Republic of the DR. JOSE RIZAL MEMORIAL HOSPITAL - Lawaan, City

MEDICAL ASSISTANCE PROGRAM FUND UTILIZATION REPORT

As of June 2018

Name of Hospital: Dr. Jose Rizal Memorial Hospital Month: June

Date Name of Patient Address Age Type of Assistance Amount Provided 1 06/01/2018 ORSINO CAGANDAHAN Dapitan City 82 Laboratory/Medicines/ECG 1,586.50 2 06/01/2018 MARGIE AMIGO Dapitan City 24 Laboratory 670.00 3 06/01/2018 ARNOLD DUMOCOL , Z.N 40 X-ray/Laboratory 1,490.50 4 06/01/2018 AGUSTIN TACANG Napo, Dapitan City 78 Medicines 138.00 5 06/01/2018 NERA ABAGAT Dawo, Dapitan City 52 Medicines 144.20 6 06/01/2018 JOSEFINA CALAGO Ilaya, Dapitan City 68 Medicines 196.20 7 06/01/2018 TRINIDAD FLORES Bagting, Dapitan City 85 Medicines 550.25 8 06/01/2018 CLAUDINE JALIN Polanco, Z.N 21 Laboratory/Medicines 1,018.00 9 06/01/2018 TRINIDAD GARCIA Cawa2x, Dapitan City 80 ECG/Laboratory 980.00 10 06/01/2018 JAMES JAVIER Cawa2x, Dapitan City 11 Medicines 730.80 11 06/01/2018 WELELMO YORONG Potol, Dapitan City 79 Medicines 259.50 12 06/01/2018 NORMA ACOYMO Oyan, Dapitan City 70 Medicines 258.50 13 06/01/2018 ROBERTO GUMAPAC Mauswagon, La Libertad, Z.N 69 Medicines 684.00 14 06/01/2018 EDNA REDILLAS Pob.South, Piñan, Z.N 42 ECG/Laboratory/UTZ 2,160.50 15 06/01/2018 LANIE CALAPIZ Bagacay, , Z.N 43 Medicines 207.00 16 06/01/2018 KYLA LOMONGO Panganuran, Sibutad, Z.N 3 Medicines 480.00 17 06/01/2018 BERLY LARGO Hilltop, Sibutad, Z.N 63 Medicines 3,111.00 18 06/01/2018 JOHN CARLO MERDOZA San Vicente, Dapitan City 18 Medicines 377.55 19 06/01/2018 PROSPERIDAD JAMAROLIN Cawa2x, Dapitan City 63 ECG/Laboratory 1,445.50 20 06/01/2018 RONEL AROMABO Sipalok, Sibutad, Z.N 39 Medicines 306.50 21 06/01/2018 LANI ICAONAPO Owaon, Dapitan City 39 Medicines 823.50 22 06/01/2018 MARIO GALANIDO Polo, Dapitan City 52 Medicines 228.00 23 06/01/2018 ESMERALDO BACONGA Oro, Dapitan City 83 Laboratory 1,175.00 24 06/01/2018 GODOFREDA EGUIA Potol, Dapitan City 72 ECG/Laboratory 1,445.00 25 06/01/2018 JOSE PANDI `Polanco, Z.N 56 Medicines 442.50 26 06/01/2018 ALYSSA ALLEN ARNEGO Dapitan City 13 Medicines 360.00 27 06/02/2018 PEDRO MONTECALVO Masidlakon, Dapitan City 55 Medicines 2,013.00 28 06/02/2018 RITA MAGTUBA Linabo, Dapitan City 59 Hospital Bill 4,900.00 29 06/02/2018 ADRIANA LIMBAGA Olingan, Z.N 81 Hospital Bill 2,421.24 30 06/02/2018 GUADALUPE VILLAGONZALO Kauswagan, Dapitan City 75 Medicines/Meds.Supplies 771.60 31 06/02/2018 BERNARDINO ALITAO Dinoan, , Z.N 76 Hospital Bill 1,526.92 32 06/02/2018 TEODORO ALON Kauswagan, Dapitan City 77 Medicines 182.00 33 06/02/2018 EVA MAY BAYRON Ilaya, Dapitan City 4 Hospital Bill 1,276.30 34 06/02/2018 JUSTIN JAUGIN Ma.uray, Dapitan City 6 Medicines 537.25 35 06/02/2018 VICENTE ABUNDA Zamboanga Sibuga, Z.N 9 Medicines 261.50 36 06/04/2018 RENECITA BANGQUIAO Cawa2x, Dapitan City 55 Medicines 1,266.00 37 06/04/2018 VEVENCIA ATAY Napo, Dapitan City 67 Medicines 379.50 38 06/04/2018 RUDY SEREÑO San Vicente, Dapitan City 75 Medicines 187.75 39 06/04/2018 RENZ RECAMARA Canlucani, Dapitan City 12 Medicines/Meds.Supplies 149.20 40 06/04/2018 ALAN JUMAWAN Larayan, Dapitan City 35 Medicines 204.30 41 06/04/2018 RUSTER CALINACION Dicayas, City 29 Medicines 135.00 42 06/04/2018 NOVELITA AGPANA Calamba, Miss.OCC. 52 Medicines 810.00 43 06/04/2018 HENRY ALIBATA , Dapitan City 74 Medicines/Meds.Supplies 801.80 44 06/04/2018 PINAY YOLANDA Linabo, Dapitan City 80 Medicines/Meds.Supplies 576.40 45 06/04/2018 RENATO CADANO Barcelona, Dapitan City 70 Hospital Bill 4,360.00 46 06/04/2018 LOLITA CALALANG Dawo, Dapitan City 53 Laboratory 990.50 47 06/04/2018 ANGELOU DINOY Doña Josefa, , Z.N 15 Meds.Supplies 350.00 48 06/04/2018 JESUSA BAGSICAN Ba-ao, Dapitan City 80 Medicines 132.50 49 06/04/2018 ALMA AMPARADO Piñan, Z.N 36 Medicines 473.85 50 06/04/2018 DOMINICO MAYLON JR. Isis, Polanco Z.N 34 Medicines 1,014.00 51 06/04/2018 MARIFE ENERIO Gulayon, Dipolog City 28 Medicines 351.30 52 06/04/2018 FELIPE FERRAREN Dawo, Dapitan