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Page 1 AMOUNT of MEDICAL SERVICES Republic of the Philippines Department of Health JOSE R. REYES MEMORIAL MEDICAL CENTER LIST OF PATIENTS MEDICAL ASSISTANCE TO INDIGENT PATIENTS FOR THE PERIOD SEPTEMBER 1 TO 30, 2019 AMOUNT OF MEDICAL SERVICES LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES 1-Apr-19 19-01 CORDOVA, RAYMUNDO D. 1690 ALVAREZ ST. BRGY 320 STA CRUZ MANILA - 755.00 - 755.00 1-Apr-19 19-02 LORENZANA Jr., ALBERTO C. 1274 MASINOP ST. BRGY 42, ZONE 3 TONDO MANILA - 740.00 - 740.00 1-Apr-19 19-03 BALUYO, PRINCESS MAE BRGY.SAN SERONIMO BAROTAC, VIEJO ILO-ILO - 5,580.00 - 5,580.00 1-Apr-19 19-04 GABRAL, JANET 3646 INT. 74 BATAAN ST ST. BRGY 615 STA. CRUZ MANILA - 11,800.00 - 11,800.00 2-Apr-19 19-05 COZ, JOHN JAMES L. BRGY LAGUNDI PLARIDEL BULACAN - 2,620.00 - 2,620.00 2-Apr-19 19-06 OANDASAN, LEONARDO JR. B. PH5A PACKAGE 5 B29 LOT EXCESS ST. BAGONG SILANG - CALOOCAN CITY 2,500.00 - 2,500.00 2-Apr-19 19-07 MANTILLA, ENRIQUE C. 2420 FELIX HUERTAS ST. BRGY 365 STA CRUZ MANILA - 1,325.00 - 1,325.00 2-Apr-19 19-08 BALINGASA, EDGAR S. 451 TAGANAHAN ST. BRGY BAGONG BAYAN SOUTH NAVOTAS - CITY 1,125.00 - 1,125.00 2-Apr-19 19-09 TOLENTINO, MARIBETH F. 766 ARQUEROS ST. BRGY 55 TONDO MANILA - 210.00 - 210.00 3-Apr-19 19-10 PAYNOR, MARCELA 149 B 2ND ST. BRGY NONE 5TH AVE. CALOOCAN CITY - 360.00 - 360.00 3-Apr-19 19-11 DOMINGO, GERTRUDES B. 12 HERNANDEZ ST. BRGY TUGATOG MALABON CITY - 580.00 - 580.00 3-Apr-19 19-12 BALLESTEROS, GINA Z. 2825 LORENZO DE LA PAZ ST. BRGY 839 PANDACAN MANILA - 2,145.00 - 2,145.00 3-Apr-19 19-13 CABUGAO, RIZALDY H. 4553 PAG-ASA EXT ST. BRGY 587 STA. MESA MANILA - 455.00 - 455.00 3-Apr-19 19-14 Vasquez, Marivic A. 3179 LIMAY ST. MANUGUIT SUBD ST. TONDO MANILA - 2,500.00 - 2,500.00 4-Apr-19 19-15 ANOBA, PUBLIA A. 3570 UGAN ST. BRGY 579 SAMPALOC MANILA - 2,065.00 - 2,065.00 4-Apr-19 19-16 ROSCO, LOLITA E. 331 LEANDRO IBARRA ST. ST. BRGY 33 TONDO MANILA - 2,500.00 - 2,500.00 4-Apr-19 19-17 SAMSON, PRICILLA BRGY TANZA I NAVOTAS CITY - 2,500.00 - 2,500.00 5-Apr-19 19-18 TALASTAS, ALLAN R. 1580 ANTIPOLO ST. BRGY 356 STA CRUZ MANILA - 2,500.00 - 2,500.00 5-Apr-19 19-19 DIZON, AURORA BRGY SAM JOSE NAVOTAS CITY - 2,500.00 - 2,500.00 5-Apr-19 19-20 RUSTIA, RYAN GENEL R. 0042 RIZAL ST. BRGY STA. BARBARA STA. MARIA, BALIUAG - BULACAN 2,350.00 - 2,350.00 5-Apr-19 19-21 Donor, Luisito L. 3394 F. ROXAS ST. ST. BRGY 187 BARRIO OBRERO, TONDO - MANILA 2,500.00 - 2,500.00 5-Apr-19 19-22 PAGATPAT, CELEDONIA P. BLK39 LOT21 PH. A ST. BRGY NBBS NAVOTAS CITY - 11,800.00 - 11,800.00 5-Apr-19 19-23 MENDIORO, ALICIA B. BLK. 30 LOT 19, PHASE 1 AREA 3 F1 ST. BRGY 14 DAGAT-DAGATAN - CALOOCAN 2,500.00 CITY - 2,500.00 5-Apr-19 19-24 MENDIORO, ALICIA B. BLK. 30 LOT 19, PHASE 1 AREA 3 F1 ST. BRGY 14 DAGAT-DAGATAN - CALOOCAN 90.00 CITY - 90.00 8-Apr-19 19-25 SISON, NORBERTO JR. A. 1314 H. SOLIS ST. BRGY 206 TONDO MANILA - 500.00 - 500.00 8-Apr-19 19-26 Dolores, Rogelio B. 19 J.B. SANTOS STREET ST. BRGY TANGOS NAVOTAS CITY - 635.00 - 635.00 8-Apr-19 19-27 SENGSENG, HAYDEELINE C. 721 T. ALFONSO ST. BRGY 532 SAMPALOC MANILA - 750.00 - 750.00 8-Apr-19 19-28 TUMALAD, RICARDO R. 10 PLERIDA ST. BRGY ACACIA MALABON CITY - 1,320.00 - 1,320.00 8-Apr-19 19-29 VERSOZA, LUCY M. 1247 SEVERINO REYES ST. BRGY 328 STA. CRUZ MANILA - 805.00 - 805.00 8-Apr-19 19-30 MABINI, FLORENCIO A. BLK. 3 LOT 21 CHESA ST. BRGY 118 MODERN COMMUNITY - TONDO MANILA 2,680.00 - 2,680.00 8-Apr-19 19-31 BAGTAS, MARY ANN P. 359 SAN JOSE, ISLA ST. MAYPAJO CALOOCAN CITY - 450.00 - 450.00 29-Apr-19 19-32 CAPULONG, JOCEL 721 LAONG NASA ST. TONDO MANILA - 2,350.00 - 2,350.00 10-Apr-19 19-33 FRANCISCO, EMMA F. BRGY YAKAL NORTHERN SAMAR - 7,340.00 - 7,340.00 10-Apr-19 19-34 SANTOS, MARINA C. 1640 KALSADANG BAGO ST. BRGY KAINGIN SAN RAFAEL - BULACAN 6,230.00 - 6,230.00 10-Apr-19 19-35 Payos, Marlyn B. 421 MENDEZ ST. BRGY NONE BAESA QUEZON CITY - 1,295.00 - 1,295.00 10-Apr-19 19-36 CADAG, FELIPE DANIEL ALEJANDROBLK4 LOT1 SECTION12 PHASE 2, PBAHAY 2000 ST. BRGY - MUZON SAN JOSE 2,500.00 DEL MONTE BULACAN - 2,500.00 10-Apr-19 19-37 ALONZO, ENRICO A. 2827 JAVIER ST. BRGY NONE GAGALANGIN, TONDO MANILA - 2,500.00 - 2,500.00 10-Apr-19 19-38 AJERO, MERCILITA B. BLK1 LOT38 MT. ISAROG ST ST. BRGY 173 CALOOCAN CITY - 12,560.00 - 12,560.00 10-Apr-19 19-39 LAGUMAY, SUSAN C. BLK 50 LOT 18 NORTH VILLE 5A ST. BRGY CAYSIO STA MARIA - BULACAN 1,425.00 - 1,425.00 10-Apr-19 19-40 MAGDASOC, UNIQUE 1030 TAYUMAN ST. MISSIONARIES OF CHARITY, HOME -OF JOY, TONDO MANILA 90.00 - 90.00 10-Apr-19 19-41 DAGAMI, JACOB 1030 TAYUMAN ST. BRGY NONE MISSIONARIES OF CHARITY, - HOME OF JOY, TONDO 90.00 MANILA - 90.00 10-Apr-19 19-42 JUACALLA, MEZIEL V. 2110 ALMEDA ST. BRGY 223 TONDO MANILA - 7,340.00 - 7,340.00 10-Apr-19 19-43 PANGAN, EDUARDO SR. M. PH10-A ST. BRGY -- BAGONG SILANG CALOOCAN CITY - 6,860.00 - 6,860.00 11-Apr-19 19-44 FERRER, REYNALDO C. 2448 GAPAN ST. ST. BRGY 172 TONDO MANILA - 210.00 - 210.00 11-Apr-19 19-45 CABALQUINTO, MARIA CHRISTINA116 P. GEN. LUNA ST. BRGY SAN AGUSTIN MALABON CITY - 660.00 - 660.00 11-Apr-19 19-46 DURANO, RUEL C. B158, L3 ST. BRGY TIGBE, NHV