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

LIST OF PATIENTS MEDICAL ASSISTANCE FOR THE INDIGENT PATIENTS PROGRAM FOR THE PERIOD FERUARY 1 TO 28, 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

11-Nov-20 21-01 TANGOG, ANGELO O. 438 J NEPOMUCENO ST., QUIAPO - 360.00 - 360.00 1-Dec-20 21-02 VELILLA, EDUARDO SANTIAGO 1283 INT. 40 AURORA BLVD MANILA - 940.00 - 940.00 14-Dec-20 21-03 JAYCO, JHON LEXIS G. 1299 A Bernardino St. Brgy Ugong Valenzuela City - 3,960.00 - 3,960.00 15-Dec-20 21-04 EFREN D. ESPARES 9 st. 11th Avenue, Brgy. 93 City 881.00 1,470.00 - 2,351.00 17-Dec-20 21-05 SABDAO, ARLENE M. BLK. 11 LOR 37 Celina Homes St. Brgy 168 Deparo 520.00Caloocan City 1,930.00 - 2,450.00 22-Dec-20 21-06 CUDIZ, NENITA B. K-17 St. Brgy Navarro General Trias Cavite 35,285.50 - - 35,285.50 22-Dec-20 21-07 BURKETT, GLYCIL P. 2042 Batangas St. Brgy 800 San Andres Bukid Manila 26,583.40 - - 26,583.40 23-Dec-20 21-08 CARLOS, JEVELYN B. 1362 Narcisa Rizal St. Brgy 250 Tondo Manila 858.00 - - 858.00 28-Dec-20 21-09 SANTOS, ROOSEVELT L. 135-E Kapok St. St. Brgy 126 San Jose Caloocan City 2,998.25 - - 2,998.25 28-Dec-20 21-10 TABAYAN, EDUARDO SR. B. Purok 3 St. Brgy Carosalesan Umingan Pangasinan 2,580.00 - - 2,580.00 28-Dec-20 21-11 CRUZ, ANGELINO DAMPOL PLARIDEL BULACAN 5,000.00 - - 5,000.00 28-Dec-20 21-12 ANDAN, CARLOS CUT COT PULILAN BULACAN 5,915.00 - - 5,915.00 28-Dec-20 21-13 GAMO, BONIFACIO O. VILLA PARAISO II BRGY SUN VALLEY PARANAQUEC 5,460.00 ITY - - 5,460.00 28-Dec-20 21-14 CALAYAG, MARIA MOJO LUNGSOD NG MALOLOS BULACAN 5,000.00 - - 5,000.00 28-Dec-20 21-15 ALEJO, ALFREDO 104 UGNATAN ST CONCEPCION CITY 5,460.00 - - 5,460.00 28-Dec-20 21-16 VIRAY, SHAYNE LORAINE C. 47 Bakawan St St. Brgy Project 7 Quezon 675.00 City - - 675.00 28-Dec-20 21-17 PAUSAL, JHONNY L. Blk 27 Lot 65 Phase 10 Helium St. Brgy Salawag Dasmariñas - Cavite City - 50,000.00 50,000.00 29-Dec-20 21-18 RAGUERO, CHONA U. 237 A San Jose St. Brgy Hulo - - 10,724.33 10,724.33 29-Dec-20 21-19 MEDINA, EDUARDO Y. 1117 Area A Gate 5 Parola St. Brgy 20, Zone 1 Tondo 9,828.00 Manila - - 9,828.00 12-Dec-20 21-20 FORTU, GILBERT M. Brgy Cabolutan San Agustin Romblon - - 18,415.18 18,415.18 4-Jan-21 21-21 DEOCAREZA, MA. FLORA L. Lot 23 Block 2 Saint John Subdivision St. Brgy Ibaba 31,991.56 Sta. Rosa Laguna - - 31,991.56 4-Jan-21 21-22 MABULAY, ERIBERTA S. 17 Kapitan Akong St. Brgy Marulas Valenzuela City 2,640.00 - - 2,640.00 4-Jan-21 21-23 GARILLO, ROBERTO A. 3500 Int 97 Bataan St. Brgy 615 Sta Mesa Manila - - 20,002.69 20,002.69 5-Jan-21 21-24 TIO, RECHARD A. 1759 Almeda St. Brgy 251 Tondo Manila - - 8,000.00 8,000.00 5-Jan-21 21-25 BACAL, JEANNETTE B. 157 BINHAGAN St. Brgy 129 CALOOCAN CITY - - 9,780.72 9,780.72 5-Jan-21 21-26 BACAL, ALIJAH PRINCESS B. 157 BINHAGAN St. Brgy 129 CALOOCAN CITY - - 2,200.00 2,200.00 6-Jan-21 21-27 DOLINO, CONCORDIA M. 73 A Lopez Comp St. Brgy Viente Reales Valenzuela 14,527.08 City - - 14,527.08 7-Jan-21 21-28 DATO-ON, MERCEDITA A. Cacao St. Brgy Ibabao Cuenca Batangas 14,168.20 - - 14,168.20 7-Jan-21 21-29 ABELLA, FERNANDO D. 1089 B Norma St. Brgy 565 Sampaloc Manila 34,210.20 - - 34,210.20 8-Jan-21 21-30 ACOSTA, LUZ B. A6 Dupat Compound St. Brgy Bagbag Novaliches 6,095.00 - - 6,095.00 8-Jan-21 21-31 ROBISO, GLADYS I. 157 I Rodriguez St. Brgy 4 Sangandaan Caloocan City - 12,560.00 - 12,560.00 11-Jan-21 21-32 PEREZ, KARL JOHN S. Block 18 Lot 30 Tuna St. Brgy 28 Caloocan City - 12,560.00 - 12,560.00 11-Jan-21 21-33 BURKETT, GLYCIL P. 2042 Batangas St. Brgy 800 San Andres Bukid Manila 28,440.86 - - 28,440.86 14-Jan-21 21-34 PAYNOR, MARCELA M. 149 B 2nd St. St. Brgy 117 5th Ave. Caloocan City 24,309.76 - - 24,309.76 15-Jan-21 21-35 ANGELO, ROLANDO P. Purok 3, 36 St. Brgy Lugam Malolos Bulacan - - 12,704.63 12,704.63 15-Jan-21 21-36 AGUILAR, JUSTIN N. 1165 Int 12 S. Teodoro Rizal Ave Ext St. Brgy 197 Tondo - Manila - 24,777.44 24,777.44 15-Jan-21 21-37 ROA, LYDIA A. 79 Ibong Pilak St. Brgy Sta. Monica Novaliches Quezon 15,806.80 City - - 15,806.80 18-Jan-21 21-38 ALICANTE, JULIET H. B17 L9 ,Torcillo St. Brgy 28 Dagat- Dagatan Caloocan - 3,810.00 - 3,810.00 18-Jan-21 21-39 CANI, SUSAN B. 188 St. Brgy Medicion 1A Imus Cavite City 5,194.72 - - 5,194.72 18-Jan-21 21-40 ANTONIO, LEONORA R. 54 Ilang-Ilang St. Brgy Valenzuela City 22,677.56 - - 22,677.56 19-Jan-21 21-41 DELA CRUZ, MARIA DIONISIA E. 5788 El Felibusterismo St. Brgy San Dionisio Parañaque - City 18,790.00 - 18,790.00 20-Jan-21 21-42 TAÑEDO, JOSE LOUIE JR C. PUROK 28 A COR JAIL St. Brgy MA-A DAVAO CITY DAVAO 202.50 DEL SUR - - 202.50 21-Jan-21 21-43 HABON, GLORIA B. 8 Sagrado St. Brgy Sauyo Novaliches Quezon City 9,945.00 - - 9,945.00 21-Jan-21 21-44 ARANIEGO, FLORENCIO C. 220 INT 14 H LOPEZ BLVD St. Brgy 129 BALUT TONDO - MANILA - 10,000.00 10,000.00 21-Jan-21 21-45 CARDEÑA, LILIA A. 136 LIBIS ESPINA ST., BRGY 14 CALOOCAN CITY 4,923.50 - - 4,923.50 22-Jan-21 21-46 CASTRO, ERNESTO V. 67-A Bansalangin St. Brgy Veterans Village Quezon 2,976.00 City - - 2,976.00 22-Jan-21 21-47 CONQUILLO, PATRIA A. Purok 1 St. Brgy Nihaga Calbayog Eastern Samar - 3,880.00 - 3,880.00 22-Jan-21 21-48 BARRERA, RIALIN A. 42 Magalang St. Brgy 145 Bagong Barrio Caloocan City - 3,880.00 - 3,880.00 22-Jan-21 21-49 PIASTRO JR, PABLITO B. 3061 B. Pilar St. Brgy 200 Tondo Manila - 3,880.00 - 3,880.00 22-Jan-21 21-50 CAÑEGA, JOHN ISRAEL P. 63 Kapisanan St. Brgy 162 Malibay City - - 7,289.18 7,289.18 25-Jan-21 21-51 JASME, GENELYN V. Blk 16 Lot 15 Coco Hills St. Brgy Bagumbayan 19,656.00 city - - 19,656.00 25-Jan-21 21-52 ACUIN, SALVADOR D. 519 GERONA St. Brgy 87 TONDO MANILA 4,914.00 - - 4,914.00

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

7-Jan-21 21-53 SAN DIEGO, CRISTINA L. 22 6th Avenue, 3rd St. Brgy 116 Grace Park Caloocan 9,968.40 City - - 9,968.40 8-Jan-21 21-54 SENOBIN, MAXIMINO JR. B. Blk 32 Lot 25 Kapak Liit St. Brgy 12 Dagat-Dagatan 34,183.08 Caloocan City - - 34,183.08 12-Jan-21 21-55 AMOYAN, PASTOR A. 116 Balunaran St. Brgy Malinta Valenzuela City 2,039.84 - - 2,039.84 14-Jan-21 21-56 OCAMPO, WILFREDO M. 7C Quirino St. Brgy 107 Tondo Manila 14,527.08 - - 14,527.08 15-Jan-21 21-57 ROQUE, IRENE L. 0341 Purok Cuatro St. Brgy Tabang Guiguinto Bulacan - 3,880.00 - 3,880.00 15-Jan-21 21-58 CONQUILLO, PATRIA A. Purok 1 St. Brgy Nihaga Calbayog Eastern Samar - 3,880.00 - 3,880.00 15-Jan-21 21-59 BARRERA, RIALIN A. 42 Magalang St. Brgy 145 Bagong Barrio Caloocan 14,976.00 City - - 14,976.00 15-Jan-21 21-60 MAQUINAD, NERISA B. Blk 4 Lot 16 Sapadaca sitio 6 St. Brgy Catmon Malabon 2,334.00 City - - 2,334.00 15-Jan-21 21-61 PERIDA, ANITA G. Sampaloc Site Mangga St. Brgy BF Home Parañaque 19,656.00 City - - 19,656.00 18-Jan-21 21-62 PIASTRO JR, PABLITO B. 3061 B. Pilar St. Brgy 200 Tondo Manila - 3,880.00 - 3,880.00 18-Jan-21 21-63 EGIPTO, CRISTINA R. 1660 Bulacan St. Brgy 381 Sta. Cruz Manila 4,979.20 - - 4,979.20 20-Jan-21 21-64 SALAZAR, LORNA C. Pier 6 North Harbor St. Brgy 29 Tondo Manila - - 530.00 530.00 21-Jan-21 21-65 LABIAN, ESPERANZA V. 380 Gov A Pascual St. Brgy San Jose City - - 3,788.81 3,788.81 22-Jan-21 21-66 ABIÑON, JACKYLOU Y. 183 Blk 7 Old Site St. Brgy 649 Baseco Port Area Manila - 990.00 - 990.00 24-Jan-21 21-67 MONGE, JESSIE R. Maligaya St. Brgy Sta Cruz Sta Maria Bulucan - - 6,144.78 6,144.78 24-Jan-21 21-68 TRANGIA, JARED ARTCH F. 2184 Isabelo Delos Reyes St. Brgy 228 Tondo Manila - - 530.00 530.00 22-Jan-21 21-69 LEGASPI, JEAN MARTIN D. Antonio Heights St. Brgy Poblacion Norzagaray Bulacan - - 4,932.32 4,932.32 25-Jan-21 21-70 DELOS REYES, ERNESTO P. 90 ISRAEL St. Brgy ELYSIAN SUBD MARULAS Valenzuela 2,998.75 city - - 2,998.75 22-Jan-21 21-71 AGUSTIN, CATALEYA CASTIEL T. 491 Raja Lapu Lapu St. Brgy Daang Hari Navotas City - - 1,811.24 1,811.24 22-Jan-21 21-72 BERLON, MARY GRACE F. Purok 6 St. Brgy Calancusan Sur Cuyapo Nueva Ecija - - 17,012.34 17,012.34 22-Jan-21 21-73 TANASAS, PRINCESS MARRY F. Fugoso St. Brgy 330 Sta cruz Manila - - 1,573.67 1,573.67 25-Jan-21 21-74 ANAS, JULIUS M. 162 P Serrano St. Brgy 89 Caloocan City - - 5,478.22 5,478.22 25-Jan-21 21-75 LARGO, JORIDEX 100 Osmeña St. Brgy 116 Tondo Manila - - 1,161.01 1,161.01 25-Jan-21 21-76 AKMAD, ALAYSA D. 2198 Angel Linao St. Brgy 731 San Andres Bukid Manila - - 2,120.00 2,120.00 25-Jan-21 21-77 EHAREZ, PATIMA G. 4 Fernandez St. Brgy San Antonio Quezon City - 876.00 - 876.00 25-Jan-21 21-78 CUA, GERTRUDES B. 4209 Aqua Residences St. Brgy Hulo Mandaluyong City - 3,880.00 - 3,880.00 25-Jan-21 21-79 BARRACA, VICTOR G. 026 Gate 50 Area C Parola Compound St. Brgy 275 - Manila - 1,444.39 1,444.39 25-Jan-21 21-80 CASAN, ABRAHAM M. 019 B18 Ext. St. Brgy 649 Baseco Port Area Manila - - 569.04 569.04 25-Jan-21 21-81 QUINA, CRISTINA M. B6 L15 Don Carlos St. Brgy None Pasay - 4,375.00 - 4,375.00 25-Jan-21 21-82 LUCAS, MA. LUISA S. 13 T. Gomez Judge Roldan St. Brgy San Roque Navotas -City 1,280.00 - 1,280.00 25-Jan-21 21-83 FRIAS, LORENA P. 084 First Bitoon Circle St. Brgy Commonwealth Quezon - City 3,000.00 - 3,000.00 25-Jan-21 21-84 SANTOS, DELIA V. Blk7 Lot7 Purok 2 Area F Sta. Monica St. Brgy San Pedro - San Jose Del Monte Bulacan - 4,360.00 4,360.00 25-Jan-21 21-85 PRINCIPE, MARIA NANET M. 746 Ma. Guizon St., Gagalangin St. Brgy None Tondo Manila - - 530.00 530.00 25-Jan-21 21-86 ABOCADO, REYNOLD S. 187 Tamoro St. Brgy Landayan San Pedro Laguna - - 1,299.50 1,299.50 25-Jan-21 21-87 SABALZA, VIRGINIA F. Ph5 Gozon St. Brgy Tonsuya Letre Road Malabon City - - 1,417.50 1,417.50 25-Jan-21 21-88 FLAVIANO, ROMEO T. 50 Poblacion St. Brgy Antipona Bocaue Bulacan - - 4,050.37 4,050.37 25-Jan-21 21-89 DE CASTRO, PERLITA G. 931 A. de Castro St. Brgy Malinta Valenzuela City - - 1,461.08 1,461.08 25-Jan-21 21-90 BERAQUIT, MARY JOY D. 443 Riverside St. Brgy San Rafael Navotas City - - 175.00 175.00 25-Jan-21 21-91 TORRENUEVA, JOHN MARK B. 116 Tahimik St. Brgy 125 6th Avenue Caloocan City - - 2,629.05 2,629.05 25-Jan-21 21-92 BADULID, NICASIO A. 111 Sto. Tomas St. Brgy 34 Maypajo Caloocan City - - 397.50 397.50 25-Jan-21 21-93 NAVARRO, ROMINIC M. Blk 16 Lot 11 Socializing Housing Pabahay St. Brgy Tanza - II Navotas City - 530.00 530.00 26-Jan-21 21-94 SANTIAGO, VERONICA D. Tuazon St. Brgy San Jose Navotas - - 3,199.08 3,199.08 26-Jan-21 21-95 BURCA, MACKIE M. B21 L5 Dulong Hernandez St. Brgy Catmon Malabon City - - 2,152.50 2,152.50 26-Jan-21 21-96 RAMIREZ, ANGELO E. 258 Isla De Romero St. Brgy 306 Sta. Cruz Manila - - 690.00 690.00 26-Jan-21 21-97 BOGADO, JAYSON P. Soler St. Brgy 11 Tondo Manila - - 841.55 841.55 26-Jan-21 21-98 NUÑEZ, EDGARDO M. BLK5 Sumuroy, Magsaysay Vill. St. Brgy 105 Tondo mani - - 573.57 573.57 26-Jan-21 21-99 CORPUZ, VILLAMOR S. 1398 A Rivera St. Brgy 248 Tondo Manila - - 1,396.49 1,396.49 26-Jan-21 21-100 RAYMUNDO, CHRISTINE L. 808 Cabezas St. Brgy 54 Tondo Manila - - 1,590.00 1,590.00 26-Jan-21 21-101 CASTILLO, JAIMADE D. 12 Area A, Gate 1, Pier 2 St. Brgy 20 Tondo Manila - - 1,455.00 1,455.00 26-Jan-21 21-102 DISCIPULO, REYNALDO B. 1323 INT. 14 Quiricada St. Brgy 255 Tondo Manila - - 530.21 530.21 9-Sep-20 21-103 EBUSEO, CRISTINA I. 417 Juan D Moriones St. Brgy 270 Binondo Manila 40,838.15 - - 40,838.15 21-Sep-20 21-104 VIRAY, SHAYNE LORAINE C. 47 Bakawan St St. Brgy Veterans Village Project 7 Quezon - City 18,000.00 - 18,000.00 23-Sep-20 21-105 ESCOTO, JOANA MARIE A. 138-B C.Molina St. Brgy Viente Reales Valenzuela City - 12,168.00 - 12,168.00 28-Sep-20 21-106 SAMORTIN, SIMEON S. Subukan MPC St. Brgy 164 Bagbaguin Caloocan City - 12,168.00 - 12,168.00 28-Sep-20 21-107 BRILLANTES, CHARMAINE N. 54 Bartolome St. Brgy Viente Reales Valenzuela City - 18,252.00 - 18,252.00 28-Sep-20 21-108 CARAIG, MOISES B. Balayan St. Brgy. Lanatan Balayan Batangas - 18,252.00 - 18,252.00 29-Sep-20 21-109 PEREZ, JULIETA M. blk2 Lot10 Bon-Bon Ville St. Brgy Ugong Valenzuela City - 4,563.00 - 4,563.00 29-Sep-20 21-110 CACHERO, CARR BENEDICT A. 1996 Int.13, G. Perfecto St., Tayuman St. Brgy 157 Zone - 14 Tondo Manila 1,500.00 - 1,500.00 5-Oct-20 21-111 GARCIA, FE B. 2549 -B Topacio St. Brgy 765 San Andres Bukid Manila - 4,563.00 - 4,563.00 6-Oct-20 21-112 NIEVERA, MARIA LYRA T. 18 Switch, Meralco Village St. Brgy Lias Marilao Bulacan - 12,168.00 - 12,168.00

