Patients Served Under Medical Assistance for Indigent Patient as of December 2018 AMOUNT OF MEDICAL SERVICES REFEREN DATE Laboratory, TOTAL CE NAME ADDRESS Drugs and Dental & Hospital PREPARED ASSISTANCE NUMBER Med diagnostic Fees procedures 2,885,266.35 November 15, 2018 2018-11-5103 JULITA DE SILVA SAPA SAMAL BATAAN 0.00 0.00 (1,664.45) (1,664.45) November 23, 2018 2018-11-1456-T ROLLY BUAL RIZAL PILAR BATAAN 0.00 0.00 1,259.22 1,259.22 November 15, 2018 2018-11-1429-L EFREN GANTIGA BAYAN ORANI BATAAN 0.00 0.10 0.00 0.10 November 14, 2018 2018-11-2776-C DANIEL ENRIQUEZ LANDING PILAR BATAAN 0.00 0.00 994.54 994.54 November 14, 2018 2018-11-1258-D TORIBIO MIRANDA JR. LAYAC DINALUPIHAN BATAAN 0.00 0.00 1,153.42 1,153.42 November 14, 2018 2018-11-5098 RIZALDO REYES CAMAYA MARIVELES BATAAN 12,269.71 859.46 0.00 13,129.17 November 14, 2018 2018-11-4620-A VICMAR ABETRIA BAMBAN HERMOSA BATAAN 0.00 (500.00) 0.00 (500.00) November 15, 2018 2018-11-1593-Y JOY FRANCISCO TOWNSITE LIMAY BATAAN 0.00 0.00 1,012.73 1,012.73 November 15, 2018 2018-11-1549-AD VIOLETA SOMO LAMAO LIMAY BATAAN 0.00 0.00 1,167.70 1,167.70 November 15, 2018 2018-11-3057-K JESUS DENNIS OLIVEROS DOÑA FRANCISCA BALANGA CITY BATAAN 0.00 0.00 1,167.70 1,167.70 November 15, 2018 2018-11-1165-BC ADONES LINTAG DAAN BILOLO ORION BATAAN 0.00 0.00 1,167.70 1,167.70 November 16, 2018 2018-11-2840-AI CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 0.00 (496.75) (496.75) November 16, 2018 2018-11-1035-O ZENAIDA NATE MABIGA HERMOSA BATAAN 0.00 0.00 1,181.98 1,181.98 November 16, 2018 2018-11-1456-S ROLLY BUAL RIZAL PILAR BATAAN 0.00 0.00 1,167.70 1,167.70 November 16, 2018 2018-11-5105 JANICE MORCELOS BO ROXAS LIMAY BATAAN 862.07 0.00 0.00 862.07 November 15, 2018 2018-11-5093 JINKY ABQUILAN TENEJERO BALANGA CITY BATAAN 0.00 0.00 (116.14) (116.14) November 15, 2018 2018-11-2705-G JOSEPH BRYAN VIZCARRA CUPANG PROPER BALANGA CITY BATAAN 0.00 0.00 463.08 463.08 November 13, 2018 2018-11-030-X DIONILO GUTIERREZ ST FRANCIS I LIMAY BATAAN 496.75 0.00 1,167.70 1,664.45 November 14, 2018 2018-11-3406-P ANITA TAPANG SAN JUAN SAMAL BATAAN 0.00 0.00 2,250.00 2,250.00 November 14, 2018 2018-11-368-AD MARY JANE SAMSON LAON ABUCAY BATAAN 0.00 0.00 957.90 957.90 November 16, 2018 2018-11-5109 TERESITA CALZO TOWNSITE LIMAY BATAAN 0.00 0.00 314.30 314.30 November 16, 2018 2018-11-5110 LANZ JAYMAR EMPIMANO CABCABEN MARIVELES BATAAN 0.00 0.00 (2,250.00) (2,250.00) November 16, 2018 2018-11-5111 EMELY NARANJA BALON ANITO MARIVELES BATAAN 0.00 0.00 3,654.36 3,654.36 November 16, 2018 2018-11-5112 HARVEY ABONYAWAN ALANGAN LIMAY BATAAN 0.00 0.00 (957.90) (957.90) September 12, 2018 2018-09-3138 GENNELENE LEAÑO SIBACAN BALANGA CITY BATAAN 298.40 0.00 0.00 298.40 November 13, 2018 2018-11-5054 LUISITO SARILI TENEJERO BALANGA CITY BATAAN 0.00 0.00 149.06 149.06 November 13, 2018 2018-11-223-T REN MARK SAPIT ALAASIN MARIVELES BATAAN 0.00 0.00 585.55 585.55 November 13, 2018 2018-11-1035-N ZENAIDA NATE MABIGA HERMOSA BATAAN 511.03 0.00 1,153.42 1,664.45 November 28, 2018 2018-11-5231 RODOLF MANGUSING DANGCOL BALANGA CITY BATAAN 0.00 200.00 0.00 200.00 November 29, 2018 2018-12-5551 REYNALDO ALBERTO ALION MARIVELES BATAAN 0.00 0.07 0.00 0.07 November 24, 2018 2018-11-1165-BE ADONES LINTAG DAAN BILOLO ORION BATAAN 0.00 (280.47) 0.00 (280.47) November 12, 2018 2018-11-5018 EDNA TANTOCO VILLA ANGELES ORION BATAAN 0.38 0.00 0.00 0.38 November 26, 2018 2018-12-377-A ADELAIDA REYES PTO. RIVAS BALANGA CITY 899.68 3,076.48 302.27 4,278.43 November 26, 2018 2018-12-5407 RANDY DIZON WAWA PILAR BATAAN 1,840.00 0.00 0.00 1,840.00 November 26, 2018 2018-11-436-AJ ALLAN MIRASOL MT. VIEW MARIVELES BATAAN 4,375.71 0.00 0.00 4,375.71 November 26, 2018 2018-12-1549-AH VIOLETA SOMO LAMAO LIMAY BATAAN 2,608.07 0.00 0.00 2,608.07 November 26, 2018 2018-12-3057-N JESUS DENNIS OLIVEROS DOÑA FRANCISCA BALANGA CITY BATAAN 2,608.07 0.00 0.00 2,608.07 November 26, 2018 2018-12-1593-AA JOY FRANCISCO TOWNSITE LIMAY BATAAN 1,584.00 0.00 0.00 1,584.00 November 26, 2018 2018-12-075-AM MERCIDITA MORALES MT. VIEW MARIVELES BATAAN 2,608.07 0.00 0.00 2,608.07 November 26, 2018 2018-12-293-M NIDA MALATE CAMAYA MARIVELES BATAAN 208.13 150.00 0.00 358.13 November 26, 2018 2018-12-5408 SHELLY FAITH TUNGOL BALON ANITO MARIVELES BATAAN 0.00 2,013.16 0.00 2,013.16 November 26, 2018 2018-12-293-N NIDA MALATE CAMAYA MARIVELES BATAAN 1,668.20 0.00 0.00 1,668.20 November 26, 2018 2018-12-5409 GINA RAMOS BANTAN ORION BATAAN 0.00 1,820.00 0.00 1,820.00 November 27, 2018 2018-12-5410 MARITONIE PABLO CATANING BALANGA CITY BATAAN 0.00 1,000.00 0.00 1,000.00 November 27, 2018 2018-12-5411 JANARD LACUESTA MT. VIEW MARIVELES BATAAN 0.00 390.95 0.00 390.95 November 27, 2018 2018-12-5412 JENALYN MONFERTE MT. VIEW MARIVELES BATAAN 0.00 900.00 0.00 900.00 November 27, 2018 2018-12-5413 ZASKHIE MENTA SAN JOSE BALANGA CITY BATAAN 0.00 600.00 99.96 699.96 November 27, 2018 2018-12-5414 JANELLE SENERA SIBACAN BALANGA BATAAN 1,005.83 0.00 0.00 1,005.83 November 27, 2018 2018-12-5415 RYAN SERRANO CABCABEN MARIVELES BATAAN 0.00 630.00 0.00 630.00 November 27, 2018 2018-12-229-D JACQUELYN YABUT PAG-ASA ORANI BATAAN 0.00 6,849.04 0.00 6,849.04 November 27, 2018 2018-12-4140-B ELIZABETH PANGON TENEJERO BALANGA CITY BATAAN 0.00 900.00 0.00 900.00 November 27, 2018 2018-12-5416 PRESCILLO BESID APOLLO ORANI BATAAN 0.00 1,548.80 0.00 1,548.80 November 27, 2018 2018-12-5417 REMEGIO MENDOZA BALUT ORION BATAAN 0.00 800.00 0.00 800.00 November 27, 2018 2018-12-5418 AUGUSTO CALIMBAS POBLACION PILAR BATAAN 1,422.00 2,649.11 0.00 4,071.11 November 27, 2018 2018-12-4414-A ALEX ALARCON CAPUNITAN ORION BATAAN 0.00 2,200.00 0.00 2,200.00 November 27, 2018 2018-12-4453-B CONNIE BADIOLA LANDING PILAR BATAAN 0.00 1,600.00 0.00 1,600.00 November 28, 2018 2018-12-413-F DANIEL ENRIQUEZ ALAS-ASIN MARIVELES BATAAN 2,608.07 0.00 0.00 2,608.07 November 28, 2018 2018-12-5419 RENNEL DELA PAZ CATANING BALANGA CITY BATAAN 513.93 200.00 0.00 713.93 November 28, 2018 2018-12-5420 SOLEDAD TAYSON CENTRAL BALANGA CITY BATAAN 93.83 320.00 0.00 413.83 AMOUNT OF MEDICAL SERVICES REFEREN DATE Laboratory, TOTAL CE NAME ADDRESS Drugs and Dental & Hospital PREPARED ASSISTANCE NUMBER Med diagnostic Fees procedures

November 28, 2018 2018-12-075-AN MERCIDITA MORALES MT. VIEW MARIVELES BATAAN 1,598.28 0.00 0.00 1,598.28 November 28, 2018 2018-12-368-AG MARY JANE SAMSON LAON ABUCAY BATAAN 2,617.23 0.00 0.00 2,617.23 November 28, 2018 2018-12-3406-S ANITA TAPANG SAN JUAN SAMAL BATAAN 3,724.93 0.00 0.00 3,724.93 November 28, 2018 2018-12-2630-N HENRY ALIPIO CAMACHO BALANGA BATAAN 1,598.28 0.00 0.00 1,598.28 November 28, 2018 2018-12-2840-AL CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 2,622.35 0.00 0.00 2,622.35 November 28, 2018 2018-12-030-AA DIONILO GUTIERREZ ST.FRANCIS II LIMAY BATAAN 585.00 0.00 1,425.12 2,010.12 November 28, 2018 2018-12-5421 TERESA BAWAR IBIS BAGAC BATAAN 0.00 1,510.00 0.00 1,510.00 November 28, 2018 2018-12-4750-A EVA PAPA ALAS-ASIN MARIVELES BATAAN 0.00 2,030.00 0.00 2,030.00 December 09, 2018 2018-12-5422 DEWEY DELA PEÑA LAMAO LIMAY BATAAN 0.00 1,200.00 0.00 1,200.00 November 28, 2018 2018-12-5423 NELITHA LEGASPI MALABIA BALANGA CITY 22,115.12 2,060.14 0.00 24,175.26 October 12, 2018 2018-12-1904-A JELYN EVANGELISTA CENTRAL BALANGA CITY BATAAN 1,129.06 1,320.00 5,745.99 8,195.05 October 12, 2018 2018-12-5424 MARIA KYLIE DE GUZMAN LAON ABUCAY BATAAN 214.00 865.00 214.12 1,293.12 October 12, 2018 2018-12-5425 JESSAN OMOYON ST FRANCIS I LIMAY BATAAN 30.79 350.00 1,545.72 1,926.51 October 12, 2018 2018-12-5426 SARAH MAY PUNTO CUPANG PROPER BALANGA CITY BATAAN 241.07 420.00 2,361.25 3,022.32 October 12, 2018 2018-12-5427 MANETTE CONCEPCION BALON ANITO MARIVELES BATAAN 189.77 350.00 1,612.89 2,152.66 November 08, 2018 2018-12-5428 HOMER PABUSTAN GABON ABUCAY BATAAN 37,794.79 64,108.18 0.00 101,902.97 November 14, 2018 2018-12-5429 ERLINDA REYES POBLACION MARIVELES BATAAN 30,000.00 0.00 0.00 30,000.00 November 14, 2018 2018-12-097-L JOHN EDWARD VERGARA GABON ABUCAY BATAAN 1,454.65 0.00 1,153.42 2,608.07 November 16, 2018 2018-12-2856-H ELPIDIO RAFAEL CALAYLAYAN ABUCAY BATAAN 1,454.65 0.00 1,167.70 2,622.35 November 17, 2018 2018-12-5430 RITA NIEVES MT. VIEW MARIVELES BATAAN 0.00 3,500.00 429.76 3,929.76 November 17, 2018 2018-12-5431 EDUARDO RAMOS OMBOY ABUCAY BATAAN 0.00 1,200.00 0.00 1,200.00 November 17, 2018 2018-12-5432 PATRICIO CASTRO IPAG MARIVELES BATAAN 13.91 1,050.00 0.00 1,063.91 November 17, 2018 2018-12-5433 ROSIE TAVISORA MALAYA MARIVELES BATAAN 0.00 6,270.00 2,037.91 8,307.91 November 17, 2018 2018-12-5434 RJAY ESGUERRA IPAG MARIVELES BATAAN 4,066.83 2,300.00 1,242.51 7,609.34 November 17, 2018 2018-12-5435 DANNALENE JOY TRIA MABATANG ABUCAY BATAAN 0.00 9,285.75 5,714.25 15,000.00 November 17, 2018 2018-12-5436 EDGAR MANZANO ST FRANCIS II LIMAY BATAAN 0.00 0.00 503.99 503.99 November 17, 2018 2018-12-5437 RALPH NICOLE CARPIO SAN JOSE BALANGA CITY BATAAN 0.00 1,180.00 0.00 1,180.00 November 17, 2018 2018-12-5438 AVERIEL SANTOS CUPANG PROPER BALANGA CITY BATAAN 0.00 700.00 213.86 913.86 November 17, 2018 2018-12-5439 EDUARDO VALDEZ JR. CATANING BALANGA CITY BATAAN 0.00 750.00 0.00 750.00 November 17, 2018 2018-12-2705-J JOSEPH BRYAN VIZCARRA CUPANG PROPER BALANGA CITY BATAAN 0.00 0.00 3,131.38 3,131.38 November 17, 2018 2018-12-097-M JOHN EDWARD VERGARA GABON ABUCAY BATAAN 2,039.65 0.00 994.54 3,034.19 November 17, 2018 2018-12-1909-AI JULIET PIZARRO PTO. RIVAS BALANGA CITY 1,454.65 0.00 1,167.70 2,622.35 November 17, 2018 2018-12-5440 LEORENZO CUSI STA. ELENA ORION BATAAN 479.48 1,790.00 411.74 2,681.22 November 17, 2018 2018-12-5441 PRINCE JHERICK CARINAN REFORMISTA LIMAY BATAAN 474.50 0.00 0.00 474.50 November 17, 2018 2018-12-5442 JOHN PAUL HOCSON SAN RAMON DINALUPIHAN BATAAN 0.00 105.60 314.77 420.37 November 17, 2018 2018-12-1258-G TORIBIO MIRANDA JR. LAYAC DINALUPIHAN BATAAN 0.00 0.00 1,605.42 1,605.42 November 17, 2018 2018-12-5443 JHONLOYD BUENAVENTURA TUYO BALANGA CITY BATAAN 518.54 0.00 0.00 518.54 November 17, 2018 2018-12-5444 JOSE CALDERON LATE ORION BATAAN 0.00 1,050.00 154.89 1,204.89 November 17, 2018 2018-12-5445 LALAINE AUGUSTINE BANTAN ORION BATAAN 474.50 0.00 0.00 474.50 November 17, 2018 2018-12-5446 PRINCE JOZSEF CASTRO TORTUGAS BALANGA CITY 474.50 0.00 0.00 474.50 November 18, 2018 2018-12-2228-P BERNARDO CRUZ SR. CABCABEN MARIVELES BATAAN 0.00 0.00 3,080.50 3,080.50 November 18, 2018 2018-12-5447 AUDREY LEI DOLORES GABON ABUCAY BATAAN 0.00 0.00 430.67 430.67 November 18, 2018 2018-12-2532-I WILSON SALAZAR TUYO BALANGA CITY BATAAN 1,314.18 5,710.00 8,977.32 16,001.50 November 18, 2018 2018-12-5448 NIEVES BELIZARDO ALAS-ASIN MARIVELES BATAAN 0.00 600.00 259.66 859.66 November 18, 2018 2018-12-5449 EVANGELINE EVANGELISTA BALUT ORION BATAAN 0.00 1,350.00 0.00 1,350.00 November 18, 2018 2018-12-3685-A MICHAELA DAVID CENTRO II ORANI BATAAN 0.00 600.00 0.00 600.00 November 18, 2018 2018-12-2652-J OLIVER MAGTANONG LAON ABUCAY BATAAN 0.00 0.00 1,598.28 1,598.28 November 18, 2018 2018-12-5450 ALTHEA RACADAG MT. VIEW MARIVELES BATAAN 0.00 920.00 0.00 920.00 November 18, 2018 2018-12-5451 ROSITA AVILA ST. FRANCIS I LIMAY BATAAN 0.00 700.00 590.95 1,290.95 November 18, 2018 2018-12-5452 RICARDO ANDAYA CUPANG PROPER BALANGA CITY BATAAN 0.00 0.00 405.35 405.35 November 19, 2018 2018-12-5453 JAMMIR AGUIRRE CUPANG PROPER BALANGA CITY BATAAN 0.00 1,200.00 0.00 1,200.00 November 19, 2018 2018-12-239-AH EMILY MORIDO PUTING BUHANGIN ORION BATAAN 0.00 0.00 2,270.28 2,270.28 November 19, 2018 2018-12-5454 MELVIN SAMSON STA. ELENA ORION BATAAN 0.00 0.00 411.57 411.57 November 19, 2018 2018-12-5455 MARY JANE SALAVARIA LAMAO LIMAY BATAAN 518.54 0.00 0.00 518.54 November 19, 2018 2018-12-5456 MARIA CONCEPCION AQUINO ST. FRANCIS II LIMAY BATAAN 0.00 670.00 0.00 670.00 November 19, 2018 2018-12-4772-A EDUARDO LULU ALA ULI PILAR BATAAN 0.00 1,700.00 0.00 1,700.00 November 19, 2018 2018-12-5457 JASMINE LAUSING ST. FRANCIS II LIMAY BATAAN 0.00 1,320.00 0.00 1,320.00 November 19, 2018 2018-12-5155-A JONAS CAMPOMANES LAON ABUCAY BATAAN 0.00 1,200.00 0.00 1,200.00 November 19, 2018 2018-12-5458 CLARENCE AMANO BO. LUZ, LIMAY BATAAN 474.50 0.00 0.00 474.50 November 19, 2018 2018-12-1659-J EDEN DELA CRUZ OMBOY ABUCAY BATAAN 5,120.37 0.00 0.00 5,120.37 November 19, 2018 2018-12-5459 MARITES RODRIGO GABON ABUCAY BATAAN 949.00 0.00 0.00 949.00 November 19, 2018 2018-12-4926-B MARCIANA AMAYA LAZARTE PANILAO PILAR BATAAN 474.50 0.00 0.00 474.50 November 19, 2018 2018-12-1456-X ROLLY BUAL RIZAL PILAR BATAAN 0.00 0.00 1,634.89 1,634.89 November 19, 2018 2018-12-5015-B ESTELITA MANRIQUEZ PANILAO PILAR BATAAN 474.50 0.00 0.00 474.50 November 19, 2018 2018-12-5460 LHIAN NAVALES SISIMAN MARIVELES BATAAN 0.00 2,200.00 0.00 2,200.00 November 19, 2018 2018-12-2730-B JAIME GOZON TENEJERO BALANGA CITY BATAAN 5,741.35 9,700.00 1,330.06 16,771.41 November 19, 2018 2018-12-5461 JOVITA CRUZ TAPULAO ORANI BATAAN 948.96 0.00 0.00 948.96 November 19, 2018 2018-12-5462 EFREN BAYAS ALAS-ASIN MARIVELES BATAAN 4,457.20 3,450.00 4,290.95 12,198.15 AMOUNT OF MEDICAL SERVICES REFEREN DATE Laboratory, TOTAL CE NAME ADDRESS Drugs and Dental & Hospital PREPARED ASSISTANCE NUMBER Med diagnostic Fees procedures

November 19, 2018 2018-12-2532-J WILSON SALAZAR TUYO BALANGA CITY BATAAN 1,454.65 0.00 1,167.70 2,622.35 November 19, 2018 2018-12-5463 RISELLE SARMIENTO MALIGAYA MARIVELES BATAAN 0.00 700.00 0.00 700.00 November 19, 2018 2018-12-4422-A JENIFFER BATERINA DAAN PARE ORION BATAAN 0.00 1,200.00 0.00 1,200.00 November 19, 2018 2018-12-5464 MICHAEL VINCENT SIGNIO LAMAO LIMAY BATAAN 2,197.44 2,030.00 1,544.82 5,772.26 November 19, 2018 2018-12-1018-B RODOLFO MALONZO JR MT. VIEW MARIVELES BATAAN 0.00 2,620.00 3,515.49 6,135.49 November 19, 2018 2018-12-1035-S ZENAIDA NATE MABIGA HERMOSA BATAAN 1,454.65 0.00 1,167.70 2,622.35 November 19, 2018 2018-12-3542-B AURORA TANGONAN DAAN PARE ORION BATAAN 0.00 1,302.40 100.93 1,403.33 November 19, 2018 2018-12-5465 ANNA MARIE ANGELES DIWA PILAR BATAAN 0.00 670.00 0.00 670.00 November 19, 2018 2018-12-5466 JENIELYN LOPEZ BAGONG SILANG BALANGA CITY BATAAN 474.50 0.00 0.00 474.50 November 19, 2018 2018-12-5467 JENNY ROSE OCAMPO CUPANG PROPER BALANGA CITY BATAAN 949.00 0.00 0.00 949.00 November 19, 2018 2018-12-5468 LORETO REYES DOÑA FRANCISCA BALANGA CITY BATAAN 0.00 1,260.16 0.00 1,260.16 November 19, 2018 2018-12-5469 GERALDINE TESORO POBLACION MARIVELES BATAAN 0.00 0.00 354.90 354.90 November 19, 2018 2018-12-5463-A RISELLE SARMIENTO MALIGAYA MARIVELES BATAAN 0.00 620.00 0.00 620.00 November 19, 2018 2018-12-293-O NIDA MALATE CAMAYA MARIVELES BATAAN 0.00 0.00 1,598.28 1,598.28 November 19, 2018 2018-12-436-AK ALLAN MIRASOL MT. VIEW MARIVELES BATAAN 0.00 0.00 2,270.28 2,270.28 November 19, 2018 2018-12-1549-AI VIOLETA SOMO LAMAO LIMAY BATAAN 1,454.65 0.00 1,167.70 2,622.35 November 19, 2018 2018-12-1593-AB JOY FRANCISCO TOWNSITE LIMAY BATAAN 0.00 0.00 1,598.28 1,598.28 November 19, 2018 2018-12-2840-AM CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 1,454.65 0.00 1,167.70 2,622.35 November 19, 2018 2018-12-075-AO MERCIDITA MORALES MT. VIEW MARIVELES BATAAN 1,454.65 0.00 1,167.70 2,622.35 November 20, 2018 2018-12-2856-I ELPIDIO RAFAEL CALAYLAYAN ABUCAY BATAAN 1,454.65 0.00 1,189.12 2,643.77 November 20, 2018 2018-12-5470 FEDERICK CANTIGA CAMAYA MARIVELES BATAAN 0.00 920.00 0.00 920.00 November 20, 2018 2018-12-5190-A DEXTER TORRES PUTING BUHANGIN ORION BATAAN 518.54 0.00 0.00 518.54 November 20, 2018 2018-12-5206-A SIGFREDO LOPEZ GABON ABUCAY BATAAN 0.00 0.00 1,598.28 1,598.28 November 20, 2018 2018-12-223-Z REN MARK SAPIT ALAS-ASIN MARIVELES BATAAN 0.00 0.00 2,270.28 2,270.28 November 20, 2018 2018-12-2676-B JIMMY ALONZO CUPANG PROPER BALANGA CITY BATAAN 1,763.69 4,266.75 0.00 6,030.44 November 20, 2018 2018-12-5471 HARLEY JET EVAN NOJADERA TABING ILOG BAGAC BATAAN 391.49 1,020.00 81.17 1,492.66 November 20, 2018 2018-12-5472 MA. DELIA ARPOJIA SACRIFICE VALLEY HERMOSA BATAAN 0.00 4,083.20 0.00 4,083.20 November 20, 2018 2018-12-2033-J NADELYN ZAPANTA TOWNSITE LIMAY BATAAN 0.00 1,620.00 0.00 1,620.00 November 20, 2018 2018-12-5473 FERNANDO DE GUZMAN SAN JUAN SAMAL BATAAN 214.82 950.00 439.58 1,604.40 November 20, 2018 2018-12-5474 REYNALDO OLITAN MT. VIEW MARIVELES BATAAN 0.00 1,790.00 0.00 1,790.00 November 20, 2018 2018-12-5475 ROBERT CRUZ BURGOS PILAR BATAAN 0.00 840.00 0.00 840.00 November 20, 2018 2018-12-5476 REMDIE BATULAYAN SAN PEDRO HERMOSA BATAAN 0.00 950.00 223.50 1,173.50 November 20, 2018 2018-12-5477 ERNESTO HUELAR ALION MARIVELES BATAAN 485.25 0.00 0.00 485.25 November 20, 2018 2018-12-5478 ROY SERMONIA CATANING BALANGA CITY BATAAN 0.00 840.00 0.00 840.00 November 20, 2018 2018-12-5161-A REMEDIOS ANGELES CULIS HERMOSA BATAAN 0.00 774.40 0.00 774.40 November 20, 2018 2018-12-5479 ELEUTERIO RODRIGUEZ DANGCOL BALANGA CITY BATAAN 0.00 0.00 562.05 562.05 November 20, 2018 2018-12-4403-C MATHEW DAVID MALABIA BALANGA CITY 474.50 0.00 0.00 474.50 November 20, 2018 2018-12-5480 JEANETT DEL ROSARIO CATANING BALANGA CITY BATAAN 0.00 900.00 0.00 900.00 November 20, 2018 2018-12-5481 PAULO MIGUEL CONSTANTE ALAS-ASIN MARIVELES BATAAN 18,876.97 3,220.00 4,723.88 26,820.85 November 20, 2018 2018-12-1909-AJ JULIET PIZARRO PTO. RIVAS BALANGA CITY 1,454.65 0.00 1,167.70 2,622.35 November 20, 2018 2018-12-5482 FERNANDO DELA CRUZ JR BALAGTAS ORION BATAAN 0.00 200.00 428.44 628.44 November 20, 2018 2018-12-2779-L JUANITO DE SILVA SAPA SAMAL BATAAN 0.00 0.00 4,184.00 4,184.00 November 20, 2018 2018-12-2825-L RAFAEL BEATO MABATANG ABUCAY BATAAN 2,125.71 0.00 954.79 3,080.50 November 20, 2018 2018-12-5483 HANZ MICHAEL DE LEON NAGWALING PILAR BATAAN 0.00 1,190.00 0.00 1,190.00 November 20, 2018 2018-12-2544-J JOCELYN CORRIEL ST. FRANCIS II LIMAY BATAAN 1,454.65 0.00 1,167.70 2,622.35 November 20, 2018 2018-12-5484 JESSA MAE BESONIA BAGUMBAYAN BALANGA BATAAN 518.54 0.00 0.00 518.54 November 20, 2018 2018-12-097-N JOHN EDWARD VERGARA GABON ABUCAY BATAAN 1,454.65 0.00 1,153.42 2,608.07 November 20, 2018 2018-12-5165-B GARY SIBAYAN JR. CABCABEN MARIVELES BATAAN 3,115.81 0.00 0.00 3,115.81 November 20, 2018 2018-12-5485 RAMONCITO FRANCISCO LAMAO LIMAY BATAAN 819.65 2,270.00 285.20 3,374.85 November 20, 2018 2018-12-391-AH ROLY CORDERO STA. ISABEL DINALUPIHAN BATAAN 0.00 0.00 1,598.28 1,598.28 November 20, 2018 2018-12-882-X ROGELIO MENDOZA A. RIVERA HERMOSA BATAAN 0.00 0.00 1,598.28 1,598.28 November 20, 2018 2018-12-1165-BH ADONES LINTAG DAAN BILOLO ORION BATAAN 1,454.65 0.00 1,167.70 2,622.35 November 20, 2018 2018-12-4029-L ALFREDO CASTILLO CAMACHO BALANGA BATAAN 1,454.65 0.00 1,167.70 2,622.35 November 20, 2018 2018-12-5486 ROLDAN DELA CRUZ CUPANG PROPER BALANGA CITY BATAAN 0.00 600.00 0.00 600.00 November 21, 2018 2018-12-5487 PEDLEJANDRO PAYUMO TUYO BALANGA CITY BATAAN 0.00 2,450.00 0.00 2,450.00 November 21, 2018 2018-12-030-AB DIONILO GUTIERREZ ST. FRANCIS II LIMAY BATAAN 0.00 0.00 1,598.28 1,598.28 November 21, 2018 2018-12-3406-T ANITA TAPANG SAN JUAN SAMAL BATAAN 1,454.65 0.00 2,270.28 3,724.93 November 21, 2018 2018-12-075-AP MERCIDITA MORALES MT. VIEW MARIVELES BATAAN 1,454.65 0.00 1,167.70 2,622.35 November 21, 2018 2018-12-368-AH MARY JANE SAMSON LAON ABUCAY BATAAN 1,454.65 0.00 1,167.70 2,622.35 November 21, 2018 2018-12-2840-AN CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 1,454.65 0.00 1,167.70 2,622.35 November 21, 2018 2018-12-2630-O HENRY ALIPIO CAMACHO BALANGA BATAAN 0.00 0.00 1,598.28 1,598.28 November 21, 2018 2018-12-5488 SHIELA ABELLERA IPAG MARIVELES BATAAN 0.00 1,790.00 0.00 1,790.00 November 21, 2018 2018-12-2750-M REYNALDO PAMINTUAN LUACAN DINALUPIHAN BATAAN 0.00 650.00 0.00 650.00 November 21, 2018 2018-12-5489 MILLET BOAQUEÑA PTO. RIVAS BALANGA CITY 0.00 700.00 0.00 700.00 November 21, 2018 2018-12-5490 PERLITA HERNANDEZ WAWA ABUCAY BATAAN 0.00 1,000.00 0.00 1,000.00 November 21, 2018 2018-12-2936-B MICHELLE SANTOS LALAWIGAN SAMAL BATAAN 4,138.87 0.00 0.00 4,138.87 November 21, 2018 2018-12-1256-H MARIVIC AUSTRIA DOÑA FRANCISCA BALANGA CITY BATAAN 8,248.59 0.00 0.00 8,248.59 November 21, 2018 2018-12-5491 PACIFICO MUNGCAL CUPANG PROPER BALANGA CITY BATAAN 0.00 549.12 0.00 549.12 AMOUNT OF MEDICAL SERVICES REFEREN DATE Laboratory, TOTAL CE NAME ADDRESS Drugs and Dental & Hospital PREPARED ASSISTANCE NUMBER Med diagnostic Fees procedures

November 21, 2018 2018-12-5492 ANA MARIE BALBOA CATANING BALANGA CITY BATAAN 0.00 2,780.50 0.00 2,780.50 November 21, 2018 2018-12-5493 MA. SARAH VALENCIA CAMAYA MARIVELES BATAAN 0.00 800.00 0.00 800.00 November 21, 2018 2018-12-413-G DANIEL ENRIQUEZ ALAS ASIN MARIVELES BATAAN 585.00 0.00 1,624.00 2,209.00 November 21, 2018 2018-12-1258-H TORIBIO MIRANDA JR. LAYAC DINALUPIHAN BATAAN 0.00 0.00 1,598.28 1,598.28 November 21, 2018 2018-12-5494 CHERYL BARDAJE CAPITANGAN ABUCAY BATAAN 0.00 1,970.00 0.00 1,970.00 November 21, 2018 2018-12-120-B MICHELLE CRUZ PALIHAN ORANI BATAAN 0.00 0.00 950.00 950.00 November 21, 2018 2018-12-2361-S TOMAS ONGKINGCO CAPITANGAN ABUCAY BATAAN 1,454.65 0.00 1,167.70 2,622.35 November 21, 2018 2018-12-1430-S VIRGINIA NAVARRO CALUNGUSAN ORION BATAAN 1,454.65 0.00 1,167.70 2,622.35 November 21, 2018 2018-12-239-AI EMILY MORIDO PUTING BUHANGIN ORION BATAAN 0.00 0.00 2,260.14 2,260.14 November 21, 2018 2018-12-1456-Y ROLLY BUAL RIZAL PILAR BATAAN 0.00 0.00 1,636.90 1,636.90 November 21, 2018 2018-12-2146-X RAVENACE BALUYOT PALIHAN ORANI BATAAN 1,454.65 0.00 1,153.42 2,608.07 November 21, 2018 2018-12-1035-T ZENAIDA NATE MALIGAYA MARIVELES BATAAN 1,454.65 0.00 1,153.42 2,608.07 November 21, 2018 2018-12-5213-A JEFFREY BACANI CENTRAL BALANGA CITY BATAAN 0.00 1,520.00 0.00 1,520.00 November 21, 2018 2018-12-5495 JOHN RAYE OLIVERIO TENEJERO BALANGA CITY BATAAN 0.00 1,000.00 0.00 1,000.00 November 21, 2018 2018-12-2945-B CHINIE MANGALINDAN SAN JUAN SAMAL BATAAN 0.00 900.00 0.00 900.00 November 21, 2018 2018-12-5496 ANTONIO SEVILLA JR OMBOY ABUCAY BATAAN 524.91 5,110.00 7,499.97 13,134.88 November 21, 2018 2018-12-5497 FILIPINA TRINIDAD SAN CARLOS MARIVELES BATAAN 0.00 700.00 81.64 781.64 November 21, 2018 2018-12-2956-A JOHN LLOYD RODA A. RICARDO BAGAC BATAAN 3,951.59 1,520.00 1,449.01 6,920.60 November 21, 2018 2018-12-5498 ROMEO MEDINA DEL ROSARIO PILAR BATAAN 0.00 650.00 0.00 650.00 November 21, 2018 2018-12-5499 ELISEO BASIÑO PALIHAN HERMOSA BATAAN 0.00 4,120.00 646.57 4,766.57 November 21, 2018 2018-12-5500 JOBELLE BONDOC CAMACHILE ORION BATAAN 0.00 700.00 0.00 700.00 November 21, 2018 2018-12-5501 JOSAFAT CARREON GEN. LIM ORION BATAAN 217.90 0.00 0.00 217.90 November 21, 2018 2018-12-2072-A GILDA MONTA CAMACHILE ORION BATAAN 0.00 2,100.00 154.74 2,254.74 November 21, 2018 2018-12-293-P NIDA MALATE CAMAYA MARIVELES BATAAN 186.70 0.00 0.00 186.70 November 21, 2018 2018-12-5502 VICTORIA MANZON SAN JOSE BALANGA CITY BATAAN 0.00 668.80 0.00 668.80 November 21, 2018 2018-12-5503 RUBEN VELARDE ALAS ASIN MARIVELES BATAAN 0.00 929.28 171.87 1,101.15 November 21, 2018 2018-12-5504 RODENA BILUGAN CAPITANGAN ABUCAY BATAAN 0.00 750.00 0.00 750.00 November 21, 2018 2018-12-5505 BETTY GUANZON BAYAN ORANI BATAAN 0.00 668.80 162.62 831.42 November 21, 2018 2018-12-5097-A MARIVIC DELA CRUZ WAWA ABUCAY BATAAN 2,909.30 0.00 0.00 2,909.30 November 21, 2018 2018-12-5506 ENGRACIA ESPIRITU BALAGTAS ORION BATAAN 0.00 2,350.00 0.00 2,350.00 November 21, 2018 2018-12-5507 ALLEN JOSEPH LACSON CUPANG PROPER BALANGA CITY BATAAN 0.00 718.00 36.50 754.50 November 22, 2018 2018-12-3247-C MELINDA DABU SAN RAMON DINALUPIHAN BATAAN 0.00 1,550.00 0.00 1,550.00 November 22, 2018 2018-12-5272-A EMELY ESTELO TANATO BALANGA BATAAN 0.00 700.00 0.00 700.00 November 22, 2018 2018-12-5508 APRIL ABOGADO SALIAN ABUCAY BATAAN 0.00 320.00 0.00 320.00 November 22, 2018 2018-12-5509 ALLIYAH JROUSEN SAMSON MULAWIN ORANI BATAAN 489.46 0.00 0.00 489.46 November 22, 2018 2018-12-5510 ANDREI VICENTE CUPANG NORTH BALANGA CITY BATAAN 0.00 1,280.00 0.00 1,280.00 November 22, 2018 2018-12-5511 JOHAN DANIEL MENDOZA CUPANG WEST BALANGA CITY BATAAN 0.00 300.00 0.00 300.00 November 22, 2018 2018-12-5512 ERLINDA VIDALLON DANGCOL BALANGA CITY BATAAN 0.00 1,548.80 0.00 1,548.80 November 22, 2018 2018-12-5513 IVY LINGAD DEL ROSARIO PILAR BATAAN 0.00 2,040.00 0.00 2,040.00 November 22, 2018 2018-12-4923-A ANGELICA MARIE DURANO DAAN PARE ORION BATAAN 0.00 520.00 0.00 520.00 November 22, 2018 2018-12-5514 MERCEDITA GOCOTANO MT. VIEW MARIVELES BATAAN 0.00 810.00 0.00 810.00 November 22, 2018 2018-12-1984-C MARICRIS SISON CUPANG WEST BALANGA CITY BATAAN 5,298.70 0.00 0.00 5,298.70 November 22, 2018 2018-12-1165-BI ADONES LINTAG DAAN BILOLO ORION BATAAN 1,454.65 0.00 1,153.42 2,608.07 November 22, 2018 2018-12-1549-AJ VIOLETA SOMO LAMAO LIMAY BATAAN 1,454.65 0.00 1,153.42 2,608.07 November 22, 2018 2018-12-3057-O JESUS DENNIS OLIVEROS DOÑA FRANCISCA BALANGA CITY BATAAN 1,454.65 0.00 1,153.42 2,608.07 November 22, 2018 2018-12-391-AI ROLY CORDERO STA. ISABEL DINALUPIHAN BATAAN 1,454.65 0.00 1,153.42 2,608.07 November 22, 2018 2018-12-293-Q NIDA MALATE CAMAYA MARIVELES BATAAN 0.00 0.00 1,584.00 1,584.00 November 22, 2018 2018-12-436-AL ALLAN MIRASOL MT. VIEW MARIVELES BATAAN 0.00 0.00 2,250.00 2,250.00 November 22, 2018 2018-12-1593-AC JOY FRANCISCO TOWNSITE LIMAY BATAAN 0.00 0.00 2,891.43 2,891.43 November 22, 2018 2018-12-4509-C GRACE RUBIANO ST. FRANCIS I LIMAY BATAAN 474.50 0.00 0.00 474.50 November 22, 2018 2018-12-5515 REMEDIOS VIANZON ST. FRANCIS I LIMAY BATAAN 0.00 150.00 5,262.70 5,412.70 November 22, 2018 2018-12-5516 ZENAIDA GUANLAO BO. LUZ, LIMAY BATAAN 0.00 1,260.00 0.00 1,260.00 November 22, 2018 2018-12-681-A ROSELYN AVILES ST. FRANCIS II LIMAY BATAAN 0.00 1,990.00 0.00 1,990.00 November 22, 2018 2018-12-997-Q ROY MANANSALA TOWNSITE LIMAY BATAAN 254.47 0.00 0.00 254.47 November 22, 2018 2018-12-1491-J MELITO CAMAING TENEJERO BALANGA CITY BATAAN 0.00 0.00 3,080.50 3,080.50 November 22, 2018 2018-12-5517 AMELIA VIDALLO CALAGUIMAN SAMAL BATAAN 0.00 704.00 0.00 704.00 November 22, 2018 2018-12-5518 JORDAN REYES BAGONG SILANG BALANGA CITY BATAAN 1,474.96 0.00 0.00 1,474.96 November 22, 2018 2018-12-5519 RUEL LINGAD CABCABEN MARIVELES BATAAN 0.00 920.00 207.69 1,127.69 November 22, 2018 2018-12-5520 ALEJANDRO VALLEJOS SACRIFICE VALLEY HERMOSA BATAAN 0.00 150.00 506.66 656.66 November 22, 2018 2018-12-5521 FELIPE PACION SAN VICENTE ORION BATAAN 0.00 0.00 354.75 354.75 November 22, 2018 2018-12-5522 CYRINE DE JESUS BINARITAN MORONG BATAAN 0.00 400.00 199.60 599.60 November 22, 2018 2018-12-5523 SUNDAY PAYADE BASECO MARIVELES BATAAN 0.00 450.00 382.09 832.09 November 22, 2018 2018-12-5524 ALBERTO LACSON CUPANG NORTH BALANGA CITY BATAAN 0.00 1,570.00 91.80 1,661.80 November 22, 2018 2018-12-5525 VIRGIE DELA CRUZ IPAG MARIVELES BATAAN 0.00 700.00 0.00 700.00 November 22, 2018 2018-12-2936-C MICHELLE SANTOS ST. FRANCIS I LIMAY BATAAN 0.00 1,550.00 191.69 1,741.69 November 22, 2018 2018-12-1467-T MARITA MENA KABALUTAN ORANI BATAAN 254.47 0.00 0.00 254.47 November 22, 2018 2018-12-2705-K JOSEPH BRYAN VIZCARRA CUPANG PROPER BALANGA CITY BATAAN 1,454.65 0.00 1,153.42 2,608.07 November 22, 2018 2018-12-2652-K OLIVER MAGTANONG LAON ABUCAY BATAAN 1,454.65 0.00 1,153.42 2,608.07 AMOUNT OF MEDICAL SERVICES REFEREN DATE Laboratory, TOTAL CE NAME ADDRESS Drugs and Dental & Hospital PREPARED ASSISTANCE NUMBER Med diagnostic Fees procedures

November 22, 2018 2018-12-2532-K WILSON SALAZAR TUYO BALANGA CITY BATAAN 1,454.65 0.00 1,153.42 2,608.07 November 22, 2018 2018-12-1909-AK JULIET PIZARRO PTO. RIVAS BALANGA CITY 1,454.65 0.00 1,153.42 2,608.07 November 22, 2018 2018-12-5526 CECIL FLORES TOWNSITE MARIVELES BATAAN 1,057.13 400.00 2,220.69 3,677.82 November 22, 2018 2018-12-5527 BAYANI MENDOZA SAPA SAMAL BATAAN 4,116.04 9,170.00 7,453.64 20,739.68 November 23, 2018 2018-12-1236-A DIOSCORO GAURAN CAMACHO BALANGA BATAAN 0.00 844.80 0.00 844.80 November 23, 2018 2018-12-1849-A CELIA DELITO CABOG CABOG BALANGA 0.00 520.00 0.00 520.00 November 23, 2018 2018-12-5528 MAE ANN SANCHEZ BACONG HERMOSA BATAAN 0.00 1,450.00 0.00 1,450.00 November 23, 2018 2018-12-5529 MARILYN CALMA PTO RIVAS IBABA BALANGA CITY BATAAN 0.00 2,470.00 0.00 2,470.00 November 23, 2018 2018-12-5530 KRIS ANGELO IMPERIAL STA ROSA PILAR BATAAN 0.00 300.00 0.00 300.00 November 23, 2018 2018-12-1008-B MARIELLA OPIANA CUPANG NORTH BALANGA 0.00 670.00 0.00 670.00 November 23, 2018 2018-12-5531 SARA JOY SEVILLA TIPO HERMOSA BATAAN 0.00 330.00 0.00 330.00 November 23, 2018 2018-12-5532 CLARK RAMIL ESLAO CABCABEN MARIVELES BATAAN 0.00 1,548.80 0.00 1,548.80 November 23, 2018 2018-12-3542-C AURORA TANGONAN DAAN PARE ORION BATAAN 0.00 0.00 2,699.84 2,699.84 November 23, 2018 2018-12-1607-A GIDEON JAMES ALFUENTE WAKAS NORTH PILAR BATAAN 0.00 0.00 300.00 300.00 November 23, 2018 2018-12-5533 ROGER CARREON BO. LUZ, LIMAY BATAAN 338.62 0.00 0.00 338.62 November 23, 2018 2018-12-2821-H JIMMY FELICITAS SAN BENITO DINALUPIHAN BATAAN 0.00 254.47 0.00 254.47 November 23, 2018 2018-12-5206-B SIGFREDO LOPEZ GABON ABUCAY BATAAN 0.00 2,608.07 0.00 2,608.07 November 23, 2018 2018-12-2544-K JOCELYN CORRIEL ST. FRANCIS II LIMAY 0.00 3,080.50 0.00 3,080.50 November 23, 2018 2018-12-2840-AO CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 2,608.07 0.00 2,608.07 November 23, 2018 2018-12-2746-O NORMA JACINTO MABATANG ABUCAY BATAAN 0.00 3,080.50 0.00 3,080.50 November 23, 2018 2018-12-4029-M ALFREDO CASTILLO CAMACHO BALANGA BATAAN 0.00 2,608.07 0.00 2,608.07 November 23, 2018 2018-12-2228-Q BERNARDO CRUZ SR. CABCABEN MARIVELES BATAAN 0.00 1,584.00 0.00 1,584.00 November 23, 2018 2018-12-2825-M RAFAEL BEATO MABATANG ABUCAY BATAAN 0.00 1,584.00 0.00 1,584.00 November 23, 2018 2018-12-882-Y ROGELIO MENDOZA A. RIVERA HERMOSA 0.00 1,584.00 0.00 1,584.00 November 23, 2018 2018-12-2779-M JUANITO DE SILVA SAPA SAMAL BATAAN 0.00 3,080.50 0.00 3,080.50 November 23, 2018 2018-12-5534 FELICITO ZABALA SAN JOSE BALANGA CITY BATAAN 0.00 0.00 601.05 601.05 November 23, 2018 2018-12-5535 JORILYN BENJAMIN WAKAS ORION BATAAN 0.00 720.00 0.00 720.00 November 23, 2018 2018-12-5536 CHRISTELLE MAY ESTERO BAGONG SILANG BALANGA CITY BATAAN 0.00 0.00 1,845.00 1,845.00 November 23, 2018 2018-12-5537 CARMELITA SORIANO TENEJERO BALANGA CITY BATAAN 0.00 591.36 0.00 591.36 November 23, 2018 2018-12-1456-Z ROLLY BUAL RIZAL PILAR BATAAN 0.00 591.36 0.00 591.36 November 23, 2018 2018-12-5102-A RODRIGO VILLANUEVA GABON ABUCAY BATAAN 0.00 850.00 0.00 850.00 November 23, 2018 2018-12-2425-F RENATO GUEVARRA CULIS HERMOSA BATAAN 1,303.91 0.00 0.00 1,303.91 November 23, 2018 2018-12-5538 JOHN REY NICDAO BACONG HERMOSA BATAAN 0.00 840 0.00 840.00 November 29, 2018 2018-12-5539 GLORIA LAXAMANA PORAC PAMPANGA 0.00 2,800.00 0.00 2,800.00 November 29, 2018 2018-12-5540 MILDRED CRUZ CUPANG PROPER BALANGA CITY 0.00 1,990.00 0.00 1,990.00 November 28, 2018 2018-12-5541 JENNIFER ANGELES SABATAN ORION BATAAN 0.00 1,370.00 0.00 1,370.00 November 27, 2018 2018-12-5542 RODRIGO PINERO CAPITANGAN ABUCAY BATAAN 0.00 840.00 0.00 840.00 November 28, 2018 2018-12-5543 RON GABRIEL BANZON BAGUMBAYAN BALANGA BATAAN 0.00 300.00 0.00 300.00 November 28, 2018 2018-12-5544 MAYCE VALINO DONA NENE MARIVELES BATAAN 0.00 2,310.00 0.00 2,310.00 November 28, 2018 2018-12-5545 ERMILINA DE LEON IBAYO BALANGA BATAAN 0.00 1,340.00 0.00 1,340.00 November 29, 2018 2018-12-4343-B LUISA RAMOS SAN ISIDRO MARIVELES BATAAN 0.00 498.15 0.00 498.15 November 29, 2018 2018-12-5546 REYNALDO ALBERTO ALION MARIVELES BATAAN 74.17 1,020.80 0.00 1,094.97 November 29, 2018 2018-12-5547 PRINCESS JAREN ABING BAMBAN HERMOSA BATAAN 474.50 0.00 0.00 474.50 November 29, 2018 2018-12-5548 GRACE GOMEZ IBIS BAGAC BATAAN 0.00 1,460.00 0.00 1,460.00 November 29, 2018 2018-12-5549 DAREL DIWA BAGONG SILANG BALANGA CITY 0.00 1,180.00 0.00 1,180.00 November 29, 2018 2018-12-5550 VINCENT VALDEZ BANAWANG BAGAC BATAAN 1,800.48 1,420.00 3,490.07 6,710.55 November 29, 2018 2018-12-5551 REMEGIA PACATE PALIPARAN LUCANIN MARIVELES BATAAN 0.00 750.00 246.29 996.29 November 29, 2018 2018-12-3506-A KRISTINE ROSE BENJAMIN WAKAS ORION BATAAN 0.00 600.00 0.00 600.00 November 02, 2018 2018-12-5552 ANA VILLAMOR CALAYLAYAN ABUCAY BATAAN 131.30 2,654.08 0.00 2,785.38 November 04, 2018 2018-12-5553 ERICK DELA CRUZ PUROK VII ST. FRANCIS II LIMAY BATAAN 495.15 500.00 0.00 995.15 November 05, 2018 2018-12-075-AQ MERCIDITA MORALES MT. VIEW MARIVELES BATAAN 1,454.65 0.00 1,160.56 2,615.21 November 05, 2018 2018-12-239-AJ EMILY MORIDO PUTING BUHANGIN ORION BATAAN 0.00 650.00 2,270.28 2,920.28 November 06, 2018 2018-12-5554 MARICAR DIMALANTA DAAN BILOLO ORION BATAAN 0.00 1,520.00 0.00 1,520.00 November 06, 2018 2018-12-5555 CECILIA MENDOZA CUPANG WEST BALANGA CITY BATAAN 0.00 1,440.00 0.00 1,440.00 November 08, 2018 2018-12-2893-G ARLEEH JUMILLA SAN ISIDRO MARIVELES BATAAN 19,282.06 38,070.00 5,455.50 62,807.56 November 13, 2018 2018-12-5556 MARIA PAZ GERONA PUROK V BANGAL DINALUPIHAN BATAAN 0.00 1,600.00 0.00 1,600.00 November 23, 2018 2018-12-3336-C JOMER SABADO CAMACHO BALANGA CITY BATAAN 10,633.94 4,593.70 0.00 15,227.64 November 24, 2018 2018-12-5557 MYLENE NITRO BALUT PILAR BATAAN 0.00 500.00 0.00 500.00 November 24, 2018 2018-12-5558 JAY ANGIELO SANTOS WAWA ABUCAY BATAAN 0.00 1,320.00 0.00 1,320.00 November 24, 2018 2018-12-5559 JIOVANI MANANSALA ALA-ULI PILAR BATAAN 258.77 600.00 0.00 858.77 November 24, 2018 2018-12-5560 ANGELO ROBLES ADAMSON GUGO SAMAL BATAAN 355.28 0.00 0.00 355.28 November 25, 2018 2018-12-5561 GINALYN FIGURACION ARMAÑO ST. LAMAO LIMAY BATAAN 0.00 550.00 0.00 550.00 November 25, 2018 2018-12-5210-A EVANGELINE DELA PAZ TENEJERO BALANGA CITY BATAAN 0.00 870.00 0.00 870.00 November 25, 2018 2018-12-5562 ALBERTO PAGSUGUIRAN CADRE CAMACHO BALANGA CITY BATAAN 0.00 1,548.80 0.00 1,548.80 November 25, 2018 2018-12-5563 RONALDO CAMAISA JR. 43 SITIO PASIG NAGWALING PILAR BATAAN 0.00 320.00 0.00 320.00 November 25, 2018 2018-12-5564 PERCIVAL ISIP CAMACHO BALANGA CITY BATAAN 0.00 920.00 0.00 920.00 November 25, 2018 2018-12-5565 MARILOU CASTRO CENTRAL BALANGA CITY BATAAN 192.10 1,300.00 0.00 1,492.10 November 25, 2018 2018-12-5566 MARICRIS ADAN TENEJERO BALANGA CITY BATAAN 0.00 1,000.00 0.00 1,000.00 AMOUNT OF MEDICAL SERVICES REFEREN DATE Laboratory, TOTAL CE NAME ADDRESS Drugs and Dental & Hospital PREPARED ASSISTANCE NUMBER Med diagnostic Fees procedures

November 25, 2018 2018-12-5567 MAGDALENA BAGSIC SUMALO HERMOSA BATAAN 478.46 1,160.00 0.00 1,638.46 November 25, 2018 2018-12-5568 MERLITA TAÑAGRAS ALAS-ASIN MARIVELES BATAAN 0.00 1,970.00 0.00 1,970.00 November 25, 2018 2018-12-5569 ANGELITO AVILES ST. FRANCIS II LIMAY BATAAN 0.00 900.00 0.00 900.00 November 25, 2018 2018-12-5570 RONNIE ATIENZA WAWA PILAR BATAAN 0.00 340.00 3,368.12 3,708.12 November 25, 2018 2018-12-1257-I EDUARDO RODRIGUEZ CAMACHO BALANGA BATAAN 2,368.46 0.00 0.00 2,368.46 November 25, 2018 2018-12-5571 DANILO GIGANTE PACAR ORANI BATAAN 374.61 105.60 1,594.95 2,075.16 November 26, 2018 2018-12-5572 RANDY PADERNAL SAYSAIN BAGAC BATAAN 293.79 2,550.00 39.00 2,882.79 November 26, 2018 2018-12-5573 ARMANDO ROLDAN BAGONG SILANG BALANGA CITY 0.00 2,200.00 0.00 2,200.00

November 26, 2018 2018-12-5574 FILOMENA OLIGO 09 PUROK V ROOSEVELT DINALUPIHAN BATAAN 10,780.50 9,550.00 582.45 20,912.95 November 26, 2018 2018-12-5575 SHERIL ROSE ANN DEL MUNDO CATANING PROPER BALANGA CITY 0.00 1,007.06 0.00 1,007.06 November 26, 2018 2018-12-5576 PRINCE STEVEN SALAZAR STA. ELENA ORION BATAAN 0.00 1,500.00 0.00 1,500.00 November 26, 2018 2018-12-5577 APRIL JOY RIOS BATANGAS II MARIVELES BATAAN 1,430.49 0.00 0.00 1,430.49 November 27, 2018 2018-12-2744-N RODOLFO TUAZON JR. 12 LOTE PTO. RIVAS BALANGA CITY 0.00 0.00 2,270.28 2,270.28 November 27, 2018 2018-12-1165-BJ ADONES LINTAG DAAN BILOLO ORION BATAAN 1,454.65 0.00 1,167.70 2,622.35 November 27, 2018 2018-12-5578 MELCHOR PEÑA MARIA FE ORANI BATAAN 0.00 2,400.00 0.00 2,400.00 November 27, 2018 2018-12-2228-R BERNARDO CRUZ SR. CABCABEN MARIVELES BATAAN 0.00 0.00 1,598.28 1,598.28 November 27, 2018 2018-12-2821-I JIMMY FELICITAS SAN BENITO DINALUPIHAN BATAAN 268.75 0.00 0.00 268.75 November 27, 2018 2018-12-2544-L JOCELYN CORRIEL ST. FRANCIS II LIMAY 1,454.65 0.00 1,160.56 2,615.21 November 28, 2018 2018-12-5579 CHRISTOPHER SABADO 228 BO. CAMPO TENEJERO BALANGA CITY 0.00 300.00 529.56 829.56 November 28, 2018 2018-12-5580 KRISIEL ANNE DELA CRUZ TENEJERO BALANGA CITY BATAAN 0.00 3,150.00 139.88 3,289.88 November 28, 2018 2018-12-097-O JOHN EDWARD VERGARA GABON ABUCAY BATAAN 1,454.65 0.00 1,153.42 2,608.07 November 28, 2018 2018-12-4825-A ACE ANNE PAGTALUNAN LALAWIGAN SAMAL BATAAN 474.50 0.00 0.00 474.50 November 29, 2018 2018-12-2936-D MICHELLE SANTOS ST. FRANCIS I LIMAY BATAAN 4,039.69 0.00 251.09 4,290.78 November 29, 2018 2018-12-5581 DIVINA OCONER CUPANG NORTH BALANGA CITY 334.05 0.00 0.00 334.05 November 29, 2018 2018-12-4663-C RONJAY GALO SALIAN ABUCAY BATAAN 474.50 0.00 0.00 474.50 November 29, 2018 2018-12-5582 RONAN ALEC CRISOSTOMO BAGUMBAYAN PILAR BATAAN 0.00 200.00 0.00 200.00 December 01, 2018 2018-12-5583 CAMELLA RUBIANO MABATANG ABUCAY BATAAN 6,144.44 0.00 0.00 6,144.44 DECEMBER 1,2018 2018-12-2077-M ANTONIO CARABEO KAWAYAN ORANI 0.00 1,480.00 0.00 1,480.00 DECEMBER 1,2018 2018-12-5584 JENRIEZ REYES TENEJERO BALANGA CITY BATAAN 0.00 420.00 0.00 420.00 DECEMBER 1,2018 2018-12-3919-C MARIANNE LABONITE CABCABEN MARIVELES BATAAN 0.00 1,950.00 0.00 1,950.00 DECEMBER 1,2018 2018-12-097-P JOHN EDWARD VERGARA GABON ABUCAY BATAAN 2,039.65 0.00 980.26 3,019.91 DECEMBER 1,2018 2018-12-5585 DORY RAGANIT SABATAN ORION BATAAN 0.00 880.00 0.00 880.00 DECEMBER 1,2018 2018-12-1909-AL JULIET PIZARRO PTO. RIVAS IBABA, BALANGA CITY, BATAAN 0.00 0.00 3,080.50 3,080.50 DECEMBER 1,2018 2018-12-2705-L JOSEPH BRYAN VIZCARRA CUPANG PROPER BALANGA CITY BATAAN 352.62 0.00 2,269.73 2,622.35 DECEMBER 1,2018 2018-12-997-R ROY MANANSALA TOWNSITE LIMAY BATAAN 0.00 0.00 1,598.28 1,598.28 DECEMBER 1,2018 2018-12-5586 SHEEREN LINGAD CAPITANGAN ABUCAY BATAAN 0.00 0.00 1,423.46 1,423.46 DECEMBER 1,2018 2018-12-5587 ROSALIE OLAY MT. VIEW MARIVELES BATAAN 0.00 770.00 2,202.75 2,972.75 DECEMBER 1,2018 2018-12-1449-M ROGER PAJUNAR BALON ANITO MARIVELES BATAAN 0.00 1,430.00 0.00 1,430.00 DECEMBER 1,2018 2018-12-2750-N REYNALDO PAMINTUAN LUACAN DINALUPIHAN BATAAN 0.00 1,350.00 0.00 1,350.00 DECEMBER 1,2018 2018-12-5227-A ANALIZA MORALES CATANING BALANGA CITY BATAAN 0.00 471.68 0.00 471.68 DECEMBER 1,2018 2018-12-2630-P HENRY ALIPIO CAMACHO, BALANGA CITY, BATAAN 0.00 0.00 1,598.28 1,598.28 DECEMBER 1,2018 2018-12-2532-L WILSON SALAZAR UPPER TUYO BALANGA CITY BATAAN 0.00 1,048.96 0.00 1,048.96 DECEMBER 1,2018 2018-12-2532-M WILSON SALAZAR UPPER TUYO BALANGA CITY BATAAN 0.00 2,608.07 0.00 2,608.07 DECEMBER 1,2018 2018-12-5588 ARMANDO TIMOTEO LOWER DUALE LIMAY BATAAN 0.00 0.00 407.54 407.54 DECEMBER 1,2018 2018-12-5589 NILDA FRANCISCO BANZON ST., BALANGA CITY, BATAAN 0.00 0.00 1,002.10 1,002.10 DECEMBER 1,2018 2018-12-436-AM ALLAN MIRASOL SAMARIA, MT. VIEW MARIVELES, BATAAN 0.00 2,280.00 0.00 2,280.00

DECEMBER 1,2018 2018-12-3528-E ROLANDO ESPIRITU BLK. 3 RAYA ST., PANTALAN LUMA ORANI, BATAAN 4,096.29 0.00 0.00 4,096.29 DECEMBER 1,2018 2018-12-5590 MANUEL PEREYRA JR BAGUMBAYAN ORION BATAAN 0.00 920.00 0.00 920.00 DECEMBER 1,2018 2018-12-2652-L OLIVER MAGTANONG LAON ABUCAY BATAAN 0.00 2,250.00 0.00 2,250.00 DECEMBER 2,2018 2018-12-5591 ERNESTO BUSINE JR MT. VIEW MARIVELES BATAAN 0.00 0.00 423.29 423.29 DECEMBER 2,2018 2018-12-5592 OLIMPIO FLORES MANDAMA HERMOSA BATAAN 247.43 668.80 0.00 916.23 DECEMBER 2,2018 2018-12-5593 ERMINA MALIG-ON RIVERSIDE LAMAO BATAAN 0.00 0.00 1,763.95 1,763.95 DECEMBER 2,2018 2018-12-5594 ANALYN CANDELARIO BLISS LIMAY 0.00 520.00 0.00 520.00 DECEMBER 2,2018 2018-12-5595 MICHAELA NICOLE ORPIANO PANTALAN BAGO ORANI BATAAN 0.00 1,560.00 0.00 1,560.00 DECEMBER 2,2018 2018-12-5596 ARNEL LACORTE PANTINGAN PILAR BATAAN 0.00 1,140.00 0.00 1,140.00 DECEMBER 2,2018 2018-12-5597 ELGIE TARROZA MT. VIEW MARIVELES BATAAN 0.00 2,040.00 0.00 2,040.00 DECEMBER 2,2018 2018-12-4906-D CHARENA TALA IPAG MARIVELES BATAAN 0.00 1,780.00 0.00 1,780.00 DECEMBER 2,2018 2018-12-5598 ROSARIO RAMOS CUPANG PROPER BALANGA CITY BATAAN 0.00 950.40 0.00 950.40 DECEMBER 2,2018 2018-12-5599 KRIS DABU PALIHAN HERMOSA BATAAN 214.50 0.00 0.00 214.50 DECEMBER 2,2018 2018-12-239-AK EMILY MORIDO PUTING BUHANGIN ORION BATAAN 0.00 1,630.00 0.00 1,630.00 DECEMBER 3,2018 2018-12-1491-K MELITO CAMAING TENEJERO BALANGA CITY BATAAN 0.00 0.00 1,584.00 1,584.00 DECEMBER 3,2018 2018-12-2652-M OLIVER MAGTANONG LAON ABUCAY BATAAN 1,454.65 0.00 1,153.42 2,608.07 DECEMBER 3,2018 2018-12-2146-Y RAVENACE BALUYOT 131 STO ROSARIO ST PALIHAN (POB) ORANI 1,454.65 0.00 1,153.42 2,608.07

DECEMBER 3,2018 2018-12-293-R NIDA MALATE 0336 SITIO PAG-ASA CAMAYA MARIVELES BATAAN 1,024.07 0.00 0.00 1,024.07 DECEMBER 3,2018 2018-12-5600 PRESISMA GONZALES ST. FRANCIS II LIMAY BATAAN 344.58 0.00 0.00 344.58 DECEMBER 3,2018 2018-12-5601 MA. CITAS FERNANDO LAMAO LIMAY BATAAN 474.50 0.00 0.00 474.50 DECEMBER 3,2018 2018-12-5602 EMILTON MARIO STA. ELENA ORION BATAAN 518.54 0.00 0.00 518.54 DECEMBER 3,2018 2018-12-5603 EDWIN DE LEON JR LOTE PTO. RIVAS BALANGA CITY 474.50 0.00 0.00 474.50 AMOUNT OF MEDICAL SERVICES REFEREN DATE Laboratory, TOTAL CE NAME ADDRESS Drugs and Dental & Hospital PREPARED ASSISTANCE NUMBER Med diagnostic Fees procedures

DECEMBER 3,2018 2018-12-5604 SIMON DE GUZMAN CAMAYA, MARIVELES 8,390.38 3,674.77 0.00 12,065.15 DECEMBER 3,2018 2018-12-3057-P JESUS DENNIS OLIVEROS DFS BALANGA CITY 358.07 0.00 2,250.00 2,608.07 DECEMBER 3,2018 2018-12-2840-AP CORNELIO DELA CRUZ CAPITANGAN, ABUCAY, BATAAN 0.00 0.00 2,608.07 2,608.07 DECEMBER 3,2018 2018-12-5605 ROWENA ISON VILLA MARGARITA STA. ROSA PILAR, BATAAN 0.00 1,860.00 0.00 1,860.00 DECEMBER 3,2018 2018-12-930-C ANTONIO BALGOS LANDING PILAR BATAAN 0.00 1,650.00 0.00 1,650.00 DECEMBER 3,2018 2018-12-1593-AD JOY FRANCISCO TOWNSITE LIMAY BATAAN 0.00 0.00 1,645.75 1,645.75 DECEMBER 3,2018 2018-12-075-AR MERCIDITA MORALES MT. VIEW MARIVELES BATAAN 0.00 3,580.78 585.55 4,166.33 DECEMBER 3,2018 2018-12-436-AN ALLAN MIRASOL MT. VIEW MARIVELES BATAAN 1,454.65 0.00 2,250.00 3,704.65 DECEMBER 3,2018 2018-12-5606 MARIA TAYAG WAWA PILAR BATAAN 474.50 0.00 0.00 474.50 DECEMBER 3,2018 2018-12-5607 NESTOR ALEGRE PARANG, BAGAC, BATAAN 0.00 1,270.00 674.56 1,944.56 DECEMBER 3,2018 2018-12-5608 MARIA LUISA NUÑEZ RESURRECTION CABCABEN MARIVELES BATAAN 0.00 1,900.00 0.00 1,900.00 DECEMBER 3,2018 2018-12-5609 REA JHEANE BALDESMO SITIO UGONG CATANING BALANGA CITY BATAAN 474.50 0.00 0.00 474.50 DECEMBER 3,2018 2018-12-1456-AA ROLLY BUAL RIZAL PILAR BATAAN 388.68 0.00 2,270.28 2,658.96 DECEMBER 3,2018 2018-12-1035-U ZENAIDA NATE MABIGA HERMOSA BATAAN 352.07 0.00 2,270.28 2,622.35 DECEMBER 3,2018 2018-12-5165-C GARY SIBAYAN JR. CABCABEN MARIVELES BATAAN 352.07 0.00 2,270.28 2,622.35 DECEMBER 3,2018 2018-12-2744-O RODOLFO TUAZON JR. PTO. RIVAS, BALANGA CITY 0.00 1,280.00 0.00 1,280.00 DECEMBER 3,2018 2018-12-293-S NIDA MALATE CAMAYA, MARIVELES, BATAAN 0.00 0.00 1,584.00 1,584.00 DECEMBER 3,2018 2018-12-5610 REIZELL AKIRA MAGDAY LAON ABUCAY BATAAN 533.50 0.00 0.00 533.50 DECEMBER 3,2018 2018-12-5611 OLYMPIA CRUZ KAPARANGAN ORANI BATAAN 0.00 1,750.00 0.00 1,750.00 DECEMBER 3,2018 2018-12-5612 MICAELA BALBUENA PIO DEL MAR CUPANG PROPER 0.00 0.00 474.50 474.50 DECEMBER 3,2018 2018-12-2544-M JOCELYN CORRIEL ST. FRANCIS II LIMAY,BATAAN 0.00 1,350.00 0.00 1,350.00 DECEMBER 3,2018 2018-12-1035-V ZENAIDA NATE MABIGA HERMOSA BATAAN 0.00 1,350.00 0.00 1,350.00 DECEMBER 3,2018 2018-12-5613 JOSEPH MENGULLO TUYO BALANGA CITY BATAAN 17,401.17 21,540.00 17,907.89 56,849.06 DECEMBER 3,2018 2018-12-5584-A JENRIEZ REYES BATUNGBAKAL ST. TENEJERO BALANGA CITY 0.00 1,500.00 0.00 1,500.00 DECEMBER 3,2018 2018-12-5614 CELESTE CABRITIT MABINI EXIT DINALUPIHAN BATAAN 0.00 900.00 0.00 900.00 DECEMBER 3,2018 2018-12-5615 HIYAS OCAMPO CATANING BALANGA CITY BATAAN 0.00 700.00 0.00 700.00 DECEMBER 3,2018 2018-12-5616 ZHYLE KAIZER MENESES CARBON SITE LAMAO LIMAY 0.00 1,500.00 0.00 1,500.00 DECEMBER 3,2018 2018-12-182-J MATEO CORPUZ SR. SABATAN ORION BATAAN 500.85 0.00 0.00 500.85 DECEMBER 3,2018 2018-12-2361-T TOMAS ONGKINGCO CAPITANGAN ABUCAY BATAAN 358.07 0.00 2,250.00 2,608.07 DECEMBER 3,2018 2018-12-239-AL EMILY MORIDO PUTTING BUHANGIN ORION BATAAN 0.00 0.00 3,080.50 3,080.50 DECEMBER 3,2018 2018-12-767-D VIOLETA FERNANDO SACRIFICE VALLEY HERMOSA BATAAN 0.00 600.00 0.00 600.00 DECEMBER 3,2018 2018-12-3262-E FLORENCIO DIONISIO PACAR ORANI BATAAN 0.00 2,000.00 0.00 2,000.00 DECEMBER 3,2018 N2018-12-2532-M WILSON SALAZAR TUYO BALANGA CITY BATAAN 352.07 0.00 2,270.28 2,622.35 DECEMBER 3,2018 2018-12-5617 CRISTINA CLARINO ALAULI PILAR 0.00 550.00 0.00 550.00 DECEMBER 3,2018 2018-12-5618 ANGELITA BALUYOT WAWA ABUCAY BATAAN 334.05 0.00 334.05

