jrrmmc.gov.ph€¦ · 19-oct-18 19-1 mercado, rosemarie 1247 j yuseco brgy. 243 tondo manila -...
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19-Oct-18 19-1 MERCADO, ROSEMARIE 1247 J YUSECO BRGY. 243 TONDO MANILA - 805.00 - 805.00
19-Oct-18 19-2 DE LEON, JESUS BRGY. 25 MAYPAJO CALOOCAN CITY - 530.00 - 530.00
19-Oct-18 19-3 LORENZO, MAGELYN 232 GOV PASCUAL SITIO CATMON MALABON - 2,120.00 - 2,120.00
19-Oct-18 19-4 CRISTOBAL, WILSON 3460 STA ANA BRGY.14 TONDO MANILA - 2,350.00 - 2,350.00
19-Oct-18 19-5 DELISO, PETER ROE BRGY. TANCHING TAYAN PANGASINAN - 1,300.00 - 1,300.00
19-Oct-18 19-6 CABIA, ANTONIO JR. BLK 6 LOT 4 PABAHAY MAYOR SAN JOSE DASMARINAS CAVITE - 1,060.00 - 1,060.00
19-Oct-18 19-7 CHIONG, GREGORIO 919 QUEZON BLVD STA CRUZ MANILA - 2,350.00 - 2,350.00
19-Oct-18 19-8 CASTAÑEDA, CELESTINA 243 ROMALDEZ ST BRGY. 122 TONDO MANILA - 740.00 - 740.00
19-Oct-18 19-9 ESGANA, JOHNNY 46 MIGUEL ST BRGY. NBBS NAVOTAS CITY - 2,680.00 - 2,680.00
19-Oct-18 19-10 DE CHAVEZ, SONIA BLK 37 LOT C SACRAMENTO HOMES BULACAN - 210.00 - 210.00
19-Oct-18 19-11 MANTARING, ANTHONY 110 GUMAMELA EXT BRGY. GTD VALENZUELA CITY - 925.00 - 925.00
19-Oct-18 19-12 TORREVILLA, JACQUES 866 KUNDIN A BRGY. 522 SAMPALOC MANILA - 570.00 - 570.00
19-Oct-18 19-13 BASINILLO, NELDRED 152 CAMIA ST MARULAS VALENZUELA CITY - 290.00 - 290.00
19-Oct-18 19-14 SIBUG, JOSIELYN 1987 D KATAMARAN ST TONDO MANILA - 570.00 - 570.00
19-Oct-18 19-15 FROYALDE, ROMEO BRGY. TALABA 7 BACOOR CAVITE - 2,100.00 - 2,100.00
19-Oct-18 19-16 DANAN, VANESSA 1419 MATA ST TONDO MANILA BRGY. 117 TONDO MANILA - 1,995.00 - 1,995.00
19-Oct-18 19-17 GODOY, ELVIRA 30 SAINT MARYS DUPLEX MOLINO IV BACOOR CAVITE - 650.00 - 650.00
19-Oct-18 19-18 RAMOS, JOSEFINA 8231 C PORT FRANCISCO ST MAKATI CITY - 2,300.00 - 2,300.00
19-Oct-18 19-19 PEÑARANDA, ADELINA 4886 INT 17 C SAN ROQUE ST OLD STA MESA MANILA - 740.00 - 740.00
19-Oct-18 19-20 PESCUELA, HOMERO BRGY. ALMANZA 1 LAS PIÑAS CITY - 1,076.00 - 1,076.00
19-Oct-18 19-21 PABILLO, JONATHAN 359 KUNDIMAN SAMPALOC MANILA - 1,120.00 - 1,120.00
19-Oct-18 19-22 AQUINO, JULIANA 1065 1322 ANTIPOLO ST BRGY. 213 TONDO MANILA - 530.00 - 530.00
19-Oct-18 19-23 GARCIA, JAYSON 168 PNR COMP CALOOCAN CITY - 1,075.00 - 1,075.00
19-Oct-18 19-24 DOMINADOR, CRISPINA 5 JOAQUIN VALENZUELA CITY - 530.00 - 530.00
19-Oct-18 19-25 GLORIASO,ESTRELLA 1058 TORRES BULACAN ST TONDO MANILA - 740.00 - 740.00
19-Oct-18 19-26 RIVERA, NIKKO 246 MARIANO PONCE ST. BAGONG BARIO CALOOCAN CITY - 740.00 - 740.00
19-Oct-18 19-27 RENTORIA, SOFRIMINDA BRGY. LANGUYEN PULLEO QUEZON PROVINCE - 740.00 - 740.00
19-Oct-18 19-28 PUNZALAN, MARIA ROWENA BLK 6 LOT 31 PHASE B BRGY. MULAWIN CS4 DM BULACAN - 740.00 - 740.00
19-Oct-18 19-29 GALANG, MARY ANN 0204 BAGTAS TANZA CAVITE - 740.00 - 740.00
19-Oct-18 19-30 SUMERA, GLORY BLK 1 LOT 18 BACOOR CAVITE - 690.00 - 690.00
19-Oct-18 19-31 SARDEÑA, ROWENA 310 SAMP ST MAKATI CITY - 1,055.00 - 1,055.00
19-Oct-18 19-32 PADUL, MINAME 50 MARI KIKA ST MAYPAJO CALOOCAN CITY - 210.00 - 210.00
19-Oct-18 19-33 CAMARILLO, ANGELES 6 LUZVIMINDA ST BRGY. GOLOD NOVALICHES QUEZON CITY - 1,395.00 - 1,395.00
19-Oct-18 19-34 CAMARILLO, ANGELES 6 LUZVIMINDA ST BRGY. GOLOD NOVALICHES QUEZON CITY - 640.00 - 640.00
19-Oct-18 19-35 CORTEZ, EDEN BLDG 3 UNIT 303 PARADISE HEIGHT TONDO MANILA - 600.00 - 600.00
19-Oct-18 19-36 BALAIS, ADELINA BLK 8 LOT 32 PHASE 3 BRGY. LONGOS MALABON - 630.00 - 630.00
19-Oct-18 19-37 MADELO, ROSALINDA BLK 9 LOT 6 NORTH VILALGE II BIGNAY VALENZUELA - 840.00 - 840.00
19-Oct-18 19-38 BONTIA, SONIA 1263 R CENA SALMON DAGAT DAGATAN CALOOCAN CITY - 7,340.00 - 7,340.00
19-Oct-18 19-39 BONTIA, SONIA 1263 R CENA SALMON DAGAT DAGATAN CALOOCAN CITY - 600.00 - 600.00
19-Oct-18 19-40 BERNAS, FRANCISCO NAIA ROAD SAN BAGONG SILANG CAVITE - 1,765.00 - 1,765.00
22-Oct-18 19-41 CABUHAT, RAFAEL TIMALA BALSAN NAIC CAVITE - 7,340.00 - 7,340.00
22-Oct-18 19-42 QUINING, ANITA BLK 32 LOT 9 DAGAT DAGATAN CALOOCAN CITY - 740.00 - 740.00
22-Oct-18 19-43 LIWANAG, HERMOGENES 1419 D MILAGROS ST STA CRUZ MANILA - 360.00 - 360.00
22-Oct-18 19-44 ELISEO, ELISEO 10 A ST JOHN DE JESUS SAN JUAN CITY - 740.00 - 740.00
22-Oct-18 19-45 BISA, GLENDA 45 E BALINGASA ST BALINTAWAK QUEZON CITY - 3,225.00 - 3,225.00
22-Oct-18 19-46 CONCON, ENRIQUE 1538 DM COMPOUND CALOOCAN CITY - 2,500.00 - 2,500.00
22-Oct-18 19-47 GARAY, JOCELYN LOT 29 BLOCK 10 BUKANDALA IMUS CAVITE - 570.00 - 570.00
22-Oct-18 19-48 GARAY, JOCELYN LOT 29 BLOCK 10 BUKANDALA IMUS CAVITE - 860.00 - 860.00
22-Oct-18 19-49 AMURAO, RIO 177 P. ZAMORA ST BRGY. 19 CALOOCAN CITY - 1,800.00 - 1,800.00
22-Oct-18 19-50 FERNANDEZ, MYRNA SAN PABLO CITY LAGUNA - 350.00 - 350.00
22-Oct-18 19-51 CUELLO, ZENAIDA 333 PONG PUNTA 1 TANZA CAVITE - 1,390.00 - 1,390.00
22-Oct-18 19-52 ROBLES, GIDEON 49 GEN LUNA ST VALENZUELA CITY - 2,350.00 - 2,350.00
22-Oct-18 19-53 PATIAG, ORLANDO 1541 ALGECIROUS ST SAMPALOC MANILA - 1,245.00 - 1,245.00
FOR THE PERIOD FEBRUARY 1 TO 28, 2019
Republic of the Philippines
Department of Health
JOSE R. REYES MEMORIAL MEDICAL CENTER
LIST OF PATIENTS
MEDICAL ASSISTANCE TO INDIGENT PATIENTS
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
Page 1
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
22-Oct-18 19-54 SERVANO, JHON BAHAYANG PAG ASA VALENZUELA CITY - 1,555.00 - 1,555.00
22-Oct-18 19-55 JASA, JOJIT 121 ZAPOTE ST BAGONG BARIO CALOOCAN CITY - 2,440.00 - 2,440.00
22-Oct-18 19-56 RAYMUNDO, GLORIA 1051 P GUEVARRA ST TONDO MANILA - 740.00 - 740.00
22-Oct-18 19-57 TORRES, ARNOLD 712 RAXABAGO ST BRGY. 154 TONDO MANILA - 400.00 - 400.00
22-Oct-18 19-58 TABALNO, ADORACION 2022 INT 3 G PERFECTO BRGY. 157 TONDO MANILA - 890.00 - 890.00
22-Oct-18 19-59 NEMIS, ARACELI 1002 H TAYABAS ST TONDO MANILA - 740.00 - 740.00
22-Oct-18 19-60 LOYOLA, ADORACION 87 LOREN ST SAMPALOC MANILA - 2,500.00 - 2,500.00
22-Oct-18 19-61 PUNZALAN, JOSEPHINE 484 ROSAL ST MEYCAUYAN BULACAN - 2,350.00 - 2,350.00
22-Oct-18 19-62 OCAMPO, OFELIA BLK 13 LOT 11 NOVALICHES QUEZON CITY - 1,980.00 - 1,980.00
19-Oct-18 19-63 TAMSE, EDGAR DUANE 9TH AVE 10ST CALOOCAN - 835.00 - 835.00
22-Oct-18 19-64 RAMIREZ, JOHN 1299 J CAMRINES ST TONDO MANILA - 530.00 - 530.00
22-Oct-18 19-65 MANGHI, MEBELYN BRGY. WAWA IBABA LEMEREY BATANGAS - 740.00 - 740.00
22-Oct-18 19-66 DIZON, RACQUEL 1026 ARATILES ST CAA LAS PIÑAS CITY - 1,045.00 - 1,045.00
22-Oct-18 19-67 SEGUIRA, FLORITO ROYAL PALM ST SITIO LUCBAN BRGY. DELA PAZ ANTIPOLO - 740.00 - 740.00
22-Oct-18 19-68 VILLORENTE, BRIGELDO 141 MAUBAN ST BRGY. MANRESA QUEZON CITY - 740.00 - 740.00
22-Oct-18 19-69 CALABUCAL, IGMEDIO 2158 OROQUIETA ST STA CRUZ MANILA - 740.00 - 740.00
22-Oct-18 19-70 DE GULA, VICTORINA 15 F DE GUIA ST BRGY. MARULAS VALENZUELA CITY - 210.00 - 210.00
22-Oct-18 19-71 CABUHAY, VENANCIA BLK 2 LOT 28 DULO BAUTISTA BRGY. PANGHULO MALABON CITY - 770.00 - 770.00
22-Oct-18 19-72 CASTRO, RICARDO JR 63 MALOLOS AVE BAGONG BARIO CALOOCAN CITY - 635.00 - 635.00
22-Oct-18 19-73 SALANDANAN, TERESITA 306 ROXAS ST BRGY. 104 TONDO MANILA - 210.00 - 210.00
22-Oct-18 19-74 ABELEDA, ADEMAR HERERRA ST. BRGY IBABA MALABON CITY - 800.00 - 800.00
22-Oct-18 19-75 RAMOS, EMERITA BRGY. HULO OBANDO BULACAN - 1,565.00 - 1,565.00
22-Oct-18 19-76 FRANCISCO, JHANA 942 INT 16 BILIBID BRGY. 391 QUIAPO MANILA - 745.00 - 745.00
22-Oct-18 19-77 NICERIO, BELEN 2029 SIMON ST BRGY. 494 SAMPALOC MANILA - 210.00 - 210.00
22-Oct-18 19-78 RONQUILLO, LIGAYA 14 TENDIDO ST. SAN JOSE QUEZON CITY - 210.00 - 210.00
22-Oct-18 19-79 RINCORAYA, ROGELIO 2216 MOLAVE BATANGAS BRGY. 227 TONDO MANILA - 1,600.00 - 1,600.00
22-Oct-18 19-80 PINULAN, ALFREDO # 471 INT 3 HERROS DEL 96 CALOOCAN CITY - 675.00 - 675.00
22-Oct-18 19-81 FULLONA, MARINA BRGY. 5 SANGANDAAN CALOOCAN CITY - 2,710.00 - 2,710.00
22-Oct-18 19-82 PEÑA, ROWENA 1227 MEDINA ST GEN T DE LEON VALENZUELA CITY - 1,685.00 - 1,685.00
22-Oct-18 19-83 BAUTISTA, TERESITA DAGAT DAGATAN CALOOCAN CITY - 740.00 - 740.00
22-Oct-18 19-84 RIAZO, MA. LOURDES 1516 M. HIZON ST STA CRUZ MANILA - 12,900.00 - 12,900.00
22-Oct-18 19-85 DE JUAN, ELIZABETH 1392 ALMARADO EXT TONDO MANILA - 935.00 - 935.00
22-Oct-18 19-86 SULIVAN, MIRASOL 25 BALTAZAR ST BRGY. 53 CALOOCAN CITY - 130.00 - 130.00
22-Oct-18 19-87 ANDALIS, OLIVER 19 DOÑA ELENA ST BRGY PANTURIN VALENZUELA CITY - 210.00 - 210.00
22-Oct-18 19-88 GUILLANO, ELSIE NORTHVILLE 23 BAGUMBONG CALOOCAN CITY - 1,805.00 - 1,805.00
22-Oct-18 19-89 ELIGADO, ROSANNA 147 NARRA ALLEY BAGONG BARIO CALOOCAN CITY - 740.00 - 740.00
22-Oct-18 19-90 SEVILLA, MARILOU 492 PUROK 6 HERNANDEZ ST CALOOCAN CITY - 210.00 - 210.00
22-Oct-18 19-91 DE LUNA, JOEMAR BRGY. 128 2-10 BALUT TONDO MANILA - 360.00 - 360.00
22-Oct-18 19-92 SARNEJO, IRENE BLK 5 LOT 18 DAGAT DAGATAN CALOOCAN CITY - 530.00 - 530.00
22-Oct-18 19-93 GRONA, LENIE DAGAT DAGATAN CALOOCAN CITY - 1,805.00 - 1,805.00
22-Oct-18 19-94 MACARIO, GLORIPHINE 396 CENTRO ST PANTOC MEYCAUYAN BULACAN - 1,420.00 - 1,420.00
22-Oct-18 19-95 RUIZ, JEROME 2018 DAANG BAKAL ST TONDO MANILA - 360.00 - 360.00
22-Oct-18 19-96 ANG, MA. ROWELA 753 INT 76 RAXABAGO ST TONDO MANILA - 1,645.00 - 1,645.00
22-Oct-18 19-97 CAPE, PRINCESS JEMARIE BRGY. SAN JOSE NAVOTAS CITY - 1,685.00 - 1,685.00
