAY BATAAN 0.00 570.00 0.00 570.00 August 03, 2018 2018-08-2449 JENNYLYN SAMSON BALUT PILAT BATAAN 0.00 600.00 0.00 600.00 August 03, 2018 2018-08-2450 HERMINIA MENCIAS ATILANO RICARDO BAGAC BATAAN 0.00 3,800.02 1,199.98 5,000.00 August 03, 2018 2018-08-2451 EFREN BAYAS PARANG BAGAC BATAAN 0.00 820.00 0.00 820.00 August 03, 2018 2018-08-2452 ESTER CORILLA MALIGAYA DINALUPIHAN BATAAN 0.00 0.00 10,000.00 10,000.00 August 03, 2018 2018-08-2453 CORNELIO VILLARAN LAMAO LIMAY BATAAN 2,826.94 0.00 0.00 2,826.94 August 03, 2018 2018-08-2454 JUANITA NAVARRO 105 DAAN BAGO ORION BATAAN 4,184.63 3,823.24 0.00 8,007.87 August 03, 2018 2018-08-2455 MARGARITA VENTURA OMBOY ABUCAY BATAAN 0.00 352.00 0.00 352.00 August 03, 2018 2018-08-2456 JOHN CALSADA MABATO DAANG PARE ORION BATAAN 0.00 600.00 0.00 600.00 August 03, 2018 2018-08-2457 WILLY CAPITLI COMCEPCION TARLAC 380.82 0.00 0.00 380.82 August 03, 2018 2018-08-1350-O EDEN CRUZ CULIS HERMOSA BATAAN 231.62 0.00 0.00 231.62 August 03, 2018 2018-08-2458 JUVELYN ANCAJAS BALON ANITO MARIVELES BATAAN 0.00 500.00 0.00 500.00 August 04, 2018 2018-08-1165-H ADONES LINTAG DAAN BILOLO ORION BATAAN 0.00 1,330.40 0.00 1,330.40 August 03, 2018 2018-08-2459 JEZALYN NIRIC PAG-ASA WAWA ORION BATAAN 274.50 0.00 0.00 274.50 August 03, 2018 2018-08-436-G ALLAN MIRASOL MT. VIEW MARIVELES BATAAN 0.00 1,330.40 0.00 1,330.40 August 03, 2018 2018-08-2460 MARY ANN BENOSA SANR ROQUE ST. SAPA SAMAL BATAAN 0.00 790.00 0.00 790.00 August 03, 2018 2018-08-2461 MARIVIC REMONIDA IPAG MARIVELES BATAAN 0.00 1,220.00 0.00 1,220.00 August 03, 2018 2018-08-2008-C SHERYLL RONQUILLO STO. NIÑO DINALUPIHAN BATAAN 0.00 470.00 0.00 470.00 August 03, 2018 2018-08-2462 SALVADOR SULIT PTO. RIVAS IBABA BALANGA CITY 0.00 1,200.00 0.00 1,200.00 August 03, 2018 2018-08-2463 NICOLE CAPACIA PARANG BAGAC BATAAN 676.85 550.00 186.00 1,412.85 August 03, 2018 2018-08-2464 BERNADETH IBAÑEZ ST. FRANCIS I LIMAY BATAAN 0.00 470.00 0.00 470.00 August 03, 2018 2018-08-2391-A JOEL BANGCO JR. CATANING BALANGA CITY 0.00 1,063.37 0.00 1,063.37 August 03, 2018 2018-08-2465 CAROLYN AVELLANOZA SABATAN ORION BATAAN 0.00 670.00 0.00 670.00 August 04, 2018 2018-08-2243-A MARILOU CELINDRO CABCABEN MARIVELES BATAAN 227.14 250.00 57.14 534.28 August 04, 2018 2018-08-2466 CARLOTA MATACOT GABON ABUCAY BATAAN 0.00 570.00 0.00 570.00 August 04, 2018 2018-08-2467 RENZELL MIRANDA NAGWALING PILAR BATAAN 411.84 600.00 353.77 1,365.61 August 04, 2018 2018-08-2468 FLORDILINO RAMOS UPPER LAYA POBLACION MARIVELES BATAAN 3,730.53 2,320.00 2,949.47 9,000.00 August 04, 2018 2018-08-2469 IVAN REI DE JESUS LOTE. PTO. RIVAS BALANGA CITY 215.22 0.00 0.00 215.22 August 04, 2018 2018-08-2470 LIBERATO BALOR SISIMAN MARIVELES BATAAN 1,017.79 520.00 3,462.21 5,000.00 August 04, 2018 2018-08-2471 HONORATO CAPILI LUBAO PAMPANGA 0.00 830.00 0.00 830.00 August 04, 2018 2018-08-2472 JHON JHON JAPON STA. ELENA ORION BATAAN 0.00 300.00 0.00 300.00 August 04, 2018 2018-08-2473 JIGO PIÑERO CAPITANGAN ABUCAY BATAAN 0.00 700.00 0.00 700.00 August 04, 2018 2018-08-2474 ERNESTO SETOSTA TOPSIDE SISIMAN MARIVELES BATAAN 0.00 1,920.00 0.00 1,920.00 August 04, 2018 2018-08-2475 CYLLA MARIE VALENCIA ALA-ULI PILAR BATAAN 0.00 1,500.00 0.00 1,500.00 August 04, 2018 2018-08-2476 MARK ANTHONY RAMOS CAPITANGAN ABUCAY BATAAN 1,251.47 0.00 0.00 1,251.47 August 04, 2018 2018-08-2477 MARK ANTHONY AMOSCO MA. FE ORANI BATAAN 0.00 800.00 0.00 800.00 August 04, 2018 2018-08-2478 ARTEMIO MULI TENEJERO BALANGA CITY 509.74 0.00 0.00 509.74 August 04, 2018 2018-08-2479 JOMARIE GUANZON WAWA LATE ABUCAY BATAAN 0.00 550.00 0.00 550.00 August 04, 2018 2018-08-2480 MARGEL RAGUINDIN GEN. LIM ORION BATAAN 0.00 360.00 0.00 360.00 August 04, 2018 2018-08-2481 ALFREDO PAGHUNASAN SAN LORENZO CABCABEN MARIVELES BATAAN 0.00 300.00 0.00 300.00 August 07, 2018 2018-08-2214-C MARTY CUBACUB PARANG-PARANG ORANI BATAAN 231.62 0.00 0.00 231.62 August 07, 2018 2018-08-2482 JHOANA MAE MANUEL SIBACAN BALANGA CITY 154.41 600.00 0.00 754.41 August 07, 2018 2018-08-2483 SILVESTRE PAZ TENEJERO BALANGA CITY 1,902.34 0.00 0.00 1,902.34 August 07, 2018 2018-08-2484 JOHN WILLIAM LOPEZ ST. FRANCIS II LIMAY BATAAN 411.84 600.00 336.33 1,348.17 August 07, 2018 2018-08-2485 JERMAINE ABADEJOS BAYAN ORANI BATAAN 1,902.34 0.00 0.00 1,902.34 August 07, 2018 2018-08-2486 ANANAIS MALOS LUSUNGAN ORION BATAAN 0.00 1,450.00 0.00 1,450.00 August 07, 2018 2018-08-2487 MARITA AMLOG PROPER GUGO SAMAL BATAAN 0.00 1,360.06 1,465.87 2,825.93 August 07, 2018 2018-08-2245-A ERICK ANGELO JUSON BACLAIN MALAYA MARIVELES BATAAN 474.50 0.00 0.00 474.50 August 07, 2018 2018-08-2488 CAROLINA CASILAG 43 BAGUMBAYAN PILAR BATAAN 474.50 0.00 0.00 474.50 August 07, 2018 2018-08-2489 ARJAY TAGUDIN MARIVELES MENTAL HEALTH 0.00 2,123.51 0.00 2,123.51 August 07, 2018 2018-08-2490 ROGER SANTOS MARIVELES MENTAL HEALTH 0.00 2,063.37 0.00 2,063.37 August 07, 2018 2018-08-2491 HAZEL JOYCE REYES TENEJERO BALANGA CITY 0.00 335.00 0.00 335.00 August 07, 2018 2018-08-2492 LESLIE CABRERA 38 BAGUMBAYAN ORION BATAAN 0.00 300.00 0.00 300.00 August 07, 2018 2018-08-2493 ALEJANDRO MALICLIC KABALUTAN ORANI BATAAN 1,945.16 0.00 0.00 1,945.16 August 07, 2018 2018-08-2494 SHARON APALLA TENEJERO BALANGA CITY 0.00 420.00 0.00 420.00 August 07, 2018 2018-08-2495 ARJAY LLAMSON HIGHWAY ALA-ULI PILAR BATAAN 474.50 0.00 0.00 474.50 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory, TOTAL NAME ADDRESS Dental & PREPARED Drugs and Med Hospital Fees NUMBER diagnostic ASSISTANCE procedures

August 07, 2018 2018-08-2496 HANNAH MARIE REYES 065 ROSAL ST. PILAR BATAAN 0.00 600.00 0.00 600.00 August 07, 2018 2018-08-1165-I ADONES LINTAG DAAN BILOLO ORION BATAAN 0.00 1,330.40 0.00 1,330.40 August 07, 2018 2018-08-2459-A JEZALYN NIRIC PAG-ASA WAWA ORION BATAAN 474.50 0.00 0.00 474.50 August 07, 2018 2018-08-2033-A NADELYN ZAPANTA TOWNSITE LIMAY BATAAN 0.00 1,520.00 0.00 1,520.00 August 05, 2018 2018-08-2497 RICHARD SIAZAR SITIO ILOCANO TANATO BALANGA CITY 0.00 920.00 0.00 920.00 August 05, 2018 2018-08-2498 WILSENE ISMAEL WAKAS ORION BATAAN 0.00 855.08 0.00 855.08 August 05, 2018 2018-08-2499 RENATO CRUZ LATI ORION BATAAN 0.00 300.00 0.00 300.00 August 05, 2018 2018-08-2500 ROSELYN TOGADI SAAY ST. FRANCIS II LIMAY BATAAN 0.00 600.00 0.00 600.00 August 05, 2018 2018-08-2322-A BAYANI DUÑGAN BALUYOT TORTUGAS BALANGA CITY 0.00 1,294.71 0.00 1,294.71 August 05, 2018 2018-08-2501 JASTINE NAHJEL MONTEGAN PASGANAY ST. CENTRAL BALANGA CITY 0.00 600.00 0.00 600.00 August 05, 2018 2018-08-2502 BERNARDINO ATIENZA MANAHAN ST. TENEJERO BALANGA CITY 0.00 600.00 0.00 600.00 August 05, 2018 2018-08-2503 ELINO SAYSON CALERO ORANI BATAAN 2,089.67 2,910.33 0.00 5,000.00 August 05, 2018 2018-08-2504 ERLYN LEGASPI CUPANG PROPER BALANGA CTIY 0.00 620.00 0.00 620.00 August 05, 2018 2018-08-2505 ROBERT LAURENCE ALBERTO VILLA MARGARITA SUBD PILAR BATAAN 0.00 1,150.00 1,785.70 2,935.70 August 06, 2018 2018-08-2506 RACHELLE ESTILO CAMACHO BALANGA CITY BATAAN 297.38 0.00 0.00 297.38 August 06, 2018 2018-08-2507 SELENA MARIE UBANA ROOSEVELT DINALUPIHAN BATAAN 7,708.88 8,357.63 0.00 16,066.51 August 06, 2018 2018-08-2508 JOSHUA VIADOR DAANG PARE ORION BATAAN 0.00 0.00 1,000.00 1,000.00 August 06, 2018 2018-08-2509 ACE YJARES SACRIFICE VALLEY HERMOSA BATAAN 0.00 520.00 0.00 520.00 August 06, 2018 2018-08-2510 EDITHA SALAVERIA BALUT II PILAR BATAAN 0.00 370.00 0.00 370.00 August 06, 2018 2018-08-2511 GEMMA LEOBRERA PTO. RIVAS IBABA BALANGA CITY 0.00 1,130.00 0.00 1,130.00 August 06, 2018 2018-08-2144-A JHON WARREN DE GUZMAN 413 DAMPALIT II TAPULAO ORANI BATAAN 0.00 430.00 0.00 430.00 August 06, 2018 2018-08-2512 REYNALDO ESMABE NAGWALING PILAR BATAAN 0.00 422.40 0.00 422.40 August 06, 2018 2018-08-2513 CLEA JANE GONZALES SITIO AQUINO PANILAO PILAR BATAAN 474.50 0.00 0.00 474.50 August 06, 2018 2018-08-1312-E RUFINO BANATAO IPAG MARIVELES BATAAN 0.00 940.00 0.00 940.00 August 06, 2018 2018-08-2514 ARLEEH JUMILLA SAN ISIDRO MARIVELES BATAAN 0.00 1,350.00 0.00 1,350.00 August 06, 2018 2018-08-436-H ALLAN MIRASOL MT. VIEW MARIVELES BATAAN 0.00 830.40 0.00 830.40 August 06, 2018 2018-08-1456-B ROLLY BUAL VILLA JUANA RIZAL PILAR BATAAN 0.00 500.00 0.00 500.00 August 06, 2018 2018-08-2515 CRISTY LIEZL CASTILLO ALION MARIVELES BATAAN 0.00 30,000.00 0.00 30,000.00 August 06, 2018 2018-08-2516 EDWIN RAMOS CENTRAL BALANGA CITY 0.00 1,000.00 0.00 1,000.00

August 06, 2018 2018-08-2517 MARVIN OPERARIO PORTO CIRCLE BALON ANITO MARIVELES BATAAN 481.27 0.00 0.00 481.27 August 06, 2018 2018-08-2518 DONALYN DE LEON TOWNSITE LIMAY BATAAN 0.00 500.00 0.00 500.00 August 06, 2018 2018-08-2519 ARLON DIAZ AMBUCLAO IBAYO BALANGA CITY 0.00 800.00 0.00 800.00 August 06, 2018 2018-08-2520 LEONIDA TUAZON SAN JOSE BALANGA CITY 673.56 490.00 636.44 1,800.00 August 06, 2018 2018-08-2521 MARIVEL OAFALLAS MALIGAYA MARIVELES BATAAN 5,675.39 4,728.30 0.00 10,403.69 August 06, 2018 2018-08-1064-A MARISOL HILARIO MT. VIEW MARIVELES BATAAN 0.00 1,720.00 179.66 1,899.66 August 06, 2018 2018-08-2522 MERIAM GAPASIN CABCABEN MARIVELES BATAAN 0.00 2,616.39 0.00 2,616.39 August 06, 2018 2018-08-2523 IRENE REAMBON BALUT II PILAR BATAAN 0.00 470.00 0.00 470.00 August 06, 2018 2018-08-353-B NELSON LACSON 103 MANAHAN ST. TENEJERO BALANGA CITY 2,500.00 0.00 0.00 2,500.00 August 07, 2018 2018-08-2524 ARJINE CARIASO WAWA ORION BATAAN 0.00 370.00 0.00 370.00 August 07, 2018 2018-08-2525 DARREN MALANA ALMACEN HERMOSA BATAAN 0.00 300.00 0.00 300.00 August 07, 2018 2018-08-2526 RASID DUMALAZA TALIPAPA STA. ROSA PILAR BATAAN 0.00 1,420.00 0.00 1,420.00 August 07, 2018 2018-08-1659-E EDEN DELA CRUZ OMBOY ABUCAY BATAAN 987.00 0.00 0.00 987.00 August 07, 2018 2018-08-2527 YOLANDA DELA ROSA BANTAN ORION BATAAN 0.00 790.00 0.00 790.00 August 07, 2018 2018-08-2528 ORLANDO DIZON ALA-ULI PILAR BATAAN 0.00 1,000.00 0.00 1,000.00 August 07, 2018 2018-08-2529 JOSELLE MARIANO CULIS HERMOSA BATAAN 0.00 640.00 0.00 640.00 August 07, 2018 2018-08-2530 CORNELIO MALIXI JR. MARULAS VALENZUELA CITY 0.00 360.00 0.00 360.00 August 07, 2018 2018-08-2531 AURELIO BALDOMERO CABCABEN MARIVELES BATAAN 0.00 780.00 0.00 780.00 August 07, 2018 2018-08-2532 WILSON SALAZAR UPPER TUYO BALANGA CITY 0.00 1,111.10 0.00 1,111.10 August 07, 2018 2018-08-2533 MATT EDRYX TIONGSON WAWA ABUCAY BATAAN 0.00 820.00 0.00 820.00 August 07, 2018 2018-08-2534 ZORINA RODRIGUEZ CALAGUIMAN SAMAL BATAAN 0.00 920.00 0.00 920.00 August 07, 2018 2018-08-2535 WILFREDO ESTRELLA SUHAT ST. TENEJERO ORANI BATAAN 126.96 530.00 0.00 656.96 August 07, 2018 2018-08-2536 ZYRA LLANA BENOZA PUROK VI-B PINULOT DINALUPIHAN BATAAN 107.35 750.00 4,142.65 5,000.00 August 07, 2018 2018-08-2537 ANTONIO CAMACLANG UPPER LAYA POBLACION MARIVELES BATAAN 0.00 0.00 600.00 600.00 August 07, 2018 2018-08-2164-A TERESITA MALIBIRAN GABON ABUCAY BATAAN 987.00 0.00 0.00 987.00 August 07, 2018 2018-08-2538 MARIVIC CALAMBA 1202 BALAGTAS ORION BATAAN 0.00 500.00 0.00 500.00 August 08, 2018 2018-08-2539 DOMINGO DEL ROSARIO IBABAW BINARITAN MORONG BATAAN 485.06 0.00 0.00 485.06 August 08, 2018 2018-08-2540 CATHERINE FAMINDALAN SAYSAIN BAGAC BATAAN 0.00 350.00 0.00 350.00 August 08, 2018 2018-08-2541 GINA TANUGAN BALUT II ORION BATAAN 1,945.16 0.00 0.00 1,945.16 August 08, 2018 2018-08-1429-B EFREN GANTIGA BAYAN ORANI BATAAN 0.00 1,225.71 0.00 1,225.71 August 08, 2018 2018-08-2542 MARIA BABY CORBITA RIVERSIDE LAMAO LIMAY BATAAN 0.00 750.00 746.96 1,496.96 August 08, 2018 2018-08-2082-A ANACITA YANDOC MAMBOG MANDAMA HERMOSA BATAAN 0.00 1,500.00 0.00 1,500.00 August 08, 2018 2018-08-2543 KACERINE TATUALLA TENEJERO BALANGA CITY 0.00 370.00 0.00 370.00 August 08, 2018 2018-08-2544 JOCELYN CORRIEL ST. FRANCIS II LIMAY BATAAN 35.00 3,964.74 0.00 3,999.74 August 08, 2018 2018-08-2545 JOHN ARIES PASAHOL BANGAL DINALUPIHAN BATAAN 0.00 300.00 675.73 975.73 August 08, 2018 2018-08-2546 PRINCE RYKO VICENTE CUPANG PROPER BALANGA CTIY 0.00 888.46 111.54 1,000.00 August 08, 2018 2018-08-2547 ALMA MANGULABNAN CULIS HERMOSA BATAAN 0.00 1,400.00 90.84 1,490.84 August 08, 2018 2018-08-2548 ALIANAH JUNHANE ARGUELLES GEN. LIM ORION BATAAN 0.00 1,000.00 0.00 1,000.00 August 08, 2018 2018-08-1350-P EDEN CRUZ CULIS HERMOSA BATAAN 231.62 0.00 0.00 231.62 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory, TOTAL NAME ADDRESS Dental & PREPARED Drugs and Med Hospital Fees NUMBER diagnostic ASSISTANCE procedures

August 08, 2018 2018-08-2549 ENONIE CRUZADA MUNTING BATANGAS BALANGA CITY 0.00 549.12 0.00 549.12 August 08, 2018 2018-08-2550 ERWIN BAUTISTA MABATANG ABUCAY BATAAN 417.42 0.00 0.00 417.42 August 08, 2018 2018-08-2551 EPIFANIO RAGENIL SR. ALA-ULI PILAR BATAAN 0.00 283.20 0.00 283.20 August 08, 2018 2018-08-2552 LETICIA CALAYLAYAN ABUCAY BATAAN 0.00 548.80 0.00 548.80 August 08, 2018 2018-08-2553 KURT ANGELO TOLENTINO CAPITANGAN ABUCAY BATAAN 1,902.34 0.00 0.00 1,902.34 August 08, 2018 2018-08-2554 DIANA ALBRECH BARRIGA ALAS-ASIN MARIVELES BATAAN 0.00 1,950.00 830.91 2,780.91 August 08, 2018 2018-08-2555 DELIA REYES 53 NAVAL ST. CUPANG PROPER BALANGA CITY 0.00 600.00 0.00 600.00 August 08, 2018 2018-08-2556 JEJAN DAYANAN RIVERSIDE LAMAO LIMAY BATAAN 104.00 0.00 235.16 339.16 August 08, 2018 2018-08-2557 DAVID TEROL PARANG III IBABA SAMAL BATAAN 274.50 0.00 0.00 274.50 August 08, 2018 2018-08-2558 DANIEL CRISTOBAL HIGHWAY 54 CABCABEN MARIVELES BATAAN 274.50 0.00 0.00 274.50 August 08, 2018 2018-08-2559 RAMIR URBANO MT. VIEW MARIVELES BATAAN 0.00 1,000.00 0.00 1,000.00 August 08, 2018 2018-08-2560 CHARITY RAMIREZ PANTALAN BAGO ORANI BATAAN 0.00 300.00 0.00 300.00 August 08, 2018 2018-08-2561 DIVINA VILLA SAAY II ST. FRANCIS II LIMAY BATAAN 0.00 300.00 0.00 300.00 August 08, 2018 2018-08-368-J MARY JANE SAMSON 77-C LAON ABUCAY BATAAN 463.23 0.00 0.00 463.23 August 08, 2018 2018-08-2562 RIZA LANZARROTE 291 SITIO TABON DEL ROSARIO PILAR BATAAN 0.00 600.00 0.00 600.00 August 08, 2018 2018-08-2563 ANASTACIA VILLAMERO LOTE GALLARDO CATANING BALANGA CITY 0.00 680.00 0.00 680.00 August 08, 2018 2018-08-2564 ION TORRES SABANG MORONG BATAAN 300.00 0.00 0.00 300.00 August 08, 2018 2018-08-2565 MARK JEFFERSON ANDAYA CAMACHO BALANGA CITY BATAAN 588.99 0.00 0.00 588.99 August 08, 2018 2018-08-2566 RAIZY CUNANAN STA. ROSA PILAR BATAAN 0.00 990.00 0.00 990.00 August 08, 2018 2018-08-2567 HECTOR QUICHO PTO. RIVAS BALANGA CITY 0.00 950.00 0.00 950.00 August 08, 2018 2018-08-2568 CHRIS POLE CASUNCAD PARANG BAGAC BATAAN 164.32 0.00 1,000.00 1,164.32

August 08, 2018 2018-08-2569 RODERICK CRUZ PORTO DEL SOL CIRCLE BALON ANITO MARIVELES BATAAN 6,925.53 0.00 0.00 6,925.53 August 08, 2018 2018-08-2570 MARIO BAILADOR BATANGAS II LIYANG PILAR BATAAN 511.98 0.00 0.00 511.98 August 08, 2018 2018-08-2571 CECILE BAUTISTA BALUT ORION BATAAN 0.00 500.00 0.00 500.00 August 08, 2018 2018-08-2572 TORIBIO MIRANDA LAYAC DINALUPIHAN BATAAN 0.00 926.40 0.00 926.40 August 08, 2018 2018-08-2531-A AURELIO BALDOMERO CABCABEN MARIVELES BATAAN 0.00 380.00 0.00 380.00 August 09, 2018 2018-08-2573 HENRY CALUBAQUIB CABCABEN MARIVELES BATAAN 1,239.02 4,140.00 620.98 6,000.00 August 09, 2018 2018-08-2574 MARECRIS AMOLAR CUPANG PROPER BALANGA CTIY 0.00 520.00 0.00 520.00 August 09, 2018 2018-08-2575 CHRISTINA BAUTISTA SAN JUAN SAMAL BATAAN 324.50 0.00 0.00 324.50 August 09, 2018 2018-08-2576 RESTY AQUINO BANAWANG BAGAC BATAAN 803.66 3,690.05 0.00 4,493.71 August 09, 2018 2018-08-2577 REZZ CORTEZ SAPANG BATP ANGELES CITY PAMPANGA 0.00 550.00 0.00 550.00 August 09, 2018 2018-08-2578 ALDEN CABRERA CADRE CAMACHO BALANGA CITY 0.00 300.00 0.00 300.00 August 09, 2018 2018-08-2579 DIANA ROSE PALOMATA CUPANG PROPER BALANGA CTIY 0.00 1,050.00 0.00 1,050.00 August 09, 2018 2018-08-2580 JAYCIELHET DE GUZMAN STA. ROSA PILAR BATAAN 0.00 470.00 0.00 470.00 August 09, 2018 2018-08-1165-J ADONES LINTAG DAAN BILOLO ORION BATAAN 0.00 1,300.00 0.00 1,300.00 August 09, 2018 2018-08-2581 JEZREEL GUEVA STA. ELENA ORION BATAAN 0.00 620.00 0.00 620.00 August 09, 2018 2018-08-2582 ALDWIN MARIANO WAWA PILAR BATAAN 517.32 0.00 0.00 517.32 August 09, 2018 2018-08-2583 LEONORA RONCALES SAN RAMON DINALUPIHAN BATAAN 0.00 0.00 612.84 612.84 August 09, 2018 2018-08-1956-A EDUARDO SAMONTE JR. SISIMAN MARIVELES BATAAN 0.00 500.00 0.00 500.00 August 09, 2018 2018-08-2584 RIZALYN TAMUNDOG BANGKAL ABUCAY BATAAN 425.40 600.00 341.43 1,366.83

August 09, 2018 2018-08-2585 CHRISTOPHER BANDONG 618 ELLANO COMPOUND BAGONG SILANG BALANGA CITY 0.00 300.00 0.00 300.00 August 09, 2018 2018-08-503-C GEMMA DE LEON PTO. RIVAS IBABA BALANGA CITY 0.00 500.00 0.00 500.00 August 09, 2018 2018-08-2586 NIDA MALATE PAG-ASA CAMAYA MARIVELES BATAAN 0.00 1,400.00 0.00 1,400.00 August 09, 2018 2018-08-2587 JOMER SABADO T. CAMACHO BALANGA CITY 0.00 1,600.00 0.00 1,600.00 August 09, 2018 2018-08-2588 ARRAHMAY TIONGSON MARSTEEL LIMAY BATAAN 0.00 3,186.67 0.00 3,186.67

August 09, 2018 2018-08-1449-C ROGER PAJUNAR MULAWIN ST. BALON ANITO MARIVELES BATAAN 0.00 1,600.00 0.00 1,600.00 August 09, 2018 2018-08-2589 ELSIE MARIANO BUBUYOG IBABA SAMAL BATAAN 1,429.13 0.00 0.00 1,429.13 August 09, 2018 2018-08-2590 CHARYDEL REGONDOLA ALA-ULI PILAR BATAAN 0.00 400.00 3,600.00 4,000.00 August 09, 2018 2018-08-2591 SERAPION PELAYO ALAS-ASIN MARIVELES BATAAN 0.00 480.00 0.00 480.00 August 09, 2018 2018-08-2322-B BAYANI DUÑGAN BALUYOT TORTUGAS BALANGA CITY 0.00 1,000.00 0.00 1,000.00 August 09, 2018 2018-08-2592 VICTOR VIEJO SAPA SAMAL BATAAN 10,720.70 14,279.30 0.00 25,000.00 August 09, 2018 2018-08-2593 CARMEN RIVERA TAPULAO ORANI BATAAN 3,930.00 0.00 0.00 3,930.00 August 09, 2018 2018-08-2594 ERICA JOY BARZANA MAMBOG HERMOSA BATAAN 2,804.80 195.20 0.00 3,000.00 August 09, 2018 2018-08-1528-A MYRNA PONCE 225 ZULUETA KAPARANGAN ORANI BATAAN 14,843.31 0.00 328.21 15,171.52 August 09, 2018 2018-08-2595 EDWIN LUCAS JR. MUNTING BATANGAS BALANGA CITY 0.00 700.00 0.00 700.00 August 09, 2018 2018-08-2596 RICHELLE PEREZ CATANING BALANGA CITY 0.00 300.00 0.00 300.00 August 09, 2018 2018-08-2597 REMEDIOS ALCANTARA LAMAO LIMAY BATAAN 0.00 930.00 0.00 930.00 August 09, 2018 2018-08-2598 RAVIEN HESTA SAYSAIN BAGAC BATAAN 0.00 700.00 0.00 700.00 August 10, 2018 2018-08-2599 ALBERTO ISIP MARIVELES MENTAL HEALTH 0.00 250.00 0.00 250.00 August 10, 2018 2018-08-2600 RODOLFO SILVA JR. CRUSHER SITE LAMAO LIMAY BATAAN 158.29 1,350.00 0.00 1,508.29 August 10, 2018 2018-08-2601 JANNA PAULENE ESCALADA PANILAO PILAR BATAAN 0.00 470.00 0.00 470.00 August 10, 2018 2018-08-436-I ALLAN MIRASOL MT. VIEW MARIVELES BATAAN 0.00 3,270.28 0.00 3,270.28 August 10, 2018 2018-08-2550-A ERWIN BAUTISTA MABATANG ABUCAY BATAAN 1,945.16 0.00 0.00 1,945.16 August 10, 2018 2018-08-2602 FLORIE DELA ROSA CALAYLAYAN ABUCAY BATAAN 0.00 1,600.00 0.00 1,600.00 August 10, 2018 2018-08-2603 NOEMIE BARCELONA BINUKAWAN BAGAC BATAAN 0.00 0.00 1,500.00 1,500.00 August 10, 2018 2018-08-2604 CHERRY BONAYON LALAWIGAN SAMAL BATAAN 0.00 1,710.00 0.00 1,710.00 August 10, 2018 2018-08-030-B DIONILO GUTIERREZ ST. FRANCIS II LIMAY BATAAN 0.00 1,600.00 0.00 1,600.00 August 10, 2018 2018-08-2605 CARMELITA REBENITO SISIMAN MARIVELES BATAAN 0.00 15,435.00 1,205.52 16,640.52 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory, TOTAL NAME ADDRESS Dental & PREPARED Drugs and Med Hospital Fees NUMBER diagnostic ASSISTANCE procedures

August 10, 2018 2018-08-2606 MARK JUSTINE ISIP SABATAN ORION BATAAN 0.00 320.00 0.00 320.00 August 10, 2018 2018-08-2607 JOHN REY MAGNO DEPENSA KAPUNITAN ORION BATAAN 0.00 320.00 0.00 320.00 August 10, 2018 2018-08-2608 JAYSON MASAMOC KAMALIG ST. TUYO BALANGA CITY 0.00 534.00 0.00 534.00 August 10, 2018 2018-08-2609 MARINA MERCADO WAWA LIMAY BATAAN 0.00 1,000.00 0.00 1,000.00 August 10, 2018 2018-08-2610 EVANGELINE GAMAYON CUPANG PROPER BALANGA CTIY 0.00 1,600.00 0.00 1,600.00 August 10, 2018 2018-08-2214-D MARTY CUBACUB PARANG-PARANG ORANI BATAAN 231.62 0.00 0.00 231.62 August 10, 2018 2018-08-1350-Q EDEN CRUZ CULIS HERMOSA BATAAN 231.62 0.00 0.00 231.62 August 10, 2018 2018-08-2611 MERCY HASSAN DOÑA ORANI BATAAN 0.00 670.00 0.00 670.00 August 10, 2018 2018-08-1035-C ZENAIDA NATE MABIGA HERMOSA BATAAN 0.00 926.34 0.00 926.34 August 10, 2018 2018-08-2557-A DAVID TEROL PARANG III IBABA SAMAL BATAAN 1,420.92 0.00 0.00 1,420.92 August 10, 2018 2018-08-2612 MARCELO PIZARRO JR. TABON ST. DEL ROSARIO PILAR BATAAN 0.00 980.00 0.00 980.00 August 10, 2018 2018-08-2613 FE BASILIO MABIGA HERMOSA BATAAN 0.00 900.00 0.00 900.00 August 10, 2018 2018-08-2614 CALLIE SHARLY SORIA BALUT PILAT BATAAN 0.00 700.00 0.00 700.00 August 10, 2018 2018-08-2556-A JEJAN DAYANAN RIVERSIDE LAMAO LIMAY BATAAN 0.00 1,630.00 0.00 1,630.00 August 10, 2018 2018-08-2615 ARIEL CUSTODIO CUPANG PROPER BALANGA CTIY 0.00 830.56 0.00 830.56 August 10, 2018 2018-08-2616 SEAN CHLOE BAUTISTA UPPER SABATAN ORION BATAAN 0.00 690.00 0.00 690.00 August 10, 2018 2018-08-2617 LOVE JOY PASAMONTE FLORES ST. MABATANG ABUCAY BATAAN 0.00 1,520.00 0.00 1,520.00 August 10, 2018 2018-08-1429-C EFREN GANTIGA BAYAN ORANI BATAAN 0.00 1,000.00 0.00 1,000.00 August 10, 2018 2018-08-2618 EDELYN CABUSAS SAN JOSE BALANGA CITY 0.00 350.00 0.00 350.00 August 10, 2018 2018-08-2619 JANELA JANE BANTUGAN BANAWANG BAGAC BATAAN 0.00 0.00 985.76 985.76 August 10, 2018 2018-08-2620 MERRY SORIANO BACONG HERMOSA BATAAN 0.00 600.00 0.00 600.00 August 10, 2018 2018-08-2621 ADELAIDA BARTOLOME BALUT II PILAR BATAAN 0.00 549.12 0.00 549.12 August 10, 2018 2018-08-2008-D SHERYLL RONQUILLO STO. NIÑO DINALUPIHAN BATAAN 307.00 0.00 0.00 307.00 August 10, 2018 2018-08-2281-A SHIRLYN MAGNAAN LAMAO LIMAY BATAAN 200.00 0.00 0.00 200.00 August 11, 2018 2018-08-368-K MARY JANE SAMSON 77-C LAON ABUCAY BATAAN 463.23 0.00 0.00 463.23 August 11, 2018 2018-08-1257-A EDUARDO RODRIGUEZ CULIS HERMOSA BATAAN 0.00 1,126.40 0.00 1,126.40 August 11, 2018 2018-08-2622 MIGS CARL DE GUZMAN DEPENSA ORION BATAAN 0.00 680.00 0.00 680.00 August 11, 2018 2018-08-1909-A JULIET PIZARRO PTO. RIVAS IBABA BALANGA CITY 0.00 1,100.00 0.00 1,100.00 August 11, 2018 2018-08-2623 JOHN PHATRICK BALAGOPLO CAPITANGAN ABUCAY BATAAN 0.00 920.00 0.00 920.00 August 11, 2018 2018-08-2624 ARIANNE CABANTOG BAYAN ORANI BATAAN 0.00 1,390.00 0.00 1,390.00 August 11, 2018 2018-08-2625 KIMBERLY YUMUL STA. ROSA PILAR BATAAN 0.00 300.00 0.00 300.00 August 11, 2018 2018-08-2626 MATHEW DOMINIC ALFONSO BURY BLISS LIMAY BATAAN 0.00 5,115.90 858.97 5,974.87 August 11, 2018 2018-08-2627 JACKIENER MORIS MABUCO HERMOSA BATAAN 0.00 1,000.00 0.00 1,000.00 August 11, 2018 2018-08-2628 MICA CYRA CASAJE CUPANG BALANGA CITY 0.00 400.00 0.00 400.00 August 11, 2018 2018-08-2629 MARIANO BANIEL SEABREEZE LIMAY BATAAN 530.07 150.00 0.00 680.07 August 11, 2018 2018-08-2630 HENRY ALIPIO CAMACHO BALANGA CITY BATAAN 0.00 626.40 0.00 626.40 August 11, 2018 2018-08-2631 JUIRA INGRED ADOR CAPITANGAN ABUCAY BATAAN 0.00 320.00 0.00 320.00 August 11, 2018 2018-08-2632 ANITA MARIANO 227 POBLACION MARIVELES BATAAN 816.83 520.00 951.73 2,288.56 August 11, 2018 2018-08-2633 DIDAY LITAN CAPUNITAN ORION BATAAN 195.91 500.00 57.14 753.05 August 11, 2018 2018-08-2634 MARDELYN MENDOZA CAPITANGAN ABUCAY BATAAN 29.69 300.00 0.00 329.69 August 11, 2018 2018-08-2635 MARY ANN NISAY CUPANG NORTH BALANGA CITY 0.00 400.00 0.00 400.00 August 11, 2018 2018-08-2636 DENNIES ABARSOSA IPAG MARIVELES BATAAN 715.81 960.00 324.19 2,000.00 August 11, 2018 2018-08-2637 DARRYL RODRIGUEZ SITIO NIÑO CUPANG PROPER BALANGA CITY 701.30 590.00 0.00 1,291.30 August 11, 2018 2018-08-2638 JENALYN GRUTA CUPANG PROPER BALANGA CTIY 170.34 1,150.00 0.00 1,320.34 August 11, 2018 2018-08-2639 DANSUN MARCOS BASECO MARIVELES BATAAN 384.98 200.00 0.00 584.98 August 11, 2018 2018-08-2640 RAFFY MAGDATO DFS BALANGA CITY BATAAN 0.00 300.00 0.00 300.00 August 11, 2018 2018-08-2641 JOANNA MARIE PANGILINAN BAGONG SILANG BALANGA CITY 0.00 500.00 0.00 500.00 August 11, 2018 2018-08-1165-K ADONES LINTAG DAAN BILOLO ORION BATAAN 0.00 1,330.40 0.00 1,330.40 August 12, 2018 2018-08-2642 MARK DE GUZMAN STA. ROSA PILAR BATAAN 307.88 0.00 0.00 307.88 August 12, 2018 2018-08-2643 JAETHAN ZANDLER SUNGA BASECO MARIVELES BATAAN 411.84 340.00 364.55 1,116.39 August 12, 2018 2018-08-2644 LIGAYA BACONG SAN JOSE BALANGA CITY 0.00 600.00 0.00 600.00 August 12, 2018 2018-08-2645 ROMEO GASPAR UPPER TUYO BALANGA CITY 0.00 800.00 0.00 800.00 August 12, 2018 2018-08-2646 MYRNA YUMANG LUACAN DINALUPIHAN BATAAN 0.00 3,000.00 0.00 3,000.00 August 12, 2018 2018-08-2647 MARJORIE MACALINO NAPARING DINALUPIHAN BATAAN 0.00 0.00 2,000.00 2,000.00 August 13, 2018 2018-08-2648 MELINDA PEDROS 16 WAKAS NORTH BALANGA CITY 0.00 370.00 0.00 370.00 August 13, 2018 2018-08-2611-A MERCY HASSAN DOÑA ORANI BATAAN 0.00 1,100.00 0.00 1,100.00 August 13, 2018 2018-08-2649 NORMA RAYMUNDO 532 POBLACION MARIVELES BATAAN 283.81 600.00 28.57 912.38 August 13, 2018 2018-08-2650 RODOLFO ARROZAL EAST CALAGUIMAN SAMAL BATAAN 0.00 591.36 0.00 591.36 August 13, 2018 2018-08-2651 REYNALDO ALTABANO 171 J.P. RIZAL ST. TALISAY BALANGA CITY 3,055.66 10,090.00 854.34 14,000.00 August 13, 2018 2018-08-2652 OLIVER MAGTANONG LAON ABUCAY BATAAN 0.00 926.40 0.00 926.40 August 13, 2018 2018-08-2653 ROSEMARIE RAMOS ALAS-ASIN MARIVELES BATAAN 0.00 770.00 0.00 770.00 August 13, 2018 2018-08-2654 CEASAR EMNACE SAN PABLO DINALUPIHAN BATAAN 1,284.68 400.00 69.69 1,754.37 August 13, 2018 2018-08-740-D DIVINE MARY BORGUETA SAN JOSE BALANGA CITY 0.00 500.00 0.00 500.00 August 13, 2018 2018-08-2655 DESIREE CIPRIANO IPAG MARIVELES BATAAN 490.92 0.00 0.00 490.92 August 13, 2018 2018-08-2656 JONELLYN JOSE BACANI PUROK II NAGWALING PILAR BATAAN 643.70 0.00 28.57 672.27 August 13, 2018 2018-08-2657 LIBRADO SUBA 605 BAYAN BAYANAN DINALUPIHAN BATAAN 0.00 4,500.00 2,500.00 7,000.00 August 13, 2018 2018-08-2658 REYNALDO BAUTISTA TUYO BALANGA CITY 0.00 730.00 0.00 730.00

August 13, 2018 2018-08-2659 MICAILA JADE JALON 89 MOLAVE ST. PHASE I DOÑA FRANCISCA BALANGA CITY 0.00 150.00 0.00 150.00 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory, TOTAL NAME ADDRESS Dental & PREPARED Drugs and Med Hospital Fees NUMBER diagnostic ASSISTANCE procedures

August 13, 2018 2018-08-2660 JOANNA VALERIO RIVERSIDE IBAYO BALANGA CITY 0.00 670.00 0.00 670.00 August 13, 2018 2018-08-2661 JOEY GONZALES PANILAO PILAR BATAAN 1,429.13 0.00 0.00 1,429.13 August 13, 2018 2018-08-2195-A JOHN KEVIN IJAN IBAYO BALANGA CITY 0.00 985.60 0.00 985.60 August 13, 2018 2018-08-2662 NEIL BRYAN PUNO UPPER TUYO BALANGA CITY 0.00 780.00 0.00 780.00 August 13, 2018 2018-08-2663 JONNALYN MACARARANGA TALISAY BALANGA CITY 517.32 0.00 0.00 517.32