DECEMBER 3,2018 2018-12-5619 JOSEFINA SABERDO PORTO GATE BALON ANITO MARIVELES BATAAN 12,309.91 11,761.32 0.00 24,071.23 DECEMBER 3,2018 2018-12-5620 MYLENE EUSEBIO VILLA ANGELES ORION BATAAN 0.00 650.00 0.00 650.00 DECEMBER 3,2018 2018-12-5621 MANOLITO LIM MABUCO HERMOSA BATAAN 38,231.14 20,072.92 0.00 58,304.06 DECEMBER 3,2018 2018-12-223-AA REN MARK SAPIT ALAS ASIN MARIVELES BATAAN 0.00 1,530.00 0.00 1,530.00 DECEMBER 3,2018 2018-12-5622 KENNETH LELIS SAPA SAMAL BATAAN 0.00 400.00 0.00 400.00 DECEMBER 3,2018 2018-12-1061-G CHRIZONVER AMON MT. VIEW MARIVELES BATAAN 0.00 901.12 0.00 901.12 DECEMBER 3,2018 2018-12-5223-A BIANCA KRIZIA ALVIZ SALVADOR MABATANG ABUCAY BATAAN 474.50 0.00 0.00 474.50 DECEMBER 3,2018 2018-12-5623 EMILY MACASPAC MULAWIN ORANI BATAAN 0.00 400.00 0.00 400.00 DECEMBER 3,2018 2018-12-5624 MHAY JIAY LORICA MABATANG ABUCAY BATAAN 0.00 700.00 0.00 700.00 DECEMBER 3,2018 2018-12-2610-G EVANGELINE GAMAYON CENTRAL BALANGA CITY BATAAN 0.00 1,930.00 0.00 1,930.00 October 28, 2018 2018-12-5625 MICHAEL SARMIENTO SAN JUAN SAMAL BATAAN 0.00 2800.00 0.00 2,800.00 November 29, 2018 2018-12-5626 KYLE JOSHUA TALUBAN NAGWALING PILAR BATAAN 1,455.09 0.00 0.00 1,455.09 December 01, 2018 2018-12-5627 MARIANO QUILILAN JR. DAAN PARE ORION BATAAN 474.50 0.00 0.00 474.50 December 01, 2018 2018-12-1258-I TORIBIO MIRANDA JR. BAYAN ORANI BATAAN 0.00 0.00 1,598.28 1,598.28 December 01, 2018 2018-12-1549-AK VIOLETA SOMO LAMAO LIMAY BATAAN 0.00 0.00 1,598.28 1,598.28 December 01, 2018 2018-12-413-H DANIEL ENRIQUEZ ALAS ASIN MARIVELES BATAAN 1,454.65 0.00 1,167.70 2,622.35 December 01, 2018 2018-12-1755-J EDITHA CRUZ PTO RIVAS IBABA BALANGA CITY BATAAN 0.00 0.00 1,598.28 1,598.28 December 01, 2018 2018-12-1257-J EDUARDO RODRIGUEZ CAMACHO BALANGA BATAAN 1,454.65 0.00 1,167.70 2,622.35 December 01, 2018 2018-12-1430-T VIRGINIA NAVARRO CALUNGUSAN ORION BATAAN 0.00 0.00 1,609.72 1,609.72 December 01, 2018 2018-12-1429-O EFREN GANTIGA BAYAN ORANI BATAAN 0.00 1350.00 0.00 1,350.00 December 01, 2018 2018-12-1429-P EFREN GANTIGA BAYAN ORANI BATAAN 1,454.65 0.00 20.28 1,474.93 December 01, 2018 2018-12-391-AJ ROLY CORDERO STA. ISABEL DINALUPIHAN BATAAN 0.00 0.00 1,598.28 1,598.28 December 01, 2018 2018-12-3406-U ANITA TAPANG SAN JUAN SAMAL BATAAN 0.00 0.00 2,270.28 2,270.28 December 01, 2018 2018-12-030-AC DIONILO GUTIERREZ ST FRANCIS II LIMAY BATAAN 0.00 0.00 1,598.28 1,598.28 December 01, 2018 2018-12-2750-O REYNALDO PAMINTUAN LUACAN DINALUPIHAN BATAAN 1,454.65 0.00 2,270.28 3,724.93 December 01, 2018 2018-12-5628 KRISTINE APOSTOL DEL ROSARIO PILAR BATAAN 0.00 1300.00 299.36 1,599.36 December 01, 2018 2018-12-1165-BK ADONES LINTAG DAAN BILOLO ORION BATAAN 1,454.65 0.00 1,167.70 2,622.35 December 01, 2018 2018-12-075-AS MERCIDITA MORALES MT. VIEW MARIVELES BATAAN 1,454.65 0.00 1,167.70 2,622.35 December 01, 2018 2018-12-368-AI MARY JANE SAMSON LAON ABUCAY BATAAN 1,454.65 0.00 1,167.70 2,622.35 December 01, 2018 2018-12-5165-C GARY SIBAYAN JR. CABCABEN MARIVELES BATAAN 1,454.65 0.00 1,153.42 2,608.07 December 01, 2018 2018-12-391-AK ROLY CORDERO STA. ISABEL DINALUPIHAN BATAAN 0.00 1464.32 0.00 1,464.32 December 01, 2018 2018-12-5629 ANGELITA AGRANUM LAON ABUCAY BATAAN 0.00 1320.00 0.00 1,320.00 December 01, 2018 2018-12-293-T NIDA MALATE CAMAYA MARIVELES BATAAN 0.00 0.00 1,584.00 1,584.00 AMOUNT OF MEDICAL SERVICES REFEREN DATE Laboratory, TOTAL CE NAME ADDRESS Drugs and Dental & Hospital PREPARED ASSISTANCE NUMBER Med diagnostic Fees procedures

December 01, 2018 2018-12-5630 ELVIE MALLARI BURGOS PILAR BATAAN 0.00 900.00 0.00 900.00 December 02, 2018 2018-12-5631 RENE CORPUZ PANILAO PILAR BATAAN 0.00 0.00 488.95 488.95 December 02, 2018 2018-12-1837-A LOURDES SANTOS CALAGUIMAN SAMAL BATAAN 0.00 870.00 77.18 947.18 December 02, 2018 2018-12-5632 CYNTHIA RAMOS POBLACION MARIVELES BATAAN 0.00 320.00 1,131.52 1,451.52 December 02, 2018 2018-12-5633 KAREN JOY ASUNCION SAN JOSE BALANGA CITY BATAAN 0.00 600.00 209.83 809.83 December 02, 2018 2018-12-3454-C KYLE BRYAN PUNZALAN BALSIK HERMOSA BATAAN 0.00 1499.52 0.00 1,499.52 December 02, 2018 2018-12-5634 LOLITA CAYETANO BANGKAL ABUCAY BATAAN 0.00 650.00 0.00 650.00 December 02, 2018 2018-12-5635 ELIJAH MARIE UNTALAN TENEJERO BALANGA CITY BATAAN 0.00 1000.00 0.00 1,000.00 December 03, 2018 2018-12-5636 DIONISIO BASCONCILLO MAMBOG HERMOSA BATAAN 0.00 2020.00 0.00 2,020.00 December 04, 2018 2018-12-5637 EMILY MENDOZA HOUSING BATANGAS II MARIVELES BATAAN 0.00 670.00 0.00 670.00 December 04, 2018 2018-12-4847-C MARY GRACE ARLIGUE PANTINGAN PILAR BATAN 474.50 0.00 0.00 474.50 December 04, 2018 2018-12-5638 MA. LUISA ALICANDO ROOSEVELT DINALUPIHAN BATAAN 0.00 1350.00 0.00 1,350.00 December 04, 2018 2018-12-5639 VANESSA MANANSALA STO. DOMINGO ORION BATAAN 0.00 670.00 0.00 670.00 December 04, 2018 2018-12-1909-AM JULIET PIZARRO PTO. RIVAS BALANGA CITY 1,454.65 0.00 1,181.66 2,636.31 December 04, 2018 2018-12-223-AB REN MARK SAPIT ALAS ASIN MARIVELES BATAAN 1,454.65 0.00 2,250.00 3,704.65 December 04, 2018 2018-12-843-L JUANITO GALVEZ CULIS HERMOSA BATAAN 1,454.65 0.00 1,153.42 2,608.07 December 04, 2018 2018-12-2856-J ELPIDIO RAFAEL CALAYLAYAN ABUCAY BATAAN 1,454.65 0.00 1,215.18 2,669.83 December 04, 2018 2018-12-997-S ROY MANANSALA TOWNSITE LIMAY BATAAN 0.00 0.00 3,080.50 3,080.50 December 04, 2018 2018-12-5206-C SIGFREDO LOPEZ GABON ABUCAY BATAAN 1,454.65 0.00 1,153.42 2,608.07 December 04, 2018 2018-12-2779-N JUANITO DE SILVA SAPA SAMAL BATAAN 1,454.65 0.00 1,184.30 2,638.95 December 04, 2018 2018-12-2825-N RAFAEL BEATO MABATANG ABUCAY BATAAN 1,454.65 0.00 1,153.42 2,608.07 December 04, 2018 2018-12-2746-P NORMA JACINTO MABATANG ABUCAY BATAAN 1,454.65 0.00 1,153.42 2,608.07 December 04, 2018 2018-12-5640 CATHYRINE SEQUIHOD SAN ISIDRO MARIVELES BATAAN 0.00 700.00 0.00 700.00 December 04, 2018 2018-12-5641 JOVEL REYLADO WAKAS PILAR BATAAN 474.50 0.00 0.00 474.50 December 04, 2018 2018-12-5642 LUZ CLARITA GUTIERREZ CALAYLAYAN ABUCAY BATAAN 0.00 770.00 0.00 770.00 December 04, 2018 2018-12-5643 NANCY JARA IBIS BAGAC BATAAN 0.00 1670.00 0.00 1,670.00 December 04, 2018 2018-12-5581-A DIVINA OCONER CUPANG NORTH BALANGA BATAAN 334.05 0.00 0.00 334.05 December 04, 2018 2018-12-1680-J BARTOLOME SEREÑO PANILAO PILAR BATAAN 2,039.65 0.00 994.22 3,033.87 December 04, 2018 2018-12-4029-N ALFREDO CASTILLO CAMACHO BALANGA BATAAN 1,454.65 0.00 1,153.42 2,608.07 December 04, 2018 2018-12-5227-B ANALIZA MORALES CATANING HERMOSA BATAAN 0.00 999.68 0.00 999.68 December 04, 2018 2018-12-5644 VICTOR BACOLOR SACRIFICE VALLEY HERMOSA BATAAN 550.72 0.00 0.00 550.72 December 04, 2018 2018-12-5645 PORFIRIO ABEJO TUYO BALANGA CITY BATAAN 0.00 401.28 0.00 401.28 December 04, 2018 2018-12-5646 MIRASOL TRANATE TENEJERO BALANGA CITY BATAAN 0.00 2660.00 0.00 2,660.00 December 04, 2018 2018-12-4466-A MARY JANE TRUGANI SISIMAN MARIVELES BATAAN 0.00 1910.00 0.00 1,910.00 December 04, 2018 2018-12-3289-D RODRIGO SAN PEDRO IBIS BAGAC BATAAN 0.00 950.40 0.00 950.40 December 04, 2018 2018-12-767-E VIOLETA FERNANDO SACRIFICE VALLEY HERMOSA BATAAN 0.00 1270.00 0.00 1,270.00 December 04, 2018 2018-12-5286-A ELISTE MONTON BO. LUZ, LIMAY BATAAN 474.50 0.00 0.00 474.50 December 04, 2018 2018-12-5647 DESIREE AGUILAR DEL ROSARIO PILAR BATAAN 0.00 1900.00 0.00 1,900.00 December 04, 2018 2018-12-5648 ROLANDO BACAYCAY MT. VIEW MARIVELES BATAAN 0.00 1350.00 0.00 1,350.00 December 04, 2018 2018-12-5649 HILDA ATON TUYO BALANGA CITY BATAAN 0.00 840.00 0.00 840.00 December 04, 2018 2018-12-5650 FRANCISCO HASA CULIS HERMOSA BATAAN 0.00 1120.00 229.43 1,349.43 December 04, 2018 2018-12-1549-AL VIOLETA SOMO LAMAO LIMAY BATAAN 0.00 950.00 139.41 1,089.41 December 04, 2018 2018-12-5651 LAUREEN BACUSA POBLACION MARIVELES BATAAN 0.00 2200.00 0.00 2,200.00 December 04, 2018 2018-12-5652 KAREN GULISAN BANGKAL ABUCAY BATAAN 0.00 670.00 0.00 670.00 December 05, 2018 2018-12-5653 ERNESTO PONGOS BASECO MARIVELES BATAAN 0.00 1330.00 0.00 1,330.00 December 05, 2018 2018-12-5654 BEA MAE KRIS TROCIO ALAS ASIN MARIVELES BATAAN 0.00 590.00 0.00 590.00 December 05, 2018 2018-12-2273-D RUBENELL TAGALITOS DAAN PARE ORION BATAAN 0.00 457.60 0.00 457.60 December 05, 2018 2018-12-2657-A LIBRADO SUBA BAYAN BAYANAN DINALUPIHAN BATAAN 0.00 0.00 2,699.84 2,699.84 December 05, 2018 2018-12-5601-A MA. CITAS FERNANDO LAMAO LIMAY BATAAN 949.00 0.00 0.00 949.00 December 05, 2018 2018-12-5655 JOHN AXEL BUENZALIDA MABATANG ABUCAY BATAAN 474.50 0.00 0.00 474.50 December 05, 2018 2018-12-5656 JOVEN MCHRIS CAMACHO PTO. RIVAS BALANGA CITY 953.66 0.00 0.00 953.66 December 05, 2018 2018-12-5657 MARK GWENDEL CANONOY ALANGAN LIMAY BATAAN 953.66 0.00 0.00 953.66 December 05, 2018 2018-12-5658 REA JHEANE MORALES CATANING BALANGA CITY BATAAN 949.00 0.00 0.00 949.00 December 05, 2018 2018-12-5659 NORMITA LUGTU MUNTING BATANGAS BALANGA CITY 0.00 800.00 0.00 800.00 December 05, 2018 2018-12-5660 OLIVER ROMANBAN JR. CATANING BALANGA CITY BATAAN 1,427.64 0.00 0.00 1,427.64 December 05, 2018 2018-12-4608-A BEVERLY BUENO POBLACION MARIVELES BATAAN 0.00 600.00 0.00 600.00 December 05, 2018 2018-12-4807-C LORNA BESONIA BAGUMBAYAN BALANGA BATAAN 474.50 0.00 0.00 474.50 December 05, 2018 2018-12-5661 EDWIN DE LEON JR. PTO. RIVAS BALANGA CITY 474.50 0.00 0.00 474.50 December 05, 2018 2018-12-5662 FLORAME GUIMEROY POBLACION MORONG BATAAN 0.00 620.00 0.00 620.00 December 05, 2018 2018-12-5663 BABY GIRL MIRANDA BALUT II PILAR BATAAN 0.00 600.00 0.00 600.00 December 05, 2018 2018-12-5664 AIRISH DELA CRUZ MABATANG ABUCAY BATAAN 0.00 1170.00 0.00 1,170.00 December 05, 2018 2018-12-4736-A NIMFA BANQUILAY CABCABEN MARIVELES BATAAN 0.00 2200.00 0.00 2,200.00 December 05, 2018 2018-12-3325-A JENNIFER GARDE WAWA ABUCAY BATAAN 0.00 1490.00 0.00 1,490.00 December 05, 2018 2018-12-4926-C MARCIANA AMAYA LAZARTE PANILAO PILAR BATAAN 474.50 0.00 0.00 474.50 December 05, 2018 2018-12-5665 MARITES ALLAUIGAN BAGONG SILANG BALANGA CITY BATAAN 0.00 3700.00 0.00 3,700.00 December 05, 2018 2018-12-5666 CARMELITA MAGTANONG EAST CALAGUIMAN SAMAL BATAAN 953.66 0.00 0.00 953.66 December 05, 2018 2018-12-4852-C MON EMIL GEMZON BAGUMBAYAN BALANGA BATAAN 474.50 0.00 0.00 474.50 December 05, 2018 2018-12-5667 IMELDA BESONIA BAGUMBAYAN BALANGA BATAAN 518.54 0.00 0.00 518.54 AMOUNT OF MEDICAL SERVICES REFEREN DATE Laboratory, TOTAL CE NAME ADDRESS Drugs and Dental & Hospital PREPARED ASSISTANCE NUMBER Med diagnostic Fees procedures

December 05, 2018 2018-12-5668 MARIA BAUN PANILAO PILAR BATAAN 669.00 0.00 0.00 669.00 December 05, 2018 2018-12-5669 ROGELIO MAGPOC WAKAS LALAWIGAN 1,428.12 8723.01 0.00 10,151.13 December 05, 2018 2018-12-030-AD DIONILO GUTIERREZ ST. FRANCIS II LIMAY BATAAN 1,454.65 0.00 1,153.42 2,608.07 December 05, 2018 2018-12-2840-AQ CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 1,454.65 0.00 1,153.42 2,608.07 December 05, 2018 2018-12-075-AT MERCIDITA MORALES MT. VIEW MARIVELES BATAAN 1,454.65 0.00 1,153.42 2,608.07 December 05, 2018 2018-12-3406-V ANITA TAPANG SAN JUAN SAMAL BATAAN 1,454.65 0.00 2,250.00 3,704.65 December 05, 2018 2018-12-2630-Q HENRY ALIPIO CAMACHO BALANGA BATAAN 0.00 0.00 1,584.00 1,584.00 December 06, 2018 2018-12-5670 GABBY DACANAY STA. ROSA PILAR BATAAN 1,452.99 0.00 0.00 1,452.99 December 06, 2018 2018-12-5671 CLARISE PERALTA CALUNGUSAN ORION BATAAN 0.00 1210.00 0.00 1,210.00 December 06, 2018 2018-12-4963-A JERES RAIVEN LAUS STO. DOMINGO ORION BATAAN 474.50 0.00 0.00 474.50 December 06, 2018 2018-12-5672 FROILAN CLYDE MENDOZA CENTRAL BALANGA CITY BATAAN 0.00 400.00 219.50 619.50 December 06, 2018 2018-12-1491-L MELITO CAMAING TENEJERO BALANGA CITY BATAAN 0.00 0.00 1,598.28 1,598.28 December 06, 2018 2018-12-239-AM EMILY MORIDO PUTING BUHANGIN ORION BATAAN 0.00 0.00 2,270.28 2,270.28 December 03, 2018 2018-12-1549-AM VIOLETA SOMO LAMAO LIMAY BATAAN 2,608.07 0.00 0.00 2,608.07 December 04, 2018 2018-12-2238-C ARNOLD MANABAT TUYO BALANGA CITY BATAAN 1,842.49 0.00 0.00 1,842.49 December 04, 2018 2018-12-5673 FERDINAND CRUZ TORTUGAS BALANGA CITY 0.00 3,370.00 0.00 3,370.00 December 05, 2018 2018-12-5674 WILDREDO CABARLES TENEJERO BALANGA CITY BATAAN 0.00 840.00 0.00 840.00 December 05, 2018 2018-12-1257-K EDUARDO RODRIGUEZ CAMACHO BALANGA CITY BATAAN 2,608.07 0.00 0.00 2,608.07 December 05, 2018 2018-12-1755-K EDITHA CRUZ PTO. RIVAS BALANGA CITY BATAAN 1,584.00 0.00 0.00 1,584.00 December 05, 2018 2018-12-5675 NICANOR JUDILLASEN MALIGAYA MARIVELES BATAAN 0.00 2,113.88 0.00 2,113.88 December 05, 2018 2018-12-4949-B JANNIELL SOPHIA REYES CAPITANGAN ABUCAY BATAAN 474.50 0.00 0.00 474.50 December 05, 2018 2018-12-5676 WENDELL GAMUS CAPITANGAN ABUCAY BATAAN 949.00 0.00 0.00 949.00 December 05, 2018 2018-12-5677 JEROHME GIDUCOS LUCANIN MARIVELES BATAAN 474.50 0.00 0.00 474.50 December 05, 2018 2018-12-5678 PATRICK TOLOSA CATANING PROPER BALANGA CITY 474.50 0.00 0.00 474.50 December 05, 2018 2018-12-413-I DANIEL ENRIQUEZ ALAS-ASIN MARIVELES BATAAN 2,665.27 0.00 0.00 2,665.27 December 05, 2018 2018-12-2361-U TOMAS ONGKINGCO CAPITANGAN ABUCAY BATAAN 2,608.07 0.00 0.00 2,608.07 December 05, 2018 2018-12-1429-Q EFREN GANTIGA BAYAN ORANI BATAAN 2,039.65 0.00 0.00 2,039.65 December 05, 2018 2018-12-1258-J TORIBIO MIRANDA JR. LAYAC DINALUPIHAN BATAAN 2,608.07 0.00 0.00 2,608.07 December 05, 2018 2018-12-1430-U VIRGINIA NAVARRO CALUNGUSAN ORION BATAAN 2,608.07 0.00 0.00 2,608.07 December 05, 2018 2018-12-1035-W ZENAIDA NATE MABIGA HERMOSA BATAAN 2,608.07 0.00 0.00 2,608.07 December 05, 2018 2018-12-1456-AB ROLLY BUAL RIZAL PILAR BATAAN 1,593.15 0.00 0.00 1,593.15 December 05, 2018 2018-12-5165-D GARY SIBAYAN JR. CABCABEN MARIVELES BATAAN 2,639.88 0.00 0.00 2,639.88 December 05, 2018 2018-12-2705-M JOSEPH BRYAN VIZCARRA CUPANG PROPER BALANGA CITY BATAAN 2,725.31 0.00 0.00 2,725.31 December 06, 2018 2018-12-293-U NIDA MALATE CAMAYA MARIVELES BATAAN 2,639.88 0.00 0.00 2,639.88 December 06, 2018 2018-12-5679 CRISTINA DELGADO DAANG BAGO BILOLO BATAAN 0.00 900.00 0.00 900.00 December 06, 2018 2018-12-5680 ALLAN MICHAEL CRUZ POBLACION BALANGA CITY BATAAN 1,423.44 0.00 0.00 1,423.44 December 06, 2018 2018-12-5681 JASMINE ESPINOSA CAPUNITAN ORION BATAAN 0.00 1,470.00 0.00 1,470.00 December 06, 2018 2018-12-5682 MARLON SERRANO ST. FRANCIS II LIMAY BATAAN 3,722.75 633.16 0.00 4,355.91 December 06, 2018 2018-12-1593-AE JOY FRANCISCO TOWNSITE LIMAY BATAAN 1,598.28 0.00 0.00 1,598.28 December 06, 2018 2018-12-3057-Q JESUS DENNIS OLIVEROS DOÑA FRANCISCA BALANGA CITY BATAAN 2,611.64 0.00 0.00 2,611.64 December 06, 2018 2018-12-4906-E CHARENA TALA IPAG MARIVELES BATAAN 1,474.93 0.00 0.00 1,474.93 December 06, 2018 2018-12-5683 GENOVEVA AQUINO CAMACHO BALANGA CITY BATAAN 0.00 470.00 0.00 470.00 December 06, 2018 2018-12-5684 MAGDALENA CRUZ SAN ISIDRO DINALUPIHAN BATAAN 0.00 1,742.35 0.00 1,742.35 December 06, 2018 2018-12-1449-N ROGER PAJUNAR BALON ANITO MARIVELES BATAAN 2,039.65 0.00 0.00 2,039.65 December 06, 2018 2018-12-436-AO ALLAN MIRASOL MT. VIEW MARIVELES BATAAN 2,270.28 0.00 0.00 2,270.28 December 06, 2018 2018-12-391-AL ROLY CORDERO STA. ISABEL DINALUPIHAN BATAAN 2,622.35 0.00 0.00 2,622.35 December 06, 2018 2018-12-2108-M JAVIER ADRANEDA STA.LUCIA SAMAL BATAAN 289.25 0.00 0.00 289.25 December 06, 2018 2018-12-5685 ANALYN DELAN SAN JOSE BALANGA CITY BATAAN 0.00 670.00 0.00 670.00 December 06, 2018 2018-12-1165-BL ADONES LINTAG DAAN BILOLO ORION BATAAN 4,118.85 0.00 0.00 4,118.85 December 06, 2018 2018-12-1358-A MARGARITA PIZARRO BAGUMBAYAN BALANGA BATAAN 0.00 2,550.00 0.00 2,550.00 December 06, 2018 2018-12-5686 JEROME BARLAAN MASAPSAP ORANI BATAAN 0.00 1,170.00 0.00 1,170.00 December 06, 2018 2018-12-5687 BEVELIE ABEL MULAWIN ORANI BATAAN 0.00 1,600.00 0.00 1,600.00 December 06, 2018 2018-12-4717-A LUCAS DAVIN DIVERSON TORTUGAS BALANGA CITY 70,845.10 43,240.00 79,501.54 193,586.64 December 06, 2018 2018-12-5688 CRISTAL ANN MACAYAYONG MT. VIEW MARIVELES BATAAN 474.50 0.00 0.00 474.50 December 06, 2018 2018-12-5689 JESLYN MAE BUAN ALA-ULI PILAR BATAAN 0.00 320.00 0.00 320.00 December 06, 2018 2018-12-5690 ELMEREHILDA AGUILAR BAGONG SILANG BALANGA BATAAN 0.00 1,550.00 245.26 1,795.26 December 06, 2018 2018-12-5691 CRISYALE SORIANO PAG-ASA ORION BATAAN 0.00 600.00 0.00 600.00 December 06, 2018 2018-12-1467-U MARITA MENA KABALUTAN ORANI BATAAN 254.47 0.00 0.00 254.47 December 06, 2018 2018-12-5692 JUDY ANN GOLISAN BANGCAL ABUCAY 0.00 480.00 0.00 480.00 December 06, 2018 2018-12-2652-N OLIVER MAGTANONG LAON ABUCAY BATAAN 2,622.35 0.00 0.00 2,622.35 December 06, 2018 2018-12-2750-P REYNALDO PAMINTUAN LUACAN DINALUPIHAN BATAAN 5,850.64 0.00 0.00 5,850.64 December 06, 2018 2018-12-1909-AN JULIET PIZARRO PTO. RIVAS BALANGA CITY BATAAN 2,622.35 0.00 0.00 2,622.35 December 06, 2018 2018-12-5693 RIONA GRAIZYL DE LEON WAWA PILAR BATAAN 0.00 1,200.00 0.00 1,200.00 December 06, 2018 2018-12-5694 ARTURO CAPULONG TUNDOL LIMAY BATAAN 0.00 150.00 1,097.90 1,247.90 December 06, 2018 2018-12-2532-N WILSON SALAZAR TUYO BALANGA CITY 2,622.35 0.00 0.00 2,622.35 December 06, 2018 2018-12-5695 BABY FLORINDA DE LEON CENTRAL BALANGA CITY BATAAN 0.00 1,000.00 0.00 1,000.00 December 06, 2018 2018-12-5696 WILFREDO CANLAPAN MULAWIN ORANI BATAAN 0.00 3,060.00 0.00 3,060.00 December 06, 2018 2018-12-5697 MARIA CRISTINA CARDINAL BAGUMBAYAN BAGAC BATAAN 0.00 700.00 0.00 700.00 AMOUNT OF MEDICAL SERVICES REFEREN DATE Laboratory, TOTAL CE NAME ADDRESS Drugs and Dental & Hospital PREPARED ASSISTANCE NUMBER Med diagnostic Fees procedures

December 06, 2018 2018-12-5698 VIRGINIA CHICO TENEJERO BALANGA CITY BATAAN 949.00 0.00 0.00 949.00 December 06, 2018 2018-12-2146-Z RAVENACE BALUYOT PALIHAN ORANI BATAAN 2,622.35 0.00 0.00 2,622.35 December 06, 2018 2018-12-4065-A EMELYN ADARO ALAS-ASIN MARIVELES BATAAN 0.00 1,430.00 0.00 1,430.00 December 06, 2018 2018-12-5699 LAURO DACUNO DUALE LIMAY 14,011.96 3,045.72 0.00 17,057.68 December 06, 2018 2018-12-5700 GERALDINE EDUARTE TENEJERO BALANGA CITY BATAAN 949.00 0.00 0.00 949.00 December 07, 2018 2018-12-201-G DIONISIO VELASCO BALON ANITO MARIVELES BATAAN 4,096.29 0.00 0.00 4,096.29 December 07, 2018 2018-12-3118-F ROWENA LAGASCA LAMAO LIMAY BATAAN 2,622.35 0.00 0.00 2,622.35 December 07, 2018 2018-12-2825-O RAFAEL BEATO MABATANG ABUCAY 1,598.28 0.00 0.00 1,598.28

December 07, 2018 2018-12-2228-S BERNARDO CRUZ SR. 19 NATIONAL ROAD CABCABEN MARIVELES BATAAN 2,683.40 0.00 0.00 2,683.40 December 07, 2018 2018-12-5701 ELIZABETH TAYTAYAN ST. FRANCIS II LIMAY BATAAN 1,472.20 0.00 0.00 1,472.20 December 07, 2018 2018-12-882-Z ROGELIO MENDOZA A. RIVERA HERMOSA BATAAN 2,622.35 0.00 0.00 2,622.35 December 07, 2018 2018-12-2840-AR CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 2,622.35 0.00 0.00 2,622.35 December 07, 2018 2018-12-2544-N JOCELYN CORRIEL ST. FRANCIS II LIMAY BATAAN 2,608.07 0.00 0.00 2,608.07 December 07, 2018 2018-12-5206-D SIGFREDO LOPEZ GABON ABUCAY BATAAN 1,598.28 0.00 0.00 1,598.28 December 07, 2018 2018-12-2746-Q NORMA JACINTO SACDALAN MABATANG ABUCAY BATAAN 1,584.00 0.00 0.00 1,584.00 December 07, 2018 2018-12-2779-O JUANITO DE SILVA SAPA SAMAL BATAAN 1,645.75 0.00 0.00 1,645.75 December 07, 2018 2018-12-4029-O ALFREDO CASTILLO CAMACHO BALANGA CITY BATAAN 2,608.07 0.00 0.00 2,608.07 December 07, 2018 2018-12-1456-AC ROLLY BUAL RIZAL PILAR BATAAN 4,136.38 0.00 0.00 4,136.38 December 07, 2018 2018-12-2515-A CRISTY LIEZL CASTILLO ALION MARIVELES BATAAN 1,669.86 0.00 0.00 1,669.86 December 07, 2018 2018-12-5667-A IMELDA BESONIA BAGUMBAYAN BALANGA CITY BATAAN 949.00 0.00 0.00 949.00 December 07, 2018 2018-12-843-M JUANITO GALVEZ CULIS HERMOSA BATAAN 1,454.65 0.00 1,167.70 2,622.35 December 07, 2018 2018-12-5702 LORENA MAESTRE BAGONG SILANG BALANGA CITY BATAAN 1,947.56 0.00 0.00 1,947.56 December 07, 2018 2018-12-5703 ELSIE YUMENA MABATANG ABUCAY BATAAN 0.00 850.00 0.00 850.00 December 07, 2018 2018-12-5719 ELVIRA GAMBON DAAN PARE ORION BATAAN 0.00 2,100.00 0.00 2,100.00 December 07, 2018 2018-12-5720 ROY ANGELO RACAB PANILAO PILAR BATAAN 281.51 2,370.00 0.00 2,651.51 December 07, 2018 2018-12-5721 CARMELA SORRAL ALA-ULI PILAR BATAAN 0.00 1,070.00 0.00 1,070.00 December 07, 2018 2018-12-5722 JEREMY DE JESUS DAANG BAGO SAMAL BATAAN 0.00 2,200.00 0.00 2,200.00 December 07, 2018 2018-12-5723 MARILOU DALISAY PANILAO PILAR BATAAN 0.00 700.00 0.00 700.00

December 07, 2018 2018-12-5724 RICARDO SUNGA PORTO CIRCLE BALON ANITO MARIVELES BATAAN 2,058.89 6,350.00 1,881.89 10,290.78 December 07, 2018 2018-12-5725 EVANGELO JIMENEZ CUPANG PROPER BALANGA CITY BATAAN 32,475.92 0.00 0.00 32,475.92 December 07, 2018 2018-12-097-Q JOHN EDWARD VERGARA 416 GABON ABUCAY BATAAN 2,639.88 0.00 0.00 2,639.88 December 07, 2018 2018-12-1680-K BARTOLOME SEREÑO PANILAO PILAR BATAAN 3,051.72 0.00 0.00 3,051.72 December 07, 2018 2018-12-4915-A MARILOU MALAWAD SAN ISIDRO, MARIVELES BATAAN 103.59 2,840.00 632.03 3,575.62 December 07, 2018 2018-12-2856-K ELPIDIO RAFAEL CALAYLAYAN ABUCAY BATAAN 2,639.88 0.00 0.00 2,639.88 December 07, 2018 2018-12-2361-V TOMAS ONGKINGCO CAPITANGAN ABUCAY BATAAN 2,622.35 0.00 0.00 2,622.35 December 07, 2018 2018-12-997-T ROY MANANSALA TOWNSITE LIMAY BATAAN 2,611.64 0.00 0.00 2,611.64 December 07, 2018 2018-12-5726 MARK ARMEL SOROLLA BALON ANITO MARIVELES BATAAN 474.50 0.00 0.00 474.50 December 07, 2018 2018-12-1787-A RICARDO PABLO ALANGAN LIMAY BATAAN 365.74 2,534.40 0.00 2,900.14 December 07, 2018 2018-12-5286-B ELISTE MONTON BO. LUZ, LIMAY BATAAN 474.50 0.00 0.00 474.50 December 07, 2018 2018-12-3885-A JOEMYR JOHN VITUG MABATANG ABUCAY BATAAN 0.00 422.40 0.00 422.40 December 07, 2018 2018-12-5727 BERNADETTE MATAWARAN LAMAO LIMAY BATAAN 0.00 700.00 0.00 700.00 December 07, 2018 2018-12-4605-A NIMFA DAGSA CAPITANGAN ABUCAY BATAAN 0.00 700.00 0.00 700.00 December 07, 2018 2018-12-223-AC REN MARK SAPIT ALAS-ASIN MARIVELES BATAAN 3,724.93 0.00 0.00 3,724.93 December 07, 2018 2018-12-5728 CATALINO ESCONDE STA. LUCIA SAMAL BATAAN 668.10 0.00 0.00 668.10 December 07, 2018 2018-12-5729 APRIL JOY MACAPAGAL ALANGAN LIMAY BATAAN 0.00 880.00 0.00 880.00 December 07, 2018 2018-12-5730 MA. ELEONOR MORALINA MABATANG ABUCAY BATAAN 474.50 0.00 0.00 474.50 December 07, 2018 2018-12-5731 JOVELYN VANIDAD TOWNSITE LIMAY BATAAN 474.50 0.00 0.00 474.50 December 07, 2018 2018-12-5732 ANITA BALMACEDA MALVAR LIMAY BATAAN 591.36 0.00 0.00 591.36 December 07, 2018 2018-12-5045-B JELIE ALTHEA VICTORIANO TOWNSITE LIMAY BATAAN 474.50 0.00 0.00 474.50 December 07, 2018 2018-12-5733 JAY DE LEON JR. LAON ABUCAY BATAAN 1,430.49 0.00 0.00 1,430.49 December 07, 2018 2018-12-5734 MICHELLE SANCHEZ CENTRAL BALANGA CITY BATAAN 0.00 700.00 0.00 700.00 December 07, 2018 2018-12-5735 PALDO ANCAYA SABANG MORONG BATAAN 0.00 591.36 0.00 591.36 December 07, 2018 2018-12-5736 FRANCISCO SOBRITCHCA MALIGAYA MARIVELES BATAAN 0.00 1,056.00 0.00 1,056.00 December 07, 2018 2018-12-2152-J GARY DE VERA STA. ROSA PILAR BATAAN 1,784.13 0.00 0.00 1,784.13 December 07, 2018 2018-12-5737 SANETTE REQUIOMA POBLACION MORONG BATAAN 0.00 2,040.00 0.00 2,040.00 December 07, 2018 2018-12-5269-A MIKAELA PAYUMO ABUCAY BATAAN 0.00 400.00 0.00 400.00 December 07, 2018 2018-12-5093-A JINKY ABQUILAN TENEJERO BALANGA CITY BATAAN 474.50 0.00 0.00 474.50 December 07, 2018 2018-12-5738 PATRICE BALBALOSA MALABIA BALANGA CITY 1,430.49 0.00 0.00 1,430.49 December 07, 2018 2018-12-5739 KIARA PECHA TUYO BALANGA CITY BATAAN 0.00 2,200.00 0.00 2,200.00 December 07, 2018 2018-12-5740 AUGUSTO TUONAN GABON ABUCAY BATAAN 0.00 591.36 0.00 591.36 December 07, 2018 2018-12-5741 ELISA ANCAYA SABANG MORONG BATAAN 0.00 591.36 0.00 591.36 December 07, 2018 2018-12-5742 MECHAILLA MIEL NAVOS TUNDOL LIMAY BATAAN 1,430.49 0.00 0.00 1,430.49 December 07, 2018 2018-12-5743 JOEDITO TOLENTINO KATAASAN DINALUPIHAN BATAAN 0.00 840.00 0.00 840.00 December 07, 2018 2018-12-5744 MARY ANN CARREON CAPITANGAN ABUCAY BATAAN 0.00 1,030.00 0.00 1,030.00 December 08, 2018 2018-12-5745 RIZZA IBARRA CABCABEN MARIVELES BATAAN 0.00 1,350.00 0.00 1,350.00 December 08, 2018 2018-12-5746 ISSEAH DELA CRUZ PANILAO PILAR BATAAN 0.00 400.00 0.00 400.00 December 08, 2018 2018-12-5747 HAROLD MORALES NAGBALAYONG MORONG BATAAN 0.00 1,000.00 259.92 1,259.92 December 08, 2018 2018-12-5748 IRISH LABATA IBIS BAGAC BATAAN 0.00 1,294.01 0.00 1,294.01 AMOUNT OF MEDICAL SERVICES REFEREN DATE Laboratory, TOTAL CE NAME ADDRESS Drugs and Dental & Hospital PREPARED ASSISTANCE NUMBER Med diagnostic Fees procedures

December 08, 2018 2018-12-5749 ZYRA ESPIRITU CABCABEN MARIVELES BATAAN 269.57 200.00 0.00 469.57 December 08, 2018 2018-12-5750 DENZEL GALLARDO PARANG BAGAC BATAAN 0.00 3,750.00 2,113.54 5,863.54 December 08, 2018 2018-11-3510-K GEMMA LEOBRERA PTO. RIVAS BALANGA CITY BATAAN 64.00 950.00 429.71 1,443.71 December 08, 2018 2018-12-5751 RAFAEL VINZON TABING ILOG SAMAL BATAAN 0.00 1,040.00 0.00 1,040.00 December 08, 2018 2018-12-1165-BM ADONES LINTAG DAAN BILOLO ORION BATAAN 2,622.35 0.00 0.00 2,622.35 December 08, 2018 2018-12-2750-Q REYNALDO PAMINTUAN LUACAN DINALUPIHAN BATAAN 0.00 3,724.93 0.00 3,724.93 December 08, 2018 2018-12-3406-W ANITA TAPANG SAN JUAN SAMAL BATAAN 5,850.64 0.00 0.00 5,850.64 December 08, 2018 2018-12-075-AU MERCIDITA MORALES LIBANAN MT. VIEW MARIVELES BATAAN 2,622.35 0.00 0.00 2,622.35 December 08, 2018 2018-12-391-AM ROLY CORDERO STA. ISABEL DINALUPIHAN BATAAN 3,094.78 0.00 0.00 3,094.78 December 08, 2018 2018-12-030-AE DIONILO GUTIERREZ ST. FRANCIS II LIMAY BATAAN 4,118.85 0.00 0.00 4,118.85 December 08, 2018 2018-12-5752 GISELLE GARCIA LUCANIN MARIVELES BATAAN 518.54 0.00 0.00 518.54 December 08, 2018 2018-12-5753 MARIA DIANA SANTOS ALA-ULI PILAR BATAAN 0.00 4,511.70 0.00 4,511.70 December 08, 2018 2018-12-5754 CHOLINE AIRA TEJERO PANILAO PILAR BATAAN 0.00 800.00 0.00 800.00 December 08, 2018 2018-12-5755 PRINCESS KYNA CELSO MT. VIEW MARIVELES BATAAN 171.56 870.00 336.71 1,378.27 December 08, 2018 2018-12-5756 FRANCIS LEIGH HATOL CAMACHILE ORION BATAAN 0.00 380.00 0.00 380.00 December 08, 2018 2018-12-5757 VICTOR DINGAL NAGWALING PILAR BATAAN 0.00 2,500.00 0.00 2,500.00 December 08, 2018 2018-12-097-R JOHN EDWARD VERGARA 416 GABON ABUCAY BATAAN 2,608.07 0.00 0.00 2,608.07 December 08, 2018 2018-12-5758 ALTHEA SOLEDAD BINARITAN MORONG BATAAN 0.00 0.00 1,228.16 1,228.16 December 08, 2018 2018-12-5759 KYLE ARKIN LIWAG CATANING PROPER BALANGA CITY 1,423.44 0.00 0.00 1,423.44 December 08, 2018 2018-11-2627-I JACKIENER MORIS MABUCO HERMOSA BATAAN 0.00 2,200.00 0.00 2,200.00 December 08, 2018 2018-12-5761 MHARCK WILVEN BALAGOPLO CAMACHO BALANGA CITY BATAAN 1,214.31 370.00 1,086.07 2,670.38 December 08, 2018 2018-11-1312-S RUFINO BANATAO IPAG MARIVELES BATAAN 8,935.41 12,300.00 2,218.61 23,454.02 December 08, 2018 2018-12-2532-O WILSON SALAZAR UPPER TUYO BALANGA CITY 2,636.31 0.00 0.00 2,636.31 December 08, 2018 2018-12-436-AP ALLAN MIRASOL MT. VIEW MARIVELES BATAAN 2,290.11 0.00 0.00 2,290.11 December 08, 2018 2018-12-1755-L EDITHA CRUZ PTO. RIVAS BALANGA CITY BATAAN 1,591.14 0.00 0.00 1,591.14 December 08, 2018 2018-12-1257-L EDUARDO RODRIGUEZ CUPANG PROPER BALANGA CTIY 2,622.35 0.00 0.00 2,622.35 December 08, 2018 2018-12-2630-R HENRY ALIPIO CAMACHO BALANGA CITY BATAAN 1,598.28 0.00 0.00 1,598.28 December 08, 2018 2018-11-1430-V VIRGINIA NAVARRO CALUNGUSAN ORION BATAAN 2,658.96 0.00 0.00 2,658.96 December 08, 2018 2018-12-1429-R EFREN GANTIGA BAYAN ORANI BATAAN 1,474.93 0.00 0.00 1,474.93 December 08, 2018 2018-12-2705-N JOSEPH BRYAN VIZCARRA CUPANG PROPER BALANGA CTIY 2,622.03 0.00 0.00 2,622.03 December 08, 2018 2018-12-1909-AO JULIET PIZARRO PTO. RIVAS BALANGA CITY BATAAN 2,636.31 0.00 0.00 2,636.31 December 08, 2018 2018-09-3222-A ALEXIS PATDU PANTINGAN PILAR BATAAN 1,516.79 2,150.00 137.07 3,803.86 December 08, 2018 2018-12-1258-K TORIBIO MIRANDA JR. LAYAC DINALUPIHAN BATAAN 1,598.28 0.00 0.00 1,598.28 December 08, 2018 2018-12-2077-N ANTONIO CARABEO TUGATOG ORANI BATAAN 2,290.11 0.00 0.00 2,290.11 December 08, 2018 2018-12-5762 RHIANNE MAE AGUSTIN RIZAL PILAR BATAAN 0.00 500.00 51.59 551.59 December 08, 2018 2018-12-5763 CHRISTIAN DAVE DELA CRUZ CAMACHO BALANGA CITY BATAAN 166.51 0.00 0.00 166.51 December 08, 2018 2018-10-4511-A RONALD DALIN LAMAO LIMAY BATAAN 0.00 1,175.68 0.00 1,175.68 December 08, 2018 2018-12-5778 MARCOS TERIBLE PALILI SAMAL BATAAN 0.00 950.00 695.08 1,645.08 December 08, 2018 2018-12-5764 LORENZ MUÑOZ CABCABEN MARIVELES BATAAN 0.00 1,500.00 0.00 1,500.00 December 08, 2018 2018-12-5765 JONAS MONTES PANILAO PILAR BATAAN 0.00 600.00 0.00 600.00 December 08, 2018 2018-12-5766 BABY BOY BUENAVENTURA ST. FRANCIS II LIMAY BATAAN 0.00 600.00 0.00 600.00 December 08, 2018 2018-10-4673-A JANETTE HOMO DAANG BAGO DINALUPIHAN 4,023.68 790.00 0.69 4,814.37 December 08, 2018 2018-12-5767 ADELAIDA ARANGEL UPPER TUYO BALANGA CITY 0.00 0.00 431.47 431.47 December 08, 2018 2018-12-5768 CARLO ZABALA IBAYO BALANGA BATAAN 0.00 1,300.00 268.66 1,568.66 December 13, 2018 2018-12-5769 THELMA GARCIA NEW SAN JOSE DINALUPIHAN BATAAN 0.00 1,020.00 0.00 1,020.00 December 10, 2018 2018-12-5770 JENIFER BACCAYAWON GUGO SAMAL BATAAN 0.00 750.00 3,383.21 4,133.21 December 10, 2018 2018-12-5771 ALICIA PERFIÑAN NORIEGA, IBABA BAGAC 22,310.61 17,689.39 0.00 40,000.00 December 10, 2018 2018-12-5772 VLAIRE ACE ESLAGA MALAYA, MARIVELES BATAAN 0.00 0.00 2,000.00 2,000.00 December 13, 2018 2018-12-5773 LEONORA DIAZ SA ISIDRO, MARIVELES BATAAN 0.00 4,083.20 0.00 4,083.20 December 13, 2018 2018-12-5774 JHAYRHO ABRENALIN NAGBALAYONG MORONG BATAAN 474.50 0.00 0.00 474.50 December 13, 2018 2018-12-5015-C ESTELITA MANRIQUEZ PANILAO PILAR BATAAN 474.50 0.00 0.00 474.50 December 13, 2018 2018-11-5063-A NOEL MAMALATEO CAPITANGAN ABUCAY BATAAN 474.50 0.00 0.00 474.50 December 13, 2018 2018-12-5775 JOCELYN ISMAEL TUYO BALANGA CITY BATAAN 0.00 2,200.00 0.00 2,200.00 December 13, 2018 2018-12-1456-AD ROLLY BUAL VILLA JUAN ST., RIZAL PILAR BATAAN 4,607.47 3,451.26 0.00 8,058.73 December 13, 2018 2018-12-3057-R JESUS DENNIS OLIVEROS DOÑA FRANCISCA BALANGA CITY BATAAN 2,608.07 0.00 0.00 2,608.07 December 13, 2018 2018-12-1593-AF JOY FRANCISCO TOWNSITE LIMAY BATAAN 2,608.07 0.00 0.00 2,608.07 December 13, 2018 2018-12-1449-O ROGER PAJUNAR BALON ANITO MARIVELES BATAAN 2,059.63 0.00 0.00 2,059.63 December 13, 2018 2018-12-5776 ANA ROSE MIDALLON PTO. RIVAS BALANGA CITY 2,784.33 0.00 0.00 2,784.33 December 13, 2018 2018-12-391-AN ROLY CORDERO STA. ISABEL DINALUPIHAN BATAAN 2,668.42 0.00 0.00 2,668.42 December 13, 2018 2018-12-223-AD REN MARK SAPIT ALAS-ASIN MARIVELES BATAAN 2,250.00 0.00 0.00 2,250.00 December 13, 2018 2018-12-4906-F CHARENA TALA IPAG MARIVELES BATAAN 1,454.65 0.00 0.00 1,454.65 December 13, 2018 2018-12-2108-N JAVIER ADRANEDA STA. LUCIA SAMAL BATAAN 254.47 0.00 0.00 254.47

December 13, 2018 2018-12-5777 MARGIE LOPEZ PORTO CIRCLE BALON ANITO MARIVELES, BATAAN 2,410.11 6,720.00 230.91 9,361.02 December 13, 2018 2018-12-5778 ROSANNA DE LEON OMBOY ABUCAY BATAAN 487.12 0.00 0.00 487.12 December 13, 2018 2018-12-1165-BN ADONES LINTAG DAAN BILOLO ORION BATAAN 2,608.07 0.00 0.00 2,608.07 December 13, 2018 2018-12-1467-V MARITA MENA KABALUTAN ORANI BATAAN 263.85 0.00 0.00 263.85 December 13, 2018 2018-12-5729-A APRIL JOY MACAPAGAL ROSAL ST., ALANGAN LIMAY BATAAN 2,617.45 0.00 0.00 2,617.45 December 13, 2018 2018-12-2532-P WILSON SALAZAR TUYO BALANGA CITY BATAAN 4,076.39 0.00 0.00 4,076.39 AMOUNT OF MEDICAL SERVICES REFEREN DATE Laboratory, TOTAL CE NAME ADDRESS Drugs and Dental & Hospital PREPARED ASSISTANCE NUMBER Med diagnostic Fees procedures

December 13, 2018 2018-12-1909-AP JULIET PIZARRO PTO. RIVAS IBABA BALANGA CITY BATAAN 2,617.45 0.00 0.00 2,617.45 December 13, 2018 2018-12-5779 JUVILYN LAYUG B.O. LUZ LIMAY, BATAAN 474.50 0.00 0.00 474.50 December 13, 2018 2018-11-5083-A YHUAN BENEDICT DE GUZMAN MABATANG ABUCAY BATAAN 474.50 0.00 0.00 474.50 December 13, 2018 2018-12-5780 JERRY OBIEN BINARITAN MORONG BATAAN 0.00 1,000.00 0.00 1,000.00 December 13, 2018 2018-12-1491-M MELITO CAMAING MANAHAN ST., TENEJERO BALANGA CITY 0.00 0.00 1,584.00 1,584.00 December 13, 2018 2018-12-2146-AA RAVENACE BALUYOT PALIHAN ORANI BATAAN 0.00 0.00 2,656.92 2,656.92 December 13, 2018 2018-10-1392-N JENNIFER KANTONHOS BURGOS PILAR BATAAN 0.00 0.00 2,608.07 2,608.07 December 13, 2018 2018-12-2077-O ANTONIO CARABEO TUGATOG ORANI BATAAN 0.00 0.00 2,312.12 2,312.12 December 13, 2018 2018-12-2652-O OLIVER MAGTANONG LAON ABUCAY BATAAN 0.00 0.00 2,617.45 2,617.45 December 13, 2018 2018-12-239-AN EMILY MORIDO PUTING BUHANGIN ORION BATAAN 0.00 0.00 2,250.00 2,250.00 December 13, 2018 2018-12-5781 MICHAEL VINCENT BEQUIO GUGO SAMAL BATAAN 0.00 2,200.00 0.00 2,200.00 December 13, 2018 2018-09-3146-A JUANITA QUILIT TENEJERO BALANGA CITY BATAAN 0.00 492.80 0.00 492.80 December 13, 2018 2018-12-5782 JEANY KAYE CRUZ WAWA PILAR BATAAN 0.00 2,400.00 0.00 2,400.00 December 13, 2018 2018-12-5783 JHAY-R PABLO PANILAO PILAR BATAAN 0.00 320.00 0.00 320.00 December 13, 2018 2018-12-5784 SALVADOR JR. DELA CRUZ SAN PABLO DINALUPIHAN BATAAN 1,307.36 5,725.87 0.00 7,033.23 December 13, 2018 2018-11-2373-E EVELYN DELA CRUZ MANAHAN ST., TENEJERO BALANGA CITY 1,341.50 0.00 0.00 1,341.50 December 13, 2018 2018-12-5458-A CLARENCE AMANO BO. LUZ, LIMAY BATAAN 474.50 0.00 0.00 474.50 December 13, 2018 2018-12-5785 JERICA GAMAD SAN JOSE BALANGA CITY BATAAN 0.00 540.00 0.00 540.00 December 13, 2018 2018-12-5786 SANG HYUN ALIM CABOG-CABOG BALANGA BATAAN 474.50 0.00 0.00 474.50 December 13, 2018 2018-12-5787 JORDAN REÑOSA GABON ABUCAY BATAAN 1,968.54 0.00 0.00 1,968.54 December 13, 2018 2018-12-5788 EMILY LINTAG WAWA ORANI BATAAN 0.00 600.00 0.00 600.00 December 13, 2018 2018-12-5789 NELIA CANLAS 249 LUACAN DINALUPIHAN 3,347.09 0.00 0.00 3,347.09 December 13, 2018 2018-04-544-C FERMINA MIRANDA DOÑA FRANCISCA BALANGA CITY BATAAN 0.00 1,240.00 0.00 1,240.00 December 13, 2018 2018-11-5282-A PERLITA BUENO LATI WAWA ABUCAY BATAAN 1,700.77 120.76 0.00 1,821.53 December 13, 2018 2018-12-5790 EDNA RICOHERMOSO VILLA ANGELES ORION BATAAN 0.00 2,020.00 0.00 2,020.00 December 04, 2018 2018-12-5791 CARLY JEAN CORTEZ LUSUNGAN ORION BATAAN 2,661.67 0.00 0.00 2,661.67 December 14, 2018 2018-12-5792 HILDA BARTOLOME BALUT II PILAR BATAAN 0.00 1,690.00 0.00 1,690.00 December 14, 2018 2018-12-5793 ALGIE DACION VILLA LINA TENEJERO BALANGA BATAAN 3,254.43 0.00 0.00 3,254.43 December 14, 2018 2018-12-5794 FE CATAPANG BAGUMBAYAN BALANGA BATAAN 0.00 840.00 0.00 840.00 December 14, 2018 2018-12-5795 YHIANZ OPALALIC CATANING BALANGA CITY 474.50 0.00 0.00 474.50 December 14, 2018 2018-12-5796 RHIAN PAUL QUICHO STO.DOMINGO ORION BATAAN 0.00 320.00 0.00 320.00 December 14, 2018 2018-12-5797 GINALYN MACARARANGA CATANING BALANGA BATAAN 518.54 0.00 0.00 518.54 December 14, 2018 2018-12-5798 CHITO RAMOS SAN CARLOS MARIVELES BATAAN 0.00 1,323.52 0.00 1,323.52 December 14, 2018 2018-12-5799 NICANOR AMBAT 544 E. LORETO ST. PARANG BAGAC BATAAN 1,178.84 7,564.81 0.00 8,743.65 December 14, 2018 2018-12-5800 IMELDA NACIS STA.ANA BAAGTAS BATAAN 0.00 540.00 0.00 540.00 December 14, 2018 2018-12-5801 CRISOSTOMO TANCHIATCO WAKAS ORION BATAAN 666.42 0.00 0.00 666.42 December 14, 2018 2018-12-2238-D ARNOLD MANABAT TUYO BALANGA CITY BATAAN 0.00 0.00 2,617.45 2,617.45 December 14, 2018 2018-12-293-V NIDA MALATE CAMAYA MARIVELES BATAAN 0.00 0.00 1,595.72 1,595.72 December 14, 2018 2018-12-097-R JOHN EDWARD VERGARA GABON ABUCAY BATAAN 0.00 0.00 2,617.45 2,617.45 December 14, 2018 2018-12-1680-L BARTOLOME SEREÑO PANILAO PILAR BATAAN 0.00 0.00 4,525.79 4,525.79 December 14, 2018 2018-12-2856-L ELPIDIO RAFAEL CALAYLAYAN ABUCAY BATAAN 0.00 0.00 2,608.07 2,608.07 December 14, 2018 2018-11-201-H DIONISIO VELASCO BALON ANITO MARIVELES BATAAN 0.00 0.00 2,617.45 2,617.45 December 14, 2018 2018-12-5802 IRENE PAULO PTO. RIVAS IBABA BALANGA 474.50 0.00 0.00 474.50 December 14, 2018 2018-12-5803 IMELDA MADOLCO BATANGAS II MARIVELES BATAAN 0.00 860.00 93.97 953.97 December 14, 2018 2018-12-5804 MELMAR DE LEON GEN. LIM ORION BATAAN 2,373.84 0.00 0.00 2,373.84 December 14, 2018 2018-12-5805 JOHN CYRUS GAYO MABIGA HERMOSA BATAAN 12,121.37 6,447.02 0.00 18,568.39 December 14, 2018 2018-12-5790-A EDNA RICOHERMOSO VILLA ANGELES ORION BATAAN 0.00 1,480.00 0.00 1,480.00 December 14, 2018 2018-12-5806 JOHN CAR SANTOS TENEJERO ORANI BATAAN 2,846.96 0.00 0.00 2,846.96 December 14, 2018 2018-12-2744-P RODOLFO TUAZON JR. PTO. RIVAS BALANGA BATAAN 0.00 0.00 3,741.58 3,741.58 December 14, 2018 2018-12-5807 MANUEL BANZON M. DELOS REYES TORTUGAS BALANGA 2,080.75 0.00 0.00 2,080.75 December 14, 2018 2018-12-2361-W TOMAS ONGKINGCO CAPITANGAN ABUCAY BATAAN 0.00 0.00 2,619.80 2,619.80 December 14, 2018 2018-12-997-U ROY MANANSALA TOWNSITE LIMAY BATAAN 0.00 0.00 2,634.35 2,634.35 December 14, 2018 2018-11-1312-T RUFINO BANATAO IPAG MARIVELES BATAAN 0.00 0.00 1,502.10 1,502.10 December 14, 2018 2018-12-843-O JUANITO GALVEZ CULIS HERMOSA BATAAN 0.00 0.00 2,619.80 2,619.80 December 14, 2018 2018-12-1035-X ZENAIDA NATE MABIGA HERMOSA BATAAN 0.00 0.00 2,619.80 2,619.80 December 14, 2018 2018-12-5769-A THELMA GARCIA NEW SAN JOSE DINALUPIHAN BATAAN 0.00 2,370.00 0.00 2,370.00 December 14, 2018 2018-12-5808 ANTHONY BERNASOL IBABA BAGAC BATAAN 5,524.07 1,146.38 0.00 6,670.45 December 14, 2018 2018-12-5809 VIRGINIA MACAPAGAL WAWA ORANI BATAAN 0.00 900.00 0.00 900.00 December 14, 2018 2018-12-5810 HELEN MAHINAN WAWA ORANI BATAAN 0.00 1,090.00 0.00 1,090.00 December 14, 2018 2018-12-5811 CONSOLACION ALFECHE CULO DINALUPIHAN BATAAN 0.00 591.36 0.00 591.36 December 14, 2018 2018-12-5812 ADRIAN LUIS PALMERA STA. MONICA UPPER TUYO BALANGA 2,287.01 1,151.76 0.00 3,438.77 December 14, 2018 2018-12-5813 JOBIE MENDOZA ST. FRANCIS II LIMAY BATAAN 0.00 900.00 0.00 900.00 December 14, 2018 2018-12-5814 MARIA LAINE ADRIATICO PALILI SAMAL BATAAN 474.50 0.00 0.00 474.50 December 14, 2018 2018-12-5815 ROGELIO ALEX GABON ABUCAY BATAAN 0.00 0.00 635.87 635.87 December 14, 2018 2018-12-2746-R NORMA JACINTO MABATANG ABUCAY BATAAN 0.00 0.00 1,598.07 1,598.07 December 14, 2018 2018-12-2544-O JOCELYN CORRIEL ST. FRANCIS II LIMAY BATAAN 0.00 0.00 2,622.14 2,622.14 December 14, 2018 2018-12-2228-T BERNARDO CRUZ SR. CABCABEN MARIVELES BATAAN 0.00 0.00 1,598.07 1,598.07 December 14, 2018 2018-12-2779-P JUANITO DE SILVA SAPA SAMAL BATAAN 0.00 0.00 2,608.07 2,608.07 AMOUNT OF MEDICAL SERVICES REFEREN DATE Laboratory, TOTAL CE NAME ADDRESS Drugs and Dental & Hospital PREPARED ASSISTANCE NUMBER Med diagnostic Fees procedures

December 14, 2018 2018-12-2825-P RAFAEL BEATO MABATANG ABUCAY BATAAN 0.00 0.00 1,584.00 1,584.00 December 14, 2018 2018-12-882-AA ROGELIO MENDOZA A. RIVERA HERMOSA BATAAN 0.00 0.00 2,608.07 2,608.07 December 14, 2018 2018-12-2840-AS CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 0.00 2,608.07 2,608.07 December 14, 2018 2018-12-5206-E SIGFREDO LOPEZ 144 GABON ST. ABUCAY BATAAN 0.00 0.00 2,608.07 2,608.07 December 14, 2018 2018-12-1256-I MARIVIC AUSTRIA MANGGA ST. DOÑA FRANCISCA BALANGA CITY 766.92 0.00 0.00 766.92 December 15, 2018 2018-12-3406-X ANITA TAPANG SAN JUAN SAMAL BATAAN 0.00 0.00 2,263.32 2,263.32 December 15, 2018 2018-12-391-AO ROLY CORDERO STA ISABEL DINALUPIHAN BATAAN 0.00 0.00 1,593.38 1,593.38 December 15, 2018 2018-12-368-AJ MARY JANE SAMSON LAON ABUCAY BATAAN 0.00 0.00 2,617.45 2,617.45 December 15, 2018 2018-12-030-AF DIONILO GUTIERREZ ST. FRANCIS II LIMAY BATAAN 0.00 0.00 2,617.45 2,617.45 December 15, 2018 2018-12-4940-B JOANNA BAUTISTA 43 SILVER LANA CUPANG BALANGA BATAAN 0.00 1,200.00 0.00 1,200.00 December 15, 2018 2018-12-1723-A EUNICE PASCUA MALIGAYA MARIVELES BATAAN 0.00 1,290.00 0.00 1,290.00 December 15, 2018 2018-12-2750-R REYNALDO PAMINTUAN LUACAN DINALUPIHAN BATAAN 0.00 0.00 3,704.65 3,704.65 December 15, 2018 2018-12-5816 MARIFE RUBIANO CAPITANGAN ABUCAY BATAAN 1,946.35 0.00 0.00 1,946.35 December 15, 2018 2018-12-1165-BO ADONES LINTAG DAANG BILOLO ORION BATAAN 0.00 0.00 2,608.07 2,608.07 December 15, 2018 2018-12-075-AV MERCIDITA MORALES MT. VIEW MARIVELES BATAAN 0.00 0.00 2,617.45 2,617.45 December 15, 2018 2018-12-223-AE REN MARK SAPIT ALAS-ASIN MARIVELES BATAAN 0.00 0.00 3,717.97 3,717.97 December 15, 2018 2018-12-3150-A MARILOU DUBRIA BACONG HERMOSA BATAAN 0.00 0.00 3,717.97 3,717.97 December 15, 2018 2018-12-5817 IMELDA BASILIO WAWA PILAR BATAAN 13.00 500.00 0.00 513.00 December 15, 2018 2018-12-1392-O JENNIFER KANTONHOS BURGOS PILAR BATAAN 0.00 0.00 3,883.53 3,883.53 December 15, 2018 2018-12-5818 JOBERT SANDOVAL TOWNSITE MARIVELES BATAAN 0.00 1,830.83 0.00 1,830.83 December 15, 2018 2018-12-1909-AQ JULIET PIZARRO PTO RIVAS IBABA BALANGA CITY BATAAN 0.00 0.00 2,608.07 2,608.07 December 15, 2018 2018-12-5165-E GARY SIBAYAN JR. CABCABEN MARIVELES BATAAN 0.00 0.00 2,617.45 2,617.45 December 15, 2018 2018-12-5583-A CAMELLA RUBIANO MABATANG ABUCAY BATAAN 6,144.44 0.00 0.00 6,144.44 December 15, 2018 2018-12-5819 TRUDEES ANN SANTOS CATANING BALANGA BATAAN 0.00 1,200.00 0.00 1,200.00 December 15, 2018 2018-12-5820 JUNY AHLDEN BORNOLLA UPPER TUYO BALANGA CITY 474.50 0.00 0.00 474.50 December 15, 2018 2018-12-4988-A ALDRIN RAYE ALCARAZ CAPITANGAN ABUCAY BATAAN 0.00 360.00 0.00 360.00 December 15, 2018 2018-12-5821 SHIELLA DOMINGUEZ MABATANG ABUCAY BATAAN 0.00 1,340.00 0.00 1,340.00 December 16, 2018 2018-12-5822 CARL LUIS CARTING BINARITAN MORONG BATAAN 0.00 1,200.00 0.00 1,200.00 December 16, 2018 2018-12-002-K ANDREW JAMES LINTAG BAYAN ORANI BATAAN 24,001.01 0.00 0.00 24,001.01 December 16, 2018 2018-12-2742-A MA. EVELYN FUENTES PANTALAN BAGO ORANI 0.00 0.00 3,260.77 3,260.77 December 16, 2018 2018-12-5823 MARCELINA SANTOS ALANGAN LIMAY BATAAN 0.00 854.79 0.00 854.79 December 16, 2018 2018-12-5824 ANGELO ABAYONG IMELDA SAMAL BATAAN 427.57 0.00 0.00 427.57 December 16, 2018 2018-12-5825 CHARISH PUNZALAN POBLACION PILAR BATAAN 0.00 1,000.00 0.00 1,000.00 December 16, 2018 2018-12-5826 EVELYN PAJARIN WAWA ABUCAY BATAAN 0.00 700.00 0.00 700.00 December 16, 2018 2018-12-5827 SOPHIA ORABE BINARITAN MORONG BATAAN 0.00 1,520.00 0.00 1,520.00 December 16, 2018 2018-12-5828 MARICRIS LARANANG LAMAO LIMAY BATAAN 0.00 1,757.94 0.00 1,757.94 December 16, 2018 2018-12-5829 JOHN PRINCE ILAO BANAWANG BAGAC BATAAN 0.00 0.00 4,250.30 4,250.30 December 16, 2018 2018-12-5830 THERESSE ANN DUNGCA ALION MARIVELES BATAAN 312.35 900.00 0.00 1,212.35 December 16, 2018 2018-12-1787-B RICARDO PABLO ALANGAN LIMAY BATAAN 0.00 718.08 0.00 718.08 December 16, 2018 2018-12-5831 JOHN CLINTON TIOSEN SABANG MORONG BATAAN 0.00 0.00 2,356.11 2,356.11 December 16, 2018 2018-12-5832 JOAN RAMOS GEN. LIM ORION BATAAN 0.00 700.00 0.00 700.00 December 16, 2018 2018-12-5833 JENNIFER GALLEGO ALAS-ASIN MARIVELES BATAAN 0.00 1,700.00 0.00 1,700.00 December 16, 2018 2018-12-5834 ELOIDA DAJANO PAG-ASA BAGAC BATAAN 102.66 750.00 0.00 852.66 December 16, 2018 2018-12-5835 ASHLEY JOY BERMUDEZ LAMAO LIMAY BATAAN 0.00 1,320.00 0.00 1,320.00 December 17, 2018 2018-12-4995-A JOHN ADOLF CAMACHO PARANG BAGAC BATAAN 0.00 470.00 0.00 470.00 December 17, 2018 2018-12-5836 RHEDA KATHLEEN CAGUIAT MT. VIEW MARIVELES BATAAN 103.70 550.00 0.00 653.70 December 17, 2018 2018-12-5837 KRISTINE MAGTANONG POBLACION MORONG BATAAN 0.00 2,200.00 0.00 2,200.00 December 17, 2018 2018-12-5838 ELSIE JOY DAGUNDON BALAGTAS ORION BATAAN 1,421.12 0.00 0.00 1,421.12 December 17, 2018 2018-12-1035-Y ZENAIDA NATE MABIGA HERMOSA BATAAN 0.00 0.00 2,631.52 2,631.52 December 17, 2018 2018-12-2652-P OLIVER MAGTANONG LAON ABUCAY BATAAN 0.00 0.00 2,622.14 2,622.14 December 17, 2018 2018-12-2146-AB RAVENACE BALUYOT PALIHAN ORANI BATAAN 0.00 0.00 2,608.07 2,608.07 December 17, 2018 2018-12-239-AO EMILY MORIDO PUTING BUHANGIN ORION BATAAN 0.00 0.00 2,269.98 2,269.98 December 17, 2018 2018-12-2361-X TOMAS ONGKINGCO CAPITANGAN ABUCAY BATAAN 0.00 0.00 4,104.57 4,104.57 December 17, 2018 2018-12-5165-F GARY SIBAYAN JR. CABCABEN MARIVELES BATAAN 0.00 0.00 2,617.45 2,617.45 December 17, 2018 2018-12-1467-W MARITA MENA KABALUTAN ORANI BATAAN 0.00 0.00 266.20 266.20 December 17, 2018 2018-12-1429-S EFREN GANTIGA BAYAN ORANI BATAAN 0.00 0.00 1,487.95 1,487.95 December 17, 2018 2018-12-5839 NATASHA CORPUZ BO. LUZ, LIMAY BATAAN 949.00 0.00 0.00 949.00 December 17, 2018 2018-11-1312-U RUFINO BANATAO IPAG MARIVELES BATAAN 0.00 0.00 1,454.65 1,454.65 December 17, 2018 2018-12-5840 CHADELLE SABAL TENEJERO BALANGA BATAAN 0.00 470.00 0.00 470.00 December 17, 2018 2018-12-5841 REINASTY JHAY VALLADORES LANDING LIMAY BATAAN 474.50 0.00 0.00 474.50 December 17, 2018 2018-12-5842 LOURDES SIOSON PTO. RIVAS IBABA BALANGA BATAAN 0.00 330.00 0.00 330.00 December 17, 2018 2018-12-5843 SHAN MELVIN BURGOS CAMAYA MARIVELES BATAAN 0.00 0.00 2,877.81 2,877.81 December 17, 2018 2018-12-5729-B APRIL JOY MACAPAGAL ALANGAN LIMAY BATAAN 0.00 0.00 2,617.45 2,617.45 December 17, 2018 2018-12-1491-N MELITO CAMAING TENEJERO BALANGA BATAAN 0.00 0.00 1,595.72 1,595.72 December 17, 2018 2018-12-5844 JAMES NATHANIEL ONGOCO TUYO BALANGA CITY BATAAN 48.92 550.00 0.00 598.92 December 17, 2018 2018-12-097-S JOHN EDWARD VERGARA GABON ABUCAY BATAAN 0.00 0.00 2,617.45 2,617.45 December 17, 2018 2018-12-5845 LYDIA BARTOLOME PTO. RIVAS IBABA BALANGA BATAAN 164.95 2,076.80 0.00 2,241.75 December 17, 2018 2018-12-2238-E ARNOLD MANABAT TUYO BALANGA CITY BATAAN 0.00 0.00 2,656.40 2,656.40 AMOUNT OF MEDICAL SERVICES REFEREN DATE Laboratory, TOTAL CE NAME ADDRESS Drugs and Dental & Hospital PREPARED ASSISTANCE NUMBER Med diagnostic Fees procedures