City 83 Laboratory 1,185.50 53 06/04/2018 SUPRIANA ELEMIA Hilltop, Dapitan City 78 Hospital Bill 5,239.75 54 06/04/2018 ROEL BAGUIO Oyan, Dapitan City 28 Medicines 1,537.90 55 06/04/2018 DERRYL GOMEZ San Vicente, Dapitan City 32 Hospital Bill 90,910.10 56 06/04/2018 PROFETESIA SENCIO Dampalan,Dapitan City 80 Laboratory/ECG/X-ray 1,120.00 57 06/04/2018 ELENIDA PATINDOL Napo, Dapitan City 80 Laboratory 810.00 58 06/04/2018 SATURNINA SORRONDA Piñan, Z.N 61 Laboratory/X-ray 2,932.50 59 06/04/2018 MARY JANE RODRIGUEZ Dapitan City 15 UTZ 960.00 60 06/04/2018 PAULINO CLARUS Linabo, Dapitan City 74 Medicines 422.80 61 06/04/2018 JENNIFER MAGSALAY N.Mapang, Rizal, Z.N 35 Laboratory 1,320.00 62 06/04/2018 ELSA ELDIAN Ilaya, Dapitan City 59 Laboratory 1,327.50 63 06/04/2018 JUANA CALINAWAN Ubay, Piñan, Z.N 52 Laboratory/Meds.Supplies/X-ray 2,146.70 64 06/04/2018 SERVILLA SAGUIN Owaon, Dapitan City 63 ECG/Laboratory 1,355.50 65 06/04/2018 AILENE CAHANAP Oro, Dapitan City 23 Hospital Bill 4,900.00 66 06/04/2018 AMADOR MEJOS Napo, Dapitan City 69 Medicines 242.50 67 06/04/2018 GIOVANNI FERRAREN Taguilon, Dapitan City 23 Medicines 1,663.60 68 06/04/2018 NONITA SAROL Hilltop, Dapitan City 37 Medicines 115.00 69 06/04/2018 SHIRWIN DONGGA Sto.Niño, Dapitan City 15 Medicines 269.30 70 06/04/2018 RALPH INANOG Sto.Niño, Dapitan City 18 Medicines 269.30 71 06/04/2018 AVELINA BAHIAN Ma.uray, Dapitan City 81 Hospital Bill 3,880.00 72 06/05/2018 NILO SAGUIN Estaca,Dipolog City 45 Hospital Bill 18,500.00 73 06/05/2018 JENNY SACAMPUNG Ma.uray, Dapitan City 26 Hospital Bill 1,116.80 74 06/05/2018 PRINSESA GANADOS Dapitan City 13 Medicines 104.00 75 06/05/2018 ELISA ABILA Talisay,Dapitan City 74 Hospital Bill 3,453.36 76 06/06/2018 LETECIA DUMAEL Ma.cristina, Dapitan City 25 Medicines 136.50 77 06/06/2018 ANASTACIO BAYRON Pob.South, Sergio Osmeña, Z.N 75 Hospital Bill 6,010.16 78 06/06/2018 RICCA MAE BARING Cawa2x, Dapitan City 6 Medicines 585.00 79 06/06/2018 VICTORIA DALMAN Linabo, Dapitan City 64 Hospital Bill 6,080.00 80 06/06/2018 ERNESTO BALANAY Diwa-an, Dapitan City 43 Laboratory 1,004.00 81 06/06/2018 NEIL ADRIAN GALLEPOSO Ma.cristina, Dapitan City 21 Medicines 608.20 82 06/06/2018 RANDY CASTE NAONG Carang, Dapitan City 38 Medicines/X-Ray 1,070.60 83 06/06/2018 OSCAR JAMAROLIN Cawa2x, Dapitan City 52 Medicines/ECG 1,445.50 84 06/06/2018 JOAN DAGPIN Ilaya, Dapitan City 31 Medicines 940.00 85 06/06/2018 ROEL BAGUIO Sebaca, Rizal,Z.N 32 Hospital Bill 4,900.00 86 06/07/2018 DOMINGA BALISCO San Vicente, Dapitan City 67 Laboratory 1,590.50 87 06/07/2018 EPEGENIA BULAY-OG Banbanan, Dapitan City 61 Laboratory 2,522.50 88 06/07/2018 FE AYAWAN Ma.cristina, Dapitan City 22 Laboratory 670.00 89 06/07/2018 ELMA GALLEPOSO Taguilon, Dapitan City 50 Medicines 1,537.90 90 06/07/2018 ERLINDA OGARTE San Nicolas, Dapitan City 67 X-ray/ECG/Laboratory 1,990.50 91 06/07/2018 FLORENTINO DEOCARES Antipolo, Dapitan City 70 Medicines 112.50 92 06/07/2018 SOFRONIO MAGHINAY Selinog, Dapitan City 66 Hospital Bill 4,800.00 93 06/07/2018 MARCELINA GUMILOS Calube, Sibutad,Z.N 19 Hospital Bill 4,800.00 94 06/07/2018 MIGUEL ADRIATICO Bagting, Dapitan City 75 Medicines 1,233.60 95 06/07/2018 ALIECA JAMAROLIN Banonong, Dapitan City 23 Medicines 3,159.00 96 06/07/2018 ROSITA ELUMBARING Bagting, Dapitan City 76 Laboratory 975.00 97 06/07/2018 OMAR GALICAN Bagting, Dapitan City 12 Medicines 578.80 98 06/07/2018 DOMINGGA PARANGUAY Dapitan City 32 Laboratory/Meds.Supplies 958.00 99 06/07/2018 ESTARLITA BAYRON Banonong, Dapitan City 64 Laboratory 2,752.50 100 06/08/2018 EDNA CASTILLON Miras, Sindangan, Z.N 57 Laboratory/Meds.Supplies/X-ray 2,792.50 101 06/08/2018 ERLINDA OGARTE San Nicolas, Dapitan City 68 Medicines 525.00 102 06/08/2018 MARIALITA ACOPIO Sulangon, Dapitan City 62 Laboratory 1,232.50 103 06/08/2018 REDEMPTO ACOPIO Sulangon, Dapitan City 68 Laboratory 780.50 104 06/08/2018 JOEL NASTOR Antipolo, Dapitan City 53 Medicines 417.00 105 06/08/2018 