22-Oct-18 19-98 TIMWAT, MARIA CRISTINA 980 HERBOSA ST TONDO MANILA - 740.00 - 740.00
22-Oct-18 19-99 PABLO, JOVELYN 13 MAHOGANY ROAD LAS PIÑAS CITY - 740.00 - 740.00
22-Oct-18 19-100 VIDAL, CYNTHIA BLK 74 C. DEL ROSARIO ST TALON LAS PIÑAS CITY - 1,055.00 - 1,055.00
22-Oct-18 19-101 REYES, JOSELITO 92 ISAROG ST SAN ISIDRO LABRADOR LA LOMA QUEZON CITY - 2,850.00 - 2,850.00
22-Oct-18 19-102 REYES, DOLORES JULUGAN TANZA CAVITE - 2,130.00 - 2,130.00
22-Oct-18 19-103 PAGADUAN, DOMINADOR 23 ROTE HUNTER TATALON QUEZON CITY - 360.00 - 360.00
22-Oct-18 19-104 ADVINCULA, TEODORO 117 10TH ST 10TH AVENUE CALOOCAN CITY - 970.00 - 970.00
22-Oct-18 19-105 VILLANUEVA, ROMEO INT D.R.C BAUZA ST BAGUMBAYAN SOUTH NAVOTAS CITY - 570.00 - 570.00
22-Oct-18 19-106 LEONGSON, MARILYN # 137 LIWAYWAY ST BAYAN BAYANAN MALABON CITY - 530.00 - 530.00
24-Oct-18 19-107 MANANSALA, ARMANDO 1005 J ANTIPOLO ST TONDO MANILA - 210.00 - 210.00
24-Oct-18 19-108 POSTRADO, ROSEMARY BRGY. 96 TONDO MANILA - 2,620.00 - 2,620.00
24-Oct-18 19-109 BANAL, EMMA 1509 MEL ALCALDE ST TONDO MANILA - 530.00 - 530.00
24-Oct-18 19-110 ATIENZA, MARIA CRISTINA BLK 37 # 11 FABELLA COMP MANDALUYONG CITY - 740.00 - 740.00
24-Oct-18 19-111 INOCENCIO, JESUS 2295 MALAYA ST BRGY. 214 BALUT TONDO MANILA - 530.00 - 530.00
24-Oct-18 19-112 PALOMA, ELENA ISLA MARICABAN BRGY. 180 PASAY CITY - 740.00 - 740.00
24-Oct-18 19-113 TAJUNA, ALBERT 2554 JUAN LUNA ST BRGY. 153 TONDO MANILA - 770.00 - 770.00
24-Oct-18 19-114 ALON, NOEMI 6201 P ESCUELTA ST MALABAN BINAN LAGUNA - 1,235.00 - 1,235.00
Page 2
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
24-Oct-18 19-115 GUITERREZ, MARISSA 5058 4 MAMBORO OCCIDENTAL MINDORO - 600.00 - 600.00
24-Oct-18 19-116 WEST, MARY ANN # 27 AGUIRRE ROAD PILAR VILLAGE LAS PIÑAS CITY - 730.00 - 730.00
24-Oct-18 19-117 PALOS, IRENEO BRGY. SINSAYON SANTIAGO CITY ISABELA - 1,705.00 - 1,705.00
24-Oct-18 19-118 HERERA, LUCITO 528 ATTY MENDOZA ST BRGY. PEDRO CRUZ SAN JUAN - 845.00 - 845.00
24-Oct-18 19-119 BAGUIO, DELIA # 150 ROXAS ST BLK 6 MAGSAYSAY VILLAGE BRGY. 106 TONDO - 570.00 - 570.00
24-Oct-18 19-120 YABUT, LYDIA GUEVARRA ST GEN T DE LEON VALENZUELA CITY - 940.00 - 940.00
24-Oct-18 19-121 TAN, GENALYN 301 TANDANG SORA STA QUITERA BRGY 163 CALOOCAN CITY - 740.00 - 740.00
24-Oct-18 19-122 CELESTE, MA. CRISTINE BRGY, TONSUYA MALABON CITY - 2,055.00 - 2,055.00
24-Oct-18 19-123 CARIAGA, PAUL BRENT 97 6AH LACSON ST SAMPALOC MANILA - 530.00 - 530.00
24-Oct-18 19-124 ABRENICA, AGUSTINA BLK 10 LOT 3 LONGOS MALABON CITY - 740.00 - 740.00
24-Oct-18 19-125 LACSON, ROSAURO JR 1611 INT 8 F VARONA ST TONDO MANILA - 740.00 - 740.00
24-Oct-18 19-126 CLEMENTE, LIBRADA 194 P SEVILLA ST 2ND AVENUE GRACE PARK CALOOCAN CITY - 1,385.00 - 1,385.00
24-Oct-18 19-127 MANANSALA, VENERANDA 2701 LICO ST BRGY. 211 TONDO MANILA - 1,390.00 - 1,390.00
24-Oct-18 19-128 SUBAN, EMILY 2156 ELIAS ST BRGY. 351 STA CRUZ MANILA - 940.00 - 940.00
24-Oct-18 19-129 BACOD, ESMERALDA 129 ROAD 4 BAGONG PAG ASA QUEZON CITY - 570.00 - 570.00
24-Oct-18 19-130 GOMEZ, CHARITO BRGY. SALAWAG DASMARINAS CAVITE - 1,580.00 - 1,580.00
24-Oct-18 19-131 VILLAVERDE, LEONORA BRGY. SAN ROQUE SAN RAFAEL BULACAN - 740.00 - 740.00
24-Oct-18 19-132 LEYNES, LADIE LYN # 0461 PUROK 4 TANGWAY LIPA CITY - 1,235.00 - 1,235.00
24-Oct-18 19-133 LEYNES, NELIA # 0461 PUROK 4 TANGWAY LIPA CITY - 1,235.00 - 1,235.00
23-Oct-18 19-134 PADILLA, ANGELICA SANTOS ST TANGOS NAVOTAS CITY - 1,235.00 - 1,235.00
23-Oct-18 19-135 MENDOZA, CRISTINE PATRICEMENDEZ ST. BAESA QUEZON CITY - 1,300.00 - 1,300.00
23-Oct-18 19-136 MAMENG, CORAZON SAN FELIPE CUENCA BATANGAS - 740.00 - 740.00
23-Oct-18 19-137 PAULI, OLGA KAWIT CAVITE - 210.00 - 210.00
23-Oct-18 19-138 SARMIENTO, MARY JANE TANIGUE ST. DAGAT DAGATAN CALOOCAN CITY- 925.00 - 925.00
23-Oct-18 19-139 ANGELES, JAIME CAPAC ST. DAGAT-DAGATAN CALOOCAN CITY - 2,350.00 - 2,350.00
23-Oct-18 19-140 ELOMINA, FRANCESCA CUYAB, SAN PEDRO LAGUNA - 530.00 - 530.00
23-Oct-18 19-141 ATACADOR, ANALOU ABAD SANTOS, TONDO MANILA - 1,060.00 - 1,060.00
23-Oct-18 19-142 MANIAOL, HILARIO MARULAS CALOOCAN CITY - 740.00 - 740.00
23-Oct-18 19-143 TAWATAO, MARY GRACE HERNANDEZ ST. CATINON MALABON - 350.00 - 350.00
23-Oct-18 19-144 DELA CRUZ, NANCY KARUHATAN VALENZUELA CITY - 740.00 - 740.00
7-Nov-18 19-145 SCHMIDT, MARLENE 70 BAGONG SIKAT BAGONG BARRIO CALOOCAN CITY - 4,700.00 - 4,700.00
7-Nov-18 19-146 MONTAÑA, CHARMAINE 1021 DAGUPAN ST BRGY. 48 TONDO MANILA - 2,485.00 - 2,485.00
9-Nov-18 19-147 VIZCARRA, MANUEL BRGY. 139 CALOOCAN CITY - 740.00 - 740.00
9-Nov-18 19-148 HUAB, NORMA 21C TARNATE ST TALANAY BATASAN HILLS QUEZON CITY - 740.00 - 740.00
9-Nov-18 19-149 PADIN, DOLORES 4856 C INT 15 OLD SANTA MESA MANILA - 955.00 - 955.00
9-Nov-18 19-150 EUSEBIO, CHERRY 103 B NATIVIDAD ST CALOOCAN CITY - 2,035.00 - 2,035.00
9-Nov-18 19-151 PINLAC, GINA 824 OROQUIETA ST STA CRUZ MANILA - 740.00 - 740.00
9-Nov-18 19-152 ESTEBAN, MA. REGILDA 1414 A LUNA ST BOCAUE BULACAN - 870.00 - 870.00
9-Nov-18 19-153 DABUET, ANTONIO 510 Z P DE GUZMAN ST QUIAPO MANILA - 1,260.00 - 1,260.00
8-Nov-18 19-154 BERNARDO, MICHAEL SAN GABRIEL, STA. MARIA, BULACAN - 360.00 - 360.00
8-Nov-18 19-155 BELIZAR, MA. CRISTERIA 127 BRONZE ST TUGATOG MALABON CITY - 2,425.00 - 2,425.00
8-Nov-18 19-156 PUNZALAN, AURELIA BLK 32 LOT 10 VILLAGE SILING BATA PANDI BULACAN - 530.00 - 530.00
8-Nov-18 19-157 MAURICIO, AMPARO 562 DEATO SUB TIWALA ST BRGY. PASOLO VALENZUELA CITY - 4,815.00 - 4,815.00
8-Nov-18 19-158 PEREZ, ARSENITA 914 A MURILLO ST QUIAPO MANILA - 740.00 - 740.00
8-Nov-18 19-159 SANTOS, NORA 72 PAEZ ST BRG. CONCEPCION MALABON CITY - 2,565.00 - 2,565.00
8-Nov-18 19-160 TABLADA, PURIZA 277 ADELFA ST CALOOCAN CITY - 1,535.00 - 1,535.00
8-Nov-18 19-161 BOLO, SALVACION 298 BMBD 5TH AVENUE EAST PARK CALOOCAN CITY - 2,085.00 - 2,085.00
8-Nov-18 19-162 BOLO, MARLYN 298 BMBD 5TH AVENUE EAST PARK CALOOCAN CITY - 210.00 - 210.00
8-Nov-18 19-163 ABADILLA, ELIZABETH 1324 A LACSON ST STA CRUZ MANILA - 570.00 - 570.00
8-Nov-18 19-164 CARENO, EPEFANIA 1062 I NARZAN ST BRGY. 476 SAMPALOC MANILA - 1,915.00 - 1,915.00
8-Nov-18 19-165 CUSTODIO, AIDA 35 INT FRANCIS ST MARICABAN PASAY CITY - 570.00 - 570.00
8-Nov-18 19-166 TAN, TERESITA 1653 SANTIAGO ST PACO MANILA BRGY. 684 - 1,605.00 - 1,605.00
8-Nov-18 19-167 FESTIJO, PDERRITO BRGY. 105 TONDO MANILA - 530.00 - 530.00
8-Nov-18 19-168 HIPOLITO, REYNALDO 1368 C OROQUIETA ST BRGY. 316 STA CRUZ MANILA - 740.00 - 740.00
8-Nov-18 19-169 NATIVIDAD, ELENA 251 RIZAL ST. STA QUITERIA BRGY. 100 CALOOCAN CITY - 740.00 - 740.00
8-Nov-18 19-170 ALINGAL, ALYSA MAGSAYSAY EXT SAN AGUSTIN MALABON CITY - 2,260.00 - 2,260.00
8-Nov-18 19-171 ALINGAL, ELMER MAGSAYSAY EXT SAN AGUSTIN MALABON CITY - 530.00 - 530.00
8-Nov-18 19-172 LOPEZ, ROSALINDA 12-A MAUBAN ST QUEZON CITY - 2,355.00 - 2,355.00
5-Nov-18 19-173 SISON, ADELAIDA BRGY. 83 CALOOCAN CITY - 130.00 - 130.00
8-Nov-18 19-174 RAMIREZ, ROSEMARIE 438 PAKIUSAP ST 2ND AVENUE CALOOCAN CITY - 740.00 - 740.00
8-Nov-18 19-175 BEDONIA, LEODY 221 ST PETER ST DUPLEX HOMES MOLINO IV BACOOR CAVITE - 570.00 - 570.00
Page 3
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
8-Nov-18 19-176 OLIMBA, GERTRUDES BRGY. 75 3 FRANCISCO CALOOCAN CITY - 2,435.00 - 2,435.00
8-Nov-18 19-177 TRIMOR, ALFREDA 506 ILANG-ILANG ST NBBS NAVOTAS CITY - 570.00 - 570.00
8-Nov-18 19-178 NICDAO, RENE BOY BRGY. ILAYA SINALMAN STA ROSA LAGUNA - 2,330.00 - 2,330.00
8-Nov-18 19-179 SANTIAGO, TERESITA P TICLAO ST TANZA NAVOTAS - 740.00 - 740.00
8-Nov-18 19-180 DAGOHOY, EDDIE 957 HIDALGO ST QUIAPO MANILA - 210.00 - 210.00
8-Nov-18 19-181 ROQUE, ROLANDO # 8 ALNO ST QUEZON CITY - 210.00 - 210.00
8-Nov-18 19-182 SANTOS, GRECEL 1038 TAYUMAN TONDO MANILA - 1,755.00 - 1,755.00
8-Nov-18 19-183 BONTO, DAISY # 1 G PASCO ST SFDM QUEZON CITY - 2,195.00 - 2,195.00
8-Nov-18 19-184 VELO, ROWEL BARTOLOME NOVALICHES QUEZON CITY - 210.00 - 210.00
9-Nov-18 19-185 CULATA, JESUS A RIVERA ST TONDO MANILA - 1,235.00 - 1,235.00
9-Nov-18 19-186 GUTIERREZ, MADONNA 1521 A B ANTONIO ISIP ST BRGY. 814 PACO MANILA - 2,840.00 - 2,840.00
9-Nov-18 19-187 GUTIERREZ, ALFREDO 1521 B ANTONIO ISIP ST BRGY. 814 PACO MANILA - 570.00 - 570.00
9-Nov-18 19-188 VILLANUEVA, WILSON 869 STO NIÑO ST BRGY. 11 TONDO MANILA - 1,230.00 - 1,230.00
9-Nov-18 19-189 MAULEON, MATILDE PINAGKAISAHANG CUENCA BATANGAS - 530.00 - 530.00
9-Nov-18 19-190 SATORRE, LYKA 2015 M. NATIVIDAD ST STA CRUZ MANILA - 1,710.00 - 1,710.00
9-Nov-18 19-191 SORIANO, JANE NAGUIRAUYAN BATAC ILOCOS NORTE - 530.00 - 530.00
9-Nov-18 19-192 SANTOS, ROSALIE 19 GENERAL TIRONA ST BAGONG BARRIO CALOOCAN CITY - 210.00 - 210.00
9-Nov-18 19-193 RAULE, ZENAIDA 24 CAPAS ST MASAMBONG QUEZON CITY - 1,405.00 - 1,405.00
9-Nov-18 19-194 PRADO, LEOPOLDO 101 ROXAS ST MAGSAYSAY VILLAGE TONDO MANILA - 570.00 - 570.00
9-Nov-18 19-195 MISA, TERESA TAMBUNTING STA CRUZ MANILA - 740.00 - 740.00
9-Nov-18 19-196 LOPEZ, LORENZO 22 A DECILO ST VALENZUELA CITY - 1,345.00 - 1,345.00
9-Nov-18 19-197 REYES, ENRIQUE 304 A TRINIDAD ST TONDO MANILA - 1,000.00 - 1,000.00
9-Nov-18 19-198 MADRIAGA, PRESENTACION RAHAYBAHAY CABUYAO LAGUNA - 1,220.00 - 1,220.00
9-Nov-18 19-199 NITO, VERONICA ELIAST ST. STA CRUZ MANILA - 740.00 - 740.00
