Republic of the Philippines Department of Health JOSE R. REYES MEMORIAL MEDICAL CENTER

LIST OF PATIENTS MEDICAL ASSISTANCE FOR THE INDIGENT PATIENTS PROGRAM FOR THE PERIOD JUNE 1-30, 2021

AMOUNT OF MEDICAL SERVICES LABORATORIES, DATE CONTROL TOTAL NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL & GRANTED NO. HOSPITAL FEES ASSISTANCE SUPPLIES DIAGNOSTICS PROCEDURES

15-Mar-21 21-01 MARI, AILEEN O. Lot 6 Block 88 Phase 2 C3 Kalawakan Road, Karangalan - Village St. Brgy Manggahan 770.00 Pasig City - 770.00 8-Mar-21 21-02 CACHERO, CARR BENEDICT A. 1996 Int.13, G. Perfecto St., Tayuman St. Brgy 157 8,952.00 Zone 14 Tondo Manila - - 8,952.00 18-May-21 21-03 DOLORES, ROMMEL BELGA Blk 14 Lot 29 Phase 1 Burol 2 Dasmariñas Cavite - - 62,928.12 62,928.12 12-May-21 21-04 DIZON, JENNIFER B. 1373 Quiricada St. Brgy 231 Tondo Manila - - 24,941.57 24,941.57 20-May-21 21-05 ACIERTO, MARCELINO C. BLK 25 LOT 19 GRANADILLA ST., CAMOLLA SPINGUELE - ST., BEGY MOLINO BACOOR - CAVITE 67,469.92 67,469.92 18-May-21 21-06 MANANSALA, ALEXANDER Y. 799 Barracks St. Brgy Ilang Ilang Guiguinto Bulacan - 3,104.00 - 3,104.00 18-May-21 21-07 NILO, JOHN JOEL S. 102 Pulong Kendi II St. Brgy Sta. Ana Taguig City - - 8,706.00 8,706.00 17-May-21 21-08 VILLARIN, ANIECKA LOURYNNE C.Sunnyville 3 St. Brgy Palangoy Binangonan Rizal - - 8,049.26 8,049.26 18-May-21 21-09 PALONSON, RONALDO P. 1467 Int 42 Gomez St. Brgy 823 Paco Manila - - 462.59 462.59 17-May-21 21-10 JAO, JEFFERSON T. 14 Sapa St. Brgy Panghulo Malabon City - - 21,502.66 21,502.66 17-May-21 21-11 CRUZ, ELISA I. 2110 PEDRO GIL St. Brgy 880 STA ANA MANILA - - 1,457.84 1,457.84 17-May-21 21-12 SAN JUAN, KAITLYN HEART C. 733 Militar St. Brgy 3 Dalahican Cavite - - 10,608.01 10,608.01 17-May-21 21-13 MANAHAN, MONICA C. 753 Int 89 Raxabago St. Brgy 160 Tondo Manila - - 7,954.86 7,954.86 18-May-21 21-14 MAQUIMOT, EDNA M. 272 ARCADIO St. Brgy 2 SANGANDAAN Caloocan City - 1,235.00 - 1,235.00 18-May-21 21-15 SOLANA, RACHELL MAE L. 73 St. Brgy Maysan Road Valenzuela City - - 25,298.99 25,298.99 18-May-21 21-16 BAUTISTA, ROMMEL G. Blk 25 Lot 6 Socialize Housing St. Brgy Tanza II Navotas - City 5,080.00 - 5,080.00 17-May-21 21-17 BALINAS, LOIDA E. 28 Kadiwa St. Brgy 27 Caloocan - - 2,539.84 2,539.84 17-May-21 21-18 GREGORIO, JUDAYCA D. 133 P Manahan St. Brgy 30 Pasay City - - 5,713.11 5,713.11 18-May-21 21-19 TEVES, MARIA CECILIA N. HERITAGE HOMES BLK 5 LOT 46 ARIES St. Brgy LOMA 486.88 DE GATO MARILAO BULACAN - - 486.88 18-May-21 21-20 RIVERA, NESTOR D. 479 T.M. Kalaw St. Brgy 666 Zone 72 Ermita Manila - - 1,444.73 1,444.73 18-May-21 21-21 CAPULONG, JOCEL H. 721 Laong Nasa St. Brgy 153 Tondo Manila - 350.00 - 350.00 18-May-21 21-22 HERRERA, RAMIL D. 219 Talisay St. Brgy Dulong Bayan San Jose Del Monte 3,441.55 Bulacan - - 3,441.55 18-May-21 21-23 MANAOG, MA. TERESA E. P1503 5th St. Brgy 18 Villamor Airbase Pasay City - - 2,823.00 2,823.00 18-May-21 21-24 CALVO, ADELAIDA S. 35 Bristol Hill Araneta St. Brgy Santol Quezon City - - 265.00 265.00 18-May-21 21-25 LLARENA, ALDY 1218 Suarez St. Brgy Daanghari Navotas - - 530.00 530.00 18-May-21 21-26 ENCARNACION, MARIA LEONORA18 D. Real Estate St., GSIS Village St. Brgy Sangandaan Project - 8 Quezon City - 1,060.00 1,060.00 18-May-21 21-27 ARIQUEZ, IGMEDIO B. 323 Hinahon St. Brgy 32 Tondo Manila - - 1,415.00 1,415.00 18-May-21 21-28 PINEDA, ALGHEN PRIX M. Bldg. 9, Unit 202 Perm. Housing St. Brgy 128 Tondo Manila - - 7,660.00 7,660.00 19-May-21 21-29 GARINO, JONEMAR I. 2227 M. Natividad St. Brgy 347 Sta. Cruz Manila - - 9,742.96 9,742.96 19-May-21 21-30 LIM, ALEJANDRO F. 1301 Torres Bugallon St. Brgy 212 Tondo Manila - - 1,042.54 1,042.54 19-May-21 21-31 PAGLINAWAN, ADRIENNE KAYE B.2128 B. Makata St. Brgy 358 Sta. Cruz Manila - - 2,425.54 2,425.54 19-May-21 21-32 DE MONTEVERDE, CHARMAINE G.488 Purok 6 St. Brgy Marinig Cabuyao Laguna - - 906.79 906.79 19-May-21 21-33 VILLARALBO, KRIZCHELLE 3 Gulayan St. Brgy Catmon Malabon - - 2,335.00 2,335.00 18-May-21 21-34 MENDOZA, MARIE ANTOINETTE -.721 Laguna Extension, Gagalangin St. Brgy 153 Tondo -Manila - 6,052.77 6,052.77 18-May-21 21-35 AZORES, YASMIEN M. 2 Conhita, M. Dela Cruz St. Brgy 127 Pasay City - - 6,651.17 6,651.17 19-May-21 21-36 SINFUEGO, MARY GRACE N. 1260 E. Quiricada St. Brgy 253 Tondo Manila - - 6,978.78 6,978.78 18-May-21 21-37 CABANAG, ANTONIO M. 11 Camus Ext St. Brgy Ibaba Malabon City - - 49,335.56 49,335.56 18-May-21 21-38 BANIEL, ESTER N. 728 PROGRESO St. Brgy 392 QUIAPO MANILA - - 12,431.77 12,431.77 18-May-21 21-39 ESPEDIDO, RACHEL M. Block 7 Lot 17 St. Brgy Poblacion 5 General Mariano Alvarez - Cavite - 8,676.63 8,676.63 18-May-21 21-40 BALBIDO, ERLINDA L. QUEENSLAND VILLAGE St. Brgy NAGKAISANG NAYON - NOVALICHES QUEZON CITY - 46,320.06 46,320.06 19-May-21 21-41 SEVILLA, DANILO M. 2797 Mendoza St St. Brgy 182 Gagalangin, Tondo Manila - 1,200.00 - 1,200.00 19-May-21 21-42 MAMITA, JUANITO L. 2129 F Munoz St. Brgy 731 San Andres Manila - - 21,384.51 21,384.51 19-May-21 21-43 CAPINIG, WILFREDO R. 842 Asusncion St. Brgy 273 Binondo Manila - - 1,890.00 1,890.00 19-May-21 21-44 MANGUBAT, JOHNSON O. Brgy CACARONG MATANDA PANDI BULACAN CITY - - 25,604.15 25,604.15 19-May-21 21-45 REGIDA, REYNALDO A. BLK 5 LOT41 COVENANT VILLAGE St. Brgy BAGONG 1,134.00 SILANGAN QUEZON CITY - - 1,134.00 19-May-21 21-46 GUEVARRA, JOSE JR C. 1800 Yakal St. Brgy 256 Zone 23 Tondo Manila - - 425.26 425.26 19-May-21 21-47 QUIBAN, AMARI FAYRE 088 Callejon St. Brgy San Roque Naic Cavite - - 9,345.19 9,345.19 19-May-21 21-48 CORPUZ, JORDAN S. B4 L7 Norzagaray Homes St. Brgy Bitungol Norzagaray - Bulacan - 12,537.33 12,537.33 19-May-21 21-49 CATOLOS, KATNISS R. Blk 8 Lot 7 Amaia Scapes St. Brgy Barandal Calamba City - Laguna - 24,694.61 24,694.61 19-May-21 21-50 TAGLE, ELIZABETH R. Block 48 Lot 37 Phase 2 Golden Horizon Subdivision St. - Brgy Hugo Perez Trece Martirez - Cavite 3,695.30 3,695.30 19-May-21 21-51 LAYOLA, LILIA D. 0044 A1 (2nd Flr) Malanday St. N.S Amoranto St. Brgy -Paang bundok Quezon City - 1,034.41 1,034.41 19-May-21 21-52 LIZARDO, BENITO O. Zone 3 St. Brgy Pipian San Fernando Camarines Sur - - 3,750.96 3,750.96 19-May-21 21-53 ZARATE, CONSUELO A. 560 Main St. Brgy 402 Sampaloc Manila - - 890.00 890.00 19-May-21 21-54 DEL CARMEN, KEN RAY R. 112 CONSUELO St. Brgy ACACIA MALABON CITY - - 10,355.98 10,355.98 19-May-21 21-55 LAURINARIA, RICHIE C. Apex Compound, Pier II St. Brgy 20 Tondo Manila - - 6,200.09 6,200.09

Page 1 AMOUNT OF MEDICAL SERVICES LABORATORIES, DATE CONTROL TOTAL NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL & GRANTED NO. HOSPITAL FEES ASSISTANCE SUPPLIES DIAGNOSTICS PROCEDURES

20-May-21 21-56 BALMORIS, NESTOR D. 136 Libis Espina St. Brgy. 14 Caloocan 1,953.00 - - 1,953.00 20-May-21 21-57 TALUSAN, ROMEO M. Orchid Barrio Concepcion St. Brgy 188 Tala Caloocan 5,328.13 City - - 5,328.13 20-May-21 21-58 CERDEÑA, LILIA A 136 LIBIS ESPINA ST., CALOOCAN CITY 1,953.00 - - 1,953.00 20-May-21 21-59 SALVADOR, GERRYLYN MANA 639 ALTURA ST., BRGY 569 SAMPALOC MANILA - - 6,229.08 6,229.08 21-May-21 21-60 DELA CRUZ, JUANITO S. 1801 J.P. Laurel St. Brgy 637 San Miguel Manila - - 1,815.00 1,815.00 21-May-21 21-61 MADJALES, MARLYN M. 39 J Ibañez Samonte Park St. Brgy 62 A Cavite City Cavite - - 3,190.00 3,190.00 21-May-21 21-62 CAYABYAB, JULIETA R. Block 27 Lot 59 Phase 2 Area 1 St. Brgy NBBS Navotas -City 3,880.00 - 3,880.00 21-May-21 21-63 TITOY, JENNIFER M. Brgy San Isidro Palo Leyte - 6,350.00 - 6,350.00 21-May-21 21-64 ABECIA, REYNALDO H. 2708 Legarda St. Brgy 410 Sampaloc Manila 588.03 - - 588.03 21-May-21 21-65 GARCIA , BEATRIZ L. 16 Quiling Sur St. Brgy Nagrepcan Batac Ilocos Norte - 3,880.00 - 3,880.00 21-May-21 21-66 NUMBRADO, JENIFFER M. Blk 19 Lot 14 Ph 3 Carissa Homes St. Brgy Bagtas Tanza - Cavite - 689.00 689.00 21-May-21 21-67 BELTRAN, RUVI G. 2 Rivera Compound St. Brgy Banga Meycauayan City Bulacan - - 132.50 132.50 21-May-21 21-68 FUENTES, JENNY F. 260 Beltran St. Brgy 134 Tondo Manila - 9,600.00 - 9,600.00 21-May-21 21-69 CASTILLO, JAIMADE D. 12 Area A, Gate 1, Pier 2 St. Brgy 20 Tondo Manila - - 12,523.40 12,523.40 21-May-21 21-70 AMPOAN, ADELINA Y. 132 Pakiusap St. 2nd ave St. Brgy 38 Caloocan City 846.00 - - 846.00 21-May-21 21-71 SANCHEZ, RITZCHIE JOHN L. 36 E Maestrang Pinang St. Brgy Lingid Tipas Taguig City - - 9,258.08 9,258.08 21-May-21 21-72 ATILLO, ALLISON A. Block N5 Lot 1 St. Brgy Emmanuel Uno Dasmariñas CAVITE - - 2,209.64 2,209.64 20-May-21 21-73 ADRIANO, ANGELINA D. 518 Tagaytay St. Brgy 130 Caloocan City - - 18,627.90 18,627.90 21-May-21 21-74 PLAZA, ALMERA C. 34 GARIEL 2 KAREN St. Brgy HULONG DUHAT MALABON - CITY 3,880.00 - 3,880.00 20-May-21 21-75 ISO, DIANA MARIEL G. Phase 3-B Block 18 Lot 27 Psalm St., Sto. Niño St. Brgy -Perez Meycauayan Bulacan - 1,202.27 1,202.27 20-May-21 21-76 MONTERO, HERMENIA G. Brgy CANAPIAN MAAYON CAPIZ - - 24,540.98 24,540.98 21-May-21 21-77 INFANTE, MICHELLE P. B36-C L11 PH3 F1 Sabalo St. Brgy 12 Dagat-Dagatan Caloocan - City - 1,035.10 1,035.10 21-May-21 21-78 PATAUEG, EXPEDITO C. Marcos St. Brgy 34 Caloocan City - - 1,060.00 1,060.00 21-May-21 21-79 ENOC, RAIN LUCAS Z. 254 St. Brgy Old Balara Quezon City - - 11,154.27 11,154.27 21-May-21 21-80 CAPITIN, MARY GRACE M. 16-18 Levitown Ph5 Talco Cmpd St. Brgy Don Bosco Parañaque - City - 85,614.74 85,614.74 21-May-21 21-81 OLIVEROS, JESSA C. 62 Silencio St. Brgy Santol Quezon City - - 480.79 480.79 21-May-21 21-82 CROW, CHRISTIAN NICOLLE C. Block 2 Lot 4 Lessandra Subdivision St. Brgy Buhay Na - Tubig Imus Cavite - 2,497.92 2,497.92 21-May-21 21-83 PEREGRINO, NOEL C. 004 Emely St. Brgy Tabon III Kawit Cavite - - 5,631.03 5,631.03 22-May-21 21-84 ANDRES, SALVACION S. 103 Hillcress St. Brgy Immaculate Concepcion Cubao Quezon - City - 1,890.00 1,890.00 22-May-21 21-85 BERSABE, EVANGELINE C. 122 Premera De Mayo St. Brgy 88 Pasay City - - 745.00 745.00 22-May-21 21-86 LUMAWAG, ANDRO P. R10 St. Brgy 123 Moriones Tondo Manila - - 445.00 445.00 22-May-21 21-87 DELOVINO, ALFAYE B. 094 TIMALAN St. Brgy CONCEPCION NAIC CAVITE - - 2,703.08 2,703.08 22-May-21 21-88 LIDEROS, JULITO JR. B. B18 L8 Area F Purok 7 St. Brgy San Pedro SJDM Bulacan - - 530.00 530.00 22-May-21 21-89 LLARENA, ALDY 1218 Suarez St. Brgy Daanghari Navotas - - 265.00 265.00 22-May-21 21-90 MORENO, PRINCE GEORGE E. 1733 Mindanao East St. Brgy 576 Sampaloc Manila - - 324.25 324.25 22-May-21 21-91 ABIAN, ALMA L. 10 Sultan Victory Hills St. Brgy Fortune Marikina - - 2,150.00 2,150.00 22-May-21 21-92 VALENZUELA, LUISA O. Metro South Village 3, Blk 90, Lot 8, Iowa St. St. Brgy Manggahan - General Trias Cavite - 265.00 265.00 22-May-21 21-93 BALUNAN, JULIET V. 19 JM. Aquino St. Brgy 105 Magsaysay Vill., Tondo Manila - - 2,370.00 2,370.00 22-May-21 21-94 DIAZ, CARMELITA R. 143 STOTSENBURG St. Brgy 70 10TH AVE CALOOCAN -CITY - 4,833.80 4,833.80 22-May-21 21-95 TULAO, EDUARDO F. Block 15 Lot 20 Carlaville St. Brgy Wawa III Rosario Cavite - - 1,560.00 1,560.00 22-May-21 21-96 DEXIMO, ARNEL M. 31 Laurel St. Brgy 119 Tondo Manila - - 2,220.00 2,220.00 22-May-21 21-97 VENUA, LUZ A. 1501 G. Araneta St. Brgy 246 Tondo Manila - - 1,057.70 1,057.70 23-May-21 21-98 ANGELES, JAYSON A. 1328 AH LACSON St. Brgy 343 STA CRUZ MANILA - - 519.15 519.15 23-May-21 21-99 BULQUIREN, WILBERTO A. Sitio Capulong St. Brgy 93 Tondo Manila - - 1,158.00 1,158.00 23-May-21 21-100 DOMDOM, MARECIL D. 38A Rosario St. Brgy Mamerto Pasig City - - 1,349.98 1,349.98 23-May-21 21-101 RUIZ, LUIS JR D. Blk 15 Lot 1 ACM Paramount Subd. St. Brgy Navarro General - Trias Cavite - 530.00 530.00 23-May-21 21-102 SALENGA, PRINCE MICHAEL F. 607 SULUCAN St. Brgy 458 SAMPALOC MANILA - - 629.49 629.49 23-May-21 21-103 PEÑAFLORIDA, TREB ACE L. 567 Corcuera St. Brgy 89 Tondo Manila - - 985.00 985.00 23-May-21 21-104 RAMOS, JOMARIE M. Building 11 Unit 111 Vitas St. Brgy 101 Tondo Manila - - 1,590.00 1,590.00 23-May-21 21-105 ALVAREZ, CRISPIN B. 081 B1 Gasangan St. Brgy 649 Port Area Manila - - 5,911.92 5,911.92 23-May-21 21-106 MURALLON, EVELYN L. Block 45 Lot 19 Salmon St. Brgy Longos Malabon City - - 4,280.45 4,280.45 24-May-21 21-107 FRANCISCO, MARIVIC A. Block 38 Lot 3 Carnation St. Brgy NBBS Navotas City - - 597.94 597.94 24-May-21 21-108 DELA CRUZ, NOEMI D. 1237 A. Hizon St. Brgy 315 Sta. Cruz Manila - 2,328.00 - 2,328.00 24-May-21 21-109 FOMBUENA, ROMEO E. 306 Purok IV tapang St. Brgy Dampol Plaridel Bulacan - 3,880.00 - 3,880.00 21-May-21 21-110 GONZALES, LEONORA L. 535 Saint Michael St. Brgy Santol Balagtas Bulacan - - 3,444.77 3,444.77 21-May-21 21-111 VILLANUEVA, PASCUALITO D. Villa Cecillia Lot 11 Blk 1 Don Pablo St. Brgy Mambugan - Antipolo City Rizal - 1,704.74 1,704.74 24-May-21 21-112 ADRIATICO, DOREEN C. ALONZO St. Brgy BRGY 7 DALAHICAN CAVITE CITY - 3,880.00 - 3,880.00 24-May-21 21-113 PARAS, IVY ROSE LEGARDA 243 A,IMA CITY OF BACOOR CAVITE 39,952.10 - - 39,952.10 24-May-21 21-114 MARTINEZ, VIVIAN B. 2174 Malunggay Phase 4 St. Brgy CAA Las Piñas - - 265.00 265.00 24-May-21 21-115 ZARSUELA, JESUSA E. Blk 3 Lot 59 Tupda Village St. Brgy 8 Caloocan City - - 1,018.05 1,018.05 21-May-21 21-116 BAUTISTA, LLEWELYN TEOFILA G.94 Julian Felipe St. Brgy 8 Sangandaan Caloocan City - - 3,441.14 3,441.14 21-May-21 21-117 PULIDO, MONTANO JR. P. Block 22 Lot 26 Bria Homes St. Brgy Bagong Bayan Tereza - Rizal - 2,485.00 2,485.00 19-May-21 21-118 SANCHEZ, ELISEO A. 6330 CF Natividad St. Brgy Mapulang Lupa Valenzuela -city - 19,322.31 19,322.31

Page 2 AMOUNT OF MEDICAL SERVICES LABORATORIES, DATE CONTROL TOTAL NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL & GRANTED NO. HOSPITAL FEES ASSISTANCE SUPPLIES DIAGNOSTICS PROCEDURES