August 13, 2018 2018-08-2664 NIKE AUDREI DE JESUS 48 CUADERNO PTO. RIVAS LOTE BALANGA CITY 517.32 0.00 0.00 517.32 August 13, 2018 2018-08-239-E EMILY MORIDO PUTING BUHANGIN ORION BATAAN 0.00 1,350.00 0.00 1,350.00 August 13, 2018 2018-08-2144-B JHON WARREN DE GUZMAN 413 DAMPALIT II TAPULAO ORANI BATAAN 0.00 793.64 0.00 793.64 August 13, 2018 2018-08-1312-F RUFINO BANATAO IPAG MARIVELES BATAAN 0.00 1,926.88 0.00 1,926.88 August 14, 2018 2018-08-2665 LADY ANN MAGALLANES ST. FRANCIS I LIMAY BATAAN 0.00 300.00 0.00 300.00 August 14, 2018 2018-08-2400-A GREGORIO TOLOSA SAN JOSE BALANGA CITY 0.00 870.00 0.00 870.00 August 14, 2018 2018-08-2666 ALOHA EDEM ST. FRANCIS I LIMAY BATAAN 0.00 0.00 3,449.51 3,449.51 August 14, 2018 2018-08-2667 RENATO DIMACULANGAN BATANGAS II MARIVELES BATAAN 0.00 0.00 3,013.81 3,013.81 August 14, 2018 2018-08-2214-E MARTY CUBACUB PARANG-PARANG ORANI BATAAN 231.62 0.00 0.00 231.62 August 14, 2018 2018-08-1350-R EDEN CRUZ CULIS HERMOSA BATAAN 231.62 0.00 0.00 231.62 August 14, 2018 2018-08-2668 INOCENCIA BAUTISTA CATMOON DIWA PILAR BATAAN 0.00 1,540.00 0.00 1,540.00 August 14, 2018 2018-08-2617-A LOVE JOY PASAMONTE FLORES ST. MABATANG ABUCAY BATAAN 0.00 600.00 0.00 600.00 August 14, 2018 2018-08-2167-A ALFONSO MANALANG JR. SAN RAMON DINALUPIHAN BATAAN 0.00 1,500.00 0.00 1,500.00 August 14, 2018 2018-08-2669 JULIUS ENOSEBIUS MARIVELES MENTAL HEALTH 0.00 550.00 0.00 550.00 August 14, 2018 2018-08-2670 CELITA DE LEON TORTUGAS BALANGA CITY 0.00 591.36 0.00 591.36 August 14, 2018 2018-08-503-D GEMMA DE LEON PTO. RIVAS IBABA BALANGA CITY 0.00 400.00 0.00 400.00 August 14, 2018 2018-08-2671 ESTELITA LOPEZ TENEJERO BALANGA CITY 0.00 591.36 0.00 591.36 August 14, 2018 2018-08-2672 AIRA BARAL BINARITAN MORONG BATAAN 143.04 550.00 0.00 693.04 August 14, 2018 2018-08-2673 NOVELYN OLIGANGA UPPER DANGCOL BALANGA CITY 194.15 750.00 0.00 944.15 August 14, 2018 2018-08-2674 EDITHA DE GUIA STA. ROSA PILAR BATAAN 0.00 1,170.00 0.00 1,170.00 August 14, 2018 2018-08-2675 MIGUELA ESTELLIOSO CENTRAL BALANGA CITY 0.00 1,150.00 0.00 1,150.00 August 14, 2018 2018-08-2195-B JOHN KEVIN IJAN IBAYO BALANGA CITY 0.00 500.00 0.00 500.00 August 14, 2018 2018-08-2676 JIMMY ALONZO CUPANG PROPER BALANGA CTIY 0.00 1,400.00 0.00 1,400.00 August 14, 2018 2018-08-2677 FLORITA ACUÑA VILLA ANGELES ORION BATAAN 0.00 1,320.00 0.00 1,320.00 August 14, 2018 2018-08-2019-A MINDA BENDITA ALA-ULI PILAR BATAAN 0.00 950.00 0.00 950.00 August 14, 2018 2018-08-2678 ISAGANI MARIANO BILOLO ORION BATAAN 155.25 1,620.00 0.00 1,775.25 August 14, 2018 2018-08-845-C EDUARDO MARTIN CAMACHO BALANGA CITY BATAAN 0.00 1,100.00 0.00 1,100.00 August 14, 2018 2018-08-2635-A MARY ANN NISAY CUPANG NORTH BALANGA CITY 0.00 400.00 0.00 400.00 August 14, 2018 2018-08-2679 MIESHA ESTELIE CATLI MANDAMA HERMOSA BATAAN 0.00 0.00 30,000.00 30,000.00 August 14, 2018 2018-08-2680 GEMMEL ROSE TIONGSON MULAWIN ORANI BATAAN 24,796.76 0.00 0.00 24,796.76 August 14, 2018 2018-08-2681 ANGELIC TRINA ESCOTO TENEJERO BALANGA CITY 0.00 8,920.00 2,443.25 11,363.25 August 14, 2018 2018-08-2682 GHEN THEA DE JESUS LANDING PILAR BATAAN 0.00 320.00 0.00 320.00 August 14, 2018 2018-08-2683 IVAN JAY CRUZ DEL ROSARIO PILAR BATAAN 0.00 650.00 0.00 650.00 August 14, 2018 2018-08-2684 DANILO DIVINAGRACIA BALON ANITO MARIVELES BATAAN 0.00 563.20 0.00 563.20 August 14, 2018 2018-08-2685 JOMAR SUMANGA CALAYLAYAN ABUCAY BATAAN 0.00 1,520.00 0.00 1,520.00 August 14, 2018 2018-08-1165-L ADONES LINTAG DAAN BILOLO ORION BATAAN 0.00 1,330.40 0.00 1,330.40 August 14, 2018 2018-08-2686 LARRY BONILLA CENTRAL BALANGA CITY 7,799.38 841.26 0.00 8,640.64 August 14, 2018 2018-08-2687 IVEE DAHZEL FAJARDO ZONE 6 CAMAYA MARIVELES BATAAN 0.00 800.00 0.00 800.00 August 14, 2018 2018-08-2688 ANGELO ACUÑA TALIMUNDOC ORANI BATAAN 1,879.00 0.00 0.00 1,879.00 August 14, 2018 2018-08-2689 MYLA RAE VENEGAS CAMACHILE ORION BATAAN 0.00 2,000.00 0.00 2,000.00 August 15, 2018 2018-08-2690 MARIA NELIA AFABLE SACRIFICE VALLEY HERMOSA BATAAN 0.00 1,390.00 0.00 1,390.00 August 15, 2018 2018-08-2691 ISAIAS TOLEDO PARANG BAGAC BATAAN 427.40 0.00 0.00 427.40 August 15, 2018 2018-08-2692 NESTOR QUERUBEN HONRADO TOWNSITE MARIVELES BATAAN 27,963.30 5,140.00 16,896.70 50,000.00 August 15, 2018 2018-08-2693 DERWIN ROSALES SUNFLOWER SISIMAN MARIVELES BATAAN 3,932.29 1,420.00 204.33 5,556.62 August 15, 2018 2018-08-2694 IMELDA MIGUEL IPAG MARIVELES BATAAN 46.00 11,230.17 6,723.83 18,000.00 August 15, 2018 2018-08-014-J RONNIE BASALO CENTRO II ORANI BATAAN 0.00 900.00 0.00 900.00

August 15, 2018 2018-08-1755-A EDITHA CRUZ 148 ESCALADA ST. PTO. RIVAS ITAAS BALANGA CITY BATAAN 0.00 1,000.00 0.00 1,000.00 August 15, 2018 2018-08-2695 LILIBETH ANGELES WAWA ABUCAY BATAAN 0.00 700.00 0.00 700.00 August 15, 2018 2018-08-2696 KENNETH ADRIAN TIMARIO 209 MABINI ST. BAGUMBAYAN BALANGA CITY 0.00 1,000.00 0.00 1,000.00 August 15, 2018 2018-08-097-B JOHN EDWARD VERGARA 416 GABON ABUCAY BATAAN 0.00 900.00 0.00 900.00 August 15, 2018 2018-08-1362-A NOEL GALANG BALSIK HERMOSA BATAAN 0.00 0.00 9,916.48 9,916.48 August 15, 2018 2018-08-2697 JESSICA VALENTON BILOLO ORION BATAAN 0.00 670.00 0.00 670.00 August 15, 2018 2018-08-709-A RENAN BAUTISTA BILOLO ORION BATAAN 0.00 2,020.00 0.00 2,020.00 August 15, 2018 2018-08-002-I ANDREW JAMES LINTAG BAYAN ORANI BATAAN 22,113.96 0.00 943.40 23,057.36 August 15, 2018 2018-08-368-L MARY JANE SAMSON 77-C LAON ABUCAY BATAAN 0.00 1,584.00 0.00 1,584.00 August 15, 2018 2018-08-2698 RACQUEL SALVADOR PAG-ASA BAGAC BATAAN 0.00 620.00 0.00 620.00 August 15, 2018 2018-08-2582-A ALDWIN MARIANO WAWA PILAR BATAAN 949.00 0.00 0.00 949.00

August 15, 2018 2018-08-1860-A JHOMER DEL ROSARIO 1139 VILLA ADELA HEIGHTS TUGATOG ORANI BATAAN 5,000.00 0.00 0.00 5,000.00 August 15, 2018 2018-08-2699 THELMA IGNACIO MULAWIN ORANI BATAAN 565.37 1,191.00 407.41 2,163.78 August 15, 2018 2018-08-1587-A ADELAIDA HARINA SEA BREEZE LIMAY BATAAN 291.72 150.00 0.00 441.72 August 15, 2018 2018-08-2700 MELINDA CARAIG PUROK I PUTING BUHANGIN ORION BATAAN 1,766.35 6,025.25 0.00 7,791.60 August 15, 2018 2018-08-2701 MARK JAEL MANABAT BAGONG SILANG BALANGA CITY 0.00 2,200.00 0.00 2,200.00 August 15, 2018 2018-08-2702 HEAVEN FRANCISCO PALIHAN HERMOSA BATAAN 1,660.17 0.00 339.83 2,000.00 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory, TOTAL NAME ADDRESS Dental & PREPARED Drugs and Med Hospital Fees NUMBER diagnostic ASSISTANCE procedures

August 15, 2018 2018-08-2703 LUZ REYES DEL ROSARIO PILAR BATAAN 0.00 591.36 0.00 591.36 August 15, 2018 2018-08-2704 ELMAR LOPEZ GABON ABUCAY BATAAN 632.34 1,865.00 0.00 2,497.34 August 15, 2018 2018-08-2705 JOSEPH BRYAN VIZCARRA CUPANG PROPER BALANGA CTIY 0.00 985.60 0.00 985.60 August 15, 2018 2018-08-2706 ROMMEL CALAYAG BAGUMBAYAN BALANGA CITY 0.00 1,330.00 0.00 1,330.00 August 15, 2018 2018-08-2707 ROSALINDA GATDULA SAN ANTONIO BAGAC BATAAN 0.00 1,126.40 0.00 1,126.40 August 15, 2018 2018-08-1372-B JOCELYN MADRIAGA IBAYO BALANGA CITY 0.00 492.80 0.00 492.80 August 15, 2018 2018-08-2033-B NADELYN ZAPANTA TOWNSITE LIMAY BATAAN 0.00 380.00 0.00 380.00 August 15, 2018 2018-08-2708 EDITHO SANTIZO STA. ROSA PILAR BATAAN 0.00 700.00 0.00 700.00 August 15, 2018 2018-08-2709 MARCIANA TORRES SABATAN ORION BATAAN 0.00 1,430.00 0.00 1,430.00 August 15, 2018 2018-08-2710 RODEL VENTURA BATANGAS II MARIVELES BATAAN 1,606.72 6,839.82 0.00 8,446.54 August 15, 2018 2018-08-2711 VICTORINO BERONIA TENEJERO BALANGA CITY 514.50 150.00 0.00 664.50 August 15, 2018 2018-08-2712 NORMA FIGUEROA STA. ROSA PILAR BATAAN 50,000.00 0.00 0.00 50,000.00 August 15, 2018 2018-08-2713 NOEL VALENCIA ALA-ULI PILAR BATAAN 1,626.54 7,570.00 6,759.77 15,956.31 August 15, 2018 2018-08-2714 GRACITA RODRIGUEZ TOWNSITE MARIVELES BATAAN 0.00 1,548.00 0.00 1,548.00 August 15, 2018 2018-08-2715 RENIER LACSINA LIYANG PILAR BATAAN 0.00 1,700.00 0.00 1,700.00 August 15, 2018 2018-08-1170-E ROSITA GELLEGANI SACRIFICE VALLEY HERMOSA BATAAN 263.40 0.00 0.00 263.40

August 15, 2018 2018-08-2716 OSIAS MONZALES VISTA GRANDE BALON ANITO MARIVELES BATAAN 28,334.80 11,930.10 0.00 40,264.90 August 15, 2018 2018-08-2717 IMELDA LABRADOR CAMACHILE ORION BATAAN 0.00 570.00 0.00 570.00 August 15, 2018 2018-08-2676-A JIMMY ALONZO CUPANG PROPER BALANGA CTIY 162.79 1,090.00 0.00 1,252.79 August 16, 2018 2018-08-830-B MYRA BUISING GEN. LIM ORION BATAAN 0.00 1,000.00 0.00 1,000.00 August 16, 2018 2018-08-2718 ROSE ANN ABENA IBAYO BALANGA CITY 0.00 670.00 0.00 670.00 August 15, 2018 2018-08-2719 MARY GRACE BALASTIQUE BALUT ORANI BATAAN 0.00 1,380.00 0.00 1,380.00 August 16, 2018 2018-08-1363-B DALIA PAYADE BASECO MARIVELES BATAAN 0.00 1,300.00 0.00 1,300.00 August 16, 2018 2018-08-2019-B MINDA BENDITA PANTINGAN PILAR BATAAN 770.70 0.00 0.00 770.70 August 16, 2018 2018-08-2494-A SHARON APALLA TENEJERO BALANGA CITY 0.00 400.00 0.00 400.00 August 16, 2018 2018-08-2720 NICKSON ALFABETE BASECO MARIVELES BATAAN 476.86 0.00 0.00 476.86 August 16, 2018 2018-08-1467-C MARITA MENA KABALUTAN ORANI BATAAN 0.00 1,056.00 0.00 1,056.00 August 16, 2018 2018-08-2721 ANABELLE CASTINO TALISAY BALANGA CITY 0.00 720.00 0.00 720.00 August 16, 2018 2018-08-1165-M ADONES LINTAG DAAN BILOLO ORION BATAAN 0.00 3,467.01 0.00 3,467.01 August 16, 2018 2018-08-2722 OSCAR VALDECAÑAS CUPANG PROPER BALANGA CTIY 0.00 1,100.00 0.00 1,100.00 August 16, 2018 2018-08-2723 ANTONIO DELGADO CATANING BALANGA CITY 0.00 591.36 0.00 591.36 August 16, 2018 2018-08-2724 BENIGNO AMIO JR. CENTRAL BALANGA CITY 0.00 380.64 0.00 380.64 August 16, 2018 2018-08-2725 TERESITA PEREZ DUALE LIMAY BATAAN 0.00 591.36 0.00 591.36 August 16, 2018 2018-08-2726 EMELIA MENDOZA CUPANG NORTH BALANGA CITY 474.50 0.00 0.00 474.50 August 16, 2018 2018-08-2727 MARIMAR BUSTAMANTE NAGWALING PILAR BATAAN 0.00 420.00 0.00 420.00 August 16, 2018 2018-08-2728 RODEL MUICO TOWNSITE LIMAY BATAAN 103.75 1,150.00 0.00 1,253.75 August 16, 2018 2018-08-2729 JENNIFER AUSTRIA LANDING PILAR BATAAN 0.00 750.00 0.00 750.00 August 16, 2018 2018-08-1842-A REBECCA PEÑA PALIHAN ORANI BATAAN 0.00 600.00 0.00 600.00 August 16, 2018 2018-08-2730 JAIME GOZON TENEJERO BALANGA CITY 0.00 1,300.00 0.00 1,300.00 August 16, 2018 2018-08-1061-C CHRISONVER AMON PHASE I MT. VIEW MARIVELES BATAAN 0.00 950.40 0.00 950.40 August 16, 2018 2018-08-2731 BRENDA MARQUEZ BAGUMBAYAN BAGAC BATAAN 0.00 1,090.00 0.00 1,090.00 August 17, 2018 2018-08-2732 MAGDALENA NUEZ GEN. LIM ORION BATAAN 669.76 0.00 0.00 669.76 August 17, 2018 2018-08-2733 RODELYN MAE DELA CRUZ CUPANG PROPER BALANGA CTIY 412.46 570.00 0.00 982.46 August 17, 2018 2018-08-2734 SOPHIA BLESS MALLARI LAMAO LIMAY BATAAN 0.00 320.00 5.21 325.21 August 17, 2018 2018-08-029-C CESAR MARTINEZ TUYO BALANGA CITY 0.00 830.40 0.00 830.40 August 17, 2018 2018-08-2735 ESSHA ALFUENTE WAKAS NORTH PILAR BATAAN 0.00 551.31 0.00 551.31 August 17, 2018 2018-08-2736 MARICOR NISAY SUMALO HERMOSA BATAAN 0.00 330.00 0.00 330.00 August 17, 2018 2018-08-2737 ROMIELYN DELIS MAITE HERMOSA BATAAN 0.00 500.00 0.00 500.00 August 17, 2018 2018-08-2738 LORNIEL FERNANDEZ TUYO BALANGA CITY 799.00 0.00 0.00 799.00 August 17, 2018 2018-08-2739 ODEZA SOROSORO CABCABEN MARIVELES BATAAN 0.00 630.00 0.00 630.00 August 17, 2018 2018-08-2740 JENNA MUEGA MALIGAYA MARIVELES BATAAN 0.00 300.00 0.00 300.00 August 17, 2018 2018-08-2741 JAIME GATDULA MUNTING BATANGAS BALANGA CITY 0.00 1,900.00 0.00 1,900.00 August 17, 2018 2018-08-1170-F ROSITA GELLEGANI SACRIFICE VALLEY HERMOSA BATAAN 263.40 780.00 0.00 1,043.40 August 17, 2018 2018-08-2742 MA. EVELYN FUENTES PANTALAN BAGO ORANI BATAAN 0.00 2,820.00 1,180.00 4,000.00 August 17, 2018 2018-08-2743 JAEL OSMA CABOG-CABOG BALANGA CITY 0.00 400.00 0.00 400.00 August 17, 2018 2018-08-2744 RODOLFO TUAZON LOTE PTO. RIVAS BALANGA CITY 0.00 1,600.00 0.00 1,600.00

August 17, 2018 2018-08-2745 VICTOR ALINSUNURIN 257 BAGONG SILANG PANTINGAN PILAR BATAAN 0.00 780.00 0.00 780.00 August 17, 2018 2018-08-882-A ROGELIO MENDOZA A. RIVERA HERMOSA BATAAN 231.62 0.00 0.00 231.62 August 17, 2018 2018-08-2746 NORMA JACINTO SACDALAN MABATANG ABUCAY BATAAN 231.62 0.00 0.00 231.62 August 17, 2018 2018-08-2747 FELICIANO VALDEZ JR. BILOLO ORION BATAAN 474.50 0.00 0.00 474.50 August 17, 2018 2018-08-2748 ROMEO DUBLIN CABCABEN MARIVELES BATAAN 0.00 1,400.00 0.00 1,400.00 August 17, 2018 2018-08-2749 ROLDAN COLLADO JR. WAWA PAG-ASA ORION BATAAN 411.84 600.00 346.14 1,357.98 August 17, 2018 2018-08-2750 REYNALDO PAMINTUAN LUACAN DINALUPIHAN BATAAN 329.00 0.00 0.00 329.00 August 17, 2018 2018-08-436-J ALLAN MIRASOL MT. VIEW MARIVELES BATAAN 0.00 4,427.71 0.00 4,427.71 August 17, 2018 2018-08-2751 EUNICE JHANEE CEJAS OLD ROAD BATANGAS II MARIVELES BATAAN 0.00 330.00 0.00 330.00 August 17, 2018 2018-08-2162-A HERNAN GUEVARRA NAGWALING PILAR BATAAN 0.00 2,200.00 0.00 2,200.00 August 17, 2018 2018-08-2752 WILSON RAMOS BAGONGBAYAN BAGAC BATAAN 0.00 670.00 0.00 670.00

August 17, 2018 2018-08-2753 DELIA DEL ROSARIO 0248 AQUARIUS ST. ST. FRANCIS I LIMAY BATAAN 0.00 492.80 0.00 492.80 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory, TOTAL NAME ADDRESS Dental & PREPARED Drugs and Med Hospital Fees NUMBER diagnostic ASSISTANCE procedures

August 17, 2018 2018-08-2754 GLENDA VELASCO SUMALO HERMOSA BATAAN 0.00 500.00 0.00 500.00 August 17, 2018 2018-08-668-B ELVIRA PULONGBARIT PAG-ASA WAWA BAGAC BATAAN 27,032.45 0.00 0.00 27,032.45 August 17, 2018 2018-08-2755 AVERY HOPE TALENS STA. LUCIA SAN FERNANDO PAMPANGA 6,317.14 4,920.00 1,635.62 12,872.76 August 17, 2018 2018-08-2756 PRECIOUS LOU MIRANDA BATANGAS II MARIVELES BATAAN 0.00 900.00 0.00 900.00 August 17, 2018 2018-08-1350-S EDEN CRUZ CULIS HERMOSA BATAAN 231.62 0.00 0.00 231.62 August 17, 2018 2018-08-2214-F MARTY CUBACUB PARANG-PARANG ORANI BATAAN 231.62 0.00 0.00 231.62 August 17, 2018 2018-08-2721-A ANABELLE CASTINO TALISAY BALANGA CITY 0.00 1,200.00 0.00 1,200.00 August 17, 2018 2018-08-223-E REN MARK SAPIT ALAS-ASIN MARIVELES BATAAN 0.00 1,200.00 0.00 1,200.00 August 17, 2018 2018-08-2757 JULIETA TRAPSI BANAL BANGCAL ABUCAY BATAAN 813.03 0.00 0.00 813.03 August 17, 2018 2018-08-2758 NIDA DEQUITA SACRIFICE VALLEY HERMOSA BATAAN 30.69 464.64 0.00 495.33 August 17, 2018 2018-08-2759 REYNALDO DELA CRUZ RIVERSIDE LAMAO LIMAY BATAAN 0.00 550.00 0.00 550.00 August 17, 2018 2018-08-2760 ANGELITA SAGUN STO. DOMINGO ORION BATAAN 0.00 350.00 0.00 350.00 August 17, 2018 2018-08-2761 JUANITO GALVEZ CULIS HERMOSA BATAAN 0.00 760.32 0.00 760.32 August 16, 2018 2018-08-2762 RICO PAULO ABENOJAR BO. LUZ LIMAY BATAAN 374.50 0.00 0.00 374.50 August 17, 2018 2018-08-1392-A JENNIFER KANTONHOS BURGOS PILAR BATAAN 8,719.74 11,780.26 0.00 20,500.00 August 18, 2018 2018-08-368-M MARY JANE SAMSON 77-C LAON ABUCAY BATAAN 329.00 0.00 0.00 329.00 August 18, 2018 2018-08-827-A MERCEDITA MORALES MT. VIEW MARIVELES BATAAN 0.00 1,867.01 0.00 1,867.01 August 18, 2018 2018-08-1165-N ADONES LINTAG DAAN BILOLO ORION BATAAN 0.00 1,367.01 0.00 1,367.01 August 18, 2018 2018-08-2763 MARY JANE UMALI MT. VIEW MARIVELES BATAAN 98.72 320.00 0.00 418.72 August 18, 2018 2018-08-2764 DANILO DE LEON BALUT II PILAR BATAAN 0.00 820.00 0.00 820.00 August 18, 2018 2018-08-2765 EDWIN BERNABE MANGGAHAN ST. GEN. LIM ORION BATAAN 301.15 600.00 0.00 901.15 August 18, 2018 2018-08-2766 MARITES TABANGAY MACAPAGAL ST. BO. LUZ LIMAY BATAAN 29,381.36 0.00 0.00 29,381.36

August 18, 2018 2018-08-2767 NAIJEN DALE SANTOS 124 BUCO AVENUE ST. TENEJERO ORANI BATAAN 1,429.13 0.00 0.00 1,429.13 August 18, 2018 2018-08-2768 RECHELL CARREON LATI ORION BATAAN 0.00 1,070.00 0.00 1,070.00 August 18, 2018 2018-08-2769 AUGOSTO LEGASPI BALON ANITO MARIVELES BATAAN 24,060.63 5,939.37 0.00 30,000.00 August 18, 2018 2018-08-2770 JENNILYN DELA ROSA TORTUGAS BALANGA CITY 0.00 0.00 2,736.20 2,736.20 August 18, 2018 2018-08-2036-A ROMEL MENDOZA CATANING BALANGA CITY 0.00 1,517.01 0.00 1,517.01 August 18, 2018 2018-08-2771 JULIE FLORES MABATANG ABUCAY BATAAN 0.00 900.00 0.00 900.00

August 18, 2018 2018-08-1755-B EDITHA CRUZ 148 ESCALADA ST. PTO. RIVAS ITAAS BALANGA CITY BATAAN 231.62 0.00 0.00 231.62 August 18, 2018 2018-08-014-K RONNIE BASALO CENTRO II ORANI BATAAN 231.62 0.00 0.00 231.62 August 18, 2018 2018-08-030-C DIONILO GUTIERREZ ST. FRANCIS II LIMAY BATAAN 231.62 0.00 0.00 231.62 August 18, 2018 2018-08-2630-A HENRY ALIPIO CAMACHO BALANGA CITY BATAAN 231.62 0.00 0.00 231.62 August 18, 2018 2018-08-2772 ARIANNE GUINTO TENEJERO BALANGA CITY 0.00 200.00 0.00 200.00 August 18, 2018 2018-08-2773 JULYN MERCADO TOWNSITE MARIVELES BATAAN 103.81 820.00 0.00 923.81 August 18, 2018 2018-08-2774 IAN MARK DESAMITO DUALE LIMAY BATAAN 0.00 1,430.90 0.00 1,430.90 August 18, 2018 2018-08-1392-B JENNIFER KANTONHOS BURGOS PILAR BATAAN 0.00 9,000.00 0.00 9,000.00 August 18, 2018 2018-08-2775 JONALYN PANAO ST. FRANCIS II LIMAY BATAAN 0.00 850.00 716.91 1,566.91 August 18, 2018 2018-08-2776 DANIEL ENRIQUEZ LANDING PILAR BATAAN 231.62 0.00 0.00 231.62 August 18, 2018 2018-08-2572-A TORIBIO MIRANDA LAYAC DINALUPIHAN BATAAN 231.62 0.00 0.00 231.62 August 18, 2018 2018-08-1257-B EDUARDO RODRIGUEZ CULIS HERMOSA BATAAN 231.62 0.00 0.00 231.62 August 18, 2018 2018-08-2777 MARRY JOY FONTANILLA SALIAN ABUCAY BATAAN 0.00 500.00 98.29 598.29 August 18, 2018 2018-08-2778 JOHN BENEDICT BACANI LARA ST. WAWA ABUCAY BATAAN 474.50 0.00 0.00 474.50 August 18, 2018 2018-08-2779 JUANITO DE SILVA SAPA SAMAL BATAAN 231.62 0.00 0.00 231.62 August 18, 2018 2018-08-2780 ALICIA MALOBO ST. FRANCIS I LIMAY BATAAN 0.00 500.00 0.00 500.00 August 18, 2018 2018-08-2781 JOHN NOAH YORDAN SITIO DEPENSA CAPUNITAN ORION BATAAN 0.00 750.00 3,250.00 4,000.00 August 18, 2018 2018-08-029-D CESAR MARTINEZ TUYO BALANGA CITY 0.00 1,300.00 0.00 1,300.00 August 19, 2018 2018-08-2672-A AIRA BARAL BINARITAN MORONG BATAAN 311.20 1,550.00 0.00 1,861.20 August 19, 2018 2018-08-2782 JAN ALBERT ANIAG PALIHAN HERMOSA BATAAN 557.96 0.00 0.00 557.96 August 19, 2018 2018-08-2783 ROMEL ANASTACIO DOÑA ORANI BATAAN 0.00 1,000.00 0.00 1,000.00 August 19, 2018 2018-08-2784 JIRO ARAGON IMELDA SAMAL BATAAN 0.00 320.00 0.00 320.00 August 19, 2018 2018-08-2785 JASON BALINGIT LAON ABUCAY BATAAN 649.25 0.00 0.00 649.25 August 19, 2018 2018-08-2786 AMIRA MARADI SAN JOSE BALANGA CITY 74.84 400.00 0.00 474.84 August 19, 2018 2018-08-2787 MARILOU DEL ROSARIO BINARITAN MORONG BATAAN 108.95 500.00 0.00 608.95 August 19, 2018 2018-08-2788 ROSEMARIE FERNANDEZ BALON ANITO MARIVELES BATAAN 0.00 300.00 0.00 300.00 August 19, 2018 2018-08-2789 RENZO BARRANTES BAGONG SILANG BALANGA CITY 559.79 450.00 0.00 1,009.79 August 19, 2018 2018-08-2790 JEFFREY TRINIDAD SALIAN ABUCAY BATAAN 351.46 0.00 0.00 351.46 August 19, 2018 2018-08-2791 ARSENIO DINOLA GABON ABUCAY BATAAN 347.05 0.00 0.00 347.05 August 19, 2018 2018-08-2792 BENJAMIN DE LUNA GABON ABUCAY BATAAN 0.00 400.00 0.00 400.00 August 19, 2018 2018-08-2793 MARC ISAAC GABAYA TENEJERO BALANGA CITY 195.14 215.00 0.00 410.14 August 20, 2018 2018-08-2794 LAMBERTO MARTINEZ JR. STA.ROSA PILAR BATAAN 25,073.63 400.00 12,020.96 37,494.59 August 20, 2018 2018-08-1784-A ENRICO SAN DIEGO NAPARING DINALUPIHAN BATAAN 4,986.86 0.00 0.00 4,986.86 August 20, 2018 2018-08-2795 MARIBEL BACANI PANILAO PILAR BATAAN 0.00 300.00 0.00 300.00 August 20, 2018 2018-08-2796 LUZVIMAR GRACE CONCEPCION TOWNSITE MARIVELES BATAAN 14.43 530.00 1,847.62 2,392.05 August 20, 2018 2018-08-2797 JOLINA TAÑEDO CATANING BALANGA CITY 0.00 700.00 0.00 700.00 August 20, 2018 2018-08-2798 ARNULFO MAMANGON IBABA BAGAC BATAAN 1,912.32 0.00 0.00 1,912.32 August 20, 2018 2018-08-2799 RONABEL SANTOS BAGONG SILANG BALANGA CITY 0.00 1,440.00 0.00 1,440.00 August 20, 2018 2018-08-226-A GAERLAND GONZALES PTO. RIVAS ITAAS BALANGA CITY 5,872.29 7,160.00 1,413.24 14,445.53 August 20, 2018 2018-08-2800 ROSALINA LINGAD DAANG BAGO DINALUPIHAN BATAAN 4,148.77 3,806.64 0.00 7,955.41 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory, TOTAL NAME ADDRESS Dental & PREPARED Drugs and Med Hospital Fees NUMBER diagnostic ASSISTANCE procedures

August 20, 2018 2018-08-2361-A TOMAS ONGKINGCO CAPITANGAN ABUCAY BATAAN 0.00 1,681.70 0.00 1,681.70 August 20, 2018 2018-08-1392-C JENNIFER KANTONHOS BURGOS PILAR BATAAN 0.00 11,189.74 0.00 11,189.74 August 20, 2018 2018-08-1984-A MARICRIS SISON CUPANG WEST BALANGA CITY 4,329.82 0.00 288.92 4,618.74 August 20, 2018 2018-08-2801 PRINCESS REAH TADIQUE SISIMAN MARIVELES BATAAN 0.00 0.00 0.00 0.00 August 20, 2018 2018-08-2802 VIRGINIA DANAO CARBONERO ORANI BATAAN 3,364.02 16,222.08 0.00 19,586.10 August 20, 2018 2018-08-2803 ALFREDO SERWELO DUALE LIMAY BATAAN 1,561.80 1,420.00 425.21 3,407.01 August 20, 2018 2018-08-2804 RAYMUND GADAYUS SAN JOSE BALANGA CITY 92.33 750.00 0.00 842.33 August 20, 2018 2018-08-2805 JOANA ROSE ESCALICAS POBLACION PILAR BATAAN 1,429.13 0.00 0.00 1,429.13 August 20, 2018 2018-08-2806 AMADO CORTEZ JR. WAKAS NORTH PILAR BATAAN 0.00 370.00 0.00 370.00 August 20, 2018 2018-08-2807 JHON JEMIEL DELA PEÑA BO.LUZ LIMAY BATAAN 0.00 600.00 199.21 799.21 August 20, 2018 2018-08-2808 WILLIAM REYES SAN ISIDRO DINALUPIHAN BATAAN 1,472.00 0.00 0.00 1,472.00 August 20, 2018 2018-08-2762-A RICO PAULO ABENOJAR BO. LUZ LIMAY BATAAN 200.00 0.00 0.00 200.00 August 20, 2018 2018-08-2809 SHANELLE ARTIZUELA SISIMAN MARIVELES BATAAN 946.42 0.00 0.00 946.42 August 20, 2018 2018-08-2810 CARISSA MENDOZA CATANING BALANGA CITY 0.00 500.00 0.00 500.00 August 20, 2018 2018-08-1724-A JESUS OLIVEROS DOÑA FRANCISCA BALANGA CITY 261.32 1,287.62 0.00 1,548.94 August 20, 2018 2018-08-827-B MERCEDITA MORALES MT. VIEW MARIVELES BATAAN 0.00 1,852.03 0.00 1,852.03 August 20, 2018 2018-08-2811 MIGUELITO DE JESUS DUALE LIMAY BATAAN 0.00 2,200.00 0.00 2,200.00 August 20, 2018 2018-08-2812 FLORA RAFAEL CALAYLAYAN ABUCAY BATAAN 231.62 0.00 0.00 231.62 August 20, 2018 2018-08-2813 EMANUEL BALATBAT BALSIK HERMOSA BATAAN 1,902.34 0.00 0.00 1,902.34 August 20, 2018 2018-08-2077-A ANTONIO CARABEO KAWAYAN ORANI BATAAN 0.00 370.00 0.00 370.00 August 20, 2018 2018-08-2814 ROMMEL ALFONSO PACAR ORANI BATAAN 1,429.13 0.00 0.00 1,429.13 August 20, 2018 2018-08-2815 CLAIRE ABIA CABCABEN MARIVELES BATAAN 517.32 0.00 0.00 517.32 August 20, 2018 2018-08-2816 JOSEPH AQUINO BINARITAN MORONG BATAAN 263.61 0.00 0.00 263.61 August 20, 2018 2018-08-2817 OLIVER SALAZAR STO. DOMINGO ORION BATAAN 0.00 690.00 0.00 690.00 August 20, 2018 2018-08-2818 RONEL MENDOZA CATANING BALANGA CITY 0.00 1,471.99 0.00 1,471.99 August 21, 2018 2018-08-2214-G MARTY CUBACUB PARANG-PARANG ORANI BATAAN 231.62 0.00 0.00 231.62 August 21, 2018 2018-08-1350-T EDEN CRUZ CULIS HERMOSA BATAAN 231.62 0.00 0.00 231.62 August 21, 2018 2018-08-2819 SAMANTHA NICOLE BACALA TENEJERO BALANGA CITY 0.00 1,000.00 0.00 1,000.00 August 21, 2018 2018-08-1165-O ADONES LINTAG DAAN BILOLO ORION BATAAN 0.00 1,330.40 0.00 1,330.40 August 21, 2018 2018-08-2820 SOSIMO ABIVA SR. MALAYA MARIVELES BATAAN 386.12 1,992.65 0.00 2,378.77 August 21, 2018 2018-08-2821 JIMMY FELICITAS SAN BENITO DINALUPIHAN BATAAN 0.00 1,125.71 0.00 1,125.71 August 21, 2018 2018-08-2822 LESLIE ROQUE TALISAY BALANGA CITY 0.00 550.00 0.00 550.00 August 21, 2018 2018-08-2823 CRISANTA SIBUG MA. FE ORANI BATAAN 0.00 492.80 0.00 492.80 August 21, 2018 2018-08-2824 EMMA BARRION DOÑA ORANI BATAAN 0.00 640.00 0.00 640.00 August 21, 2018 2018-08-2825 RAFAEL BEATO MABATANG ABUCAY BATAAN 231.62 0.00 0.00 231.62 August 21, 2018 2018-08-2826 ENRICO CENTENO JR. TABON ST. DEL ROSARIO PILAR BATAAN 1,355.05 700.00 52.50 2,107.55 August 21, 2018 2018-08-029-E CESAR MARTINEZ TUYO BALANGA CITY 0.00 1,330.40 0.00 1,330.40 August 21, 2018 2018-08-2827 ELIZABETH QUIAMBAO STA.ROSA PILAR BATAAN 0.00 591.36 0.00 591.36 August 21, 2018 2018-08-882-B ROGELIO MENDOZA A. RIVERA HERMOSA BATAAN 231.62 0.00 0.00 231.62 August 21, 2018 2018-08-2750-A REYNALDO PAMINTUAN LUACAN DINALUPIHAN BATAAN 329.00 0.00 0.00 329.00 August 21, 2018 2018-08-2746-A NORMA JACINTO SACDALAN MABATANG ABUCAY BATAAN 231.62 0.00 0.00 231.62 August 21, 2018 2018-08-2167-B ALFONSO MANALANG JR. DAANG BAGO DINALUPIHAN BATAAN 329.00 0.00 0.00 329.00 August 21, 2018 2018-08-2779-A JUANITO DE SILVA SAPA SAMAL BATAAN 231.62 0.00 0.00 231.62 August 21, 2018 2018-08-2587-A JOMER SABADO CAMACHO BALANGA CITY BATAAN 390.84 150.00 0.00 540.84 August 21, 2018 2018-08-2828 JULIA ANN DACASIN CATANING BALANGA CITY 0.00 320.00 0.00 320.00 August 22, 2018 2018-08-2829 ANGELES CABIGAN JR. PARANG BAGAC BATAAN 0.00 740.00 0.00 740.00 August 22, 2018 2018-08-2830 FALCONERI TESSIE AMURAO IPAG MARIVELES BATAAN 7,846.04 5,820.00 1,333.96 15,000.00 August 22, 2018 2018-08-014-L RONNIE BASALO CENTRO II ORANI BATAAN 231.62 0.00 0.00 231.62 August 22, 2018 2018-08-1412-A RAYMARC MOSNE POBLACION MORONG BATAAN 0.00 0.00 18,800.87 18,800.87 August 22, 2018 2018-08-588-A MARY ANN SANTOS IBABA SAMAL BATAAN 1,669.41 16,242.55 3,088.04 21,000.00 August 22, 2018 2018-08-2831 IVORY OBIEN PUROK II DINALUPIHAN BATAAN 0.00 550.00 0.00 550.00 August 22, 2018 2018-08-082-G MARITESS SULIT WAWA ABUCAY BATAAN 2,644.59 0.00 165.34 2,809.93 August 22, 2018 2018-08-2832 JOSE BENEDICTO EXALA MA. FE ORANI BATAAN 0.00 2,250.00 182.80 2,432.80 August 22, 2018 2018-08-2833 MARIA ANGELA PIZARRO DEL ROSARIO PILAR BATAAN 517.32 0.00 0.00 517.32

August 22, 2018 2018-08-1755-C EDITHA CRUZ 148 ESCALADA ST. PTO. RIVAS ITAAS BALANGA CITY BATAAN 231.62 0.00 0.00 231.62 August 22, 2018 2018-08-2834 JOCELYN PIZARRO TABON ST. DEL ROSARIO PILAR BATAAN 237.25 0.00 0.00 237.25 August 22, 2018 2018-08-2835 ROCHEL NUQUI KATAASAN DINALUPIHAN BATAAN 0.00 3,170.00 8,006.72 11,176.72 August 22, 2018 2018-08-845-D EDUARDO MARTIN CAMACHO BALANGA CITY BATAAN 0.00 3,555.54 0.00 3,555.54 August 22, 2018 2018-08-2836 FRIANNE ANGEL MANALAYSAY EAST DAAN BAGO SAMAL BATAAN 2,583.64 1,870.00 2,603.79 7,057.43 August 22, 2018 2018-08-123-A FLORITA LOPEZ IPAG MARIVELES BATAAN 0.00 591.36 0.00 591.36 August 22, 2018 2018-08-2837 REINALYN TORRES APOLLO ORANI BATAAN 1,902.34 0.00 0.00 1,902.34 August 22, 2018 2018-08-827-C MERCEDITA MORALES MT. VIEW MARIVELES BATAAN 0.00 1,871.99 0.00 1,871.99 August 22, 2018 2018-08-2838 CHRISTIAN ISIDRO PANILAO PILAR BATAAN 490.92 0.00 0.00 490.92 August 22, 2018 2018-08-2839 REIJAN MART RAMOS BALUT II PILAR BATAAN 0.00 1,400.00 0.00 1,400.00 August 22, 2018 2018-08-1257-C EDUARDO RODRIGUEZ CAMACHO BALANGA CITY BATAAN 694.85 0.00 0.00 694.85 August 22, 2018 2018-08-2720-A NICKSON ALFABETE BASECO MARIVELES BATAAN 474.50 0.00 0.00 474.50 August 22, 2018 2018-08-2840 CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 1,871.99 0.00 1,871.99 August 22, 2018 2018-08-2841 JASMIN ALVIZ MARUCDOC NAGBALAYONG MORONG BATAAN 0.00 2,200.00 0.00 2,200.00 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory, TOTAL NAME ADDRESS Dental & PREPARED Drugs and Med Hospital Fees NUMBER diagnostic ASSISTANCE procedures