December 17, 2018 2018-12-5846 JIMMY ISOY GEN. LIM ORION BATAAN 0.00 1,080.00 0.00 1,080.00 December 17, 2018 2018-12-5847 EMANUEL DORDINES LUCANIN MARIVELES BATAAN 13,343.20 0.00 0.00 13,343.20 December 17, 2018 2018-12-1498-E HECTOR QUICHO PTO. RIVAS BALANGA CITY BATAAN 1,598.07 0.00 0.00 1,598.07 December 18, 2018 2018-12-5848 REY ANGELICA QUICHO PTO. RIVAS LOTE BALANGA CITY BATAAN 0.00 300.00 0.00 300.00 December 18, 2018 2018-12-5849 ROGELIO MAÑALAC LAYA MARIVELES BATAAN 28,876.17 15,150.00 2,325.56 46,351.73 December 18, 2018 2018-12-2799-B RONABEL SANTOS UPPER BLISS BALANGA CITY BATAAN 0.00 3,000.00 0.00 3,000.00 December 18, 2018 2018-12-5850 ARACELI GONZALES VILLA ANGELES ORION BATAAN 0.00 550.00 0.00 550.00 December 18, 2018 2018-12-1442-B JESUS BUENAVENTURA TENEJERO BALANGA CITY 0.00 0.00 1,387.29 1,387.29 December 18, 2018 2018-12-5851 ARIZHELLE ANN DELA CRUZ SAPA SAMAL BATAAN 0.00 1,140.00 0.00 1,140.00 December 13, 2018 2018-12-3247-D MELINDA DABU SAN RAMON DINALUPIHAN BATAAN 14,438.52 0.00 265.85 14,704.37 December 13, 2018 2018-12-5852 NORA ROBLES CUPANG NORTH BALANGA CITY BATAAN 0.00 549.12 0.00 549.12 December 13, 2018 2018-12-5853 CARMEN SANTOS PTO. RIVAS IBABA BALANGA CITY BATAAN 1,464.87 0.00 0.00 1,464.87 December 11, 2018 2018-12-5854 CHRISTOPHER DEL MUNDO REFORMISTA LIMAY BATAAN 1,419.93 0.00 0.00 1,419.93 December 11, 2018 2018-12-5855 CURITO SALVADOR DALAO DINALUPIHAN BATAAN 1,384.62 3,084.35 0.00 4,468.97 December 11, 2018 2018-12-5856 NATIVIDAD SEBASTIAN CUPANG PROPER BALANGA BATAAN 668.10 0.00 0.00 668.10 December 11, 2018 2018-12-5857 GLORIA MAGLUYAN ST.FRANCIS II LIMAY BATAAN 0.00 900.00 0.00 900.00 December 11, 2018 2018-12-5649-A HILDA ATON UPPER TUYO BALANGA BATAAN 0.00 2,370.00 0.00 2,370.00 December 11, 2018 2018-12-5858 JENYLYN ESTIALBO GABON ABUCAY BATAAN 946.62 0.00 0.00 946.62 December 11, 2018 2018-12-5859 ALDEN REJUSO LAMAO LIMAY BATAAN 13.92 1,000.00 0.00 1,013.92 December 11, 2018 2018-12-5860 ELIZA STA. ANA MARIVELES MENTAL HOSPITAL 0.00 2,200.00 0.00 2,200.00 December 11, 2018 2018-12-2033-K NADELYN ZAPANTA TOWNSITE LIMAY BATAAN 0.00 1,620.00 0.00 1,620.00 December 11, 2018 2018-12-5861 JHAYRO ABRENALIN NAGBALAYONG MORONG BATAAN 474.50 0.00 0.00 474.50 December 11, 2018 2018-12-5862 NATASHA LARA DELA CRUZ BO. LUZ, LIMAY BATAAN 1,419.83 0.00 0.00 1,419.83 December 11, 2018 2018-12-5863 JULIUS OLIVER RABINO KAPARANGAN ORANI BATAAN 0.00 3,595.57 0.00 3,595.57 December 11, 2018 2018-12-2238-F ARNOLD MANABAT UPPER TUYO BALANGA BATAAN 0.00 263.92 0.00 263.92 December 11, 2018 2018-12-5165-G GARY SIBAYAN JR. CABCABEN MARIVELES BATAAN 0.00 2,617.45 0.00 2,617.45 December 11, 2018 2018-12-5652-A LAUREEN BACUSA POBLAION MARIVELES 0.00 700.00 0.00 700.00 December 11, 2018 2018-12-2750-S REYNALDO PAMINTUAN LUACAN DINALUPIHAN BATAAN 0.00 3,717.97 0.00 3,717.97 December 11, 2018 2018-12-1909-AR JULIET PIZARRO PTO.RIVAS BALANGA BATAAN 0.00 2,617.45 0.00 2,617.45 December 11, 2018 2018-12-5864 JUVY TORRES TUGATOG ORANI BATAAN 0.00 770.00 0.00 770.00 December 11, 2018 2018-12-097-T JOHN EDWARD VERGARA GABON ABUCAY BATAAN 0.00 2,608.07 0.00 2,608.07 December 11, 2018 2018-12-2856-M ELPIDIO RAFAEL CALAYLAYAN ABUCAY BATAAN 0.00 2,679.21 0.00 2,679.21 December 11, 2018 2018-12-2077-P ANTONIO CARABEO TUGATOG ORANI BATAAN 0.00 4,763.32 0.00 4,763.32 December 11, 2018 2018-12-5206-F SIGFREDO LOPEZ GABON ABUCAY BATAAN 0.00 2,608.07 0.00 2,608.07 December 11, 2018 2018-12-1680-M BARTOLOME SEREÑO PANILAO PILAR BATAAN 0.00 3,029.29 0.00 3,029.29 December 11, 2018 2018-12-5865 GILBERT JULIAN ALAS-ASIN MARIVELES BATAAN 10,000.00 0.00 0.00 10,000.00 December 11, 2018 2018-12-1392-P JENNIFER KANTONHOS BURGOS PILAR BATAAN 0.00 3,029.29 0.00 3,029.29 December 11, 2018 2018-12-882-AB ROGELIO MENDOZA A. RIVERA HERMOSA 0.00 1,593.38 0.00 1,593.38 December 11, 2018 2018-12-1165-BP ADONES LINTAG DAAN BILOLO ORION BATAAN 0.00 2,617.45 0.00 2,617.45 December 11, 2018 2018-12-5866 ARLENE VELASCO TOWNSITE LIMAY BATAAN 949.00 0.00 0.00 949.00 December 11, 2018 2018-12-4540-B ANGELYN CANDELARIO BLISS LIMAY BATAAN 5,590.60 0.00 0.00 5,590.60 December 11, 2018 2018-12-2744-Q RODOLFO TUAZON JR. LOTE PTO.RIVAS BALANGA BATAAN 0.00 7,442.85 0.00 7,442.85 December 11, 2018 2018-12-2228-U BERNARDO CRUZ SR. CABCABEN MARIVELES BATAAN 0.00 2,617.45 0.00 2,617.45 December 11, 2018 2018-12-5867 MARILYN MANALAYSAY MAGSAYSAY DINALUPIHAN BATAAN 22,196.01 3,209.80 0.00 25,405.81 December 11, 2018 2018-12-5678-A PATRICK TOLOSA CATANING PROPER BALANGA CITY 474.50 0.00 0.00 474.50 December 11, 2018 2018-12-5868 JAMAICA GUEVARRA ATILANO BAGAC BATAAN 0.00 670.00 0.00 670.00 December 11, 2018 2018-12-5869 VIRGINIA PERETE ALION MARIVELES BATAAN 0.00 700.00 0.00 700.00 December 11, 2018 2018-12-1440-A ELIZA GOMEZ POBLACION PILAR BATAAN 0.00 1,500.00 0.00 1,500.00 December 11, 2018 2018-12-5870 EARLJAN JOSE BUAN PANILAO PILAR BATAAN 1,467.67 0.00 0.00 1,467.67 December 11, 2018 2018-12-5871 RITCHELLE ANN CRUZ RIZAL PILAR BATAAN 0.00 960.00 0.00 960.00 December 11, 2018 2018-12-4324-A CONSOLACION RED MALIGAYA MARIVELES BATAAN 0.00 4,083.00 0.00 4,083.00 December 11, 2018 2018-12-5872 RAQUEL ARANICO UPPER TUYO BALANGA BATAAN 263.99 2,377.17 0.00 2,641.16 December 11, 2018 2018-12-5873 BABY BOY (RAQUEL) ARANICO UPPER TUYO BALANGA BATAAN 171.56 937.23 0.00 1,108.79 December 11, 2018 2018-12-5874 MERRY-AN CALAGUS CAMAYA MARIVELES BATAAN 68.81 1,939.30 0.00 2,008.11 December 11, 2018 2018-12-5875 BABY GIRL (MERRY-ANN) CALAGOS CAMAYA MARIVELES BATAAN 171.56 936.71 0.00 1,108.27 December 11, 2018 2018-12-5876 JEREMIAH MATTHEW ABORDO IPAG MARIVELES BATAAN 946.62 0.00 0.00 946.62 December 11, 2018 2018-12-5877 ARDIE RIVERA TUGATOG ORANI BATAAN 1,424.13 0.00 0.00 1,424.13 December 11, 2018 2018-12-5878 RANCE KYRIE SILVA CAPITANGAN ABUCAY BATAAN 2,565.58 3,835.29 0.00 6,400.87 December 11, 2018 2018-12-5879 UACE FAMULARCANO SABANG MORONG BATAAN 0.00 320.00 0.00 320.00 December 11, 2018 2018-12-2779-Q JUANITO DE SILVA SAPA SAMAL BATAAN 0.00 2,648.33 0.00 2,648.33 December 11, 2018 2018-12-2746-S NORMA JACINTO MABATANG ABUCAY BATAAN 0.00 2,617.45 0.00 2,617.45 December 11, 2018 2018-12-391-AP ROLY CORDERO STA.ISABEL DINALUPIHAN BATAAN 0.00 1,593.38 0.00 1,593.38 December 11, 2018 2018-12-5880 RAMIL DELA TORRE BALUT PILAR BATAAN 0.00 1,790.00 0.00 1,790.00 December 11, 2018 2018-12-5881 JUSTINE DOMINGUEZ CATANING BALANGA CITY 474.50 0.00 0.00 474.50 December 11, 2018 2018-12-2821-J JIMMY FELICITAS SAN BENITO DINALUPIHAN BATAAN 0.00 254.47 0.00 254.47 December 11, 2018 2018-12-4029-P ALFREDO CASTILLO CAMACHO BALANGA BATAAN 0.00 2,608.07 0.00 2,608.07 December 11, 2018 2018-12-2544-P JOCELYN CORRIEL ST.FRANCIS II LIMAY BATAAN 0.00 2,617.37 0.00 2,617.37 December 11, 2018 2018-12-5501-A JOSAFAT CARREON GEN.LIM ORION BATAAN 474.50 0.00 0.00 474.50 AMOUNT OF MEDICAL SERVICES REFEREN DATE Laboratory, TOTAL CE NAME ADDRESS Drugs and Dental & Hospital PREPARED ASSISTANCE NUMBER Med diagnostic Fees procedures

December 11, 2018 2018-12-4353-B JONIE MEDINA WAKAS ORION BATAAN 0.00 370.00 0.00 370.00 December 11, 2018 2018-12-5296-A EDDIELYN AQUINO BAYAN ORANI BATAAN 0.00 2,460.00 0.00 2,460.00 December 11, 2018 2018-12-5135-A TRIEXIE MAE CUEVA CAPITANGAN ABUCAY BATAAN 474.50 0.00 0.00 474.50 December 11, 2018 2018-12-5882 JUANIITO GALVEZ CULIS HERMOSA BATAAN 0.00 2,608.07 0.00 2,608.07 December 11, 2018 2018-12-2825-Q RAFAEL BEATO MABATANG ABUCAY BATAAN 0.00 2,608.07 0.00 2,608.07 December 11, 2018 2018-12-997-V ROY MANANSALA TOWNSITE LIMAY BATAAN 0.00 2,608.07 0.00 2,608.07 December 11, 2018 2018-12-223-AF REN MARK SAPIT ALAS-ASIN MARIVELES BATAAN 0.00 3,704.65 0.00 3,704.65 December 11, 2018 2018-12-5883 JUANITA JULIANES BINUKAWAN BAGAC BATAAN 0.00 2,800.00 0.00 2,800.00 December 11, 2018 2018-12-5884 ROMAR ORILLO CABCABEN MARIVELES BATAAN 0.00 2,150.00 0.00 2,150.00 December 11, 2018 2018-12-413-J DANIEL ENRIQUEZ ALAS-ASIN MARIVELES BATAAN 0.00 2,617.45 0.00 2,617.45 December 12, 2018 2018-12-5885 ROSEMARIE DIANO MARIVELES MENTAL HOSPITAL 0.00 1,000.00 0.00 1,000.00 December 12, 2018 2018-12-5886 JOHN ALFRED MENDOZA CAMACHO BALANGA BATAAN 382.48 0.00 0.00 382.48 December 12, 2018 2018-12-1315-B JOSEPHINE VASQUEZ SAN JOSE BALANGA CITY BATAAN 0.00 882.31 0.00 882.31 December 12, 2018 2018-12-3406-Y ANITA TAPANG SAN JUAN SAMAL BATAAN 0.00 3,769.19 0.00 3,769.19 December 12, 2018 2018-12-5887 LANI RADAM TUYO BALANGA CITY BATAAN 0.00 1,990.00 0.00 1,990.00 December 12, 2018 2018-12-5888 MARITES ASIAO LAON ABUCAY BATAAN 0.00 1,400.00 0.00 1,400.00 December 12, 2018 2018-12-5889 EDITHA REYES RIZAL PILAR BATAAN 0.00 1,960.00 0.00 1,960.00 December 12, 2018 2018-12-075-AW MERCIDITA MORALES MT.VIEW MARIVELES BATAAN 0.00 2,653.51 0.00 2,653.51 December 12, 2018 2018-12-368-AK MARY JANE SAMSON LAON ABUCAY BATAAN 0.00 2,653.51 0.00 2,653.51 December 12, 2018 2018-12-2750-T REYNALDO PAMINTUAN LUACAN DINALUPIHAN BATAAN 0.00 3,781.59 0.00 3,781.59 December 12, 2018 2018-12-2630-S HENRY ALIPIO CAMACHO BALANGA BATAAN 0.00 1,643.40 0.00 1,643.40 December 12, 2018 2018-12-030-AG DIONILO GUTIERREZ ST.FRANCIS II LIMAY BATAAN 0.00 2,653.51 0.00 2,653.51 December 12, 2018 2018-12-2840-AT CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 2,653.51 0.00 2,653.51 December 12, 2018 2018-12-4964-A JOHN ISAAC VILLAMOR CATANING BALANGA CITY BATAAN 294.45 274.14 0.00 568.59 December 12, 2018 2018-12-2361-Y TOMAS ONGKINGCO CAPITANGAN ABUCAY BATAAN 0.00 2,650.67 0.00 2,650.67 December 12, 2018 2018-12-1257-M EDUARDO RODRIGUEZ CULIS HERMOSA BATAAN 0.00 3,856.41 0.00 3,856.41 December 12, 2018 2018-12-1258-L TORIBIO MIRANDA JR. BAYAN ORANI BATAAN 0.00 2,653.51 0.00 2,653.51 December 12, 2018 2018-12-1429-T EFREN GANTIGA BAYAN ORANI BATAAN 0.00 1,519.19 0.00 1,519.19 December 12, 2018 2018-12-1312-V RUFINO BANATAO IPAG MARIVELES BATAAN 0.00 1,491.13 0.00 1,491.13 December 12, 2018 2018-12-1035-Z ZENAIDA NATE MABIGA HERMOSA BATAAN 0.00 2,650.67 0.00 2,650.67 December 12, 2018 2018-12-293-W NIDA MALATE CAMAYA MARIVELES BATAAN 0.00 3,865.19 0.00 3,865.19 December 12, 2018 2018-12-2358-B CARMELA BASSIG ST.FRANCIS II LIMAY BATAAN 0.00 2,221.25 0.00 2,221.25 December 12, 2018 2018-12-4434-B ANALYN GANZON WAWA ABUCAY BATAAN 0.00 800.00 0.00 800.00 December 12, 2018 2018-12-5890 ANTONIO SEVILLA JR GABON ABUCAY BATAAN 9,282.71 11,463.25 0.00 20,745.96 December 12, 2018 2018-12-5891 JOHNLE ARGUELLES SAN ISIDRO MARIVELES BATAAN 2,353.09 1,341.35 0.00 3,694.44 December 12, 2018 2018-12-5892 HERMINIA OLAES CABOG CABOG BALANGA CITY BATAAN 0.00 696.96 0.00 696.96 December 12, 2018 2018-12-5893 ERICA CERCADO TORTUGAS BALANGA CITY 0.00 600.00 0.00 600.00 December 12, 2018 2018-12-5894 RELIZA CALAYAG OMBOY ABUCAY BATAAN 0.00 1,500.00 0.00 1,500.00 December 12, 2018 2018-12-5895 JOHN LUIS TABUGAN ALAULI PILAR BATAAN 946.62 0.00 0.00 946.62 December 12, 2018 2018-12-5896 NOVIE DELA CRUZ CUPANG PROPER BALANGA BATAAN 0.00 870.12 0.00 870.12 December 12, 2018 2018-12-5564-A PERCIVAL ISIP CAMACHO BALANGA BATAAN 0.00 4,477.98 0.00 4,477.98 December 12, 2018 2018-12-5897 MARIETA IZON BILOLO ORION BATAAN 560.93 2,823.29 0.00 3,384.22 December 12, 2018 2018-12-5898 EMELINA BAZER EAST CALAGUIMAN SAMAL BATAAN 949.42 0.00 0.00 949.42 December 12, 2018 2018-12-5899 MARIO CARLOS ALAULI PILAR BATAAN 1,421.12 0.00 0.00 1,421.12 December 12, 2018 2018-12-5900 LETICIA ISRAEL ALION MARIVELES BATAAN 0.00 422.40 0.00 422.40 December 12, 2018 2018-12-5901 ALHTEYA VILLANUEVA GABON ABUCAY BATAAN 2,373.59 0.00 0.00 2,373.59 December 12, 2018 2018-12-5902 WILLIAM BUENZALIDA MABATANG ABUCAY BATAAN 1,463.68 0.00 0.00 1,463.68 December 12, 2018 2018-12-5903 LUCAS BAGTAS PANILAO PILAR BATAAN 16,527.89 16,496.49 0.00 33,024.38 December 12, 2018 2018-12-5904 MARCUS BAGTAS PANILAO PILAR BATAAN 14,506.85 10,197.45 0.00 24,704.30 December 12, 2018 2018-12-5905 EVELYN LOTENA BATANGAS II MARIVELES BATAAN 0.00 670.00 0.00 670.00 December 12, 2018 2018-12-5906 CRISENCIA ROMANO BAGUMBAYAN BALANGA BATAAN 0.00 791.96 0.00 791.96 December 12, 2018 2018-12-5907 BABY BOY HERNANDEZ IPAG MARIVELES BATAAN 0.00 600.00 0.00 600.00 December 12, 2018 2018-12-5165-H GARY SIBAYAN JR. CABCABEN MARIVELES BATAAN 0.00 2,617.45 0.00 2,617.45 December 12, 2018 2018-12-5908 AUGUSTO PAULE JR CAMAYA MARIVELES BATAAN 0.00 822.79 0.00 822.79 December 12, 2018 2018-12-2705-O JOSEPH BRYAN VIZCARRA CUPANG PROPER BALANGA BATAAN 0.00 2,725.31 0.00 2,725.31 December 12, 2018 2018-12-5909 LORILYN TRINIDAD ALAULI PILAR BATAAN 0.00 800.00 0.00 800.00 December 12, 2018 2018-12-5910 JAYREL CANTIGA CAMAYA MARIVELES BATAAN 0.00 920.00 0.00 920.00 December 12, 2018 2018-12-5911 SHELLA PAGDAYUNAN BALON ANITO MARIVELES BATAAN 1,421.12 0.00 0.00 1,421.12 December 12, 2018 2018-12-5912 MICA PAULINE CRUZ LUSUNGAN ORION BATAAN 949.42 0.00 0.00 949.42 December 12, 2018 2018-12-5913 MINDA BECHAYDA CAPUNITAN ORION BATAAN 0.00 1,660.00 0.00 1,660.00 December 12, 2018 2018-12-5802-A IRENE PAULO PTO.RIVAS BALANGA BATAAN 518.25 0.00 0.00 518.25 December 12, 2018 2018-12-5914 ENRICA CONCEPCION SIBACAN BALANGA BATAAN 0.00 570.00 0.00 570.00 December 12, 2018 2018-12-5915 VIRGILIO MANATAD BAGONG SILANG BALANGA CITY 0.00 591.36 0.00 591.36 December 10, 2018 2018-12-5916 RODEL SUGUE BINARITAN MORONG BATAAN 951.76 0.00 0.00 951.76 December 10, 2018 2018-12-5917 SAMANTHA FAYE SUGUE BINARITAN MORONG BATAAN 951.76 0.00 0.00 951.76 December 10, 2018 2018-12-5918 ROMEO SINSAY ALANGAN LIMAY BATAAN 0.00 1,786.77 0.00 1,786.77 December 10, 2018 2018-12-5919 RHEZ NUÑEZ PANILAO PILAR BATAAN 0.00 520.00 0.00 520.00 December 10, 2018 2018-12-5920 CONCOLACION MENTA GABON ABUCAY BATAAN 0.00 978.56 0.00 978.56 AMOUNT OF MEDICAL SERVICES REFEREN DATE Laboratory, TOTAL CE NAME ADDRESS Drugs and Dental & Hospital PREPARED ASSISTANCE NUMBER Med diagnostic Fees procedures

December 10, 2018 2018-12-5921 ROBINA BIDING GEN.LIM ORION BATAAN 0.00 1,890.00 0.00 1,890.00 December 10, 2018 2018-12-5922 RONALDO GRACIO ST.FRANCIS II LIMAY BATAAN 0.00 400.00 0.00 400.00 December 10, 2018 2018-12-5923 JENNIFER CATAROS ALANGAN LIMAY BATAAN 1,423.92 0.00 0.00 1,423.92 December 10, 2018 2018-12-1035-AA ZENAIDA NATE MABIGA HERMOSA BATAAN 0.00 2,608.07 0.00 2,608.07 December 10, 2018 2018-12-2532-Q WILSON SALAZAR UPPER TUYO BALANGA BATAAN 0.00 2,608.07 0.00 2,608.07 December 10, 2018 2018-12-5729-C APRIL JOY MACAPAGAL ALANGAN LIMAY BATAAN 0.00 1,584.00 0.00 1,584.00 December 10, 2018 2018-12-1429-U EFREN GANTIGA BAYAN ORANI BATAAN 0.00 1,523.00 0.00 1,523.00 December 10, 2018 2018-12-1312-W RUFINO BANATAO IPAG MARIVELES BATAAN 0.00 1,459.71 0.00 1,459.71 December 10, 2018 2018-12-1467-X MARITA MENA KABALUTAN ORANI BATAAN 0.00 254.47 0.00 254.47 December 10, 2018 2018-12-1593-AG JOY FRANCISCO TOWNSITE LIMAY BATAAN 0.00 2,617.45 0.00 2,617.45 December 10, 2018 2018-12-293-X NIDA MALATE CAMAYA MARIVELES BATAAN 0.00 2,617.45 0.00 2,617.45 December 10, 2018 2018-12-2108-O JAVIER ADRANEDA STA.LUCIA SAMAL BATAAN 0.00 1,469.58 0.00 1,469.58 December 10, 2018 2018-12-075-AX MERCIDITA MORALES MT.VIEW MARIVELES BATAAN 0.00 2,608.07 0.00 2,608.07 December 10, 2018 2018-12-2840-AU CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 2,617.45 0.00 2,617.45 December 10, 2018 2018-12-368-AL MARY JANE SAMSON LAON ABUCAY BATAAN 0.00 2,617.45 0.00 2,617.45 December 10, 2018 2018-12-3057-S JESUS DENNIS OLIVEROS DFS BALANGA BATAAN 0.00 2,617.45 0.00 2,617.45 December 10, 2018 2018-12-1449-P ROGER PAJUNAR BALON ANITO MARIVELES BATAAN 0.00 1,454.85 0.00 1,454.85 December 10, 2018 2018-12-5924 LIBRADA LLANDILAR CALAGUIMAN ABUCAY BATAAN 0.00 591.36 0.00 591.36 December 10, 2018 2018-12-5925 DAVE ANTHONY CHUA SIENG TENEJERO BALANGA CITY BATAAN 0.00 474.50 0.00 474.50 December 10, 2018 2018-12-436-AQ ALLAN MIRASOL MT.VIEW MARIVELES BATAAN 0.00 2,263.32 0.00 2,263.32 December 10, 2018 2018-12-5926 ELGENITH REPIL MABATANG ABUCAY BATAAN 0.00 700.00 0.00 700.00 December 10, 2018 2018-12-5927 JOLINA CONDRILLON CABCABEN MARIVELES BATAAN 0.00 670.00 0.00 670.00 December 10, 2018 2018-12-5928 MA. LIZA FERNANDO POBLACION BALANGA BATAAN 0.00 2,440.00 0.00 2,440.00 December 10, 2018 2018-12-2652-Q OLIVER MAGTANONG LAON ABUCAY BATAAN 0.00 2,619.80 0.00 2,619.80 December 10, 2018 2018-12-4748-A VICTORIA CORONEL OMBOY ABUCAY BATAAN 0.00 563.20 0.00 563.20 December 10, 2018 2018-12-5929 JODIE MAE GOMEZ GABON ABUCAY BATAAN 0.00 2,013.30 0.00 2,013.30 December 10, 2018 2018-12-5930 ESPERANZA CUEVAS POBLACION LIMAY BATAAN 0.00 334.05 0.00 334.05 December 10, 2018 2018-12-5899-A MARIO CARLOS ALAULI PILAR BATAAN 0.00 364.85 0.00 364.85 December 10, 2018 2018-12-2146-AC RAVENACE BALUYOT PALIHAN ORANI BATAAN 0.00 2,619.80 0.00 2,619.80 December 10, 2018 2018-12-239-AP EMILY MORIDO PUTING BUHANGIN ORION BATAAN 0.00 2,266.65 0.00 2,266.65 December 10, 2018 2018-12-1491-O MELITO CAMAING TENEJERO BALANGA CITY BATAAN 0.00 1,595.72 0.00 1,595.72 December 10, 2018 2018-12-2361-Z TOMAS ONGKINGCO CAPITANGAN ABUCAY BATAAN 0.00 2,608.07 0.00 2,608.07 December 10, 2018 2018-12-1456-AE ROLLY BUAL RIZAL PILAR BATAAN 0.00 2,653.83 0.00 2,653.83 December 10, 2018 2018-12-5931 DAISY APIN ALION MARIVELES BATAAN 1,424.13 0.00 0.00 1,424.13 December 10, 2018 2018-12-5869-A VIRGINIA PERETE ALION MARIVELES BATAAN 0.00 250.00 0.00 250.00 December 10, 2018 2018-12-5932 ELLY JUNE ACENA ALANGAN LIMAY BATAAN 0.00 423.28 0.00 423.28 December 10, 2018 2018-12-5933 ADRIAN LOPEZ SAN JOSE BALANGA CITY BATAAN 474.50 0.00 0.00 474.50 December 10, 2018 2018-12-1837-B LOURDES SANTOS EAST CALAGUIMAN SAMAL BATAAN 0.00 1,650.00 0.00 1,650.00 December 10, 2018 2018-12-5912-A MICA PAULINE CRUZ LUSUNGAN ORION BATAAN 474.50 0.00 0.00 474.50 December 10, 2018 2018-12-5934 VENANCIO BUQUEL TENEJERO BALANGA CITY BATAAN 0.00 1,409.97 0.00 1,409.97 December 10, 2018 2018-12-5935 JAMES ALISSON CAYME PANTALAN LUMA ORANI BATAAN 951.76 0.00 0.00 951.76 December 10, 2018 2018-12-5936 RIA ELAINE GARCIA MT.VIEW MARIVELES BATAAN 309.87 0.00 0.00 309.87 1,142,989.98 1,160,214.82 582,061.55 2,885,266.35 TOTAL 2,885,266.35 BALANCE Patients Served Under Medical Assistance for Indigent Patient as of November 2018 AMOUNT OF MEDICAL SERVICES

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

7,207,190.97 September 03, 2018 2018-09-3244 JULIET GULDE PALAO BASECO COUNTRY MARIVELES BATAAN 0.00 (3771.30) (978.70) (4750.00) August 20, 2018 2018-08-1724-A JESUS OLIVEROS DOÑA FRANCISCA BALANGA CITY 0.00 (261.32) 0.00 (261.32) September 4,2018 2018-08-2214-J MARTY CUBACUB PARANG PARANG ORANI BATAAN (94.75) 0.00 0.00 (94.75) August 29, 2018 2018-08-2361-E TOMAS ONGKINGCO CAPITANGAN ABUCAY BATAAN 0.00 (315.14) 0.00 (315.14) August 30, 2018 2018-09-1593-D JOY FRANCISCO TOWNSITE LIMAY BATAAN (63.17) 0.00 0.00 (63.17) August 30, 2018 2018-09-2108-A JAVIER ADRANEDA 02 STA. LUCIA SAMAL BATAAN (63.17) 0.00 0.00 (63.17) September 23, 2018 2018-10-4134 HARRIES ANTOLIN SAN JOSE BALANGA CITY 0.00 (0.02) 0.00 (0.02) September 03, 2018 2018-09-3231 CARLITO MARIANO BANAWANG BAGAC BATAAN 30.14 0.00 0.00 30.14 September 19, 2018 2018-09-3587 ERLINDA VALENTOS WAWA ABUCAY BATAAN 0.42 0.00 0.00 0.42

September 05, 2018 2018-09-3293 ESPERANZA SINGIAN SITIO PALAYAN NAGBALAYONG MORONG BATAAN 0.00 0.20 0.00 0.20 October 10, 2018 2018-10-2144-C JHON WARREN DE GUZMAN 413 DAMPALIT II TAPULAO ORANI BATAAN 0.00 (22670.56) (2329.44) (25000.00) October 30, 2018 2018-11-4715 CEASAR EMNACE SAN PABLO DINALUPIHAN BATAAN 0.00 (5000.00) 0.00 (5000.00) September 29, 20182018-09-845-IEDUARDO MARTIN CAMACHO BALANGA CITY BATAAN (3,862.85) (5,070.00) (385.00) (9317.85) October 08, 2018 2018-11-4686 ROMMEL MULLENO CABCABEN MARIVELES BATAAN 12,294.01 0.00 0.00 12,294.01 October 06, 2018 2018-11-4687 FLAVIANA CAPULONG NEW SAN JOSE DINALUPIHAN BATAAN 43,518.57 1,211.76 0.00 44,730.33 September 28, 2018 2018-11-4688 SILVESTRA NAOE REFORMISTA LIMAY BATAAN 14,899.72 0.00 0.00 14,899.72 September 29, 2018 2018-11-4689 JOCELYN TOLENTINO BAGUMBAYAN BALANGA CITY 13,622.29 0.00 0.00 13,622.29 September 23, 2018 2018-11-4690 CRISTINA ADRIANO CATANING BALANGA CITY 1,276.43 3,106.78 0.00 4,383.21 September 23, 2018 2018-11-4691 LILIA EVALLE NAGBALAYONG MORONG BATAAN 5,317.72 0.00 0.00 5,317.72 September 23, 2018 2018-11-4692 ANGELO OLTIVEROS BALON ANITO MARIVELES BATAAN 4,675.99 4,590.00 5,843.97 15,109.96 September 17, 2018 2018-11-4693 JOHN ACE TAMAYO CAMACHO BALANGA CITY BATAAN 3,673.67 15,952.44 0.00 19,626.11 September 16, 2018 2018-11-4694 GREGORIO CUEVA WAWA ORION BATAAN 683.89 2,420.77 0.00 3,104.66 September 16, 2018 2018-11-4695 DOMINADOR ISO JR. LANDING PILAR BATAAN 20,673.68 7,050.00 421.07 28,144.75 September 15, 2018 2018-11-4696 ROGELIO PERLITA LAMAO LIMAY BATAAN 259.89 0.00 0.00 259.89 September 15, 2018 2018-11-4697 FLOCERFIDA VILLAFUERTE ALAS-ASIN MARIVELES BATAAN 8,416.63 0.00 0.00 8,416.63 September 23, 2018 2018-11-4698 MIRASOL HILARIO MT. VIEW MARIVELES BATAAN 1,290.87 0.00 0.00 1,290.87 September 14, 2018 2018-11-4699 ARLYN BELIZARIO MABAYO MORONG BATAAN 2,912.24 1,780.00 8,123.68 12,815.92 September 14, 2018 2018-11-2044-A ROGELIO FLORES GORDON OLONGAPO 9,511.13 0.00 0.00 9,511.13 September 14, 2018 2018-11-4700 CARMELITA CAPIO BILOLO ORION BATAAN 8,903.98 0.00 0.00 8,903.98 September 13, 2018 2018-11-4701 MARK LOUIE CRUZ ALMACEN HERMOSA BATAAN 3,060.02 10,653.37 0.00 13,713.39 September 10, 2018 2018-11-4702 JERICHO DEL VALLE PANILAO PILAR BATAAN 4,182.12 1,740.00 3,065.57 8,987.69 September 14, 2018 2018-11-4703 CORAZON NAVARRO GABON ABUCAY BATAAN 6,170.09 0.00 0.00 6,170.09

September 23, 2018 2018-11-3086-A DARLITO GONZALO RUBY ST. STA. MARIA VILLAGE TENEJERO BALANGA CITY 4,664.54 0.00 0.00 4,664.54 September 11, 2018 2018-11-4704 KRISTINA MAE CARIASO MANDAMA HERMOSA BATAAN 0.00 1,012.23 0.00 1,012.23 September 11, 2018 2018-11-4705 ALLAIZA BUENAVENTURA 868 MIRAY CATANING BALANGA CTIY 8,845.56 0.00 0.00 8,845.56

September 12, 2018 2018-11-1256-F MARIVIC AUSTRIA 614 MANGGA ST. DOÑA FRANCISCA BALANGA CITY 4,858.73 0.00 0.00 4,858.73

September 11, 2018 2018-11-3557-A FERDINAND MENDOZA 49 SITIO TOTO CUPANG PROPER BALANGA CITY 1,193.49 0.00 0.00 1,193.49 September 11, 2018 2018-11-4706 WINNIE ALIPALO CARBON SITE LAMAO LIMAY BATAAN 21,122.14 11,840.45 0.00 32,962.59 September 12, 2018 2018-11-4707 DANILO QUINABATO ST. FRANCIS II LIMAY BATAAN 4,950.22 0.00 0.00 4,950.22 September 12, 2018 2018-11-4708 DEXTER GUEVARRA SAN SIMON DINALUPIHAN BATAAN 13,249.76 2,470.00 1,923.35 17,643.11 September 12, 2018 2018-11-4709 ELLEN BUSA BANGAL DINALUPIHAN BATAAN 32,173.11 0.00 0.00 32,173.11 September 12, 2018 2018-11-3570-C GLORIA HERMINO PALILI SAMAL BATAAN 7,019.81 0.00 0.00 7,019.81 September 12, 2018 2018-11-4710 EDWARD VILLANUEVA KATAASAN DINALUPIHAN BATAAN 29,462.39 5,742.67 0.00 35,205.06 September 12, 2018 2018-11-4711 MARK PAOLO CHAVEZ VILLA ANGELES ORION BATAAN 8,930.62 8,250.00 43,939.21 61,119.83 September 12, 2018 2018-11-2988-A ANGELINA CUEVAS IBAYO BALANGA CITY 1,462.30 0.00 0.00 1,462.30 November 06, 2018 2018-11-4712 EMELINDA NACU ZAMORA DINALUPIHAN BATAAN 7,738.90 3,263.76 0.00 11,002.66 October 29, 2018 2018-11-4713 ERLINDA PERIO ALAS-ASIN MARIVELES BATAAN 810.83 5,523.01 0.00 6,333.84 October 30, 2018 2018-11-4714 VINCE CYRELL BAUTISTA MALAYA MARIVELES BATAAN 20,000.00 0.00 0.00 20,000.00 October 30, 2018 2018-11-4715 CEASAR EMNACE SAN PABLO DINALUPIHAN BATAAN 86,662.13 25,568.07 0.00 112,230.20 October 30, 2018 2018-11-4716 ADELYN ROSE RAPIZA ZONE V CAMAYA MARIVELES BATAAN 32,441.79 0.00 0.00 32,441.79 November 02, 2018 2018-11-138-D GLORIA LAJOM NEW SAN JOSE DINALIPIHAN BATAAN 2,618.30 1,912.68 0.00 4,530.98 November 05, 2018 2018-11-4717 LUCAS DAVIN DIVERSON TORTUGAS BALANGA CITY 60,967.35 34,520.00 56,271.36 151,758.71 November 05, 2018 2018-11-4718 JASTINE BOBIS SAN PABLO CASTILLEJOS ZAMBALES 12,547.92 0.00 0.00 12,547.92 November 06, 2018 2018-11-740-J DIVINE MARY BORGUETA SAN JOSE BALANGA CITY 5,000.00 0.00 0.00 5,000.00 November 06, 2018 2018-11-4719 ALBERT PEREZ GUGO SAMAL BATAAN 2,155.65 5,109.70 0.00 7,265.35 November 07, 2018 2018-11-4720 ROSAURO DE GUZMAN EAST CALAGUIMAN SAMAL BATAAN 6,399.19 10,220.00 1,863.60 18,482.79 AMOUNT OF MEDICAL SERVICES

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

November 07, 2018 2018-11-668-E ELVIRA PULONGBARIT 25 J. P. RICAL PAG-ASA BAGAC BATAAN 48,611.86 0.00 0.00 48,611.86 September 28, 2018 2018-11-845-K EDUARDO MARTIN CAMACHO BALANGA CITY BATAAN 1,612.85 5,455.00 0.00 7,067.85 November 08, 2018 2018-11-4721 WILLIAM NACAWILI PALIHAN HERMOSA BATAAN 20,200.58 0.00 0.00 20,200.58 November 08, 2018 2018-11-3418-A WENIFREDO CARLOS GABON ABUCAY BATAAN 6,162.52 13,982.38 0.00 20,144.90

September 13, 2018 2018-11-2745-A VICTOR ALINSUNURIN 257 BAGONG SILANG PANTINGAN PILAR BATAAN 1,749.13 0.00 0.00 1,749.13 September 22, 2018 2018-11-4722 NILO TAMIDLES PIROK XII SAN JOSE BALANGA CITY 9,171.44 2,885.34 0.00 12,056.78 September 23, 2018 2018-11-4723 ISABELO FAJARDO POBLACION MORONG BATAAN 16,147.32 0.00 0.00 16,147.32 September 25, 2018 2018-11-4724 LAURIANO PESA PAG-ASA ORANI BATAAN 10,387.46 0.00 0.00 10,387.46 September 27, 2018 2018-11-4725 VICENTE MANATO PTO. RIVAS IBABA BALANGA CITY 37,879.38 0.00 0.00 37,879.38 September 28, 2018 2018-11-4726 DELIA UGAY NAGBALAYONG MORONG BATAAN 2,421.89 432.66 0.00 2,854.55 September 28, 2018 2018-11-4727 JHON RAVEN GULTIANO UPPER TUYO BALANGA CITY 7,328.61 4,270.00 5,660.71 17,259.32 September 29, 2018 2018-11-4728 MARCELO GARCIA CUPANG WEST BALANGA CITY 10,369.20 1,374.94 0.00 11,744.14 September 29, 2018 2018-11-4729 JUANITO GALO SALIAN ABUCAY BATAAN 708.65 0.00 0.00 708.65 September 28, 2018 2018-11-4730 BRIGIDA RAYMUNDO TENEJERO BALANGA CITY 2,353.93 0.00 0.00 2,353.93 September 29, 2018 2018-11-4731 IVY JOY OLARTE CAMACHO BALANGA CITY BATAAN 660.47 0.00 0.00 660.47 October 15, 2018 2018-11-4732 RAYVEN BUENA CABOG-CABOG BALANGA CITY BATAAN 0.00 600.00 0.00 600.00 October 16, 2018 2018-11-029-W CESAR MARTINEZ TUYO BALANGA CITY 10,748.75 4,803.37 0.00 15,552.12 October 16, 2018 2018-11-4733 MARIBEL FELIPE LUSUNGAN ORION BATAAN 350.20 800.00 0.00 1,150.20 October 19, 2018 2018-11-4734 ALEJANDRA DORINS SAN PEDRO HERMOSA BATAAN 215.25 420.00 33.58 668.83 October 22, 2018 2018-11-4735 ELMER ADRIANO SITIO BAYABAS SALIAN ABUCAY BATAAN 0.00 1,040.00 0.00 1,040.00 October 29, 2018 2018-11-239-X EMILY MORIDO PUTING BUHANGIN ORION BATAAN 0.00 2,250.00 0.00 2,250.00 October 28, 2018 2018-11-4662-A ALBERT ANDAYA JR. LAMAO LIMAY BATAAN 518.54 0.00 0.00 518.54 October 29, 2018 2018-11-3057-H JESUS DENNIS OLIVEROS DOÑA FRANCISCA BALANGA CITY 0.00 1,584.00 0.00 1,584.00 October 29, 2018 2018-11-4736 NIMFA BANQUILAY CABCABEN MARIVELES BATAAN 0.00 700.00 0.00 700.00 October 29, 2018 2018-11-4737 AYANA JOYCE GUANZON OMBOY ABUCAY BATAAN 144.90 2,420.00 0.00 2,564.90 October 29, 2018 2018-11-2840-AB CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 2,608.07 0.00 2,608.07 October 29, 2018 2018-11-4738 JESUS RULLODA BALUT ORION BATAAN 9,567.80 0.00 0.00 9,567.80 October 29, 2018 2018-11-4739 TERESITA FRANCISCO SABANG MORONG BATAAN 0.00 1,000.00 0.00 1,000.00 October 29, 2018 2018-11-4509-B GRACE RUBIANO ST. FRANCIS I LIMAY BATAAN 474.50 0.00 0.00 474.50

October 29, 2018 2018-11-3919-B MARIANNE LABONITE SAN LORENZO RUIZ CABCABEN MARIVELES BATAAN 0.00 930.00 0.00 930.00 October 29, 2018 2018-11-4740 MYRNA BACONG STA. ROSA PILAR BATAAN 0.00 1,200.00 0.00 1,200.00 October 29, 2018 2018-11-4515-B EDELIZA JORDAN MT. MIEW MARIVELES BATAAN 334.05 0.00 0.00 334.05 October 29, 2018 2018-11-1312-M RUFINO BANATAO IPAG MARIVELES BATAAN 0.00 2,592.36 0.00 2,592.36 October 29, 2018 2018-11-4741 MA. DOLORES QUICHO WAWA ABUCAY BATAAN 0.00 4,083.20 0.00 4,083.20 October 29, 2018 2018-11-4742 VERGON BIDIE GUGO SAMAL BATAAN 0.00 1,200.00 0.00 1,200.00 October 29, 2018 2018-11-2766-A MARITES TABANGAY MACAPAGAL ST. BO. LUZ LIMAY BATAAN 0.00 1,370.00 0.00 1,370.00 October 29, 2018 2018-11-4743 JHIELHYN BARROGO SISIMAN MARIVELES BATAAN 474.50 0.00 0.00 474.50 October 29, 2018 2018-11-4663-A RONJAY GALO SALIAN ABUCAY BATAAN 474.50 0.00 0.00 474.50 October 30, 2018 2018-11-4744 SALVACION SUGANOB TOWNSITE MARIVELES BATAAN 405.62 0.00 0.00 405.62 October 30, 2018 2018-11-4745 LEONARDO DELA CRUZ ST. FRANCIS I LIMAY BATAAN 213.62 200.00 0.00 413.62 October 30, 2018 2018-11-4746 RONDALE CONCEPCION REFORMISTA LIMAY BATAAN 0.00 950.00 0.00 950.00 October 30, 2018 2018-11-4747 RONALD ALLAN SANCHEZ CUPANG PROPER BALANGA CITY 1,408.50 0.00 0.00 1,408.50 October 30, 2018 2018-11-4748 VICTORIA CORONEL 513 OMBOY ABUCAY BATAAN 0.00 704.00 0.00 704.00 October 30, 2018 2018-11-4749 RONALDO TIOTUICO 610 STA. MARIA BALIBAGO ANGELES CITY 0.00 1,548.80 0.00 1,548.80 October 30, 2018 2018-11-4750 EVA PAPA 054 ROSAL ST. ALAS-ASIN MARIVELES BATAAN 0.00 1,500.00 0.00 1,500.00 October 30, 2018 2018-11-4644-A ROWENA CASTRO WAWA ABUCAY BATAAN 474.50 0.00 0.00 474.50 October 30, 2018 2018-11-4580-A RICHARD BONIEL 800 SAMPALOC CENTRAL BALANGA CITY 474.50 0.00 0.00 474.50 October 30, 2018 2018-11-2821-F JIMMY FELICITAS SAN BENITO DINALUPIHAN BATAAN 0.00 2,125.70 0.00 2,125.70 October 30, 2018 2018-11-4751 NORBERTA FLAMIANO CARBON SITE LAMAO LIMAY BATAAN 1,011.04 1,721.82 0.00 2,732.86 October 30, 2018 2018-11-1165-AV ADONES LINTAG BILOLO ORION BATAAN 0.00 2,608.07 0.00 2,608.07 October 31, 2018 2018-11-4752 JERVIN PAGUIO BALUT I PILAR BATAAN 0.00 500.00 0.00 500.00 October 31, 2018 2018-11-4753 TERESITA GUMATAY POBLACION MARIVELES BATAAN 14,406.07 10,274.64 0.00 24,680.71 October 31, 2018 2018-11-4754 REZ VERGARA BALAGTAS ORION BATAAN 0.00 1,000.00 0.00 1,000.00 October 29, 2018 2018-11-1456-L ROLLY BUAL RIZAL PILAR BATAAN 0.00 1,584.00 0.00 1,584.00 October 29, 2018 2018-11-2361-M TOMAS ONGKINGCO STO DOMINGO ORION BATAAN 0.00 1,608.07 0.00 1,608.07 October 29, 2018 2018-11-4755 SHAIRA FERNANDEZ STO DOMINGO ORION BATAAN 474.50 0.00 0.00 474.50 October 29, 2018 2018-11-4583-A SHARMAINE FERNANDEZ STO DOMINGO ORION BATAAN 474.50 0.00 0.00 474.50 October 29, 2018 2018-11-4678-A ELAIJAH DANCHICO SAN ANTONIO BAGAC BATAAN 474.50 0.00 0.00 474.50 October 29, 2018 2018-11-4756 AIZA DAGAL PANTALAN LUMA ORANI BATAAN 0.00 2,760.00 0.00 2,760.00 October 29, 2018 2018-11-4757 ZENAIDA MAGBANUA SAN JOSE BALANGA CITY 344.58 0.00 0.00 344.58 October 29, 2018 2018-11-4758 IVY MERCADO TUBO-TUBO DINALUPIHAN BATAAN 163.97 920.00 0.00 1,083.97 October 29, 2018 2018-11-2146-O RAVENACE BALUYOT PALIHAN ORANI BATAAN 0.00 1,548.00 0.00 1,548.00 October 29, 2018 2018-11-394-C MARJOLYN PIZARRO BURGOS PILAR BATAAN 1,527.66 1,200.00 163.00 2,890.66 October 29, 2018 2018-11-4759 MYRNA BATIN BALUT I PILAR BATAAN 0.00 740.00 0.00 740.00 October 29, 2018 2018-11-4760 KAREN JOY PALADA ALANGAN LIMAY BATAAN 0.00 1,020.00 0.00 1,020.00 AMOUNT OF MEDICAL SERVICES

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

October 29, 2018 2018-11-1593-T JOY FRANCISCO TOWNSITE LIMAY BATAAN 0.00 1,605.42 0.00 1,605.42 October 29, 2018 2018-11-075-AE MERCIDITA MORALES MT. VIEW MARIVELES BATAAN 0.00 2,129.49 0.00 2,129.49 October 29, 2018 2018-11-1549-V VIOLETA SOMO LAMAO LIMAY BATAAN 0.00 4,104.58 0.00 4,104.58 October 29, 2018 2018-11-436-AC ALLAN MIRASOL MT. VIEW MARIVELES BATAAN 0.00 2,000.00 0.00 2,000.00 October 29, 2018 2018-11-4664-A ZYRENE DENNISE FERRARO MUNTING BATANGAS BALANGA CITY 474.50 0.00 0.00 474.50 October 29, 2018 2018-11-4761 CAROLINA VALENCIA MALABIA BALANGA CITY 0.00 1,548.80 0.00 1,548.80 October 29, 2018 2018-11-4298-A KENNETH MANALILI CAMAYA MARIVELES BATAAN 0.00 645.00 0.00 645.00 October 29, 2018 2018-11-3468-B ROSITA DELA ROSA GABON ABUCAY BATAAN 334.05 0.00 0.00 334.05 October 29, 2018 2018-11-4762 HAROLD FRENILLA GEN LIM ORION BATAAN 0.00 550.00 0.00 550.00 October 29, 2018 2018-11-4763 MELVIN FONSECA LALAWIGAN SAMAL BATAAN 0.00 2,200.00 0.00 2,200.00 October 29, 2018 2018-11-4681-A JAYSON NAVALES BALUT ORION BATAAN 474.50 0.00 0.00 474.50 October 29, 2018 2018-11-4667-A JOSELITO MERCADO MABATANG ABUCAY BATAAN 518.54 0.00 0.00 518.54 October 29, 2018 2018-11-4653-B FERNANDO MANGONON CUPANG WEST BALANGA CITY 334.05 0.00 0.00 334.05 October 29, 2018 2018-11-1936-A IRENE PAYAD PARANG, BAGAC BATAAN 0.00 400.00 0.00 400.00 October 29, 2018 2018-11-2593-D CARMEN RIVERA TAPULAO ORANI BATAAN 3,696.20 0.00 126.80 3,823.00 October 29, 2018 2018-11-4764 MARK GIL CABICO SABANG MORONG BATAAN 4,550.32 8,440.00 11,448.28 24,438.60 October 29, 2018 2018-11-4765 JENNIFER ROSE AQUINO J.C. PAYUMO DINALUPIHAN 0.00 3,592.56 0.00 3,592.56 October 30,2018 2018-11-4766 JENNELYN OGUIRA SABARA, MORONG 474.40 0.00 0.00 474.40 October 30,2018 2018-11-4461-B ELMA MANZANO ST. FRANCIS II LIMAY BATAAN 0.00 400.00 0.00 400.00 October 30,2018 2018-11-3993-A PRECIOUS ISSA MALABANAN SAN ANTONIO BAGAC BATAAN 0.00 2,000.00 0.00 2,000.00 October 30,2018 2018-11-3542-A AURORA TANGONAN DAANG PARE ORION BATAAN 0.00 0.00 2,559.10 2,559.10 October 30,2018 2018-11-1280-A SONNY DESCALLAR CUPANG PROPER BALANGA CITY 0.00 591.36 0.00 591.36 October 30,2018 2018-11-4767 ROWENA EVANGELINE REYES BAGONG SILANG BALANGA CITY 0.00 700.00 0.00 700.00 October 30,2018 2018-11-4768 MARY GRACE LAURIO DALAO DINALUPIHAN BATAAN 0.00 1,830.00 0.00 1,830.00 October 30,2018 2018-11-4769 JOMAR LUDOVICO LAMAO LIMAY BATAAN 518.54 0.00 0.00 518.54 October 30,2018 2018-11-4770 LYRA SOLOMON BALUT II PILAR BATAAN 0.00 700.00 0.00 700.00 October 30,2018 2018-11-4771 ALLIANA AGUSTIN PANTINGAN PILAR 0.00 800.00 0.00 800.00 October 30,2018 2018-11-4772 EDUARDO LULU ALA-ULI PILAR BATAAN 0.00 1,250.00 0.00 1,250.00 October 30,2018 2018-11-4773 EFRENIA BUGABUGA TANATO BALANGA CITY BATAAN 334.05 0.00 0.00 334.05 October 30,2018 2018-11-4029-E ALFREDO CASTILLO CAMACHO BALANGA CITY BATAAN 1,454.65 0.00 1,153.42 2,608.07 October 30,2018 2018-11-391-V ROLY CORDERO SANTA ISABEL DINALUPIHAN 0.00 0.00 1,584.00 1,584.00 October 30,2018 2018-11-4251-B CARMELITA DELA ROSA TENEJERO BALANGA CITY 0.00 2,200.00 0.00 2,200.00 October 30,2018 2018-11-4774 CRISTINA SORIANO GABON ABUCAY BATAAN 0.00 0.00 4,055.54 4,055.54 October 30,2018 2018-11-2228-I BERNARDO CRUZ SR. CABCABEN MARIVELES BATAAN 0.00 0.00 1,584.00 1,584.00 October 30,2018 2018-11-4775 FHEMELA KYEL VERGARA TENEJERO BALANGA CITY 2,078.70 0.00 336.71 2,415.41 October 30,2018 2018-11-4776 JOSE ARLIGUE GUGO SAMAL BATAAN 0.00 105.60 1,722.89 1,828.49 October 30,2018 2018-11-4777 LANCE JACOB BAGTAS SAN JOSE BALANGA CITY 0.00 770.00 132.15 902.15 October 30,2018 2018-11-1035-I ZENAIDA NATE MABIGA HERMOSA BATAAN 1,454.65 0.00 2,649.93 4,104.58 October 30,2018 2018-11-223-M REN MARK SAPIT ALAS-ASIN MARIVELES BATAAN 0.00 0.00 1,950.00 1,950.00 October 30,2018 2018-11-4434-A ANALYN GANZON WAWA ABUCAY BATAAN 0.00 1,000.00 0.00 1,000.00 October 30,2018 2018-11-4778 ALEXANDER DIONISIO BALUT I PILAR BATAAN 0.00 0.00 5,073.67 5,073.67 October 30,2018 2018-11-4779 JOANALYN MAGTANONG BAGONG SILANG BALANGA CITY 0.00 1,320.00 0.00 1,320.00 October 30,2018 2018-11-997-L ROY MANANSALA TOWNSITE LIMAY BATAAN 0.00 0.00 254.47 254.47 October 30,2018 2018-11-4581-A REDLEY JENISH VILLEGAS GEN LIM ORION BATAAN 1,408.50 0.00 0.00 1,408.50 October 30,2018 2018-11-4780 DAISY PEDRANZA LAMAO LIMAY BATAAN 0.00 2,200.00 0.00 2,200.00 October 30,2018 2018-11-4781 CEDRIC JAMES BAMBA SAN JOSE BALANGA CITY 0.00 1,920.00 0.00 1,920.00 October 30,2018 2018-11-4782 EXCELENCIO CATAQUIS JR. CABCABEN MARIVELES BATAAN 0.00 0.00 681.66 681.66 October 30,2018 2018-11-1909-X JULIET PIZARRO PTO. RIVAS IBABA BALANGA CITY 1,454.65 0.00 1,153.42 2,608.07 November 01, 2018 2018-11-4783 RAQUELINE OCON BO. LUZ LIMAY BATAAN 1,496.18 500.00 443.09 2,439.27 November 01, 2018 2018-11-1312-N RUFINO BANATAO PRK I IPAG MARIVELES BATAAN 0.00 1,454.65 0.00 1,454.65

November 01, 2018 2018-11-4784 ERICA VALENTOS GONZALES ST. LOTE PRO. RIVAS BALANGA CITY BATAAN 0.00 1,100.00 0.00 1,100.00 November 01, 2018 2018-11-4785 BENJAMIN GABUTAN SAMAT ST. MT. VIEW MARIVELES BATAAN 746.37 5,198.31 5,711.89 11,656.57 November 01, 2018 2018-11-4786 AXELL MERRICK DY TOWNSITE MARIVELES BATAAN 662.77 0.00 337.23 1,000.00 November 01, 2018 2018-11-4787 MARY GRACE PALANGGOY SITIO PEAS DUALE LIMAY BATAAN 0.00 500.00 0.00 500.00 November 01, 2018 2018-11-4788 REISSA DAULAT DAANG BILOLO ORION BATAAN 0.00 600.00 0.00 600.00 November 01, 2018 2018-11-1909-Y JULIET PIZARRO PTO. RIVAS IBABA BALANGA CITY 0.00 1,598.28 0.00 1,598.28 November 01, 2018 2018-11-4789 MARK ANTHONY OCAMPO PRK 3 TUCOP DINALUPIHAN BATAAN 6,418.23 800.00 1,426.17 8,644.40 November 01, 2018 2018-11-4790 CAMIA JHEN ABRIA UPPER DANGCOL BALANGA CITY BATAAN 0.00 550.00 0.00 550.00 November 01, 2018 2018-11-4791 RAFAEL MAGNO GALLARDO CATANING BALANGA CITY BATAAN 0.00 400.00 0.00 400.00 November 01, 2018 2018-11-4792 IRENE DE CHAVEZ MUNTING BATANGAS BALANGA CITY 0.00 950.40 0.00 950.40 November 01, 2018 2018-11-436-AD ALLAN MIRASOL MT. VIEW MARIVELES BATAAN 0.00 2,250.00 0.00 2,250.00 November 01, 2018 2018-11-1467-N MARITA MENA KABALUTAN ORANI BATAAN 0.00 268.75 0.00 268.75 November 01, 2018 2018-11-223-N REN MARK SAPIT ALAS-ASIN MARIVELES BATAAN 0.00 2,270.28 0.00 2,270.28 November 01, 2018 2018-11-391-W ROLY CORDERO STA.ISABEL DINALUPIHAN BATAAN 0.00 1,598.28 0.00 1,598.28

November 01, 2018 2018-11-4580-B RICHARD BONIEL SAMPALOC ST. CENTRAL BALANGA CITY BATAAN 474.50 0.00 0.00 474.50 AMOUNT OF MEDICAL SERVICES

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

November 01, 2018 2018-11-1593-U JOY FRANCISCO AMBROCIO ST. TOWNSITE LIMAY BATAAN 0.00 1,598.28 0.00 1,598.28 November 01, 2018 2018-11-1549-W VIOLETA SOMO LAMAO LIMAY BATAAN 0.00 2,622.35 0.00 2,622.35 November 01, 2018 2018-11-4793 RAYVER MACALINAO SAN VICENTE ORION BATAAN 949.00 0.00 0.00 949.00 November 01, 2018 2018-11-1680-F BARTOLOME SEREÑO PANILAO PILAR BATAAN 1,024.07 0.00 0.00 1,024.07 November 01, 2018 2018-11-4794 ALJHON PAULE WAWA ABUCAY BATAAN 0.00 1,200.00 0.00 1,200.00 November 01, 2018 2018-11-4795 RONIE ATIENZA STA.ROSA PILAR BATAAN 0.00 1,350.00 0.00 1,350.00 November 01, 2018 2018-11-4796 REYNALDO COMENDADOR POBLACION MARIVELES BATAAN 1,000.00 484.48 0.00 1,484.48 November 01, 2018 2018-11-1172-C ERNESTO AMARO CAPUNITAN ORION BATAAN 0.00 1,654.40 0.00 1,654.40 November 01, 2018 2018-11-4797 NENITA FREJOLES LAMAO LIMAY BATAAN 474.50 0.00 0.00 474.50 November 01, 2018 2018-11-1165-AW ADONES LINTAG DAANG BILOLO ORION BATAAN 0.00 2,608.07 0.00 2,608.07 November 01, 2018 2018-11-4798 AZRELLE MITCH AQUIS SIBUL 1 DAANG PARE ORION BATAAN 0.00 800.00 119.40 919.40 November 01, 2018 2018-11-239-Y EMILY MORIDO PUTING BUHANGIN ORION BATAAN 0.00 1,600.00 0.00 1,600.00 November 02, 2018 2018-11-4799 SHELVY DELA CRUZ TORTUGAS BALANGA CITY 474.50 0.00 0.00 474.50 November 02, 2018 2018-11-4800 EDUARDO JAIME TORTUGAS BALANGA CITY 0.00 2,112.00 0.00 2,112.00 November 02, 2018 2018-11-4801 JHENRICK CANALES KAPUNITAN ORION BATAAN 0.00 1,320.00 0.00 1,320.00 November 02, 2018 2018-11-4773-A EFRENIA BUGABUGA TANATO BALANGA CITY BATAAN 334.05 0.00 0.00 334.05 November 02, 2018 2018-11-1035-J ZENAIDA NATE MABIGA HERMOSA BATAAN 0.00 1,584.00 0.00 1,584.00 November 02, 2018 2018-11-997-M ROY MANANSALA ARCENAL VILLAGE TOWNSITE LIMAY BATAAN 0.00 302.52 0.00 302.52 November 02, 2018 2018-11-4802 ANA MARIA CURIANO NAGBACULAO KALAKLAN OLONGAPO CITY 0.00 0.00 3,000.00 3,000.00

November 02, 2018 2018-11-4803 JULIETA VASQUEZ DEL PILAR CUPANG NORTH BALANGA CITY BATAAN 0.00 825.57 0.00 825.57

November 02, 2018 2018-11-4804 JONALYN NUÑEZ RESURRECCION CABCABEN MARIVELES BATAAN 1,048.74 500.00 303.99 1,852.73 November 02, 2018 2018-11-4805 ARTURO CERA SR. HACIENDA GUGO SAMAL BATAAN 0.00 523.01 0.00 523.01 November 02, 2018 2018-11-4806 BASILISA TAMBALO ALION MARIVELES BATAAN 0.00 915.20 0.00 915.20 November 02, 2018 2018-11-2146-P RAVENACE BALUYOT PALIHAN DINALUPIHAN BATAAN 0.00 2,608.07 0.00 2,608.07 November 02, 2018 2018-11-239-Z EMILY MORIDO PUTING BUHANGIN ORION BATAAN 0.00 2,250.00 0.00 2,250.00 November 02, 2018 2018-11-4807 LORNA BESONIA BAGUMBAYAN BALANGA CITY 518.54 0.00 0.00 518.54 November 02, 2018 2018-11-882-Q ROGELIO MENDOZA A. RIVERA HERMOSA BATAAN 0.00 1,584.00 0.00 1,584.00 November 02, 2018 2018-11-4808 BENJAMIN ESQUIVEL CUPANG PROPER BALANGA CITY BATAAN 0.00 1,480.00 146.00 1,626.00 November 02, 2018 2018-11-4809 STEFHANIE MANZANO ST. FRANCIS II LIMAY BATAAN 0.00 320.00 0.00 320.00 November 02, 2018 2018-11-4810 VERGIL DEL ROSARIO WAWA ABUCAY BATAAN 0.00 1,000.00 0.00 1,000.00 November 02, 2018 2018-11-4811 JEFFREY JAVIER CAPITANGAN ABUCAY BATAAN 518.54 0.00 0.00 518.54 November 02, 2018 2018-11-4641-B CHARISSE NICOLE LINTAG CATANING BALANGA CITY 474.50 0.00 0.00 474.50 November 02, 2018 2018-10-1392-M JENNIFER KANTONHOS BURGOS PILAR BATAAN 0.00 1,056.00 0.00 1,056.00 November 02, 2018 2018-11-4812 MHARK WILVEN BALAGOPLO CAMACHO BALANGA CITY BATAAN 697.61 820.00 875.91 2,393.52 November 02, 2018 2018-11-2856-C ELPIDIO RAFAEL KABUKIRAN CALAYLAYAN ABUCAY BATAAN 0.00 2,728.77 0.00 2,728.77 November 02, 2018 2018-11-1456-M ROLLY BUAL VILLA JUANA RIZAL PILAR BATAAN 0.00 3,193.61 0.00 3,193.61

November 02, 2018 2018-11-4813 ARTHUR GUEVARA BLK 5 LOT 8 CLOVERVILLE SUBD. UPPER TUYO BALANGA CITY 0.00 1,920.00 0.00 1,920.00 November 02, 2018 2018-11-4814 JAYSON RAMIREZ DUALE LIMAY BATAAN 0.00 1,200.00 0.00 1,200.00

November 02, 2018 2018-11-4815 PRINCESS RONNA NERY BONIFACIO ST. POBLACION BALANGA CITY BATAAN 1,540.32 0.00 0.00 1,540.32 November 02, 2018 2018-11-843-I JUANITO GALVEZ CULIS HERMOSA BATAAN 0.00 457.60 0.00 457.60 November 02, 2018 2018-11-4816 KEVIN AGULTO ST. FRANCIS II LIMAY BATAAN 474.50 0.00 0.00 474.50 November 02, 2018 2018-11-4817 JOHNMAR TEJEDERO MARSTEEL BO. LUZ LIMAY BATAAN 474.50 0.00 0.00 474.50 November 02, 2018 2018-11-4818 CATHLENE MENDOZA CAPITANGAN ABUCAY BATAAN 0.00 1,120.00 0.00 1,120.00 November 02, 2018 2018-11-2228-J BERNARDO CRUZ SR. CABCABEN MARIVELES BATAAN 0.00 2,608.07 0.00 2,608.07 November 02, 2018 2018-11-223-O REN MARK SAPIT DOÑA NENE ALAS-ASIN MARIVELES BATAAN 0.00 1,500.00 0.00 1,500.00 November 02, 2018 2018-11-2077-K ANTONIO CARABEO KAWAYAN ORANI BATAAN 0.00 1,800.00 0.00 1,800.00 November 02, 2018 2018-11-4819 ALBERTO VALENZONA JR. IBAYO BALANGA CITY 0.00 2,250.00 250.66 2,500.66 November 02, 2018 2018-11-4820 CRISANTO TRIA CAPITANGAN ABUCAY BATAAN 0.00 150.00 412.81 562.81 November 02, 2018 2018-11-4821 ROSTILO BARASSIROS TOWNSITE MARIVELES BATAAN 0.00 1,100.00 0.00 1,100.00 November 02, 2018 2018-11-2840-AC CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 4,523.70 0.00 4,523.70 November 02, 2018 2018-11-4822 MARK YLAGAN MANAHAN ST. TENEJERO BALANGA CITY 0.00 1,200.00 0.00 1,200.00 November 02, 2018 2018-11-4823 RAFAEL CANDELARIA DAANG PARE ORION BATAAN 301.92 0.00 0.00 301.92 November 02, 2018 2018-11-4824 MARCELO SEMILLANO SABATAN ORION BATAAN 603.56 0.00 0.00 603.56 November 02, 2018 2018-11-4825 ACE ANNE PAGTALUNAN LALAWIGAN SAMAL BATAAN 474.50 0.00 0.00 474.50

November 10, 2018 2018-11-4826 ARDEE ASPIRAS SITIO NAGKAMAYAN UPPER TUYO BALANGA CITY 0.00 0.00 2,000.00 2,000.00 November 02, 2018 2018-11-4827 MARICAR ARENAS POBLACION MARIVELES BATAAN 0.00 1,300.00 0.00 1,300.00 November 02, 2018 2018-11-4644-B ROWENA CASTRO WAWA ABUCAY BATAAN 474.50 0.00 0.00 474.50 November 02, 2018 2018-11-4828 VIRGINIA CABAIS CATANING BALANGA CITY 0.00 1,048.96 0.00 1,048.96 November 03, 2018 2018-11-4829 MARC JOSHUA CLEMENTE OMBOY ABUCAY BATAAN 0.00 600.00 0.00 600.00 November 03, 2018 2018-11-1909-Z JULIET PIZARRO PTO. RIVAS IBABA BALANGA CITY 0.00 2,422.35 0.00 2,422.35 November 03, 2018 2018-11-4830 RHODORA VELASCO BALON ANITO MARIVELES BATAAN 0.00 950.00 0.00 950.00 November 03, 2018 2018-11-2627-H JACKIENER MORIS MABUCO HERMOSA BATAAN 0.00 1,280.00 0.00 1,280.00 November 03, 2018 2018-11-4831 MILES MEGAN PALOMERAS BIAAN MARIVELES BATAAN 0.00 1,320.00 0.00 1,320.00 November 03, 2018 2018-11-4832 PATROCINIA MATEO 206 DEL ROSARIO PILAR BATAAN 0.00 492.80 89.99 582.79 November 03, 2018 2018-11-4833 CELSO DE CASTRO JR. CALAYLAYAN ABUCAY BATAAN 0.00 700.00 0.00 700.00 AMOUNT OF MEDICAL SERVICES

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

November 03, 2018 2018-11-4834 EDUARDO MALING ST. FRANCIS II LIMAY BATAAN 0.00 850.00 0.00 850.00 November 03, 2018 2018-11-4835 JOSEPH ESTRADA GABON ABUCAY BATAAN 0.00 2,000.00 0.00 2,000.00 November 03, 2018 2018-11-4836 AMADOR ESPINOSA SAPA SAMAL BATAAN 0.00 1,302.40 0.00 1,302.40 November 03, 2018 2018-11-1430-K VIRGINIA NAVARRO CALUNGUSAN ORION BATAAN 0.00 1,619.70 0.00 1,619.70 November 03, 2018 2018-11-1312-O RUFINO BANATAO IPAG MARIVELES BATAAN 0.00 1,500.00 0.00 1,500.00 November 03, 2018 2018-11-030-U DIONILO GUTIERREZ ST. FRANCIS II LIMAY BATAAN 0.00 3,125.06 500.00 3,625.06 November 03, 2018 2018-11-2707-F ROSALINDA GATDULA SAN ANTONIO BAGAC BATAAN 0.00 1,443.20 0.00 1,443.20 November 03, 2018 2018-11-368-AA MARY JANE SAMSON LAON ABUCAY BATAAN 0.00 2,615.21 0.00 2,615.21 November 03, 2018 2018-11-1549-X VIOLETA SOMO LAMAO LIMAY BATAAN 0.00 2,615.21 0.00 2,615.21 November 03, 2018 2018-11-4837 RENIER LINTAG LUSUNGAN ORION BATAAN 0.00 1,320.00 0.00 1,320.00 November 03, 2018 2018-11-3289-C RODRIGO SAN PEDRO IBIS BAGAC BATAAN 0.00 1,267.20 0.00 1,267.20 November 03, 2018 2018-11-3406-M ANITA TAPANG SAN JUAN SAMAL BATAAN 0.00 4,389.85 0.00 4,389.85 November 03, 2018 2018-11-1165-AX ADONES LINTAG DAANG BILOLO ORION BATAAN 0.00 2,615.22 0.00 2,615.22 November 03, 2018 2018-11-391-X ROLY CORDERO STA. ISABEL DINALUPIHAN BATAAN 0.00 1,591.14 0.00 1,591.14 November 03, 2018 2018-11-075-AF MERCIDITA MORALES MT. VIEW MARIVELES BATAAN 0.00 1,604.01 0.00 1,604.01 November 03, 2018 2018-11-1429-K EFREN GANTIGA BAYAN ORANI BATAAN 0.00 1,600.00 0.00 1,600.00 November 03, 2018 2018-11-3586-B REYNALDO ARELLANO DEL PILAR DINALUPIHAN BATAAN 0.00 1,280.00 0.00 1,280.00 November 03, 2018 2018-11-2077-L ANTONIO CARABEO TUGATOG ORANI BATAAN 0.00 650.00 0.00 650.00 November 04, 2018 2018-11-4339-A LEON ALCANTARA TOWNSITE MARIVELES BATAAN 1,500.00 105.60 219.65 1,825.25 November 04, 2018 2018-11-4838 WENDELL GIANAN MABATANG ABUCAY BATAAN 0.00 1,250.00 0.00 1,250.00 November 04, 2018 2018-11-4839 MAY MONTEJO DAAN PARI ORION 0.00 1,050.00 0.00 1,050.00 November 04, 2018 2018-11-4840 ELEONOR JOY MONTEFALCON TENEJERO BALANGA CITY 934.00 0.00 0.00 934.00 November 04, 2018 2018-11-4178-B JOANA JESUSA PAÑARES BATANGAS II MARIVELES BATAAN 0.00 0.00 1,000.00 1,000.00 November 04, 2018 2018-11-3320-B PAQUITO NAVARRO WAWA ABUCAY BATAAN 220.49 0.00 0.00 220.49 November 04, 2018 2018-11-4841 SEAN GREGOR DUGAY CABCABEN MARIVELES BATAAN 3,108.28 500.00 3,112.22 6,720.50 November 04, 2018 2018-11-3498-A NINA RICCI DUGAY ST FRANCIS CABCABEN MARIVELES BATAAN 1,487.88 1,900.00 2,942.76 6,330.64 November 07, 2018 2018-11-4842 MYRA SERNA ALAS-ASIN MARIVELES BATAAN 0.00 700.00 0.00 700.00 November 07, 2018 2018-11-4843 ANGELINO CORONEL MALABIA BALANGA CITY 0.00 2,020.00 120.25 2,140.25 November 07, 2018 2018-11-3407-A LOURDES LACSON A.RICARDO BAGAC BATAAN 7,660.32 7,060.00 2,912.79 17,633.11 November 07, 2018 2018-11-4844 ROMMEL CASTILAR ALION MARIVELES BATAAN 0.00 600.00 0.00 600.00 November 07, 2018 2018-11-1430-L VIRGINIA NAVARRO CALUNGUSAN ORION BATAAN 0.00 1,385.87 0.00 1,385.87 November 07, 2018 2018-11-4845 RAIMELLE OGNIT PANILAO PILAR BATAAN 0.00 670.00 0.00 670.00 November 07, 2018 2018-11-4846 REAH BALANQUIT ST FRANCIS II LIMAY BATAAN 506.40 400.00 1,516.24 2,422.64 November 07, 2018 2018-11-4847 MARY GRACE ARLIGUE PANTINGAN PILAR BATAAB 474.50 0.00 0.00 474.50 November 07, 2018 2018-11-4278-A JUDY SALAVERIA BALUT II PILAR BATAAN 0.00 500.00 0.00 500.00 November 07, 2018 2018-11-4848 ZYR ORTIGUERRA TABING ILOG SAMAL BATAAN 1,433.29 0.00 0.00 1,433.29 November 07, 2018 2018-11-4849 FRANCISCO CAPATI SABA HERMOSA BATAAN 0.00 1,670.00 0.00 1,670.00 November 07, 2018 2018-11-075-AG MERCIDITA MORALES MT. VIEW MARIVELES BATAAN 0.00 1,644.35 0.00 1,644.35 November 07, 2018 2018-11-4850 ROMEL MACASI DAANG PARE ORION BATAAN 3,543.34 3,900.00 944.59 8,387.93 November 07, 2018 2018-11-4851 ENRICO SANTOS WAWA ORANI BATAAN 0.00 1,990.00 0.00 1,990.00 November 07, 2018 2018-11-4852 MON EMIL GEMZON BAGUMBAYAN BALANGA CITY 518.54 0.00 0.00 518.54 November 07, 2018 2018-11-4853 JOHNMAR TEJEDOR JR. BO LUZ KITANG II LIMAY BATAAN 474.50 0.00 0.00 474.50 November 07, 2018 2018-11-2532-D WILSON SALAZAR TUYO BALANGA CITY 0.00 457.60 0.00 457.60 November 07, 2018 2018-11-4854 MHELJIENE GARCIA TENEJERO BALANGA CITY 1,423.44 0.00 0.00 1,423.44 November 07, 2018 2018-11-844-D LORENA VIRAY SAGUING DINALUPIHAN BATAAN 0.00 7,500.00 0.00 7,500.00 November 07, 2018 2018-11-030-V DIONILO GUTIERREZ ST. FRANCIS II LIMAY BATAAN 0.00 1,598.28 0.00 1,598.28 November 07, 2018 2018-11-3406-N ANITA TAPANG SAN JUAN SAMAL BATAAN 0.00 3,704.65 0.00 3,704.65 November 07, 2018 2018-11-2840-AD CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 1,598.28 0.00 1,598.28 November 07, 2018 2018-11-4855 JONAS AARON DECANO DUALE LIMAY BATAAN 474.50 0.00 0.00 474.50 November 07, 2018 2018-11-4856 MARICEL ROMBASE MABATANG ABUCAY BATAAN 0.00 2,450.00 0.00 2,450.00 November 07, 2018 2018-11-2630-H HENRY ALIPIO CAMACHO BALANGA CITY BATAAN 0.00 1,598.28 0.00 1,598.28 November 07, 2018 2018-11-368-AB MARY JANE SAMSON LAON ABUCAY BATAAN 3,181.12 8,729.73 0.00 11,910.85 November 07, 2018 2018-11-1456-N ROLLY BUAL RIZAL PILAR BATAAN 0.00 1,644.04 0.00 1,644.04 November 07, 2018 2018-11-4857 JOHN RIC BACANI WAWA ABUCAY BATAAN 481.96 0.00 0.00 481.96 November 07, 2018 2018-11-4858 ROSALIE MENDOZA CATANING BALANGA CITY 948.96 0.00 0.00 948.96 November 07, 2018 2018-11-4859 PRIMITIVO LLAGAS BAYAN ORANI BATAAN 1,847.47 15,640.00 699.88 18,187.35 November 07, 2018 2018-11-4816-A KEVIN AGULTO ST. FRANCIS II LIMAY BATAAN 474.50 0.00 0.00 474.50 November 07, 2018 2018-11-4860 JAYSON VILLEGAS SISIMAN MARIVELES BATAAN 3,532.70 5,570.00 183.59 9,286.29 November 07, 2018 2018-11-4861 LACKLYN BALUYOT MT. VIEW MARIVELES BATAAN 0.00 1,500.00 0.00 1,500.00 November 07, 2018 2018-11-239-AA EMILY MORIDO PUTI BUHANGIN ORION BATAAN 0.00 4,395.99 0.00 4,395.99 November 07, 2018 2018-11-4862 RODOLFO LACTAO BATANGAS II MARIVELES BATAAN 334.05 0.00 0.00 334.05 November 07, 2018 2018-11-4863 MARILYN BELTRAN LAMAO LIMAY BATAAN 0.00 700.00 0.00 700.00 November 07, 2018 2018-11-4864 ALEX LACSON BAGONG SILANG BALANGA CITY 0.00 1,066.96 460.12 1,527.08 November 07, 2018 2018-11-4865 NARCISO MANLAPID LUMANG DAAN ABUCAY BATAAN 13,424.18 7,246.42 0.00 20,670.60 November 07, 2018 2018-11-4866 RHODORA JORDA CABOG CABOG BALANGA 0.00 1,670.00 0.00 1,670.00 AMOUNT OF MEDICAL SERVICES