22-May-21 21-119 PIRING, JOHN HEAVEN SENT 833 Angalo St. Brgy 274 Binondo Manila - - 341.23 341.23 21-May-21 21-120 PIRING, MA. CRISTINA B. 833 Angalo St. Brgy 274 Binondo Manila - - 1,151.26 1,151.26 21-May-21 21-121 PUNZALAN, MA. ANGELA G. 088 Callejon St. Brgy San Roque Naic Cavite - - 574.21 574.21 21-May-21 21-122 PABLO, ADRIANA L. Block 7 Lot 28 Sunrise St., Capital Parkland St. Brgy 177 - Camarin Caloocan City - 24,160.39 24,160.39 21-May-21 21-123 ESPEDILLON, ROCHELLE S. 1633 Felix De Leon Bambang St. Brgy None Tondo Manila - - 7,299.12 7,299.12 21-May-21 21-124 DIMAANO, ERLINDA M. 145 Josefina St. Brgy 117 5th Ave. Caloocan City - 776.00 - 776.00 27-Jan-21 21-125 CRUZ, AMIE A. 1068 B. Solis St. Brgy 215 Tondo Manila 11,407.50 - - 11,407.50 17-Mar-21 21-126 GERONIMO, ANITA G. St. Mary's Home St. Brgy San Jose Dasmariñas Cavite - 885.00 - 885.00 30-Mar-21 21-127 MARI, AILEEN O. Lot 6 Block 88 Phase 2 C3 Kalawakan Road, Karangalan - Village St. Brgy Manggahan 2,680.00 Pasig City - 2,680.00 31-Mar-21 21-128 FONTANOS, MARIA LORELIE D. Blk 3B Lot 24 Macopa St. Brgy 177 Caloocan City 15,506.40 - - 15,506.40 16-Apr-21 21-129 VELOSO, ZEIN ARQUINN M. 624 Urrutia St. Brgy Malayday Valenzuela City - - 225,679.01 225,679.01 3-May-21 21-130 BINOBO, ANTONIO E. Daang Hari St. Brgy Malipay Molina IV Cavite - - 945.00 945.00 3-May-21 21-131 BRUAN, AMADO JR. B. Sahing St. Brgy Sta. Lucia Sablayan Occidental Mindoro - - 400,000.00 400,000.00 4-May-21 21-132 RUBIO, MARISSA T. 122 M. Acosta St. Brgy 77 Pasay City - 3,104.00 - 3,104.00 6-May-21 21-133 DURAN, ERLINDA O. 294 ROSAL St. Brgy BANCAL MEYCAUAYAN BULACAN 4,726.20 - - 4,726.20 10-May-21 21-134 EUGENIO, ROLAND B. 1275 Labores St. Brgy 847 Pandacan Manila 1,120.00 - - 1,120.00 10-May-21 21-135 DELA CRUZ, NOEMI D. 1237 A. Hizon St. Brgy 315 Sta. Cruz Manila - 3,104.00 - 3,104.00 10-May-21 21-136 MERCADO, KAREN ROSE S. Blk 12 lot 23 Apalit Resettlement St. Brgy Apalit Floridablanca 5,989.00 Pampanga - - 5,989.00 10-May-21 21-137 MALLARI, LORECONSA S. 50 Dao 6th Ave St. Brgy 115 Caloocan City - 5,080.00 - 5,080.00 10-May-21 21-138 BERMUNDO, APOLINAR B. 1902 Franco St. Brgy 91 Tondo Manila 1,752.00 - - 1,752.00 11-May-21 21-139 CAGULADA, MARIA CONCEPCION 175L. Pieces, Batimana Cmpd., St. Brgy Marulas Valenzuela 6,121.07 - - 6,121.07 11-May-21 21-140 BUSICO, AMALIA PLANCO 21 CAROLYN PARK BRGY BAESA QUEZON CITY 15,000.00 - - 15,000.00 12-May-21 21-141 HUMAWID, LORENZ M. Brgy Poblacion Silago Southern Leyte - 3,810.00 - 3,810.00 12-May-21 21-142 TALAGTAG, EDDIE JR. R. 1ST AVE LAURA DRIVE St. Brgy BAGUMBAYAN TAGUIG - - 73,172.24 73,172.24 14-May-21 21-143 EUSTAQUIO, JINKY C. Divine Grace village St. Brgy BOROL 1ST Balagtas 5,347.43 Bulacan - - 5,347.43 14-May-21 21-144 ABELLA, FERNANDO D. 1089 B Norma St. Brgy 565 Sampaloc Manila 493.43 - - 493.43 14-May-21 21-145 NOYNAY, MERRY JOY P. Blk 11 LoT 8 Ph, 3 Estrella Homes Subd St. Brgy Sta Rosa - II Marilao Bulacan 9,880.00 - 9,880.00 14-May-21 21-146 BONDOC, ROWENA A. 1323 RA Reyes St., Juan Luna St. Brgy 56 Tondo Manila 584.13 - - 584.13 15-May-21 21-147 BALANQUIT, PRECILA C. Riverside St., SRV St. Brgy San Rafael Navotas City - - 4,724.78 4,724.78 17-May-21 21-148 FOLLOSCO, FELIX V. Brgy BANABA EAST BATANGAS 4,019.67 - - 4,019.67 17-May-21 21-149 MIRADOR, RICARDO L. B21 L2 PH1B Bariles St. Brgy NBBS Navotas 3,977.33 - - 3,977.33 17-May-21 21-150 CAMPANERO, CHARITO B. Area D, Gate 13 St. Brgy 20 Tondo Manila - - 1,890.00 1,890.00 18-May-21 21-151 ROSARIO, ELIZABETH O. Brgy Poblacion Cajidiocan Romblon 5,536.63 - - 5,536.63 18-May-21 21-152 ESTRELLES, MELVIN R. Block 44 Excess Lot Samowata Zone 5 Sampaloc 4 St. Brgy - Bautista Dasmariñas 500.00 Cavite - 500.00 18-May-21 21-153 MORGADO, MARJORIE R. 1301-154 torres bugallon St. Brgy 212 tondo manila - - 406.37 406.37 19-May-21 21-154 TAGUIAM, VICENTE S. Block 7 Lot 47 Phase 2 Section 16 Pabahay 2000 St. 523.53 Brgy Bagtas Tanza Cavite - - 523.53 18-May-21 21-155 LABAJO, MARY ANN A. PNR DORM TORRES BUGALLON St. Brgy 5 SANGANDAAN - CALOOCAN CITY - 16,398.41 16,398.41 20-May-21 21-156 BASCO, JELLY ANNE F. 1477 4th St., Fabie Subdivision St. Brgy 809 Zone 88 Paco - Manila - 1,476.17 1,476.17 20-May-21 21-157 ISMAEL, IMELDA R. 743 Lakambini St., Gagalangin St. Brgy 184 Zone 16 924.00 Tondo Manila - - 924.00 20-May-21 21-158 PANAJON, WILFREDO M. Blk 2 Lot 10 Northville 1 St. Brgy Bignay Valenzuela City - 3,104.00 - 3,104.00 20-May-21 21-159 LUMAPAG, MELCHOR M. 22 C2 Kapulong St. Brgy 107 Tondo Manila - - 3,800.00 3,800.00 20-May-21 21-160 EVANGELISTA, CYNTHIA M. M. Gonzales St. Brgy Lapnit San Ildefonso Bulacan - 2,540.00 - 2,540.00 20-May-21 21-161 TOLEDO, RUTH S. A . Bayan St. Brgy 6 Quezon Quezon Province - 1,552.00 - 1,552.00 20-May-21 21-162 NECESITO, MA. THERESA S. 2168 Recto Ave St. Brgy 392 Quiapo Manila - 1,552.00 - 1,552.00 20-May-21 21-163 MORON, GILBERT S. Blk 17 Lot 45 P3-D Talaba Alley St. Brgy 28 Dagat Dagatan - Caloocan City 3,880.00 - 3,880.00 20-May-21 21-164 SARCO, JESSIEVILLA G. Brgy Ilag Liloan Southern Leyte - 3,104.00 - 3,104.00 19-May-21 21-165 LANGREO, RUBIN B. 1425 Area 1, Sawata St. Brgy 35 Maypajo Caloocan City - - 165,749.51 165,749.51 20-May-21 21-166 MACOTOCRUZ, WILBERT B. 9 Bilila St. Brgy Punturin Valenzuela City - 3,880.00 - 3,880.00 20-May-21 21-167 VERGARA JR., JOEWARD P. 102 Ermin Garcia St. Brgy Pinagkaisahan Cubao Quezon - City - 15,000.00 15,000.00 20-May-21 21-168 SISON, DANILO T. 105 GRANDEZA ST. MARULAS CALOOCAN CITY 1,264.20 - - 1,264.20 20-May-21 21-169 BAUTISTA, ROMMEL G. Blk 25 Lot 6 Socialize Housing St. Brgy Tanza II Navotas - City 6,350.00 - 6,350.00 20-May-21 21-170 RICAZA, ADELINA L. 112 Gonzales St St. Brgy 74 Caloocan City 6,156.00 - - 6,156.00 20-May-21 21-171 REYES, REYMILYN U. B9 L8 PH2 Carissa Homes St. Brgy Bagtas Tanza Cavite - - 16,703.65 16,703.65 20-May-21 21-172 MARCOS, RAFELE FRITZ CEANA B.BLK 20 L7B CELESTINE HOMES St. Brgy MARINIG CABUYAO - LAGUNA - 23,455.77 23,455.77 20-May-21 21-173 NAVARRO, MARIZA G. 3165 Arcega St. Brgy Prenza 1 Marilao Bulacan - - 3,604.69 3,604.69 20-May-21 21-174 SERRANO, JOSE G. B12 L5 Urban St. Brgy Barangka Marikina - - 776.00 776.00 20-May-21 21-175 CALZO, MARIA ANNA P. Blk 38- B lot 30, Phase 3 F1, Tapac Alley St. Brgy 12 Dagat-Dagatan - Caloocan City - 1,714.09 1,714.09 20-May-21 21-176 PANGANIBAN, IRENE P. KAWAYANAN St. Brgy MARCELO GREEN PARAÑAQUE - CITY - 1,831.20 1,831.20 20-May-21 21-177 GUEVARRA, GINA T. 310 Altura Extension St. Brgy 592 Sta. Mesa Manila - - 9,499.19 9,499.19 20-May-21 21-178 SAPIANDANTE, MARY JANE E. 604 Esguerra St. Brgy 90 Tondo Manila 9,985.00 - - 9,985.00 20-May-21 21-179 AGDORO, ELIZABETH A. 127 ABES COMPOUND SANGADAAN CALOOCAN 1,452.00 CITY - - 1,452.00 20-May-21 21-180 JOLLANES, JOSEFINA R. 50 Kanluran St. Brgy Apolonio Samson Balintawak Quezon - City - 21,076.92 21,076.92 20-May-21 21-181 NARDO, DEAN MARLON D. 30 Blk.2 Victory Hills St. Brgy Fortune Marikina City - - 8,377.00 8,377.00

Page 3 AMOUNT OF MEDICAL SERVICES LABORATORIES, DATE CONTROL TOTAL NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL & GRANTED NO. HOSPITAL FEES ASSISTANCE SUPPLIES DIAGNOSTICS PROCEDURES

20-May-21 21-182 MENDOZA, GILBERT R. 4881 Ang Buhay St. Brgy 597 Sta Mesa Manila - - 1,060.00 1,060.00 20-May-21 21-183 NUNAG, CIEJAY F. 3rd Ave St. Brgy 120 Caloocan City - - 360.01 360.01 20-May-21 21-184 STO DOMINGO, RODEL J. 747 Old Torres St. Brgy 154 Tondo Manila - - 530.00 530.00 20-May-21 21-185 REYES, RHIAN SHINE C. 210 Magasaysay St. Brgy 116 Tondo Manila - - 1,325.00 1,325.00 20-May-21 21-186 MANIEGO, LUCY G. 1522 A Felix Huertas St. Brgy 323 Sta Cruz Manila - - 530.00 530.00 19-May-21 21-187 LOMOR, JOSEPH P. Yangco St. Brgy 76 Hermosa Pritil, Tondo Manila - - 33,218.21 33,218.21 19-May-21 21-188 FUENTES, GREGORIA L. 17 I Katipunan St. Brgy 139 Bagong Barrio Caloocan City - - 6,568.06 6,568.06 19-May-21 21-189 DONASCO, ALFONSITO JR. G. Blk 16 Lot 24 San Diego St. Brgy Talon V Las Piñas City - - 33,688.43 33,688.43 19-May-21 21-190 TRADIO, ANNICA B. Samuel P-4 BF Martin Ville St. Brgy Manuyo II Las Piñas - City - 1,378.46 1,378.46 19-May-21 21-191 VILLAFLORES, EDER BUMAKOD Paulino Compound Brgy 174 Caloocan, City - - 5,815.30 5,815.30 21-May-21 21-192 MALLARI, FERNANDO C. 123 E. Rodriguez St. Brgy Tanza Navotas City - 3,880.00 - 3,880.00 21-May-21 21-193 MANANSALA, ALEXANDER Y. 799 Barracks St. Brgy Ilang Ilang Guiguinto Bulacan - 776.00 - 776.00 21-May-21 21-194 TAUSA, MARIBEL P. 219 Int. 11 P.S Cruz St. Brgy Baesa Quezon City - 1,200.00 - 1,200.00 21-May-21 21-195 ZARSUELA, JESUSA E. Blk 3 Lot 59 Tupda Village St. Brgy 8 Caloocan City - 6,350.00 - 6,350.00 21-May-21 21-196 HUMAWID, LORENZ M. Brgy Poblacion Silago Southern Leyte - 3,880.00 - 3,880.00 20-May-21 21-197 VILLAFRANCA, TERESITA P. 01 Road 5 Reyes Comp. St. Brgy Marulas Valenzuela City - - 390.37 390.37 21-May-21 21-198 BURBOS, RANILYN B. 248 St. Brgy Cabanbanan Pagsanjan Laguna - 1,270.00 - 1,270.00 20-May-21 21-199 SY, ANITA S. 46 B-2 Daan Tubo St. Brgy UP Campus Quezon City - - 7,881.34 7,881.34 21-May-21 21-200 TIGLAO, LUZVIMINDA B. 2329 Callejon- H Tirso Cruz, Cavite St. Brgy 167 Tondo - Manila 3,880.00 - 3,880.00 20-May-21 21-201 FERNANDEZ, NORBEN L. 1263-C Bambang St. Brgy 254 Tondo Manila - - 6,484.26 6,484.26 21-May-21 21-202 TERAYTAY, CHARLIE J. PUROK BIYAYA St. Brgy 167 LLANO CALOOCAN CITY - 1,270.00 - 1,270.00 20-May-21 21-203 VALENZUELA, FRANCISCO JR. P. BLK 1 LOT 105 PALMERA SPRING 1 St. Brgy 175 CAMARIN - CALOOCAN CITY - 11,301.17 11,301.17 21-May-21 21-204 ONDRADA, JENIFFER A. 400 SOLANA St. Brgy 657 INTRAMUROS MANILA - - 199.19 199.19 19-May-21 21-205 BELMONTE, CHRISTINE MAY I. Blk 9 Lot 14 NorthVille St. Brgy Lambakin Marilao Bulacan - - 6,006.02 6,006.02 20-May-21 21-206 DOMINGUEZ, ZACH LORRAINE P. Block 6 Lot 35 JP Rizal St. Brgy 106 Tondo Manila - - 8,816.36 8,816.36 20-May-21 21-207 OBALDO, BENJAMIN G. 70 C VIictory Ave St. Brgy Tatalon Quezon City - - 76,858.81 76,858.81 21-May-21 21-208 NOYNAY, MERRY JOY P. Blk 11 LoT 8 Ph, 3 Estrella Homes Subd St. Brgy Sta Rosa - II Marilao Bulacan 9,880.00 - 9,880.00 21-May-21 21-209 SOLEDAD, MARY JOY O. 504 BIR Road St. Brgy Central Quezon City - 3,880.00 - 3,880.00 21-May-21 21-210 SACAPAÑO, MARIEL D. Blk 8 Lot 14 Mansanita St. Brgy 72 Tondo Manila - - 1,171.06 1,171.06 21-May-21 21-211 GARCIA, VENUS T. 748 Pampanga St. Brgy 161 Tondo Manila - - 4,314.49 4,314.49 20-May-21 21-212 AQUINO, ROSAURO D. 556 FF Bluminttrit Ext. St. Brgy Hulo Mandaluyong City - - 16,762.38 16,762.38 21-May-21 21-213 DETOITO, ALISA MARIE S. BLK 26 LOT 3 MACOPA St. Brgy 145 PASAY CITY - - 265.00 265.00 21-May-21 21-214 GUINTO, MARK JOSEPH M. Purok 3 St. Brgy Pandukot Calumpit Bulacan - 1,200.00 - 1,200.00 21-May-21 21-215 SEVILLA, DANILO M. 2797 Mendoza St St. Brgy 182 Gagalangin, Tondo Manila - 9,880.00 - 9,880.00 20-May-21 21-216 REYES, MADISON B. 106-C Quirino St. Brgy 107 Tondo Manila - - 2,576.70 2,576.70 21-May-21 21-217 RUIZ, AGNES D. Purok 3 St. Brgy Baluarte Santiago City Isabela - 9,880.00 - 9,880.00 21-May-21 21-218 DELA CRUZ, JESTONI B. 912 Gerardo St. Brgy 561 Sampaloc Manila - - 1,420.00 1,420.00 21-May-21 21-219 BRUAN, AMADO JR. B. Sahing St. Brgy Sta. Lucia Sablayan Occidental Mindoro - - 188,000.00 188,000.00 23-May-21 21-220 LACHICA, SUSANA M. 49 Dayap St. Brgy Western Bicutan Taguig City - - 2,701.45 2,701.45 24-May-21 21-221 RUBIO, MARISSA T. 122 M. Acosta St. Brgy 77 Pasay City - 2,328.00 - 2,328.00 24-May-21 21-222 CAPULE, LIZA G. 196 Gitna St. Brgy Bignay Valenzuela City - 3,104.00 - 3,104.00 24-May-21 21-223 TRABALLO, REMEDIOS M. 6787 Pitonia St. Brgy San Dionisio Tramo 1 Parañaque - City 3,880.00 - 3,880.00 21-May-21 21-224 FERRAREN, JONEL T. Pasong Saging 2 St. Brgy Poblacion 5 GMA Cavite - - 20,480.41 20,480.41 21-May-21 21-225 COZ, JENNELYN P. 4881 Guadal Canal St. Brgy 597 Zone Sta. Mesa Manila - - 2,967.05 2,967.05 21-May-21 21-226 INOSANTO, THELMA A. 957 Prudencio St. Brgy 473 Sampaloc Manila - - 1,413.88 1,413.88 24-May-21 21-227 LEONG, BRYAN JOSEPH D. 505 L Hizon St. Brgy Bangkal Makati City - - 530.00 530.00 22-May-21 21-228 TESTON, JUAN P. EVANGELISTA St. Brgy BAGONG BUHAY PROJ 4 QUEZON - CITY - 33.71 33.71 22-May-21 21-229 WENCESLAO, CATHERINE C. 777 Coral St. Brgy 58 Tondo Manila - - 3,060.52 3,060.52 22-May-21 21-230 SEMEÑIANO, MARK SEAN M. Sitio Taguisan Samakata St. Brgy Bagong Nayon Antipolo - City Rizal - 17,039.20 17,039.20 24-May-21 21-231 BURBOS, RANILYN B. 248 St. Brgy Cabanbanan Pagsanjan Laguna - 9,880.00 - 9,880.00 24-May-21 21-232 FUENTES, JENNY F. 260 Beltran St. Brgy 134 Tondo Manila - 3,880.00 - 3,880.00 24-May-21 21-233 DIMAANO, ERLINDA M. 145 Josefina St. Brgy 117 5th Ave. Caloocan City - 7,410.00 - 7,410.00 24-May-21 21-234 PATDU, JUANITO H. 711 Pajia St. Brgy 56 Tondo Manila - - 530.00 530.00 22-May-21 21-235 OPRIASA, AMARAH FAITH F. 3-A Amuslan St. Brgy Masambong Quezon City - - 2,283.65 2,283.65 22-May-21 21-236 MAKABALI, JUVY M. 1502 Tindalo St. Brgy 254 Tondo Manila - - 7,585.94 7,585.94 22-May-21 21-237 ARNASAN, JEAH J. Kadiwa Compound St. Brgy Burol Dasmariñas Cavite - - 58,510.25 58,510.25 22-May-21 21-238 MAGALLANES, JOCELYN C. 94 4TH AVE WEST St. Brgy 48 GRACE PARK CALOOCAN - CITY - 3,678.53 3,678.53 22-May-21 21-239 ESTEBAN, ROSITA D. 172 Sitio Lawasan St. Brgy San Mateo Norzagaray Bulacan - - 4,208.47 4,208.47 22-May-21 21-240 CABALLERO, JOHNCARL YCO C. 37 F Valenzuela St. Brgy Palasan Valenzuela City - - 9,430.60 9,430.60 22-May-21 21-241 MADOLID, HELEN G. 127 Zapote St. Brgy 141 Bagong Barrio Caloocan - - 43,451.07 43,451.07 23-May-21 21-242 ALORA, MERLE B. 996 Don Mariano St. Brgy Concepcion Uno Marikina - - 49,515.15 49,515.15 23-May-21 21-243 PARPADOS, JOHN MICHAEL D. 2942 A RIZAL AVE EXT St. Brgy 374 STA CRUZ MANILA - - 35,247.00 35,247.00 23-May-21 21-244 CASALJAY, NIMFA G. 121 Aracity Avenue St. Brgy Tinajeros Malabon City - - 3,143.50 3,143.50

Page 4 AMOUNT OF MEDICAL SERVICES LABORATORIES, DATE CONTROL TOTAL NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL & GRANTED NO. HOSPITAL FEES ASSISTANCE SUPPLIES DIAGNOSTICS PROCEDURES