August 22, 2018 2018-08-239-F EMILY MORIDO PUTING BUHANGIN ORION BATAAN 1,586.37 14,400.00 322.36 16,308.73 August 22, 2018 2018-08-2842 CATHERINE JOY SANTOS LOTE PTO. RIVAS BALANGA CITY 0.00 300.00 0.00 300.00 August 22, 2018 2018-08-2843 MARCELO BACUD BALON ANITO MARIVELES BATAAN 0.00 6,288.34 0.00 6,288.34 August 22, 2018 2018-08-2844 ROSARIO GARAIS CATANING BALANGA CITY 0.00 1,000.00 0.00 1,000.00 August 22, 2018 2018-08-2845 DELIA CULIBRA MALAYA MARIVELES BATAAN 2,536.61 4,823.69 0.00 7,360.30 August 22, 2018 2018-08-2077-B ANTONIO CARABEO KAWAYAN ORANI BATAAN 329.00 0.00 0.00 329.00 August 22, 2018 2018-08-2846 RAFAEL JOSEPH VELASQUEZ ROOSEVELT DINALUPIHAN BATAAN 17,693.20 0.00 0.00 17,693.20 August 22, 2018 2018-08-117-G BEN RONDIO JUNGAY MT. VIEW MARIVELES BATAAN 0.00 1,000.00 0.00 1,000.00 August 22, 2018 2018-08-2847 JOYCE ANN CLYDE CLAMOR SITIO TANGKE BO. LUZ LIMAY BATAAN 0.00 580.00 0.00 580.00 August 22, 2018 2018-08-2848 EDUARDO QUIAMBAO STA. ROSA PILAR BATAAN 0.00 700.00 0.00 700.00 August 22, 2018 2018-08-2849 ANA MARIE BALDOVINO SACRIFICE VALLEY HERMOSA BATAAN 0.00 1,090.00 0.00 1,090.00 August 22, 2018 2018-08-2738-A LORNIEL FERNANDEZ TUYO BALANGA CITY 950.10 0.00 0.00 950.10 August 22, 2018 2018-08-2850 ADORACION LUDOVICO BAGUMBAYAN ORION BATAAN 0.00 548.80 0.00 548.80 August 22, 2018 2018-08-2851 JOSEPH AUSTRIA BAGONG SILANG BALANGA CITY 1,429.13 0.00 0.00 1,429.13 August 22, 2018 2018-08-2852 TERESA MORIS BINUKAWAN BAGAC BATAAN 0.00 591.36 0.00 591.36 August 22, 2018 2018-08-2853 CRIS DARREN GALLARIN TABON DEL ROSARIO PILAR BATAAN 474.50 0.00 0.00 474.50 August 22, 2018 2018-08-2854 AERON JHAY LOPEZ BAGONG SILANG BALANGA CITY 0.00 1,500.00 0.00 1,500.00 August 22, 2018 2018-08-2855 IAN DE GUZMAN STO. DOMINGO ORION BATAAN 0.00 720.00 0.00 720.00 August 22, 2018 2018-08-2856 ELPIDIO RAFAEL CALAYLAYAN ABUCAY BATAAN 1,129.08 6,756.34 0.00 7,885.42 August 22, 2018 2018-08-2361-B TOMAS ONGKINGCO CAPITANGAN ABUCAY BATAAN 1,164.30 0.00 0.00 1,164.30 August 22, 2018 2018-08-2857 SOPHIA LOUISE DE CHAVEZ ZONE VI CAMAYA MARIVELES BATAAN 1,904.70 0.00 0.00 1,904.70 August 22, 2018 2018-08-368-N MARY JANE SAMSON 77-C LAON ABUCAY BATAAN 463.23 0.00 0.00 463.23 August 22, 2018 2018-08-2858 RHIANNA BUAN TABING ILOG SAMAL BATAAN 0.00 2,200.00 0.00 2,200.00 August 22, 2018 2018-08-2859 HERBERT BARRERA SAN PEDRO HERMOSA BATAAN 0.00 0.00 3,736.52 3,736.52 August 23, 2018 2018-08-2860 AGUSTIN TAPAT ALAS-ASIN MARIVELES BATAAN 0.00 1,541.76 0.00 1,541.76 August 23, 2018 2018-08-1724-B JESUS OLIVEROS DOÑA FRANCISCA BALANGA CITY 231.62 0.00 0.00 231.62 August 23, 2018 2018-08-2861 NORMAN DOMINGUEZ 617 MABATANG ABUCAY BATAAN 4,257.52 2,635.00 891.37 7,783.89

August 23, 2018 2018-08-2862 JANETH SISON SIOSON VILLE SUBD. MUNTING BATANGAS BALANGA CITY 0.00 400.00 0.00 400.00 August 23, 2018 2018-08-2036-B ROMEL MENDOZA CATANING BALANGA CITY 0.00 1,371.99 0.00 1,371.99 August 23, 2018 2018-08-2863 KEVIN MALANUM JR. BALON ANITO MARIVELES BATAAN 21,518.56 4,163.36 0.00 25,681.92 August 23, 2018 2018-08-1656-A MA. CRISTINA LOBATON BALON ANITO MARIVELES BATAAN 0.00 400.00 0.00 400.00 August 23, 2018 2018-08-2819-A SAMANTHA NICOLE BACALA TENEJERO BALANGA CITY 474.50 0.00 0.00 474.50 August 23, 2018 2018-08-2159-A REGINE MARTINEZ PANDATUNG HERMOSA BATAAN 0.00 0.00 17,498.14 17,498.14 August 23, 2018 2018-08-2399-A SATURNINA BASILLO LUCANIN MARIVELES BATAAN 0.00 0.00 30,000.00 30,000.00 August 23, 2018 2018-08-1593-A JOY FRANCISCO TOWNSITE LIMAY BATAAN 231.62 0.00 0.00 231.62 August 23, 2018 2018-08-239-G EMILY MORIDO PUTING BUHANGIN ORION BATAAN 658.00 0.00 0.00 658.00 August 23, 2018 2018-08-2864 ARMANDO DE GUZMAN TORTUGAS BALANGA CITY 0.00 840.00 0.00 840.00 August 23, 2018 2018-08-2373-A EVELYN DELA CRUZ TENEJERO BALANGA CITY 9,055.79 0.00 0.00 9,055.79 August 23, 2018 2018-08-2865 LORENZA HERNANDO MABIGA HERMOSA BATAAN 1,894.13 0.00 0.00 1,894.13 August 23, 2018 2018-08-2866 ROWENA PACHECO MABIGA HERMOSA BATAAN 1,894.13 0.00 0.00 1,894.13 August 23, 2018 2018-08-2867 AARON JHAY BALBOA PANILAO PILAR BATAAN 474.50 0.00 0.00 474.50 August 23, 2018 2018-08-2868 ROSANA ROSEL MABIGA HERMOSA BATAAN 1,894.13 0.00 0.00 1,894.13 August 23, 2018 2018-08-2869 DARWIN ESTORES POBLACION MARIVELES BATAAN 28,990.96 0.00 0.00 28,990.96 August 23, 2018 2018-08-2870 LILIBETH IBE TALIMUNDOC ORANI BATAAN 0.00 1,900.00 0.00 1,900.00 August 23, 2018 2018-08-2871 GEROME GARCIA BILOLO ORION BATAAN 1,463.74 0.00 0.00 1,463.74 August 23, 2018 2018-08-092-A YOLANDA RIZO BALON ANITO MARIVELES BATAAN 292.00 1,020.00 0.00 1,312.00 August 23, 2018 2018-08-2872 PETRONILA SABADO BAGONG SILANG BALANGA CITY 10,266.99 2,991.59 0.00 13,258.58 August 23, 2018 2018-08-2873 MARILOU SEMILLANO STA. ROSA PILAR BATAAN 0.00 700.00 0.00 700.00 August 23, 2018 2018-08-1165-P ADONES LINTAG DAAN BILOLO ORION BATAAN 0.00 1,830.40 0.00 1,830.40 August 23, 2018 2018-08-2874 GERRY ALVAREZ ALAS-ASIN MARIVELES BATAAN 0.00 2,400.00 0.00 2,400.00 August 23, 2018 2018-08-2875 EUNICE ANGELA ROSEL MABIGA HERMOSA BATAAN 1,894.13 0.00 0.00 1,894.13 August 23, 2018 2018-08-2876 ALLYSA KATE PACHECO MABIGA HERMOSA BATAAN 1,894.13 0.00 0.00 1,894.13 August 23, 2018 2018-08-2877 MARY ANN ALBA CATANING BALANGA CITY 8,340.85 5,990.00 1,085.48 15,416.33 August 23, 2018 2018-08-1713-A JOSEPHINE MERCADO 324 PRK III MAGSAYSAY DINALUPIHAN BATAAN 7,072.01 1,390.00 191.27 8,653.28 August 24, 2018 2018-08-2878 ALLAN SEVILLA KATO INFANTA PANGASINAN 511.25 700.00 1,211.96 2,423.21 August 24, 2018 2018-08-2879 PHILIP UNDA NAVAL DIKE CUPANG NORTH BALANGA CITY 0.00 500.00 0.00 500.00 August 24, 2018 2018-08-2880 JAMES LLOYD ABAÑO WAWA PILAR BATAAN 0.00 300.00 0.00 300.00 August 24, 2018 2018-08-2881 PIA ALCANTARA CABOG-CABOG BALANGA CITY 0.00 1,548.80 0.00 1,548.80 August 24, 2018 2018-08-2746-B NORMA JACINTO SACDALAN MABATANG ABUCAY BATAAN 231.62 0.00 0.00 231.62

August 24, 2018 2018-08-2882 ERIN KATE ABALOS P. ROMAN BOULEVARD POBLACION MARIVELES BATAAN 467.76 450.00 1,643.28 2,561.04 August 24, 2018 2018-08-2750-B REYNALDO PAMINTUAN LUACAN DINALUPIHAN BATAAN 329.00 0.00 0.00 329.00 August 24, 2018 2018-08-2883 SHARMAINE ANGELES SAMPALOC BILOLO ORION BATAAN 0.00 1,500.00 0.00 1,500.00 August 24, 2018 2018-08-2884 JASHIN JADE CALINGAY WAWA ABUCAY BATAAN 0.00 1,080.00 0.00 1,080.00 August 24, 2018 2018-08-2885 GERALDINE CALDOZA DOÑA ORANI BATAAN 0.00 900.00 0.00 900.00 August 24, 2018 2018-08-2886 MICHELLE SEREDICA TENEJERO BALANGA CITY 0.00 780.00 0.00 780.00 August 24, 2018 2018-08-2887 LEAH PAGALAN KITANG I LIMAY BATAAN 0.00 0.00 901.64 901.64 August 24, 2018 2018-08-201-A DIONISIO VELASCO ACACIA ST. BALON ANITO BATAAN 0.00 1,032.00 0.00 1,032.00 August 24, 2018 2018-08-2888 JASMIN ROQUE PARAISO ORANI BATAAN 1,903.63 0.00 0.00 1,903.63 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory, TOTAL NAME ADDRESS Dental & PREPARED Drugs and Med Hospital Fees NUMBER diagnostic ASSISTANCE procedures

August 24, 2018 2018-08-2889 JOHN MATEO ADALLA CUPANG NORTH BALANGA CITY 517.32 0.00 0.00 517.32 August 24, 2018 2018-08-2840-A CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 1,830.40 0.00 1,830.40 August 24, 2018 2018-08-730-A LYDIA MANGAYAO 271 CAMACHO BALANGA CITY 0.00 700.00 0.00 700.00 August 24, 2018 2018-08-1550-A MA. LUISA ALICANDO PUROK VI ROOSEVELT DINALUPIHAN BATAAN 0.00 750.00 0.00 750.00 August 24, 2018 2018-08-2167-C ALFONSO MANALANG JR. DAANG BAGO DINALUPIHAN BATAAN 329.00 0.00 0.00 329.00 August 24, 2018 2018-08-1350-U EDEN CRUZ CULIS HERMOSA BATAAN 231.62 0.00 0.00 231.62 August 24, 2018 2018-08-2164-B TERESITA MALIBIRAN GABON ABUCAY BATAAN 987.00 0.00 0.00 987.00 August 24, 2018 2018-08-029-F CESAR MARTINEZ TUYO BALANGA CITY 0.00 2,000.00 0.00 2,000.00 August 24, 2018 2018-08-2890 MAY FLOR ROQUE PALIHAN ORANI BATAAN 0.00 2,500.00 0.00 2,500.00 August 24, 2018 2018-08-2361-C TOMAS ONGKINGCO CAPITANGAN ABUCAY BATAAN 1,164.30 0.00 0.00 1,164.30 August 24, 2018 2018-08-2891 ANAMIE APELADO SITIO GOMEZ MABATANG ABUCAY BATAAN 0.00 500.00 0.00 500.00 August 24, 2018 2018-08-2825-A RAFAEL BEATO MABATANG ABUCAY BATAAN 231.62 0.00 0.00 231.62 August 24, 2018 2018-08-610-A MAUREEN OLIVERIA P. SACDALAN MABATANG ABUCAY BATAAN 0.00 894.08 0.00 894.08 August 24, 2018 2018-08-882-C ROGELIO MENDOZA A. RIVERA HERMOSA BATAAN 231.62 0.00 0.00 231.62 August 24, 2018 2018-08-2892 ELIZABETH GARSON TENEJERO BALANGA CITY 0.00 1,000.00 0.00 1,000.00 August 24, 2018 2018-08-182-E MATEO CORPUZ SR. SABATAN ORION BATAAN 242.80 0.00 0.00 242.80 August 24, 2018 2018-08-436-K ALLAN MIRASOL MT. VIEW MARIVELES BATAAN 0.00 1,743.00 0.00 1,743.00 August 24, 2018 2018-08-2893 ARLEEH JUMILLA SAN ISIDRO MARIVELES BATAAN 0.00 1,200.00 0.00 1,200.00 August 24, 2018 2018-08-2894 FLORENIA OCBIAN BAYAN ORANI BATAAN 0.00 1,200.00 0.00 1,200.00 August 24, 2018 2018-08-2895 ANGEL JOANA MAE CONSTANTINO MT. VIEW MARIVELES BATAAN 0.00 1,100.00 0.00 1,100.00 August 24, 2018 2018-08-2896 EMERITA NAVA CUPANG PROPER BALANGA CTIY 0.00 740.00 0.00 740.00 August 24, 2018 2018-08-2897 JERRIC RAMOS SAN JOSE BALANGA CITY 0.00 2,400.00 0.00 2,400.00 August 24, 2018 2018-08-2898 EVES GUECO RIZAL PILAR BATAAN 1,946.45 0.00 0.00 1,946.45 August 24, 2018 2018-08-2899 ENECITA CATIPON IPAG MARIVELES BATAAN 0.00 1,000.00 0.00 1,000.00 August 24, 2018 2018-08-2900 ELLEN JOY GUTIERREZ PANTALAN LUMA ORANI BATAAN 0.00 300.00 0.00 300.00 August 24, 2018 2018-08-2901 JULIANA ROBLES CABCABEN MARIVELES BATAAN 0.00 2,200.00 0.00 2,200.00 August 24, 2018 2018-08-2425-A RENATO GUEVARRA MALIGAYA CULIS HERMOSA BATAAN 987.00 0.00 0.00 987.00 August 24, 2018 2018-08-2902 LEIZEL KARYLLE VILLARUEL 619 UGONG CATANING BALANGA CITY 0.00 200.00 0.00 200.00 August 24, 2018 2018-08-2903 IVY RECAFRENTE BO. SITE PALILI SAMAL BATAAN 219.78 870.00 0.00 1,089.78 August 24, 2018 2018-08-2904 ROGER MEDINA ALAS-ASIN MARIVELES BATAAN 8,025.03 250.00 6,145.18 14,420.21 August 24, 2018 2018-08-2238-A ARNOLD MANABAT UPPER TUYO BALANGA CITY 0.00 408.00 0.00 408.00 August 24, 2018 2018-08-2778-A JOHN BENEDICT BACANI LARA ST. WAWA ABUCAY BATAAN 474.50 0.00 0.00 474.50 August 24, 2018 2018-08-2905 LOVELY DE GUIA PAG-ASA ORANI BATAAN 0.00 1,550.00 0.00 1,550.00 August 24, 2018 2018-08-2214-H MARTY CUBACUB PARANG-PARANG ORANI BATAAN 231.62 0.00 0.00 231.62 August 24, 2018 2018-08-2906 ALICIA MALOBO ST. FRANCIS I LIMAY BATAAN 0.00 790.00 0.00 790.00 August 25, 2018 2018-08-2036-C ROMEL MENDOZA CATANING BALANGA CITY 0.00 1,400.00 0.00 1,400.00 August 25, 2018 2018-08-2907 JHACE CARREON WAKAS NORTH PILAR BATAAN 0.00 720.00 0.00 720.00 August 25, 2018 2018-07-1430-A VIRGINIA NAVARRO CALUNGUSAN ORION BATAAN 12,888.09 10,611.91 0.00 23,500.00 August 25, 2018 2018-08-2908 GIL LAZARETO DEL ROSARIO PILAR BATAAN 196.40 1,570.00 57.14 1,823.54 August 25, 2018 2018-08-2909 PRINCESS MAE PEREZ WAWA PILAR BATAAN 0.00 800.00 0.00 800.00

August 25, 2018 2018-08-2910 JEREMY KATE RUZZLE CARREON PUROK V SEABREEZE ST. FRANCIS II LIMAY BATAAN 0.00 800.00 0.00 800.00 August 25, 2018 2018-08-2911 JHULES ANDREI YABO SITIO TOTO CUPANG PROPER BALANGA CITY 97.60 380.00 0.00 477.60

August 25, 2018 2018-08-1755-D EDITHA CRUZ 148 ESCALADA ST. PTO. RIVAS ITAAS BALANGA CITY BATAAN 231.62 0.00 0.00 231.62 August 25, 2018 2018-08-014-M RONNIE BASALO CENTRO II ORANI BATAAN 231.62 0.00 0.00 231.62 August 25, 2018 2018-08-2912 JHENDO LIBRANDO SAN RAFAEL TIGNAO TUYO BALANGA CITY 0.00 1,390.00 0.00 1,390.00 August 25, 2018 2018-08-030-D DIONILO GUTIERREZ ST. FRANCIS II LIMAY BATAAN 231.62 0.00 0.00 231.62 August 25, 2018 2018-08-2779-B JUANITO DE SILVA SAPA SAMAL BATAAN 231.62 0.00 0.00 231.62 August 25, 2018 2018-08-1165-Q ADONES LINTAG DAAN BILOLO ORION BATAAN 0.00 1,367.01 0.00 1,367.01 August 25, 2018 2018-08-075-F MERCIDITA MORALES LIBANAN MT. VIEW MARIVELES BATAAN 0.00 3,363.51 0.00 3,363.51 August 25, 2018 2018-08-2913 BEMBOY CADUSALE SILVERLAND CAPITANGAN ABUCAY BATAAN 0.00 900.00 0.00 900.00 August 25, 2018 2018-08-2914 ARLENE CRUZ MANAHAN ST. TENEJERO BALANGA CITY 0.00 500.00 0.00 500.00 August 25, 2018 2018-08-2915 ROGEL MELU 49 ZONE V CAMAYA MARIVELES BATAAN 0.00 902.68 0.00 902.68 August 25, 2018 2018-08-2077-C ANTONIO CARABEO KAWAYAN ORANI BATAAN 329.00 0.00 0.00 329.00 August 25, 2018 2018-08-2630-B HENRY ALIPIO CAMACHO BALANGA CITY BATAAN 231.62 0.00 0.00 231.62 August 25, 2018 2018-08-2916 JOSELITO RAYMUNDO 28 PAG-ASA WAWA ORION BATAAN 0.00 1,780.00 0.00 1,780.00 August 25, 2018 2018-08-2917 ROSIELYN DUINOG CENTRAL BALANGA CITY 0.00 600.00 0.00 600.00 August 26, 2018 2018-08-2918 AURELIO MALLARI TALIMUNDOC ORANI BATAAN 0.00 540.00 0.00 540.00 August 26, 2018 2018-08-2919 MARIBEL ENRIQUEZ MABATANG ABUCAY BATAAN 0.00 700.00 0.00 700.00 August 26, 2018 2018-08-2920 RHENZ KYLE SABELLO MANAHAN ST. TENEJERO BALANGA CITY 0.00 600.00 0.00 600.00 August 26, 2018 2018-08-2921 LOURENZ PIZARRO CAPITANGAN ABUCAY BATAAN 0.00 300.00 0.00 300.00 August 26, 2018 2018-08-2918-A AURELIO MALLARI TALIMUNDOC ORANI BATAAN 0.00 1,620.00 0.00 1,620.00 August 26, 2018 2018-08-2922 FHE SEVILLA ST. FRANCIS I LIMAY BATAAN 0.00 1,020.00 0.00 1,020.00 August 26, 2018 2018-08-2923 CRISTINA REYES CAMAYA MARIVELES BATAAN 0.00 700.00 0.00 700.00 August 26, 2018 2018-08-2924 MARIDEE SINGCA LALAWIGAN SAMAL BATAAN 570.72 400.00 1,925.16 2,895.88 August 26, 2018 2018-08-2925 JULIETA SABINO WAWA ORION BATAAN 0.00 0.00 5,000.00 5,000.00 August 26, 2018 2018-08-2926 IVAN JOYCELLE DAGUN DOÑA FRANCISCA BALANGA CITY 0.00 2,167.41 832.59 3,000.00 August 26, 2018 2018-08-2927 RHODA GRACE RESURRECCION POBLACION PILAR BATAAN 0.00 450.00 0.00 450.00 August 26, 2018 2018-08-2928 LYDIA JADULCO PAG-ASA LAMAO LIMAY BATAAN 0.00 0.00 2,623.27 2,623.27 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory, TOTAL NAME ADDRESS Dental & PREPARED Drugs and Med Hospital Fees NUMBER diagnostic ASSISTANCE procedures

August 26, 2018 2018-08-2929 FLORINDA CALDERON ST. FRANCIS II LIMAY BATAAN 0.00 121.73 1,757.07 1,878.80 August 27, 2018 2018-08-353-C NELSON LACSON TENEJERO BALANGA CITY 4,592.13 0.00 407.87 5,000.00 August 27, 2018 2018-08-2812-A FLORA RAFAEL CALAYLAYAN ABUCAY BATAAN 231.62 0.00 0.00 231.62 August 27, 2018 2018-08-2930 ROY SANCHEZ 013 SAN PABLO DINALUPIHAN BATAAN 1,000.00 500.00 0.00 1,500.00 August 27, 2018 2018-08-2931 LILIBETH ISIP CENTRAL BALANGA CITY 34.12 370.00 0.00 404.12 August 27, 2018 2018-08-2932 CERELINA CALOLOT RIVERSIDE LAMAO LIMAY BATAAN 231.18 900.00 0.00 1,131.18 August 27, 2018 2018-08-2933 ROZENN KATE FLORES P. SACDALAN MABATANG ABUCAY BATAAN 0.00 1,216.69 783.31 2,000.00 August 27, 2018 2018-08-422-A SABINA PONSECA CULIS HERMOSA BATAAN 0.00 500.00 0.00 500.00 August 27, 2018 2018-08-2840-B CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 1,857.86 0.00 1,857.86 August 27, 2018 2018-08-1467-D MARITA MENA KABALUTAN ORANI BATAAN 231.62 0.00 0.00 231.62 August 27, 2018 2018-08-1449-D ROGER PAJUNAR BALON ANITO MARIVELES BATAAN 0.00 1,125.71 0.00 1,125.71 August 27, 2018 2018-08-002-J ANDREW JAMES LINTAG BAYAN ORANI BATAAN 728.48 0.00 673.61 1,402.09 August 27, 2018 2018-08-2934 ARMAN SAPUTALO ALAS-ASIN MARIVELES BATAAN 0.00 600.00 0.00 600.00 August 27, 2018 2018-08-2935 ANIANA VICTORIO DEL ROSARIO PILAR BATAAN 517.32 0.00 0.00 517.32 August 27, 2018 2018-08-2361-D TOMAS ONGKINGCO CAPITANGAN ABUCAY BATAAN 1,164.32 0.00 0.00 1,164.32 August 27, 2018 2018-08-2936 MICHELLE SANTOS LALAWIGAN SAMAL BATAAN 0.00 2,000.00 0.00 2,000.00 August 27, 2018 2018-08-075-G MERCIDITA MORALES LIBANAN MT. VIEW MARIVELES BATAAN 1,164.30 1,857.86 0.00 3,022.16 August 27, 2018 2018-08-239-H EMILY MORIDO PUTING BUHANGIN ORION BATAAN 329.00 0.00 0.00 329.00 August 27, 2018 2018-08-2937 JASON HERNANDEZ CUPANG PROPER BALANGA CTIY 0.00 700.00 0.00 700.00 August 27, 2018 2018-08-2819-B SAMANTHA NICOLE BACALA TENEJERO BALANGA CITY 474.50 0.00 0.00 474.50 August 27, 2018 2018-08-2938 NENITA ARNAL TALISAY BALANGA CITY 517.32 0.00 0.00 517.32 August 27, 2018 2018-08-2939 DARLYN HERNANDEZ BACAWAN WAWA ABUCAY BATAAN 0.00 530.00 0.00 530.00 August 27, 2018 2018-08-2940 DOMINGA ENRIQUEZ MULAWIN ORANI BATAAN 18,455.87 1,544.13 0.00 20,000.00 August 27, 2018 2018-08-2941 MARISSA CUSI STA. ELENA ORION BATAAN 0.00 1,060.00 0.00 1,060.00 August 27, 2018 2018-08-1593-B JOY FRANCISCO TOWNSITE LIMAY BATAAN 237.32 0.00 0.00 237.32

August 27, 2018 2018-08-1755-E EDITHA CRUZ 148 ESCALADA ST. PTO. RIVAS ITAAS BALANGA CITY BATAAN 231.62 457.60 0.00 689.22 August 27, 2018 2018-08-1724-C JESUS OLIVEROS DOÑA FRANCISCA BALANGA CITY 286.53 0.00 0.00 286.53 August 28, 2018 2018-08-2455-A MARGARITA VENTURA OMBOY ABUCAY BATAAN 0.00 549.12 0.00 549.12 August 28, 2018 2018-08-2942 ANGELICA TORIBIO ST. FRANCIS II LIMAY BATAAN 0.00 300.00 0.00 300.00 August 28, 2018 2018-08-1659-F EDEN DELA CRUZ OMBOY ABUCAY BATAAN 987.00 0.00 0.00 987.00 August 28, 2018 2018-08-2943 LARRY REYES TAPULAO ORANI BATAAN 305.81 150.00 114.28 570.09 August 28, 2018 2018-08-2944 MELINDA ANGELES DOÑA ADELA MT. VIEW MARIVELES BATAAN 0.00 500.00 0.00 500.00 August 28, 2018 2018-08-2945 CHINIE MANGALINDAN SAN JUAN SAMAL BATAAN 0.00 670.00 0.00 670.00 August 28, 2018 2018-08-2946 ANALIE VELOSO ALION MARIVELES BATAAN 0.00 1,000.00 0.00 1,000.00 August 28, 2018 2018-08-2619-A JANELA JANE BANTUGAN TALISAY ST. BANAWANG BAGAC BATAAN 0.00 0.00 2,000.00 2,000.00 August 28, 2018 2018-08-2300-A ESTRELLA ARAGON IMELDA SAMAL BATAAN 0.00 1,500.00 0.00 1,500.00 August 28, 2018 2018-08-2947 JOSEPH MONTANTE BINARITAN MORONG BATAAN 321.92 1,300.00 0.00 1,621.92 August 28, 2018 2018-08-029-G CESAR MARTINEZ TUYO BALANGA CITY 0.00 1,365.73 0.00 1,365.73 August 28, 2018 2018-08-2033-C NADELYN ZAPANTA TOWNSITE LIMAY BATAAN 0.00 1,620.00 0.00 1,620.00 August 28, 2018 2018-08-2948 PERLITA DELA CRUZ PUROK V BALSIK HERMOSA BATAAN 474.50 0.00 0.00 474.50 August 28, 2018 2018-08-2949 HAZEL LANGGAO SAN ISIDRO MARIVELES BATAAN 474.50 0.00 0.00 474.50 August 28, 2018 2018-08-2950 METCHEL MERCADER PAG-ASA LAMAO LIMAY BATAAN 0.00 3,000.00 0.00 3,000.00 August 28, 2018 2018-08-2592-A VICTOR VIEJO SAPA SAMAL BATAAN 0.00 0.00 8,533.58 8,533.58 August 28, 2018 2018-08-946-A RAQUEL DE LEON PTO. RIVAS BALANGA CITY 161.54 2,580.00 0.00 2,741.54 August 28, 2018 2018-08-2951 ALVIN GALANG JOSEFA VILLE PANILAO PILAR BATAAN 0.00 1,080.00 0.00 1,080.00 August 28, 2018 2018-08-2036-D ROMEL MENDOZA CATANING BALANGA CITY 0.00 1,374.88 0.00 1,374.88 August 28, 2018 2018-08-2952 MARCOS MOTANAS LIYANG PILAR BATAAN 0.00 950.00 0.00 950.00 August 28, 2018 2018-08-1173-A AILEEN HERMINIGILDO NAGWALING PILAR BATAAN 0.00 800.00 0.00 800.00 August 28, 2018 2018-08-2953 BENJO DUMAS HIGHWAY LAON ABUCAY BATAAN 387.70 200.00 0.00 587.70 August 28, 2018 2018-08-2952-A MARCOS MOTANAS LIYANG PILAR BATAAN 0.00 750.00 0.00 750.00 August 28, 2018 2018-08-2746-C NORMA JACINTO SACDALAN MABATANG ABUCAY BATAAN 231.62 0.00 0.00 231.62 August 28, 2018 2018-08-2954 MARITA BAGTAS STO. DOMINGO ORION BATAAN 0.00 1,266.80 0.00 1,266.80 August 28, 2018 2018-08-844-A LORENA VIRAY SAGUING DINALUPIHAN BATAAN 0.00 1,120.00 0.00 1,120.00 August 28, 2018 2018-08-930-A ANTONIO BALGOS 104 LANDING PILAR BATAAN 0.00 1,350.00 0.00 1,350.00 August 28, 2018 2018-08-2853 CRIS DARREN GALLARIN TABON DEL ROSARIO PILAR BATAAN 474.50 0.00 0.00 474.50 August 28, 2018 2018-08-2825-B RAFAEL BEATO MABATANG ABUCAY BATAAN 463.23 0.00 0.00 463.23 August 28, 2018 2018-08-668-C ELVIRA PULONGBARIT 25 J. P. RICAL PAG-ASA BAGAC BATAAN 0.00 437.76 0.00 437.76 August 28, 2018 2018-08-2214-I MARTY CUBACUB PARANG-PARANG ORANI BATAAN 231.62 0.00 0.00 231.62 August 28, 2018 2018-08-2955 JHENCEL RHAINE BASILIO DAAN PARE ORION BATAAN 474.50 0.00 0.00 474.50 August 28, 2018 2018-08-2956 JOHN LLOYD RODA ATILANO L. RICARDO BAGAC BATAAN 5,000.00 0.00 0.00 5,000.00 August 28, 2018 2018-08-2957 JOMMEL SORIANO CENTRAL BALANGA CITY 0.00 820.00 0.00 820.00 August 28, 2018 2018-08-2779-C JUANITO DE SILVA SAPA SAMAL BATAAN 231.62 0.00 0.00 231.62 August 28, 2018 2018-08-368-O MARY JANE SAMSON 77-C LAON ABUCAY BATAAN 463.23 0.00 0.00 463.23 August 28, 2018 2018-08-2958 DERBY FERRER 72 P. DIZON ST. LOTE BALANGA CITY 474.50 0.00 0.00 474.50 August 28, 2018 2018-08-2959 MARIA SANTOS CULIS HERMOSA BATAAN 500.00 0.00 0.00 500.00 August 28, 2018 2018-08-1165-R ADONES LINTAG DAAN BILOLO ORION BATAAN 0.00 1,478.36 0.00 1,478.36 August 28, 2018 2018-08-391-B ROLY CORDERO PUROK III STA. ISABEL DINALUPIHAN BATAAN 231.62 0.00 0.00 231.62 August 28, 2018 2018-08-2077-D ANTONIO CARABEO KAWAYAN ORANI BATAAN 658.00 650.00 0.00 1,308.00 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory, TOTAL NAME ADDRESS Dental & PREPARED Drugs and Med Hospital Fees NUMBER diagnostic ASSISTANCE procedures

August 28, 2018 2018-08-2167-D ALFONSO MANALANG JR. DAANG BAGO DINALUPIHAN BATAAN 658.00 0.00 0.00 658.00 August 28, 2018 2018-08-2960 TEODORO PEREZ MIRAY ST. CATANING BALANGA CITY 0.00 620.00 0.00 620.00 August 29, 2018 2018-08-2961 MYLENE MAYONES GUGO SAMAL 0.00 970.00 0.00 970.00 August 29, 2018 2018-08-2962 MARK ANTHONY JAVA LAMAO LIMAY BATAAN 0.00 739.20 0.00 739.20 August 29, 2018 2018-08-2840-C CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 1,507.86 0.00 1,507.86 August 29, 2018 2018-08-2963 IMELDA TANEGA CALAYLAYAN ABUCAY BATAAN 0.00 1,000.00 0.00 1,000.00 August 29, 2018 2018-08-2964 LETICIA PUNZALAN PANILAO PILAR BATAAN 0.00 591.36 0.00 591.36 August 29, 2018 2018-08-2965 JASMIN VELASCO ALA-ULI PILAR BATAAN 0.00 591.36 0.00 591.36 August 29, 2018 2018-06-1496-A ELENA ADUANA ST. FRANCIS I, LIMAY 9,488.76 5,011.19 0.00 14,499.95 August 29, 2018 2018-08-2966 DOMINADOR PAULE SAGUING DINALUPIHAN BATAAN 20,356.63 8,919.48 0.00 29,276.11 August 29, 2018 2018-08-2592-B VICTOR VIEJO STO. NIÑO SAPA SAMAL 10,000.00 0.00 0.00 10,000.00 August 29, 2018 2018-08-2967 JHON EDWARD VERGARA GABON ABUCAY BATAAN 0.00 257.60 0.00 257.60 August 29, 2018 2018-08-882-D ROGELIO MENDOZA A. RIVERA HERMOSA BATAAN 231.62 0.00 0.00 231.62 August 29, 2018 2018-08-2968 MARY JOYCE OCHENTA CAPITANGAN ABUCAY BATAAN 0.00 1,000.00 0.00 1,000.00 August 29, 2018 2018-08-2969 THEA DESIRAE ESCARTIN GABON ABUCAY BATAAN 474.50 0.00 0.00 474.50 August 29, 2018 2018-08-2970 JEFFREY MALIBIRAN PTO. RIVAS BALANGA CITY 0.00 970.00 0.00 970.00 August 29, 2018 2018-08-2971 SALVADOR ANTOY IPAG MARIVELES BATAAN 30,000.00 0.00 0.00 30,000.00 August 29, 2018 2018-08-2889-A JOHN MATEO ADALLA CUPANG PROPER BALANGA CTIY 0.00 0.00 1,429.13 1,429.13 August 29, 2018 2018-08-2972 MARIBETH GANTIGA ALIKABOK ORANI 0.00 0.00 2,177.71 2,177.71 August 29, 2018 2018-08-2973 ARLENE GABAO TALA ORANI 0.00 0.00 815.48 815.48 August 29, 2018 2018-08-2974 MILA ROSE AMBEGUIA CAMAYA MARIVELES BATAAN 35,000.00 0.00 0.00 35,000.00 August 29, 2018 2018-08-2975 ALLAN EJANDRA LAON ABUCAY BATAAN 0.00 400.00 0.00 400.00 August 29, 2018 2018-08-845-E EDUARDO MARTIN CAMACHO BALANGA CITY BATAAN 0.00 0.00 2,177.71 2,177.71 August 29, 2018 2018-08-2977 ROVEROSE VENTILLAN MT. VIEW MARIVELES BATAAN 0.00 250.00 0.00 250.00 August 29, 2018 2018-08-2978 JOSEPHINE AGUSTIN PUTING BUHANGIN ORION BATAAN 4,384.45 10,615.55 0.00 15,000.00 August 29, 2018 2018-08-2361-E TOMAS ONGKINGCO CAPITANGAN ABUCAY BATAAN 0.00 2,643.73 0.00 2,643.73 August 29, 2018 2018-08-2979 JILLIAN JANE DALISAY CULIS HERMOSA BATAAN 1,000.00 0.00 0.00 1,000.00 August 29, 2018 2018-08-2980 JAYSON SALALILA KATAASAN DINALUPIHAN BATAAN 3,552.35 0.00 0.00 3,552.35 August 29, 2018 2018-08-2981 JOHN MARK NAVAL TIPO HERMOSA BATAAN 376.86 0.00 0.00 376.86 August 29, 2018 2018-08-2982 ASTHER CASAJEROS TENEJERO ORANI BATAAN 1,429.13 0.00 0.00 1,429.13 August 29, 2018 2018-05-834-A MARK ANTHONY MAMENTAL SAN JOSE BALANGA CITY 0.00 1,140.00 0.00 1,140.00 August 29, 2018 2018-08-2195-C JOHN KEVIN IJAN IBAYO BALANGA CITY 0.00 1,070.00 0.00 1,070.00 August 29, 2018 2018-08-2983 DANE RUSSEL MACALINAO MABATANG ABUCAY BATAAN 0.00 0.00 2,000.00 2,000.00 August 29, 2018 2018-08-1257-D EDUARDO RODRIGUEZ CAMACHO BALANGA CITY BATAAN 694.85 0.00 0.00 694.85 August 29, 2018 2018-07-1430-B VIRGINIA NAVARRO CALUNGUSAN ORION BATAAN 6,227.22 0.00 0.00 6,227.22 August 29, 2018 2018-08-2984 CRISANTA HUELAR BATANGAS II MARIVELES BATAAN 1,461.62 890.08 0.00 2,351.70 August 29, 2018 2018-06-1496-B ELENA ADUANA ST. FRANCIS I, LIMAY 9,404.19 4,932.75 87,288.04 101,624.98 August 29, 2018 2018-08-2985 GERONIMO DAVID MT. VIEW MARIVELES BATAAN 476.86 0.00 0.00 476.86 August 20, 2018 2018-08-2986 ELOISA REYES PANILAO PILAR BATAAN 27,702.84 6,185.00 39,034.08 72,921.92 August 22, 2018 2018-08-2987 LEONILA CARATIKET UPPER LAYA POBLACION MARIVELES BATAAN 4,599.57 0.00 0.00 4,599.57 August 22, 2018 2018-08-2988 ANGELINA CUEVAS IBAYO BALANGA CITY 5,411.88 0.00 0.00 5,411.88 August 22, 2018 2018-08-2989 HERMOGENES TANTIANGCO SAN PEDRO HERMOSA BATAAN 23,762.34 0.00 0.00 23,762.34 August 22, 2018 2018-08-2990 NARCISA MATAWARAN CAPITANGAN ABUCAY BATAAN 2,416.07 0.00 0.00 2,416.07 August 22, 2018 2018-06-1751-A MILAGROS REYES OMBOY ABUCAY BATAAN 41,502.25 1,471.17 0.00 42,973.42 August 22, 2018 2018-08-2991 ARTHUR DEONILA SABATAN ORION BATAAN 7,541.86 4,770.00 7,343.56 19,655.42 August 22, 2018 2018-08-2992 JOEL MANDANI MT. VIEW MARIVELES BATAAN 12,553.48 320.00 1,679.72 14,553.20 August 22, 2018 2018-08-2993 MARIO TACLAN JR. SISIMAN MARIVELES BATAAN 3,083.29 7,980.00 1,890.57 12,953.86 August 22, 2018 2018-08-2994 GANDIWA VISITACION NAPARING DINALUPIHAN BATAAN 14,908.92 0.00 0.00 14,908.92 August 23, 2018 2018-08-2995 ORLY REYES TAPULAO ORANI BATAAN 4,840.84 6,600.00 7,706.69 19,147.53 August 23, 2018 2018-08-2996 CARLITO AGUSTIN CUPANG PROPER BALANGA CTIY 100.35 10,450.00 9,284.00 19,834.35 August 23, 2018 2018-08-2997 MIGUEL RAMOS DEL ROSARIO PILAR BATAAN 0.00 300.00 1,998.34 2,298.34 August 23, 2018 2018-08-2998 KHYLE MAÑALAC LAMAO LIMAY BATAAN 2,245.31 0.00 375.81 2,621.12 August 23, 2018 2018-08-2999 ALEJANDRO PABUSTAN SAN JOSE BALANGA CITY 2,156.62 12,990.00 2,376.44 17,523.06 August 23, 2018 2018-08-3000 GINA ARNAIZ WAKAS ORION BATAAN 202.00 840.00 1,676.44 2,718.44 August 23, 2018 2018-08-3001 KAYE LEE PULO HERMOSA BATAAN 1,262.27 13,750.00 4,079.29 19,091.56 August 23, 2018 2018-08-3002 ANGELITO GAJISAN BILOLO ORION BATAAN 830.82 170.00 0.00 1,000.82 August 23, 2018 2018-08-3003 OPENIANO LOMAHAN TARA TARA SISON PANGASINAN 0.00 250.00 3,566.83 3,816.83 August 23, 2018 2018-08-3004 EDUARDO ABELLO ST. FRANCIS I LIMAY BATAAN 6,821.59 2,520.00 5,977.71 15,319.30 August 23, 2018 2018-08-3005 ROSE MARIE LAYSON PANTALAN LUMA ORANI BATAAN 26,961.77 30,310.00 21,894.91 79,166.68 August 23, 2018 2018-08-3006 JETT LIM STA. ROSA PILAR BATAAN 471.22 500.00 3,605.37 4,576.59 August 23, 2018 2018-08-3007 ANGELINA DIAZ STA. ISABEL DINALUPIHAN BATAAN 2,412.76 0.00 0.00 2,412.76 August 23, 2018 2018-04-438-A LILIAN DELA ROSA MABATANG ABUCAY BATAAN 5,612.09 320.00 214.09 6,146.18 August 23, 2018 2018-08-3008 RENATO BRONIOLA PARAISO ORANI BATAAN 3,365.18 282.40 0.00 3,647.58 August 23, 2018 2018-08-3009 IMELDA YUMOL CENTRAL BALANGA CITY 7,630.56 2,940.00 1,508.62 12,079.18 August 23, 2018 2018-08-3010 ALICIA PERALTA TAPULAO ORANI BATAAN 37,704.44 0.00 0.00 37,704.44 August 24, 2018 2018-08-3011 ROSALINO NAVARRO LUSUNGAN ORION BATAAN 9.78 19,300.00 8,576.96 27,886.74 August 24, 2018 2018-08-3012 ROBERT RODRIGUEZ TAPULAO ORANI BATAAN 3,621.41 2,520.00 346.72 6,488.13 August 24, 2018 2018-08-3013 MIGUEL FRANCISCO CENTRAL BALANGA CITY 4,005.25 0.00 0.00 4,005.25 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory, TOTAL NAME ADDRESS Dental & PREPARED Drugs and Med Hospital Fees NUMBER diagnostic ASSISTANCE procedures