NORZAGARAY BULACAN - 2,300.00 - 2,300.00 11-Apr-19 19-47 DE GUIA, ALLYSSA G. 114 RAJA SULIMAN ST ST. BRGY 37 CALOOCAN CITY - 1,190.00 - 1,190.00 15-Apr-19 19-48 LOPEZ, MARY ANN C. 143 J. MIRANDA ST. BRGY 13 BACOOR CAVITE - 3,860.00 - 3,860.00 15-Apr-19 19-49 DUGONG, ELIZABETH R. 343 KALYAAN, BAGONG BARRIO ST. BRGY 151 CALOOCAN - CITY 940.00 - 940.00 15-Apr-19 19-50 CANARY, REYNANTE T. 2ND ST. BRGY 372 MANILA NORTH CEMETERY MANILA - 2,350.00 - 2,350.00 15-Apr-19 19-51 DAROY, RENATO L. 457 ST. BRGY NORTH BAY BOULEVARD NAVOTAS CITY - 2,500.00 - 2,500.00 15-Apr-19 19-52 DOSAL, RHEA CAMILLE L. 78 MELON I GOV PASCUAL ST. BRGY POTERO MALABON - CITY 3,100.00 - 3,100.00 15-Apr-19 19-53 ESERJOSE, JOSEFINA M. BLK3 P3 LOT23 WOOD STATE ST. BRGY SAN JOSE DASMARINAS - CAVITE 210.00 - 210.00 15-Apr-19 19-54 TURLAO, MARIA CRISTINA T. 1047 LEYTE DEL SUR ST. BRGY 563 SAMPALOC MANILA - 2,680.00 - 2,680.00 Page 1 AMOUNT OF MEDICAL SERVICES LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES 15-Apr-19 19-55 FETIZANAN, MARIDEL M. B1 L38 PHASE 2 AREA 3` ST. BRGY LONGOS MALABON CITY - 11,800.00 - 11,800.00 15-Apr-19 19-56 CORTES, SHIELA P. 47 SCOUT BORROMEO ST. BRGY SOUTH TRIANGLE QUEZON - CITY 940.00 - 940.00 15-Apr-19 19-57 ABRASALDO, HILDA P. 2217 BA. ROXAS ST. BRGY 227 CALOOCAN CITY - 1,060.00 - 1,060.00 16-Apr-19 19-58 PERUCHO, RONNICO M. 622 PERLA ST. BRGY 57 TONDO MANILA - 5,500.00 - 5,500.00 16-Apr-19 19-59 COSTALES, MYRNA A. 1246 TAMBUNTING ST STA. CRUZ MANILA - 2,680.00 - 2,680.00 16-Apr-19 19-60 PERNES, MAIKO ZHEN A. 1941 INT. 9 DAGUPAN EXT. ST. BRGY 156, ZONE 14 TONDO - MANILA 1,060.00 - 1,060.00 16-Apr-19 19-61 UBERA, EMILIA S. BRGY NINING SAN NICHOLAS PANGASINAN - 530.00 - 530.00 16-Apr-19 19-62 ZABAT, JEILY O. 1301 J2 TORRES BUGALLON ST. BRGY 212 TONDO MANILA - 7,920.00 - 7,920.00 17-Apr-19 19-63 ROBERTO, FELICIANO SR. S. 1623 P. JACINTO ST. BRGY BAGBAGUIN VALENZUELA CITY - 400.00 - 400.00 22-Apr-19 19-64 ANGELES, EDMUNDO R. 27 BAGONG NAYON ST. BRGY SAN ISIDRO GALAS QUEZON - CITY 11,800.00 - 11,800.00 22-Apr-19 19-65 RODOQUILLO, VIRGINIA A. 471 CORCUERA ST. ST. BRGY 82 TONDO MANILA - 2,680.00 - 2,680.00 22-Apr-19 19-66 INGUILLO, ELIZABETH C. BLK. 12 LOT 7 GILLIAN HILLS ST. BRGY 167 LLANO CALOOCAN - CITY 4,800.00 - 4,800.00 22-Apr-19 19-67 CONDA, PURITA L. 45 GARDEN VILL SUBD. ST. BRGY PANGHULO MALABON - CITY 2,680.00 - 2,680.00 23-Apr-19 19-68 MANAHAN, ZENAIDA Z. B15 L9 NARRA ST ST. BRGY SAN MANUEL SAN JOSE DEL - MONTE BULACAN 360.00 - 360.00 23-Apr-19 19-69 SABUCOR, LARRY D.
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