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

9-Oct-20 21-113 BATOON, TERESITA M. 1247 Severino St. Brgy 328 Zone 33 Sta. Cruz Manila - 12,378.00 - 12,378.00 9-Oct-20 21-114 ILDEFONSO, MARIA NYMPHA R. Blk 25 Lot 16 Legion 23 St. Brgy Carsadang Bago Imus -Cavite 9,886.50 - 9,886.50 12-Oct-20 21-115 SIMPLICIO, RUEL M. Blk 14 Lot 1 Carville St. Brgy Tanza Navotas City - 9,886.50 - 9,886.50 13-Oct-20 21-116 ABARING, ELEANOR B. 2115 A. Bato Ext. Raxabago St. Brgy 150, Zone 13 Tondo - Manila 6,844.50 - 6,844.50 13-Oct-20 21-117 SIAZON, NONILON R. 212-A St. Brgy Talaba II Bacoor Cavite - 18,252.00 - 18,252.00 21-Oct-20 21-118 VICTORIO, JOSE BRGY 28 CALOOCAN CITY - 4,563.00 - 4,563.00 22-Oct-20 21-119 CALLUENG, JEMMALYN D. 753 Int. 81 Raxabago St. Brgy 160 Zone 14 Tondo Manila - 12,168.00 - 12,168.00 23-Oct-20 21-120 BRIONES, MICHAEL N. 1079 Road 2 Tambalan St. St. Brgy 35 Maypajo Caloocan - 5,343.00 - 5,343.00 27-Oct-20 21-121 MALLARI, FELINO JR D. 107 Adalia St. Brgy 101 10th Avenue Caloocan City - 3,000.00 - 3,000.00 28-Oct-20 21-122 PIANG, SHIRELYN T. 167 Ruby St. Brgy 122 Tondo Manila - 5,000.00 - 5,000.00 30-Oct-20 21-123 CONCEPCION, JOSEPH P. 24 Del Rosario Subd. Lower Tamaraw St. Brgy Marulas - Valenzuela City 4,563.00 - 4,563.00 3-Nov-20 21-124 REYES, DHENVER C. Blk 18 Lot 22 Dolmar, Golden Hills Subdvision St. Brgy - San Vicente Sta Maria 9,886.50 Bulacan - 9,886.50 4-Nov-20 21-125 LAZO, LARRY E. 87 12th Ave. St. Brgy 88 Grace Park Caloocan City - 130.00 - 130.00 16-Nov-20 21-126 GURROBAT, CECILIA A. Rm 102 B4 Bldg 6 Discipline Vill. St. Brgy Bignay Valenzuela - 4,563.00 - 4,563.00 17-Nov-20 21-127 SENGSON, MARIA GERTRUDES D.98 M. Domingo St. Brgy Tangos Navotas City - 2,281.00 - 2,281.00 1-Dec-20 21-128 DE CASTRO, TERESITA ZAPRA BRGY. SIBUL SPRINGS SAN MIGUEL BULACAN 9,939.70 - - 9,939.70 9-Dec-20 21-129 DELA CRUZ, TIMOTHY J. 3413 Rizal Avenue (near R. Papa Station) St. Brgy 189 -Tondo Manila 360.00 - 360.00 9-Dec-20 21-130 GARCIA, ARMANDO A. 1257 A. Lardizabal St. Brgy 413 Sampaloc Manila - 800.00 - 800.00 17-Dec-20 21-131 SERRANO, MARILOU V. 223 Gate 54 Area C St. Brgy 275 Binondo Tondo Manila - 577.50 - 577.50 17-Dec-20 21-132 BEGUAS, IVAN MARC DANIEL N. B22 A Strawberry St. Brgy Reyes GMA CAVITE - 397.50 - 397.50 16-Dec-20 21-133 LABADAN, NESTOR C. BLK 21 LOT2 GOLDEN CITY St. Brgy ANABU 2F IMUS CAVITE - CITY - 4,566.15 4,566.15 25-Jan-21 21-134 RAMIREZ, ALEXANDER G. Blk35 LotF3 F1 Langaray St St. Brgy 12 Dagat-dagatan 1,278.00 Caloocan City 1,235.00 - 2,513.00 23-Jan-21 21-135 DESEMBRANA, RAYMART B. 3238 R. Magsaysay St. Brgy None Pureza, Sta. Mesa Manila - - 10,412.85 10,412.85 19-Jan-21 21-136 TANASAS, LEAH F. Fugoso St. Brgy 330 Sta cruz Manila - - 6,821.93 6,821.93 25-Jan-21 21-137 BRIONES, MICHAEL N. 1079 Road 2 Tambalan St. St. Brgy 35 Maypajo Caloocan - - 397.50 397.50 26-Jan-21 21-138 CRUZ, GILBERT A. 0463 Crusher St. Brgy Bigte Norzagaray Bulacan - - 1,052.25 1,052.25 26-Jan-21 21-139 PASCUAL, ANDREW RAMI T. 2015 Onyx St. Brgy 813 Paco Manila - - 2,122.04 2,122.04 26-Jan-21 21-140 CREDO, ROWENA E. Blk 3-D Lot 5 North Olympus St. Brgy Kaligayahan Quezon - City - 2,458.90 2,458.90 26-Jan-21 21-141 DELA CRUZ, JOCELYN R. 1145 INT 34 B. Vargas St. Brgy 216 Tondo Manila - - 2,742.21 2,742.21 26-Jan-21 21-142 PORLAJE, ROSELYN C. 55 Jacinto St. Brgy Marulas Valenzuela City - - 3,480.00 3,480.00 25-Jan-21 21-143 TAGHOY, RONEL O. 64 Bising ng Nayon St. Brgy 4 Caloocan City - - 4,868.67 4,868.67 25-Jan-21 21-144 DEL PILAR, DENNIS P. 208 Ilang Ilang St. Brgy Bangkal Meycauayan Bulacan - - 7,083.17 7,083.17 25-Jan-21 21-145 BENDAÑA, LEONEL B. 298 St. Brgy 163 Sta Quiteria Caloocan City - - 27,866.82 27,866.82 24-Jan-21 21-146 DIAZ, EMMA B. Ph 3 b 104 LOT11 ST MARTHA St. Brgy Batia Bocaue Bulacan - - 63,141.35 63,141.35 22-Jan-21 21-147 LLANDA, INOCENTES JR. J. 123 CAPT B PAREDES St. Brgy POBLACION 1A IMUS CAVITE - - 7,049.29 7,049.29 25-Jan-21 21-148 TUDTUD, PRINCE NOAH O. 138 Carmen Planas St. Brgy 269 Binondo Manila - - 2,086.65 2,086.65 25-Jan-21 21-149 DEMANDACO, GERALD L. 1155 F. Torres St. Brgy 754 Singalong, Malate Manila - - 2,715.87 2,715.87 25-Jan-21 21-150 EBUENGA, ARIEL M. Sta Teresita Almeda Subd St. Brgy Dela Paz Biñan Laguna - - 33,101.90 33,101.90 25-Jan-21 21-151 NAVOA, MITCH ALEXANDREA A. 82 Magnolia St. Brgy Roxas Dristrict Quezon City - - 4,553.19 4,553.19 25-Jan-21 21-152 ALIANZA, RUBEN P. P3 P2 B4 L3 St. Brgy 176 Caloocan City - - 1,923.38 1,923.38 26-Jan-21 21-153 DE VERA, JESSA MAI Villa Juanita Subd. St. Brgy Sahod Ulan Tanza Cavite - - 7,247.67 7,247.67 26-Jan-21 21-154 BERJA, MARY JOY D. 2404 Leonor Rivera St. Brgy 369 Sta Cruz Manila - - 6,639.85 6,639.85 26-Jan-21 21-155 BAÑEZ, CHRISTINE O. 307 Altura Ext St. Brgy 593 Sta Mesa Manila - - 7,457.98 7,457.98 26-Jan-21 21-156 DANAO, LUCINA D. 132 Marian Subd. St. Brgy Pobalcion Sta. Maria Bulacan - - 13,961.19 13,961.19 26-Jan-21 21-157 SEBUGUERO, JAY ANN B. 1 LOPEZ JAENA St. Brgy PARANG CITY - - 9,268.57 9,268.57 26-Jan-21 21-158 MAGDANGAN, JHENNY ROSE D. 916 Cajihas St. Brgy 27 Saguitarius Cavite City Cavite - - 6,966.66 6,966.66 28-Jan-21 21-159 OLARTE, LEVINIA G. 6198 Matimyas St. Brgy Gen T. De Leon Valenzuela City - - 1,017.74 1,017.74 28-Jan-21 21-160 MADRONA, ROBERT JR. V. 1527 Loreto St. Brgy 420 Sampaloc Manila - - 619.69 619.69 27-Jan-21 21-161 ISMAIL, MERLYN H. 661- E. Pres. Quirino Ave., St. Brgy 705 Malate Manila - - 38,257.05 38,257.05 27-Jan-21 21-162 PALISOC, FE S. 1334 P Guevarra St. Brgy 319 Sta. Cruz Manila - - 8,713.24 8,713.24 27-Jan-21 21-163 BONCALES, BEVERLYN MAE A. 529 gulayan St. Brgy catmon Malabon City - - 12,180.35 12,180.35 27-Jan-21 21-164 MESTIOLA, RALPH LAURENCE J. Brgy POBLACION 1 REAL QUEZON - - 19,506.82 19,506.82 28-Jan-21 21-165 ADAL, ANISA M. 3192 Int. 26, Pilar St. Brgy 199 Tondo Manila - - 45,606.19 45,606.19 27-Jan-21 21-166 SAN JOSE, MARILYN O. 820 Linampas Dagupan St. Brgy 50 Tondo Manila - - 7,672.67 7,672.67 27-Jan-21 21-167 PATATAG, JEVENZON J. 2227 Malungay St. Brgy CAA Las Piñas City - - 8,315.23 8,315.23 29-Jan-21 21-168 HERAMIS, JAMES M. 2794 Adriano St., Gagalangin St. Brgy 182 Zone 16 Tondo - Manila - 462.94 462.94 28-Jan-21 21-169 DACASIN, MARIVIC S. Ph8 Pkg11 Blk131 Lot21 St. Brgy 176 Caloocan - City - 2,431.99 2,431.99 28-Jan-21 21-170 NAVARRO, MARIA CHRISTINA L. Blk 4 Lot 3 Ilang Ilang St., Salvador Subd. St. Brgy Sucat - Parañaque City - 7,512.52 7,512.52 28-Jan-21 21-171 ABUBO, GIBBY C. 1948 Lakas ng Bayan St. Brgy 44 Taft Avenue Pasay City - - 5,145.29 5,145.29 28-Jan-21 21-172 TIPAY, JOAN S. Ph 5 Flove Homes Litre St. Brgy Tonsuya Malabon City - - 10,291.95 10,291.95

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

28-Jan-21 21-173 GASGA, MITCHELLE ANGELIQUE L.1028 Benavidez St. Brgy 295 Binondo Manila - - 6,016.12 6,016.12 28-Jan-21 21-174 OBIN, MA. MORENA P. 1329 New Antipolo St. Brgy 220 Tondo Manila - - 7,545.21 7,545.21 28-Jan-21 21-175 VILLANUEVA, OSCAR F. Brgy Pansoy San Andres Quezon City - - 142,138.57 142,138.57 28-Jan-21 21-176 MARINO, JOHN PAUL D. 30 NARRA ESPERANZA St. Brgy MOLINO 2 BACOOR CAVITE - - 14,436.26 14,436.26 28-Jan-21 21-177 ANDAYA, CRISOSTOMO M. 25 D. Espiritu St. Brgy Mabolo Valenzuela City - - 45,585.09 45,585.09 29-Jan-21 21-178 DAVID, ALEXANDER MIGUEL C. 80 M Cornejo St. Brgy 161 Malibay Pasay City - - 128.47 128.47 28-Jan-21 21-179 ABLAT, ANTONIA M. Blk2 Lot4 St. Brgy Gregorio De Jesus GMA Cavite City - - 11,081.22 11,081.22 28-Jan-21 21-180 RUZ, DELFIN M. Damayan St. Brgy Navarro Gen Trias Cavite - - 6,095.59 6,095.59 28-Jan-21 21-181 SANALILA, JOHN FRANCIS JUDE T.Ph 5 Flove Homes Litre St. Brgy Tonsuya Malabon City - - 167.48 167.48 30-Jan-21 21-182 ROSELLO, ALEJANDRO O. 1219 Dalandan Alley, Anak Bayan St. Brgy 740 Zone 80 - Malate Manila - 1,417.50 1,417.50 30-Jan-21 21-183 GUILLERO, ROSALINDA E. 1065 P. Guevarra St. Brgy 311 Zone 31 Sta. Cruz Manila - - 258.57 258.57 30-Jan-21 21-184 CATUBAY, LELANI G. Blk 48 lot 7 Ph 3E2 Kaunlaran Ville St. Brgy Longos Malabon - City - 1,967.22 1,967.22 30-Jan-21 21-185 TAGUINALDO, EMILY D. 18-F Aniceta St., Kaingin Road St. Brgy Apolonio Samson - Balintawak Quezon City - 1,022.50 1,022.50 30-Jan-21 21-186 BAYLON, OSWARD CELSO L. B10 L49 Tawilis St. Brgy 28 Dagat-Dagatan Ave. Caloocan - City - 7,108.59 7,108.59 30-Jan-21 21-187 ROSINA, HAZEL D. 2135 Molave St. Brgy 221 Tondo Manila - - 795.00 795.00 30-Jan-21 21-188 RETONDO, LILIA D. 223 Olymous F Varona St. Brgy 80 Tondo Manila - - 1,797.00 1,797.00 30-Jan-21 21-189 SUNGA, MARCELINO P. Brgy Caduang Tete Macabebe Pampanga - - 1,065.00 1,065.00 30-Jan-21 21-190 QUITA, DARIUS SR. S. MANILA NORTH CEMETERY St. Brgy 372 BLUMENTRITT - MANILA - 3,178.29 3,178.29 31-Jan-21 21-191 TACDA, TRINIDAD F. 14 ATLANTA St. Brgy 651 PORT AREA MANILA - - 1,612.33 1,612.33 31-Jan-21 21-192 ANGELES, VIRGINIA P. 1950 Narra Ext St. Brgy 230 Tondo Manila - - 1,417.50 1,417.50 31-Jan-21 21-193 GARCIA, MARIA JOSELITT P. 098 Lydia St., Agwardiente St. Brgy Sta. Monica Novaliches - Quezon City - 1,964.33 1,964.33 31-Jan-21 21-194 LABO, RACHEL B. 1320 Block 27 C.P. Garcia St. Brgy 123 Zone 9 Tondo Manila - - 2,554.15 2,554.15 31-Jan-21 21-195 VILLARAZA, CATALINO R. Brgy 171 BAGUMBONG CALOOCAN CITY - - 1,060.00 1,060.00 31-Jan-21 21-196 PALERMO, JESSIE MARK P. B5 L12 Villa Reform 3 PH2 St. Brgy 186 Llano Caloocan - City - 1,094.51 1,094.51 31-Jan-21 21-197 RAAGAS, JOHN RAY L. 4 Road 12 NDC Compound St. Brgy 628 Zone 63 Sta. Mesa - Manila - 397.50 397.50 31-Jan-21 21-198 FERNANDEZ, ROMULO A. 3171 Int1 Pilar St. Brgy 199 Tondo Manila - - 233.20 233.20 31-Jan-21 21-199 ANGELES, SHAUN MAVERICK M. Blk 41 Lot 34 Lake St., Kelsey Hills Subd St. Brgy Muzon - San Jose Del Monte Bulacan - 963.73 963.73 31-Jan-21 21-200 TUMARU, JERWIN S. 736 VICENTE G CRUZ St. Brgy 453 SAMPALOC MANILA - - 6,121.36 6,121.36 31-Jan-21 21-201 CAPILLAN, MARCUS JERO ZEUS F.192 Area A Gate 4 St. Brgy 20 Parola, Tondo Manila - - 1,540.00 1,540.00 31-Jan-21 21-202 DELOS SANTOS, RAMIL E. 04 Carnation Happyland St. Brgy 105 Tondo Manila - - 530.00 530.00 31-Jan-21 21-203 EDEM, MA. MYRNA H. 1160 San Isidro St. Brgy 732 Singalong Manila - - 1,004.57 1,004.57 31-Jan-21 21-204 LAMBERTE, MAYBELLINE I. 46 Jones St. Brgy Wawa Taguig City - - 3,517.99 3,517.99 31-Jan-21 21-205 CABREROS, JENNIFER S. 1320 C. P. Garcia St. Brgy 123 Tondo Manila - - 2,285.75 2,285.75 31-Jan-21 21-206 BEGINO, VIRGINIA B. 55 Cebu Paez Subd St. Brgy Culiat Quezon City - - 1,515.00 1,515.00 31-Jan-21 21-207 NARTE, RUEL R. 128 C. Fernando St. Brgy Pleasant Hills Mandaluyong - - 1,890.00 1,890.00 31-Jan-21 21-208 CRISTOBAL, ANTONIO G. Bldg 30 Unit 419 St. Brgy 128 Tondo Manila - - 39,079.30 39,079.30 31-Jan-21 21-209 BAUTISTA, ALTIA M. Purok 7 St. Brgy Santol Tanza Cavite - - 4,481.88 4,481.88 1-Feb-21 21-210 VILLAMOR, ROCELL G. 325 Bldg. 2 Jaime Cardinal Sin Village St. Brgy 898 Punta, - Sta. Ana Manila - 265.00 265.00 1-Feb-21 21-211 MARCOS, JAYSON V. 57 San Francisco St. Brgy Karuhatan Valenzuela City - - 2,531.57 2,531.57 1-Feb-21 21-212 WASNON, JAY AR S. Purok II St. Brgy 20 Isla Puting Bato, Tondo Manila - - 2,336.61 2,336.61 1-Feb-21 21-213 RONAO, ROLAND JAY U. 208 Soli St. Brgy 6 Sangandaan Caloocan City - - 2,509.39 2,509.39 1-Feb-21 21-214 SATUNERO, TEDDY A. 1451 Aragon St. Brgy 343 Sta. Cruz Manila - - 236.85 236.85 1-Feb-21 21-215 SANTILLAN, APRIL M. 92 Don Manuel St. Brgy Apolonio Samson Kaingin Road - Quezon City - 622.50 622.50 1-Feb-21 21-216 LLAMERA, NILO S. 78 R. Jacinto St. Brgy Canumay West Valenzuela - - 1,129.39 1,129.39 1-Feb-21 21-217 PALAÑA, REYNALDO G. 1151 Torres Bugallon St., Torres St. Brgy 203 Zone 20 -Tondo Manila - 787.41 787.41 1-Feb-21 21-218 COGAL, MARY JOY D. 1016 New Antipolo St. Brgy 217 Tondo Manila - - 1,472.13 1,472.13 1-Feb-21 21-219 LOTERTE, GERARDO N. 1029 P Guevarra St. Brgy 311 Sta Cruz Manila - - 285.00 285.00 1-Feb-21 21-220 ENCARNACION, GIAN M. 2122 Tramo St. Brgy 113 Pasay City - - 4,751.64 4,751.64 1-Feb-21 21-221 MASILANG, RODOLFO S. 2844 Int 17 Aurora Blvd St. Brgy 375 Sta Cruz Manila - - 178.68 178.68 1-Feb-21 21-222 MARCELO, MENCHIE A. R-10 Pier 18 Vitas St. Brgy 101 Tondo Manila - - 1,657.94 1,657.94 1-Feb-21 21-223 DELA VEGA, HELEN D. 1726 Oroquieta St. Brgy 339 Sta. Cruz Manila - - 653.00 653.00 1-Feb-21 21-224 ALCAZAREN, ROBERTO D. 2225 Singalong St. Brgy 724 Malate Manila - - 617.85 617.85 1-Feb-21 21-225 VARGAS, EL GINZEL M. 1268 Craig St. Brgy 508 Sampaloc Manila - - 1,094.88 1,094.88 1-Feb-21 21-226 BAUTISTA, ROMMEL G. Blk 25 Lot 6 Socialize Housing St. Brgy Tanza II Navotas - City - 790.00 790.00 1-Feb-21 21-227 SANTOS, RODOLFO I. Ilang-Ilang St. Brgy 174 Camarin Caloocan City - - 219.75 219.75 1-Feb-21 21-228 LABIAN, ESPERANZA V. 380 Gov A Pascual St. Brgy San Jose Navotas City - - 1,539.97 1,539.97 1-Feb-21 21-229 TAGAYONG, IVY C. 1171 Mabuhay St. Brgy 39 Tondo Manila - - 500.00 500.00 2-Feb-21 21-230 VALDEZ, STEPHANIE C. Brgy West Crame San Juan City - - 1,507.39 1,507.39 2-Feb-21 21-231 CHICO, EARL LAWRENCE T. 1821 A Rivera St. Brgy 234 Tondo Manila - - 1,218.59 1,218.59 2-Feb-21 21-232 SULIT, JERELYN V. Purok 5 St. Brgy Milagrosa Calamba Laguna - - 48,556.96 48,556.96

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

1-Feb-21 21-233 RODRIGUEZ, MARICEL L. 2150 Velasuez St. Brgy 96 Tondo Manila - - 34,874.32 34,874.32 1-Feb-21 21-234 DE LA PEÑA, JANELY B. 850 G Puyat St. Brgy 394 Quiapo Manila - - 9,883.34 9,883.34 1-Feb-21 21-235 CAYABYAB, JESSIEMER B. Blk. 2 Kadima St. Brgy Tonsuya Malabon City - - 19,135.66 19,135.66 1-Feb-21 21-236 DEL MUNDO, MIDELFINO S. Blk 34 Lot 14 Ph3 St. Brgy 12 Dagat Dagatan Caloocan -City - 316.64 316.64 1-Feb-21 21-237 MONTECILLO, EDGAR C. 222 Paghanapin St. Brgy 30 Tondo Manila - - 965.42 965.42 1-Feb-21 21-238 , GILBERT D. 2610 Osorio St. Brgy 103 Velasquez, Tondo Manila - - 94,938.12 94,938.12 1-Feb-21 21-239 RUGAS, AIKA R. 152 Peras Ext St. Brgy Natico Manggahan City - - 19,776.58 19,776.58 2-Feb-21 21-240 CABALLERO, ONEL S. 228 Moriones St. Brgy 43 Tondo Manila - - 5,850.08 5,850.08 1-Feb-21 21-241 CANDILANZA, CHENNY MAE C. 1165 Avocado St. Brgy Gen. T De leon Valenzuela City - - 7,122.21 7,122.21 2-Feb-21 21-242 MONZON, CHRISTINE JOY O. 1018 A YUSECO St. Brgy 232 TONDO MANILA - - 397.50 397.50 1-Feb-21 21-243 SANTIAGO, LOIDA Q. Ph 8-A Blk 160 Lot 16 Package 12 St. Brgy 176 Bagong -Silang Caloocan City - 19,669.30 19,669.30 1-Feb-21 21-244 CENTENO, ANDRES R. 027 RIZAL St. Brgy SAN JOSE BALIWAG BULACAN - - 11,755.17 11,755.17 1-Feb-21 21-245 BURBOS, RANILYN B. 248 St. Brgy Cabanbanan Pagsanjan Laguna - - 36,973.50 36,973.50 1-Feb-21 21-246 GONZALES, LEONORA L. 535 Saint Michael St. Brgy Santol Balagtas Bulacan - - 908.71 908.71 2-Feb-21 21-247 FRANCO, RENATO J. 1068 Sulu St. Brgy 311 Sta. Cruz Manila - - 1,417.50 1,417.50 1-Feb-21 21-248 COMANDA, REGINE M. 444 St. Brgy Zapote I Bacoor Cavite - - 73,868.13 73,868.13 1-Feb-21 21-249 PAGULONG, FLORENTINA D. Lim Comp. St. Brgy San Dionisio Parañaque City - - 227,750.35 227,750.35 2-Feb-21 21-250 SANTIAGO, ENRICO C. Tower, Acosta St. Brgy Quisao Pililia Rizal - - 2,461.65 2,461.65 2-Feb-21 21-251 SIOSON, EANN D. Pier 2 Gate 2 Parola St. Brgy 20 Tondo Manila - - 1,443.75 1,443.75 16-Sep-20 21-252 LAZO, LARRY E. 87 12th Ave. St. Brgy 88 Grace Park Caloocan City 2,411.50 - - 2,411.50 14-Oct-20 21-253 CASTILLO, MINERVA Z. 477 Pilapil St. Brgy 74 Tondo Manila 17,491.50 130.00 - 17,621.50 16-Oct-20 21-254 FRANCISCO, REYNALDO R. 1637 Sulu St. Brgy 340 Sta. Cruz Manila 2,281.50 - - 2,281.50 20-Oct-20 21-255 MORAN, JOEL F. 108 C. Baltazar 2 Ext St. Brgy 69 10th Ave. Caloocan 9,886.50 City - - 9,886.50 23-Oct-20 21-256 DACARA, RICHARD R. Vitas St. Brgy 106 Tondo Manila 12,168.00 350.00 - 12,518.00 26-Oct-20 21-257 CRUZ, AMIE A. 1068 B. Solis St. Brgy 215 Tondo Manila 12,168.00 - - 12,168.00 6-Nov-20 21-258 GAERLAN, VICTORINO M. 1932 Obesis St. Brgy 844 Manila - 12,560.00 - 12,560.00 11-Nov-20 21-259 JUSAY, DAMIAN M. Blk 3 Lot 9 Cassanova Drive St. Brgy Culiat Tandang Sora - Quezon City 450.00 - 450.00 11-Nov-20 21-260 LAZO, LARRY E. 87 12th Ave. St. Brgy 88 Grace Park Caloocan City 1,696.00 - - 1,696.00 16-Nov-20 21-261 BURCELIS, JOANNE N. G 17 ABBEY RD St. Brgy BAGBAG NOVALICHES QUEZON - CITY 705.00 - 705.00 17-Nov-20 21-262 REYES, DHENVER C. Blk 18 Lot 22 Dolmar, Golden Hills Subdvision St. 3,802.50 Brgy San Vicente Sta Maria Bulacan - - 3,802.50 23-Nov-20 21-263 VIRAY, SHAYNE LORAINE C. 47 Bakawan St St. Brgy Veterans Village Project 7 Quezon - City 397.50 - 397.50 3-Dec-20 21-264 DEAÑO, ALADIN C. 74 Liberation St St. Brgy Sto. Niño Quezon City - 260.00 - 260.00 14-Dec-20 21-265 BATOON, TERESITA M. 1247 Severino St. Brgy 328 Zone 33 Sta. Cruz Manila - 350.00 - 350.00 14-Dec-20 21-266 BRILLANTES, CHARMAINE N. 54 Bartolome St. Brgy Viente Reales Valenzuela City - 262.50 - 262.50 15-Dec-20 21-267 CORDOVA, JOHN PAUL BLK 7 LOT8 IBP CLUSTER HOA St. Brgy - QUEZON CITY 48.75 - 48.75 17-Dec-20 21-268 ABARING, ELEANOR B. 2115 A. Bato Ext. Raxabago St. Brgy 150, Zone 13 Tondo - Manila 97.50 - 97.50 17-Dec-20 21-269 CACHERO, CARR BENEDICT A. 1996 Int.13, G. Perfecto St., Tayuman St. Brgy 157 Zone - 14 Tondo Manila 97.50 - 97.50 8-Dec-20 21-270 ILDEFONSO, MARIA NYMPHA R. Blk 25 Lot 16 Legion 23 St. Brgy Carsadang Bago Imus -Cavite 780.00 - 780.00 24-Dec-20 21-271 BRILLANTES, CHARMAINE N. 54 Bartolome St. Brgy Viente Reales Valenzuela City - 146.25 - 146.25 6-Jan-21 21-272 BAGADIONG, WILLIAM U. 204 Kabulusan I-A St. Brgy 23 Caloocan City - 15,032.00 - 15,032.00 18-Jan-21 21-273 MIRADOR, RICARDO L. B21 L2 PH1B Bariles St. Brgy NBBS Navotas 44,929.35 - - 44,929.35 19-Jan-21 21-274 LUGTU, AYO WAYNE 1757 Dagonoy St. Brgy 771 San Andres Bukid Manila 34,345.76 - - 34,345.76 4-Jan-21 21-275 LUGTU, AYO WAYNE 1757 Dagonoy St. Brgy 771 San Andres Bukid Manila 14,585.28 - - 14,585.28 21-Jan-21 21-276 OCZON, EMMA G. Blk 35 Lot 15 Phase 2 Area 2 St. Brgy NBBS Dagat-dagatan - Navotas City 5,105.00 - 5,105.00 21-Jan-21 21-277 ASIA, FILAM P. 175 S. Roldan St. Brgy Navotas City - 5,105.00 - 5,105.00 21-Jan-21 21-278 CAGULADA, MARIA CONCEPCION 175L. Pieces, Batimana Cmpd., St. Brgy Marulas Valenzuela 9,040.48 - - 9,040.48 21-Jan-21 21-279 ABARRACOSO, MARICEL G. 420 R. Domingo St St. Brgy Navotas 37,110.75 City - - 37,110.75 22-Jan-21 21-280 ENOLA, ROGELIO E. BLK 3 St. Brgy 160 CALOOCAN 2,106.00 1,300.00 - 3,406.00 25-Jan-21 21-281 DEOCAREZA, MA. FLORA L. Lot 23 Block 2 Saint John Subdivision St. Brgy Ibaba 33,266.40 Sta. Rosa Laguna - - 33,266.40 26-Jan-21 21-282 TELAN, FLOR A. 604 7th Ave. St. Brgy 105 Caloocan City - 5,105.00 - 5,105.00 26-Jan-21 21-283 GONZALES, DOMINICA 41 A BRGY SIPAC ALMACEN NAVOTAS CITY - 1,235.00 - 1,235.00 26-Jan-21 21-284 MARTIN, ERNESTO S. 562 Pag-asa St., Gagalangin St. Brgy 182 Tondo Manila - - 3,713.51 3,713.51 26-Jan-21 21-285 PEÑAFORT, MA. CRISTINA C. Blk 14 Lot 20 Molave Villa Isabel St. Brgy San Lorenzo 14,617.08 Dasmariñas Cavite - - 14,617.08 27-Jan-21 21-286 ATIENZA, RODLOWE CAVIN M. Brgy SINISIAN EAST LEMERY BATANGAS - - 50,000.00 50,000.00 27-Jan-21 21-287 DOLINO, CONCORDIA M. 73 A Lopez Comp St. Brgy Viente Reales Valenzuela 14,518.36 City - - 14,518.36 27-Jan-21 21-288 MATAVILLA, EMELITA S. 281 Tecson St. Brgy Bangkulasi Navotas City 8,438.84 - - 8,438.84 27-Jan-21 21-289 MORAN, MICHAEL R. Sto. Niño Group 7 St. Brgy B Quezon City 9,828.00 - - 9,828.00 27-Jan-21 21-290 BACERDO, RAYMOND A. Purok 2 St. Brgy Daculang Bolo San Lorenzo Ruiz 4,984.20 Camarines Norte - - 4,984.20 28-Jan-21 21-291 MADARANG, VERONICA BRGY KALIGAYAHAN QUEZON CITY 44,449.60 - - 44,449.60 29-Jan-21 21-292 ADAL, ANISA M. 3192 Int. 26, Pilar St. Brgy 199 Tondo Manila - - 11,806.20 11,806.20