August 24, 2018 2018-08-3014 NORLITA BENDOY PALIPARAN BATANGAS II MARIVELES 5,945.31 450.00 2,298.45 8,693.76 August 24, 2018 2018-08-3015 GRACE ANN BATOL BANAWANG BAGAC BATAAN 1,598.42 700.00 1,769.42 4,067.84 August 24, 2018 2018-08-3016 JESUS RICARDO LAMBINGAN TANZA CAVITE 6,046.40 1,100.00 638.82 7,785.22 August 24, 2018 2018-08-3017 RODOLFO LULU ALA-ULI PILAR BATAAN 546.01 9,320.00 181.95 10,047.96 August 24, 2018 2018-08-3018 FLORENCIO ERIDIO LUACAN DINALUPIHAN BATAAN 0.00 5,905.42 0.00 5,905.42 August 24, 2018 2018-08-3019 JIMMY MABAG DAANG PARE ORION BATAAN 24,339.01 1,450.00 890.35 26,679.36 August 24, 2018 2018-08-3020 MARLYN SANTUAN SABANG MORONG 0.00 750.00 1,298.97 2,048.97 August 24, 2018 2018-08-3021 FRANCIS GONZALES JR. CUPANG BALANGA CITY 2,527.68 0.00 74.41 2,602.09 August 24, 2018 2018-08-3022 RIZALDY CORTEZ BO. LUZ LIMAY BATAAN 834.70 8,120.00 4,525.09 13,479.79 August 24, 2018 2018-08-3023 JOSE SUMANDAL BAGUMBAYAN BALANGA CITY 1,362.10 320.00 545.27 2,227.37 August 22, 2018 2018-08-2645-A ROMEO GASPAR DOÑA FRANCISCA BALANGA CITY 6,381.62 0.00 0.00 6,381.62 August 25, 2018 2018-08-3024 VINCE ALLEN GARCIA PANILAO PILAR BATAAN 5,874.09 5,370.00 963.46 12,207.55 August 25, 2018 2018-08-3026 KACER ETHAN ANTONIO BALUT I PILAR BATAAN 2,527.09 2,200.00 0.00 4,727.09 August 25, 2018 2018-08-3027 GENESIS OLIVERIO ST. FRANCIS II LIMAY BATAAN 3,411.75 400.00 578.89 4,390.64 August 25, 2018 2018-08-3028 EDGARDO DELA CRUZ MORONG BATAAN 0.00 850.00 250.82 1,100.82 August 25, 2018 2018-08-3029 RUBY ROSE RAAGAS ST. FRANCIS II LIMAY BATAAN 0.00 0.00 1,531.68 1,531.68 August 25, 2018 2018-08-3030 ROSEMARIE CRUZ BIAAN MARIVELES 934.02 3,170.00 390.47 4,494.49 August 25, 2018 2018-08-3031 DELIA MEDINA IBABA SAMAL BATAAN 781.13 1,398.73 0.00 2,179.86 August 25, 2018 2018-08-3032 REYNAN ODICTA DUALE LIMAY BATAAN 5,099.36 2,900.00 5,930.01 13,929.37 August 26, 2018 2018-08-3033 ROMEL PASAMONTE SAN PABLO DINALUPIHAN BATAAN 2,172.66 2,900.00 4,552.68 9,625.34 August 26, 2018 2018-08-2731-A BRENDA MARQUEZ BAGUMBAYAN, BAGAC 12,842.05 700.00 672.01 14,214.06 August 26, 2018 2018-08-3034 CHARLENE DONATOS ALMACEN HERMOSA BATAAN 9,938.76 700.00 11,474.02 22,112.78 August 26, 2018 2018-08-3035 MICHELLE SASTRE BASECO COUNTRY MARIVELES BATAAN 25,799.64 6,500.00 3,679.66 35,979.30 January 01, 2018 2018-08-3036 WILLIAM DACASIN CATANING BALANGA CITY 0.00 2,788.79 0.00 2,788.79 January 02, 2018 2018-08-3037 REGINA MARQUEZ IBABA BAGAC BATAAN 0.00 3,848.80 7,558.22 11,407.02 January 02, 2018 2018-08-2940-A DOMINGA ENRIQUEZ PARANG SAMAL BATAAN 5,107.49 10,485.68 0.00 15,593.17 January 02, 2018 2018-08-3038 CAREN DIWA BAGUMBAYAN PILAR 0.00 150.00 1,226.71 1,376.71 January 02, 2018 2018-08-3039 PATRICIA ANN CALMA TALISAY BALANGA CITY 0.00 150.00 1,400.44 1,550.44 January 02, 2018 2018-08-3040 TEODOLO SALANDANAN SALIAN ABUCAY BATAAN 0.00 5,500.00 148.14 5,648.14 January 02, 2018 2018-08-3041 KURT ANDREY GUTIERREZ MABATANG ABUCAY BATAAN 19,494.21 5,150.00 5,717.53 30,361.74 January 02, 2018 2018-08-3042 GEMMA DELOS REYES TOWNSITE MARIVELES BATAAN 16,207.62 4,785.00 3,808.39 24,801.01 January 02, 2018 2018-08-3043 CARL UBALLES BLISS LIMAY 5,812.28 5,425.00 1,213.06 12,450.34 January 03, 2018 2018-08-3044 ELOISA LIANZA SAN PEDRO HERMOSA BATAAN 0.00 2,714.65 585.71 3,300.36 TOTAL 3,109,674.00 BALANCE 10,274,016.67 Patients Served Under Medical Assistance for Indigent Patient as of September 2018 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory TOTAL NAME ADDRESS Drugs and , Dental & Hospital PREPARED NUMBER ASSISTANCE Med diagnostic Fees procedures

15,274,016.67 July 30, 2018 2018-07-2272 JUANITO VILLAREAL 5-197 CAMAYA MARIVELES BATAAN 0.00 (2,484.36) 0.00 (2,484.36)

September 06, 2018 2018-09-3048 CRISTITA HERMIDA ROOSEVELT, DINALUPIHAN, BATAAN 11,230.47 8,714.01 0.00 19,944.48

September 06, 2018 2018-09-3049 MARY JANE DIMAANO BATANGAS II, MARIVELES, BATAAN 2,240.00 0.00 2,240.00

September 06, 2018 2018-09-3050 MARK ROBBY ANGELES BILOLO, ORION, BATAAN 0.00 845.00 0.00 845.00

September 06, 2018 2018-09-3051 MARILYN AQUINO STA. ROSA, PILAR, BATAAN 0.00 670.00 0.00 670.00

September 06, 2018 2018-09-239-I EMILY MORIDO PUTING BUHANGIN ORION BATAAN 658.00 0.00 0.00 658.00

September 06, 2018 2018-09-3052 KYAN JAMES LENEZO MT. VIEW MARIVELES BATAAN 5,000.00 0.00 0.00 5,000.00

September 06, 2018 2018-09-3053 NADIA DELA CRUZ POBLACION, MARIVELES, BATAAN 0.00 2,200.00 0.00 2,200.00

September 06, 2018 2018-09-391-C ROLY CORDERO STA. ISABEL DINALUPIHAN BATAAN 463.23 0.00 0.00 463.23

September 06, 2018 2018-09-1549-B VIOLETA SOMO LAMAO LIMAY BATAAN 463.23 1,647.36 0.00 2,110.59

September 06, 2018 2018-09-1593-C JOY FRANCISCO TOWNSITE LIMAY BATAAN 463.23 0.00 0.00 463.23

September 06, 2018 2018-09-1508-A EDEN CARPIO CALAYLAYAN ABUCAY BATAAN 0.00 1,030.00 0.00 1,030.00

September 06, 2018 2018-09-3054 BEVERLY HERNANDEZ BINUCAWAN, BAGAC, BATAAN 0.00 1,000.00 0.00 1,000.00

September 06, 2018 2018-09-3055 CRISELDA CRUZ TUGATOG, ORANI, BATAAN 0.00 1,100.00 0.00 1,100.00

September 06, 2018 2018-09-1165-S ADONES LINTAG DAAN BILOLO ORION BATAAN 0.00 3,530.56 0.00 3,530.56

September 06, 2018 2018-09-436-L ALLAN MIRASOL MT VIEW, MARIVELES, BATAAN 0.00 2,302.00 0.00 2,302.00

September 06, 2018 2018-09-3056 ELLARIE SOLIS LUACAN DINALUPIHAN BATAAN 737.87 3,262.13 0.00 4,000.00

September 06, 2018 2018-09-3057 JESUS DENNIS OLIVEROS DOÑA FRANCISCA BALANGA CITY, BATAAN 231.62 0.00 0.00 231.62

September 06, 2018 2018-09-3058 IRENE GANDER CAPITANGAN ABUCAY BATAAN 0.00 1,429.13 0.00 1,429.13

September 06, 2018 2018-09-3059 MELINDA ESGUERRA BINARITAN, MORONG,BATAAN 0.00 1,850.00 0.00 1,850.00

September 06, 2018 2018-09-1909-B JULIET PIZARRO PTO. RIVAS IBABA, BALANGA CITY, BATAAN 0.00 1,376.16 0.00 1,376.16

September 06, 2018 2018-09-3060 TERESA CAYABYAB TABING ILOG, BAGAC, BATAAN 1,991.86 1,291.01 0.00 3,282.87

September 06, 2018 2018-09-3061 DINDO RESTUM KANAWAN, MORONG, BATAAN 0.00 1,940.81 0.00 1,940.81

September 06, 2018 2018-09-3062 NICOLE COSE ALAS-ASIN MARIVELES BATAAN 0.00 820.00 0.00 820.00

September 06, 2018 2018-09-3063 NORMAN GOMO SAN PEDRO HERMOSA BATAAN 0.00 4,090.00 5,910.00 10,000.00

September 06, 2018 2018-09-3064 MARLOU RAMOS LUCANIN MARIVELES BATAAN 0.00 1,808.45 0.00 1,808.45

September 06, 2018 2018-09-3065 MARITES RIOS PANIBATUHAN MORONG BATAAN 0.00 4,554.30 0.00 4,554.30

September 06, 2018 2018-09-3066 OFELIA GACUTAN GEN LIM ORION BATAAN 193.02 1,950.00 0.00 2,143.02

September 06, 2018 2018-09-3067 RAYMOND MARQUEZ BILOLO ORION BATAAN 1,905.99 0.00 0.00 1,905.99

September 06, 2018 2018-09-3068 ANABEL ABELLA TOWNSITE LIMAY BATAAN 1,902.34 0.00 0.00 1,902.34

September 06, 2018 2018-09-1549-C VIOLETA SOMO LAMAO LIMAY BATAAN 0.00 1,857.86 0.00 1,857.86

September 06, 2018 2018-09-3069 JOHN MICHAEL GALVEZ BACONG LIMAY BATAAN 329.00 0.00 0.00 329.00 September 4,2018 2018-09-3070 JANNO FIGUEROA STA. ROSA, PILAR, BATAAN 0.00 1,000.00 0.00 1,000.00 September 4,2018 2018-08-2289-A PHILIP JOVEN CUPANG PROPER BALANGA CTIY 0.00 1,110.00 0.00 1,110.00 September 4,2018 2018-09-3071 REBECCA TUMARCE CAPUNITAN, ORION, BATAAN 3,813.36 9,186.64 0.00 13,000.00 September 4,2018 2018-09-3072 MOISES FRANCISCO MT VIEW, MARIVELES, BATAAN 5,725.36 8,631.27 0.00 14,356.63 September 4,2018 2018-09-3073 EVANGELINE TRAJANO BALAGTAS, ORION, BATAAN 0.00 400.00 0.00 400.00 September 4,2018 2018-09-3074 ROMEL HERNANDEZ WAWA, ABUCAY, BATAAN 0.00 700.00 0.00 700.00 September 4,2018 2018-09-2152-B GARY DE VERA STA. ROSA PILAR BATAAN 0.00 1,600.00 0.00 1,600.00 September 4,2018 2018-09-3075 JOHN VINCENT NALLAS IBABA SAMAL BATAAN 0.00 780.00 0.00 780.00 September 4,2018 2018-09-2592-C VICTOR VIEJO SAPA SAMAL BATAAN 10,000.00 0.00 0.00 10,000.00 September 4,2018 2018-09-3076 SALIC AMPUAN BAGONG SILANG BALANGA CITY 0.00 1,400.00 0.00 1,400.00 September 4,2018 2018-09-223-F REN MARK SAPIT ALAS-ASIN MARIVELES BATAAN 0.00 1,550.00 0.00 1,550.00 September 4,2018 2018-09-1165-T ADONES LINTAG DAAN BILOLO ORION BATAAN 0.00 1,535.31 0.00 1,535.31 September 4,2018 2018-09-3077 APOLONIO TAMORO JR. PAG ASA BAGAC BATAAN 0.00 400.00 0.00 400.00 September 4,2018 2018-09-3078 LOVELY AMAD CABCABEN MARIVELES BATAAN 0.00 600.00 0.00 600.00 September 4,2018 2018-09-2748-A ROMEO DUBLIN CABCABEN MARIVELES BATAAN 0.00 2,880.00 0.00 2,880.00 September 4,2018 2018-09-3079 CHESKA LOVERIA CUPANG PROPER BALANGA CTIY 5,925.66 3,233.64 0.00 9,159.30 September 4,2018 2018-09-3080 LUCILA DELA CRUZ TIPO HERMOSA BATAAN 0.00 2,100.00 0.00 2,100.00 September 4,2018 2018-09-3081 REGINA MARQUEZ PARANG I SAMAL BATAAN 9,012.19 682.14 1,712.69 11,407.02 September 4,2018 2018-08-2214-J MARTY CUBACUB PARANG PARANG ORANI BATAAN 789.60 0.00 0.00 789.60 September 4,2018 2018-09-3082 ZANEA TORRES CAMACHO BALANGA CITY BATAAN 1,429.13 0.00 0.00 1,429.13 September 4,2018 2018-09-182-F MATEO CORPUZ SR. SABATAN ORION BATAAN 322.08 0.00 0.00 322.08 January 01, 2018 2018-09-3083 LOURDES CAPILI 15 VICINAL TUYO BALANGA CITY 53,581.90 3,940.00 32,279.84 89,801.74 January 03, 2018 2018-09-3084 CATHERINE GARCIA ZONE V CAMAYA MARIVELES BATAAN 0.00 250.00 1,677.63 1,927.63 January 03, 2018 2018-09-1713-B JOSEPHINE MERCADO 324 PRK III MAGSAYSAY DINALUPIHAN BATAAN 16,277.00 0.00 150.85 16,427.85

January 03, 2018 2018-09-1699-A EVELYN PINEDA 58 NAVAL ST. CUPANG PROPER BALANGA CITY 16,970.12 0.00 0.00 16,970.12

September 15, 2018 2018-09-3085 KERT MATHEW OLIGANGA DANGCOL, BALANGA CITY, BATAAN 78.47 300.00 378.47

January 03, 2018 2018-09-3086 DARLITO GONZALO RUBY ST. STA. MARIA VILLAGE TENEJERO BALANGA CITY 3,385.74 0.00 0.00 3,385.74 January 03, 2018 2018-09-3087 JOSE MARIANO CENTRO I ORANI BATAAN 20.00 170.00 2,135.07 2,325.07 January 03, 2018 2018-09-3088 ARLAND AUSTRIA SAN JUAN SAMAL BATAAN 0.00 0.00 3,216.38 3,216.38 January 04, 2018 2018-09-3089 ROXANNE VILLARAMA DIWA PILAR BATAAN 5,116.60 7,350.00 1,049.40 13,516.00 January 04, 2018 2018-09-3090 MAILA MONTERO 09 BASECO COUNTRY MARIVELES BATAAN 0.00 320.00 1,797.65 2,117.65 January 04, 2018 2018-09-3091 VERONICA SALIRE SABATAN ORION BATAAN 1,849.25 0.00 0.00 1,849.25 January 04, 2018 2018-09-3092 ARSENIO BUNDALIAN IBABA BAGAC BATAAN 8,185.74 0.00 0.00 8,185.74 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory TOTAL NAME ADDRESS Drugs and , Dental & Hospital PREPARED NUMBER ASSISTANCE Med diagnostic Fees procedures

January 04, 2018 2018-09-2576-A RESTY AQUINO BANAWANG BAGAC BATAAN 4,261.23 1,620.00 217.05 6,098.28 January 04, 2018 2018-09-3093 LAURO TUAZON 317 KAPARANGAN ORANI BATAAN 7,290.36 0.00 0.00 7,290.36 January 04, 2018 2018-09-3094 RODRIGO MONTIZA STO. NIÑO LUBAO PAMPANGA 1,811.29 3,520.00 4,175.87 9,507.16

January 04, 2018 2018-09-272-A NIDA AGSULIO BLDG. 7 RM 11 CADENA DE AMOR MALAYA MARIVELES BATAAN 14,728.69 0.00 134.65 14,863.34

January 04, 2018 2018-09-3095 RODELIO DE VERA 154 PUROK III PUTING BUHANGIN ORION BATAAN 3,172.25 0.00 109.43 3,281.68

January 04, 2018 2018-09-3096 ELENA ESCUDERO 153 MASINOP ST. CUPANG WEST BALANGA CITY 14,237.00 0.00 149.20 14,386.20 January 04, 2018 2018-09-3097 ERNESTO AUSTRIA BALUTI I PILAR BATAAN 39,348.38 0.00 0.00 39,348.38 January 04, 2018 2018-09-3098 RHAN JAY CREBILLO SALIAN ABUCAY BATAAN 0.00 1,901.05 0.00 1,901.05 January 04, 2018 2018-09-1722-A ALICIA MAGLANQUE 287 SAN RAFAEL ST. CAMACHILE ORION BATAAN 7,006.00 0.00 0.00 7,006.00

September 03, 2018 2018-09-3099 CHUMMY ALLYN BAUTISTA STA. ISABEL, DINALUPIHAN, BATAAN 0.00 1,200.00 2,339.11 3,539.11 September 3,2018 2018-09-3100 VIRGILIO EBIO DIWA, PILAR, BATAAN 8,531.52 0.00 0.00 8,531.52 September 3,2018 2018-09-3101 LORNA ENRIQUEZ DANGCOL, BALANGA CITY, BATAAN 0.00 2,517.23 0.00 2,517.23 September 3,2018 2018-09-3102 BRENALD CASTILLO CAPITANGAN, ABUCAY, BATAAN 0.00 1,574.19 0.00 1,574.19 September 3,2018 2018-09-3103 ROY ROQUE A. RIVERA, HERMOSA, BATAAN 13,466.29 24,629.95 0.00 38,096.24 September 3,2018 2018-09-3104 MARISANDRA SAD-AYAN NAGBALAYONG MORONG BATAAN 6,079.91 5,196.21 522.28 11,798.40 September 3,2018 2018-09-3105 ANGELITO ALIPIO PTO RIVAS IBABA,BALANGA CITY, BATAAN 1,642.79 3,797.00 0.00 5,439.79 September 3,2018 2018-09-3106 ANA MARIE RAFAELA BALUT I PILAR BATAAN 0.00 2,045.58 0.00 2,045.58 September 3,2018 2018-09-2562-A RIZA LANZARROTE DEL ROSARIO PILAR BATAAN 0.00 2,980.11 0.00 2,980.11 September 3,2018 2018-09-3107 JOHN CRISH YABES STO. DOMINGO ORION BATAAN 373.83 1,130.35 0.00 1,504.18 September 3,2018 2018-09-3108 IRENEO QUIAMBAO MANDAMA, HERMOSA, BATAAN 7,689.95 9,471.13 0.00 17,161.08 September 3,2018 2018-09-3109 FERNANDO GUEVARRA CUPANG PROPER BALANGACITY 1,749.95 2,900.00 466.90 5,116.85 September 3,2018 2018-09-3110 EDLIPHEN LATOJA ALIKABOK ORANI 76.79 3,920.00 1,293.48 5,136.69 September 3,2018 2018-09-3111 VIRGINIA DELA CRUZ TOWNSITE MARIVELES BATAAN 5,633.96 1,083.26 0.00 6,717.22 September 3,2018 2018-09-3112 FRANINE JADE PANES ST FRANCIS II LIMAY BATAAN 2,588.99 155.45 0.00 2,744.44 September 3,2018 2018-09-3113 NORMITA CRISTOBAL SAGUING DINALUPIHAN BATAAN 6,359.36 320.00 414.79 7,094.15 September 3,2018 2018-09-3114 CHERRY ANN DULLAGA WAKAS PILAR BATAAN 271.26 300.00 1,965.13 2,536.39 September 3,2018 2018-09-3115 JOSEFINA BERGANTINOS RIZAL DINALUPIHAN BATAAN 4,290.44 3,120.00 960.84 8,371.28 September 3,2018 2018-09-3116 ROMMEL VELASCO CALUNGUSAN ORION BATAAN 4,398.66 4,394.20 0.00 8,792.86

September 11, 2018 2018-09-436-M ALLAN MIRASOL UPPER BALANDASAN MT VIEW MARIVELES, BATAAN 0.00 2,302.00 0.00 2,302.00

September 11, 2018 2018-09-029-H CESAR MARTINEZ TUYO BALANGA CITY 0.00 1,592.98 0.00 1,592.98

September 11, 2018 2018-09-3117 RAYMARK RIMLA BILOLO ORION BATAAN 255.00 2,800.00 830.91 3,885.91

September 11, 2018 2018-09-3118 ROWENA LAGASCA LAMAO LIMAY BATAAN 694.85 0.00 0.00 694.85

September 11, 2018 2018-09-3119 MARY LORELIE CRUZ CAMACHO BALANGA CITY BATAAN 0.00 1,848.57 0.00 1,848.57

September 11, 2018 2018-09-3120 CARMELITA ANDRES BAGUMBAYAN BALANGA CITY 4,706.38 0.00 0.00 4,706.38

September 11, 2018 2018-09-3121 MELDA DIGMAN ST FRANCIS II LIMAY BATAAN 0.00 670.00 0.00 670.00

September 11, 2018 2018-09-3122 ELSA ANSON CABOG-CABOG BALANGA CITY 0.00 500.00 0.00 500.00

September 11, 2018 2018-09-3123 LICA JAZMIN RUIZ LOWER DUALE LIMAY BATAAN 0.00 700.00 0.00 700.00

September 11, 2018 2018-09-3124 ALENXANDRA LAGAZON MT VIEW, MARIVELES, BATAAN 0.00 3,650.00 0.00 3,650.00

September 11, 2018 2018-09-3125 ANGELITA SANTIAGO DAAN BILOLO ORION BATAAN 0.00 1,140.00 0.00 1,140.00

September 11, 2018 2018-09-2748-B ROMEO DUBLIN CABCABEN MARIVELES BATAAN 321.00 0.00 0.00 321.00

September 11, 2018 2018-09-3126 LELOGEN CUERPO PANILAO PILAR BATAAN 0.00 2,000.00 0.00 2,000.00

September 11, 2018 2018-09-2152-C GARY DE VERA STA ROSA PILAR BATAAN 987.00 650.00 0.00 1,637.00

September 11, 2018 2018-09-3127 HAZEL ANN MUTIA SAN ISIDRO MARIVELES BATAAN 0.00 1,700.00 0.00 1,700.00

September 11, 2018 2018-09-1956-B EDUARDO SAMONTE JR. SISIMAN MARIVELES BATAAN 1,936.62 13,890.00 4,161.15 19,987.77

September 11, 2018 2018-09-3128 REGINA MARTINA SISON CUPANG PROPER BALANGA CITY BATAAN 474.50 0.00 0.00 474.50

September 11, 2018 2018-09-3129 ANTHONY LOPEZ BAGUMBAYAN BALANGA CITY 955.92 0.00 0.00 955.92

September 12, 2018 2018-09-3130 JOMEL QUEVEDO TUYO BALANGA CITY 474.50 0.00 0.00 474.50

September 11, 2018 2018-09-3131 FLORENTINO DIONISIO PACAR ORANI BATAAN 0.00 650.00 0.00 650.00

September 11, 2018 2018-09-3132 PILAR ROSETE MALAYA MARIVELES BATAAN 0.00 1,161.60 0.00 1,161.60

September 11, 2018 2018-09-1173-B AILEEN HERMINIGILDO NAGWALING PILAR BATAAN 0.00 1,300.00 0.00 1,300.00

September 11, 2018 2018-09-3133 EHYL KRYZON REYES WAKAS ORION BATAAN 474.50 0.00 0.00 474.50

September 12, 2018 2018-09-3134 MARIA VICTORIA RAMIREZ BAGONG SILANG BALANGA CITY 298.26 0.00 0.00 298.26

September 12, 2018 2018-09-489-B RAMON FERNANDEZ BO. LUZ LIMAY BATAAN 0.00 2,600.00 0.00 2,600.00

September 12, 2018 2018-09-3135 DIANA DELGADO TENEJERO BALANGA CITY 2,291.60 0.00 0.00 2,291.60

September 12, 2018 2018-09-1350-V EDEN CRUZ CULIS HERMOSA BATAAN 694.85 0.00 0.00 694.85

September 12, 2018 2018-09-3136 ANALICE MALIXI TUYO BALANGA CITY 0.00 1,860.00 0.00 1,860.00

September 12, 2018 2018-09-3137 ABELARDO ZITA BALON ANITO MARIVELES BATAAN 2,227.23 2,027.20 0.00 4,254.43

September 12, 2018 2018-09-1909-B JULIET PIZARRO PTO RIVAS IBABA,BALANGA CITY, BATAAN 0.00 0.00 1,851.46 1,851.46

September 12, 2018 2018-09-3138 GENNELENE LEAÑO SIBACAN BALANGA CITY BATAAN 0.00 1,150.00 0.00 1,150.00

September 12, 2018 2018-09-882-E ROGELIO MENDOZA A. RIVERA HERMOSA BATAAN 0.00 0.00 1,851.46 1,851.46

September 12, 2018 2018-09-3139 ARTURO MAGPOC KAPARANGAN ORANI BATAAN 1,662.56 290.19 0.00 1,952.75

September 12, 2018 2018-09-3140 EVELYN RENTOZA LAMAO LIMAY BATAAN 0.00 470.00 0.00 470.00 August 05, 2018 2018-09-3141 MA. CECILIA SUANTE CABCABEN MARIVELES BATAAN 0.00 320.00 0.00 320.00 August 06, 2018 2018-09-3142 DANIEL JOSH TRACINA ATILANO RICARDO BAGAC BATAAN 0.00 1,000.00 0.00 1,000.00 August 06, 2018 2018-09-3143 ISAIAS ORIÑA CAMAYA MARIVELES BATAAN 1,655.65 1,344.35 0.00 3,000.00 August 08, 2018 2018-09-2411-A KENNETH LELIS PTO. RIVAS IBABA BALANGA CITY 0.00 400.00 0.00 400.00 August 28, 2018 2018-09-3144 MAGDALENA VALENCIA CADRE CAMACHO BALANGA CITY 364.19 0.00 0.00 364.19

August 29, 2018 2018-09-436-N ALLAN MIRASOL UPPER BALANDASAN MT VIEW MARIVELES, BATAAN 0.00 1,678.00 0.00 1,678.00

August 30, 2018 2018-09-436-O ALLAN MIRASOL UPPER BALANDASAN MT VIEW MARIVELES, BATAAN 0.00 2,328.00 0.00 2,328.00 August 30, 2018 2018-09-391-D ROLY CORDERO STA. ISABEL DINALUPIHAN BATAAN 231.62 0.00 0.00 231.62 August 30, 2018 2018-09-3145 MARK JAMES LORETO LOTE PTO. RIVAS BALANGA CITY 0.00 1,200.00 0.00 1,200.00 August 30, 2018 2018-09-3146 JUANITA QUILIT TENEJERO BALANGA CITY 0.00 542.08 0.00 542.08 August 30, 2018 2018-09-3147 JOEL JUCDONG STO. DOMINGO ORION BATAAN 0.00 840.00 0.00 840.00 August 30, 2018 2018-09-3148 JOHN MARWIN AGBING SITIO MALIGAYA MARIVELES BATAAN 0.00 830.00 0.00 830.00 August 30, 2018 2018-09-3149 RYAN GUESE IBAYO BALANGA CITY 0.00 890.00 0.00 890.00 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory TOTAL NAME ADDRESS Drugs and , Dental & Hospital PREPARED NUMBER ASSISTANCE Med diagnostic Fees procedures

August 30, 2018 2018-09-1087-A DENNIS PRUNA CENTRAL BALANGA CITY 1,909.96 0.00 0.00 1,909.96 August 30, 2018 2018-09-3150 MARILOU DUBRIA BACONG HERMOSA BATAAN 0.00 1,408.00 0.00 1,408.00 August 30, 2018 2018-09-3151 MERABEL JULATON ALAS-ASIN MARIVELES BATAAN 0.00 1,255.75 0.00 1,255.75 August 30, 2018 2018-09-2108-A JAVIER ADRANEDA 02 STA. LUCIA SAMAL BATAAN 526.40 0.00 0.00 526.40 August 30, 2018 2018-09-3152 ARNEL PEPO 474 ST. FRANCIS I LIMAY BATAAN 0.00 950.00 0.00 950.00 August 30, 2018 2018-09-3153 VANESSA CAPA MALAYA MARIVELES BATAAN 0.00 580.00 0.00 580.00 August 30, 2018 2018-09-3154 JOHN KRISTOFER PASOS BAGUMBAYAN BALANGA CITY 0.00 800.00 0.00 800.00 August 30, 2018 2018-09-1456-C ROLLY BUAL RIZAL PILAR BATAAN 0.00 900.00 0.00 900.00 August 30, 2018 2018-09-2593-A CARMEN RIVERA TAPULAO ORANI BATAAN 2,000.00 0.00 0.00 2,000.00 August 30, 2018 2018-09-3155 RYLVIEN JOHN MENDIOLA BATANGAS II MARIVELES BATAAN 0.00 320.00 0.00 320.00 August 30, 2018 2018-09-2242-A JHOMEL DUYAG 121 DAAN BAGO EAST SAMAL BATAAN 10,520.79 3,321.55 0.00 13,842.34 August 30, 2018 2018-09-2812-B FLORA RAFAEL CALAYLAYAN ABUCAY BATAAN 231.62 0.00 0.00 231.62 August 30, 2018 2018-09-3156 JUNBO URBANO MABATANG ABUCAY BATAAN 0.00 300.00 0.00 300.00 August 30, 2018 2018-09-3157 GENERY ANNE RABINO TENEJERO BALANGA CITY 0.00 500.00 0.00 500.00 August 30, 2018 2018-09-1964-A ENRIQUETA GONZALES CABCABEN MARIVELES BATAAN 0.00 2,670.00 0.00 2,670.00 August 30, 2018 2018-09-1467-E MARITA MENA KABALUTAN ORANI BATAAN 231.62 0.00 0.00 231.62 August 30, 2018 2018-09-3158 JUANITA SISON MUNTING BATANGAS BALANGA CITY 173.19 2,790.00 432.68 3,395.87 August 30, 2018 2018-09-3159 JENNIFER CORONEL BATUNGBAKAL TENEJERO BALANGA CITY 0.00 550.00 0.00 550.00 August 30, 2018 2018-09-1593-D JOY FRANCISCO TOWNSITE LIMAY BATAAN 526.40 0.00 0.00 526.40 August 30, 2018 2018-09-3160 KENTH GARRETTE RIVERA MABATANG ABUCAY BATAAN 1,902.34 0.00 0.00 1,902.34 August 30, 2018 2018-09-1165-U ADONES LINTAG DAAN BILOLO ORION BATAAN 0.00 3,338.25 0.00 3,338.25 August 30, 2018 2018-09-1015-B MA. VICTORIA DALUMPINES CATANING BALANGA CITY 0.00 1,620.00 0.00 1,620.00 August 31, 2018 2018-09-075-H MERCIDITA MORALES LIBANAN MT. VIEW MARIVELES BATAAN 0.00 1,367.01 0.00 1,367.01 August 31, 2018 2018-09-3161 NORA REYES ALIKABOK BAYAN ORANI BATAAN 0.00 860.00 0.00 860.00 August 31, 2018 2018-09-3162 ANDREA DE SILVA TUYO BALANGA CITY 0.00 1,170.00 0.00 1,170.00 August 31, 2018 2018-09-3163 CARL JESS MATTHEW CLUTARIO NAGWALING PILAR BATAAN 0.00 1,120.00 0.00 1,120.00 August 31, 2018 2018-09-3164 CONCHITA CALOSA UGONG CATANING BALANGA CITY 0.00 2,550.00 0.00 2,550.00 August 31, 2018 2018-09-3165 JEFFREY BASINDANAN BAGUMBAYAN ORION BATAAN 1,532.28 510.00 957.72 3,000.00 August 31, 2018 2018-09-2969-A THEA DESIRAE ESCARTIN GABON ABUCAY BATAAN 722.92 0.00 0.00 722.92 August 31, 2018 2018-09-3166 JOVEN VILLEGAS SISIMAN MARIVELES BATAAN 4,486.06 0.00 0.00 4,486.06 August 31, 2018 2018-09-882-F ROGELIO MENDOZA A. RIVERA HERMOSA BATAAN 987.00 0.00 0.00 987.00 August 31, 2018 2018-09-2152-D GARY DE VERA STA ROSA PILAR BATAAN 987.00 0.00 0.00 987.00 August 31, 2018 2018-09-3167 LIBERTY RODRIGUEZ SAN VICENTE ORION BATAAN 2,467.26 3,624.44 0.00 6,091.70 August 31, 2018 2018-09-2744-A RODOLFO TUAZON LOTE PTO. RIVAS BALANGA CITY 329.00 0.00 0.00 329.00 August 31, 2018 2018-09-1429-D EFREN GANTIGA BAYAN ORANI BATAAN 987.00 0.00 0.00 987.00 August 31, 2018 2018-09-3168 ARNEL SAMONTE ST. FRANCIS II LIMAY BATAAN 0.00 500.00 0.00 500.00 August 31, 2018 2018-09-3169 BERNARD DELA PEÑA KINARAGAN DUALE LIMAY BATAAN 0.00 800.00 0.00 800.00 August 31, 2018 2018-09-2532-A WILSON SALAZAR TUYO BALANGA CITY 1,513.68 8,360.19 0.00 9,873.87 August 31, 2018 2018-09-3170 MICHAEL ROJERO SIBACAN BALANGA CITY BATAAN 143.00 0.00 0.00 143.00

August 31, 2018 2018-09-1755-F EDITHA CRUZ 148 ESCALADA ST. PTO. RIVAS ITAAS BALANGA CITY BATAAN 694.85 0.00 0.00 694.85 August 07, 2018 2018-09-3171 SHIRLY PALILLO 342 IBAYO I SAN JUAN SAMAL BATAAN 0.00 420.00 0.00 420.00 August 29, 2018 2018-09-3172 MA. KIMBERLY REBLANDO STA. ISABEL DINALUPIHAN BATAAN 991.82 0.00 0.00 991.82 August 29, 2018 2018-09-2146-B RAVENACE BALUYOT PALIHAN ORANI BATAAN 4,125.80 13,629.01 0.00 17,754.81 August 29, 2018 2018-09-3173 JEFFREY ORDONIO BAGONG SILANG BALANGA CITY 0.00 1,000.00 0.00 1,000.00 August 29, 2018 2018-09-014-N RONNIE BASALO CENTRO II ORANI BATAAN 694.85 0.00 0.00 694.85 August 29, 2018 2018-09-3174 CHARD RUDY DELA CRUZ SAPA CALAGUIMAN SAMAL BATAAN 0.00 1,200.00 0.00 1,200.00 August 29, 2018 2018-09-3175 RAINUEL SALVATIERRA DAAN PARE ORION BATAAN 474.50 0.00 0.00 474.50 August 29, 2018 2018-09-2873-A MARILOU SEMILLANO STA. ROSA PILAR BATAAN 0.00 1,350.00 0.00 1,350.00 August 29, 2018 2018-09-2707-A ROSALINDA GATDULA SAN ANTONIO BAGAC BATAAN 231.62 0.00 0.00 231.62 August 29, 2018 2018-09-075-I MERCIDITA MORALES LIBANAN MT. VIEW MARIVELES BATAAN 514.30 1,517.01 0.00 2,031.31 August 29, 2018 2018-09-2750-C REYNALDO PAMINTUAN LUACAN DINALUPIHAN BATAAN 838.60 0.00 0.00 838.60 August 29, 2018 2018-09-3176 EUGENE BARLIN CAMACHO BALANGA CITY BATAAN 949.00 0.00 0.00 949.00 August 30, 2018 2018-09-2730-A JAIME GOZON TENEJERO BALANGA CITY 0.00 457.50 0.00 457.50 August 30, 2018 2018-09-3177 BEA CRIZELLE BALINGIT BUBUYOG PARANG III SAMAL BATAAN 474.50 0.00 0.00 474.50 August 30, 2018 2018-09-3178 MA. LOURDES GONZALES BURGOS ST. POBLACION MORONG BATAAN 0.00 1,548.80 0.00 1,548.80 August 30, 2018 2018-09-2036-E ROMEL MENDOZA CATANING BALANGA CITY 0.00 1,500.00 0.00 1,500.00 August 30, 2018 2018-09-029-I CESAR MARTINEZ TUYO BALANGA CITY 0.00 1,519.43 0.00 1,519.43 August 30, 2018 2018-09-3179 MARVIN MADRIAGA POBLACION PILAR BATAAN 0.00 700.00 0.00 700.00 August 30, 2018 2018-09-3180 SUSANA CAPACIA MABATANG ABUCAY BATAAN 378.08 0.00 0.00 378.08 August 30, 2018 2018-09-2948-A PERLITA DELA CRUZ PUROK V BALSIK HERMOSA BATAAN 955.92 0.00 0.00 955.92 August 30, 2018 2018-09-3181 LUZ CAMORAL PINAG-APUGAN TOWNSITE MARIVELES BATAAN 0.00 774.40 0.00 774.40 August 31, 2018 2018-09-3182 ANGELICA SAMAR OLD ALION MARIVELES BATAAN 0.00 320.00 0.00 320.00 August 31, 2018 2018-09-3183 ELVIN LANQUINO 422 NASWE IPAG MARIVELES BATAAN 0.00 0.00 979.28 979.28 August 31, 2018 2018-09-3184 MARJORIE MATIAS PUROK II PUTING BUHANGIN ORION BATAAN 0.00 700.00 0.00 700.00 August 31, 2018 2018-09-3185 BRILL JOHN BALUYOT DAAN BILOLO ORION BATAAN 0.00 500.00 0.00 500.00 August 31, 2018 2018-09-3186 CHARLIE SARILI MANAHAN ST. TENEJERO BALANGA CITY 331.70 0.00 0.00 331.70 August 31, 2018 2018-09-2164-C TERESITA MALIBIRAN GABON ABUCAY BATAAN 694.85 0.00 0.00 694.85 August 31, 2018 2018-09-1350-W EDEN CRUZ CULIS HERMOSA BATAAN 231.62 0.00 0.00 231.62 August 31, 2018 2018-09-1724-D JESUS OLIVEROS DOÑA FRANCISCA BALANGA CITY 723.15 0.00 0.00 723.15 August 31, 2018 2018-09-2746-D NORMA JACINTO SACDALAN MABATANG ABUCAY BATAAN 649.85 0.00 0.00 649.85 August 31, 2018 2018-09-2960-A TEODORO PEREZ 772 PUROK VI MIRAY CATANING BALANGA CITY 0.00 2,300.00 0.00 2,300.00

August 31, 2018 2018-09-3187 EMELITA BOTONES 150 SOLEDOM ST. NEW SAN JOSE DINALUPIHAN BATAAN 0.00 1,430.00 0.00 1,430.00 August 31, 2018 2018-09-3188 MACY JEAN SUMILI AYAM ST. LAMAO LIMAY BATAAN 269.32 600.00 0.00 869.32 August 31, 2018 2018-09-394-A MARJOLYN PIZARRO BURGOS PILAR BATAAN 121.14 1,150.00 0.00 1,271.14 August 31, 2018 2018-08-516-A ZOILA BALTAZAR UPPER SABATAN ORION BATAAN 0.00 1,490.00 0.00 1,490.00 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory TOTAL NAME ADDRESS Drugs and , Dental & Hospital PREPARED NUMBER ASSISTANCE Med diagnostic Fees procedures

