Republic of the Philippines DR. JOSE RIZAL MEMORIAL HOSPITAL - Lawaan, Dapitan City MEDICAL ASSISTANCE PROGRAM FUND UTILIZATION REPORT As of May 2018 Name of Hospital: Dr. Jose Rizal Memorial Hospital Month: May Date Name of Patient Address Age Type of Assistance Amount Provided 1 05/01/2018 JENREY CADORNA Talisay, Dapitan City 12 X-ray 350.00 2 05/01/2018 MELCHOR MONTE Sulangon, Dapitan City 73 Laboratory/Medicines 1,450.10 3 05/01/2018 KINGBERT CARDENAS Rizal, Z.N 15 Hospital Bill 2,447.10 4 05/01/2018 GEERA CALAGUAN Dapitan City 16 Hospital Bill 4,614.45 5 05/01/2018 KINGBERT CARDENAS North Mapang, Rizal, Z.N 15 Medicines 226.80 6 05/01/2018 OSCAR GAHISAN Banonong, Dapitan City 74 Hospital Bill 14,955.44 7 05/01/2018 SATURNINA COLATA Liyang, Dapitan City 66 Hospital Bill 18,869.87 8 05/01/2018 NIMFLOR BAIT-IT Villahermosa, Polanco, Z.N 46 X-ray/Laboratory 2,200.50 9 05/01/2018 CONRADA BAIT-IT Burgos, Dapitan City 75 Hospital Bill 24,440.04 10 05/01/2018 RODRIGO FANO Talisay, Dapitan City 74 Hospital Bill 21,190.64 11 05/02/2018 MERLYN BAJAMUNDE Adante, Piñan, Z.N 41 Hospital Bill 3,139.90 12 05/02/2018 TITO BAHIAN Napo, Dapitan City 70 Medicines 2,908.50 13 05/02/2018 MICHEL CINCO Napo, Dapitan City 29 Medicines 1,428.50 14 05/02/2018 SATURNINA COLATA Liyang, Dapitan City 66 Medicines 1,413.00 15 05/02/2018 DIOSCORO NAPIAL Piñan, Z.N 74 Medicines/X-ray/Laboratory 2,764.00 16 05/02/2018 TITA CABILIN Bagting, Dapitan City 83 Laboratory 1,190.50 17 05/02/2018 EPEGENIA BULAY-OG Banbanan, Dapitan City 61 Meds.Supplies 240.00 18 05/02/2018 JASMEN SUMALPONG Polo, Dapitan City 9 UTZ 750.00 19 05/02/2018 JOSHUA EMPEYNADO Linabo, Dapitan City 12 Medicines 196.50 20 05/02/2018 ERNESTO GANOT JR. Galas, Dipolog City 6 Hospital Bill 14,725.55 21 05/02/2018 MARILOU MAGSALAY Rizal, Z.N 43 Medicines/Laboratory/Meds.Supplies 1,850.20 22 05/03/2018 HEZIR INILOG Napo, Dapitan City 18 Hospital Bill 2,115.75 23 05/03/2018 ESTERLINA CALES Cawa2x, Dapitan City 62 Laboratory 1,640.00 24 05/03/2018 VERLY DAHUNAN Sibutad, Z.N 42 ECG/Laboratory/Meds.Supplies/X-ray 1,840.50 25 05/03/2018 ROLANDO DARUNDAY San Vicente, Dapitan City 62 Medicines 674.90 26 05/03/2018 GEMENCIA ANGAY Carang, Dapitan City 65 Laboratory/ECG/X-ray 1,390.50 27 05/03/2018 CARDINAL VILLAROSA Larayan, Dapitan City 62 UTZ 1,200.00 28 05/03/2018 DOMINADOR PADERANGA San Vicente, Dapitan City 58 Medicines 233.70 29 05/03/2018 OFELIA DIEZ Sto.Niño, Dapitan City 51 Medicines 1,500.00 30 05/03/2018 CAYETANO DINAPO Dawo, Dapitan City 80 Medicines 1,640.00 31 05/03/2018 WILHELMO YORONG Potol, Dapitan City 79 Medicines 672.25 32 05/03/2018 VITELLANO ESTOCADO Salvador, Gutalac Z.N 55 Hospital Bill 7,287.30 33 05/03/2018 APRIL MAY MONTES Cawa2x, Dapitan City 31 UTZ/Medicines 2,605.50 34 05/03/2018 MARINO DAGAYLOAN Bagting, Dapitan City 80 Medicines 700.05 35 05/03/2018 EDITHA CAGBABANUA Ilaya, Dapitan City 61 Hospital Bill 3,503.60 36 05/03/2018 JONA GUMALI Polanco, Z.N 8 Medicines 481.00 37 05/03/2018 RICO MANDATE Dumadogdod, Sindangan, Z.N 29 Hospital Bill 1,816.65 38 05/03/2018 ANTONIA CATINGAN Pob.Manukan, Z.N 84 Medicines 990.00 39 05/03/2018 FLORITA CALOY Silog, katipunan, Z.N 62 Medicines 990.00 40 