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

29-Jan-21 21-293 LAVA, JOSEPH A. 3131 Nagtahan St. Brgy 636 Sta. Mesa Manila 21,806.32 - - 21,806.32 29-Jan-21 21-294 ALICANTE, JULIET H. B17 L9 ,Torcillo St. Brgy 28 Dagat- Dagatan Caloocan - 6,350.00 - 6,350.00 29-Jan-21 21-295 FRANCISCO, RICARDO B. 165 Sineguelas St. Brgy Bilog Balangkas Valenzuela 10,000.00 City - - 10,000.00 1-Feb-21 21-296 CUENO, ROMEO JR. A. 364 BMBA 2nd St., 5th Ave. St. Brgy 113 Caloocan 312.00 - - 312.00 1-Feb-21 21-297 BISNAR, MA. AILEEN 4324 OLD STA MESA MANILA 1,287.00 - - 1,287.00 1-Feb-21 21-298 PEREZ, ROSANNA BRGY BAGONG BUHAY CITY OF SJDM BULACAN - 3,880.00 - 3,880.00 1-Feb-21 21-299 DOMINGUIANO, EDNA R. 223 C.M. Recto St. Brgy 12 Tondo Manila 7,002.00 - - 7,002.00 2-Feb-21 21-300 ELLADO, GINALYN L. 1955 B. makata St., Sta. Cruz Manila 8,113.00 - - 8,113.00 2-Feb-21 21-301 BANSIL, SHEKINAH MATT L. 292 B-7 Sitio Baseco St. Brgy 649 Port Area Manila - 1,980.00 - 1,980.00 3-Feb-21 21-302 BUENAVENTURA, PERLITA Q. A. Mabini St. Brgy Sabang Baliuag Bulacan - 5,105.00 - 5,105.00 3-Feb-21 21-303 SAN LUIS, MACARIO L. Sagisag St. Brgy Tanza Navotas City - 5,105.00 - 5,105.00 3-Feb-21 21-304 NAVAL, REBECCA I. 302 C. Arellano St. Brgy Baritan Malabon - 1,552.00 - 1,552.00 3-Feb-21 21-305 PERONA, EMERITA L. 732 St. Brgy San Jose Calumpit Bulacan - 5,105.00 - 5,105.00 3-Feb-21 21-306 PABLO, RODOLFO AREVALO 1216 Prudecio St., Sampaloc Manila 2,194.50 - - 2,194.50 3-Feb-21 21-307 ABIÑO, NOEL C. 1060 Blk 5 Magsaysay Village A Luna St. Brgy 105 Tondo - Manila - 5,000.00 5,000.00 3-Feb-21 21-308 RABE, DAISY B. 68 Road 12, NDC Compound, Pureza St. Brgy 628 Sta Mesa - Manila - 4,566.33 4,566.33 3-Feb-21 21-309 DIAZ, MICHELLE A. Block 21 Lot 3 Goodwill 1 Helpful St. Brgy San Bartolome - Novaliches Quezon 1,280.40 City - 1,280.40 3-Feb-21 21-310 PASAWILAN, JIBREL M. 151 San Agustin St. Brgy 647 San Miguel Manila - - 2,234.52 2,234.52 3-Feb-21 21-311 JUNTURA, RAYMOND A. 9082 J.B. Perez St. Brgy Amaya VII Tanza Cavite - - 8,080.20 8,080.20 3-Feb-21 21-312 REYES, FLOIZA L. 132 BINHAGAN St. Brgy 129 CALOOCAN CITY - - 979.71 979.71 3-Feb-21 21-313 DOMINGO, SEVERO R. BLK 6 R-10 LOVERS COMPOUND MAGSAYSAY VILLAGE - St. Brgy 106 TONDO MANILA - 3,595.00 3,595.00 3-Feb-21 21-314 NOCUM, MA ROWENA L. 40 P Gomez St. Brgy 13 Caloocan City - - 1,790.80 1,790.80 3-Feb-21 21-315 FIGUEROA, NICO L. 312 B Sandico St. Brgy 33 Tondo Manila - - 2,455.00 2,455.00 3-Feb-21 21-316 PIDO, TYLER JAIDEL E. 1514 A Rivera St. Brgy 243 Tondo Manila - - 2,861.47 2,861.47 3-Feb-21 21-317 BONDOC, SYLVIA BRGY BRANGKA BALIUAG BULACAN - 2,328.00 - 2,328.00 3-Feb-21 21-318 ELMAN, ROSALIE A. 49 Mariano Ponce st St. Brgy 132 Bagong Barrio Caloocan - City 1,125.00 - 1,125.00 4-Feb-21 21-319 IDA, XAVIERRA AVA O. B-54 L-8 St. Brgy Narra III Silang Cavite - - 1,985.00 1,985.00 4-Feb-21 21-320 CARBONELL, VINCE JACOB S. Purok 2 Ibaba St. Brgy Sinalhan Sta Rosa Laguna - - 1,237.00 1,237.00 8-Jan-21 21-321 DAMAOLAO, MAY ANN B. Ph 7 Blk129 Carrissa Homes St. Brgy Punta Uno Tanza -Cavite - 3,394.94 3,394.94 4-Nov-20 21-322 REYES, DHENVER C. Blk 18 Lot 22 Dolmar, Golden Hills Subdvision St. Brgy - San Vicente Sta Maria 130.00 Bulacan - 130.00 5-Nov-20 21-323 CARAIG, MOISES B. Balayan St. Brgy Lanatan Balayan Batangas - 1,000.00 - 1,000.00 5-Nov-20 21-324 ENCARNACION, VICTOR JR E. 2655 Mactan St St. Brgy Baclaran none Parañaque City - 780.00 - 780.00 6-Nov-20 21-325 SIAZON, NONILON R. 212-A St. Brgy Talaba II Bacoor Cavite - 506.25 - 506.25 9-Nov-20 21-326 SIAZON, NONILON R. 212-A St. Brgy Talaba II Bacoor Cavite - 165.00 - 165.00 9-Nov-20 21-327 EBO, LILIA G. Lower Laong St. Brgy Almanza Uno Las Piñas City - 350.00 - 350.00 10-Nov-20 21-328 PEREZ, JULIETA M. blk2 Lot10 Bon-Bon Ville St. Brgy Ugong Valenzuela City - 1,090.00 - 1,090.00 16-Nov-20 21-329 SARMIENTO, JOSE JR. V. 1054 Int 29 Bilibid Viejo St. Brgy 391 Quiapo Manila - 770.00 - 770.00 16-Nov-20 21-330 BRILLANTES, CHARMAINE N. 54 Bartolome St. Brgy Viente Reales Valenzuela City - 750.00 - 750.00 16-Nov-20 21-331 SIAZON, NONILON R. 212-A St. Brgy Talaba II Bacoor Cavite - 487.50 - 487.50 16-Nov-20 21-332 GARCIA, FE B. 2549 -B Topacio St. Brgy 765 Zone 86 San Andres Bukid - Manila 350.00 - 350.00 16-Nov-20 21-333 ABARING, ELEANOR B. 2115 A. Bato Ext. Raxabago St. Brgy 150, Zone 13 Tondo - Manila 585.00 - 585.00 18-Nov-20 21-334 ESTRADA JR, MANUEL E. 115 R. Santiago St. 9th Ave St. Brgy 63 Caloocan City - 780.00 - 780.00 18-Nov-20 21-335 DELIMA, GRACELYN R. 1018-O Pilar St. Brgy 200 Zone 18 Tondo Manila - 397.50 - 397.50 18-Nov-20 21-336 FERMIN, NELLA C. Ph 1B Blk 26 Lot 36 Heritage St. Brgy Loma de Gato Marilao - Bulacan 2,400.00 - 2,400.00 19-Nov-20 21-337 BRIONES, MICHAEL N. 1079 Road 2 Tambalan St. St. Brgy 35 Maypajo Caloocan - 97.50 - 97.50 19-Nov-20 21-338 EQUIPADO, JIROSHIN B. 19 Dizon St., Bisig Ng Kabataan St. Brgy 2 Sangandaan -Caloocan City 530.00 - 530.00 20-Nov-20 21-339 ARUTA, JHOMAR P. 456 Castañas St. St. Brgy 118 Zone 9 Tondo Manila - 130.00 - 130.00 23-Nov-20 21-340 MORAN, JOEL F. 108 C. Baltazar 2 Ext St. Brgy 69 10th Ave. Caloocan City - 1,000.00 - 1,000.00 23-Nov-20 21-341 CRUZ, AMIE A. 1068 B. Solis St. Brgy 215 Tondo Manila - 1,455.00 - 1,455.00 24-Nov-20 21-342 BERMUDEZ, JOHN JEREMIE -. 1247 F. Yuseco St. Brgy 223 Tondo Manila - 385.00 - 385.00 24-Nov-20 21-343 HADAP, NORMA G. Phase 1 Block 5 Lot 16 Amanda Ville St. Brgy Mabalas-Balas - San Rafael Bulacan 180.00 - 180.00 27-Nov-20 21-344 GELACIO, WILLIE J. 2571 Int 2 Jose Abad Santos St. Brgy 216 Tondo Manila - 1,060.00 - 1,060.00 1-Dec-20 21-345 SUETE, MARILYN P. 832 Oroquieta St. Brgy 310 Sta Cruz Manila - 640.00 - 640.00 1-Dec-20 21-346 PASCUAL, FRANCISCO T. 1214 Kasipagan St. Brgy 42 Tondo Manila - 1,030.00 - 1,030.00 2-Dec-20 21-347 CASTILLO, MINERVA Z. 477 Pilapil St. Brgy 74 Tondo Manila - 130.00 - 130.00 2-Dec-20 21-348 MARIÑAS, CHRISTOPHER D. 24 Oscares St. Brgy 387 Quiapo Manila - 710.00 - 710.00 3-Dec-20 21-349 DELA CRUZ, EMELITA V. 1247 F. Yuseco St. Brgy 223 TONDO (NCR), 1ST DISTRICT - CITY OF MANILA 325.00 - 325.00 3-Dec-20 21-350 ESPINA, CYNTHIA L. Blk 18 Lot 54 Dalagang Bukid St. Brgy Longos Malabon - City 325.00 - 325.00 4-Dec-20 21-351 GUTIEREZ, ANNA ROSE M. 1811 Int. 17, Bo. Sta. Maria St. Brgy 819 Paco Manila - 300.00 - 300.00 7-Dec-20 21-352 CARAIG, MOISES B. Balayan St. Brgy Lanatan Balayan Batangas - 350.00 - 350.00

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

7-Dec-20 21-353 SIAZON, NONILON R. 212-A St. Brgy Talaba II Bacoor Cavite - 262.50 - 262.50 7-Dec-20 21-354 ENCARNACION, VICTOR JR E. 2655 Mactan St St. Brgy Baclaran none Parañaque City - 740.00 - 740.00 7-Dec-20 21-355 SIMPLICIO, RUEL M. Blk 14 Lot 1 Carville St. Brgy Tanza Navotas City - 350.00 - 350.00 7-Dec-20 21-356 VIRAY, SHAYNE LORAINE C. 47 Bakawan St St. Brgy Veterans Village Project 7 Quezon - City 262.50 - 262.50 7-Dec-20 21-357 DEAÑO, ALADIN C. 74 Liberation St St. Brgy Sto. Niño Quezon City - 65.00 - 65.00 9-Dec-20 21-358 CASTILLO, IMMACULADA G. 1243 Bambang St. Brgy 254 Tondo Manila - 360.00 - 360.00 9-Dec-20 21-359 REYES, DHENVER C. Blk 18 Lot 22 Dolmar, Golden Hills Subdvision St. Brgy - San Vicente Sta Maria 350.00 Bulacan - 350.00 9-Dec-20 21-360 BRIONES, MICHAEL N. 1079 Road 2 Tambalan St. St. Brgy 35 Maypajo Caloocan - 262.50 - 262.50 9-Dec-20 21-361 SANTOS, ROOSEVELT L. 135-E Kapok St. St. Brgy 126 San Jose Caloocan City - 265.00 - 265.00 9-Dec-20 21-362 LOPE, GENA C. Balasing St. Brgy Bagong Barrio Sta. Maria Bulacan - 750.00 - 750.00 10-Dec-20 21-363 CALLUENG, JEMMALYN D. 753 Int. 81 Raxabago St. Brgy 160 Zone 14 Tondo Manila - 130.00 - 130.00 10-Dec-20 21-364 SAMORTIN, SIMEON S. 4931 MPC Sukaban St. Brgy 165 Bagbaguin Caloocan City - 87.50 - 87.50 10-Dec-20 21-365 GARCIA, FE B. 2549 -B Topacio St. Brgy 765 Zone 86 San Andres Bukid - Manila 350.00 - 350.00 10-Dec-20 21-366 CRUZ, AMIE A. 1068 B. Solis St. Brgy 215 Tondo Manila - 325.00 - 325.00 10-Dec-20 21-367 EBO, LILIA G. Lower Laong St. Brgy Almanza Uno Las Piñas City - 860.00 - 860.00 11-Dec-20 21-368 CORDOVA, JOHN PAUL BLK 7 LOT8 IBP CLUSTER HOA St. Brgy BATASAN HILLS - QUEZON CITY 697.50 - 697.50 11-Dec-20 21-369 DEL ROSARIO, JERALD T. 2248 J LUNA St. Brgy 153 Gagalangin, Tondo Manila - 397.50 - 397.50 14-Dec-20 21-370 ESCOTO, JOANA MARIE A. 138-B C.Molina St. Brgy Viente Reales Valenzuela City - 555.00 - 555.00 14-Dec-20 21-371 PALAD, IRVINE JAZZ -. 2443 Gapan St., Gagalangin St. Brgy 172 Zone 15 Tondo - Manila 530.00 - 530.00 15-Dec-20 21-372 BONDE, ANDREI B. Sitio Wyeth St. Brgy Pittland Calamba Laguna - 530.00 - 530.00 16-Dec-20 21-373 GEPULLE, ELEANOR G. 12th Street corner Delgado St. Brgy 650 Port Area Manila - 667.50 - 667.50 17-Dec-20 21-374 MOGER, EDUARDO B. 38 Purok 4, Silangan St. Brgy Barbara 1 San Mateo Rizal - 397.50 - 397.50 23-Dec-20 21-375 CABREROS, JUVEY O. 439 Herbosa St. Brgy 92 Zone 8 Tondo Manila - 450.00 - 450.00 29-Dec-20 21-376 BATINO, ROTA S. 1553 Kundiman St. Brgy 500 Sampaloc Manila - 600.00 - 600.00 31-Dec-20 21-377 VIRAY, SHAYNE LORAINE C. 47 Bakawan St St. Brgy Veterans Village Project 7 Quezon - City 97.50 - 97.50 31-Dec-20 21-378 SIAZON, NONILON R. 212-A St. Brgy Talaba II Bacoor Cavite - 433.34 - 433.34 31-Dec-20 21-379 CORDOVA, JOHN PAUL BLK 7 LOT8 IBP CLUSTER HOA St. Brgy BATASAN HILLS - QUEZON CITY 32.50 - 32.50 18-Jan-21 21-380 LIM, ANDREW D. 72 Int C Jose St. Brgy 261 Malibay Pasay City 14,344.60 - - 14,344.60 20-Jan-21 21-381 MORAN, MICHAEL R. Sto. Niño Group 7 St. Brgy Payatas B Quezon City 19,495.85 - - 19,495.85 21-Jan-21 21-382 ALZAGA, SONIA A. 154 Lagus St. Brgy 8 Lucena City 5,083.44 - - 5,083.44 27-Jan-21 21-383 SABALZA, VIRGINIA F. Ph5 Gozon St. Brgy Tonsuya Letre Road Malabon City - 435.60 - 435.60 27-Jan-21 21-384 SARMIENTO, RIA G. 65 A. Ocampo St., Pook Amorsolo St. Brgy UP Campus Diliman - Quezon City - 3,502.16 3,502.16 27-Jan-21 21-385 BRANDO, DANTE I. 137 6th Ave. Riverside St. Brgy Sta. Lucia Pasig City 7,233.48 - - 7,233.48 28-Jan-21 21-386 MIRAVALLES, JOAN Blk 12 Lot 7 Yakal St., Deparo St. Brgy 168 Caloocan City - 1,280.40 - 1,280.40 28-Jan-21 21-387 TAN, CLAUDIA A. 2426 Fidel St. Brgy 170 Gagalangin, Tondo Manila - 1,552.00 - 1,552.00 28-Jan-21 21-388 CHANCO, MARIANE C. 59 Purok 1 St. Brgy Abulalas Hagonoy Bulacan - 3,880.00 - 3,880.00 28-Jan-21 21-389 DAÑAS, PRISCILA N. 84 J. Talibu St. Brgy San Pascual Obando Bulacan - 704.00 - 704.00 28-Jan-21 21-390 ALMARIO, RODOLFO S. 103 PIO VAL St. Brgy MARULAS VALENZUELA CITY 24,267.84 - - 24,267.84 28-Jan-21 21-391 JIMENEZ, MARILOU A. Sitio Postema St. Brgy Sahud Ulan Tanza Cavite - - 39,707.26 39,707.26 29-Jan-21 21-392 LUCAS, MA. LUISA S. 13 T. Gomez Judge Roldan St. Brgy San Roque Navotas -City 1,280.00 - 1,280.00 29-Jan-21 21-393 CARILLO, AMANDA Y. Blk 5 122 Northville III St. Brgy Bayugo MEYCAUAYAN - CITY BULACAN 3,880.00 - 3,880.00 29-Jan-21 21-394 BUNYI, CENON O. Block 7 Lot 10 Pacific Terraces Community St. Brgy Karsadang - Bago I Imus 2,328.00 Cavite - 2,328.00 29-Jan-21 21-395 NAMBIO, VIOLETA M. 750 B Pampanga St. Brgy 185 Gagalangin, Tondo Manila - 3,000.00 - 3,000.00 29-Jan-21 21-396 TIZON, LOIDA C. B1 Laz Vanessa Homes St. Brgy San Isidro Cabuyao Laguna - 3,880.00 - 3,880.00 29-Jan-21 21-397 LOMIARES, MARISSA S. Purok 1 St. Brgy Dagum Calbayog Samar - 6,350.00 - 6,350.00 29-Jan-21 21-398 CRISTOBAL, CORAZON N. 770 Kamagong St. Brgy Sta. Clara Sta. Maria Bulacan - 6,350.00 - 6,350.00 29-Jan-21 21-399 CASTILLO, GENA L. Balasing St. Brgy Bagong Barrio Sta. Maria Bulacan - 5,080.00 - 5,080.00 29-Jan-21 21-400 PAGUIRIGAN, BENJAMIN 67 SIMEON DOON COMPOUND , KARUHATAN VALEZUELA 2,966.85 CITY - - 2,966.85 29-Jan-21 21-401 SANTIAGO, VERONICA D. Tuazon St. Brgy San Jose Navotas - 397.50 - 397.50 29-Jan-21 21-402 FORBES, ROBERTO B. 83 Antique St. Brgy Ramon Magsaysay Bago Bantay Quezon - CIty 6,350.00 - 6,350.00 29-Jan-21 21-403 FRANCISCO, VICTORIA N. Sampaguita St. Brgy Ligas 1 Bacoor Cavite - - 270.00 270.00 29-Jan-21 21-404 JOSE, ANNALYN 42 MAGTUNGOL; ST MAY PAJO CALOOCAN CITY - 530.00 - 530.00 31-Jan-21 21-405 MALLARI, ANGELYN A. 1081 Paraiso St. Brgy Lolomboy Bocaue Bulacan - - 2,253.75 2,253.75 31-Jan-21 21-406 YTEM, JOHN JOSEPH L. 517 Quirino Highway St. Brgy Talipapa Novaliches Quezon - City - 265.00 265.00 1-Feb-21 21-407 PASCUA, NORA P. 79 Sampaloc St. Brgy Purok 4 Lower Bicutan Taguig City - 3,175.00 - 3,175.00 1-Feb-21 21-408 EHAREZ, PATIMA G. 4 Fernandez St. Brgy San Antonio Quezon City - 387.50 - 387.50 1-Feb-21 21-409 CONQUILLO, PATRIA A. Purok 1 St. Brgy Nihaga Calbayog Eastern Samar - 1,552.00 - 1,552.00 1-Feb-21 21-410 FRIAS, LORENA P. 084 First Bitoon Circle St. Brgy Commonwealth Quezon - City 3,880.00 - 3,880.00 1-Feb-21 21-411 QUINA, CRISTINA M. B6 L15 Don Carlos St. Brgy None Pasay - 3,175.00 - 3,175.00 1-Feb-21 21-412 MANRIQUE, AILENE O. 1065 M. Ocampo, Barrio Obrero St. Brgy 190 Tondo Manila - 2,292.50 - 2,292.50