August 31, 2018 2018-09-3189 ROMA RICO WAKAS NORTH PILAR BATAAN 0.00 2,000.00 0.00 2,000.00 August 31, 2018 2018-09-3190 NARCISO HEBULAN PALIPARAN BATANGAS II MARIVELES 4,000.00 0.00 0.00 4,000.00 August 31, 2018 2018-09-3191 JOCELYN MANALAOTAO CENTRAL BALANGA CITY 1,429.13 0.00 0.00 1,429.13 August 31, 2018 2018-09-3192 SMITH BAYOG ALANGAN LIMAY BATAAN 1,833.43 1,500.00 1,666.57 5,000.00 August 31, 2018 2018-09-3193 MARICEL BORAL STA. ROSA PILAR BATAAN 0.00 500.00 0.00 500.00 August 31, 2018 2018-09-3194 JESSIE CORONEL JR. BO. LUZ LIMAY BATAAN 517.32 0.00 0.00 517.32 August 31, 2018 2018-09-2273-A RUBENELL TALIGATOS DAMULOG DAAN PARE ORION BATAAN 3,507.64 16,492.36 0.00 20,000.00 August 31, 2018 2018-09-3195 JEREMY ALVES NAGBALAYONG MORONG BATAAN 517.32 0.00 0.00 517.32 August 31, 2018 2018-09-2840-D CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 1,480.00 0.00 1,480.00 August 31, 2018 2018-09-3144-A MAGDALENA VALENCIA CADRE CAMACHO BALANGA CITY 666.28 0.00 0.00 666.28 August 31, 2018 2018-09-3196 MYRA TAMBULI VILLA ANGELES ORION BATAAN 1,902.34 0.00 0.00 1,902.34 August 31, 2018 2018-09-3175-A RAINUEL SALVATIERRA DAAN PARE ORION BATAAN 1,429.13 0.00 0.00 1,429.13 August 31, 2018 2018-09-3197 RICKY DALISAY SAYSAIN BAGAC BATAAN 0.00 450.00 0.00 450.00 August 31, 2018 2018-09-2744-B RODOLFO TUAZON LOTE PTO. RIVAS BALANGA CITY 0.00 650.00 0.00 650.00 August 31, 2018 2018-09-2748-C ROMEO DUBLIN CABCABEN MARIVELES BATAAN 329.00 0.00 0.00 329.00 August 31, 2018 2018-09-3198 MAROLYN MAE ARBOLEDA PEXSITE LAMAO LIMAY BATAAN 0.00 530.00 0.00 530.00

September 01, 2018 2018-08-2630-C HENRY ALIPIO CAMACHO BALANGA CITY BATAAN 694.85 0.00 0.00 694.85

September 01, 2018 2018-09-029-J CESAR MARTINEZ TUYO BALANGA CITY 0.00 1,240.22 0.00 1,240.22

September 01, 2018 2018-09-3199 RICARDO CORONEL JR. NORAVILLE ORANI BATAAN 0.00 1,780.00 0.00 1,780.00

September 01, 2018 2018-09-3200 CHARRY VALERIO BALUT I PILAR BATAAN 0.00 1,300.00 0.00 1,300.00

September 01, 2018 2018-09-3201 ELAINE BALUYOT WAWA ABUCAY BATAAN 0.00 1,170.00 0.00 1,170.00

September 01, 2018 2018-09-845-F EDUARDO MARTIN CAMACHO BALANGA CITY BATAAN 658.00 0.00 0.00 658.00

September 01, 2018 2018-09-3202 TRIXIA ANNE DE SAGUN DIWA PILAR BATAAN 0.00 0.00 1,000.00 1,000.00

September 01, 2018 2018-09-3203 MARICAR ARRIBE RIZAL PILAR BATAAN 0.00 320.00 0.00 320.00

September 01, 2018 2018-09-3204 RODEL MANAPAT CATANING BALANGA CITY 0.00 870.00 0.00 870.00

September 01, 2018 2018-09-3205 PRECY BUTAS ST. FRANCIS II LIMAY BATAAN 0.00 720.00 0.00 720.00

September 01, 2018 2018-09-2627-A JACKIENER MORIS MABUCO HERMOSA BATAAN 658.00 0.00 0.00 658.00

September 01, 2018 2018-09-3206 YAZZY VENUS TAMBOBOY ST. FRANCIS II LIMAY BATAAN 0.00 320.00 0.00 320.00

September 01, 2018 2018-09-3207 ERWIN RYAN SALONGA BALUT ORANI BATAAN 0.00 4,506.93 2,686.95 7,193.88

September 01, 2018 2018-09-2893-A ARLEEH JUMILLA SAN ISIDRO MARIVELES BATAAN 0.00 1,530.00 0.00 1,530.00

September 01, 2018 2018-09-3208 SHERYL DE JESUS SABATAN ORION BATAAN 0.00 700.00 0.00 700.00

September 01, 2018 2018-09-2077-E ANTONIO CARABEO KAWAYAN ORANI BATAAN 658.00 0.00 0.00 658.00

September 01, 2018 2018-09-1165-V ADONES LINTAG DAAN BILOLO ORION BATAAN 0.00 1,439.55 0.00 1,439.55

September 01, 2018 2018-09-239-J EMILY MORIDO PUTING BUHANGIN ORION BATAAN 329.00 0.00 0.00 329.00

September 01, 2018 2018-09-2779-D JUANITO DE SILVA SAPA SAMAL BATAAN 231.62 0.00 0.00 231.62

September 01, 2018 2018-09-030-E DIONILO GUTIERREZ ST. FRANCIS II LIMAY BATAAN 231.62 0.00 0.00 231.62

September 01, 2018 2018-09-3209 JAY MARK CARLOS ALA-ULI PILAR BATAAN 0.00 600.00 0.00 600.00

September 01, 2018 2018-09-3210 ARKHEEN RIO ANDO ST. FRANCIS II LIMAY BATAAN 133.63 985.36 0.00 1,118.99

September 01, 2018 2018-09-239-K EMILY MORIDO PUTING BUHANGIN ORION BATAAN 0.00 2,050.00 0.00 2,050.00

September 01, 2018 2018-09-075-J MERCIDITA MORALES LIBANAN MT. VIEW MARIVELES BATAAN 0.00 500.00 0.00 500.00

September 01, 2018 2018-09-3211 JOHN PHIL FUENTES LACSON ST. TORTUGAS BALANGA CITY 259.31 720.00 0.00 979.31

September 01, 2018 2018-09-3212 GINA DE LUNA BASECO COUNTRY MARIVELES BATAAN 0.00 1,000.00 0.00 1,000.00

September 01, 2018 2018-09-3213 HERMAN CRUZ JR. PAG-ASA ORION BATAAN 0.00 950.00 0.00 950.00

September 01, 2018 2018-09-3214 DERWIN SITO SISIMAN MARIVELES BATAAN 0.00 630.00 0.00 630.00

September 01, 2018 2018-09-3215 ANGELO CAMIA CENTRAL BALANGA CITY 400.00 0.00 0.00 400.00

September 02, 2018 2018-09-3216 RONILO CUERDA SISIMAN MARIVELES BATAAN 504.15 0.00 0.00 504.15

September 02, 2018 2018-09-3217 BRIX MATTHEW REYES DAUNGAN HERMOSA BATAAN 0.00 0.00 3,000.00 3,000.00

September 02, 2018 2018-09-3218 ANGEL CAPILI TUYO BALANGA CITY 283.92 760.00 339.96 1,383.88

September 02, 2018 2018-09-3219 BRAYDEN XAVIER SALANDANAN CALAYLAYAN ABUCAY BATAAN 544.28 720.00 390.38 1,654.66

September 02, 2018 2018-09-2630-D HENRY ALIPIO CAMACHO BALANGA CITY BATAAN 0.00 1,056.00 0.00 1,056.00

September 02, 2018 2018-09-3220 SAMUEL LUIS LASIM DIWA PILAR BATAAN 0.00 320.00 0.00 320.00

September 02, 2018 2018-09-3221 JOSEPH NORMOR DIWA PILAR BATAAN 0.00 350.00 0.00 350.00

September 02, 2018 2018-09-3222 ALEXIS PATDU PANTINGAN PILAR BATAAN 0.00 0.00 500.00 500.00

September 02, 2018 2018-09-3223 ROLANDO DALIN JR. CRUSHER LAMAO LIMAY BATAAN 56.00 700.00 0.00 756.00

September 02, 2018 2018-09-2036-F ROMEL MENDOZA CATANING BALANGA CITY 0.00 1,478.36 0.00 1,478.36

September 02, 2018 2018-09-075-J MERCIDITA MORALES LIBANAN MT. VIEW MARIVELES BATAAN 0.00 1,849.91 0.00 1,849.91

September 02, 2018 2018-09-3224 ROY BAGUIO BATANGAS II MARIVELES BATAAN 0.00 500.00 0.00 500.00

September 02, 2018 2018-09-3225 MARBOY VERANO CAMAYA MARIVELES BATAAN 0.00 900.00 0.00 900.00

September 02, 2018 2018-09-3226 NICOLETTE DIAZ CALAYLAYAN ABUCAY BATAAN 0.00 500.00 0.00 500.00

September 02, 2018 2018-09-2077-F ANTONIO CARABEO KAWAYAN ORANI BATAAN 0.00 1,500.00 0.00 1,500.00

September 02, 2018 2018-09-2167-E ALFONSO MANALANG JR. DAANG BAGO DINALUPIHAN BATAAN 674.93 150.00 0.00 824.93

September 02, 2018 2018-09-3227 VON ERIS DE GUZMAN WAWA ABUCAY BATAAN 0.00 800.00 0.00 800.00

September 03, 2018 2018-09-3228 BERNARDO NUQUI CAMAYA MARIVELES BATAAN 3,958.17 2,350.00 8,691.83 15,000.00

September 03, 2018 2018-09-3229 DAISY ANN DIMACALI GEN. LIM ORION BATAAN 474.50 0.00 0.00 474.50

September 03, 2018 2018-09-3230 CANDELARIA GERDIN CENTRAL BALANGA CITY 334.05 0.00 0.00 334.05

September 03, 2018 2018-09-2712-A NORMA FIGUEROA STA. ROSA PILAR BATAAN 3,950.98 2,869.66 0.00 6,820.64

September 03, 2018 2018-09-1549-D VIOLETA SOMO LAMAO LIMAY BATAAN 0.00 1,888.72 0.00 1,888.72

September 03, 2018 2018-09-3231 CARLITO MARIANO BANAWANG BAGAC BATAAN 334.05 0.00 0.00 334.05

September 03, 2018 2018-09-1724-E JESUS OLIVEROS DOÑA FRANCISCA BALANGA CITY 694.85 0.00 0.00 694.85

September 03, 2018 2018-09-3232 GRACIELA MARI DELA CRUZ ALION MARIVELES BATAAN 474.50 0.00 0.00 474.50

September 03, 2018 2018-09-293-D NIDA MALATE CAMAYA MARIVELES BATAAN 231.62 0.00 0.00 231.62

September 03, 2018 2018-09-1593-E JOY FRANCISCO TOWNSITE LIMAY BATAAN 231.62 0.00 0.00 231.62

September 03, 2018 2018-09-1467-F MARITA MENA KABALUTAN ORANI BATAAN 463.23 0.00 0.00 463.23

September 03, 2018 2018-09-3233 FERDINAND MIRADOR ALAS-ASIN MARIVELES BATAAN 423.67 0.00 0.00 423.67

September 03, 2018 2018-09-3234 MA. CHRISTINE CRUZ MABATANG ABUCAY BATAAN 987.00 0.00 0.00 987.00 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory TOTAL NAME ADDRESS Drugs and , Dental & Hospital PREPARED NUMBER ASSISTANCE Med diagnostic Fees procedures

September 03, 2018 2018-09-2108-B JAVIER ADRANEDA 02 STA. LUCIA SAMAL BATAAN 694.85 0.00 0.00 694.85

September 03, 2018 2018-09-2812-C FLORA RAFAEL CALAYLAYAN ABUCAY BATAAN 926.46 0.00 0.00 926.46

September 03, 2018 2018-09-2361-F TOMAS ONGKINGCO CAPITANGAN ABUCAY BATAAN 3,492.89 0.00 0.00 3,492.89

September 03, 2018 2018-09-3235 AMADEO SABINO STO. DOMINGO ORION BATAAN 1,902.34 0.00 0.00 1,902.34

September 03, 2018 2018-09-3236 BABY BOY (VANESSA) POSTRADO MABAYO MORONG BATAAN 0.00 500.00 0.00 500.00

September 03, 2018 2018-09-3069-A JOHN MICHAEL GALVEZ BACONG LIMAY BATAAN 0.00 450.00 0.00 450.00

September 03, 2018 2018-09-2195-D JOHN KEVIN IJAN IBAYO BALANGA CITY 0.00 1,056.00 0.00 1,056.00

September 03, 2018 2018-09-3237 ESTRELLA CENTINO OMBOY ABUCAY BATAAN 1,429.13 0.00 0.00 1,429.13

September 03, 2018 2018-09-3238 CARLA CABRIDA NAGWALING PILAR BATAAN 0.00 670.00 0.00 670.00

September 03, 2018 2018-09-1515-A MELIDIE LOZANO BO. LUZ LIMAY BATAAN 0.00 670.00 0.00 670.00

September 03, 2018 2018-09-3239 NICOLE AREVALO ALA-ULI PILAR BATAAN 0.00 670.00 0.00 670.00

September 03, 2018 2018-09-3240 JOVITA DADAG CALAYLAYAN ABUCAY BATAAN 0.00 591.36 0.00 591.36

September 03, 2018 2018-09-2938-A NENITA ARNAL TALISAY BALANGA CITY 474.50 0.00 0.00 474.50

September 03, 2018 2018-09-2744-C RODOLFO TUAZON LOTE PTO. RIVAS BALANGA CITY 329.00 0.00 0.00 329.00

September 03, 2018 2018-09-1429-E EFREN GANTIGA BAYAN ORANI BATAAN 0.00 2,530.00 0.00 2,530.00

September 03, 2018 2018-09-3075-A JOHN VINCENT NALLAS IBABA SAMAL BATAAN 0.00 1,500.00 0.00 1,500.00

September 03, 2018 2018-09-2559-A RAMIR URBANO MT. VIEW MARIVELES BATAAN 0.00 1,750.00 0.00 1,750.00

September 03, 2018 2018-09-1449-E ROGER PAJUNAR BALON ANITO MARIVELES BATAAN 329.00 1,750.00 0.00 2,079.00

September 03, 2018 2018-09-845-G EDUARDO MARTIN CAMACHO BALANGA CITY BATAAN 0.00 1,500.00 0.00 1,500.00

September 03, 2018 2018-09-3078-A LOVELY AMAD LAON CABCABEN MARIVELES BATAAN 0.00 670.00 0.00 670.00

September 03, 2018 2018-09-3241 KENSWAY FLORES ST. FRANCIS II LIMAY BATAAN 0.00 320.00 0.00 320.00

September 03, 2018 2018-09-882-G ROGELIO MENDOZA A. RIVERA HERMOSA BATAAN 0.00 1,126.40 0.00 1,126.40

September 03, 2018 2018-09-3242 HECTOR QUICHO PTO. RIVAS IBABA BALANGA CITY 463.23 0.00 0.00 463.23

September 03, 2018 2018-09-3177-A BEA CRIZELLE BALINGIT PARANG III SAMAL BATAAN 946.42 0.00 0.00 946.42

September 03, 2018 2018-09-3243 JEMIMA RUTH ABESIA ST. FRANCIS II LIMAY BATAAN 474.50 0.00 0.00 474.50

September 03, 2018 2018-09-3244 JULIET GULDE PALAO BASECO COUNTRY MARIVELES BATAAN 2,278.60 6,560.00 978.70 9,817.30

September 03, 2018 2018-09-3245 PERLIE TIGUILO WEST CALAGUIMAN SAMAL BATAAN 0.00 950.00 0.00 950.00

September 03, 2018 2018-09-2610-A EVANGELINE GAMAYON CUPANG PROPER BALANGA CTIY 0.00 1,750.00 0.00 1,750.00

September 03, 2018 2018-09-3246 MHARK HAREN CASTRO WAWA PAG-ASA ORION BATAAN 474.50 0.00 0.00 474.50

September 03, 2018 2018-09-2082-B ANACITA YANDOC MAMBOG MANDAMA HERMOSA BATAAN 0.00 1,077.12 0.00 1,077.12

September 03, 2018 2018-09-2893-B ARLEEH JUMILLA SAN ISIDRO MARIVELES BATAAN 329.00 0.00 0.00 329.00

September 03, 2018 2018-09-3247 MELINDA DABU 12 BAGONG SILANG ST. SAN RAMON DINALUPIHAN BATAAN 0.00 1,630.00 0.00 1,630.00

September 03, 2018 2018-09-3248 CEEJAY VALENCIA WAWA ABUCAY BATAAN 146.99 920.00 0.00 1,066.99

September 03, 2018 2018-09-1467-G MARITA MENA KABALUTAN ORANI BATAAN 0.00 1,147.52 0.00 1,147.52

September 03, 2018 2018-09-3249 JANA ROSE GUEVARRA MULAWIN ORANI BATAAN 0.00 950.00 0.00 950.00

September 03, 2018 2018-09-3250 SHEMALETH DELA CRUZ MT. VIEW MARIVELES BATAAN 0.00 1,200.00 0.00 1,200.00

September 03, 2018 2018-09-2840-E CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 1,868.25 0.00 1,868.25

September 04, 2018 2018-09-2746-E NORMA JACINTO SACDALAN MABATANG ABUCAY BATAAN 694.85 0.00 0.00 694.85

September 04, 2018 2018-09-3251 PERLITA BUENO WAWA ABUCAY BATAAN 0.00 2,720.00 0.00 2,720.00

September 04, 2018 2018-09-740-E DIVINE MARY BORGUETA SAN JOSE BALANGA CITY 0.00 1,600.00 0.00 1,600.00

September 04, 2018 2018-09-3252 TESSIE DE CASTRO TOWNSITE LIMAY BATAAN 0.00 441.36 0.00 441.36

September 04, 2018 2018-09-3253 AILEEN GRACE LIWANAG LUCANIN MARIVELES BATAAN 517.32 0.00 0.00 517.32

September 04, 2018 2018-09-029-K CESAR MARTINEZ TUYO BALANGA CITY 0.00 1,867.01 0.00 1,867.01

September 04, 2018 2018-09-3254 MARCELO GUEVARRA MALAYA MARIVELES BATAAN 0.00 950.00 60.56 1,010.56

September 04, 2018 2018-09-3255 ARMELENE MIJARES PAG-ASA MORONG BATAAN 0.00 480.00 0.00 480.00

September 04, 2018 2018-09-3256 MARY ROSE MANALANG STO. NIÑO LUBAO PAMPANGA 192.15 800.00 500.85 1,493.00

September 04, 2018 2018-09-3257 JUSTINE VIADO OMBOY ABUCAY BATAAN 647.34 0.00 0.00 647.34

September 04, 2018 2018-09-3258 MAX ESGUERRA 319 SANGGUMAY ST. DOÑA FRANCISCA BALANGA CITY 0.00 630.00 0.00 630.00

September 04, 2018 2018-09-3259 DIVINE GRACE RAFAEL BO. INTSIK SAN JOSE BALANGA CITY 0.00 1,000.00 0.00 1,000.00

September 04, 2018 2018-09-3260 RONNEL RAMIREZ POBLACION MORONG BATAAN 1,419.63 0.00 0.00 1,419.63

September 04, 2018 2018-09-3261 ROSEMARIE BUENO WAWA ABUCAY BATAAN 0.00 550.00 0.00 550.00

September 04, 2018 2018-09-368-P MARY JANE SAMSON LAON ABUCAY BATAAN 694.85 0.00 0.00 694.85

September 04, 2018 2018-07-997-D ROY MANANSALA TOWNSITE LIMAY BATAAN 0.00 1,182.72 0.00 1,182.72

September 04, 2018 2018-09-1350-X EDEN CRUZ CULIS HERMOSA BATAAN 694.85 0.00 0.00 694.85

September 04, 2018 2018-09-3262 FLORENCIO DIONISIO PACAR ORANI BATAAN 0.00 1,800.00 0.00 1,800.00

September 04, 2018 2018-09-2821-A JIMMY FELICITAS SAN BENITO DINALUPIHAN BATAAN 0.00 400.00 0.00 400.00

September 04, 2018 2018-09-1755-G EDITHA CRUZ PTO. RIVAS BALANGA CITY BATAAN 463.23 1,056.00 0.00 1,519.23

September 04, 2018 2018-09-3263 RODEL DELA CRUZ MABATANG ABUCAY BATAAN 0.00 400.00 0.00 400.00

September 04, 2018 2018-09-2846-A RAFAEL JOSEPH VELASQUEZ ROOSEVELT DINALUPIHAN BATAAN 0.00 1,090.00 0.00 1,090.00

September 04, 2018 2018-09-3264 PATRICIA ANN ESTRELLA WAWA ABUCAY BATAAN 0.00 470.00 0.00 470.00

September 04, 2018 2018-09-3265 REZEN DELA ROSA MABATANG ABUCAY BATAAN 517.32 0.00 0.00 517.32

September 04, 2018 2018-09-3266 RHEA RINGOR TOWNSITE LIMAY BATAAN 193.04 850.00 0.00 1,043.04

September 04, 2018 2018-09-3267 JENNIFER TUAZON 91 MANAHAN ST. TENEJERO BALANGA CITY 0.00 1,960.00 0.00 1,960.00

September 04, 2018 2018-09-3268 BIENVENIDO RAMOS JR. 78 CAMACHO ST. BAGUMBAYAN BAGAC BATAAN 765.37 7,031.81 0.00 7,797.18

September 04, 2018 2018-09-3269 ARTHUR SERUBIN SAN JOSE BALANGA CITY 0.00 2,850.00 0.00 2,850.00

September 04, 2018 2018-09-3270 JENALYN MONFORTE MT. VIEW MARIVELES BATAAN 0.00 2,000.00 0.00 2,000.00

September 04, 2018 2018-09-2779-E JUANITO DE SILVA SAPA SAMAL BATAAN 694.85 0.00 0.00 694.85

September 04, 2018 2018-09-2825-C RAFAEL BEATO MABATANG ABUCAY BATAAN 463.23 0.00 0.00 463.23

September 04, 2018 2018-09-3271 ROVEROSE VENTULAN MT. VIEW MARIVELES BATAAN 0.00 420.00 0.00 420.00

September 04, 2018 2018-09-3272 APRIL ROSE OMBAC MT. VIEW RESORT MT. VIEW MARIVELES BATAAN 0.00 730.00 0.00 730.00

September 04, 2018 2018-09-3273 CAYL DIEGO ESGUERRA 319 SANGGUMAY ST. DOÑA FRANCISCA BALANGA CITY 0.00 630.00 0.00 630.00

September 04, 2018 2018-09-368-Q MARY JANE SAMSON LAON ABUCAY BATAAN 130.76 320.00 0.00 450.76

September 04, 2018 2018-09-3274 CHRISTINE DEL PILAR SITIO HARDIN LUCANIN MARIVELES BATAAN 0.00 850.00 0.00 850.00

September 04, 2018 2018-09-3275 DAISY CASTRO CABCABEN MARIVELES BATAAN 955.92 0.00 0.00 955.92

September 04, 2018 2018-09-3118-A ROWENA LAGASCA LAMAO LIMAY BATAAN 0.00 1,600.00 0.00 1,600.00 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory TOTAL NAME ADDRESS Drugs and , Dental & Hospital PREPARED NUMBER ASSISTANCE Med diagnostic Fees procedures

September 04, 2018 2018-08-843-C JUANITO GALVEZ CULIS HERMOSA BATAAN 0.00 1,000.00 0.00 1,000.00

September 04, 2018 2018-09-3276 MARITES OLITAN MT. VIEW MARIVELES BATAAN 0.00 1,150.00 0.00 1,150.00

September 05, 2018 2018-09-3277 GLORIA MENDOZA CATANING BALANGA CITY 0.00 500.00 0.00 500.00

September 05, 2018 2018-09-3278 NATHALIE DANE DACILLO LAMAO LIMAY BATAAN 955.92 0.00 0.00 955.92

September 05, 2018 2018-09-2036-G ROMEL MENDOZA CATANING BALANGA CITY 0.00 1,967.68 0.00 1,967.68

September 05, 2018 2018-09-2840-F CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 1,885.31 0.00 1,885.31

September 05, 2018 2018-09-3279 ROSEMARIE NAVOS REFORMISTA LIMAY BATAAN 474.50 0.00 0.00 474.50

September 05, 2018 2018-09-075-K MERCIDITA MORALES LIBANAN MT. VIEW MARIVELES BATAAN 0.00 1,517.01 0.00 1,517.01

September 05, 2018 2018-06-1258-A TORIBIO MIRANDA JR. LAYAC DINALUPIHAN BATAAN 0.00 1,056.00 0.00 1,056.00

September 05, 2018 2018-09-014-O RONNIE BASALO CENTRO II ORANI BATAAN 694.85 950.40 0.00 1,645.25

September 05, 2018 2018-09-3280 JOHN MARK NAVAL TIPO HERMOSA BATAAN 370.00 0.00 0.00 370.00

September 05, 2018 2018-09-2705-A JOSEPH BRYAN VIZCARRA CUPANG PROPER BALANGA CTIY 0.00 1,056.00 0.00 1,056.00

September 05, 2018 2018-09-1257-E EDUARDO RODRIGUEZ CUPANG PROPER BALANGA CTIY 694.85 1,056.00 0.00 1,750.85

September 05, 2018 2018-09-3281 JENNIFER SARABILLO DUALE LIMAY BATAAN 0.00 500.00 0.00 500.00

September 05, 2018 2018-09-3282 MARIA CHARITA CUSTODIO 38 NATIONAL ROAD TUYO BALANGA CITY 0.00 1,090.00 0.00 1,090.00

September 05, 2018 2018-09-3283 REMEDIOS MAGTANONG CALAGUIMAN SAMAL BATAAN 0.00 1,200.00 0.00 1,200.00

September 05, 2018 2018-09-3284 CATHERINE LINGAD BALSIK HERMOSA BATAAN 0.00 1,268.15 0.00 1,268.15

September 05, 2018 2018-09-3285 JAY REYES PTO. RIVAS IBABA BALANGA CITY 50.00 750.00 0.00 800.00

September 05, 2018 2018-09-3286 ALICIA VIOLETA OMBOY ABUCAY BATAAN 800.00 0.00 0.00 800.00

September 05, 2018 2018-09-3287 GILBERT ESPIRITU CUPANG BALANGA CITY 0.00 1,000.00 0.00 1,000.00

September 05, 2018 2018-09-3288 GLORIA TOLENTINO BAGONG SILANG BALANGA CITY 0.00 900.00 0.00 900.00

September 05, 2018 2018-09-3129-A ANTHONY LOPEZ BAGUMBAYAN BALANGA CITY 474.50 0.00 0.00 474.50

September 05, 2018 2018-09-2750-D REYNALDO PAMINTUAN LUACAN DINALUPIHAN BATAAN 658.00 1,470.00 0.00 2,128.00

September 05, 2018 2018-09-030-F DIONILO GUTIERREZ ST. FRANCIS II LIMAY BATAAN 694.85 1,232.00 0.00 1,926.85

September 05, 2018 2018-09-3289 RODRIGO SAN PEDRO IBIS BAGAC BATAAN 0.00 1,126.40 0.00 1,126.40

September 05, 2018 2018-09-3290 MARA KYLA UDTOHAN CAMAYA MARIVELES BATAAN 949.00 0.00 0.00 949.00

September 05, 2018 2018-09-2033-D NADELYN ZAPANTA TOWNSITE LIMAY BATAAN 0.00 280.00 0.00 280.00

September 05, 2018 2018-09-2776-A DANIEL ENRIQUEZ LANDING PILAR BATAAN 0.00 1,056.00 0.00 1,056.00

September 05, 2018 2018-09-3291 MYRA ADRAYAN STO. DOMINGO ORION BATAAN 474.50 0.00 0.00 474.50

September 05, 2018 2018-09-3292 ANALEE ALCAZAR TENEJERO BALANGA CITY 0.00 850.00 0.00 850.00

September 05, 2018 2018-09-097-C JOHN EDWARD VERGARA 416 GABON ABUCAY BATAAN 0.00 1,600.00 0.00 1,600.00

September 05, 2018 2018-09-3293 ESPERANZA SINGIAN SITIO PALAYAN NAGBALAYONG MORONG BATAAN 0.00 731.96 0.00 731.96

September 05, 2018 2018-09-3294 MARILOU DOPLAN CENTRAL BALANGA CITY 474.50 0.00 0.00 474.50

September 05, 2018 2018-09-2195-E JOHN KEVIN IJAN IBAYO BALANGA CITY 0.00 600.00 0.00 600.00

September 05, 2018 2018-09-3295 VICTOR AVERILLA LAMAO LIMAY BATAAN 0.00 920.00 0.00 920.00

September 05, 2018 2018-09-3296 VIRGINIA SERRANO UPPER TUYO BALANGA CITY 0.00 2,288.00 0.00 2,288.00

September 05, 2018 2018-09-2627-B JACKIENER MORIS MABUCO HERMOSA BATAAN 0.00 1,500.00 0.00 1,500.00

September 05, 2018 2018-09-3297 RAINIER QUINILLO LABASAN ALA-ULI PILAR BATAAN 783.57 0.00 0.00 783.57

September 05, 2018 2018-09-3298 JHON JURICO PALAD 157 STO. DOMINGO ORION BATAAN 0.00 1,600.00 0.00 1,600.00

September 05, 2018 2018-09-3299 MARLO TRIA CUPANG PROPER BALANGA CITY 0.00 600.00 0.00 600.00

September 05, 2018 2018-09-3300 WELLA JOY LLANITA SISIMAN MARIVELES BATAAN 11,951.75 9,570.00 8,478.25 30,000.00

September 05, 2018 2018-09-3243-A JEMIMA RUTH ABESIA ST. FRANCIS II LIMAY BATAAN 946.42 0.00 0.00 946.42

September 05, 2018 2018-09-3301 JUVY PENULLAR 113 GONZALES LOTE PTO. RIVAS BALANGA CITY 0.00 1,090.00 0.00 1,090.00

September 05, 2018 2018-09-1456-D ROLLY BUAL RIZAL PILAR BATAAN 926.46 0.00 0.00 926.46

September 05, 2018 2018-09-3302 ANNABELLE MACALINAO STA. CLARA SUBD. IBAYO BALANGA CITY 0.00 1,090.00 0.00 1,090.00

September 05, 2018 2018-09-3303 JORESS ASHLEY LOPEZ BASA ST. BAGONG BAYAN BALANGA CITY 474.50 0.00 0.00 474.50

September 06, 2018 2018-09-1449-F ROGER PAJUNAR BALON ANITO MARIVELES BATAAN 658.00 0.00 0.00 658.00

September 06, 2018 2018-09-3304 ALDRINXANDER GAZEATTA ST. FRANCIS II LIMAY BATAAN 214.17 700.00 0.00 914.17

September 07, 2018 2018-09-3118-B ROWENA LAGASCA LAMAO LIMAY BATAAN 987.00 0.00 0.00 987.00

September 07, 2018 2018-09-3305 MILA PALISOC ALAS-ASIN MARIVELES BATAAN 0.00 1,860.04 1,833.47 3,693.51

September 07, 2018 2018-09-3127-A HAZEL ANN MUTIA SAN ISIDRO MARIVELES BATAAN 0.00 500.00 1,088.00 1,588.00

September 07, 2018 2018-09-2840-G CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 1,848.70 0.00 1,848.70

September 07, 2018 2018-09-3306 FEMIA ESTRADA CABOG-CABOG BALANGA CITY BATAAN 0.00 670.00 0.00 670.00

September 07, 2018 2018-09-882-H ROGELIO MENDOZA A. RIVERA HERMOSA BATAAN 0.00 1,873.65 0.00 1,873.65

September 07, 2018 2018-09-3307 CARLITO VERGARA GABON ABUCAY BATAAN 1,419.63 0.00 0.00 1,419.63

September 07, 2018 2018-09-2746-F NORMA JACINTO SACDALAN MABATANG ABUCAY BATAAN 694.85 0.00 0.00 694.85

September 07, 2018 2018-09-2825-D RAFAEL BEATO MABATANG ABUCAY BATAAN 694.85 0.00 0.00 694.85

September 07, 2018 2018-09-3308 NIÑA MAE ANGELES MALUYA CUPANG BALANGA BATAAN 0.00 900.00 0.00 900.00

September 07, 2018 2018-09-2036-H ROMEL MENDOZA CATANING BALANGA CITY 0.00 3,063.99 0.00 3,063.99

September 07, 2018 2018-09-3309 JENNILYN RAMOS JOSHUA ST. SAN JOSE BALANGA BATAAN 0.00 400.00 0.00 400.00

September 07, 2018 2018-09-3310 RENGIE CARCELLAR 288 CAMIA ST. ALANGAN LIMAY BATAAN 11,035.59 24,964.41 0.00 36,000.00

September 07, 2018 2018-09-3311 JESSA MARIE OCAMPO PANTALAN BAGO ORANI BATAAN 0.00 680.00 0.00 680.00

September 07, 2018 2018-09-2425-B RENATO GUEVARRA MALIGAYA CULIS HERMOSA BATAAN 694.85 0.00 0.00 694.85

September 07, 2018 2018-09-2744-D RODOLFO TUAZON LOTE PTO. RIVAS BALANGA CITY 658.00 0.00 0.00 658.00

September 07, 2018 2018-09-3312 ROGELIO SUNGA LAON ABUCAY BATAAN 0.00 391.36 0.00 391.36

September 07, 2018 2018-09-3313 FLORENDA GALISTE TENEJERO BALANGA CITY 334.05 0.00 0.00 334.05

September 07, 2018 2018-09-3314 MARITES TOLOSA CATANING BALANGA CITY 0.00 530.00 0.00 530.00

September 07, 2018 2018-09-3315 THALIA COLLEEN GATDULA CAPITANGAN ABUCAY BATAAN 0.00 600.00 0.00 600.00

September 07, 2018 2018-09-3316 JUAN DANAO CAPUNITAN ORION BATAAN 0.00 400.00 0.00 400.00

September 07, 2018 2018-09-2228-A BERNARDO CRUZ SR. 19 NATIONAL ROAD CABCABEN MARIVELES BATAAN 0.00 1,517.01 0.00 1,517.01

September 07, 2018 2018-09-2945-A CHINIE MANGALINDAN SAN JUAN SAMAL BATAAN 0.00 350.00 0.00 350.00

September 07, 2018 2018-09-2893-C ARLEEH JUMILLA SAN ISIDRO MARIVELES BATAAN 987.00 0.00 0.00 987.00

September 07, 2018 2018-09-3317 ELOISA DELA CRUZ A. BONIFACIO ST. TABING ILOG SAMAL BATAAN 1,429.13 0.00 0.00 1,429.13

September 07, 2018 2018-09-3318 FRANCIS SATOLUMBON JR. CABCABEN MARIVELES BATAAN 474.50 0.00 0.00 474.50

September 07, 2018 2018-09-1882-A MICHELLE PASCUAL MARIVELES MENTAL HEALTH 0.00 700.00 0.00 700.00 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory TOTAL NAME ADDRESS Drugs and , Dental & Hospital PREPARED NUMBER ASSISTANCE Med diagnostic Fees procedures

September 07, 2018 2018-09-3319 MA. EDLYN ROMERO TENEJERO BALANGA CITY 0.00 200.00 0.00 200.00

September 07, 2018 2018-09-3320 PAQUITO NAVARRO WAWA ABUCAY BATAAN 0.00 0.00 554.80 554.80

September 07, 2018 2018-09-3321 RICHELLE ANN MARCHA PAG-ASA LAMAO LIMAY BATAAN 0.00 1,500.00 0.00 1,500.00

September 07, 2018 2018-09-3322 JANE PAVIA LAMAO LIMAY BATAAN 780.13 7,890.00 31.97 8,702.10

September 07, 2018 2018-09-3323 JOHNNEL RODA JR. PTO. RIVAS IBABA BALANGA CITY 1,429.13 0.00 0.00 1,429.13

September 07, 2018 2018-09-3324 CATHERINE ORIAS BO. LUZ LIMAY BATAAN 0.00 700.00 0.00 700.00

September 07, 2018 2018-09-3262-A FLORENCIO DIONISIO PACAR ORANI BATAAN 987.00 0.00 0.00 987.00

September 07, 2018 2018-09-3325 JENNIFER GARDE WAWA ABUCAY BATAAN 0.00 1,000.00 0.00 1,000.00

September 07, 2018 2018-09-3326 ANDREI JIMMY SANGGALANG WAWA ABUCAY BATAAN 0.00 400.00 0.00 400.00

September 07, 2018 2018-09-3327 ANGIE NAMOC SAN CARLOS MARIVELES BATAAN 0.00 9,370.00 630.00 10,000.00

September 08, 2018 2018-09-2077-G ANTONIO CARABEO KAWAYAN ORANI BATAAN 987.00 0.00 0.00 987.00

September 08, 2018 2018-09-3328 RHEMALYN BRIONES TENEJERO BALANGA CITY 474.50 0.00 0.00 474.50

September 08, 2018 2018-09-3329 MA. LUISA HAMPAC LALAWIGAN SAMAL BATAAN 474.50 0.00 0.00 474.50

September 08, 2018 2018-09-3330 SHAIRINE REGALADO ALANGAN LIMAY BATAAN 0.00 250.00 0.00 250.00

September 08, 2018 2018-09-3331 BROOK WAYNE VILL SOLOMON BALUT II PILAR BATAAN 45.76 401.28 0.00 447.04

September 08, 2018 2018-09-3332 GERALYN MIRANIA MUNTING BATANGAS BALANGA CITY 0.00 955.28 0.00 955.28

September 08, 2018 2018-09-3333 JHERVIN ZYRUS VARGAS GEN. LIM ORION BATAAN 2,387.79 3,420.00 62.59 5,870.38

September 08, 2018 2018-09-2559-B RAMIR URBANO MT. VIEW MARIVELES BATAAN 987.50 0.00 0.00 987.50

September 08, 2018 2018-09-3334 ZENAIDA ABOLA UPPER DUALE LIMAY 0.00 700.00 301.71 1,001.71

September 08, 2018 2018-09-3335 MACVHELLE RODICA BALATERO ALAS-ASIN MARIVELES BATAAN 0.00 1,250.00 0.00 1,250.00

September 08, 2018 2018-09-3336 JOMER SABADO CAMACHO BALANGA CITY BATAAN 0.00 1,920.00 98.81 2,018.81

September 08, 2018 2018-09-3337 ROSALIE OGNIT BURGOS PILAR BATAAN 314.04 0.00 0.00 314.04

September 08, 2018 2018-09-2627-C JACKIENER MORIS MABUCO HERMOSA BATAAN 987.00 0.00 0.00 987.00

September 08, 2018 2018-09-3338 MARINELLE ESTORES WAWA ABUCAY BATAAN 0.00 1,320.00 0.00 1,320.00

September 08, 2018 2018-09-3339 HOMER ORQUIZA CUPANG PROPER BALANGA CITY 0.00 850.00 0.00 850.00

September 08, 2018 2018-09-3340 MARY GRACE AGRANUM UPPER TUYO BALANGA CITY 0.00 450.00 0.00 450.00

September 08, 2018 2018-09-3341 MA. THERESA MANJARES TUYO BALANGA CITY 0.00 500.00 0.00 500.00

September 08, 2018 2018-09-1909-C JULIET PIZARRO PTO RIVAS IBABA,BALANGA CITY, BATAAN 0.00 0.00 1,523.65 1,523.65

September 08, 2018 2018-09-029-L CESAR MARTINEZ TUYO BALANGA CITY 0.00 0.00 1,867.01 1,867.01

September 08, 2018 2018-09-3342 AKHIRA ESCANO CATANING BALANGA CITY 0.00 500.00 0.00 500.00

September 08, 2018 2018-09-3343 ANNA LIZA VIDAL MT. VIEW MARIVELES BATAAN 0.00 750.00 219.06 969.06

September 08, 2018 2018-09-3344 LYANNA MAE ASILO CABOG-CABOG BALANGA CITY BATAAN 0.00 650.00 0.00 650.00

September 08, 2018 2018-09-1165-W ADONES LINTAG DAAN BILOLO ORION BATAAN 0.00 0.00 1,815.78 1,815.78

September 08, 2018 2018-09-075-L MERCIDITA MORALES LIBANAN MT. VIEW MARIVELES BATAAN 0.00 0.00 1,517.01 1,517.01

September 08, 2018 2018-09-2776-A DANIEL ENRIQUEZ DOÑA NENE ALAS ASIN MARIVELES 694.85 0.00 0.00 694.85

September 08, 2018 2018-09-3345 JOHN PAUL ALEVIADO BALAGTAS ORION 0.00 700.00 136.20 836.20

September 08, 2018 2018-09-3346 CARMELO AUSTRIA PTO. RIVAS IBABA BALANGA CITY 0.00 1,070.00 0.00 1,070.00

September 08, 2018 2018-09-3347 SHIELLA NUÑEZ CABCABEN MARIVELES BATAAN 1,108.49 500.00 324.92 1,933.41

September 08, 2018 2018-09-3348 MALAKAS BARRION DIWA PILAR BATAAN 0.00 1,850.00 0.00 1,850.00

September 08, 2018 2018-09-3349 JAIME TAÑEDO WAKAS NORTH PILAR BATAAN 0.00 0.00 612.06 612.06

September 08, 2018 2018-09-3350 EDRIAN JAMES QUITORAS BIAAN MARIVELES BATAAN 0.00 400.00 250.79 650.79

September 09, 2018 2018-09-3351 CLARISSE BOBADILLA CABCABEN MARIVELES BATAAN 0.00 1,000.00 0.00 1,000.00

September 09, 2018 2018-09-3352 EDMON ABELLA BILOLO ORION BATAAN 0.00 700.00 0.00 700.00