9-Nov-18 19-200 NITO, VERONICA ELIAST ST. STA CRUZ MANILA - 900.00 - 900.00
9-Nov-18 19-201 BARNEDO, JULIET CAYSIO STA MARIA BULACAN CITY - 740.00 - 740.00
9-Nov-18 19-202 BUNZALAN, ASHLEY BRGY. 275 TONDO MANILA - 1,060.00 - 1,060.00
9-Nov-18 19-203 LUPAC, ANTONIO BRGY. 20 CALOOCAN CITY - 2,485.00 - 2,485.00
9-Nov-18 19-204 PANGILINAN, MA. VICTORIA BRGY. 157 TONDO MANILA - 975.00 - 975.00
9-Nov-18 19-205 LOPEZ, EMY BRGY. 92 TONDO MANILA - 3,040.00 - 3,040.00
9-Nov-18 19-206 NICERIO, BELEN BRGY. 404 SAMPALOC MANILA - 3,235.00 - 3,235.00
9-Nov-18 19-207 GARCIA, FLORDELIZA BRGY. CATMON MALABON CITY - 740.00 - 740.00
9-Nov-18 19-208 BULURAN, ALBERTO MATA ST. TONDO MANILA - 210.00 - 210.00
9-Nov-18 19-209 PELLONERO, DELIA SAWATA ROAD CALOOCAN CITY - 740.00 - 740.00
9-Nov-18 19-210 LOBOS, SILVESTRE MUZON SJDM BULACAN - 2,355.00 - 2,355.00
9-Nov-18 19-211 APOSTOL, CLARITA PASONG KAWAYAN 2 GEN TRIAS CAVITE - 740.00 - 740.00
9-Nov-18 19-212 TRIÑO, RODOLFO BRGY. 310 STA CRUZ MANILA - 1,485.00 - 1,485.00
9-Nov-18 19-213 DOLOSA, EGMEDIO BRGY. 65 PASAY CITY MANILA - 1,665.00 - 1,665.00
9-Nov-18 19-214 DE JESUS, ASHLEY BRGY. 216 TONDO MANILA - 530.00 - 530.00
9-Nov-18 19-215 TEODORO, MELCHOR BACOOD BRGY. 614 STA MESA MANILA - 3,120.00 - 3,120.00
9-Nov-18 19-216 TUASON, JOSELITO BRGY. 85 TONDO MANILA - 360.00 - 360.00
12-Nov-18 19-217 ANDRADE, JOAN MARIE BRGY. 349 STA CRUZ MANILA - 530.00 - 530.00
12-Nov-18 19-218 BENJAMIN, ROMULO AREA 6 SAPANG PALAY BULACAN - 740.00 - 740.00
12-Nov-18 19-219 CADUCIO, LORNA M HIZON ST STA CRUZ MANILA - 740.00 - 740.00
12-Nov-18 19-220 DELA CRUZ, DINDO 333 CUSTODIO ST SANTULAN MALABON CITY - 3,280.00 - 3,280.00
12-Nov-18 19-221 NAREDO, AURELIA GAGALANGIN TONDO MANILA - 1,235.00 - 1,235.00
12-Nov-18 19-222 MARASIGAN, ISAGANI NATIVIDAD ST STA CRUZ MANILA - 740.00 - 740.00
12-Nov-18 19-223 QUEDADO, ESTRELLA ALONSO ST CAVITE - 1,300.00 - 1,300.00
26-Nov-18 19-224 CASPILLO, JENNIFER DAGAT DAGATAN CALOOCAN - 500.00 - 500.00
26-Nov-18 19-225 PADUA, LANCE KAISER CAVITE ST TONDO MANILA - 1,030.00 - 1,030.00
26-Nov-18 19-226 SABUYA, CRISTOPHER BATANGAS ST TONDO MANILA - 1,125.00 - 1,125.00
26-Nov-18 19-227 AMAYAG, NATHANIEL TIMOTHYMA SUSAFE ST SAN ANTONIO VALLEY PARAÑAQUE- 7,920.00 - 7,920.00
26-Nov-18 19-228 DELOS REYES, ZAYN CASENIAS ST TANGOS NAVOTAS - 740.00 - 740.00
26-Nov-18 19-229 CASTILLO, ARREN FRIA HIZON ST STA CRUZ MANILA - 2,500.00 - 2,500.00
26-Nov-18 19-230 DELA CRUZ, JOSELITO AREA A TAHIMIK ST TONDO MANILA - 725.00 - 725.00
26-Nov-18 19-231 NACOR, RIC SITIO CABUAYO SAUYO NOVALICHES QUEZON - 530.00 - 530.00
26-Nov-18 19-232 PAGHUNASAN, ANITA BRGY 105 HAPPYLAND TONDO MANILA - 2,000.00 - 2,000.00
23-Nov-18 19-233 PRINCIPIO, PIEDAD ZAMORA ST TONDO MANILA - 1,350.00 - 1,350.00
23-Nov-18 19-234 VILLA, MA ANTONIETTE ANACLETO ST TONDO MANILA - 740.00 - 740.00
23-Nov-18 19-235 OBZUNAR, ADELAIDA SITIO PUTTING BATO NBBS NAVOTAS - 765.00 - 765.00
23-Nov-18 19-236 FADIRUGAO, NOEL STO NIÑO ST SFDM QUEZON CITY - 1,390.00 - 1,390.00
Page 4
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
23-Nov-18 19-237 EVANGELISTA, ROLANDO MABINI ST MAYPAJO CALOOCAN - 1,060.00 - 1,060.00
23-Nov-18 19-238 VESTIDAS, MAURICIA TOMAS MAPUA ST STA CRUZ MANILA - 500.00 - 500.00
23-Nov-18 19-239 MACASINAG, SALVADOR LETRE TONSUYA MALABON - 1,800.00 - 1,800.00
23-Nov-18 19-240 NUQUI, CRISTINA JASMIN ST BAESA CALOOCAN CITY - 2,350.00 - 2,350.00
23-Nov-18 19-241 CELERIO, DOROTEA GATE 58 PAROLA SAN NICOLAS BINONDO MANILA- 600.00 - 600.00
23-Nov-18 19-242 FALCON, PAGASA QUIRICADA ST STA CRUZ MANILA - 650.00 - 650.00
23-Nov-18 19-243 ZAPATA, ESPERANZA QUIRICADA ST STA CRUZ MANILA - 2,000.00 - 2,000.00
23-Nov-18 19-244 MAGDARAOG, ROMULO BRGY 31 MAYPAJO CALOOCAN - 755.00 - 755.00
23-Nov-18 19-245 MANGILIMAN, VICTOR BRGY 189 TONDO MANILA - 790.00 - 790.00
23-Nov-18 19-246 GARCIA, JAIME TRINIDAD ST BRGY 309 STA CRUZ MANILA - 660.00 - 660.00
23-Nov-18 19-247 MANICIA, CARMELITA NEW ANTIPOLOV ST TONDO MANILA - 1,480.00 - 1,480.00
27-Nov-18 19-248 NG, FERNANDO RIVERA RD PORTERO MALABON - 800.00 - 800.00
27-Nov-18 19-249 GARCIA, MERLYN TAMBUNTING ST STA CRUZ MANILA - 2,130.00 - 2,130.00
27-Nov-18 19-250 LAVA, ESTER BINHAGAN ST SAN JOSE QUEZON - 5,100.00 - 5,100.00
27-Nov-18 19-251 TAMAYO, JENILYN MANGGA ST CAMARIN CALOOCAN - 1,325.00 - 1,325.00
27-Nov-18 19-252 MAOWILI, MARCELO STA MARIA CAST ZAMBALES - 1,060.00 - 1,060.00
27-Nov-18 19-253 AQUINO, GILBERTO BRGY ROXAS QUEZON CITY - 845.00 - 845.00
27-Nov-18 19-254 VILLAMARTIN, ELSA TRINIDAD COMP KARUHATAN VALENZUELA - 675.00 - 675.00
27-Nov-18 19-255 ENECO, TRINIDAD TONSUYA ST MALABON CITY - 650.00 - 650.00
27-Nov-18 19-256 PEREZ, AMELIA ELISA ST MAYPAJO CALOOCAN - 2,500.00 - 2,500.00
27-Nov-18 19-257 VIDAL, ARMANDO BRGY IBABA MALABON - 1,115.00 - 1,115.00
27-Nov-18 19-258 REFIL, NORMITA BRGY TANGOS NAVOTAS - 885.00 - 885.00
27-Nov-18 19-259 LAXAMANA, MARIO NICOLAS ST BRGY 251 TONDO MANILA - 1,255.00 - 1,255.00
27-Nov-18 19-260 ESPORTUNO, MYRNA BATIMANA COMP MARULAS VALENZUELA - 1,070.00 - 1,070.00
27-Nov-18 19-261 MORALES, CYNTHIA ATIS ALLEY CONCHA TONDO MANILA - 360.00 - 360.00
27-Nov-18 19-262 BIGTING, NERISA CORAL ST TONDO MANILA - 2,500.00 - 2,500.00
27-Nov-18 19-263 AGUILLON, MYRNA NBBS NAVOTAS CITY - 1,390.00 - 1,390.00
27-Nov-18 19-264 DULDULAO, CONSORCIA ALMEDA ST TONDO MANILA - 1,900.00 - 1,900.00
27-Nov-18 19-265 UMBAC, BERNADITA DAPDAP ST STA CRUZ MANILA - 2,350.00 - 2,350.00
27-Nov-18 19-266 MAMALIGSA, JOSE MINUYAN PROPER SJDM BULACAN - 615.00 - 615.00
27-Nov-18 19-267 AGUILAR, MARIETA SORIANO ST TONDO MANILA - 2,500.00 - 2,500.00
27-Nov-18 19-268 AGUILAR, MARIETA SORIANO ST TONDO MANILA - 990.00 - 990.00
27-Nov-18 19-269 TABJAN, ESTRELLA ISAGANI ST BRGY 370 STA CRUZ MANILA - 2,000.00 - 2,000.00
27-Nov-18 19-270 LAPUZ, FRED RIZAL ST BRGY CENTABLADO CABIAO NUEVA ECIJA- 500.00 - 500.00
27-Nov-18 19-271 ALIOCOD, MA LINDA BRGY 28 DAGAT DAGATAN CALOOCAN - 1,785.00 - 1,785.00
27-Nov-18 19-272 MANGAHAS, MYRNA JUAN LUNA ST BRGY 58 TONDO MANILA - 1,840.00 - 1,840.00
27-Nov-18 19-273 ISIDRO, EMILIE ROSE SANCIANGCO ST TONSUYA MALABON - 640.00 - 640.00
27-Nov-18 19-274 MORADA, LITO SINGALONG ST BRGY 722 MALATE MANILA - 1,205.00 - 1,205.00
27-Nov-18 19-275 VICENTE, NATIVIDAD ELIAS ST STA CRUZ MANILA - 1,970.00 - 1,970.00
27-Nov-18 19-276 BABAAN, MARIA DOLORES RIVERA ST SAMPALOC MANILA - 1,535.00 - 1,535.00
27-Nov-18 19-277 VITALEZ, PERLITA QUIRICADA ST TONDO MANILA - 765.00 - 765.00
27-Nov-18 19-278 ARBAS, THELMA HUNDRADEZ ST SAMPALOC MANILA - 1,000.00 - 1,000.00
27-Nov-18 19-279 ALBOFIRA, VIRGENIA MANUYO ST LAS PIÑAS CITY - 1,060.00 - 1,060.00
27-Nov-18 19-280 HERNANDEZ, JOSELITO CORAZON ST DALANDANAN VALENZUELA - 400.00 - 400.00
27-Nov-18 19-281 LUGO, ANTONIO GLADIOLA EXT SARANAY HOME CALOOCAN - 400.00 - 400.00
27-Nov-18 19-282 MAGDAET, RODENIA BALUYOT ST SAUYO NOVALICHES QUEZON - 11,800.00 - 11,800.00
28-Nov-18 19-283 ESTAMBRE, CAMILLE JOI NATIVIDAD SUBD DEPARO CALOOCAN - 2,500.00 - 2,500.00
28-Nov-18 19-284 BALINGCASAG, ARSENIO AREA B PAROLA BINONDO MANILA - 3,960.00 - 3,960.00
28-Nov-18 19-285 BARON, LEONARDO MALIGAYA ST BAGONG BARRIO CALOOCAN - 500.00 - 500.00
28-Nov-18 19-286 NICOLAS, JOAN CAPULONG HIGHWAY TONDO MANILA - 860.00 - 860.00
28-Nov-18 19-287 CIRIACO, LEONIDA VILLA LUISA HOMES DASMARIÑAS ACVITE - 2,000.00 - 2,000.00
28-Nov-18 19-288 TIOLENGCO, JETT AXEL HIZON ST STA CRUZ MANILA - 455.00 - 455.00
28-Nov-18 19-289 ESPEJO, MARINA MARULAS A CALOOCAN CITY - 2,000.00 - 2,000.00
28-Nov-18 19-290 VINZON, SESINANDO ANACLETO ST STA CRUZ MANILA - 370.00 - 370.00
29-Nov-18 19-291 MONDARES, GERALD MALINTA VALENZUELA CITY - 500.00 - 500.00
29-Nov-18 19-292 GOOCH, EVANGELINE BRGY. 379 STA CRUZ MANILA - 1,235.00 - 1,235.00
29-Nov-18 19-293 PALIC, CORAZON 5587 ZENIA ST. BRGY. 175 CALOOCAN CITY - 1,235.00 - 1,235.00
29-Nov-18 19-294 PALIC, CORAZON 5578 ZENIA ST. BRGY 175 CALOOCAN CITY - 2,500.00 - 2,500.00
29-Nov-18 19-295 MESIAS, MARK NOEL LAGUNA EXT. TONDO MANILA - 985.00 - 985.00
29-Nov-18 19-296 ISAGA, MA. TERESA TALON IV LAS PIÑAS CITY - 530.00 - 530.00
29-Nov-18 19-297 GUTIERREZ, LIEZEL 1501 JOSE ABAD SANTOS ARANETA TONDO MANILA - 415.00 - 415.00
Page 5
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
29-Nov-18 19-298 LEGASPI, BIENVENIDA BRGY. 262 TONDO MANILA - 3,860.00 - 3,860.00
29-Nov-18 19-299 YABOT, LYDIA GEN T. DE LEON VALENZUELA CITY - 1,235.00 - 1,235.00
29-Nov-18 19-300 PACETE, AURELIO MALAYA ST. STA MESA HEIGHTS QUEZON CITY - 2,500.00 - 2,500.00
29-Nov-18 19-301 TOSIO, CENON 1145 B VARGAS ST TONDO MANILA - 2,050.00 - 2,050.00
29-Nov-18 19-302 AZARCON, ELGIN 182 PINGLAAN PASONG TAMO QUEZON CITY - 2,500.00 - 2,500.00
29-Nov-18 19-303 RACO, FLORENCE INOCENCIO ST TONDO MANILA - 580.00 - 580.00
29-Nov-18 19-304 RABORAN, ARLENE BRGY. 346 STA. CRUZ MANILA - 1,310.00 - 1,310.00
29-Nov-18 19-305 VERZOSA, MARILOU BRGY. 178 CALOOCAN CITY - 710.00 - 710.00
29-Nov-18 19-306 CRUZ, DIOSIFINA DONE ST CANUMAY VALENZUELA CITY - 2,500.00 - 2,500.00
29-Nov-18 19-307 NABONG, MELANIE LAWA CITY OF MEYCAUYAN BULACAN CITY - 7,340.00 - 7,340.00
29-Nov-18 19-308 COLERIO, DOROTEA SAN NICOLAS MANILA - 5,105.00 - 5,105.00
