Djrmh-May 2018
Republic of the Philippines DR. JOSE RIZAL MEMORIAL HOSPITAL - Lawaan, Dapitan City MEDICAL ASSISTANCE PROGRAM FUND UTILIZATION REPORT As of May 2018 Name of Hospital: Dr. Jose Rizal Memorial Hospital Month: May Date Name of Patient Address Age Type of Assistance Amount Provided 1 05/01/2018 JENREY CADORNA Talisay, Dapitan City 12 X-ray 350.00 2 05/01/2018 MELCHOR MONTE Sulangon, Dapitan City 73 Laboratory/Medicines 1,450.10 3 05/01/2018 KINGBERT CARDENAS Rizal, Z.N 15 Hospital Bill 2,447.10 4 05/01/2018 GEERA CALAGUAN Dapitan City 16 Hospital Bill 4,614.45 5 05/01/2018 KINGBERT CARDENAS North Mapang, Rizal, Z.N 15 Medicines 226.80 6 05/01/2018 OSCAR GAHISAN Banonong, Dapitan City 74 Hospital Bill 14,955.44 7 05/01/2018 SATURNINA COLATA Liyang, Dapitan City 66 Hospital Bill 18,869.87 8 05/01/2018 NIMFLOR BAIT-IT Villahermosa, Polanco, Z.N 46 X-ray/Laboratory 2,200.50 9 05/01/2018 CONRADA BAIT-IT Burgos, Dapitan City 75 Hospital Bill 24,440.04 10 05/01/2018 RODRIGO FANO Talisay, Dapitan City 74 Hospital Bill 21,190.64 11 05/02/2018 MERLYN BAJAMUNDE Adante, Piñan, Z.N 41 Hospital Bill 3,139.90 12 05/02/2018 TITO BAHIAN Napo, Dapitan City 70 Medicines 2,908.50 13 05/02/2018 MICHEL CINCO Napo, Dapitan City 29 Medicines 1,428.50 14 05/02/2018 SATURNINA COLATA Liyang, Dapitan City 66 Medicines 1,413.00 15 05/02/2018 DIOSCORO NAPIAL Piñan, Z.N 74 Medicines/X-ray/Laboratory 2,764.00 16 05/02/2018 TITA CABILIN Bagting, Dapitan City 83 Laboratory 1,190.50 17 05/02/2018 EPEGENIA BULAY-OG Banbanan, Dapitan City 61 Meds.Supplies 240.00 18 05/02/2018 JASMEN SUMALPONG Polo, Dapitan City 9 UTZ 750.00 19 05/02/2018 JOSHUA EMPEYNADO Linabo, Dapitan City 12 Medicines 196.50 20 05/02/2018 ERNESTO GANOT JR.
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