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

November 07, 2018 2018-11-4867 ROBERTO PAZ SAPA SAMAL BATAAN 0.00 591.36 0.00 591.36 November 07, 2018 2018-11-4868 GEISEL AMORA TUYO BALANGA CITY 0.00 600.00 0.00 600.00 November 07, 2018 2018-11-3547-H ROMY NICDAO TALIMUNDOC ORANI BATAAN 2,048.15 0.00 0.00 2,048.15 November 07, 2018 2018-11-4869 JOVILYN LAYUG BO. LUZ LIMAY BATAAN 474.50 0.00 0.00 474.50 November 07, 2018 2018-11-4870 PHILIP JOSECO BALON ANITO MARIVELES BATAAN 0.00 400.00 0.00 400.00 November 03, 2018 2018-11-2630-I HENRY ALIPIO CAMACHO BALANGA CITY BATAAN 0.00 3,084.07 0.00 3,084.07 November 03, 2018 2018-11-4871 RODELIO VILLAREZ CUPANG WEST BALANGA CITY 248.17 200.00 0.00 448.17 November 03, 2018 2018-11-4872 JILLIAN VENICE BIDIE GUGO SAMAL BATAAN 0.00 1,320.00 0.00 1,320.00 November 03, 2018 2018-11-4873 JHON DAVE MALLARI ILANG-ILANG ALANGAN LIMAY BATAAN 575.78 0.00 0.00 575.78 November 03, 2018 2018-11-4874 JOYCE HONDRADA BANZON ST. CENTRAL BALANGA CITY 0.00 1,000.00 0.00 1,000.00 November 03, 2018 2018-11-3199-A RICARDO CORONEL JR. TUGATOG ORANI BATAAN 0.00 1,350.00 0.00 1,350.00 November 03, 2018 2018-11-4875 JULIE REAL DEL ROSARIO PILAR BATAAN 0.00 320.00 0.00 320.00 November 03, 2018 2018-11-4876 ANSARY BASHIER DEL ROSARIO PILAR BATAAN 0.00 320.00 0.00 320.00 November 03, 2018 2018-11-4877 CHANDLER LUIS MATACOT 201 GABON ABUCAY BATAAN 0.00 1,200.00 0.00 1,200.00 November 03, 2018 2018-11-4878 PRINCESS LIAM CELSO WAWA ABUCAY BATAAN 0.00 1,320.00 0.00 1,320.00 November 03, 2018 2018-11-4879 KEVIN SEDURIFA IBAYO BALANGA CITY 0.00 600.00 140.45 740.45 November 03, 2018 2018-11-4880 JERALD CASTILLO TIBAG ST. GABON ABUCAY BATAAN 684.11 500.00 0.00 1,184.11 November 03, 2018 2018-11-4881 CORAZON RESCO SIPIT CULIS HERMOSA BATAAN 1,429.06 0.00 0.00 1,429.06 November 03, 2018 2018-11-3547-I ROMY NICDAO TALIMUNDOC ORANI BATAAN 2,048.15 0.00 0.00 2,048.15 November 03, 2018 2018-11-182-I MATEO CORPUZ SR. SABATAN ORION BATAAN 497.87 0.00 0.00 497.87 November 03, 2018 2018-11-4882 RODOLFO BAUTISTA ALANGAN LIMAY BATAAN 0.00 1,400.00 0.00 1,400.00 November 03, 2018 2018-11-223-P REN MARK SAPIT DOÑA NENE ALAS-ASIN MARIVELES BATAAN 0.00 2,278.42 0.00 2,278.42 November 03, 2018 2018-11-4883 MAVIES SADIA RIZAL PILAR BATAAN 0.00 650.00 0.00 650.00 November 04, 2018 2018-11-4884 JAYSON TORION MAISAN ST. STA. ROSA PILAR BATAAN 484.39 0.00 0.00 484.39 November 05, 2018 2018-11-4885 CLARA BASA ACULPO ST. CAMAYA MARIVELES BATAAN 0.00 800.00 0.00 800.00 November 05, 2018 2018-11-4886 MARY GRACE CABATUAN DUALE LIMAY BATAAN 0.00 2,000.00 0.00 2,000.00 November 05, 2018 2018-11-4887 JONARD MALUNES SIOSON ST. PTO. RIVAS BALANGA CITY 415.79 0.00 0.00 415.79 November 05, 2018 2018-11-4888 JOIECY TANCHOCO PUTING BUHANGIN ORION BATAAN 0.00 0.00 647.49 647.49 November 05, 2018 2018-11-4857-A JOHN RIC BACANI WAWA ABUCAY BATAAN 474.50 0.00 0.00 474.50 November 05, 2018 2018-11-4889 GENER SANTOS KABUKIRAN CALAYLAYAN ABUCAY BATAAN 216.33 3,250.00 242.75 3,709.08 November 05, 2018 2018-11-4661-A EDITHA ORTIZ MALABIA BALANGA CITY 474.50 0.00 0.00 474.50 November 05, 2018 2018-11-4662-B ALBERT ANDAYA JR. LAMAO LIMAY BATAAN 474.50 0.00 0.00 474.50 November 05, 2018 2018-11-4855-A JONAS AARON DECANO DUALE LIMAY BATAAN 474.50 0.00 0.00 474.50 November 05, 2018 2018-11-4890 ROWENA QUICHO DAANG BAGO ORION BATAAN 0.00 1,800.00 0.00 1,800.00 November 05, 2018 2018-11-1549-Y VIOLETA SOMO LAMAO LIMAY BATAAN 0.00 2,615.21 0.00 2,615.21 November 05, 2018 2018-11-4891 JHAMELA BRENT ESPIRITU GEN. LIM ORION BATAAN 433.55 2,150.00 664.44 3,247.99 November 05, 2018 2018-11-1593-V JOY FRANCISCO AMBROCIO ST. TOWNSITE LIMAY BATAAN 0.00 1,591.14 0.00 1,591.14 November 05, 2018 2018-11-1456-O ROLLY BUAL RIZAL PILAR BATAAN 0.00 2,622.35 0.00 2,622.35 November 05, 2018 2018-11-4892 TERESITA CASTOR BO. TOTO CUPANG PROPER BALANGA CITY 10,204.38 4,167.05 0.00 14,371.43 November 05, 2018 2018-11-4893 TIRSO SANTOS JR. NAPARING DINALUPIHAN BATAAN 3,731.59 6,370.00 5,378.36 15,479.95 November 05, 2018 2018-11-4894 DOMILYN ALABAN STA. ROSA PILAR BATAAN 0.00 1,020.00 0.00 1,020.00 November 05, 2018 2018-11-2146-Q RAVENACE BALUYOT PALIHAN DINALUPIHAN BATAAN 0.00 2,615.21 0.00 2,615.21 November 05, 2018 2018-11-2840-AE CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 2,615.21 0.00 2,615.21 November 05, 2018 2018-11-4663-B RONJAY GALO SALIAN ABUCAY BATAAN 474.50 0.00 0.00 474.50 November 05, 2018 2018-11-4895 JESSICA DAVID BACONG HERMOSA BATAAN 0.00 840.00 0.00 840.00 November 05, 2018 2018-11-1680-G BARTOLOME SEREÑO PANILAO PILAR BATAAN 1,024.07 0.00 0.00 1,024.07 November 05, 2018 2018-11-2617-B LOVE JOY PASAMONTE FLORES ST. MABATANG ABUCAY BATAAN 0.00 900.00 0.00 900.00 November 05, 2018 2018-11-4896 JOSHUA MARTIN CAMACHO BALANGA CITY BATAAN 0.00 500.00 0.00 500.00 November 05, 2018 2018-11-4897 LEONARDO MENDOZA ALION MARIVELES BATAAN 0.00 1,000.00 0.00 1,000.00 November 05, 2018 2018-11-4898 VIOLETA CORPIN MARSTEEL ALANGAN LIMAY BATAAN 0.00 3,682.79 0.00 3,682.79 November 05, 2018 2018-11-2108-K JAVIER ADRANEDA STA. LUCIA SAMAL BATAAN 0.00 741.18 0.00 741.18 November 05, 2018 2018-11-2652-C OLIVER MAGTANONG LAON ABUCAY BATAAN 0.00 2,608.07 0.00 2,608.07 November 05, 2018 2018-11-4899 JEMALYN DIAZ CAMACHO BALANGA CITY BATAAN 0.00 670.00 0.00 670.00 November 05, 2018 2018-11-1467-O MARITA MENA KABALUTAN ORANI BATAAN 0.00 268.75 0.00 268.75 November 05, 2018 2018-11-2610-E EVANGELINE GAMAYON STO. CRISTO CENTRAL BALANGA CITY 0.00 1,800.00 0.00 1,800.00 November 05, 2018 2018-11-3587-D ERLINDA VALENTOS WAWA ABUCAY BATAAN 598.02 0.00 0.00 598.02 November 05, 2018 2018-11-4900 JHONAH MICAH ARANDIA MABATANG ABUCAY BATAAN 1,333.06 2,561.76 105.18 4,000.00 November 05, 2018 2018-11-4667-B JOSELITO MERCADO MABATANG ABUCAY BATAAN 474.50 0.00 0.00 474.50 November 05, 2018 2018-11-4597-A KING FRANCIS VALENCIA 289 GABON ABUCAY BATAAN 474.50 0.00 0.00 474.50 November 05, 2018 2018-11-4901 OWELYN BAUTISTA GEN. LIM ORION BATAAN 0.00 1,000.00 0.00 1,000.00 November 05, 2018 2018-11-3336-B JOMER SABADO CAMACHO BALANGA CITY BATAAN 0.00 1,280.00 0.00 1,280.00 November 05, 2018 2018-11-4678-B ELAIJAH DANCHICO SAN ANTONIO BAGAC BATAAN 474.50 0.00 0.00 474.50 November 05, 2018 2018-11-4902 JENNIFER TALAUGON PANTINGAN PILAR BATAAN 1,423.46 0.00 0.00 1,423.46 November 05, 2018 2018-11-4903 MARILYN VERGADO ARIES ST. ST. FRANCIS II LIMAY BATAAN 0.00 550.00 0.00 550.00 November 05, 2018 2018-11-436-AE ALLAN MIRASOL MT. VIEW MARIVELES BATAAN 0.00 1,770.28 0.00 1,770.28 AMOUNT OF MEDICAL SERVICES

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

November 05, 2018 2018-11-4904 AARON DAVE TALPLACIDO CULIS HERMOSA BATAAN 0.00 2,200.00 0.00 2,200.00 November 05, 2018 2018-11-4847-A MARY GRACE ARLIGUE PANTINGAN PILAR BATAAN 518.54 0.00 0.00 518.54 November 05, 2018 2018-11-4905 SARLUXED BENDOY GEN. LIM ORION BATAAN 0.00 680.00 0.00 680.00 November 05, 2018 2018-11-1491-C MELITO CAMAING TENEJERO BALANGA CITY 555.46 1,830.40 0.00 2,385.86 November 05, 2018 2018-11-4869-A JOVILYN LAYUG BO. LUZ LIMAY BATAAN 518.54 0.00 0.00 518.54 November 05, 2018 2018-11-4906 CHARENA TALA IPAG MARIVELES BATAAN 0.00 2,145.99 0.00 2,145.99 November 05, 2018 2018-11-4664-B ZYRENE DENNISE FERRARO MUNTING BATANGAS BALANGA CITY 474.50 0.00 0.00 474.50 November 06, 2018 2018-11-4907 RODLEO PEÑA TENEJERO BALANGA CITY 957.86 0.00 0.00 957.86 November 06, 2018 2018-11-4908 EDUARDO BANTUCAN MABATANG ABUCAY BATAAN 0.00 2,060.00 0.00 2,060.00 November 06, 2018 2018-11-4799-A SHELVY DELA CRUZ TORTUGAS BALANGA CITY 957.86 0.00 0.00 957.86 November 06, 2018 2018-11-4909 JHANINE ROQUE PARAISO ORANI BATAAN 0.00 700.00 0.00 700.00 November 06, 2018 2018-11-882-R ROGELIO MENDOZA A. RIVERA HERMOSA BATAAN 0.00 2,643.77 0.00 2,643.77 November 06, 2018 2018-11-2228-K BERNARDO CRUZ SR. CABCABEN MARIVELES BATAAN 0.00 1,619.70 0.00 1,619.70 November 06, 2018 2018-11-4910 GLORIA AUSTRIA CUPANG PROPER BALANGA CITY 0.00 1,590.00 0.00 1,590.00 November 06, 2018 2018-11-4911 IRISH CALARA 062 GOMEZ ST. BAGUMBAYAN BALANGA CITY 0.00 2,040.00 0.00 2,040.00 November 06, 2018 2018-11-4912 ROLANDO NUQUI A. RICARDO BAGAC BATAAN 0.00 1,700.00 0.00 1,700.00 November 06, 2018 2018-11-4913 MERLITA UMANDAL CABCABEN MARIVELES BATAAN 0.00 1,780.00 0.00 1,780.00 November 06, 2018 2018-11-4914 JOEY REYES BAGONG SILANG BALANGA CITY 474.50 0.00 0.00 474.50 November 06, 2018 2018-11-4681-B JAYSON NAVALES BALUT ORION BATAAN 474.50 0.00 0.00 474.50 November 06, 2018 2018-11-4915 MARILOU MALAWAD SAN ISIDRO MARIVELES BATAAN 0.00 1,000.00 0.00 1,000.00 November 06, 2018 2018-11-2748-H ROMEO DUBLIN CABCABEN MARIVELES BATAAN 0.00 1,050.00 0.00 1,050.00 November 06, 2018 2018-11-4916 GRACE RODULFO MT. VIEW MARIVELES BATAAN 0.00 4,100.00 4,748.03 8,848.03 November 06, 2018 2018-11-4594-A MAE-ANN SANCHEZ BACONG HERMOSA BATAAN 0.00 1,500.00 0.00 1,500.00 November 06, 2018 2018-11-4917 ROSARIO CORNEJO PTO. RIVAS BALANGA CITY 0.00 1,548.80 0.00 1,548.80 November 06, 2018 2018-11-4918 ROMEO AQUINO TALAVERA NUEVA ECIJA 538.09 0.00 0.00 538.09 November 06, 2018 2018-11-3485-A ROGELIO ARANGEL BATUNGBAKAL TENEJERO BALANGA CITY 0.00 800.00 0.00 800.00 November 06, 2018 2018-11-4919 ELENA MENA CALAYLAYAN ABUCAY BATAAN 414.54 0.00 0.00 414.54 November 06, 2018 2018-11-4920 FRANCISCO MALONZO CAMACHO BALANGA CITY BATAAN 0.00 1,250.00 0.00 1,250.00 November 06, 2018 2018-11-4921 JEROHME GIDUCOS LUCANIN MARIVELES BATAAN 474.50 0.00 0.00 474.50 November 06, 2018 2018-11-4922 LOIDA PINTO CULIS HERMOSA BATAAN 0.00 700.00 0.00 700.00 November 06, 2018 2018-11-4807-A LORNA BESONIA BAGUMBAYAN BALANGA CITY 474.50 1,070.00 0.00 1,544.50 November 06, 2018 2018-11-4923 ANGELICA MARIE DURANO DAAN PARE ORION BATAAN 0.00 350.00 0.00 350.00 November 06, 2018 2018-11-3448-A PRUDENCIA PARAS SAN JOSE BALANGA CITY 0.00 1,990.00 0.00 1,990.00 November 06, 2018 2018-11-4895-A JESSICA DAVID BACONG HERMOSA BATAAN 0.00 700.00 0.00 700.00 November 06, 2018 2018-11-4924 MARILOU CRUZ ZULUETA ST. BALANGA CITY 0.00 840.00 0.00 840.00 November 06, 2018 2018-11-1165-AY ADONES LINTAG DAANG BILOLO ORION BATAAN 0.00 2,643.77 0.00 2,643.77 November 06, 2018 2018-11-4770-A LYRA SOLOMON BALUT II PILAR BATAAN 0.00 700.00 0.00 700.00 November 06, 2018 2018-11-1035-K ZENAIDA NATE MABIGA HERMOSA BATAAN 0.00 1,267.20 0.00 1,267.20 November 06, 2018 2018-11-4925 MARISTELLA ACERO MORONG BATAAN 0.00 600.00 0.00 600.00 November 06, 2018 2018-11-391-Y ROLY CORDERO STA. ISABEL DINALUPIHAN BATAAN 0.00 1,619.70 0.00 1,619.70 November 06, 2018 2018-11-4926 MARCIANA AMAYA LAZARTE PANILAO PILAR BATAAN 518.54 0.00 0.00 518.54 November 06, 2018 2018-11-3262-D FLORENCIO DIONISIO PACAR ORANI BATAAN 0.00 1,800.00 0.00 1,800.00 November 06, 2018 2018-11-4797-A NENITA FREJOLES BPI LAMAO LIMAY BATAAN 474.50 0.00 0.00 474.50 November 06, 2018 2018-11-2152-G GARY DE VERA STA. ROSA PILAR BATAAN 0.00 4,100.00 0.00 4,100.00 November 06, 2018 2018-11-4927 ELMER GALLANO BAGUMBAYAN BALANGA CITY 0.00 950.00 0.00 950.00 November 06, 2018 2018-11-4928 ELPIFIO RAFAEL CALAYLAYAN ABUCAY BATAAN 0.00 1,584.00 0.00 1,584.00 November 06, 2018 2018-11-4929 CETH VARGAS TUNDOL LIMAY BATAAN 356.92 400.00 0.00 756.92 November 06, 2018 2018-11-4930 DAISY MUHI IBAYO BALANGA CITY 800.00 0.00 0.00 800.00

November 06, 2018 2018-11-4931 LEONARDO NAVARRO SITIO MALIGAYA TOWNSITE MARIVELES BATAAN 0.00 880.00 0.00 880.00 November 06, 2018 2018-11-4932 ANGEL GALLOR SISIMAN MARIVELES BATAAN 0.00 500.00 1,507.99 2,007.99 November 06, 2018 2018-11-4029-F ALFREDO CASTILLO CAMACHO BALANGA CITY BATAAN 0.00 2,643.77 0.00 2,643.77 November 06, 2018 2018-11-4498-A CRISPIN PIZARRO BAGUMBAYAN PILAR BATAAN 0.00 2,850.00 0.00 2,850.00 November 06, 2018 2018-11-1035-L ZENAIDA NATE MABIGA HERMOSA BATAAN 0.00 2,622.35 0.00 2,622.35 November 06, 2018 2018-11-223-Q REN MARK SAPIT DOÑA NENE ALAS-ASIN MARIVELES BATAAN 0.00 3,724.93 0.00 3,724.93 November 06, 2018 2018-11-1909-AA JULIET PIZARRO PTO. RIVAS IBABA BALANGA CITY 0.00 2,608.07 0.00 2,608.07 November 06, 2018 2018-11-2152-H GARY DE VERA STA. ROSA PILAR BATAAN 0.00 1,500.00 0.00 1,500.00 November 06, 2018 2018-11-1905-A JUDY ANN LULU ALA-ULI PILAR BATAAN 0.00 700.00 0.00 700.00 November 06, 2018 2018-11-3799-B RODORA MAGLAQUE CATANING BALANGA CITY 0.00 900.00 0.00 900.00 November 06, 2018 2018-11-4933 CATHERINE GRACE MABUNGA LAMAO LIMAY BATAAN 0.00 2,013.16 0.00 2,013.16 November 06, 2018 2018-11-2238-B ARNOLD MANABAT TUYO BALANGA CITY 0.00 1,787.58 0.00 1,787.58 November 06, 2018 2018-11-4934 ANTHONY RAMOS CENTRAL BALANGA CITY 0.00 700.00 0.00 700.00 November 07, 2018 2018-11-3042-B GEMMA DELOS REYES TOWNSITE MARIVELES BATAAN 9,851.88 0.00 0.00 9,851.88 November 07, 2018 2018-11-4935 JOSHUA ADRIAN CARLOS WAWA ABUCAY BATAAN 489.46 0.00 0.00 489.46 November 08, 2018 2018-11-4936 RONALYN REYES STA. ROSA PILAR BATAAN 0.00 420.00 0.00 420.00 November 08, 2018 2018-11-1449-K ROGER PAJUNAR BALON ANITO MARIVELES BATAAN 0.00 1,600.00 0.00 1,600.00 AMOUNT OF MEDICAL SERVICES

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

November 08, 2018 2018-11-4353-A JONIE MEDINA WAKAS ORION BATAAN 0.00 770.00 0.00 770.00 November 08, 2018 2018-11-4524-A VANGIE MANLAPID CAPITANGAN ABUCAY BATAAN 0.00 2,000.00 0.00 2,000.00 November 08, 2018 2018-11-2220-A BENJIE VILLANUEVA PTO. RIVAS IBABA BALANGA CITY 5,348.57 7,172.74 0.00 12,521.31 November 08, 2018 2018-11-229-B JACQUELYN YABUT PAG-ASA ORANI BATAAN 0.00 5,222.29 0.00 5,222.29 November 08, 2018 2018-11-391-Z ROLY CORDERO STA. ISABEL DINALUPIHAN BATAAN 0.00 1,672.90 0.00 1,672.90 November 08, 2018 2018-11-4937 PRISCILLA FERNANDEZ TUYO BALANGA CITY 0.00 2,076.80 0.00 2,076.80 November 08, 2018 2018-11-2652-D OLIVER MAGTANONG LAON ABUCAY BATAAN 0.00 2,622.35 0.00 2,622.35 November 08, 2018 2018-11-1467-P MARITA MENA KABALUTAN ORANI BATAAN 0.00 1,765.25 0.00 1,765.25 November 08, 2018 2018-11-097-G JOHN EDWARD VERGARA 416 GABON ABUCAY BATAAN 0.00 1,598.28 0.00 1,598.28 November 08, 2018 2018-11-4938 JOHNNY AVELLANO BALON ANITO MARIVELES BATAAN 9.96 1,227.03 763.01 2,000.00 November 08, 2018 2018-11-3057-I JESUS DENNIS OLIVEROS DOÑA FRANCISCA BALANGA CITY 0.00 2,635.22 0.00 2,635.22 November 08, 2018 2018-11-4939 CECILIA BELA GEN. LIM ORION BATAAN 24.62 1,320.00 0.00 1,344.62 November 08, 2018 2018-11-4940 JOANNA BAUTISTA CUPANG PROPER BALANGA CITY 0.00 1,400.00 0.00 1,400.00 November 08, 2018 2018-11-223-R REN MARK SAPIT DOÑA NENE ALAS-ASIN MARIVELES BATAAN 0.00 2,366.14 0.00 2,366.14 November 08, 2018 2018-11-1491-D MELITO CAMAING TENEJERO BALANGA CITY 0.00 1,672.90 0.00 1,672.90 November 08, 2018 2018-11-4941 ROLANDA REÑOSA GABON ABUCAY BATAAN 0.00 704.00 0.00 704.00 November 08, 2018 2018-11-4942 NIDA PADLA EAST CALAGUIMAN SAMAL BATAAN 0.00 788.48 0.00 788.48 November 08, 2018 2018-11-4943 KRISTINE MELEGRITO TUGATOG ORANI BATAAN 0.00 150.00 2,481.23 2,631.23 November 08, 2018 2018-11-4944 MARK AMIANIT RIZAL PILAR BATAAN 0.00 1,790.00 0.00 1,790.00 November 08, 2018 2018-11-4945 FRANZ YUKI FRANCISCO KAPARANGAN ORANI BATAAN 474.50 0.00 0.00 474.50 November 08, 2018 2018-11-1549-Z VIOLETA SOMO LAMAO LIMAY BATAAN 0.00 2,696.97 0.00 2,696.97

November 08, 2018 2018-11-2610-F EVANGELINE GAMAYON SANTO CRISTO ST. CENTRAL BALANGA CITY BATAAN 226.75 170.00 0.00 396.75 November 08, 2018 2018-11-4811-A JEFFREY JAVIER CAPITANGAN ABUCAY BATAAN 474.50 0.00 0.00 474.50 November 08, 2018 2018-11-4946 VANESSA BALINGASA MALABIA BALANGA CITY 959.26 0.00 0.00 959.26 November 08, 2018 2018-11-4807-B LORNA BESONIA BAGUMBAYAN BALANGA CITY 474.50 0.00 0.00 474.50 November 08, 2018 2018-11-4852-A MON EMIL GEMZON BAGUMBAYAN BALANGA CITY 474.50 0.00 0.00 474.50 November 08, 2018 2018-11-4947 MICHELLE MATACOT GABON ABUCAY BATAAN 474.50 0.00 0.00 474.50 November 08, 2018 2018-11-436-AF ALLAN MIRASOL MT. VIEW MARIVELES BATAAN 0.00 2,376.28 0.00 2,376.28 November 08, 2018 2018-11-1593-W JOY FRANCISCO TOWNSITE MARIVELES BATAAN 0.00 1,672.90 0.00 1,672.90 November 08, 2018 2018-11-4948 MA. AURELIA GUEVARA DOÑA FRANCISCA BALANGA CITY 4,452.72 0.00 4,737.89 9,190.61 November 08, 2018 2018-11-4949 JANNIELL SOPHIA REYES CAPITANGAN ABUCAY BATAAN 474.50 0.00 0.00 474.50 November 08, 2018 2018-11-4950 JINKY ABQUILAN TENEJERO BALANGA CITY 518.54 0.00 0.00 518.54 November 08, 2018 2018-11-4951 MS. X C/O BAHAY PUSO TUYO BALANGA CITY BATAAN 1,430.92 0.00 0.00 1,430.92 November 08, 2018 2018-11-4952 RODEL POSAS BATANGAS II MARIVELES BATAAN 0.00 0.00 6,408.07 6,408.07 November 08, 2018 2018-11-1165-AZ ADONES LINTAG DAANG BILOLO ORION BATAAN 0.00 2,696.98 0.00 2,696.98 November 08, 2018 2018-11-4926-A MARCIANA AMAYA LAZARTE PANILAO PILAR BATAAN 474.50 0.00 0.00 474.50 November 08, 2018 2018-11-2532-E WILSON SALAZAR UPPER TUYO BALANGA CITY 0.00 2,845.01 0.00 2,845.01 November 08, 2018 2018-11-4953 CYNTHIA ZARA BO. LUZ LIMAY BATAAN 0.00 0.00 2,200.00 2,200.00 November 08, 2018 2018-11-4954 KEAN JAMES RUADO LOTE PTO. RIVAS BALANGA CITY 0.00 820.00 0.00 820.00 November 08, 2018 2018-11-4955 REYCARD MACEDA CAPITANGAN ABUCAY BATAAN 404.36 750.00 0.00 1,154.36 November 08, 2018 2018-11-4956 KYLIE MAE DIZON TENEJERO BALANGA CITY 0.00 1,100.00 100.30 1,200.30 November 08, 2018 2018-11-4957 SUNSHINE HELVIS LANDING LIMAY BATAAN 0.00 600.00 0.00 600.00 November 08, 2018 2018-11-547-B LORETA ARENAS STA. ROSA PILAR BATAAN 109.55 1,350.00 13.00 1,472.55 November 08, 2018 2018-11-1909-AB JULIET PIZARRO PTO RIVAS IBABA BALANGA BATAAN 0.00 1,598.28 0.00 1,598.28 November 08, 2018 2018-11-4958 ZENAIDA CASTILLO ALAS-ASIN MARIVELES BATAAN 0.00 492.80 0.00 492.80 November 09, 2018 2018-11-4959 NELVIN MERTO CALAPAUHAN SUBIC ZAMBALES 0.00 730.00 0.00 730.00 November 09, 2018 2018-11-4960 MADONNA AZUPARDO ALAS-ASIN MARIVELES BATAAN 0.00 1,880.00 0.00 1,880.00 November 09, 2018 2018-11-4961 JOSELITO SARILI STO. DOMINGO ORION BATAAN 0.00 2,200.00 0.00 2,200.00 November 09, 2018 2018-11-4962 SHIERLY GADIM GEN. LIM ORION BATAAN 0.00 670.00 0.00 670.00 November 09, 2018 2018-11-882-S ROGELIO MENDOZA A-RIVERA HERMOSA BATAAN 0.00 1,584.00 0.00 1,584.00 November 09, 2018 2018-11-4963 JERES RAIVEN LAUS STO. DOMINGO ORION BATAAN 474.50 0.00 0.00 474.50 November 09, 2018 2018-11-4964 JOHN ISAAC VILLAMOR CATANING BALANGA CITY 0.00 800.00 0.00 800.00 November 09, 2018 2018-11-1035-M ZENAIDA NATE MABIGA HERMOSA BATAAN 0.00 1,584.00 0.00 1,584.00 November 09, 2018 2018-11-4965 CHRISTOPHER CHUA CUPANG PROPER BALANGA CITY 0.00 320.00 0.00 320.00 November 09, 2018 2018-11-4928-A ELPIFIO RAFAEL CALAYLAYAN ABUCAY BATAAN 0.00 1,598.28 0.00 1,598.28 November 09, 2018 2018-11-4966 REYNATO OLICIA CALAPAUHAN SUBIC ZAMBALES 0.00 730.00 0.00 730.00 November 09, 2018 2018-11-4967 MARK JUSTINE BANAAG CABCABEN MARIVELES BATAAN 1,036.06 0.00 0.00 1,036.06 November 09, 2018 2018-11-4968 ALONA UMIRAY NAGWALING PILAR BATAAN 0.00 1,000.00 0.00 1,000.00 November 09, 2018 2018-11-4969 GABRIEL BINONDO CAMAYA MARIVELES BATAAN 0.00 800.00 0.00 800.00 November 09, 2018 2018-11-4970 JOMMEL PARQUEZ CATANING BALANGA CITY 0.00 170.00 0.00 170.00 November 09, 2018 2018-11-4971 JUFEL SALINA ;PTE PTO. RIVAS BALANGA CITY 0.00 170.00 0.00 170.00 November 09, 2018 2018-11-4972 LESLIE JOY TOLEDO CALAYLAYAN ABUCAY BATAAN 0.00 2,696.08 303.92 3,000.00 November 09, 2018 2018-11-4973 MYK CLEVIN GUECO IPAG MARIVELES BATAAN 0.00 1,000.00 0.00 1,000.00 November 09, 2018 2018-11-4974 JENNY ANN CATACUTAN CUPANG BALANGA CITY 1,429.79 0.00 0.00 1,429.79 November 09, 2018 2018-11-4975 CHRIS PAUL GUANZON STO. DOMINGO ORION BATAAN 0.00 1,500.00 0.00 1,500.00 AMOUNT OF MEDICAL SERVICES

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

November 09, 2018 2018-11-4976 MARRY JOY SARILI BILOLO ORION BATAAN 1,426.26 0.00 0.00 1,426.26 November 09, 2018 2018-11-4602-A JENNIFER BATERINA DAAN PARE ORION BATAAN 0.00 1,410.00 0.00 1,410.00 November 09, 2018 2018-11-1456-P ROLLY BUAL RIZAL PILAR BATAAN 0.00 2,608.07 0.00 2,608.07 November 09, 2018 2018-11-4297-A ROSANNA MADRIAGA PILAR BATAAN 0.00 1,390.00 0.00 1,390.00 November 09, 2018 2018-11-4977 MARINELLE GOBRIS STA. ELENA ORION BATAAN 0.00 1,700.00 0.00 1,700.00 November 09, 2018 2018-11-997-N ROY MANANSALA TOWNSITE LIMAY BATAAN 0.00 254.47 0.00 254.47 November 09, 2018 2018-11-239-AB EMILY MORIDO PUTI BUHANGIN ORION BATAAN 0.00 2,250.00 0.00 2,250.00 November 09, 2018 2018-11-2361-N TOMAS ONGKINGCO STO DOMINGO ORION BATAAN 0.00 2,608.07 0.00 2,608.07 November 09, 2018 2018-11-4978 OFELIA DECANO PANILAO PILAR BATAAN 0.00 591.36 0.00 591.36 November 09, 2018 2018-11-4979 RICARDO DELA ROSA MABINI DINALPUIHAN BATAAN 0.00 563.20 0.00 563.20 November 09, 2018 2018-11-4980 ISABELITO NUESTRO STA. ROSA PILAR BATAAN 825.34 0.00 0.00 825.34 November 09, 2018 2018-11-181-A ERLINDA PORIO ALA-ULI PILAR BATAAN 0.00 670.00 0.00 670.00 November 09, 2018 2018-11-2612-A MARCELO PIZARRO JR. TABON ST. DEL ROSARIO PILAR BATAAN 0.00 1,350.00 0.00 1,350.00 November 09, 2018 2018-11-4981 JOSE RICHARD CHIU PUROL V SEA BREEZE LIMAY BATAAN 0.00 1,350.00 0.00 1,350.00 November 09, 2018 2018-11-3234-D MA. CHRISTINE CRUZ PLAZA ST. MABATANG ABUCAY BATAAN 3,072.22 0.00 0.00 3,072.22 November 09, 2018 2018-11-2228-L BERNARDO CRUZ SR. CABCABEN MARIVELES BATAAN 0.00 2,608.07 0.00 2,608.07 November 09, 2018 2018-11-4921-A JEROHME GIDUCOS LUCANIN MARIVELES BATAAN 474.50 0.00 0.00 474.50 November 09, 2018 2018-11-4914-A JOEY REYES BAGONG SILANG BALANGA CITY 474.50 0.00 0.00 474.50 November 09, 2018 2018-11-1549-AA VIOLETA SOMO LAMAO LIMAY BATAAN 28.57 400.00 0.00 428.57

November 09, 2018 2018-11-4982 JULITA ANDRADE MA. LOURDES CUPANG PROPER BALANGA CITY 699.10 0.00 0.00 699.10 November 09, 2018 2018-11-2840-AF CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 2,608.07 0.00 2,608.07 November 09, 2018 2018-11-4029-G ALFREDO CASTILLO CAMACHO BALANGA CITY BATAAN 0.00 4,104.57 0.00 4,104.57 November 09, 2018 2018-11-4983 ASHLEY ASADON BATAAN HOMES SAN JOSE BALANGA CITY 1,431.84 0.00 11.83 1,443.67 November 09, 2018 2018-11-4984 AUREA ESCONDE PAG-ASA LAMAO LIMAY BATAAN 0.00 2,200.00 0.00 2,200.00 November 09, 2018 2018-11-4985 CHAREX BENAVIDEZ BALUT ORION BATAAN 474.50 0.00 0.00 474.50 November 09, 2018 2018-11-4986 JANE DELLA INOCENCIO IBAYO BALANGA CITY 0.00 700.00 0.00 700.00 November 09, 2018 2018-11-3693-A DOMINGO PENDARLIPE WAKAS SOUTH PILAR BATAAN 0.00 1,060.00 0.00 1,060.00 November 10, 2018 2018-11-4987 KEANNU IVERSON TAÑADA UPPER TUYO BALANGA CITY 531.35 0.00 0.00 531.35 November 10, 2018 2018-11-4988 ALDRIN RAYE ALCARAZ TULAY BATO CAPITANGAN ABUCAY BATAAN 0.00 1,170.00 0.00 1,170.00 November 10, 2018 2018-11-1955-A ARMIDA LADAO CRUSHER SITE LAMAO LIMAY BATAAN 0.00 720.00 0.00 720.00 November 10, 2018 2018-11-1549-AB VIOLETA SOMO LAMAO LIMAY BATAAN 0.00 1,619.70 0.00 1,619.70 November 10, 2018 2018-11-4989 JACQUELINE JUNIO 49 STO. CRISTO HERMOSA BATAAN 0.00 1,440.00 0.00 1,440.00 November 10, 2018 2018-11-391-AA ROLY CORDERO STA. ISABEL DINALUPIHAN BATAAN 0.00 3,116.19 0.00 3,116.19 November 10, 2018 2018-11-3406-O ANITA TAPANG SAN JUAN SAMAL BATAAN 0.00 2,300.70 0.00 2,300.70 November 10, 2018 2018-11-1165-BA ADONES LINTAG DAANG BILOLO ORION BATAAN 0.00 3,080.50 0.00 3,080.50 November 10, 2018 2018-11-030-W DIONILO GUTIERREZ ST. FRANCIS II LIMAY BATAAN 0.00 1,619.69 0.00 1,619.69 November 10, 2018 2018-11-368-AC MARY JANE SAMSON LAON ABUCAY BATAAN 0.00 2,643.77 0.00 2,643.77 November 10, 2018 2018-11-075-AH MERCIDITA MORALES MT. VIEW MARIVELES BATAAN 0.00 3,116.19 0.00 3,116.19 November 10, 2018 2018-11-4990 RALPH RIVERA MACOPA ST. LANDING LIMAY BATAAN 518.54 0.00 0.00 518.54 November 10, 2018 2018-11-3378-A DELFIN DACULAN IPAG MARIVELES BATAAN 0.00 1,900.00 0.00 1,900.00 November 10, 2018 2018-11-4991 LORETA CRUZADA MUNTING BATANGAS BALANGA CITY 71.92 1,302.40 0.00 1,374.32 November 10, 2018 2018-11-3547-J ROMY NICDAO TALIMUNDOC ORANI BATAAN 2,048.15 0.00 0.00 2,048.15 November 10, 2018 2018-11-097-H JOHN EDWARD VERGARA 416 GABON ABUCAY BATAAN 0.00 2,010.12 0.00 2,010.12 November 10, 2018 2018-11-4992 JENNIFER RAMOS TENEJERO BALANGA CITY 0.00 1,000.00 0.00 1,000.00 November 10, 2018 2018-11-2705-F JOSEPH BRYAN VIZCARRA CUPANG PROPER BALANGA CTIY 0.00 268.75 0.00 268.75 November 10, 2018 2018-11-4993 MARINA MINIMO 0809 UPPER DULAE LIMAY BATAAN 0.00 1,200.00 0.00 1,200.00 November 10, 2018 2018-11-1909-AC JULIET PIZARRO PTO RIVAS IBABA BALANGA BATAAN 0.00 2,622.35 0.00 2,622.35 November 10, 2018 2018-11-4994 YLLANA QUILALA WAWA PILAR BATAAN 0.00 1,426.61 0.00 1,426.61 November 10, 2018 2018-11-2630-J HENRY ALIPIO CAMACHO BALANGA CITY BATAAN 0.00 1,598.28 0.00 1,598.28 November 10, 2018 2018-11-4995 JOHN ADOLF CAMACHO PARANG BAGAC BATAAN 0.00 1,410.00 0.00 1,410.00 November 10, 2018 2018-11-1430-M VIRGINIA NAVARRO CALUNGUSAN ORION BATAAN 0.00 2,900.00 0.00 2,900.00 November 10, 2018 2018-11-4996 ATHENA BEATRIZ ILAO MALABIA BALANGA CITY 121.56 300.00 336.71 758.27 November 10, 2018 2018-11-223-S REN MARK SAPIT DOÑA NENE ALAS-ASIN MARIVELES BATAAN 0.00 2,270.28 0.00 2,270.28 November 10, 2018 2018-11-4997 TERESITA NAVA IBAYO BALANGA CITY 0.00 700.00 0.00 700.00 November 12, 2018 2018-11-4998 JOANNA SCARLET GONZALES WEST DAANG BAGO SAMAL BATAAN 8,004.13 8,350.00 15,514.08 31,868.21 November 11, 2018 2018-11-4999 EDMUND BERDAJE TOPSIDE SISIMAN MARIVELES 358.04 0.00 800.00 1,158.04 November 11, 2018 2018-11-5000 CAMILLE TRANATE TABING ILOG BAGAC BATAAN 152.30 0.00 1,070.00 1,222.30 November 11, 2018 2018-11-5001 MARJORIE REDUCHE CABCABEN MARIVELES BATAAN 0.00 0.00 1,000.00 1,000.00 November 10, 2018 2018-11-5002 GILLEN ROSE TELMO PAG-ASA BAGAC BATAAN 0.00 0.00 1,200.00 1,200.00 NOVEMBER 10 2018 2018-11-5003 NELIA SABINO BALAGTAS ORION BATAAN 316.34 0.00 492.80 809.14 November 11, 2018 2018-11-5004 CARMELO CARAGAN SALIAN ABUCAY BATAAN 0.00 0.00 1,000.00 1,000.00 November 11, 2018 2018-11-5005 RENZO SULANGI BANAWANG BAGAC BATAAN 393.51 0.00 2,539.88 2,933.39 November 11, 2018 2018-11-5006 ROGER VALDEZ PISACDALAN MABATANG ABUCAY BATAAN 0.00 0.00 1,289.06 1,289.06 November 11, 2018 2018-11-5007 PATRICIA CARIÑO CRUSHER SITE LAMAO LIMAY BATAAN 0.00 0.00 1,120.00 1,120.00 November 11, 2018 2018-11-5008 CLIFFORD REYES CAMACHO ST. IBABA BAGAC BATAAN 395.54 0.00 2,076.80 2,472.34 AMOUNT OF MEDICAL SERVICES

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

November 11, 2018 2018-11-5009 CHRISTIAN JOSH AROBAN MUNTING BATANGAS BALANGA CITY 0.00 0.00 1,000.00 1,000.00

November 11, 2018 2018-11-5010 ALFRED JOHNZEL LAGMAY 068 SAN FRANCISCO ST. CABCABEN MARIVELES BATAAN 1,327.58 0.00 872.42 2,200.00 November 11, 2018 2018-11-5011 ROWEN LACE AMOS CAPITANGAN ABUCAY BATAAN 0.00 0.00 1,700.00 1,700.00 November 12, 2018 2018-11-4857-B JOHN RIC BACANI OMBOY ABUCAY BATAAN 474.50 0.00 0.00 474.50 November 12, 2018 2018-11-5012 ANIE ROSE RITO GEN. LIM ORION BATAAN 949.00 0.00 0.00 949.00 November 12, 2018 2018-11-5013 RIZAL YUMUL SAN ISIDRO MARIVELES BATAAN 0.00 0.00 3,559.10 3,559.10 November 12, 2018 2018-11-5014 CRYSTAL JANE BONANZA WAWA ABUCAY BATAAN 0.00 0.00 2,385.47 2,385.47 November 12, 2018 2018-11-5015 ESTELITA MANRIQUEZ PANILAO PILAR BATAAN 520.69 0.00 0.00 520.69 November 12, 2018 2018-11-5016 RUBY BRIOSO PALIHAN, PILAR BATAAN 0.00 0.00 1,000.00 1,000.00 November 12, 2018 2018-11-5017 JOHANNES REYES KITANG 2 LIMAY BATAAN 0.00 2,114.65 376.16 2,490.81 November 12, 2018 2018-11-5018 EDNA TANTOCO VILLA ANGELES ORION BATAAN 364.67 0.00 668.07 1,032.74 November 13, 2018 2018-11-4940-A JOANNA BAUTISTA CUPANG PROPER BALANGA BATAAN 0.00 0.00 420.00 420.00 November 12, 2018 2018-11-5019 KAYCEE CANLAS SITIO GOMEZ MABATANG ABUCAY BATAAN 0.00 0.00 1,500.00 1,500.00 November 12, 2018 2018-11-1593-X JOY FRANCISCO TOWNSITE LIMAY BATAAN 0.00 1,598.28 0.00 1,598.28 November 12, 2018 2018-11-5020 CLARENCE LAYUG BO. LUZ KITANG II LIMAY BATAAN 520.69 0.00 0.00 520.69 November 12, 2018 2018-11-075-AI MERCIDITA MORALES SITIO LIBANAN MT. VIEW MARIVELES BATAAN 0.00 2,608.07 0.00 2,608.07 November 12, 2018 2018-11-3057-J JESUS DENNIS OLIVEROS DONA FRANCISCA BALANGA BATAAN 0.00 1,598.28 0.00 1,598.28 November 12, 2018 2018-11-5021 EDUARDO BARTOLOME CAMACHO BALANGA BATAAN 0.00 0.00 1,270.00 1,270.00 November 12, 2018 2018-11-5022 EVELYN GUANLAO MULAWIN ORANI BATAAN 1,454.65 0.00 0.00 1,454.65 November 12, 2018 2018-11-5023 ROD EZEKIEL VILLAMOR CATANING BALANGA BATAAN 0.00 0.00 1,106.06 1,106.06 November 12, 2018 2018-11-5024 SOFIA PANTALEON LAON ABUCAY BATAAN 0.00 0.00 797.80 797.80 November 12, 2018 2018-11-1549-AC VIOLETA SOMO LAMAO LIMAY BATAAN 0.00 2,608.07 0.00 2,608.07 November 12, 2018 2018-11-5025 MIRZI FRANCO KABUKIRAN CALAYLAYAN ABUCAY BATAAN 1,423.44 0.00 0.00 1,423.44 November 12, 2018 2018-11-2840-AG CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 2,662.35 0.00 2,662.35

November 12, 2018 2018-11-436-AG ALLAN MIRASOL UPPER BALANDASAN MT. VIEW MARIVELES BATAAN 0.00 2,270.28 0.00 2,270.28 November 13, 2018 2018-11-5026 AILEEN DOJETA TORTUGAS BALANGA BATAAN 0.00 0.00 1,770.00 1,770.00 November 12, 2018 2018-11-1491-E MELITO CAMAING TENEJERO BALANGA BATAAN 0.00 1,598.28 0.00 1,598.28 November 12, 2018 2018-11-5027 JAIME TORRES CATANING HERMOSA BATAAN 0.00 4,588.31 0.00 4,588.31 November 12, 2018 2018-11-239-AC EMILY MORIDO PUTTING BUHANGIN ORION BATAAN 0.00 2,270.28 0.00 2,270.28 November 12, 2018 2018-11-1456-Q ROLLY BUAL RIZAL PILAR BATAAN 0.00 3,080.50 0.00 3,080.50 November 12, 2018 2018-11-5028 ELYKA CARUYAN BALON ANITO MARIVELES 1,423.44 0.00 0.00 1,423.44 November 12, 2018 2018-11-5029 CHARISMA BAYSAN PANILAO PILAR BATAAN 0.00 0.00 700.00 700.00 November 12, 2018 2018-11-5030 JENNIFER PABITON GUGU SAMAL BATAAN 0.00 2,150.00 7,350.00 9,500.00 November 12, 2018 2018-11-2348-A HAZEL LARON PTO. RIVAS BALANGA CITY BATAAN 0.00 0.00 700.00 700.00 November 12, 2018 2018-11-5031 PATRICIA MAY SAMPANG CAMACHO BALANGA BATAAN 0.00 0.00 1,000.00 1,000.00 November 12, 2018 2018-11-2652-E OLIVER MAGTANONG LAON ABUCAY BATAAN 0.00 2,622.35 0.00 2,622.35 November 12, 2018 2018-11-5032 REIN JARICAL UPPER TUYO BALANGA BATAAN 0.00 0.00 2,200.00 2,200.00 November 12, 2018 2018-11-4869-B JOVILYN LAYUG BO. LUZ KITANG II LIMAY BATAAN 474.50 0.00 0.00 474.50 November 12, 2018 2018-11-5033 JESSA MAE POLVORIZA SAN JOSE BALANGA BATAAN 724.35 0.00 300.00 1,024.35 November 12, 2018 2018-11-1062-A REYNALDO CANARE GABON ABUCAY BATAAN 0.00 0.00 591.36 591.36 November 12, 2018 2018-11-4847-B MARY GRACE ARLIGUE PANTINGAN PILAR BATAAN 474.50 0.00 0.00 474.50 November 13, 2018 2018-11-5034 JONAS DELA ROSA BANTAN ORION BATAAN 0.00 0.00 120.00 120.00 November 12, 2018 2018-11-5035 LEOPOLDO FABIAN SR. TORTUGAS BALANGA BATAAN 734.71 4,999.39 0.00 5,734.10 November 13, 2018 2018-11-386-A RODOLFO MALIBIRAN JR. PTO. RIVAS BALANGA CITY BATAAN 7,189.87 12,342.27 0.00 19,532.14 November 13, 2018 2018-11-4753-A TERESITA GUMATAY POBLACION MARIVELES BATAAN 0.00 8,024.58 0.00 8,024.58 November 13, 2018 2018-11-5036 AIZEN CLYDE CRUZ LANDING LIMAY BATAAN 948.96 0.00 0.00 948.96 November 13, 2018 2018-11-5037 DIVINA IBABAO PANTALAN LUMA 0.00 3,200.00 0.00 3,200.00 November 13, 2018 2018-11-2544-G JOCELYN CORRIEL ST. FRANCIS II LIMAY 1,454.65 0.00 1,399.82 2,854.47 November 13, 2018 2018-11-5038 EDITHA MANUEL SALIAN ABUCAY 0.00 1,670.00 0.00 1,670.00 November 13, 2018 2018-11-3787-A DAISY ANGELES CUPANG NORTH BALANGA CITY 0.00 990.00 0.00 990.00 November 13, 2018 2018-11-5039 AILEEN CALIBA SAN JOSE BALANGA BATAAN 474.50 0.00 0.00 474.50 November 13, 2018 2018-11-5040 ENRIQUE REYES CAPITANGAN ABUCAY 0.00 500.00 0.00 500.00 November 13, 2018 2018-11-5041 SEAN KYRIE ESPINO PTO. RIVAS BALANGA CITY BATAAN 0.00 320.00 0.00 320.00 November 13, 2018 2018-11-4852-B MON EMIL GEMZON BAGUMBAYAN BALANGA CITY 474.50 0.00 0.00 474.50 November 13, 2018 2018-11-1165-BB ADONES LINTAG DAAN BILOLO ORION 0.00 2,608.07 0.00 2,608.07 November 13, 2018 2018-11-2746-K NORMA JACINTO MABATANG ABUCAY 0.00 2,608.07 0.00 2,608.07 November 13, 2018 2018-11-4029-H ALFREDO CASTILLO CAMACHO BALANGA BATAAN 0.00 2,608.07 0.00 2,608.07 November 13, 2018 2018-11-391-AB ROLY CORDERO STA. ISABEL DINALUPIHAN 0.00 1,584.00 0.00 1,584.00 November 13, 2018 2018-11-882-T ROGELIO MENDOZA A. RIVERA HERMOSA 0.00 2,608.07 0.00 2,608.07 November 13, 2018 2018-11-5042 ANTONIO DUGANG PARANG BAGAC 0.00 800.00 0.00 800.00 November 13, 2018 2018-11-5043 MANNY TIBURCIO CULIS HERMOSA 7,359.37 4,970.00 5,286.94 17,616.31 November 13, 2018 2018-11-5044 AZZENETH JOICE ALVIZ PANILAO PILAR BATAAN 0.00 1,120.00 0.00 1,120.00 November 13, 2018 2018-11-5045 JELIE ALTHEA VICTORIANO TOWNSITE LIMAY BATAAN 474.50 0.00 0.00 474.50 November 13, 2018 2018-11-2228-M BERNARDO CRUZ SR. CABCABEN MARIVELES 0.00 2,608.07 0.00 2,608.07 November 13, 2018 2018-11-3528-D ROLANDO ESPIRITU PANTALAN LUMA, ORANI 2,048.15 0.00 0.00 2,048.15 AMOUNT OF MEDICAL SERVICES

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

November 12, 2018 2018-11-1936-B IRENE PAYAD PARANG, BAGAC BATAAN 0.00 750.00 0.00 750.00 October 20, 2018 2018-11-5046 PEFECTO CANARE CALAYLAYAN ABUCAY BATAAN 0.00 770.00 0.00 770.00 October 20, 2018 2018-11-1430-N VIRGINIA NAVARRO CALUNGUSAN ORION BATAAN 1,507.55 0.00 0.00 1,507.55 October 20, 2018 2018-11-1312-P RUFINO BANATAO IPAG MARIVELES BATAAN 1,653.83 0.00 0.00 1,653.83 October 20, 2018 2018-11-4369-A BRENDA CAHILI BILOLO ORION BATAAN 0.00 1,540.00 0.00 1,540.00 October 20, 2018 2018-11-2036-AA ROMEL MENDOZA CATANING BALANGA CITY BATAAN 1,653.83 0.00 0.00 1,653.83 November 13, 2018 2018-11-5047 ARMANDO JAIME TENEJERO BALANGA CITY BATAAN 3,020.77 0.00 0.00 3,020.77 November 13, 2018 2018-11-5048 RODOLFO HIDALGO PTO RIVAS LOTE BALANGA CITY BATAAN 15,291.75 3,918.23 0.00 19,209.98 November 13, 2018 2018-11-5049 MA JOANA LARAWAN WAWA ABUCAY BATAAN 0.00 950.00 0.00 950.00 November 13, 2018 2018-11-5050 MAMERTO GOMEZ CATANING BALANGA CITY BATAAN 0.00 800.00 0.00 800.00 November 13, 2018 2018-11-5051 MARY ANN ROSAL ALAASIN MARIVELES BATAAN 0.00 2,040.00 0.00 2,040.00 November 13, 2018 2018-11-5052 ROBERTO BARTOLOME BALUT II PILAR BATAAN 113.30 105.60 0.00 218.90 November 13, 2018 2018-11-4949-A JANNIELL SOPHIA REYES CAPITANGAN, ABUCAY, BATAAN 474.50 0.00 0.00 474.50 November 13, 2018 2018-11-5013-A RIZAL YUMUL SAN ISIDRO, MARIVELES, BATAAN 5,672.54 0.00 0.00 5,672.54 November 13, 2018 2018-11-1909-AD JULIET PIZARRO PTO RIVAS IBABA BALANGA CITY BATAAN 2,622.35 0.00 0.00 2,622.35 November 13, 2018 2018-11-5053 TERESITA DELA CRUZ WAWA ABUCAY BATAAN 629.41 0.00 0.00 629.41 November 13, 2018 2018-11-5054 LUISITO SARILI TENEJERO BALANGA CITY BATAAN 7,669.77 690.00 0.00 8,359.77 November 13, 2018 2018-11-5055 JIMSON GALIGAO TOWNSITE MARIVELES, BATAAN 2,011.03 4,988.97 0.00 7,000.00 November 13, 2018 2018-11-223-T REN MARK SAPIT ALAASIN MARIVELES BATAAN 1,664.45 0.00 0.00 1,664.45 November 13, 2018 2018-11-2856-D ELPIDIO RAFAEL CALAYLAYAN ABUCAY BATAAN 1,584.00 0.00 0.00 1,584.00 November 13, 2018 2018-11-2612-B MARCELO PIZARRO JR. DEL ROSARIO PILAR BATAAN 0.00 1,070.00 0.00 1,070.00 November 13, 2018 2018-11-5056 JAYCOV BESMONTE NAGWALING PILAR BATAAN 300.00 0.00 0.00 300.00 November 13, 2018 2018-11-5057 ROLLYNS SUMANDAL TENEJERO BALANGA CITY BATAAN 0.00 300.00 0.00 300.00 November 13, 2018 2018-11-5058 JANINA JOY GUERRA UPPER TUYO BALANGA CITY BATAAN 0.00 900.00 0.00 900.00 November 13, 2018 2018-11-4950-A JINKY ABQUILAN TENEJERO BALANGA CITY BATAAN 474.50 0.00 0.00 474.50 November 13, 2018 2018-11-5059 AURELIO MANGALINDAN JR. SAN ISIDRO DINALUPIHAN BATAAN 3,158.28 2,054.62 0.00 5,212.90 November 13, 2018 2018-11-5060 YXEL JANE MENDOZA ALANGAN LIMAY BATAAN 0.00 820.00 0.00 820.00 November 13, 2018 2018-11-1035-N ZENAIDA NATE MABIGA HERMOSA BATAAN 943.62 0.00 0.00 943.62 November 13, 2018 2018-11-5061 RODELIO AGUAS TUYO BALANGA CITY BATAAN 474.50 0.00 0.00 474.50 November 13, 2018 2018-11-5062 PATRICK JORAM VALERIO CALAGUIMAN, SAMA, BATAAN 1,423.44 0.00 0.00 1,423.44 November 13, 2018 2018-11-5020-A CLARENCE LAYUG BO.LUZ KITANG II, LIMAY, BATAAN 474.50 0.00 0.00 474.50 November 13, 2018 2018-11-5063 NOEL MAMALATEO CAPITANGAN ABUCAY BATAAN 948.96 0.00 0.00 948.96 November 13, 2018 2018-11-030-X DIONILO GUTIERREZ ST FRANCIS I LIMAY BATAAN 957.90 0.00 0.00 957.90 November 14, 2018 2018-11-2630-K HENRY ALIPIO CAMACHO BALANGA CITY BATAAN 1,598.28 0.00 0.00 1,598.28 November 14, 2018 2018-11-5064 FELICIANO FLORES DOÑA FRANCISCA BALANGA CITY BATAAN 591.36 0.00 0.00 591.36 November 14, 2018 2018-11-5065 ELSA SUAREZ CABCABEN, MARIVELES, BATAAN 0.00 900.00 0.00 900.00 November 14, 2018 2018-11-5066 ANTONIO ARANGEL CAMACHO BALANGA CITY BATAAN 0.00 563.20 0.00 563.20 November 14, 2018 2018-11-075-AJ MERCIDITA MORALES MT VIEW MARIVELES BATAAN 1,598.28 0.00 0.00 1,598.28 November 14, 2018 2018-11-5067 JERES RAIVEN MATEO LAUS STO DOMINGO ORION BATAAN 941.50 0.00 0.00 941.50 November 14, 2018 2018-11-4895-B JESSICA DAVID BACONG HERMOSA BATAAN 0.00 1,350.00 0.00 1,350.00 November 14, 2018 2018-11-5068 ERLINDA ESCAÑO DOÑA ORANI BATAAN 506.72 0.00 0.00 506.72 November 14, 2018 2018-11-5069 EMILBERT ACUÑA LUACAN DINALUPIHAN BATAAN 10,022.68 0.00 0.00 10,022.68 November 14, 2018 2018-11-5070 PRINCE JAYRON LAYSON CAMAYA MARIVELES BATAAN 1,445.04 0.00 0.00 1,445.04 November 14, 2018 2018-11-2840-AH CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 1,598.28 0.00 0.00 1,598.28 November 14, 2018 2018-11-5071 CONSOLACION RIÑO VILLA ANGELES ORION BATAAN 344.58 0.00 0.00 344.58 November 14, 2018 2018-11-3406-P ANITA TAPANG SAN JUAN SAMAL BATAAN 1,454.65 0.00 0.00 1,454.65 November 14, 2018 2018-11-5072 VIRGILIO REMORIN KITANG I LIMAY BATAAN 1,185.03 3,143.55 0.00 4,328.58 November 14, 2018 2018-11-368-AD MARY JANE SAMSON LAON ABUCAY BATAAN 1,664.45 0.00 0.00 1,664.45 November 14, 2018 2018-11-5073 DYESABEL AUSTRIA CABOG CABOG BALANGA CITY BATAAN 489.46 0.00 0.00 489.46 November 14, 2018 2018-11-5074 GIRLIE TRIA CALAYLAYAN ABUCAY BATAAN 0.00 990.00 0.00 990.00 November 14, 2018 2018-11-5015-A ESTELITA MANRIQUEZ PANILAO PILAR BATAAN 474.50 0.00 0.00 474.50 November 14, 2018 2018-11-5075 MALOU PEREZ BILOLO ORION BATAAN 0.00 670.00 0.00 670.00 November 14, 2018 2018-11-5076 GINA GIGANTE CULIS HERMOSABATAAN 0.00 1,970.00 0.00 1,970.00 November 14, 2018 2018-11-5077 JONAS AARON DECA NO DUALE LIMAY BATAAN 474.50 0.00 0.00 474.50 November 14, 2018 2018-11-5078 NARRALYN JOY ASTRENO TOWNSITE LIMAY BATAAN 2,820.59 0.00 0.00 2,820.59 November 14, 2018 2018-11-5079 AARON JAMES MARTINEZ BAGUMBAYAN BALANGA CITY BATAAN 518.54 0.00 0.00 518.54 November 14, 2018 2018-11-5080 CARL ANTHONY ORDILLOS STA ROSA PILAR BATAAN 1,423.44 0.00 0.00 1,423.44 November 14, 2018 2018-11-5081 MELVIN GONZALES SABATAN ORION BATAAN 0.00 650.00 0.00 650.00 November 14, 2018 2018-11-5082 RECELIZA ARCEGA LAMAO LIMAY BATAAN 0.00 1,790.00 0.00 1,790.00 November 14, 2018 2018-11-5083 YHUAN BENEDICT DE GUZMAN MABATANG ABUCAY BATAAN 949.00 0.00 0.00 949.00 November 14, 2018 2018-11-2936-A MICHELLE SANTOS LALAWIGAN SAMAL BATAAN 4,061.15 0.00 0.00 4,061.15 November 14, 2018 2018-11-5084 ATHENA CRIZTELLA CRUZ ALAULI PILAR BATAAN 948.96 0.00 0.00 948.96 November 14, 2018 2018-11-5085 MARTIN JACOB JORDAN MALAYA MARIVELES BATAAN 7,665.86 0.00 0.00 7,665.86 November 15, 2018 2018-11-5086 ROSITA LOPEZ TUYO BALANGA CITY BATAAN 0.00 1,670.00 0.00 1,670.00 November 15, 2018 2018-11-5087 PATRICIA ALBELDA STA LUCIA SAMAL BATAAN 0.00 2,645.00 0.00 2,645.00 AMOUNT OF MEDICAL SERVICES

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

November 15, 2018 2018-11-5088 NEDILLO PARAISO EAST CALAGUIMAN SAMAL BATAAN 0.00 1,040.00 0.00 1,040.00 November 15, 2018 2018-11-5089 LOURDES ACUÑA CAMACHILE ORION BATAAN 0.00 1,490.00 0.00 1,490.00 November 15, 2018 2018-11-5090 SHAIRA DELA CRUZ TORTUGAS BALANGA CITY 0.00 420.00 0.00 420.00 November 15, 2018 2018-11-5091 PAMPLONA TOLENTINO WAWA ABUCAY BATAAN 580.57 0.00 0.00 580.57 November 15, 2018 2018-11-5092 PERLITO SAN PEDRO NAGWALING PILAR BATAAN 0.00 1,860.00 0.00 1,860.00 November 15, 2018 2018-11-5093 JINKY ABQUILAR TENEJERO BALANGA CITY BATAAN 474.50 0.00 116.14 590.64 November 15, 2018 2018-11-5094 KEN ESPAÑO BAGONG SILANG BALANGA CITY BATAAN 948.96 0.00 0.00 948.96 November 15, 2018 2018-11-2705-G JOSEPH BRYAN VIZCARRA CUPANG PROPER BALANGA CITY BATAAN 1,454.65 0.00 704.62 2,159.27 November 15, 2018 2018-11-5095 EDELYN BARCANAL TABON PILAR BATAAN 0.00 1,220.00 0.00 1,220.00 November 15, 2018 2018-11-5096 CHRISTIAN SOLAYAO ALAASIN MARIVELES BATAAN 0.00 450.00 0.00 450.00 November 15, 2018 2018-11-1429-L EFREN GANTIGA BAYAN ORANI BATAAN 0.00 2,145.89 0.00 2,145.89 November 14, 2018 2018-11-3989-A JELITO GABRIEL ST FRANCIS I LIMAY BATAAN 200.18 550.00 0.00 750.18 November 14, 2018 2018-11-2776-C DANIEL ENRIQUEZ LANDING PILAR BATAAN 2,039.65 0.00 0.00 2,039.65 November 14, 2018 2018-11-1258-D TORIBIO MIRANDA JR. LAYAC DINALUPIHAN BATAAN 1,454.65 0.00 0.00 1,454.65 November 14, 2018 2018-11-5097 MARIVIC DELA CRUZ WAWA ABUCAY BATAAN 1,517.13 0.00 0.00 1,517.13 November 14, 2018 2018-11-5098 RIZALDO REYES CAMAYA MARIVELES BATAAN 6,870.83 0.00 0.00 6,870.83 November 14, 2018 2018-11-1456-R ROLLY BUAL RIZAL PILAR BATAAN 1,454.65 1,189.12 0.00 2,643.77 November 14, 2018 2018-11-239-AD EMILY MORIDO PUTING BUHANGIN ORION BATAAN 0.00 2,270.28 0.00 2,270.28 November 14, 2018 2018-11-4620-A VICMAR ABETRIA BAMBAN HERMOSA BATAAN 0.00 3,835.00 0.00 3,835.00 November 14, 2018 2018-11-391-AC ROLY CORDERO STA ISABEL DINALUPIHAN BATAAN 0.00 1,598.28 0.00 1,598.28 November 15, 2018 2018-11-5099 ZENAIDA CANONO ALAULI PILAR BATAAN 1,033.13 0.00 0.00 1,033.13 November 15, 2018 2018-11-1593-Y JOY FRANCISCO TOWNSITE LIMAY BATAAN 0.00 0.00 585.55 585.55 November 15, 2018 2018-11-1549-AD VIOLETA SOMO LAMAO LIMAY BATAAN 1,454.65 0.00 0.00 1,454.65 November 15, 2018 2018-11-5100 GLORIA TAN SABANG MORONG BATAAN 1,473.13 0.00 0.00 1,473.13 November 15, 2018 2018-11-5101 PATRICIA ANGAT CUPANG WEST BALANGA CITY BATAAN 0.00 549.12 0.00 549.12 November 15, 2018 2018-11-3057-K JESUS DENNIS OLIVEROS DOÑA FRANCISCA BALANGA CITY BATAAN 1,454.65 0.00 0.00 1,454.65 November 15, 2018 2018-11-1165-BC ADONES LINTAG DAAN BILOLO ORION BATAAN 1,454.65 0.00 0.00 1,454.65 November 15, 2018 2018-11-436-AH ALLAN MIRASOL MT VIEW MARIVELES BATAAN 0.00 2,270.28 0.00 2,270.28 November 15, 2018 2018-11-5102 RODRIGO VILLANUEVA GABON ABUCAY BATAAN 0.00 1,520.00 0.00 1,520.00 November 15, 2018 2018-11-737-B LORETO FORTIT ALASASIN MARIVELES BATAAN 18,112.51 0.00 0.00 18,112.51 November 15, 2018 2018-11-5103 JULITA DE SILVA SAPA SAMAL BATAAN 0.00 464.64 1,664.45 2,129.09 November 15, 2018 2018-11-293-J NIDA MALATE CAMAYA MARIVELES BATAAN 6,284.62 4,674.90 0.00 10,959.52 November 15, 2018 2018-11-4965-A CHRISTOPHER CHUA CUPANG NORTH BALANGA CITY BATAAN 0.00 1,830.00 0.00 1,830.00 November 15, 2018 2018-11-5045-A JELIE ALTHEA VICTORIANO TOWNSITE LIMAY BATAAN 474.50 0.00 0.00 474.50 November 15, 2018 2018-11-5104 EDWINA BASILIO WAWA PILAR BATAAN 474.50 0.00 0.00 474.50 November 16, 2018 2018-11-2840-AI CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 1,454.65 0.00 1,664.45 3,119.10 November 16, 2018 2018-11-293-K NIDA MALATE CAMAYA MARIVELES BATAAN 0.00 3,094.78 0.00 3,094.78 November 16, 2018 2018-11-1035-O ZENAIDA NATE MABIGA HERMOSA BATAAN 1,454.65 0.00 0.00 1,454.65 November 16, 2018 2018-11-2146-R RAVENACE BALUYOT TUGATOG ORANI BATAAN 4,770.50 12,400.00 160.81 17,331.31 November 16, 2018 2018-11-2146-S RAVENACE BALUYOT TUGATOG ORANI BATAAN 0.00 2,679.09 0.00 2,679.09 November 16, 2018 2018-11-1456-S ROLLY BUAL RIZAL PILAR BATAAN 1,454.65 0.00 0.00 1,454.65 November 16, 2018 2018-11-4540-A ANGELYN CANDELARIO BLISS LIMAY BATAAN 520.00 0.00 0.00 520.00 November 16, 2018 2018-11-5105 JANICE MORCELOS BO ROXAS LIMAY BATAAN 467.93 670.00 0.00 1,137.93 November 16, 2018 2018-11-422-B SABINA PONSECA CULIS HERMOSA BATAAN 0.00 600.00 0.00 600.00 November 16, 2018 2018-11-5106 ANDREA BEA GUTIRREZ TAPULAO ORANI BATAAN 1,422.44 0.00 0.00 1,422.44 November 16, 2018 2018-11-5107 CARINA RODRIGUEZ PUKSUAN ORANI BATAAN 0.00 1,420.00 0.00 1,420.00 November 16, 2018 2018-11-5108 CHISTEN JOY PAELMA LAMAO LIMAY BATAAN 951.76 0.00 0.00 951.76 November 16, 2018 2018-11-5109 TERESITA CALZO TOWNSITE LIMAY BATAAN 1,261.62 10,700.00 0.00 11,961.62 November 16, 2018 2018-11-5110 LANZ JAYMAR FAUSTINO CABCABEN MARIVELES BATAAN 0.00 400.00 2,250.00 2,650.00 November 16, 2018 2018-11-5111 EMELY NARANJA BALON ANITO MARIVELES BATAAN 1,847.63 0.00 0.00 1,847.63 November 16, 2018 2018-11-5112 HARVEY ABONYAWAN ALANGAN LIMAY BATAAN 0.00 800.00 957.90 1,757.90 November 16, 2018 2018-11-5113 DARREN JHAY GALANG BANTAN ORION BATAAN 0.00 1,320.00 0.00 1,320.00 November 16, 2018 2018-11-4947-A MICHELLE MATACOT GABON ABUCAY BATAAN 474.50 0.00 0.00 474.50 November 16, 2018 2018-11-5114 ANJER ROXAS LANDING PILAR BATAAN 474.50 0.00 0.00 474.50 November 16, 2018 2018-11-5115 SHEYAN KEE ELARDO TOWNSITE LIMAY BATAAN 0.00 2,200.00 0.00 2,200.00 November 16, 2018 2018-11-5116 OFELIA DIAZ PALIHAN HERMOSA BATAAN 0.00 2,200.00 0.00 2,200.00 November 16, 2018 2018-11-1455-B DONNALYN CORTEZ ALAS ASIN MARIVELES BATAAN 0.00 730.00 0.00 730.00 November 16, 2018 2018-11-5117 ADRIAN BUENAVENTURA CATANING BALANGA CITY BATAAN 6,685.44 4,470.00 441.44 11,596.88 November 16, 2018 2018-11-229-C JACQUELYN YABUT PAG ASA ORANI BATAAN 4,529.23 7,582.38 0.00 12,111.61 November 16, 2018 2018-11-5118 JACOB DIZON UPPER TUYO BALANGA CITY BATAAN 3,779.97 0.00 0.00 3,779.97 November 16, 2018 2018-11-5119 EMILY MUNDO PUTING BUHANGIN ORION BATAAN 1,851.12 0.00 0.00 1,851.12 November 16, 2018 2018-11-5120 DIANNE LAURICE RODIS PALILI SAMAL BATAAN 0.00 950.40 0.00 950.40 November 16, 2018 2018-11-5079-A AARON JAMES MARTINEZ BAGUMBAYAN BALANGA CITY BATAAN 948.96 0.00 0.00 948.96 November 16, 2018 2018-11-4029-I ALFREDO CASTILLO CAMACHO BALANGA CITY BATAAN 0.00 2,622.35 0.00 2,622.35 November 16, 2018 2018-11-5121 PRINCE ARON GUILLAS LAMAO LIMAY BATAAN 0.00 400.00 0.00 400.00 AMOUNT OF MEDICAL SERVICES