FRANCISCA BAEL Banonong, Dapitan City 77 Laboratory/X-ray/ECG/Meds.Supplies 2,140.50 106 06/08/2018 NEMESIO BAEL Banonong, Dapitan City 79 ECG/Laboratory/X-ray 2,095.50 107 06/08/2018 EVA MAE TUSE Dawo, Dapitan City 48 Medicines 1,537.80 108 06/08/2018 EPEGENIA BULAY-OG Banbanan, Dapitan City 60 Medicines 1,160.00 109 06/08/2018 NORMA ACOYMO Oyan, Dapitan City 70 Medicines 172.20 110 06/08/2018 LUISA DELA CRUZ Polanco, Z.N 15 Meds.Supplies 1,045.00 111 06/08/2018 EULALIA GUBANTES Leon Postigo, Z.N 69 Medicines 804.55 112 06/08/2018 CAPITOLINA BANUA Canlucani, Dapitan City 72 Medicines 825.00 113 06/08/2018 MARIVIC LUNJAS Nabilid, Roxas, Z.N 40 Medicines 2,106.00 114 06/08/2018 HERMOGENES CUTAD Polo, Dapitan City 70 Medicines 702.00 115 06/08/2018 RICARDA JATICO Linabo, Dapitan City 83 Laboratory/X-ray/Medicines 1,289.65 116 06/08/2018 JUANITA ESTOLOGA New Dapitan, Rizal,Z.N 60 Laboratory/X-ray 2,062.50 117 06/08/2018 CRISENTE ELUMBA Sinonoc, Dapitan City 48 Medicines 204.30 118 06/08/2018 ROSALINDA SULIMAN Libutan, Manukan, Z.N 47 Medicines 740.05 119 06/08/2018 MAGLOG SUAREN Talisay,Dapitan City 30 Laboratory/ECG 1,580.50 120 06/08/2018 SAN BUENAVENTURA Larayan, Dapitan City 16 Medicines 119.80 121 06/08/2018 RUPERTA OGARTE Larayan, Dapitan City 73 Laboratory/Meds.Supplies 930.00 122 06/08/2018 CAPITOLINA BANUA Canlucani, Dapitan City 71 Laboratory/ECG 1,995.50 123 06/08/2018 TEODOMERO BAYRON Ilaya, Dapitan City 51 Medicines 1,537.90 124 06/08/2018 MA.CONCEPCION CAGANDAHAN Ma.cristina, Dapitan City 37 Medicines 325.80 125 06/08/2018 ALEJANDRINO NUEVO Pob.Salug, Z.N 62 Hospital Bill 3,232.45 126 06/08/2018 LUZMINDA OMPAY Baylimango, Dapitan City 64 Hospital Bill 10,309.76 127 06/08/2018 TEODOSIA BALLADARES Dapitan City 78 Medicines 1,299.90 128 06/08/2018 LARRY CAJIGAS Banonong, Dapitan City 64 Laboratory/ECG/X-ray/Medicines 3,326.50 129 06/08/2018 JAN CRIS QUISEL San Isidro, Roxas,Z.N 26 Medicines 546.00 130 06/08/2018 GERTRODES TABINAS Disakan, Z.N 73 Medicines 2,832.45 131 06/08/2018 BERNADETTE PASANG Cawa2x, Dapitan City 66 Medicines 217.00 132 06/08/2018 JOHN CARLO MENDOZA San Vicente, Dapitan City 18 Medicines 118.70 133 06/08/2018 CRISPINA DAGPIN Dapitan City 28 Medicines 420.65 134 06/08/2018 AQUILINA MAGCANTA Hilltop,Dapitan City 64 Laboratory 990.50 135 06/08/2018 ROY MORITO Olingan,Dipolog City 42 UTZ 1,200.00 136 06/09/2018 TERESITA LACQUIO San Vicente, Dapitan City 66 Hospital Bill 1,320.80 137 06/09/2018 ROMARICA ALMIROL San Pedro, Dapitan City 68 Laboratory/Meds.Supplies/Medicines 856.20 138 06/09/2018 JULIO BALONG-AG Pob.South, Polanco, Z.N 47 Medicines 1,299.60 139 06/09/2018 PROSPERIDAD JAMAROLIN Cawa2x, Dapitan City 63 Medicines 777.00 140 06/09/2018 RICARDO CATINGAN Pob.Manukan, Z.N 52 Hospital Bill 3,245.90 141 06/09/2018 LORENZO PALAHANG Kauswagan, Dapitan City 72 Medicines 603.50 142 06/10/2018 RODABALLO EMPEYNADO Dawo, Dapitan City 68 Laboratory 1,242.50 143 06/10/2018 PIO YABO Sawang, Sibutad, Z.N 71 Hospital Bill 4,891.32 144 06/10/2018 ANECITA LALANGAN Sibutad, Z.N 45 Hospital Bill 11,451.00 145 06/11/2018 SANDRA JAMOLOD Cawa2x, Dapitan City 46 Medicines 502.25 146 06/11/2018 MAY ANN BISUAL Banonong, Dapitan City 15 ECG 200.00 147 06/11/2018 BASILIA DUMAN-AG Katipunan, Z.N 75 Laboratory/ECG 1,393.50 148 06/11/2018 ELIAS ESMADE Sulangon, Dapitan City 4 Medicines 1,580.70 149 06/11/2018 PATRICK AGUILAR San Vicente, Dapitan City 19 Medicines 475.15 150 06/11/2018 ERNESTO QUILAB Sapang Dalaga, Miss. Occ. 69 Hospital Bill 3,308.20 151 06/11/2018 MIGUEL ADRIATICO Bagting, Dapitan City 76 UTZ 600.00 152 06/11/2018 JAME PALLINO Napo, Dapitan City 57 Laboratory/Medicines 494.00 153 06/11/2018 ELEOMAR ELOPRE Talisay,Dapitan City 5 Medicines 420.60 154 06/11/2018 DWIGHT SABIO Calube, Sibutad,Z.N 1 Hospital Bill 7,479.00 155 06/11/2018 LEONIDA GUMATAO Sulangon, Dapitan City 78 Hospital Bill 12,817.12 156 06/11/2018 KYLE BRYAN DEOCARES Sulangon, Dapitan City 2 Medicines 190.80 157 06/11/2018 