23-May-21 21-245 CRUZ, RALPH ALLEN P. 29 Bernales III St. Brgy Baritan Malabon City - - 6,796.64 6,796.64 24-May-21 21-246 BOMBAIS, BERNADETTE E. 8425 San Antonio St. Brgy Mayapis Makati City - - 6,584.44 6,584.44 24-May-21 21-247 AMROSI, HAKIM S. 1810 Antonio Rivera St. Brgy 234 Tondo Manila - - 1,060.00 1,060.00 24-May-21 21-248 MENDOZA, VONN ARIA R. B9 L8 PH2 Carissa Homes St. Brgy Bagtas Tanza Cavite - - 2,198.28 2,198.28 23-May-21 21-249 AQUINO, RACHEL S. Bldg 23 Unit 322 Permanent Housing St. Brgy 128 Balut - Tondo Manila - 6,756.83 6,756.83 23-May-21 21-250 CASTRO, ORLAN P. 16 Dionisio St. Brgy Maysilo Caloocan City - - 11,982.99 11,982.99 24-May-21 21-251 OCFEMIA, LETICIA H. 63 Kapayapaan St. Brgy 150 Bagong Barrio Caloocan City - - 945.00 945.00 24-May-21 21-252 AMASCUAL, ARLYN O. Purok 13 Blk 5 St. Brgy South Daang Hari Taguig City - - 4,348.10 4,348.10 24-May-21 21-253 PINEDA, MERCY B. SITIO ILAI St. Brgy LIGAS 2 BACOOR CAVITE - - 1,966.79 1,966.79 24-May-21 21-254 MANSAY, RICKY B. 107 P. Bonifacio St. Brgy 77 Caloocan City - - 23,889.51 23,889.51 24-May-21 21-255 BENITO, JENNALYN S. 809 Ma. Cristina St. Brgy 454 Sampaloc Manila - - 923.97 923.97 24-May-21 21-256 VILLAR, RHIAN TOBY J. 864 Jaime St. Brgy 527 Sampaloc Manila - - 1,060.00 1,060.00 24-May-21 21-257 PAREL, MARY ANNE M. 1975 H. Katamanan St. Brgy 222 Tondo Manila - - 1,060.00 1,060.00 24-May-21 21-258 SAN JOSE, RANCY S. 439 Bagong Nayon St. Brgy Bagbaguin Valenzuela City - - 1,302.18 1,302.18 24-May-21 21-259 ARBOLADURA, ZENONA G. Brgy Doljo Panglao Bohol - - 59,664.58 59,664.58 2-May-21 21-260 DELA CRUZ, NELY E. 1427 Algeciras St. Brgy 483 Sampaloc Manila - - 162,799.71 162,799.71 8-Mar-21 21-261 LLANDA JR. , RODRIGO T. Romana Subdivision St. Brgy San Antonio Biñan Laguna - 2,880.00 - 2,880.00 10-Mar-21 21-262 MORALES, ROMELEN C. 372 Saint Peter St. Brgy 14 Tondo Manila - 105.00 - 105.00 16-Mar-21 21-263 HONRALES, JEANTRINA E. 215 D Bonifacio St. Brgy Libis Canumay West Valenzuela - City 210.00 - 210.00 10-May-21 21-264 MORON, GILBERT S. Blk 17 Lot 45 P3-D Talaba Alley St. Brgy 28 Dagat Dagatan - Caloocan City 5,080.00 - 5,080.00 10-May-21 21-265 VILLANUEVA, HYACINTH C. 1219 LABORES St. Brgy 847 PANDACAN MANILA - 1,164.00 - 1,164.00 10-May-21 21-266 CAYABYAB, JULIETA R. Block 27 Lot 59 Phase 2 Area 1 St. Brgy NBBS Navotas -City 2,328.00 - 2,328.00 10-May-21 21-267 LOMOTAN, MARIETTA P. 211 CRISTOBAL St. Brgy 423 Sampaloc Manila 504.53 - - 504.53 10-May-21 21-268 VALDEZ, ISABELITA L. 619 Sulucan St. Brgy 458 Sampaloc Manila - - 1,890.00 1,890.00 10-May-21 21-269 NERI, BEBIE QUENN L. PH 9 DELA CRUZ COMPOUND GATCHALIAN SUBD St. Brgy - MANUYO DOS LAS 3,810.00 PIÑAS CITY - 3,810.00 10-May-21 21-270 GASPACHO, LOUIELYN D. 8 VMN Como St. Brgy Potrero Orange Road Malabon City - - 2,028.01 2,028.01 10-May-21 21-271 JAMIN, ANALIZA Q. 39 SITIO STO NINO St. Brgy CONCEPCION MALABON CITY - - 646.98 646.98 10-May-21 21-272 ACEBUCHE, JOVEL Bldg 17 Unit 101 Katuparan Condo Vitas St. Brgy 101 Tondo - Manila - 1,100.00 1,100.00 7-May-21 21-273 VILLA, ARMANDO A. Gate 56 Area H. St. Brgy 275 Parola, Binondo Manila - - 15,963.66 15,963.66 8-May-21 21-274 MANZANO, ANGEHLINA R. 10 3rd St. Brgy 179 Caloocan City - - 6,778.44 6,778.44 8-May-21 21-275 PUNO, RAYMOND D. 58 Malonzo St. Brgy 74 Caloocan - - 7,245.71 7,245.71 9-May-21 21-276 CORONEL, ANDY L. 929-F R. Hidalgo St. Brgy 393 Zone 40 Quiapo Manila - - 29,189.34 29,189.34 9-May-21 21-277 LUCENESIO, ALDRINE JOHN M. Postema St. Brgy Sahud Ulan Tanza Cavite - - 5,796.31 5,796.31 9-May-21 21-278 GERABAN, DOLORES O. 004 Samonte Road St. Brgy Nagkaisang Nayon Novaliches - Quezon City - 2,219.89 2,219.89 9-May-21 21-279 ENRIQUEZ, CELESTINA C. 1357 R. A. Reyes, Cor. Juan Luna St. Brgy 58 Tondo Manila - - 7,877.69 7,877.69 9-May-21 21-280 BACSAL, ELANITA D. 271 MACOPA St. Brgy 142 BAGONG BARRIO CALOOCAN - CITY - 158.86 158.86 9-May-21 21-281 GAMEZ, ARNOLD B. Laquerta St. Brgy Poblacion 1 Calaca Batangas - - 62,435.92 62,435.92 10-May-21 21-282 MANGGAY, MERLA S. 1189 D Kagitingan San Vico St. Brgy 38 Moriones, Tondo - Manila - 445.00 445.00 10-May-21 21-283 MALIBIRAN, RJ M. 803 Pilapil St. Brgy 51 Tondo Manila - - 774.17 774.17 10-May-21 21-284 MONAR, JEFFREY P. 518 Area H Gate 60 St. Brgy 275 Parola Tondo Manila - - 2,310.00 2,310.00 10-May-21 21-285 CALVO, ADELAIDA S. 35 Bristol Hill Araneta St. Brgy Santol Quezon City - - 1,420.00 1,420.00 10-May-21 21-286 CRUZ, CHASTITY C. 459 Linchangco St. Brgy NBBN Navotas City - - 1,549.70 1,549.70 10-May-21 21-287 LUNA, CORAZON T. B17 A, S#028, Bagong Lupa St. Brgy 649 Baseco, Port Area - Manila - 1,890.00 1,890.00 10-May-21 21-288 SIPE, JOSE RENE J. B2, Row16, Unit 161, Habitat St. Brgy 649 Baseco, Port - Area Manila - 796.02 796.02 10-May-21 21-289 GACUTAN, JOHN RAFAEL C. 62 Panday Pira St. Brgy 148 Bagong Barrio Caloocan City - - 950.00 950.00 10-May-21 21-290 RAMIREZ, MICHAEL A. C.M Recto St. Brgy 1 Tondo Manila - - 324.25 324.25 10-May-21 21-291 JARDINEZ, JEUN KRISTIANN P. 398 E. Purok 2 St. Brgy Pinsao Proper Tan-awan Baguio - - 923.04 923.04 11-May-21 21-292 LINGO, BONIFACIO M. 20 Henoroso St. Brgy Maysan Valenzuela City - - 2,095.74 2,095.74 11-May-21 21-293 CRUZ, ELISA I. 2110 PEDRO GIL St. Brgy 880 STA ANA MANILA - - 1,239.43 1,239.43 11-May-21 21-294 TARREGA, LEODIGARIO L. 2411 A. Singalong St. Brgy 752 Malate Manila - 600.00 - 600.00 11-May-21 21-295 RUIZ, AGNES D. Purok 3 St. Brgy Baluarte Santiago City Isabela - 1,164.00 - 1,164.00 10-May-21 21-296 AQUINO, GERALDINE L. Bldg 23 201 Permanent Housing St. Brgy 128 Tondo Manila - - 15,746.19 15,746.19 10-May-21 21-297 MANGALUZ, LEONORA B. 92 Liberation St. Brgy Sto Niño Galas Quezon City - - 17,293.30 17,293.30 10-May-21 21-298 TURCIDO, JESSA P. 70 C. Victory St. Brgy Tatalon Quezon City - - 6,446.70 6,446.70 10-May-21 21-299 NAZARENO, MELANIE C. Block 10 Lot 30 Phase 4 Carissa Homes St. Brgy Bagtas - Tanza Cavite - 9,405.43 9,405.43 10-May-21 21-300 GERALDEZ, JULIANA M. 440 Camia St. Brgy 185 Malaria Tala Caloocan City - - 32,284.09 32,284.09 11-May-21 21-301 TERAYTAY, CHARLIE J. PUROK BIYAYA St. Brgy 167 LLANO CALOOCAN CITY - 1,905.00 - 1,905.00 10-May-21 21-302 TENIO, ROSE O. 2241 F. Varona St. Brgy 96 Zone 8 Tondo Manila - - 7,059.09 7,059.09 10-May-21 21-303 PASCUA, ROXANNE JOYCE P. 2651 B. Oroquieta St. Brgy 381 Sta. Cruz Manila - - 1,257.49 1,257.49 10-May-21 21-304 SAPIDA, JOHN ALADIN G. Block 6 Lot 55 Phase 2 Dagat-Dagatan St. Brgy 14 Caloocan - City - 13,708.14 13,708.14 10-May-21 21-305 ERO, EDNA C. 1003 Arligue St. Brgy 387 Quiapo Manila - - 5,226.35 5,226.35 10-May-21 21-306 LEGASPI, DIANA ROSE M. 64 BISIG NAYON St. Brgy 4 CALOOCAN CITY - - 4,371.99 4,371.99 10-May-21 21-307 DELIARTE, GABRYLLE B. B14 L25 Dulong Hernadez St. Brgy Catmon MALABON -CITY - 14,018.88 14,018.88

Page 5 AMOUNT OF MEDICAL SERVICES LABORATORIES, DATE CONTROL TOTAL NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL & GRANTED NO. HOSPITAL FEES ASSISTANCE SUPPLIES DIAGNOSTICS PROCEDURES

10-May-21 21-308 CRUZ, RAFAELITO R. B 1 A Village B, St. Brgy UP Campus Quezon City - - 12,502.44 12,502.44 9-May-21 21-309 ROBALO, NOEL JR U. 3/F 2483 Crisoleta St. Brgy 767 Zone 83 San Andres Bukid - Manila - 31,460.12 31,460.12 11-May-21 21-310 MEDINA, OLIVER S. B 14 L39 Greenpoint Homes St. Brgy Mambog 4 Bacoor - Cavite - 530.00 530.00 10-May-21 21-311 ARIZO, JAMES C. Iran St. Brgy Macabling Sta. Rosa Laguna - - 131,788.10 131,788.10 11-May-21 21-312 EDEM, MA. MYRNA H. 1160 San Isidro St. Brgy 732 Singalong Manila - - 530.00 530.00 11-May-21 21-313 PLANDO, FRANCIS P. 006 Bataw St. Brgy Pulang Lupa 1 Las Piñas - - 1,060.00 1,060.00 11-May-21 21-314 REGIDOR, SIMPLICIA R. 3593 B CLEMENTE COMPOUND St. Brgy GEN T DE LEON - VALENZUELA CITY - 684.00 684.00 11-May-21 21-315 GADUGDUG, MARIZ P. Blk 1 Lot 9 San Jacobo St. Brgy San Isidro Parañaque City - - 4,492.81 4,492.81 11-May-21 21-316 ANGELES, RACHELLE ROSE F. 1364 M. Naval St. Brgy San Roque Navotas City - - 2,608.24 2,608.24 11-May-21 21-317 MERIDA, NOLIE MAE A. 857 Tomas Claudio St. Brgy 865 Pandacan Manila - - 1,610.95 1,610.95 11-May-21 21-318 RUBIO, JOSEPH JOON R. 5 DR LASCANO St. Brgy TUGATOG MALABON CITY - - 1,590.00 1,590.00 11-May-21 21-319 VALDEZ, JENNIFER S. 114 A LAKE St. Brgy BALONG BATO SAN JUAN - - 41,128.86 41,128.86 11-May-21 21-320 GALARION, MARIVIC G. PUROK 5 ZONE 2 St. Brgy MAHABANG PARANG ANGONO - RIZAL - 36,918.09 36,918.09 11-May-21 21-321 AGUDO, MALVAR B. 730 Delpan Bagong Alay St. Brgy 275 Binondo Manila - - 530.00 530.00 11-May-21 21-322 ELARDE, DOHNELL T. Block 25 Lot 2 11th Avenue St. Brgy North Signal Village - Taguig City - 1,060.00 1,060.00 11-May-21 21-323 LABAHATA, MERCY D. Blk 28 Lot 1-C Area P2 A1 St. Brgy NBBS Navotas - - 351.84 351.84 11-May-21 21-324 COSTA, RAYMOND S. Duavit St. Brgy Upper Guping Binangonan Rizal - - 360.00 360.00 11-May-21 21-325 BERTIZ, JEHSA M. B25 L40 6A Towerville St. Brgy Graceville San Jose Del - Monte BUlacan - 1,105.00 1,105.00 11-May-21 21-326 REVIDAD, VINCENT D. B 49 Apulihan St. Brgy Longos Malabon City - - 4,979.84 4,979.84 12-May-21 21-327 PALMONES, JOHN R. 2146 Katamanan St. Brgy 221 Tondo Manila - - 1,062.90 1,062.90 11-May-21 21-328 ELEDA, LILIAN S. 1503 Interior 17-B Loreto St. Brgy 420 Zone 43 Sampaloc - Manila - 11,656.58 11,656.58 11-May-21 21-329 MISOLAS, GRACE ANN C. 118 B Legaspi St. Brgy 147 Pasay City - - 22,301.91 22,301.91 12-May-21 21-330 TAMPOS, ERIC A. Brgy San Jose 1 Noveleta Cavite - - 301.44 301.44 12-May-21 21-331 CAMPOS, WILFREDO S. 2639 MIguel Malvar St. Brgy 178 Camarin Caloocan City - 1,950.00 - 1,950.00 12-May-21 21-332 SANCHEZ, VICTORIA U. 57 Tatlong Hari St. Brgy Gulod Novaliches Quezon City - 650.00 - 650.00 12-May-21 21-333 BORINGOT, FRANCISCO B. 0330 Lake City Subdivision St. Brgy San Gregorio San Pablo - City Laguna - 24,740.98 24,740.98 11-May-21 21-334 ANTIPALA, ANNABELLE L. 108 2nd St. Brgy 119 3rd. Ave. Grace Park Caloocan City - - 5,824.41 5,824.41 12-May-21 21-335 VALDEZ, ISABELITA L. 619 Sulucan St. Brgy 458 Sampaloc Manila - - 2,090.00 2,090.00 11-May-21 21-336 AQUINO, NORBERTO JR. M. Upper Manalite 1 Ph3 St. Brgy Sta. Cruz Antipolo City Rizal - - 12,208.54 12,208.54 11-May-21 21-337 PORNEL, CLARA T. Cluster I Unit II Grand Moaco Homes A, Sandoval Ave., -St. Brgy San Miguel Pasig -City 3,111.10 3,111.10 11-May-21 21-338 BORROMEO, LINA G. ALLEY 9 SITIO GITNA St. Brgy 166 CAYBIGA CALOOCAN - CITY - 8,789.66 8,789.66 11-May-21 21-339 TIONGCO, ALADDIN SR. C. Blk13 Lot3 St. Brgy Malainen Bago Naic Cavite - - 16,195.85 16,195.85 13-May-21 21-340 VALLE, JANNEL G. Block 142 Lot 26 Phase 3 Brgy. Paliparan Site, Dasmariñas, - Cavite - 210.00 210.00 13-May-21 21-341 DIMAL, EMELINDA P. 19 Titus St. Brgy San Agustin Sitio Kawayan, Novaliches - Quezon City - 365.00 365.00 13-May-21 21-342 RONIO, ALEJANDRO M. 1538 Int 2 Juan Luna St. Brgy 61 Tondo Manila - - 242.53 242.53 13-May-21 21-343 JISON, MARK ANGEL M. Sitio De Fuego St. Brgy San Francisco General Trias Cavite - - 1,060.00 1,060.00 13-May-21 21-344 ZAFRA, EMILY E. 1455 Antonio Rivera St. Brgy 241 Tondo Manila - - 398.89 398.89 13-May-21 21-345 DAMA, RIO JANE I. Room 2008 Rhine Bldg. St. Brgy 880 Manila River City -Residences, Sta. Ana Manila - 1,961.17 1,961.17 13-May-21 21-346 GALLEGO, EUGENIO G. B39, L10, PH3F, Sabalo Cor., Kapak St. Brgy 12 Dagat-Dagatan - Caloocan - 1,890.00 1,890.00 13-May-21 21-347 ROTILLES, ROLANDO Y. 521 Pureza St. Brgy 421 Sampaloc Manila - - 4,685.85 4,685.85 13-May-21 21-348 RODOLFO, ROSANNA D. 753 Int. 70 Raxabago St. Brgy 155 Tondo Manila - - 340.00 340.00 13-May-21 21-349 LABONGRAY, VIRGILIO D. Blk11 lot12 Estrella St. Brgy 169 Novaliches Caloocan -City - 2,422.54 2,422.54 13-May-21 21-350 GADIANE, EUNIZEL G. 35422 Buenas Aires St. Brgy 579 Sampaloc Manila - - 5,631.42 5,631.42 13-May-21 21-351 GONZALES, ELENA A. 290 C Molina St. Brgy Viente Reales Valenzuela City - - 31,049.42 31,049.42 13-May-21 21-352 QUILANG, CHARLENE D. B2 L16 Seaside St. Brgy Tambo Parañaque City - - 4,993.22 4,993.22 13-May-21 21-353 LLANES, GERALD S. 2 Purok St. Brgy Calawitan San Ildefonso Bulacan - - 16,680.23 16,680.23 13-May-21 21-354 ZARRAGA, DENNIS D. 1325 Buco St., corner Masinop St. Brgy 123 Zone 6 Tondo - Manila - 2,874.98 2,874.98 13-May-21 21-355 BARLAAN, JOHN RAFUNZELL A. 1866 Laperal St. Brgy 91 Zone 8 Tondo Manila - - 2,982.91 2,982.91 14-May-21 21-356 CAILAO, NOVEL V. 753 Interior 36 Raxabago St. Brgy 160 Tondo Manila - - 500.21 500.21 14-May-21 21-357 FERRER, WILFREDO G. 4266 Kings Bird St., Anak Pawis 1, Floodway St. Brgy San - Juan Cainta Rizal - 1,317.50 1,317.50 14-May-21 21-358 RAUTRAUT, MA. VERONICA EDEN344-B C. Sandico St. Brgy 35 Tondo Manila - - 1,060.00 1,060.00 19-May-21 21-359 BATOLINA, ZION HERCULES I. 89-C Quezon St. Brgy 107 Tondo Manila - - 1,060.00 1,060.00 19-May-21 21-360 SAURA, ROBERTO JR B. 1087 Mannga St. Brgy CAA Las Piñas City - - 530.00 530.00 19-May-21 21-361 TUIROC, UZZKRAYLE M. 236 Gregoria St. Brgy Tabon II Kawit Cavite - - 1,805.00 1,805.00 19-May-21 21-362 MALIMBAN, EDUARDO JR. D. 556 N. Zamora St. Brgy 59 Tondo Manila - - 1,890.00 1,890.00 19-May-21 21-363 ARCIGA, EVELYN O. 20 Diamante St. Brgy 170 De Paro II Caloocan City - - 8,991.92 8,991.92 19-May-21 21-364 CRUZ, AMIE A. 1068 B. Solis St. Brgy 215 Tondo Manila - - 1,590.00 1,590.00 19-May-21 21-365 MAGBOO, FHE ALYANA B. 513 TEJEROS St. Brgy TEJEROS CONVENTION ROSARIO - CAVITE - 3,915.47 3,915.47 19-May-21 21-366 BORROMEO, NIKKA L. 203 E. Rodriguez St. Brgy Damayang Lagi Quezon City - - 870.00 870.00 19-May-21 21-367 MARTINEZ, MARIEL E. Nato Compound St. Brgy Pasong Buwaya II Imus Cavite - - 4,545.78 4,545.78 19-May-21 21-368 BAGALIHOG, JEANETTE R. FVR EXCESS LOT St. Brgy POBLACION 5 GMA CAVITE - - 3,922.30 3,922.30 19-May-21 21-369 DELA CRUZ, CHASTINE D. Bldg. E 102 Sambahayan Rawis St. Brgy 118 Tondo Manila - - 530.00 530.00 19-May-21 21-370 ROSAL, ANTONIA A. 34 Bayabas St. Brgy Comembo Makati - - 2,650.00 2,650.00

Page 6 AMOUNT OF MEDICAL SERVICES LABORATORIES, DATE CONTROL TOTAL NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL & GRANTED NO. HOSPITAL FEES ASSISTANCE SUPPLIES DIAGNOSTICS PROCEDURES