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

November 16, 2018 2018-11-5122 RACHEL LLANZA PARAISO ORANI BATAAN 489.46 0.00 0.00 489.46 November 16, 2018 2018-11-5123 RHIAN AGATON GEN LIM ORION BATAAN 0.00 380.00 0.00 380.00 November 16, 2018 2018-11-2750-K REYNALDO PAMINTUAN LUACAN DINALUPIHAN BATAAN 15,525.15 28,240.00 14,291.03 58,056.18 November 16, 2018 2018-11-5124 ELVIN PAGAPONG BURGOS HERMOSA BATAAN 0.00 1,350.00 0.00 1,350.00 November 15, 2018 2018-11-1467-Q MARITA MENA KABALUTAN ORANI BATAAN 275.89 0.00 0.00 275.89 November 15, 2018 2018-11-5125 MARITES DELA CRUZ TENEJERO BALANGA CITY BATAAN 844.48 3,383.25 0.00 4,227.73 November 15, 2018 2018-11-2652-F OLIVER MAGTANONG LAON ABUCAY BATAAN 1,454.65 0.00 1,174.84 2,629.49 November 15, 2018 2018-11-1909-AE JULIET PIZARRO PTO RIVAS IBABA BALANGA CITY BATAAN 1,454.65 0.00 1,153.42 2,608.07 November 15, 2018 2018-11-909-B NOLI AGUILUS MABUANBUAN SASMUAN PAMPANGA 0.00 1,386.88 0.00 1,386.88 November 15, 2018 2018-11-5126 JOSE GRANADOS SR. PALIHAN HERMOSA BATAAN 2,142.19 0.00 0.00 2,142.19 November 15, 2018 2018-11-2612-C MARCELO PIZARRO JR. DEL ROSARIO PILAR BATAAN 2,048.15 0.00 0.00 2,048.15 November 15, 2018 2018-11-223-U REN MARK SAPIT ALAS-ASIN MARIVELES BATAAN 0.00 0.00 2,270.28 2,270.28 November 15, 2018 2018-11-5127 MILLIE RUTH TAUZON TORTUGAS BALANGA CITY 953.66 0.00 0.00 953.66 November 15, 2018 2018-11-5128 ANDREW MIRAVALLES CUPANG PROPER BALANGA CITY 0.00 1,180.00 0.00 1,180.00 November 15, 2018 2018-11-5129 JAI NICOLAI DELA PEÑA POBLACION LIMAY BATAAN 2,740.22 0.00 0.00 2,740.22 November 15, 2018 2018-11-1491-F MELITO CAMAING TENEJERO BALANGA BATAAN 0.00 0.00 1,598.28 1,598.28 November 15, 2018 2018-11-5130 ROLANDO SALENGA LUACAN DINALUPIHAN BATAAN 423.12 105.60 0.00 528.72 November 15, 2018 2018-11-5131 REGINA DULAY IBABA SAMAL BATAAN 1,966.67 2,740.00 152.54 4,859.21 November 16, 2018 2018-11-4862-A RODOLFO LACTAO BATANGAS II MARIVELES BATAAN 172.82 0.00 0.00 172.82 November 16, 2018 2018-11-2544-H JOCELYN CORRIEL ST. FRANCIS II LIMAY BATAAN 1,454.65 0.00 1,167.70 2,622.35 November 16, 2018 2018-11-2746-L NORMA JACINTO MABATANG ABUCAY 0.00 0.00 1,598.28 1,598.28 November 16, 2018 2018-11-2779-I JUANITO DE SILVA SAPA SAMAL BATAAN 0.00 0.00 1,598.28 1,598.28 November 16, 2018 2018-11-2228-N BERNARDO CRUZ SR. CABCABEN MARIVELES 0.00 0.00 1,598.28 1,598.28 November 16, 2018 2018-11-5132 MELENIA CAÑELAS MT VIEW MARIVELES BATAAN 0.00 549.12 0.00 549.12 November 16, 2018 2018-11-5133 JEOMYR JOHN VITUG ATLAN III MABATANG ABUCAY BATAAN 0.00 422.40 0.00 422.40 November 16, 2018 2018-11-882-U ROGELIO MENDOZA A. RIVERA HERMOSA 0.00 0.00 1,598.28 1,598.28 November 16, 2018 2018-11-518-A HERMINIA ALIPIO SAPANG BALAS DINALUPIHAN BATAAN 0.00 2,250.00 0.00 2,250.00 November 16, 2018 2018-11-5134 CRISPIN GATUNA LUCANIN MARIVELES BATAAN 0.00 600.00 0.00 600.00 November 16, 2018 2018-11-5135 TRIEXIE MAE CUEVA CAPITANGAN ABUCAY BATAAN 474.50 0.00 0.00 474.50 November 16, 2018 2018-11-5136 ZALDY DIZON GABON ABUCAY BATAAN 0.00 598.40 0.00 598.40 November 16, 2018 2018-11-5137 MAR SEMILLANO STA. ROSA PILAR BATAAN 474.50 0.00 0.00 474.50 November 16, 2018 2018-11-5138 JUNE GRACE AVILES ST. FRANCIS II LIMAY BATAAN 0.00 200.00 0.00 200.00 November 16, 2018 2018-11-5139 CECILIA FRANCISCO DUALE LIMAY BATAAN 334.05 0.00 0.00 334.05 November 16, 2018 2018-11-5140 JENELYN SANCHEZ 86 NAGWALING PILAR BATAAN 0.00 200.00 0.00 200.00 November 16, 2018 2018-11-1430-O VIRGINIA NAVARRO CALUNGUSAN ORION BATAAN 1,486.36 5,222.53 0.00 6,708.89 November 16, 2018 2018-11-5141 REZ FLOGENCIO ALAS-ASIN MARIVELES BATAAN 0.00 700.00 0.00 700.00 November 16, 2018 2018-11-5142 RHEA QUITAIN BANGKAL ABUCAY BATAAN 0.00 300.00 0.00 300.00 November 16, 2018 2018-11-5143 JON CLIFFORD NUCOM SILANGAN ST. LIYANG PILAR BATAAN 0.00 600.00 0.00 600.00 November 15, 2018 2018-11-5144 GHEN CHARLETTE FAYE DEL CASTILLO WAWA ORION BATAAN 0.00 600.00 0.00 600.00 November 16, 2018 2018-11-5145 JOSELITO RODRIGUEZ CABCABEN MARIVELES BATAAN 220.06 1,100.00 0.00 1,320.06 November 15, 2018 2018-11-5146 SHAIRA MARIE GLORIA KABILANG ILOG CAPUNITAN ORION BATAAN 0.00 1,200.00 0.00 1,200.00 November 15, 2018 2018-11-1770-B ALMA PADEL DOÑA ORANI BATAAN 194.41 1,661.44 0.00 1,855.85 November 16, 2018 2018-11-5147 ANALIE ENCINAS ALAS-ASIN MARIVELES BATAAN 0.00 1,780.00 0.00 1,780.00 November 17, 2018 2018-11-1603-A GINA DACION CALAYLAYAN ABUCAY BATAAN 0.00 1,189.76 0.00 1,189.76 November 17, 2018 2018-11-5148 JHON ALLEN PAYNO STA. ROSA PILAR BATAAN 0.00 600.00 188.16 788.16 November 17, 2018 2018-11-5149 MAC JOHNRELL LAUZON TOWNSITE MARIVELES BATAAN 161.66 200.00 0.00 361.66 November 17, 2018 2018-11-5150 LEN ESPAÑO BAGONG SILANG BALANGA CITY BATAAN 949.00 0.00 0.00 949.00 November 17, 2018 2018-11-5151 TERESITA REYES CAPITANGAN ABUCAY BATAAN 0.00 1,550.00 0.00 1,550.00 November 17, 2018 2018-11-5152 SARA JOY SEVILLA TIPO HERMOSA BATAAN 0.00 2,410.00 0.00 2,410.00 November 17, 2018 2018-11-030-Y DIONILO GUTIERREZ ST FRANCIS I LIMAY BATAAN 0.00 0.00 1,619.69 1,619.69 November 17, 2018 2018-11-391-AD ROLY CORDERO STA ISABEL DINALUPIHAN BATAAN 0.00 0.00 1,619.69 1,619.69 November 17, 2018 2018-11-1549-AE VIOLETA SOMO LAMAO LIMAY BATAAN 0.00 0.00 1,619.69 1,619.69 November 17, 2018 2018-11-075-AK MERCIDITA MORALES MT VIEW MARIVELES BATAAN 1,454.65 0.00 1,189.12 2,643.77 November 17, 2018 2018-11-368-AE MARY JANE SAMSON LAON ABUCAY BATAAN 1,454.65 0.00 1,189.12 2,643.77 November 17, 2018 2018-11-5153 RAINA LIMBOC 220 TOWNSITE MARIVELES BATAAN 0.00 1,800.00 0.00 1,800.00 November 17, 2018 2018-11-4725-A VICENTE MANATO PTO. RIVAS BALANGA CITY 0.00 470.00 0.00 470.00 November 17, 2018 2018-11-5154 MATT GABRIEL DE GUZMAN ARELLANO ORION BATAAN 0.00 1,000.00 0.00 1,000.00 November 17, 2018 2018-11-5155 JONAS CAMPOMANES LAON ABUCAY BATAAN 0.00 1,500.00 0.00 1,500.00 November 17, 2018 2018-11-3374-B MARILYN JALON MALABIA BALANGA CITY 0.00 500.00 0.00 500.00 November 17, 2018 2018-11-5156 JOANNA TRASMONTE MALAYA MARIVELES BATAAN 0.00 500.00 0.00 500.00 November 17, 2018 2018-11-5157 DANSE MAE FLORORITA ALANGAN LIMAY BATAAN 407.03 0.00 0.00 407.03 November 17, 2018 2018-11-5158 RONALD LAXAMANA RIZAL PILAR BATAAN 1,000.00 0.00 0.00 1,000.00 November 17, 2018 2018-11-413-D DANIEL ENRIQUEZ ALAS-ASIN MARIVELES BATAAN 2,169.65 0.00 977.48 3,147.13 November 17, 2018 2018-11-5159 NATIVIDAD NUGUID CULIS HERMOSA BATAAN 19.86 3,216.41 0.00 3,236.27 November 17, 2018 2018-11-223-V REN MARK SAPIT ALAS-ASIN MARIVELES BATAAN 0.00 0.00 2,280.42 2,280.42 AMOUNT OF MEDICAL SERVICES

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

November 17, 2018 2018-11-2630-L HENRY ALIPIO CAMACHO BALANGA CITY BATAAN 0.00 0.00 1,605.42 1,605.42 November 17, 2018 2018-11-1430-P VIRGINIA NAVARRO CALUNGUSAN ORION BATAAN 0.00 0.00 1,616.86 1,616.86 November 17, 2018 2018-11-1530-A AILEEN DELA CRUZ 189 GABON ABUCAY BATAAN 729.56 3,420.00 206.60 4,356.16 November 17, 2018 2018-11-1165-BD ADONES LINTAG DAAN BILOLO ORION BATAAN 1,454.65 0.00 1,433.89 2,888.54 November 17, 2018 2018-11-3547-K ROMY NICDAO TALIMUNDOC ORANI BATAAN 1,024.07 0.00 0.00 1,024.07 November 17, 2018 2018-11-5160 WILFREDO PENGSON MANDAMA HERMOSA BATAAN 3,714.67 16,285.33 0.00 20,000.00 November 17, 2018 2018-11-3406-Q ANITA TAPANG SAN JUAN SAMAL BATAAN 0.00 0.00 2,300.70 2,300.70 November 19, 2018 2018-11-1467-R MARITA MENA KABALUTAN ORANI BATAAN 268.75 0.00 0.00 268.75 November 19, 2018 2018-11-2652-G OLIVER MAGTANONG LAON ABUCAY BATAAN 1,454.65 0.00 1,153.42 2,608.07 November 14, 2018 2018-11-5139-A CECILIA FRANCISCO DUALE LIMAY BATAAN 1,033.11 0.00 0.00 1,033.11 November 22, 2018 2018-11-5161 REMEDIOS ANGELES CULIS HERMOSA BATAAN 0.00 1,478.40 0.00 1,478.40 November 19, 2018 2018-11-3057-L JESUS DENNIS OLIVEROS 527DOÑA FRANCISCA BALANGA CITY BATAAN 1,454.65 0.00 2,649.92 4,104.57 November 19, 2018 2018-11-1491-G MELITO CAMAING TENEJERO BALANGA BATAAN 0.00 0.00 1,598.28 1,598.28 November 19, 2018 2018-11-2146-T RAVENACE BALUYOT TUGATOG ORANI BATAAN 1,454.65 0.00 2,649.92 4,104.57 November 23, 2018 2018-11-5162 RHODNEY MARRON DAAN PARE ORION BATAAN 2,120.98 2,800.00 272.16 5,193.14 November 23, 2018 2018-11-5163 RUBEN QUICHO STO. DOMINGO ORION BATAAN 0.00 420.00 0.00 420.00 November 23, 2018 2018-11-5164 ANTHONY DE VERA DAAN PARE ORION BATAAN 1,423.44 0.00 0.00 1,423.44 November 23, 2018 2018-11-4906-A CHARENA TALA IPAG MARIVELES BATAAN 17,181.82 20,178.67 0.00 37,360.49 November 23, 2018 2018-11-5165 GARY SIBAYAN JR. CABCABEN MARIVELES BATAAN 2,683.67 3,095.71 0.00 5,779.38 November 23, 2018 2018-11-097-I JOHN EDWARD VERGARA 416 GABON ABUCAY BATAAN 1,454.65 0.00 1,153.42 2,608.07 November 23, 2018 2018-11-5166 RONALD FLORENDO MT. VIEW MARIVELES BATAAN 500.52 200.00 0.00 700.52 November 23, 2018 2018-11-1442-A JESUS BUENAVENTURA TENEJERO BALANGA CITY 0.00 700.00 0.00 700.00 November 23, 2018 2018-11-2146-U RAVENACE BALUYOT TUGATOG ORANI BATAAN 1,454.65 0.00 1,153.42 2,608.07 November 23, 2018 2018-11-2361-O TOMAS ONGKINGCO STO DOMINGO ORION BATAAN 0.00 0.00 3,080.50 3,080.50 November 23, 2018 2018-11-1035-P ZENAIDA NATE MABIGA HERMOSA BATAAN 1,454.65 0.00 1,153.42 2,608.07 November 23, 2018 2018-11-239-AE EMILY MORIDO PUTING BUHANGIN ORION BATAAN 0.00 0.00 2,250.00 2,250.00 November 23, 2018 2018-11-2744-L RODOLFO TUAZON JR. 12 LOTE PTO. RIVAS BALANGA CITY 1,454.65 0.00 4,375.71 5,830.36 November 23, 2018 2018-11-223-W REN MARK SAPIT ALAS-ASIN MARIVELES BATAAN 0.00 0.00 2,250.00 2,250.00 November 23, 2018 2018-11-2856-E ELPIDIO RAFAEL CALAYLAYAN ABUCAY BATAAN 1,454.65 0.00 1,153.42 2,608.07 November 23, 2018 2018-11-1456-T ROLLY BUAL RIZAL PILAR BATAAN 1,454.65 0.00 0.00 1,454.65 November 23, 2018 2018-11-5167 APRIL LAVARIAS MEL-LUZ BALAGTAS ORION BATAAN 0.00 420.00 487.99 907.99 November 24, 2018 2018-11-5168 ARNALDO MAGPOC BILOLO ORION BATAAN 548.75 0.00 0.00 548.75 November 24, 2018 2018-11-5169 AMBROCIO CORTABISTA MT. VIEW MARIVELES BATAAN 84.16 2,076.80 0.00 2,160.96 November 24, 2018 2018-11-5170 ROSALIE REYES CATANING BALANGA CITY 0.00 950.00 0.00 950.00 November 24, 2018 2018-11-5171 ROSALINDA MATURGO ALAS-ASIN MARIVELES BATAAN 161.95 1,240.00 0.00 1,401.95 November 24, 2018 2018-11-5172 PAZ LUBER BINARITAN MORONG BATAAN 0.00 563.20 0.00 563.20 November 24, 2018 2018-11-2373-D EVELYN DELA CRUZ TENEJERO BALANGA CITY 4,621.62 0.00 0.00 4,621.62 November 23, 2018 2018-11-2278-A VERONICA KATE DELA CRUZ WAWA ORION BATAAN 670.86 2,000.00 171.72 2,842.58 November 23, 2018 2018-11-5173 HENRY MONTECALVO LAMAO LIMAY BATAAN 271.15 400.00 0.00 671.15 November 23, 2018 2018-11-5174 NATHANIEL JAMES DELA ROSA BALUT II PILAR BATAAN 18.85 500.00 0.00 518.85 November 23, 2018 2018-11-5175 JENNYLYN GARCIA CABOG CABOG BALANGA CITY BATAAN 0.00 600.00 0.00 600.00 November 23, 2018 2018-11-5176 JORDAN SIMEON CAPUNITAN ORION BATAAN 0.00 1,500.00 0.00 1,500.00 November 23, 2018 2018-11-5177 ROSSELL ENICOLA 17 BURGOS PILAR BATAAN 0.00 700.00 0.00 700.00 November 24, 2018 2018-11-5178 RENZ KENNETH BOLES 297 PUROK CATANING BALANGA CITY 0.00 2,013.16 0.00 2,013.16 November 24, 2018 2018-11-5179 FERDINAND VILLANUEVA 47 ROSE ST. VILLA ANGELES ORION BATAAN 0.00 2,250.00 0.00 2,250.00 November 24, 2018 2018-11-5180 ALMARIO ATIENZA 82 MANRIQUE DAAN BAGO ORION BATAAN 214.88 500.00 189.72 904.60 November 24, 2018 2018-11-5181 CYNDI PASCUAL STA. ELENA ORION BATAAN 7,834.29 5,470.00 6,261.11 19,565.40 November 24, 2018 2018-11-2705-H JOSEPH BRYAN VIZCARRA CUPANG PROPER BALANGA CITY BATAAN 1,454.65 0.00 1,153.42 2,608.07 November 24, 2018 2018-11-097-J JOHN EDWARD VERGARA 416 GABON ABUCAY BATAAN 2,039.65 0.00 1,055.31 3,094.96 November 24, 2018 2018-11-2532-F WILSON SALAZAR UPPER TUYO BALANGA CITY 1,464.77 0.00 1,150.43 2,615.20 November 24, 2018 2018-11-1909-AF JULIET PIZARRO PTO RIVAS IBABA BALANGA CITY BATAAN 1,454.65 0.00 1,153.42 2,608.07 November 24, 2018 2018-11-5182 CHAMPAIGNE VENNIZE ESTABILLO MALIGAYA DINALUPIHAN BATAAN 0.00 10,000.00 0.00 10,000.00 November 24, 2018 2018-11-5183 FLORENDA RENDON ST. FRANCIS I LIMAY BATAAN 862.58 0.00 0.00 862.58 November 24, 2018 2018-11-1429-M EFREN GANTIGA BAYAN ORANI BATAAN 254.47 0.00 0.00 254.47 November 24, 2018 2018-11-1258-E TORIBIO MIRANDA JR. LAYAC DINALUPIHAN BATAAN 0.00 0.00 1,584.00 1,584.00 November 24, 2018 2018-11-1430-Q VIRGINIA NAVARRO CALUNGUSAN ORION BATAAN 1,454.65 0.00 1,153.42 2,608.07 November 24, 2018 2018-11-2630-M HENRY ALIPIO CAMACHO BALANGA CITY BATAAN 0.00 0.00 1,584.00 1,584.00 November 24, 2018 2018-11-413-E DANIEL ENRIQUEZ ALAS-ASIN MARIVELES BATAAN 1,454.65 1,153.42 0.00 2,608.07 November 24, 2018 2018-11-5184 DANILO RILLERA SABATAN ORION BATAAN 409.10 0.00 0.00 409.10 November 24, 2018 2018-11-5185 MARY ANN ANDRES 857 MIRAY CATANING BALANGA CITY 0.00 820.00 0.00 820.00 November 24, 2018 2018-11-5186 ROMMEL OLMO OMBOY ABUCAY BATAAN 450.25 0.00 0.00 450.25 November 24, 2018 2018-11-1165-BE ADONES LINTAG DAAN BILOLO ORION BATAAN 0.00 2,888.54 0.00 2,888.54 November 26, 2018 2018-11-5187 REYNALDO CALIMBAS BANAWANG BAGAC BATAAN 2,528.16 8,040.00 0.00 10,568.16 November 26, 2018 2018-11-1757-A MARICEL BUSTAMANTE NAGWALING PILAR BATAAN 1,430.49 0.00 0.00 1,430.49 November 26, 2018 2018-11-5188 RODOLFO FELEO MAGSAYSAY DINALUPIHAN BATAAN 0.00 704.00 0.00 704.00 AMOUNT OF MEDICAL SERVICES

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

November 26, 2018 2018-11-2840-AJ CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 1,454.65 0.00 2,649.92 4,104.57 November 26, 2018 2018-11-5189 CHRISTIAN ATOLE TALA ORANI BATAAN 0.00 1,570.00 0.00 1,570.00 November 26, 2018 2018-11-5190 DEXTER TORRES PUTTING BUHANGIN ORION BATAAN 474.50 0.00 0.00 474.50 November 26, 2018 2018-11-5191 EMMANUEL DONDINES JR LUCANIN MARIVELES BATAAN 0.00 0.00 304.20 304.20 November 26, 2018 2018-11-5192 BRIX SANTOS WAKAS NORTH PILAR BATAAN 1,861.50 0.00 0.00 1,861.50 November 26, 2018 2018-11-5193 DANDI JANE AYSON ALANGAN LIMAY BATAAN 0.00 600.00 0.00 600.00 November 26, 2018 2018-11-5194 JOHN RAVEN NADONG UPPER DUALE LIMAY BATAAN 0.00 600.00 0.00 600.00 November 26, 2018 2018-11-201-E DIONISIO VELASCO BALON ANITO MARIVELES BATAAN 3,372.97 0.00 0.00 3,372.97 November 26, 2018 2018-11-5195 JETHRO BENOMAN 1451 CARBONSITE LAMAO LIMAY BATAAN 0.00 0.00 1,440.07 1,440.07 November 26, 2018 2018-11-5196 SHIELA SIOCO CUPANG PROPER BALANGA CITY BATAAN 609.56 7,264.74 241.45 8,115.75 November 26, 2018 2018-11-1312-Q RUFINO BANATAO IPAG MARIVELES BATAAN 0.00 0.00 1,474.93 1,474.93 November 26, 2018 2018-11-1467-S MARITA MENA KABALUTAN ORANI BATAAN 1,454.65 0.00 576.80 2,031.45 November 26, 2018 2018-11-5197 GARY SIBAYAN JR. TUYO BALANGA CITY BATAAN 1,454.65 0.00 1,153.42 2,608.07 November 26, 2018 2018-11-5198 MAMERTO BERMUDEZ ALAS ASIN MARIVELES BATAAN 0.00 3,048.75 0.00 3,048.75 November 26, 2018 2018-11-1035-Q ZENAIDA NATE MABIGA HERMOSA BATAAN 1,454.65 0.00 1,153.42 2,608.07 November 26, 2018 2018-11-2152-I GARY DE VERA STA ROSA PILAR BATAAN 2,609.85 2,090.00 300.15 5,000.00 November 26, 2018 2018-11-5199 ROSE ANN SERRANO CATANING BALANGA CITY BATAAN 0.00 700.00 0.00 700.00 November 26, 2018 2018-11-2532-G WILSON SALAZAR TUYO BALANGA CITY BATAAN 1,454.65 0.00 1,160.55 2,615.20 November 26, 2018 2018-11-2146-V RAVENACE BALUYOT PALIHAN ORANI BATAAN 1,454.65 0.00 1,167.70 2,622.35 November 26, 2018 2018-11-1491-H MELITO CAMAING TENEJERO BALANGA CITY BATAAN 480.69 0.00 1,584.00 2,064.69 November 26, 2018 2018-11-2361-P TOMAS ONGKINGCO CAPITANGAN ABUCAY BATAAN 1,454.65 0.00 1,167.70 2,622.35 November 26, 2018 2018-11-4906-B CHARENA TALA IPAG MARIVELES BATAAN 1,454.65 0.00 0.00 1,454.65 November 26, 2018 2018-11-2652-H OLIVER MAGTANONG LAON ABUCAY BATAAN 1,454.65 0.00 1,167.70 2,622.35 November 26, 2018 2018-11-239-AF EMILY MORIDO PUTING BUHANGIN ORION BATAAN 172.97 0.00 2,270.28 2,443.25 November 26, 2018 2018-10-2273-C RUBENELL TALIGATOS DAAN PARE ORION BATAAN 1,130.00 0.00 0.00 1,130.00 November 26, 2018 2018-11-4662-C ALBERT ANDAYA JR. LAMAO LIMAY BATAAN 474.50 0.00 0.00 474.50 November 26, 2018 2018-11-5200 DONITA ROSE LAYGO BAGONG SILANG BALANGA CITY BATAAN 0.00 570.00 0.00 570.00 November 26, 2018 2018-11-5201 ELVIRA TUAZON BAGUMBAYAN BALANGA CITY BATAAN 0.00 1,740.00 0.00 1,740.00 November 26, 2018 2018-11-5202 ROXANNE ROSAS DEL ROSARIO PILAR BATAAN 0.00 780.00 0.00 780.00 November 26, 2018 2018-11-5203 ANGELITO YUMUL PARAISO ORANI BATAAN 1,007.06 0.00 0.00 1,007.06 November 26, 2018 2018-11-5204 ANITA PABITON GUGO SAMAL BATAAN 0.00 591.36 0.00 591.36 November 26, 2018 2018-11-5205 GLICERIA HERNANDEZ VILLA ANGELES ORION BATAAN 0.00 549.12 0.00 549.12 November 26, 2018 2018-11-1280-B SONNY DESCALLAR CUPANG PROPER BALANGA CITY BATAAN 0.00 1,548.80 0.00 1,548.80 November 27, 2018 2018-11-4174-A MARIO UTRERA CAMAYA MARIVELES BATAAN 0.00 1,100.00 0.00 1,100.00 November 27, 2018 2018-11-1680-H BARTOLOME SEREÑO PANILAO PILAR BATAAN 0.00 0.00 1,598.28 1,598.28 November 27, 2018 2018-11-1909-AG JULIET PIZARRO PTO. RIVAS IBABA BALANGA CITY BATAAN 1,454.65 0.00 1,153.42 2,608.07 November 27, 2018 2018-11-2856-F ELPIDIO RAFAEL CALAYLAYAN ABUCAY BATAAN 1,454.65 0.00 1,153.42 2,608.07 November 27, 2018 2018-11-5206 SIGFREDO LOPEZ GABON ABUCAY BATAAN 0.00 0.00 1,598.28 1,598.28 November 27, 2018 2018-11-843-J JUANITO GALVEZ CULIS HERMOSA BATAAN 1,454.65 0.00 1,167.70 2,622.35 November 27, 2018 2018-11-997-O ROY MANANSALA TOWNSITE LIMAY BATAAN 0.00 0.00 1,598.28 1,598.28 November 27, 2018 2018-11-223-X REN MARK SAPIT ALAS ASIN MARIVELES BATAAN 1,454.65 0.00 2,270.28 3,724.93 November 27, 2018 2018-11-5207 ADA COLLANO NAGWALING PILAR BATAAN 0.00 620.00 0.00 620.00 November 27, 2018 2018-11-1456-U ROLLY BUAL RIZAL PILAR BATAAN 6,806.55 0.00 0.00 6,806.55 November 27, 2018 2018-11-5208 RECEL JENE VIBAL CAPITANGAN ABUCAY BATAAN 0.00 1,140.00 0.00 1,140.00 November 27, 2018 2018-11-5209 ARIAN JOY BUSUEGO ALA ULI PILAR BATAAN 0.00 845.00 0.00 845.00 November 27, 2018 2018-11-5210 EVANGELINE DELA PAZ TENEJERO BALANGA CITY BATAAN 0.00 400.00 0.00 400.00 November 27, 2018 2018-11-5211 LEONIDA DIONILA BAGUMBAYAN BALANGA CITY BATAAN 10.46 2,350.00 13.00 2,373.46 November 27, 2018 2018-11-5212 ARLENE VIRAY ALA ULI PILAR BATAAN 0.00 1,820.00 0.00 1,820.00 November 27, 2018 2018-11-5213 JEFFREY BACANI CENTRAL BALANGA CITY BATAAN 21,619.73 0.00 0.00 21,619.73 November 27, 2018 2018-11-5214 MARY ROSE ANGELES POBLACION MORONG BATAAN 0.00 1,630.00 0.00 1,630.00 November 27, 2018 2018-11-5215 ALEXA MAE JUBILO BATANGAS II MARIVELES BATAAN 1,465.33 0.00 0.00 1,465.33 November 27, 2018 2018-11-5216 CORAZON DUCUT A. RIVERA HERMOSA BATAAN 408.32 105.60 0.00 513.92 November 27, 2018 2018-11-5217 JHON RICH JUBILO BATANGAS II MARIVELES BATAAN 1,423.44 0.00 0.00 1,423.44 November 27, 2018 2018-11-5218 MARITA MARTONITO SAN JOSE BALANGA CITY BATAAN 0.00 753.28 0.00 753.28 November 27, 2018 2018-11-5219 MARIA CHRISTINA LAUREL REFORMISTA LIMAY BATAAN 0.00 700.00 0.00 700.00 November 27, 2018 2018-11-5220 RICARDO TOLEDO PAGALANGGANG DINALUPIHAN BATAAN 8,450.58 7,860.00 2,736.61 19,047.19 November 27, 2018 2018-11-5221 ARIEL CATACUTAN A. RIVERA HERMOSA BATAAN 2,961.66 1,881.06 0.00 4,842.72 November 27, 2018 2018-11-4029-J ALFREDO CASTILLO CAMACHO BALANGA CITY BATAAN 1,454.65 0.00 1,167.70 2,622.35 November 27, 2018 2018-11-2746-M NORMA JACINTO MABATANG ABUCAY BATAAN 0.00 0.00 1,598.28 1,598.28 November 27, 2018 2018-11-2779-J JUANITO DE SILVA SAPA SAMAL BATAAN 0.00 0.00 1,618.78 1,618.78 November 27, 2018 2018-11-2825-J RAFAEL BEATO MABATANG ABUCAY BATAAN 1,454.65 0.00 1,167.70 2,622.35 November 27, 2018 2018-11-882-V ROGELIO MENDOZA A. RIVERA HERMOSA BATAAN 0.00 0.00 1,598.28 1,598.28 November 27, 2018 2018-11-391-AE ROLY CORDERO STA. ISABEL DINALUPIHAN BATAAN 0.00 0.00 1,598.28 1,598.28 November 28, 2018 2018-11-5222 JESSICA MIRANDA CAMACHO BALANGA CITY BATAAN 0.00 670.00 0.00 670.00 November 28, 2018 2018-11-5223 BIANCA KRIZIA ALVIZ SALVADOR MABATANG ABUCAY BATAAN 545.88 0.00 0.00 545.88 AMOUNT OF MEDICAL SERVICES

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

November 28, 2018 2018-11-5224 CHRISTINA SAYSON MABUCO HERMOSA BATAAN 948.96 0.00 0.00 948.96 November 28, 2018 2018-11-5225 ELENITA DELA CRUZ BAGONG SILANG HERMOSA BATAAN 1,406.00 2,674.44 0.00 4,080.44 November 28, 2018 2018-11-5226 JOSE ARNEL MENDOZA CAMAYA MARIVELES BATAAN 0.00 1,990.00 0.00 1,990.00 November 28, 2018 2018-11-5227 ANALIZA MORALES CATANING HERMOSA BATAAN 0.00 492.80 0.00 492.80 November 28, 2018 2018-11-5228 URLINA PAANAN BILOLO ORION BATAAN 499.49 0.00 0.00 499.49 November 28, 2018 2018-11-5229 ESHAYE ARRA MATUDIO CATANING BALANGA CITY BATAAN 0.00 870.00 0.00 870.00 November 28, 2018 2018-11-5230 JAZZPHER BUAN PANILAO PILAR BATAAN 0.00 320.00 0.00 320.00 November 28, 2018 2018-11-5231 RODOLF MANGUSING DANGCOL BALANGA CITY BATAAN 0.00 545.74 0.00 545.74 November 28, 2018 2018-11-5232 JAYLOU BUAN PANILAO PILAR BATAAN 0.00 1,320.00 0.00 1,320.00 November 28, 2018 2018-11-5233 DENNIS GARIDAN STA. ROSA PILAR BATAAN 0.00 1,750.00 0.00 1,750.00 November 28, 2018 2018-11-5234 ERLINDA PUNZALAN SAN JUAN SAMAL BATAAN 0.00 700.00 0.00 700.00 November 28, 2018 2018-11-5235 GABRIEL LLANITA DUALE LIMAY BATAAN 171.56 937.23 0.00 1,108.79 November 28, 2018 2018-11-5236 MARICEL PAULE BAGUMBAYAN BAGAC BATAAN 0.00 246.40 0.00 246.40 November 28, 2018 2018-11-5237 BENJOE MACAPINLAC CATANING BALANGA CITY BATAAN 37,661.58 0.00 0.00 37,661.58 November 28, 2018 2018-11-5238 RICHARD SALALILA SAGUING DINALUPIHAN BATAAN 0.00 1,490.26 0.00 1,490.26 November 28, 2018 2018-11-4337-B MATILDE ESPLANA MAMBOG HERMOSA BATAAN 0.00 0.00 847.71 847.71 November 28, 2018 2018-11-5239 MANNY ARRAVEZ ALAS ASIN MARIVELES BATAAN 0.00 7,233.06 0.00 7,233.06 November 28, 2018 2018-11-5240 JERYMIE JUMIG ALA ULI PILAR BATAAN 1,430.49 0.00 0.00 1,430.49 November 28, 2018 2018-11-1955-B ARMIDA LADAO LAMAO LIMAY BATAAN 0.00 1,500.00 0.00 1,500.00 November 28, 2018 2018-11-5241 JONALYN PANTIG ALAS ASIN MARIVELES BATAAN 189.02 420.00 1,894.11 2,503.13 November 28, 2018 2018-11-5242 BABY GIRL (JONALYN) PANTIG ALAS ASIN MARIVELES BATAAN 171.56 600.00 336.71 1,108.27 November 28, 2018 2018-11-5243 DIANA CRUZ CULIS HERMOSA BATAAN 0.00 2,890.00 0.00 2,890.00 November 28, 2018 2018-11-5244 RODELIO DELA CRUZ WAWA ABUCAY BATAAN 2,410.75 1,660.00 254.86 4,325.61 November 28, 2018 2018-11-1035-R ZENAIDA NATE MABIGA HERMOSA BATAAN 1,454.65 0.00 2,649.92 4,104.57 November 28, 2018 2018-11-1430-R VIRGINIA NAVARRO CALUNGUSAN ORION BATAAN 0.00 0.00 1,598.28 1,598.28 November 28, 2018 2018-11-014-S RONNIE BASALO CENTRO II ORANI BATAAN 0.00 0.00 741.18 741.18 November 28, 2018 2018-11-2361-Q TOMAS ONGKINGCO CAPITANGAN ABUCAY BATAAN 1,454.65 0.00 1,167.70 2,622.35 November 28, 2018 2018-11-1429-N EFREN GANTIGA BAYAN ORANI BATAAN 1,454.65 0.00 20.28 1,474.93 November 28, 2018 2018-11-1456-V ROLLY BUAL RIZAL PILAR BATAAN 0.00 0.00 1,598.28 1,598.28 November 28, 2018 2018-11-2705-I JOSEPH BRYAN VIZCARRA CUPANG PROPER BALANGA CITY BATAAN 1,454.65 0.00 1,270.66 2,725.31 November 28, 2018 2018-11-1258-F TORIBIO MIRANDA JR. BAYAN ORANI BATAAN 1,454.65 0.00 1,167.70 2,622.35 November 27, 2018 2018-11-5245 CRISELDA MENDOZA CABCABEN MARIVELES BATAAN 0.00 900.00 0.00 900.00 November 28, 2018 2018-11-5246 AGNES MANGALINDAN SAN JUAN SAMAL BATAAN 219.50 150.00 0.00 369.50 November 28, 2018 2018-11-5247 SHIELA MAY NUÑEZ ST. FRANCIS II LIMAY BATAAN 0.00 1,090.00 0.00 1,090.00 November 28, 2018 2018-11-5248 SAMUEL EVASCO PARANG BAGAC BATAAN 0.00 1,000.00 5,423.92 6,423.92 November 27, 2018 2018-11-5249 MARIO CRESPO CENTRAL BALANGA CITY BATAAN 0.00 528.00 0.00 528.00 November 30, 2018 2018-11-2856-G ELPIDIO RAFAEL CALAYLAYAN ABUCAY BATAAN 1,454.65 0.00 2,649.92 4,104.57 November 30, 2018 2018-11-201-F DIONISIO VELASCO BALON ANITO MARIVELES BATAAN 5,891.40 0.00 0.00 5,891.40 November 30, 2018 2018-11-4180-A RACQUEL JANE SINONGCO DAAN BILOLO ORION BATAAN 0.00 1,250.00 0.00 1,250.00 November 30, 2018 2018-11-1680-I BARTOLOME SEREÑO PANILAO PILAR BATAAN 1,454.65 0.00 1,153.42 2,608.07 November 30, 2018 2018-11-1456-W ROLLY BUAL RIZAL PILAR BATAAN 1,454.65 0.00 1,167.70 2,622.35 November 30, 2018 2018-11-2361-R TOMAS ONGKINGCO CAPITANGAN ABUCAY BATAAN 1,454.65 0.00 1,167.70 2,622.35 November 30, 2018 2018-11-843-K JUANITO GALVEZ CULIS HERMOSA BATAAN 1,454.65 0.00 1,167.70 2,622.35 November 30, 2018 2018-11-2744-M RODOLFO TUAZON JR. 12 LOTE PTO. RIVAS BALANGA CITY 1,454.65 0.00 2,270.28 3,724.93 November 30, 2018 2018-11-223-Y REN MARK SAPIT ALAS ASIN MARIVELES BATAAN 1,454.65 0.00 2,270.28 3,724.93 November 30, 2018 2018-11-1007-A LIWAYWAY MASANGKAY GEN. LIM ORION BATAAN 306.36 950.00 0.00 1,256.36 November 30, 2018 2018-11-1153-A LORNA COLIAT LAMAO LIMAY BATAAN 0.00 1,820.00 0.00 1,820.00 November 30, 2018 2018-11-5250 ERLINDA ZAMORA ST. FRANCIS I LIMAY BATAAN 370.18 750.00 13.00 1,133.18 November 30, 2018 2018-11-5251 EVANGELINE PANGILINAN STA. ROSA PILAR BATAAN 156.28 150.00 0.00 306.28 November 30, 2018 2018-11-5252 RHENZ ANDREI LAYAN ST. FRANCIS I LIMAY BATAAN 0.00 600.00 125.10 725.10 November 30, 2018 2018-11-4945-A FRANZ YUKI FRANCISCO KAPARANGAN ORANI BATAAN 474.50 0.00 0.00 474.50 November 30, 2018 2018-11-5253 HOMER WRENDELL GALVEZ WAWA ABUCAY BATAAN 165.45 400.00 0.00 565.45 November 29, 2018 2018-11-5254 JERALDINE STA. MARIA STA. ROSA PILAR BATAAN 0.00 700.00 0.00 700.00 November 30, 2018 2018-11-5255 RONEROSE SALAVERIA TORTUGAS BALANGA CITY 119.10 500.00 0.00 619.10 November 29, 2018 2018-11-5256 DONNA ALDAY CUPANG PROPER BALANGA CITY BATAAN 0.00 1,165.75 0.00 1,165.75 November 29, 2018 2018-11-5257 MARITESS SALVADOR BASECO COUNTRY MARIVELES BATAAN 754.00 750.00 197.69 1,701.69 November 28, 2018 2018-11-5258 WILSON ENCIO ST. FRANCIS I LIMAY BATAAN 938.70 0.00 0.00 938.70 November 29, 2018 2018-11-4899-A JEMALYN DIAZ CAMACHO BALANGA CITY BATAAN 0.00 350.00 0.00 350.00 November 29, 2018 2018-11-5259 LORELEI REÑOSA GABON ABUCAY BATAAN 0.00 1,020.00 0.00 1,020.00 November 29, 2018 2018-11-5260 MARK ANTHONY SAMSON ROOSEVELT DINALUPIHAN BATAAN 1,597.90 510.00 197.13 2,305.03 November 29, 2018 2018-11-5261 JERSON RAMOS TOWNSITE LIMAY BATAAN 934.00 0.00 0.00 934.00 November 29, 2018 2018-11-5262 ROMMEL ALARCON STO. DOMINGO ORION BATAAN 114.20 1,150.00 0.00 1,264.20 November 29, 2018 2018-11-5263 NORHAILA MOHAIMEN SAN RAMON DINALUPIHAN BATAAN 210.79 1,120.00 0.00 1,330.79 November 29, 2018 2018-11-5264 EVA CALPITO MALIGAYA MARIVELES BATAAN 15,318.44 4,481.04 0.00 19,799.48 November 29, 2018 2018-11-5265 MIGUEL DULDULAO III BAYAN-BAYANAN DINALUPIHAN BATAAN 255.03 1,400.00 0.00 1,655.03 AMOUNT OF MEDICAL SERVICES

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

November 29, 2018 2018-11-5266 LHEEYONE CLOUD HILADO BILOLO ORION BATAAN 0.00 600.00 0.00 600.00 November 29, 2018 2018-10-3510-J GEMMA LEOBRERA PTO. RIVAS IBABA BALANGA CITY 181.54 2,790.00 26.00 2,997.54 November 29, 2018 2018-11-2146-W RAVENACE BALUYOT PALIHAN ORANI BATAAN 1,454.65 0.00 1,153.42 2,608.07 November 29, 2018 2018-11-1491-I MELITO CAMAING TENEJERO BALANGA CITY BATAAN 0.00 0.00 1,584.00 1,584.00 November 29, 2018 2018-11-997-P ROY MANANSALA TOWNSITE LIMAY BATAAN 1,454.65 1,153.42 0.00 2,608.07 November 29, 2018 2018-11-239-AG EMILY MORIDO PUTING BUHANGIN ORION BATAAN 0.00 1,984.45 585.55 2,570.00 November 29, 2018 2018-11-097-K JOHN EDWARD VERGARA GABON ABUCAY BATAAN 1,454.65 2,250.00 399.92 4,104.57 November 29, 2018 2018-11-2652-I OLIVER MAGTANONG LAON ABUCAY BATAAN 1,454.65 2,250.00 399.92 4,104.57 November 29, 2018 2018-11-1909-AH JULIET PIZARRO PTO. RIVAS IBABA BALANGA CITY 1,454.65 1,153.42 0.00 2,608.07 November 29, 2018 2018-11-2532-H WILSON SALAZAR TUYO BALANGA CITY BATAAN 0.00 2,251.00 829.50 3,080.50 November 29, 2018 2018-11-5267 CHRISIAH SIOSON DAAN BILOLO ORION BATAAN 0.00 1,419.24 0.00 1,419.24 November 29, 2018 2018-11-5268 MARICEL APOLINAR PUTING BUHANGIN ORION BATAAN 0.00 1,400.00 0.00 1,400.00 November 29, 2018 2018-11-5269 MIKAELA PAYUMO CALAYLAYAN ABUCAY BATAAN 0.00 350.00 0.00 350.00 November 29, 2018 2018-11-5270 LYDIA LORETO PTO. RIVAS IBABA BALANGA CITY 1,964.09 1,411.71 0.00 3,375.80 November 29, 2018 2018-11-4681-C JAYSON NAVALES BALUT ORION BATAAN 474.50 0.00 0.00 474.50 November 29, 2018 2018-11-5271 ADAN EBILANE CAMAYA MARIVELES BATAAN 0.00 633.60 0.00 633.60 November 29, 2018 2018-11-5272 EMELY ESTELO TANATO BALANGA BATAAN 0.00 1,980.00 0.00 1,980.00 November 29, 2018 2018-11-4453-A CONNIE BADIOLA LANDING PILAR BATAAN 0.00 570.00 0.00 570.00 November 29, 2018 2018-11-5273 SEAN MICHAEL NACIONAL ST FRANCIS II LIMAY BATAAN 2,415.93 0.00 0.00 2,415.93 November 29, 2018 2018-11-2108-L JAVIER ADRANEDA STA LUCIA SAMAL BATAAN 251.47 10.14 0.00 261.61 November 29, 2018 2018-11-436-AI ALLAN MIRASOL MT. VIEW MARIVELES BATAAN 1,454.65 2,250.00 20.28 3,724.93 November 29, 2018 2018-11-1549-AF VIOLETA SOMO LAMAO LIMAY BATAAN 1,454.65 1,150.42 10.14 2,615.21 November 29, 2018 2018-11-4906-C CHARENA TALA IPAG MARIVELES BATAAN 2,520.28 0.00 0.00 2,520.28 November 29, 2018 2018-11-293-L NIDA MALATE CAMAYA MARIVELES BATAAN 0.00 1,579.50 15.21 1,594.71 November 29, 2018 2018-11-1165-BF ADONES LINTAG DAAN BILOLO ORION BATAAN 1,454.65 1,147.42 20.28 2,622.35 November 29, 2018 2018-11-391-AF ROLY CORDERO STA. ISABEL DINALUPIHAN BATAAN 1,454.65 1,147.42 20.28 2,622.35 November 29, 2018 2018-11-1593-Z JOY FRANCISCO TOWNSITE LIMAY BATAAN 0.00 1,578.00 20.28 1,598.28 November 29, 2018 2018-11-3057-M JESUS DENNIS OLIVEROS DOÑA FRANCISCA BALANGA CITY BATAAN 1,454.65 1,150.42 10.14 2,615.21 November 29, 2018 2018-11-1449-L ROGER PAJUNAR BALON ANITO MARIVELES BATAAN 1,454.65 20.28 0.00 1,474.93 November 28, 2018 2018-11-1257-H EDUARDO RODRIGUEZ CAMACHO BALANGA BATAAN 0.00 1,581.00 10.14 1,591.14 November 28, 2018 2018-11-2750-L REYNALDO PAMINTUAN LUACAN DINALUPIHAN BATAAN 1,454.65 2,250.00 20.28 3,724.93 November 29, 2018 2018-11-5274 JONATHAN MAHINAY ALAS ASIN MARIVELES BATAAN 0.00 489.41 500.00 989.41 November 29, 2018 2018-11-3212-A GINA DE LUNA BASECO COUNTRY MARIVELES BATAAN 0.00 2,200.00 0.00 2,200.00 November 29, 2018 2018-11-5275 REYNAN GUECO WAKAS NORTH PILAR BATAAN 0.00 900.00 0.00 900.00 November 29, 2018 2018-11-5276 JAYCELLE DELA CRUZ PUTING BUHANGIN ORION BATAAN 0.00 600.00 0.00 600.00 November 29, 2018 2018-11-5165-A GARY SIBAYAN JR. CABCABEN MARIVELES BATAAN 1,454.65 1,153.42 0.00 2,608.07 November 29, 2018 2018-11-5277 CECILLE DOYONA UPPER SABATAN ORION BATAAN 0.00 870.00 251.29 1,121.29 November 29, 2018 2018-11-5278 REBECCA LAURIO ST. FRANCIS II LIMAY BATAAN 0.00 1,200.00 140.30 1,340.30 November 30, 2018 2018-11-2228-O BERNARDO CRUZ SR. CABCABEN MARIVELES BATAAN 0.00 954.79 2,125.71 3,080.50 November 30, 2018 2018-11-4661-B EDITHA ORTIZ MALABIA BALANGA CITY 474.50 0.00 0.00 474.50 November 30, 2018 2018-11-2746-N NORMA JACINTO MABATANG ABUCAY BATAAN 0.00 1,578.00 20.28 1,598.28 November 30, 2018 2018-11-2779-K JUANITO DE SILVA SAPA SAMAL BATAAN 1,454.65 1,147.42 20.28 2,622.35 November 30, 2018 2018-11-2825-K RAFAEL BEATO MABATANG ABUCAY BATAAN 0.00 1,578.00 20.28 1,598.28 November 30, 2018 2018-11-5279 TRIXIE MAE IROG CABCABEN MARIVELES BATAAN 0.00 300.00 0.00 300.00 November 30, 2018 2018-11-5280 ANNE REA QUEEN MANGUERA LALAWIGAN SAMAL BATAAN 0.00 920.00 0.00 920.00 November 30, 2018 2018-11-5281 JULIETA BANTING SAN PEDRO HERMOSA BATAAN 991.59 0.00 0.00 991.59 November 30, 2018 2018-11-5282 PERLITA BUENO POBLACION MARIVELES BATAAN 0.00 1,870.00 0.00 1,870.00 November 30, 2018 2018-11-5283 ROBERT VIOLENTA KAPARANGAN ORANI BATAAN 0.00 1,390.00 0.00 1,390.00 November 30, 2018 2018-11-2840-AK CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 3,424.29 2,250.00 20.28 5,694.57 November 30, 2018 2018-11-882-W ROGELIO MENDOZA A. RIVERA HERMOSA BATAAN 1,454.65 1,147.42 20.28 2,622.35 November 30, 2018 2018-11-4029-K ALFREDO CASTILLO CAMACHO BALANGA BATAAN 1,454.65 1,147.42 20.28 2,622.35 November 30, 2018 2018-11-2544-I JOCELYN CORRIEL ST. FRANCIS II LIMAY BATAAN 1,454.65 1,147.42 20.28 2,622.35 November 30, 2018 2018-11-2821-G JIMMY FELICITAS SAN BENITO DINALUPIHAN BATAAN 254.47 0.00 0.00 254.47 November 30, 2018 2018-11-5284 SIFREDO LOPEZ GABON ABUCAY BATAAN 0.00 2,250.00 844.78 3,094.78 November 30, 2018 2018-11-5285 VANESSA LORE BILOLO ORION BATAAN 1,606.97 2,520.00 320.68 4,447.65 November 30, 2018 2018-11-5286 ELISTE MONTON BO. LUZ LIMAY BATAAN 516.39 0.00 0.00 516.39 November 30, 2018 2018-11-5287 JALANIE CAREEN MACAPAGAL SAN JOSE BALANGA CITY BATAAN 0.00 800.00 227.08 1,027.08 November 30, 2018 2018-11-1256-G MARIVIC AUSTRIA DOÑA FRANCISCA BALANGA CITY BATAAN 6,679.48 2,960.00 874.76 10,514.24 November 30, 2018 2018-11-5288 JOSEPHINE SABIDO IBAYO BALANGA CITY 0.00 700.00 126.58 826.58 November 30, 2018 2018-11-5289 ROVY CHRISTIAN REYES COLO DINALUPIHAN BATAAN 0.00 1,870.00 0.00 1,870.00 November 24, 2018 2018-11-5290 FELIZARDO SALVATIERRA TABON PILAR BATAAN 0.00 1,070.55 0.00 1,070.55 November 24, 2018 2018-11-1312-R RUFINO BANATAO IPAG MARIVELES BATAAN 29,437.36 38,270.24 0.00 67,707.60 November 24, 2018 2018-11-5291 ROVIC PANGILINAN BLISS BALANGA BATAAN 0.00 900.00 0.00 900.00 November 24, 2018 2018-11-5292 MERLIE MENDOZA WAWA LIMAY BATAAN 0.00 1,000.00 0.00 1,000.00 November 24, 2018 2018-11-5293 MYRA BALAORO BAGUMBAYAN PILAR BATAAN 0.00 668.80 80.39 749.19 AMOUNT OF MEDICAL SERVICES

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

November 24, 2018 2018-11-5294 MELISSA MAÑO BAGUMBAYAN PILAR BATAAN 0.00 600.00 300.97 900.97 November 24, 2018 2018-11-5295 DERICK QUINTERO CENTRAL BALANGA CITY BATAAN 0.00 600.00 0.00 600.00 November 24, 2018 2018-11-5296 EDDIELYN AQUINO BAYAN ORANI BATAAN 0.00 1,310.00 0.00 1,310.00 November 24, 2018 2018-11-5186-A ROMMEL OLMO GABON ABUCAY BATAAN 0.00 0.00 450.25 450.25 November 24, 2018 2018-11-1165-BG ADONES LINTAG DAAN BILOLO ORION BATAAN 1,454.65 1,153.42 0.00 2,608.07 November 24, 2018 2018-11-1549-AG VIOLETA SOMO LAMAO LIMAY BATAAN 0.00 2,250.00 830.50 3,080.50 November 24, 2018 2018-11-030-Z DIONILO GUTIERREZ ST. FRANCIS II LIMAY BATAAN 0.00 1,584.00 0.00 1,584.00 November 24, 2018 2018-11-075-AL MERCIDITA MORALES MT. VIEW MARIVELES BATAAN 1,454.65 1,153.42 0.00 2,608.07 November 24, 2018 2018-11-3406-R ANITA TAPANG SAN JUAN SAMAL BATAAN 0.00 2,250.00 0.00 2,250.00 November 24, 2018 2018-11-391-AG ROLY CORDERO STA. ISABEL DINALUPIHAN BATAAN 0.00 1,584.00 0.00 1,584.00 November 24, 2018 2018-11-368-AF MARY JANE SAMSON LAON ABUCAY BATAAN 1,454.65 2,250.00 399.92 4,104.57 November 10, 2018 2018-11-5297 ROBERTO MATIC GABON ABUCAY BATAAN 817.64 0.00 0.00 817.64 September 07, 2018 2018-11-5298 ELSIE HONGAYO REMEDIOS CALUNGUSAN ORION BATAAN 1,301.45 5,850.00 7,991.54 15,142.99 September 07, 2018 2018-11-5299 EUFEMIA ESTRADA TUYO BALANGA CITY BATAAN 1,188.56 489.23 0.00 1,677.79 September 16, 2018 2018-11-5300 MERCY GRACE DELOSO AQUINO ROAD CABCABEN MARIVELES BATAAN 0.00 5,550.00 1,216.35 6,766.35 September 16, 2018 2018-11-5301 MAGDALENA LAGURA ALANGAN LIMAY BATAAN 1,827.83 2,405.62 0.00 4,233.45 September 16, 2018 2018-11-5302 MARVIN LLAGAS 1352 SAN JOSE BALANGA CITY 4,577.90 2,770.00 166.02 7,513.92 September 16, 2018 2018-11-5303 SHAIRA JEAN SANCHEZ PUROK IV MUNTING BATANGAS BALANGA CITY 8,056.76 7,870.00 1,067.49 16,994.25 September 17, 2018 2018-11-5304 AKIRAH MACY ANN SAMPIANO CATANING BALANGA CITY BATAAN 0.00 1,519.08 0.00 1,519.08 September 27, 2018 2018-11-5305 ABELARDO IMPERIAL ST. FRANCIS II LIMAY BATAAN 7,217.77 6,820.00 1,218.67 15,256.44 September 27, 2018 2018-11-5306 JUSTINE CUENTAS LAMAO LIMAY BATAAN 858.26 3,000.00 1,548.64 5,406.90 September 27, 2018 2018-11-5307 CHARLITO BASTIDA JR. CUPANG WEST BALANGA CITY BATAAN 0.00 170.00 1,116.34 1,286.34 September 27, 2018 2018-11-5308 BRENT CATUBIG SABANG MORONG BATAAN 1,307.88 300.00 269.31 1,877.19 September 27, 2018 2018-11-5309 JUSTIN CLARK REYES SAN JOSE BALANGA CITY BATAAN 287.75 750.00 121.56 1,159.31 September 27, 2018 2018-11-1305-B ZENAIDA MAGLAQUI DAAN BILOLO ORION BATAAN 1,585.91 0.00 0.00 1,585.91 September 29, 2018 2018-11-5310 MAYLEEN NATANAUAN TUBO-TUBO DINALUPIHAN BATAAN 5,594.71 3,480.00 4,593.36 13,668.07 September 29, 2018 2018-11-5311 FELISIDAD RAYMUNDO TENEJERO BALANGA CITY BATAAN 5,999.95 2,100.00 2,565.30 10,665.25 September 29, 2018 2018-11-5312 GEMMALYN PERALES ALMACEN HERMOSA BATAAN 0.00 3,385.43 0.00 3,385.43 October 08, 2018 2018-11-3637-A MA. CECILIA DELA CRUZ DAAN BILOLO ORION BATAAN 6,975.82 0.00 258.49 7,234.31 October 08, 2018 2018-11-1722-C ALICIA MAGLANQUE CAMACHILE ORION BATAAN 4,064.95 0.00 0.00 4,064.95 October 08, 2018 2018-11-438-B LILIAN DELA ROSA MABATANG ABUCAY BATAAN 7,958.71 0.00 307.22 8,265.93 October 08, 2018 2018-11-5313 JENNY MOSE NAGBALAYONG MORONG BATAAN 0.00 250.00 1,628.64 1,878.64 October 08, 2018 2018-11-3628-A MARIA LUISA DEL MUNDO ALANGAN LIMAY BATAAN 4,045.96 0.00 245.64 4,291.60 October 08, 2018 2018-11-5314 ANITA LAYUG ALMACEN HERMOSA BATAAN 2,549.60 0.00 0.00 2,549.60 October 08, 2018 2018-11-1064-B MARISOL HILARIO MT. VIEW MARIVELES BATAAN 4,690.32 0.00 274.08 4,964.40 October 10, 2018 2018-11-5315 JEFFRY LAZO BAGONG SILANG BALANGA CITY BATAAN 5,635.15 3,600.00 603.64 9,838.79 September 09, 2018 2018-11-5316 JOHN CYMER DE LUNA IBIS BAGAC BATAAN 1,952.19 300.00 2,267.47 4,519.66 September 10, 2018 2018-11-5317 JASHIN JADE CALINGAY LOWER WAWA ABUCAY BATAAN 0.00 0.00 1,781.54 1,781.54 September 10, 2018 2018-11-5318 JO-AN SALIENTE TOWNSITE LIMAY BATAAN 0.00 3,920.00 161.15 4,081.15 September 10, 2018 2018-11-2611-B MERCY HASSAN DOÑA ORANI BATAAN 0.00 400.00 854.12 1,254.12 September 10, 2018 2018-11-5319 JIMMY LOUIE DIANO TENEJERO BALANGA CITY BATAAN 0.00 320.00 1,008.14 1,328.14 September 08, 2018 2018-11-5320 MARIO PANTALEON MABATANG ABUCAY BATAAN 5,039.68 960.00 264.22 6,263.90 September 12, 2018 2018-11-5321 BILLY AMON SUMALO HERMOSA BATAAN 0.00 500.00 4,347.31 4,847.31 September 13, 2018 2018-11-1159-C JODHYLYNE RIVARES LAMAO LIMAY BATAAN 1,541.75 0.00 0.00 1,541.75 September 13, 2018 2018-11-2994-A GANDIWA VISITACION NAPARING DINALUPIHAN BATAAN 15,364.87 3,600.00 207.50 19,172.37 September 13, 2018 2018-11-5322 ALICIA SIBUG KABALUTAN ORANI BATAAN 2,803.73 1,640.00 0.00 4,443.73 September 13, 2018 2018-11-5323 ERNESTO BACANI KITANG I LIMAY BATAAN 3,801.59 0.00 0.00 3,801.59 September 13, 2018 2018-11-3584-A JULLY PABINAL IPAG MARIVELES BATAAN 2,649.85 0.00 0.00 2,649.85 September 13, 2018 2018-11-3008-A RENATO BRONIOLA PARAISO ORANI BATAAN 3,246.13 0.00 0.00 3,246.13 September 13, 2018 2018-11-3499-B MIGUEL ABELGAS ST. FRANCIS I LIMAY BATAAN 4,409.69 3,993.47 0.00 8,403.16 September 13, 2018 2018-11-5324 PRINCES SEGISMUNDO MABAYO MORONG BATAAN 0.00 250.00 2,321.66 2,571.66 September 13, 2018 2018-11-5325 MARISSA MAGSINO DIWA PILAR BATAAN 0.00 700.00 1,262.68 1,962.68 September 13, 2018 2018-11-5326 JUBELLE GUADIA KAPARANGAN ORANI BATAAN 0.00 400.00 1,038.61 1,438.61 September 13, 2018 2018-11-5327 CANDILYN QUIZON IPAG MARIVELES BATAAN 39.56 550.00 458.27 1,047.83 September 13, 2018 2018-11-5328 FREDDIE OMABTANG TENEJERO BALANGA CITY BATAAN 260.09 2,700.00 1,231.86 4,191.95 September 14, 2018 2018-11-5329 PRISCILA BELMES BALON ANITO MARIVELES BATAAN 4,561.99 0.00 0.00 4,561.99 September 14, 2018 2018-11-5330 ASHLEY NICOLE BANTAY CUPANG PROPER BALANGA CITY BATAAN 0.00 600.00 2,903.94 3,503.94 September 14, 2018 2018-11-5331 JIYAH YSABEL DUMOL PARAISO ORANI BATAAN 2,208.69 0.00 346.03 2,554.72 September 14, 2018 2018-11-3261-A ROSEMARIE BUENO WAWA ABUCAY BATAAN 46.00 150.00 1,003.67 1,199.67 September 14, 2018 2018-11-5332 ALFREDO BITUIN SAN JOSE BALANGA CITY BATAAN 8,665.01 0.00 0.00 8,665.01 September 14, 2018 2018-11-5333 JUVIT SITOC DEL ROSARIO PILAR BATAAN 0.00 320.00 2,501.28 2,821.28 September 14, 2018 2018-11-5334 RHEA MORALES IPAG MARIVELES BATAAN 0.00 1,020.00 3,527.34 4,547.34 September 09, 2018 2018-11-5335 AERA JOY FERNANDEZ BALON ANITO MARIVELES BATAAN 0.00 7,350.00 1,545.07 8,895.07 September 15, 2018 2018-11-5336 JOEL SUGBO ALAS-ASIN MARIVELES BATAAN 75.68 670.00 255.11 1,000.79 September 15, 2018 2018-11-5337 BERNADETH TORALBA PULO HERMOSA BATAAN 1,548.24 1,708.30 546.30 3,802.84 AMOUNT OF MEDICAL SERVICES

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

September 15, 2018 2018-11-5338 LARACEL LAURIO CATANING BALANGA CITY BATAAN 0.00 700.00 468.62 1,168.62 September 15, 2018 2018-11-5339 JOSEPAT PEDROCHIE CUPANG PROPER BALANGA CITY BATAAN 0.00 0.00 2,258.02 2,258.02 September 15, 2018 2018-11-5340 ALMALINDA ARRANCHADO CAPUNITAN ORION BATAAN 8,538.79 2,510.00 1,013.92 12,062.71 September 15, 2018 2018-11-5341 KING REYNALD BUENSUCESO BILOLO ORION BATAAN 1,545.09 200.00 1,622.65 3,367.74 September 16, 2018 2018-11-5342 ROSEMARIE VENTURA TABING ILOG POBLACION BAGAC BATAAN 0.00 2,841.02 0.00 2,841.02 September 16, 2018 2018-11-5343 JAIME LAGAMAYO UPPER DULAE LIMAY BATAAN 3,449.37 720.00 817.86 4,987.23 September 16, 2018 2018-11-5344 HONEY LAMBOJON TOWNSITE LIMAY BATAAN 6,740.25 6,710.00 3,151.82 16,602.07 September 17, 2018 2018-11-1722-D ALICIA MAGLANQUE CAMACHILE ORION BATAAN 3,996.20 0.00 261.44 4,257.64 September 17, 2018 2018-11-5345 MARIA LEE LIPATA PANILAO PILAR BATAAN 1,924.67 820.00 265.76 3,010.43 September 17, 2018 2018-11-438-C LILIAN DELA ROSA MABATANG ABUCAY BATAAN 4,786.38 0.00 77.72 4,864.10 September 17, 2018 2018-11-5346 ALFONSO OCENADA STA. ROSA PILAR BATAAN 4,152.34 824.72 0.00 4,977.06 September 19, 2018 2018-11-5347 BERNARDO BALTAZAR LAMAO LIMAY BATAAN 1,907.25 0.00 0.00 1,907.25 September 19, 2018 2018-11-5348 KYLE IVAN AMBROCIO PRADO SABA LUBAO 0.00 300.00 1,216.87 1,516.87 September 23, 2018 2018-11-5349 ABELARDO DE LEON MABATANG ABUCAY BATAAN 0.00 2,538.51 0.00 2,538.51 September 23, 2018 2018-11-4719-A ALBERT PEREZ GUGO SAMAL BATAAN 1,932.48 1,190.00 486.78 3,609.26 September 23, 2018 2018-11-5350 DOMINADOR ALMOGELA JR. CATANING BALANGA CITY BATAAN 348.70 250.00 5,662.34 6,261.04 September 23, 2018 2018-11-5351 LAURIANO VERGARA PARANG-PARANG ORANI BATAAN 3,566.62 0.00 0.00 3,566.62 September 23, 2018 2018-11-5352 ROMEO CRUZ PTO. RIVAS BALANGA CITY 3,749.14 0.00 0.00 3,749.14 September 23, 2018 2018-11-5353 EDNA ESTREMOS LUCANIN MARIVELES BATAAN 0.00 3,750.00 665.69 4,415.69 September 23, 2018 2018-11-5354 ARUAN SUYA BALON ANITO MARIVELES BATAAN 2,527.39 0.00 0.00 2,527.39 September 23, 2018 2018-11-5355 ELA JANE BARLIZO BALON ANITO MARIVELES BATAAN 13,834.23 6,395.00 1,929.27 22,158.50 September 23, 2018 2018-11-5356 FROILAN SADICON PANILAO PILAR BATAAN 0.00 1,370.00 3,236.74 4,606.74 September 23, 2018 2018-11-5357 HIPOLITO AQUINO BACONG HERMOSA BATAAN 1,591.93 320.00 829.90 2,741.83 September 23, 2018 2018-11-2717-A IMELDA LABRADOR CAMACHILE ORION BATAAN 6,037.08 12,830.00 912.56 19,779.64 September 23, 2018 2018-11-5358 CONRADO OCAMPO PAG-ASA ORANI BATAAN 321.09 320.00 2,058.46 2,699.55 September 11, 2018 2018-11-5359 LAILANIE JOY BENIGNO PINULOT, DINALUPIHAN, BATAAN 3,080.85 800.00 1,186.11 5,066.96 September 11, 2018 2018-11-5360 SHERYLL RONQUILLO STO. NIÑO DINALUPIHAN BATAAN 1,200.17 5,250.00 8,769.61 15,219.78 September 11, 2018 2018-11-5361 NORMA MUTYA BALSIK HERMOSA BATAAN 4,381.64 3,939.77 14,817.32 23,138.73 September 11, 2018 2018-11-5362 NOEL DESINGANIO PALIHAN HERMOSA BATAAN 39,305.97 9,780.00 21,468.17 70,554.14 September 11, 2018 2018-11-5363 TERESITA DIMLA CALAGUIMAN SAMAL BATAAN 0.00 700.00 978.43 1,678.43 September 11, 2018 2018-11-5364 AIRA SIOCO PANILAO PILAR BATAAN 300.80 0.00 5,336.18 5,636.98 SEPTEMBRE 12, 2018 2018-11-5365 TAN FELIX DOROGNAN CROSSING MORONG BATAAN 2,208.69 351.46 0.00 2,560.15 SEPTEMBRE 12, 2018 2018-11-5366 EDUARDO NAGUIAT DAAN BAGO DINALUPIHAN BATAAN 12,700.31 8,904.12 0.00 21,604.43 SEPTEMBRE 12, 2018 2018-11-5367 LIBRADA BILLONES CAMACHILE ORION BATAAN 4,889.25 2,924.58 0.00 7,813.83 SEPTEMBRE 12, 2018 2018-11-5368 NARVIN SESE WAWA PILAR BATAAN 0.00 2,530.36 0.00 2,530.36 SEPTEMBRE 12, 2018 2018-11-5369 FLORDELIZA MANUEL ALAS-ASIN MARIVELES BATAAN 7,871.35 19,714.00 2,123.83 29,709.18 SEPTEMBRE 12, 2018 2018-11-5370 ANTERO REYES CABCABEN MARIVELES BATAAN 1,717.21 8,480.00 515.95 10,713.16 SEPTEMBRE 12, 2018 2018-11-5371 ERNIE DE OCAMPO ALAS-ASIN MARIVELES BATAAN 13.04 2,074.64 707.13 2,794.81 SEPTEMBRE 12, 2018 2018-11-5372 LEONILA CARATIKET POBLACION MARIVELES BATAAN 4,220.38 0.00 230.04 4,450.42 SEPTEMBRE 12, 2018 2018-11-5373 JANEBETH DELARMENTE PARAISO ORANI BATAAN 1,655.11 0.00 0.00 1,655.11 SEPTEMBRE 12, 2018 2018-11-5374 JUANITA GARROTE CENTRAL BALANGA CITY BATAAN 4,696.21 0.00 0.00 4,696.21 SEPTEMBRE 12, 2018 2018-11-5375 NOEMI SAMANIEGO SABA HERMOSA BATAAN 2,217.82 0.00 0.00 2,217.82 SEPTEMBRE 12, 2018 2018-11-5376 FILOMINO PALMES JR SABATAN ORION BATAAN 3,600.00 422.54 0.00 4,022.54 SEPTEMBRE 12, 2018 2018-11-5377 ANNABELLE CASTINO TALISAY BALANGA CITY BATAAN 0.00 304.30 717.99 1,022.29 SEPTEMBRE 12, 2018 2018-11-5378 CRESENCIA JORDAN SISIMAN MARIVELES BATAAN 734.40 0.00 0.00 734.40 SEPTEMBRE 12, 2018 2018-11-5379 MAMERTO CASUPANAN PALIHAN HERMOSA BATAAN 30,509.25 36,609.43 3,269.93 70,388.61 SEPTEMBRE 12, 2018 2018-11-5380 RECHEL CANLAS SALIAN ABUCAY BATAAN 0.00 828.20 487.79 1,315.99 SEPTEMBRE 13, 2018 2018-11-5381 ROBERTO DIONISIO TORTUGAS BALANGA CITY 23,005.76 8,422.86 12,520.35 43,948.97 SEPTEMBRE 13, 2018 2018-11-5382 DOMINADOR VILLANUEVA MABATANG ABUCAY BATAAN 21,723.86 41,015.81 0.00 62,739.67 September 22, 2018 2018-11-5383 ANGELINA AREVALO BINARITAN MORONG BATAAN 46.00 2,841.43 240.98 3,128.41 September 22, 2018 2018-11-5384 FANNIE ESPIRITU TABING ILOG SAMAL BATAAN 0.00 4,218.33 0.00 4,218.33 September 22, 2018 2018-11-5385 MARICEN PEREZ LAMAO LIMAY BATAAN 0.00 4,650.48 0.00 4,650.48 September 22, 2018 2018-11-5386 LYDIA LAYUG CADRE CAMACHO BALANGA CITY BATAAN 2,048.48 789.02 0.00 2,837.50 September 22, 2018 2018-11-5387 NARCISA LOPEZ PTO. RIVAS BALANGA CITY 1,089.49 4,232.21 0.00 5,321.70 September 22, 2018 2018-11-5388 AIVEL SHER ARTIZUELA SISIMAN MARIVELES BATAAN 0.00 1,238.60 0.00 1,238.60 September 27, 2018 2018-11-5389 ANDREA BEBIT BO. LUZ, LIMAY BATAAN 5,125.90 3,360.00 933.64 9,419.54 September 27, 2018 2018-11-5390 MA. DOLORES MOBIDO BAGONG SILANG BALANGA CITY BATAAN 745.50 2,140.00 525.30 3,410.80 September 27, 2018 2018-11-5391 SARAH JANE CARLOS WAKAS ORION BATAAN 0.00 1,303.26 452.36 1,755.62 September 28, 2018 2018-11-5392 BAYANI CABRITIT CALUNGUSAN ORION BATAAN 1,956.69 437.81 0.00 2,394.50 September 28, 2018 2018-11-5393 CORAZON NAVARRO GABON ABUCAY BATAAN 6,908.39 0.00 156.37 7,064.76 September 28, 2018 2018-11-5394 FRANCISCO MALONZO CAMACHO BALANGA BATAAN 0.00 1,217.98 0.00 1,217.98 September 28, 2018 2018-11-5395 ELNORA SAN JUAN MUNTING BATANGAS BALANGA CITY 13,918.24 19,060.00 13,050.89 46,029.13 September 29, 2018 2018-11-5396 DION GARBEN SAN ANTONIO BAGAC BATAAN 0.00 0.00 3,581.28 3,581.28 September 29, 2018 2018-11-5397 EUNICE SERRANO NEW SAN JOSE DINALUPIHAN BATAAN 1,168.04 0.00 1,168.04 September 29, 2018 2018-11-5398 CHRISTINE DEL PILAR LUCANIN MARIVELES BATAAN 9,103.79 630.00 6,623.66 16,357.45 AMOUNT OF MEDICAL SERVICES