MAMERTO ARNAIZ La Esperanza, Rizal, Z.N 41 Hospital Bill 10,455.00 158 06/12/2018 PASTOR BANDO Ilaya, Dapitan City 64 Laboratory 240.00 159 06/12/2018 ERMELYN ROBLE Owaon, Dapitan City 15 Hospital Bill 3,117.00 160 06/12/2018 BABY BOY ROBLE Dapitan City 1 Hospital Bill 1,700.00 161 06/12/2018 ARSHELL MAE SUMAGANG Owaon, Dapitan City 17 Hospital Bill 3,332.00 162 06/12/2018 BABY GIRL SUMAGANG Owaon, Dapitan City 1 Hospital Bill 1,700.00 163 06/12/2018 MANUEL SALES Banonong, Dapitan City 67 Medicines/Meds.Supplies 1,855.40 164 06/12/2018 RINA ANGGANG Miss. Occ. 17 Laboratory/Meds.Supplies 1,396.00 165 06/12/2018 IAN MARK GEROMO Sulangon, Dapitan City 4 Medicines 347.50 166 06/13/2018 JENNIFER BAGUINOJA Carang, Dapitan City 48 Medicines 848.30 167 06/13/2018 PATOMA SALAC Potungan, Dapitan City 69 Medicines/Meds.Supplies 1,956.30 168 06/13/2018 TERENCIA HOMECILLO Oyan, Dapitan City 61 UTZ 1,000.00 169 06/13/2018 MERIAM LLENES Banonong, Dapitan City 65 Laboratory 135.00 170 06/13/2018 RENE ARELLANO Bagting, Dapitan City 57 Medicines/Laboratory/X-ray 2,148.85 171 06/13/2018 LAILANI SACAL Sulangon, Dapitan City 39 Medicines 204.30 172 06/13/2018 ABBIE ENGCOL Dawo, Dapitan City 20 ECG/Laboratory/X-ray 1,400.50 173 06/13/2018 ISIDRO BAHIAN Napo, Dapitan City 68 Medicines 261.00 174 06/13/2018 SHANE DAGPIN Sulangon, Dapitan City 5 Medicines 1,622.40 175 06/13/2018 RONALD DAGWAYAN Talisay,Dapitan City 29 Medicines 225.00 176 06/13/2018 BHREA KATE BULAY Baylimango, Dapitan City 7 Medicines 319.50 177 06/13/2018 ELLEN CAMPO Sta.Cruz, Dapitan City 53 Laboratory/X-ray/ECG 1,590.00 178 06/13/2018 FELIZA CAÑETE Linabo, Dapitan City 72 Medicines 300.00 179 06/13/2018 IAN LUMINES Dicayas, Dipolog City 23 Meds.Supplies 290.00 180 06/13/2018 CHRISTINE BAGUIO Cawa2x, Dapitan City 78 Hospital Bill 4,000.00 181 06/13/2018 JELIAN SECOYA Piñan, Z.N 15 Medicines/Meds.Supplies 321.50 182 06/14/2018 RENZ MORGIA Talisay,Dapitan City 2 Medicines 309.90 183 06/14/2018 CONCEPCION POBLEO Dampalan,Dapitan City 50 Laboratory/Meds.Supplies 830.50 184 06/14/2018 JISA VILLA Ma.cristina, Dapitan City 26 Laboratory 670.00 185 06/14/2018 ZOSIMO JAMOLOD Antipolo, Dapitan City 76 Laboratory/ECG/Meds.Supplies 3,022.50 186 06/14/2018 RONNEL LANDERO Anastacio, Polanco, Z.N 18 Meds.Supplies 710.00 187 06/14/2018 RONALD ESPARTERO Anastacio, Polanco, Z.N 17 Meds.Supplies 1,690.00 188 06/14/2018 MACRINA SALAZAR Pob.South, Piñan, Z.N 77 Laboratory/Medicines/Xray/ECG 1,236.80 189 06/14/2018 EVA ADASA Cawa2x, Dapitan City 67 Laboratory 540.50 190 06/14/2018 ELVIRA SAMINO Bagting, Dapitan City 23 Laboratory 500.00 191 06/14/2018 PATERNO CARREON Talisay,Dapitan City 62 Medicines/Meds.Supplies 546.80 192 06/14/2018 WILMA SAGAYAN Talisay,Dapitan City 56 Medicines/Laboratory/ECG 1,891.85 193 06/14/2018 JOSEFINA ACLA Napo, Dapitan City 67 Medicines 281.60 194 06/14/2018 JENNY SACAMPUNG Ma.uray, Dapitan City 18 Medicines 168.95 195 06/14/2018 CARIDAD AGAPAY Antipolo, Dapitan City 68 Laboratory/X-ray/ECG 1,540.85 196 06/14/2018 LAURENTINA FERRAREN Dawo, Dapitan City 80 Medicines 360.30 197 06/14/2018 CHADE LLENES Banonong, Dapitan City 26 Medicines 142.80 198 06/14/2018 AURIA SIMBORIO Tamion, Dapitan City 72 ECG/Laboratory/Medicines 1,444.80 199 06/14/2018 RODRIGO ATAY Carang, Dapitan City 66 X-ray/ECG/Laboratory/UTZ 2,781.00 200 06/14/2018 CRISANTA ACAYLAR Ma.cristina, Dapitan City 73 Medicines 365.90 201 06/14/2018 FELMAR PACTOL Cawa2x, Dapitan City 7 Medicines 1,530.75 202 06/14/2018 FELIPE LANDAO Sulangon, Dapitan City 60 Medicines 363.80 203 06/14/2018 HENDRIX SAGARIO Sto.Niño, Dapitan City 16 Medicines 402.00 204 06/14/2018 ARAULI SANTIAGO Banonong, Dapitan City 56 Laboratory/Medicines/Meds.Supplies 574.50 205 06/14/2018 JESUS BAINA Polanco, Z.N 70 Medicines 178.60 206 06/14/2018 SERYL TOMIGAO Owaon, Dapitan City 22 Laboratory 670.00 207 06/14/2018 ROSE ANN JANE ELOPRE Talisay,Dapitan City 6 Medicines 1,334.45 208 06/14/2018 SYLVANA SALDON Banonong, Dapitan