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

1-Feb-21 21-413 LUCAS, MA. LUISA S. 13 T. Gomez Judge Roldan St. Brgy San Roque Navotas -City 1,280.00 - 1,280.00 1-Feb-21 21-414 PIASTRO JR, PABLITO B. 3061 B. Pilar St. Brgy 200 Tondo Manila - 2,910.00 - 2,910.00 1-Feb-21 21-415 SENGSON, MILDRED S. 133 Champaca St. Brgy Tanza Navotas City - 1,462.50 - 1,462.50 1-Feb-21 21-416 ABLITAS, DANILO N. 99 NAVARRO St. Brgy 177 MALIGAYA PARK SUBD 6,045.52 CALOOCAN CITY - - 6,045.52 2-Feb-21 21-417 AFABLE, DOLORES D. 4522 V. Francisco St. Brgy 590 Sta. Mesa Manila - 1,280.00 - 1,280.00 2-Feb-21 21-418 DUCA, GILDA A. Kamia Grace Ville II Subd. Blk 8 Lot84 St. Brgy Grace Ville - San Jose del Monte 2,000.00 Bulacan - 2,000.00 2-Feb-21 21-419 BARRENO, ADELAIDA A. 103-B Samson Road St. Brgy 73 Caloocan City - 2,328.00 - 2,328.00 2-Feb-21 21-420 ZATA, LENY D. 25 10th Avenue, Stotsenberg St. Brgy 69 Grace Park Caloocan - City 3,000.00 - 3,000.00 2-Feb-21 21-421 PASCUAL, EDWARDO A. 309 St. Brgy Ligas 3 Bacoor Cavite - - 20,038.79 20,038.79 2-Feb-21 21-422 SIBAL, ESTRELLA S. 263 Rebado St. Brgy 645 San Miguel Manila 171.00 - - 171.00 2-Feb-21 21-423 QUINTONG, RAUL A. 1345 Moret St. Brgy 458 Sampaloc Manila - - 12,921.51 12,921.51 3-Feb-21 21-424 TADIFA, RADLEI ANN P. 481Int.B san Jose St. Brgy 425 Sampaloc Manila - 6,230.00 - 6,230.00 3-Nov-20 21-425 ISMAEL, IMELDA R. 743 Lakambini St., Gagalangin St. Brgy 184 Zone 16 Tondo - Manila 1,275.00 - 1,275.00 16-Nov-20 21-426 SEÑO, WINIFRIDA M. 146 DPHP St. Brgy 100 11th Avenue Caloocan City - 750.00 - 750.00 19-Nov-20 21-427 TOLOSA, ELENA R. 353 Tramo Riverside St. Brgy 156 Pasay City - 5,100.00 - 5,100.00 19-Nov-20 21-428 VALENCIA, LOLITA S. 105 Briones St. Brgy 52 Caloocan City - 500.00 - 500.00 24-Nov-20 21-429 PACHECO, GERALYN B. 1888 Eureka St. Brgy Lapaz City - 1,400.00 - 1,400.00 25-Nov-20 21-430 PAGHILIGAN, LEONORA M. BLK16 LOT4 ALFONSO VILL St. Brgy ALAPAN IB IMUS -CAVITE 3,300.00 - 3,300.00 25-Nov-20 21-431 DELA CRUZ, ROMEO A. 717 Miguelin St. Brgy 451 Zone 45 Sampaloc Manila - 2,600.00 - 2,600.00 26-Nov-20 21-432 OLIVA, RONALD L. 702 Tandang Sora Ave St. Brgy Old Balara Quezon City - 1,500.00 - 1,500.00 26-Nov-20 21-433 VALDEZ, LITO M. Brgy Biclat San Miguel Bulacan - 5,000.00 - 5,000.00 26-Nov-20 21-434 VIOLAGO, JUDITH V. 096 Daang Bakal St. Brgy Tibagan San Miguel Bulacan - 5,000.00 - 5,000.00 26-Nov-20 21-435 DELA CHICA, EDGARDO P. 442 Prudencio St. Brgy 444 Sampaloc Manila - 2,000.00 - 2,000.00 3-Dec-20 21-436 BRIONES, MICHAEL N. 1079 Road 2 Tambalan St. St. Brgy 35 Maypajo Caloocan - 750.00 - 750.00 3-Dec-20 21-437 AMOS, RAFAEL A. 02 Happyland, Dahlia St. Brgy 105 Tondo Manila - 3,200.00 - 3,200.00 4-Dec-20 21-438 VALENCIA, LOLITA S. 105 Briones St. Brgy 52 Caloocan City - 400.00 - 400.00 4-Dec-20 21-439 OCTAVO, CECILIO A. 1025 ASUNCION St. Brgy 26 TONDO MANILA - 750.00 - 750.00 14-Dec-20 21-440 GALIT, RUFINA Z. 417 Concha St. Brgy 69 Tondo Manila - 5,100.00 - 5,100.00 14-Dec-20 21-441 MALINOG, VENTURA T. 2735 Int. 1 Lico St. Brgy 211 Tondo Manila - 930.00 - 930.00 14-Dec-20 21-442 SINO, EUGENE P. 200-3 West Bank Road St. Brgy Maybunga Pasig City - 1,650.00 - 1,650.00 14-Dec-20 21-443 RAMILO, SOLEDAD P. 44 G. de Jesus St. Brgy 139 Bagong Barrio Caloocan City - 2,800.00 - 2,800.00 14-Dec-20 21-444 DOMINGO, YUAN L. 1006 T. Mapua St. Brgy 335 Sta. Cruz Manila - 2,400.00 - 2,400.00 15-Dec-20 21-445 DELFINO, NESTOR R. B1 L2 Kaladium St. Brgy Tenejeros Malabon City - 3,075.00 - 3,075.00 16-Dec-20 21-446 TUANDA, MARLON A. 468 KAINGIN St. Brgy PARADA VALENZUELA - 2,000.00 - 2,000.00 16-Dec-20 21-447 KAHULUGAN, DIOSDADO A. 542 Delgado St. Brgy 402 Sampaloc Manila - 5,100.00 - 5,100.00 28-Dec-20 21-448 AQUINO, MARITES M. 1540-A Rizal Ave. St. Brgy 325 Sta. Cruz Manila - 2,475.00 - 2,475.00 29-Dec-20 21-449 LOVIÑA, FREDERICK P. 407 Lallana St. Brgy 93 Tondo Manila - 1,400.00 - 1,400.00 4-Jan-21 21-450 CROWEL, JIMCEL M. 439 Pelaris St. Brgy Unang Sigaw Quezon City - 1,800.00 - 1,800.00 4-Jan-21 21-451 STA. RITA, ROSALIE H. 1705 C. F Varona St. Brgy 85 Tondo Manila - 2,025.00 - 2,025.00 4-Jan-21 21-452 MACATIMPAG, CESAR C. 922 Quezon Boulevard St. Brgy 464 Sampaloc Manila - 3,750.00 - 3,750.00 4-Jan-21 21-453 LOGATA, CATHERINE S. 2030 Pista St. Brgy 341 Sta. Cruz Manila - 3,825.00 - 3,825.00 5-Jan-21 21-454 DELA CRUZ, NIMFA L. 33-B Del Rosario Merville Subd St. Brgy Dampalit Malabon - City 1,600.00 - 1,600.00 7-Jan-21 21-455 BATENGA, RICHARD R. 2217 D MOLAVE St. Brgy 228 TONDO MANILA - 400.00 - 400.00 8-Jan-21 21-456 BONDOC, VIRZEL R. 1190-G Meding St. Brgy 731 Malate Manila - 450.00 - 450.00 11-Jan-21 21-457 BAROLA, RODOLFO A. 2211-C Molave St. Brgy 228 Tondo Manila - 1,650.00 - 1,650.00 11-Jan-21 21-458 DUCAT, MELISSA F. 226 B Tramo St. Brgy Maliksi I Bacoor Cavite - 1,025.00 - 1,025.00 12-Jan-21 21-459 CRUZ, ANTONINA D. 306 C.P Garcia St. Brgy 119 Tondo Manila - 650.00 - 650.00 12-Jan-21 21-460 MENDOZA, ARACELI D. 12-A Maya-Maya St. Brgy 119 Tondo Manila - 825.00 - 825.00 13-Jan-21 21-461 REYES, GINA G. 641 D-D Santiago St. Brgy 29 Pasay - 975.00 - 975.00 14-Jan-21 21-462 MARMOL, MARLON O. 126 GUASING ST. St. Brgy PULO VALENZUELA - 18,790.00 - 18,790.00 14-Jan-21 21-463 MALLARI, EMELDA D. 1281 Int. 48 St. Brgy 373 Sta. Cruz Manila - 2,500.00 - 2,500.00 14-Jan-21 21-464 TOLEDO, CARMENCITA V. 4662 Guadacanal St. Brgy 588 Sta. Mesa Manila - 1,200.00 - 1,200.00 18-Jan-21 21-465 DARANTINAO, APOLONIA M. BLK. 17 LOT.35 DAGAT-DAGATAN St. Brgy LONGOS NONE - MALABON 2,400.00 - 2,400.00 19-Jan-21 21-466 SANTOS, MARIBEL L. 1038 Tayuman St. Brgy 234 Zone 22 Tondo Manila - 1,000.00 - 1,000.00 25-Jan-21 21-467 VANGUARDIA, MARYKNOLL D. 96 St. Brgy Sapang Putol San Ildefonso Bulacan - 5,000.00 - 5,000.00 29-Jan-21 21-468 PERIDA, ANITA G. Sampaloc Site Mangga St. Brgy BF Home Parañaque City - 480.00 - 480.00 2-Feb-21 21-469 BASILAN, ELVIRA C. Blk 33 Lot 1 Socialize Housing St. Brgy Tanza 2 Navotas - City 12,560.00 - 12,560.00 3-Feb-21 21-470 AMOYAN, PASTOR A. 116 Balunaran St. Brgy Malinta Valenzuela City 7,198.20 - - 7,198.20 3-Feb-21 21-471 FAJILAN, MARY VANESSA M. 007 RELIANCE St. Brgy NAGKAISANG NAYON NOVALICHES - QUEZON CITY 6,230.00 - 6,230.00 4-Feb-21 21-472 ACOSTA, LUZ B. A6 Dupat Compound St. Brgy Bagbag Novaliches 5,100.00 Quezon City - - 5,100.00

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

4-Feb-21 21-473 BASTASA, SIMPLICIA V. 1065 Basilio St. Brgy 519 Sampaloc Manila - - 3,743.19 3,743.19 5-Feb-21 21-474 ORETA, TEODORO A. 71 Panganiban St. Brgy 96 Biglang Awa Caloocan City - 6,230.00 - 6,230.00 5-Feb-21 21-475 PARULAN, CHRISTOPHER G. 17 Dahlia San Antonio Valley 17 St. Brgy Talon IV 1,664.25 Las Piñas City - - 1,664.25 8-Feb-21 21-476 MANALO, LUIS STEFAN C. 23 C-2 Capulong St. Brgy 104 Tondo Manila - - 5,300.00 5,300.00 9-Feb-21 21-477 TATOY, ALICIO E. B17, L7, Karisma Ville St. Brgy Pangulo Malabon - - 1,053.53 1,053.53 9-Feb-21 21-478 FIETAS, JOANNALYN H. 1314 PAROLA St. Brgy 20 TONDO MANILA - - 1,145.00 1,145.00 9-Feb-21 21-479 AGONES, MARILOU T. 9 Sampaloc Ext. St. Brgy Libtong Meycauayan Bulacan - 5,105.00 - 5,105.00 9-Feb-21 21-480 DAÑAS, PRISCILA N. 84 J. Talibu St. Brgy San Pascual Obando Bulacan - 740.00 - 740.00 9-Feb-21 21-481 VILLON, JOELITO P. Area B, Gate 9, Parola St. Brgy 20 Tondo Manila - - 5,938.85 5,938.85 9-Feb-21 21-482 ARAÑAS, NONOY T. 780 Kagandahan St. Brgy 163, Zone 14 Tondo Manila - - 1,290.00 1,290.00 9-Feb-21 21-483 GUIBAO, ESADEL JR S. 11 8 Ignacio St. Brgy 162 Sta Quiteria Caloocan City - - 2,152.78 2,152.78 9-Feb-21 21-484 DATO-ON, MERCEDITA A. Cacao St. Brgy Ibabao Cuenca Batangas 3,921.84 - - 3,921.84 9-Feb-21 21-485 MARTIN, JONALYN A. 109 PAGASA COMPOUND St. Brgy PILAR LAS PIÑAS CITY - - 882.94 882.94 9-Feb-21 21-486 AKMAD, ALAYSA D. 2198 Angel Linao St. Brgy 731 San Andres Bukid Manila - - 530.00 530.00 9-Feb-21 21-487 LLEVA, JERRY L. B38 l3 St. Brgy Grace Ville Dela Costa IV San Jose Del Monte - Bulacan - 2,630.92 2,630.92 8-Feb-21 21-488 ABAYON, MARCIANO JR N. 383 Block 6 Old Site, St. Brgy 649 Zone - 68 Port Area Manila - 6,772.53 6,772.53 8-Feb-21 21-489 NAMBATAC, LINO V. 56 Agno Ext St. Brgy Tatalon Quezon City - - 3,314.42 3,314.42 10-Feb-21 21-490 MENDAVIA, YOLANDA B. Block 53 Sitio Pangulo St. Brgy San Juan Taytay Rizal - 2,540.00 - 2,540.00 9-Feb-21 21-491 WENCESLAO, CATHERINE C. 777 Coral St. Brgy 58 Tondo Manila - - 8,105.97 8,105.97 10-Feb-21 21-492 CIDILLO, MARICEL C. Purok ! St. Brgy Kaybanban San Jose Del MOnte BUlacan - - 1,113.75 1,113.75 10-Feb-21 21-493 MONDING, RHEA P. 18-A Moises St. Brgy 150 Bagong Barrio Caloocan 3,935.36 City - - 3,935.36 10-Feb-21 21-494 LOMIARES, MARISSA S. Purok 1 St. Brgy Dagum Calbayog Samar - 2,540.00 - 2,540.00 10-Feb-21 21-495 LAUS, EDGAR M. 412 DACING LOPADA ST., MAYPAJO CALOCOAN CITY4,929.00 - - 4,929.00 10-Feb-21 21-496 CRUZ, ROSEVELINDA H. 55 Geneva St. Brgy Gulod Novaliches Quezon City - 3,880.00 - 3,880.00 10-Feb-21 21-497 MANGLICMOT, NEOLITA A. 3119 MOlave St. Brgy 202 Tondo Manila - - 288.00 288.00 10-Feb-21 21-498 YEE JR, LEONARDO T. 128 P Zamora St. Brgy 19 Caloocan City - - 720.00 720.00 10-Feb-21 21-499 TURLA, ERLINDA C. 2865 D Aurora St. Brgy 375 Sta Cruz Manila - - 168.00 168.00 10-Feb-21 21-500 SANCHEZ, RAJ GARRETT A. B22 L41 PH2 Genova St. Brgy Buenavista 1 IL Giardino - Residences, Gen. Trias Cavite - City 1,092.51 1,092.51 10-Feb-21 21-501 NERI, BEBIE QUENN L. PH 9 DELA CRUZ COMPOUND GATCHALIAN SUBD St. Brgy - MANUYO DOS LAS 5,080.00 PIÑAS CITY - 5,080.00 10-Feb-21 21-502 BARRERA, RIALIN A. 42 Magalang St. Brgy 145 Bagong Barrio Caloocan City - 776.00 - 776.00 10-Feb-21 21-503 ARIMADO, NIÑO R. 313 Mata-A St. Brgy 111 Tondo Manila - - 1,066.91 1,066.91 10-Feb-21 21-504 GAJANO SR., ZOSIMO T. 860 Oroquieta St. Brgy 310 Sta. Cruz Manila - 900.00 - 900.00 10-Feb-21 21-505 OLAZO, MARVIN D. Blk 4 Lot 22 Ph2 Area 2 St. Brgy NBBS Dagat-Dagatan 2,528.88 Navotas City - - 2,528.88 10-Feb-21 21-506 GATPO, TOMAS III C. 562 Main St. Brgy 402 Sampaloc Manila - - 2,040.81 2,040.81 10-Feb-21 21-507 MACAPAÑAS, JOE VINCENT ROLAND1715 O. TRAMO St. Brgy 42 PASAY CITY - - 1,192.50 1,192.50 10-Feb-21 21-508 SAHAGUN, MIGUEL S. 2565 Int 3 Jose Abad Santos St. Brgy 216 Tondo Manila - - 530.00 530.00 10-Feb-21 21-509 VIZCONDE, ROSS ANN B. 712 Calabash Road St. Brgy 533 Sampaloc Manila - - 1,220.13 1,220.13 11-Feb-21 21-510 FRIAS, LORENA P. 084 First Bitoon Circle St. Brgy Commonwealth Quezon - City 2,328.00 - 2,328.00 11-Feb-21 21-511 SONEJA, JOSENITA P. 444 Morning Star St. Brgy 107 Tondo Manila 10,000.00 - - 10,000.00 11-Feb-21 21-512 TEVES, MARIA CECILIA N. HERITAGE HOMES BLK 5 LOT 46 ARIES St. Brgy LOMA - DE GATO MARILAO 3,104.00 BULACAN - 3,104.00 11-Feb-21 21-513 ELLI, DIOSDADO 1640 Oroquieta St. Brgy 339 Sta Cruz Manila 1,555.50 - - 1,555.50 11-Feb-21 21-514 TIVES, EMELITA G. 395 Panique St. Brgy San Jose Bulacan Bulacan - 3,880.00 - 3,880.00 11-Feb-21 21-515 AMPOAN, HELEN Y. 132 Pakiusap St. 2nd ave St. Brgy 38 Caloocan City 663.00 - - 663.00 11-Feb-21 21-516 AMPOAN, ADELINA Y. 132 Pakiusap St. 2nd ave St. Brgy 38 Caloocan City 929.00 - - 929.00 11-Feb-21 21-517 TABAYAN, JAYRON V. Brgy Carosalesan Umingan Pangasinan 2,041.50 - - 2,041.50 11-Feb-21 21-518 TABAYAN, EDUARDO SR. B. Purok 3 St. Brgy Carosalesan Umingan Pangasinan 1,248.00 - - 1,248.00 15-Feb-21 21-519 QUINA, CRISTINA M. B6 L15 Don Carlos St. Pasay City - 6,350.00 - 6,350.00 15-Feb-21 21-520 CORTEZ, EDITHA P. 33 Pagong Buhay St. Brgy Laram San Pedro Laguna - - 10,000.00 10,000.00 15-Feb-21 21-521 MAULLON, REGINO C. 355 Talakitok, Kaunlaran Village, Phase 3-C St. Brgy 967.50 20 Caloocan City - - 967.50 16-Feb-21 21-522 PEREZ, ROSANNA BRGY BAGONG BUHAY SJDM BULACAN - 3,104.00 - 3,104.00 16-Feb-21 21-523 WENCISLAO, SONIA 2364 SAN ANDRES BUKID MANILA - 1,235.00 - 1,235.00 16-Feb-21 21-524 ELLADO, GINALYN 1955 MAKATA ST STA CRUZ MANILA 64,906.00 - - 64,906.00 16-Feb-21 21-525 ORTEGO, MA. JIRLY URDANETA ST COMPOUND NORTHERN SAMAR - 3,880.00 - 3,880.00 4-Feb-21 21-526 BANSIL, SHEKINAH MATT L. 292 B-7 Sitio Baseco St. Brgy 649 Port Area Manila - - 330.00 330.00 3-Feb-21 21-527 ABCEDE, BLADIMER L. Blk 2, Lot 1, Sapang Lamig, Towerville St. Brgy Minuyan - Proper San Jose Del Monte - Bulacan 22,623.42 22,623.42 3-Feb-21 21-528 SOTO, LEONARDO G. 12 B Cristobal St. Brgy None Sampaloc Manila - - 24,778.21 24,778.21 3-Feb-21 21-529 BARRERA, GIOVANNA D. Blk 5 Lot 8 Ma Jesusa Subd St. Brgy Pooc Sta Rosa Laguna - - 749.85 749.85 4-Feb-21 21-530 ABESTO, DYLAN REI T. 1778 Antonio Rivera St. Brgy 236 Tondo Manila - - 5,996.31 5,996.31 3-Feb-21 21-531 GONZALES, NICOLE G. 1141 Vergara St. Brgy 386 Quiapo Manila - - 6,295.20 6,295.20 3-Feb-21 21-532 ALLIONAR, PRINCE ZANE C. NSGV Green Valley St. Brgy San Nicolas III Bacoor Cavite - City - 56.00 56.00