20-May-21 21-371 CORRES, JOSE R. 176 MIGUELIN St. Brgy 423 SAMPALOC MANILA - - 744.11 744.11 20-May-21 21-372 MURCHANTE, STEVE B. BLK 1 LOT 39 TUPDA St. Brgy 8 CALOOCAN CITY - - 1,468.22 1,468.22 19-May-21 21-373 JACOB, VERONICA G. 119 Dimasalang St. Brgy 30 Maypajo Caloocan City - - 2,588.34 2,588.34 19-May-21 21-374 LAMBOSON, JIZELLE B. 33 Guava Road St. Brgy Potrero Malabon City - - 39,447.69 39,447.69 19-May-21 21-375 DE LARA, SOPHIA LORRAINE C. 1581 Int. 7 F. Varona St. Brgy 57 Tondo Manila - - 8,961.25 8,961.25 20-May-21 21-376 LONGAKIT, RHEA T. Purok Baybay 2 St. Brgy Manalo Puerto Princesa Palawan - - 4,983.12 4,983.12 20-May-21 21-377 SANTOS, JAKE JULIUS M. 1362 Narcisa Rizal St. Brgy 250 Tondo Manila - - 7,895.00 7,895.00 21-May-21 21-378 PARULAN, CHRISTOPHER G. 17 Dahlia San Antonio Valley 17 St. Brgy Talon IV 1,175.33 Las Piñas City - - 1,175.33 21-May-21 21-379 CATOLOS, KATNISS R. Blk 8 Lot 7 Amaia Scapes St. Brgy Barandal Calamba City - Laguna 7,410.00 - 7,410.00 21-May-21 21-380 GREFALDON, ANALYN M. 786 Gabriela St. Brgy 52 Tondo Manila - 3,880.00 - 3,880.00 21-May-21 21-381 FLORALDE, NENETH G. 198 Guijo Alley St. Brgy 152 Bagong Barrio Caloocan City - 776.00 - 776.00 21-May-21 21-382 EVANGELISTA, CYNTHIA M. M. Gonzales St. Brgy Lapnit San Ildefonso Bulacan - 6,350.00 - 6,350.00 21-May-21 21-383 SERRANO, JOSE G. B12 L5 Urban St. Brgy Barangka Marikina - 3,880.00 - 3,880.00 22-May-21 21-384 ABAYAN, JUSTINE A. 761 Area A Gate 3 Parola Cmpd. St. Brgy 20 Tondo Manila - - 530.00 530.00 22-May-21 21-385 SERRADILLA, YNER C. Ricarte St. Brgy San Antonio San Pedro Laguna - - 530.00 530.00 22-May-21 21-386 DELOS REYES, MARILYN M. 1922 Katamanan St. Brgy 232 Tondo Manila - - 1,304.87 1,304.87 22-May-21 21-387 LACABA, CARIDAD P. 438 Nepomuceno St. Brgy 386 Quiapo Manila - - 1,060.00 1,060.00 22-May-21 21-388 ABUGAN, JULIUS VER M. 1968 Int. 86 J. Planas St. Brgy 163 Gagalangin, Tondo Manila - - 820.00 820.00 22-May-21 21-389 PAGASPAS, JERLYN M. 349 Padre Rada St. Brgy 25 Tondo Manila - - 806.50 806.50 22-May-21 21-390 JANICKI, AILEEN H. 327 Tandang Manang St. Brgy Parada Valenzuela City - - 1,269.79 1,269.79 22-May-21 21-391 MIRA, GIRVO M. 0040 Sitio Elang St. Brgy San Francisco General Trias Cavite - - 1,840.00 1,840.00 22-May-21 21-392 BIRON, SHARMAINE S. 46 T, Sto. Niño St. Brgy San Pascual Obando Bulacan - - 3,540.00 3,540.00 22-May-21 21-393 MANGUBAT, MA VICTORIA E. 18Dalandan St. Brgy Pinagsama Taguig City - - 4,910.28 4,910.28 22-May-21 21-394 GAMBOA, MARCO R. Decca Homes Bldg. 12 Unit 915 St. Brgy 99 Tondo Manila - - 530.00 530.00 22-May-21 21-395 FERNANDEZ, CRISTINE JOY D. 275 P Domingo St. Brgy Tangos North Navotas City - - 530.00 530.00 22-May-21 21-396 COMENDADOR, ANICIA D. 15 D. Herbosa St. Brgy 110 Tondo Manila - - 1,060.00 1,060.00 22-May-21 21-397 BULAN, ANGELIQUE S. 409 Merville Access Road St. Brgy 201 Pasay - - 104.00 104.00 28-Apr-21 21-398 MADRONIO, ANGELITO L. 959 Bohol St. Brgy 561 Sampaloc Manila - - 2,297.18 2,297.18 1-Mar-21 21-399 QUILARIO, JACINTO JR. B. 14-G Marvex Drive St. Brgy Balingasa Balintawak Quezon - City 385.00 - 385.00 1-Mar-21 21-400 MERIGILDO, WENNIE L. Brgy San Roque Castillejos Zambales - 397.50 - 397.50 1-Mar-21 21-401 BIRON, SHARMAINE S. 46 T, Sto. Niño St. Brgy San Pascual Obando Bulacan - 1,950.00 - 1,950.00 1-Mar-21 21-402 TOLENTINO, JOB ISAIAH F. 535 Aguila St. Brgy 62 Tondo Manila - 530.00 - 530.00 1-Mar-21 21-403 QUIJANO, MARILOU D. 0845 MABATO St. Brgy BILIBIRAN BINANGONAN RIZAL - 265.00 - 265.00 1-Mar-21 21-404 CORTEZ, ERNESTO T. 1547 Interior 1 F Varona St. Brgy 80 Tondo Manila - 450.00 - 450.00 2-Mar-21 21-405 GABI, RUPERTO III N. 1576 Monggo St. Brgy Napiko Manggahan Pasig City - 397.50 - 397.50 2-Mar-21 21-406 AGUSTIN, ROVELAN C. Brgy Umpucan San Ildefonso Bulacan - 795.00 - 795.00 2-Mar-21 21-407 POMER, MARIANNA KIM J. 49 Mariano Ponce St. Brgy 132 Bagong Barrio Caloocan - City 265.00 - 265.00 3-Mar-21 21-408 VERGEL DE DIOS, MAXWELL LAURENT127 Binangonan S. St. Brgy 31 Maypajo Caloocan City - 530.00 - 530.00 8-Mar-21 21-409 ESTROPIA, JOMEL E. B1 Dubai St. Brgy 649 Port Area Manila - 530.00 - 530.00 9-Mar-21 21-410 MIRA, GIRVO M. 0040 Sitio Elang St. Brgy San Francisco General Trias Cavite - 530.00 - 530.00 9-Mar-21 21-411 RAMIREZ, ROLANDO G. 747 Pampanga Gagalangin St. Brgy 185 Tondo Manila - 470.00 - 470.00 9-Mar-21 21-412 AKMAD, ALAYSA D. 2198 Angel Linao St. Brgy 731 San Andres Bukid Manila - 530.00 - 530.00 9-Mar-21 21-413 MABAO, FRANCIS ISAAC M. Block 16 Lot 35 Zaragoza St. Brgy San Miguel Pasig City - 265.00 - 265.00 10-Mar-21 21-414 GUAY, GILBERT D. 753 Rizal Ave. St. Brgy 304 Sta. Cruz Manila - 3,600.00 - 3,600.00 10-Mar-21 21-415 GABI, RUPERTO III N. 1576 Monggo St. Brgy Napiko Manggahan Pasig City - 397.50 - 397.50 10-Mar-21 21-416 MARTINEZ, HELEN C. 1121 New Antipolo St. Brgy 213 Tondo Manila - 530.00 - 530.00 10-Mar-21 21-417 ADATO, CATALINA M. 21 Quirino St. Brgy 116 Tondo Manila - 990.00 - 990.00 10-Mar-21 21-418 ACEVEDO JR, GODOFREDO A. B3 L57 St. Brgy Maderal GMA Cavite - 1,590.00 - 1,590.00 11-Mar-21 21-419 NUEVO, JANSEN R. 1915 Jugado St. Brgy 8 Caloocan City - 4,800.00 - 4,800.00 11-Mar-21 21-420 AVILA, MIKE ANGELO P. Cecero st. St. Brgy Talon 2 BFRV Las Piñas City - 2,400.00 - 2,400.00 12-Mar-21 21-421 SANCHEZ, RITZCHIE JOHN L. 36 E Maestrang Pinang St. Brgy Lingid Tipas Taguig City - 530.00 - 530.00 15-Mar-21 21-422 CRUZ, CORNELIO A. 1809 Kalimbas St. Brgy 341 Sta. Cruz Manila - 530.00 - 530.00 15-Mar-21 21-423 LACABA, CARIDAD P. 438 Nepomuceno St. Brgy 386 Quiapo Manila - 795.00 - 795.00 16-Mar-21 21-424 TORREFIEL, MARK KYRIE C. 85 Dela Cerna St. Brgy 201 Daumpalad Pasay - 3,960.00 - 3,960.00 16-Mar-21 21-425 MACARAEG, OSCAR C. 712 Palawan St. Brgy 580, Zone 56 Sampaloc Manila - 630.00 - 630.00 16-Mar-21 21-426 BOHOLST, MARINA M. 969 Kasipagan St. Brgy 32 Tondo Manila - 770.00 - 770.00 16-Mar-21 21-427 PAGHUNASAN, RACHELLE ANN A.107 Kahunari 1 St. Brgy San Jose Navotas City - 640.00 - 640.00 17-Mar-21 21-428 DE LARA, JEMAR T. 394 Pacheco St. Brgy 57 Tondo Manila - 990.00 - 990.00 17-Mar-21 21-429 MACAPAÑAS, JOE VINCENT ROLAND1715 O. TRAMO St. Brgy 42 PASAY CITY - 1,192.50 - 1,192.50 17-Mar-21 21-430 FRANCISCO, JENNY ANNE S. 1622 Sulu St. Brgy 340, Zone 34 Sta. Cruz Manila - 397.50 - 397.50 17-Mar-21 21-431 EQUINAN, JOY RACHELLE L. 3500 Ramon Magsaysay BLVD St. Brgy 593 Sta Mesa Manila - 270.00 - 270.00

Page 7 AMOUNT OF MEDICAL SERVICES LABORATORIES, DATE CONTROL TOTAL NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL & GRANTED NO. HOSPITAL FEES ASSISTANCE SUPPLIES DIAGNOSTICS PROCEDURES

17-Mar-21 21-432 MABAO, FRANCIS ISAAC M. Block 16 Lot 35 Zaragoza St. Brgy San Miguel Pasig City - 265.00 - 265.00 17-Mar-21 21-433 LOPEZ, JOLO MIGUEL M. Block 16 Lot 35 Zaragoza St. Brgy San Miguel Pasig City - 265.00 - 265.00 17-Mar-21 21-434 ADONAY, JUSTIN T. 3510 F. Rojas St. Brgy 192 Barrio Obrero, Tondo Manila - 530.00 - 530.00 17-Mar-21 21-435 SALVADOR, CONCEPCION A. Block 12-A Lot 28 Phase 2 Hiwas St. Brgy Longos Malabon - City 3,860.00 - 3,860.00 17-Mar-21 21-436 DAVID, ALEXANDER MIGUEL C. 80 M Cornejo St. Brgy 161 Malibay Pasay City - 397.50 - 397.50 17-Mar-21 21-437 DELA CRUZ, CHASTINE D. Bldg. E 102 Sambahayan Rawis St. Brgy 118 Tondo Manila - 1,060.00 - 1,060.00 17-Mar-21 21-438 ENVERZO, CHERRILYN G. Bldg. 28-108 Permanent Housing St. Brgy 128 Tondo Manila - 90.00 - 90.00 18-Mar-21 21-439 BERON, CHERYL R. 120 Kasoy Blk 30 St. Brgy Addition Hills Mandaluyong -City 215.00 - 215.00 17-Mar-21 21-440 GABRIEL, ANALIZA C. 913 San Simon St. Brgy 17 Tondo Manila - 530.00 - 530.00 18-Mar-21 21-441 MAZO, REMEDIOS MOJON LUNGSOD NG MALOLOS BULACAN - 860.00 - 860.00 18-Mar-21 21-442 AUSTRIA, SHYREL F. 707 Quezon Blvd. St. Brgy 308 Sta. Cruz Manila - 160.00 - 160.00 18-Mar-21 21-443 GABI, RUPERTO III N. 1576 Monggo St. Brgy Napiko Manggahan Pasig City - 397.50 - 397.50 18-Mar-21 21-444 BACOLOD, VIRGILIO JR C. Blk13 L21 Ph1B DibDib St. Brgy NBBS Dagat-Dagatan Navotas - City 397.50 - 397.50 18-Mar-21 21-445 LOPEZ, JOCELYN V. 196 N.S Amoranto St St. Brgy Salvacion Quezon City - 180.00 - 180.00 18-Mar-21 21-446 CARLOS, IVAN LEORENZ L. 032 DULONG TANGKE St. Brgy MALINTA VALENZUELA - CITY 265.00 - 265.00 18-Mar-21 21-447 DREZ, BERNADETH S. Sampaguita St. Brgy Molino 2, Green Valley Bacoor Cavite - 385.00 - 385.00 18-Mar-21 21-448 QUIJANO, MARILOU D. 0845 MABATO St. Brgy BILIBIRAN BINANGONAN RIZAL - 265.00 - 265.00 19-Mar-21 21-449 VILLANUEVA, MELICIA A. B14 Purok 2 Kawal St. Brgy 28 Caloocan City - 400.00 - 400.00 19-Mar-21 21-450 DAVID, MANDY C. 1145 Morong St. Brgy 201 Tondo Manila - 470.00 - 470.00 19-Mar-21 21-451 CABANIT, MARISSA R. 193 6th St. Brgy Parada Fortune 5 Valenzuela City - 712.50 - 712.50 22-Mar-21 21-452 DAVID, ASHLEY NICOLE C. 521-A Masuerte St. Brgy 109 Tondo Manila - 397.50 - 397.50 22-Mar-21 21-453 FERRER, DOMINGA B. San Rafael St. Brgy 389 Quiapo Manila - 397.50 - 397.50 22-Mar-21 21-454 ALMONTE, MIA PAOLA B. BLK 38 LOT 22 PHASE 2 GREENGATE HOMES St. Brgy -Malagasang 2B Imus Cavite 795.00 - 795.00 22-Mar-21 21-455 SUÑIR, MIRASOL B. Bldg. 24 Unit 419 St. Brgy 128 Balut, Tondo Manila - 990.00 - 990.00 23-Mar-21 21-456 SALUSTIANO, HAROLD E. 2242 M. Natividad St. Brgy 347, Zone 35 Sta. Cruz Manila - 990.00 - 990.00 23-Mar-21 21-457 LACABA, CARIDAD P. 438 Nepomuceno St. Brgy 386 Quiapo Manila - 397.50 - 397.50 23-Mar-21 21-458 QUIAO, JHONNA MARK E. 309 Diamond Road, Caloocan Industrial Subdivision St. - Brgy 166 Kaybiga Caloocan 397.50 City - 397.50 25-Mar-21 21-459 OCHOA, NICOLE ANNE V. 24 Ruby St. Brgy Punturin Valenzuela City - 450.00 - 450.00 25-Mar-21 21-460 ADONAY, JUSTIN T. 3510 F. Rojas St. Brgy 192 Barrio Obrero, Tondo Manila - 530.00 - 530.00 26-Mar-21 21-461 VERANO, ALICIA B. 2406-C J Planas St. Brgy 163, Zone 14 Tondo Manila - 1,020.00 - 1,020.00 29-Mar-21 21-462 FIETAS, JOANNALYN H. 1314 PAROLA St. Brgy 20 TONDO MANILA - 3,860.00 - 3,860.00 29-Mar-21 21-463 GRUMAL, EDDIE U. 039 Purok 1 St. Brgy De Ocampo Trece Martires Cavite - 355.00 - 355.00 3-May-21 21-464 ULTADO, JOSELITO F. 2046 Batangas 1 St. Brgy 800 Paco Manila 548.13 - - 548.13 4-May-21 21-465 POBLETE, ERICK S. 84 Masagana St. Brgy 74 Caloocan 504.53 - - 504.53 14-May-21 21-466 ANQUILO, MARIFLOR E. P8B P13 B19 L9 St. Brgy 176 Bagong Silang Caloocan City - - 5,490.00 5,490.00 17-May-21 21-467 CRUZ, ANTONINA D. 306 C.P Garcia St. Brgy 119 Tondo Manila - 600.00 - 600.00 18-May-21 21-468 BAYANI, LOURDES R. 47 F. Roxas St. Brgy 47 Caloocan City 7,012.43 - - 7,012.43 18-May-21 21-469 ABAD, FLORDELIZA D. 150 Road 1 I Marcelo St. Brgy Malanday Valenzuela City - 5,105.00 - 5,105.00 18-May-21 21-470 ENRIQUEZ, JACKELYN A. 131 Blk9 Welfare Vill. St. Brgy Addition Hills Mandaluyong - City 1,235.00 - 1,235.00 19-May-21 21-471 OÑEZ, CRESENCIA M. 4 Area 3 Purok 5 Laura St. Brgy Matandang Balara 2,991.73 Quezon City - - 2,991.73 19-May-21 21-472 ALICANTE, CELSO C. 1581 Algeciraz St. Brgy 484 Sampaloc Manila - - 43,834.83 43,834.83 24-May-21 21-473 ACUIN, SALVADOR D. 519 Gerona St. Brgy 87 Tondo Manila 130.93 - - 130.93 24-May-21 21-474 POLICARPIO, CRISOSTOMO B. 801-18 Areso St. Brgy Pinagbuhatan Pasig City 2,698.44 - - 2,698.44 24-May-21 21-475 RUBIO, RICARDO D. 134 Cyber Apt Atis Rd. St. Brgy Real II Bacoor Cavite 716.07 - - 716.07 24-May-21 21-476 BARUT, LIGAYA B. 298 Libis Gochuico St. Brgy 22 Caloocan City - - 6,127.88 6,127.88 25-May-21 21-477 RAMISO, MARINA A. 5689 DALANGHITA St. Brgy 178 SAN VICENTE CAMARIN - CALOOCAN CITY 3,810.00 - 3,810.00 10-May-21 21-478 GUTIERREZ, ROMUALDO JR Mustamante St. Brgy Tinajeros Malabon City - - 7,031.27 7,031.27 13-May-21 21-479 TABON, RODELEN D. 2304 Medel St. Brgy 875 Sta. Ana Manila - - 1,123.06 1,123.06 13-May-21 21-480 ANGULUAN, SILVERIANO JR. II L. B17, L3, Mapple St. Brgy Grand Cypress SJDM Bulacan - - 8,620.19 8,620.19 24-May-21 21-481 BALERIADO, NOE C. BAYABAS St. Brgy BF HOMES SAMPALOC SITE 2 PARAÑAQUE - - 144,900.78 144,900.78 24-May-21 21-482 CONQUILLO, PATRIA A. Purok 1 St. Brgy Nihaga Calbayog Eastern Samar - - 4,314.35 4,314.35 25-May-21 21-483 NABOR, LETICIA E. 102 5th 6 Ave St. Brgy 123 Caloocan City - - 530.00 530.00 25-May-21 21-484 LLARENA, ALDY 1218 Suarez St. Brgy Daanghari Navotas - - 595.00 595.00 25-May-21 21-485 ALINDAYU, EVELYN R. Ph 7 A Blk 65 Lot 17 Pkg 9 St. Brgy None Bagong Silang - Cavite - 4,738.30 4,738.30 25-May-21 21-486 RAUTRAUT, MA. VERONICA EDEN344-B C. Sandico St. Brgy 35 Tondo Manila - - 1,590.00 1,590.00 25-May-21 21-487 RODRIGUEZ, MARK CHOLO V. 2450 Bitas St. Brgy 98 Tondo Manila - - 530.00 530.00 25-May-21 21-488 CASTELAR, EVANGELINE R. B9, L15 St. Brgy Kikirin Pagbilao Quezon Province - - 12,473.38 12,473.38 25-May-21 21-489 SANCHEZ, YOLANDA F. 844 BATAAN St. Brgy None SAMPALOC MANILA - - 19,268.01 19,268.01 25-May-21 21-490 QUINIKITO, BERMA M. 24 Maisan St. Brgy Sta. Monica Novaliches Quezon City - 500.00 - 500.00 13-May-21 21-491 CORDORA, ROSEMARIE M. BLK 1 LOT 2 BULIHAN St. Brgy NARRA 2 SILANG CAVITE - - 2,043.91 2,043.91

Page 8 AMOUNT OF MEDICAL SERVICES LABORATORIES, DATE CONTROL TOTAL NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL & GRANTED NO. HOSPITAL FEES ASSISTANCE SUPPLIES DIAGNOSTICS PROCEDURES