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

September 29, 2018 2018-11-5399 CHARINA GONZALES BILOLO ORION BATAAN 361.04 2,800.00 799.89 3,960.93 September 29, 2018 2018-11-5400 TERESITA FIGUEROA ALA ULI PILAR BATAAN 0.00 1,800.00 3,056.30 4,856.30 September 29, 2018 2018-11-5401 ALFREDO FERNANDEZ ROOSEVELT DINALUPIHAN BATAAN 3,919.00 887.34 4,806.34 September 29, 2018 2018-11-5402 MICHAEL GUILLES LAMAO LIMAY BATAAN 398.67 1,037.66 0.00 1,436.33 September 29, 2018 2018-11-5403 RAYMOND COLIMA CAPITANGAN ABUCAY BATAAN 662.46 2,700.00 1,252.54 4,615.00 September 11, 2018 2018-11-5404 SALVADOR SULIT PTO. RIVAS BALANGA CITY 0.00 1,892.26 0.00 1,892.26 September 10, 2018 2018-11-5405 DOMINADOR YWAYAN SISIMAN MARIVELES BATAAN 6,602.23 0.00 0.00 6,602.23 September 11, 2018 2018-11-5406 JOYCE JIMENEZ IMELDA SAMAL BATAAN 0.00 2,782.11 0.00 2,782.11 TOTAL 4,321,924.62 BALANCE 2,885,266.35 Patients Served Under Medical Assistance for Indigent Patient as of October 2018 AMOUNT OF MEDICAL SERVICES

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

9,590,659.93 SAA No. 2018-10-0023 1,000,000.00 10,590,659.93

September 29, 2018 2018-09-845-I EDUARDO MARTIN CAMACHO BALANGA CITY BATAAN 0.00 (1885.00) (385.00) (2270.00) August 22, 2018 2018-08-1412-A RAYMARC MOSNE POBLACION MORONG BATAAN 0.00 0.00 (2501.90) (2501.90) January 04, 2018 2018-09-3092 ARSENIO BUNDALIAN IBABA BAGAC BATAAN (8185.74) 0.00 0.00 (8185.74)

September 25, 2018 2018-10-3890 PLEASURE AROBAN DEL ROSARIO PILAR BATAAN 0.00 670.00 0.00 670.00

September 25, 2018 2018-10-2425-D RENATO GUEVARRA CULIS HERMOSA BATAAN 463.23 0.00 0.00 463.23

September 25, 2018 2018-10-3891 RODOLFO ATIENZA LIYANG PILAR BATAAN 0.00 563.20 0.00 563.20

September 25, 2018 2018-10-2825-F RAFAEL BEATO MABATANG ABUCAY BATAAN 463.23 0.00 0.00 463.23

September 25, 2018 2018-10-3892 ROGELIO BARUELA BAGONG SILANG BALANGA CITY 0.00 1,950.00 0.00 1,950.00

September 25, 2018 2018-10-3893 NENET CARZON JC PAYUMO DINALUPIHAN BATAAN 0.00 1,500.00 0.00 1,500.00

September 25, 2018 2018-10-3894 MYLA MERCADO STA. ROSA PILAR BATAAN 0.00 1,470.00 0.00 1,470.00

September 25, 2018 2018-10-3895 JONARD DEL ROSARIO CABOG-CABOG BALANGA CITY BATAAN 476.86 0.00 0.00 476.86

September 25, 2018 2018-10-2214-K MARTY CUBACUB PARANG PARANG ORANI BATAAN 463.23 0.00 0.00 463.23

September 25, 2018 2018-10-2228-E BERNARDO CRUZ SR. CABCABEN MARIVELES BATAAN 0.00 1,480.40 0.00 1,480.40

September 25, 2018 2018-10-906-A NERISSA SY CENTRAL BALANGA CITY 467.12 0.00 0.00 467.12

September 25, 2018 2018-10-3896 ELIZABETH SANTOS LALAWIGAN SAMAL BATAAN 0.00 1,548.80 0.00 1,548.80

September 25, 2018 2018-10-3359 EDUARDO CUSTODIO DAANG BAGO ORION BATAAN 0.00 650.00 0.00 650.00

September 25, 2018 2018-10-3897 MA. DIANA SAMBAS ALA-ULI PILAR BATAAN 436.11 5,650.00 913.89 7,000.00

September 25, 2018 2018-10-3898 MA. LOVELLA MARAMOT CUPANG WEST BALANGA CITY 0.00 3,000.00 0.00 3,000.00

September 25, 2018 2018-10-3899 LOLITA SENTILLAS BASECO MARIVELES BATAAN 0.00 700.00 0.00 700.00

September 25, 2018 2018-10-3900 MARITA DE CHAVEZ PANTALAN LUMA ORANI BATAAN 0.00 1,000.00 0.00 1,000.00

September 27, 2018 2018-10-3901 NATHANYEL OLIVA PAG-ASA BAGAC BATAAN 15,266.08 9,530.00 5,203.92 30,000.00

September 27, 2018 2018-10-3902 IMELDA DEL ROSARIO WAWA PAG-ASA ORION BATAAN 8,320.00 3,178.24 0.00 11,498.24

September 27, 2018 2018-10-2699-A THELMA IGNACIO MULAWIN ORANI BATAAN 5,000.00 0.00 0.00 5,000.00

September 27, 2018 2018-10-1549-J VIOLETA SOMO LAMAO LIMAY BATAAN 0.00 2,644.70 0.00 2,644.70

September 27, 2018 2018-10-2273-B RUBENELL TALIGATOS DAMULOG DAAN PARE ORION BATAAN 0.00 1,130.00 0.00 1,130.00

September 27, 2018 2018-10-1593-H JOY FRANCISCO TOWNSITE LIMAY BATAAN 231.62 0.00 0.00 231.62

September 27, 2018 2018-10-3903 YOLANDA DIZON PANTALAN BAGO ORANI BATAAN 0.00 1,680.00 0.00 1,680.00

September 27, 2018 2018-10-3904 MHECAELA GABRIEL BILOLO ORION BATAAN 434.06 0.00 0.00 434.06

September 27, 2018 2018-10-3905 DIANNE ENRIQUEZ POBLACION MARIVELES BATAAN 0.00 400.00 0.00 400.00

September 27, 2018 2018-10-3906 MARY ANNE MUNGCAL CALAYLAYAN ABUCAY BATAAN 0.00 700.00 0.00 700.00

September 27, 2018 2018-10-391-J ROLY CORDERO STA. ISABEL DINALUPIHAN BATAAN 0.00 1,494.94 0.00 1,494.94

September 27, 2018 2018-10-3907 SHIELLA MAE DELA CRUZ CAMAYA MARIVELES BATAAN 25,774.24 12,402.57 0.00 38,176.81

September 27, 2018 2018-10-2825-G RAFAEL BEATO MABATANG ABUCAY BATAAN 0.00 668.80 0.00 668.80

September 27, 2018 2018-10-3908 ABEGAIL NUGUID LAMAO LIMAY BATAAN 0.00 220.00 0.00 220.00

September 27, 2018 2018-10-3909 LEONORA GUEVARRA CATANING BALANGA CITY 0.00 1,936.00 0.00 1,936.00

September 27, 2018 2018-10-3910 SOCORRO IBARROLA DOÑA FRANCISCA BALANGA CITY 0.00 1,970.00 0.00 1,970.00

September 27, 2018 2018-10-3911 SUKHDEEP SINGH KHOSA CAMACHO BALANGA CITY BATAAN 0.00 670.00 0.00 670.00

September 27, 2018 2018-10-3912 MARITES SALAZAR TORTUGAS BALANGA CITY 0.00 600.00 0.00 600.00

September 27, 2018 2018-10-2108-E JAVIER ADRANEDA STA. LUCIA SAMAL BATAAN 231.62 0.00 0.00 231.62

September 27, 2018 2018-10-3913 ZHANDRA NICOLE BURGOS ST. FRANCIS II LIMAY BATAAN 0.00 700.00 0.00 700.00

September 27, 2018 2018-10-3914 JONALD SORIANO GK SALIAN ABUCAY BATAAN 0.00 1,360.00 0.00 1,360.00

September 27, 2018 2018-10-3915 JULITA GUEVARRA PULO ORANI BATAAN 0.00 1,112.32 0.00 1,112.32

September 27, 2018 2018-10-3916 ANITA GUILLERMO LIMAY BATAAN 0.00 2,442.88 0.00 2,442.88

September 27, 2018 2018-10-3917 ROSALIE REYNOSO CULIS HERMOSA BATAAN 0.00 700.00 0.00 700.00

September 27, 2018 2018-10-3918 ALICIA DIMAFILES POBLACION MARIVELES BATAAN 0.00 1,240.00 0.00 1,240.00

September 27, 2018 2018-10-029-R CESAR MARTINEZ TUYO BALANGA CITY 0.00 1,575.43 0.00 1,575.43

September 27, 2018 2018-10-1165-AE ADONES LINTAG DAAN BILOLO ORION BATAAN 0.00 2,494.70 0.00 2,494.70

September 27, 2018 2018-10-3919 MARIANNE LABONITE SAN LORENZO RUIZ CABCABEN MARIVELES BATAAN 0.00 1,050.00 0.00 1,050.00

September 27, 2018 2018-10-3920 JIMMY BOY DE LEON PTO. RIVAS IBABA BALANGA CITY 0.00 1,480.00 0.00 1,480.00

September 27, 2018 2018-10-2748-E ROMEO DUBLIN CABCABEN MARIVELES BATAAN 0.00 1,500.00 0.00 1,500.00

September 27, 2018 2018-10-1165-AF ADONES LINTAG DAAN BILOLO ORION BATAAN 463.23 0.00 0.00 463.23

September 28, 2018 2018-10-3921 CRISPINA MANZAN LOTE PTO. RIVAS BALANGA CITY 0.00 1,443.20 0.00 1,443.20

September 28, 2018 2018-10-3922 GUIAN KARL CASTAÑEDA BANTAN ORION BATAAN 0.00 1,600.00 0.00 1,600.00

September 28, 2018 2018-10-3923 LETICIA BIGTAS CATANING BALANGA CITY 0.00 870.00 0.00 870.00 AMOUNT OF MEDICAL SERVICES

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

September 28, 2018 2018-10-3924 JULIANA DELA CRUZ CUPANG NORTH BALANGA CITY 0.00 820.00 0.00 820.00

September 28, 2018 2018-10-3925 ELIZABETH PEREZ TALISAY BALANGA CITY 0.00 1,500.00 0.00 1,500.00

September 28, 2018 2018-10-3926 JEROME MARZAN BASECO MARIVELES BATAAN 0.00 1,100.00 0.00 1,100.00

September 28, 2018 2018-10-3510-D GEMMA LEOBRERA PTO. RIVAS IBABA BALANGA CITY 0.00 1,100.00 0.00 1,100.00

September 28, 2018 2018-10-1909-J JULIET PIZARRO PTO. RIVAS IBABA BALANGA CITY 0.00 1,480.40 0.00 1,480.40

September 20, 2018 2018-10-3927 NOEL DE OCAMPO LUCANIN MARIVELES BATAAN 4,137.34 6,880.00 4,573.40 15,590.74

September 20, 2018 2018-10-3928 PRECY DELA ROSA LIYANG PILAR BATAAN 679.03 750.00 566.77 1,995.80

September 20, 2018 2018-10-3929 JUN SANTOS SAN ISIDRO MARIVELES BATAAN 0.00 7,456.98 0.00 7,456.98

September 20, 2018 2018-10-2108-F JAVIER ADRANEDA STA. LUCIA SAMAL BATAAN 231.62 0.00 0.00 231.62

September 20, 2018 2018-10-3587-A ERLINDA VALENTOS WAWA ABUCAY BATAAN 178.30 0.00 0.00 178.30

September 20, 2018 2018-10-2146-E RAVENACE BALUYOT PALIHAN ORANI BATAAN 0.00 1,498.70 0.00 1,498.70

September 20, 2018 2018-10-3930 CEFERINO GARCIA PALILI SAMAL BATAAN 0.00 498.08 0.00 498.08

September 20, 2018 2018-10-3931 JESUSA ROQUE WAKAS NORTH PILAR BATAAN 474.54 0.00 0.00 474.54

September 20, 2018 2018-10-3932 MIGGY JAY ALBISO WAKAS NORTH PILAR BATAAN 474.54 0.00 0.00 474.54

September 20, 2018 2018-10-2593-B CARMEN RIVERA TAPULAO ORANI BATAAN 2,549.60 0.00 0.00 2,549.60

September 20, 2018 2018-10-3933 ALFREDO NOTARTE STA. ELENA ORION BATAAN 0.00 700.00 360.71 1,060.71

September 20, 2018 2018-10-2036-N ROMEL MENDOZA CATANING BALANGA CITY 0.00 1,553.62 0.00 1,553.62

September 20, 2018 2018-10-3934 LOURDES PAJOTA BAGUMBAYAN BAGAC BATAAN 130.86 1,300.00 0.00 1,430.86

September 20, 2018 2018-10-3935 CINDY TORRES BAGUMBAYAN BALANGA CITY 0.00 1,900.00 0.00 1,900.00

September 20, 2018 2018-10-3936 MILAGROS MARTIN BAGONG SILANG BALANGA CITY 0.00 1,619.20 0.00 1,619.20

September 20, 2018 2018-10-3937 ALMA BERNAL BALSIK HERMOSA BATAAN 37,665.62 42,334.38 0.00 80,000.00

September 20, 2018 2018-10-3938 APPLE QUITORIANO CENTRAL BALANGA CITY 4,982.66 1,596.34 0.00 6,579.00

September 20, 2018 2018-10-1312-G RUFINO BANATAO IPAG MARIVELES BATAAN 0.00 3,040.71 0.00 3,040.71

September 20, 2018 2018-10-3566-A ALLEN YHUAN MENDOZA CAMACHO BALANGA CITY BATAAN 474.50 0.00 0.00 474.50

September 21, 2018 2018-10-3939 GIRL BALBUENA PANILAO PILAR BATAAN 0.00 600.00 0.00 600.00

September 21, 2018 2018-10-3940 ANALYN MAGWAD SALIAN ABUCAY BATAAN 0.00 1,350.00 0.00 1,350.00

September 21, 2018 2018-10-3941 MARIA CECILIA LUCERO SITIO BANI CATANING BALANGA CITY 0.00 700.00 0.00 700.00

September 21, 2018 2018-10-3942 MATHEW ANDREI LUCERO STA. LUCIA SAMAL BATAAN 949.00 0.00 0.00 949.00

September 21, 2018 2018-10-3943 SHEILA DINIO BASECO COUNTRY MARIVELES BATAAN 0.00 2,000.00 0.00 2,000.00

September 21, 2018 2018-10-3944 RODOLFO LAAG CABCABEN MARIVELES BATAAN 0.00 591.36 0.00 591.36

September 21, 2018 2018-10-3945 MONA SANTOS MAMBOG HERMOSA BATAAN 0.00 2,760.00 0.00 2,760.00

September 21, 2018 2018-10-3946 LORETO SANTOS MAMBOG HERMOSA BATAAN 0.00 3,210.00 0.00 3,210.00

September 21, 2018 2018-10-3947 AMPARO TRAJANO LANDING PILAR BATAAN 0.00 591.36 0.00 591.36

September 21, 2018 2018-10-3948 ANICETA MAGTANONG SAN ROQUE SAMAL BATAAN 0.00 700.00 0.00 700.00

September 21, 2018 2018-10-3949 ANGEL CUELA IMELDA SAMAL BATAAN 0.00 700.00 0.00 700.00

September 21, 2018 2018-10-882-L ROGELIO MENDOZA A. RIVERA HERMOSA BATAAN 0.00 1,480.40 0.00 1,480.40

September 21, 2018 2018-10-3950 ELAIZA RELLORTA PALIPARAN MARIVELES BATAAN 0.00 350.00 0.00 350.00

September 21, 2018 2018-10-182-G MATEO CORPUZ SR. SABATAN ORION BATAAN 457.60 0.00 0.00 457.60

September 21, 2018 2018-10-3951 ELVIRA SALANDANAN CALAYLAYAN ABUCAY BATAAN 3,311.26 7,385.48 0.00 10,696.74

September 21, 2018 2018-10-2479-A JOMARIE GUANZON WAWA LATE ABUCAY BATAAN 0.00 700.00 0.00 700.00

September 21, 2018 2018-10-2228-F BERNARDO CRUZ SR. CABCABEN MARIVELES BATAAN 0.00 1,480.40 0.00 1,480.40

September 21, 2018 2018-10-3952 LORENZA JORDAN LUCANIN MARIVELES BATAAN 0.00 1,724.80 0.00 1,724.80

September 21, 2018 2018-10-3953 RAMEL DELA CRUZ MABATANG ABUCAY BATAAN 646.93 700.00 0.00 1,346.93

September 21, 2018 2018-10-3954 NILO TROYO LAMAO LIMAY BATAAN 0.00 2,300.00 0.00 2,300.00

September 21, 2018 2018-10-3955 YOLANDA RIZOA BALON ANITO MARIVELES BATAAN 0.00 850.00 0.00 850.00

September 21, 2018 2018-10-3956 JOSELITO PASTELERO BINARITAN MORONG BATAAN 0.00 823.68 0.00 823.68

September 21, 2018 2018-10-3957 MELQUIADES AVILA ST. FRANCIS I LIMAY BATAAN 0.00 774.40 0.00 774.40

September 21, 2018 2018-10-2544-A JOCELYN CORRIEL ST. FRANCIS II LIMAY BATAAN 231.62 0.00 0.00 231.62

September 21, 2018 2018-10-2214-L MARTY CUBACUB PARANG PARANG ORANI BATAAN 231.62 0.00 0.00 231.62

September 21, 2018 2018-10-3958 MARK ANGELO ZACARIAS BALUT I PILAR BATAAN 0.00 500.00 0.00 500.00

September 21, 2018 2018-10-3899-A LOLITA SENTILLAS BASECO COUNTRY MARIVELES BATAAN 0.00 810.00 0.00 810.00

September 21, 2018 2018-10-2452-A ESTER CORILLA MALIGAYA DINALUPIHAN BATAAN 0.00 0.00 8,693.23 8,693.23

September 22, 2018 2018-10-3959 JAMEEL BRAIDEN MEDRIANO OMBOY ABUCAY BATAAN 0.00 1,000.00 0.00 1,000.00

September 22, 2018 2018-10-3960 ROSIE CONCEPCION REFORMISTA LIMAY BATAAN 0.00 2,120.00 0.00 2,120.00

September 22, 2018 2018-10-3961 MARCELA FERNANDO BO. LUZ LIMAY BATAAN 1,776.00 4,224.00 0.00 6,000.00

September 22, 2018 2018-10-3962 ALBERTO RAFAEL 0613 SAN JOSE BALANGA CITY 0.00 600.00 0.00 600.00

September 22, 2018 2018-10-3547-B ROMY NICDAO TALIMUNDOC ORANI BATAAN 463.23 0.00 0.00 463.23

September 22, 2018 2018-10-2036-O ROMEL MENDOZA CATANING BALANGA CITY 0.00 1,480.40 0.00 1,480.40

September 22, 2018 2018-10-075-Q MERCIDITA MORALES LIBANAN MT. VIEW MARIVELES BATAAN 0.00 1,511.57 0.00 1,511.57

September 22, 2018 2018-10-3963 HIPOLITO CAGUMBAY SR. GUGO SAMAL BATAAN 176.20 600.00 0.00 776.20

September 22, 2018 2018-10-3964 ZIDJIAN JAMIR BALMACEDA BILOLO ORION BATAAN 0.00 1,000.00 0.00 1,000.00

September 22, 2018 2018-10-1165-AG ADONES LINTAG DAAN BILOLO ORION BATAAN 0.00 1,511.57 0.00 1,511.57

September 22, 2018 2018-10-3965 MERLITA BERJA 41 BILOLO ORION BATAAN 0.00 920.00 0.00 920.00

September 22, 2018 2018-10-030-K DIONILO GUTIERREZ ST. FRANCIS II LIMAY BATAAN 0.00 1,511.57 0.00 1,511.57

September 22, 2018 2018-10-391-K ROLY CORDERO STA. ISABEL DINALUPIHAN BATAAN 0.00 1,511.57 0.00 1,511.57 AMOUNT OF MEDICAL SERVICES

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

September 22, 2018 2018-10-3966 DOMINGO BIDIE GUGO SAMAL BATAAN 386.66 1,400.00 0.00 1,786.66

September 22, 2018 2018-10-3967 MARICEL GEBE 295 BONIFACIO ST. SAN ISIDRO MARIVELES BATAAN 0.00 300.00 429.15 729.15

September 22, 2018 2018-10-3968 MICHELLE MIRANDA BALUT II PILAR BATAAN 0.00 550.00 0.00 550.00

September 22, 2018 2018-10-3969 GIO BENJAMIN PARANG BAGAC BATAAN 0.00 600.00 0.00 600.00

September 22, 2018 2018-10-3469-A MARTINA BASALO GABON ABUCAY BATAAN 0.00 1,230.00 0.00 1,230.00

September 22, 2018 2018-10-3970 VIRGILIO PABLO DIWA PILAR BATAAN 0.00 1,650.00 16.25 1,666.25

September 22, 2018 2018-10-3971 EUGENIO TERRENAL 147 MENDOZA ST. NAPARING DINALUPIHAN BATAAN 0.00 2,200.00 4,700.81 6,900.81

September 22, 2018 2018-10-3972 JONA DADALE LAMAO LIMAY BATAAN 273.00 800.00 0.00 1,073.00

September 22, 2018 2018-10-029-S CESAR MARTINEZ TUYO BALANGA CITY 0.00 2,926.90 0.00 2,926.90

September 22, 2018 2018-10-3973 DAISY MAE SUMAGUE LANDING LIMAY BATAAN 219.37 1,150.00 0.00 1,369.37

September 22, 2018 2018-10-845-J EDUARDO MARTIN CAMACHO BALANGA CITY BATAAN 682.15 0.00 0.00 682.15

September 22, 2018 2018-10-3974 RONIE DAVID CUPANG PROPER BALANGA CITY 12.55 1,250.00 0.00 1,262.55

September 22, 2018 2018-10-3975 JULIETA MOTANAS LIYANG PILAR BATAAN 267.80 750.00 0.00 1,017.80

September 22, 2018 2018-10-3494-A GERALD ISIDRO BAGUMBAYAN PILAR BATAAN 31.34 700.00 0.00 731.34

September 22, 2018 2018-10-3976 APRIL BOY NOOL STO. DOMINGO ORION BATAAN 0.00 1,670.00 2,330.00 4,000.00

September 22, 2018 2018-10-3977 JULIET GULDE PALAO BASECO COUNTRY MARIVELES BATAAN 3,846.93 320.00 611.52 4,778.45

September 22, 2018 2018-10-3978 GABRIEN RODRIGO CAPITANGAN ABUCAY BATAAN 0.00 1,000.00 0.00 1,000.00

September 22, 2018 2018-10-3979 REMYLYN DE JESUS TUYO BALANGA CITY 0.00 600.00 1,221.85 1,821.85

September 22, 2018 2018-10-3980 ADORACION VALENCIA MUNTING BATANGAS BALANGA CITY 0.00 999.68 0.00 999.68

September 23, 2018 2018-10-3981 LUISA CERVANTES CABCABEN MARIVELES BATAAN 0.00 1,100.00 0.00 1,100.00

September 23, 2018 2018-10-3982 ALEX MALLARI VILLA LINA TENEJERO BALANGA CITY 436.63 90.05 0.00 526.68

September 23, 2018 2018-10-3983 JAIME JIMENEZ BALSIK HERMOSA BATAAN 0.00 520.00 0.00 520.00

September 23, 2018 2018-10-3984 AL JOHN MARTIN LUMANG DAAN CAPITANGAN ABUCAY BATAAN 0.00 1,190.00 0.00 1,190.00

September 23, 2018 2018-10-3985 MA. TERESA RICO BATUNGBAKAL ST. TENEJERO BALANGA CITY 0.00 700.00 112.82 812.82

September 23, 2018 2018-10-3986 KEYSHIA YCARO BAGUMBAYAN PILAR BATAAN 0.00 600.00 0.00 600.00

September 26, 2018 2018-10-3987 ROGELIO MERCADO ALAS-ASIN MARIVELES BATAAN 245.73 0.00 0.00 245.73

September 26, 2018 2018-10-3988 MARY ANN BRILLANTE MUNTING BATANGAS BALANGA CITY 245.12 850.00 0.00 1,095.12

September 26, 2018 2018-10-3989 JELITO GABRIEL ST. FRANCIS II LIMAY BATAAN 0.00 700.00 0.00 700.00

September 26, 2018 2018-10-3990 JOSEPHINE FERNANDEZ PUTING BUHANGIN ORION BATAAN 440.36 0.00 0.00 440.36

September 26, 2018 2018-10-3991 ALVIE CASIL SAN CARLOS MARIVELES BATAAN 0.00 1,770.00 0.00 1,770.00

September 26, 2018 2018-10-1257-G EDUARDO RODRIGUEZ CUPANG PROPER BALANGA CTIY 463.23 0.00 0.00 463.23

September 26, 2018 2018-10-1755-I EDITHA CRUZ PTO. RIVAS BALANGA CITY BATAAN 694.85 0.00 0.00 694.85

September 26, 2018 2018-10-3366-A MARILYN GERON CAMAYA MARIVELES BATAAN 0.00 0.00 2,400.00 2,400.00

September 26, 2018 2018-10-3591-A SUSANA TAGACA MT. VIEW MARIVELES BATAAN 3,652.05 0.00 0.00 3,652.05

September 26, 2018 2018-10-1956-E EDUARDO SAMONTE JR. SISIMAN MARIVELES BATAAN 470.11 4,939.06 0.00 5,409.17

September 26, 2018 2018-10-3992 SHAYNE PEÑA GEN. LIM ORION BATAAN 0.00 540.00 0.00 540.00

September 26, 2018 2018-10-2776-B DANIEL ENRIQUEZ LANDING PILAR BATAAN 463.23 0.00 0.00 463.23

September 26, 2018 2018-10-030-L DIONILO GUTIERREZ ST. FRANCIS II LIMAY BATAAN 0.00 1,494.94 0.00 1,494.94

September 26, 2018 2018-10-3833-A RHEA MHEY ANCHO SAN ANTONIO ZAMBALES 0.00 0.00 2,000.00 2,000.00

September 26, 2018 2018-10-3993 PRECIOUS ISSA MALABANAN SAN ANTONIO BAGAC BATAAN 0.00 1,870.00 0.00 1,870.00

September 26, 2018 2018-10-3994 WILFREDO MATIAS SAN JOSE BALANGA CITY 0.00 2,252.80 0.00 2,252.80

September 27, 2018 2018-10-3528-B ROLANDO ESPIRITU PANTALAN LUMA ORANI BATAAN 463.23 0.00 0.00 463.23

September 27, 2018 2018-10-2506-A RACHELLE ESTILO CAMACHO BALANGA CITY BATAAN 0.00 900.00 0.00 900.00

September 27, 2018 2018-10-436-S ALLAN MIRASOL MT. VIEW MARIVELES BATAAN 0.00 2,270.66 0.00 2,270.66

September 27, 2018 2018-10-3995 FREDDIE GLORIA GABON ABUCAY BATAAN 0.00 2,200.00 0.00 2,200.00 October 05, 2018 2018-10-3996 EMPRESS AHRIAN BAGUINDOC CAMAYA MARIVELES BATAAN 0.00 1,581.55 39.91 1,621.46 October 05, 2018 2018-10-3997 LORETA DANQUE BANGKAL SETTLEMENT ABUCAY BATAAN 0.00 1,250.00 0.00 1,250.00 October 05, 2018 2018-10-3998 JOHN LEE BATALLA SAN RAFAEL TUYO BALANGA CITY 0.00 600.00 0.00 600.00 October 05, 2018 2018-10-3999 ROBERTO AROBAN 92 CALAYLAYAN ABUCAY BATAAN 0.00 1,280.00 0.00 1,280.00 October 05, 2018 2018-10-4000 JOY CASTILLO 68 WAKAS NORTH PILAR BATAAN 0.00 1,790.00 0.00 1,790.00 October 05, 2018 2018-10-4001 FRANKLIN EBUEZA MT. VIEW MARIVELES BATAAN 6,453.39 3,920.00 24,452.89 34,826.28 October 05, 2018 2018-10-4002 PRINCESS MAE MATEO DAAN PARE ORION BATAAN 0.00 1,470.00 0.00 1,470.00 October 05, 2018 2018-10-4003 MARK RANIELLE DEOCAREZA CARBON SITE LAMAO LIMAY BATAAN 0.00 820.00 118.14 938.14 October 11, 2018 2018-10-4004 MS. "X" BAHAY PANULUYAN CAMACHO BALANGA CITY 0.00 490.00 0.00 490.00 October 11, 2018 2018-10-4005 MARICEL REFUERZO MASANTOL ORANI BATAAN 1,309.62 0.00 0.00 1,309.62 October 14, 2018 2018-10-4006 REMEDIOS GUEVARRA CUPANG PROPER BALANGA CITY 0.00 1,619.20 0.00 1,619.20 October 14, 2018 2018-10-4007 EDMAR MIGUEL MIRAY CATANING BALANGA BATAAN 0.00 2,000.00 600.00 2,600.00 October 11, 2018 2018-10-4008 SHEILA BAUTISTA MALABIA BALANGA CITY 0.00 960.00 0.00 960.00 October 11, 2018 2018-10-4009 "RAFFY" BAHAY PANULUYAN CAMACHO BALANGA CITY 0.00 490.00 0.00 490.00 October 11, 2018 2018-10-029-T CESAR MARTINEZ TUYO BALANGA CITY 0.00 1,526.16 0.00 1,526.16 October 11, 2018 2018-10-1392-I JENNIFER KANTONHOS BURGOS PILAR BATAAN 463.23 0.00 0.00 463.23 October 11, 2018 2018-10-4010 ELPIDIA AMBITA PARANG BAGAC BATAAN 0.00 810.00 0.00 810.00 October 11, 2018 2018-10-4011 CARMELITA SALTING ZONE V MARIVELES BATAAN 0.00 900.00 0.00 900.00 October 11, 2018 2018-10-239-M EMILY MORIDO PUTING BUHANGIN ORION BATAAN 0.00 2,250.00 0.00 2,250.00 October 11, 2018 2018-10-4012 JOHN KYLE ABELLA SAYSAIN BAGAC BATAAN 584.24 200.00 0.00 784.24 AMOUNT OF MEDICAL SERVICES

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

October 12, 2018 2018-10-3118-C ROWENA LAGASCA LAMAO LIMAY BATAAN 463.23 0.00 0.00 463.23 October 13, 2018 2018-10-3547-C ROMY NICDAO TALIMUNDOC ORANI BATAAN 463.23 0.00 0.00 463.23 October 13, 2018 2018-10-4013 JACINTO JORDAN IBABA BAGAC BATAAN 0.00 950.40 0.00 950.40 October 13, 2018 2018-10-368-S MARY JANE SAMSON LAON ABUCAY BATAAN 694.85 1,501.82 0.00 2,196.67 October 13, 2018 2018-10-4014 GLADY DIZON CUPANG PROPER BALANGA CITY 0.00 2,050.00 0.00 2,050.00 October 12, 2018 2018-10-2214-M MARTY CUBACUB PARANG PARANG ORANI BATAAN 463.23 0.00 0.00 463.23 October 13, 2018 2018-10-4015 PATRICK MAGPOC LALAWIGAN SAMAL BATAAN 231.62 0.00 0.00 231.62 October 13, 2018 2018-10-4016 JOSEPH VIZCARRA CUPANG PROPER BALANGA CITY 463.23 457.55 0.00 920.78 October 13, 2018 2018-10-4017 SHERWIN CONSTANTE WAWA ABUCAY BATAAN 0.00 1,320.00 0.00 1,320.00 October 13, 2018 2018-10-662-D KENT BO JR. CALERO ORANI BATAAN 0.00 915.20 0.00 915.20 October 13, 2018 2018-10-4018 RICHELLE VILLARE DUALE LIMAY BATAAN 0.00 500.00 0.00 500.00 October 13, 2018 2018-10-4019 ROLANDO DELA CRUZ SAN JUAN SAMAL BATAAN 0.00 3,412.14 772.71 4,184.85 October 13, 2018 2018-10-2077-J ANTONIO CARABEO KAWAYAN ORANI BATAAN 987.00 0.00 0.00 987.00 October 13, 2018 2018-10-103-A MARITES BONGAT TOWNSITE CABCABEN MARIVELES BATAAN 0.00 1,760.00 0.00 1,760.00 October 13, 2018 2018-10-521-A ANDRES BALOFIÑOS JR. LAMAO LIMAY BATAAN 1,000.00 0.00 0.00 1,000.00 October 13, 2018 2018-10-3406-D ANITA TAPANG SAN JUAN SAMAL BATAAN 0.00 2,280.42 0.00 2,280.42 October 13, 2018 2018-10-4020 PABLITO VICTORINO SIBACAN BALANGA CITY BATAAN 0.00 1,056.00 0.00 1,056.00 October 13, 2018 2018-10-030-M DIONILO GUTIERREZ ST. FRANCIS II LIMAY BATAAN 0.00 1,501.82 0.00 1,501.82 October 13, 2018 2018-10-4021 RAMIRO RODRIGUEZ BANTAN ORION BATAAN 0.00 2,270.00 0.00 2,270.00

October 12, 2018 2018-10-1061-D CHRIZONVER AMON MALIGAYA PHASE I RESORT MT. VIEW MARIVELES BATAAN 2,260.25 0.00 3,576.12 5,836.37 October 12, 2018 2018-10-1456-E ROLLY BUAL RIZAL PILAR BATAAN 463.23 0.00 0.00 463.23 October 12, 2018 2018-10-4022 ALFREDO CATITIR TABING-ILOG SAMAL BATAAN 0.00 1,372.80 0.00 1,372.80 October 12, 2018 2018-10-4023 LEOPOLDO TRINIDAD BANAWANG BAGAC BATAAN 0.00 1,914.88 0.00 1,914.88 October 12, 2018 2018-10-4024 JUVIE MAÑALAC TUGATOG ORANI BATAAN 2,802.13 4,669.44 350.00 7,821.57 October 12, 2018 2018-10-4025 APRILY DE LEON BANZON ST. IBAYO BALANGA CITY BATAAN 0.00 810.00 0.00 810.00 October 12, 2018 2018-10-4026 HERCIL MANANSALA ALANGAN LIMAY BATAAN 0.00 700.00 0.00 700.00 October 12, 2018 2018-10-882-M ROGELIO MENDOZA 265 A. RIVERA HERMOSA BATAAN 0.00 585.55 930.55 1,516.10

October 12, 2018 2018-10-4027 ROSITA SARABILLO SITIO PALAYAN BAYAN NAGBALAYONG MORONG BATAAN 2,620.16 1,111.70 268.14 4,000.00 October 12, 2018 2018-10-4028 CARINA SAN DIEGO POBLACION MORONG BATAAN 0.00 700.00 0.00 700.00 October 12, 2018 2018-10-4029 ALFREDO CASTILLO CAMACHO BALANGA CITY BATAAN 0.00 585.55 930.55 1,516.10 October 12, 2018 2018-10-4030 NOEMI MINA CUPANG PROPER BALANGA CITY 0.00 492.80 0.00 492.80 October 12, 2018 2018-10-4031 JENNIFER ROBERTO CUPANG NORTH BALANGA CITY 0.00 400.00 0.00 400.00 October 12, 2018 2018-10-1350-Z EDEN CRUZ CULIS HERMOSA BATAAN 463.23 0.00 0.00 463.23 October 12, 2018 2018-10-4032 DANILO ESNALDO JR. STA. CRUZ LUBAO PAMPANGA 0.00 1,640.00 0.00 1,640.00 October 12, 2018 2018-10-4033 REALYNN QUINDOZA CAMAYA MARIVELES BATAAN 0.00 500.00 0.00 500.00 October 12, 2018 2018-10-4034 TONIE ROSE RUBIANO TENEJERO BALANGA CITY 0.00 700.00 0.00 700.00 October 12, 2018 2018-10-4035 JOSEPHINE VIRAY TOWNSITE MARIVELES BATAAN 0.00 0.00 281.29 281.29 October 12, 2018 2018-10-4036 DENICE CANLAPAN CUPANG BALANGA BATAAN 930.39 500.00 80.59 1,510.98 October 12, 2018 2018-10-4037 JAYRUS JOHN DIWA NAGWALING PILAR BATAAN 0.00 0.00 444.16 444.16 October 12, 2018 2018-10-4038 ANNABELLE BOHOL POBLACION MORONG BATAAN 0.00 600.00 0.00 600.00 October 12, 2018 2018-10-997-G ROY MANANSALA TOWNSITE LIMAY BATAAN 694.85 0.00 0.00 694.85 October 12, 2018 2018-10-4039 MARIA REGINA VALERA ST. FRANCIS II LIMAY BATAAN 0.00 1,460.00 0.00 1,460.00 October 12, 2018 2018-10-4040 ARNEL DELOS REYES WAKAS PILAR BATAAN 0.00 950.00 0.00 950.00 October 12, 2018 2018-10-4041 GREGORIO DECIPIDA TANATO BALANGA CITY BATAAN 0.00 1,300.00 0.00 1,300.00 October 12, 2018 2018-10-4042 FERRY JANE NEPOMUCENO SAN CARLOS MARIVELES BATAAN 431.39 459.67 0.00 891.06 October 12, 2018 2018-10-2036-P ROMEL MENDOZA CATANING BALANGA CITY 0.00 0.00 1,526.10 1,526.10 October 12, 2018 2018-10-4043 MERLY GAJO CARBON SITE LAMAO LIMAY BATAAN 0.00 800.00 0.00 800.00 October 12, 2018 2018-10-4044 ROBERTO GARCISO LUCANIN MARIVELES BATAAN 0.00 492.80 0.00 492.80 October 12, 2018 2018-10-4045 FRANCIS DIONISIO PTO. RIVAS IBABA BALANGA CITY 0.00 600.00 0.00 600.00 October 12, 2018 2018-10-4046 SUSAN LORETO 484 PRK 4 CATANING BALANGA CITY 0.00 840.00 0.00 840.00 October 12, 2018 2018-10-4047 IMELDA TAGUIBAO DIWA PILAR BATAAN 0.00 150.00 696.59 846.59 October 08, 2018 2018-10-4048 ROXANNE JAIME PTO.RIVAS IBABA BALANGA CITY BATAAN 3,509.37 3,070.00 3,151.09 9,730.46 October 07, 2018 2018-10-4049 MICHAEL CONRAD CABUYADAO LUACAN DINALUPIHAN BATAAN 55,250.01 12,980.00 0.00 68,230.01 October 05, 2018 2018-10-4050 MARY JANE HABON BO. LUZ LIMAY BATAAN 4,268.06 2,720.00 3,046.16 10,034.22 October 08, 2018 2018-10-4051 JOCELYN ULEP VILLA PARAISO RIZAL 8,986.45 650.00 17,907.84 27,544.29 October 08, 2018 2018-10-4052 NENITA DE GUZMAN HACIENDA CATANING BALANGA CITY 0.00 2,207.35 0.00 2,207.35 October 13, 2018 2018-10-4053 RODOLFO LAGANAS ALA-ULI PILAR BATAAN 0.00 1,720.00 0.00 1,720.00 October 13, 2018 2018-10-075-R MERCIDITA MORALES LIBANAN MT. VIEW MARIVELES BATAAN 0.00 0.00 1,501.82 1,501.82 October 13, 2018 2018-10-1165-AH ADONES LINTAG DAANG BILOLO ORION BATAAN 0.00 0.00 1,501.82 1,501.82 October 13, 2018 2018-10-391-L ROLY CORDERO STA. ISABEL DINALUPIHAN BATAAN 0.00 0.00 1,501.82 1,501.82 October 13, 2018 2018-10-1549-K VIOLETA SOMO LAMAO LIMAY BATAAN 1,653.83 0.00 1,012.28 2,666.11

September 21, 2018 2018-10-1550-B MA. LUISA ALICANDO PUROK VI ROOSEVELT DINALUPIHAN BATAAN 0.00 770.00 0.00 770.00

September 24, 2018 2018-10-4054 SHAYNET JOY SALAZAR STA. ROSA PILAR BATAAN 0.00 1,209.51 0.00 1,209.51

September 24, 2018 2018-10-1061-E CHRIZONVER AMON MALIGAYA PHASE I RESORT MT. VIEW MARIVELES BATAAN 245.56 0.00 0.00 245.56

September 24, 2018 2018-10-3042-A GEMMA DELOS REYES TOWNSITE MARIVELES BATAAN 6,367.88 7,260.00 1,028.54 14,656.42 AMOUNT OF MEDICAL SERVICES

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

September 24, 2018 2018-10-3969-A GIO BENJAMIN PARANG BAGAC BATAAN 0.00 1,517.66 0.00 1,517.66

September 24, 2018 2018-10-4055 ANSARIE DERON CATANING BALANGA CITY 0.00 840.00 0.00 840.00

September 24, 2018 2018-10-3554-A JOY CENTENO PARAISO ORANI BATAAN 474.50 0.00 0.00 474.50

September 24, 2018 2018-10-4056 EDUARD DELA ROSA STA. ROSA PILAR BATAAN 0.00 320.00 0.00 320.00

September 24, 2018 2018-10-4057 SEVILLA SARMIENTO CAMACHO BALANGA CITY BATAAN 0.00 591.36 0.00 591.36

September 24, 2018 2018-10-2840-N CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 1,480.40 0.00 1,480.40

September 24, 2018 2018-10-4058 PRECIOUS CAMILLE SALAVERIA TORTUGAS BALANGA CITY 0.00 320.00 0.00 320.00

September 24, 2018 2018-10-2108-G JAVIER ADRANEDA STA. LUCIA SAMAL BATAAN 463.23 731.88 0.00 1,195.11

September 24, 2018 2018-10-3247-A MELINDA DABU SAN RAMON DINALUPIHAN BATAAN 23.00 2,200.00 1,484.02 3,707.02

September 24, 2018 2018-10-4059 BERNARDO GUZMAN TUNDOL LIMAY BATAAN 7,242.26 3,200.00 2,614.86 13,057.12

September 24, 2018 2018-10-4060 WENDEL RAMOS ALAS-ASIN MARIVELES BATAAN 3,934.79 2,120.61 2,216.39 8,271.79

September 24, 2018 2018-10-4061 VIRGINIA RAFAEL LAMAO LIMAY BATAAN 5,633.78 9,670.00 12,108.79 27,412.57

September 24, 2018 2018-10-4062 JOEMAR MANALANG LIYANG PILAR BATAAN 0.00 2,020.00 111.24 2,131.24

September 24, 2018 2018-10-2146-F RAVENACE BALUYOT PALIHAN ORANI BATAAN 0.00 1,480.40 0.00 1,480.40

September 24, 2018 2018-10-2596-A RICHELLE PEREZ CATANING BALANGA CITY 0.00 500.00 0.00 500.00

September 24, 2018 2018-10-4063 JANE ENRIQUEZ CENTRAL BALANGA CITY 0.00 1,300.00 0.00 1,300.00

September 24, 2018 2018-10-3057-B JESUS DENNIS OLIVEROS DOÑA FRANCISCA BALANGA CITY 694.85 0.00 0.00 694.85

September 24, 2018 2018-10-1593-I JOY FRANCISCO TOWNSITE LIMAY BATAAN 506.32 0.00 0.00 506.32

September 24, 2018 2018-10-909-A NOLI AGUILUS MABUANBUAN SASMUAN PAMPANGA 20,548.97 9,313.87 0.00 29,862.84

September 24, 2018 2018-10-2893-F ARLEEH JUMILLA SAN ISIDRO MARIVELES BATAAN 987.00 0.00 0.00 987.00

September 24, 2018 2018-10-4064 JAIME TOLENTINO BALON ANITO MARIVELES BATAAN 224.63 1,513.60 0.00 1,738.23

September 24, 2018 2018-10-2925-A JULIETA SABINO WAWA ORION BATAAN 0.00 1,190.00 0.00 1,190.00

September 24, 2018 2018-10-436-T ALLAN MIRASOL MT. VIEW MARIVELES BATAAN 0.00 2,250.00 0.00 2,250.00

September 24, 2018 2018-10-2812-F FLORA RAFAEL CALAYLAYAN ABUCAY BATAAN 694.85 0.00 0.00 694.85

September 24, 2018 2018-10-4065 EMELYN ADARO ALAS-ASIN MARIVELES BATAAN 0.00 750.00 0.00 750.00

September 24, 2018 2018-10-075-S MERCIDITA MORALES LIBANAN MT. VIEW MARIVELES BATAAN 0.00 2,644.70 0.00 2,644.70

September 25, 2018 2018-10-4066 RICHELLE VALENCIA LAON ABUCAY BATAAN 0.00 900.00 0.00 900.00

September 25, 2018 2018-10-843-F JUANITO GALVEZ CULIS HERMOSA BATAAN 463.23 0.00 0.00 463.23

September 25, 2018 2018-10-4067 ROMEO AGULTO DAAN BAGO ORION BATAAN 0.00 668.80 0.00 668.80

September 25, 2018 2018-10-4068 CATALEAH VALENTON GEN. LIM ORION BATAAN 301.55 600.00 396.58 1,298.13

September 25, 2018 2018-10-4069 JENIFER SANTOS LAMAO LIMAY BATAAN 0.00 450.00 751.42 1,201.42

September 25, 2018 2018-10-4070 EDDIE UY WAWA ABUCAY BATAAN 0.00 1,320.00 0.00 1,320.00

September 26, 2018 2018-10-075-T MERCIDITA MORALES LIBANAN MT. VIEW MARIVELES BATAAN 0.00 1,300.00 0.00 1,300.00

September 26, 2018 2018-10-4071 MA. JESSICA QUE PANILAO PILAR BATAAN 0.00 750.00 0.00 750.00

September 26, 2018 2018-10-4072 JAYNIE PASCUAL SEABREEZE LIMAY BATAAN 0.00 800.00 112.26 912.26

September 26, 2018 2018-10-2750-H REYNALDO PAMINTUAN LUACAN DINALUPIHAN BATAAN 658.00 0.00 0.00 658.00

September 26, 2018 2018-10-3406-E ANITA TAPANG SAN JUAN SAMAL BATAAN 658.00 0.00 0.00 658.00

September 26, 2018 2018-10-4073 KERVIE DE LEON GEN. LIM ORION BATAAN 0.00 2,200.00 0.00 2,200.00

September 26, 2018 2018-10-4074 ALJEN BUENAVENTURA LAMAO LIMAY BATAAN 2,000.00 0.00 0.00 2,000.00 October 14, 2018 2018-10-4075 JENNA VENICE GILLEGO PANDATUNG HERMOSA BATAAN 0.00 620.00 0.00 620.00 October 14, 2018 2018-10-4076 CHRISTEL JOY ARNOCO CAPUNITAN ORION BATAAN 0.00 600.00 0.00 600.00 October 14, 2018 2018-10-4077 JARED GILLEGO PANDATUNG HERMOSA BATAAN 0.00 620.00 0.00 620.00 October 12, 2018 2018-10-4078 LUCIA DE JESUS SABATAN ORION BATAAN 0.00 1,170.00 0.00 1,170.00 October 15, 2018 2018-10-4079 RYAN LAPOR SAGUING DINALUPIHAN BATAAN 0.00 1,350.00 0.00 1,350.00 October 15, 2018 2018-10-239-N EMILY MORIDO PUTING BUHANGIN ORION BATAAN 658.00 0.00 0.00 658.00 October 15, 2018 2018-10-1649-B ELMER AGAS ST. FRANCIS I LIMAY BATAAN 0.00 600.00 0.00 600.00 October 15, 2018 2018-10-4080 ANGELO PEÑA TENEJERO ORANI BATAAN 0.00 300.00 0.00 300.00 October 15, 2018 2018-10-1956-E EDUARDO SAMONTE JR. SISIMAN MARIVELES BATAAN 694.85 0.00 0.00 694.85 October 15, 2018 2018-10-4081 WILLIAM GONZAGA SIBUL ORANI BATAAN 0.00 2,200.00 0.00 2,200.00 October 15, 2018 2018-10-1593-J JOY FRANCISCO TOWNSITE LIMAY BATAAN 0.00 1,494.68 0.00 1,494.68 October 15, 2018 2018-10-1549-L VIOLETA SOMO LAMAO LIMAY BATAAN 0.00 1,480.40 0.00 1,480.40 October 15, 2018 2018-10-1680-A BARTOLOME SEREÑO PANILAO PILAR BATAAN 694.85 0.00 0.00 694.85 October 15, 2018 2018-10-2411-B KENNETH LELIS PTO. RIVAS IBABA BALANGA CITY 0.00 1,500.00 0.00 1,500.00 October 15, 2018 2018-10-4082 WILFREDO PEREZ SAN JOSE BALANGA CITY 0.00 1,548.80 0.00 1,548.80

September 23, 2018 2018-10-4083 SHIRLY SIOSON PTO. RIVAS IBABA BALANGA CITY 1,364.76 3,073.15 416.75 4,854.66

September 23, 2018 2018-10-4084 JAIRRA GAYAPANAO SAN JOSE BALANGA CITY 0.00 5,550.00 1,289.69 6,839.69

September 23, 2018 2018-10-4085 RAMON REVILLA SALIAN ABUCAY BATAAN 31,254.89 1,350.00 18,298.03 50,902.92

September 23, 2018 2018-10-4086 MARY JANE PANLAQUI MABINI PROPER DINALUPIHAN BATAAN 851.11 820.00 567.67 2,238.78

September 23, 2018 2018-10-4087 SUSAN SIOSON ST. FRANCIS II LIMAY BATAAN 0.00 2,670.00 1,943.21 4,613.21

September 23, 2018 2018-10-4088 ROBBY BACANI 748 WAWA ABUCAY BATAAN 0.00 0.00 1,869.65 1,869.65

September 24, 2018 2018-10-4089 MARIO BALINGIT PALILI SAMAL BATAAN 3,483.81 400.00 3,084.36 6,968.17

September 23, 2018 2018-10-4090 GERARDO CONOCIDO BATANGAS II MARIVELES BATAAN 0.00 2,540.00 2,150.00 4,690.00

September 23, 2018 2018-10-4091 ROSALYN VERGARA CAMIA ST. ALANGA LIMAY BATAAN 6,954.98 5,450.00 4,050.63 16,455.61

September 24, 2018 2018-10-4092 ARLENE OROZCO CAPITOL ST. SAN JOSE BALANGA CITY 2,492.42 4,300.00 4,490.04 11,282.46

September 09, 2018 2018-10-4093 JAAKKO AUSTIN MANALILI ST. JOSEPH ORANI BATAAN 3,328.26 973.57 0.00 4,301.83 AMOUNT OF MEDICAL SERVICES

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

September 20, 2018 2018-10-2610-C EVANGELINE GAMAYON STO. CRISTO CENTRAL BALANGA CITY 452.40 0.00 0.00 452.40

September 20, 2018 2018-10-4094 SUZETH POLICARPIO ALAS-ASIN MARIVELES BATAAN 0.00 1,370.00 0.00 1,370.00

September 20, 2018 2018-10-4095 JAMICH CUNANAN TIPO HERMOSA BATAAN 1,425.63 0.00 0.00 1,425.63

September 20, 2018 2018-10-3547-D ROMY NICDAO TALIMUNDOC ORANI BATAAN 231.62 0.00 0.00 231.62

September 20, 2018 2018-10-4096 LIEZL SULIT PTO. RIVAS IBABA BALANGA CITY 708.26 1,600.00 0.00 2,308.26

September 20, 2018 2018-10-4097 RENZ LAZARTE SEABREEZE LIMAY BATAAN 0.00 500.00 0.00 500.00 October 01, 2018 2018-10-239-O EMILY MORIDO PUTING BUHANGIN ORION BATAAN 354.70 0.00 0.00 354.70 October 01, 2018 2018-10-2082-C ANACITA YANDOC MAMBOG MANDAMA HERMOSA BATAAN 0.00 1,126.40 0.00 1,126.40 October 01, 2018 2018-10-4098 ANALOU SALAYA BLISS BAGONG SILANG BALANGA CITY 0.00 1,740.00 0.00 1,740.00 October 01, 2018 2018-10-4099 ANNABELLE REYES 357 MASAGANA CENTRAL BALANGA CITY 7,635.42 4,020.00 3,344.58 15,000.00 October 01, 2018 2018-10-2146-G RAVENACE BALUYOT PALIHAN ORANI BATAAN 0.00 1,480.40 0.00 1,480.40 October 01, 2018 2018-10-4100 LYDIA TUMANGUIL LUCANIN MARIVELES BATAAN 0.00 550.00 0.00 550.00 October 01, 2018 2018-10-1165-AI ADONES LINTAG DAANG BILOLO ORION BATAAN 0.00 2,644.70 0.00 2,644.70 October 01, 2018 2018-10-4101 PEDERITO BONGAT CALAYLAYAN ABUCAY BATAAN 0.00 809.60 0.00 809.60 October 01, 2018 2018-10-4102 ALTHEA ABADEO BATUNGBAKAL ST. TENEJERO BALANGA CITY 0.00 320.00 0.00 320.00 October 01, 2018 2018-10-4103 IVOH PEREZ ALA-ULI PILAR BATAAN 0.00 320.00 0.00 320.00 October 01, 2018 2018-10-737-A LORETO FORTIT ALAS-ASIN MARIVELES BATAAN 0.00 3,999.22 0.00 3,999.22 October 01, 2018 2018-10-4104 GLORIA VALERIO STA. LUCIA SAMAL BATAAN 0.00 492.80 0.00 492.80 October 01, 2018 2018-10-1784-B ENRICO SAN DIEGO NAPARING DINALUPIHAN BATAAN 6,184.88 0.00 0.00 6,184.88 October 01, 2018 2018-10-4105 ROSALINA PARAISO ALAS-ASIN MARIVELES BATAAN 337.44 0.00 0.00 337.44 October 01, 2018 2018-10-1467-I MARITA MENA KABALUTAN ORANI BATAAN 694.85 0.00 0.00 694.85 October 01, 2018 2018-10-2108-H JAVIER ADRANEDA STA. LUCIA SAMAL BATAAN 694.85 0.00 0.00 694.85 October 01, 2018 2018-10-4106 CHLOE MANIEGO ROOSEVELT DINALUPIHAN BATAAN 2,028.76 2,971.24 0.00 5,000.00 October 02, 2018 2018-10-4107 ARMANDO CABUANG IBAYO BALANGA CITY 527.30 0.00 0.00 527.30 October 02, 2018 2018-10-4108 JAYZELLE DELA CRUZ TORTUGAS BALANGA CITY 0.00 1,200.00 0.00 1,200.00 October 02, 2018 2018-10-4109 JENNELYN DELA CRUZ TORTUGAS BALANGA CITY 0.00 1,200.00 0.00 1,200.00 October 02, 2018 2018-10-4110 DALE REAL PUROK IV ST. FRANCIS II LIMAY BATAAN 6,036.83 3,963.17 0.00 10,000.00 October 02, 2018 2018-10-4111 LORELIE MANANQUIL SAN RAFAEL TUYO BALANGA CITY 0.00 970.00 0.00 970.00 October 02, 2018 2018-10-4112 LYDIA LAYUG CADRE CAMACHO BALANGA CITY 1,751.03 1,669.56 0.00 3,420.59 October 02, 2018 2018-10-3999-A ROBERTO AROBAN CALAYLAYAN ABUCAY BATAAN 0.00 1,550.00 0.00 1,550.00 October 02, 2018 2018-10-4113 LAWRENCE PALAD ARELLANO ORION BATAAN 11,124.02 0.00 0.00 11,124.02 October 02, 2018 2018-10-4114 AIDA MAIQUEZ MALAYA MARIVELES BATAAN 0.00 400.00 869.19 1,269.19 October 02, 2018 2018-10-4115 CHARITO MANLAPAZ 423 ITAAS ST. STA. ROSA PILAR BATAAN 0.00 800.00 117.06 917.06 October 02, 2018 2018-10-097-D JOHN EDWARD VERGARA 416 GABON ABUCAY BATAAN 231.62 0.00 0.00 231.62 October 02, 2018 2018-10-201-B DIONISIO VELASCO ACACIA ST. BALON ANITO BATAAN 694.85 0.00 0.00 694.85 October 02, 2018 2018-10-4116 SHIRLY CATARUS PUROK VII SAAY LIMAY BATAAN 0.00 670.00 0.00 670.00 October 02, 2018 2018-10-4117 MONALIZA TALAOC DUALE LIMAY BATAAN 0.00 1,500.00 3,510.99 5,010.99

September 02, 2018 2018-10-4118 LHUAN CATHELINE TIONGSON TOWNSITE LIMAY BATAAN 0.00 300.00 2,102.16 2,402.16 October 02, 2018 2018-10-4119 JEFFERSON SARMIENTO CALAYLAYAN ABUCAY BATAAN 407.61 0.00 0.00 407.61 October 02, 2018 2018-10-4120 BRIAN DAVE PAJARIN CALAYLAYAN ABUCAY BATAAN 410.81 500.00 0.00 910.81 October 02, 2018 2018-10-413-A DANIEL ENRIQUEZ DOÑA NENE MARIVELES BATAAN 231.62 0.00 0.00 231.62 October 02, 2018 2018-10-4121 VAN JOSEPH ENRIQUEZ MA. FE ORANI BATAAN 0.00 2,200.00 0.00 2,200.00 October 02, 2018 2018-10-1429-G EFREN GANTIGA ALIKABOK ORANI BATAAN 658.00 0.00 0.00 658.00 October 02, 2018 2018-10-2840-O CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 1,516.76 0.00 1,516.76

September 21, 2018 2018-10-3936-A MILAGROS MARTIN BAGONG SILANG BALANGA CITY 0.00 2,870.00 0.00 2,870.00

September 21, 2018 2018-10-4122 LUZVIMINDA ITALIA CUPANG PROPER BALANGA CITY 0.00 1,400.00 0.00 1,400.00

September 21, 2018 2018-10-1909-K JULIET PIZARRO PTO. RIVAS IBABA BALANGA CITY 0.00 1,526.16 0.00 1,526.16

September 21, 2018 2018-10-2840-P CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 1,480.40 0.00 1,480.40

September 21, 2018 2018-10-997-H ROY MANANSALA TOWNSITE LIMAY BATAAN 231.62 0.00 0.00 231.62

September 21, 2018 2018-10-4123 ANGIE SANCHEZ PUROK V TIPO HERMOSA BATAAN 1,425.63 0.00 0.00 1,425.63

September 21, 2018 2018-10-4124 RICHARD BONGALON MT. VIEW MARIVELES BATAAN 474.50 0.00 0.00 474.50

September 21, 2018 2018-10-3370-A DANNAH MAE SANTIAGO POBLACION BALANGA BATAAN 0.00 400.00 0.00 400.00

September 21, 2018 2018-10-4063-A JANE ENRIQUEZ CENTRAL BALANGA CITY 0.00 350.00 1,485.72 1,835.72

September 21, 2018 2018-10-4125 SC SHANTEL CAPATI NEW SAN JOSE DINALUPIHAN BATAAN 422.32 300.00 877.68 1,600.00

September 21, 2018 2018-10-4126 LESLIE PAMELA CRUZ STA. ROSA PILAR BATAAN 531.88 0.00 0.00 531.88

September 21, 2018 2018-10-4127 ALLAN GARCIA SITIO SIPIT CULIS HERMOSA BATAAN 0.00 1,440.00 0.00 1,440.00

September 21, 2018 2018-10-4128 ROBERTO CAMACHO GABON ABUCAY BATAAN 442.13 668.80 0.00 1,110.93

September 21, 2018 2018-10-4129 HANNALYN SANTOS PUROK V-C TIPO HERMOSA BATAAN 1,425.53 0.00 0.00 1,425.53

September 23, 2018 2018-10-4130 ANGEL NICOLE ESPARES CALUNGUSAN ORION BATAAN 0.00 1,050.00 0.00 1,050.00

September 23, 2018 2018-10-4131 NATE CALEB AROBAN CALAYLAYAN ABUCAY BATAAN 195.20 1,950.03 2,854.77 5,000.00

September 23, 2018 2018-10-3136-A ANALICE MALIXI TUYO BALANGA CITY 0.00 0.00 2,578.09 2,578.09

September 23, 2018 2018-10-4132 MYLEN SAN DIEGO ALAS-ASIN MARIVELES BATAAN 850.00 1,050.00 0.00 1,900.00

September 23, 2018 2018-10-4133 ALFREDO JULIAN PANILAO PILAR BATAAN 0.00 1,161.60 0.00 1,161.60

September 23, 2018 2018-10-4134 HARRIES ANTOLIN SAN JOSE BALANGA CITY 1,119.63 1,844.48 0.00 2,964.11

September 25, 2018 2018-10-1847-A LOIDA GUESE GEN. LIM ORION BATAAN 138.21 1,907.03 0.00 2,045.24 AMOUNT OF MEDICAL SERVICES

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

September 25, 2018 2018-10-4135 ELENA BALTAZAR PANTALAN LUMA ORANI BATAAN 0.00 1,470.00 131.21 1,601.21

September 25, 2018 2018-10-4136 DESIREE TADEO TENEJERO BALANGA CITY 0.00 1,840.00 0.00 1,840.00

September 25, 2018 2018-10-4137 SHERYL DE LUMEN KAWAYAN ORANI BATAAN 0.00 1,224.65 489.71 1,714.36 October 01, 2018 2018-10-4138 PERLITA MADAYAG BAGUMBAYAN BALANGA CITY 0.00 802.56 0.00 802.56 October 02, 2018 2018-10-2825-H RAFAEL BEATO MABATANG ABUCAY BATAAN 694.85 0.00 0.00 694.85 October 02, 2018 2018-10-2746-I NORMA JACINTO SACDALAN MABATANG ABUCAY BATAAN 694.85 0.00 0.00 694.85 October 02, 2018 2018-10-2821-C JIMMY FELICITAS SAN BENITO DINALUPIHAN BATAAN 987.00 0.00 0.00 987.00 October 02, 2018 2018-10-4139 TERESA AGUSTIN PANILAO PILAR BATAAN 0.00 1,790.00 0.00 1,790.00 October 02, 2018 2018-10-2744-I RODOLFO TUAZON JR. 12 LOTE PTO. RIVAS BALANGA CITY 329.00 0.00 0.00 329.00 October 02, 2018 2018-10-882-N ROGELIO MENDOZA A. RIVERA HERMOSA BATAAN 0.00 1,480.40 0.00 1,480.40 October 02, 2018 2018-10-4140 ELIZABETH PANGON TENEJERO BALANGA CITY 0.00 2,010.00 0.00 2,010.00 October 02, 2018 2018-10-4141 TERESITA GUITIERREZ NAGKAMAYAN TUYO BALANGA CITY 0.00 720.00 0.00 720.00 October 02, 2018 2018-10-4142 CRIS EARL CRUZ LANDING PILAR BATAAN 0.00 400.00 0.00 400.00 October 02, 2018 2018-10-4143 ROSALIE ESCUETA PANTALAN BAGO ORANI BATAAN 0.00 320.00 0.00 320.00 October 02, 2018 2018-10-4144 ROVELYN TONGGA ALAS-ASIN MARIVELES BATAAN 0.00 347.33 1,808.14 2,155.47 October 02, 2018 2018-10-223-H REN MARK SAPIT ALAS-ASIN MARIVELES BATAAN 329.00 1,500.00 0.00 1,829.00 October 02, 2018 2018-10-3118-D ROWENA LAGASCA LAMAO LIMAY BATAAN 463.23 0.00 0.00 463.23 October 02, 2018 2018-10-1035-G ZENAIDA NATE MABIGA HERMOSA BATAAN 694.85 1,056.00 0.00 1,750.85 October 02, 2018 2018-10-4145 RENATO GUEVARRA CULIS HERMOSA BATAAN 694.85 0.00 0.00 694.85 October 02, 2018 2018-10-4146 JUNILA MONTECALVO MARIVELES MENTAL HOSPITAL 0.00 2,200.00 0.00 2,200.00 October 02, 2018 2018-10-4147 REBULYN FUENTES ST. FRANCIS II LIMAY BATAAN 0.00 670.00 0.00 670.00 October 03, 2018 2018-10-4148 DENNIS MANRIQUE MABATANG ABUCAY BATAAN 0.00 950.00 0.00 950.00 October 03, 2018 2018-10-4149 ROMELL MALAGAYO LATI ORION BATAAN 497.03 0.00 0.00 497.03 October 03, 2018 2018-10-4150 PETRA BERNAL SAN JOSE BALANGA CITY 0.00 950.40 0.00 950.40 October 03, 2018 2018-10-4151 LALENE BORJA CULIS HERMOSA BATAAN 0.00 2,017.66 0.00 2,017.66 October 03, 2018 2018-10-4152 DOROTHY VASQUEZ BINUKAWAN BAGAC BATAAN 0.00 840.00 0.00 840.00 October 03, 2018 2018-10-4153 CAROLINA BUNGAT WAWA ABUCAY BATAAN 0.00 2,400.00 0.00 2,400.00 October 03, 2018 2018-10-4154 JHEM VERNICE JAPSAY EAST DAANG BAGO SAMAL BATAAN 0.00 1,200.00 0.00 1,200.00 October 03, 2018 2018-10-4155 NARCISO ABRAHAM MULAWIN ORANI BATAAN 1,016.57 150.00 39.00 1,205.57 October 03, 2018 2018-10-4156 DIANA PALO ROOSEVELT DINALUPIHAN BATAAN 1,683.15 1,316.85 0.00 3,000.00 October 03, 2018 2018-10-4157 AILEEN VINZON PULO KABALUTAN ORANI BATAAN 0.00 1,029.29 1,970.71 3,000.00 October 03, 2018 2018-10-2373-C EVELYN DELA CRUZ TENEJERO BALANGA CITY 2,222.19 0.00 0.00 2,222.19 October 03, 2018 2018-10-4158 GEORGE MANGALIMAN BALUT ORANI BATAAN 0.00 1,443.20 0.00 1,443.20 October 03, 2018 2018-10-4159 EVELYN MAPALAD PUTING BUHANGIN ORION BATAAN 0.00 1,700.00 0.00 1,700.00