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

3-Feb-21 21-533 CABUG, VERONICA C. NSGV Green Valley St. Brgy San Nicolas III Bacoor Cavite - City - 1,573.15 1,573.15 3-Feb-21 21-534 COLONIA, RANULFO O. 810 Unit D. Norma St. Brgy 565 Sampaloc Manila - - 1,286.40 1,286.40 3-Feb-21 21-535 FRANCISCO, ASTROBAL L. B17 L16 PH2 Southville 4 St. Brgy Caingin Sta. Rosa Laguna - - 2,277.62 2,277.62 4-Feb-21 21-536 LOMOBOS, KRISTEL C. Blk 9 lot 36 Area E St. Brgy Elises General Mariano Alvarez - Cavite - 7,203.54 7,203.54 4-Feb-21 21-537 CALAMIGAN, BITUIN D. Brgy StateLand Manggahan General Trias Cavite - - 1,510.22 1,510.22 4-Feb-21 21-538 MARABILLO, TRISTAN A. Phase 1 Lake View St. Brgy Halang Calamba Laguna - - 20,416.04 20,416.04 5-Feb-21 21-539 FRANCISCO, VIRGINIA T. 194 Panghulo St. Brgy Panghulo Malabon - - 516.19 516.19 4-Feb-21 21-540 CUIZON, MARILOU E. SITIO MANGGAHAN St. Brgy LAIBAN TANAY RIZAL - - 15,370.75 15,370.75 4-Feb-21 21-541 MALANG, JUVEY C. 439 Herbosa St. Brgy 92 Zone 8 Tondo Manila - - 6,457.45 6,457.45 4-Feb-21 21-542 CRUZ, ARNOLD A. 2829 Javier St. Brgy None Tondo Manila - - 9,810.73 9,810.73 4-Feb-21 21-543 ENRICO, BRYAN CHRISTIAN B. 48 M. Hizon St. Brgy 64 Caloocan City - - 21,290.46 21,290.46 4-Feb-21 21-544 MONT, IGNATIUS C. 1349 G Mayhaligue St. Brgy None Sta Cruz Manila - - 1,119.71 1,119.71 4-Feb-21 21-545 CARANGUIT, MA. ANNA LISSA E. 57 Galica St. Brgy Bangkulasi Navotas City - - 8,477.18 8,477.18 4-Feb-21 21-546 VARGAS, MELORD B. Camachille Subd. St. Brgy Pascam I General Trias Cavite - - 7,694.50 7,694.50 4-Feb-21 21-547 ELTAGONDE, NATHALIA P. 055 Saint Vincent St. Brgy Manuyo 2 Las Piñas City - - 2,959.68 2,959.68 5-Feb-21 21-548 SANTOS, RODOLFO I. Ilang-Ilang St. Brgy 174 Camarin Caloocan City - - 149.55 149.55 4-Feb-21 21-549 BAYBIN, MANILYN A. Brgy PUNTA 2 TANZA CAVITE - - 17,055.89 17,055.89 4-Feb-21 21-550 BATE, JOCELYN R. Block 14 Lot 18 Rosewood II St. Brgy Tagapo STA. ROSA - LAGUNA - 4,458.59 4,458.59 5-Feb-21 21-551 GUERRERO, LESTER P. 1254 E. Quintos St. Brgy 509 Sampaloc Manila - - 1,008.26 1,008.26 5-Feb-21 21-552 MIRAFLORES, AMARA P. 739 Raxa Bago St. Brgy 154 Tondo Manila - - 795.00 795.00 5-Feb-21 21-553 BOA, JOHN HAROLD B. 299 Purok 5 St. Brgy Talaga Lemery Batangas - - 530.00 530.00 5-Feb-21 21-554 CERBITO, CHARITO G Longos, Bacoor, Cavite - - 679.90 679.90 5-Feb-21 21-555 TOMNOB, KYLE ZHAION -. 33 Don Basilio Bautista St. Brgy Hulong Duhat Malabon - - 1,210.08 1,210.08 6-Feb-21 21-556 BALIC, JHOMEL S. 0315 delos Reyes St., Mangahan St. Brgy Biclatan General - Trias Cavite - 3,012.63 3,012.63 6-Feb-21 21-557 MARIANO, MATILDE V. 3405 R. Papa Barrio Obrero St. Brgy 189 Tondo Manila - - 2,065.36 2,065.36 6-Feb-21 21-558 MAMERTO, IGIE P. 2016 Makata St. Brgy 354 Sta. Cruz Manila - - 299.00 299.00 6-Feb-21 21-559 PRINCINA, MA CRISTINA M. Open Space Progresive 9 St. Brgy Molino 3 Bacoor Cavite - - 12,239.87 12,239.87 6-Feb-21 21-560 FERANDO, JOHN LINCOLN P. Cottage 2-A P. Burgos St. Brgy 9 Caloocan City - - 631.45 631.45 6-Feb-21 21-561 AGONCILLO, SERINAH MARIE S. 2655 Dagupan Ext St. Brgy 165 Tondo Manila - - 3,997.50 3,997.50 6-Feb-21 21-562 BERAQUIT, MARY JOY D. 443 Riverside St. Brgy San Rafael Navotas City - - 132.50 132.50 6-Feb-21 21-563 RAMIREZ, ALEJANDRO E. 2610 Jose Abad Santos St. Tondo Manila - - 836.07 836.07 6-Feb-21 21-564 AGUB, MARK ANTHONY M. 751 Don Quijote St. Brgy 455 Sampaloc Manila - - 1,417.50 1,417.50 6-Feb-21 21-565 FIDELINO, LEODY P. 387 Magdalo St. Brgy Potol Kawit Cavite - - 1,245.95 1,245.95 6-Feb-21 21-566 ESPINA, EDDIE E. 97 Magtangol St. Brgy 29 Caloocan City - - 699.14 699.14 7-Feb-21 21-567 SOSITO, JOSEPHINE D. Bldg 26 Unit 321 Paradise Heights Rodriguez St. Brgy 128 - Balut, Tondo Manila - 530.00 530.00 7-Feb-21 21-568 DASAL, JOANNA MAE 1821 Tindalo St. Brgy 256 Tondo Manila - - 255.00 255.00 7-Feb-21 21-569 VENTURA, JELLY ANN R. 518 Delpan St. Brgy 283 Binondo Manila - - 1,408.66 1,408.66 7-Feb-21 21-570 RAMIREZ, MARK ANTONI 777 Leo St. Brgy 569 Sta. Mesa Manila - - 212.80 212.80 7-Feb-21 21-571 SOTOMAYOR, CHRISTINE E. 1474 8th Fabie Subd St. Brgy 810 Paco Manila - - 522.50 522.50 7-Feb-21 21-572 MENDOZA, CHEDETH G. 2639-A Dagupan Ext St. Brgy 164 Tondo Manila - - 2,444.25 2,444.25 7-Feb-21 21-573 BADILLA, ELENA P. 11 Bicol Briigade St. Brgy Tatalon Quezon City - - 890.00 890.00 7-Feb-21 21-574 SORIANO, NORMITA T. Blk 12 Lot 4 Urban Bliss St. Brgy Marikina City - - 293.72 293.72 7-Feb-21 21-575 FERRER, HONEY LYN G. Blk 15, Lot 29 St. Brgy 649 Baseco Port Area Manila - - 1,252.41 1,252.41 7-Feb-21 21-576 BALANQUIT, PRECILA C. Riverside St., SRV St. Brgy San Rafael Navotas City - - 219.39 219.39 7-Feb-21 21-577 TECSON, NERRIE JANE D. D 45 Bliss Mangunggal St. Brgy Tatalon Quezon City - - 477.50 477.50 7-Feb-21 21-578 TORREFIEL, GRANCY V. 557 Pag-asa St., Gagalangin St. Brgy 182 Zone 16 Tondo - Manila - 1,227.63 1,227.63 7-Feb-21 21-579 PAMILAR, RICO T. 557 Pag-asa St., Gagalangin St. Brgy 182 Zone 16 Tondo - Manila - 1,685.00 1,685.00 7-Feb-21 21-580 KEMPIS, CHRISTOPER I. 2069 Dagupan Ext St. Brgy 155 Tondo Manila - - 975.55 975.55 7-Feb-21 21-581 MONTEALTO, RODEL -. Zamora St. Brgy None Pandacan Manila - - 890.00 890.00 8-Feb-21 21-582 ACOLLADOR, GERALDINE L. Champaca St. Brgy 137 Pasay City - - 1,355.00 1,355.00 8-Feb-21 21-583 BASCOS, LIBERTY M. 121 CM Recto St. Brgy Parang Marikina City - - 1,520.00 1,520.00 8-Feb-21 21-584 BANTIGUE, MICHAELL P. B-16 L-56 Pada Langaray St. Brgy 12 Caloocan City - - 1,050.00 1,050.00 5-Jan-21 21-585 BAÑEZ, CHRISTINE O. 307 Altura Ext St. Brgy 593 Sta Mesa Manila - 150.00 - 150.00 25-Jan-21 21-586 GRANADA, JULIUS CAEZAR 1872 BECERRA ST., BRGY 352 STA. CRUZ MANILA - 6,230.00 - 6,230.00 26-Jan-21 21-587 BONDOC, VIRZEL R. 1190-G Meding St. Brgy 731 Malate Manila - 120.00 - 120.00 27-Jan-21 21-588 FACA, GARY T. 77 PNR Compound St. Brgy 73 Samson Road Caloocan -City 397.50 - 397.50 28-Jan-21 21-589 AURO, ROMEO R. Blk5 Lot8 Sitio Kabatuhan St. Brgy Gen. T. De Leon 11,388.20 Valenzuela City - - 11,388.20 28-Jan-21 21-590 DOMINGUIANO, EDNA R. 223 C.M. Recto St. Brgy 12 Tondo Manila - 180.00 - 180.00 29-Jan-21 21-591 LALU, RUFFA I. Block 14 Lot 2 Phase 2 Area 2 St. Brgy NBBS Dagat Dagatan - Walk-In 1,140.00 - 1,140.00 29-Jan-21 21-592 PETILOS, ROEL V. 1065 Fugoso St. Brgy 335 Sta. Cruz Manila - 397.50 - 397.50

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

29-Jan-21 21-593 GAGABUAN, MUFFIE KHYLE D. 0190 Gov. Padilla St. Brgy Sto. Niño Plaridel Bulacan - 265.00 - 265.00 1-Feb-21 21-594 TOR, FLORDELIZA C. Altsville III 160 St. Anne St. Brgy Ibabang Lupay Lucena - City Quezon Province 931.20 - 931.20 2-Feb-21 21-595 MALATE, JONATHAN G. 43 A.Santiago St. Brgy Sipac Almazen Navotas City - 2,100.00 - 2,100.00 3-Feb-21 21-596 BULAN, JUSTIN JAMES B. 42 Upper Molave St. Brgy Payatas B Quezon City - 265.00 - 265.00 3-Feb-21 21-597 DIMPAL, MARY JANE S. Blk 12 Lot 17 San Francisco Villagio St. Brgy Llana Trece - Martires Cavite 530.00 - 530.00 3-Feb-21 21-598 FLORES, REYNALDO JR A. Phase 3 Package 1 Block 1 LOT EXCESS St. Brgy 176 BAGONG - SILANG CALOOCAN 472.50 CITY - 472.50 3-Feb-21 21-599 MANANGHAYA, MA. LIZA P. Block 21 Lot 3 Congress Village n St. Brgy 173 North Caloocan - Caloocan City 397.50 - 397.50 3-Feb-21 21-600 CRUZ, ZENAIDA T. 087 VELASQUEZ St. Brgy CORAZON CALUMPIT BULACAN - 795.00 - 795.00 3-Feb-21 21-601 ESPIN, ROLLY FRANCIS BONG L. 120 C. Lacson St. Brgy 109 Barrio Magsaysay, Tondo Manila - 530.00 - 530.00 4-Feb-21 21-602 ESTEBAN, ROSITA D. 172 Sitio Lawasan St. Brgy San Mateo Norzagaray Bulacan - 6,280.00 - 6,280.00 4-Feb-21 21-603 FRANCISCO, NERIE C. 235 BMBA St. Brgy 118 4TH Ave. Caloocan City 882.80 - - 882.80 4-Feb-21 21-604 PABUSTAN, ANGELINA 1024 Mariano St. Maypajo Caloocan City - 1,552.00 - 1,552.00 4-Feb-21 21-605 YAP, EDUARDO C. National Road St. Brgy Dampol B Pulilan Bulacan - 2,760.00 - 2,760.00 4-Feb-21 21-606 CAGALAWAN, EFRENA P. 27 Dama de Noche St. Brgy Pamplona III Las Piñas City - 3,109.00 - 3,109.00 4-Feb-21 21-607 AFABLE, DOLORES D. 4522 V. Francisco St. Brgy 590 Sta. Mesa Manila - 1,280.00 - 1,280.00 4-Feb-21 21-608 MAGTOTO, SUSAN P. Brgy La Curva San Jose Occidental Mindoro - 1,552.00 - 1,552.00 5-Feb-21 21-609 MATIAS, JANICE D. 814 M.F. Jocson St. Brgy 459 Sampaloc Manila - 232.80 - 232.80 5-Feb-21 21-610 BICERA, JACKIELYN D. Blk 19 Loy 43 Sitio Kabatuhan St. Brgy Gen T. de Leon -Valenzuela City 931.20 - 931.20 5-Feb-21 21-611 JAVIER, BELEN Y. 6078 MATIMIAS St. Brgy GEN T DE LEON VALENZUELA - CITY 1,707.20 - 1,707.20 5-Feb-21 21-612 LOMIARES, MARISSA S. Purok 1 St. Brgy Dagum Calbayog Samar - 3,810.00 - 3,810.00 5-Feb-21 21-613 AGUSTIN, ALFREDO C. 237 St. Brgy Perez Bulacan Bulacan - 3,104.00 - 3,104.00 5-Feb-21 21-614 ZATA, LENY D. 25 10th Avenue, Stotsenberg St. Brgy 69 Grace Park Caloocan - City 3,000.00 - 3,000.00 5-Feb-21 21-615 CASTILLO, GENA L. Balasing St. Brgy Bagong Barrio Sta. Maria Bulacan - 5,080.00 - 5,080.00 5-Feb-21 21-616 GARCIA, ELIZABETH R. 1263 vILLARUEL St. Brgy 256 Tondo Manila - 3,104.00 - 3,104.00 5-Feb-21 21-617 DEL ROSARIO, TERESITA F. Purok 8 Blk 8 MTRA St. Brgy None Botolan Zambales - 3,104.00 - 3,104.00 5-Feb-21 21-618 TOR, FLORDELIZA C. Altsville III 160 St. Anne St. Brgy Ibabang Lupay Lucena - City Quezon Province 931.20 - 931.20 5-Feb-21 21-619 PASCUA, NORA P. 79 Sampaloc St. Brgy Purok 4 Lower Bicutan Taguig City - 2,540.00 - 2,540.00 5-Feb-21 21-620 ABONALLA, ALMA S. 31 Ext. Blk 156 Lot 38, St. Brgy Madapdap Mabalacat Pampanga - 3,104.00 - 3,104.00 5-Feb-21 21-621 AURO, ERLINDA F. Blk5 Lot8 Sitio Kabatuhan St. Brgy Gen. T. De Leon Valenzuela - City 3,104.00 - 3,104.00 8-Feb-21 21-622 MANRIQUE, AILENE O. 1065 M. Ocampo, Barrio Obrero St. Brgy 190 Tondo Manila - 1,707.20 - 1,707.20 8-Feb-21 21-623 SOLETA, MAY F. 310-A Miguilen St. Brgy 437 Zone 44 Sampaloc Manila - 1,905.00 - 1,905.00 8-Feb-21 21-624 GRECIA, JEANNEL S. 16 BAC 1-11 St. Brgy 190 Pasay City - 5,080.00 - 5,080.00 18-Nov-20 21-625 TEVES, MARIA CECILIA N. HERITAGE HOMES BLK 5 LOT 46 ARIES St. Brgy LOMA - DE GATO MARILAO BULACAN 470.00 - 470.00 7-Jan-21 21-626 LOPEZ, SOLEDAD B. 6381 LIBIS ESPINA St. Brgy 18 10th Ave. Caloocan 1,039.40 City 3,300.00 - 4,339.40 26-Jan-21 21-627 SILVA, MERRYSHELL Z. 39 Tagaytay St. Brgy 131 Caloocan City - 1,470.00 - 1,470.00 28-Jan-21 21-628 TAGUIAM, VICENTE Blk 7 Lot 47 Brgy Bagtas, Tanza Cavite 12,079.75 - - 12,079.75 3-Feb-21 21-629 OTARRA, JOSELITO E. 445 San Rafael St. Brgy 641 San Miguel Manila - - 1,625.38 1,625.38 2-Feb-21 21-630 LELIS, KIRT RAYVER R. 1922 Interior 33 Barrio Banana St. Brgy 843 Zone 92 Pandacan - Manila - 21,430.54 21,430.54 2-Feb-21 21-631 DELA CRUZ, SANTOS G. 122 E. Mariano St. Brgy Tangos Navotas - - 50,231.27 50,231.27 2-Feb-21 21-632 MESA, MAYFLOR E. Sagrada Pamilya Ext St. Brgy 770 Sta. Ana Manila - - 7,546.53 7,546.53 2-Feb-21 21-633 CUNANAN, ARIEL F. 2707 Rizal ave St. Brgy 210 STa Cruz Manila - - 21,585.35 21,585.35 2-Feb-21 21-634 SEGAYO, ROWENA G. 035 St. Brgy PULANG LUPA LAS PIÑAS CITY - - 24,611.08 24,611.08 2-Feb-21 21-635 SANTOS, CESAR C. 535 Ronquillo St. Brgy None Sta Cruz Manila - - 16,330.30 16,330.30 3-Feb-21 21-636 GODOY, MHABEL D. 1467 Int 30 Gomez St. Brgy 823 Paco Manila - - 3,471.96 3,471.96 3-Feb-21 21-637 PARADO, ANTHONY G. 832 Oroquieta St. Brgy 310 Sta. Cruz Manila - - 879.68 879.68 3-Feb-21 21-638 BAAO, DIANA B. Brgy San Vicente Cruz Silang Cavite - 325.00 - 325.00 3-Feb-21 21-639 GONZAGA, MARIDEL M. Bldg 2, Unit 205 Lamesa St. Brgy Ugong Amba Housing - Multi Purpose Coop Valenzuela - City 5,418.54 5,418.54 2-Feb-21 21-640 MARTIN, RICA JOY G. Purok 4 St. Brgy Wakas Bocaue BUlacan - - 3,875.79 3,875.79 2-Feb-21 21-641 SUAN, JOYCE B. Blk 2 Lot 21 Ph. 2 A3 Hilo St. Brgy Longos Malabon City - - 2,344.75 2,344.75 2-Feb-21 21-642 ZALDIVIA, GENOVE Z. 259 MLQ St. Purok 4 St. Brgy Bicutan Taguig City - - 48,195.72 48,195.72 3-Feb-21 21-643 RAMOS, PERCY B. Brgy Bubug Sto. Tomas Isabela - 130.00 - 130.00 2-Feb-21 21-644 GREZULA, MARIECAR T. 1017 Int St. Brgy La Huerta Parañaque City - - 2,912.67 2,912.67 2-Feb-21 21-645 SALLAO, MARICEL R. 1856 tindalo St. Brgy 256 Tondo Manila - - 3,902.45 3,902.45 2-Feb-21 21-646 MORALES, ALFORDNIEL Q. 22nd Railroad St. Brgy 653 Port Area Manila - - 9,360.28 9,360.28 2-Feb-21 21-647 VILLAFLOR, LOURD 87 L3 LRT SITE St. Brgy GREGORIA DE JESUS GMA CAVITE - - 6,829.72 6,829.72 3-Feb-21 21-648 DIOLASO, ERNEST JOHN Tagpuan St. Brgy Bayog Los Baños Laguna - - 715.00 715.00 3-Feb-21 21-649 VILLAPANIA, JOMELGIN C. 572 CAHANDING St. Brgy 91 TONDO MANILA - - 945.00 945.00 3-Feb-21 21-650 ROSARIO, EVANGELINE P. Blk 8 Lot 7 Jade St. Minahanlat St. Brgy Marikina - City - 7,779.88 7,779.88 3-Feb-21 21-651 DEGAMO, ROSALIE T. 1856 M. HIZON St. Brgy 336 STA CRUZ MANILA - - 2,044.49 2,044.49 3-Feb-21 21-652 ONLAYAO, AMELITA E. 1321 G. San Andres St. Brgy 738 Malate Manila - - 953.21 953.21

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

3-Feb-21 21-653 ENVERZO, CHERRILYN G. Bldg. 28-108 Permanent Housing St. Brgy 128 Tondo Manila - - 1,583.02 1,583.02 3-Feb-21 21-654 BANTUG, RUIS MIGUEL S. Blk 27 Lot 9 Salawikain Lagro Subd St. Brgy Greater Lagro - Novaliches Quezon City - 795.00 795.00 3-Feb-21 21-655 ACOPIADO, GINDO M. 049 L165 B17 A St. Brgy 649 Baseco, Port Area Manila - - 824.00 824.00 4-Feb-21 21-656 VILLAVIRAY, DENNIS B. 105 - 40 Pinagsabungan St. Brgy Longos Malabon City - - 933.93 933.93 4-Feb-21 21-657 CESISTA, JONAS G. Delfan St. Brgy 648 Baseco Compound Port Area Manila - - 530.00 530.00 4-Feb-21 21-658 VILLALON, CHRISTIAN JAY 1017 M Dela Fuente St. Brgy 547 Sampaloc Manila - - 1,391.25 1,391.25 4-Feb-21 21-659 PEREZ, JERIZA C. Pag-asa Village St. Brgy Sabang 2 Calauag Quezon Province - 1,552.00 - 1,552.00 4-Feb-21 21-660 CACO, RICARDO P. 163 Caco St. Brgy Malinta Valenzuela City 924.00 - - 924.00 4-Feb-21 21-661 ALICANTE, JULIET H. B17 L9 ,Torcillo St. Brgy 28 Dagat- Dagatan Caloocan - 5,080.00 - 5,080.00 4-Feb-21 21-662 RAMOS, EGBERT C. 141-D ESTANBORGE St. Brgy 71 12 AVENUE GRACEPARK 3,621.00 CALOOCAN CITY - - 3,621.00 5-Feb-21 21-663 SARABIA, ROBBIE DRAKE R. B1, L2, PH2 St. Brgy Mapulang Lupa Pandi Bulacan - - 2,964.84 2,964.84 5-Feb-21 21-664 FRIAS, LORENA P. 084 First Bitoon Circle St. Brgy Commonwealth Quezon - City 3,104.00 - 3,104.00 5-Feb-21 21-665 GRIMALDO, MERIDETH M. Suero Compound St. Brgy Paciano Rizal Calamba 6,942.00 Laguna - - 6,942.00 8-Feb-21 21-666 MILTON, BARRY Poblacion 3 St. Brgy 3 Romblon Romblon - - 31,717.76 31,717.76 8-Feb-21 21-667 PEREZ, ROSANNA B. Blk 74 Lot 15 Area BPurok VI Tahimik St. Brgy Bagong - Buhay I San Jose del 3,104.00 Monte Bulacan - 3,104.00 5-Feb-21 21-668 BALMORIS, MARIETTA C. CALOOCAN CITY 4,520.00 - - 4,520.00 26-Jan-21 21-669 SAMALA, JANNET R. 25 F. Carlos Purok 2 St. Brgy Balungao Calumpit Bulacan - 5,105.00 - 5,105.00 1-Feb-21 21-670 MUSNI, NENITA V. Bldg 4 Unit 210 Paradise Heights Rodriguez St. Brgy 128 - Balut, Tondo Manila 12,460.00 - 12,460.00 5-Feb-21 21-671 FRANCISCO, ROMMEL JR L. MASTHEBHEAD St. Brgy San Antonio Sucat Parañaque - City - 3,676.61 3,676.61 5-Feb-21 21-672 ALI, METHAMAE L. Golden Mosque Compound St. Brgy 384 Quiapo Manila - - 798.67 798.67 6-Feb-21 21-673 VELASCO, REX R. BLK 4 Lot 21 Amalfi Subd St. Brgy Palangue 2 Dasmariñas - Cavite - 28,914.08 28,914.08 7-Feb-21 21-674 LAYONES, ROCHELLE ANNE L. 157 Kalakal St. Brgy San Rafael Village Navotas City - - 2,040.00 2,040.00 8-Feb-21 21-675 SAN JUAN, BERNARD ALLAN A. 869 Betina St. Brgy 571 Sampaloc Manila - - 1,815.03 1,815.03 5-Feb-21 21-676 GUMBA, JESSA P. JASMINE CIRLE St. Brgy PULANG LUPA DOS PASAY CITY - - 8,967.66 8,967.66 8-Feb-21 21-677 VALDOMAR, JANFERSON D. 03 Magsaysay St. Brgy 119 Tondo Manila - - 4,179.58 4,179.58 5-Feb-21 21-678 CANDAZA, RICARDO M. 1557 Tecson de Guia St. Brgy 255 Tondo Manila - - 14,550.58 14,550.58 5-Feb-21 21-679 FORONDA, TOMAS ALBERT C. 194 Angeles St. Brgy Marulas Valenzuela City - - 10,127.12 10,127.12 6-Feb-21 21-680 GRECIA, JEANNEL S. 16 BAC 1-11 St. Brgy 190 Pasay City - - 98,169.38 98,169.38 6-Feb-21 21-681 ZAMORA, ARISEL E. 1124 HEROES DEL 96 St. Brgy 73 CALOOCAN CITY - - 17,213.06 17,213.06 6-Feb-21 21-682 DIMAIYACAN, AERON GRENZON B.Purok 3, National Highway St. Brgy Balibago Sta Rosa Laguna - - 10,448.43 10,448.43 6-Feb-21 21-683 DELARA, ROSEMARIE D. B-126 L-6 St. Brgy Poblacion 5 GMA CAvite - - 686.71 686.71 6-Feb-21 21-684 PAGDANGANAN, ADRIAN P. 293 Claro M. Recto St. Brgy 12 Tondo Manila - - 2,428.51 2,428.51 5-Feb-21 21-685 DELA CRUZ, EUSTAQUIA S. Blk43 L2 Andrew St. Brgy Don Bosco Annex 35 Parañaque - City - 22,178.12 22,178.12 8-Feb-21 21-686 BARRENO, ADELAIDA A. 103-B Samson Road St. Brgy 73 Caloocan City - 3,104.00 - 3,104.00 5-Feb-21 21-687 MERON, REX -. Brgy Sawmill Poblacion North Sta CDruz Zambales - - 55,194.59 55,194.59 8-Feb-21 21-688 DADOR, AMILEEN O. 2242 Sanchez St. Brgy Baclaran Parañaque - 931.20 - 931.20 8-Feb-21 21-689 DATO, SHIELA B. 155 Avocado St. Brgy Sucat City - - 3,248.46 3,248.46 8-Feb-21 21-690 DE TORRES, ANGELA R. Blk11 Lot15 Annex A St. Brgy Malagasang I-G Imus Cavite - 704.00 - 704.00 8-Feb-21 21-691 AFABLE, DOLORES D. 4522 V. Francisco St. Brgy 590 Sta. Mesa Manila - 1,280.00 - 1,280.00 6-Feb-21 21-692 NOCEDA, JEAN KIMBERLIE 918 CABANAS St. Brgy DALAHICAN CAVITE - - 7,398.52 7,398.52 8-Feb-21 21-693 TECHICO, CARMELA L. 1969 I Katamaman St. Brgy 232 Tondo Manila - 3,810.00 - 3,810.00 6-Feb-21 21-694 LAYA, ANGELA C. 37 Estanio St. Brgy Malabon City - - 9,629.39 9,629.39 6-Feb-21 21-695 MORADAS JR, JOEMAR M. Sagrada Pamilya Ext St. Brgy 770 Sta. Ana Manila - - 2,925.37 2,925.37 8-Feb-21 21-696 CARBONELL, VINCE JACOB S. Purok 2 Ibaba St. Brgy Sinalhan Sta Rosa Laguna - - 832.45 832.45 8-Feb-21 21-697 OLIVA, BABY GIRL A. 41 Verdes Clemente Compound Mulawina St. Brgy Lawang - Bato Valenzuela City - 3,087.57 3,087.57 8-Feb-21 21-698 ESPAÑO, FE M. 1977 Firmeza St. Brgy 553 Sampaloc Manila - - 512.87 512.87 6-Feb-21 21-699 MALALUAN, SYLVIA D. 30 Raja Soliman St. Brgy Parang Marikina City - - 21,085.70 21,085.70 6-Feb-21 21-700 CALAWOD, MILA A. 50 Aragon St. Brgy Paltok Quezon - City - 6,523.65 6,523.65 7-Feb-21 21-701 DE GUZMAN, JULIETA O. 10 St. Mary St., Villa España St. Brgy Tatalon Quezon City - - 3,443.94 3,443.94 6-Feb-21 21-702 MENDEVIL, RAYMUND N. Lot Cherryl Ramirez St., Multinational Village St. Brgy Moonwalk - Parañaque City - 17,865.68 17,865.68 7-Feb-21 21-703 VILLAMOR, AUGUSTO M. 509 41 Street St. Brgy Santolan Pasig City - - 23,689.29 23,689.29 8-Feb-21 21-704 BATOY, DOMINGO Q. Block 20 Lot 13 Phase 1 South Ville-5A St. Brgy Langkiwa - Biñan Laguna - 1,010.00 1,010.00 8-Feb-21 21-705 PREPOSE, TRISHA MAE T. 1032 F YUSECO St. Brgy 232 TONDO MANILA - - 795.00 795.00 8-Feb-21 21-706 GOMEZ, ALTHEA YOSHIKO J. 1701 Dagupan St. Brgy 53 Tondo Manila - - 2,210.09 2,210.09 8-Feb-21 21-707 VILLA ROQUE, MARY ANN A. #90 Barrio Sto. Cristo St. Brgy 187 Tala Caloocan - - 636.00 636.00 9-Feb-21 21-708 JACINTO, YOLANDA J. Brgy 178 Maricaban Pasay City - - 522.61 522.61 9-Feb-21 21-709 ROLIE, ZEMIRA FAITH B. Road 13 NDC Compound St. Brgy 628 Sta. Mesa Manila - - 265.00 265.00 6-Feb-21 21-710 MILAG, JOSEFINA Y. 732 Peñalosa St. Brgy 60 Tondo Manila - - 39,957.20 39,957.20 7-Feb-21 21-711 PILAPIL, ERLINITA F. 969 Int 4 Dagupan St. Brgy 49 Tondo Manila - - 16,192.88 16,192.88 7-Feb-21 21-712 BANAAG, SUSAN B. 549 Prudencio St. Brgy 443 Sampaloc Manila - - 8,029.51 8,029.51

