Republic of the Philippines Department of Health MEDICAL ASSISTANCE PROGRAM DR. JOSE FABELLA MEMORIAL HOSPITAL For the month of January year 2017 No # Name of Patient Address Indorsement Date Assistance Amount 1 Jacquelyn E. Copada Kalookan City, Ncr Third District January 6, 2017 MEDICINES/SUPPLIES 3,000.00 Laboratory Procedures, X- 2 Josephine Espinola Ferrer. City Of Mandaluyong, Ncr Second District January 9, 2017 1,800.00 RAY,ECG. 3 Mark Andrei Alarcon Colorado Kalookan City, Ncr Third District January 12, 2017 Hospital Bills 49,672.01 4 Prezel Jane Obligar Alarcon Kalookan City, Ncr Third District January 12, 2017 Hospital Bills 266.78 5 Chamberlaine Samillano Dael City Of Manila, Manila Ncr First District January 17, 2017 Laboratory Procedures 3,000.00 Hospital Bill / Laboratory 6 Maribel Cabus Quezon City, Ncr Second District January 17, 2017 5,000.00 Procedure / Medicine. 7 Janneth Morante Kalookan City, Ncr Third District January 5, 2017 Hospital Bills 1,500.00 8 William Lopez Dulfo Kalookan City, Ncr Third District January 9, 2017 Medicines 3,000.00 9 Warren Lopez Dulfo Kalookan City, Ncr Third District January 9, 2017 Medicines 3,000.00 10 Winnie Lopez Dulfo Kalookan City, Ncr Third District January 9, 2017 Medicines 3,000.00 11 Marissa Neri Kalookan City, Ncr Third District January 9, 2017 Laboratory Procedures 4,000.00 Hospital Bill / Laboratory 12 Revina Flores Kalookan City, Ncr Third District January 10, 2017 5,000.00 Procedures / Medicines Hospital Bill / Laboratory 13 Angelyn Paligutan Kalookan City, Ncr Third District January 11, 2017 2,000.00 Procedures / Medicines 14 Grechen Delos Reyes Kalookan City, Ncr Third District January 12, 2017 Laboratory Procedures 2,000.00 15 Baby Ann Barrera Kalookan City, Ncr Third District January 12, 2017 Laboratory Procedures 2,000.00 16 Lylen Baluran Tondo, Manila Ncr First District January 19, 2017 Hospital bills. 28,000.00 17 Jan Ricah Leunice Bagnol Kalookan City, Ncr Third District January 19, 2017 Hospital Bills 6,000.00 18 Cristina Sta. Ana. City Of Malabon, Ncr Third District January 27, 2017 Blood Assistance 1,800.00 19 Evelyn Flores Kalookan City, Ncr Third District January 31, 2017 Laboratory Procedures 2,000.00 Total Patient: 19 126,038.79 Republic of the Philippines Department of Health MEDICAL ASSISTANCE PROGRAM DR. JOSE FABELLA MEMORIAL HOSPITAL For the month of February year 2017 No # Name of Patient Address Indorsement Date Assistance Amount 1 Zyluna Brianne Uson Meycauayan, Bulacan February 7, 2017 Hospital bills. 3,000.00 2 Jannah Uson Meycauayan, Bulacan February 7, 2017 Hospital bills. 19,000.00 3 Liliart Uno Cuysona Imus, Cavite February 7, 2017 Hospital Bills 5,000.00 4 Teresa Cuysona Imus, Cavite February 7, 2017 Hospital Bills 10,000.00 Medicines ( Human 5 Joseph H42017082 Tondo, Manila Ncr First District February 13, 2017 5,600.00 Albumin) Laboratory ( Blood 6 Robin T. David City Of Valenzuela, Ncr Third District February 13, 2017 3,600.00 Assitance ) 7 Jahcia L. Brigido City Of Malabon, Ncr Third District February 21, 2017 Hospital bills / Medicines. 10,000.00 8 Mae Christine Sabado City Of Valenzuela, Ncr Third District February 22, 2017 Laboratory Procedures. 