City 55 Medicines 982.05 209 06/15/2018 ROQUE SABILLON Singatong, Katipunan Z.N 76 Hospital Bill 12,407.36 210 06/15/2018 REYNALDO BERNAL Guimputlan, Dapitan City 38 Medicines 4,613.70 211 06/15/2018 JOCELYN CATILOC Canlucani, Dapitan City 23 Laboratory 750.00 212 06/15/2018 MELECIA ANOR Potol, Dapitan City 61 Hospital Bill 4,361.04 213 06/15/2018 AURIA SIMBORIO Tamion, Dapitan City 70 Medicines 267.00 214 06/16/2018 JHONG ELCAMEL Antipolo, Dapitan City 57 Medicines 414.00 215 06/16/2018 ESTERIO CARINO San Vicente, Dapitan City 60 Medicines 391.50 216 06/16/2018 WILDEN LAPODYE Marapong, Sibutad, Z.N 86 Laboratory 1,670.50 217 06/16/2018 NORBERTA CAGBABANUA Ilaya, Dapitan City 62 Hospital Bill 10,627.24 218 06/16/2018 LUDIVICO HAMOY Opao, Dapitan City 57 X-ray 900.00 219 06/16/2018 ROEL ABITONA Sinonoc, Dapitan City 34 Hospital Bill 3,781.15 220 06/16/2018 JERALD AGAPAY Carang, Dapitan City 22 Medicines 413.50 221 06/17/2018 LUDIVICO VILLA Ma.cristina, Dapitan City 68 Hospital Bill 2,456.60 222 06/17/2018 EDUARDO SALDON Ma.uray, Dapitan City 61 Hospital Bill 4,915.44 223 06/17/2018 CRIZZA CAYONGCONG Canlucani, Dapitan City 29 Medicines 780.00 224 06/17/2018 IMPERIAL MEDANDO Talisay,Dapitan City 72 Medicines 2,170.00 225 06/17/2018 TRINIDAD CABANELLA Dawo, Dapitan City 69 Laboratory 1,680.50 226 06/17/2018 SALVADOR BESITAS Banonong, Dapitan City 75 Laboratory/X-ray/Laboratory 1,406.70 227 06/17/2018 JM DE GUZMAN Dapitan City 2 Medicines 404.30 228 06/17/2018 JOVITO BACONGA JR. Dapitan City 26 Laboratory 1,495.50 229 06/17/2018 DAYLINDA RECAMARA Linabo, Dapitan City 48 Medicines 4,782.70 230 06/17/2018 ALE ABUSO Talisay,Dapitan City 45 X-ray 200.00 231 06/17/2018 MARIA FE EGUIA Dawo, Dapitan City 44 Laboratory 1,952.50 232 06/17/2018 SERVILLA SAGUIN Owaon, Dapitan City 65 Medicines 507.75 233 06/17/2018 NEMESIO BAEL Banonong, Dapitan City 79 Hospital Bill 9,661.68 234 06/17/2018 KIERVY OBNIMAGA Mauswagon, La Libertad, Z.N 17 Medicines 307.50 235 06/17/2018 CEPRIANA OBNIMAGA Ba-ao, Dapitan City 58 Medicines 283.50 236 06/17/2018 THELMA CABUGNASON San Pedro, Dapitan City 73 Laboratory/Medicines 2,091.00 237 06/17/2018 ELIZABETH UY Banonong, Dapitan City 69 Medicines 1,481.50 238 06/17/2018 VICTORIA GALLEPOSO Guinles, Polanco Z.N 67 Laboratory 980.50 239 06/17/2018 BEATRIZ OBORDO Sulangon, Dapitan City 69 Medicines 385.00 240 06/17/2018 THELMA GALLEMIT Rizal, Z.N 56 Laboratory/ECG 485.00 241 06/17/2018 WILDEN LAPODYE Marapong, Sibutad, Z.N 79 Medicines 459.00 242 06/17/2018 DIOFEL ACEVIDO Talisay,Dapitan City 45 Laboratory 1,530.50 243 06/17/2018 PERLA EGUIA Banonong, Dapitan City 63 Medicines 135.00 244 06/17/2018 WILFREDO CULANAG Piñan, Z.N 60 Medicines 699.00 245 06/17/2018 HARMONEE JOPSON , Z.N 28 Medicines 1,521.00 246 06/17/2018 JEIA RAMBO Del Pilar, Piñan, Z.N 18 Medicines 119.80 247 06/17/2018 NORBERTO REVILLE Ma.cristina, Dapitan City 47 UTZ 750.00 248 06/17/2018 HANECLINA BAYRON Dapitan City 78 Laboratory/ECG 2,237.50 249 06/17/2018 JOVITO BACONGA Dapitan City 76 Medicines 319.20 250 06/17/2018 JERRY MACALASANG Ilaya, Dapitan City 28 Hospital Bill 60,837.20 251 06/17/2018 ALVIN DENOLAN Dawo, Dapitan City 38 Medicines/Meds.Supplies 414.50 252 06/17/2018 AMADA ACOSTA Pob.North, Piñan, Z.N 2 Laboratory/ECG/Meds.Supplies/X-ray 2,792.50 253 06/17/2018 PAMPILO ELUMBARING Sibutad, Z.N 72 Meds.Supplies 498.00 254 06/17/2018 ERNA DENOLAN Sulangon, Dapitan City 36 Laboratory 670.00 255 06/17/2018 EVA ADASA Cawa2x, Dapitan City 57 Medicines 236.30 256 06/17/2018 ELIZABETH LOVENDINO Linabo, Dapitan City 38 Medicines 318.20 257 06/17/2018 JOEL TAYRUS Banbanan, Dapitan City 32 Medicines/Meds.Supplies 1,585.90 258 06/17/2018 PAULA ENOY Talisay,Dapitan City 78 Medicines 624.00 259 06/17/2018 MARGARITA DAYNA Ilaya, Dapitan City 78 Medicine/Meds.Supplies 266.80 260 06/17/2018 JUNAX SARECIA St.Isabel, Dipolog City 27 Medicines 3,042.00 261 06/17/2018 PACITA SAGARIO Polo, Dapitan City 64 Medicines 887.25 262 