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

7-Feb-21 21-713 DACALAÑO, DAVIES D. 460 ZP De Guzman St. Brgy 393 Quiapo Manila - - 9,499.02 9,499.02 7-Feb-21 21-714 TARDECILLA, LAURENTE R. 2 Salinas St. Brgy Marulas Doña Ata Subd. Valenzuela City - - 12,089.66 12,089.66 7-Feb-21 21-715 BARREDO, FEDERICO R. Blk 15 Lot 19 Teachers Vilage St. Brgy 12 Caloocan City - - 12,869.30 12,869.30 7-Feb-21 21-716 RODRIGUEZ, JOHN HARLEM S. 1017 P. Guevarra St. Brgy 311 Sta. Cruz Manila - - 5,931.65 5,931.65 7-Feb-21 21-717 MASANGYA, FRANCIS C. 338 AREA B GATE 13 St. Brgy 20 PAROLA TONDO MANILA - - 4,511.17 4,511.17 8-Feb-21 21-718 MANGAOIL, OFRESINIO N. B12 L11 Sunny Crest Vill. St. Brgy Salitran II Dasmariñas - Cavite - 72,912.43 72,912.43 8-Feb-21 21-719 DE VILLA, SOFIA YSABELLE C. 57 Galica St. Brgy Bangkulasi Navotas City - - 3,022.13 3,022.13 8-Feb-21 21-720 REYES, JHAY ANDREI S. 1 LOPEZ JAENA St. Brgy PARANG MARIKINA CITY - - 32,030.83 32,030.83 8-Feb-21 21-721 ABELLA, DIOSDADO R. Blk 08 Lot 13 St. Brgy Sta Cruz 1 Dasmariñas Cavite - - 14,656.75 14,656.75 8-Feb-21 21-722 MARTINEZ, DIANNE MAE Brgy SAN PASCUAL OBANDO BULACAN - - 2,999.39 2,999.39 8-Feb-21 21-723 TEJERO, JOCELYN D. PNR Dorm Torres Bugallon St. Brgy 5 Sangandaan Caloocan - City - 16,736.08 16,736.08 8-Feb-21 21-724 ZAPANTA JR, JOLITO T. 1206 SORIANO St. Brgy 45 TONDO MANILA - - 13,350.00 13,350.00 8-Feb-21 21-725 ADONA, TERESITA P. Blk 27 Lot 2 Macopa St. Brgy Sto. Niño Pasay City - - 291.51 291.51 8-Feb-21 21-726 TORMES, ROSE MARIE J. 9-2 Espiritu St. Brgy Tinajeros Malabon City - - 6,850.47 6,850.47 8-Feb-21 21-727 HILOT, JESIEL S. 3192 Interior 41 Pilar St. Brgy 199 Zone 18 Tondo Manila - - 9,356.40 9,356.40 9-Feb-21 21-728 BAETIONG, RIZZA L. 3F RIVERA St. Brgy POTRERO MALABON CITY - - 1,763.94 1,763.94 9-Feb-21 21-729 NAVARRO, ROMINIC M. Blk 16 Lot 11 Socializing Housing Pabahay St. Brgy Tanza - II Navotas City - 530.00 530.00 9-Feb-21 21-730 CORONADO, IMELDA R. 757B Sevilla St. Brgy 274 Binondo Manila - - 810.72 810.72 9-Feb-21 21-731 RAFAEL, DENNIS S. 1538 San Diego St. Brgy 500 Sampaloc Manila - - 855.85 855.85 9-Feb-21 21-732 PARRA, ALICIA B. 239 Mirasol St., Balut St. Brgy 145 Zone 12 Tondo Manila - - 8,115.74 8,115.74 9-Feb-21 21-733 DE GUZMAN, GENELYN M. B16 L8 Adelina III St. Brgy Sto Tomas Biñan Laguna - - 15,220.48 15,220.48 9-Feb-21 21-734 ZABLAN, LUZVIMINDA L. 2892 Rizal Ave. Tambunting St. Brgy 373 Sta. Cruz Manila - - 2,985.00 2,985.00 10-Feb-21 21-735 LIPAOPAO, RESTE M. 202 PNR COMPOUND SAMSON RD St. Brgy 73 CALOOCAN - CITY - 939.82 939.82 10-Feb-21 21-736 DAVID, ALEXANDER MIGUEL C. 80 M Cornejo St. Brgy 161 Malibay Pasay City - - 397.50 397.50 10-Feb-21 21-737 DAVID, REYNALDO F. 3127 BLK 57 LOT 22 L PH3 F2 St. Brgy 8 DAGAT DAGATAN - CALOOCAN CITY - 617.82 617.82 10-Feb-21 21-738 ALONZO, RONNIE B. 301 CANARY St. Brgy 122 TONDO MANILA - - 945.00 945.00 10-Feb-21 21-739 GERONIMO, KIMBERLY FAITH P. 1389 PABIA St. Brgy 70 TONDO MANILA - - 536.65 536.65 8-Feb-21 21-740 MABALE, LEONARDO J. 1003Arlegui St. Brgy None Quiapo Manila - - 4,312.76 4,312.76 8-Feb-21 21-741 SAN JUAN, TRISTAN JUSTINE S. 049 F. Alcanar St. Brgy Wawang Pulo Valenzuela City - - 4,723.84 4,723.84 9-Feb-21 21-742 BUBAN, EUNICE M. Gladiola St. Brgy Halang Ma. Salome Subd., Calamba Laguna - - 735.71 735.71 9-Feb-21 21-743 ANTONIO, JOSEFINA T. 119 B Estranio St. Brgy Bangcal Meycauayan Bulacan - - 24,948.10 24,948.10 9-Feb-21 21-744 MADOLID, ALEJANDRA M. 2861 Hermosa St. Brgy 183 Gagalangin, Tondo Manila - - 6,884.06 6,884.06 9-Feb-21 21-745 RECTO, FLORENCIO E. Brgy Pinamang Caan Mandaon Masbate - - 9,190.31 9,190.31 9-Feb-21 21-746 MORALLOS, JESSICA P. Blk 16 Lot 12 Northville II-AR Jacinto St. Brgy Canumay - West Valenzuela City - 11,475.96 11,475.96 9-Feb-21 21-747 BANANG, DAVE V. 682 D GASTAMBIDE St. Brgy 400 SAMPALOC MANILA - - 32,404.70 32,404.70 9-Feb-21 21-748 MENDOZA, ANGELITA V. 434 Bartolome Sr St. Brgy Pantubig San Rafael Bulacan - - 61,674.30 61,674.30 9-Feb-21 21-749 NARVAS, ROSE ANN A. 252 PNR Comp. St. Brgy 73 Caloocan City - - 18,098.64 18,098.64 9-Feb-21 21-750 ROQUE, AILEEN -. 96 San Pascual St. Brgy San Agustin Malabon City - - 6,760.97 6,760.97 10-Feb-21 21-751 OPERARIO, LEORINA P. 20 C G MARCELO St. Brgy MAYSAN VALENZUELA CITY - - 5,872.38 5,872.38 10-Feb-21 21-752 ICARO, LEONILA T. 835 Nicodemus St. Brgy 51 Dagupan, Tondo Manila - 325.00 - 325.00 10-Feb-21 21-753 LABOC, ROMULO I. Brgy Kasandig II Paranas Samar - 4,084.00 - 4,084.00 11-Feb-21 21-754 CAVIOLA, CARMELITA S. 001 Santol St., Antonio Subd St. Brgy Dalandanan Valenzuela - City - 1,412.01 1,412.01 11-Feb-21 21-755 BICERA, JACKIELYN D. Blk 19 Loy 43 Sitio Kabatuhan St. Brgy Gen T. de Leon -Valenzuela City 1,164.00 - 1,164.00 11-Feb-21 21-756 JAVIER, BELEN Y. 6078 MATIMIAS St. Brgy GEN T DE LEON VALENZUELA - CITY 1,707.20 - 1,707.20 11-Feb-21 21-757 DEL ROSARIO, TERESITA F. Purok 8 Blk 8 MTRA St. Brgy None Botolan Zambales - 2,328.00 - 2,328.00 11-Feb-21 21-758 TIZON, LOIDA C. B1 Laz Vanessa Homes St. Brgy San Isidro Cabuyao Laguna - 3,880.00 - 3,880.00 11-Feb-21 21-759 ABONALLA, ALMA S. 31 Ext. Blk 156 Lot 38, St. Brgy Madapdap Mabalacat Pampanga - 3,104.00 - 3,104.00 11-Feb-21 21-760 AGUSTIN, ALFREDO C. 237 St. Brgy Perez Bulacan Bulacan - 3,880.00 - 3,880.00 11-Feb-21 21-761 CARILLO, AMANDA Y. Blk 5 122 Northville III St. Brgy Bayugo MEYCAUAYAN - CITY BULACAN 3,880.00 - 3,880.00 11-Feb-21 21-762 MANRIQUE, AILENE O. 1065 M. Ocampo, Barrio Obrero St. Brgy 190 Tondo Manila - 2,134.00 - 2,134.00 11-Feb-21 21-763 MACARIO, ALMA A. 352 Matiisin St. Brgy 25 Tondo Manila - 3,880.00 - 3,880.00 11-Feb-21 21-764 MENDAVIA, YOLANDA B. Block 53 Sitio Pangulo St. Brgy San Juan Taytay Rizal - 6,350.00 - 6,350.00 11-Feb-21 21-765 SENGSON, MILDRED S. 133 Champaca St. Brgy Tanza Navotas City - 2,134.00 - 2,134.00 11-Feb-21 21-766 DIAZ, MICHELLE A. Block 21 Lot 3 Goodwill 1 Helpful St. Brgy San Bartolome - Novaliches Quezon 853.60 City - 853.60 11-Feb-21 21-767 DENAGA, EUDES A. 1431 Torres Bongallon St. Brgy 209 Tondo Manila - - 725.02 725.02 11-Feb-21 21-768 AZARCON, ELENA F. 017 Laurel St., Don Bosco St. Brgy 116 Tondo Manila - - 2,271.53 2,271.53 11-Feb-21 21-769 CASTILLO, GENA L. Balasing St. Brgy Bagong Barrio Sta. Maria Bulacan - 6,350.00 - 6,350.00 11-Feb-21 21-770 CEPE, GLORIA S. 2752 Lico St. Brgy 210 Tondo Manila - 853.60 - 853.60 11-Feb-21 21-771 PASCUA, NORA P. 79 Sampaloc St. Brgy Purok 4 Lower Bicutan Taguig City - 3,175.00 - 3,175.00 11-Feb-21 21-772 AURO, ERLINDA F. Blk5 Lot8 Sitio Kabatuhan St. Brgy Gen. T. De Leon Valenzuela - City 3,880.00 - 3,880.00

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

11-Feb-21 21-773 MAGTOTO, SUSAN P. Brgy La Curva San Jose Occidental Mindoro - 1,164.00 - 1,164.00 11-Feb-21 21-774 MAGALONA, ALLYSA MAE -. 753 Interior 73 Raxabago St. Brgy 155 Zone 14 Tondo -Manila - 720.00 720.00 11-Feb-21 21-775 NAVAL, REBECCA I. 302 C. Arellano St. Brgy Baritan Malabon - 3,880.00 - 3,880.00 11-Feb-21 21-776 OJAYAS, ANELIA Q. Parola Ext St. Brgy 20 Tondo Manila - 3,104.00 - 3,104.00 11-Feb-21 21-777 SANTIAGO, LYCA G. Purok 7 Calisitan St. Brgy Kurba Bongabon Nueva Ecija - - 470.00 470.00 11-Feb-21 21-778 BOLOTAOLO, WILLIAM M. 70 Congressional Ave St. Brgy Bahay Toro Project 8 Quezon - City - 1,060.00 1,060.00 11-Feb-21 21-779 ISIDRO, ARMIDA L. 13 Sanchez St. Brgy Tinajeros Malabon City - - 938.00 938.00 11-Feb-21 21-780 ESPINO, MARK CAZER P. 205-E Jacinto St. Brgy 100 Tondo Manila - - 3,180.00 3,180.00 14-Feb-21 21-781 ALARDE, JUANITO O. Sitio 14, Maligaya 3 St. Brgy Pacita 2 San Pedro Laguna - - 4,086.89 4,086.89 11-Feb-21 21-782 SENGSON, ELLEN C. 74M Fernando st St. Brgy Tangos South Wawa Navotas - City - 8,863.66 8,863.66 11-Feb-21 21-783 TISMO, WILFREDO L. 1228 KAHILOM 2 St. Brgy 868 PANDACAN MANILA - - 7,129.40 7,129.40 10-Feb-21 21-784 IMUTAN, RUEL A. 576 Kahanding St. Brgy 91 Tondo Manila - - 11,490.35 11,490.35 12-Feb-21 21-785 SALVADOR, CONCEPCION A. Block 12-A Lot 28 Phase 2 Hiwas St. Brgy Longos Malabon - City - 3,717.50 3,717.50 11-Feb-21 21-786 MEMPIN, JOMRISSE V. 1996 Int.G, Dayang St. Brgy 793 Sta. Ana Manila - - 29,605.79 29,605.79 12-Feb-21 21-787 TUASON, FRANCIS A. 152-A St. Brgy Salvacion La Loma Quezon City - - 40,449.38 40,449.38 11-Feb-21 21-788 LAISA, CRISMARIE U. 1744 Tecson de Guia St. Brgy 255 Tondo Manila - - 5,930.58 5,930.58 11-Feb-21 21-789 REBANA, MARILOU N. Blk. 3 Lot 26 St. Brgy San Miguel 2 Dasmariñas Cavite - - 8,410.46 8,410.46 11-Feb-21 21-790 FLORES, FREDA A. B63 L6 ACM Woodstuck Homes St. Brgy Navarro Gen. -Trias Cavite - 6,698.45 6,698.45 12-Feb-21 21-791 BILBAR, RHEA MAE A. 92 Asistio St. Brgy 88 Grace Park Caloocan City - - 7,192.65 7,192.65 12-Feb-21 21-792 MENDOZA, CHRISANTO B. 14 Int M Blas St. Brgy Hulong Duhat Malabon City - - 17,150.85 17,150.85 12-Feb-21 21-793 SANGLAY, MARCIANO B. 1277 Heroes Del 96 St. Brgy 73 Caloocan City - - 33,753.19 33,753.19 12-Feb-21 21-794 VENUS, ELEANOR M. PH5 BLK25 LOT6 St. Brgy 176 BAGONG SILANG CALOOCAN - CITY - 20,082.89 20,082.89 12-Feb-21 21-795 MABATO, OLIVER A. 440 Little Quiapo St. Brgy Talaba 4 Bacoor Cavite - - 6,173.18 6,173.18 29-Jan-21 21-796 FAIN, SEVERA Brgy DITTAN BASCO BATANES - - 20,000.00 20,000.00 20-Jan-21 21-797 DELMONTE, JESTER L. Golden Horizon St. Brgy Hugo Perez Trece Martires Cavite - - 8,245.98 8,245.98 18-Nov-20 21-798 BAUTISTA, ZENAIDA N. 2314 Agua Marina St. Brgy 771 San Andres Bukid Manila - 5,100.00 - 5,100.00 19-Nov-20 21-799 GARCIA, FE B. 2549 -B Topacio St. Brgy 765 Zone 86 San Andres 4,563.00 Bukid Manila - - 4,563.00 20-Nov-20 21-800 EBO, LILIA G. Lower Laong St. Brgy Almanza Uno Las Piñas City 12,168.00 - - 12,168.00 23-Nov-20 21-801 AGUILAR, JAIME A. 1697 LRC Compund St. Brgy 310 Sta Cruz Manila - 4,100.00 - 4,100.00 24-Nov-20 21-802 MALLARI, FELINO JR D. 107 Adalia St. Brgy 101 10th Avenue Caloocan City 7,605.00 - - 7,605.00 25-Nov-20 21-803 ESTRADA JR, MANUEL E. 115 R. Santiago St. 9th Ave St. Brgy 63 Caloocan City 9,886.50 - - 9,886.50 25-Nov-20 21-804 ESPLANA, EVA MARIE D. 104 Laon-Laan St. Brgy 30 Maypajo Caloocan City - 3,200.00 - 3,200.00 2-Dec-20 21-805 SANTOS, ROOSEVELT L. 135-E Kapok St. St. Brgy 126 San Jose Caloocan City 6,481.40 - - 6,481.40 2-Dec-20 21-806 VICTORIO, JOSE B. 122 Bagong Sibol St. Brgy 28 Caloocan City 760.50 - - 760.50 2-Dec-20 21-807 ESCOTO, JOANA MARIE A. 138-B C.Molina St. Brgy Viente Reales Valenzuela 3,000.00 City - - 3,000.00 3-Dec-20 21-808 GURROBAT, CECILIA A. Rm 102 B4 Bldg 6 Discipline Vill. St. Brgy Bignay 11,407.50 Valenzuela - - 11,407.50 10-Dec-20 21-809 FELICIA, MICHAEL V. 243 Romualdez St. Brgy 122, Zone 9 Tondo Manila 5,323.50 350.00 - 5,673.50 14-Dec-20 21-810 RIVERA, JOSE ROLANDO S. 1415 A. Maceda St. Brgy 501 Sampaloc Manila - 13,260.00 - 13,260.00 14-Dec-20 21-811 GARCIA, FE B. 2549 -B Topacio St. Brgy 765 Zone 86 San Andres 1,521.00 Bukid Manila - - 1,521.00 15-Dec-20 21-812 MENDOZA, MILAGROS D. Brgy Luciente II Bolinao Pangasinan 4,563.00 - - 4,563.00 15-Dec-20 21-813 TIO, RECHARD A. 1759 Almeda St. Brgy 251 Tondo Manila 4,563.00 - - 4,563.00 28-Dec-20 21-814 ESCOTO, JOANA MARIE A. 138-B C.Molina St. Brgy Viente Reales Valenzuela City - 1,950.00 - 1,950.00 28-Dec-20 21-815 LAZO, LARRY E. 87 12th Ave. St. Brgy 88 Grace Park Caloocan City - 5,200.00 - 5,200.00 29-Dec-20 21-816 SENGSON, MARIA GERTRUDES D.98 M. Domingo St. Brgy Tangos Navotas City - 2,600.00 - 2,600.00 29-Dec-20 21-817 MALLARI, FELINO JR D. 107 Adalia St. Brgy 101 10th Avenue Caloocan City - 1,950.00 - 1,950.00 29-Dec-20 21-818 CRUZ, AMIE A. 1068 B. Solis St. Brgy 215 Tondo Manila - 2,600.00 - 2,600.00 13-Jan-21 21-819 CUENO, ROMEO JR. A. 364 BMBA 2nd St., 5th Ave. St. Brgy 113 Caloocan 678.10 800.00 - 1,478.10 29-Jan-21 21-820 SENOBIN, MAXIMINO JR. B. Blk 32 Lot 25 Kapak Liit St. Brgy 12 Dagat-Dagatan 8,783.80 Caloocan City - - 8,783.80 29-Jan-21 21-821 ANDES, LOURDES P. Blk 4 B Lot 1 Carville St. Brgy Tanza 1 Navotas City - 940.00 - 940.00 29-Jan-21 21-822 BALUYOT, FRITZ JEDD F. 708 Laong Nasa St. Brgy 158, Zone 14 Gagalangin, Tondo - Manila 6,230.00 - 6,230.00 8-Jan-21 21-823 MARTINEZ, HELEN C. 1121 New Antipolo St. Brgy 213 Tondo Manila - 530.00 - 530.00 1-Feb-21 21-824 TOLENTINO, JOB ISAIAH F. 535 Aguila St. Brgy 62 Tondo Manila - 530.00 - 530.00 2-Feb-21 21-825 AGMATA, JEZZA LEE J. 2600F Jesus St. Brgy 335 PANDACAN Manila - 18,790.00 - 18,790.00 3-Feb-21 21-826 ANTONIO, LEONORA R. 54 Ilang-Ilang St. Brgy Karuhatan Valenzuela City 22,677.56 - - 22,677.56 3-Feb-21 21-827 MATAVILLA, EMELITA S. 281 Tecson St. Brgy Bangkulasi Navotas City 2,470.32 - - 2,470.32 4-Feb-21 21-828 BURKETT, GLYCIL P. 2042 Batangas St. Brgy 800 San Andres Bukid Manila 8,774.76 - - 8,774.76 4-Feb-21 21-829 ROA, LYDIA A. 79 Ibong Pilak St. Brgy Sta. Monica Novaliches Quezon 3,808.04 City - - 3,808.04 4-Feb-21 21-830 TAGUIAM, VICENTE S. Block 7 Lot 47 Phase 2 Section 16 Pabahay 2000 2,122.90St. Brgy Bagtas Tanza Cavite - - 2,122.90 4-Feb-21 21-831 PARRA, FIDELA O. 169 Pio Val St. St. Brgy Marulas Valenzuela 24,827.00 - - 24,827.00 4-Feb-21 21-832 GAMAS, REYNALDO C. 2904 Tambunting St. Brgy 373 Sta Cruz Manila - - 1,256.25 1,256.25