25-May-21 21-492 BREJONIO, RUBEN A. 329 De Leon Compound, P Santiago St. Brgy Lingunan -Valenzuela City - 32,227.69 32,227.69 25-May-21 21-493 CABIGAS, BRIGADA J. 630 Julian Felipe St. Brgy 8 Caloocan City - - 1,060.00 1,060.00 25-May-21 21-494 MAMAKE, BB JOKRA 0328 APLAYA St. Brgy 649 BASECO TONDO MANILA - - 435.99 435.99 25-May-21 21-495 DELA CRUZ, JAYSON G. 404 Alfonso St. Brgy None Sta. Quiteria Caloocan City - - 840.89 840.89 24-May-21 21-496 LADUA, ALEJANDRIA I. 147 BULUSAN St. Brgy PAANG BUNDOK QUEZON CITY - - 62,068.68 62,068.68 25-May-21 21-497 TOMARONG JR., GREGORIO F. 17 St. Brgy Bungad San Francisco Del Monte Quezon City - 325.00 - 325.00 25-May-21 21-498 MALLARI, LORECONSA S. 50 Dao 6th Ave St. Brgy 115 Caloocan City - 2,328.00 - 2,328.00 25-May-21 21-499 SOLANA, RACHELL MAE L. 73 St. Brgy Maysan Road Valenzuela City - - 9,747.50 9,747.50 25-May-21 21-500 NOTORIO, MASANDY E. Purok Central St. Brgy Ilosong Plaridel Quezon Province - - 4,501.17 4,501.17 24-May-21 21-501 ARTOZ, ERLINDA G. 2299 Lapu Lapu St. Brgy Padaran Parañaque City - - 41,730.44 41,730.44 24-May-21 21-502 LADERO, QUEENLY ROSE M. 1052 Parola Gate 17 Area D St. Brgy 20 Tondo Manila - - 6,247.24 6,247.24 24-May-21 21-503 ENRIQUEZ, AILEEN C. 823 CRESCINI St. Brgy 38 A SAMPAGUITA CARIDAD CAVITE - - 46,634.84 46,634.84 25-May-21 21-504 RIOS, ROWENA E. 29 Fernandez St. Brgy Marungko Angat Bulacan - - 3,586.19 3,586.19 25-May-21 21-505 TECSON, NERRIE JANE D. D 45 Bliss Mangunggal St. Brgy Tatalon Quezon City - - 530.00 530.00 25-May-21 21-506 GALUPE, ISAIA N. Sto Cristo Padredrada St. Brgy 1 Tondo Manila - - 1,004.36 1,004.36 26-May-21 21-507 MATIONG, RANDY JR M. 742 Benita St. Brgy 185 Tondo Manila - - 1,790.20 1,790.20 26-May-21 21-508 GULAPA, MICHELLE A. 14 Hawk Alley St. Brgy Batasan Hills Quezon City - - 829.96 829.96 26-May-21 21-509 GULAPA, MICHELLE A. 14 Hawk Alley St. Brgy Batasan Hills Quezon City - 3,810.00 - 3,810.00 26-May-21 21-510 CABUSCA, GRACELYN C. 2258 GALGERA COMPOUND ANGELES EXT FORTUNE -1 St. Brgy GEN T DE 2,328.00LEON VALENZUELA CITY - 2,328.00 25-May-21 21-511 DILINOGUN, DEVELYN C. 153 BMBA Josefina St., 3rd Avenue East St. Brgy 120 Grace - Park Caloocan City - 6,861.63 6,861.63 25-May-21 21-512 TIBON, YVONNE D. B12 L2 Sorrento Village St. Brgy Burgos Rodriguez Rizal - - 69,379.06 69,379.06 26-May-21 21-513 MACABUTAS, RONIEL S. 2515 Radium St. Brgy 775 San Andres Bukid Manila - - 3,800.00 3,800.00 25-May-21 21-514 MATA, EVELYN L. 35 Rambutan A-6 St. Brgy Capri Novaliches Quezon City - - 43,670.03 43,670.03 25-May-21 21-515 DE JESUS, ALFREDO R. B27 L21 PH2 Kapalaran St. Brgy San Roque Navotas City - - 108,787.75 108,787.75 25-May-21 21-516 NOZUELO, ROGELIO G. 10-B Garcia, Del Ray Subd. St. Brgy 163 Sta. Quiteria Caloocan - - 7,709.61 7,709.61 25-May-21 21-517 BULAN, JUSTIN JAMES B. 42 Upper Molave St. Brgy Payatas B Quezon City - - 14,988.33 14,988.33 25-May-21 21-518 AGOILO, MARINA G. 16 Azalea St. Brgy 184 Maricaban Pasay City - - 9,644.64 9,644.64 25-May-21 21-519 GARGALLO, EUSEBIO C. Brgy MASINAO STA MARIA LAGUNA - - 22,008.11 22,008.11 5-May-21 21-520 MANGALUZ, LEONORA B. 92 Liberation St. Brgy Sto Niño Galas Quezon City - - 2,547.68 2,547.68 26-May-21 21-521 MONTON, ROXANNE O. 2C 621 Australia St. Brgy Ligtong III Rosario CAVITE - - 59,232.08 59,232.08 25-May-21 21-522 CABRERA, ELARNIE HONEY B. 422 Damayan St. Brgy 33 Maypajo Caloocan City - - 16,572.72 16,572.72 25-May-21 21-523 CAPISTRANO, ERROL JOHN P. Brgy Bislig San Andres Catanduanes - - 83,754.45 83,754.45 26-May-21 21-524 GURROBAT, CECILIA A. Rm 102 B4 Bldg 6 Discipline Vill. St. Brgy Bignay Valenzuela - - 2,103.00 2,103.00 26-May-21 21-525 LICO, FERNANDO R. 1121 New Antipolo St. Brgy 213 Tondo Manila - 1,552.00 - 1,552.00 26-May-21 21-526 PALMA, ROMMEL T. 2315 Int Felix Huertas St. Brgy None Sta. Cruz Manila - - 386.65 386.65 26-May-21 21-527 VALENTIN, JOMMEL N. 1950 F. Maria Guerrero St. Brgy 233 Tayuman Manila - - 2,088.56 2,088.56 26-May-21 21-528 PABON, WILMER B. Sitio Sto Nino Proper St. Brgy NBBS Navotas City - - 1,520.00 1,520.00 25-May-21 21-529 MAGHANOY, KHERDIE TIMOTHY 422C. Damayan St. Brgy 33 Maypajo Caloocan City - - 5,089.62 5,089.62 26-May-21 21-530 JAVIER, JARED NHIEL M. 1114 Paradise St. Brgy San Sebastian Kawit Cavite - - 3,339.28 3,339.28 25-May-21 21-531 DULAY, ALEXANDER B. 224 Valero St. Brgy Poblacion San Rafael Bulacan - - 22,931.85 22,931.85 26-May-21 21-532 ESTRERA, JENNIFER D. Brgy Amapola Kanan Tanza Navotas City - - 1,349.49 1,349.49 26-May-21 21-533 MANGGAY, MERLA S. 1189 D Kagitingan San Vico St. Brgy 38 Moriones, Tondo - Manila - 265.00 265.00 27-May-21 21-534 PINEDA, RUSS ULYSIS I. B24 L29 Gillian Hills St. Brgy 167 Llano Caloocan City - - 131,371.33 131,371.33 1-Mar-21 21-535 GUMARANG, LETICIA P. Brgy Dongsol Pototan Iloilo - 1,820.00 - 1,820.00 1-Mar-21 21-536 GABI, RUPERTO III N. 1576 Monggo St. Brgy Napiko Manggahan Pasig City - 397.50 - 397.50 1-Mar-21 21-537 SERRANO, ANTONIA B. Brgy San Ramon Manaoag Pangasinan - 90.00 - 90.00 2-Mar-21 21-538 ARENAS, ANGELINA E. 571 15 Doors Ignacio Compound St. Brgy 162 Sta. Quiteria 654.68 Caloocan City - - 654.68 16-Mar-21 21-539 MATA, EVELYN 35 Rambutan A-6 St. Brgy Capri Novaliches Quezon City - 270.00 - 270.00 3-Mar-21 21-540 ESTROPIA, JOMEL E. B1 Dubai St. Brgy 649 Port Area Manila - 770.00 - 770.00 3-Mar-21 21-541 MABAO, FRANCIS ISAAC M. Block 16 Lot 35 Zaragoza St. Brgy San Miguel Pasig City - 265.00 - 265.00 4-Mar-21 21-542 VIRAY, SHAYNE LORAINE C. 47 Bakawan St St. Brgy Veterans Village Project 7 Quezon - City 146.25 - 146.25 4-Mar-21 21-543 MIJARES, LUISITO N. 77 Ilang Ilang St. Brgy Tanza II Navotas City - 650.00 - 650.00 5-Mar-21 21-544 REYES, DHENVER C. Blk 18 Lot 22 Dolmar, Golden Hills Subdvision St. Brgy - San Vicente Sta Maria 1,030.00 Bulacan - 1,030.00 5-Mar-21 21-545 CABERO, ELOSIO P. Dinagpan St. Brgy 5 Coron Palawan - 530.00 - 530.00 5-Mar-21 21-546 REGALA, ROMEO L. Building 2, Unit 311 Vitas St. Brgy 99 Tondo Manila - 675.00 - 675.00 4-Mar-21 21-547 DADA, ANTHONY LUKE C. Brgy None Imus Cavite 240.60 1,030.00 - 1,270.60 5-Mar-21 21-548 MENDOZA, MILAGROS D. Brgy Luciente II Bolinao Pangasinan - 755.50 - 755.50 5-Mar-21 21-549 DELA CRUZ, NOEMI D. 1237 A. Hizon St. Brgy 315 Sta. Cruz Manila - 180.00 - 180.00 5-Mar-21 21-550 IGHARAS, ANAVIC D. Bldng. 1, Vitas low Rise St. Brgy 99 Tondo Manila - 397.50 - 397.50 8-Mar-21 21-551 SALUDAGA, MAY G. 987 Quezon Blvd. St. Brgy 310 Sta. Cruz Manila - 397.50 - 397.50

Page 9 AMOUNT OF MEDICAL SERVICES LABORATORIES, DATE CONTROL TOTAL NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL & GRANTED NO. HOSPITAL FEES ASSISTANCE SUPPLIES DIAGNOSTICS PROCEDURES

8-Mar-21 21-552 YSMAEL, HELEN V. 1732 Mindanao Ext. St. Brgy 576, Zone 56 Sampaloc Manila - 360.00 - 360.00 8-Mar-21 21-553 BOCO, LEONIDAS B. 103 C Perez Oreta St. Brgy Tonsuya Malabon City - 1,462.50 - 1,462.50 9-Mar-21 21-554 ILDEFONSO, MARIA NYMPHA R. Blk 25 Lot 16 Legion 23 St. Brgy Carsadang Bago Imus -Cavite 1,680.00 - 1,680.00 10-Mar-21 21-555 ABARRACOSO, CRISANTO A. 575 PNR Site, FTI St. Brgy Western Bicutan Taguig - 180.00 - 180.00 10-Mar-21 21-556 DESPI, ANGELA M. 919 Sabino Padilla St. Brgy 295 Tondo Manila - 530.00 - 530.00 10-Mar-21 21-557 POSTRERO, FRANKLIN R10 Proper, Champaca St. Brgy NBBS Navotas City - 990.00 - 990.00 10-Mar-21 21-558 GUIBANE, JASPER KENT BRYLE M.PNR Site, FTI Cmpd St. Brgy Western Bicutan Taguig City - 530.00 - 530.00 11-Mar-21 21-559 BRILLANTES, CHARMAINE N. 54 Bartolome St. Brgy Viente Reales Valenzuela City - 457.50 - 457.50 11-Mar-21 21-560 HUARDE, MARIA L. 15 Katipunan St. Brgy Bayan Bayanan Malabon City - 5,105.00 - 5,105.00 12-Mar-21 21-561 MIRANO, ELIZALDE S. 18-C K7th St. Brgy Kamuning Quezon City - 900.00 - 900.00 15-Mar-21 21-562 ARBOLEDA, ORVILLE B. 969 P Int5 A. Dagupan St. Brgy 49 Tondo Manila - 530.00 - 530.00 16-Mar-21 21-563 AGUDIS, JOMARIE K. BLK 31 LOT 7 SV 8A St. Brgy SAN ISIDRO RODRIGUEZ -RIZAL 265.00 - 265.00 16-Mar-21 21-564 BAJASAN, PRESILDA O. 2432 Legarda St. Brgy 412 Sampaloc Manila - 1,235.00 - 1,235.00 17-Mar-21 21-565 OROSCO, MARIE JOY A. 198-D Osmeña St. Brgy 112 Tondo Manila - 3,860.00 - 3,860.00 17-Mar-21 21-566 MALIGAYA, ELIZA M. 2763 R. Fernandez St. Brgy 180, Zone 16 Gagalangin, Tondo - Manila 530.00 - 530.00 17-Mar-21 21-567 AUSTRIA, SHYREL F. 707 Quezon Blvd. St. Brgy 308 Sta. Cruz Manila - 132.50 - 132.50 18-Mar-21 21-568 BALAGTAS, JULIA E. 34 Tena St. Brgy 28 Dagat Dagatan Caloocan City - 3,825.00 - 3,825.00 5-Apr-21 21-569 DAVID, CLARISSE E. 79 Banal, Bagong Barrio St. Brgy 147 Caloocan City - 640.00 - 640.00 8-Apr-21 21-570 EBO, LILIA G. Lower Laong St. Brgy Almanza Uno Las Piñas City - 1,680.00 - 1,680.00 8-Apr-21 21-571 SIAZON, NONILON R. 212-A St. Brgy Talaba II Bacoor Cavite - 1,680.00 - 1,680.00 8-Apr-21 21-572 GARCIA, FE B. 2549 -B Topacio St. Brgy 765 Zone 86 San Andres Bukid - Manila 1,540.00 - 1,540.00 8-Apr-21 21-573 BRILLANTES, CHARMAINE N. 54 Bartolome St. Brgy Viente Reales Valenzuela City - 890.00 - 890.00 13-Apr-21 21-574 ESGUERRA, KENN CYRELLE D. 325 AGUSTO St. Brgy 642 SAN MIGUEL MANILA - 295.00 - 295.00 13-Apr-21 21-575 ARUTA, JHOMAR P. 456 Castañas St. St. Brgy 118 Zone 9 Tondo Manila - 1,040.00 - 1,040.00 13-Apr-21 21-576 ADONAY, JUSTIN T. 3510 F. Rojas St. Brgy 192 Barrio Obrero, Tondo Manila - 530.00 - 530.00 14-Apr-21 21-577 BRIONES, MICHAEL N. 1079 Road 2 Tambalan St. St. Brgy 35 Maypajo Caloocan - 1,380.00 - 1,380.00 16-Apr-21 21-578 SENGSON, MARIA GERTRUDES D.98 M. Domingo St. Brgy Tangos Navotas City - 280.00 - 280.00 16-Apr-21 21-579 VALENZONA, VICENTE B. 23 ROTC Hunters Galilan St. Brgy Tatalon Quezon City - 1,680.00 - 1,680.00 19-Apr-21 21-580 ENRIQUEZ, EDGARDO E. 132 Legaspi St. Brgy Calumpang Marikina City - 425.00 - 425.00 20-Apr-21 21-581 CASTRO, LYNN G. NorthVille St. Brgy San Nicolas Bacoor Cavite - 3,860.00 - 3,860.00 21-Apr-21 21-582 CALIBO, ALDRIN B. 388 Int. Governor Andres Pascual St. Brgy San Jose Navotas - City 2,000.00 - 2,000.00 26-Apr-21 21-583 ANATALIO, JOENALYN M. 127 P. Ducos St. Brgy 306 Zone 30 Quiapo Manila - 2,895.00 - 2,895.00 26-Apr-21 21-584 POSTRERO, FRANKLIN R10 Proper, Champaca St. Brgy NBBS Navotas City - 530.00 - 530.00 26-Apr-21 21-585 BAYLON, OSWARD CELSO L. B10 L49 Tawilis St. Brgy 28 Dagat-Dagatan Ave. Caloocan - City 1,800.00 - 1,800.00 26-Apr-21 21-586 YECLA, VICTORIA R. Block 14 Lot 22 Gillian Hills St. Brgy 167 Llano Caloocan - City 800.00 - 800.00 29-Apr-21 21-587 RESUENTO, NENITA C. 1313 Int. 4 St. Brgy None SAN ANDRES BUKID MANILA - 4,000.00 - 4,000.00 29-Apr-21 21-588 EUMAGUE, JEFFREY R. 3 Vencer St. Brgy 149 Bagong Barrio Caloocan City - 3,100.00 - 3,100.00 7-May-21 21-589 BANAAG, SUSAN B. 549 Prudencio St. Brgy 443 Sampaloc Manila 621.47 - - 621.47 10-May-21 21-590 MACANAS, RANDY A. 7 Alley 3 St. Brgy Balasan Valenzuela City - - 62,861.95 62,861.95 8-May-21 21-591 MAESTRADO, RUTH D. 147 St. Brgy Manggahan Lawin Binakayan, Kawit Cavite - - 7,205.45 7,205.45 12-May-21 21-592 TORRES, ELVIRA C. 311 CRISTOBAL St. Brgy 72 TONDO MANILA - - 2,631.50 2,631.50 12-May-21 21-593 YAPE, MATEO B. Blk 34-D Lot 8 Ph 2 Area 2 Matang Baka St. Brgy NBBS -Dagat-Dagatan Navotas City - 760.00 760.00 12-May-21 21-594 OCLINARIA, KAEHL N. AREA 5 A SITIO CABUYAO St. Brgy SAUYO NOVALICHES - QUEZON CITY - 265.00 265.00 12-May-21 21-595 GERMONO, PHILIP JHERICK J. 2525 LEMERY St. Brgy 759 SINGALONG MALATE MANILA - - 1,140.00 1,140.00 12-May-21 21-596 WIJANGCO, PRINCESS ZAIRHA C. 77 LIWAYWAY St. Brgy BAYAN BAYANAN MALABON CITY - - 2,120.00 2,120.00 13-May-21 21-597 DOCOS, FE C. 3 A DIAZ St. Brgy DAMPALIT MERVILLE SUBD MALABON - CITY - 795.00 795.00 13-May-21 21-598 SALONGA, KAYRON B. 1324 MAYHALIGUE St. Brgy 262 TONDO MANILA - - 265.00 265.00 14-May-21 21-599 PEREZ, JONJON A. 850 Ibarra St. Brgy 526 Zone 52 Sampaloc Manila - - 1,060.00 1,060.00 14-May-21 21-600 DE PABLO, ALANIL E. 1254-F C. Aguila St. Brgy 389 Zone 40 Quiapo Manila - - 920.00 920.00 14-May-21 21-601 CROW, CHRISTIAN NICOLLE C. Block 2 Lot 4 Lessandra Subdivision St. Brgy Buhay Na - Tubig Imus Cavite - 1,800.29 1,800.29 14-May-21 21-602 MALLARI, FERNANDO C. 123 E. Rodriguez St. Brgy Tanza Navotas City - 3,880.00 - 3,880.00 14-May-21 21-603 PANAJON, WILFREDO M. Blk 2 Lot 10 Northville 1 St. Brgy Bignay Valenzuela City - 3,880.00 - 3,880.00 14-May-21 21-604 CAYABYAB, JULIETA R. Block 27 Lot 59 Phase 2 Area 1 St. Brgy NBBS Navotas -City 3,880.00 - 3,880.00 14-May-21 21-605 TIGLAO, LUZVIMINDA B. 2329 Callejon- H Tirso Cruz, Cavite St. Brgy 167 Tondo - Manila 3,880.00 - 3,880.00 14-May-21 21-606 MALALUAN, SYLVIA D. 30 Raja Soliman St. Brgy Parang Marikina City - 2,328.00 - 2,328.00 14-May-21 21-607 BELLO, PERLYN P. 040 St. Brgy KaypaAba Gen. Emilio Aguinaldo Cavite - 3,880.00 - 3,880.00 14-May-21 21-608 TOLEDO, RUTH S. A . Bayan St. Brgy 6 Quezon Quezon Province - 3,880.00 - 3,880.00 14-May-21 21-609 RUBIO, MARISSA T. 122 M. Acosta St. Brgy 77 Pasay City - 3,880.00 - 3,880.00 14-May-21 21-610 FLORALDE, NENETH G. 198 Guijo Alley St. Brgy 152 Bagong Barrio Caloocan City - 3,880.00 - 3,880.00 14-May-21 21-611 CAPULE, LIZA G. 196 Gitna St. Brgy Bignay Valenzuela City - 3,880.00 - 3,880.00

Page 10 AMOUNT OF MEDICAL SERVICES LABORATORIES, DATE CONTROL TOTAL NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL & GRANTED NO. HOSPITAL FEES ASSISTANCE SUPPLIES DIAGNOSTICS PROCEDURES

14-May-21 21-612 ZARSUELA, JESUSA E. Blk 3 Lot 59 Tupda Village St. Brgy 8 Caloocan City - 6,350.00 - 6,350.00 14-May-21 21-613 YANGUAS, BRENDA B. 9233 Dita San Antonio Village St. Brgy None Makati City - 776.00 - 776.00 14-May-21 21-614 GREFALDON, ANALYN M. 786 Gabriela St. Brgy 52 Tondo Manila - 3,880.00 - 3,880.00 14-May-21 21-615 MORON, GILBERT S. Blk 17 Lot 45 P3-D Talaba Alley St. Brgy 28 Dagat Dagatan - Caloocan City 3,880.00 - 3,880.00 14-May-21 21-616 TITOY, JENNIFER M. Brgy San Isidro Palo Leyte - 6,350.00 - 6,350.00 14-May-21 21-617 GARCIA , BEATRIZ L. 16 Quiling Sur St. Brgy Nagrepcan Batac Ilocos Norte - 3,880.00 - 3,880.00 14-May-21 21-618 BURBOS, RANILYN B. 248 St. Brgy Cabanbanan Pagsanjan Laguna - 3,880.00 - 3,880.00 14-May-21 21-619 MALLARI, LORECONSA S. 50 Dao 6th Ave St. Brgy 115 Caloocan City - 6,350.00 - 6,350.00 14-May-21 21-620 DIMAANO, ERLINDA M. 145 Josefina St. Brgy 117 5th Ave. Caloocan City - 3,880.00 - 3,880.00 14-May-21 21-621 SARCO, JESSIEVILLA G. Brgy Ilag Liloan Southern Leyte - 3,880.00 - 3,880.00 17-May-21 21-622 PANERGO, MELBA R. 96 Maginoo St St. Brgy 104 Tondo Manila 693.73 - - 693.73 20-May-21 21-623 MUÑOZ, JOANE P. 123 Sofia St. Brgy 146 Tondo Manila - 6,230.00 - 6,230.00 20-May-21 21-624 JOSE, LEIANNZON N. Blk 4 Lot 2 Phase 2 11 Hectars St. Brgy Minuyan Proper - San Jose Del Monte Bulacan - 360.00 360.00 19-May-21 21-625 TANZON, APRIL ROSE R. 7 Espritu St. Brgy Dampalit Malabon City - - 200.51 200.51 26-May-21 21-626 CENTENO, ANDRES R. 027 RIZAL St. Brgy SAN JOSE BALIWAG BULACAN 682.63 - - 682.63 26-May-21 21-627 PRIMA , ROSEMARIE S. 398 Dayao St. Brgy 133 Tondo Manila 5,369.93 - - 5,369.93 27-May-21 21-628 PANAJON, WILFREDO M. Blk 2 Lot 10 Northville 1 St. Brgy Bignay Valenzuela City - 1,552.00 - 1,552.00 27-May-21 21-629 SARCO, JESSIEVILLA G. Brgy Ilag Liloan Southern Leyte - 2,328.00 - 2,328.00 27-May-21 21-630 BAUTISTA, ROMMEL G. Blk 25 Lot 6 Socialize Housing St. Brgy Tanza II Navotas - City 2,540.00 - 2,540.00 27-May-21 21-631 RAMOS, MARIA TERESA R. Interior IIB Nazareno St. Brgy Paco Obando Bulacan 6,156.00 - - 6,156.00 27-May-21 21-632 ATREGENIO, LUZVIMINDA G. 20-22 HOWMART ROAD St. Brgy APOLONIO SAMSON -BALINTAWAK QUEZON CITY - 945.00 945.00 27-May-21 21-633 LEGATONA, EVA S. 69 Evangelista St. Brgy Maliksi I Bacoor Cavite - - 9,682.19 9,682.19 22-May-21 21-634 DELOS REYES, QUIEL S. 131 Libis St. Brgy Canumay East Valenzuela - - 5,466.86 5,466.86 26-May-21 21-635 FRANCISCO, CITADEL M. Blk. 16 Aratelis St. Brgy. BF Homes Sucat Parañaque - - 2,068.47 2,068.47 27-May-21 21-636 GONZALES, ROWENA L. Purok 3 St. Brgy San Felix Sto Tomas Batangas - - 27,900.91 27,900.91 27-May-21 21-637 CARIDAD, CHRISTOPER C. 913 Fox Glove Lake View St. Brgy Putatan Muntinlupa -City - 9,733.09 9,733.09 26-May-21 21-638 PASTOR, ELIZABETH S. 28 Sta Quiteria St. Brgy 162 Caloocan City - - 7,696.65 7,696.65 27-May-21 21-639 CORONEL, ROSALINDA S. 096 St. Brgy BMA Balagtas San Rafael Bulacan - - 1,561.79 1,561.79 26-May-21 21-640 MAGARAO, MANILYN G. Brgy Bobuntugan Jasaan Misamis Oriental - - 3,437.47 3,437.47 27-May-21 21-641 IPIO, ABIGAIL R. PUROK 5 St. Brgy MALIPAMPANG SAN ILDEFONSO BULACAN - - 2,610.00 2,610.00 27-May-21 21-642 CAMACHO, KEVIN D. Blk 6 Lot 19 Silver Crest Villa St. Brgy Habay 1 Bacoor -Cavite - 530.00 530.00 26-May-21 21-643 RIVERAL, LIEZL Z. 1320 B.96, CP Garcia St. Brgy 123 Tondo Manila - - 13,356.26 13,356.26 26-May-21 21-644 TALONDONG, ANALIZA G. 140 Bahay Pari St. Brgy Gen. T. De Leon Valenzuela City - - 15,593.97 15,593.97 28-May-21 21-645 MENDOZA, REYNARD L. 1314 S. Nicolas St. Brgy 255 Tondo Manila - - 2,120.00 2,120.00 28-May-21 21-646 PARAISO, EDERLINA B. 14 Kabayan Rd., Purok 7, Phase 3 St. Brgy Malanday Marikina - City - 1,401.19 1,401.19 28-May-21 21-647 FLORES, LUZVIMINDA B. Blk 4 LoT 4 Daniel St. Reparo Homes St. Brgy 178 Camarin - Caloocan City - 1,890.00 1,890.00 28-May-21 21-648 ROQUE, DARWIN E. 2003 - B Balintawak Ext., Zone 21 St. Brgy 229 Tondo Manila - - 5,395.40 5,395.40 28-May-21 21-649 GREFALDON, ANALYN M. 786 Gabriela St. Brgy 52 Tondo Manila - 2,328.00 - 2,328.00 28-May-21 21-650 MORON, GILBERT S. Blk 17 Lot 45 P3-D Talaba Alley St. Brgy 28 Dagat Dagatan - Caloocan City 3,880.00 - 3,880.00 28-May-21 21-651 SOLEDAD, MARY JOY O. 504 BIR Road St. Brgy Central Quezon City - 3,880.00 - 3,880.00 28-May-21 21-652 EVANGELISTA, CYNTHIA M. M. Gonzales St. Brgy Lapnit San Ildefonso Bulacan - 3,880.00 - 3,880.00 28-May-21 21-653 CAYABYAB, JULIETA R. Block 27 Lot 59 Phase 2 Area 1 St. Brgy NBBS Navotas -City 3,880.00 - 3,880.00 28-May-21 21-654 TITOY, JENNIFER M. Brgy San Isidro Palo Leyte - 6,350.00 - 6,350.00 28-May-21 21-655 BURBOS, RANILYN B. 248 St. Brgy Cabanbanan Pagsanjan Laguna - 7,410.00 - 7,410.00 28-May-21 21-656 PIASTRO JR, PABLITO B. 3061 B. Pilar St. Brgy 200 Tondo Manila 527.27 - - 527.27 28-May-21 21-657 FRIGILLANO, FIEL JUDE CYREEN S.Blk 2 Lot 18 Aries Phase 2 Perpetual Village 10 St. Brgy - Tanyag Taguig City - 4,337.74 4,337.74 28-May-21 21-658 UMALI, MARYIEL D. 61 G. Silang St. Brgy San Vicente San Pedro City Laguna - - 2,170.04 2,170.04 28-May-21 21-659 LINA, MA. CECILIA C. 15-58 A. Martin St. Brgy Tugatog Malabon City 2,500.03 - - 2,500.03 28-May-21 21-660 NADONG, DELSERIE F. 796 Area A Gate 3 Parola St. Brgy 20 Zone 1 Tondo Manila - - 1,555.48 1,555.48 28-May-21 21-661 MACAPAGAL, MARIETTA B. 1287 DM Cmpd. St. Brgy 73 Heroes Del 96 St. Caloocan 5,167.53 City - - 5,167.53 28-May-21 21-662 PLAZA, ALMERA C. 34 GARIEL 2 KAREN St. Brgy HULONG DUHAT MALABON - CITY 1,552.00 - 1,552.00 28-May-21 21-663 PANGANIBAN, ARTEMIO 4 ARIES ST., PHASE 38 STO NIÑO MEYCAUAYAN BUALCAN - 3,880.00 - 3,880.00 28-May-21 21-664 SEVILLA, DANILO M. 2797 Mendoza St St. Brgy 182 Gagalangin, Tondo Manila - 12,350.00 - 12,350.00 28-May-21 21-665 SERRANO, JOSE G. B12 L5 Urban St. Brgy Barangka Marikina - 3,880.00 - 3,880.00 28-May-21 21-666 PEREZ, RA ARLO H. 327 Tandang Manang St. Brgy Parada Valenzuela City - - 1,844.81 1,844.81 28-May-21 21-667 RUIZ, AGNES D. Purok 3 St. Brgy Baluarte Santiago City Isabela - 9,880.00 - 9,880.00 28-May-21 21-668 HUMAWID, LORENZ M. Brgy Poblacion Silago Southern Leyte - 1,552.00 - 1,552.00 28-May-21 21-669 VERZOSA, HERMINIA G. 4366 L. Bernardino St. Brgy Gen. T. De Leon Valenzuela 142.96 City - - 142.96 28-May-21 21-670 LICO, FERNANDO R. 1121 New Antipolo St. Brgy 213 Tondo Manila - 3,880.00 - 3,880.00 28-May-21 21-671 DIMAANO, ERLINDA M. 145 Josefina St. Brgy 117 5th Ave. Caloocan City - 12,350.00 - 12,350.00