October 03, 2018 2018-10-1061-F CHRIZONVER AMON MALIGAYA PHASE I RESORT MT. VIEW MARIVELES BATAAN 585.35 6,746.22 0.00 7,331.57 October 03, 2018 2018-10-4160 MONA LISA OSO 11 ZULUETA ST. POBLACION BALANGA CITY 0.00 0.00 1,472.37 1,472.37 October 03, 2018 2018-10-4161 STEPHANI MICHELLE SALAS TABING ILOG BAGAC BATAAN 1,786.39 575.00 3,654.01 6,015.40 October 03, 2018 2018-10-4162 NORWINA ALONZO PTO. RIVAS IBABA BALANGA CITY 0.00 920.00 0.00 920.00 October 03, 2018 2018-10-4163 ORLIE DE LEON TORTUGAS BALANGA CITY 0.00 400.00 0.00 400.00 October 03, 2018 2018-10-030-N DIONILO GUTIERREZ ST. FRANCIS II LIMAY BATAAN 0.00 1,516.76 0.00 1,516.76 October 03, 2018 2018-10-075-U MERCIDITA MORALES LIBANAN MT. VIEW MARIVELES BATAAN 0.00 1,516.76 0.00 1,516.76 October 03, 2018 2018-10-3284-B CATHERINE LINGAD BALSIK HERMOSA BATAAN 0.00 1,670.00 0.00 1,670.00 October 03, 2018 2018-10-4164 AIRA ROLLOQUE SAN JOSE BALANGA CITY 0.00 2,200.00 0.00 2,200.00 October 03, 2018 2018-10-982-B MARGARITA SANTOS DUALE LIMAY BATAAN 0.00 1,350.00 243.82 1,593.82

September 21, 2018 2018-10-4165 DELMAR DURAN UPPER BPI LAMAO LIMAY BATAAN 1,081.17 0.00 0.00 1,081.17

September 23, 2018 2018-10-4166 NATHANIEL HERNANDEZ DIWA PILAR BATAAN 0.00 1,550.00 0.00 1,550.00

September 24, 2018 2018-10-293-G NIDA MALATE CAMAYA MARIVELES BATAAN 463.23 0.00 0.00 463.23

September 24, 2018 2018-10-029-U CESAR MARTINEZ TUYO BALANGA CITY 0.00 1,517.01 0.00 1,517.01

September 24, 2018 2018-10-1430-C VIRGINIA NAVARRO CALUNGUSAN ORION BATAAN 5,189.80 6,810.20 0.00 12,000.00

September 24, 2018 2018-10-1549-M VIOLETA SOMO LAMAO LIMAY BATAAN 0.00 1,830.40 0.00 1,830.40

September 24, 2018 2018-10-4167 MARVIN QUIJANO GEN. LIM ORION BATAAN 211.39 600.00 0.00 811.39

September 25, 2018 2018-10-391-M ROLY CORDERO STA. ISABEL DINALUPIHAN BATAAN 0.00 1,480.40 0.00 1,480.40

September 25, 2018 2018-10-2744-J RODOLFO TUAZON JR. 12 LOTE PTO. RIVAS BALANGA CITY 658.00 0.00 0.00 658.00

September 25, 2018 2018-10-4168 BRAYDEN MARLEY GUTIERREZ MALABIA BALANGA CITY 0.00 1,200.00 0.00 1,200.00

September 25, 2018 2018-10-4169 JUDY CABORNAY MAVIE ST. SABATAN ORION BATAAN 471.35 1,656.23 0.00 2,127.58

September 25, 2018 2018-10-1909-L JULIET PIZARRO PTO. RIVAS IBABA BALANGA CITY 0.00 1,480.40 0.00 1,480.40

September 25, 2018 2018-10-2036-Q ROMEL MENDOZA CATANING BALANGA CITY 0.00 1,561.05 0.00 1,561.05

September 25, 2018 2018-10-882-O ROGELIO MENDOZA A. RIVERA HERMOSA BATAAN 0.00 1,487.44 0.00 1,487.44

September 25, 2018 2018-10-4170 JADA IONA LOYOLA LOTE PTO. RIVAS BALANGA CITY 0.00 1,200.00 0.00 1,200.00

September 25, 2018 2018-10-3118-E ROWENA LAGASCA LAMAO LIMAY BATAAN 463.23 0.00 0.00 463.23

September 25, 2018 2018-10-997-I ROY MANANSALA TOWNSITE LIMAY BATAAN 463.23 0.00 0.00 463.23

September 25, 2018 2018-10-2821-D JIMMY FELICITAS SAN BENITO DINALUPIHAN BATAAN 658.00 1,775.71 0.00 2,433.71

September 25, 2018 2018-10-4171 MILROSE SUMANDAL MALAKING BATO MABATANG ABUCAY BATAAN 0.00 850.00 0.00 850.00

September 25, 2018 2018-10-2779-F JUANITO DE SILVA SAPA SAMAL BATAAN 694.85 0.00 0.00 694.85

September 25, 2018 2018-10-1165-AJ ADONES LINTAG DAANG BILOLO ORION BATAAN 463.23 1,480.40 0.00 1,943.63 AMOUNT OF MEDICAL SERVICES

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

September 25, 2018 2018-10-2746-J NORMA JACINTO SACDALAN MABATANG ABUCAY BATAAN 463.23 0.00 0.00 463.23

September 26, 2018 2018-10-4172 CANDELARIA BANZON WAKAS NORTH PILAR BATAAN 80.03 800.00 0.00 880.03

September 26, 2018 2018-10-4173 SABRINA MAGAT OMBOY ABUCAY BATAAN 0.00 1,990.00 0.00 1,990.00

September 26, 2018 2018-09-2033-G NADELYN ZAPANTA TOWNSITE LIMAY BATAAN 0.00 580.00 0.00 580.00

September 26, 2018 2018-10-4174 MARIO UTRERA CAMAYA MARIVELES BATAAN 0.00 2,140.00 0.00 2,140.00

September 26, 2018 2018-10-767-C VIOLETA FERNANDO SACRIFICE VALLEY HERMOSA BATAAN 0.00 2,180.00 0.00 2,180.00

September 26, 2018 2018-10-2544-B JOCELYN CORRIEL ST. FRANCIS II LIMAY BATAAN 463.23 0.00 0.00 463.23

September 26, 2018 2018-10-4175 SHERYL ARELLANO PARANG BAGAC BATAAN 0.00 1,260.00 0.00 1,260.00

September 26, 2018 2018-10-2840-Q CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 1,494.94 0.00 1,494.94

September 26, 2018 2018-10-1429-H EFREN GANTIGA ALIKABOK ORANI BATAAN 658.00 0.00 0.00 658.00

September 26, 2018 2018-10-4176 DRIEXY PRACALE MEL-LUZ BALAGTAS ORION BATAAN 0.00 870.00 0.00 870.00

September 26, 2018 2018-10-1680-B BARTOLOME SEREÑO PANILAO PILAR BATAAN 0.00 1,056.00 0.00 1,056.00

September 26, 2018 2018-10-4177 ANTONIO GARCIA SAN VICENTE ORION BATAAN 0.00 563.20 0.00 563.20

September 27, 2018 2018-10-843-G JUANITO GALVEZ CULIS HERMOSA BATAAN 0.00 985.60 0.00 985.60

September 27, 2018 2018-10-1659-H EDEN DELA CRUZ OMBOY ABUCAY BATAAN 463.23 0.00 0.00 463.23

September 27, 2018 2018-10-239-P EMILY MORIDO PUTING BUHANGIN ORION BATAAN 658.00 0.00 0.00 658.00

September 27, 2018 2018-10-4178 JOANA JESUSA PAÑARES BATANGAS II MARIVELES BATAAN 517.90 500.00 430.01 1,447.91

September 27, 2018 2018-10-4179 JOY FERNANDEZ BATANGAS II MARIVELES BATAAN 0.00 900.00 0.00 900.00

September 27, 2018 2018-10-4180 RACQUEL JANE SINONGCO DAAN BILOLO ORION BATAAN 0.00 900.00 0.00 900.00

September 27, 2018 2018-10-4181 MERLY SONONGCO DAAN BILOLO ORION BATAAN 0.00 920.00 0.00 920.00

September 27, 2018 2018-10-4182 JORDAN DE GUZMAN PUROK III PALILI SAMAL BATAAN 464.24 150.00 0.00 614.24

September 27, 2018 2018-10-4183 ELENA LINTAG KABALUTAN ORANI BATAAN 3,926.23 561.95 0.00 4,488.18

September 27, 2018 2018-10-1467-J MARITA MENA KABALUTAN ORANI BATAAN 231.62 0.00 0.00 231.62

September 27, 2018 2018-10-4184 NELLIE DULLON TALIMUNDOC ORANI BATAAN 849.92 3,910.00 268.31 5,028.23

September 27, 2018 2018-09-3324-B CATHERINE ORIAS BO. LUZ LIMAY BATAAN 0.00 925.00 3,075.00 4,000.00

September 27, 2018 2018-10-4185 CHERRY LOU TAN GUGO SAMAL BATAAN 0.00 2,100.00 0.00 2,100.00

September 27, 2018 2018-10-2036-R ROMEL MENDOZA CATANING BALANGA CITY 0.00 1,529.19 0.00 1,529.19

September 27, 2018 2018-10-2146-H RAVENACE BALUYOT PALIHAN ORANI BATAAN 0.00 1,529.19 0.00 1,529.19 October 01, 2018 2018-10-4186 ANITA BAGSIC WAKAS ORION BATAAN 0.00 549.12 0.00 549.12 October 01, 2018 2018-10-201-C DIONISIO VELASCO ACACIA ST. BALON ANITO BATAAN 0.00 1,126.40 0.00 1,126.40 October 01, 2018 2018-10-4187 VILMA TALORETE LUCANIN MARIVELES BATAAN 0.00 1,350.00 0.00 1,350.00

October 01, 2018 2018-10-4188 CANDIDA MANILA SITIO MAANGAY BALON ANITO MARIVELES BATAAN 0.00 2,380.00 0.00 2,380.00 October 01, 2018 2018-10-4189 MA. CRISTINA NIALDA PUKSUAN ORANI BATAAN 0.00 2,017.66 0.00 2,017.66 October 01, 2018 2018-10-1532-A ERLINDA GELEN TUGATOG ORANI BATAAN 0.00 2,617.66 0.00 2,617.66 October 01, 2018 2018-10-4190 FELIX ENCINAS ALAS-ASIN MARIVELES BATAAN 510.70 850.00 0.00 1,360.70 October 01, 2018 2018-10-4191 AIZA CENTENO DEL ROSARIO PILAR BATAAN 0.00 1,120.00 118.10 1,238.10 October 01, 2018 2018-10-1956-F EDUARDO SAMONTE JR. SISIMAN MARIVELES BATAAN 463.23 0.00 0.00 463.23 October 01, 2018 2018-10-293-H NIDA MALATE CAMAYA MARIVELES BATAAN 694.85 0.00 0.00 694.85 October 01, 2018 2018-10-1593-K JOY FRANCISCO TOWNSITE LIMAY BATAAN 463.23 0.00 0.00 463.23 October 01, 2018 2018-10-1312-H RUFINO BANATAO IPAG MARIVELES BATAAN 0.00 2,125.71 0.00 2,125.71 October 01, 2018 2018-10-4192 RESTITUTO DAGAL SABATAN ORION BATAAN 4,322.23 2,370.00 11,655.90 18,348.13 October 01, 2018 2018-10-3057-C JESUS DENNIS OLIVEROS DOÑA FRANCISCA BALANGA CITY 0.00 2,326.90 0.00 2,326.90 October 01, 2018 2018-10-2840-R CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 1,480.40 0.00 1,480.40 October 01, 2018 2018-10-2812-G FLORA RAFAEL CALAYLAYAN ABUCAY BATAAN 231.62 0.00 0.00 231.62 October 01, 2018 2018-10-4193 SAMANTHA ESTRELLA STO. NIÑO DINALUPIHAN BATAAN 1,072.11 300.00 636.83 2,008.94 October 01, 2018 2018-10-1467-K MARITA MENA KABALUTAN ORANI BATAAN 0.00 3,326.90 0.00 3,326.90 October 01, 2018 2018-10-4194 OLIVER VELASQUEZ DAAN PARE ORION BATAAN 6,758.13 150.00 1,836.20 8,744.33 October 01, 2018 2018-10-3591-B SUSANA TAGACA MT. VIEW MARIVELES BATAAN 6,615.32 0.00 0.00 6,615.32 October 01, 2018 2018-10-436-U ALLAN MIRASOL MT. VIEW MARIVELES BATAAN 0.00 2,000.00 0.00 2,000.00 October 01, 2018 2018-10-1593-L JOY FRANCISCO TOWNSITE LIMAY BATAAN 0.00 1,480.40 0.00 1,480.40 October 01, 2018 2018-10-075-V MERCIDITA MORALES LIBANAN MT. VIEW MARIVELES BATAAN 0.00 1,994.70 0.00 1,994.70 October 01, 2018 2018-10-2544-C JOCELYN CORRIEL ST. FRANCIS II LIMAY BATAAN 0.00 1,126.40 0.00 1,126.40 October 01, 2018 2018-10-4195 BRYAN DELDOC SAN JUAN SAMAL BATAAN 1,539.08 1,450.00 0.00 2,989.08 October 01, 2018 2018-10-4196 ROBERTO GAÑO IBABA SAMAL BATAAN 0.00 1,050.00 0.00 1,050.00 October 01, 2018 2018-10-4197 EDERLYN SAN JUAN DAAN PARE ORION BATAAN 299.34 0.00 0.00 299.34 October 01, 2018 2018-10-2592-D VICTOR VIEJO SAPA SAMAL BATAAN 0.00 0.00 23,362.01 23,362.01 October 01, 2018 2018-10-1549-N VIOLETA SOMO LAMAO LIMAY BATAAN 0.00 2,644.70 0.00 2,644.70 October 01, 2018 2018-10-4198 ELMER ESCARO CATANING BALANGA CITY 0.00 540.00 0.00 540.00 October 01, 2018 2018-10-740-G DIVINE MARY BORGUETA SAN JOSE BALANGA CITY 5,267.95 10,520.00 1,856.13 17,644.08 October 01, 2018 2018-10-1456-F ROLLY BUAL RIZAL PILAR BATAAN 15,319.77 21,340.85 0.00 36,660.62 October 01, 2018 2018-10-1429-I EFREN GANTIGA ALIKABOK ORANI BATAAN 0.00 1,800.00 0.00 1,800.00 October 02, 2018 2018-10-997-J ROY MANANSALA TOWNSITE LIMAY BATAAN 463.23 0.00 0.00 463.23 October 02, 2018 2018-10-4199 RUDITA SALUNDAGA TALISAY ST. ALION MARIVELES BATAAN 0.00 600.00 0.00 600.00 October 02, 2018 2018-10-2036-S ROMEL MENDOZA CATANING BALANGA CITY 0.00 1,561.05 0.00 1,561.05 October 02, 2018 2018-10-2164-F TERESITA MALIBIRAN GABON ABUCAY BATAAN 694.85 0.00 0.00 694.85 AMOUNT OF MEDICAL SERVICES

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

October 02, 2018 2018-10-2748-F ROMEO DUBLIN CABCABEN MARIVELES BATAAN 685.00 0.00 0.00 685.00 October 02, 2018 2018-10-4200 JUAN OBOGNE JR. ALA-ULI PILAR BATAAN 10,106.52 320.00 9,573.48 20,000.00 October 02, 2018 2018-10-1392-J JENNIFER KANTONHOS BURGOS PILAR BATAAN 463.23 0.00 0.00 463.23 October 02, 2018 2018-10-4201 DIONISIO FLORENCIO PACAR ORANI BATAAN 0.00 1,600.00 0.00 1,600.00 October 02, 2018 2018-10-3510-E GEMMA LEOBRERA PTO. RIVAS IBABA BALANGA CITY 0.00 2,300.00 76.20 2,376.20 October 02, 2018 2018-10-029-V CESAR MARTINEZ TUYO BALANGA CITY 694.85 1,526.16 0.00 2,221.01 October 02, 2018 2018-10-391-N ROLY CORDERO STA. ISABEL DINALUPIHAN BATAAN 0.00 1,480.40 0.00 1,480.40 October 02, 2018 2018-10-3289-B RODRIGO SAN PEDRO IBIS BAGAC BATAAN 0.00 1,126.40 0.00 1,126.40 October 03, 2018 2018-10-1909-M JULIET PIZARRO PTO. RIVAS IBABA BALANGA CITY 0.00 1,480.40 0.00 1,480.40 October 03, 2018 2018-10-4202 ERLINDA ALVAREZ BALON ANITO MARIVELES BATAAN 0.00 1,844.48 0.00 1,844.48 October 03, 2018 2018-10-4203 NENITA GONZALES PUROK III LIYANG PILAR BATAAN 0.00 1,500.00 0.00 1,500.00 October 03, 2018 2018-10-4204 RODEL BINUYA SAN ISIDRO MARIVELES BATAAN 0.00 0.00 1,452.34 1,452.34 October 03, 2018 2018-10-4205 GINA SOLOMON 591 DAU PANILAO PILAR BATAAN 0.00 1,390.00 0.00 1,390.00 October 03, 2018 2018-10-606-A ROSANNA PONESTAS CENTRAL BALANGA CITY 0.00 1,070.00 0.00 1,070.00 October 03, 2018 2018-10-2307-A URSULA PAGUIO CUPANG PROPER BALANGA CTIY 0.00 2,180.00 0.00 2,180.00 October 03, 2018 2018-10-4206 LORENA RAMOS WAWA ABUCAY BATAAN 284.66 2,350.00 26.00 2,660.66 October 03, 2018 2018-10-2779-G JUANITO DE SILVA SAPA SAMAL BATAAN 694.85 0.00 0.00 694.85 October 03, 2018 2018-10-2750-I REYNALDO PAMINTUAN LUACAN DINALUPIHAN BATAAN 697.00 0.00 0.00 697.00 October 03, 2018 2018-10-4207 ARIANNE LINGAD CENTRAL BALANGA CITY 0.00 670.00 0.00 670.00 October 03, 2018 2018-10-2870-A LILIBETH IBE TALIMUNDOC ORANI BATAAN 0.00 800.00 0.00 800.00 October 03, 2018 2018-10-436-V ALLAN MIRASOL MT. VIEW MARIVELES BATAAN 0.00 1,500.00 0.00 1,500.00 October 03, 2018 2018-10-4208 JORICO ANFERNEE JALALL RAVAS SAN ISIDRO MARIVELES BATAAN 1,406.23 0.00 75.50 1,481.73 October 04, 2018 2018-10-4209 AUGUSTO DE GUZMAN JR. PULO HERMOSA BATAAN 0.00 900.00 0.00 900.00 October 04, 2018 2018-10-4210 JOSELITO SARILI BILOLO ORION BATAAN 0.00 2,017.66 0.00 2,017.66 October 04, 2018 2018-10-4211 MARIE JANE MANZAN LOTA PTO. RIVAS BALANGA CITY 0.00 700.00 0.00 700.00 October 04, 2018 2018-10-4010-A ELPIDIA AMBITA PARANG BAGAC BATAAN 0.00 700.00 0.00 700.00 October 04, 2018 2018-10-4212 ERLINDA LABIAN LUCANIN MARIVELES BATAAN 29.90 950.00 0.00 979.90 October 04, 2018 2018-10-4213 MARY GRACE JIMENEZ ZONE IV CAMAYA MARIVELES BATAAN 0.00 1,300.00 0.00 1,300.00 October 04, 2018 2018-10-4214 HENRIEL JAY ARTIZUELA LAMAO LIMAY BATAAN 0.00 680.00 1,126.12 1,806.12 October 04, 2018 2018-10-3253-A AILEEN GRACE LIWANAG LUCANIN MARIVELES BATAAN 474.50 0.00 0.00 474.50 October 04, 2018 2018-10-4215 YOLANDA CALDERON PAG-ASA DINALUPIHAN BATAAN 0.00 0.00 2,023.13 2,023.13 October 04, 2018 2018-10-1680-C BARTOLOME SEREÑO PANILAO PILAR BATAAN 694.85 0.00 0.00 694.85 October 04, 2018 2018-10-2925-B JULIETA SABINO WAWA ORION BATAAN 2,713.43 1,470.00 127.81 4,311.24 October 04, 2018 2018-10-4216 MICHIE ISHIKAWA LOWER BIAAN MARIVELES BATAAN 2,781.62 5,016.86 2,325.28 10,123.76 October 04, 2018 2018-10-4217 MAE GAWAT TENEJERO BALANGA CITY 0.00 1,140.00 0.00 1,140.00 October 04, 2018 2018-10-4218 MERLITA MAPALO CAMPSITE TENEJERO BALANGA CITY 0.00 753.28 0.00 753.28 October 04, 2018 2018-10-4219 MARIA RIKKI PANCHO LUCANIN MARIVELES BATAAN 1,708.69 0.00 357.34 2,066.03 October 04, 2018 2018-10-1882-B MICHELLE "UW" PASCUAL MARIVELES MENTAL HEALTH 0.00 700.00 0.00 700.00 October 04, 2018 2018-10-4220 VICENTE PANGANIBAN CABOG-CABOG BALANGA CITY BATAAN 0.00 985.60 0.00 985.60 October 04, 2018 2018-10-4221 ANZIS GLORIA BAGUMBAYAN BALANGA CITY 0.00 450.00 0.00 450.00 October 04, 2018 2018-10-4222 RENEALYN DIESTA UPPER HARDIN LUCANIN MARIVELES BATAAN 0.00 0.00 1,655.49 1,655.49 October 04, 2018 2018-10-668-D ELVIRA PULONGBARIT 25 J. P. RICAL PAG-ASA BAGAC BATAAN 0.00 1,420.43 0.00 1,420.43 October 04, 2018 2018-10-1392-K JENNIFER KANTONHOS BURGOS PILAR BATAAN 0.00 1,126.40 0.00 1,126.40 October 04, 2018 2018-10-4223 JERRYLIE ALVAREZ ALAS-ASIN MARIVELES BATAAN 0.00 200.00 0.00 200.00

October 04, 2018 2018-10-1894-A ROSALINA PANDACAN BAGONG SILANG ALAS-ASIN MARIVELES BATAAN 0.00 300.00 0.00 300.00 October 04, 2018 2018-10-4224 ALEJANDRO RODRIGO LUMANG DAAN CAPITANGAN ABUCAY BATAAN 0.00 600.00 0.00 600.00 October 04, 2018 2018-10-3572-A ANGELA DE JUAN OLD SAN JOSE DINALUPIHAN BATAAN 0.00 600.00 0.00 600.00 October 04, 2018 2018-10-4225 JESUS ROSANA ALANGAN LIMAY BATAAN 6,951.87 30,330.00 2,718.13 40,000.00 October 04, 2018 2018-10-4226 JOHN AGUILAR STO. DOMINGO ORION BATAAN 2,000.00 0.00 0.00 2,000.00 October 04, 2018 2018-10-4227 LEONILA EVANGELISTA ROOSEVELT DINALUPIHAN BATAAN 0.00 550.00 152.30 702.30 October 04, 2018 2018-10-4228 LOLITA MATIC VILLA ANGELES ORION BATAAN 0.00 2,630.00 0.00 2,630.00 October 04, 2018 2018-10-4229 FE BATILES DAAN PARE ORION BATAAN 0.00 2,630.00 0.00 2,630.00 October 04, 2018 2018-10-4230 JENNY CRUZ KAPARANGAN ORANI BATAAN 0.00 1,246.08 0.00 1,246.08 October 04, 2018 2018-10-4231 LAILA DELA CRUZ SABATAN ORION BATAAN 0.00 840.00 0.00 840.00 October 04, 2018 2018-10-4232 ALEJANDRO PAKIWAG DOÑA ORANI BATAAN 369.09 200.00 0.00 569.09 October 04, 2018 2018-10-4233 JAMES CARLOS GIGANTE MULAWIN ORANI BATAAN 18,747.18 13,120.00 8,130.97 39,998.15 October 04, 2018 2018-10-1165-AK ADONES LINTAG DAANG BILOLO ORION BATAAN 463.23 926.46 0.00 1,389.69 October 04, 2018 2018-10-4234 GERTRUDES FLORES POBLACION MORONG BATAAN 0.00 1,830.40 0.00 1,830.40 October 04, 2018 2018-10-547-A LORETA ARENAS STA. ROSA PILAR BATAAN 0.00 2,360.00 0.00 2,360.00 October 04, 2018 2018-10-3454-A KYLE BRYAN PUNZALAN BALSIK HERMOSA BATAAN 0.00 1,056.00 0.00 1,056.00 October 04, 2018 2018-10-4235 RICA MAE BILOLO WAWA ABUCAY BATAAN 0.00 700.00 0.00 700.00 October 04, 2018 2018-10-3336-A JOMER SABADO CAMACHO BALANGA CITY BATAAN 0.00 2,250.00 0.00 2,250.00 October 05, 2018 2018-10-4236 LORENA MACARAIG PTO. RIVAS BALANGA CITY BATAAN 0.00 2,250.00 0.00 2,250.00 October 05, 2018 2018-10-4237 CONSOLACION ALBER SITIO BINASAK MABIGA HERMOSA BATAAN 165.43 2,000.00 0.00 2,165.43 October 09, 2018 2018-10-2036-T ROMEL MENDOZA CATANING BALANGA CITY 0.00 1,554.71 0.00 1,554.71 AMOUNT OF MEDICAL SERVICES

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

October 09, 2018 2018-10-201-D DIONISIO VELASCO ACACIA ST. BALON ANITO BATAAN 0.00 694.85 0.00 694.85 October 09, 2018 2018-10-4238 RAFAEL CLARK SALAYA 214 MARTIN ST. OMBOY ABUCAY BATAAN 5,589.08 0.00 0.00 5,589.08 October 09, 2018 2018-10-1659-I EDEN DELA CRUZ OMBOY ABUCAY BATAAN 694.85 0.00 0.00 694.85 October 09, 2018 2018-10-4239 QUEEN KYLIE LAZARTE PANILAO PILAR BATAAN 0.00 1,320.00 0.00 1,320.00 October 09, 2018 2018-10-3262-C FLORENCIO DIONISIO PACAR ORANI BATAAN 987.00 0.00 0.00 987.00 October 09, 2018 2018-10-1549-O VIOLETA SOMO LAMAO LIMAY BATAAN 0.00 2,644.70 0.00 2,644.70 October 09, 2018 2018-10-4240 LEONILA FESTIJO BILOLO ORION BATAAN 0.00 1,470.00 0.00 1,470.00 October 09, 2018 2018-10-2544-D JOCELYN CORRIEL ST. FRANCIS II LIMAY BATAAN 463.23 457.60 0.00 920.83 October 09, 2018 2018-10-4241 ARVIE SABATE ALION MARIVELES BATAAN 70.28 300.00 0.00 370.28 October 09, 2018 2018-10-4242 MARIO FLUGENCIO BILOLO ORION BATAAN 52.16 1,050.00 0.00 1,102.16 October 09, 2018 2018-10-3301-A JUVY PENULLAR PTO. RIVAS BALANGA CITY 0.00 840.00 0.00 840.00 October 09, 2018 2018-09-2033-H NADELYN ZAPANTA TOWNSITE LIMAY BATAAN 0.00 1,620.00 0.00 1,620.00 October 09, 2018 2018-10-436-W ALLAN MIRASOL MT. VIEW MARIVELES BATAAN 0.00 1,652.00 0.00 1,652.00 October 09, 2018 2018-10-4243 BABY GIRL RELUAO SAN VICENTE ORION BATAAN 155.86 1,600.00 420.28 2,176.14 October 09, 2018 2018-10-4244 DANILO MAGNO CABCABEN MARIVELES BATAAN 0.00 1,914.88 0.00 1,914.88 October 09, 2018 2018-10-4245 CAIRIYAH ABUBACAR 02 ROSAL ST. SAN ISIDRO MARIVELES BATAAN 0.00 3,003.49 0.00 3,003.49 October 09, 2018 2018-10-4246 EMILBERT ACUÑA LUACAN DINALUPIHAN BATAAN 10,046.92 0.00 0.00 10,046.92 October 09, 2018 2018-10-4247 MIKE JONAS ORQUIZA CUPANG PROPER BALANGA CITY 0.00 2,140.00 0.00 2,140.00 October 09, 2018 2018-10-4248 CARMENCITA SANTOS TUYO BALANGA CITY 0.00 2,100.00 0.00 2,100.00 October 09, 2018 2018-10-4249 JANE MALUBAY DUALE LIMAY BATAAN 0.00 400.00 2,600.00 3,000.00 October 09, 2018 2018-10-4250 KATE PUMARIN BALON ANITO MARIVELES BATAAN 49,620.69 0.00 0.00 49,620.69 October 09, 2018 2018-10-882-P ROGELIO MENDOZA A. RIVERA HERMOSA BATAAN 0.00 1,480.40 0.00 1,480.40 October 09, 2018 2018-10-4251 CARMELITA DELA ROSA TENEJERO BALANGA CITY 0.00 1,190.00 0.00 1,190.00 October 09, 2018 2018-10-3168-A ARNEL SAMONTE ST. FRANCIS II LIMAY BATAAN 0.00 1,340.00 0.00 1,340.00 October 09, 2018 2018-10-4252 BERNARDITA TACTAY CUPANG DIKE BALANGA CITY 0.00 2,400.00 0.00 2,400.00 October 09, 2018 2018-10-2164-G TERESITA MALIBIRAN GABON ABUCAY BATAAN 694.85 0.00 0.00 694.85 October 09, 2018 2018-10-4053-A RODOLFO LAGANAS ALA-ULI PILAR BATAAN 346.25 1,100.00 0.00 1,446.25 October 09, 2018 2018-10-4253 MARIETTA BANARIA BATANGAS II MARIVELES BATAAN 0.00 1,200.00 0.00 1,200.00 October 09, 2018 2018-10-2106-A YOLANDA PINCIL LOTE PTO. RIVAS BALANGA CITY 0.00 1,550.00 0.00 1,550.00 October 09, 2018 2018-10-4254 JENNIFER SOTTO MABUCO HERMOSA BATAAN 0.00 2,076.16 0.00 2,076.16 October 09, 2018 2018-10-4255 JOSH DELA CRUZ TIPO HERMOSA BATAAN 10,345.83 301.59 0.00 10,647.42 October 09, 2018 2018-10-4256 ELSA LUIS GEN. LIM ORION BATAAN 0.00 2,280.00 0.00 2,280.00 October 09, 2018 2018-10-4257 REYNALYN BANIQUED TENEJERO BALANGA CITY 0.00 470.00 0.00 470.00 October 10, 2018 2018-10-2630-F HENRY ALIPIO CAMACHO BALANGA CITY BATAAN 694.85 0.00 0.00 694.85 October 10, 2018 2018-10-3406-F ANITA TAPANG SAN JUAN SAMAL BATAAN 987.00 0.00 0.00 987.00 October 10, 2018 2018-10-2840-S CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 2,826.90 0.00 2,826.90 October 10, 2018 2018-10-3247-B MELINDA DABU SAN RAMON DINALUPIHAN BATAAN 0.00 1,750.00 0.00 1,750.00 October 10, 2018 2018-10-2705-C JOSEPH BRYAN VIZCARRA CUPANG PROPER BALANGA CTIY 0.00 1,584.00 0.00 1,584.00 October 10, 2018 2018-10-4258 ELISA LABANDILO PUROK IV PUTING BUHANGIN ORION BATAAN 0.00 1,250.00 0.00 1,250.00 October 10, 2018 2018-10-4259 IRENEA EGUILOS MULWIN ST. OLD ALION MARIVELES BATAAN 243.91 550.00 158.93 952.84 October 10, 2018 2018-10-4260 SEON REX DAVID AGRIPINO BAGONG BAYAN BALANGA CITY 1,319.50 0.00 0.00 1,319.50 October 10, 2018 2018-10-4261 KEVIN CASER PAG-ASA BAGAC BATAAN 0.00 0.00 1,626.08 1,626.08 October 10, 2018 2018-10-1429-J EFREN GANTIGA ALIKABOK ORANI BATAAN 0.00 2,425.71 0.00 2,425.71 October 10, 2018 2018-10-3268-B BIENVENIDO RAMOS JR. BAGUMBAYAN BAGAC BATAAN 30,000.00 0.00 0.00 30,000.00 October 10, 2018 2018-10-030-O DIONILO GUTIERREZ ST. FRANCIS II LIMAY BATAAN 0.00 1,490.00 0.00 1,490.00 October 10, 2018 2018-10-2559-G RAMIR URBANO MT. VIEW MARIVELES BATAAN 694.85 0.00 0.00 694.85 October 10, 2018 2018-10-3179-A MARVIN MADRIAGA POBLACION PILAR BATAAN 0.00 1,240.00 0.00 1,240.00 October 10, 2018 2018-10-2707-D ROSALINDA GATDULA SAN ANTONIO BAGAC BATAAN 694.85 0.00 0.00 694.85 October 10, 2018 2018-10-4262 FERIE PALMA JR. SAN PABLO DINALUPIHAN BATAAN 15,000.00 0.00 0.00 15,000.00 October 10, 2018 2018-10-368-T MARY JANE SAMSON LAON ABUCAY BATAAN 0.00 1,501.82 0.00 1,501.82 October 10, 2018 2018-10-3328-A RHEMALYN BRIONES TENEJERO BALANGA CITY 0.00 660.00 0.00 660.00 October 10, 2018 2018-10-014-Q RONNIE BASALO CENTRO II ORANI BATAAN 694.85 0.00 0.00 694.85 October 10, 2018 2018-10-4263 ANDREI LATORRE IPAG MARIVELES BATAAN 7,644.76 2,355.24 0.00 10,000.00 October 10, 2018 2018-10-4264 CALIXTO TOLEDO POBLACION MARIVELES BATAAN 0.00 3,700.00 0.00 3,700.00 October 10, 2018 2018-10-2361-I TOMAS ONGKINGCO CAPITANGAN ABUCAY BATAAN 0.00 2,000.00 0.00 2,000.00 October 10, 2018 2018-10-4265 AMALIA CASTRO WAWA ABUCAY BATAAN 0.00 1,650.00 0.00 1,650.00 October 10, 2018 2018-10-1258-B TORIBIO MIRANDA JR. LAYAC DINALUPIHAN BATAAN 231.62 0.00 0.00 231.62 October 10, 2018 2018-10-2195-G JOHN KEVIN IJAN IBAYO BALANGA CITY 0.00 650.00 0.00 650.00 October 10, 2018 2018-10-2627-F JACKIENER MORIS MABUCO HERMOSA BATAAN 658.00 0.00 0.00 658.00 October 10, 2018 2018-10-097-E JOHN EDWARD VERGARA 416 GABON ABUCAY BATAAN 463.23 457.60 0.00 920.83 October 10, 2018 2018-10-4266 REY GERSANIVA DAUNGAN HERMOSA BATAAN 0.00 1,160.00 0.00 1,160.00 October 10, 2018 2018-10-4267 JAMES PAUL GERSANIVA BALSIK HERMOSA BATAAN 0.00 590.00 0.00 590.00 October 10, 2018 2018-10-2146-I RAVENACE BALUYOT PALIHAN ORANI BATAAN 694.85 1,494.68 0.00 2,189.53 October 10, 2018 2018-10-223-I REN MARK SAPIT ALAS-ASIN MARIVELES BATAAN 0.00 650.00 0.00 650.00 October 10, 2018 2018-10-2144-C JHON WARREN DE GUZMAN 413 DAMPALIT II TAPULAO ORANI BATAAN 0.00 42,720.00 2,329.44 45,049.44 AMOUNT OF MEDICAL SERVICES

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

October 10, 2018 2018-10-4268 REYNAN MAE MENDEZ DAAN PARE ORION BATAAN 0.00 600.00 0.00 600.00 October 10, 2018 2018-10-4269 FRINCESS DIANNE BONTIGAO BO. LUZ LIMAY BATAAN 6,693.10 6,850.00 5,984.37 19,527.47 October 10, 2018 2018-10-4270 KEVIN DIZON NAGWALING PILAR BATAAN 227.01 200.00 934.97 1,361.98 October 10, 2018 2018-10-4271 JOSEPHINE BUGAY BO. LUZ LIMAY BATAAN 4,573.94 670.00 7,896.61 13,140.55 October 10, 2018 2018-10-3406-G ANITA TAPANG SAN JUAN SAMAL BATAAN 0.00 2,300.70 0.00 2,300.70 October 10, 2018 2018-10-3570-A GLORIA HERMINO PALILI SAMAL BATAAN 0.00 1,240.00 0.00 1,240.00 October 10, 2018 2018-10-413-B DANIEL ENRIQUEZ ALAS-ASIN MARIVELES BATAAN 463.23 0.00 0.00 463.23 October 10, 2018 2018-10-4272 LIWLIWA HERNANDO STA. ROSA PILAR BATAAN 0.00 1,340.00 0.00 1,340.00 October 10, 2018 2018-10-4273 ROY ROXAS CAMACHILE ORION BATAAN 0.00 1,250.00 0.00 1,250.00 October 10, 2018 2018-10-4274 ROGELIO SANTIAGO UPPER BILOLO ORION BATAAN 392.82 1,450.00 0.00 1,842.82 October 10, 2018 2018-10-1909-N JULIET PIZARRO PTO. RIVAS IBABA BALANGA CITY 0.00 1,514.68 0.00 1,514.68 October 10, 2018 2018-10-1165-AL ADONES LINTAG DAANG BILOLO ORION BATAAN 0.00 2,673.25 0.00 2,673.25 October 10, 2018 2018-10-075-W MERCIDITA MORALES LIBANAN MT. VIEW MARIVELES BATAAN 0.00 1,508.95 0.00 1,508.95 October 05, 2018 2018-10-4275 ANNALYN ACEBEDO LAMAO LIMAY BATAAN 0.00 470.00 0.00 470.00 October 05, 2018 2018-10-4276 HERMINIA MORA IBAYO BALANGA CITY 0.00 700.00 0.00 700.00 October 05, 2018 2018-10-4277 RISHY LIEUSEFF SANCHEZ TORTUGAS BALANGA CITY 0.00 600.00 0.00 600.00 October 05, 2018 2018-10-4278 JUDY SALAVERIA BALUT II PILAR BATAAN 0.00 1,940.00 0.00 1,940.00 October 05, 2018 2018-09-1449-H ROGER PAJUNAR BALON ANITO MARIVELES BATAAN 987.00 1,500.00 0.00 2,487.00 October 05, 2018 2018-10-368-U MARY JANE SAMSON LAON ABUCAY BATAAN 694.85 0.00 0.00 694.85 October 05, 2018 2018-10-2146-J RAVENACE BALUYOT PALIHAN ORANI BATAAN 694.85 0.00 0.00 694.85 October 05, 2018 2018-10-4279 MARILYN BACILES IBIS BAGAC BATAAN 0.00 840.00 0.00 840.00 October 05, 2018 2018-10-4280 MYLENE SOLOSA BAGUMBAYAN BALANGA CITY 0.00 670.00 0.00 670.00 October 05, 2018 2018-10-3538-A AILENE DE JESUS TENEJERO BALANGA CITY 0.00 350.00 0.00 350.00 October 05, 2018 2018-10-4281 VILMA ANDAYA STO. NIÑO DINALUPIHAN BATAAN 0.00 4,800.00 0.00 4,800.00 October 05, 2018 2018-10-4282 NOEL ANIB TENEJERO BALANGA CITY 0.00 450.00 105.85 555.85 October 05, 2018 2018-10-4283 JOEMAR IBARRA UPPER TUYO, BALANGA 0.00 0.00 579.46 579.46 October 05, 2018 2018-10-4284 GLORIA REYES PTO. RIVAS, BALANGA CITY 0.00 880.00 0.00 880.00 October 05, 2018 2018-10-4285 FREYIA THIM DE GUMAN STA. ROSA PILAR BATAAN 0.00 300.00 0.00 300.00 October 05, 2018 2018-10-4286 LIGAYA CARCELLAR ALANGAN LIMAY BATAAN 0.00 1,000.00 0.00 1,000.00 October 05, 2018 2018-10-3604-A PAMELA SANTOS PTO. RIVAS IBABA BALANGA CITY 0.00 2,200.00 0.00 2,200.00 October 05, 2018 2018-10-4287 KURT TRAVIS GUZMAN DAAN PARE ORION BATAAN 683.39 470.00 0.00 1,153.39 October 05, 2018 2018-10-4288 MA. MILAGROS TANTE TENEJERO BALANGA CITY 0.00 591.36 0.00 591.36 October 05, 2018 2018-10-4289 RHODORA RENOSA OMBOY ABUCAY BATAAN 0.00 640.00 0.00 640.00 October 05, 2018 2018-10-3510-F GEMMA LEOBRERA PTO. RIVAS IBABA BALANGA CITY 0.00 3,000.00 121.61 3,121.61 October 05, 2018 2018-10-3234-C MA. CHRISTINE CRUZ MABATANG ABUCAY BATAAN 231.62 0.00 0.00 231.62 October 05, 2018 2018-10-4290 AGRIPINA NEPOMUCENO TUYO BALANGA CITY 0.00 1,408.00 0.00 1,408.00 October 05, 2018 2018-10-4291 GENOVEVA NEPOMUCENO CADRE CAMACHO BALANGA CITY 0.00 2,100.00 0.00 2,100.00 October 05, 2018 2018-10-2532-B WILSON SALAZAR UPPER TUYO, BALANGA 694.85 0.00 0.00 694.85 October 05, 2018 2018-10-1909-O JULIET PIZARRO PTO. RIVAS IBABA BALANGA CITY 0.00 1,584.00 0.00 1,584.00 October 05, 2018 2018-10-4292 KHIEL DAMOND CARREON BAGUMBAYAN BALANGA CITY 0.00 800.00 0.00 800.00 October 05, 2018 2018-10-4293 SHERILYN BELARDO BIAAN MARIVELES BATAAN 0.00 1,480.00 0.00 1,480.00 October 05, 2018 2018-10-4294 MARA BRANZUELA BALON ANITO MARIVELES BATAAN 0.00 670.00 0.00 670.00 October 05, 2018 2018-10-4295 ALBERTO CULLAMAR LAMAO LIMAY BATAAN 0.00 0.00 458.73 458.73 October 06, 2018 2018-10-1430-D VIRGINIA NAVARRO CALUNGUSAN ORION BATAAN 0.00 1,478.40 0.00 1,478.40 October 06, 2018 2018-10-1949-A ALFREDO LIBANAN MT. VIEW MARIVELES BATAAN 11,967.17 12,800.00 232.83 25,000.00 October 06, 2018 2018-10-4296 MARIA TERESA SALINAS SAN JOSE BALANGA CITY 2,283.70 0.00 337.83 2,621.53 October 06, 2018 2018-10-4297 ROSANNA MADRIAGA PILAR BATAAN 0.00 0.00 193.65 193.65 October 06, 2018 2018-10-3547-E ROMY NICDAO TALIMUNDOC ORANI BATAAN 463.23 0.00 0.00 463.23 October 06, 2018 2018-10-4298 KENNETH MANALILI CAMAYA MARIVELES BATAAN 0.00 583.00 0.00 583.00 October 06, 2018 2018-10-4299 EDEN MANALO BINARITAN MORONG BATAAN 0.00 150.00 1,350.00 1,500.00 October 07, 2018 2018-10-4300 CHRISTOPHER NAVARRO BINARITAN MORONG BATAAN 0.00 450.00 387.80 837.80 October 07, 2018 2018-10-4301 ROSENDO UBALDO JR. GEN. LUNA DINALUPIHAN 0.00 1,400.00 0.00 1,400.00 October 07, 2018 2018-10-4302 HANNAH ANDREA ATIENZA MUNTING BATANGAS BALANGA CITY 0.00 1,200.00 0.00 1,200.00 October 07, 2018 2018-10-4303 PRINCE MATT TAPIC CALAGUIMAN SAMAL 917.94 1,082.06 0.00 2,000.00 October 07, 2018 2018-10-4304 JOHN RENZO SAN PEDRO GABON ABUCAY BATAAN 0.00 0.00 411.96 411.96 October 07, 2018 2018-10-2652-A OLIVER MAGTANONG LAON ABUCAY BATAAN 463.23 0.00 0.00 463.23 October 07, 2018 2018-10-4305 YHASSIE ABRIANA MACASPAC LANDING PILAR BATAAN 0.00 200.00 0.00 200.00 October 07, 2018 2018-10-4306 ANNECARIEZ DELA FUENTE PTO. RIVAS IBABA, BALANGA CITY, BATAAN 0.00 800.00 0.00 800.00 October 07, 2018 2018-10-4307 JORDAN OCAMPO LANDING PILAR BATAAN 0.00 1,000.00 0.00 1,000.00 October 07, 2018 2018-10-4308 JUVILYN PUZON BANAWANG BAGAC BATAAN 0.00 1,350.00 0.00 1,350.00 October 07, 2018 2018-10-4309 KING MARCELO JOSE LAMAO LIMAY BATAAN 5,000.00 0.00 0.00 5,000.00 October 07, 2018 2018-10-4310 CECILLE CORLA SAN JOSE BALANGA CITY 25.32 600.00 177.15 802.47 October 07, 2018 2018-10-588-B MARY ANN SANTOS IBABA SAMAL BATAAN 6.52 2,150.00 1,545.93 3,702.45 October 08, 2018 2018-10-4311 JOSHUA LEDESMA BO. LUZ LIMAY BATAAN 0.00 600.00 0.00 600.00 October 08, 2018 2018-10-4312 JHULIANE BALUYOT BILOLO ORION BATAAN 0.00 450.00 0.00 450.00 AMOUNT OF MEDICAL SERVICES

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

October 08, 2018 2018-10-4313 CARLITO RUIZ JR. MALABIA BALANGA CITY 0.00 1,270.00 0.00 1,270.00 October 08, 2018 2018-10-1008-A MARIELLA OPIANA CUPANG NORTH BALANGA CITY 0.00 700.00 0.00 700.00 October 08, 2018 2018-10-2486-A ANANAIS MALOS LUSUNGAN ORION 0.00 1,350.00 0.00 1,350.00 October 08, 2018 2018-10-1784-C ENRICO SAN DIEGO NAPARING DINALUPIHAN BATAAN 5,000.00 0.00 0.00 5,000.00 October 08, 2018 2018-10-4314 LEONOR DELA CRUZ PTO. RIVAS IBABA, BALANGA CITY, BATAAN 396.68 1,267.70 0.00 1,664.38 October 08, 2018 2018-10-4315 BRYAN VICENTE PANILAO PILAR BATAAN 1,029.62 500.00 251.63 1,781.25 October 08, 2018 2018-10-4316 MARVELYN GARMA IPAG MARIVELES BATAAN 0.00 1,130.00 0.00 1,130.00 October 08, 2018 2018-10-4317 HANNAH GRACE PAGSUGUIRON UPPER TUYO, BALANGA 0.00 670.00 0.00 670.00 October 08, 2018 2018-10-4318 FELICIANA MADRIAGA SABATAN ORION BATAAN 0.00 668.80 0.00 668.80 October 08, 2018 2018-10-2593-C CARMEN RIVERA TAPULAO ORANI BATAAN 2,696.20 0.00 0.00 2,696.20 October 08, 2018 2018-10-1312-I RUFINO BANATAO IPAG MARIVELES BATAAN 1,798.60 1,137.63 0.00 2,936.23 October 08, 2018 2018-10-4319 NICO CONDAYA BALON ANITO MARIVELES BATAAN 0.00 840.00 0.00 840.00 October 08, 2018 2018-10-4178-A JOANA JESUSA PAÑARES BATANGAS II MARIVELES BATAAN 0.00 460.00 0.00 460.00 October 08, 2018 2018-10-4320 CORAZON REMEGIO BILOLO ORION BATAAN 25,876.05 9,123.95 0.00 35,000.00 October 08, 2018 2018-10-4321 CHRIZZA MAE MARIANO TENEJERO BALANGA CITY 0.00 1,500.00 0.00 1,500.00 October 08, 2018 2018-10-1165-AM ADONES LINTAG DAANG BILOLO ORION BATAAN 694.85 0.00 0.00 694.85 October 08, 2018 2018-10-4322 VIRGILIO ARSENIO TAPULAO ORANI BATAAN 20,000.00 0.00 0.00 20,000.00 October 08, 2018 2018-10-4323 ROSSEL BUAN GUGO SAMAL BATAAN 0.00 2,100.00 0.00 2,100.00 October 08, 2018 2018-10-740-H DIVINE MARY BORGUETA SAN JOSE BALANGA CITY 0.00 1,570.00 458.30 2,028.30 October 08, 2018 2018-10-4324 CONSOLACION RED MALIGAYA, MARIVELES BATAAN 584.33 369.12 0.00 953.45 October 08, 2018 2018-10-4325 ROWENA GALUEZ BALUT I PILAR BATAAN 0.00 2,520.00 0.00 2,520.00 October 08, 2018 2018-10-4326 CARLENE COLOMA MT. VIEW MARIVELES BATAAN 0.00 1,000.00 0.00 1,000.00 October 08, 2018 2018-10-4327 MARILOU GULISAN BANGKAL ABUCAY 0.00 840.00 0.00 840.00 October 08, 2018 2018-10-3051-A MARILYN AQUINO STA. ROSA PILAR BATAAN 0.00 750.00 0.00 750.00 October 08, 2018 2018-10-4328 TRISTAN JOHN MICHAEL CORDOVA PANILAO PILAR BATAAN 1,227.62 772.38 0.00 2,000.00 October 08, 2018 2018-10-3476-A IFRIEL ROSE MELCHOR TOWNSITE LIMAY BATAAN 1,773.71 320.00 11,883.93 13,977.64 October 08, 2018 2018-10-4329 CHRISTOPHER LINAO BINARITAN MORONG BATAAN 0.00 380.00 0.00 380.00 October 08, 2018 2018-10-4330 KAREN EVANGELISTA BAGONG SILANG BALANGA CITY 0.00 540.00 0.00 540.00 October 08, 2018 2018-10-4331 ROWENA BANGCO CATANING BALANGA CITY 0.00 3,000.00 0.00 3,000.00 October 08, 2018 2018-10-4332 MA. THERESA CASAS MALIGAYA MARIVELES BATAAN 0.00 700.00 0.00 700.00 October 08, 2018 2018-10-4333 JOSEPHINE ROBERTO TUGATOG ORANI BATAAN 0.00 1,670.00 0.00 1,670.00 October 08, 2018 2018-10-4334 JOSEPH VICENCIO TUYO BALANGA CITY 0.00 1,620.00 0.00 1,620.00 October 08, 2018 2018-10-3799-A RODORA MAGLAQUE CATANING BALANGA CITY 0.00 1,350.00 0.00 1,350.00 October 08, 2018 2018-10-4335 NARCISO SANTIAGO CAMACHO BALANGA CITY BATAAN 0.00 563.20 0.00 563.20 October 08, 2018 2018-09-2152-F GARY DE VERA STA. ROSA PILAR BATAAN 73.57 850.00 0.00 923.57 October 08, 2018 2018-10-4336 LEONITA OLIVERIA SAN ISIDRO MARIVELES BATAAN 16,234.75 17,094.51 0.00 33,329.26 October 11, 2018 2018-10-4337 MATILDE ESPLANA MAMBOG MANDAMA HERMOSA BATAAN 0.00 1,100.00 1,194.38 2,294.38 October 11, 2018 2018-10-3320-A PAQUITO NAVARRO WAWA ABUCAY BATAAN 220.49 0.00 0.00 220.49 October 11, 2018 2018-10-4338 ARISTON SEGUIRAN IPAG MARIVELES BATAAN 0.00 170.00 630.00 800.00 October 11, 2018 2018-10-4339 LEON ALCANTARA CABCABEN MARIVELES BATAAN 122.05 668.80 54.97 845.82 October 11, 2018 2018-10-2713-A NOEL VALENCIA ALA-ULI PILAR BATAAN 4,096.54 343.46 0.00 4,440.00 October 11, 2018 2018-10-4340 JESSIE LAZO BAGONG SILANG BALANGA CITY 0.00 0.00 642.77 642.77 October 11, 2018 2018-10-4341 ALTHEA SABINO BILOLO ORION BATAAN 0.00 600.00 0.00 600.00 October 11, 2018 2018-10-4342 ENZO LIZARDO CABCABEN MARIVELES BATAAN 0.00 1,000.00 0.00 1,000.00 October 11, 2018 2018-10-4343 LUISA RAMOS SAN ISIDRO MARIVELES BATAAN 0.00 900.00 0.00 900.00 October 11, 2018 2018-10-4344 NORA PONGCO ALA-ULI PILAR BATAAN 0.00 800.00 0.00 800.00 October 11, 2018 2018-10-4345 RHEA PATRICIO BALUT I PILAR BATAAN 0.00 1,970.00 0.00 1,970.00 October 11, 2018 2018-10-4346 DIANITO MONTAÑEZ JR. CATANING BALANGA CITY 0.00 300.00 0.00 300.00 October 11, 2018 2018-10-1165-AN ADONES LINTAG DAANG BILOLO ORION BATAAN 811.64 0.00 0.00 811.64 October 11, 2018 2018-10-1898-A MORENA GONZALES LUCANIN MARIVELES BATAAN 0.00 1,000.00 0.00 1,000.00 October 11, 2018 2018-10-2144-D JHON WARREN DE GUZMAN TAPULAO ORANI BATAAN 2,579.00 0.00 0.00 2,579.00 October 11, 2018 2018-10-1549-P VIOLETA SOMO LAMAO LIMAY BATAAN 1,653.83 0.00 1,950.00 3,603.83 October 11, 2018 2018-10-223-J REN MARK SAPIT ALAS-ASIN MARIVELES BATAAN 329.00 0.00 0.00 329.00 October 11, 2018 2018-10-1165-AO ADONES LINTAG DAANG BILOLO ORION BATAAN 1,653.83 0.00 2,487.37 4,141.20 October 11, 2018 2018-10-436-X ALLAN MIRASOL MT. VIEW MARIVELES BATAAN 1,664.45 0.00 435.55 2,100.00 October 11, 2018 2018-10-2108-I JAVIER ADRANEDA STA. LUCIA SAMAL BATAAN 463.23 0.00 0.00 463.23 October 11, 2018 2018-10-4347 ADELAIDA BALA SABATAN ORION BATAAN 0.00 840.00 0.00 840.00 October 11, 2018 2018-10-4348 NESTOR MANGAYAO SAN JOSE BALANGA CITY 0.00 1,120.00 0.00 1,120.00 October 11, 2018 2018-10-4349 FERNANDO RAYA TENEJERO BALANGA CITY 0.00 1,548.80 0.00 1,548.80 October 11, 2018 2018-10-2610-D EVANGELINE GAMAYON STO. CRISTO CENTRAL BALANGA CITY 463.23 0.00 0.00 463.23 October 11, 2018 2018-10-2652-B OLIVER MAGTANONG LAON ABUCAY BATAAN 463.23 0.00 0.00 463.23 October 11, 2018 2018-10-406-A MARVIN GIMAO RIZAL PILAR BATAAN 241.00 4,670.00 521.64 5,432.64 October 11, 2018 2018-10-4350 RENANTE EXALA POBLACION MARIVELES BATAAN 1,268.45 0.00 0.00 1,268.45 October 11, 2018 2018-10-1593-M JOY FRANCISCO TOWNSITE LIMAY BATAAN 1,480.40 0.00 0.00 1,480.40 October 11, 2018 2018-10-3454-B KYLE BRYAN PUNZALAN BALSIK HERMOSA BATAAN 463.23 0.00 0.00 463.23 AMOUNT OF MEDICAL SERVICES

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

October 11, 2018 2018-10-4351 SHIELA DELA RAMA BANTAN ORION BATAAN 0.00 1,130.00 0.00 1,130.00 October 11, 2018 2018-09-1449-I ROGER PAJUNAR BALON ANITO MARIVELES BATAAN 0.00 650.00 0.00 650.00 October 11, 2018 2018-10-4352 JOCELYN MOLINA CAPITANGAN ABUCAY BATAAN 0.00 2,200.00 0.00 2,200.00 October 11, 2018 2018-10-4353 JONIE MEDINA WAKAS ORION BATAAN 0.00 1,100.00 0.00 1,100.00 October 11, 2018 2018-10-4354 JOHN MICHAEL PACONLA CAMACHO BALANGA CITY BATAAN 0.00 0.00 1,000.00 1,000.00 October 11, 2018 2018-10-4355 ARIEL ALSADO BLISS BAGONG SILANG BALANGA CITY 0.00 850.00 0.00 850.00 October 11, 2018 2018-10-4356 NESTOR ABOGADO LAMAO LIMAY BATAAN 110.34 1,010.54 0.00 1,120.88 October 11, 2018 2018-10-1593-N JOY FRANCISCO TOWNSITE LIMAY BATAAN 463.23 0.00 0.00 463.23 October 11, 2018 2018-10-4357 MARK HANCY ABUAN CATANING BALANGA CITY 0.00 0.00 1,000.00 1,000.00 October 12, 2018 2018-10-4358 ADELA RUEDA PTO. RIVAS IBABA, BALANGA CITY, BATAAN 0.00 850.00 0.00 850.00 October 12, 2018 2018-10-2214-N MARTY CUBACUB PARANG PARANG ORANI BATAAN 463.23 0.00 0.00 463.23 October 12, 2018 2018-10-2840-T CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 1,516.10 0.00 0.00 1,516.10 October 12, 2018 2018-10-843-H JUANITO GALVEZ CULIS HERMOSA BATAAN 463.23 0.00 0.00 463.23 October 12, 2018 2018-10-4143-A ROSALIE ESCUETA PANTALAN BAGO ORANI BATAAN 0.00 840.00 0.00 840.00 October 12, 2018 2018-10-391-O ROLY CORDERO STA. ISABEL DINALUPIHAN BATAAN 5,549.75 4,420.00 1,927.49 11,897.24 October 12, 2018 2018-10-1842-B REBECCA PEÑA PALIHAN ORANI BATAAN 0.00 591.36 0.00 591.36 October 12, 2018 2018-10-4359 NORITA DE JESUS PUTING BUHANGIN ORION BATAAN 0.00 700.00 0.00 700.00 October 12, 2018 2018-10-4360 ALYSA QUILES CUPANG NORTH BALANGA CITY 0.00 1,548.80 0.00 1,548.80 October 12, 2018 2018-10-4361 XABRINA GAIL VILLEGAS BAGUMBAYAN ORION BATAAN 0.00 1,200.00 0.00 1,200.00 October 12, 2018 2018-10-4224-A ALEJANDRO RODRIGO CAPITANGAN ABUCAY BATAAN 0.00 1,120.00 0.00 1,120.00 October 12, 2018 2018-10-4362 LESTER ROSEL OMBOY ABUCAY BATAAN 0.00 1,180.00 0.00 1,180.00 October 12, 2018 2018-10-1035-H ZENAIDA NATE MABIGA HERMOSA BATAAN 0.00 457.60 0.00 457.60 October 12, 2018 2018-10-3528-C ROLANDO ESPIRITU PANTALAN LUMA ORANI BATAAN 463.23 0.00 0.00 463.23 October 12, 2018 2018-10-4363 MARIANNE FULLERO PAG-ASA BAGAC BATAAN 0.00 600.00 212.09 812.09 October 12, 2018 2018-10-4364 SHELLA MAY LARIZA ALA-ULI PILAR BATAAN 0.00 1,800.00 0.00 1,800.00 October 12, 2018 2018-10-1909-P JULIET PIZARRO PTO. RIVAS IBABA BALANGA CITY 1,480.40 0.00 0.00 1,480.40 October 12, 2018 2018-10-3057-D JESUS DENNIS OLIVEROS DOÑA FRANCISCA BALANGA CITY 1,480.40 0.00 0.00 1,480.40 October 12, 2018 2018-10-4365 RIGOBERTO HIPOLITO CABCABEN MARIVELES BATAAN 0.00 500.00 0.00 500.00 October 12, 2018 2018-10-4366 NELIA EVARDONE BALON ANITO MARIVELES BATAAN 50,000.00 0.00 0.00 50,000.00 October 12, 2018 2018-10-4367 JANICE MANDIGMA SABATAN ORION BATAAN 0.00 1,600.00 0.00 1,600.00 October 12, 2018 2018-10-1430-E VIRGINIA NAVARRO CALUNGUSAN ORION BATAAN 1,507.55 0.00 0.00 1,507.55 October 12, 2018 2018-10-4368 PERFECTO CANARE CALAYLAYAN ABUCAY BATAAN 0.00 770.00 0.00 770.00 October 12, 2018 2018-10-1312-J RUFINO BANATAO IPAG MARIVELES BATAAN 1,653.83 116.14 0.00 1,769.97 October 12, 2018 2018-10-4369 BRENDA CAHILI BILOLO ORION BATAAN 0.00 1,540.00 0.00 1,540.00 October 12, 2018 2018-10-4370 RENZ MARION MISLANG IBABA SAMAL BATAAN 2,835.34 4,696.09 0.00 7,531.43 October 12, 2018 2018-10-2036-U ROMEL MENDOZA CATANING BALANGA CITY 1,705.83 0.00 652.62 2,358.45 October 12, 2018 2018-10-4371 NATHALIE VILLENA CATANING BALANGA CITY 8,049.85 1,950.15 0.00 10,000.00 October 17, 2018 2018-10-4372 EMILIA BALBINO PUTING BUHANGIN ORION BATAAN 0.00 150.00 206.02 356.02 October 17, 2018 2018-10-4373 ROSE MARIE CORTEZ BALUT II PILAR BATAAN 0.00 600.00 0.00 600.00 October 17, 2018 2018-10-4374 PAUL DEXTER SARAVILLO TALIPAPA STA. ROSA PILAR BATAAN 547.71 0.00 0.00 547.71 October 17, 2018 2018-10-1430-F VIRGINIA NAVARRO CALUNGUSAN ORION BATAAN 0.00 1,531.29 0.00 1,531.29 October 17, 2018 2018-10-4375 ROSEMARIE BASALISO PUROK VI IPAG MARIVELES BATAAN 0.00 700.00 0.00 700.00 October 17, 2018 2018-10-1456-G ROLLY BUAL RIZAL PILAR BATAAN 231.62 0.00 0.00 231.62 October 17, 2018 2018-10-4189-A MA. CRISTINA NIALDA PUKSUAN ORANI BATAAN 0.00 1,830.00 0.00 1,830.00 October 17, 2018 2018-10-2799-A RONABEL SANTOS BAGONG SILANG BALANGA CITY 0.00 2,000.00 0.00 2,000.00 October 17, 2018 2018-10-4376 FANNY SANTOS BAYAN ORANI BATAAN 0.00 1,500.00 0.00 1,500.00 October 17, 2018 2018-10-182-H MATEO CORPUZ SR. SABATAN ORION BATAAN 1,004.82 0.00 0.00 1,004.82 October 17, 2018 2018-10-4377 MARCELINO CABICO JR. GEN. LIM ORION BATAAN 0.00 540.00 0.00 540.00 October 17, 2018 2018-10-3892-A ROGELIO BARUELA BAGONG SILANG BALANGA CITY 0.00 800.00 0.00 800.00 October 17, 2018 2018-10-030-P DIONILO GUTIERREZ ST. FRANCIS II LIMAY BATAAN 0.00 1,300.00 0.00 1,300.00 October 17, 2018 2018-10-4378 RIZALDY RODRIGUEZ SAPA SAMAL BATAAN 0.00 1,350.00 0.00 1,350.00 October 17, 2018 2018-10-4379 LIEZEL ANTONIO PANILAO PILAR BATAAN 0.00 1,200.00 0.00 1,200.00 October 17, 2018 2018-10-3406-H ANITA TAPANG SAN JUAN SAMAL BATAAN 0.00 2,265.21 0.00 2,265.21 October 17, 2018 2018-10-4380 MARK GERICOH NUEDA BAGONG SILANG BALANGA CITY 0.00 820.00 0.00 820.00 October 17, 2018 2018-10-3547-F ROMY NICDAO TALIMUNDOC ORANI BATAAN 231.62 0.00 0.00 231.62

October 17, 2018 2018-10-352-B LUCILA DIMAFILES LAKANDULA ST. POBLACION MARIVELES BATAAN 231.62 0.00 0.00 231.62 October 17, 2018 2018-10-1098-A JASMIN VELASQUEZ TALISAY BALANGA CITY 0.00 850.00 112.00 962.00 October 17, 2018 2018-10-2750-J REYNALDO PAMINTUAN LUACAN DINALUPIHAN BATAAN 658.00 0.00 0.00 658.00 October 17, 2018 2018-10-2559-H RAMIR URBANO MT. VIEW MARIVELES BATAAN 490.69 0.00 0.00 490.69 October 17, 2018 2018-10-4381 MARCUS IRVIN NAVARRO MABATANG ABUCAY BATAAN 4,043.67 0.00 0.00 4,043.67 October 17, 2018 2018-10-1258-C TORIBIO MIRANDA JR. LAYAC DINALUPIHAN BATAAN 231.62 0.00 0.00 231.62 October 17, 2018 2018-10-4382 VIOLETA BORJA STA. ROSA PILAR BATAAN 6,870.47 7,546.83 0.00 14,417.30 October 17, 2018 2018-10-4383 ALMARIO LUMANLAN DAAN PARE ORION BATAAN 0.00 490.00 0.00 490.00 October 17, 2018 2018-10-075-X MERCIDITA MORALES LIBANAN MT. VIEW MARIVELES BATAAN 0.00 3,700.43 0.00 3,700.43 October 17, 2018 2018-10-4384 JESSICA JAVIER PTO. RIVAS BALANGA CITY 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

October 17, 2018 2018-10-4385 CRISELYN BAUN PANILAO PILAR BATAAN 0.00 2,302.08 0.00 2,302.08 October 17, 2018 2018-10-4386 HENRY LLANA ALIPIO CAMACHO BALANGA CITY BATAAN 463.23 0.00 0.00 463.23 October 17, 2018 2018-10-4387 JULIET SERRANO NEW SAN JOSE DINALUPIHAN BATAAN 0.00 2,050.00 0.00 2,050.00 October 17, 2018 2018-10-740-I DIVINE MARY BORGUETA SAN JOSE BALANGA CITY 0.00 0.00 4,912.28 4,912.28 October 17, 2018 2018-10-2840-U CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 2,686.14 0.00 2,686.14 October 17, 2018 2018-10-368-V MARY JANE SAMSON LAON ABUCAY BATAAN 231.62 1,480.40 0.00 1,712.02 October 17, 2018 2018-10-2707-E ROSALINDA GATDULA SAN ANTONIO BAGAC BATAAN 463.23 0.00 0.00 463.23 October 17, 2018 2018-10-413-C DANIEL ENRIQUEZ ALAS-ASIN MARIVELES BATAAN 463.23 0.00 0.00 463.23 October 17, 2018 2018-10-3510-G GEMMA LEOBRERA PTO. RIVAS IBABA BALANGA CITY 412.63 2,120.00 127.18 2,659.81 October 17, 2018 2018-10-4388 MARIEL AQUINO SABANG MORONG BATAAN 0.00 900.00 0.00 900.00 October 17, 2018 2018-10-097-F JOHN EDWARD VERGARA 416 GABON ABUCAY BATAAN 231.62 0.00 0.00 231.62 October 17, 2018 2018-10-2627-G JACKIENER MORIS MABUCO HERMOSA BATAAN 329.00 0.00 0.00 329.00 October 17, 2018 2018-10-239-Q EMILY MORIDO PUTING BUHANGIN ORION BATAAN 0.00 2,250.00 0.00 2,250.00 October 18, 2018 2018-10-2036-V ROMEL MENDOZA CATANING BALANGA CITY 0.00 1,500.00 0.00 1,500.00 October 18, 2018 2018-10-3615-A ELENETH ROMANO CAMACHO BALANGA CITY BATAAN 474.50 0.00 0.00 474.50 October 18, 2018 2018-10-1165-AP ADONES LINTAG DAANG BILOLO ORION BATAAN 0.00 2,644.70 0.00 2,644.70 October 18, 2018 2018-10-1593-O JOY FRANCISCO TOWNSITE LIMAY BATAAN 0.00 3,391.26 0.00 3,391.26 October 18, 2018 2018-10-4389 FAHAD DISANGCOPAN PATERNO ST. POBALCION BALANGA CITY 570.31 700.00 0.00 1,270.31 October 18, 2018 2018-10-1909-Q JULIET PIZARRO PTO. RIVAS IBABA BALANGA CITY 0.00 2,050.41 0.00 2,050.41 October 18, 2018 2018-10-4390 ALYSSA KAYCE EQUIPAJE KABALUTAN ORANI BATAAN 0.00 2,017.26 0.00 2,017.26 October 18, 2018 2018-10-4391 MARIE CRISTEL MARGARET ALONZO 09 OLD ROAL LUCANIN MARIVELES BATAAN 0.00 3,400.00 0.00 3,400.00 October 18, 2018 2018-10-4392 GHEREMIE PERALTA NARRA ST. PANILAO PILAR BATAAN 80.02 430.00 0.00 510.02 October 18, 2018 2018-10-4393 STEPHEN KLAY VELASCO SAN CARLOS MARIVELES BATAAN 3,998.02 1,001.98 0.00 5,000.00 October 18, 2018 2018-10-4394 JOSEPHINE DIZON GEN. LIM ORION BATAAN 0.00 890.00 0.00 890.00 October 18, 2018 2018-10-2146-K RAVENACE BALUYOT PALIHAN ORANI BATAAN 0.00 2,686.13 0.00 2,686.13 October 18, 2018 2018-10-4395 ARACELI TABLAN MABATANG ABUCAY BATAAN 0.00 591.36 0.00 591.36 October 18, 2018 2018-10-4396 ZENAIDA ENRIQUEZ BANTAN ORION BATAAN 0.00 1,548.80 0.00 1,548.80 October 18, 2018 2018-10-4397 LYDIA CAPULE PANILAO PILAR BATAAN 0.00 352.00 0.00 352.00 October 18, 2018 2018-10-4398 REYNALDO MALOBO ST. FRANCIS II LIMAY BATAAN 0.00 1,790.00 0.00 1,790.00 October 18, 2018 2018-10-436-Y ALLAN MIRASOL MT. VIEW MARIVELES BATAAN 0.00 2,250.00 0.00 2,250.00 October 18, 2018 2018-10-1889-A MARILOU SOLIS SAGINGAN SABATAN ORION BATAAN 283.10 320.00 203.41 806.51 October 18, 2018 2018-10-4399 VIOLETA STA. ANA PARANG BAGAC BATAAN 0.00 350.00 0.00 350.00 October 18, 2018 2018-10-4400 JOHN PAUL MARAGRAG MANAHAN ST. TENEJERO BALANGA CITY 0.00 200.00 0.00 200.00 October 18, 2018 2018-10-2812-H FLORA RAFAEL CALAYLAYAN ABUCAY BATAAN 7,178.15 5,020.97 0.00 12,199.12 October 18, 2018 2018-10-4401 MARVIN MALIT CULIS HERMOSA BATAAN 0.00 378.47 9,927.11 10,305.58 October 18, 2018 2018-10-3057-E JESUS DENNIS OLIVEROS DOÑA FRANCISCA BALANGA CITY 0.00 1,480.40 0.00 1,480.40 October 18, 2018 2018-10-3625-A MARY JANE AMIOTE ST. FRANCIS II LIMAY BATAAN 0.00 600.00 0.00 600.00 October 18, 2018 2018-10-4402 NAJMAH MACAAGAL CATANING BALANGA CITY 0.00 1,070.00 0.00 1,070.00 October 18, 2018 2018-10-4403 MATHEW DAVID MALABIA BALANGA CITY 474.50 0.00 0.00 474.50 October 18, 2018 2018-10-1549-Q VIOLETA SOMO LAMAO LIMAY BATAAN 0.00 1,480.40 0.00 1,480.40 October 18, 2018 2018-10-4404 RAINE LAGARAN MT. VIEW MARIVELES BATAAN 3,807.29 4,120.00 2,072.71 10,000.00 October 18, 2018 2018-10-4405 JOHN ANGELO DELOS SANTOS BAGONG SILANG BALANGA CITY 0.00 2,017.26 0.00 2,017.26 October 18, 2018 2018-10-4406 JAMES TRANATE SAN JOSE BALANGA CITY 484.18 400.00 0.00 884.18 October 18, 2018 2018-10-4343-A LUISA RAMOS SAN ISIDRO MARIVELES BATAAN 0.00 2,140.00 0.00 2,140.00 October 18, 2018 2018-10-4407 MERLITA MAGSINO LIYANG PILAR BATAAN 0.00 600.00 0.00 600.00 October 18, 2018 2018-10-4408 ANABEL MALLARI PALILI SAMAL BATAAN 107.15 850.00 13.00 970.15 October 18, 2018 2018-10-391-P ROLY CORDERO STA. ISABEL DINALUPIHAN BATAAN 0.00 1,480.40 0.00 1,480.40 October 18, 2018 2018-10-4409 MA. THERESA VIGAYAN 98 CUPANG NORTH BALANGA CITY 0.00 780.00 0.00 780.00 October 18, 2018 2018-10-3571-B IAN ABIGAEL FLORES WEST DAAN BAGO SAMAL BATAAN 474.50 0.00 0.00 474.50 October 18, 2018 2018-10-4410 LORELIE REYES SABANG MORONG BATAAN 0.00 1,140.00 0.00 1,140.00 October 18, 2018 2018-10-1172-A ERNESTO AMARO CAPUNITAN ORION BATAAN 165.77 200.00 0.00 365.77 October 18, 2018 2018-10-1208-A ANA MARIE LAYUG SAN JOSE BALANGA CITY 0.00 1,820.00 0.00 1,820.00 October 18, 2018 2018-10-1593-P JOY FRANCISCO TOWNSITE LIMAY BATAAN 463.23 0.00 0.00 463.23