05/03/2018 NIKKO DAYAO Potol, Dapitan City 4 Medicines 479.90 41 05/03/2018 JAY YEOJ ABENOJAR Opao, Dapitan City 5 Laboratory/X-ray/Medicines 1,176.40 42 05/03/2018 ANGEL LACLAC Lugdungan, Dipolog City 17 Hospital Bill 4,225.10 43 05/04/2018 MARIELLE TAMAN Banonong, Dapitan City 20 Laboratory/Meds.Supplies 680.00 44 05/04/2018 ROSA ACAS San Pedro, Dapitan City 71 Laboratory 1,762.00 45 05/04/2018 CATALINA CATILOC Canlucani, Dapitan City 75 Medicines 340.25 46 05/04/2018 FLORINCIA ABAD Tag-ulo, Dapitan City 70 Laboratory 1,160.50 47 05/04/2018 TITA CABILIN Bagting, Dapitan City 83 Medicines 867.00 48 05/04/2018 ADRIAN BERIA Sto.Niño, Dapitan City 32 Medicines 226.80 49 05/04/2018 JULIET EGUIA Ilaya, Dapitan City 53 Medicines 408.20 50 05/04/2018 ROMANICA ALMIROL San Pedro, Dapitan City 68 Medicines 498.40 51 05/04/2018 MERLINDA DAGUINOTAS Ma.uray, Dapitan City 37 Medicines 42.00 52 05/04/2018 ALLAN SUMBILON Piñan, Z.N 37 Hospital Bill 3,613.60 53 05/04/2018 PROCESA ELOPRE Talisay, Dapitan City 72 Meds.Supplies 129.00 54 05/04/2018 MADELYN MAYORMITA Burgos, Dapitan City 38 Medicines 600.00 55 05/04/2018 MANSUETA MALINIG Piñan, Z.N 76 Laboratory/X-ray/ECG 2,200.50 56 05/04/2018 CHRISTIAN BAHIAN Napo, Dapitan City 25 Medicines 214.90 57 05/04/2018 ROLAND DINAPO Dawo, Dapitan City 44 Medicines 195.00 58 05/04/2018 ARCHIE CABASAG Kauswagan, Dapitan City 11 X-ray/Medicines 1,072.20 59 05/04/2018 JEROME MALANCIO Polo, Dapitan City 33 Laboratory 1,465.50 60 05/04/2018 RAINIER SMITH ABUGAN San Vicente, Dapitan City 8 Medicines 1,054.40 61 05/04/2018 KIM TOME Potol, Dapitan City 34 Laboratory 775.00 62 05/04/2018 DANICA MANDANTES Burgos, Dapitan City 16 Medicines/Laboratory/Meds.Supplies/X-ray 1,763.55 63 05/04/2018 LUISA AZCONA Cawa2x, Dapitan City 68 Medicines/Meds.Supplies 1,138.40 64 05/05/2018 POLICRONIA PUSTA Piñan, Z.N 76 Laboratory 1,180.00 65 05/05/2018 RUSSEL SAGUIN Tamion, Dapitan City 22 Laboratory 670.00 66 05/05/2018 BERTOLDA BAYRON Hilltop, Dapitan City 86 Medicines 205.35 67 05/05/2018 FRANCISCA EGUIA Ilaya, Dapitan City 71 Hospital Bill 16,548.00 68 05/06/2018 QUIRINO VALLECER Manukan, Z.N 66 Laboratory/X-ray 2,355.50 69 05/06/2018 JUNREY FUENTES Sicayab, Dipolog City 25 X-ray/Medicines 1,066.90 70 05/06/2018 KATHLEEEN LLEMIT Zambo.Norte 39 X-ray/Laboratory 2,547.50 71 05/07/2018 IGNACIO TENIDO Dawo, Dapitan City 38 Laboratory 1,680.50 72 05/07/2018 GENERADO EGUIA Linabo, Dapitan City 48 UTZ 1,000.00 73 05/07/2018 ROSALIE DUMAYON East Pob.Manukan, Z.N 34 Medicines 200.00 74 05/07/2018 MA.CONCEPCION CAGANDAHAN Ma.Cristina, Dapitan City 38 X-ray/Laboratory 645.00 75 05/07/2018 DIODELYN PALPAGAN Ma.Cristina, Dapitan City 33 Medicines 720.00 76 05/07/2018 ELISA DELOS SANTOS San Francisco, Dapitan City 78 Laboratory 1,342.00 77 05/07/2018 APOLINARIO PROCESO Oro, Dapitan City 73 ECG/X-ray/UTZ/Laboratory 2,425.00 78 05/07/2018 PROSPERIDAD JAMAROLIN Cawa2x, Dapitan City 63 Medicines/X-ray/ECG 627.25 79 05/07/2018 ELENA PAEZ Daro, Dapitan City 45 Laboratory 670.00 80 05/07/2018 ANACLETO VILLA Dapitan City 88 Medicines 601.00 81 05/07/2018 JOCELYN SENTILLAS Bagting, Dapitan City 43 Laboratory 792.00 82 05/07/2018 HAZEL LADERA Bagting, Dapitan City 45 