Page 11 AMOUNT OF MEDICAL SERVICES LABORATORIES, DATE CONTROL TOTAL NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL & GRANTED NO. HOSPITAL FEES ASSISTANCE SUPPLIES DIAGNOSTICS PROCEDURES

28-May-21 21-672 CHAVEZ, TERESITO J. 5 Magsaysay St. Brgy San Agustin Malabon City - - 424.00 424.00 28-May-21 21-673 BURGOS, REGOR NOGRALES B. 918 Tramo St. Brgy Daniel Fajardo Las Piñas City - - 9,337.30 9,337.30 28-May-21 21-674 ANGELES, REYNALDO O. 1157 V Zapanta St. Brgy 733 Singalong Manila - - 1,060.00 1,060.00 28-May-21 21-675 RAMISO, MARINA A. 5689 DALANGHITA St. Brgy 178 SAN VICENTE CAMARIN - CALOOCAN CITY 3,880.00 - 3,880.00 28-May-21 21-676 ECLEO, ROCKY O. 1249 Tayuman St. Brgy 225 Tondo Manila - - 15,000.00 15,000.00 28-May-21 21-677 MACAPAÑAS, JOE VINCENT ROLAND1715 O. TRAMO St. Brgy 42 PASAY CITY - - 6,384.53 6,384.53 28-May-21 21-678 SANCHEZ, RITZCHIE JOHN L. 36 E Maestrang Pinang St. Brgy Lingid Tipas Taguig City - - 265.00 265.00 28-May-21 21-679 CATOLOS, KATNISS R. Blk 8 Lot 7 Amaia Scapes St. Brgy Barandal Calamba City - Laguna - 6,001.32 6,001.32 28-May-21 21-680 TIBAJERES, CYREL A. 1547 A. Antonio Rivera St. Brgy 241 Tondo Manila - - 492.85 492.85 28-May-21 21-681 VALDOMAR, ODIS L. 1310 M. Burgos St. Brgy 828 Paco Manila - - 1,060.00 1,060.00 28-May-21 21-682 WIJANGCO, PRINCESS ZAIRHA C. 77 LIWAYWAY St. Brgy BAYAN BAYANAN MALABON CITY - - 530.00 530.00 28-May-21 21-683 NABOR, LETICIA E. 102 5th 6 Ave St. Brgy 123 Caloocan City - - 201.93 201.93 28-May-21 21-684 ARROGANTE, MIGUEL C. BLK 8 LOT 3 PH2 FLOVI HOMES St. Brgy TONSUYA LETRE - MALABON CITY - 530.00 530.00 28-May-21 21-685 BARRAQUIO, DENMARC H. 8 Canonigo St. Brgy 824 Paco Manila - - 12,564.89 12,564.89 28-May-21 21-686 DACOMOS, HERNA L. 440 B Herbosa St. Brgy 83 Tondo Manila - - 265.00 265.00 29-May-21 21-687 PAGHASIAN, CELMI B. Brgy TAGMANOCAN LAZI SIQUIJOR - - 530.00 530.00 29-May-21 21-688 USON, ROSALINA D. 278 PASTOR St. Brgy 143 TONDO MANILA - - 424.00 424.00 29-May-21 21-689 LIM, AUBREY M. Blk4 Lot34 Damasco St. Brgy Pleasant Hills San Jose Del - Monte Bulacan - 430.00 430.00 29-May-21 21-690 MAGBAGAY, MELISSA F. 831 ASUNCION St. Brgy 270 BINONDO MANILA - - 265.00 265.00 29-May-21 21-691 DEL AGUA, JESUS R. 677 Marulas A St. Brgy 36 Caloocan City - - 496.60 496.60 29-May-21 21-692 SALAZAR, NORILYN R. 979 Libis Baesa St. Brgy 160 Caloocan City - - 1,222.18 1,222.18 29-May-21 21-693 TANAEL, AISHENA D. 6 ELGA St. Brgy TATALON QUEZON CITY - - 31,397.13 31,397.13 29-May-21 21-694 DELOS SANTOS, JOHN FRANCIS A.966 Locsin St. Brgy 479 Sampaloc Manila - - 6,482.28 6,482.28 29-May-21 21-695 SALVADOR, ELIZABETH L. 3460 Sta. Rita St. Brgy 14 Tondo Manila - - 1,338.44 1,338.44 29-May-21 21-696 PEREZ, JOHN LEWEL C. 1310 N Burgos St., St. Brgy 828 Paco Manila - - 265.00 265.00 29-May-21 21-697 RODRIGUEZ, MARK CHOLO V. 2450 Bitas St. Brgy 98 Tondo Manila - - 1,060.00 1,060.00 29-May-21 21-698 VERA, LORENZO EZEKIEL M. 293 Doña Dionisia Village St. Brgy Bayan Luma Imus Cavite - - 815.48 815.48 29-May-21 21-699 PAMINIANO, KERWIN S. 1039 Anonas St. Brgy 12 Camarin Caloocan City - - 1,886.26 1,886.26 31-May-21 21-700 ZARAGOZA, CORAZON I. 2040 F Muñoz, Singalong St. Brgy 731 Malate Manila - 18,790.00 - 18,790.00 15-Mar-21 21-701 HENDERSON, DALE REY D. 4036 S De Guzman St. Brgy Don Galo Parañaque City - - 300,000.00 300,000.00 15-Apr-21 21-702 HENDERSON, DALE REY D. 4036 S De Guzman St. Brgy Don Galo Parañaque City - - 361,486.76 361,486.76 11-May-21 21-703 GALICIA, DEXTER C. 75 Doctor Alejos St. Brgy San Isidro Labrador Quezon City - - 175,323.30 175,323.30 4-Jun-21 21-704 INDELIBLE, RUSSEL E. 1502 Tindalo St. Brgy 254 Tondo Manila 3,862.83 - - 3,862.83 4-Jun-21 21-705 EUSTAQUIO, JINKY C. Divine Grace village St. Brgy BOROL 1ST Balagtas 5,388.80 Bulacan - - 5,388.80 4-Jun-21 21-706 PAQUIZ, ROSALIE T. 351 Orehen St. Brgy Tugatog Meycauayan Bulacan - 12,350.00 - 12,350.00 4-Jun-21 21-707 VITUG, ARMAND K. 196 Evangelista St. Brgy 142 Bagong Barrio Caloocan 3,966.33 City - - 3,966.33 4-Jun-21 21-708 LOBA, ESTERLITA T. 126 A Bona Alley Pangako St. Brgy 151 Bagong Barrio 542.10 Caloocan City - - 542.10 4-Jun-21 21-709 RUIZ, AGNES D. Purok 3 St. Brgy Baluarte Santiago City Isabela - 12,350.00 - 12,350.00 4-Jun-21 21-710 RAMISO, MARINA A. 5689 DALANGHITA St. Brgy 178 SAN VICENTE CAMARIN - CALOOCAN CITY 3,880.00 - 3,880.00 4-Jun-21 21-711 GARSIN, ODILON JR L. 34 Bisig Nayon St. Brgy 4 Sangandaan Caloocan City - 1,235.00 - 1,235.00 4-Jun-21 21-712 TIO-ONG, DIANA T. 4513 Rosa St. Brgy Gen T. De Leon Valenzuela City 123.00 - - 123.00 4-Jun-21 21-713 LEONAR, ROSE ANN D. 42 AP AQUINO St. Brgy 3 SANGANDAAN CALOOCAN CITY - 6,350.00 - 6,350.00 5-Jun-21 21-714 OSINLAY, MARK ANTHONY 1258 Captain Perlas St. Brgy Pooc Sta. Rosa Laguna - - 206,985.23 206,985.23 5-Jun-21 21-715 CAFE, LUIS C. Blk 3 Lot 8 Palmera St. Brgy Kaypian San Jose Del Monte - Bulacan - 149,579.78 149,579.78 8-Jun-21 21-716 VILLANUEVA, CHRISTOPHER T. 8226 Int. M Naval St. Brgy Sipac Almazen Navotas City - - 25,000.00 25,000.00 8-Jun-21 21-717 ORTEGA, JOHN WAYNE 2336 Antipolo St. St. Brgy 348 Sta. Cruz Manila - - 8,318.85 8,318.85 13-Jun-21 21-718 FLORES, CONRADO JR. S. 1235 Yuseco St. Brgy 223 Tondo Manila - - 156,627.28 156,627.28 15-Jun-21 21-719 DINO, ANA MARIA A. 639 Int 2 Geronimo St. Brgy 432 Sampaloc Manila - - 105,896.30 105,896.30 4-Mar-21 21-720 EBO, LILIA G. Lower Laong St. Brgy Almanza Uno Las Piñas City - 195.00 - 195.00 5-Mar-21 21-721 CORONEL, ELENITA V. 291 LAKAS NG MAHIRAP St. Brgy 12 CALOOCAN CITY - 162.50 - 162.50 5-Mar-21 21-722 OCLARES, ANDRES C. 63 F. Libis. St. Brgy Apolonio Samson Kaingin Road, Balintawak - Quezon City 360.00 - 360.00 10-Mar-21 21-723 ESTROPIA, JOMEL E. B1 Dubai St. Brgy 649 Port Area Manila - 580.00 - 580.00 17-Mar-21 21-724 FELICIA, MICHAEL V. 243 Romualdez St. Brgy 122, Zone 9 Tondo Manila - 610.00 - 610.00 5-Mar-21 21-725 BATOON, TERESITA M. 1247 Severino St. Brgy 328 Zone 33 Sta. Cruz Manila - 750.00 - 750.00 19-Apr-21 21-726 TARREGA, LEODIGARIO L. 2411 A. Singalong St. Brgy 752 Malate Manila - 1,700.00 - 1,700.00 30-Apr-21 21-727 DE LEON, LUCITA J. 61 Elga St., Taurus St. Brgy Tatalon Quezon City - 12,460.00 - 12,460.00 3-May-21 21-728 ARCILLA, ROSEMARIE B. 38 rd 12 NDC COMP St. Brgy 628 STA. MESA MANILA - 3,300.00 - 3,300.00 4-May-21 21-729 LOPEZ, PURITA I. 3 Sampaguita St. Brgy San Juan Balagtas Bulacan - 3,200.00 - 3,200.00 5-May-21 21-730 GRUTAS, AURORA G. Brgy Abangan Sur Marilao Bulacan - 600.00 - 600.00 6-May-21 21-731 SANTOS, ANITA F. 444 Pinpin St. St. Brgy 290 Binondo Manila - 6,230.00 - 6,230.00

Page 12 AMOUNT OF MEDICAL SERVICES LABORATORIES, DATE CONTROL TOTAL NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL & GRANTED NO. HOSPITAL FEES ASSISTANCE SUPPLIES DIAGNOSTICS PROCEDURES

11-May-21 21-732 INDELIBLE, RUSSEL E. 1502 Tindalo St. Brgy 254 Tondo Manila 538.23 - - 538.23 11-May-21 21-733 BARQUIN, JUAN B. Blk 14 Lot 22 Magsaysay Ext St. Brgy San Agustin Malabon - City 900.00 - 900.00 11-May-21 21-734 QUIZON, CRESENCIA B. 1404 Juan Luna St. Brgy 58 Tondo Manila - 1,350.00 - 1,350.00 11-May-21 21-735 GAGUI, JENIFER C. 022 M. Aquino St. Brgy Sta. Lucia Novaliches Quezon City - 2,000.00 - 2,000.00 11-May-21 21-736 PANGILINAN, NIMFA A. 1121 Torcillo St. Brgy 28 Papajo Caloocan City - 5,100.00 - 5,100.00 12-May-21 21-737 DELA CRUZ, MINERVA T. 1640 K Int 27 Zamora St. Brgy 821 Paco Manila - 12,460.00 - 12,460.00 12-May-21 21-738 DAJUGAR, JOEL B. 231 Int. 37 Aguado St. Brgy 637 San Miguel Manila - 400.00 - 400.00 20-May-21 21-739 ESPINO, CARINA L. 23 E Jacinto St. Brgy Concepcion Malabon City - 1,200.00 - 1,200.00 25-May-21 21-740 DIWA, ROMAN T. 385 St. Brgy NBBN Navotas City - 5,800.00 - 5,800.00 26-May-21 21-741 GARCIA, MARVIN C. 1461 C Ext Labores St. Brgy 857 Pandacan Manila - 415.00 - 415.00 27-May-21 21-742 BERLOS, NORELLY M. 1329 Blk. 1 Villa Campo St. Brgy Bagbaguin Caloocan City - 1,650.00 - 1,650.00 27-May-21 21-743 NALAONAN, ALEXANDER L. Blk10 L14 Salmon St. Brgy 8 Dagat-Dagatan Caloocan City - 400.00 - 400.00 28-May-21 21-744 BISDA, BERNARDO S. B-10 L-16 Area H P-2 St. Brgy San Rafael Sapang Palay2,342.52 San Jose Del MOnte Bulacan - - 2,342.52 28-May-21 21-745 BANDIOLA, ROSARIO F. 194 P. Parada St. Brgy Sta. Lucia San Juan 9,775.07 - - 9,775.07 28-May-21 21-746 BANAAG, SUSAN B. 549 Prudencio St. Brgy 443 Sampaloc Manila 3,982.07 - - 3,982.07 28-May-21 21-747 CABSAG, EDITHA M. Bldg 15 Unit 72 Temporary Housing St. Brgy 105 Vitas - Tondo Manila - 6,193.69 6,193.69 28-May-21 21-748 DURAN, ERLINDA O. 294 ROSAL St. Brgy BANCAL MEYCAUAYAN BULACAN 7,575.43 - - 7,575.43 30-May-21 21-749 ROSELLO, PRINCES KYTLYN L. 195 Lim Comp St. Brgy San Dionisio Parañaque City - - 530.00 530.00 31-May-21 21-750 ABILA, CRISTINA H. 103 B Natividad St. Brgy 81 Bagong Barrio Caloocan City - 247.00 - 247.00 31-May-21 21-751 POBLETE, ERICK S. 84 Masagana St. Brgy 74 Caloocan 3,966.33 - - 3,966.33 31-May-21 21-752 DULAY, NATIVIDAD T. 034 Esteban St. Brgy Dalandanan Valenzuela City - - 530.00 530.00 31-May-21 21-753 GUMATAY, LESTER ANDREI R. 115 Consuelo St. Brgy Acacia Malabon City - - 530.00 530.00 31-May-21 21-754 CAPISTRANO, JULIETA H. 1591 Alvarez Ext. St. Brgy 267 Tondo Manila - 2,500.00 - 2,500.00 31-May-21 21-755 OCAMPO, SALVE REGINA B. Joan Of Arc St. Brgy Gulod Novaliches Quezon City - - 6,528.88 6,528.88 31-May-21 21-756 FRANCO, MARIBETH M. 135 Lower Gulod St. Brgy Sauyo Novaliches Quezon City - - 9,058.43 9,058.43 31-May-21 21-757 ANDAYA, IVY D. 122B San Agustin St. Brgy San Pascual Obando Bulacan - - 5,687.37 5,687.37 31-May-21 21-758 REMOTIN, MERCEDITA T. C4 Bless Multi National Village St. Brgy Moonwalk Parañaque - City - 45,590.22 45,590.22 27-May-21 21-759 ONG, TEOFILA E. 55 SILVESTRE EXT AZICATE HOMES St. Brgy GEN T DE - LEON VALENZUELA CITY - 31,905.14 31,905.14 27-May-21 21-760 ROQUE, ELIZABETH G. 353 BMBA 18 St St. Brgy 118 5th Avenue Caloocan City - - 1,214.11 1,214.11 27-May-21 21-761 VASQUEZ, ALLEN B. Road 18 Nagtinig Sitio Siwang St. Brgy San Juan Taytay - Rizal - 16,967.23 16,967.23 27-May-21 21-762 VOLANTE, RONELYN A. Purok 6 St. Brgy De Ocampo Trece Marteres Cavite - - 7,576.18 7,576.18 27-May-21 21-763 BAJON, BILLY T. 2078 F. Muñoz St. Brgy 738 San Andres Manila - - 14,067.66 14,067.66 27-May-21 21-764 GEPANAYAO, BRIXTER M. Purok 1 St. Brgy Cabangan Cawag Subic Zambales - - 35,867.01 35,867.01 1-Jun-21 21-765 ESUSAN, EMMANUEL J. 396 C Pilapil St. Brgy 68 Tondo Manila - - 176.08 176.08 1-Jun-21 21-766 AUNGON, JOHN RASSEL O. Gate 20, Parola St. Brgy 218 Tondo Manila - - 13,813.77 13,813.77 1-Jun-21 21-767 ROQUE, ELIZABETH G. 353 BMBA 18 St St. Brgy 118 5th Avenue Caloocan City - - 6,501.57 6,501.57 1-Jun-21 21-768 TROMPETA, MA LUZ T. 2496 F Bayview Drive St. Brgy Tambo Parañaque 6,156.00 City - - 6,156.00 1-Jun-21 21-769 PEPITO, JEAN F. 123 2nd Ave St. Brgy 43 Caloocan City - - 1,261.99 1,261.99 1-Jun-21 21-770 HERNANDO, THELMA C. 3563 Batas St. Brgy 619 Bacood, Sta Mesa Manila 142.96 - - 142.96 1-Jun-21 21-771 VILLANUEVA, MARILYN P. 108 St. Brgy Malibu Tuy Batangas - 5,105.00 - 5,105.00 1-Jun-21 21-772 LAZO, ELVIRA E. 72 L San Diego St. Brgy Canumay West Valenzuela City - 5,080.00 - 5,080.00 1-Jun-21 21-773 REYES, SUSAN L. 20 Tiesa Villa Maria Subd St. Brgy Cupang Antipolo Rizal - 5,080.00 - 5,080.00 1-Jun-21 21-774 BATANG, EMERSON A. 011 Quirino St. Brgy 119 Tondo Manila - - 3,849.28 3,849.28 1-Jun-21 21-775 DELA REA, DANIELA LOU M. 11-C Arnold St. Brgy 55 Tondo Manila - - 530.00 530.00 1-Jun-21 21-776 SISO, JESON P. Unit 401 Building 6 Permanent Housing, Balut, St. Brgy - 128 Zone 10 Tondo Manila - 1,683.40 1,683.40 1-Jun-21 21-777 ROMATICO, JECELYN T. Phase 5 St. Brgy Narra 3 Silang Cavite - - 4,547.04 4,547.04 1-Jun-21 21-778 GARAY, CAY DERYCRIEL N. 165 Sardones St. Brgy 122 Tondo Manila - - 2,929.66 2,929.66 1-Jun-21 21-779 MARGAÑAS, MYLENE B. 170 A Gunito St. Brgy Digman Bacoor Cavite - - 2,684.84 2,684.84 1-Jun-21 21-780 PINEDA, ALGHEN PRIX M. Bldg. 9, Unit 202 Perm. Housing St. Brgy 128 Tondo Manila - - 530.00 530.00 1-Jun-21 21-781 DOMDOM, MARECIL D. 38A Rosario St. Brgy Mamerto Pasig City - - 642.57 642.57 1-Jun-21 21-782 MENOR, SANDRA G. 1235 Ilang-Ilang Sitio Gitna Caybiga St. Brgy 166 Caloocan - City - 2,905.63 2,905.63 1-Jun-21 21-783 VILLAFLORES, JOSEFINA E. 122 2ND St. Brgy 118 4TH AVENUE CALOOCAN CITY - - 1,417.50 1,417.50 1-Jun-21 21-784 DOCOS, FE C. 3 A DIAZ St. Brgy DAMPALIT MERVILLE SUBD MALABON - CITY - 265.00 265.00 1-Jun-21 21-785 GACUTAN, JOHN RAFAEL C. 62 Panday Pira St. Brgy 148 Bagong Barrio Caloocan City - - 265.00 265.00 1-Jun-21 21-786 TOJOS, YOLANDA A. 404 Nepomuceno St. Brgy 94 Tondo Manila - - 2,350.00 2,350.00 1-Jun-21 21-787 PAREL, MARY ANNE M. 1975 H. Katamanan St. Brgy 222 Tondo Manila - - 530.00 530.00 2-Jun-21 21-788 HUMAWID, LORENZ M. Brgy Poblacion Silago Southern Leyte - - 855.13 855.13 1-Jun-21 21-789 TOLENTINO, ROSALINDA R. 49 Kapalaran 3 St. Brgy San Roque Navotas City - - 15,762.52 15,762.52 1-Jun-21 21-790 DIAZ, PACITA S. 15401 Saint Andrew St. Brgy San Agustin Moonwalk Parañaque - City - 8,697.73 8,697.73 1-Jun-21 21-791 LIQUIGAN, GREGORIA S. 2461 M. De los Reyes St. Brgy Gen. T. De Leon Valenzuela - City 4,290.00 - 4,290.00