September 09, 2018 2018-09-3353 JHON FLORENCE SANTOS CUPANG PROPER BALANGA CITY 0.00 100.00 714.69 814.69

September 09, 2018 2018-09-3354 MARK JOSEPH SACDALAN CUPANG PROPER BALANGA CITY 0.00 100.00 666.87 766.87

September 09, 2018 2018-09-3355 RODELYN MAE VILLAMOR CATANING BALANGA CITY 0.00 920.00 0.00 920.00

September 09, 2018 2018-09-3356 BABY BOY (REJOECE) MORALES SAGUING DINALUPIHAN BATAAN 0.00 0.00 1,000.00 1,000.00

September 09, 2018 2018-09-3357 ADAM SEBASIAN CENTENO BAGONG DAAN ABUCAY 0.00 2,160.00 0.00 2,160.00

September 10, 2018 2018-09-1549-E VIOLETA SOMO LAMAO LIMAY BATAAN 0.00 0.00 1,864.50 1,864.50

September 10, 2018 2018-09-3358 ANNALIZA SANTOS BO. LUZ LIMAY BATAAN 0.00 700.00 0.00 700.00

September 10, 2018 2018-09-3359 EDUARDO CUSTODIO DAANG BAGO ORION 2,691.77 8,775.81 0.00 11,467.58

September 10, 2018 2018-09-2610-B EVANGELINE GAMAYON CUPANG PROPER BALANGA CITY 0.00 650.00 0.00 650.00

September 10, 2018 2018-09-2840-H CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 0.00 1,485.67 1,485.67

September 10, 2018 2018-09-3360 JOHN PATRICK CRUZ PTO. RIVAS IBABA BALANGA CITY 0.00 0.00 426.41 426.41

September 10, 2018 2018-09-3361 NOLI SAPAD CATANING BALANGA CITY 0.00 0.00 1,500.00 1,500.00

September 10, 2018 2018-09-3362 ROMEO BARTOLOME PTO. RIVAS IBABA BALANGA CITY 0.00 320.00 0.00 320.00

September 10, 2018 2018-09-740-F DIVINE MARY BORGUETA SAN JOSE BALANGA CITY 0.00 650.00 0.00 650.00

September 10, 2018 2018-09-3231-A CARLITO MARIANO BANAWANG BAGAC BATAAN 0.00 0.00 1,006.11 1,006.11

September 10, 2018 2018-09-2812-D FLORA RAFAEL CALAYLAYAN ABUCAY BATAAN 463.23 0.00 0.00 463.23

September 10, 2018 2018-09-075-L MERCIDITA MORALES LIBANAN MT. VIEW MARIVELES BATAAN 0.00 0.00 1,498.70 1,498.70

September 10, 2018 2018-09-3363 BAYANI DUÑGAN TORTUGAS BALANGA CITY 0.00 598.40 0.00 598.40

September 10, 2018 2018-09-1755-G EDITHA CRUZ PTO. RIVAS BALANGA CITY BATAAN 694.85 0.00 0.00 694.85

September 10, 2018 2018-09-3364 NONIE AMANTILLO SAGUING DINALUPIHAN BATAAN 476.86 0.00 0.00 476.86

September 10, 2018 2018-09-3365 ANTONETTE PINEDA WAWA PILAR BATAAN 0.00 470.00 0.00 470.00

September 10, 2018 2018-09-3366 MARILYN GERON CAMAYA MARIVELES BATAAN 0.00 700.00 0.00 700.00

September 10, 2018 2018-09-3367 GINA DE LEON TENEJERO BALANGA CITY 0.00 946.42 0.00 946.42

September 10, 2018 2018-04-544-A FERMINA MIRANDA DOÑA FRANCISCA BALANGA CITY 0.00 1,740.00 0.00 1,740.00

September 10, 2018 2018-03-293-E NIDA MALATE CAMAYA MARIVELES BATAAN 463.23 0.00 0.00 463.23

September 10, 2018 2018-09-3368 ALLIYAH JISELLE VALDEZ CATANING BALANGA CITY 474.50 0.00 0.00 474.50

September 10, 2018 2018-09-3369 JONALYN NORCIO ALANGAN LIMAY BATAAN 0.00 1,320.00 0.00 1,320.00

September 10, 2018 2018-09-3370 DANNAH MAE SANTIAGO POBLACION BALANGA BATAAN 0.00 670.00 0.00 670.00

September 10, 2018 2018-09-2108-C JAVIER ADRANEDA 02 STA. LUCIA SAMAL BATAAN 694.85 0.00 0.00 694.85

September 10, 2018 2018-09-3059-A MELINDA ESGUERRA BINARITAN, MORONG,BATAAN 0.00 650.00 0.00 650.00

September 10, 2018 2018-09-3371 GEORGE ILAO MABIGA HERMOSA 18,928.36 0.00 0.00 18,928.36

September 10, 2018 2018-09-1035-D ZENAIDA NATE MABIGA HERMOSA BATAAN 710.79 9,152.79 0.00 9,863.58 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory TOTAL NAME ADDRESS Drugs and , Dental & Hospital PREPARED NUMBER ASSISTANCE Med diagnostic Fees procedures

September 10, 2018 2018-09-1467-G MARITA MENA KABALUTAN ORANI BATAAN 694.85 0.00 0.00 694.85

September 10, 2018 2018-09-1257-F EDUARDO RODRIGUEZ CUPANG PROPER BALANGA CTIY 694.85 0.00 0.00 694.85

September 10, 2018 2018-09-3372 RUDY TUBINO PAG-ASA ORANI BATAAN 0.00 900.00 850.94 1,750.94

September 10, 2018 2018-09-3373 NECY CALANGI IPAG MARIVELES BATAAN 1,014.74 1,349.37 0.00 2,364.11

September 10, 2018 2018-09-3374 MARILYN JALON MALABIA BALANGA CITY 0.00 600.00 0.00 600.00

September 10, 2018 2018-09-2893-D ARLEEH JUMILLA SAN ISIDRO MARIVELES BATAAN 987.00 0.00 0.00 987.00

September 10, 2018 2018-09-3375 VINCE ALLEN BIGLANGAWA PANILAO PILAR BATAAN 474.50 0.00 0.00 474.50

September 10, 2018 2018-09-3376 MARK VINCENT CAINOY TOWNSITE LIMAY BATAAN 474.50 0.00 0.00 474.50

September 10, 2018 2018-09-3377 RHON ZYKIE OLIVEROS WAWAN ORION BATAAN 474.50 0.00 0.00 474.50

September 10, 2018 2018-09-3378 DELFIN DACULAN IPAG MARIVELES BATAAN 0.00 1,350.00 0.00 1,350.00

September 10, 2018 2018-09-2744-E RODOLFO TUAZON JR. LOTE PTO. RIVAS BALANGA CITY 658.00 0.00 0.00 658.00

September 10, 2018 2018-09-3379 JHENLIE DELA CRUZ CUPANG PROPER BALANGA CTIY 474.50 0.00 0.00 474.50

September 10, 2018 2018-09-3380 NENITA DE JESUS PUTING BUHANGIN ORION BATAAN 0.00 1,000.00 0.00 1,000.00

September 10, 2018 2018-09-3381 JANETTE TORRES LALAWIGAN SAMAL BATAAN 334.05 0.00 0.00 334.05

September 10, 2018 2018-09-3382 EARL LAWRENCE AVILLA MT. VIEW MARIVELES BATAAN 476.86 0.00 0.00 476.86

September 10, 2018 2018-09-3383 ALICIA VIOLETA OMBOY ABUCAY BATAAN 474.50 0.00 0.00 474.50

September 10, 2018 2018-09-3384 EDUARDO CALMA SR. SAN JOSE BALANGA CITY 0.00 0.00 1,383.39 1,383.39

September 10, 2018 2018-09-3385 ALBERTO ALIM KAPUNITAN ORION 0.00 650.00 0.00 650.00

September 10, 2018 2018-09-3386 ANNA BLESS CLEMENTE GABON ABUCAY BATAAN 0.00 700.00 0.00 700.00

September 10, 2018 2018-09-3387 LEANDRO NADERA JR LAMAO LIMAY BATAAN 946.42 0.00 0.00 946.42

September 10, 2018 2018-09-3388 GINA MUÑOZ CAPITANGAN ABUCAY BATAAN 0.00 440.00 0.00 440.00

September 10, 2018 2018-09-368-Q MARY JANE SAMSON LAON ABUCAY BATAAN 463.23 0.00 0.00 463.23

September 10, 2018 2018-09-3389 ANGELA NICOLE TOLEDO SALIAN ABUCAY BATAAN 474.50 0.00 0.00 474.50

September 11, 2018 2018-09-1228-A MARINA ANTONIO EAST DAAN BAGO SAMAL BATAAN 0.00 4,083.20 0.00 4,083.20

September 11, 2018 2018-09-3390 KEAN JAIRUS ESGUERRA MUNTING BATANGAS BALANGA CITY 1,902.34 0.00 0.00 1,902.34

September 11, 2018 2018-09-2582-B ALDWIN MARIANO WAWA PILAR BATAAN 474.50 0.00 0.00 474.50

September 11, 2018 2018-09-3391 VIOLETA LINGAD CAPITANGAN ABUCAY BATAAN 0.00 1,548.80 0.00 1,548.80

September 11, 2018 2018-09-3392 EMERLYN BUELLA CAMAYA MARIVELES BATAAN 0.00 700.00 0.00 700.00

September 11, 2018 2018-09-3393 EVA INOCENCIO TOWNSITE LIMAY BATAAN 0.00 670.00 0.00 670.00

September 11, 2018 2018-09-391-E ROLY CORDERO STA. ISABEL DINALUPIHAN BATAAN 0.00 1,496.20 0.00 1,496.20

September 11, 2018 2018-09-1165-X ADONES LINTAG DAAN BILOLO ORION BATAAN 0.00 1,480.40 0.00 1,480.40

September 11, 2018 2018-09-3394 ANGELINA CARLOS CAPITANGAN ABUCAY BATAAN 0.00 1,548.80 0.00 1,548.80

September 11, 2018 2018-09-3395 AIKO MANAPUL MIRAY CATANING BALANGA BATAAN 0.00 670.00 0.00 670.00

September 11, 2018 2018-09-3126-A LELOGEN CUERPO PANILAO PILAR BATAAN 0.00 1,633.28 0.00 1,633.28

September 11, 2018 2018-09-3396 ROMEO GARCIA BASECO COUNTRY MARIVELES BATAAN 477.00 0.00 0.00 477.00

September 11, 2018 2018-09-3397 MA. XYLEEN TORRES BAGONG SILANG BALANGA CITY 476.86 0.00 0.00 476.86

September 11, 2018 2018-09-997-E ROY MANANSALA TOWNSITE LIMAY BATAAN 694.85 0.00 0.00 694.85

September 11, 2018 2018-09-2228-B BERNARDO CRUZ SR. 19 NATIONAL ROAD CABCABEN MARIVELES BATAAN 0.00 1,480.40 0.00 1,480.40

September 11, 2018 2018-09-3398 REMEDIOS MACAPAGAL PANTALAN LUMA ORANI BATAAN 0.00 840.00 0.00 840.00

September 11, 2018 2018-09-3399 SHARON RODRIGUEZ MABATANG ABUCAY BATAAN 0.00 2,450.00 0.00 2,450.00

September 11, 2018 2018-09-3400 GLAIZA FERRARO MUNTING BATANGAS BALANGA CITY 0.00 1,140.00 0.00 1,140.00

September 11, 2018 2018-09-3401 JOSE GIGANTE SIBUL ORANI BATAAN 2,713.13 0.00 0.00 2,713.13

September 11, 2018 2018-09-3402 MARILYN PODOL ALION MARIVELES BATAAN 0.00 2,080.00 0.00 2,080.00

September 11, 2018 2018-09-3403 EARIC KIAN SAN AGUSTIN EAST CALAGUIMAN SAMAL BATAAN 474.50 0.00 0.00 474.50

September 11, 2018 2018-09-1649-A ELMER AGAS ST. FRANCIS I LIMAY BATAAN 0.00 600.00 0.00 600.00

September 11, 2018 2018-09-2893-D ARLEEH JUMILLA SAN ISIDRO MARIVELES BATAAN 0.00 650.00 0.00 650.00

September 11, 2018 2018-09-3404 ANTHONY DE LUNA WAWA ABUCAY BATAAN 0.00 840.00 0.00 840.00

September 11, 2018 2018-09-2164-D TERESITA MALIBIRAN GABON ABUCAY BATAAN 694.85 0.00 0.00 694.85

September 11, 2018 2018-09-1515-B MELIDIE LOZANO BO. LUZ LIMAY BATAAN 0.00 1,850.00 0.00 1,850.00

September 11, 2018 2018-09-2746-G NORMA JACINTO SACDALAN MABATANG ABUCAY BATAAN 964.85 0.00 0.00 964.85

September 11, 2018 2018-09-930-B ANTONIO BALGOS 104 LANDING PILAR BATAAN 0.00 900.00 0.00 900.00

September 11, 2018 2018-09-3405 FHYL KRAYZON REYES SIMON ST. WAKAS ORION BATAAN 474.50 0.00 0.00 474.50

September 11, 2018 2018-09-2036-I ROMEL MENDOZA CATANING BALANGA CITY 0.00 0.00 1,501.46 1,501.46

September 12, 2018 2018-09-2559-C RAMIR URBANO MT. VIEW MARIVELES BATAAN 0.00 650.00 0.00 650.00

September 12, 2018 2018-09-2779-F JUANITO DE SILVA SAPA SAMAL BATAAN 694.85 0.00 0.00 694.85

September 12, 2018 2018-09-3406 ANITA TAPANG SAN JUAN SAMAL BATAAN 0.00 650.00 0.00 650.00

September 12, 2018 2018-09-3407 LOURDES LACSON STO. NIÑO BAGAC BATAAN 0.00 810.00 0.00 810.00

September 12, 2018 2018-09-3408 KING DARACAN PANTALANGA LUMA ORANI BATAAN 1,429.13 0.00 0.00 1,429.13

September 12, 2018 2018-09-3409 RAMIRO GARCIA NAGWALING PILAR BATAAN 0.00 700.00 0.00 700.00

September 12, 2018 2018-09-3410 MIRACLE ZEN DIZON CUPANG PROPER BALANGA CITY 1,425.63 0.00 0.00 1,425.63

September 12, 2018 2018-09-3411 NERISA ARISTIQUE MANAHAN ST. TENEJERO BALANGA CITY 0.00 1,640.00 0.00 1,640.00

September 12, 2018 2018-09-3412 ROSITA BASANGAN ALA-ULI PILAR BATAAN 92.95 612.48 60.34 765.77

September 12, 2018 2018-09-3413 RICARDO DE LEON TENEJERO BALANGA CITY 950.42 0.00 0.00 950.42

September 12, 2018 2018-09-3414 JESSRICK GIAN PUNO CAMACHO BALANGA CITY BATAAN 474.50 0.00 0.00 474.50

September 12, 2018 2018-09-1429-F EFREN GANTIGAN ALIKABOK ORANI BATAAN 987.00 0.00 0.00 987.00

September 12, 2018 2018-09-2361-G TOMAS ONGKINGCO CAPITANGAN ABUCAY BATAAN 0.00 3,003.23 0.00 3,003.23

September 12, 2018 2018-09-3415 TROY ALCANTARA CAPUNITAN ORION BATAAN 292.12 350.00 0.00 642.12

September 12, 2018 2018-09-3416 BRIGIDA NAVERA PALIHAN ORANI BATAAN 411.76 105.60 0.00 517.36

September 12, 2018 2018-09-3417 LOLITA TUQUERO CABCABEN MARIVELES BATAAN 759.19 400.00 0.00 1,159.19

September 12, 2018 2018-09-3418 WENIFREDO CARLOS GABON ABUCAY BATAAN 0.00 1,232.00 0.00 1,232.00

September 12, 2018 2018-09-3419 EVANGELINE EXALA MA. FE ORANI BATAAN 1,425.63 0.00 0.00 1,425.63

September 12, 2018 2018-09-3420 BELLA AUSTRIA PTO. RIVAS BALANGA CITY 364.29 0.00 0.00 364.29

September 12, 2018 2018-09-3421 ALJUR DUMAEL ST. FRANCIS II LIMAY BATAAN 474.50 0.00 0.00 474.50

September 12, 2018 2018-09-845-H EDUARDO MARTIN CAMACHO BALANGA CITY BATAAN 658.00 0.00 0.00 658.00

September 12, 2018 2018-09-3422 ALFREDO BALMACEDA ST. FRANCIS II LIMAY BATAAN 0.00 1,350.00 0.00 1,350.00 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory TOTAL NAME ADDRESS Drugs and , Dental & Hospital PREPARED NUMBER ASSISTANCE Med diagnostic Fees procedures

September 12, 2018 2018-09-030-G DIONILO GUTIERREZ ST. FRANCIS II LIMAY BATAAN 0.00 1,506.73 0.00 1,506.73

September 12, 2018 2018-09-2840-I CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 3,003.23 0.00 3,003.23

September 12, 2018 2018-09-2373-B EVELYN DELA CRUZ TENEJERO BALANGA CITY 8,254.50 0.00 121.72 8,376.22

September 12, 2018 2018-09-3423 IVY REI DE JESUS PTO. RIVAS BALANGA CITY 0.00 380.00 0.00 380.00

September 12, 2018 2018-09-2358-A CARMELA BASSIG ST. FRANCIS II LIMAY BATAAN 473.37 3,000.00 114.28 3,587.65

September 12, 2018 2018-09-3364-A NONIE AMANTILLO SAGUING DINALUPIHAN BATAAN 474.50 0.00 0.00 474.50

September 12, 2018 2018-09-3424 JHON ARVIN OLIVERIA WAWA ABUCAY BATAAN 0.00 1,200.00 0.00 1,200.00

September 12, 2018 2018-09-3425 VINGLE MIGUEL CAMAYA MARIVELES BATAAN 0.00 2,670.00 764.52 3,434.52

September 12, 2018 2018-09-082-H MARITESS SULIT WAWA ABUCAY BATAAN 3,914.26 0.00 123.36 4,037.62

September 12, 2018 2018-09-3426 VICTOR SALAS WAKAS NORTH PILAR BATAAN 207.72 200.00 0.00 407.72

September 12, 2018 2018-09-3427 LARRY GREGORIO CALAYLAYAN ABUCAY BATAAN 643.61 150.00 72.80 866.41

September 12, 2018 2018-09-3428 PRINCESZ MENDOZA DAU PANILAO PILAR BATAAN 0.00 1,320.00 0.00 1,320.00

September 12, 2018 2018-09-3429 KYLA FAITH VALDEZ CUPANG PROPER BALANGA CITY 1,425.63 0.00 0.00 1,425.63

September 12, 2018 2018-09-3430 JUANITO VALDOPEÑA 034 CAMACHILE ORION BATAAN 563.20 0.00 0.00 563.20

September 12, 2018 2018-09-3431 DENSIE NICOLE SANTIAGO SABATAN ORION BATAAN 0.00 1,480.00 0.00 1,480.00

September 12, 2018 2018-09-3375-A VINCE ALLEN BIGLANGAWA PANILAO PILAR BATAAN 474.50 0.00 0.00 474.50

September 12, 2018 2018-09-3432 MA. MISTY FERNIA WAKAS NORTH PILAR BATAAN 0.00 770.00 0.00 770.00

September 12, 2018 2018-09-3433 LIEZEL JOLO MUNTING BATANGAS BALANGA CITY 951.36 0.00 0.00 951.36

September 12, 2018 2018-09-3434 RONALYN DELA CRUZ GUGO SAMAL BATAAN 0.00 1,240.00 0.00 1,240.00

September 12, 2018 2018-09-3435 MIRIAM SANTOS MABATANG ABUCAY BATAAN 0.00 2,200.00 0.00 2,200.00

September 12, 2018 2018-09-3436 ROMULO PENULLAR CUPANG PROPER BALANGA CITY 334.05 0.00 0.00 334.05

September 12, 2018 2018-09-3437 KYLIE MAE MORILLO MT. VIEW MARIVELES BATAAN 59.85 720.00 220.15 1,000.00

September 12, 2018 2018-09-3438 MAGIELYN LUNA BANTAN ORION BATAAN 0.00 1,400.00 0.00 1,400.00

September 12, 2018 2018-09-075-M MERCIDITA MORALES LIBANAN MT. VIEW MARIVELES BATAAN 0.00 1,506.73 0.00 1,506.73

September 12, 2018 2018-09-2928-A LYDIA JADULCO PAG-ASA LAMAO LIMAY BATAAN 0.00 1,310.00 0.00 1,310.00

September 13, 2018 2018-09-2036-J ROMEL MENDOZA CATANING BALANGA CITY 0.00 1,869.43 0.00 1,869.43

September 13, 2018 2018-09-3439 JOHN MIKO CAMACHO GABON ABUCAY BATAAN 0.00 1,320.00 0.00 1,320.00

September 13, 2018 2018-09-3440 CYNTHIA BARRIOS ST. FRANCIS I LIMAY BATAAN 601.79 176.00 0.00 777.79

September 13, 2018 2018-09-3441 CLARISSA MANUYAG SAN JUAN SAMAL BATAAN 1,425.63 0.00 0.00 1,425.63

September 13, 2018 2018-09-3442 ANZEL REY GAPASIN SALIAN ABUCAY BATAAN 1,900.13 0.00 0.00 1,900.13

September 13, 2018 2018-09-2146-C RAVENACE BALUYOT PALIHAN ORANI BATAAN 0.00 1,849.91 0.00 1,849.91

September 13, 2018 2018-09-3443 MARY GRACE CERVANTES ALAS-ASIN MARIVELES BATAAN 0.00 900.00 0.00 900.00

September 13, 2018 2018-09-3444 IRA VYRNADETTE ZABALA PANILAO PILAR BATAAN 0.00 2,237.00 0.00 2,237.00

September 13, 2018 2018-09-3445 ERWIN GUANZON CALAYLAYAN ABUCAY BATAAN 490.67 0.00 0.00 490.67

September 13, 2018 2018-09-3446 FELISA CLEMENTE SALIAN ABUCAY BATAAN 16.83 1,950.00 28.57 1,995.40

September 13, 2018 2018-09-2744-F RODOLFO TUAZON JR. 12 LOTE PTO. RIVAS BALANGA CITY 8,599.61 13,400.39 0.00 22,000.00

September 13, 2018 2018-09-3447 LIANNE RHIANNE ARMADO STA. ROSA PILAR BATAAN 66.63 500.00 0.00 566.63

September 13, 2018 2018-09-3448 PRUDENCIA PARAS SAN JOSE BALANGA CITY 474.50 0.00 0.00 474.50

September 13, 2018 2018-09-1392-D JENNIFER KANTONHOS BURGOS PILAR BATAAN 329.00 0.00 0.00 329.00

September 13, 2018 2018-09-1909-D JULIET PIZARRO PTO RIVAS IBABA,BALANGA CITY, BATAAN 0.00 1,519.43 0.00 1,519.43

September 13, 2018 2018-09-029-M CESAR MARTINEZ TUYO BALANGA CITY 0.00 1,560.43 0.00 1,560.43

September 13, 2018 2018-09-3449 MONTANO BARRIOS ST. FRANCIS I LIMAY BATAAN 1,212.07 650.00 31.43 1,893.50

September 13, 2018 2018-09-3450 CRISANTO RODRIGUEZ JR. PUROK VII MAMBOG HERMOSA BATAAN 474.50 0.00 0.00 474.50

September 13, 2018 2018-09-1165-Y ADONES LINTAG DAAN BILOLO ORION BATAAN 0.00 1,506.73 0.00 1,506.73

September 13, 2018 2018-09-3234-A MA. CHRISTINE CRUZ MABATANG ABUCAY BATAAN 694.85 0.00 0.00 694.85

September 13, 2018 2018-09-3324-A CATHERINE ORIAS BO. LUZ LIMAY BATAAN 0.00 470.00 0.00 470.00

September 13, 2018 2018-09-3451 OLIVIA SALVADOR 243B CALAYLAYAN ABUCAY BATAAN 0.00 464.64 0.00 464.64

September 13, 2018 2018-09-1549-F VIOLETA SOMO LAMAO LIMAY BATAAN 0.00 1,527.23 0.00 1,527.23

September 13, 2018 2018-09-3452 REMEDIOS CALAJATAN BLISS BAGONG SILANG BALANGA CITY 1,425.63 0.00 0.00 1,425.63

September 13, 2018 2018-09-3453 MA. LIEZL DE ANDRES BLISS BAGONG SILANG BALANGA CITY 490.92 0.00 0.00 490.92

September 13, 2018 2018-09-3454 KYLE BRYAN PUNZALAN BALSIK HERMOSA BATAAN 0.00 820.00 0.00 820.00

September 13, 2018 2018-09-1956-C EDUARDO SAMONTE JR. SISIMAN MARIVELES BATAAN 694.85 0.00 0.00 694.85

September 13, 2018 2018-09-391-E ROLY CORDERO STA. ISABEL DINALUPIHAN BATAAN 694.85 1,506.73 0.00 2,201.58

September 13, 2018 2018-09-3396-A ROMEO GARCIA BASECO COUNTRY MARIVELES BATAAN 1,424.92 0.00 0.00 1,424.92

September 13, 2018 2018-09-3455 DOLORES TAWATAO BAGONG SILANG BALANGA CITY 0.00 549.12 0.00 549.12

September 13, 2018 2018-09-3456 ARNEL PACQUIAO ST. FRANCIS II LIMAY BATAAN 1,424.92 0.00 0.00 1,424.92

September 13, 2018 2018-09-3457 MARGARITA SANTIAGO PANTALAN LUMA ORANI BATAAN 1,900.84 0.00 0.00 1,900.84

September 13, 2018 2018-09-3458 NATALIA MARIE FELICIANO CUPANG WEST BALANGA CITY 0.00 600.00 0.00 600.00

September 13, 2018 2018-09-3398-A REMEDIOS MACAPAGAL PANTALAN LUMA ORANI BATAAN 0.00 1,670.00 0.00 1,670.00

September 13, 2018 2018-09-2108-D JAVIER ADRANEDA STA. LUCIA SAMAL BATAAN 694.85 0.00 0.00 694.85

September 13, 2018 2018-09-1467-H MARITA MENA KABALUTAN ORANI BATAAN 694.85 0.00 0.00 694.85

September 13, 2018 2018-09-3459 KENDREA DANYLL VISPERAS LUSUNGAN ORION BATAAN 1,424.92 0.00 0.00 1,424.92

September 13, 2018 2018-09-3460 MARY ANN DIWA CATANING BALANGA CITY 1,424.92 0.00 0.00 1,424.92

September 13, 2018 2018-09-3397-A MA. XYLEEN TORRES BAGONG SILANG BALANGA CITY 474.50 0.00 0.00 474.50

September 13, 2018 2018-09-3057-A JESUS DENNIS OLIVEROS DOÑA FRANCISCA BALANGA CITY 694.85 0.00 0.00 694.85

September 13, 2018 2018-09-3461 SHERZEY DELA CRUZ LANDING LIMAY BATAAN 474.50 0.00 0.00 474.50

September 13, 2018 2018-09-3462 MELINDA MORENO ST. FRANCIS II LIMAY BATAAN 0.00 370.00 0.00 370.00

September 13, 2018 2018-09-3463 MARK JOHN GAUDIA DAAN PARE ORION BATAAN 578.90 200.00 0.00 778.90

September 13, 2018 2018-09-3464 RENALYN OBLIGACION MABATANG ABUCAY BATAAN 0.00 700.00 0.00 700.00

September 13, 2018 2018-09-3465 REBIE ANN LASCOTA BALUT II PILAR BATAAN 814.67 1,350.00 0.00 2,164.67

September 13, 2018 2018-09-3466 JHERIC DEVISPRUTO ALAS-ASIN MARIVELES BATAAN 1,265.25 0.00 0.00 1,265.25

September 13, 2018 2018-09-3467 ROSITA ILUSTICO MABATANG ABUCAY BATAAN 0.00 2,820.00 0.00 2,820.00

September 13, 2018 2018-09-3468 ROSITA DELA ROSA GABON ABUCAY BATAAN 0.00 492.80 0.00 492.80

September 13, 2018 2018-09-3469 MARTINA BASALO GABON ABUCAY BATAAN 857.21 200.00 0.00 1,057.21

September 13, 2018 2018-09-3470 MONALISA FAMPULME POBLACION MARIVELES BATAAN 667.64 0.00 0.00 667.64 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory TOTAL NAME ADDRESS Drugs and , Dental & Hospital PREPARED NUMBER ASSISTANCE Med diagnostic Fees procedures

September 13, 2018 2018-09-3471 JAYSON PAGUIO BAMBAN HERMOSA BATAAN 540.19 1,161.60 40.23 1,742.02

September 13, 2018 2018-09-3472 MERCEDITA DE GUZMAN CAPUNITAN ORION BATAAN 584.34 1,900.80 60.34 2,545.48

September 13, 2018 2018-09-3473 REMEDIOS AZOILO LAMAO LIMAY BATAAN 267.70 788.48 80.45 1,136.63

September 13, 2018 2018-09-3474 ARNOLD MANALO LUSUNGAN ORION BATAAN 3,059.05 5,890.39 0.00 8,949.44

September 13, 2018 2018-09-3475 REYMOND VICENTE POBLACION HERMOSA BATAAN 2,416.29 10,739.09 0.00 13,155.38

September 13, 2018 2018-09-1392-E JENNIFER KANTONHOS BURGOS PILAR BATAAN 17,156.84 12,843.16 0.00 30,000.00

September 13, 2018 2018-09-3476 IFRIEL ROSE MELCHOR ALANGAN LIMAY BATAAN 967.10 4,032.90 0.00 5,000.00

September 14, 2018 2018-09-882-I ROGELIO MENDOZA A. RIVERA HERMOSA BATAAN 0.00 3,013.26 0.00 3,013.26

September 14, 2018 2018-09-3477 ORLANDO CATACUTAN CALAGUIMAN SAMAL BATAAN 175.30 2,550.00 0.00 2,725.30

September 14, 2018 2018-09-2195-F JOHN KEVIN IJAN IBAYO BALANGA CITY 0.00 457.60 0.00 457.60

September 14, 2018 2018-09-1659-G EDEN DELA CRUZ OMBOY ABUCAY BATAAN 694.85 0.00 0.00 694.85

September 14, 2018 2018-09-3478 ALVIN GINOLE CAPINA SAN JOSE BALANGA CITY 0.00 1,100.00 0.00 1,100.00

September 14, 2018 2018-09-3479 JARED ATIENZA SABANG MORONG BATAAN 0.00 1,720.00 0.00 1,720.00

September 14, 2018 2018-09-3480 JOSEPHINE LACSON CUPANG PROPER BALANGA CITY 0.00 2,850.00 0.00 2,850.00

September 14, 2018 2018-09-436-P ALLAN MIRASOL MT. VIEW MARIVELES BATAAN 0.00 2,305.44 0.00 2,305.44

September 14, 2018 2018-09-3481 PRINCESS ANGEL ESCONDE CALAYLAYAN ABUCAY BATAAN 0.00 1,130.00 0.00 1,130.00

September 14, 2018 2018-09-3482 RONNEL MADRID ALAS-ASIN MARIVELES BATAAN 0.00 850.00 0.00 850.00

September 14, 2018 2018-09-3483 EVELYN RAMIREZ KABALUTAN ORANI BATAAN 0.00 1,800.00 0.00 1,800.00

September 14, 2018 2018-09-3484 FREDERICK BALOBAR TALA ORANI BATAAN 0.00 2,550.00 0.00 2,550.00

September 14, 2018 2018-09-3485 ROGELIO ARANGEL TENEJERO BALANGA CITY 195.75 1,130.00 0.00 1,325.75

September 14, 2018 2018-09-2228-C BERNARDO CRUZ SR. CABCABEN MARIVELES BATAAN 0.00 1,509.67 0.00 1,509.67

September 14, 2018 2018-09-997-F ROY MANANSALA TOWNSITE LIMAY BATAAN 0.00 457.60 0.00 457.60

September 14, 2018 2018-09-1035-E ZENAIDA NATE MABIGA HERMOSA BATAAN 694.85 0.00 0.00 694.85

September 14, 2018 2018-09-2139-A DOMINADOR ARCANGEL JR. LENGUA PAG-ASA ORANI BATAAN 0.00 1,700.00 0.00 1,700.00

September 14, 2018 2018-09-3420-A BELLA AUSTRIA PTO.RIVAS ITAAS BALANGA CITY 334.05 0.00 0.00 334.05

September 14, 2018 2018-09-3486 MARK ANTHONY BOCERON ST. FRANCIS II LIMAY BATAAN 257.50 0.00 40.23 297.73

September 14, 2018 2018-09-3487 CHRISTOPHER CARAGA CABOG-CABOG BALANGA CITY BATAAN 0.00 2,320.00 0.00 2,320.00

September 14, 2018 2018-09-3488 CRISTINA RUBIAS MT. VIEW MARIVELES BATAAN 0.00 900.00 0.00 900.00

September 14, 2018 2018-09-394-B MARJOLYN PIZARRO BURGOS PILAR BATAAN 0.00 840.00 0.00 840.00

September 14, 2018 2018-09-3489 LEONORA HILARIO MT. VIEW MARIVELES BATAAN 0.00 840.00 0.00 840.00

September 14, 2018 2018-09-3490 ROWENA GUANZON WAWA ABUCAY BATAAN 0.00 840.00 0.00 840.00

September 14, 2018 2018-09-3491 AIKA DENISE CARDERON LAMAO LIMAY BATAAN 0.00 600.00 0.00 600.00

September 14, 2018 2018-09-3492 SUNDRAE SALAZAR ALA ULI PILAR BATAAN 0.00 320.00 0.00 320.00

September 14, 2018 2018-09-3493 CRISTETA LABRADOR DAANG BAGO ORION BATAAN 474.50 0.00 0.00 474.50

September 14, 2018 2018-09-3494 GERALD ISIDRO BAGUMBAYAN PILAR BATAAN 0.00 320.00 0.00 320.00

September 14, 2018 2018-09-3495 ELVIRA BERCASIO TENEJERO BALANGA CITY 0.00 1,000.00 0.00 1,000.00

September 14, 2018 2018-09-2840-J CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 1,869.43 0.00 1,869.43

September 14, 2018 2018-09-3496 ANALIZA LUCES TENEJERO BALANGA CITY 0.00 1,000.00 0.00 1,000.00

September 14, 2018 2018-09-2425-C RENATO GUEVARRA CULIS HERMOSA BATAAN 694.85 0.00 0.00 694.85

September 14, 2018 2018-09-843-D JUANITO GALVEZ CULIS HERMOSA BATAAN 694.85 0.00 0.00 694.85

September 14, 2018 2018-09-3497 CLAUDIO MOLINA JR. LAMAO LIMAY BATAAN 5,862.80 0.00 0.00 5,862.80

September 14, 2018 2018-09-3498 NINA RICCI DUGAY CABCABEN MARIVELES BATAAN 0.00 729.63 0.00 729.63

September 14, 2018 2018-09-3499 MIGUEL ABELGAS ST. FRANCIS II LIMAY BATAAN 4,409.69 3,993.47 0.00 8,403.16

September 14, 2018 2018-09-3500 MARH JIELYN FORBES CALAGUIMAN SAMAL BATAAN 0.00 0.00 50,910.88 50,910.88

September 14, 2018 2018-09-3501 STANLEY BRION LUCANIN MARIVELES BATAAN 2,019.01 1,240.00 555.61 3,814.62

September 14, 2018 2018-09-3502 AYESHA JADE BERNAL TUYO BALANGA CITY 2,208.69 0.00 352.17 2,560.86

September 14, 2018 2018-09-3503 RUFINO BANATAO IPAG MARIVELES BATAAN 0.00 10,293.95 11,169.27 21,463.22

September 14, 2018 2018-09-830-C MYRA BUISING GEN. LIM ORION BATAAN 0.00 3,350.00 325.21 3,675.21

September 14, 2018 2018-09-3504 MARJORY SITJAR BALON ANITO MARIVELES BATAAN 13,362.41 3,770.00 5,924.08 23,056.49

September 14, 2018 2018-09-3322-A JANE PAVIA LAMAO LIMAY BATAAN 57.42 900.00 74.11 1,031.53

September 14, 2018 2018-09-2832-A JOSE BENEDICTO EXALA MA. FE ORANI BATAAN 1,093.28 2,906.72 0.00 4,000.00

September 15, 2018 2018-09-1392-F JENNIFER KANTONHOS BURGOS PILAR BATAAN 231.62 0.00 0.00 231.62

September 15, 2018 2018-09-1165-Z ADONES LINTAG DAAN BILOLO ORION BATAAN 0.00 1,521.52 0.00 1,521.52

September 15, 2018 2018-09-3505 MARILOU VICIO SALIAN ABUCAY BATAAN 0.00 1,320.00 0.00 1,320.00

September 15, 2018 2018-09-3506 KRISTINE ROSE BENJAMIN WAKAS ORION BATAAN 390.20 370.00 0.00 760.20

September 15, 2018 2018-09-3406-A ANITA TAPANG SAN JUAN SAMAL BATAAN 329.00 0.00 0.00 329.00

September 15, 2018 2018-09-2559-D RAMIR URBANO MT. VIEW MARIVELES BATAAN 329.00 0.00 0.00 329.00

September 15, 2018 2018-09-391-F ROLY CORDERO STA. ISABEL DINALUPIHAN BATAAN 0.00 1,521.52 0.00 1,521.52

September 15, 2018 2018-09-3507 JOHN PAUL DELA CRUZ BINUCAWAN, BAGAC, BATAAN 0.00 0.00 870.07 870.07

September 15, 2018 2018-09-2750-E REYNALDO PAMINTUAN LUACAN DINALUPIHAN BATAAN 329.00 0.00 0.00 329.00

September 15, 2018 2018-09-014-P RONNIE BASALO CENTRO II ORANI BATAAN 0.00 761.59 0.00 761.59

September 15, 2018 2018-09-1909-E JULIET PIZARRO PTO. RIVAS IBABA BALANGA CITY 421.70 0.00 0.00 421.70

September 15, 2018 2018-09-3508 DEO JAY LEAÑO DANGCOL, BALANGA CITY, BATAAN 878.06 620.00 0.00 1,498.06

September 15, 2018 2018-09-3509 TERESITA MANANSALA CATANING BALANGA CITY 0.00 370.00 0.00 370.00

September 15, 2018 2018-09-029-N CESAR MARTINEZ TUYO BALANGA CITY 231.62 0.00 0.00 231.62

September 15, 2018 2018-09-3510 GEMMA LEOBRERA PTO. RIVAS IBABA BALANGA CITY 0.00 900.00 0.00 900.00

September 15, 2018 2018-09-2036-K ROMEL MENDOZA CATANING BALANGA CITY 0.00 1,603.09 0.00 1,603.09

September 15, 2018 2018-09-029-O CESAR MARTINEZ TUYO BALANGA CITY 0.00 1,407.33 0.00 1,407.33

September 15, 2018 2018-09-1909-F JULIET PIZARRO PTO. RIVAS IBABA BALANGA CITY 0.00 1,852.42 0.00 1,852.42

September 15, 2018 2018-09-1593-F JOY FRANCISCO TOWNSITE LIMAY BATAAN 2,338.16 10,688.64 0.00 13,026.80

September 03, 2018 2018-09-3511 ARNIE MIRALLES DFS APARTMENT BALANGA CITY 0.00 1,500.00 0.00 1,500.00

September 13, 2018 2018-09-3512 JOSEPHINE PANTIG SAN PEDRO HERMOSA BATAAN 0.00 770.00 0.00 770.00

September 16, 2018 2018-09-1190-A PATRICK JAMES JOVEN BO. TOTO CUPANG PROPER BALANGA CTIY 0.00 320.00 0.00 320.00

September 16, 2018 2018-09-3513 MC LENARD DE GUZMAN 3573 ARSENAL DND GATESIDE LAMAO LIMAY BATAAN 83.85 670.00 0.00 753.85

September 16, 2018 2018-09-3514 VEROLD RIVERA CUPANG WEST BALANGA CITY 0.00 500.00 0.00 500.00 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory TOTAL NAME ADDRESS Drugs and , Dental & Hospital PREPARED NUMBER ASSISTANCE Med diagnostic Fees procedures

September 16, 2018 2018-09-373-A RYAN BERNALDEZ CABCABEN MARIVELES BATAAN 0.00 770.00 0.00 770.00

September 16, 2018 2018-09-3515 MELANIE DELA CRUZ LAMAO LIMAY BATAAN 0.00 3,000.00 0.00 3,000.00

September 16, 2018 2018-09-3516 EDNA CELAJE 283 PARALAYA ST. MABATANG ABUCAY BATAAN 0.00 320.00 0.00 320.00

September 16, 2018 2018-09-3517 RONALDO SALVADOR PUROK I IPAG MARIVELES BATAAN 564.31 0.00 62.86 627.17

September 16, 2018 2018-09-3518 ALEXIS SARMIENTO KABUKIRAN CALAYLAYAN ABUCAY BATAAN 632.00 0.00 0.00 632.00

September 16, 2018 2018-09-3519 CHLOIE FAITH BRIONES UPPER TUYO BALANGA CITY 0.00 380.00 0.00 380.00

September 16, 2018 2018-09-3520 MAUREEN HIPOLIO LAON ABUCAY BATAAN 0.00 1,200.00 0.00 1,200.00

September 16, 2018 2018-09-3521 BRYAN GERVACIO BILOLO ORION BATAAN 578.92 300.00 0.00 878.92