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

4-Feb-21 21-833 NAVARRETE, MARK LESTER R. 2416 Oroquieta St. Brgy 365 Sta. Cruz Manila - - 1,203.19 1,203.19 4-Feb-21 21-834 DE TORRES, ANGELA R. Blk11 Lot15 Annex A St. Brgy Malagasang I-G Imus Cavite - 960.00 - 960.00 4-Feb-21 21-835 BOTIAL, ERNALDO S. 88 DON BENITO St. Brgy 21 CALOOCAN CITY - - 2,468.28 2,468.28 4-Feb-21 21-836 SOLAMO, RICHELLE C. 4292 Sawata II St. Brgy 35 Maypajo Caloocan City - - 1,233.75 1,233.75 4-Feb-21 21-837 TAPADO, JENNALYN M. 1333 D Masangkay Bambang St. Brgy 264 Sta Cruz Manila - - 3,270.39 3,270.39 4-Feb-21 21-838 TAÑEDO, MIKAYELA REI C. 21518 De Galicia St. Brgy Bangculasi Navotas City - 750.00 - 750.00 4-Feb-21 21-839 ROAMAR, GINES S. Blk 1 Lot 13 Center Ville Subd St. Brgy Talon III 11,984.40Las Piñas City - - 11,984.40 4-Feb-21 21-840 VIRAY, JULIET G. 263 Libis Talisay St. Brgy 12 Caloocan City - - 3,458.99 3,458.99 4-Feb-21 21-841 DAÑAS, PRISCILA N. 84 J. Talibu St. Brgy San Pascual Obando Bulacan - 704.00 - 704.00 4-Feb-21 21-842 IGUALAN, VICTORIA P. Blk. 3 Lot 23 Cmpd. 2 St. Brgy Gen. T. De Leon Sitio 6,000.72 Kabatuhan Valenzuela City - - 6,000.72 4-Feb-21 21-843 ULTADO, JOSELITO F. 2046 Batangas 1 St. Brgy 800 Paco Manila 8,770.16 - - 8,770.16 4-Feb-21 21-844 CHANCO, MARIANE C. 59 Purok 1 St. Brgy Abulalas Hagonoy Bulacan - 3,104.00 - 3,104.00 4-Feb-21 21-845 DEANON, REA C. 27 KAPILIGAN St. Brgy DOÑA IMELDA QUEZON CITY - - 532.50 532.50 5-Feb-21 21-846 TIVES, EMELITA 395 Panique San Jose Bulacan Bulacan - 2,328.00 - 2,328.00 4-Feb-21 21-847 ELPEDES, ALTHEA UNIES M. 22 ANTORIUM PUROK 7 PH2 St. Brgy MALANDAY MARIKINA - CITY - 1,696.47 1,696.47 4-Feb-21 21-848 ORTIZ, RHIANNE D. 2707 Rizal Ave. St. Brgy 210 Tondo Manila - - 2,480.00 2,480.00 4-Feb-21 21-849 LAPID, MAY L. 1581 Interior 25 F. Varona St. Brgy 67 Zone 6 Tondo Manila - - 795.00 795.00 4-Feb-21 21-850 PATAG, LUALHATI I. San Lorenzo St. Brgy San Juan Taytay Rizal - - 833.55 833.55 4-Feb-21 21-851 PANALIGAN, EVANGELINE L. 22 De Mayo St. Brgy Baclaran Parañaque City - - 1,517.08 1,517.08 4-Feb-21 21-852 DE LEON, ARLYN S. 1362 Narcisa St. Brgy 250 Tondo Manila - - 2,515.94 2,515.94 5-Feb-21 21-853 TALAY, CHRISTOPHER G. Blk 4 Lot 34 Damascus Pleasant Hill Subd St. Brgy San -Manuel San Jose Del Monte - Bulacan 100.00 100.00 5-Feb-21 21-854 DAVID, FELISA C. 3416 A.S Lucban, Barrio Obrero St. Brgy 189 Tondo Manila - - 504.13 504.13 5-Feb-21 21-855 ICO, JOSEPHINE D. 1317 Kalimbas St. Brgy 319 Zone 32 Sta. Cruz Manila - - 1,032.90 1,032.90 5-Feb-21 21-856 MEDINA, ROSIEL C. Blk 82 Lot 4 Purok 1 Kawal St. Brgy 28 Dagat-Dagatan -Caloocan City - 845.00 845.00 5-Feb-21 21-857 BUENSALIDA, BELLA D. bLK 7 ACN PAramount St. Brgy Navarro General Trias -Cavite - 1,418.00 1,418.00 5-Feb-21 21-858 CARILLO, AMANDA Y. Blk 5 122 Northville III St. Brgy Bayugo MEYCAUAYAN - CITY BULACAN 3,880.00 - 3,880.00 5-Feb-21 21-859 BARRERA, RIALIN A. 42 Magalang St. Brgy 145 Bagong Barrio Caloocan City - 2,328.00 - 2,328.00 5-Feb-21 21-860 BRIOSO, ESTRELLA L. 1212 San Ramon St. Brgy 45 Tondo MAnila - - 1,890.00 1,890.00 5-Feb-21 21-861 MORALLOS, MARCOS C. Bldg. 20 Temp. Housing St. Brgy 105 Road 10 Tondo Manila - - 1,574.16 1,574.16 5-Feb-21 21-862 ASOR, JONALYN P. B22 L41 PH2 Genova St. Brgy Buenavista 1 IL Giardino - Residences, Gen. Trias Cavite - City 3,151.24 3,151.24 5-Feb-21 21-863 BAMBICO, ROSALINDA R. 417 Leonas St. Brgy NBBN Navotas City 935.00 - - 935.00 5-Feb-21 21-864 MINA, ARNULFO T. 19 A Mabini St. Brgy San Roque Marikina City - - 2,318.43 2,318.43 5-Feb-21 21-865 SARMIENTO, MERVIN F. 607 Sulucan St. Sampaloc Manila - - 1,780.00 1,780.00 5-Feb-21 21-866 OJAYAS, ANELIA Q. Parola Ext St. Brgy 20 Tondo Manila - 3,104.00 - 3,104.00 5-Feb-21 21-867 NAVAL, REBECCA I. 302 C. Arellano St. Brgy Baritan Malabon - 3,104.00 - 3,104.00 5-Feb-21 21-868 CRUZ, JOSEFINA M. 945 Luzon St. Brgy 260 Tondo Manila - - 778.20 778.20 5-Feb-21 21-869 ganeda, carlos 32 eusebio st malabon city 3,000.00 - - 3,000.00 5-Feb-21 21-870 LINGO, BONIFACIO M. 20 Henoroso St. Brgy Maysan Valenzuela City - - 1,725.46 1,725.46 5-Feb-21 21-871 TAMONDONG, BRIANNA MARIE P.431 B-1 Gasangan St. Brgy 649 Baseco Port Area - - 1,010.00 1,010.00 5-Feb-21 21-872 BERNARDO, RENZO RUIZ 1838 Sulu St. Brgy 341 Sta. Cruz Manila - - 530.00 530.00 6-Feb-21 21-873 EMBILE, JOHN ARTHUR A. 630 G. Araneta Avenue St. Brgy Tatalon Quezon City - - 2,855.10 2,855.10 5-Feb-21 21-874 TUMARU, JERWIN S. 736 VICENTE G CRUZ St. Brgy 453 SAMPALOC MANILA - - 795.00 795.00 6-Feb-21 21-875 VIRAY, EMELDA NORMA B. 2629 Interior E Dagupan Extension St. Brgy 164 Tondo - Manila - 1,735.00 1,735.00 6-Feb-21 21-876 PRADO, KARL EUWIN D. 1646 G. Tuazon St. Brgy 417 Sampaloc Manila - - 1,670.00 1,670.00 6-Feb-21 21-877 LIDEROS, JULITO JR. B. B18 L8 Area F Purok 7 St. Brgy San Pedro SJDM Bulacan - - 530.00 530.00 6-Feb-21 21-878 MANZANO, EMITERIO M. 4856 B. Int. 4 San Antonio St. Brgy 598 Sta. Mesa Manila - - 987.92 987.92 6-Feb-21 21-879 DALIVA, KRYSTAL D. 450 Amelia St. Brgy 439 Sampaloc Manila - - 502.88 502.88 8-Feb-21 21-880 TIZON, LOIDA C. B1 Laz Vanessa Homes St. Brgy San Isidro Cabuyao Laguna - 3,104.00 - 3,104.00 8-Feb-21 21-881 CASTEL, JERRY G. 111 3rd Ave. West Gracepark St. Brgy 46 Caloocan 643.50City - - 643.50 8-Feb-21 21-882 MARTINEZ, HELEN C. 1121 New Antipolo St. Brgy 213 Tondo Manila 323.80 - - 323.80 8-Feb-21 21-883 ABELLA, LUCY C. Bible Ext Semion Doon Compound St. Brgy Karuhatan 2,070.00 Valenzuela City - - 2,070.00 8-Feb-21 21-884 PASCUAL, BENJAMIN S. Blk 18 Lot 14 TBC Ph 2 St. Brgy Balon Bato Balintawak 1,189.30 Quezon City - - 1,189.30 10-Feb-21 21-885 CATACUTAN, SHEILA V. 214 Sofia St. Brgy 136 Tondo Manila - 4,800.00 - 4,800.00 10-Feb-21 21-886 RAQUEPO, MARY JULIET R. Purok 4 St. Brgy Pantay Fatima Vigan City Ilocos Sur - 6,350.00 - 6,350.00 10-Feb-21 21-887 ALICANTE, JULIET H. B17 L9 ,Torcillo St. Brgy 28 Dagat- Dagatan Caloocan - 6,350.00 - 6,350.00 10-Feb-21 21-888 BRIONES, MICHAEL N. 1079 Road 2 Tambalan St. St. Brgy 35 Maypajo Caloocan 1,301.30 - - 1,301.30 10-Feb-21 21-889 AMADOR, REA E. LOT 8 BLK 11 C PHASE 3 E1 LANGARAY DADAS 10,000.00 CALOOCAN CITY - - 10,000.00 5-Nov-20 21-890 LANGREO, DOMINGA G. 1425 AREA 1 SAWATA St. Brgy 35 MAYPAJO CALOOCAN - CITY 325.00 - 325.00 5-Nov-20 21-891 IBAYAN, ROCHELLE M. 538 Tagaytay St. Brgy San Jose Caloocan City - 460.00 - 460.00 5-Nov-20 21-892 FAJARDO, LAILANIE JANE A. 1732 Lacson St. Brgy 85 Tondo Manila - 990.00 - 990.00

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

9-Nov-20 21-893 FELICIA, MICHAEL V. 243 Romualdez St. Brgy 122, Zone 9 Tondo Manila - 585.00 - 585.00 10-Nov-20 21-894 PILONES, LYDIA MAE B. 127-E Callejon St. Brgy 150 Bagong Barrio Caloocan City - 600.00 - 600.00 11-Nov-20 21-895 BATOON, TERESITA M. 1247 Severino St. Brgy 328 Zone 33 Sta. Cruz Manila - 780.00 - 780.00 11-Nov-20 21-896 RESUS, DANIEL JR G. 340 A.H Lacson St. Brgy 419 Sampaloc Manila - 397.50 - 397.50 11-Nov-20 21-897 SANTILLAN, ZECIL R. Temporary Housing Aroma Building 26 St. Brgy 105 Tondo - Manila 530.00 - 530.00 18-Nov-20 21-898 GAVAN, EDWIN T. 1032 San Diego St. Brgy 505 Sampaloc Manila - 530.00 - 530.00 19-Nov-20 21-899 VIRAY, SHAYNE LORAINE C. 47 Bakawan St St. Brgy Veterans Village Project 7 Quezon - City 292.50 - 292.50 25-Nov-20 21-900 AQUIATAN, JOSEPHINE GIA T. Brgy HULUGAN 9 TANZA CAVITE - 1,988.00 - 1,988.00 26-Nov-20 21-901 BRIONES, MICHAEL N. 1079 Road 2 Tambalan St. St. Brgy 35 Maypajo Caloocan - 292.50 - 292.50 26-Nov-20 21-902 REYES, DHENVER C. Blk 18 Lot 22 Dolmar, Golden Hills Subdvision St. Brgy - San Vicente Sta Maria 390.00 Bulacan - 390.00 27-Nov-20 21-903 CRUZ, AMIE A. 1068 B. Solis St. Brgy 215 Tondo Manila - 390.00 - 390.00 27-Nov-20 21-904 SENGSON, MARIA GERTRUDES D.98 M. Domingo St. Brgy Tangos Navotas City - 390.00 - 390.00 2-Dec-20 21-905 CALLUENG, JEMMALYN D. 753 Int. 81 Raxabago St. Brgy 160 Zone 14 Tondo Manila - 390.00 - 390.00 3-Dec-20 21-906 SIMPLICIO, RUEL M. Blk 14 Lot 1 Carville St. Brgy Tanza Navotas City - 390.00 - 390.00 3-Dec-20 21-907 ABARING, ELEANOR B. 2115 A. Bato Ext. Raxabago St. Brgy 150, Zone 13 Tondo - Manila 292.50 - 292.50 4-Dec-20 21-908 LAZO, LARRY E. 87 12th Ave. St. Brgy 88 Grace Park Caloocan City - 130.00 - 130.00 7-Dec-20 21-909 GURROBAT, CECILIA A. Rm 102 B4 Bldg 6 Discipline Vill. St. Brgy Bignay Valenzuela - 195.00 - 195.00 10-Dec-20 21-910 MASUDA, MARIA NITA A. Carredo St. Brgy None Quiapo Manila - 940.00 - 940.00 14-Dec-20 21-911 ELICANAL, KEZIAH SHINEA Q. 402 Gate 13 Parola St. Brgy 20 Tondo Manila - 530.00 - 530.00 14-Dec-20 21-912 CABUEÑAS, CHARLOTE M. 753 Int. 51 St. Brgy 155 Raxabago, Tondo Manila - 360.00 - 360.00 15-Dec-20 21-913 TOSTON, KHEA A. Ph1, Gozon St. Brgy Tonsuya Letre Malabon - 530.00 - 530.00 15-Dec-20 21-914 DELA VEGA, RODRIGO T. C4 ROAD St. Brgy Tañong Malabon City - 530.00 - 530.00 15-Dec-20 21-915 MARTIN, MICHAEL ANGELO 1326 Alinian St. Brgy 123 Moriones, Tondo Manila - 397.50 - 397.50 15-Dec-20 21-916 ELGERA, CARL JAYVEE E. Building 25 Unit 24 Temporary Housing St. Brgy 105 Tondo - MANILA 530.00 - 530.00 17-Dec-20 21-917 OREZCA, MA. LUISA S. 2nd floor 14 C Gomega Condo 1, P. Martinez St. St. Brgy - Daang Bakal Mandaluyong 660.00 City - 660.00 17-Dec-20 21-918 ABADA, JERRY SR P. Blk 2 Kadima, Letre Road St. Brgy Tonsuya Malabon City - 530.00 - 530.00 18-Dec-20 21-919 JUSI, EVANGELINE R. 119 A Bonifacio St. Brgy Tandang Kutyo Tanay Rizal - 265.00 - 265.00 21-Dec-20 21-920 KOMORI, HANNA ERIKA C. 293 Ibarra St. Brgy 33 Tondo Manila - 350.00 - 350.00 22-Dec-20 21-921 SANTOS, ROOSEVELT L. 135-E Kapok St. St. Brgy 126 San Jose Caloocan City - 265.00 - 265.00 23-Dec-20 21-922 FERRER, PACITA F. 1720 Juan Luna St. Brgy 61 Tondo Manila - 530.00 - 530.00 23-Dec-20 21-923 TEODORO, JOEZILLE SHANE N. Unit 301 Bldg 14Paradise Heights St. Brgy 128 Tondo Manila - 940.00 - 940.00 9-Dec-20 21-924 GABINES, RODYARD M. 50 Corony St. Brgy Masambang Quezon City - 650.00 - 650.00 28-Dec-20 21-925 CRUZ, AMIE A. 1068 B. Solis St. Brgy 215 Tondo Manila - 350.00 - 350.00 8-Jan-21 21-926 LEONA, RENELYN F. 2244 ANACLETO St. Brgy 357 STA CRUZ MANILA - 2,000.00 - 2,000.00 29-Jan-21 21-927 LEONGSON, RONALDO San Roque, Navotas - - 1,365.00 1,365.00 21-Jan-21 21-928 RAMAC, REYNALDO C. 14 Fraternal St. Brgy 385 Quiapo Manila - 675.00 - 675.00 21-Jan-21 21-929 MOLINA, CARLA MAYE L. 71 Cotabato St. Brgy Alicia Bago Bantay Quezon City - 470.00 - 470.00 22-Jan-21 21-930 PINEDA, JANETH 79 Javier II St. Brgy Baritan Malabon City 5,877.10 - - 5,877.10 22-Jan-21 21-931 VILLEGAS, ALICIA L. 430 Dacing Copada St. Brgy 34 Maypajo Caloocan - 2,895.00 - 2,895.00 25-Jan-21 21-932 TABAYAN, JAYRON V. Brgy Carosalesan Umingan Pangasinan 2,041.50 - - 2,041.50 25-Jan-21 21-933 PULLON, REYNALDO B. 1946 Matatdo Homes St. Brgy San isidro Lopez Parañaque - City 530.00 - 530.00 26-Jan-21 21-934 VALDEZ, JAMES V. 3611-I Reten St. Brgy 400 Sampaloc Manila - 530.00 - 530.00 26-Jan-21 21-935 BAGUHIN, MARIO B. Blk 54 Lot 1 St. Brgy Narra III Silang Cavite - - 430.58 430.58 26-Jan-21 21-936 DE LEON, HELEN ROSE B. 118 University Ave. St. Brgy Potrero Malabon - 265.00 - 265.00 26-Jan-21 21-937 DUCA, GILDA A. Kamia Grace Ville II Subd. Blk 8 Lot84 St. Brgy Grace Ville - San Jose del Monte 2,000.00 Bulacan - 2,000.00 26-Jan-21 21-938 ZAMORA, EDUARDO JR. R. 47 Sampaguita St., Cataquis III Subd St. Brgy Landayan - San Pedro Laguna - 723.80 723.80 26-Jan-21 21-939 TARREGA, LEODIGARIO L. 2411 A. Singalong St. Brgy 752 Malate Manila - 750.00 - 750.00 26-Jan-21 21-940 ALEGADO, EDWIN F. 10 Pauline St. Brgy Parang Marikina - 397.50 - 397.50 26-Jan-21 21-941 MAYORES, DANILO JR B. 1740 G Santiago St. Brgy 255 Tondo Manila - - 2,162.87 2,162.87 26-Jan-21 21-942 BANTAY, ZENAIDA B. 983 Morong St. Brgy 198 Tondo Manila - - 1,380.67 1,380.67 26-Jan-21 21-943 SAN ANTONIO, ADORACION S. 449 Puting Bato St. Brgy Tigpalas San Miguel Bulacan - - 993.80 993.80 26-Jan-21 21-944 SENGSON, MILDRED S. 133 Champaca St. Brgy Tanza Navotas City - 2,857.50 - 2,857.50 26-Jan-21 21-945 MERIGILDO, WENNIE L. Brgy San Roque Castillejos Zambales - 4,762.50 - 4,762.50 25-Jan-21 21-946 CHOZAS, MITCHELLE JANE D. 21 Burgos St. Brgy Concepcion Malabon City - - 8,504.69 8,504.69 25-Jan-21 21-947 MANALAD, BENITO E. 411 Dacing Copada St. Brgy 34 Caloocan City - - 21,225.01 21,225.01 26-Jan-21 21-948 LIBED, ANTONIETTA N. 9068 Sampaguita St. Brgy 845 Pandacan Manila - - 1,977.04 1,977.04 26-Jan-21 21-949 SANTOS, JAYSON S. 0760 BNBA St. Brgy 120 Caloocan City - - 1,379.59 1,379.59 26-Jan-21 21-950 SUELTO , CHARLITA O. 636 Garcia Building St. Brgy 309 Sta Cruz Manila - - 1,854.69 1,854.69 26-Jan-21 21-951 SOLIS, CORAZON R. Blk 9 Lot 19 Titan St., LD Village St. Brgy 168 Caloocan -City - 4,958.34 4,958.34 26-Jan-21 21-952 LOYOLA, MARIANITO T. 44 Eulogia Drive Oliveros St. Brgy Apolonio Samson Quezon - City - 822.50 822.50

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

26-Jan-21 21-953 MORENO, CATHERINE M. Phase 9 Package 4 Blk 15 lot 8 St. Brgy 176 Bagong Silang - Caloocan City - 1,208.06 1,208.06 26-Jan-21 21-954 ZENAROSA, FLORENCE M. 633 Basco St. Brgy 658 Manila - - 330.21 330.21 26-Jan-21 21-955 LARGA, CLAUDINE JOYCE A. 105 Taguig St. Brgy 35 Caloocan City - - 657.50 657.50 26-Jan-21 21-956 LOZADA, ELMA B. 1310C Ra Reyes St. Brgy 56 Tondo Manila - - 1,129.54 1,129.54 27-Jan-21 21-957 BANTUG, RUIS MIGUEL S. Blk 27 Lot 9 Salawikain Lagro Subd St. Brgy Greater Lagro - Novaliches Quezon City - 1,167.25 1,167.25 27-Jan-21 21-958 VALENZUELA, ROMEO T. 240 Esguerra St. Brgy 70 Caloocan City - - 1,946.59 1,946.59 27-Jan-21 21-959 FLAVIANO, ROMEO T. 50 Poblacion St. Brgy Antipona Bocaue Bulacan - - 150.00 150.00 27-Jan-21 21-960 FURAQUE, RONEL IVAN B. Brgy Tabuco Trece Martires City Cavite - - 3,472.95 3,472.95 26-Jan-21 21-961 POLANCOS, MELANIE B. 1214 Pres Quirino Ave St. Brgy 736 Paco Manila - - 6,504.17 6,504.17 26-Jan-21 21-962 GARUTA, ROSELLE V. Blk 12 Lot 19 St. Brgy 18 Dagat Dagatan Caloocan City - - 6,745.60 6,745.60 27-Jan-21 21-963 JARDIN, VICTOR C. 1088 Solis St. St. Brgy 215 Tondo Manila - - 2,270.53 2,270.53 26-Jan-21 21-964 GARCIA, SARAH MAE M. 232 Hernandez St. Brgy 108 Tondo Manila - - 3,130.90 3,130.90 26-Jan-21 21-965 CATUBAY, LELANI G. Blk 48 lot 7 Ph 3E2 Kaunlaran Ville St. Brgy Longos Malabon - City - 3,934.43 3,934.43 26-Jan-21 21-966 WAMILDA, RENELEN C. 1769 Dominga St. Brgy 730 Pasay - - 6,725.35 6,725.35 27-Jan-21 21-967 TARDECILLA, LAURENTE R. 2 Salinas St. Brgy Marulas Doña Ata Subd. Valenzuela City - - 2,157.18 2,157.18 27-Jan-21 21-968 INTINTA, JANITA B. Blk 65 Lot 8 Mabuhay St. Brgy Mamatid Cabuyao Laguna - 325.00 - 325.00 27-Jan-21 21-969 ROYO, MARK ANTHONY G. R-10 Road, Sitio Sto. Niño St. Brgy NBBS Proper Navotas - City - 1,330.69 1,330.69 27-Jan-21 21-970 CALIXTO, PATRICK E. 1716 Merced St. Brgy 683 Paco Manila - 1,060.00 - 1,060.00 27-Jan-21 21-971 CAASI, DERIMO C. Block 3 Letre Kadima St. Brgy Tonsuya Malabon City - - 312.00 312.00 27-Jan-21 21-972 CALIXTO, PATRICK E. 1716 Merced St. Brgy 683 Paco Manila - - 1,060.00 1,060.00 27-Jan-21 21-973 PAGDANGANAN, ADRIAN P. 293 Claro M. Recto St. Brgy 12 TONDO Manila - - 543.75 543.75 27-Jan-21 21-974 NECESITO, MA. THERESA S. 2168 Recto Ave St. Brgy 392 Quiapo Manila - 97.50 - 97.50 27-Jan-21 21-975 SARCO, ROWENA M. Blk 14 Lot 5 Arveemar Homes St. Brgy San Isidro Angono - Rizal - 1,890.00 1,890.00 27-Jan-21 21-976 TADEO, FRANZ D. Purok 5 St. Brgy San Pedro San Fernando Pampanga - - 1,617.37 1,617.37 27-Jan-21 21-977 SAMSON, ELIZABETH P. 1336 Gana Compound St. Brgy Unang Sigaw Balintawak - Quezon City - 2,850.00 2,850.00 27-Jan-21 21-978 SERRANO, ALFREDO 1550 G. Tuazon St. Brgy 576 Sampaloc Manila - - 1,596.95 1,596.95 27-Jan-21 21-979 OLLETE, ROSENIE D. 1151 Torres Bugallion St. Brgy 203 Tondo Manila - - 1,617.36 1,617.36 27-Jan-21 21-980 PARAGAS, ROMEO A. 2224 Karapatan St. Brgy 351 Sta Cruz Manila - - 699.13 699.13 28-Jan-21 21-981 ADAME, EDRELYN JOY E. 866 G Tolentino St. Sampaloc Manila - - 760.00 760.00 28-Jan-21 21-982 BERMUNDO, APOLINAR B. 1902 Franco St. Brgy 91 Tondo Manila - - 1,315.00 1,315.00 28-Jan-21 21-983 PALMA, ELEM P. 126 C Bambang St. Brgy 254 Tondo Manila - - 1,417.50 1,417.50 28-Jan-21 21-984 BILLONES, JOPER T. Brgy Pulido GMA Cavite - - 1,417.50 1,417.50 28-Jan-21 21-985 MATIAS, MICHAEL G. 1373 Quiricada St. Brgy 331 Sta Cruz Manila - - 530.00 530.00 28-Jan-21 21-986 ROQUE, IRENE L. 0341 Purok Cuatro St. Brgy Tabang Guiguinto Bulacan - 1,552.00 - 1,552.00 28-Jan-21 21-987 MATIAS, JANICE D. 814 M.F. Jocson St. Brgy 459 Sampaloc Manila - 1,164.00 - 1,164.00 28-Jan-21 21-988 ESTEBAN, ROSITA D. 172 Sitio Lawasan St. Brgy San Mateo Norzagaray Bulacan - 6,350.00 - 6,350.00 28-Jan-21 21-989 TORIO, GERARDO F. 1647 F VARONA St. Brgy 80 Tondo Manila - - 1,290.00 1,290.00 28-Jan-21 21-990 JAVIER, BELEN Y. 6078 MATIMIAS St. Brgy GEN T DE LEON VALENZUELA - CITY 2,172.80 - 2,172.80 28-Jan-21 21-991 PABUSTAN, ANGELINA S. 1024 Mariano St. Brgy 33 Maypajo Caloocan - 3,880.00 - 3,880.00 28-Jan-21 21-992 MENDOZA, REYNALDO A. 1615 Sta maria St. Brgy 81 Tondo Manila - - 974.02 974.02 27-Jan-21 21-993 MAÑACO, EDWIN P. 1863 LAPERAL St. Brgy 91 TONDO MANILA - - 12,129.91 12,129.91 27-Jan-21 21-994 OCHARAN, WALDY RONNIE M. 1613 Antonio Rivera St. Brgy 241 Tondo Manila - - 12,176.48 12,176.48 27-Jan-21 21-995 PEREZ, RAMEL S. 432 Area C Gate 54 Brgy 275 Parola Binondo Manila - - 7,716.39 7,716.39 28-Jan-21 21-996 SERRANO, ALFREDO 1550 G. Tuazon St. Brgy 576 Sampaloc Manila - - 507.00 507.00 28-Jan-21 21-997 DIALINO, FELINO M. 224 Don Manuel St. Brgy Balingasa Quezon City - - 2,726.55 2,726.55 28-Jan-21 21-998 ALACAR, MARILYN L. P4B B104 L2 Pcg7 St. Brgy 176 Bagong Silang Caloocan - City - 8,826.40 8,826.40 28-Jan-21 21-999 MONTECILLO, AURELIA R. 1637 A. Mendoza St. Brgy 340 Zone 34 Sta. Cruz Manila - - 574.15 574.15 28-Jan-21 21-1000 CEPE, GLORIA S. 2752 Lico St. Brgy 210 Tondo Manila - 4,762.50 - 4,762.50 28-Jan-21 21-1001 RAQUEPO, MARY JULIET R. Purok 4 St. Brgy Pantay Fatima Vigan City Ilocos Sur - 6,350.00 - 6,350.00 28-Jan-21 21-1002 CABRAL, ROPEDIO SR C. 1033 Quintos St. Brgy None Sampaloc Manila - - 1,400.56 1,400.56 28-Jan-21 21-1003 DELOS SANTOS, MARVIN JR. Y. 266 Cristobal St. Brgy 123 Tondo Manila - - 530.00 530.00 28-Jan-21 21-1004 MACARAIG, REIGN CHRISTIAN M.1420 Torres bugallon St. Brgy 220 Tondo Manila - - 265.00 265.00 28-Jan-21 21-1005 CAJAYON, EMILIO L. 61 E. Zubiri St. Brgy Lubang Occidental Mindoro - - 2,050.00 2,050.00 29-Jan-21 21-1006 PAREÑAS, RAYMOND A. 24 OSCARIZ St. Brgy None QUIAPO MANILA - - 1,373.11 1,373.11 29-Jan-21 21-1007 CRUZ, JOHN KIEZ T. 275 Sta. Teresita St. Brgy 102 Zone 8 Tondo Manila - - 2,385.00 2,385.00 29-Jan-21 21-1008 AKMAD, ALAYSA D. 2198 Angel Linao St. Brgy 731 San Andres Bukid Manila - - 530.00 530.00 29-Jan-21 21-1009 SALAZAR, LUIS L. 568 Mac Arthur Highway St. Brgy Malanday Valenzuela - City - 1,060.00 1,060.00 29-Jan-21 21-1010 ASCAÑO, PERLA D. 1064 H. Liwanag St., Solis St. Brgy 215 Zone 20 Tondo -Manila - 1,417.50 1,417.50 29-Jan-21 21-1011 LORIEGA, EMMANUELA S. 15 Calavite Annex St. Brgy Salvacion Laloma Quezon City - - 1,417.50 1,417.50 29-Jan-21 21-1012 NOCILLADO, JUSTINE KURT R. 1381 Aguila St. Brgy 62 Zone 6 Tondo Manila - - 2,120.00 2,120.00