Laboratory 927.00 83 05/07/2018 MARIO DONEY PAGENTE Isis, Polanco, Z.N 36 Medicines 226.80 84 05/07/2018 EDNA GONZALES Linabo, Dapitan City 65 Medicines 204.30 85 05/07/2018 JUANA GALLEMIT New Dapitan, Rizal, Z.N 64 Medicines/Meds.Supplies 1,366.35 86 05/07/2018 MARLYN TOTA Roxas, Z.N 40 Medicines 602.00 87 05/07/2018 ALFREDO BAIT-IT Polanco, Z.N 66 Medicines 2,040.45 88 05/07/2018 NATIVIDAD OTEDA Manukan, Z.N 59 Hospital Bill 4,312.50 89 05/07/2018 ANNALUNA DURADO Potol, Dapitan City 17 Hospital Bill 1,168.00 90 05/08/2018 AIDA PIANDO Sinonoc, Dapitan City 46 Laboratory 925.50 91 05/08/2018 JOCELYN MEDALLA Sta.Cruz, Dapitan City 46 Laboratory/UTZ 1,400.00 92 05/08/2018 JANE DALMAN Ma.Cristina, Dapitan City 24 Laboratory 670.00 93 05/08/2018 ARMANDO GOMEZ Banbanan, Dapitan City 60 Medicines 871.00 94 05/08/2018 ROMARICA ALMIROL San Pedro, Dapitan City 67 Laboratory/Medicines 1,668.00 95 05/08/2018 ENCARNACION SINO-AG Oyan, Dapitan City 76 Medicines 148.20 96 05/08/2018 MA.CRISTINA DAGPIN Potungan, Dapitan City 47 Laboratory/UTZ 2,722.00 97 05/08/2018 JUDY DUHAYLUNGSOD Pob.La Libertad, Z.N 66 Medicines 286.50 98 05/08/2018 FREDDIE RAGODAS Burgos, Dapitan City 37 Medicines 366.00 99 05/08/2018 CHERLIE SUMALPONG Canlucani, Dapitan City 47 Laboratory 1,772.00 100 05/08/2018 JOSEPH CADAVEDO Banonong, Dapitan City 29 Meds.Supplies/Medicines 587.40 101 05/08/2018 ROYSON RECAMARA Linabo, Dapitan City 31 Medicines/X-ray 1,315.60 102 05/08/2018 MICHELLE ROSAL Ma.Cristina, Dapitan City 31 Medicines 452.50 103 05/08/2018 ARSENIO ELECCION Polo, Dapitan City 63 Hospital Bill 1,704.20 104 05/08/2018 MERLITO ZUNIGA SR. Roxas, Z.N 30 Hospital Bill 16,000.00 105 05/08/2018 SHENNA PACLAUNA Gabo, Sindangan, Z.N 26 Hospital Bill 1,203.90 106 05/08/2018 MARIELLE SINO-AG Oyan, Dapitan City 5 Medicines 486.50 107 05/08/2018 PRINCE JOEM AVERGONZADO Potol, Dapitan City 1 UTZ/Medicines 1,518.40 108 05/09/2018 MERCY ORDIZ Balik2x, Sindangan, Z.N 52 Laboratory/X-ray 940.00 109 05/09/2018 JEMMAR BAYRON Hilltop, Dapitan City 28 Laboratory 670.00 110 05/09/2018 EMILY LARANJO Selinog, Dapitan City 18 Laboratory 670.00 111 05/09/2018 ROLANDO DARUNDAY San Vicente, Dapitan City 61 UTZ 1,200.00 112 05/09/2018 ED NAETHAN BAYRON Talisay, Dapitan City 6 Hospital Bill 1,404.90 113 05/09/2018 LYDIA PANTON Sulangon, Dapitan City 67 Medicines 292.50 114 05/09/2018 MARIEL MABILOG San Vicente, Dapitan City 8 Medicines 204.30 115 05/09/2018 PATRICK JAMES BUSTAMANTE Talisay, Dapitan City 7 Medicines 866.10 116 05/09/2018 MARK TEVES La Union, La Libertad, Z.N 7 Laboratory/Medicines 1,161.65 117 05/09/2018 PAMPILO ELUMBARING Oyan, Dapitan City 73 Meds.Supplies 468.00 118 05/09/2018 JOCELYN DUREZA Polo, Dapitan City 46 Medicines 464.00 119 05/09/2018 JASLYN GRACE ARELLANO Bagting, Dapitan City 9 Medicines 545.90 120 05/09/2018 IVY BALASE Borgos, Dapitan City 46 X-ray 350.00 121 05/09/2018 RAFGER NEMEÑO San Pedro, Dapitan City 62 Hospital Bill 2,100.00 122 05/09/2018 REY RUIZ San Pedro, Dapitan City 12 Hospital Bill 1,502.00 123 05/09/2018 AMIE RENDON Taguilon, Dapitan City 14 Hospital Bill 1,898.00 124 05/09/2018 ROGER ESPAÑOL S.Osmeña, Z.N 43 Hospital Bill 1,598.56 125 05/10/2018 JESSA VALDEZ