September 16, 2018 2018-09-3522 SHENALINE BAMUNDE WAKAS PILAR BATAAN 0.00 2,150.00 0.00 2,150.00

September 16, 2018 2018-09-3523 ROBERTO DIONISIO TORTUGAS BALANGA CITY 102.96 647.68 9.15 759.79

September 16, 2018 2018-09-3524 CATHERINE BARLONGO SITIO TABON DEL ROSARIO PILAR BATAAN 0.00 320.00 0.00 320.00

September 16, 2018 2018-09-3525 ERLINDA MONARES ALAS-ASIN MARIVELES BATAAN 0.00 1,490.00 0.00 1,490.00

September 16, 2018 2018-09-3526 EVANGELYN CASAO BATANGAS II MARIVELES BATAAN 111.15 900.00 0.00 1,011.15

September 16, 2018 2018-09-3527 JONALYN BALBUENA SAN RAFAEL TUYO BALANGA CITY 434.39 0.00 0.00 434.39

September 16, 2018 2018-09-1061-C CHRIZONVER AMON MALIGAYA PHASE I RESORT MT. VIEW MARIVELES BATAAN 13,989.07 11,010.93 0.00 25,000.00

September 17, 2018 2018-09-3528 ROLANDO ESPIRITU PANTALAN LUMA ORANI BATAAN 463.23 0.00 0.00 463.23

September 17, 2018 2018-09-1956-D EDUARDO SAMONTE JR. SISIMAN MARIVELES BATAAN 463.23 0.00 0.00 463.23

September 17, 2018 2018-09-3375-B VINCE ALLEN BIGLANGAWA PANILAO PILAR BATAAN 474.50 0.00 0.00 474.50

September 17, 2018 2018-09-1498-C HECTOR QUICHO LOTE PTO. RIVAS BALANGA CITY 926.46 0.00 0.00 926.46

September 17, 2018 2018-09-1549-G VIOLETA SOMO LAMAO LIMAY BATAAN 0.00 1,480.40 0.00 1,480.40

September 17, 2018 2018-09-3529 JUSTINE DAVE NAVARRO SUBACAN BALANGA CITY 490.92 0.00 0.00 490.92

September 17, 2018 2018-09-3530 JANE MARK UMANDAL BIAAN MARIVELES BATAAN 0.00 1,192.23 6,101.24 7,293.47

September 17, 2018 2018-09-3433-A LIEZEL JOLO MUNTING BATANGAS BALANGA CITY 240.21 0.00 0.00 240.21

September 17, 2018 2018-09-3531 ARIEL CARLOS WAKAS ORION BATAAN 200.06 700.00 0.00 900.06

September 17, 2018 2018-09-3532 EMAN CERVANTES DAMULOG DDANG PARE ORION BATAAN 325.71 0.00 0.00 325.71

September 17, 2018 2018-09-3533 MICHELLE ASIS LUCANIN MARIVELES BATAAN 0.00 950.00 242.40 1,192.40

September 17, 2018 2018-09-1449-G ROGER PAJUNAR BALON ANITO MARIVELES BATAAN 987.00 0.00 0.00 987.00

September 17, 2018 2018-09-3534 JONH CRISH YABES STO. DOMINGO ORION BATAAN 0.00 920.00 0.00 920.00

September 17, 2018 2018-09-3535 KIM DICHOSO SITIO BATOL IMELDA SAMAL BATAAN 401.48 0.00 106.98 508.46

September 17, 2018 2018-09-3536 STELLA FHAYE LIMOS 477 CAMACHO BALANGA CITY 0.00 600.00 0.00 600.00

September 17, 2018 2018-09-3537 ROGEL TORRES SABA HERMOSA BATAAN 0.00 3,026.67 599.88 3,626.55

September 17, 2018 2018-09-3538 AILENE DE JESUS BATUNGBAKAL TENEJERO BALANGA CITY 0.00 350.00 0.00 350.00

September 17, 2018 2018-09-1593-G JOY FRANCISCO TOWNSITE LIMAY BATAAN 463.23 0.00 0.00 463.23

September 17, 2018 2018-09-3539 DANIEL ZON DESALES TALISAY BALANGA CITY 274.50 0.00 0.00 274.50

September 17, 2018 2018-09-293-F NIDA MALATE CAMAYA MARIVELES BATAAN 463.23 0.00 0.00 463.23

September 17, 2018 2018-09-075-N MERCIDITA MORALES LIBANAN MT. VIEW MARIVELES BATAAN 1,480.40 0.00 0.00 1,480.40

September 17, 2018 2018-09-3540 VIRGILIO SERVAÑEZ CABRITIT ST. MABATANG ABUCAY BATAAN 164.15 1,500.00 39.00 1,703.15

September 17, 2018 2018-09-3541 VIOLETA CANTIGA CAMAYA MARIVELES BATAAN 1,321.27 0.00 0.00 1,321.27

September 17, 2018 2018-09-3542 AURORA TANGONAN SIBUL I DAAN PARE ORION BATAAN 2,185.80 27,814.20 0.00 30,000.00

September 17, 2018 2018-09-2840-K CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 1,480.40 0.00 1,480.40

September 17, 2018 2018-09-3543 PRISCILA PEREZ BAGUMBAYAN ORION BATAAN 0.00 630.00 0.00 630.00

September 17, 2018 2018-09-3544 DIANNA ROSE TOLENTINO PULO ORANI BATAAN 0.00 420.00 0.00 420.00

September 17, 2018 2018-09-3545 JENNIFER MARTIN SALIAN ABUCAY BATAAN 0.00 670.00 0.00 670.00

September 17, 2018 2018-09-3546 NARCISO MACALINAO 235 SAPA SAMAL BATAAN 0.00 3,910.72 0.00 3,910.72

September 17, 2018 2018-09-3547 ROMY NICDAO TALIMUNDOC ORANI BATAAN 491.53 0.00 0.00 491.53

September 17, 2018 2018-09-239-L EMILY MORIDO PUTING BUHANGIN ORION BATAAN 671.40 0.00 0.00 671.40

September 17, 2018 2018-09-3548 MIRIAM CASER 190 PARANG BAGAC BATAAN 0.00 800.00 0.00 800.00

September 17, 2018 2018-09-3549 RADO HACIÑAS 81 SAN JUAN SAMAL BATAAN 21,102.68 6,897.32 0.00 28,000.00

September 17, 2018 2018-09-3550 ROSA BALLION 263 KAWAYAN ORANI BATAAN 949.00 0.00 0.00 949.00

September 17, 2018 2018-09-3551 RHODORA ALMENDRAS PANTINGAN PILAR BATAAN 1,425.63 0.00 0.00 1,425.63

September 17, 2018 2018-09-2361-H TOMAS ONGKINGCO CAPITANGAN ABUCAY BATAAN 0.00 2,644.70 0.00 2,644.70

September 17, 2018 2018-09-3552 RONALDCHRISTIAN DEDAL 018 KABALUTAN ORANI BATAAN 474.50 0.00 0.00 474.50

September 17, 2018 2018-09-3553 YOLANDA LORETO PANILAO PILAR BATAAN 442.40 0.00 0.00 442.40

September 17, 2018 2018-09-2146-D RAVENACE BALUYOT PALIHAN ORANI BATAAN 0.00 1,487.44 0.00 1,487.44

September 17, 2018 2018-09-353-D NELSON LACSON TENEJERO BALANGA CITY 1,330.88 1,588.81 0.00 2,919.69

September 17, 2018 2018-09-3554 JOY CENTENO MABINI ST. PARAISO ORANI BATAAN 517.32 0.00 0.00 517.32

September 17, 2018 2018-09-3555 JAYSON ERCILLO CAMP TOLENTINO TENEJERO BALANGA CITY 0.00 1,200.00 0.00 1,200.00

September 17, 2018 2018-09-3556 LADY MARIE DAMASCO DL ROSARIO PILAR BATAAN 0.00 900.00 0.00 900.00

September 17, 2018 2018-09-3557 FERDINAND MENDOZA SITIO TOTO CUPANG PROPER BALANGA CITY 0.00 630.00 0.00 630.00

September 17, 2018 2018-09-3413-A RICARDO DE LEON TENEJERO BALANGA CITY 474.50 0.00 0.00 474.50

September 17, 2018 2018-09-3414-A JESSRICK GIAN PUNO CAMACHO BALANGA CITY BATAAN 474.50 0.00 0.00 474.50

September 17, 2018 2018-09-3374-A MARILYN JALON MALABIA BALANGA CITY 0.00 920.00 0.00 920.00

September 17, 2018 2018-09-3367-A GINA DE LEON TENEJERO BALANGA CITY 474.50 0.00 0.00 474.50

September 07, 2018 2018-09-3558 ARMAINE GAUPO ALMACEN HERMOSA BATAAN 0.00 350.00 0.00 350.00

September 07, 2018 2018-09-3559 AVIGAIL LACHICA 23 CENTRO II ORANI BATAAN 0.00 700.00 0.00 700.00

September 18, 2018 2018-09-436-Q ALLAN MIRASOL MT. VIEW MARIVELES BATAAN 0.00 3,277.71 0.00 3,277.71

September 18, 2018 2018-09-1350-Y EDEN CRUZ CULIS HERMOSA BATAAN 694.85 0.00 0.00 694.85

September 18, 2018 2018-09-3560 JERRY DIZON CATANING BALANGA CITY 0.00 1,400.00 13.00 1,413.00

September 18, 2018 2018-09-3561 MYLA RANCE ST. FRANCIS II LIMAY BATAAN 0.00 800.00 0.00 800.00

September 18, 2018 2018-09-1909-G JULIET PIZARRO PTO. RIVAS IBABA BALANGA CITY 0.00 2,976.90 0.00 2,976.90

September 18, 2018 2018-09-029-P CESAR MARTINEZ TUYO BALANGA CITY 2,268.43 1,524.05 0.00 3,792.48

September 18, 2018 2018-09-2033-E NADELYN ZAPANTA TOWNSITE LIMAY BATAAN 0.00 1,620.00 0.00 1,620.00

September 18, 2018 2018-09-3562 MARY JANE REYES SAN ANTONIO BAGAC BATAAN 0.00 1,860.00 0.00 1,860.00

September 18, 2018 2018-09-3270-A JENALYN MONFORTE MT. VIEW MARIVELES BATAAN 0.00 900.00 0.00 900.00

September 18, 2018 2018-09-3563 JAYCEL OLAGUER CATANING BALANGA CITY 0.00 670.00 0.00 670.00 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory TOTAL NAME ADDRESS Drugs and , Dental & Hospital PREPARED NUMBER ASSISTANCE Med diagnostic Fees procedures

September 18, 2018 2018-09-3461-A SHERZEY DELA CRUZ LANDING LIMAY BATAAN 474.50 0.00 0.00 474.50

September 18, 2018 2018-09-3564 GENARO BALUYOT SR. DAAN BILOLO ORION BATAAN 474.50 0.00 0.00 474.50

September 18, 2018 2018-09-2825-E RAFAEL BEATO MABATANG ABUCAY BATAAN 694.85 0.00 0.00 694.85

September 18, 2018 2018-09-3565 MARILOU DE VERA REFORMISTA LIMAY BATAAN 474.50 0.00 0.00 474.50

September 18, 2018 2018-09-2746-H NORMA JACINTO SACDALAN MABATANG ABUCAY BATAAN 694.85 0.00 0.00 694.85

September 18, 2018 2018-09-3566 ALLEN YHUAN MENDOZA CAMACHO BALANGA CITY BATAAN 474.50 0.00 0.00 474.50

September 18, 2018 2018-09-229-A JACQUELYN YABUT PAG-ASA ORANI BATAAN 521.64 0.00 0.00 521.64

September 18, 2018 2018-09-2228-D BERNARDO CRUZ SR. CABCABEN MARIVELES BATAAN 0.00 1,480.40 0.00 1,480.40

September 18, 2018 2018-09-3567 HELEN DELA CRUZ BAGONG SILANG BALANGA CITY 0.00 549.12 0.00 549.12

September 18, 2018 2018-09-3568 JAYCEE ACUÑA WAWA ABUCAY BATAAN 537.42 2,120.00 1,148.85 3,806.27

September 18, 2018 2018-09-3569 JOHN PAULO MARIANO BLISS BAGONG SILANG BALANGA CITY 0.00 650.00 0.00 650.00

September 18, 2018 2018-09-3570 GLORIA HERMINO PALILI SAMAL BATAAN 0.00 490.00 0.00 490.00

September 18, 2018 2018-09-2744-G RODOLFO TUAZON JR. 12 LOTE PTO. RIVAS BALANGA CITY 987.00 0.00 0.00 987.00

September 18, 2018 2018-09-2821-B JIMMY FELICITAS SAN BENITO DINALUPIHAN BATAAN 987.00 0.00 0.00 987.00

September 18, 2018 2018-09-3571 IAN ABIGAEL FLORES WEST DAAN BAGO SAMAL BATAAN 474.50 0.00 0.00 474.50

September 18, 2018 2018-09-3572 ANGELA DE JUAN OLD SAN JOSE DINALUPIHAN BATAAN 0.00 600.00 0.00 600.00

September 18, 2018 2018-09-3573 MARIA GEANELA BALUYOT DAAN BILOLO ORION BATAAN 474.50 0.00 0.00 474.50

September 18, 2018 2018-09-3574 MERCELITA CRUZ LATI ORION BATAAN 1,425.63 0.00 0.00 1,425.63

September 18, 2018 2018-09-3575 MARIE GRACE ELLEMA CAMAYA MARIVELES BATAAN 0.00 1,120.00 0.00 1,120.00

September 18, 2018 2018-09-391-G ROLY CORDERO STA. ISABEL DINALUPIHAN BATAAN 0.00 1,480.40 0.00 1,480.40

September 18, 2018 2018-09-015-B ISAAC THEO LOZADA CATANING BALANGA CITY 43,662.82 0.00 383.07 44,045.89

September 18, 2018 2018-09-3576 ROWENA ANGELES BALAGTAS ORION BATAAN 0.00 2,050.00 0.00 2,050.00

September 18, 2018 2018-09-1505-A ARLENE BERGONIA PANILAO PILAR BATAAN 0.00 900.00 0.00 900.00

September 18, 2018 2018-09-3577 MAUREEN SANTIAGO SABATAN ORION BATAAN 0.00 670.00 0.00 670.00

September 18, 2018 2018-09-2036-L ROMEL MENDOZA CATANING BALANGA CITY 0.00 1,337.44 0.00 1,337.44

September 18, 2018 2018-09-3578 FLORDELIZA BAGTAS LANDING LIMAY BATAAN 0.00 1,267.20 93.63 1,360.83

September 18, 2018 2018-09-2805-A JOANA ROSE ESCALICAS POBLACION PILAR BATAAN 0.00 950.00 0.00 950.00

September 18, 2018 2018-09-1392-G JENNIFER KANTONHOS BURGOS PILAR BATAAN 1,158.08 0.00 0.00 1,158.08

September 18, 2018 2018-09-882-J ROGELIO MENDOZA A. RIVERA HERMOSA BATAAN 694.85 1,487.44 0.00 2,182.29

September 18, 2018 2018-09-3579 RODOLFO DADIZON JR. 92 ZONE III CAMAYA MARIVELES BATAAN 988.75 550.00 461.25 2,000.00

September 18, 2018 2018-09-3580 LUZVIMINDA ESGUERRA MALAYA MARIVELES BATAAN 0.00 549.12 0.00 549.12

September 18, 2018 2018-09-3581 KATHRINE SANTOS DAAN PARE ORION BATAAN 0.00 1,400.00 0.00 1,400.00

September 18, 2018 2018-09-2152-E GARY DE VERA STA ROSA PILAR BATAAN 658.00 0.00 0.00 658.00

September 18, 2018 2018-09-2164-E TERESITA MALIBIRAN GABON ABUCAY BATAAN 1,389.70 0.00 0.00 1,389.70

September 18, 2018 2018-09-3582 AILEEN ABAD LUCANIN MARIVELES BATAAN 0.00 120.00 83.58 203.58

September 18, 2018 2018-09-3583 GERRY FLORES 402 SANTIAGO ST. MABATANG ABUCAY BATAAN 10,000.00 0.00 0.00 10,000.00

September 18, 2018 2018-09-3584 JULLY PABINAL PUROK 4 IPAG MARIVELES BATAAN 1,643.42 570.00 601.94 2,815.36

September 18, 2018 2018-09-1984-B MARICRIS SISON CUPANG WEST BALANGA CITY 3,000.00 0.00 0.00 3,000.00

September 18, 2018 2018-09-3190-A NARCISO HEBULAN PALIPARAN BATANGAS II MARIVELES 4,353.48 3,470.00 1,080.51 8,903.99

September 18, 2018 2018-09-3262-B FLORENCIO DIONISIO PACAR ORANI BATAAN 987.00 0.00 0.00 987.00

September 18, 2018 2018-09-3585 ALEXANDRA HOCSON DAANG BAGO ORION BATAAN 3,529.05 254.25 0.00 3,783.30

September 19, 2018 2018-09-2893-E ARLEEH JUMILLA SAN ISIDRO MARIVELES BATAAN 987.00 0.00 0.00 987.00

September 19, 2018 2018-09-2691-A ISAIAS TOLEDO PARANG BAGAC BATAAN 510.40 0.00 0.00 510.40

September 19, 2018 2018-09-368-R MARY JANE SAMSON LAON ABUCAY BATAAN 1,389.70 0.00 0.00 1,389.70

September 19, 2018 2018-09-2559-E RAMIR URBANO MT. VIEW MARIVELES BATAAN 987.00 0.00 0.00 987.00

September 19, 2018 2018-09-3586 REYNALDO ARELLANO DEL PILAR DINALUPIHAN BATAAN 987.00 0.00 0.00 987.00

September 19, 2018 2018-09-2077-H ANTONIO CARABEO KAWAYAN ORANI BATAAN 658.00 0.00 0.00 658.00

September 19, 2018 2018-09-387-A DANILO ALVARADO PTO. RIVAS IBABA BALANGA CITY 0.00 1,161.60 139.43 1,301.03

September 19, 2018 2018-09-3587 ERLINDA VALENTOS WAWA ABUCAY BATAAN 128.83 0.00 0.00 128.83

September 19, 2018 2018-09-3588 JENILYN MARVIDA PALIHAN ORANI BATAAN 1,425.63 0.00 0.00 1,425.63

September 19, 2018 2018-09-3589 MARIFE MANAHAN CAPITANGAN ABUCAY BATAAN 474.50 0.00 0.00 474.50

September 19, 2018 2018-09-3590 ALLAN VILLAMOR PENTOR DINALUPIHAN BATAAN 15,039.78 3,500.00 2,367.37 20,907.15

September 19, 2018 2018-09-3591 SUSANA TAGACA MT. VIEW MARIVELES BATAAN 0.00 5,000.00 0.00 5,000.00 August 23, 2018 2018-09-3592 GEMMA REYES PALILI SAMAL BATAAN 7,751.08 150.00 138.77 8,039.85

September 19, 2018 2018-09-2750-F REYNALDO PAMINTUAN LUACAN DINALUPIHAN BATAAN 329.00 0.00 0.00 329.00

September 19, 2018 2018-09-2705-B JOSEPH BRYAN VIZCARRA CUPANG PROPER BALANGA CTIY 0.00 457.60 0.00 457.60

September 19, 2018 2018-09-3593 MERLITA SANGALANG BAGUMBAYAN PILAR BATAAN 0.00 156.34 1,200.00 1,356.34

September 19, 2018 2018-09-1977-A MA. CORAZON MAGAT A. RIVERA HERMOSA BATAAN 0.00 750.00 4,464.95 5,214.95

September 19, 2018 2018-09-2627-D JACKIENER MORIS MABUCO HERMOSA BATAAN 329.00 0.00 0.00 329.00

September 19, 2018 2018-09-3594 TRISTAN OCHIA SEABREEZE ST. FRANCIS II LIMAY BATAAN 0.00 1,700.69 0.00 1,700.69

September 19, 2018 2018-09-3595 GINALYN HENOBE TABON PILAR BATAAN 0.00 420.00 0.00 420.00

September 19, 2018 2018-09-3596 JEANNIE CASILLIA ALAS-ASIN MARIVELES BATAAN 0.00 4,385.47 978.71 5,364.18

September 19, 2018 2018-09-3597 LEA MAI GUILLERMO 10 LIYANG PILAR BATAAN 516.28 470.00 506.56 1,492.84

September 19, 2018 2018-09-2778-B JOHN BENEDICT BACANI LARA ST. WAWA ABUCAY BATAAN 248.42 0.00 0.00 248.42

September 19, 2018 2018-09-3289-A RODRIGO SAN PEDRO IBIS BAGAC BATAAN 694.85 0.00 0.00 694.85

September 19, 2018 2018-09-075-O MERCIDITA MORALES LIBANAN MT. VIEW MARIVELES BATAAN 0.00 3,035.53 0.00 3,035.53

September 19, 2018 2018-09-3598 BIATREZ SERRANO PAGALANGGANG DINALUPIHAN BATAAN 0.00 1,300.00 0.00 1,300.00

September 19, 2018 2018-09-3599 YASMINE MALLARI LALAWIGAN SAMAL BATAAN 474.50 0.00 0.00 474.50

September 19, 2018 2018-09-3128-A REGINA MARTINA SISON CUPANG PROPER BALANGA CITY BATAAN 474.50 0.00 0.00 474.50

September 19, 2018 2018-09-3600 AJ SHANN ENTERIA WAKAS NORTH PILAR BATAAN 474.50 0.00 0.00 474.50

September 19, 2018 2018-09-3601 MARIQUITA SOBEJANA BATANGAS II MARIVELES BATAAN 474.50 0.00 0.00 474.50

September 19, 2018 2018-09-844-B LORENA VIRAY SAGUING DINALUPIHAN BATAAN 0.00 1,620.00 0.00 1,620.00

September 19, 2018 2018-09-3602 ADOREMA RAVAGO WAWA ABUCAY BATAAN 334.05 0.00 0.00 334.05

September 19, 2018 2018-09-3603 SHARON "UNKNOWN" POBLACION MARIVELES BATAAN 0.00 2,200.00 0.00 2,200.00

September 19, 2018 2018-09-3604 PAMELA SANTOS PTO. RIVAS IBABA BALANGA CITY 0.00 2,290.00 0.00 2,290.00 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory TOTAL NAME ADDRESS Drugs and , Dental & Hospital PREPARED NUMBER ASSISTANCE Med diagnostic Fees procedures

September 19, 2018 2018-09-3605 EDDIE TAMAYO SABATAN ORION BATAAN 0.00 0.00 1,412.10 1,412.10

September 19, 2018 2018-09-3406-B ANITA TAPANG SAN JUAN SAMAL BATAAN 329.00 0.00 0.00 329.00

September 19, 2018 2018-09-2840-L CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 1,526.16 0.00 1,526.16

September 19, 2018 2018-09-1165-AA ADONES LINTAG DAAN BILOLO ORION BATAAN 0.00 1,480.40 0.00 1,480.40

September 19, 2018 2018-09-2630-E HENRY ALIPIO CAMACHO BALANGA CITY BATAAN 694.85 0.00 0.00 694.85

September 19, 2018 2018-09-2707-B ROSALINDA GATDULA SAN ANTONIO BAGAC BATAAN 694.85 0.00 0.00 694.85

September 19, 2018 2018-09-3606 ANGELA PABALATE STA. ROSA PILAR BATAAN 949.00 0.00 0.00 949.00

September 19, 2018 2018-09-3077-A APOLONIO TAMORO JR. PAG ASA BAGAC BATAAN 10,958.93 3,770.00 527.25 15,256.18

September 19, 2018 2018-09-030-H DIONILO GUTIERREZ ST. FRANCIS II LIMAY BATAAN 0.00 1,526.16 0.00 1,526.16

September 19, 2018 2018-09-3607 JOSE DELA CRUZ CAPITANGAN ABUCAY BATAAN 0.00 1,200.00 0.00 1,200.00

September 19, 2018 2018-09-3608 NANET AMBELONG DAAN PARE ORION BATAAN 0.00 1,630.00 124.23 1,754.23

September 19, 2018 2018-09-3609 ROCHELLE PALOMO DUALE LIMAY BATAAN 0.00 800.00 157.45 957.45

September 19, 2018 2018-09-3610 CHRISTIAN LORD VILLAFLOR LAMAO LIMAY BATAAN 0.00 950.00 0.00 950.00

September 20, 2018 2018-09-223-G REN MARK SAPIT ALAS-ASIN MARIVELES BATAAN 0.00 650.00 0.00 650.00

September 20, 2018 2018-09-3611 ROSABELLA PAULO DAAN PARI ORION BATAAN 0.00 1,500.00 0.00 1,500.00

September 20, 2018 2018-09-3612 SHIELA LOPEZ CAPITANGAN ABUCAY BATAAN 0.00 1,060.00 0.00 1,060.00

September 20, 2018 2018-09-1909-H JULIET PIZARRO PTO. RIVAS IBABA BALANGA CITY 2,696.32 0.00 0.00 2,696.32

September 20, 2018 2018-09-3613 MARIELLA ANGELES CABCABEN MARIVELES BATAAN 0.00 1,010.00 0.00 1,010.00

September 20, 2018 2018-09-3614 ARTURO ANDAYA KABALUTAN ORANI BATAAN 0.00 1,160.00 0.00 1,160.00

September 20, 2018 2018-09-2812-E FLORA RAFAEL CALAYLAYAN ABUCAY BATAAN 463.23 0.00 0.00 463.23

September 20, 2018 2018-09-3564-A GENARO BALUYOT SR. DAAN BILOLO ORION BATAAN 1,425.63 0.00 0.00 1,425.63

September 20, 2018 2018-09-3573-A MARIA GEANELA BALUYOT DAAN BILOLO ORION BATAAN 1,425.63 0.00 0.00 1,425.63

September 20, 2018 2018-09-3571-A IAN ABIGAEL FLORES WEST DAAN BAGO SAMAL BATAAN 474.50 0.00 0.00 474.50

September 20, 2018 2018-09-3615 ELENETH ROMANO CAMACHO BALANGA CITY BATAAN 949.00 0.00 0.00 949.00

September 20, 2018 2018-09-3616 PHILIP PACIS TALIMUNDOC ORANI BATAAN 474.50 0.00 0.00 474.50

September 20, 2018 2018-09-3617 SUSANA EVANGELISTA LUSUNGAN ORION BATAAN 0.00 370.00 0.00 370.00

September 20, 2018 2018-09-3618 MARIA TRIA PACIS TALIMUNDOC ORANI BATAAN 474.50 0.00 0.00 474.50

September 20, 2018 2018-09-2712-B NORMA FIGUEROA STA. ROSA PILAR BATAAN 44,057.13 0.00 22,217.18 66,274.31

September 20, 2018 2018-09-3234-B MA. CHRISTINE CRUZ MABATANG ABUCAY BATAAN 231.62 795.52 0.00 1,027.14

September 20, 2018 2018-09-3394-A ANGELINA CARLOS CAPITANGAN ABUCAY BATAAN 0.00 1,790.00 0.00 1,790.00

September 20, 2018 2018-09-3391-A VIOLETA LINGAD CAPITANGAN ABUCAY BATAAN 0.00 1,990.00 0.00 1,990.00

September 20, 2018 2018-09-1549-H VIOLETA SOMO LAMAO LIMAY BATAAN 0.00 1,517.01 0.00 1,517.01

September 20, 2018 2018-09-436-R ALLAN MIRASOL MT. VIEW MARIVELES BATAAN 0.00 2,302.00 0.00 2,302.00

September 20, 2018 2018-09-3619 CRISTINA SORRAL MABATANG ABUCAY BATAAN 474.50 0.00 0.00 474.50

September 20, 2018 2018-09-391-H ROLY CORDERO STA. ISABEL DINALUPIHAN BATAAN 0.00 1,517.01 0.00 1,517.01

September 20, 2018 2018-09-3461-B SHERZEY DELA CRUZ LANDING LIMAY BATAAN 474.50 0.00 0.00 474.50

September 20, 2018 2018-09-1165-AB ADONES LINTAG DAAN BILOLO ORION BATAAN 0.00 3,527.81 0.00 3,527.81

September 20, 2018 2018-09-671-A AIDA SIOCO CUPANG PROPER BALANGA CTIY 0.00 591.36 0.00 591.36

September 20, 2018 2018-09-3620 ANGEL ARARAO PROPER GUGO SAMAL BATAAN 0.00 900.00 0.00 900.00 August 23, 2018 2018-09-1159-B JODHYLYNE RIVARES LAMAO LIMAY BATAAN 1,773.00 0.00 0.00 1,773.00 August 24, 2018 2018-09-2474-A ERNESTO SETOSTA SISIMAN MARIVELES BATAAN 0.00 7,713.77 0.00 7,713.77 August 25, 2018 2018-09-3621 JULIET LADIERO TENEJERO BALANGA CITY 0.00 3,500.00 1,220.54 4,720.54 August 26, 2018 2018-09-3622 RENATO ROMANBAN TENEJERO BALANGA CITY 9,686.18 329.55 0.00 10,015.73 August 26, 2018 2018-09-3623 MARCELINA PEREZ GEN. LIM ORION BATAAN 155.70 2,653.91 0.00 2,809.61 August 26, 2018 2018-09-3624 ANNIE MAY DE GUZMAN IPAG MARIVELES BATAAN 0.00 1,488.65 0.00 1,488.65 August 27, 2018 2018-09-3625 MARY JANE AMIOTE SAAY LIMAY BATAAN 3,856.23 5,970.00 4,071.79 13,898.02 August 27, 2018 2018-09-3626 JIMMY TAYO NAGBALAYONG MORONG BATAAN 2,719.91 320.00 401.82 3,441.73 August 27, 2018 2018-09-3627 NELLEZA HEMBRA ALAS-ASIN MARIVELES BATAAN 3,925.90 0.00 484.48 4,410.38 August 27, 2018 2018-09-1722-B ALICIA MAGLANQUE 287 SAN RAFAEL ST. CAMACHILE ORION BATAAN 3,062.45 0.00 46.43 3,108.88 August 27, 2018 2018-09-3628 MARIA LUISA DEL MUNDO 001 ZAMORA ST. ALANGAN LIMAY BATAAN 4,205.25 0.00 0.00 4,205.25 August 28, 2018 2018-09-3629 EMILIO SANCHEZ SAN JOSE BALANGA CITY 5,835.68 1,541.42 0.00 7,377.10 August 28, 2018 2018-09-3630 NORHAN MACACUA CATANING BALANGA CITY 103,093.80 19,390.00 51,335.19 173,818.99 August 28, 2018 2018-09-3631 RAFAELA SIMON STA. ROSA PILAR BATAAN 39,807.72 9,700.00 1,191.89 50,699.61 August 28, 2018 2018-09-3632 IRENEO CRUZ MULAWIN ORANI BATAAN 22,362.27 400.00 906.56 23,668.83 August 29, 2018 2018-09-3633 KYLE RIVERA CATANING BALANGA CITY 1,212.39 670.00 3,354.37 5,236.76 August 29, 2018 2018-09-3634 NIKKA LYKA DAVID TUGATOG ORANI BATAAN 0.00 700.00 1,758.81 2,458.81 August 29, 2018 2018-09-3635 ALONZO ROBY CABRERA TUGATOG ORANI BATAAN 0.00 500.00 4,471.73 4,971.73 August 29, 2018 2018-09-3636 MILA RONCAL 71 SABATAN ORION BATAAN 2,684.79 550.00 543.60 3,778.39 August 29, 2018 2018-09-3637 MA. CECILIA DELA CRUZ DAAN BILOLO ORION BATAAN 8,392.00 0.00 295.07 8,687.07 August 29, 2018 2018-09-3638 ANJELOU REBUTA BINARITAN MORONG BATAAN 8,344.48 2,820.00 1,472.83 12,637.31 August 31, 2018 2018-09-3639 LANIE ECHALAS MABIGA HERMOSA BATAAN 0.00 700.00 1,362.85 2,062.85 August 31, 2018 2018-09-3640 SUSANA LACAP DUALE LIMAY BATAAN 4,552.74 500.00 2,187.71 7,240.45 August 31, 2018 2018-09-3641 JHOREN LABANANCIA CAMAYA MARIVELES BATAAN 7,281.25 500.00 11,984.42 19,765.67 August 31, 2018 2018-09-3642 JUSTINE DECENA SAN JUAN SAMAL BATAAN 0.00 3,270.00 38,590.32 41,860.32 August 31, 2018 2018-09-3643 JOLITO ARROYO GABON ABUCAY BATAAN 3,308.14 620.00 8,500.65 12,428.79 August 31, 2018 2018-09-1513-A ANTONIO DE LEON JR. CAMACHO BALANGA CITY BATAAN 4,653.86 170.00 4,752.29 9,576.15 August 31, 2018 2018-09-3644 MA. LUISA MURILLO CAMAYA MARIVELES BATAAN 66.94 3,261.97 0.00 3,328.91 August 31, 2018 2018-09-3645 PATRICK ALBELDA SANTA LUCIA SAMAL BATAAN 0.00 7,707.11 0.00 7,707.11 August 31, 2018 2018-09-3646 ROGELIO IBAY ALMACEN HERMOSA BATAAN 30,778.49 0.00 0.00 30,778.49 August 31, 2018 2018-09-3647 ANNALIZA LUBANG 622 BACONG LIMAY BATAAN 0.00 150.00 1,883.26 2,033.26 August 31, 2018 2018-09-3648 ERL RHYZEL HEIZER PEREZ IBABA SAMAL BATAAN 9,659.21 6,855.00 4,417.90 20,932.11 August 31, 2018 2018-09-3649 NOEL BUENO BIAAN MARIVELES BATAAN 0.00 3,770.00 2,020.65 5,790.65 August 31, 2018 2018-09-3650 ROBIN PAPICA DUALE LIMAY BATAAN 4,872.17 2,150.00 3,214.93 10,237.10 August 31, 2018 2018-09-3651 RICHELLE BARRA 26 CAMACHO BALANGA BATAAN 9,483.68 8,270.00 2,023.02 19,776.70 August 31, 2018 2018-09-3652 PERLA FORBES PUROK 3 LUACAN DINALUPIHAN BATAAN 18,814.30 0.00 0.00 18,814.30 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory TOTAL NAME ADDRESS Drugs and , Dental & Hospital PREPARED NUMBER ASSISTANCE Med diagnostic Fees procedures

August 31, 2018 2018-09-2759-A REYNALDO DELA CRUZ RIVERSIDE LAMAO LIMAY BATAAN 1,389.76 4,506.40 0.00 5,896.16 August 31, 2018 2018-09-3653 JUANITA GALO SALIAN ABUCAY BATAAN 26,062.42 4,633.87 0.00 30,696.29

September 01, 2018 2018-09-3654 RENEN ALAVADO BAGUMBAYAN ORION BATAAN 0.00 3,800.00 4,310.42 8,110.42

September 01, 2018 2018-09-3001-A KAYE LEE PULO HERMOSA BATAAN 961.96 3,320.00 1,096.08 5,378.04

September 01, 2018 2018-09-3655 LEA BAWAR IBIS BAGAC BATAAN 2,322.50 3,750.00 538.67 6,611.17

September 01, 2018 2018-09-3656 SHIELA MARIE TORRES 32 SINGIAN SAN RAMON DINALUPIHAN BATAAN 3,228.08 0.00 9,058.93 12,287.01

September 01, 2018 2018-09-3657 RENATO PUBLICO MALIGAYA MARIVELES BATAAN 23,300.41 0.00 0.00 23,300.41 August 31, 2018 2018-09-3658 TRINIDAD DE GUZMAN CALAYLAYAN ABUCAY BATAAN 404.14 794.60 0.00 1,198.74 August 29, 2018 2018-09-3659 MERLYN DELMONTE BALON ANITO MARIVELES BATAAN 0.00 150.00 3,029.89 3,179.89 August 29, 2018 2018-09-3660 YHANIE ALISBO CALAYLAYAN ABUCAY BATAAN 0.00 0.00 2,275.93 2,275.93 August 29, 2018 2018-09-3661 RAYMOND CACHOLA MALAYA MARIVELES BATAAN 0.00 5,800.00 2,710.90 8,510.90 August 29, 2018 2018-09-3662 RONALYN PILLAGARA SABANG MORONG BATAAN 291.54 750.00 5,848.99 6,890.53 August 29, 2018 2018-09-3663 JOHN CARLO DE JOSE UPPER BPI LAMAO LIMAY BATAAN 14,600.74 400.00 9,733.61 24,734.35 August 29, 2018 2018-09-3664 JENNIFER BERNALDO CALERO ORANI BATAAN 128.66 700.00 2,381.89 3,210.55 August 31, 2018 2018-09-3665 BABY JANE JUEGO SAN JOSE BALANGA CITY 0.00 1,050.00 725.53 1,775.53

September 01, 2018 2018-09-3666 ALBERTO PEÑA MABAYO MORONG BATAAN 28,392.88 0.00 0.00 28,392.88 August 22, 2018 2018-09-3667 MARIA GERTRUDES LAROSA CAMAYA MARIVELES BATAAN 5,487.81 850.00 7,521.27 13,859.08 August 24, 2018 2018-09-3668 MILAGROS ELQUIERO ALION MARIVELES BATAAN 790.40 0.00 0.00 790.40 August 24, 2018 2018-09-3669 RUSSEL JOY CRUZ PALIHAN ORANI BATAAN 853.33 5,950.00 722.17 7,525.50 August 28, 2018 2018-09-3670 EDMUNDO TAGLE SAGUING DINALUPIHAN BATAAN 5,431.92 0.00 0.00 5,431.92 August 28, 2018 2018-09-3671 MARTA CORTEZ KITANG I LIMAY BATAAN 21,749.94 2,770.00 1,543.16 26,063.10 August 28, 2018 2018-09-3672 ROSEMARIE TAGUINOD ST. FRANCIS II LIMAY BATAAN 419.13 400.00 1,806.75 2,625.88 August 28, 2018 2018-09-3673 REMAR ZAMORA LALAWIGAN SAMAL BATAAN 22,525.32 3,620.00 69,443.06 95,588.38 August 28, 2018 2018-09-3674 LESTER DELGADO NAGBALAYONG MORONG BATAAN 3,444.17 3,130.00 1,681.29 8,255.46 August 28, 2018 2018-09-3675 EFREN MIRAÑA ALA-ULI PILAR BATAAN 5,715.78 0.00 0.00 5,715.78 August 28, 2018 2018-09-3676 JOMARI LINSANGAN TALISAY BALANGA CITY 55.72 3,855.00 2,497.17 6,407.89 August 28, 2018 2018-09-3677 MERCEDES REYES SITIO BANGAD GEN. LIM ORION BATAAN 4,278.42 0.00 0.00 4,278.42 August 28, 2018 2018-09-3678 MARIEL SIBAL CAPUNITAN ORION BATAAN 0.00 1,417.97 0.00 1,417.97 August 28, 2018 2018-09-3679 JOSEFINA DE GUZMAN DOÑA NENE ALAS ASIN MARIVELES 2,342.75 0.00 0.00 2,342.75 August 28, 2018 2018-09-3680 CLARENCE JAYRIEL BAÑARES CAPITANGAN ABUCAY BATAAN 0.00 1,337.35 0.00 1,337.35 August 28, 2018 2018-09-3681 JESUS MALLARI LUACAN DINALUPIHAN BATAAN 35,524.01 920.00 2,373.49 38,817.50 August 29, 2018 2018-09-3682 JENNY LYN PANLILIO KABALUTAN ORANI BATAAN 222.43 400.00 1,871.10 2,493.53 August 29, 2018 2018-09-3683 FREDERICK FALOGME SISIMAN MARIVELES BATAAN 0.00 470.00 35,476.42 35,946.42 August 29, 2018 2018-09-3684 JOSE RAMILON CARLOS BILOLO ORION BATAAN 686.86 1,570.00 1,850.65 4,107.51 August 29, 2018 2018-09-3685 MICHAELA DAVID CENTRO II ORANI BATAAN 0.00 150.00 3,158.45 3,308.45 August 29, 2018 2018-09-3686 ROEZL MAE OLIVERIA MABATANG ABUCAY BATAAN 1,831.13 7,250.00 2,201.59 11,282.72 August 29, 2018 2018-09-3687 REYNAN TIMBLIQUE DAAN PARE ORION BATAAN 0.00 750.00 1,988.33 2,738.33 August 29, 2018 2018-09-3688 ENCAR TIMBLIQUE DAAN PARE ORION BATAAN 1,315.39 5,850.00 2,510.33 9,675.72 August 29, 2018 2018-09-3689 EDELWINA PICHAY PULO HERMOSA BATAAN 764.70 3,145.50 0.00 3,910.20 August 29, 2018 2018-09-3690 SEGUNDO CORDOVA MANDAMA HERMOSA BATAAN 91,610.35 14,630.00 102,992.02 209,232.37 August 30, 2018 2018-09-3691 ALEJANDRA REVIDAD DOÑA ORANI BATAAN 18,285.36 0.00 0.00 18,285.36 August 31, 2018 2018-09-3692 VICENTE SOLIS JR. TALA ORANI BATAAN 3,611.66 5,100.00 2,125.63 10,837.29 August 31, 2018 2018-09-3693 DOMINGO PENDARLIPE WAKAS SOUTH PILAR BATAAN 4,235.20 700.00 3,525.68 8,460.88 August 31, 2018 2018-09-423-A MA. LUZ RAMIREZ CUPANG WEST BALANGA CITY BATAAN 38,801.96 0.00 0.00 38,801.96

September 01, 2018 2018-09-3694 EDITHA YUMOL TOWNSITE LIMAY BATAAN 12,535.52 0.00 0.00 12,535.52