September 18, 2018 2018-10-4264-A CALIXTO TOLEDO POBLACION MARIVELES BATAAN 0.00 600.00 0.00 600.00 October 11, 2018 2018-10-4411 LESLYN DIMACULANGAN LAMAO LIMAY BATAAN 7,189.19 1,037.22 0.00 8,226.41 October 19, 2018 2018-10-4143-B ROSALIE ESCUETA PANTALAN BAGO ORANI BATAAN 0.00 950.00 0.00 950.00 October 19, 2018 2018-10-4412 BABY BOY (MARICEL) ISIP TENEJERO BALANGA CITY 0.00 400.00 0.00 400.00 October 19, 2018 2018-10-4413 ROSALINA PANGAN PALIHAN HERMOSA BATAAN 0.00 1,050.00 0.00 1,050.00 October 19, 2018 2018-10-3189-A ROMA RICO WAKAS NORTH PILAR BATAAN 0.00 2,540.00 0.00 2,540.00 October 19, 2018 2018-10-4414 ALEX ALARCON CAPUNITAN ORION BATAAN 0.00 1,860.00 0.00 1,860.00 October 19, 2018 2018-10-4415 ERWIN CAPULE EAST CALAGUIMAN SAMAL BATAAN 0.00 3,150.26 0.00 3,150.26 October 19, 2018 2018-10-4416 JHELICA SANTOS WAWA ABUCAY BATAAN 0.00 1,200.00 0.00 1,200.00 October 19, 2018 2018-10-4417 MARY ANN PEREGRINO MT. VIEW MARIVELES BATAAN 0.00 3,160.00 0.00 3,160.00 October 19, 2018 2018-10-4345-A RHEA PATRICIO 57 BALUT I PILAR BATAAN 0.00 350.00 0.00 350.00 October 19, 2018 2018-10-4418 IRENE CORTEZ STA. ROSA PILAR BATAAN 0.00 900.00 0.00 900.00 AMOUNT OF MEDICAL SERVICES

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

October 19, 2018 2018-10-2361-J TOMAS ONGKINGCO CAPITANGAN ABUCAY BATAAN 0.00 2,658.97 0.00 2,658.97 October 19, 2018 2018-10-4419 JERRYLOU LULU ALA-ULI PILAR BATAAN 0.00 470.00 0.00 470.00 October 19, 2018 2018-10-4420 KAYLINE MANUEL LIMAY BATAAN 474.50 0.00 0.00 474.50 October 19, 2018 2018-10-3619-A CRISTINA SORRAL MABATANG ABUCAY BATAAN 474.50 0.00 0.00 474.50 October 19, 2018 2018-10-4421 JANINE LACDAO CUPANG NORTH BALANGA CITY 474.50 0.00 0.00 474.50 October 19, 2018 2018-10-4422 JENIFFER BATERINA DAMULOG ORION BATAAN 0.00 520.00 0.00 520.00 October 19, 2018 2018-10-4423 ARNOLD CABRERA MARIVELES MENTAL HOSPITAL 0.00 2,045.66 0.00 2,045.66 October 19, 2018 2018-10-4424 JUANITA HIPOLITO ESTRELLA ST. WAWA ABUCAY BATAAN 59.10 528.00 0.00 587.10 October 19, 2018 2018-10-4029-A ALFREDO CASTILLO CAMACHO BALANGA CITY BATAAN 0.00 1,494.68 0.00 1,494.68 October 19, 2018 2018-10-4425 ALONA MISLANG PARANG I IBABA SAMAL BATAAN 0.00 1,230.00 0.00 1,230.00 October 19, 2018 2018-10-2544-E JOCELYN CORRIEL ST. FRANCIS II LIMAY BATAAN 0.00 1,614.70 0.00 1,614.70 October 19, 2018 2018-10-4426 MARC GIO VINZON KAPARANGAN ORANI BATAAN 0.00 2,200.00 0.00 2,200.00 October 19, 2018 2018-10-2840-V CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 1,494.68 0.00 1,494.68 October 19, 2018 2018-10-4427 JAMALIAH BAUTISTA TORTUGAS BALANGA CITY 0.00 1,500.00 0.00 1,500.00 October 19, 2018 2018-10-239-R EMILY MORIDO PUTING BUHANGIN ORION BATAAN 0.00 2,250.00 0.00 2,250.00 October 19, 2018 2018-10-4428 SHIELA GUINTO LUSUNGAN ORION BATAAN 0.00 900.00 0.00 900.00 October 19, 2018 2018-10-4429 JOEY NISAY CUPANG NORTH BALANGA CITY 949.00 0.00 0.00 949.00 October 19, 2018 2018-10-3510-H GEMMA LEOBRERA PTO. RIVAS IBABA BALANGA CITY 0.00 650.00 0.00 650.00 October 19, 2018 2018-10-4430 BABY BOY NERVAR SABA HERMOSA BATAAN 645.90 2,750.00 1,775.45 5,171.35 October 19, 2018 2018-10-4431 JAMAICA MATURGO HOUSING II BATANGAS II MARIVELES BATAAN 1,757.19 2,800.00 169.13 4,726.32 October 19, 2018 2018-10-4432 DORINE CRUZ SAAY ST. FRANCIS II LIMAY BATAAN 235.52 300.00 1,464.48 2,000.00 October 19, 2018 2018-10-4433 SALVACION DACASIN SITIO BANI CATANING BALANGA CITY 0.00 1,520.00 0.00 1,520.00 October 19, 2018 2018-10-4434 ANALYN GANZON WAWA ABUCAY BATAAN 0.00 700.00 0.00 700.00 October 19, 2018 2018-10-4435 ROBERT BANDONG BAGONG SILANG BALANGA CITY 0.00 700.00 0.00 700.00 October 19, 2018 2018-10-4436 ROBERT MANUEL SIBACAN BALANGA CITY BATAAN 360.87 0.00 0.00 360.87 October 19, 2018 2018-10-4437 GREG DAMASCO SIBACAN BALANGA CITY BATAAN 331.95 700.00 0.00 1,031.95 October 14, 2018 2018-10-4438 ROMMEL RAMOS CENTRAL BALANGA CITY 0.00 2,300.00 0.00 2,300.00 October 14, 2018 2018-10-4439 VALLERINE ISIP CAMACHO BALANGA CITY BATAAN 266.52 200.00 115.18 581.70 October 14, 2018 2018-10-4440 DELIA SANTOS PTO. RIVAS IBABA, BALANGA CITY, BATAAN 0.00 563.20 0.00 563.20 October 14, 2018 2018-10-1909-R JULIET PIZARRO PTO. RIVAS IBABA BALANGA CITY 0.00 0.00 1,487.54 1,487.54 October 14, 2018 2018-10-4441 TRIA VENISE SIRIBAN BILOLO ORION BATAAN 0.00 600.00 0.00 600.00 October 14, 2018 2018-10-3587-B ERLINDA VALENTOS WAWA ABUCAY BATAAN 116.79 0.00 0.00 116.79 October 14, 2018 2018-10-4442 RHEN JOY LAGASA LAMAO LIMAY BATAAN 0.00 420.00 0.00 420.00 October 14, 2018 2018-10-4443 XAKIRO ZANDER ADAON TOWNSITE MARIVELES BATAAN 0.00 600.00 0.00 600.00 October 14, 2018 2018-10-4444 CHERRY ANN CALINISAN CAMAYA MARIVELES BATAAN 1,200.00 0.00 0.00 1,200.00 October 15, 2018 2018-10-1165-AQ ADONES LINTAG DAANG BILOLO ORION BATAAN 1,653.83 585.55 426.73 2,666.11 October 15, 2018 2018-10-4445 ANGEL DIZON BAGUMBAYAN BALANGA CITY 0.00 2,140.16 0.00 2,140.16 October 15, 2018 2018-10-293-I NIDA MALATE CAMAYA MARIVELES BATAAN 383.58 0.00 0.00 383.58 October 15, 2018 2018-10-4446 MERRY MELEGRITO ALA-ULI PILAR BATAAN 0.00 320.00 0.00 320.00 October 15, 2018 2018-10-4447 MAYBELLINE MAGAT MULAWIN ORANI BATAAN 0.00 400.00 1,042.09 1,442.09 October 15, 2018 2018-10-2146-L RAVENACE BALUYOT PALIHAN ORANI BATAAN 658.00 1,318.49 0.00 1,976.49 October 15, 2018 2018-10-4448 DANICA BULATAO CAMAYA MARIVELES BATAAN 0.00 2,317.66 0.00 2,317.66 October 15, 2018 2018-10-436-Z ALLAN MIRASOL MT. VIEW MARIVELES BATAAN 0.00 585.55 1,544.87 2,130.42 October 15, 2018 2018-10-4449 ROWENA MALAGAYO LATI ORION BATAAN 0.00 1,460.00 0.00 1,460.00 October 15, 2018 2018-10-075-Y MERCIDITA MORALES LIBANAN MT. VIEW MARIVELES BATAAN 0.00 585.55 894.85 1,480.40 October 15, 2018 2018-09-1449-J ROGER PAJUNAR BALON ANITO MARIVELES BATAAN 0.00 0.00 2,125.71 2,125.71 October 15, 2018 2018-10-239-S EMILY MORIDO PUTING BUHANGIN ORION BATAAN 52.00 585.55 1,684.73 2,322.28 October 15, 2018 2018-07-1491-B MELITO CAMAING TENEJERO BALANGA CITY 830.47 0.00 0.00 830.47 October 15, 2018 2018-10-4450 SHIRLEY OLIVERIA POBLACION MARIVELES BATAAN 6,792.43 1,044.41 0.00 7,836.84 October 15, 2018 2018-10-4451 MARLON LAGMAN PENTOR DINALUPIHAN BATAAN 3,056.10 3,234.86 0.00 6,290.96 October 15, 2018 2018-10-4452 MARY ANN SABAY DAAN PARE ORION BATAAN 0.00 900.00 0.00 900.00 October 15, 2018 2018-10-4453 CONNIE BADIOLA LANDING PILAR BATAAN 0.00 1,900.00 0.00 1,900.00 October 15, 2018 2018-10-2840-W CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 585.55 894.85 1,480.40 October 15, 2018 2018-10-1456-H ROLLY BUAL RIZAL PILAR BATAAN 463.23 0.00 0.00 463.23 October 15, 2018 2018-10-2108-J JAVIER ADRANEDA STA. LUCIA SAMAL BATAAN 463.23 0.00 0.00 463.23

October 15, 2018 2018-10-3919-A MARIANNE LABONITE SAN LORENZO RUIZ CABCABEN MARIVELES BATAAN 0.00 1,200.00 0.00 1,200.00 October 15, 2018 2018-10-4454 MARIA VICTORIA RAMOS PTO. RIVAS BALANGA CITY BATAAN 0.00 1,200.00 185.28 1,385.28 October 15, 2018 2018-10-2779-H JUANITO DE SILVA SAPA SAMAL BATAAN 2,779.39 0.00 0.00 2,779.39 October 15, 2018 2018-10-2532-C WILSON SALAZAR TUYO BALANGA CITY 694.85 0.00 0.00 694.85 October 15, 2018 2018-10-2729-A JENNIFER AUSTRIA LANDING PILAR BATAAN 0.00 400.00 0.00 400.00 October 15, 2018 2018-10-4455 REYNALDO CABRERA PANILAO PILAR BATAAN 0.00 1,040.00 0.00 1,040.00 October 15, 2018 2018-10-4456 PATRICIA PAGUIO DEL ROSARIO PILAR BATAAN 0.00 1,548.80 0.00 1,548.80 October 15, 2018 2018-10-4457 WILFREDO SINGCA PAG-ASA ORANI BATAAN 0.00 1,548.80 0.00 1,548.80 October 15, 2018 2018-10-1593-Q JOY FRANCISCO TOWNSITE LIMAY BATAAN 542.92 0.00 0.00 542.92 October 15, 2018 2018-10-1467-L MARITA MENA KABALUTAN ORANI BATAAN 463.23 0.00 0.00 463.23 AMOUNT OF MEDICAL SERVICES

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

October 15, 2018 2018-10-2699-B THELMA IGNACIO MULAWIN ORANI BATAAN 5,000.00 0.00 0.00 5,000.00 October 15, 2018 2018-10-4458 DIANA ANTONIA UPPER TUYO, BALANGA 0.00 700.00 0.00 700.00 October 15, 2018 2018-10-1498-D HECTOR QUICHO LOTE PTO. RIVAS BALANGA CITY 463.23 0.00 0.00 463.23 October 16, 2018 2018-10-4459 JESSA ESTRELLA GABON ABUCAY BATAAN 0.00 320.00 0.00 320.00 October 16, 2018 2018-10-1392-L JENNIFER KANTONHOS BURGOS PILAR BATAAN 463.23 0.00 0.00 463.23 October 16, 2018 2018-10-4460 TERESITA ESPALDON WAWA ABUCAY BATAAN 0.00 591.36 0.00 591.36 October 16, 2018 2018-10-2033-I NADELYN ZAPANTA TOWNSITE LIMAY BATAAN 0.00 580.00 0.00 580.00 October 16, 2018 2018-10-2082-D ANACITA YANDOC MAMBOG MANDAMA HERMOSA BATAAN 231.62 0.00 0.00 231.62 October 16, 2018 2018-10-4461 ELMA MANZANO ST. FRANCIS II LIMAY BATAAN 0.00 1,030.00 0.00 1,030.00 October 16, 2018 2018-10-4029-B ALFREDO CASTILLO CAMACHO BALANGA CITY BATAAN 0.00 585.55 1,775.63 2,361.18 October 16, 2018 2018-10-4462 CHRISTINE KIMBERLY MANGLICMOT PTO. RIVAS IBABA BALANGA CITY 1,236.41 2,370.00 1,393.59 5,000.00 October 16, 2018 2018-10-1127-A VINCE SOTERIO SAN ISIDRO MARIVELES BATAAN 0.00 883.15 0.00 883.15 October 16, 2018 2018-10-4463 ELSA VILLALOBOS CABOG-CABOG BALANGA CITY BATAAN 0.00 2,360.00 0.00 2,360.00 October 16, 2018 2018-10-391-Q ROLY CORDERO STA. ISABEL DINALUPIHAN BATAAN 0.00 585.55 929.14 1,514.69 October 16, 2018 2018-10-4464 REYNALDO PANTA CENTRAL BALANGA CITY 0.00 990.00 0.00 990.00 October 16, 2018 2018-10-4465 ROBERTO TABLANG JR. STA. ROSA PILAR BATAAN 0.00 320.00 0.00 320.00 October 16, 2018 2018-10-4466 MARY JANE TRUGANI SISIMAN MARIVELES BATAAN 0.00 2,050.00 0.00 2,050.00 October 16, 2018 2018-10-4433-A SALVACION DACASIN CATANING BALANGA CITY 0.00 500.00 0.00 500.00 October 16, 2018 2018-10-4377-A MARCELINO CABICO JR. GEN. LIM ORION BATAAN 0.00 900.00 0.00 900.00 October 16, 2018 2018-10-2036-W ROMEL MENDOZA CATANING BALANGA CITY 0.00 0.00 1,531.29 1,531.29 October 16, 2018 2018-10-4467 ALBERT DEL ROSARIO WAWA ABUCAY BATAAN 0.00 1,200.00 0.00 1,200.00 October 16, 2018 2018-10-4015-A PATRICK MAGPOC LALAWIGAN SAMAL BATAAN 463.23 0.00 0.00 463.23 October 16, 2018 2018-10-4468 REYNALDO PIOR UPPER SABATAN, ORION 0.00 788.48 132.58 921.06 October 16, 2018 2018-10-2748-G ROMEO DUBLIN CABCABEN MARIVELES BATAAN 658.00 0.00 0.00 658.00 October 16, 2018 2018-10-4469 RIZZA LYN BARTAL BALON ANITO MARIVELES BATAAN 0.00 700.00 0.00 700.00 October 16, 2018 2018-10-4470 LANDREI VINCENT LOPEZ BINUKAWAN BAGAC BATAAN 4,920.09 5,079.91 0.00 10,000.00 October 16, 2018 2018-10-4471 ARLENE AGRAVANTE CABCABEN MARIVELES BATAAN 0.00 350.00 0.00 350.00 October 16, 2018 2018-10-4472 IRENIO ESCAT IMELDA SAMAL 0.00 880.00 0.00 880.00 October 16, 2018 2018-10-4473 ELIZABETH AGUILAR SAN JUAN SAMAL BATAAN 0.00 600.00 0.00 600.00 October 16, 2018 2018-10-4474 FRANCHESCA TEH PTO. RIVAS IBABA BALANGA CITY 1,463.71 252.04 0.00 1,715.75 October 16, 2018 2018-10-3241-A KENSWAY FLORES ST. FRANCIS II LIMAY BATAAN 0.00 1,430.00 0.00 1,430.00 October 16, 2018 2018-10-4140-A ELIZABETH PANGON TENEJERO BALANGA CITY 0.00 1,410.00 0.00 1,410.00 October 16, 2018 2018-10-4475 GERLIE GIGANTE LUACAN DINALUPIHAN BATAAN 0.00 490.00 0.00 490.00 October 16, 2018 2018-10-4476 MARIA CRISTINA LAUREL REFORMISTA LIMAY BATAAN 0.00 420.00 0.00 420.00 October 16, 2018 2018-10-4477 FERDINAND TORDERA PTO. RIVAS BALANGA CITY BATAAN 0.00 500.00 0.00 500.00 October 16, 2018 2018-10-1350-AA EDEN CRUZ CULIS HERMOSA BATAAN 463.23 0.00 0.00 463.23 October 16, 2018 2018-10-4478 ALBERT BULURAN MULAWIN ORANI BATAAN 428.45 0.00 0.00 428.45 October 16, 2018 2018-10-4479 SONNY FRANCISCO SISIMAN MARIVELES BATAAN 15,000.00 0.00 0.00 15,000.00 October 16, 2018 2018-10-4480 MA. JORIELY TABLANG STA. ROSA PILAR BATAAN 0.00 770.00 0.00 770.00 October 16, 2018 2018-10-4481 BRYAN GONZALES IPAG MARIVELES BATAAN 0.00 1,370.00 89.76 1,459.76 October 16, 2018 2018-10-1909-S JULIET PIZARRO PTO. RIVAS IBABA BALANGA CITY 0.00 1,480.40 0.00 1,480.40 October 16, 2018 2018-10-1430-G VIRGINIA NAVARRO CALUNGUSAN ORION BATAAN 10,000.00 0.00 0.00 10,000.00 October 16, 2018 2018-10-4482 RITA VILLARBA BURGOS PILAR BATAAN 0.00 119.58 119.68 239.26 October 16, 2018 2018-10-4483 RICKY VICENTE CABCABEN MARIVELES BATAAN 0.00 1,850.00 0.00 1,850.00 October 16, 2018 2018-10-2825-I RAFAEL BEATO MABATANG ABUCAY BATAAN 463.23 0.00 0.00 463.23 October 16, 2018 2018-10-2425-E RENATO GUEVARRA CULIS HERMOSA BATAAN 463.23 0.00 0.00 463.23 October 16, 2018 2018-10-2821-E JIMMY FELICITAS SAN BENITO DINALUPIHAN BATAAN 0.00 650.00 0.00 650.00 October 16, 2018 2018-10-4484 ARNULFO APALES IBABA BAGAC BATAAN 0.00 950.40 0.00 950.40 October 16, 2018 2018-10-4485 TERESITA QUIRAP UPPER LAYA MARIVELES BATAAN 0.00 700.00 0.00 700.00 October 20, 2018 2018-10-4486 ALBERTO DACLITAN BALON ANITO MARIVELES BATAAN 0.00 668.80 154.14 822.94 October 20, 2018 2018-10-4487 JOHN PAUL VALE COLO DINALUPIHAN BATAAN 0.00 3,650.00 0.00 3,650.00 October 20, 2018 2018-10-4488 NORMA AGUSTIN UPPER TUYO, BALANGA 0.00 1,654.40 0.00 1,654.40 October 20, 2018 2018-10-3208-A SHERYL DE JESUS SABATAN ORION BATAAN 0.00 1,450.00 0.00 1,450.00 October 20, 2018 2018-10-4489 ORLANDO LACSIN LIYANG PILAR BATAAN 0.00 300.00 531.11 831.11 October 20, 2018 2018-10-075-Z MERCIDITA MORALES MT. VIEW MARIVELES BATAAN 0.00 1,504.54 0.00 1,504.54 October 20, 2018 2018-10-4490 MICAH ALINDOGAN ALAS-ASIN MARIVELES BATAAN 0.00 830.00 301.06 1,131.06 October 20, 2018 2018-10-368-W MARY JANE SAMSON LAON ABUCAY BATAAN 0.00 1,507.50 0.00 1,507.50 October 20, 2018 2018-10-1549-R VIOLETA SOMO LAMAO LIMAY BATAAN 1,653.83 585.55 432.46 2,671.84 October 20, 2018 2018-10-030-Q DIONILO GUTIERREZ ST. FRANCIS II LIMAY BATAAN 0.00 1,507.54 0.00 1,507.54 October 20, 2018 2018-10-4491 ROLANDO DELA CRUZ CATANING BALANGA CITY 0.00 1,724.80 0.00 1,724.80 October 20, 2018 2018-10-391-R ROLY CORDERO STA. ISABEL DINALUPIHAN BATAAN 0.00 1,507.54 0.00 1,507.54 October 20, 2018 2018-10-3406-I ANITA TAPANG SAN JUAN SAMAL BATAAN 0.00 585.55 2,053.01 2,638.56 October 20, 2018 2018-10-1165-AR ADONES LINTAG BILOLO ORION BATAAN 0.00 1,507.54 0.00 1,507.54 October 20, 2018 2018-10-4492 NENITA GONZALES CUPANG PROPER BALANGA 0.00 750.00 0.00 750.00 October 19, 2018 2018-10-4493 DOMINGA GAZA DAUNGAN HERMOSA BATAAN 0.00 668.80 0.00 668.80 AMOUNT OF MEDICAL SERVICES

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

October 21, 2018 2018-10-4494 ALYSSA SANTIAGO BO. TOTO CUPANG PROPER BALANGA CITY 0.00 570.00 0.00 570.00 October 21, 2018 2018-10-1909-T JULIET PIZARRO PTO. RIVAS IBABA BALANGA CITY 0.00 2,516.11 0.00 2,516.11

October 21, 2018 2018-10-4495 CATHERINE ADORMEO CAIMITO ST. PHASE 3 BAGONG SILANG BALANGA CITY 459.25 0.00 0.00 459.25 October 21, 2018 2018-10-4496 REBECCA MAE EUGENIO PTO. RIVAS ITAAS BALANGA CITY 0.00 1,040.00 0.00 1,040.00 October 21, 2018 2018-10-4497 ALDEN SERRANO CABCABEN MARIVELES BATAAN 0.00 600.00 107.91 707.91 October 21, 2018 2018-10-4498 CRISPIN PIZARRO BAGUMBAYAN PILAR BATAAN 0.00 900.00 0.00 900.00 October 21, 2018 2018-10-4499 GLORIA DESPI CAPUNITAN ORION BATAAN 0.00 1,175.68 0.00 1,175.68 October 21, 2018 2018-10-4500 JENNEFER PAITON ALAS-ASIN MARIVELES BATAAN 470.16 170.00 2,359.84 3,000.00 October 21, 2018 2018-10-4501 RENERIA GARCIA ST. FRANCIS II LIMAY BATAAN 0.00 0.00 1,204.39 1,204.39 October 21, 2018 2018-10-4502 JHEDELYN CAMPANO GEN. LIM ORION BATAAN 0.00 790.00 0.00 790.00 October 21, 2018 2018-10-4503 VERONICA GUEVARRA IBABA BAGAC BATAAN 2,255.45 2,599.53 0.00 4,854.98 October 21, 2018 2018-10-4504 DEXTER JAKE RAMOS PARANG BAGAC BATAAN 0.00 550.00 0.00 550.00 October 21, 2018 2018-10-3587-C ERLINDA VALENTOS WAWA ABUCAY BATAAN 5,196.45 0.00 0.00 5,196.45 October 21, 2018 2018-10-4505 DENNIS BANSAGAN CALAYLAYAN ABUCAY BATAAN 1,192.92 2,050.00 0.00 3,242.92 October 21, 2018 2018-10-4274-A ROGELIO SANTIAGO UPPER BILOLO ORION BATAAN 0.00 2,000.00 0.00 2,000.00 October 21, 2018 2018-10-4506 DEMIEN JOHN ASHTRID AMIDO HAPPY VALLEY DINALUPIHAN BATAAN 0.00 600.00 0.00 600.00 October 21, 2018 2018-10-4507 GELLY PABALATE CALAYLAYAN ABUCAY BATAAN 0.00 0.00 3,000.00 3,000.00 October 22, 2018 2018-10-4508 KHIEFER CHAN BONITA MABAYO MORONG BATAAN 27,196.98 16,620.00 12,069.74 55,886.72 October 22, 2018 2018-10-4509 GRACE RUBIANO ST. FRANCIS I LIMAY BATAAN 474.50 0.00 0.00 474.50 October 22, 2018 2018-10-4461-A ELMA MANZANO ST. FRANCIS II LIMAY BATAAN 0.00 726.82 73.18 800.00 October 22, 2018 2018-10-4510 EDRALINE MAMARIL ALANGAN LIMAY BATAAN 0.00 1,680.32 319.68 2,000.00 October 22, 2018 2018-10-4511 RONALD DALIN LAMAO LIMAY BATAAN 20,000.00 0.00 0.00 20,000.00 October 22, 2018 2018-10-4512 JUANITO FRANCISCO MALAYA MARIVELES BATAAN 0.00 1,320.00 0.00 1,320.00 October 22, 2018 2018-10-4513 PIO ADUCAL SABA HERMOSA BATAAN 151.03 580.00 0.00 731.03 October 22, 2018 2018-10-2840-X CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 1,830.40 0.00 1,830.40

October 22, 2018 2018-10-4514 RIZALINA COLOMA SITIO MALAKING BATO MABATANG ABUCAY BATAAN 0.00 900.00 0.00 900.00 October 22, 2018 2018-10-4515 EDELIZA JORDAN SITIO ARINGOT MT. MIEW MARIVELES BATAAN 518.54 0.00 0.00 518.54 October 22, 2018 2018-10-2146-M RAVENACE BALUYOT PALIHAN ORANI BATAAN 0.00 1,480.40 0.00 1,480.40 October 22, 2018 2018-10-4516 EDGARDO IBABAO DANGCOL BALANGA CITY 0.00 700.00 0.00 700.00 October 22, 2018 2018-10-4517 NORILYN QUINIT MUNTING BATANGAS BALANGA CITY 1,104.60 0.00 0.00 1,104.60 October 22, 2018 2018-10-3723-A LEILANIE RAMOS PTO. RIVAS BALANGA CITY 0.00 900.00 0.00 900.00 October 22, 2018 2018-10-4518 EVA NAVARRO STA. LUCIA SAMAL BATAAN 765.84 5,150.00 1,484.16 7,400.00 October 22, 2018 2018-10-075-AA MERCIDITA MORALES MT. VIEW MARIVELES BATAAN 0.00 1,480.40 0.00 1,480.40 October 22, 2018 2018-10-1593-R JOY FRANCISCO TOWNSITE LIMAY BATAAN 0.00 1,480.40 0.00 1,480.40 October 22, 2018 2018-10-1549-S VIOLETA SOMO LAMAO LIMAY BATAAN 0.00 1,480.40 0.00 1,480.40 October 22, 2018 2018-10-4519 HONEY-LYN ALMARIO TENEJERO BALANGA CITY 0.00 1,060.00 0.00 1,060.00 October 22, 2018 2018-10-4520 IRENE DE JESUS TENEJERO BALANGA CITY 0.00 1,000.00 0.00 1,000.00 October 22, 2018 2018-10-4521 CIPRIANO LEABAN SAN JOSE BALANGA CITY 334.05 0.00 0.00 334.05 October 22, 2018 2018-10-4251-A CARMELITA DELA ROSA TENEJERO BALANGA CITY 0.00 2,420.00 0.00 2,420.00 October 22, 2018 2018-10-4522 EVELYN BROÑOLA CAPUNITAN ORION BATAAN 0.00 2,140.00 0.00 2,140.00 October 22, 2018 2018-10-4523 FREDDIE BAUTISTA PALILI SAMAL BATAAN 0.00 1,500.00 0.00 1,500.00 October 22, 2018 2018-10-4524 VANGIE MANLAPID CAPITANGAN ABUCAY BATAAN 0.00 700.00 0.00 700.00 October 22, 2018 2018-10-4403-A MATHEW DAVID MALABIA BALANGA CITY 474.50 0.00 0.00 474.50 October 22, 2018 2018-10-4525 DONNA GARCIA WAWA ABUCAY BATAAN 0.00 1,240.00 0.00 1,240.00 October 22, 2018 2018-10-4526 ANGELA ESPIRITU PTO. RIVAS ITAAS BALANGA CITY 0.00 1,140.00 0.00 1,140.00 October 22, 2018 2018-10-436-AA ALLAN MIRASOL MT. VIEW MARIVELES BATAAN 0.00 4,225.71 0.00 4,225.71 October 22, 2018 2018-10-3468-A ROSITA DELA ROSA GABON ABUCAY BATAAN 0.00 591.36 0.00 591.36 October 22, 2018 2018-10-4527 NATHAN RHOEY SANTOS STA. LUCIA SAMAL BATAAN 699.00 0.00 0.00 699.00 October 22, 2018 2018-10-239-T EMILY MORIDO PUTING BUHANGIN ORION BATAAN 0.00 2,250.00 0.00 2,250.00 October 22, 2018 2018-10-4528 ANGEL TRISHIA MAY TAN VILLA LINA TENEJERO BALANGA CITY 474.50 0.00 0.00 474.50 October 22, 2018 2018-10-4529 AIRA JESCELL OLIVERIA TENEJERO BALANGA CITY 0.00 670.00 0.00 670.00 October 22, 2018 2018-10-4530 JHILYN BAROGO SISIMAN MARIVELES BATAAN 274.50 0.00 0.00 274.50 October 22, 2018 2018-10-4520-A IRENE DE JESUS TENEJERO BALANGA CITY 0.00 300.00 0.00 300.00 October 22, 2018 2018-10-1172-B ERNESTO AMARO CAPUNITAN ORION BATAAN 321.66 668.80 27.46 1,017.92 October 22, 2018 2018-10-4531 JOHN EMMANUEL ACERO STO. DOMINGO ORION BATAAN 342.91 300.00 0.00 642.91 October 22, 2018 2018-10-1312-K RUFINO BANATAO IPAG MARIVELES BATAAN 0.00 1,303.83 0.00 1,303.83 October 22, 2018 2018-10-1680-D BARTOLOME SEREÑO PANILAO PILAR BATAAN 1,164.30 0.00 0.00 1,164.30 October 23, 2018 2018-10-4532 ROXAN REYES PTO. RIVAS IBABA BALANGA CITY 0.00 1,870.00 0.00 1,870.00 October 23, 2018 2018-10-4533 FERNANDO TRONO CAMACHILE ORION BATAAN 0.00 1,420.00 0.00 1,420.00 October 23, 2018 2018-10-997-K ROY MANANSALA TOWNSITE LIMAY BATAAN 0.00 1,548.80 0.00 1,548.80 October 23, 2018 2018-10-1861-A JOEL VELONTA ST. FRANCIS II LIMAY BATAAN 0.00 2,050.00 0.00 2,050.00 October 23, 2018 2018-10-2036-X ROMEL MENDOZA CATANING BALANGA CITY 0.00 2,639.56 0.00 2,639.56 October 23, 2018 2018-10-4415-A ERWIN CAPULE CALAGUIMAN SAMAL BATAAN 0.00 4,000.00 0.00 4,000.00 October 23, 2018 2018-10-4534 JESUSA FE SANTIAGO LOTE PTO. RIVAS BALANGA CITY 0.00 2,100.00 0.00 2,100.00 October 23, 2018 2018-10-4535 CRISALDO BANZON TUYO BALANGA CITY 146.91 1,420.00 0.00 1,566.91 AMOUNT OF MEDICAL SERVICES

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

October 23, 2018 2018-10-4536 HAYLEY ADAH MANLAPAZ MALABIA BALANGA CITY 0.00 1,200.00 0.00 1,200.00 October 23, 2018 2018-10-4537 DESIREE TE'H PTO. RIVAS BALANGA CITY 0.00 1,000.00 0.00 1,000.00 October 23, 2018 2018-10-4538 ERIC BRIONES SAN PEDRO HERMOSA BATAAN 295.22 2,930.00 0.00 3,225.22 October 23, 2018 2018-10-1165-AS ADONES LINTAG BILOLO ORION BATAAN 0.00 2,644.70 0.00 2,644.70 October 23, 2018 2018-10-4539 ROLYN REÑOSA EAST CALAGUIMAN SAMAL BATAAN 992.75 0.00 0.00 992.75 October 23, 2018 2018-10-4540 ANGELYN CANDELARIO ST. FRANCIS I LIMAY BATAAN 37,054.36 0.00 0.00 37,054.36 October 23, 2018 2018-10-4541 MARA MARGIE BACILES CATANING BALANGA CITY 0.00 1,140.00 0.00 1,140.00 October 23, 2018 2018-10-4542 AGNES PERONA REFORMISTA LIMAY BATAAN 0.00 710.00 0.00 710.00 October 23, 2018 2018-10-4543 SALVACION FERNANDEZ BALON ANITO MARIVELES BATAAN 518.54 0.00 0.00 518.54 October 23, 2018 2018-10-3788-A DONNA CAPILI CUPANG NORTH BALANGA CITY 0.00 2,570.00 0.00 2,570.00 October 23, 2018 2018-10-391-S ROLY CORDERO STA. ISABEL DINALUPIHAN BATAAN 0.00 1,480.40 0.00 1,480.40 October 23, 2018 2018-10-4544 JULIETA SALAZAR TAPULAO ORANI BATAAN 334.05 0.00 0.00 334.05 October 23, 2018 2018-10-4545 ANA CEDRO SAN JUAN SAMAL BATAAN 0.00 1,548.80 0.00 1,548.80 October 23, 2018 2018-10-2228-G BERNARDO CRUZ SR. CABCABEN MARIVELES BATAAN 0.00 1,480.40 0.00 1,480.40 October 23, 2018 2018-10-4546 ANGELINA SANCHEZ DAAN BAGO ORION BATAAN 0.00 668.80 0.00 668.80 October 23, 2018 2018-10-4547 KURT ALDEN MARGALLO TORTUGAS BALANGA CITY 0.00 400.00 0.00 400.00 October 23, 2018 2018-10-4548 ALLYSA ALYANA CORDERO PANILAO PILAR BATAAN 0.00 670.00 0.00 670.00 October 23, 2018 2018-10-4549 JUSTIN LOPEZ PTO. RIVAS BALANGA CITY 0.00 1,200.00 0.00 1,200.00 October 23, 2018 2018-10-4029-C ALFREDO CASTILLO CAMACHO BALANGA CITY BATAAN 0.00 2,494.70 0.00 2,494.70 October 23, 2018 2018-10-4550 ROLANDO YANCHA WAWA ORION BATAAN 0.00 2,000.00 0.00 2,000.00 October 23, 2018 2018-10-4551 ANALYN MATA MUNTING BATANGAS BALANGA CITY 0.00 1,090.00 0.00 1,090.00 October 23, 2018 2018-10-1909-U JULIET PIZARRO PTO. RIVAS IBABA BALANGA CITY 0.00 2,368.75 0.00 2,368.75 October 23, 2018 2018-10-4552 ERICA MAE SARMIENTO MUNTING BATANGAS BALANGA CITY 0.00 450.00 0.00 450.00 October 23, 2018 2018-10-2856-A ELPIDIO RAFAEL CALAYLAYAN ABUCAY BATAAN 0.00 1,800.00 0.00 1,800.00 October 23, 2018 2018-10-4337-A MATILDE ESPLANA MAMBOG HERMOSA BATAAN 22,331.25 8,392.77 0.00 30,724.02 October 23, 2018 2018-10-4553 JAMES AERON RAYMUNDO SITIO COLO KABALUTAN ORANI BATAAN 518.54 0.00 0.00 518.54 October 23, 2018 2018-10-4554 ALICIA RAYMUNDO SITIO COLO KABALUTAN ORANI BATAAN 518.54 0.00 0.00 518.54 October 23, 2018 2018-10-4555 JANINE LACDAO PANILAO PILAR BATAAN 474.50 0.00 0.00 474.50 October 23, 2018 2018-10-3057-F JESUS DENNIS OLIVEROS BALANGA CITY 0.00 1,480.00 0.00 1,480.00 October 23, 2018 2018-10-4556 MARK ANTHONY CERDENOLA LOTE GALLARDO CATANING BALANGA CITY 0.00 1,646.19 353.81 2,000.00 October 24, 2018 2018-10-014-R RONNIE BASALO CENTRO II ORANI BATAAN 0.00 741.18 0.00 741.18 October 24, 2018 2018-10-830-D MYRA BUISING GEN. LIM ORION BATAAN 0.00 1,040.00 0.00 1,040.00 October 24, 2018 2018-10-1430-H VIRGINIA NAVARRO CALUNGUSAN ORION BATAAN 0.00 1,881.29 0.00 1,881.29

October 24, 2018 2018-10-4557 ELIZABETH DIAZ 221 ALVAREZ SUBD. DAAN BILOLO ORION BATAAN 0.00 5,800.00 0.00 5,800.00 October 24, 2018 2018-10-544-B FERMINA MIRANDA DOÑA FRANCISCA BALANGA CITY 0.00 3,270.00 0.00 3,270.00 October 24, 2018 2018-10-3570-B GLORIA HERMINO PALILI SAMAL BATAAN 0.00 500.00 0.00 500.00 October 24, 2018 2018-10-1456-I ROLLY BUAL RIZAL PILAR BATAAN 0.00 1,936.20 0.00 1,936.20 October 24, 2018 2018-10-239-U EMILY MORIDO PUTING BUHANGIN ORION BATAAN 0.00 2,270.28 0.00 2,270.28 October 24, 2018 2018-10-4558 ERICKSON DELA CRUZ LIYANG PILAR BATAAN 0.00 1,400.00 0.00 1,400.00 October 24, 2018 2018-10-1675-A FERNANDO DE GUZMAN SR. BANAWANG BAGAC BATAAN 120.64 1,936.00 0.00 2,056.64 October 24, 2018 2018-10-4559 JOCELYN BELANIO BINUKAWAN BAGAC BATAAN 0.00 2,400.00 0.00 2,400.00 October 24, 2018 2018-10-4560 RYAN SAPUYOT 63 MAGSAYSAY ST. KITANG I LIMAY BATAAN 559.42 0.00 0.00 559.42 October 24, 2018 2018-10-1259-A NENITA MATURGO TENEJERO BALANGA CITY 0.00 549.12 0.00 549.12 October 24, 2018 2018-10-030-R DIONILO GUTIERREZ ST. FRANCIS II LIMAY BATAAN 0.00 1,494.68 0.00 1,494.68 October 24, 2018 2018-10-075-AB MERCIDITA MORALES MT. VIEW MARIVELES BATAAN 0.00 2,518.75 0.00 2,518.75 October 24, 2018 2018-10-2840-Y CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 2,518.75 0.00 2,518.75 October 24, 2018 2018-10-368-X MARY JANE SAMSON LAON ABUCAY BATAAN 0.00 2,991.18 0.00 2,991.18 October 24, 2018 2018-10-3406-J ANITA TAPANG SAN JUAN SAMAL BATAAN 0.00 2,270.28 0.00 2,270.28 October 24, 2018 2018-10-4509-A GRACE RUBIANO ST. FRANCIS I LIMAY BATAAN 474.50 0.00 0.00 474.50 October 24, 2018 2018-10-4561 CRISELDA QUILANTANG TUYO BALANGA CITY 0.00 2,600.00 0.00 2,600.00 October 24, 2018 2018-10-4562 RICARDO PABALATE STA. ROSA PILAR BATAAN 0.00 1,070.00 0.00 1,070.00 October 24, 2018 2018-10-4563 ANGELIE ADAME TOWNSITE LIMAY BATAAN 0.00 0.00 9,629.89 9,629.89 October 24, 2018 2018-10-4564 MA. SOLEDAD MALLARI TAPULAO ORANI BATAAN 0.00 1,510.00 0.00 1,510.00 October 24, 2018 2018-10-4565 ARISTON TRIA JR. MALABIA BALANGA CITY 52.03 1,372.80 0.00 1,424.83 October 24, 2018 2018-10-4566 MARY GRACE LIWANAG ALA-ULI PILAR BATAAN 0.00 2,740.00 0.00 2,740.00 October 24, 2018 2018-10-4567 CARLOS ISIP 88 LALAWIGAN SAMAL BATAAN 0.00 1,000.00 0.00 1,000.00 October 24, 2018 2018-10-4515-A EDELIZA JORDAN MALIGAYA MT. MIEW MARIVELES BATAAN 334.05 0.00 0.00 334.05 October 24, 2018 2018-10-3811-A JENELYN SALENTES BACONG LIMAY BATAAN 0.00 600.00 0.00 600.00 October 24, 2018 2018-10-4568 ROXANNE SANCHEZ BO. TOTO CUPANG PROPER BALANGA CITY 518.54 0.00 0.00 518.54 October 24, 2018 2018-10-4569 DANREB GAUTANI WAWA ABUCAY BATAAN 0.00 1,550.00 0.00 1,550.00 October 24, 2018 2018-10-4570 EZEKIEL JOVEN STA. ROSA PILAR BATAAN 0.00 1,600.00 0.00 1,600.00 October 24, 2018 2018-10-3879-A ALFONSO MENDIOLA SR. ST. FRANCIS II LIMAY BATAAN 245.06 211.20 0.00 456.26 October 24, 2018 2018-10-4571 LUISA NUESTRO ALAS-ASIN MARIVELES BATAAN 0.00 1,210.88 0.00 1,210.88 October 24, 2018 2018-10-4572 CATALINA MARIMLA ALA-ULI PILAR BATAAN 349.23 120.00 0.00 469.23 October 25, 2018 2018-10-4573 PRINCE MATTHEW CABATO ACACIA ST. MT. VIEW MARIVELES BATAAN 949.00 0.00 0.00 949.00 AMOUNT OF MEDICAL SERVICES

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

October 25, 2018 2018-10-1165-AT ADONES LINTAG BILOLO ORION BATAAN 0.00 2,976.90 0.00 2,976.90 October 25, 2018 2018-10-1909-V JULIET PIZARRO PTO. RIVAS IBABA BALANGA CITY 0.00 1,494.68 0.00 1,494.68 October 25, 2018 2018-10-4574 ZAYDEN ANDRES DOÑA ORANI BATAAN 0.00 1,590.56 0.00 1,590.56 October 25, 2018 2018-10-4575 SHIELA MAE DEOGRACIAS ALA-ULI PILAR BATAAN 4,281.10 3,850.00 585.17 8,716.27 October 25, 2018 2018-10-4576 MONICA ACEBEDO LAMAO LIMAY BATAAN 0.00 900.00 0.00 900.00 October 25, 2018 2018-10-4544-A JULIETA SALAZAR TAPULAO ORANI BATAAN 334.05 0.00 0.00 334.05 October 25, 2018 2018-10-4577 CHELSIE JANE MADER WAWA ORION BATAAN 477.30 0.00 0.00 477.30 October 25, 2018 2018-10-4578 SHENA MAE ARELLANO TENEJERO BALANGA CITY 0.00 880.00 0.00 880.00 October 25, 2018 2018-10-4579 DANILO CAPILI BALON ANITO MARIVELES BATAAN 5,005.84 0.00 0.00 5,005.84 October 25, 2018 2018-10-4580 RICHARD BONIEL CENTRAL BALANGA CITY 519.19 0.00 0.00 519.19 October 25, 2018 2018-10-4215-A YOLANDA CALDERON PAG-ASA DINALUPIHAN BATAAN 0.00 3,629.13 0.00 3,629.13 October 25, 2018 2018-10-4581 REDLEY JENISH VILLEGAS GEN. LIM ORION BATAAN 519.19 0.00 0.00 519.19 October 25, 2018 2018-10-4582 NICK ALLEN YOSEF DAGUIO DUALE LIMAY BATAAN 29,467.62 532.38 0.00 30,000.00 October 25, 2018 2018-10-4583 SHARMAINE FERNANDEZ STO. DOMINGO ORION BATAAN 995.84 0.00 0.00 995.84 October 25, 2018 2018-10-4584 MONICA GUBRIN CENTRAL BALANGA CITY 0.00 900.00 0.00 900.00 October 25, 2018 2018-10-4585 RAMON REYES CALUNGUSAN ORION BATAAN 516.39 0.00 0.00 516.39 October 25, 2018 2018-10-2146-N RAVENACE BALUYOT PALIHAN ORANI BATAAN 0.00 1,400.00 0.00 1,400.00 October 25, 2018 2018-10-223-K REN MARK SAPIT ALAS-ASIN MARIVELES BATAAN 0.00 2,250.00 0.00 2,250.00 October 25, 2018 2018-10-4586 TERESITA JAMIN POBLACION BALANGA CITY 0.00 591.36 0.00 591.36 October 25, 2018 2018-10-4587 ALMA ROLLE LAON ABUCAY BATAAN 214.00 1,550.00 29.12 1,793.12 October 25, 2018 2018-10-4588 RAIN DIMAL MAITE HERMOSA BATAAN 2,270.54 0.00 0.00 2,270.54 October 25, 2018 2018-10-4189-B MA. CRISTINA NIALDA PUKSUAN ORANI BATAAN 0.00 1,320.00 0.00 1,320.00 October 25, 2018 2018-10-4589 REYMUNDO ESPIRITU BALAGTAS ORION BATAAN 0.00 970.00 0.00 970.00 October 25, 2018 2018-10-391-T ROLY CORDERO STA. ISABEL DINALUPIHAN BATAAN 0.00 1,480.40 0.00 1,480.40 October 25, 2018 2018-10-4590 MERCEDITA BONAGWA CATANING BALANGA CITY 1,140.00 0.00 0.00 1,140.00 October 25, 2018 2018-10-4591 VIRVICKY PICHAY DANGCOL BALANGA CITY 0.00 2,400.00 0.00 2,400.00 October 25, 2018 2018-10-2144-E JHON WARREN DE GUZMAN TAPULAO ORANI BATAAN 0.00 1,480.40 0.00 1,480.40 October 25, 2018 2018-10-2036-Y ROMEL MENDOZA CATANING BALANGA CITY 0.00 1,494.68 0.00 1,494.68 October 25, 2018 2018-10-4592 REGINE MANUEL BILOLO ORION BATAAN 0.00 700.00 0.00 700.00 October 25, 2018 2018-10-4593 ANALIZA BIÑAS UPPER BILOLO ORION BATAAN 0.00 350.00 0.00 350.00 October 25, 2018 2018-10-4594 MAE-ANN SANCHEZ BACONG HERMOSA BATAAN 0.00 800.00 0.00 800.00 October 25, 2018 2018-10-4595 GINA DUNGCA 39 B SAPA SAMAL BATAAN 0.00 2,013.16 0.00 2,013.16 October 25, 2018 2018-10-4596 EDUARDO NAZARENO POBLACION MORONG BATAAN 477.30 0.00 0.00 477.30 October 25, 2018 2018-10-4597 KING FRANCIS VALENCIA 289 GABON ABUCAY BATAAN 951.80 0.00 0.00 951.80 October 25, 2018 2018-10-1549-T VIOLETA SOMO LAMAO LIMAY BATAAN 0.00 1,480.40 0.00 1,480.40 October 25, 2018 2018-10-4598 JOHN LENARD PINCIL PALIHAN ORANI BATAAN 0.00 650.00 207.42 857.42 October 25, 2018 2018-10-436-AB ALLAN MIRASOL MT. VIEW MARIVELES BATAAN 0.00 2,250.00 0.00 2,250.00 October 25, 2018 2018-10-1593-T JOY FRANCISCO TOWNSITE LIMAY BATAAN 0.00 1,480.40 0.00 1,480.40 October 25, 2018 2018-10-4599 JOHN PETER ROSE BO. LUZ LIMAY BATAAN 992.34 600.00 0.00 1,592.34 October 25, 2018 2018-10-4600 JEMMELYN BALALA DAAN PARE ORION BATAAN 0.00 550.00 0.00 550.00 October 26, 2018 2018-10-2228-H BERNARDO CRUZ SR. CABCABEN MARIVELES BATAAN 0.00 1,844.68 0.00 1,844.68 October 26, 2018 2018-10-1680-E BARTOLOME SEREÑO PANILAO PILAR BATAAN 1,024.07 0.00 0.00 1,024.07 October 26, 2018 2018-10-4601 JERRY FORTUNA BIAAN MARIVELES BATAAN 203.67 1,020.00 14.56 1,238.23 October 26, 2018 2018-10-4602 JENNIFER BATERINA DAMULOG DAAN PARE ORION BATAAN 0.00 700.00 0.00 700.00 October 26, 2018 2018-10-4568-A ROXANNE SANCHEZ BO. TOTO CUPANG PROPER BALANGA CITY 474.50 0.00 0.00 474.50 October 26, 2018 2018-10-2840-Z CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 1,844.68 0.00 1,844.68 October 26, 2018 2018-10-4603 FELIX STA. ANA ALAS-ASIN MARIVELES BATAAN 165.70 1,150.00 0.00 1,315.70 October 26, 2018 2018-10-4604 BELINDA PADER BINARITAN MORONG BATAAN 33,457.73 14,786.51 0.00 48,244.24 October 26, 2018 2018-10-3057-G JESUS DENNIS OLIVEROS DOÑA FRANCISCA BALANGA CITY 0.00 1,494.68 0.00 1,494.68 October 26, 2018 2018-10-4605 NIMFA DAGSA SILVER LAND CAPITANGAN ABUCAY BATAAN 0.00 550.00 0.00 550.00 October 26, 2018 2018-10-4606 JENNIFER LINGANAY MANAHAN ST. TENEJERO BALANGA CITY 0.00 900.00 0.00 900.00 October 26, 2018 2018-10-4607 MARY ANN ESTRELLA WAWA ABUCAY BATAAN 0.00 2,060.00 0.00 2,060.00 October 26, 2018 2018-10-4608 BEVERLY BUENO MARIVELES MENTAL HOSPITAL 0.00 1,700.00 0.00 1,700.00 October 26, 2018 2018-10-4539-A ROLYN REÑOSA EAST CALAGUIMAN SAMAL BATAAN 477.30 0.00 0.00 477.30 October 26, 2018 2018-10-4609 MARINA GARDE WAWA ABUCAY BATAAN 0.00 1,000.00 0.00 1,000.00 October 26, 2018 2018-10-4610 JOWANNAH MARIE STA. ROSA MAGSAYSAY ST. POBLACION MORONG BATAAN 527.96 1,280.00 80.36 1,888.32 October 26, 2018 2018-10-4459-A JESSA ESTRELLA GABON ABUCAY BATAAN 0.00 520.00 0.00 520.00 October 26, 2018 2018-10-2506-B RACHELLE ESTILO CAMACHO BALANGA CITY BATAAN 0.00 900.00 0.00 900.00 October 26, 2018 2018-10-4611 AVELINA LORENZO TOWNSITE MARIVELES BATAAN 0.00 682.88 0.00 682.88 October 26, 2018 2018-10-4612 JULIETA ABRENALIN DAAN BILOLO ORION BATAAN 0.00 999.68 0.00 999.68 October 26, 2018 2018-10-4613 ERNESTO VILLEGAS BAGUMBAYAN ORION BATAAN 519.19 0.00 0.00 519.19 October 26, 2018 2018-10-4614 ARJAY GALICIA 224 ZULUETA BALUT ORANI BATAAN 949.00 0.00 0.00 949.00 October 26, 2018 2018-10-4615 BETTY ABAD CABCABEN MARIVELES BATAAN 0.00 1,800.00 0.00 1,800.00 October 26, 2018 2018-10-4089-A MARIO BALINGIT PALILI SAMAL BATAAN 0.00 2,200.00 0.00 2,200.00 October 26, 2018 2018-10-4616 EDNA ROMAN ACCESS ROAS SAN JOSE BALANGA CITY 0.00 1,200.00 0.00 1,200.00 AMOUNT OF MEDICAL SERVICES

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

October 26, 2018 2018-10-4617 EDWIN HERNANDEZ IBAYO BALANGA CITY 0.00 370.00 3,744.89 4,114.89 October 26, 2018 2018-10-4029-D ALFREDO CASTILLO CAMACHO BALANGA CITY BATAAN 0.00 2,622.35 0.00 2,622.35 October 26, 2018 2018-10-4618 JHENUZ YUTIGA CAPUNITAN ORION BATAAN 0.00 650.00 0.00 650.00 October 26, 2018 2018-10-2361-K TOMAS ONGKINGCO CAPITANGAN ABUCAY BATAAN 0.00 2,622.35 0.00 2,622.35 October 26, 2018 2018-10-4619 EDUARDO COMON BANAWANG BAGAC BATAAN 0.00 4,954.98 0.00 4,954.98 October 26, 2018 2018-10-4620 VICMAR ABETRIA 313 BAMBAN HERMOSA BATAAN 0.00 10,000.00 0.00 10,000.00 October 26, 2018 2018-10-2856-B ELPIDIO RAFAEL CALAYLAYAN ABUCAY BATAAN 0.00 3,094.78 0.00 3,094.78 October 26, 2018 2018-10-4542-A AGNES PERONA REFORMISTA LIMAY BATAAN 0.00 570.00 0.00 570.00 October 26, 2018 2018-10-4621 MAC AARON GUILLERMO ALAS-ASIN MARIVELES BATAAN 1,001.91 0.00 0.00 1,001.91 October 26, 2018 2018-10-4622 DORALYN CASTILLO CATANING BALANGA CITY 0.00 600.00 0.00 600.00 October 26, 2018 2018-10-4403-B MATHEW DAVID MALABIA BALANGA CITY 474.50 0.00 0.00 474.50 October 26, 2018 2018-10-1456-J ROLLY BUAL RIZAL PILAR BATAAN 0.00 1,629.76 0.00 1,629.76 October 26, 2018 2018-10-239-V EMILY MORIDO PUTING BUHANGIN ORION BATAAN 0.00 2,270.88 0.00 2,270.88 October 26, 2018 2018-10-4623 ARELEN JOSE ALAS-ASIN MARIVELES BATAAN 0.00 5,000.00 0.00 5,000.00 October 26, 2018 2018-10-4624 MA. KYLIE PAGADUAN DOÑA ORANI BATAAN 0.00 2,200.00 0.00 2,200.00 October 26, 2018 2018-10-4625 JENNY ROSE SARILI TENEJERO BALANGA CITY 0.00 500.00 0.00 500.00 October 26, 2018 2018-10-4626 ROBERTO ATIENZA WAWA PILAR BATAAN 0.00 1,420.00 0.00 1,420.00 October 26, 2018 2018-10-4627 DODELYN ANN ROADIEL MABAYO MORONG BATAAN 0.00 670.00 0.00 670.00 October 27, 2018 2018-10-2036-Z ROMEL MENDOZA CATANING BALANGA CITY 0.00 2,272.35 0.00 2,272.35 October 27, 2018 2018-10-4628 ANITA QUIMADO SABATAN ORION BATAAN 0.00 1,260.00 0.00 1,260.00 October 27, 2018 2018-10-3153-A VANESSA CAPA MALAYA MARIVELES BATAAN 0.00 1,000.00 0.00 1,000.00 October 27, 2018 2018-10-4629 MARY ANN LABRADOR BAGUMBAYAN BALANGA CITY 0.00 820.00 0.00 820.00 October 27, 2018 2018-10-2705-D JOSEPH BRYAN VIZCARRA CUPANG PROPER BALANGA CTIY 0.00 268.75 0.00 268.75 October 27, 2018 2018-10-223-L REN MARK SAPIT ALAS-ASIN MARIVELES BATAAN 0.00 4,013.39 0.00 4,013.39 October 27, 2018 2018-10-4630 ARRIANE DELA CRUZ WEST DAAN BAGO SAMAL BATAAN 0.00 500.00 0.00 500.00 October 27, 2018 2018-10-4631 LANCE PELAGIO BAGONG SILANG BALANGA CITY 0.00 650.00 0.00 650.00 October 27, 2018 2018-10-3892-B ROGELIO BARUELA BAGONG SILANG BALANGA CITY 0.00 1,330.00 0.00 1,330.00 October 27, 2018 2018-10-1430-I VIRGINIA NAVARRO CALUNGUSAN ORION BATAAN 0.00 1,619.70 0.00 1,619.70 October 27, 2018 2018-10-4632 MARIA NOVA AGUILAR CUPANG NORTH BALANGA CITY 0.00 157.03 1,542.97 1,700.00 October 27, 2018 2018-10-4633 JULIANA BANGCOLITA CAMACHO BALANGA CITY BATAAN 0.00 1,464.32 0.00 1,464.32 October 27, 2018 2018-10-4634 RAMON PUEBLO CUPANG PROPER BALANGA CITY 383.86 150.00 0.00 533.86 October 27, 2018 2018-10-391-U ROLY CORDERO STA. ISABEL DINALUPIHAN BATAAN 0.00 3,012.59 0.00 3,012.59 October 27, 2018 2018-10-4635 MA. PAZ GERONA BANGAL DINALUPIHAN BATAAN 0.00 3,170.00 0.00 3,170.00 October 27, 2018 2018-10-4636 EDITHA PARDE NAGWALING PILAR BATAAN 0.00 1,070.00 0.00 1,070.00 October 27, 2018 2018-10-1165-AU ADONES LINTAG BILOLO ORION BATAAN 0.00 2,643.77 0.00 2,643.77 October 27, 2018 2018-10-4637 REYNARD VALDEZ CALERO ST. IBAYO BALANGA CITY 0.00 100.00 0.00 100.00 October 27, 2018 2018-10-4638 JOSELITO CASAPAO SAMUYAW MABAYO MORONG BATAAN 0.00 950.40 0.00 950.40 October 27, 2018 2018-10-4639 MICHAEL DIMLA PALIHAN HERMOSA BATAAN 0.00 1,350.00 0.00 1,350.00 October 27, 2018 2018-10-4640 CARL JUSTINE BALBUENA CUPANG PROPER BALANGA CITY 1,947.91 0.00 0.00 1,947.91 October 27, 2018 2018-10-368-Y MARY JANE SAMSON LAON ABUCAY BATAAN 0.00 1,516.09 0.00 1,516.09 October 27, 2018 2018-10-4641 CHARISSE NICOLE LINTAG CATANING BALANGA CITY 516.39 0.00 0.00 516.39 October 27, 2018 2018-10-4642 TESSIE EPERCITO PALIHAN HERMOSA BATAAN 0.00 2,540.00 0.00 2,540.00 October 27, 2018 2018-10-4643 ARLENE URIEL LAMAO LIMAY BATAAN 703.68 1,020.00 0.00 1,723.68 October 27, 2018 2018-10-030-S DIONILO GUTIERREZ ST. FRANCIS II LIMAY BATAAN 0.00 1,516.09 0.00 1,516.09 October 27, 2018 2018-10-3406-K ANITA TAPANG SAN JUAN SAMAL BATAAN 0.00 3,755.35 0.00 3,755.35 October 27, 2018 2018-10-1549-U VIOLETA SOMO LAMAO LIMAY BATAAN 0.00 2,540.17 0.00 2,540.17 October 27, 2018 2018-10-075-AC MERCIDITA MORALES MT. VIEW MARIVELES BATAAN 0.00 2,540.17 0.00 2,540.17 October 27, 2018 2018-10-1312-L RUFINO BANATAO IPAG MARIVELES BATAAN 2,207.03 4,870.59 0.00 7,077.62 October 27, 2018 2018-10-4644 ROWENA CASTRO WAWA ABUCAY BATAAN 518.54 0.00 0.00 518.54 October 27, 2018 2018-10-4421-A JANINE LACDAO CUPANG NORTH BALANGA CITY 474.50 0.00 0.00 474.50 October 27, 2018 2018-10-4645 JOHN HENDRIX HERNANDEZ WAWA ABUCAY BATAAN 0.00 800.00 0.00 800.00 October 27, 2018 2018-10-4646 LANCE THRISTAN AYCARDO PALILI SAMAL BATAAN 13.00 3,516.87 0.00 3,529.87 October 27, 2018 2018-10-4647 JENNIFER RONQUILLO STA. ROSA PILAR BATAAN 0.00 150.00 1,779.59 1,929.59 October 27, 2018 2018-10-4648 AIRIS DELA CRUZ BIAAN MARIVELES BATAAN 0.00 420.00 0.00 420.00 October 28, 2018 2018-10-4649 MARICRIS SAMBAT NEW SAN JOSE DINALUPIHAN BATAAN 254.42 1,790.00 78.00 2,122.42 October 28, 2018 2018-10-4650 FATIMA MISLANG STO. DOMINGO ORION BATAAN 0.00 200.00 0.00 200.00 October 28, 2018 2018-10-4651 HAROLD KENT SEDURIFA IBAYO BALANGA CITY 0.00 320.00 0.00 320.00 October 28, 2018 2018-10-4652 ALFREDO ESPLANA HIGHWAY GUGO SAMAL BATAAN 0.00 1,500.00 0.00 1,500.00 October 28, 2018 2018-10-1909-W JULIET PIZARRO PTO. RIVAS IBABA BALANGA CITY 0.00 2,322.35 0.00 2,322.35 October 28, 2018 2018-10-4653 FERNANDO MANGONON CUPANG WEST BALANGA CITY 278.77 0.00 0.00 278.77 October 28, 2018 2018-10-4654 ENRICO MANIGUE UPPER TUYO BALANGA CITY 0.00 2,100.00 0.00 2,100.00 October 28, 2018 2018-10-4655 ERLINDO ARENAS 52 SAN VICENTE ORION BATAAN 0.00 1,562.88 0.00 1,562.88 October 28, 2018 2018-10-3510-I GEMMA LEOBRERA PTO. RIVAS IBABA BALANGA CITY 146.82 700.00 0.00 846.82 October 28, 2018 2018-10-4656 MILA CABUAG UGONG CATANING BALANGA CITY 0.00 577.28 0.00 577.28 October 29, 2018 2018-10-4657 ARDY PANELO WAWA ABUCAY BATAAN 0.00 720.00 0.00 720.00 AMOUNT OF MEDICAL SERVICES

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

October 29, 2018 2018-10-4658 MARIA VERONICA TRIPON MA. FE ORANI BATAAN 0.00 1,800.00 0.00 1,800.00 October 26, 2018 2018-10-4659 KEVIN QUINDOZA SAN ISIDRO MARIVELES BATAAN 20,000.00 0.00 0.00 20,000.00 October 27, 2018 2018-10-4660 JOSE GABRIEL TRINIDAD MT. VIEW MARIVELES BATAAN 0.00 1,000.00 0.00 1,000.00 October 31, 2018 2018-10-030-T DIONILO GUTIERREZ ST. FRANCIS II LIMAY BATAAN 0.00 1,584.00 0.00 1,584.00 October 31, 2018 2018-10-075-AD MERCIDITA MORALES MT. VIEW MARIVELES BATAAN 0.00 1,584.00 0.00 1,584.00 October 31, 2018 2018-10-1467-M MARITA MENA KABALUTAN ORANI BATAAN 0.00 0.00 5,000.00 5,000.00 October 31, 2018 2018-10-4661 EDITHA ORTIZ MALABIA BALANGA CITY 949.00 0.00 0.00 949.00 October 31, 2018 2018-10-3406-L ANITA TAPANG SAN JUAN SAMAL BATAAN 0.00 1,900.00 0.00 1,900.00 October 31, 2018 2018-10-2630-G HENRY ALIPIO CAMACHO BALANGA CITY BATAAN 0.00 1,584.00 0.00 1,584.00 October 31, 2018 2018-10-3625-B MARY JANE AMIOTE SAAY ST. FRANCIS II LIMAY BATAAN 0.00 600.00 0.00 600.00 October 31, 2018 2018-10-4641-A CHARISSE NICOLE LINTAG CATANING BALANGA CITY 474.50 0.00 0.00 474.50 October 31, 2018 2018-10-2840-AA CORNELIO DELA CRUZ CALAYLAYAN ABUCAY BATAAN 0.00 1,584.00 0.00 1,584.00 October 31, 2018 2018-10-4662 ALBERT ANDAYA JR. LAMAO LIMAY BATAAN 474.50 0.00 0.00 474.50 October 31, 2018 2018-10-368-Z MARY JANE SAMSON LAON ABUCAY BATAAN 0.00 1,686.96 0.00 1,686.96 October 31, 2018 2018-10-2596-B RICHELLE PEREZ CATANING BALANGA CITY 0.00 800.00 0.00 800.00 October 31, 2018 2018-10-4663 RONJAY GALO SALIAN ABUCAY BATAAN 474.50 0.00 0.00 474.50 October 31, 2018 2018-10-4664 ZYRENE DENNISE FERRARO MUNTING BATANGAS BALANGA CITY 474.50 0.00 0.00 474.50 October 31, 2018 2018-10-4665 JOSE ENRICO SENON CATANING BALANGA CITY 489.46 0.00 0.00 489.46 October 31, 2018 2018-10-4666 RHODA DIMACALI DOÑA ORANI BATAAN 0.00 820.00 4,791.57 5,611.57 October 31, 2018 2018-10-4653-A FERNANDO MANGONON CUPANG WEST BALANGA CITY 334.05 0.00 0.00 334.05 October 31, 2018 2018-10-4667 JOSELITO MERCADO MABATANG ABUCAY BATAAN 474.50 0.00 0.00 474.50 October 31, 2018 2018-10-4668 MARICAR DAVID STO. NIÑO DINALUPIHAN BATAAN 0.00 0.00 5,000.00 5,000.00 October 31, 2018 2018-10-4669 MARY ANN CABALSE CATANING BALANGA CITY 0.00 400.00 0.00 400.00 October 31, 2018 2018-10-4670 ARNEL LAGBAS TIPO HERMOSA BATAAN 0.00 690.00 0.00 690.00 October 31, 2018 2018-10-4671 VILMA OCHOA CATANING HERMOSA BATAAN 0.00 0.00 2,000.00 2,000.00 October 31, 2018 2018-10-4205-A GINA SOLOMON PANILAO PILAR BATAAN 0.00 900.00 0.00 900.00 October 31, 2018 2018-10-4672 CLARHENZ JHAY BALUYOT BAGONG SILANG BALANGA CITY 0.00 580.00 0.00 580.00 October 31, 2018 2018-10-4673 JANETTE HOMO DAANG BAGO DINALUPIHAN BATAAN 7,619.93 2,380.07 0.00 10,000.00 October 31, 2018 2018-10-4674 GASPAR FRANDO BALON ANITO MARIVELES BATAAN 0.00 840.00 0.00 840.00 October 31, 2018 2018-10-4675 CAMILLE JOGUILON DALAO DINALUPIHAN BATAAN 0.00 324.92 3,675.08 4,000.00 October 31, 2018 2018-10-2744-K RODOLFO TUAZON JR. 12 LOTE PTO. RIVAS BALANGA CITY 0.00 2,930.00 0.00 2,930.00 October 31, 2018 2018-10-4676 WAHAB ABDULLAH PAG-ASA DINALUPIHAN BATAAN 5,000.00 0.00 0.00 5,000.00 October 31, 2018 2018-10-4677 TENIE ALERA CALAYLAYAN ABUCAY BATAAN 0.00 1,548.80 0.00 1,548.80 October 31, 2018 2018-10-1372-C JOCELYN MADRIAGA RIVERSIDE IBAYO BALANGA CITY 0.00 704.00 0.00 704.00

October 31, 2018 2018-10-1256-E MARIVIC AUSTRIA 614 MANGGA ST. DOÑA FRANCISCA BALANGA CITY 6,130.71 0.00 0.00 6,130.71 October 31, 2018 2018-10-2361-L TOMAS ONGKINGCO CAPITANGAN ABUCAY BATAAN 0.00 1,896.67 0.00 1,896.67 October 31, 2018 2018-10-1456-K ROLLY BUAL RIZAL PILAR BATAAN 0.00 1,561.21 0.00 1,561.21 October 31, 2018 2018-10-1430-J VIRGINIA NAVARRO CALUNGUSAN ORION BATAAN 0.00 1,343.57 0.00 1,343.57 October 31, 2018 2018-10-239-W EMILY MORIDO PUTING BUHANGIN ORION BATAAN 0.00 2,150.70 0.00 2,150.70 October 31, 2018 2018-10-4678 ELAIJAH DANCHICO SAN ANTONIO BAGAC BATAAN 474.50 0.00 0.00 474.50

October 31, 2018 2018-10-4679 ANGEL BAUTISTA JR. STO. DOMINGO ST. BALON ANITO MARIVELES BATAAN 2,213.19 250.00 3,417.11 5,880.30 October 31, 2018 2018-10-4680 JAMES LEXTER VIDA BAGONG SILANG BALANGA CITY 1,423.46 0.00 0.00 1,423.46 October 31, 2018 2018-10-4681 JAYSON NAVALES BALUT ORION BATAAN 474.50 0.00 0.00 474.50 October 31, 2018 2018-10-4613-A ERNESTO VILLEGAS BAGUMBAYAN ORION BATAAN 334.05 0.00 0.00 334.05 October 31, 2018 2018-10-4682 ROSARIO GASPAR TUYO BALANGA CITY 0.00 1,350.00 0.00 1,350.00 October 31, 2018 2018-10-2544-F JOCELYN CORRIEL ST. FRANCIS II LIMAY BATAAN 0.00 1,464.32 0.00 1,464.32 October 31, 2018 2018-10-3547-G ROMY NICDAO TALIMUNDOC ORANI BATAAN 1,024.07 0.00 0.00 1,024.07 October 31, 2018 2018-10-4683 BERNABE CABE JR. CABCABEN MARIVELES BATAAN 680.26 500.00 0.00 1,180.26 October 31, 2018 2018-10-2705-E JOSEPH BRYAN VIZCARRA CUPANG PROPER BALANGA CTIY 0.00 268.75 0.00 268.75 October 31, 2018 2018-10-4684 HARVEY MALINAO LANDING LIMAY BATAAN 510.02 0.00 0.00 510.02 October 31, 2018 2018-10-4685 JOAHNA DAVE APOLLO ORANI BATAAN 0.00 668.80 0.00 668.80 TOTAL 3,383,468.96 BALANCE 7,207,190.97