Page 17 AMOUNT OF MEDICAL SERVICES LABORATORIES, DATE CONTROL TOTAL NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL & GRANTED NO. HOSPITAL FEES ASSISTANCE SUPPLIES DIAGNOSTICS PROCEDURES

29-Jan-21 21-1013 DEL ROSARIO, TERESITA F. Purok 8 Blk 8 MTRA St. Brgy None Botolan Zambales - 3,880.00 - 3,880.00 29-Jan-21 21-1014 SOTTO, WENDELL GLENN B. 650 Templora St. Brgy Santulan Malabon City - 3,880.00 - 3,880.00 29-Jan-21 21-1015 DIAZ, KIMBERLY C. 1867 Laperal St. Brgy 91 Tondo Manila - - 1,012.71 1,012.71 29-Jan-21 21-1016 MERIGILDO, WENNIE L. Brgy San Roque Castillejos Zambales - 4,762.50 - 4,762.50 29-Jan-21 21-1017 ABONALLA, ALMA S. 31 Ext. Blk 156 Lot 38, St. Brgy Madapdap Mabalacat Pampanga - 3,880.00 - 3,880.00 29-Jan-21 21-1018 GARCIA, ELIZABETH R. 1263 vILLARUEL St. Brgy 256 Tondo Manila - 3,880.00 - 3,880.00 29-Jan-21 21-1019 OJAYAS, ANELIA Q. Parola Ext St. Brgy 20 Tondo Manila - 3,880.00 - 3,880.00 29-Jan-21 21-1020 AGUSTIN, ALFREDO C. 237 St. Brgy Perez Bulacan Bulacan - 3,880.00 - 3,880.00 29-Jan-21 21-1021 DUCA, GILDA A. Kamia Grace Ville II Subd. Blk 8 Lot84 St. Brgy Grace Ville - San Jose del Monte 2,000.00 Bulacan - 2,000.00 29-Jan-21 21-1022 BARRERA, RIALIN A. 42 Magalang St. Brgy 145 Bagong Barrio Caloocan City - 1,164.00 - 1,164.00 29-Jan-21 21-1023 MAGTOTO, SUSAN P. Brgy La Curva San Jose Occidental Mindoro - 1,552.00 - 1,552.00 29-Jan-21 21-1024 FAIN, SEVERA Brgy DITTAN BASCO BATANES - - 6,126.58 6,126.58 29-Jan-21 21-1025 CUA, GERTRUDES B. 4209 Aqua Residences St. Brgy Hulo Mandaluyong City - 3,880.00 - 3,880.00 29-Jan-21 21-1026 NAVARRO, MILAGROS G. BLK 44 Lot 5 Purok 9 St. Brgy San Martin III San Jose Del - Monte Bulacan - 1,562.66 1,562.66 29-Jan-21 21-1027 MANSOY, REMEDIOS C. Blk 6 Lot 18 Selina Homes Techno Park St. Brgy Loma -Biñan Laguna 776.00 - 776.00 29-Jan-21 21-1028 LUATON, GELSON F. Brgy Loma Biñan Laguna - - 783.87 783.87 29-Jan-21 21-1029 VILLA, GERALD G. 1176 Collector Road, Port Area St. Brgy 29 Tondo Manila - - 130.00 130.00 29-Jan-21 21-1030 EGANA, JOSEPH M. BLK 4 OLD SITE St. Brgy 649 PORT AREA MANILA - - 2,347.65 2,347.65 29-Jan-21 21-1031 OLIVER, NENITA N. Blk 5 Lot 1 First St. Brgy Tañong Malabon City - - 1,984.02 1,984.02 29-Jan-21 21-1032 GRATA, CRISANTA F. 133 Cleofer St. Brgy 162 Caloocan City - - 795.75 795.75 29-Jan-21 21-1033 QUIJANO, MARILOU D. 0845 MABATO St. Brgy BILIBIRAN BINANGONAN RIZAL - - 795.00 795.00 29-Jan-21 21-1034 SINTOS, VICENTE D. 1139 N. Zamora, St. Brgy 5 Tondo Manila - - 331.00 331.00 29-Jan-21 21-1035 PANDACAN, SHEILA G. 85 Int De Rufa St. Brgy Maysan Valenzuela City - - 1,609.87 1,609.87 29-Jan-21 21-1036 TAMONDONG, FREDDIE M. 1263 F. BAMBANG St. TONDO MANILA - - 3,521.49 3,521.49 29-Jan-21 21-1037 LOZADA, JILLIAN JOY M. 325 L. Ibarra St. Brgy 33 Tondo Manila - - 4,010.00 4,010.00 29-Jan-21 21-1038 GAZA, AJHAY G. 1996 G. Perfecto St. Brgy 157 Tondo Manila - - 1,699.38 1,699.38 30-Jan-21 21-1039 VELASCO, MAY ANN O. 144 Ignacio Compound St. Brgy 162 Caloocan City - - 3,083.51 3,083.51 30-Jan-21 21-1040 GASPALINAN, LUISITO A. Arrocero St. Brgy 659 Manila - - 1,450.00 1,450.00 30-Jan-21 21-1041 CANTILANG, DAISY F. 1502 Tindalo St. Brgy 254 Tondo Manila - - 1,660.01 1,660.01 30-Jan-21 21-1042 QUIMQUE, MC FRANCLIN B. 940 Parola Area A. Gate 4 St. Brgy 20 Tondo Manila - - 1,580.05 1,580.05 30-Jan-21 21-1043 FAJARDO, NANCY S. Zone 8 Phase 1 St. Brgy Cupang Antipolo City Rizal - - 3,093.17 3,093.17 30-Jan-21 21-1044 MARINDUQUE, IRENE V. 2310 RODRIGUEZ St. Brgy 134 TONDO MANILA - - 455.00 455.00 29-Jan-21 21-1045 QUIDATO, MICHAEL D. 18 VIKINGS St. Brgy EST FAIRVIEW QUEZON CITY - - 15,691.50 15,691.50 29-Jan-21 21-1046 AGUSTIN, CLAUDINE JOYCE T. 105 Taguig St. Brgy 35 Caloocan City - - 6,274.90 6,274.90 29-Jan-21 21-1047 BORJA, JACOB RYLE M. 916 Cajihas St. Brgy 27 Saguitarius Cavite City Cavite - - 1,980.12 1,980.12 30-Jan-21 21-1048 CACULITAN, CHRISTINE MELCHORIEB23 G.L21 Melody Heights St. Brgy Muzon SJDM Bulacan - - 46,921.49 46,921.49 30-Jan-21 21-1049 BLANCAFLOR, MILAGROS B. 131 E De Guzman, Malibay St. Brgy 171 Pasay City - - 1,160.39 1,160.39 30-Jan-21 21-1050 ORBITA, EDWIN B. 1697 LRC Compund CM Recto St. Brgy 310 Sta Cruz Manila - - 8,015.39 8,015.39 30-Jan-21 21-1051 AQUINO, MADILYN D. Abbey RD I 2nd PNR Coumpound St. Brgy 73 Caloocan -City - 7,642.61 7,642.61 31-Jan-21 21-1052 MORALES, MARILYN D. 1249 Tambunting St. Brgy 374 Sta. Cruz Manila - - 1,390.47 1,390.47 30-Jan-21 21-1053 TIJAMO, JON ANDREI B. Blk5 Ph39 L14 Sitio Maligaya St. Brgy San Isidro Antipolo - Rizal - 10,920.29 10,920.29 29-Jan-21 21-1054 ZAMORA, ARISEL E. 1124 HEROES DEL 96 St. Brgy 73 CALOOCAN CITY - - 7,267.91 7,267.91 29-Jan-21 21-1055 CAASI, DERIMO C. Block 3 Letre Kadima St. Brgy Tonsuya Malabon City - - 8,590.33 8,590.33 30-Jan-21 21-1056 ARAMBULO, ROSHEL A. 9078 Dama De Noche St. Brgy Bagbag II Rosario Cavite - - 6,006.97 6,006.97 30-Jan-21 21-1057 MAGSAKAY, JESUSA R. 13 JACINTO St. Brgy CANUMAY WEST VALENZUELA CITY - - 5,594.79 5,594.79 30-Jan-21 21-1058 SERRANO, JOSE G. B12 L5 Urban St. Brgy Barangka Marikina - - 28,257.30 28,257.30 31-Jan-21 21-1059 RIGO, JOHN PAUL D. 273 Concepcion St. Brgy Lingunan Valenzuela City - - 13,931.38 13,931.38 31-Jan-21 21-1060 MACARAEG, MERLE M. 263 Crsitobal St. Brgy Cabilocaan Calasiao Pangasinan - - 1,684.98 1,684.98 31-Jan-21 21-1061 FRANCISCO, CORAZON D. 2229 St. Brgy De jesus Balut, Tondo Manila - - 31,473.46 31,473.46 31-Jan-21 21-1062 OROSCO, MARIE JOY A. 198-D Osmeña St. Brgy 112 Tondo Manila - - 28,246.44 28,246.44 30-Jan-21 21-1063 BALEÑA, MARK JOSHUA C. Block 10 Lot 56 Phase 9 Golden City Subdivision St. Brgy - Salawag Dasmariñas City - Cavite 30,195.58 30,195.58 30-Jan-21 21-1064 ARPON, JOSE DAVID R. Blk 41 Lot 8 Ph. 6 Area D St. Brgy Sta Cruz III City of San - Jose Del Monte Bulacan - 62,348.69 62,348.69 29-Jan-21 21-1065 MAGTIRA, EARL MICKO 351 Panday Pira Ext. St. Brgy 117 Tondo Manila - - 9,567.85 9,567.85 1-Feb-21 21-1066 DADOR, AMILEEN O. 2242 Sanchez St. Brgy Baclaran Parañaque - 1,164.00 - 1,164.00 1-Feb-21 21-1067 TEVES, MARIA CECILIA N. HERITAGE HOMES BLK 5 LOT 46 ARIES St. Brgy LOMA 39.00 DE GATO MARILAO 3,880.00 BULACAN - 3,919.00 1-Feb-21 21-1068 SACRO, SELENA S. 49 C Dr. Alejo St. Brgy Sta Teresita Sta Mesa Heights Quezon - City 81.25 - 81.25 1-Feb-21 21-1069 ZATA, LENY D. 25 10th Avenue, Stotsenberg St. Brgy 69 Grace Park Caloocan - City 3,000.00 - 3,000.00 1-Feb-21 21-1070 DE TORRES, ANGELA R. Blk11 Lot15 Annex A St. Brgy Malagasang I-G Imus Cavite - 704.00 - 704.00 2-Feb-21 21-1071 ACOSTA, LUZ B. A6 Dupat Compound St. Brgy Bagbag Novaliches Quezon - City - 1,865.95 1,865.95 2-Feb-21 21-1072 LUMAGUE, NORMA G. 1606 8th St., Fabie Subdivision St. Brgy 807 Zone 87 Paco - Manila - 1,251.31 1,251.31

Page 18 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-Feb-21 21-1073 BALGOS, DANICA FRANCINE Q. 1542 Interior 5 Panday Pira Extension, Juan Luna St. Brgy - 61 Zone 5 Tondo Manila - 581.39 581.39 2-Feb-21 21-1074 CABRIANA, ANDREA AVA M. Block 3 Lot 21 Chesa St. Brgy 118 Zone 9 Tondo Manila - - 1,815.00 1,815.00 2-Feb-21 21-1075 JAVIER, AILY JOSH P. Block 13 Unit 102 Katuparan Vitas St. Brgy 101 Zone 8 - Tondo Manila - 1,767.95 1,767.95 2-Feb-21 21-1076 SANTOS, CLARENCE C. 1310 Buko St. Brgy 123 Tondo Manila - - 2,071.53 2,071.53 2-Feb-21 21-1077 CALAY, ANGELITA F. PH8 BLK20 L14 Park Lane St. Brgy Santiago Gen. Trias - Cavite City - 1,420.00 1,420.00 2-Feb-21 21-1078 ALVARADO, JOSEPH FRANCIS E. B8 Pamasawata St. Brgy 28 C3 Road, Dagat-dagatan Caloocan - City - 265.00 265.00 2-Feb-21 21-1079 DELOS SANTOS, OCEAN ALYVIA R.235 CM Recto St. Brgy 12 Tondo Manila - - 3,180.00 3,180.00 3-Feb-21 21-1080 BAYONG, NESTOR S. Purok 3 St. Brgy 20 Isla Puting Bato, Tondo Manila - - 3,442.86 3,442.86 3-Feb-21 21-1081 MORA, RIAN YSABEL D. Blk14-C Lot6 Ph2 Area 3 Langaray St. Brgy Longos Malabon - City - 1,360.00 1,360.00 3-Feb-21 21-1082 BOCADI, WENCESLAO JR. A. B6 L131 PH2 Area 3 Tanigue Labahita St. Brgy 14 Dagat-Dagatan - Navotas City - 1,280.00 1,280.00 3-Feb-21 21-1083 CUEVAS, ANTHONY B. 24 Arnold St. Brgy 55 Tondo Manila - - 1,890.00 1,890.00 3-Feb-21 21-1084 MANGLICMOT, DAVID EUGENE 3119 Molave St. Brgy 202 Tondo Manila - - 340.00 340.00 3-Feb-21 21-1085 GATMAITAN, LARRY R. 415 Prudencio St. Brgy 444 Sampaloc Manila - - 2,477.32 2,477.32 23-Dec-20 GER 21-01 LEE, SALUD G. 254 M. SIOSON St. Brgy DAMPALIT MALABON - 10,400.00 - 10,400.00 6-Jan-21 GER 21-02 BORINGGOT, REVILLA C. 106 MILAGROS EXT. St. Brgy BAGONG BARRIO CALOOCAN - CITY 10,400.00 - 10,400.00 10-Feb-21 GER 21-03 TIGBAWAN, IRENEO JR. A. 825 NICASIO St. Brgy SAN RAFAEL NAVOTAS - 10,400.00 - 10,400.00 10-Feb-21 GER 21-04 UY, PACITA L. 447 E. RODRIGUEZ St. Brgy TATALON SENIOR AVE QUEZON - CITY 10,400.00 - 10,400.00 25-Jan-21 GER 21-05 CUTINEZ, MIRALUNA G. BLK 1 LOT 4 PH 2 FIRENZE SUBD. St. Brgy BUHAY NA -TUBIG IMUS CAVITE 10,400.00 - 10,400.00 25-Jan-21 GER 21-06 PAGOTAISIDRO, BERNARDITO E. 440 SAN DIEGO St. Brgy 550 Sampaloc MANILA - 10,400.00 - 10,400.00 26-Jan-21 GER 21-07 TANGONAN, HONORIA C. 947 A. LEYTE DEL SUR St. Brgy 563 SAMPALOC MANILA - 10,400.00 - 10,400.00 28-Jan-21 GER 21-08 MADOLID, HELEN G. 127 ZAPOTE St. Brgy BAGONG BARRIO CALOOCAN - 10,400.00 - 10,400.00 28-Jan-21 GER 21-09 PAGOTAISIDRO, BERNARDITO E. 440 SAN DIEGO St. Brgy 550 Sampaloc MANILA - 10,400.00 - 10,400.00 29-Jan-21 GER 21-10 MENDEZ, LORENZA B. 120 A. LUNA St. Brgy SALAPAN SAN JUAN - 10,400.00 - 10,400.00 1-Feb-21 GER 21-11 PAGHUNASAN, LEONCIO G. 45 BMA AVE St. Brgy TATALON QUEZON CITY - 10,400.00 - 10,400.00 1-Feb-21 GER 21-12 CATBAGAN, JOSEFINA A. 1956 S.H. LOYOLA St. Brgy 5522 SAMPALOC MANILA - 10,400.00 - 10,400.00 2-Feb-21 GER 21-13 SORNIT, RIZALDY C. 937 LEYTE DEL SUR St. Brgy 563 SAMPALOC MANILA - 10,400.00 - 10,400.00 2-Feb-21 GER 21-14 MANALATA, RAIMER P. C3 B7 OISHI St. Brgy None BASECO, PORT AREA MANILA - 10,400.00 - 10,400.00 2-Feb-21 GER 21-15 RAMIREZ, NIKOLAI B. 778 PADILLA St. Brgy 646 SAN MIGUEL MANILA - 10,400.00 - 10,400.00 2-Feb-21 GER 21-16 TIGBAWAN, IRENEO JR. A. 825 NICASIO St. Brgy SAN RAFAEL NAVOTAS - 10,400.00 - 10,400.00 3-Feb-21 GER 21-17 Manaog, Ma. Teresa E. P15 03 5th St. Brgy 183 Villamor Airbase Pasay - 13,200.00 - 13,200.00 3-Feb-21 GER 21-18 UY, PACITA L. 447 E. RODRIGUEZ St. Brgy TATALON SENIOR AVE QUEZON - CITY 10,400.00 - 10,400.00 15-Dec-20 GER 21-19 BORINGGOT, REVILLA C. 106 MILAGROS EXT. St. Brgy BAGONG BARRIO CALOOCAN - CITY 212.50 - 212.50 23-Dec-20 GER 21-20 BORINGGOT, REVILLA C. 106 MILAGROS EXT. St. Brgy BAGONG BARRIO CALOOCAN - CITY 10,400.00 - 10,400.00 15-Jan-21 GER 21-21 MENDEZ, LORENZA B. 120 A. LUNA St. Brgy SALAPAN SAN JUAN - 10,400.00 - 10,400.00 19-Jan-21 GER 21-22 PAGHUNASAN, LEONCIO G. 45 BMA AVE St. Brgy TATALON QUEZON CITY - 10,400.00 - 10,400.00 18-Jan-21 GER 21-23 CATBAGAN, JOSEFINA A. 1956 S.H. LOYOLA St. Brgy 5522 SAMPALOC MANILA - 10,400.00 - 10,400.00 6-Nov-20 GER 21-24 ADOBO, MARK ALVIN A. 2928 CLEMENTE St. Brgy 178 Gagalangin, Tondo MANILA - 2,600.00 - 2,600.00 14-Dec-20 GER 21-25 SAMONTE, JONATHAN M. 747 Cristobal St. Brgy 450 Sampaloc Manila - 2,600.00 - 2,600.00 21-Dec-20 GER 21-26 RICALDE, AURELIA C. 7774 SAINT PAUL St. Brgy SAN ANTONIO MAKATI - 7,800.00 - 7,800.00 22-Dec-20 GER 21-27 WAJE, FREDDIE G. 1901 k. int 5 Zamora St. Brgy 842 Pandacan Manila - 5,200.00 - 5,200.00 19-Jan-21 GER 21-28 SORNIT, RIZALDY C. 937 LEYTE DEL SUR St. Brgy 563 SAMPALOC MANILA - 10,400.00 - 10,400.00 19-Jan-21 GER 21-29 MANALATA, RAIMER P. C3 B7 OISHI St. Brgy None BASECO, PORT AREA MANILA - 10,400.00 - 10,400.00 19-Jan-21 GER 21-30 RAMIREZ, NIKOLAI B. 778 PADILLA St. Brgy 646 SAN MIGUEL MANILA - 10,400.00 - 10,400.00 22-Jan-21 GER 21-31 Manaog, Ma. Teresa E. P15 03 5th St. Brgy 183 Villamor Airbase Pasay - 14,400.00 - 14,400.00 25-Jan-21 GER 21-32 UY, PACITA L. 447 E. RODRIGUEZ St. Brgy TATALON SENIOR AVE QUEZON - CITY 10,400.00 - 10,400.00 ------

1117 1,325,035.93 1,392,338.94 4,151,019.30 6,868,394.17

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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