29-Nov-18 19-309 ALONZO, ISABEL 47 NAVOTAS WEST NAVOTAS CITY - 2,050.00 - 2,050.00
29-Nov-18 19-310 MISSION, ODON DAGAT DAGATAN NAVOTAS CITY - 900.00 - 900.00
29-Nov-18 19-311 TRISTE, ZOILO BRGY. PANDACAN CALAUG QUEZON PROVINCE - 2,680.00 - 2,680.00
29-Nov-18 19-312 MALLARI, ALFREDO 0221 BRGY. DALANDANAN VALENZUELA CITY - 415.00 - 415.00
29-Nov-18 19-313 BUSTO, RODOLFO 1746 IBARRA ST. SAMPALOC MANILA - 2,300.00 - 2,300.00
29-Nov-18 19-314 MARTINEZ, MA. CORAZON LACSON ST, TONDO MANILA - 500.00 - 500.00
29-Nov-18 19-315 GUANZON, CRISTINA PORAS BOAC MARINDUQUE - 1,235.00 - 1,235.00
29-Nov-18 19-316 REYES, TRINIDAD BAGUYO MEYCAUYAN BULACAN - 2,500.00 - 2,500.00
29-Nov-18 19-317 NALDO, NILDA BRGY. COMMONWEALTH QUEZON CITY - 1,235.00 - 1,235.00
29-Nov-18 19-318 HERMOSO, ROSEZEL LOPEZ CAPULONG TONDO MANILA - 1,235.00 - 1,235.00
29-Nov-18 19-319 DIJAMCO, LOURDES 311 CRISTOBAL ST TONDO MANILA - 635.00 - 635.00
29-Nov-18 19-320 PADAYAO, EVELYN BESIGE CHAPEL VITAS TONDO MANILA - 360.00 - 360.00
29-Nov-18 19-321 UNILONGO, AILEEN BRGY. 85 TONDO MANILA - 1,235.00 - 1,235.00
29-Nov-18 19-322 BILLICK, MICHAEL TUGATOG MALABON CITY - 1,055.00 - 1,055.00
29-Nov-18 19-323 DELA CRUZ, MA. CATHERINE ANNEROSADA TAGAPO STA. ROSA MANILA - 415.00 - 415.00
28-Nov-18 19-324 MARTINEZ, JONALYN CRUZ ST BACLARAN PARAÑAQUE CITY - 1,235.00 - 1,235.00
28-Nov-18 19-325 PESINO, JADE ROMA IV LIAS MARILAO BULACAN - 1,235.00 - 1,235.00
28-Nov-18 19-326 VALLESPIN, ROXAN PAZ COMP TONDO MANILA - 1,235.00 - 1,235.00
28-Nov-18 19-327 ESGUERRA, REYNALDO MARVEX DRIVE BRGY BALINGASA BALINTAWAK QUEZON- 845.00 - 845.00
28-Nov-18 19-328 PEREZ, NORMA RODRIGUEZ ST CUBAO QUEZON - 990.00 - 990.00
28-Nov-18 19-329 PALELEO, VIOLETA BRGY SAN ROQUE NAVOTAS - 1,235.00 - 1,235.00
28-Nov-18 19-330 PILI, ESTELA LONGOS MALABON CITY - 940.00 - 940.00
28-Nov-18 19-331 BITANCUR, MANELYN NATIVIDAD ST STA CRUZ MANILA - 2,500.00 - 2,500.00
28-Nov-18 19-332 GARCIA, MERLITA JOSE ABAD SANTOS ST TONDO MANILA - 1,235.00 - 1,235.00
28-Nov-18 19-333 GUEVARRA, EDELWINA TULIP LAKANDULA TONDO MANILA - 1,000.00 - 1,000.00
28-Nov-18 19-334 GUEVARRA, EDELWINA TULIP LAKANDULA TONDO MANILA - 90.00 - 90.00
28-Nov-18 19-335 AVILA, MARIA JUANA POBLACION ESPERANZA MASBATE - 2,880.00 - 2,880.00
28-Nov-18 19-336 DEL ROSARIO, JUANITA ABLOGA ST TANGOS NAVOTAS - 1,060.00 - 1,060.00
28-Nov-18 19-337 UMANDAL, ESTELITO PAMPANGA ST STA CRUZ MANILA - 3,300.00 - 3,300.00
28-Nov-18 19-338 ASTORIANO, MARY ANN SIBUYAO TORRISOS MARINDUQUE - 1,045.00 - 1,045.00
28-Nov-18 19-339 MILLARIO, SOLVINA MOLINA ST VIENTE REALES VALENZUELA - 990.00 - 990.00
28-Nov-18 19-340 TATTAO, CRESENCIO BRGY BUROL I DASMARIÑAS CAVITE - 90.00 - 90.00
28-Nov-18 19-341 CLARIN, ANITA BRGY MANGGAHAN STA MARIA BULACAN - 1,400.00 - 1,400.00
28-Nov-18 19-342 CANCERAN, LUZVIMINDA ZAMORA ST PANDACAN MANILA - 820.00 - 820.00
28-Nov-18 19-343 DELA VEGA, MARCELINA MENDOZA ST GAGALANGIN TONDO MANILA - 1,960.00 - 1,960.00
28-Nov-18 19-344 RANA, LILIAN PACITA ST CALOOCAN CITY - 770.00 - 770.00
4-Dec-18 19-345 LEOPANDO, BEVERLY BRGY.M. ACEVIDA SINILOAN LAGUNA - 7,340.00 - 7,340.00
4-Dec-18 19-346 TUSCANO, SATURNINA MAPULANG LUPA, VALENZUELA CITY - 2,500.00 - 2,500.00
4-Dec-18 19-347 PACHECO, BELINDA LICO ST. TONDO MANILA - 1,045.00 - 1,045.00
4-Dec-18 19-348 GUAN, JENNEFER KAPALARAN ST. SAN ROQUE NAVOTAS CITY - 1,235.00 - 1,235.00
4-Dec-18 19-349 DAVID, CELSO POLO ST. BRGY ISLA VALENZUELA CITY - 640.00 - 640.00
4-Dec-18 19-350 CORAÑEZ, LISA BRGY.PISTOLA OAS, ALBAY - 415.00 - 415.00
4-Dec-18 19-351 BREIS, DENVER OSMEÑA ST. MAGSAYSAY SAN PEDRO LAGUNA - 1,060.00 - 1,060.00
4-Dec-18 19-352 MONTEMAYOR, JULIET BLK34 B AREA2 NAVOTAS CITY - 2,650.00 - 2,650.00
4-Dec-18 19-353 ANDRES, MANUEL TANGKE ST. MALINTA VALENZUELA CITY - 400.00 - 400.00
4-Dec-18 19-354 GOROBAT, MERLY SALMON ST. CALOOCAN CITY - 2,680.00 - 2,680.00
4-Dec-18 19-355 OLAYER, CONCEPCION BAGONG SILANG CALOOCAN CITY - 600.00 - 600.00
4-Dec-18 19-356 VALERIANO, CARMELIZA BRGY BINANGONA OBANDO BULACAN - 5,105.00 - 5,105.00
4-Dec-18 19-357 DE OCAMPO, TERESITA SIPAT, PLARIDEL BULACAN - 5,105.00 - 5,105.00
4-Dec-18 19-358 DE LUNA, GERONIMA NERISAKARANGALAN VILLAGE MANGGAHAN PASIG CITY- 2,500.00 - 2,500.00
Page 6
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
4-Dec-18 19-359 PALAD, ARACELI MITHI ST. TONDO MANILA - 1,235.00 - 1,235.00
4-Dec-18 19-360 GABRIEL, ROSALINA VARONA ST. TONDO MANILA - 1,235.00 - 1,235.00
4-Dec-18 19-361 ALBERTO, CARLITO PANGARAP VILLAGE CALOOCAN CITY - 2,500.00 - 2,500.00
4-Dec-18 19-362 ORTEGA, BERNARD HERNANDEZ ST. CATMON MALABON CITY - 1,060.00 - 1,060.00
12-Dec-18 19-363 LIBERAN, CONCEPCION ANTIPOLO ST. GAGALANGIN TONDO MANILA - 250.00 - 250.00
4-Dec-18 19-364 TUAZON, SOLEDAD BRGY MARULAS VALENZUELA CITY - 3,700.00 - 3,700.00
4-Dec-18 19-365 ABISTADO, JOSEPHINE BACOOR CAVITE - 7,340.00 - 7,340.00
4-Dec-18 19-366 FERMIN, ROWENA CAPULONG ST. VICTOR LOPEZ COMPOUND - 2,710.00 - 2,710.00
4-Dec-18 19-367 PACETE, AURELIO MALAYA ST. QUEZON CITY - 1,060.00 - 1,060.00
4-Dec-18 19-368 LIVARA, MARLON GUEVARRA ST. STA. CRUZ MANILA - 820.00 - 820.00
4-Dec-18 19-369 CASIDSID, EVELYN TAMBUNTING ST. STA.CRUZ MANILA - 770.00 - 770.00
4-Dec-18 19-370 BASQUINAS, MICA BRGY TATALON QUEZON CITY - 1,235.00 - 1,235.00
4-Dec-18 19-371 CRUZ, ANTONIA 6TH AVENUE CALOOCAN CITY - 820.00 - 820.00
4-Dec-18 19-372 ANGELES, MARISSA TIBERA ST. TONDO MANILA - 1,235.00 - 1,235.00
5-Dec-18 19-373 GUEVARRA, DANILO HERRERA ST NUEVA ECIJA - 1,235.00 - 1,235.00
5-Dec-18 19-374 CAJIPE, ROSARIO JUAN LUNA ST. TONDO MANILA - 400.00 - 400.00
5-Dec-18 19-375 GUEVARRA, ANGELINA BALTAZAR GRACE PARK CALOOCAN CITY - 2,300.00 - 2,300.00
5-Dec-18 19-376 SONZA, RHEA BRGY 128 BALUT TONDO MANILA - 820.00 - 820.00
5-Dec-18 19-377 SONZA, RHEA BRGY 128 BALUT TONDO MANILA - 650.00 - 650.00
5-Dec-18 19-378 ROSALES, RAMELA BAGONG MAYON BAGBAGUIN VALENZUELA CITY- 1,000.00 - 1,000.00
5-Dec-18 19-379 ROSALES, RAMELA BAGONG MAYON BAGBAGUIN VALENZUELA CITY- 400.00 - 400.00
5-Dec-18 19-380 LAPID, THELMA PANGAKO ST. BAGONG BARRIO CALOOCAN CITY- 860.00 - 860.00
5-Dec-18 19-381 BUSTAMANTE, JENELYN BRGY TANYAG TAGUIG CITY - 4,800.00 - 4,800.00
5-Dec-18 19-382 DARILAG, PRIMO DEATO BUKID BALANGKAS VALENZUELA CITY - 530.00 - 530.00
5-Dec-18 19-383 EUGENIO, HANNAH ELI RAMON MAGSAYSAY QUEZON CITY - 640.00 - 640.00
5-Dec-18 19-384 MACATUMBAS, JESSICA SITIO 6 CATMON MALABON CITY - 1,235.00 - 1,235.00
5-Dec-18 19-385 VILLANUEVA, DENNISE MARIA GUIZON ST.TONDO MANILA - 1,235.00 - 1,235.00
5-Dec-18 19-386 CABRERA, CELSO VARONA ST. TONDO MANILA - 2,500.00 - 2,500.00
5-Dec-18 19-387 CRISTOBAL, ANITA QUEZON ST. MAGSAYSAY TONDO MANILA - 2,500.00 - 2,500.00
5-Dec-18 19-388 SARDEÑA, ROWENA SEMBO SAMPALOC ST. MAKATI CITY - 1,235.00 - 1,235.00
5-Dec-18 19-389 BANIQUED, MARK IAN BRGY STA.MONICA NOVALICHES QUEZON CITY - 1,060.00 - 1,060.00
5-Dec-18 19-390 IYO, ROMANO JAVIER ST. GAGALANGIN TONDO MANILA - 400.00 - 400.00
5-Dec-18 19-391 BALUSAN, ALTHEA JOY GOLD ROCK ST. SAN ROQUE NAOTAS CITY - 2,350.00 - 2,350.00
5-Dec-18 19-392 LUDOVICE, EFREN BRGY BUENAVENTURA LUISIANA LAGUNA - 4,800.00 - 4,800.00
5-Dec-18 19-393 HABANA, ROSENDA L.SANTOS ST. NAVOTAS CITY - 990.00 - 990.00
5-Dec-18 19-394 MORALES, CYNTHIA D.ATIS ALLEY CONCHA TONDO MANILA - 530.00 - 530.00
5-Dec-18 19-395 MENDOZA, ALONA MALIGAYA ST. PATUBIG MARILAO BULACAN - 1,235.00 - 1,235.00
5-Dec-18 19-396 ARCE, LUNINGNING MAGTANGGOL ST. MAYPAJO CALOOCAN CITY - 600.00 - 600.00
5-Dec-18 19-397 ARCE, LUNINGNING MAGTANGGOL ST. MAYPAJO CALOOCAN CITY - 5,105.00 - 5,105.00
5-Dec-18 19-398 VILLAMOR, NONITA BRGY NBBS NAVOTAS CITY - 2,500.00 - 2,500.00
5-Dec-18 19-399 MATIAS, ELMA BISIG NG KABATAAN CALOOCAN CITY - 5,105.00 - 5,105.00
5-Dec-18 19-400 CANCERAN, LUZVIMINDA ZAMORA ST. PANDACAN MANILA - 2,500.00 - 2,500.00
3-Dec-18 19-401 SANCHEZ, MERCEDITA BRGY GULOD CABUYAO LAGUNA - 5,105.00 - 5,105.00
3-Dec-18 19-402 SIMUNDO, AMELITA RUBI ST.SAN ANDRES MANILA - 3,300.00 - 3,300.00
3-Dec-18 19-403 FLORES, MICHAEL DIMASALANG ST.MAYPAJO CALOOCAN CITY - 1,235.00 - 1,235.00
3-Dec-18 19-404 NOCHE, MARITES LONGOS MALABON CITY - 1,235.00 - 1,235.00
3-Dec-18 19-405 NOCHE, MARITES LONGOS MALABON CITY - 1,045.00 - 1,045.00
3-Dec-18 19-406 SAMPORNA, SOLAIMAN AGUARRA ST. PASAY CITY - 3,960.00 - 3,960.00
3-Dec-18 19-407 BARRERA, ILUMINADO DAMA DE NOCHE ST. MARILAO BULACAN - 1,060.00 - 1,060.00
3-Dec-18 19-408 DINGLASA, GEOSHUA BRGY MASIIT CALAMBA LAGUNA - 1,235.00 - 1,235.00
3-Dec-18 19-409 ALFARO, JUAN ANGELES ST. SAN JOSE NAVOTAS CITY - 1,235.00 - 1,235.00
3-Dec-18 19-410 BARCELON, LUNINGNING YUSELO ST. TONDO MANILA - 845.00 - 845.00
3-Dec-18 19-411 SANTIAGO, JUANITO LIBIS GOCHUICO ST. CALOOCN CITY - 400.00 - 400.00
3-Dec-18 19-412 SOLMERANO, ROSALYN GERARDO ST. SAMPALOC MANILA - 3,860.00 - 3,860.00
3-Dec-18 19-413 CANJA, JOSELITO DE JESUS BAGONG BARRIO CALOOCAN CITY - 1,235.00 - 1,235.00
3-Dec-18 19-414 RIFOL, MERCY TRINIDAD BRGY BAYUGO MEYCUAYAN BULACAN - 500.00 - 500.00
3-Dec-18 19-415 SALON, SHIRLEY GOV.PASCUAL ST. ACACIA MALABON CITY - 3,300.00 - 3,300.00
3-Dec-18 19-416 BARRUGA, EDNA SALUBONG ST. QUEZON CITY - 2,500.00 - 2,500.00