Page 13 AMOUNT OF MEDICAL SERVICES LABORATORIES, DATE CONTROL TOTAL NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL & GRANTED NO. HOSPITAL FEES ASSISTANCE SUPPLIES DIAGNOSTICS PROCEDURES

2-Jun-21 21-792 ABESTILLA, ANALISA F. 53 Upper Aquarius Bancom Subd. St. Brgy Gulod Malaya - San Mateo Rizal 960.00 - 960.00 2-Jun-21 21-793 BOLICHE, RIHANSH M. 12-D Purple St. Brgy 110 Tondo Manila - - 6,208.80 6,208.80 2-Jun-21 21-794 LEONAR, ROSE ANN D. 42 AP AQUINO St. Brgy 3 SANGANDAAN CALOOCAN CITY - 3,810.00 - 3,810.00 2-Jun-21 21-795 ABRAZADO, JOHN MARK M. 1785 A Rivera St. Brgy 234 Tondo Manila - - 685.37 685.37 2-Jun-21 21-796 DULLIN, CYNTHIA P. 22-02 Bronze St. Brgy Tugatog Malabon City - 582.00 - 582.00 2-Jun-21 21-797 MALLARI, MELODY V. 1236 Pres. Quirino St. Brgy 736 Malate Manila - - 1,890.00 1,890.00 2-Jun-21 21-798 CAMACHO, EDNA S. 818 Mercado St. Brgy 50 Dagupan Tondo Manila - - 17,410.62 17,410.62 2-Jun-21 21-799 CAREL, MARISSA D. 1700 Saturno St., Riverside St. Brgy 812 Paco Manila - - 3,243.18 3,243.18 2-Jun-21 21-800 REYES, ERLINDA A. Area B Gate 52 San Nicolas St, Parola St. Brgy 275 Zone 657.00 25 Binondo Manila - - 657.00 2-Jun-21 21-801 TABAYAN, JAYRON V. Brgy Carosalesan Umingan Pangasinan 783.80 - - 783.80 2-Jun-21 21-802 CASTILLO, CARLITO JR. S. BLK 49 LOT 33 SARMIENTO HOMES St. Brgy MUZON SAN - JOSE DEL MONTE BULACAN - 2,526.61 2,526.61 2-Jun-21 21-803 BOLLER, RODELYN C. BLK -D7 LOT 8 St. Brgy SAN NICOLAS 1 DASMARIÑAS -CAVITE - 1,193.34 1,193.34 2-Jun-21 21-804 APURA, LETICIA V. 168 Purok Onse St. Brgy South Daanghari Taguig City - - 820.00 820.00 2-Jun-21 21-805 SEVILLA, KHIAN HAZEN P. 428 Nepomuceno St. Brgy 94 Tondo Manila - - 530.00 530.00 2-Jun-21 21-806 CABILES, JULIETA 262 V DAKILA ST QUEZON CITY 1,182.00 - - 1,182.00 2-Jun-21 21-807 CORPUS, ROSELAINE L. 1768-A Firmeza St. Brgy None Sampaloc Manila - - 3,242.49 3,242.49 2-Jun-21 21-808 ROSCO, JECELYN N. 1504 Galvan St. Brgy San Isidro Makati City - - 848.65 848.65 2-Jun-21 21-809 CROW, CHRISTIAN NICOLLE C. Block 2 Lot 4 Lessandra Subdivision St. Brgy Buhay Na - Tubig Imus Cavite - 5,369.86 5,369.86 2-Jun-21 21-810 GUIBAO, ESADEL JR S. 11 8 Ignacio St. Brgy 162 Sta Quiteria Caloocan City - - 8,719.64 8,719.64 2-Jun-21 21-811 BICO, ROSALINA B. 0611 2nd Ave. East St. Brgy 120 Gracepark Caloocan City - - 1,780.00 1,780.00 2-Jun-21 21-812 MARASIGAN, RAIDON RHYANN E.14 G Araneta Ave Ext St. Brgy Dona Imelda Quezon City - - 845.00 845.00 3-Jun-21 21-813 NADAYAO, ROSANA B. Bldg 12 Unit 301 Paradise Height Rodriguez St. Brgy 128 - Balut Tondo Manila - 1,566.77 1,566.77 3-Jun-21 21-814 FRANCISCO, MARIVIC A. Block 38 Lot 3 Carnation St. Brgy NBBS Navotas City - - 1,360.00 1,360.00 3-Jun-21 21-815 FRANCIA, ILUMINADA T. 3 ZAMORA St. Brgy ZAMORA Meycauyan Bulacan 5,546.61 - - 5,546.61 3-Jun-21 21-816 LICO, FERNANDO R. 1121 New Antipolo St. Brgy 213 Tondo Manila - 3,880.00 - 3,880.00 1-Jun-21 21-817 ESPAÑOLA, GOVANY G. 118 Blk. 6 St. Brgy Addition Hills Mandaluyong City - - 461.79 461.79 1-Jun-21 21-818 TEORICA, MARIA ROWENA D. 062 Bandola Subd St. Brgy 5 Calamba Laguna - - 24,887.62 24,887.62 3-Jun-21 21-819 MANALO, FILOMENA H. Brgy. Masalukot Candelaria Quezon Province - 3,880.00 - 3,880.00 1-Jun-21 21-820 AÑONUEVO, ZORIADA M. Friday St. Brgy Panapaan III Bacoor Cavite City - - 57,344.84 57,344.84 3-Jun-21 21-821 SOLLEZA, ROCHELLE N. Purok II San Roque St. Brgy San Juan Kalayaan Laguna - 3,104.00 - 3,104.00 1-Jun-21 21-822 TENIZO, JEAZELE D. PH4 PKG 5 BLK 34 LOT22 St. Brgy 176 BAGONG SILANG - CALOOCAN CITY - 3,975.75 3,975.75 1-Jun-21 21-823 VILLAS, MARIVIC R. 1 Calle Vicente Mesina St. Brgy Tinajeros Malabon City - - 3,349.17 3,349.17 3-Jun-21 21-824 SIMON, JENIFER U. 19 M CONSING St. Brgy TALON 2 BF RESORT LAS 5,671.42 PIÑAS CITY - - 5,671.42 3-Jun-21 21-825 MACOTOCRUZ, WILBERT B. 9 Bilila St. Brgy Punturin Valenzuela City - 3,104.00 - 3,104.00 3-Jun-21 21-826 SEBASTIAN, GISELLE P. 268 Tagalag Road St. Brgy Tagalag Valenzuela City - 2,540.00 - 2,540.00 2-Jun-21 21-827 ABEDIN, BEA MAE C. P Santos St. Brgy 176 Malibay Pasay City - - 6,900.71 6,900.71 3-Jun-21 21-828 LUZONG, NANETH N. 9 Chico Blk 37 St. Brgy Addition Hills Mandaluyong City - 2,540.00 - 2,540.00 3-Jun-21 21-829 PADILLA, JASMIN B. Phase 5, Package 5, Blk 21, Lot 5 St. Brgy 176 Bagong Silang - Caloocan City 2,540.00 - 2,540.00 3-Jun-21 21-830 ANIBAN, CYRENE A. B4 Kadima Rd. St. Brgy Tonsuya Malabon City - - 2,017.70 2,017.70 3-Jun-21 21-831 AVELLANA, MARK ANTHONY M. 202 Valencia Vista De Logo, Bagong Calzada St. Brgy Tuktukan - Taguig City - 2,716.64 2,716.64 3-Jun-21 21-832 GUTIERREZ, ROXANNE B. 1041 E. Dagupan St. Brgy 48 Tondo Manila - - 12,475.56 12,475.56 3-Jun-21 21-833 SAGUN, ANGELICA L. 23 Maligaya St. Brgy Bagbag Novaliches Quezon City - - 6,476.09 6,476.09 3-Jun-21 21-834 TINA, ZEPHANIE S. 23 Maligaya St. Brgy Bagbag Novaliches Quezon City - - 10.00 10.00 3-Jun-21 21-835 MIRANDA, MARILOU C. Blk3 Lot65 St. Brgy 8 Tupda Village Caloocan City - - 4,579.76 4,579.76 3-Jun-21 21-836 TAN, EDDIE S. 1058 J. Marzan St. Brgy 525 Sampaloc Manila - - 56,932.19 56,932.19 3-Jun-21 21-837 MANALIGOD, KHRISTINE MAE C. F. Bulan St. Brgy Calamagui 2nd Ilagan Isabela 327.64 940.00 - 1,267.64 3-Jun-21 21-838 ALINOR, ZAINUL AMEER D. 372 St. Peter St. Brgy 14 Tondo Manila - - 530.00 530.00 3-Jun-21 21-839 ULGASAN, GRACEYNESS R. 20 F West Riverside St. Brgy Del Monte Quezon CIty - 4,800.00 - 4,800.00 3-Jun-21 21-840 MENDOZA , RAMON P. Brgy Tulay na Lupa Labo Camarines Norte - 6,350.00 - 6,350.00 3-Jun-21 21-841 VALENZUELA, FRANCISCO JR. P. BLK 1 LOT 105 PALMERA SPRING 1 St. Brgy 175 CAMARIN - CALOOCAN CITY 3,880.00 - 3,880.00 3-Jun-21 21-842 GUZMAN, DINA E. Brgy Dayanki Burgos Ilocos Sur - - 470.00 470.00 4-Jun-21 21-843 JUMAQUIO, ANGELO G. Block 21 Lot 4 Phase 2 Extension, Mabuhay City Subdivision - St. Brgy Paliparan 3 - Dasmariñas City 292.81 Cavite 292.81 4-Jun-21 21-844 MANALILI, REX B. B33 L6 F1 PH3 Bangayngay St. Brgy 12 Caloocan City - - 5,140.00 5,140.00 4-Jun-21 21-845 EVANGELISTA, CYNTHIA M. M. Gonzales St. Brgy Lapnit San Ildefonso Bulacan - 3,880.00 - 3,880.00 4-Jun-21 21-846 TITOY, JENNIFER M. Brgy San Isidro Palo Leyte - 1,552.00 - 1,552.00 2-Jun-21 21-847 LAYGO, GENCX CRISNELLE B. Blk 2, Lot 4, East II, Camella Spring Ville St. Brgy Molino - IV Bacoor Cavite - 9,702.90 9,702.90 4-Jun-21 21-848 DULLIN, CYNTHIA P. 22-02 Bronze St. Brgy Tugatog Malabon City - 3,880.00 - 3,880.00 6-Jun-21 21-849 GONZALES, JENNYLYN A. 522 Hermosa St. Brgy 182 Tondo Manila - - 2,850.00 2,850.00 7-Jun-21 21-850 REYES, ERLINDA D. San Juan St. Brgy 8 Cuenca Batangas - - 21,120.34 21,120.34 3-Jun-21 21-851 CIDILLO, MARICEL C. Purok 1 St. Brgy Kaybanban San Jose Del MOnte Bulacan - - 44,151.83 44,151.83

Page 14 AMOUNT OF MEDICAL SERVICES LABORATORIES, DATE CONTROL TOTAL NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL & GRANTED NO. HOSPITAL FEES ASSISTANCE SUPPLIES DIAGNOSTICS PROCEDURES

27-Apr-21 21-852 ROSARIO, ELIZABETH O. Brgy. Poblacion Cajidiocan Romblon 5,432.13 - - 5,432.13 15-May-21 21-853 PALMERO, NOELLA MARIE B. 161 Apalon St. Brgy 70 Caloocan City - - 9,887.58 9,887.58 17-May-21 21-854 NOE, SABINA MIRA E. Block 4 St. Brgy Gumaoc East San Jose Del Monte Bulacan - - 20,859.16 20,859.16 28-Apr-21 21-855 PEÑAFORT, MA. CRISTINA C. Blk 14 Lot 20 Molave Villa Isabel St. Brgy San Lorenzo 5,568.40 Dasmariñas Cavite - - 5,568.40 17-May-21 21-856 AREVALO, THELMA A. 1910 G. Perfecto St. Brgy. 156 Tondo Manila - - 158.85 158.85 9-May-21 21-857 ANGELES, ALEXA MAE J. A Carlos St., Figueroa Compound St. Brgy San Bartolome - Novaliches Quezon City - 103,462.41 103,462.41 2-Jun-21 21-858 JAVIER, PERRY M. 301 Navarette St. Brgy Arkong Bato Valenzuela City - - 173,714.70 173,714.70 4-Jun-21 21-859 MORON, GILBERT S. Blk 17 Lot 45 P3-D Talaba Alley St. Brgy 28 Dagat Dagatan - Caloocan City 5,080.00 - 5,080.00 3-Jun-21 21-860 GUMBA, SCARLET Blk 26, Lot 82 Kandulist St., Area 1 St. Brgy NBBS Navotas - City - 17,819.03 17,819.03 3-Jun-21 21-861 ABONG, ARTHUR II D. 3290 BAYABAS St. Brgy PINAGBUHATAN KALAWAAN -PASIG CITY - 11,331.35 11,331.35 3-Jun-21 21-862 BANIÑA, SEVERINO O. Road 13 NDC Compound St. Brgy 628 Sta Mesa Manila - - 12,667.09 12,667.09 3-Jun-21 21-863 HIDALGO, AIZA T. 2 Sitio Pagkakaisa St. Brgy Sta. Ana Pateros - - 20,456.84 20,456.84 3-Jun-21 21-864 DACILLO, JUANITA A. 2494 Bonifacio Velasquez St. Brgy 101 Tondo Manila - - 5,817.31 5,817.31 3-Jun-21 21-865 REBITA, FE J. Bodomi St., Area 2 Pulo, Fourth State Subd., St. Brgy San - Antonio Parañaque City - 4,742.35 4,742.35 1-Jun-21 21-866 ERNI, JOSALYN T. Door 2 Camilon Apartment Estraño St. Brgy Bancal Meycauyan - Bulacan - 1,945.52 1,945.52 4-Jun-21 21-867 ABELLA, FERNANDO D. 1089 B Norma St. Brgy 565 Sampaloc Manila 4,060.93 - - 4,060.93 4-Jun-21 21-868 FERRER, JOSELITO R. 2243 E. Anacleto St. Brgy 357 Sta. Cruz Manila - 1,500.00 - 1,500.00 4-Jun-21 21-869 ALMENDRAS, ANALIZA S. PUROK 7 St. Brgy SAN GUILLERMO TALISAY BATANGAS - - 530.00 530.00 3-Jun-21 21-870 GARCIA, LEONARDO JR. V. 931 Villarica Road St. Brgy Sta Rosa 1 Marilao Bulacan - - 2,035.09 2,035.09 3-Jun-21 21-871 FLORES, CATHERINE M. 64 Plaridel St. Brgy Doña Aurora Galas Quezon City - - 22,632.81 22,632.81 3-Jun-21 21-872 FELIPE, ELAINE S. 807 Inocencio St. Brgy San Roque Cavite - - 20,359.61 20,359.61 3-Jun-21 21-873 RUBIANES, NENA M. 1238 Haise 1 St. Brgy Moonwalk Parañaque City - - 49,045.46 49,045.46 3-Jun-21 21-874 HIDALGO, LOLITA S. 545 West Antipolo St. Brgy 169 Gagalangin, Tondo Manila - - 1,352.24 1,352.24 4-Jun-21 21-875 GUMAGAY, AIMEE V. 85 Burgos St. Brgy Concepcion Malabon City - - 438.00 438.00 4-Jun-21 21-876 AVELLANA, MARK ANTHONY M. 202 Valencia Vista De Logo, Bagong Calzada St. Brgy Tuktukan - Taguig City 1,500.00 - 1,500.00 4-Jun-21 21-877 UY, BENJAMIN JR E. 1345 Int 14 Linao St. Brgy 674 Paco Manila - - 1,590.00 1,590.00 4-Jun-21 21-878 BANTA, SHARMAINE M. 031 Maligaya St. Brgy 6 Hulugan Tanza Cavite - - 3,457.30 3,457.30 4-Jun-21 21-879 ANGELES, SUSAN A. 1328 A.H. Lacson St. Brgy 343 Zone 34 Sta. Cruz Manila - - 697.80 697.80 4-Jun-21 21-880 JUMAYAO, GERARD PAUL R. Blk 12 Lot 4 Garden Ville St. Brgy Tangub Bacolod Negros - Occidental - 1,658.22 1,658.22 4-Jun-21 21-881 SUAREZ, MICHAEL C. 1817 P. Guevarra St. Brgy 341 Zone 34 Sta. Cruz Manila - - 507.57 507.57 4-Jun-21 21-882 NUGUID, ARNEL C. 2522 M. Hizon St. Brgy 366 Sta. Cruz Manila - - 1,044.25 1,044.25 5-Jun-21 21-883 MASANGKAY, PRECILLA F. 136 C. Quirino St. Brgy 107 Zone 9 Tondo Manila - - 1,000.00 1,000.00 5-Jun-21 21-884 MAGBANUA, MARILOU N. 119 Alley E Tericom Compd St. Brgy 310 Sta. Cruz Manila - - 105.31 105.31 5-Jun-21 21-885 SILVERIO, ALEXANDER N. Block 30 Lot 4 Bistekville II St. Brgy Kaligayahan Novaliches - Quezon City - 33,739.57 33,739.57 5-Jun-21 21-886 NAPAY, LIBIRIO B. 58 Sociedad St. Brgy 151 Bagong Barrio Caloocan City - - 360.00 360.00 5-Jun-21 21-887 MANGALINDAN, RIZZA JANE C. 35 Kaibigan Kalayaan B St. Brgy Batasan Hills Quezon City - - 7,563.16 7,563.16 5-Jun-21 21-888 SABALE, AIRON KLAYJON G. 1082 P. Salita St. Brgy 188 Barrio Obrero, Tondo Manila - - 1,520.00 1,520.00 5-Jun-21 21-889 QUEJADA, MARIETTA C. 1643 G PERFECTO St. Brgy 52 TONDO MANILA - - 5,337.89 5,337.89 5-Jun-21 21-890 LAYGO, GERNOVE ACE B. Blk 2 Lot 4 East 2 Camella Springville St. Brgy Molino 4 - Bacoor Cavite - 1,590.00 1,590.00 5-Jun-21 21-891 CALUMNAY, JOMAR L. Blk 1 Ph 2 Paradise Village Letre Road St. Brgy Tonsuya - Malabon City - 280.00 280.00 5-Jun-21 21-892 CABEDIS, REGINA G. Purok 5 St. Brgy Lalaan 2nd Silang Cavite - - 2,840.00 2,840.00 5-Jun-21 21-893 RAUTRAUT, MA. VERONICA EDEN344-B C. Sandico St. Brgy 35 Tondo Manila - - 530.00 530.00 5-Jun-21 21-894 SUSAYA, RANYLON F. 222 Villalobos St. Brgy 306 Quiapo Manila - - 826.26 826.26 5-Jun-21 21-895 LAZARO, TERESITA E. 530 Road 4 Gagalangin St. Brgy 182 Tondo Manila - - 1,716.26 1,716.26 5-Jun-21 21-896 BARLAAN, JOHN RAFUNZELL A. 1866 Laperal St. Brgy 91 Zone 8 Tondo Manila - - 530.00 530.00 5-Jun-21 21-897 BADENHOP, JASMINE Q. 1650 Oroquieta St. Brgy 339 Sta. Cruz Manila - - 1,060.00 1,060.00 5-Jun-21 21-898 STO DOMINGO, RODEL J. 747 Old Torres St. Brgy 154 Tondo Manila - - 530.00 530.00 5-Jun-21 21-899 CARIDAD, CHRISTOPER C. 913 Fox Glove Lake View St. Brgy Putatan Muntinlupa -City - 360.00 360.00 5-Jun-21 21-900 ESGUERRA, KRISTAL JANNEL T. Ph 5 Blk 5 Lot 12 Southville 4 St. Brgy Pook Sta. Rosa Laguna - - 1,060.00 1,060.00 5-Jun-21 21-901 YAPE, MATEO B. Blk 34-D Lot 8 Ph 2 Area 2 Matang Baka St. Brgy NBBS -Dagat-Dagatan Navotas City - 530.00 530.00 5-Jun-21 21-902 MADRONIO, MARCELO D. 958 Bohol St. Brgy 561 Sampaloc Manila - - 3,720.39 3,720.39 5-Jun-21 21-903 ABOGA, REYNALDO L. 2 Little Samar St. Brgy San Jose Navotas City - - 2,058.14 2,058.14 5-Jun-21 21-904 TORRES, RAUL F. 11 Pasencia St. Brgy Tugatog Malabon City - - 1,350.00 1,350.00 6-Jun-21 21-905 NICOLAS, DELFIN E. 2638 Lico St. Brgy 210 Tondo Manila - - 3,055.00 3,055.00 6-Jun-21 21-906 PEREZ, FRANCISCA S. RIVERSIDE St. Brgy TONSUYA MALABON CITY - - 751.00 751.00 6-Jun-21 21-907 REPUELA, RUSSEL CLARK M. 136 Mabalacat St. Brgy 112 6th Avenue Caloocan City - - 671.46 671.46 6-Jun-21 21-908 MACAPAÑAS, JOE VINCENT ROLAND1715 O. TRAMO St. Brgy 42 PASAY CITY - - 1,109.18 1,109.18 6-Jun-21 21-909 ALMIRANTE, MANUEL C. 144 Mayo St. Brgy San Isidro Parañaque City - - 1,890.00 1,890.00 6-Jun-21 21-910 POSADAS, DELIA L. 349 Peter St. Brgy 14 Tondo Manila - - 1,060.00 1,060.00 6-Jun-21 21-911 CLARINAN, MARINA C. 891 Quezon Boulevard St. Brgy 310 Sta. Cruz Manila - - 1,890.00 1,890.00

