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Page 1 AMOUNT of MEDICAL SERVICES LABORATORIES, DATE CONTROL TOTAL NAME of PATIENTS ADDRESS MEDICINES and MED DENTAL & GRANTED NO 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.
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