3-Dec-18 19-417 ILUNIO, ADELAIDA PANGHULO OBANDO BULACAN - 90.00 - 90.00
3-Dec-18 19-418 ILUNIO, ADELAIDA PANGHULO OBANDO BULACAN - 2,000.00 - 2,000.00
3-Dec-18 19-419 TAÑEZA, JUAN BAGONG BARRIO CALOOCAN CITY - 700.00 - 700.00
Page 7
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
3-Dec-18 19-420 NARBONETA, ANITA GERALDO ST. SAMPALOC MANILA - 6,340.00 - 6,340.00
3-Dec-18 19-421 MORALES, MANUEL STO.NIÑO ST. SAN FRANCISCO DEL MONTE BULACAN- 2,500.00 - 2,500.00
3-Dec-18 19-422 AGUDO, RONILO PANDAY PIRA EXT. TONDO MANILA - 940.00 - 940.00
3-Dec-18 19-423 DELA TORRE, RENIA SABALO ST. DAGAT DAGATAN CALOOCAN CITY - 2,300.00 - 2,300.00
3-Dec-18 19-424 SABELLANO, LEONOR L.SANTOS NAVOTAS CITY - 415.00 - 415.00
3-Dec-18 19-425 RUBIO, FATIMA MALAGASANG F-6 IMUS CAVITE - 2,350.00 - 2,350.00
3-Dec-18 19-426 ESTEBAN, MA.REGILDA LUNA ST. BOCAUE BULACAN - 1,060.00 - 1,060.00
3-Dec-18 19-427 MEJIA, PATRICIO BUSTAMANTE ST. CALOOCAN CITY - 1,235.00 - 1,235.00
3-Dec-18 19-428 DUMAS, SANDRY ROZE BRGY 118 TONDO MANILA - 1,235.00 - 1,235.00
3-Dec-18 19-429 LANSANG, ROGER DAGAT DAGATAN MALABON CITY - 2,350.00 - 2,350.00
3-Dec-18 19-430 GUINTO, SHERYL TAÑONG MALABON CITY - 11,800.00 - 11,800.00
3-Dec-18 19-431 SANTOS, RITA BRGY 429 SAMPALOC MANILA - 820.00 - 820.00
3-Dec-18 19-432 RAÑOJA, PRINCESS BRGY 118 TONDO MANILA - 3,180.00 - 3,180.00
3-Dec-18 19-433 DE LEON, ERNESTO LICO ST. TONDO MANILA - 1,300.00 - 1,300.00
3-Dec-18 19-434 BARZAGA, AURORA BRGY ISLA VALENZUELA CITY - 1,235.00 - 1,235.00
1-Jan-19 19-435 ENDERIO, JOVEN PAROLA BINONDO MANILA - - 6,401.24 6,401.24
1-Jan-19 19-436 LUCAS, MA. CONCEPCION 1954 TRAMO ST. PASAY CITY - - 14,541.26 14,541.26
1-Jan-19 19-437 JIMENA, JEREMIAH 2460 MALAYA ST. BALUT TONDO MANILA - - 2,471.78 2,471.78
1-Jan-19 19-438 GARCIA, JOVELYN ROSARIO CAVITE - - 17,445.45 17,445.45
1-Jan-19 19-439 GALIDO, ROLANDO LALLANA EXT. TONDO MANILA - - 950.00 950.00
1-Jan-19 19-440 CACHOLA, ROY EUGENE BRGY. 105 COMPOUND TONDO MANILA - - 2,701.25 2,701.25
1-Jan-19 19-441 MEDIANISTA, MICHAEL SAN FRANCISCO DEL MONTE QC - - 399.00 399.00
1-Jan-19 19-442 AQUINO, RICHMOND VILLARBA TINEJEROS MALABON CITY - - 2,215.50 2,215.50
1-Jan-19 19-443 TUCIO, JOEL 1369 JUAN NOLASCO ST. TONDO MANILA 621.40 - 626.25 1,247.65
1-Jan-19 19-444 GALERO, VICENTE 2022 NARRA ST. TONDO MANILA - - 2,570.70 2,570.70
1-Jan-19 19-445 SANCHEZ, ARMAN 1460 KUNDIMAN ST. SAMPALOC MANILA - - 5,153.71 5,153.71
1-Jan-19 19-446 MORALES, RHANCIS M HIZON ST. STA CRUZ MANILA - - 2,804.20 2,804.20
1-Jan-19 19-447 PALERO, ANGELITA MATEMTIMAN ST. TONDO MANILA - - 1,000.00 1,000.00
1-Jan-19 19-448 PAGCANLUNGAN, FERNANDO STA. QUITERIA CALOOCAN CITY - - 895.20 895.20
1-Jan-19 19-449 SEMPIO, JIMBOY CABANGIS ST. TONDO MANILA - - 1,048.70 1,048.70
1-Jan-19 19-450 JAVIER, IRENE 740 OLD TORRES TONDO MANILA - - 1,400.56 1,400.56
1-Jan-19 19-451 GARCIA, NOVEL 1737 SULU ST. STA CRUZ MANILA - - 15,162.97 15,162.97
1-Jan-19 19-452 SARABIA, ZENAIDA 38 UPO RETIRO LALOMA QUEZON CITY - - 348.40 348.40
1-Jan-19 19-453 NOBE, GILDA 614 TAÑONG MALABON CITY - - 3,564.24 3,564.24
1-Jan-19 19-454 SACLAYAN, RESTITA 1213 ALGECIRANT ST. SAMPALOC MANILA - - 435.00 435.00
1-Jan-19 19-455 RECIO, RONALD 627 V ALINDADA ST. SAMPALOC MANILA - - 403.33 403.33
1-Jan-19 19-456 TURLA, QUEENIE RIVERA ST BIGLONG AVE CALOOCAN CITY - - 1,780.00 1,780.00
1-Jan-19 19-457 OCENA, IVAN CHESTER JOSE ABAD SANTOS TONDO MANILA - - 3,483.68 3,483.68
1-Jan-19 19-458 NUÑEZ, ROCHELLE BRGY. 197 TEODORO TONDO MANILA - - 2,499.84 2,499.84
1-Jan-19 19-459 SANTIAGO, LARRY BRGY. SAN JOSE QUEZON CITY - - 1,115.00 1,115.00
1-Jan-19 19-460 GAMULAO, ANNABELLA 86 CRISTOBAL KARUHATAN VALENZUELA - - 3,457.99 3,457.99
1-Jan-19 19-461 LICUANAN, KYLE 422 PACHECO ST. TONDO MANILA - - 530.00 530.00
1-Jan-19 19-462 AGOO, ROBERTO BRGY. 499 SAMPLOC MANILA - - 530.00 530.00
1-Jan-19 19-463 SARMIENTO, RAFAEL ANGELO BRGY. 628 STA MESA MANILA - - 2,874.84 2,874.84
1-Jan-19 19-464 SAN PEDRO, REYNALDO BRGY. 407 SAMPALOC MANILA 723.00 - 930.00 1,653.00
1-Jan-19 19-465 JURADA, CARLO BRGY. 38 CALOOCAN CITY 610.61 - 1,280.50 1,891.11
1-Jan-19 19-466 CABO, DAVID SAN POLICARPIO EASTERN SAMAR - - 1,649.98 1,649.98
1-Jan-19 19-467 GERONA, PRINCESS AYESHA BRGY. 420 SAMPALOC MANILA - - 530.00 530.00
1-Jan-19 19-468 ESPINAR, AURORA BRGY. 463 SAMPALOC MANILA - - 530.00 530.00
1-Jan-19 19-469 CASAÑADA, EDEN BRGY. 54 TONDO MANILA - - 853.57 853.57
1-Jan-19 19-470 FILOMENO, ERIKA PAANG BUNDOK LALOMA QUEZON CITY - - 4,090.00 4,090.00
1-Jan-19 19-471 ABAYAN, SARAH BRGY. 107 TONDO MANILA - - 1,017.02 1,017.02
1-Jan-19 19-472 LATIGAY, YASSINE PANDAYAN MEYCAUYAN BULACAN - - 530.00 530.00
1-Jan-19 19-473 TAAN, JOVELYN SAMPAGUITA UPS PARANAQUE CITY - - 1,329.38 1,329.38
1-Jan-19 19-474 ANDRADE, REMIGIO BRGY. 52 TONDO MANILA - - 1,518.70 1,518.70
1-Jan-19 19-475 LINGSON, AIDA TENEJEROS CONVENTION MALABON - - 1,496.03 1,496.03
1-Jan-19 19-476 CANINDO, ARLYN BRGY. 84 TONDO MANILA - - 1,325.00 1,325.00
1-Jan-19 19-477 PATIAG, ROLANDO BRGY. 484 SAMPALOC MANILA 607.50 - 625.34 1,232.84
1-Jan-19 19-478 MEEK, JONATHAN BLUMENTRITT STA CRUZ MANILA 634.40 - 3,796.35 4,430.75
1-Jan-19 19-479 FAJARDO, GANDY BRGY. 306 STA CRUZ MANILA 880.10 - 1,094.25 1,974.35
1-Jan-19 19-480 HIPONIA, MYRNA BRGY. 286 BINONDO MANILA 880.10 - 604.95 1,485.05
Page 8
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
1-Jan-19 19-481 JAMISAL, AMARAH BLAIRE CAPULONG ANTIPOLO CITY - - 9,670.35 9,670.35
2-Jan-19 19-482 RAYANDAYAN, BENJAMIN BRGY. 163 TONDO MANILA - - 712.00 712.00
2-Jan-19 19-483 TRINCO, PHILIP PAANG BUNDOK LALOMA QUEZON CITY 741.40 - 1,058.20 1,799.60
2-Jan-19 19-484 PADASDAS, FLORA DAGAT DAGATAN CALOOCAN CITY - - 1,316.00 1,316.00
2-Jan-19 19-485 MARTE, MAR MATNOG BASUD CAMARINES SUR 193.70 - 435.50 629.20
2-Jan-19 19-486 CARMONA, MARY GRACE BRGY. 91 TONDO MANILA - - 737.12 737.12
2-Jan-19 19-487 REBUSTES, JOANNA JANE BRGY. 8 SALMON ST CALOOCAN CITY - - 660.00 660.00
2-Jan-19 19-488 TAMAYO, CHRIS LOURENZ BRGY, 472 SAMPALOC MANILA - - 1,108.50 1,108.50
2-Jan-19 19-489 BAJADA, PAMPELO LOWER BICUTAN TAGUIG CITY - - 2,198.49 2,198.49
2-Jan-19 19-490 SABILE, RODOLFO BRGY. 342 STA CRUZ MANILA - - 6,295.96 6,295.96
2-Jan-19 19-491 CANETE, JOHN PAUL BRGY. NBBS NAVOTAS CITY - - 530.00 530.00
2-Jan-19 19-492 TORNO, KHYM JEMMEL BRGY. MINUYAN PROPER SJDMC BULACAN - - 600.00 600.00
2-Jan-19 19-493 DELA CRUZ, ALLAN BRGY. 275 BINONDO MANILA - - 1,060.00 1,060.00
2-Jan-19 19-494 TORNO, KHYM JEMMEL BRGY. MINUYAN PROPER SJDMC BULACAN - - 530.00 530.00
2-Jan-19 19-495 BESA, DELIA BRGY. 474 MIGUELIN ST. SAMPALOC MANILA - - 530.00 530.00
2-Jan-19 19-496 CORBO, VIVENCIA BRGY. 207 TONDO MANILA 320.25 - 530.00 850.25
2-Jan-19 19-497 ANGELES, JEFFREY BRGY.343 ST. STA CRUZ MANILA - - 530.00 530.00
2-Jan-19 19-498 MAROLLANO, JENNY BENITA GAGALANGIN TONDO MANILA 1,282.20 - - 1,282.20
2-Jan-19 19-499 IGNACIO, JAY ZAPOTE LAS PIÑAS 491.40 - 1,170.00 1,661.40
2-Jan-19 19-500 DINO, MARIO 1915 CAPILLON ST. TONDO MANILA 143.00 - 1,466.90 1,609.90
2-Jan-19 19-501 PANGAN, RIZZA BRGY. 235 TONDO MANILA - - 5,607.33 5,607.33
2-Jan-19 19-502 BUSTAMANTE, RAMON BRGY. TANYAG TAGUIG CITY - - 1,578.70 1,578.70
2-Jan-19 19-503 BALATBAT, GLORIA M HIZON ST. STA CRUZ MANILA - - 4,903.98 4,903.98
2-Jan-19 19-504 BACLADO, JOAHANNA MAYPAJO CALOOCAN CITY - - 4,112.73 4,112.73
2-Jan-19 19-505 FAJILAN, KARLA CRISTINA BRGY. APLAYA PUROK 2 STA ROSA LAGUNA - - 1,754.37 1,754.37
2-Jan-19 19-506 SALAZAR, JAMES ALVARADO ST. BINONDO MANILA - - 13,026.19 13,026.19
2-Jan-19 19-507 OLIVEROS, DANICA SAN ANTONIO CAVITE CITY - - 4,019.17 4,019.17
2-Jan-19 19-508 CAPILLO, CALEB ZUES AREA 6 PUROK 4 MAYSAN VALENZUELA CITY - - 4,847.82 4,847.82
2-Jan-19 19-509 LINAY, NARCISO JULUGAN V TANZA CAVITE - - 928.00 928.00
2-Jan-19 19-510 LEGISNIANA, RONALD 1621 IBARA ST. SAMPALOC MANILA - - 3,228.63 3,228.63
2-Jan-19 19-511 MINGUEZ, RENATO 804 PILAPIL ST. ,TONDO MANILA - - 2,563.20 2,563.20
2-Jan-19 19-512 DELIN, HELENDA PARANAQUE CITY - - 3,094.60 3,094.60
2-Jan-19 19-513 BALINGIT, MC JAY DAANG HARI ST NAVOTAS CITY - - 1,590.00 1,590.00
2-Jan-19 19-514 JAVIER, JOHN BERNARD ANACLETO ST. ,TONDO MANILA - - 993.59 993.59
2-Jan-19 19-515 EJARA, ALFRED 608 FRACISCO ST. TONDO MANILA - - 3,013.13 3,013.13
2-Jan-19 19-516 RAMITERRE, AIDA ALMEDA ST. TONDO MANILA - - 530.00 530.00
2-Jan-19 19-517 MABANAN, GENER BRGY. 120 CALOOCAN CITY - - 2,470.73 2,470.73
2-Jan-19 19-518 SANTOS, ERNESTO MARZAN SAN MIGUEL BULACAN - - 3,957.70 3,957.70
2-Jan-19 19-519 PARCASIO, REGINO NAYA PURA TARLAC - - 710.00 710.00
2-Jan-19 19-520 ELEGADO, JHON ROBERT BACLARAN PARANAQUE CITY - - 396.36 396.36
2-Jan-19 19-521 GADDI, JHAD JAMES QUINTOS ST. SAN JOSE NAVOTAS - - 1,060.00 1,060.00
2-Jan-19 19-522 MORTEL, JONNEL BRGY. 200 TONDO MANILA - - 2,380.00 2,380.00
2-Jan-19 19-523 DIONISIO, MYLENE BRGY. 325 STA CRUZ MANILA 320.25 - 530.00 850.25
2-Jan-19 19-524 DE LEON, OLIVIA PLANAS ST. GAGALANGIN TONDO MANILA 356.20 - - 356.20
2-Jan-19 19-525 DEBORJA, RONELLO PAROLA BINONDO MANILA - - 2,240.46 2,240.46
2-Jan-19 19-526 CABUS, LILIA 2236 OROQUIETA ST. STA CRUZ MANILA - - 1,032.10 1,032.10
2-Jan-19 19-527 CABUS, LILIA 2236 OROQUIETA ST. STA CRUZ MANILA 814.40 - - 814.40
