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Republic of the Philippines Department of Health DR. JOSE FABELLA MEMORIAL HOSPITAL Accounting Office M a n i l a MEDICAL ASSISTANCE PROGRAM As of SEPTEMBER 1-30, 2018 ALLOTMENT RECEIVED DATE Approved BALANCE REMARKS DATE CHECK NO./SAA RECIPIENT ADDRESS Assistance Needed REFERRED Amount (DEFICIT) 08/31/18 Balance Forwarded 13,164,239.16 September 01, 2018 Ayumi Samantha Solis Ishida Catmon, Malabon City Laboratory Procedure 1,700.00 13,162,539.16 September 01, 2018 Jennifer Baluyut Lee A. Samson, Quezon City Laboratory Procedure 605.00 13,161,934.16 September 01, 2018 Cyryl Grey Sarmiento La Huerta, Parañaque City X-Ray Examination 224.00 13,161,710.16 September 01, 2018 Jacklyn Aguila Dolor Sampaloc, Manila Laboratory Procedure 1,680.00 13,160,030.16 September 01, 2018 Hazel Kulos Villano Santa Rosa, Laguna Hospital Bill 1,928.39 13,158,101.77 September 01, 2018 Sarah Jane Padillo Reyes Silang, Cavite Hospital Bill 3,880.88 13,154,220.89 September 01, 2018 Rafael Clyde Benes Arevalo Bacoor, Cavite Hospital Bill 2,290.00 13,151,930.89 September 01, 2018 Boy Reyes Silang, Cavite Hospital Bill 1,511.23 13,150,419.66 September 02, 2018 Vergelita Duran Tanjoco NBBS Proper, Navotas City Hospital Bill 1,295.71 13,149,123.95 September 02, 2018 Amy Vargas Ermita, Manila Hospital Bill 724.34 13,148,399.61 September 02, 2018 Mary Joy Crisostomo Castillo Bacoor, Cavite Hospital Bill 1,121.85 13,147,277.76 September 02, 2018 Gimmelyn Rivas Lingatong Don Bosco, Parañaque Hospital Bill 498.75 13,146,779.01 September 02, 2018 Sheenalyn Brioso Eduardo Biñan, Laguna Hospital Bill 1,704.35 13,145,074.66 September 02, 2018 Girl Jamilla Navotas City NBS & Hearing Test 950.00 13,144,124.66 September 02, 2018 Elena Sayno Tolentino Bacoor, Cavite Hospital Bill 3,008.91 13,141,115.75 September 03, 2018 Diana Rose Esteves Mamaril San Dionisio, Parañaque Laboratory Procedure 160.00 13,140,955.75 September 03, 2018 Sohaya H.
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