06/17/2018 VALENTIN SOLO Leon Postigo, Z.N 65 Medicines 225.00 263 06/17/2018 NILO CAMAZO Banonong, Dapitan City 68 Medicines 172.20 264 06/17/2018 ARMAN CUENCA Piñan, Z.N 1 Medicines 772.20 265 06/17/2018 MICHELLE DAGWAYAN Napo, Dapitan City 32 Medicines 225.00 266 06/17/2018 CHRISTIAN BAHIAN Napo, Dapitan City 25 Medicines 866.30 267 06/17/2018 JUAN BAHIAN Napo, Dapitan City 70 Laboratory/X-ray/ECG/Meds.Supplies 1,285.00 268 06/20/2018 GERARDO BACONGA Olingan, Z.N 58 Hospital Bill 10,522.70 269 06/20/2018 KENT ICAO Banonong, Dapitan City 5 Medicines 247.10 270 06/20/2018 DYNIELL LIBATOG Banonong, Dapitan City 16 CT Scan 3,600.00 271 06/20/2018 GRACE BULAGAO Sta.Cruz, Dapitan City 62 Laboratory 505.00 272 06/20/2018 PALOMA SALAC Potungan, Dapitan City 69 Medicines 1,524.40 273 06/20/2018 JEFFRE MANDANTES Isis, Polanco Z.N 37 CT Scan 3,600.00 274 06/20/2018 EMERITZ TORINO Sulangon, Dapitan City 53 Hospital Bill 28,073.20 275 06/20/2018 RUTH OMPOY Baylimango, Dapitan City 24 Laboratory 670.00 276 06/20/2018 NICA VILLAS Banonong, Dapitan City 2 Medicines 386.10 277 06/20/2018 HERTOR OBORDO Dampalan,Dapitan City 54 Hospital Bill 4,840.20 278 06/20/2018 BEBELINA CINCO Linabo, Dapitan City 56 Medicines 67.50 279 06/20/2018 PETER BUCOL La libertad Z.N 18 X-ray 700.00 280 06/20/2018 JOHN ALUM La libertad Z.N 19 Hospital Bill 1,705.00 281 06/21/2018 BENSUETO ACOYMO Dapitan City 61 Laboratory 2,457.50 282 06/21/2018 EPEGENIA BULAY-OG Dapitan City 51 Medicines 216.30 283 06/21/2018 MACRINA SALAZAR Pob.South, Piñan, Z.N 78 Laboratory/Meds.Supplies 1,422.00 284 06/21/2018 LOVELY LUMANTAP Bagting, Dapitan City 38 Laboratory 670.00 285 06/21/2018 RACHEL BUCOL Canlucani, Dapitan City 22 Laboratory 570.00 286 06/21/2018 JOSE CHRISTOPHER MENTOLAROC Estaka, Dipolog City 29 Medicines 747.00 287 06/21/2018 NELSON EMPRESTITO Isis, Polanco Z.N 68 Laboratory/X-ray/Medicines 2,457.80 288 06/21/2018 ELPEDIO MILLALOS La Union, La Libertad,Z.N 60 Medicines 172.20 289 06/21/2018 FELIPINERIO CASTILLON Deventa Perla, Polanco Z.N 56 Medicines 300.60 290 06/21/2018 ARNULFO ENERIO Rizal, Z.N 21 Medicines 263.20 291 06/21/2018 PACIENCIA ENERIO Rizal, Z.N 82 Medicines 101.55 292 06/21/2018 TENIDO IGNACIO Dawo, Dapitan City 37 Laboratory/X-ray/Medicines 780.80 293 06/21/2018 PERLA EMPRESTITO Isis, Polanco Z.N 68 Medicines 148.96 294 06/21/2018 MICEL OBORDO Daro, Dapitan City 18 Laboratory 670.00 295 06/21/2018 MIRIANITA NEPOMUCENO Olingan, Z.N 69 Laboratory 829.60 296 06/21/2018 GENEDINA TARUC Napo, Dapitan City 71 Medicines 402.00 297 06/21/2018 KIRT ALARCOS Oyan, Dapitan City 24 Medicines 459.60 298 06/21/2018 JACARIA ANTAO Larayan, Dapitan City 62 X-ray/Laboratory/Medicines 1,301.15 299 06/21/2018 MELECIA ANOR Polo, Dapitan City 61 UTZ 1,000.00 300 06/21/2018 QUEEN ACIERTO Polo, Dapitan City 2 Hospital Bill 4,658.95 301 06/21/2018 GWEN GITO Talisay,Dapitan City 1 Hospital Bill 4,000.00 302 06/22/2018 GENECITO SAMSON Pob.North, Piñan, Z.N 59 Laboratory 735.50 303 06/22/2018 MERODITA REDILA Oro, Dapitan City 54 Laboratory 990.50 304 06/22/2018 MITCHELL BALARES Polanco, Z.N 34 Medicines 1,260.00 305 06/22/2018 JULIO OBNIMAGA Taguilon, Dapitan City 46 CT Scan 2,000.00 306 06/22/2018 HERMES SUAREZ , Z.N 58 Medicines 237.50 307 06/22/2018 IBRAHIM ABDOHLZAHID Sta.Cruz, Dapitan City 56 Medicines 314.30 308 06/22/2018 AUGUSTO CADANO Barcelona, Dapitan City 79 Medicines 543.00 309 06/22/2018 GARFE MANLUD Mutia Z.N 22 Medicines 1,190.00 310 06/22/2018 JHOLBITH BANGUIRIGO Sto.Niño, Dapitan City 25 Medicines 718.25 311 06/22/2018 JACKYLINE ENRIQUEZ Sto.Niño, Dapitan City 30 Medicines 514.00 312 06/22/2018 LORIE INCANA Roxas, Z.N 37 Medicines 1,690.00 313 06/22/2018 GUELLERMMO ODOG Dicayas, Dipolog City 40 Medicines 2,290.00 314 06/22/2018 JAIME PALLINO Napo, Dapitan City 57 X-ray/Medicines 2,170.40 315 06/22/2018 GEMMA LUGO Obay, Polanco Z.N 41 Medicines 947.70 316 06/22/2018 MELINDA JUMUAD Sto.Niño, Dapitan City 58 Laboratory/ECG/UTZ/Medicines 