2-Jan-19 19-528 ABADA, DIANA BRGY. 44 SAMPALOC MANILA - - 1,283.22 1,283.22
2-Jan-19 19-529 SULLANO, GLORIA BRGY. 856 PANDACAN MANILA - - 1,414.41 1,414.41
2-Jan-19 19-530 EVANGELISTA, ROBERT BRGY. 33 CALOOCAN CITY - - 1,030.00 1,030.00
2-Jan-19 19-531 PERU, ROSITA BRGY. 138 CALOOCAN CITY - - 762.00 762.00
2-Jan-19 19-532 MERCADO, RENERIO BRGY. LONGOS MALABON CITY - - 1,060.00 1,060.00
2-Jan-19 19-533 COSICO, EDISON BRGY. 189 TONDO MANILA - - 422.50 422.50
2-Jan-19 19-534 DACDAC, JEFFREY BRGY. 306 STA CRUZ MANILA - - 2,709.20 2,709.20
2-Jan-19 19-535 VICENTE, RENATO PRUDENCIO ST. SAMPALOC MANILA - - 767.00 767.00
2-Jan-19 19-536 BENITEZ, EDWARD JOSE ABAD SANTOS TONDO MANILA - - 5,598.07 5,598.07
2-Jan-19 19-537 POLENCINA, JOEL 706 CRISTOBAL ST. SAMPALOC MANILA - - 14,257.57 14,257.57
2-Jan-19 19-538 SAMSON, JULIUS ALAPAN 1-C IMUS CAVITE - - 10,553.41 10,553.41
2-Jan-19 19-539 ALERIA, JANET BAGONG BARRIO CALOOCAN CITY - - 511.95 511.95
2-Jan-19 19-540 ISLA, REMEGIO JUAN LUNA ST. TONDO MANILA - - 18,524.68 18,524.68
2-Jan-19 19-541 TOLIBAS, SELVERIANO BRGY. SAN ANDRESS JULITA LEYTE - - 4,875.89 4,875.89
Page 9
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
3-Jan-19 19-542 MORADA, MARIBEL VARONA ST. TONDO MANILA - - 1,267.11 1,267.11
3-Jan-19 19-543 LACEDA, MELINA MANDALUYONG CITY - - 11,904.69 11,904.69
3-Jan-19 19-544 FERNANDEZ, MICHELLE ANIBAN 3 BACOOR CAVITE - - 3,427.27 3,427.27
3-Jan-19 19-545 MARGATE, ELENA CUYA-E JULITA LEYTE - - 1,639.99 1,639.99
3-Jan-19 19-546 ADVINCULA, SHENA MAE ALVARES ST. STA CRUZ MANILA - - 424.83 424.83
3-Jan-19 19-547 SERRANO, JOSE 22 A CAPOAL ST. MASAMBONG QC 531.00 - - 531.00
3-Jan-19 19-548 BULAN, LITO BRGY. DE OCAMPO TRECE MARTERES CAVITE 570.00 - - 570.00
3-Jan-19 19-549 BLANCO, ALFREDO BRGY. BALETE BATANGAS CITY 114.40 - 848.00 962.40
3-Jan-19 19-550 ANDRES, KYMTOBY BRGY. 93 TONDO MANILA 617.50 - - 617.50
3-Jan-19 19-551 ANDRES, MARIA RUBY BRGY. 93 TONDO MANILA 705.00 - - 705.00
3-Jan-19 19-552 DUNCIL, GILBERT BINAHAN ST. CUBAO QUEZON CITY 2,776.80 - - 2,776.80
3-Jan-19 19-553 CALUBAQUIB, ANNABELLE SALAWAG DASMARINAS CAVITE 887.25 - - 887.25
3-Jan-19 19-554 SYGACO, VERGILIO SANTIAGO ST. MALANDAY VALENZUELA 429.00 - - 429.00
3-Jan-19 19-555 BETAY, NELIA PILIG ALTO CABAGAN ISABELA 1,107.85 - - 1,107.85
3-Jan-19 19-556 CASTRO, ERNESTO 67 A BANSALANGIN ST. PROJ 7 QUEZON CITY 507.00 - - 507.00
3-Jan-19 19-557 BETAY, BENJAMIN PILIG ALTO CABAGAN ISABELA 1,107.85 - - 1,107.85
3-Jan-19 19-558 ROSS, WILLIAM BRGY. 35 MAYPAJO CALOOCAN CITY 714.00 - - 714.00
3-Jan-19 19-559 SANTOS, FIMA MALABON ST. STA CRUZ MANILA - 1,800.00 - 1,800.00
3-Jan-19 19-560 SANTIAGO, JOSEFINO BRGY. 319 STA CRUZ MANILA 630.00 - - 630.00
3-Jan-19 19-561 TURIG, ERLINDA AURORA BLVD STA CRUZ MANILA 1,107.85 - - 1,107.85
3-Jan-19 19-562 HERNANDEZ, JENE BRGY OBRERO TONDO MANILA 909.00 - - 909.00
3-Jan-19 19-563 FRANCISCO, JAMES BRGY. OBRERO TONDO MANILA 714.00 - - 714.00
3-Jan-19 19-564 HINAMPAS, JULITA SITIO NINO SMDP PARANAQUE CITY 1,188.85 - - 1,188.85
3-Jan-19 19-565 LOPEZ, ROBERTO 6379 LIBIS ESPINA CALOOCAN CITY 549.00 - - 549.00
3-Jan-19 19-566 PENALBA, BERNARDITA 73 VG CRUZ ST. SAMPALOC MANILA 198.00 - - 198.00
3-Jan-19 19-567 AQUINO, SALUD BRGY. TONSUYA MALABON CITY 145.50 - - 145.50
3-Jan-19 19-568 FRIAS, ALEJANDRO BAGONG BARRIO CALOOCAN CITY 46.50 - - 46.50
3-Jan-19 19-569 AGNO, ROBERTO 2107 RODRIGUEZ BALUT TONDO MANILA - - 4,954.54 4,954.54
3-Jan-19 19-570 MALSI, ARNEL BAYAN 1 SAN MATEO RIZAL - - 2,600.00 2,600.00
3-Jan-19 19-571 JANDRA, MARIA NORTHVILLE BAGONGBONG CALOOCAN CITY 1,181.70 - - 1,181.70
3-Jan-19 19-572 MAQUISO, BREMALYN LUALHATI TONDO MANILA - - 530.00 530.00
3-Jan-19 19-573 ESPINEDA, JAIME SALMON ST. MALABON CITY - 500.00 - 500.00
3-Jan-19 19-574 GAVINA, ROSALINDA LAMBAKIN MARILAO BULACAN 909.00 - - 909.00
3-Jan-19 19-575 AGNAS, JELETA 2601 LAMESA ST. UGONG VALENZUELA CITY 549.00 - - 549.00
3-Jan-19 19-576 EDILLOR, MARILOU MARTINIKO ST. LONGOS MALABON CITY 714.00 - - 714.00
3-Jan-19 19-577 MOMPIL, CARMELITA MANDARAGA T NAVOTAS CITY 1,107.85 - - 1,107.85
3-Jan-19 19-578 PAGHILIGAN, LEONORA ALAPAN 1-C IMUS CAVITE 276.00 - - 276.00
3-Jan-19 19-579 BAGALACSA, BELTRAN CATMON MALABON CITY 145.50 - - 145.50
3-Jan-19 19-580 PUNZALAN, GABRIEL ANGELO HILLSULENS NAIC CAVITE - 2,400.00 - 2,400.00
3-Jan-19 19-581 MARAVILLA, ROBERT PERLA ST. TONDO MANILA - - 13,450.01 13,450.01
3-Jan-19 19-582 CASAL, MAYLENE 178 PATHWALK CAMARIN CALOOCAN CITY - - 5,582.79 5,582.79
3-Jan-19 19-583 GARCIA, TEODORA BRGY. 93 CALOOCAN CITY - - 2,161.12 2,161.12
3-Jan-19 19-584 CAFÉ, RUFINO PAMATO TORCILLO ST. DAGAT DAGATAN - - 990.00 990.00
3-Jan-19 19-585 TAMBAY, OSCAR SAN NICOLAS BACOOR CAVITE - - 1,766.43 1,766.43
3-Jan-19 19-586 MARI, ALMARIO KARANGALAN VILL MANGAHAN PASIG 1,053.00 - - 1,053.00
3-Jan-19 19-587 AMERILA, FEBBIE BRGY. 39 ST. CALOOCAN CITY - - 2,079.43 2,079.43
3-Jan-19 19-588 RIVERA, MARICEL BRGY. 514 SAMPALOC MANILA - - 16,477.86 16,477.86
3-Jan-19 19-589 VARGAS, RICHARD BRGY. 28 DAGAT DAGATAN CALOOCAN - - 4,747.54 4,747.54
3-Jan-19 19-590 HERMOSA, MYLENE PANAPAAN 4 BACOOR CAVITE - - 6,365.54 6,365.54
3-Jan-19 19-591 PERALTA, FE BRGY. 386 QUIAPO MANILA - - 530.00 530.00
3-Jan-19 19-592 ALONSAGAY, CHERRY MAE MEDICION II-B IMUS CAVITE - - 13,428.42 13,428.42
3-Jan-19 19-593 VILLAFUENTE, FERDINAND BRGY. ZAPOTE I BACOOR CITY - - 1,590.00 1,590.00
3-Jan-19 19-594 AMATONG, LEAH 119 SAN JOSE I NOVELETA CAVITE - - 467.21 467.21
3-Jan-19 19-595 SINOGAYA, GREGORIO BRGY. MEDICION I-A IMUS CAVITE - - 683.35 683.35
3-Jan-19 19-596 JOSON, MARECIL BRGY. SAN ANTONIO QUEZON CITY - - 655.49 655.49
3-Jan-19 19-597 ASINAS, MA CONCHITA SEVIRINO TAAL BATANGAS 822.00 - - 822.00
3-Jan-19 19-598 PUNZALAN, MARIA BELLA SEVIRINO TAAL BATANGAS 273.00 - - 273.00
3-Jan-19 19-599 TAYAO, JHON MARC MANGAYANAN CANAMAN CAMARINES SUR - - 1,780.00 1,780.00
3-Jan-19 19-600 DATAHAN, MARY GRACE PUROK 5 CAMARINES SUR - - 2,103.27 2,103.27
3-Jan-19 19-601 ROMERO, RACHEL 901 DEL PAN ST. TONDO MANILA - - 2,704.90 2,704.90
3-Jan-19 19-602 GUZON, JARNIE JHON AZUNCINA PAYATAS QUEZON CITY - - 1,290.60 1,290.60
Page 10
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
3-Jan-19 19-603 GUINACARAN, JOVE 66 LIBIS TALISAY DULO CALOOCAN CITY - - 922.77 922.77
3-Jan-19 19-604 VASQUEZ, LYN PERLA ST. TONDO MANILA 723.00 - 2,278.03 3,001.03
3-Jan-19 19-605 CANTILLAS, NORBERT 1527 NARRA ST. TONDO MANILA - - 770.90 770.90
3-Jan-19 19-606 RODA, ANGELET BRGY. CATMON MALABON 887.25 - - 887.25
3-Jan-19 19-607 MENDOZA, REYNALDO BRGY. 36 CALOOCAN CITY - - 720.00 720.00
3-Jan-19 19-608 ATON, ROLANDO KARUHATAN VALENZUELA CITY - - 1,905.64 1,905.64
3-Jan-19 19-609 ARENDAIN, RYAM CAIDEN 5TH AVENUE CALOOCAN CITY - - 402.20 402.20
3-Jan-19 19-610 VIYAS, ADRIAN PAROLA BINONDO MANILA - - 720.00 720.00
3-Jan-19 19-611 JAVIER, MOISES DAGAT DAGATAN CALOOCAN CITY - - 2,170.40 2,170.40
3-Jan-19 19-612 ROSETE, MENARDO GATE 60 PAROLA BINONDO MANILA - - 2,447.75 2,447.75
3-Jan-19 19-613 TADIC, JOHN MARK ZAPOTE LAS PIÑAS CITY - - 644.71 644.71
3-Jan-19 19-614 LARIN, OLLIE BRGY. SAN JOSE QUEZON CITY - - 530.00 530.00
3-Jan-19 19-615 JESALVA, IGMEDIO IGNACIO ST, STA QUITERIA CALOOCAN CITY - - 530.00 530.00
3-Jan-19 19-616 PIO RODA, MARIE CRISTY ANN RICAFORTH ST TONDO MANILA - - 2,394.99 2,394.99
3-Jan-19 19-617 AMOROSO, LHEANNE 416 NPC MENDEZ ST. BAESA QC - - 2,724.80 2,724.80
3-Jan-19 19-618 RAMOS, CIRUSE BRGY. AROROY MASBATE - - 1,661.46 1,661.46
3-Jan-19 19-619 FERNANDEZ, EMIL TAGAYTAY ST. CALOOCAN CITY - - 658.31 658.31
9-Jan-19 19-620 FRUGALIDAD, JOSEFINA SALAWAG DASMARINAS CAVITE 315.00 - - 315.00
9-Jan-19 19-621 PENES, ARMIDA LILIW LAGUNA 18,345.60 - - 18,345.60
3-Jan-19 19-622 ALMAZAR, AILYN MOLINA ST. REALES VALENZUELA CITY - 2,250.00 - 2,250.00
3-Jan-19 19-623 DURAN, SALOME BRGY. 167 BIGNAY CALOOCAN - - 18,578.43 18,578.43
3-Jan-19 19-624 CARANTO, NORBERTO MUZON SAN JOSE DEL MONTE BULACAN 1,644.00 - - 1,644.00
3-Jan-19 19-625 TARNATE, REYNALDO NBBS NAVOTAS CITY 714.00 - - 714.00
3-Jan-19 19-626 LUGTU, ENRIQUE OROQUIETA ST. STA CRUZ MANILA 694.50 - - 694.50
3-Jan-19 19-627 VIRAY, MADELENE BRGY. 258 STA. CRUZ MANILA 460.50 - - 460.50
3-Jan-19 19-628 HABABAG, CECILIA BRGY. 325 STA CRUZ MANILA 938.00 - - 938.00
3-Jan-19 19-629 AVENDAÑO, LOLITA BRGY. 95 TONDO MANILA 714.00 - - 714.00
3-Jan-19 19-630 VILLANUEVA, MARIO TALIPAPA CALOOCAN CITY 46.50 - - 46.50
4-Jan-19 19-631 AYEN, MARIO BLK 17 STO. CRISTO BULACAN - - 545.60 545.60
4-Jan-19 19-632 LORENO, MIRASOL ELIAST ST. BLUM ST. STA CRUZ MANILA - - 1,495.78 1,495.78
4-Jan-19 19-633 UMEREZ, EDILYN APOLONIO SAMSON QUEZON CITY - - 1,821.86 1,821.86
4-Jan-19 19-634 GILBUELA, FLORENTINA KAMPI BALAGBAG BRGY 201 PASAY - - 22.48 22.48
4-Jan-19 19-635 MINGUA, KISSES LICO ST STA CRUZ MANILA - - 866.15 866.15
4-Jan-19 19-636 CAPINIG, RAQUEL 3RD AVE CALOOCAN CITY - - 304.43 304.43
4-Jan-19 19-637 EDAÑO, MARY JANE BRGY TONSUYA LETRE MALABON - - 290.62 290.62
4-Jan-19 19-638 PRESTADO, AMELIA MALAMIG ST SAMPALOC MANILA - - 19,259.08 19,259.08
4-Jan-19 19-639 HERRERA, RAMON CAPILLAN ST SAN FRANCISCO QUEZON 1,395.00 - - 1,395.00
4-Jan-19 19-640 LAXAMANA, MARIO NICOLA ST TONDO MANILA 949.50 - - 949.50