Page 15 AMOUNT OF MEDICAL SERVICES LABORATORIES, DATE CONTROL TOTAL NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL & GRANTED NO. HOSPITAL FEES ASSISTANCE SUPPLIES DIAGNOSTICS PROCEDURES

6-Jun-21 21-912 VERGARA, JESUS C. 3192 Int 31, Pilar Hermosa St. Brgy 199 Tondo Manila - - 11,527.85 11,527.85 6-Jun-21 21-913 VILLENA, DRAKE STANLEY 5 C Silangan St. Brgy Apolonio Samson Quezon City - - 760.00 760.00 7-Jun-21 21-914 TOLDA, RACEL A. 463 Legaspi St. Brgy 654 Intramuros Manila - - 1,770.71 1,770.71 7-Jun-21 21-915 USERO, EDUARDO T. 269 A Malaya St. Brgy 125 Tondo Manila - - 561.76 561.76 7-Jun-21 21-916 CADIZ, TERESITA S. 1890 D Yakal St. Brgy 256 Tondo Manila - - 2,171.43 2,171.43 7-Jun-21 21-917 CABARLES, JUSTINE B. 309 B-1 Gasangan St. Brgy 649 Baseco, Tondo Manila - - 825.18 825.18 7-Jun-21 21-918 MAGAT, ADRIAN JHON J. 863 Jaime St. Brgy 527 Sampaloc Manila - - 1,941.40 1,941.40 7-Jun-21 21-919 DERRAMAS, MICAELA ANGELA T.14 Peru St. Betterliving Brgy. Don Bosco Parañaque City - - 1,890.00 1,890.00 7-Jun-21 21-920 ALMUESTRAS, MARIO A. L312 Favored land St. Brgy 353 Tayuman, Sta. Cruz Manila - 600.00 - 600.00 6-Jun-21 21-921 SALVADOR, ELIZABETH L. 3460 Sta. Rita St. Brgy 14 Tondo Manila - - 1,934.47 1,934.47 6-Jun-21 21-922 PERUALILA, AIYAH VICTORIA Pabahay 2000 Bry. MUzon San Jose del Monte Bulacan - - 4,026.62 4,026.62 6-Jun-21 21-923 BERNARDO, LORENZO III G. 1836 Malabon St. Brgy None General Trias Cavite - - 456.73 456.73 5-Jun-21 21-924 DAQUIADO, JERAMIE B. 561 Camia, St. Brgy 185 Malaria Caloocan - - 5,448.70 5,448.70 5-Jun-21 21-925 COQUILLA, MARIVIC T. 47 St. Brgy Isla Valenzuela City - - 1,640.20 1,640.20 4-Jun-21 21-926 DELA CRUZ, CRISELDA M. 150 Ampioco St. Brgy 138 Balut, Tondo Manila - - 12,986.85 12,986.85 4-Jun-21 21-927 COLICO, ERICA A. 155 Binangonan St. Brgy 30 Maypajo Caloocan City - - 6,539.03 6,539.03 4-Jun-21 21-928 CATUBIG, SOPHIA F. 484 Bayanihan St. Brgy 181 Maricaban Pasay City - - 1,668.42 1,668.42 4-Jun-21 21-929 ROSALES, MICHAELA R. Purok 5 St. Brgy Makiling Calamba Laguna - - 4,404.40 4,404.40 6-Jun-21 21-930 JACOBE, REGINA H. 7 St. Brgy Lantag Sta. Cruz Ilocos Sur - - 4,114.42 4,114.42 4-Jun-21 21-931 ZURBANO, APPLE S. 119 Caliraya St. Brgy Tatalon Quezon City - - 11,387.19 11,387.19 7-Jun-21 21-932 PINTOR, ESTRELLA N. 854 San Antonio St. Brgy 11, Zone 2 Tondo Manila - 600.00 - 600.00 6-Jun-21 21-933 CALIXTRO, ROSELLE A. 31 Kasarinlan St. Brgy Muzon Malabon City - - 7,577.83 7,577.83 6-Jun-21 21-934 BABAO, RACEL B. 67 A Anonas Road St. Brgy Quirino 2A Quezon City - - 20,347.07 20,347.07 5-Jun-21 21-935 GARCIA, CINDY B. 1237 Bambang St. Brgy 254 Tondo Manila - - 1,936.67 1,936.67 5-Jun-21 21-936 LLAVE, JOAQUIN JR. M. 108 JP Ramoy, Talipapa St. Brgy 164 Novaliches Caloocan - - 49,621.67 49,621.67 7-Jun-21 21-937 ESTORCO, NICA G. 520 Tagaytay St. Brgy 130 Caloocan City - - 1,037.75 1,037.75 4-Jun-21 21-938 RAMIREZ, LIAN MARD FREDERICK1073 B. Yuseco St. Brgy 231 Tondo Manila - - 7,077.01 7,077.01 4-Jun-21 21-939 BAYA, JACOB Z. 119 Caliraya St. Brgy Tatalon Quezon City - - 2,247.50 2,247.50 6-Jun-21 21-940 RELATIVO, MA. CRISTINA F. 200 Garcia St. Brgy San Vicente San Pedro Laguna - - 43,859.56 43,859.56 7-Jun-21 21-941 FLORA, NICHOLE JOHN C. 9 Lilibeth St. Brgy 55 Tondo Manila - - 1,341.44 1,341.44 7-Jun-21 21-942 GARCIA, MARILOU E. Blk 48-K Lot 4 Ph 3 Area 3 Martiniko St. Brgy Longos Malabon - City - 1,995.76 1,995.76 7-Jun-21 21-943 SOTTO, PERLYN C. Blk 5 Lot 8 Lakeview Heights Subd St. Brgy Lamesa Calamba - Laguna - 2,669.09 2,669.09 7-Jun-21 21-944 VALENZUELA, LUISA O. Metro South Village 3, Blk 90, Lot 8, Iowa St. St. Brgy Manggahan - General Trias Cavite - 530.00 530.00 7-Jun-21 21-945 MATAAC, MAXIMO F. 26 Gama St., R.T. Gonzales village St. Brgy San Bartolome - Novaliches Quezon City - 530.00 530.00 7-Jun-21 21-946 FERRER, JHAYMIE ALIYA G. 182 - C Ignacio Compound St. Brgy 162 Santa Quiteria -Caloocan City - 790.00 790.00 7-Jun-21 21-947 EMNAS, MARLINO D. 918 Maceda St., corner España St. Brgy 517 Sampaloc Manila - - 530.00 530.00 7-Jun-21 21-948 SANTOS, ROBERTO E. 840 J. Marzan St. Brgy 452 Sampaloc Manila - - 887.65 887.65 5-Jun-21 21-949 GABRIEL, ANALIZA C. 913 San Simon St. Brgy 17 Tondo Manila - - 5,412.91 5,412.91 6-Jun-21 21-950 SADONGDONG, EMELIANO A. Bldg 23 Unit 403 Vitas Katuparan St. Brgy 101 Tondo Manila - - 424.75 424.75 7-Jun-21 21-951 SARANZA, DANIEL C. 2101-15 Dakota St. Brgy 704 San Andres, Malate Manila - - 3,710.00 3,710.00 7-Jun-21 21-952 DOMINGO, SHIRLY S. 1211 Kasipagan St. Brgy 49 Tondo Manila - - 138.69 138.69 7-Jun-21 21-953 MARIN, MHARY CLAIRE K. 769 Fabia St. Brgy 56 Tondo Manila - - 3,665.88 3,665.88 7-Jun-21 21-954 IBALIN, JOVEN C. 1621 P Guevarra St. Brgy 340 Sta Cruz Manila - - 530.00 530.00 7-Jun-21 21-955 ALMAZAR, ZAINA ALEXANDREIA S.377 Coral St. Brgy 66 Tondo Manila - - 1,830.00 1,830.00 7-Jun-21 21-956 REGALADO, ROWENA R. 1919 F Varona St. Brgy 95 Tondo Manila - - 391.59 391.59 8-Jun-21 21-957 CESBAS, ROSE ANN I. Catleya St. Brgy NBBS Navotas City - - 1,000.00 1,000.00 8-Jun-21 21-958 BONICARLO, ERICA C. 392 St. Brgy 649 Port Area Manila - - 1,858.59 1,858.59 8-Jun-21 21-959 CHAVEZ, ROSARIO G. Blk 170 Lot 1 Zone 4 AFP Housing St. Brgy Bulihan Silang - Cavite - 2,529.20 2,529.20 6-Jun-21 21-960 ARCIGA, ROBERT D. 9 Doña Azucena Greenfields 3 Subdivision St. Brgy San - Agustin Novaliches Quezon - City 8,147.53 8,147.53 7-Jun-21 21-961 DELA CRUZ, RONALDO R. Sulok St. Brgy Panginay Balagtas Bulacan - - 21,939.09 21,939.09 7-Jun-21 21-962 TAGULABONG, CHERRY PIE H. 209 Hernandez St. Brgy Catmon Malabon City - - 14,035.05 14,035.05 7-Jun-21 21-963 GRATIL, CARL JOSHUA D. 2234 Malaya St. Brgy 124 Tondo Manila - - 80,240.99 80,240.99 7-Jun-21 21-964 VISTAR, GLORIA Q. 102 Basilio St. Brgy Acacia Malabon City - - 8,094.08 8,094.08 7-Jun-21 21-965 MARIANO, JOSE M. 9133 Altarez Village St. Brgy Madulya Carmona Cavite - - 18,632.89 18,632.89 19-Feb-21 GER-21-01 CUTINEZ, MIRALUNA G. BLK 1 LOT 4 PH 2 FIRENZE SUBD. St. Brgy BUHAY 3,120.00 NA TUBIG IMUS CAVITE 10,400.00 - 13,520.00 30-Mar-21 GER-21-02 DE GUZMAN, RONALD T. 1150 Algeciras St. Brgy 474 Sampaloc Manila - 10,400.00 - 10,400.00 6-Apr-21 GER-21-03 BLANCO, NADINE MARIA KRISTINE1163 C. C. Balintawak Ext St. Brgy 229 Tondo Manila - 10,400.00 - 10,400.00 16-Apr-21 GER-21-04 MARTIN, RENE S. Block 7 Lot 330 Phase 2-A Green Breeze Subdivision 3,120.00 St. Brgy San Isidro Rodriguez 10,400.00 Rizal - 13,520.00 16-Apr-21 GER-21-05 CUTINEZ, MIRALUNA G. BLK 1 LOT 4 PH 2 FIRENZE SUBD. St. Brgy BUHAY 3,120.00 NA TUBIG IMUS CAVITE 10,400.00 - 13,520.00 22-Apr-21 GER-21-06 BERMUNDO, APOLINAR B. 1902 Franco St. Brgy 91 Tondo Manila 3,120.00 - - 3,120.00

Page 16 AMOUNT OF MEDICAL SERVICES LABORATORIES, DATE CONTROL TOTAL NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL & GRANTED NO. HOSPITAL FEES ASSISTANCE SUPPLIES DIAGNOSTICS PROCEDURES

27-Apr-21 GER-21-07 CATBAGAN, JOSEFINA A. 1956 S.H. LOYOLA St. Brgy 5522 SAMPALOC MANILA - 10,400.00 - 10,400.00 29-Apr-21 GER-21-08 CASES, MICHAEL JOSEPH A. 38 SAMARVILLE TOWN HOMES, SAMAR AVE. St. Brgy -None SOUTH TRIANGLE 10,400.00 QUEZON CITY - 10,400.00 29-Apr-21 GER-21-09 BERMUNDO, APOLINAR B. 1902 Franco St. Brgy 91 Tondo Manila - 10,400.00 - 10,400.00 30-Apr-21 GER-21-10 MARTIN, RENE S. Block 7 Lot 330 Phase 2-A Green Breeze Subdivision 3,120.00 St. Brgy San Isidro Rodriguez 10,400.00 Rizal - 13,520.00 30-Apr-21 GER-21-11 CUTINEZ, MIRALUNA G. BLK 1 LOT 4 PH 2 FIRENZE SUBD. St. Brgy BUHAY 3,120.00 NA TUBIG IMUS CAVITE - - 3,120.00 27-Apr-21 GER-21-12 DE GUZMAN, RONALD T. 1150 Algeciras St. Brgy 474 Sampaloc Manila - 10,400.00 - 10,400.00 3-May-21 GER-21-13 TAMAYO, LUZVIMINDA E. 2996 V. MAPA St. STA MESA MANILA - 10,400.00 - 10,400.00 6-May-21 GER-21-14 BUENAVENTURA, MARIA VICTORIA613 C. Antipolo St., Gagalangin St. Brgy 167 Tondo Manila - 10,400.00 - 10,400.00 10-May-21 GER-21-15 PAGHUNASAN, LEONCIO G. 45 BMA AVE St. Brgy TATALON QUEZON CITY - 10,400.00 - 10,400.00 10-May-21 GER-21-16 BERMUNDO, APOLINAR B. 1902 Franco St. Brgy 91 Tondo Manila 3,120.00 - - 3,120.00 10-May-21 GER-21-17 CATBAGAN, JOSEFINA A. 1956 S.H. LOYOLA St. Brgy 5522 SAMPALOC MANILA - 10,400.00 - 10,400.00 10-May-21 GER-21-18 PAGOTAISIDRO, BERNARDITO E. 440 SAN DIEGO St. Brgy 550 Sampaloc MANILA - 10,400.00 - 10,400.00 11-May-21 GER-21-19 CUTINEZ, MIRALUNA G. BLK 1 LOT 4 PH 2 FIRENZE SUBD. St. Brgy BUHAY 3,120.00 NA TUBIG IMUS CAVITE - - 3,120.00 13-May-21 GER-21-20 CASES, MICHAEL JOSEPH A. 38 SAMARVILLE TOWN HOMES, SAMAR AVE. St. Brgy -None SOUTH TRIANGLE 10,400.00 QUEZON CITY - 10,400.00 17-Feb-21 GER-21-21 BORINGGOT, REVILLA C. 106 MILAGROS EXT. St. Brgy BAGONG BARRIO CALOOCAN 780.00 CITY 2,600.00 - 3,380.00 26-Mar-21 GER-21-22 RAMIREZ, NIKOLAI B. 778 PADILLA St. Brgy 646 SAN MIGUEL MANILA - 7,800.00 - 7,800.00 23-Apr-21 GER-21-23 Manaog, Ma. Teresa E. P15 03 5th St. Brgy 183 Villamor Airbase Pasay - 6,600.00 - 6,600.00 4-May-21 GER-21-24 CUTINEZ, MIRALUNA G. BLK 1 LOT 4 PH 2 FIRENZE SUBD. St. Brgy BUHAY NA -TUBIG IMUS CAVITE 10,400.00 - 10,400.00 10-May-21 GER-21-25 BUENAVENTURA, MARIA VICTORIA613 C. Antipolo St., Gagalangin St. Brgy 167 Tondo Manila 3,120.00 - - 3,120.00 11-May-21 GER-21-26 BLANCO, NADINE MARIA KRISTINE1163 C. C. Balintawak Ext St. Brgy 229 Tondo Manila - 10,400.00 - 10,400.00 11-May-21 GER-21-27 MENDEZ, LORENZA B. 120 A. LUNA St. Brgy SALAPAN SAN JUAN - 10,400.00 - 10,400.00 11-May-21 GER-21-28 MANALATA, RAIMER P. C3 B7 OISHI St. Brgy None BASECO, PORT AREA MANILA - 10,400.00 - 10,400.00 14-May-21 GER-21-29 BERMUNDO, APOLINAR B. 1902 Franco St. Brgy 91 Tondo Manila - 10,400.00 - 10,400.00 14-May-21 GER-21-30 MARTIN, RENE S. Block 7 Lot 330 Phase 2-A Green Breeze Subdivision 3,120.00 St. Brgy San Isidro Rodriguez 10,400.00 Rizal - 13,520.00 18-May-21 GER-21-31 CUTINEZ, MIRALUNA G. BLK 1 LOT 4 PH 2 FIRENZE SUBD. St. Brgy BUHAY NA -TUBIG IMUS CAVITE 10,400.00 - 10,400.00 14-May-21 GER-21-32 DE GUZMAN, RONALD T. 1150 Algeciras St. Brgy 474 Sampaloc Manila - 10,400.00 - 10,400.00 20-May-21 GER-21-33 BUENAVENTURA, MARIA VICTORIA613 C. Antipolo St., Gagalangin St. Brgy 167 Tondo Manila - 10,400.00 - 10,400.00 20-May-21 GER-21-34 BERMUNDO, APOLINAR B. 1902 Franco St. Brgy 91 Tondo Manila 3,120.00 - - 3,120.00 21-May-21 GER-21-35 ENCARNACION, JOSHUA VIR J. 2546 Medel St. Brgy 881 Sta. Ana Manila 3,120.00 10,400.00 - 13,520.00 21-May-21 GER-21-36 CUTINEZ, MIRALUNA G. BLK 1 LOT 4 PH 2 FIRENZE SUBD. St. Brgy BUHAY 3,120.00 NA TUBIG IMUS CAVITE - - 3,120.00 24-May-21 GER-21-37 PAGHUNASAN, LEONCIO G. 45 BMA AVE St. Brgy TATALON QUEZON CITY - 10,400.00 - 10,400.00 24-May-21 GER-21-38 BUENAVENTURA, MARIA VICTORIA613 C. Antipolo St., Gagalangin St. Brgy 167 Tondo Manila 3,120.00 - - 3,120.00 24-May-21 GER-21-39 CATBAGAN, JOSEFINA A. 1956 S.H. LOYOLA St. Brgy 5522 SAMPALOC MANILA - 10,400.00 - 10,400.00 24-May-21 GER-21-40 MADOLID, HELEN G. 127 ZAPOTE St. Brgy BAGONG BARRIO CALOOCAN - 10,400.00 - 10,400.00 24-May-21 GER-21-41 PAGOTAISIDRO, BERNARDITO E. 440 SAN DIEGO St. Brgy 550 Sampaloc MANILA - 10,400.00 - 10,400.00 24-May-21 GER-21-42 BLANCO, NADINE MARIA KRISTINE1163 C. C. Balintawak Ext St. Brgy 229 Tondo Manila - 10,400.00 - 10,400.00 25-May-21 GER-21-43 MANALATA, RAIMER P. C3 B7 OISHI St. Brgy None BASECO, PORT AREA MANILA - 10,400.00 - 10,400.00 25-May-21 GER-21-44 MENDEZ, LORENZA B. 120 A. LUNA St. Brgy SALAPAN SAN JUAN - 10,400.00 - 10,400.00 27-May-21 GER-21-45 CASES, MICHAEL JOSEPH A. 38 SAMARVILLE TOWN HOMES, SAMAR AVE. St. Brgy -None SOUTH TRIANGLE 10,400.00 QUEZON CITY - 10,400.00 6-Apr-21 GER-21-46 CUTINEZ, MIRALUNA G. BLK 1 LOT 4 PH 2 FIRENZE SUBD. St. Brgy BUHAY NA -TUBIG IMUS CAVITE 10,400.00 - 10,400.00 28-May-21 GER-21-47 MARTIN, RENE S. Block 7 Lot 330 Phase 2-A Green Breeze Subdivision 3,120.00 St. Brgy San Isidro Rodriguez 10,400.00 Rizal - 13,520.00 28-May-21 GER-21-48 BERMUNDO, APOLINAR B. 1902 Franco St. Brgy 91 Tondo Manila - 10,400.00 - 10,400.00 1-Jun-21 GER-21-49 DE GUZMAN, RONALD T. 1150 Algeciras St. Brgy 474 Sampaloc Manila - 10,400.00 - 10,400.00 1-Jun-21 GER-21-50 CUTINEZ, MIRALUNA G. BLK 1 LOT 4 PH 2 FIRENZE SUBD. St. Brgy BUHAY 3,120.00 NA TUBIG IMUS CAVITE 10,400.00 - 13,520.00 1-Jun-21 GER-21-51 BERMUNDO, APOLINAR B. 1902 Franco St. Brgy 91 Tondo Manila 3,120.00 - - 3,120.00 - - - -

1016 336,970.76 1,178,247.75 8,097,929.83 9,613,148.34

PREPARED BY: CERTIFIED CORRECT: Approved by:

Maricel R. Talusan Jayson G. Dela Cruz ,CPA,MPA EMMANUEL F. MONTAÑA, JR, MD, FPCS, FACS, MHA Admin Officer I Financial & Management Officer ll Medical Center Chief ll

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