616.50 317 06/22/2018 WINEFREDO CABUGNASON San Pedro, Dapitan City 72 Laboratory 260.00 318 06/22/2018 ANITA QUIMNO La libertad Z.N 64 Medicines 458.75 319 06/22/2018 GENA BALLADARES Sulangon, Dapitan City 52 ECG/Laboratory 745.50 320 06/22/2018 MERCEDES DAYAGUIT Linabo, Dapitan City 53 ECG/Laboratory 1,085.50 321 06/22/2018 FLORANTE CALASANG Banonong, Dapitan City 61 Laboratory/ECG/Medicines 3,157.50 322 06/22/2018 RAQUEL DALAGUETE Dapitan City 84 Medicines/Meds.Supplies 922.40 323 06/23/2018 JOCELYN BAGOR Banbanan, Dapitan City 48 Hospital Bill 21,356.25 324 06/24/2018 JOSH ETHAN EGOT Carang, Dapitan City 3 Medicines 200.00 325 06/24/2018 MARILYN ACOPIO Tamion, Dapitan City 28 Hospital Bill 1,628.30 326 06/24/2018 MARK GALANIDO Sta.Cruz, Dapitan City 24 Medicines 229.30 327 06/24/2018 ELMAR ANGAS Denoman, Roxaz Z.N 46 Medicines 172.20 328 06/24/2018 CHRISIA JUMAWAN Ma.uray, Dapitan City 7 Medicines 175.40 329 06/25/2018 JARITA VILLAS Mapang, Rizal Z.N 68 Laboratory 535.50 330 06/25/2018 CRISTINA VILLAS Mapang, Rizal Z.N 55 Laboratory 1,327.50 331 06/25/2018 PRENCILLA OBORDO Potol, Dapitan City 75 X-ray 200.00 332 06/25/2018 ELMA RUDAS Mutia Z.N 66 Laboratory/X-ray/ECG 2,692.50 333 06/25/2018 VICTORIA LEGARA Roxas, Z.N 65 X-ray/Medicines/Laboratory 2,660.80 334 06/25/2018 ROGELIO ABLONG Sianib, Polanco Z.N 59 Laboratory/CT SCAN/ Medicines 6,155.40 335 06/25/2018 MAXIMO LACHAMA Gutalac, Z.N 72 Medicines 3,345.00 336 06/25/2018 JESSIE EMBRADO Ilaya, Dapitan City 52 Medicines 174.00 337 06/25/2018 SHIENNA ELOPRE Ilaya, Dapitan City 17 Medicines 3,510.00 338 06/25/2018 JANINE LOVE VILLAS Banonong, Dapitan City 4 Medicines 538.75 339 06/25/2018 EDGAR RUALES Sindangan, Z.N 40 Medicines 2,340.00 340 06/25/2018 IVY MAE TABINAS Disakan, Manukan Z.N 21 CT Scan/Medicines 4,881.70 341 06/25/2018 PRUDENCIA CATILOC Tag-Ulo, Dapitan City 60 Medicines 216.20 342 06/25/2018 JOSEPH RAS Sulangon, Dapitan City 42 Medicines 423.75 343 06/25/2018 GILBERO MAMERTO Roxas, Z.N 45 Medicines 610.00 344 06/25/2018 PRUDENCIA CATILOC Taguilon, Dapitan City 60 Medicines 216.20 345 06/25/2018 ADELAIDA JAMOROL S.Osmeña, Z.N 39 Laboratory 540.00 346 06/25/2018 MARIA CINCO Pob.South, Piñan, Z.N 63 Medicines 332.00 347 06/25/2018 BERNARDO ELUMBARING Dapitan City 68 Medicines 1,449.00 348 06/25/2018 LITA DIGAMON Dapitan City 62 Medicines 134.60 349 06/25/2018 ARCELITA RUIZ Sulangon, Dapitan City 74 Medicines 762.00 350 06/26/2018 PACITA TAGAPAN Ma.cristina, Dapitan City 62 Laboratory 990.50 351 06/26/2018 ESMERALDO TADEIOGON Aseniero, Dapitan City 63 Laboratory/ECG/X-ray 1,990.50 352 06/26/2018 NENITA ANDICO Sto.Niño, Dapitan City 44 UTZ 750.00 353 06/26/2018 ESTEPHANIE EGUIA Linabo, Dapitan City 24 Laboratory 670.00 354 06/26/2018 NERIA NAVARIO Sicayab, Dipolog City 6 Medicines 144.20 355 06/26/2018 EUFENIO TENIDO Dawo, Dapitan City 24 Hospital Bill 1,752.85 356 06/26/2018 HUGIBON DAHUNAN Taguilon, Dapitan City 37 Medicines 1,537.90 357 06/26/2018 FERNANDO GUMULA Opao, Dapitan City 61 Medicines 460.25 358 06/26/2018 MELINDA MAPILI Ilaya, Dapitan City 31 UTZ 850.00 359 06/26/2018 ROSITA MAPILI Pob.Tampilisan, Dipolog City 70 Laboratory/X-ray/ECG 1,596.25 360 06/26/2018 PAT SARMIENTO Potungan, Dapitan City 60 Laboratory 1,242.50 361 06/26/2018 AGRIPINO RUBIO Dampalan,Dapitan City 81 Laboratory/ECG 650.50 362 06/26/2018 ELMA MAGLINTE San Francisco, Dapitan City 56 Laboratory 1,327.50 363 6/17-26/2018 GERONIMO GALLEPOSO Taguilon, Dapitan City 51 Hospital Bill 10,000.00 364 6/6-26/2018 ANACLETO ELAM San Antonio, Polanco,Z.N 61 Hospital Bill 10,000.00 365 06/27/2018 MARGARITO BAYER Pob.North, Piñan, Z.N 73 Medicines 1,065.55 366 06/27/2018 POLICARPO SAGUIN Dawo, Dapitan City 45 UTZ 1,000.00 367 06/27/2018 SANDY JUMAWAN Dawo, Dapitan City 37 ECG/Laboratory 1,275.00 368 06/27/2018 LIEZEL PAALISBO Bagacay, Sibutad, Z.N 47 UTZ 1,200.00 369 06/27/2018 MARCIANA AUSTERO Dawo, Dapitan City 84 Laboratory/ECG/X-ray/Meds.Supplies 2,000.50 370 06/27/2018 