3-Jan-19 19-641 LAGUMAY, SUSAN CAYSIO STA MARIA BULACAN 214.50 - - 214.50
3-Jan-19 19-642 UY, MINERVA BRGY 63 CALOOCAN CITY 838.50 - - 838.50
3-Jan-19 19-643 SOLOMON, MARY JOY RAWIS LAOANG NORTHERN SAMAR - 8,500.00 - 8,500.00
2-Jan-19 19-644 MONDRAGON, MARIA ASORO ST TUGATOG MALABON CITY 320.25 - 530.00 850.25
18-Jan-19 19-645 DURAN, SALOME AMMAVILLE LLANO CALOOCAN - - 2,869.18 2,869.18
3-Jan-19 19-646 GERMAN, MARY ANN EAST LIBIS BAESA CALOOCAN CITY - 325.00 - 325.00
4-Jan-19 19-647 BACALLO, LILIA BRGY PEMBO MAKATI CITY 143.00 - - 143.00
4-Jan-19 19-648 DIDULO, JESUSA ANTIPOLO ST BRGY 511 SAMPALOC MANILA1,685.20 - - 1,685.20
4-Jan-19 19-649 ESCALA, ARMANDO SEVILLA ST 5TH AVE CALOOCAN CITY 3,667.50 - - 3,667.50
4-Jan-19 19-650 MIRAFLOR, ROMA LIBIS BAESA CALOOCAN CITY - 130.00 - 130.00
4-Jan-19 19-651 CALDERON, EVELYN MANUNGGAL ST TATALON QUEZON CITY 1,435.50 - - 1,435.50
4-Jan-19 19-652 MACASINAG, SALVADOR LETRE TONSUYA MALABON 714.00 - - 714.00
4-Jan-19 19-653 ARIZALA, ROSALIE AROMA TAYAMAAN OCCIDENTAL MINDORO - 250.00 - 250.00
4-Jan-19 19-654 PEREZ, MARICHU TIOCO ST TONDO MANILA 1,233.00 - - 1,233.00
4-Jan-19 19-655 DE GUZMAN, LOLITA SEVILLA ST BRGY 247 BINONDO MANILA 694.50 - - 694.50
4-Jan-19 19-656 PINGOL, ISAGANI QUIRICADA ST TONDO MANILA 949.50 - - 949.50
4-Jan-19 19-657 PADERNAL, HERNANDO KATUPARAN VITAS TONDO MANILA 2,146.50 - - 2,146.50
4-Jan-19 19-658 TING, JOHNNY SANTOL ST STA MESA MANILA 1,779.00 - - 1,779.00
4-Jan-19 19-659 MORENO, HECTOR MASINOP ST TONDO MANILA - 1,080.00 - 1,080.00
4-Jan-19 19-660 SANTOS, MARITES BRGY BATIA BOCAUE BULACAN 178.50 - - 178.50
4-Jan-19 19-661 MAGAT, MICHAEL JAIME ST SAMPALOC MANILA - 2,400.00 - 2,400.00
4-Jan-19 19-662 CONCEPCION, JOSEPH DEL ROSARIO ST MARULAS VALENZUELA 2,340.00 - - 2,340.00
7-Jan-19 19-663 MARCELO, DEXTER MARCELO MULTINATIONAL VILL PARAÑAQUE - - 1,501.52 1,501.52
Page 11
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
7-Jan-19 19-664 PAROHINOG, HENESEE SEVILLA ST TONDO MANILA - - 2,666.23 2,666.23
7-Jan-19 19-665 BALUYOT, MARK LOUIE PANGARAP VILL CALOOCAN CITY - - 4,137.37 4,137.37
7-Jan-19 19-666 MENDOZA, LYDIA FERMIN TUBERA ST TONDO MANILA - - 1,413.83 1,413.83
4-Jan-19 19-667 MR. X BRGY 28 CALOOCAN CITY - - 6,015.33 6,015.33
4-Jan-19 19-668 ILDEFONSO, MARIA NYMPHAKALSADANG BAGO IMUS CAVITE 3,120.00 - - 3,120.00
4-Jan-19 19-669 HERNANDEZ, JOSEFINA 6TH AVE GRACE PARK CALOOCAN 591.50 - - 591.50
4-Jan-19 19-670 FLETA, BRYAN PAUL MAGSAYSAY SAN PEDRO LAGUNA 737.10 - - 737.10
4-Jan-19 19-671 ESCALA, RODOLFO BRGY 852 PANDACAN MANILA 1,227.50 - - 1,227.50
4-Jan-19 19-672 ENION, ANDREA BANAHAW EXT PUNTA STA ANA MANILA 969.00 - - 969.00
4-Jan-19 19-673 DELA CRUZ, TEODORO ASUNCIO ST TONDO MANILA 949.50 - - 949.50
4-Jan-19 19-674 BUSTOS, ARCHIMEDES STA MARIA PACO PEDRO GIL MANILA 949.50 - - 949.50
6-Jan-19 19-675 CONCEPCION, RUMICA BRGY 185 GAGALANGIN TONDO MANILA - - 2,710.00 2,710.00
7-Jan-19 19-676 LAT, ERICSON SAN GREGORIO MALVAR BATANGAS - - 2,381.63 2,381.63
7-Jan-19 19-677 VIDAL, MARK MIGUELITO TAYUMAN ST STA CRUZ MANILA - - 435.50 435.50
7-Jan-19 19-678 LACANLALAY, ROD AKHIE LICO ST TONDO MANILA - - 1,599.25 1,599.25
7-Jan-19 19-679 RAMOS, VIOLETA OLD MATADERO ST BINONDO MANILA - - 3,274.33 3,274.33
7-Jan-19 19-680 GARGANTA, JECE TECSON DE GUIA ST TONDO MANILA - - 578.50 578.50
7-Jan-19 19-681 PUNZALAN, BONIFACIO MOLAVE ST TONDO MANILA - - 753.06 753.06
7-Jan-19 19-682 YAP, MARK ANTHONY KATUPARAN VITAS TONDO MANILA - - 435.50 435.50
7-Jan-19 19-683 CABOGATAN, SITIE HAFZAHPALANCA ST SAN MIGUEL MANILA - - 395.96 395.96
7-Jan-19 19-684 CRISOSTOMO, RUALDEN PAHATI ST BALUT TONDO MANILA - - 266.50 266.50
7-Jan-19 19-685 CABRAL, NICA ELLA CHICA ST QUIAPO MANILA - - 2,215.50 2,215.50
7-Jan-19 19-686 TAMPOL, POLICARPIO MAGALLANES ST INTRAMUROS MANILA - - 1,932.05 1,932.05
7-Jan-19 19-687 BASA, ALYSA JOY CABILDO ST BRGY 655 INTRAMUROS MANILA - - 4,812.62 4,812.62
4-Jan-19 19-688 SURVILLA, LEONILA PERMANENT HOUSING BALUT TONDO MANILA468.00 - - 468.00
4-Jan-19 19-689 ARRIETA, CRISTELYN TUGATOG MALABON CITY - - 616.50 616.50
4-Jan-19 19-690 MARIN, JOSEFINA EVERLASTING ST BAGONG BARRIO CALOOCAN - - 546.15 546.15
4-Jan-19 19-691 CARRET, RAFAEL FILEMON MIRACLE ST BAGONG BARRIO CALOOCAN - - 360.00 360.00
4-Jan-19 19-692 RAGURO, HONEY LHIAN BMBA 1ST AVE CALOOCAN - - 1,216.00 1,216.00
4-Jan-19 19-693 DIMASAYAO, PORFERIO HERNNADEZ ST CATMON MANILA - - 960.26 960.26
4-Jan-19 19-694 AGUILAR, ANTONIO AREA F SAPANG PALAY BULACAN - - 1,347.30 1,347.30
4-Jan-19 19-695 SERAFICA, PRINCE ARIS OLD ANTIPOLO STA CRUZ MANILA - - 186.70 186.70
4-Jan-19 19-696 IGNACIO, IVERSON MATA ST TONDO MANILA - - 920.00 920.00
4-Jan-19 19-697 PAULE, STEPHENE ALVAREZ ST STA CRUZ MANILA - - 920.00 920.00
4-Jan-19 19-698 MARDO, RONALYN NBBS NAVOTAS CITY - - 1,468.24 1,468.24
4-Jan-19 19-699 REGALADO, REX LAWANG BATO VALENZUELA CITY - - 850.40 850.40
4-Jan-19 19-700 NEGROS, ELVIS YUSECO ST TONDO MANILA - - 14,508.11 14,508.11
4-Jan-19 19-701 GALICINAO, ORLANDO GULOD NOVALICHES QUEZON CITY - - 2,593.00 2,593.00
4-Jan-19 19-702 LACANDULA, GAUDENCIO LAMBAKIN MARILAO BULACAN - - 14,866.61 14,866.61
4-Jan-19 19-703 QUIÑONES, JOSEPH BRGY DATU ISMAD DASMARIÑAS CAVITE - - 18,498.78 18,498.78
4-Jan-19 19-704 BUENVIAJE, MODESTO ATENEO RD KINGSVILLE ANTIPOLO - - 14,318.95 14,318.95
4-Jan-19 19-705 REFIL, SUSAN BRGY AYAT MANDAN MASBATE - - 416.00 416.00
4-Jan-19 19-706 CRISTOBAL, JAIME SAN PASCUAL OBANDO BULACAN - - 1,278.22 1,278.22
4-Jan-19 19-707 ALMARIO, MERCEDITA NEPOMUCENO ST TONDO MANILA - - 1,000.00 1,000.00
4-Jan-19 19-708 NICOLAS, MARIETESS PABLO DE OCAMPO ST MALATE MANILA 714.00 - - 714.00
4-Jan-19 19-709 ORBETA, JARIELYN BRGY MOONWALK PARAÑAQUE - - 1,510.90 1,510.90
4-Jan-19 19-710 RIVERA, REYMART BRGY MANREZA QUEZON CITY - - 965.50 965.50
4-Jan-19 19-711 CONDEZ, BENJAMIN BRGY ADELA RIZAL MINDORO - - 288.00 288.00
4-Jan-19 19-712 MENDOZA, EDRHIAN TAGANAHAN ST NAVOTAS CITY - - 1,281.00 1,281.00
4-Jan-19 19-713 CASTILLO, LORNA DE CASTRO ST BAGONG BARRIO CALOOCAN595.50 - - 595.50
4-Jan-19 19-714 EDUSMA, EDDIE PALANAS LEMERY BATANGAS 1,006.50 - - 1,006.50
4-Jan-19 19-715 EDUSMA, AUREA PALANAS LEMERY BATANGAS 1,006.50 - - 1,006.50
4-Jan-19 19-716 GASPAR, MARVIN QUIRINO ST TONDO MANILA - - 559.10 559.10
4-Jan-19 19-717 GULENG, JUHANNES SAN DIONIISO ST PARAÑAQUE CITY - - 6,151.52 6,151.52
4-Jan-19 19-718 OLBINADO, EUGENIO ORANGE RD POTRERO MALABON - - 530.00 530.00
4-Jan-19 19-719 BALDERAS, APPLE JIREH RAMON MASAYSAY BLVD SAMPALOC MANILA887.25 - - 887.25
4-Jan-19 19-720 MAGNO, BIANCA MAE DAGUPAN EXT TONDO MANILA - - 1,463.59 1,463.59
4-Jan-19 19-721 ANICO, BENNA MAY MALAINEN LUMA NAIC CAVITE - - 3,636.50 3,636.50
4-Jan-19 19-722 REYES, CHRISTIAN ANTIPOLO ST SAMPALOC MANILA 181.20 - 150.30 331.50
4-Jan-19 19-723 LINA, MERCEDES BAYAN LUMA I IMUS CAVITE - - 1,056.33 1,056.33
4-Jan-19 19-724 TRINIDAD, DANICA VARONA ST TONDO MANILA - - 572.59 572.59
Page 12
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
4-Jan-19 19-725 QUINTO, DOMINADOR TAYABAS ST TONDO MANILA - - 898.24 898.24
4-Jan-19 19-726 MARCOJOS, GLAIZA RAXABAGO ST TONDO MANILA - - 1,030.10 1,030.10
4-Jan-19 19-727 LORICA, MILA KALAYAAN ST BAGONG BARRIO CALOOCAN - 2,250.00 - 2,250.00
4-Jan-19 19-728 MAPILE, ROLANDO JR SAN SEBASTIAN ST TONDO MANILA 1,152.00 - - 1,152.00
4-Jan-19 19-729 GALAY, JENY ROSE MA CLARA ST TUGATOG MALABON - - 962.73 962.73
4-Jan-19 19-730 MANIBOG, CRESENCIO UBAS ST BAGONG BARRIO CALOOCAN - - 424.00 424.00
4-Jan-19 19-731 UDAGAWA, ROSEMARY MASINOP ST TONDO MANILA 630.00 - - 630.00
4-Jan-19 19-732 BAYDAL, GRACE UGONG VALENZUELA CITY - - 3,241.50 3,241.50
4-Jan-19 19-733 AGUSTIN, ANTONIO WELLINGTON RES. TANZA CAVITE - 8,900.00 - 8,900.00
4-Jan-19 19-734 ADONGAY, KEAN MATTHEWRIZAL AVE STA CRUZ MANILA - - 1,881.42 1,881.42
4-Jan-19 19-735 REYES, RODOLFO UGONG VALENZUELA CITY 714.00 - - 714.00
4-Jan-19 19-736 PIANG, SHIRELYN BRGY 122 TONDO MANILA - 7,800.00 - 7,800.00
4-Jan-19 19-737 BANTILING, JENNIFER KAREN ST TAÑADA VALENZUELA - - 13,648.00 13,648.00
4-Jan-19 19-738 TULIAO, KRISTINA NATIVIDAD ST STA CRUZ MANILA 1,690.00 - - 1,690.00
4-Jan-19 19-739 ATANACIO, EVELYN SUN FLOWER ST TAGALAG VALENZUELA - - 13,468.14 13,468.14
4-Jan-19 19-740 ESTRELLA, ALBERTO SOLIS ST TONDO MANILA - - 464.08 464.08
4-Jan-19 19-741 GANANCIAL, RANCEL MAE BRGY SUN VALLEY PARAÑAQUE CITY - - 1,840.00 1,840.00
4-Jan-19 19-742 VILLANUEVA, JOSEFINA MARIA GUIZON ST TONDO MANILA 81.00 - - 81.00
4-Jan-19 19-743 MALLARI, MARVIN RIVERA ST BAESA CALOOCAN CITY 714.00 - - 714.00
4-Jan-19 19-744 MALLARI, MARVIN RIVERA ST BAESA CALOOCAN CITY - 1,320.00 - 1,320.00
4-Jan-19 19-745 MORTEL, JOHN NOAH MENDEZ ST BAESA QUEZON CITY - 2,400.00 - 2,400.00
4-Jan-19 19-746 MEDINA, ROSIEL DAGAT DAGATAN CALOOCAN 733.20 - - 733.20
4-Jan-19 19-747 PAGALA, WALTER TAYABAS ST TONDO MANILA 145.50 - - 145.50
4-Jan-19 19-748 DATUIN, NORBERTO AMPIL EXT STA MESA MANILA - 3,780.00 - 3,780.00
4-Jan-19 19-749 CONDE, JOSEPHINE TANGOS NORTH NAVOTAS CITY 415.50 - - 415.50
4-Jan-19 19-750 MIGULLAS, FLORA MABOLO RD POTRERO MALABON - 500.00 - 500.00
4-Jan-19 19-751 SURARA, LILYBETH DAMAYAN ST BAGONG SILANG CALOOCAN - 130.00 - 130.00