1,600.00 9 Josie Valmorida Maitem Tondo, Manila Ncr First District February 27, 2017 Laboratory Procedures. 500 10 Angelita Punzalan Kalookan City, Ncr Third District February 6, 2017 Laboratory Procedures 2,000.00 11 Ashley Abrienne Miranda Kalookan City, Ncr Third District February 9, 2017 Hospital Bills / Medicines 2,000.00 Total Patient: 11 62,300.00 Republic of the Philippines Department of Health MEDICAL ASSISTANCE PROGRAM DR. JOSE FABELLA MEMORIAL HOSPITAL For the month of March year 2017 No # Name of Patient Address Indorsement Date Assistance Amount 1 Emma Ansano City Of Valenzuela, Ncr Third District 1-Mar-17 Hospital bills. 70,000.00 2 Linda P. Murillo City Of Valenzuela, Ncr Third District 7-Mar-17 Transvaginal Ultrasound 1,200.00 3 Ronaldo C. Amar, Kalookan City, Ncr Third District 14-Mar-17 Laboratory Procedures. 2,000.00 Total Patient: 3 73,200.00 Republic of the Philippines Department of Health MEDICAL ASSISTANCE PROGRAM DR. JOSE FABELLA MEMORIAL HOSPITAL For the month of April year 2017 No # Name of Patient Address Indorsement Date Assistance Amount 1 Teodoro Concepcion Flores Tondo, Manila Ncr First District April 4, 2017 Hospital bills. 32,000.00 Total Patient: 1 32,000.00 Republic of the Philippines Department of Health MEDICAL ASSISTANCE PROGRAM DR. JOSE FABELLA MEMORIAL HOSPITAL For the month of May year 2017 No # Name of Patient Address Indorsement Date Assistance Amount 1 Maria Theresa Valdez Garcia City Of Parañaque, Ncr Fourth District May 4, 2017 Hospital bills / Medicines. 5,000.00 2 Maria Theresa Valdez Garcia City Of Parañaque, Ncr Fourth District May 11, 2017 Hospital bills / Medicines. 24,895.00 Laboratory 3 Janet De Guzman , Quezon City, Ncr Second District May 25, 2017 5,000.00 Procedures/Medicines. 4 Debie Dela Cruz Kalookan City, Ncr Third District May 25, 2017 Hospital Bills 10,000.00 Republic of the Philippines Department of Health MEDICAL ASSISTANCE PROGRAM DR. JOSE FABELLA MEMORIAL HOSPITAL For the month of June year 2017 No # Name of Patient Address Indorsement Date Assistance Amount Laboratory 1 Ronaldo C. Amar, Kalookan City, Ncr Third District June 7, 2017 3,000.00 Procedures/Medicines. 2 Jhoanna Buenaflor Pasay City, Ncr Fourth District June 23, 2017 Hospital bills. 60,000.00 3 Dorothy Joy Robete Santa Maria, Bulacan June 24, 2017 Hospital bills. 36,000.00 Republic of the Philippines Department of Health MEDICAL ASSISTANCE PROGRAM DR. JOSE FABELLA MEMORIAL HOSPITAL For the month of July year 2017 No # Name of Patient Address Indorsement Date Assistance Amount 1 Kirk Haven Pineda Namoc San Manuel I Dasmariñas, Cavite July 14, 2017 HOSPITAL FEES. 55,778.00 LABORATORY/DIAGNOS 2 Naomi Scarlet Dela Cruz Reyes Barangay 527 Sampaloc, Manila Ncr First District July 14, 2017 224.00 TICS 3 Shane Stefpahnie - Rica Signal Village Taguig, Ncr Fourth District July 14, 2017 HOSPITAL FEES. 60,375.00 4 Mark Nheitan Cruz Bio Talaba Ii Bacoor, Cavite July 15, 2017 HOSPITAL FEES. 22,603.00 5 Zion Axalan Avendano Dila Santa Rosa, Laguna July 15, 2017 HOSPITAL FEES. 5,826.00 6 Zian Axalan Avendano Dila Santa Rosa, Laguna July 15, 2017 DRUGS AND MEDICINE 5,569.00 7 Gavin - Dela Calzada Barangay 576 Sampaloc, Manila Ncr First District July 15, 2017 HOSPITAL FEES. 21,893.00 8 Evangeline Andres Bondoc Barangay 16 Kalookan