September 02, 2018 2018-09-3695 JANINE VANIESSA MAYO ZONE V CAMAYA MARIVELES BATAAN 0.00 150.00 7,294.94 7,444.94

September 02, 2018 2018-09-3696 MAY CARILLO LOTE PTO. RIVAS BALANGA CITY 578.44 7,520.00 5,806.67 13,905.11

September 03, 2018 2018-09-3697 FILOMENO ONGOCO GABON ABUCAY BATAAN 13,792.09 0.00 0.00 13,792.09 August 27, 2018 2018-09-3698 PABLITO MANUEL LANDING PILAR BATAAN 22,274.02 18,585.00 10,086.58 50,945.60 August 28, 2018 2018-09-3699 BALTAZAR GALVEZ MT. VIEW MARIVELES BATAAN 22,604.86 0.00 0.00 22,604.86 August 30, 2018 2018-09-3700 RYLE ALEXANDER BUENAVENTURA POBLACION BALANGA BATAAN 0.00 500.00 1,414.33 1,914.33 August 30, 2018 2018-09-3701 CRIX JIBOY BONIFACIO LOTE PTO. RIVAS BALANGA CITY 2,277.16 0.00 352.75 2,629.91 August 30, 2018 2018-09-3702 RICEL IVY PARDILLO PINULOT DINALUPIHAN BATAAN 1,534.87 7,200.00 2,115.53 10,850.40 August 30, 2018 2018-09-3703 FLORENTINA CANDAZA BILOLO ORION BATAAN 20.62 1,793.29 0.00 1,813.91 August 30, 2018 2018-09-3704 IRENEO CASAMBROS BINUKAWAN BAGAC BATAAN 4,998.47 4,480.51 0.00 9,478.98 August 30, 2018 2018-09-3705 WILFREDO YTAC SR. SISIMAN MARIVELES BATAAN 4,662.77 0.00 0.00 4,662.77 August 30, 2018 2018-09-3706 CONRADO SULAYAO ALANGAN LIMAY BATAAN 13,509.86 0.00 0.00 13,509.86 August 30, 2018 2018-09-3707 JUANA UNDAJARE PAG-ASA DINALUPIHAN BATAAN 2,401.18 1,183.61 0.00 3,584.79 August 30, 2018 2018-09-3708 MARILOU QUINTANA CAPITANGAN ABUCAY BATAAN 323.97 320.00 703.42 1,347.39 August 30, 2018 2018-09-3709 NELSON MIRAM LALAWIGAN SAMAL BATAAN 12,163.03 2,520.00 531.25 15,214.28 August 30, 2018 2018-09-3710 ELENITA MIGUEL BAYAN ORANI BATAAN 1,276.11 0.00 0.00 1,276.11 August 30, 2018 2018-09-3711 JOHN CRIS BERMAS BILOLO ORION BATAAN 2,085.74 320.00 356.07 2,761.81 August 30, 2018 2018-09-3712 JENELYN JAMANDRE CALAGUIMAN SAMAL BATAAN 1,014.34 320.00 881.99 2,216.33 August 30, 2018 2018-09-3713 GEMMA DOMINGUEZ GABON ABUCAY BATAAN 8,593.44 990.00 6,724.10 16,307.54 August 30, 2018 2018-09-1305-A ZENAIDA MAGLAQUI DAAN BILOLO ORION BATAAN 2,871.91 0.00 0.00 2,871.91 August 30, 2018 2018-09-3714 AMELITA HIMY LAMAO LIMAY BATAAN 1,632.32 900.00 465.77 2,998.09 August 30, 2018 2018-09-3715 ROAN BAUTISTA PULO HERMOSA BATAAN 0.00 400.00 1,217.39 1,617.39 August 30, 2018 2018-09-3716 ZENAIDA SUMALALAO BANAWANG BAGAC BATAAN 26.08 4,620.00 5,311.62 9,957.70 August 30, 2018 2018-09-2921-A LOURENZ PIZARRO CAPITANGAN ABUCAY BATAAN 6,230.71 0.00 275.00 6,505.71 August 30, 2018 2018-09-3717 MARIO DELA CRUZ MABATANG ABUCAY BATAAN 4,937.16 2,570.00 5,553.78 13,060.94 August 30, 2018 2018-09-078-A MERLA SONDIA 400 CAMIA ALANGAN LIMAY BATAAN 1,958.55 2,844.39 0.00 4,802.94 August 30, 2018 2018-09-3718 NORBERTO REYES NAPARING DINALUPIHAN BATAAN 3,351.26 16,514.45 752.01 20,617.72 August 30, 2018 2018-09-3719 BLADY MEIR LUSTIVA LAYA MARIVELES BATAAN 0.00 2,250.00 1,309.23 3,559.23 August 30, 2018 2018-09-3720 REMY VALENZUELA FLORIDABLANCA PAMPANGA 481.36 400.00 432.88 1,314.24 August 30, 2018 2018-09-3721 JENALYN DIONISIO MABUANBUAN SASMUAN PAMPANGA 0.00 250.00 3,528.47 3,778.47 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory TOTAL NAME ADDRESS Drugs and , Dental & Hospital PREPARED NUMBER ASSISTANCE Med diagnostic Fees procedures

August 30, 2018 2018-09-3722 ARTEMIO DELA ROSA TAPULAO ORANI BATAAN 6,471.05 1,099.60 0.00 7,570.65

September 01, 2018 2018-09-3723 LEILANIE RAMOS PTO. RIVAS IBABA BALANGA CITY 0.00 2,564.01 292.56 2,856.57

September 01, 2018 2018-09-3724 CATALINO ISIDRO TUYO BALANGA CITY 30,843.43 23,700.00 2,312.00 56,855.43

September 01, 2018 2018-09-3725 JOSEFA AMBROSIO SAN LORENZO RUIZ CABCABEN MARIVELES BATAAN 610.69 1,150.00 2,244.87 4,005.56

September 01, 2018 2018-09-2760-A ANGELITA SAGUN STO. DOMINGO ORION BATAAN 0.00 300.00 2,744.64 3,044.64

September 02, 2018 2018-09-3726 GEMMALYN DIZON STO. NIÑO DINALUPIHAN BATAAN 0.00 400.00 1,364.99 1,764.99

September 02, 2018 2018-09-3727 CATHERINE REYES LIYANG PILAR BATAAN 0.00 750.00 4,622.96 5,372.96

September 03, 2018 2018-09-3728 EMPRESS YESHA PANGILINAN ST. FRANCIS I LIMAY BATAAN 7,687.56 0.00 866.66 8,554.22

September 03, 2018 2018-09-3729 ELUMINADA LINGAD MALIGAYA DINALUPIHAN BATAAN 28,537.11 3,100.00 465.84 32,102.95

September 03, 2018 2018-09-3730 MERIE ANN SECORTA BALON ANITO MARIVELES BATAAN 0.00 150.00 1,071.47 1,221.47

September 05, 2018 2018-09-2539-A DOMINGO DEL ROSARIO IBABAW BINARITAN MORONG BATAAN 1,040.78 7,351.88 0.00 8,392.66

September 05, 2018 2018-09-3731 CECILIA ELECHOSA MIRAY CATANING BALANGA BATAAN 971.59 5,467.64 0.00 6,439.23

September 05, 2018 2018-09-3732 DANILO MAURICIO JOSE C. PAYUMO JR. DINALUPIHAN BATAAN 12,554.95 0.00 0.00 12,554.95

September 05, 2018 2018-09-3733 ERNIE ALVARO CULIS HERMOSA BATAAN 15,159.97 0.00 0.00 15,159.97

September 05, 2018 2018-09-2908-A GIL LAZARETO JR. DEL ROSARIO PILAR BATAAN 2,714.81 1,060.00 730.31 4,505.12

September 06, 2018 2018-09-3734 FLORDELIZA MANALASTAS STO. DOMINGO ORION BATAAN 9,947.74 0.00 0.00 9,947.74

September 06, 2018 2018-09-3735 ALICIA DELA CRUZ OMBOY ABUCAY BATAAN 0.00 3,770.00 618.21 4,388.21

September 06, 2018 2018-09-3736 CRISGI DELA CRUZ TORTUGAS BALANGA CITY 2,029.04 150.00 732.18 2,911.22

September 06, 2018 2018-09-3737 JOVY LYN LAXAMANA PALIHAN HERMOSA BATAAN 0.00 2,682.48 0.00 2,682.48

September 06, 2018 2018-09-3738 ROLANDO SANTOS BAYAN ORANI BATAAN 13,044.88 5,285.66 0.00 18,330.54

September 06, 2018 2018-09-3739 ANGELO VALDEZ MABATANG ABUCAY BATAAN 3,460.43 18,620.00 1,873.94 23,954.37

September 06, 2018 2018-09-844-C LORENA VIRAY SAGUING DINALUPIHAN BATAAN 15,369.93 0.00 260.44 15,630.37

September 06, 2018 2018-09-3740 MARITES FORBES P. SACDALAN MABATANG ABUCAY BATAAN 0.00 2,005.51 0.00 2,005.51

September 06, 2018 2018-09-2033-F NADELYN ZAPANTA TOWNSITE LIMAY BATAAN 14,816.13 0.00 260.44 15,076.57

September 06, 2018 2018-09-3741 ANTONIO VALENCIA JR. TUYO BALANGA CITY 0.00 1,550.00 1,930.01 3,480.01

September 06, 2018 2018-09-3742 ROBERTO BARRETTO MT. VIEW MARIVELES BATAAN 3,222.55 0.00 0.00 3,222.55

September 06, 2018 2018-09-3743 PAULO NIÑO QUEZON STA. ROSA PILAR BATAAN 1,617.41 0.00 232.31 1,849.72

September 06, 2018 2018-09-3744 MARK LOUIE DIGNOS GABON ABUCAY BATAAN 0.00 800.00 522.59 1,322.59

September 06, 2018 2018-09-3745 JERIC VILLEGAS GEN. LIM ORION BATAAN 2,208.69 0.00 413.69 2,622.38

September 06, 2018 2018-09-3746 MANUEL GUIMAYEN ZONE VI CAMAYA MARIVELES BATAAN 1,475.00 0.00 0.00 1,475.00

September 06, 2018 2018-09-3747 CRISANTA SAN DIEGO WAWA PILAR BATAAN 3,752.66 0.00 0.00 3,752.66

September 06, 2018 2018-09-3748 ROSEMARIE PALABAY MALIGAYA DINALUPIHAN BATAAN 5,827.32 1,500.00 911.33 8,238.65

September 06, 2018 2018-09-2109-A ARNOLD DE SILVA SAPA SAMAL BATAAN 104,127.82 16,130.00 42,916.83 163,174.65

September 06, 2018 2018-09-3749 ROSABELLE ALINSUNURIN ROOSEVELT DINALUPIHAN BATAAN 0.00 4,000.00 4,314.60 8,314.60

September 06, 2018 2018-09-3750 EFREN QUIAMBAO JR. TAGUMPAY ORANI BATAAN 0.00 320.00 1,931.84 2,251.84

September 06, 2018 2018-09-3751 MARK ANTHONY RUIZ STO. DOMINGO ORION BATAAN 0.00 470.00 2,451.74 2,921.74

September 06, 2018 2018-09-3752 MARIEJOE SANCHEZ GABON ABUCAY BATAAN 0.00 0.00 3,355.70 3,355.70

September 07, 2018 2018-09-3753 MELANIE LACQUIAN LUACAN DINALUPIHAN BATAAN 43,819.30 9,550.00 17,423.59 70,792.89

September 07, 2018 2018-09-2731-B BRENDA MARQUEZ BAGUMBAYAN BAGAC BATAAN 498.92 2,750.00 2,732.32 5,981.24

September 07, 2018 2018-09-3754 ROSE ANN PASCUAL BALON ANITO MARIVELES BATAAN 1,307.72 1,150.00 1,732.09 4,189.81

September 07, 2018 2018-09-3510-A GEMMA LEOBRERA PTO. RIVAS IBABA BALANGA CITY 0.00 2,620.00 4,712.45 7,332.45

September 07, 2018 2018-09-3622-A RENATO ROMANBAN TENEJERO BALANGA CITY 14,004.17 720.00 5,580.23 20,304.40

September 07, 2018 2018-09-2962-A MARK ANTHONY JAVA LAMAO LIMAY BATAAN 4,140.37 2,170.00 1,093.40 7,403.77

September 07, 2018 2018-09-3755 JESSEL REYES ALAS-ASIN MARIVELES BATAAN 0.00 300.00 715.58 1,015.58

September 07, 2018 2018-09-3756 CORAZON CASTRO MALABIA BALANGA CITY 10,009.53 8,370.00 3,436.50 21,816.03

September 07, 2018 2018-09-3757 ELENA ARESGADO ST. FRANCIS II LIMAY BATAAN 0.00 8,070.00 2,485.28 10,555.28

September 07, 2018 2018-09-3758 ANGELINA BEQUISO LOTE PTO. RIVAS BALANGA CITY 5,104.17 3,320.00 2,931.14 11,355.31

September 07, 2018 2018-09-3759 DANIEL MAGPOC LALAWIGAN SAMAL BATAAN 55,054.16 12,840.00 2,201.06 70,095.22

September 07, 2018 2018-09-3760 PEÑAFRANCIA ANGELES DEL PILAR DINALUPIHAN BATAAN 2,729.36 2,690.00 1,104.87 6,524.23

September 07, 2018 2018-09-3761 JOYLEN RONCALIS BINARITAN MORONG BATAAN 0.00 300.00 4,224.04 4,524.04

September 07, 2018 2018-09-3762 ANGELITO AQUINO PINULOT DINALUPIHAN BATAAN 303.95 500.00 6,776.39 7,580.34

September 07, 2018 2018-09-3763 ESTELITA LAYLO ALION MARIVELES BATAAN 26,193.82 1,400.00 18,607.35 46,201.17

September 07, 2018 2018-09-3764 CHARITY ANN DAUG TUCOP DINALUPIHAN BATAAN 0.00 150.00 1,740.39 1,890.39

September 07, 2018 2018-09-3765 FRANCISCO MANUEL PUTTING BUHANGIN ORION BATAAN 21,246.84 5,670.00 23,245.25 50,162.09

September 08, 2018 2018-09-3766 ALVIN ARIAS OMBOY ABUCAY BATAAN 0.00 170.00 6,810.43 6,980.43

September 08, 2018 2018-09-3767 LUISA ORBITA SAN JOSE BALANGA CITY 23,034.92 0.00 0.00 23,034.92

September 08, 2018 2018-09-3768 MASALINA TUAZON NAGWALING PILAR BATAAN 0.00 450.00 716.33 1,166.33

September 08, 2018 2018-09-3769 LUDELEN RAFOL BAYAN MORONG BATAAN 0.00 3,750.00 425.83 4,175.83 January 04, 2018 2018-09-3770 JOHN CARLO GALLARDO WAWA PILAR BATAAN 1,498.51 0.00 326.73 1,825.24 January 04, 2018 2018-09-3771 FERDILYN IMBAT CAPUNITAN ORION BATAAN 0.00 150.00 1,203.61 1,353.61 January 04, 2018 2018-09-3772 ROSALINA HERNANDEZ BINUANGAN BAGAC BATAAN 11,584.79 0.00 0.00 11,584.79 January 05, 2018 2018-09-1256-C MARIVIC AUSTRIA DOÑA FRANCISCA BALANGA CITY 17,019.29 1,800.00 225.44 19,044.73 January 05, 2018 2018-09-3773 REINIEL RAFAEL BALAQUIAO CALAPANDAYAN SUBIC ZAMBALES 10,734.50 45.02 0.00 10,779.52 January 05, 2018 2018-09-3774 FRANCISCO RIVERO JR. PAG-ASA ORION BATAAN 8,312.54 660.00 3,230.93 12,203.47 January 05, 2018 2018-09-3775 LUZVIMINDA GENOVIA SAN ISIDRO MARIVELES BATAAN 7,396.66 0.00 0.00 7,396.66 January 05, 2018 2018-09-3776 LALAINE COTIAMCO SAN PEDRO HERMOSA BATAAN 456.16 400.00 2,129.72 2,985.88 January 05, 2018 2018-09-3777 JAYSON AREVALO GEN. LIM ORION BATAAN 0.00 2,073.02 0.00 2,073.02 January 05, 2018 2018-09-3778 LOLITA DE JESUS BALON ANITO MARIVELES BATAAN 8,153.45 150.00 510.35 8,813.80 January 05, 2018 2018-09-3779 CRISTAL GONZALES BANGAL DINALUPIHAN BATAAN 0.00 1,936.36 0.00 1,936.36 January 05, 2018 2018-09-3780 ALFREDO CRUZ IMELDA SAMAL BATAAN 6,454.31 0.00 0.00 6,454.31 January 05, 2018 2018-09-3781 YUNAH VALERIE BENITEZ TOWNSITE MARIVELES BATAAN 1,712.50 0.00 330.76 2,043.26 January 05, 2018 2018-09-3782 ARCELY REBADOMIA LUCANIN MARIVELES BATAAN 0.00 150.00 1,255.88 1,405.88 January 05, 2018 2018-09-3783 TYLIER BERSABE IBIS BAGAC BATAAN 0.00 500.00 1,515.56 2,015.56 January 05, 2018 2018-09-3784 BRAHMIN KYLE MUNGCAL CUPANG BALANGA BATAAN 6,126.30 2,400.00 1,213.68 9,739.98

September 28, 2018 2018-09-3785 JAYSON RETUTAL MARIA FE ORANI BATAAN 0.00 0.00 50,000.00 50,000.00 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory TOTAL NAME ADDRESS Drugs and , Dental & Hospital PREPARED NUMBER ASSISTANCE Med diagnostic Fees procedures

September 28, 2018 2018-09-494-C CARLITA RODRIGO CAPITANGAN ABUCAY BATAAN 0.00 1,170.00 0.00 1,170.00

September 28, 2018 2018-09-3528-A ROLANDO ESPIRITU PANTALAN LUMA ORANI BATAAN 463.23 0.00 0.00 463.23

September 28, 2018 2018-09-2744-H RODOLFO TUAZON JR. 12 LOTE PTO. RIVAS BALANGA CITY 0.00 900.00 0.00 900.00

September 28, 2018 2018-09-030-I DIONILO GUTIERREZ ST. FRANCIS II LIMAY BATAAN 0.00 1,126.40 0.00 1,126.40

September 28, 2018 2018-09-3586-A REYNALDO ARELLANO DEL PILAR DINALUPIHAN BATAAN 0.00 1,500.00 0.00 1,500.00

September 28, 2018 2018-09-3786 IMELDA APOSTOL STO. NIÑO DINALUPIHAN BATAAN 0.00 718.08 0.00 718.08

September 28, 2018 2018-09-3787 DAISY ANGELES CUPANG NORTH BALANGA CITY 0.00 900.00 0.00 900.00

September 28, 2018 2018-09-3788 DONNA CAPILI CUPANG NORTH BALANGA CITY 0.00 900.00 0.00 900.00

September 28, 2018 2018-09-3789 MELANIE REYES BANTAN ORION BATAAN 0.00 840.00 0.00 840.00

September 28, 2018 2018-09-882-K ROGELIO MENDOZA A. RIVERA HERMOSA BATAAN 463.23 1,480.40 0.00 1,943.63

September 28, 2018 2018-09-3790 AMIDAH MACATUON KAWAYAN ORANI BATAAN 0.00 1,060.00 0.00 1,060.00

September 28, 2018 2018-09-2840-M CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 1,480.40 0.00 1,480.40

September 28, 2018 2018-09-843-E JUANITO GALVEZ CULIS HERMOSA BATAAN 463.23 0.00 0.00 463.23

September 28, 2018 2018-09-3791 JOANN SANTOS SITIO PASIG NAGWALING PILAR BATAAN 0.00 700.00 0.00 700.00

September 28, 2018 2018-09-1035-F ZENAIDA NATE MABIGA HERMOSA BATAAN 0.00 457.60 0.00 457.60

September 28, 2018 2018-09-3792 DEBBIE SALAZAR TABONS T. DEL ROSARIO PILAR BATAAN 0.00 670.00 0.00 670.00

September 28, 2018 2018-09-3793 ROBERTO BAYLON BALSIK HERMOSA BATAAN 4,270.00 17,965.98 0.00 22,235.98

September 28, 2018 2018-09-3794 JENNETH NARDO SAN JUAN SAMAL BATAAN 0.00 800.00 0.00 800.00

September 28, 2018 2018-09-3795 RIZA AGRANUM BAGUMBAYAN BAGAC BATAAN 0.00 0.00 3,000.00 3,000.00

September 28, 2018 2018-09-3796 SHERRY MOLINA PUROK VI IPAG MARIVELES BATAAN 0.00 4,071.38 0.00 4,071.38

September 28, 2018 2018-09-3797 VICTORIA MINA PALAYANG BAYAN NAGBALAYONG MORONG BATAAN 0.00 978.56 0.00 978.56

September 28, 2018 2018-09-3798 ESTRELLA ISIDRO PEXSITE LAMAO LIMAY BATAAN 0.00 1,654.40 79.43 1,733.83

September 28, 2018 2018-09-3799 RODORA MAGLAQUE 327 SITIO UGONG CATANING BALANGA CITY 0.00 900.00 0.00 900.00

September 28, 2018 2018-09-3800 RUSSELLE PANDIÑO CABCABEN MARIVELES BATAAN 0.00 670.00 0.00 670.00

September 28, 2018 2018-09-3801 GRACE AÑASCO PANILAO PILAR BATAAN 0.00 550.00 0.00 550.00

September 28, 2018 2018-09-3319-A MA. EDLYN ROMERO TENEJERO BALANGA CITY 0.00 2,450.00 0.00 2,450.00

September 28, 2018 2018-09-3802 CYRINE DIMARANAN 159 PARANG PARANG ORANI BATAAN 0.00 2,630.00 0.00 2,630.00

September 28, 2018 2018-09-3803 ROSALINA ARITMETICA 0524 MAGSAYSAY LAMAO LIMAY BATAAN 0.00 1,548.80 0.00 1,548.80

September 28, 2018 2018-09-3804 NESTORIO CASTRO 3406 CRUSHER SITE LAMAO LIMAY BATAAN 0.00 2,200.00 0.00 2,200.00

September 28, 2018 2018-09-3805 CARMELITA CASTRO 3406 CRUSHER SITE LAMAO LIMAY BATAAN 0.00 2,200.00 0.00 2,200.00

September 28, 2018 2018-09-3806 WARREN MONROE SAN CARLOS MARIVELES BATAAN 0.00 3,395.14 430.67 3,825.81

September 28, 2018 2018-09-3807 KHEAN KAEZER DE ROMA GEN. LIM ORION BATAAN 0.00 520.00 0.00 520.00

September 28, 2018 2018-09-3808 SEVERINA DELA ROSA PANILAO PILAR BATAAN 5.17 2,076.80 0.00 2,081.97

September 28, 2018 2018-09-3809 VICTOR COMBO IPAG MARIVELES BATAAN 0.00 1,050.00 112.82 1,162.82

September 28, 2018 2018-09-3810 MERLINDA ABAO PUTING BUHANGIN ORION BATAAN 1,173.79 1,774.08 0.00 2,947.87

September 28, 2018 2018-09-3811 JENELYN SALENTES ZONE ST. FRANCIS II LIMAY BATAAN 0.00 700.00 0.00 700.00

September 28, 2018 2018-09-3812 JOCELYN GAINTANO BASECO COUNTRY MARIVELES BATAAN 14,243.24 3,120.14 0.00 17,363.38

September 28, 2018 2018-09-3813 APRIL ROSE NAGUIT BALUT II PILAR BATAAN 0.00 670.00 0.00 670.00

September 28, 2018 2018-09-2524-A ARJINE CARIASO WAWA ORION BATAAN 0.00 700.00 0.00 700.00

September 28, 2018 2018-09-3814 MERIZA DELA CRUZ CATANING BALANGA CITY 0.00 2,550.00 0.00 2,550.00

September 28, 2018 2018-09-3815 FLORENIA OCBIAN BAYAN ORANI BATAAN 0.00 1,693.00 0.00 1,693.00

September 28, 2018 2018-09-3816 JERRY MAY CANCERAN CATANING BALANGA CITY 0.00 1,200.00 0.00 1,200.00

September 28, 2018 2018-09-3817 DANIELLA MAY BUMATAY TUYO BALANGA CITY 622.39 0.00 0.00 622.39

September 29, 2018 2018-09-3818 PILAR ORAYAN SITIO SIBUL DAANG PARE ORION BATAAN 94.55 774.40 0.00 868.95

September 29, 2018 2018-09-3547-A ROMY NICDAO TALIMUNDOC ORANI BATAAN 463.23 0.00 0.00 463.23

September 29, 2018 2018-09-1392-H JENNIFER KANTONHOS BURGOS PILAR BATAAN 231.62 0.00 0.00 231.62

September 29, 2018 2018-09-2694-A IMELDA MIGUEL IPAG MARIVELES BATAAN 10,173.02 0.00 0.00 10,173.02

September 29, 2018 2018-09-2627-E JACKIENER MORIS MABUCO HERMOSA BATAAN 658.00 0.00 0.00 658.00

September 29, 2018 2018-09-2974-A MILA ROSE AMBEGUIA CAMAYA MARIVELES BATAAN 17,311.44 0.00 0.00 17,311.44

September 29, 2018 2018-09-3819 JHAIZA NIKKAEL MAMALATEO 192 BAGONG DAAN CALAYLAYAN ABUCAY BATAAN 196.56 530.00 0.00 726.56

September 29, 2018 2018-09-3820 LUCELLE NOBLE MARSTEEL ALANGAN LIMAY BATAAN 0.00 600.00 0.00 600.00

September 29, 2018 2018-09-1165-AC ADONES LINTAG DAAN BILOLO ORION BATAAN 0.00 1,480.40 0.00 1,480.40

September 29, 2018 2018-09-2750-G REYNALDO PAMINTUAN LUACAN DINALUPIHAN BATAAN 0.00 1,600.00 0.00 1,600.00

September 29, 2018 2018-09-075-P MERCIDITA MORALES LIBANAN MT. VIEW MARIVELES BATAAN 0.00 2,533.73 0.00 2,533.73

September 29, 2018 2018-09-1549-I VIOLETA SOMO LAMAO LIMAY BATAAN 463.23 3,013.50 0.00 3,476.73

September 29, 2018 2018-09-391-I ROLY CORDERO STA. ISABEL DINALUPIHAN BATAAN 0.00 3,013.50 0.00 3,013.50

September 30, 2018 2018-09-3510-B GEMMA LEOBRERA PTO. RIVAS IBABA BALANGA CITY 30.49 1,500.00 0.00 1,530.49

September 30, 2018 2018-09-3821 REIVEN JIM NICOLAS MALAYA MARIVELES BATAAN 2,320.17 800.00 444.44 3,564.61

September 30, 2018 2018-09-3822 ALFIE LOCAÑAS PAG-ASA BAGAC BATAAN 0.00 0.00 3,000.00 3,000.00

September 29, 2018 2018-09-352-A LUCILA DIMAFILES LAKANDULA ST. POBLACION MARIVELES BATAAN 694.85 0.00 0.00 694.85

September 29, 2018 2018-09-3823 HENRY PARRERA ABUCAY BATAAN 286.85 1,000.00 0.00 1,286.85

September 29, 2018 2018-09-3824 JAIME CARDINIO SITIO BANTAYAN SAN ISIDRO MARIVELES BATAAN 0.00 964.48 0.00 964.48

September 29, 2018 2018-09-2036-M ROMEL MENDOZA CATANING BALANGA CITY 0.00 2,986.00 0.00 2,986.00

September 29, 2018 2018-09-3510-C GEMMA LEOBRERA PTO. RIVAS IBABA BALANGA CITY 40.57 1,500.00 0.00 1,540.57

September 29, 2018 2018-09-3825 ALBERTO PANTUA IBABA SAMAL BATAAN 1,653.83 1,280.00 0.00 2,933.83

September 29, 2018 2018-09-3826 FLORA MALIBIRAN PTO. RIVAS IBABA BALANGA CITY 0.00 915.20 0.00 915.20

September 29, 2018 2018-09-2077-I ANTONIO CARABEO KAWAYAN ORANI BATAAN 658.00 0.00 0.00 658.00

September 29, 2018 2018-09-2707-C ROSALINDA GATDULA SAN ANTONIO BAGAC BATAAN 694.85 0.00 0.00 694.85

September 29, 2018 2018-09-2559-F RAMIR URBANO MT. VIEW MARIVELES BATAAN 987.00 0.00 0.00 987.00

September 29, 2018 2018-09-3827 RUBY TOQUIB ST. FRANCIS II LIMAY BATAAN 0.00 1,700.00 0.00 1,700.00

September 29, 2018 2018-09-3828 PONCIANO REYES BILOLO ORION BATAAN 0.00 770.00 0.00 770.00

September 29, 2018 2018-09-030-J DIONILO GUTIERREZ ST. FRANCIS II LIMAY BATAAN 694.85 1,517.01 0.00 2,211.86

September 29, 2018 2018-09-845-I EDUARDO MARTIN CAMACHO BALANGA CITY BATAAN 3,862.85 5,070.00 385.00 9,317.85

September 30, 2018 2018-09-3829 ANGELITO SAMSON WAWA ORION BATAAN 527.70 700.00 0.00 1,227.70

September 30, 2018 2018-09-3830 JESUS DAYLO BATANGAS II MARIVELES BATAAN 0.00 700.00 0.00 700.00 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory TOTAL NAME ADDRESS Drugs and , Dental & Hospital PREPARED NUMBER ASSISTANCE Med diagnostic Fees procedures

September 30, 2018 2018-09-3831 MARA BERNARTE LAMAO LIMAY BATAAN 0.00 1,150.00 0.00 1,150.00

September 30, 2018 2018-09-1909-I JULIET PIZARRO PTO. RIVAS IBABA BALANGA CITY 0.00 1,480.40 0.00 1,480.40

September 30, 2018 2018-09-029-Q CESAR MARTINEZ TUYO BALANGA CITY 0.00 1,517.01 0.00 1,517.01

September 30, 2018 2018-09-3832 GREG QUINTOS SR. GEN. LIM ORION BATAAN 0.00 1,633.28 0.00 1,633.28

September 30, 2018 2018-09-3833 RHEA MHEY ANCHO SAN ANTONIO ZAMBALES 899.07 0.00 0.00 899.07

September 30, 2018 2018-09-2077-J ANTONIO CARABEO KAWAYAN ORANI BATAAN 0.00 1,600.00 0.00 1,600.00

September 30, 2018 2018-09-3834 CECILIA AGUILAR SAN ISIDRO MARIVELES BATAAN 0.00 929.28 0.00 929.28

September 30, 2018 2018-09-3835 GENARO MAGLUYAN ST. FRANCIS II LIMAY BATAAN 1,730.47 0.00 0.00 1,730.47

September 30, 2018 2018-09-3836 CHRISTIAN MARC RUBIAS MT. VIEW MARIVELES BATAAN 0.00 500.00 0.00 500.00

September 30, 2018 2018-09-3837 ROGELIO ROSALES MT. VIEW MARIVELES BATAAN 551.33 0.00 0.00 551.33

September 30, 2018 2018-09-3838 JHON DENVER SIBAL 75 BURGOS ST. DINALUPIHAN BATAAN 2,736.74 350.00 2,550.29 5,637.03

September 30, 2018 2018-09-3839 GEORGE DUMAPIT AYAM ST. LAMAO LIMAY BATAAN 514.90 0.00 0.00 514.90

September 30, 2018 2018-09-3840 JAYCEELYN CAPOQUIAN BASECO MARIVELES BATAAN 0.00 0.00 1,500.00 1,500.00

September 30, 2018 2018-09-1755-H EDITHA CRUZ PTO. RIVAS BALANGA CITY BATAAN 0.00 1,126.40 0.00 1,126.40

September 30, 2018 2018-09-3841 WILSON DELA CRUZ STA. ROSA PILAR BATAAN 64.00 550.00 0.00 614.00

September 30, 2018 2018-09-3842 RENATO MENDOZA 145 US ST. WAWA ABUCAY BATAAN 0.00 1,250.00 0.00 1,250.00

September 30, 2018 2018-09-3843 FRANCE KARL SALAMAT HACIENDA CATANING BALANGA CITY 177.89 200.00 0.00 377.89 January 05, 2018 2018-09-3844 RENITA DOMINGO BURGOS DINALUPIHAN BATAAN 0.00 15,559.97 13,508.05 29,068.02 January 06, 2018 2018-09-1165-AD ADONES LINTAG DAAN BILOLO ORION BATAAN 0.00 490.00 2,088.04 2,578.04 January 06, 2018 2018-09-3845 LUIS DELA CRUZ 1932 PAJARDO ST. LAMAO LIMAY BATAAN 0.00 9,040.00 5,640.36 14,680.36 January 06, 2018 2018-09-3846 JOSEPH OMELIO TOWNSITE MARIVELES BATAAN 6,815.32 670.00 696.92 8,182.24 January 06, 2018 2018-09-3847 FLORANTE SANTIAGO JR. UPPER SABATAN ORION BATAAN 12,682.99 2,600.00 2,509.65 17,792.64

January 06, 2018 2018-09-3848 ALBERTO TIMPOG 298 VILLA QUINTANA TUCOP DINALUPIHAN BATAAN 0.00 320.00 1,642.37 1,962.37 January 06, 2018 2018-09-120-A MICHELLE CRUZ PALIHAN ORANI BATAAN 0.00 1,882.82 0.00 1,882.82 January 06, 2018 2018-09-3849 LUCITA ESTIDO HOUSING BATANGAS II MARIVELES BATAAN 23,013.96 1,018.33 0.00 24,032.29

January 06, 2018 2018-09-3850 ERIKA VILLAMERO 07 FRIENDSHIP VILLAGE BASECO COUNTRY MARIVELES BATAAN 154.13 400.00 1,877.58 2,431.71 January 06, 2018 2018-09-3851 CARMELITA VALERIO 074 SAM VICENTE CALAGUIMAN SAMAL BATAAN 10,957.01 0.00 0.00 10,957.01 January 07, 2018 2018-09-3852 MOLINA CONDES CABCABEN MARIVELES BATAAN 0.00 5,170.00 232.90 5,402.90 January 07, 2018 2018-09-3853 MARIO BORRES CAMIA ST. ALANGA LIMAY BATAAN 1,155.43 0.00 0.00 1,155.43 January 07, 2018 2018-09-3854 MACARIO RUMARAO MINANGA ST. MABAYO MORONG BATAAN 2,797.98 170.00 733.51 3,701.49 January 07, 2018 2018-09-3855 MARY ANN CARAGA ALAS-ASIN MARIVELES BATAAN 0.00 400.00 1,110.52 1,510.52 January 07, 2018 2018-09-3856 JOHN LLOYD DINGLASAN 604 MALUYA CENTRAL BALANGA CITY 0.00 2,954.70 0.00 2,954.70 January 07, 2018 2018-09-3857 DHEA MILES MIGUEL NATIONAL ROAD STO. DOMINGO ORION BATAAN 1,176.59 760.00 255.26 2,191.85 January 08, 2018 2018-09-3858 JAMES MENDOZA DAANG BAGO SAMAL BATAAN 10,913.09 1,000.00 3,329.38 15,242.47 January 08, 2018 2018-09-3859 GERRYLEN BONIEL BINUANGAN BAGAC BATAAN 0.00 150.00 1,400.59 1,550.59 January 08, 2018 2018-09-1770-A ALMA PADEL DOÑA ORANI BATAAN 4,060.00 0.00 0.00 4,060.00 January 05, 2018 2018-09-3860 CHONA MANANSALA BELTRAN STA. ROSA PILAR BATAAN 17,969.65 4,320.00 1,359.17 23,648.82 January 05, 2018 2018-09-3861 RUTH BASTASA HOUSING BATANGAS II MARIVELES BATAAN 4,307.68 3,670.00 2,446.88 10,424.56 January 04, 2018 2018-09-3862 EDUARDO ADRANEDA PALILI SAMAL BATAAN 0.00 1,300.00 1,841.90 3,141.90 January 06, 2018 2018-09-3863 PILAR BALASTIGUE CENTRO II ORANI BATAAN 0.00 1,329.84 0.00 1,329.84 January 09, 2018 2018-09-3864 ALVIN LAGATAO MAITE HERMOSA BATAAN 0.00 170.00 2,280.15 2,450.15 January 07, 2018 2018-09-3865 JHEREMY ALCANTARA 362 GABON ABUCAY BATAAN 14,957.59 6,650.00 8,786.22 30,393.81 January 04, 2018 2018-09-3866 ALEXZANDER JAIME PTO. RIVAS ITAAS BALANGA CITY 11,526.75 300.00 853.94 12,680.69 January 09, 2018 2018-09-1064-B MARISOL HILARIO MT. VIEW MARIVELES BATAAN 2,290.12 2,920.00 153.95 5,364.07 January 09, 2018 2018-09-3867 CHRISA PABLO SAN JUAN SAMAL BATAAN 0.00 320.00 6,255.40 6,575.40 January 09, 2018 2018-09-3868 GLORIA BERNABE 35 STA. ELENA ORION BATAAN 5,307.36 0.00 0.00 5,307.36 January 09, 2018 2018-09-3869 MARJORIE TOLEDO SITIO GREGO CALAYLAYAN ABUCAY BATAAN 540.53 2,030.00 2,210.61 4,781.14 January 10, 2018 2018-09-3870 MARIANO NUGPO PIZARRO MALIGAYA MARIVELES BATAAN 30,136.06 0.00 0.00 30,136.06 January 10, 2018 2018-09-3871 EMILIO VENTURA CULIS HERMOSA BATAAN 2,955.64 8,070.00 1,311.02 12,336.66 January 03, 2018 2018-09-3872 EUGENE VALENCIA 85 LAON ABUCAY BATAAN 16,196.06 2,200.00 13,327.44 31,723.50 January 10, 2018 2018-09-3873 IMELDA ACOSTA TENEJERO BALANGA CITY 634.05 4,865.58 0.00 5,499.63 January 06, 2018 2018-09-3874 ANGELINA JAIME PTO. RIVAS IBABA BALANGA CITY 1,222.23 0.00 0.00 1,222.23 January 10, 2018 2018-09-3875 RENATO CAHILIG BINUANGAN BAGAC BATAAN 12,647.15 7,120.00 1,418.10 21,185.25 January 10, 2018 2018-09-3876 MA. TERESA CIRERA ACCESS ROAD SAN JOSE BALANGA CITY 0.00 150.00 1,900.14 2,050.14

January 10, 2018 2018-09-3877 ARMANDO SAPIT SAN LORENZO RUIZ CABCABEN MARIVELES BATAAN 15,492.44 0.00 0.00 15,492.44 January 10, 2018 2018-09-691-B NORA BALAN TAPULAO ORANI BATAAN 3,860.00 0.00 0.00 3,860.00 January 10, 2018 2018-09-3096-A ELENA ESCUDERO 153 MASINOP ST. CUPANG WEST BALANGA CITY 12,340.13 0.00 42.15 12,382.28 January 10, 2018 2018-09-3878 CHERRY ANN PACURZA 1085 IPAG MARIVELES BATAAN 0.00 4,400.00 3,830.57 8,230.57 January 11, 2018 2018-09-3879 ALFONSO MENDIOLA SR. BO. ROXAS ST. FRANCIS II LIMAY BATAAN 6,006.22 0.00 0.00 6,006.22 January 11, 2018 2018-09-3880 GLORIA ALARCADO PUROK IV IPAG MARIVELES BATAAN 1,790.24 0.00 0.00 1,790.24 January 11, 2018 2018-09-3881 SALVADOR ALFONSO PTO. RIVAS IBABA BALANGA CITY 0.00 1,756.05 0.00 1,756.05 January 11, 2018 2018-09-325-A SHIRLEY BANTOG LUSUNGAN ORION BATAAN 8,438.85 0.00 188.68 8,627.53 January 11, 2018 2018-09-1315-A JOSEPHINE VASQUEZ SAN JOSE BALANGA CITY 15,823.66 4,700.00 3,001.56 23,525.22 January 11, 2018 2018-09-3882 ROSE AN SARMIENTO SAN RAFAEL TUYO BALANGA CITY 49,949.49 970.00 10,832.81 61,752.30 January 11, 2018 2018-09-3883 NERMELYN RODRIGUEZ CAMACHO BALANGA CITY BATAAN 21,752.23 2,940.00 4,332.30 29,024.53 January 11, 2018 2018-09-3884 CATALINA LINTAG 93 PAG-ASA DINALUPIHAN BATAAN 1,436.92 0.00 0.00 1,436.92

January 11, 2018 2018-09-272-B NIDA AGSULIO BLDG. 7 RM 11 CADENA DE AMOR MALAYA MARIVELES BATAAN 12,233.27 0.00 143.24 12,376.51

January 11, 2018 2018-09-1256-D MARIVIC AUSTRIA 614 MANGGA ST. DOÑA FRANCISCA BALANGA CITY 12,285.13 0.00 92.40 12,377.53 January 11, 2018 2018-09-3885 JOEMYR JOHN VITUG ATLAN III MABATANG ABUCAY BATAAN 14,908.59 0.00 416.37 15,324.96 January 11, 2018 2018-09-3886 ARIS ARNOLD AMOT DIWA PILAR BATAAN 34,315.81 3,520.00 442.05 38,277.86 January 11, 2018 2018-09-3499-A MIGUEL ABELGAS ST. FRANCIS II LIMAY BATAAN 3,525.43 0.00 0.00 3,525.43 January 11, 2018 2018-09-2748-D ROMEO DUBLIN CABCABEN MARIVELES BATAAN 282.76 4,470.00 703.57 5,456.33 January 11, 2018 2018-09-3523-A ROBERTO DIONISIO TORTUGAS BALANGA CITY 1,987.10 0.00 0.00 1,987.10 January 11, 2018 2018-09-3887 JOEJY ENTERINA CAPUNITAN ORION BATAAN 0.00 2,340.84 0.00 2,340.84 January 11, 2018 2018-09-3888 GLENN UMANDAP SAN ANTONIO BAGAC BATAAN 33,544.48 6,170.00 6,042.47 45,756.95 AMOUNT OF MEDICAL SERVICES

DATE REFERENCE Laboratory TOTAL NAME ADDRESS Drugs and , Dental & Hospital PREPARED NUMBER ASSISTANCE Med diagnostic Fees procedures

January 11, 2018 2018-09-3889 GODOFREDO BATOL POBLACION MORONG BATAAN 1,023.53 0.00 0.00 1,023.53 January 11, 2018 2018-09-3406-C ANITA TAPANG SAN JUAN SAMAL BATAAN 0.00 3,644.25 8,166.63 11,810.88 TOTAL 5,683,356.74 BALANCE 9,590,659.93