REVIE IAN ACAYLAR Banonong, Dapitan City 30 CT Scan 1,600.00 371 06/27/2018 CHARLYN TINAMBASAN Tag-Ulo, Dapitan City 5 Medicines 1,799.65 372 06/27/2018 IAN SAMALPONG Tag-Ulo, Dapitan City 7 Medicines 1,799.65 373 06/27/2018 DOMINGA BATION Linabo, Dapitan City 86 Laboratory/ECG 2,524.50 374 06/27/2018 EDILBERTO JAMOLOD Cawa2x, Dapitan City 37 Hospital Bill 226.80 375 06/27/2018 ALLECIA YUNTING Dapitan City 55 Hospital Bill 3,718.80 376 06/27/2018 ROIGIE ACOPIADO Talisay,Dapitan City 7 Hospital Bill 1,485.65 377 06/27/2018 DANTE BANDILING Ma.cristina, Dapitan City 46 Ct Scan 2,800.00 378 06/27/2018 ROSE ANN JANE ELOPRE Talisay,Dapitan City 6 Medicines 468.00 379 06/27/2018 GEORGE OÑATE Olingan, Z.N 53 Hospital Bill 15,000.00 380 06/27/2018 REDELINA DELA CRUZ Taguilon, Dapitan City 55 Hospital Bill 6,427.95 381 06/27/2018 JEROME MAGTUBA Dapitan City 39 Medicines 1,414.30 382 06/27/2018 JOVEN ZAMORA Bagting, Dapitan City 27 Laboratory 1,772.50 383 6/20-27/2018 ROSALINDA ELOPRE Potungan, Dapitan City 61 Hospital Bill 12,149.48 384 06/28/2018 ROSEMARIE MIRA Tolon, Rizal Z.N 19 Laboratory 670.00 385 06/28/2018 LIAN NAPIGKIT Linabo, Dapitan City 5 Medicines 386.10 386 06/28/2018 VALINTINE SOLO Leon Postigo, Z.N 25 Medicines 123.60 387 06/28/2018 JAY AN BINONDO Napo, Dapitan City 25 Medicines 997.95 388 06/28/2018 WINEFREDO CABUGNASON San Pedro, Dapitan City 72 UTZ 1,200.00 389 06/28/2018 LINDA TARUC Cawa2x, Dapitan City 63 Laboratory/ECG/X-ray 2,700.50 390 06/28/2018 CHONA YBAÑEZ San Vicente, Dapitan City 51 Laboratory/X-ray/ECG 626.00 391 06/28/2018 ELISA ACABAL Polo, Dapitan City 36 Medicines 1,374.00 392 06/28/2018 THELMA SOCOBES Potol, Dapitan City 56 Medicines 435.25 393 06/28/2018 HERMOGENES CAPIN Pob.South, Piñan, Z.N 67 Laboratory/Medicines 2,891.00 394 06/28/2018 DICK DANGCALAN Potungan, Dapitan City 74 Meds.Supplies/Medicines 498.00 395 06/28/2018 JANET SUMALPONG Tag-Ulo, Dapitan City 49 Medicines 435.25 396 06/29/2018 GIAN SON Polanco, Z.N 5 Medicines 1,240.00 397 06/29/2018 FLORENCIO OTOM Singatong, Katipunan Z.N 74 Hospital Bill 15,868.84 398 06/29/2018 DULCE BAJAMUNDE Banonong, Dapitan City 67 Medicines 459.95 399 06/29/2018 FELISA CANETE Linabo, Dapitan City 72 Medicines 600.00 400 06/29/2018 JONATHAN EMPEYNADO Linabo, Dapitan City 49 X-ray/Laboratory/Medicines 1,159.05 401 06/29/2018 MAXIMINO LACHAMA Salvador, Gutalac Z.N 72 ST Scan 3,600.00 402 06/29/2018 ELSEN BAROY Banbanan, Dapitan City 27 Medicines 386.10 403 06/29/2018 LONJIE CENIO San Francisco, Dapitan City 4 Hospital Bill 2,104.90 404 06/29/2018 MERCEDITA ATUPAN Sindangan, Z.N 36 UTZ/X-ray 1,410.50 405 06/29/2018 LORETA ACORIN Ilaya, Dapitan City 66 X-ray/Laboratory/ECG 2,340.50 406 06/29/2018 MARIE OBORDO Cawa2x, Dapitan City 20 Medicines 1,560.00 407 06/29/2018 ALLAN ATES Sibutad, Z.N 28 Medicines 435.25 408 06/29/2018 LURIE CABILAO Kauswagan, Dapitan City 20 Medicines 1,521.00 409 06/29/2018 ROGELIO REUSORA Bayon, S.Osmeña,Z.N 30 Medicines 3,042.00 410 06/29/2018 FLORY MISARIO Cogon, Dipolog City 39 Medicines 473.85 411 06/29/2018 DANILO JASME Banonong, Dapitan City 1 Laboratory 275.00 412 06/29/2018 CELESTINA PONCE Polanco, Z.N 80 Laboratory/ECG/X-ray 2,380.50 413 06/29/2018 AIRES MARABUENO Isis, Polanco Z.N 17 Medicines 473.85 414 06/29/2018 LEONCIO CAGATAN Banbanan, Dapitan City 77 Laboratory/ECG/X-ray/Medicines 3,659.50 415 06/29/2018 FLORDELITA LABADLABAD Sulangon, Dapitan City 59 Medicines 884.65 416 06/29/2018 NELSON EMPRESTITO Isis, Polanco Z.N 68 Medicines 476.00 417 06/29/2018 CRISTY HERBOLINGO Napo, Dapitan City 33 Hospital Bill 2,270.20 418 06/29/2018 REA DAGWAYAN Cawa2x, Dapitan City 16 X-ray 200.00 419 06/29/2018 LORNA GARAY Sindangan, Z.N 72 Medicines 2,069.30 420 06/30/2018 THELMA RACHO Diwan,Dipolog City 47 Medicines 4,568.20 421 06/30/2018 KIM BAIT-IT Polanco, Z.N 16 Medicines 338.20 DENIED PHIC CLAIMS: 422 8/27-9/5/2017 MANUEL GALLEPOSO JR. Sto.Niño, Dapitan City 52 Hospital Bill 10,685.75 TOTAL: 910,935.22