City, Ncr Third District July 15, 2017 HOSPITAL FEES. 3,597.00 MEDICAL SUPPLIES AND 9 Juvyliza Sanggalang Villegas Manuyo Uno City Of Las Piñas, Ncr Fourth District July 15, 2017 3,600.00 IMPLANTS 10 Boy - Pondosan Malagasang I-a Imus, Cavite July 16, 2017 HOSPITAL FEES. 4,991.00 MEDICAL SUPPLIES AND 11 Boy - Lumabi Palanan City Of Makati, Ncr Fourth District July 16, 2017 3,800.00 IMPLANTS LABORATORY/DIAGNOS 12 Ma. Wilma Dagutao Darole Loma De Gato Marilao, Bulacan July 17, 2017 2,324.00 TICS 13 Neslyn Tamala Garcines Talaba Vii Bacoor, Cavite July 17, 2017 HOSPITAL FEES. 572.00 14 Zyrus Tamala Monte Talaba Vii Bacoor, Cavite July 17, 2017 HOSPITAL FEES. 1,757.00 15 Sharleen Asuncion Caspe Victoria Reyes Dasmariñas, Cavite July 17, 2017 HOSPITAL FEES. 368.00 LABORATORY/DIAGNOS 16 Ash Kevin De Paz Santores Buenavista I General Trias, Cavite July 17, 2017 1,130.00 TICS 17 Asher Kyle Asuncion Caspe Victoria Reyes Dasmariñas, Cavite July 17, 2017 HOSPITAL FEES. 18,095.00 LABORATORY/DIAGNOS 18 Raquel Alejandro Encarnada Queens Row East Bacoor, Cavite July 17, 2017 490.00 TICS LABORATORY/DIAGNOS 19 Erlinda Wenceslao Pascual San Juan Cainta, Rizal July 17, 2017 1,440.00 TICS Chelsea Danica Evangelista 20 Barangay 346 Santa Cruz, Manila Ncr First District July 17, 2017 HOSPITAL FEES. 1,095.00 Bercasio LABORATORY/DIAGNOS 21 Jovilyn Villa Combalicer Barangay 340 Santa Cruz, Manila Ncr First District July 17, 2017 610.00 TICS LABORATORY/DIAGNOS 22 Marylyn Bautista Marasigan Barangay 125 Tondo, Manila Ncr First District July 17, 2017 490.00 TICS LABORATORY/DIAGNOS 23 Nelia Baruela Cabaccan Barangay 395 Sampaloc, Manila Ncr First District July 17, 2017 610.00 TICS LABORATORY/DIAGNOS 24 Riza Gail Bacli Arriola Barangay 655 Intramuros, Manila Ncr First District July 17, 2017 1,899.00 TICS LABORATORY/DIAGNOS 25 Vangie Sagun Doro Barangay 339 Santa Cruz, Manila Ncr First District July 17, 2017 1,435.00 TICS LABORATORY/DIAGNOS 26 Irene Lugasan Hedia Barangay 410 Sampaloc, Manila Ncr First District July 17, 2017 1,749.00 TICS LABORATORY/DIAGNOS 27 Angelica Allorde Tuazon Barangay 209 Tondo, Manila Ncr First District July 17, 2017 610.00 TICS MEDICAL SUPPLIES AND 28 Girl - Devibar Manresa Quezon City, Ncr Second District July 17, 2017 2,100.00 IMPLANTS LABORATORY/DIAGNOS 29 Mary Ann Castillo Mendoza Mapulang Lupa City Of Valenzuela, Ncr Third District July 17, 2017 610.00 TICS LABORATORY/DIAGNOS 30 Melanie Pajac Tapong Barangay 160 Kalookan City, Ncr Third District July 17, 2017 500.00 TICS 31 Paulyn Ombrog Pataueg Barangay 176 Kalookan City, Ncr Third District July 17, 2017 HOSPITAL FEES. 1,696.00 LABORATORY/DIAGNOS 32 Jhasmine Macapia Ricamara Sun Valley City Of Parañaque, Ncr Fourth District July 17, 2017 483.00 TICS 33 Muslima Manopod Akmad San Dionisio City Of Parañaque, Ncr Fourth District July 17, 2017 - MEDICAL SUPPLIES AND 34 Girl Resultan Wawa Iii Rosario, Cavite July 18, 2017 2,100.00 IMPLANTS LABORATORY/DIAGNOS 35 Cathyrine Saludez Casauran Pinagtipunan General Trias, Cavite July 18, 2017 490.00 TICS LABORATORY/DIAGNOS 36 Princess Joy Padilla Patutong Malaki South Tagaytay City, Cavite July 18, 2017 875.00 TICS 37 Joana Marie Estacio Dulay Bagbag I Rosario, Cavite July 18, 2017 HOSPITAL FEES.