4-Jan-19 19-752 JULIANO, MAILYN BRGY NORTH SIGNAL VILL TAGUIG CITY 591.50 - - 591.50
4-Jan-19 19-753 RED, TERCIO SAN FERNANDO PAMPANGA - - 1,240.00 1,240.00
4-Jan-19 19-754 LONGAKIT, CHRISTIAN JOSHUAPONCE ST BAGONG BARRIO CALOOCAN - - 1,292.30 1,292.30
4-Jan-19 19-755 MAQUI, REVELINA ANACLETO ST STA CRUZ MANILA 491.40 - 530.00 1,021.40
4-Jan-19 19-756 ESPIRITU, CHERRY TANYAG CALINTAAN OCCIDENTAL MINDORO - - 1,100.00 1,100.00
4-Jan-19 19-757 TORRES, ELENA TOMAS MAPUA STA CRUZ MANILA - - 1,518.92 1,518.92
4-Jan-19 19-758 YANGLAY, MIGUEL BRGY COMMONWEALTH QUERZON CITY 145.50 - 530.00 675.50
4-Jan-19 19-759 VILLANUEVA, JOEMEL CORONA ST TONDO MANILA - - 2,120.00 2,120.00
4-Jan-19 19-760 CALMA, BIANCA BERNADETTE ST MEYCAUAYAN BULACAN - - 1,005.09 1,005.09
4-Jan-19 19-761 FAJARDO, RENZO BRGY APOLONIO SAMSON QUEZON CITY - - 920.00 920.00
4-Jan-19 19-762 BALLESTEROS, ARMANDO BRGY 310 STA CRUZ MANILA - - 957.69 957.69
4-Jan-19 19-763 SEVILLANO, CAMILLE NBBS NAVOTAS CITY 468.00 - - 468.00
4-Jan-19 19-764 DELOS SANTOS, JOHN NICO ROXAS ST TONDO MANILA - - 161.77 161.77
4-Jan-19 19-765 FUENTES, AERYN LIANNE TAMBUNTING ST STA CRUZ MANILA 165.65 - 273.20 438.85
4-Jan-19 19-766 BARRINUEVO, JENRICK JAY APLAYA STA ROSA LAGUNA - - 2,158.50 2,158.50
4-Jan-19 19-767 PARDO, NELIA CATMON MALABON CITY 889.50 - - 889.50
5-Jan-19 19-768 FERNANDEZ, LAILANIE BRILLANTES ST 5TH AVE CALOOCAN - - 2,220.07 2,220.07
5-Jan-19 19-769 QUIAPO, LIVI BF HOMES SAMPALOC PARAÑAQUE - - 2,889.10 2,889.10
5-Jan-19 19-770 TORRES, HERWIN QUIRICADA ST STA CRUZ MANILA - - 2,873.91 2,873.91
5-Jan-19 19-771 NUÑEZ, MARY ROSS PLANAS GAGALANGIN TONDO MANILA - - 317.46 317.46
5-Jan-19 19-772 FRIAS, FERLYN KINGSTOWN I CALOOCAN CITY - - 12,419.43 12,419.43
5-Jan-19 19-773 SOLIS, FRENCH CHARLS STO CRISTO ST MORIONES TONDO MANILA - - 2,823.04 2,823.04
5-Jan-19 19-774 ARTUCILLA, IAN QUIRICADA ST STA CRUZ MANILA - - 600.54 600.54
5-Jan-19 19-775 DE GUIA, CARL JABEZ LAGUNA EXT TONDO MANILA 14.30 - 2,380.00 2,394.30
5-Jan-19 19-776 SILVA, AVELINO JR MEJORADA ST TONDO MANILA - - 3,383.19 3,383.19
5-Jan-19 19-777 GOMEZ, JUSTIN BERT MAGINOO ST TONDO MANILA - - 530.00 530.00
5-Jan-19 19-778 ASTOVEZA, DONATO IRIGA ST LALOMA QUEZON CITY - - 1,099.35 1,099.35
5-Jan-19 19-779 VILLANUEVA, MENVILOS ALIBAY MAGSAYSAY OCCIDENTAL MINDORO491.40 - - 491.40
5-Jan-19 19-780 KADUSALE, KRYZZA NEW ANTIPOLO ST TONDO MANILA - - 870.00 870.00
5-Jan-19 19-781 PALOYO, ELBERT PARADISE VILL TONSUYA MALABON - - 1,685.00 1,685.00
5-Jan-19 19-782 SADICON, WILBERT BRGY 102 TONDO MANILA - - 12,686.95 12,686.95
5-Jan-19 19-783 FLORES, FEDERICO ATIPONA BOCAUE BULACAN - - 4,277.20 4,277.20
5-Jan-19 19-784 LERIT, INOCENCIO BRGY 255 STA CRUZ MANILA - - 530.00 530.00
5-Jan-19 19-785 ASIÑRO, JONATHAN QUIRINO ST TONDO MANILA - - 1,155.50 1,155.50
Page 13
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
5-Jan-19 19-786 DELA PAZ, JOVER FERNANDEZ GAGALANGIN TONDO MANILA - - 3,325.95 3,325.95
5-Jan-19 19-787 MEDEL, MARK ANTHONY BRGY 48 TONDO MANILA - - 8,417.45 8,417.45
5-Jan-19 19-788 GATDULA, LEO GARYM QUEENS ROW WEST BACOOR CAVITE - - 1,535.00 1,535.00
5-Jan-19 19-789 SACASAN, JESRIEL MABUHAY CARMONA CAVITE - - 208.00 208.00
5-Jan-19 19-790 MESIAS, MICHELLE BRGY NBBS NAVOTAS CITY - - 1,200.00 1,200.00
5-Jan-19 19-791 GARCIA, NOREEN JADE PILAPIL ST DAGUPAN TONDO MANILA - - 340.00 340.00
5-Jan-19 19-792 DUHAYLUNGSOD, JOMAR SAN ROQUE ST CAINTA RIZAL - - 3,601.04 3,601.04
5-Jan-19 19-793 BASILIO, CRISTINA KATAMANAN ST BRGY 232 TONDO MANILA - - 424.00 424.00
5-Jan-19 19-794 VILLEGAS, JOCELYN LICO ST BRGY 211 TONDO MANILA - - 321.23 321.23
5-Jan-19 19-795 VILLANUEVA, FELIX BALAGTAS ST BRGY 143 CALOOCAN CITY - - 1,702.05 1,702.05
5-Jan-19 19-796 MENDOZA, EMILIANA SAN GREGORIO MALVAR BATANGAS - - 1,884.19 1,884.19
5-Jan-19 19-797 REYES, RICHARD DANDAN ST TONDO MANILA 737.10 - 1,523.40 2,260.50
5-Jan-19 19-798 AGUNDAY, KARL ARJHEL DAGAT DAGATAN CALOOCAN - - 1,590.00 1,590.00
5-Jan-19 19-799 SALUDAR, HENRY BRGY 176 BAGON G SILANG CALOOCAN CITY - - 792.00 792.00
5-Jan-19 19-800 ANTOQUE, MARY JOY MULTINATIONAL MOONWALK PARAÑAQUE - - 1,538.14 1,538.14
5-Jan-19 19-801 MANIAOL, MICHELLE MARULA ST CALOOCAN CITY 1,107.85 - 1,563.58 2,671.43
5-Jan-19 19-802 BRIZ, ESTERLITA STA ROSA CAINGIN LAGUNA - - 777.50 777.50
5-Jan-19 19-803 CANTERO, MARK CYRIL SITIO KABATUHAN ST GTDL VALENZUELA - - 2,280.44 2,280.44
5-Jan-19 19-804 NAHERA, ROMANO CAMBA ST BRGY 69 TONDO MANILA - - 2,650.00 2,650.00
5-Jan-19 19-805 ARNAIZ, ROSALIE LANTIC CARMONA CAVITE - - 3,444.87 3,444.87
5-Jan-19 19-806 LEOCADIO, GANIEL MABITUAN ST MASAMBONGO QUEZON CITY - - 647.81 647.81
5-Jan-19 19-807 BUROY, DIONESIA SITIO KABATUHAN KARUHATAN VALENZUELA - - 5,597.13 5,597.13
5-Jan-19 19-808 FUENTES, RODEL SAINT JUDE ST MARICABAN PASAY - - 751.00 751.00
5-Jan-19 19-809 DEQUILLA, FLORDELIZA BRGY PAYATAS QUEZON CITY - - 2,045.59 2,045.59
5-Jan-19 19-810 MARTINEZ, ARSENIO ELGA ST TATALON QUEZON CITY - - 1,000.16 1,000.16
5-Jan-19 19-811 BAUTISTA, EYDHA MABINI ST SAMPALOC MANILA - - 890.00 890.00
5-Jan-19 19-812 MARINAO, JONALYN PETCHAY ST TONDO MANILA - - 340.00 340.00
5-Jan-19 19-813 RIVERA, VICTOR BAGONG SILANG QUEENSROW BACOOR CAVITE- - 4,180.39 4,180.39
5-Jan-19 19-814 DE LEON, JOSEPH BRGY MAHRALIKA LA LOMA QUEZON CITY - - 2,249.10 2,249.10
5-Jan-19 19-815 PASAOL, ARLYN MABUHAY HOMES PALIPARAN DASMA CAVITE - - 2,476.95 2,476.95
5-Jan-19 19-816 LIM, MARJORIE LAONG NASA ST TONDO MANILA - - 2,350.00 2,350.00
5-Jan-19 19-817 ALAIN, RAIDEN OSORIO ST TONDO MANILA - - 1,180.00 1,180.00
5-Jan-19 19-818 QUIACOS, MERLITA KAYPABARA GEN AGUINALDO CAVITE - - 2,854.98 2,854.98
5-Jan-19 19-819 CALMA, EDITHA CATAMANAN TONDO MANILA - - 1,012.37 1,012.37
5-Jan-19 19-820 BAYABAY, DANILO YUNGER BALUT TONDO MANILA - - 3,763.59 3,763.59
6-Jan-19 19-821 ADRIANO, KYRIE HAPPY LAND TONDO MANILA - - 1,020.50 1,020.50
6-Jan-19 19-822 TAMPOS, JEFFREY MAPUA BATANGAS STA CRUZ MANILA - - 6,286.93 6,286.93
6-Jan-19 19-823 MANZANO, MARVIN RIZAL AVE STA CRUZ MANILA - - 1,481.14 1,481.14
6-Jan-19 19-824 CENA, REYNALDO BAMBANG ST TONDO MANILA - - 1,759.64 1,759.64
6-Jan-19 19-825 BERNARDO, JULIANA ROSE LANTIC CARMONA CAVITE - - 946.16 946.16
6-Jan-19 19-826 PILAPIL, LOLITA ACERO ST TUGATOG TONDO MANILA - - 842.74 842.74
6-Jan-19 19-827 LINA, JOHN RENZ ALFREDO ST STA CRUZ MANILA - - 717.89 717.89
6-Jan-19 19-828 TAN, NATHANIEL GUERERO ST TONDO MANILA - - 1,046.24 1,046.24
6-Jan-19 19-829 CUIZON, MARIO PAROLA COMP BINONDO MANILA - - 465.29 465.29
6-Jan-19 19-830 MONREAL, MIGUEL DE CASTRO SUBD DE BLAS VALENZUELA - - 1,290.75 1,290.75
6-Jan-19 19-831 MONGE, ASUNCION STO NIÑO ST MORIONES TONDO MANILA - - 1,189.83 1,189.83
6-Jan-19 19-832 ORBISO, MELY GRACE GARCIA ST MORIONES TONDO MANILA - - 530.00 530.00
6-Jan-19 19-833 AGUSTINO, JOHN EZRON SAN FRANCISCO ST DASMARIÑAS CAVITE - - 3,215.75 3,215.75
6-Jan-19 19-834 GATDULA, REANNE VENICEDAGUPAN EXT TONDO MANILA - - 702.00 702.00
6-Jan-19 19-835 RAPSING, RONNIE ANGELA ST MAYSILO MALABON - - 12,453.86 12,453.86
6-Jan-19 19-836 DURAN, JOVILYN TUNA ST CALOOCAN CITY - - 4,907.95 4,907.95
6-Jan-19 19-837 RETIRADO, FREDERICK SENADINO ST GULOD NOVALICHES QUEZON - - 12,478.63 12,478.63
6-Jan-19 19-838 LO, ROMMEL CARISSA HOMES TANZA CAVITE - - 322.55 322.55
6-Jan-19 19-839 SUMAGANG, MYLENE MASANGKAY ST PEARL TOWER TONDO MANILA- - 691.83 691.83
6-Jan-19 19-840 ALMOJEILA, BABYLYN STA CATALINA TONDO MANILA - - 653.63 653.63
6-Jan-19 19-841 LAPASARAN, TERESITA SANDICO ST CAMBA TONDO MANILA - - 289.01 289.01
6-Jan-19 19-842 MAGALE, JESSICA BRGY DON BOSCO SANTOS COMP PARAÑAQUE - - 1,376.00 1,376.00
6-Jan-19 19-843 MARIÑAS, RODRIGO AMARLANHAGUI ST TONDO MANILA - - 529.30 529.30
6-Jan-19 19-844 PANGILINAN, ALFREDO FELINA ST SAMPALOC MANILA - - 1,025.38 1,025.38
6-Jan-19 19-845 HONDOLERO, MARIA LEA BRGY POTRERO MALABON 117.00 - 748.44 865.44
6-Jan-19 19-846 CORDON, CARLA MAE TABING ILOG BACOOR CAVITE - - 11,020.10 11,020.10
Page 14
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
6-Jan-19 19-847 CHAVEZ, MUNNA-MIE BASECO PORT AREA MANILA - - 299.83 299.83
6-Jan-19 19-848 DELA CRUZ, JOHNZEL YEN KATAMANAN ST TONDO MANILA - - 7,983.24 7,983.24
6-Jan-19 19-849 GALAN, ALVIN STUTSERBURG ST CALOOCAN CITY - - 665.20 665.20
6-Jan-19 19-850 REYES, RIA BOSTON HEIGHTS SUBD KAWIT CAVITE - - 763.63 763.63
6-Jan-19 19-851 SERRA, RALPH CHRISTOPHERFLORENCIA ST SFDM QUEZON CITY - - 1,367.74 1,367.74
6-Jan-19 19-852 BELANO, RODEL BRGY GRANADA CARLES ILOILO - - 10,291.00 10,291.00
6-Jan-19 19-853 VILLANUEVA, ROMALEN NADELA ST TANGOS NAVOTAS CITY - - 1,439.73 1,439.73
6-Jan-19 19-854 ANCHETA, EVERLITA BRGY 156 BAGONG BARRIO CALOOCAN - - 1,006.84 1,006.84
6-Jan-19 19-855 CONSING, JOSHUA BRGY MANRESA QUEZON CITY - - 3,545.53 3,545.53
6-Jan-19 19-856 DELMA, ANALIZA ROAD 1 MALANDAY VALENZUELA - - 4,983.61 4,983.61
6-Jan-19 19-857 RUIZ, REINAROS MAGSAYSAY EXT MALABON - - 546.00 546.00
6-Jan-19 19-858 MIRANDA, MA SALVACION PARADISE HEIGHTS TONDO MANILA - - 3,214.99 3,214.99
6-Jan-19 19-859 BAUTISTA, JANINE ARWEN QUIRICADA ST STA CRUZ MANILA - - 2,120.00 2,120.00
6-Jan-19 19-860 ESTABILLO, ROBBY ROZ BRGY FORT BONIFACIO TAGUIG CITY - - 2,350.00 2,350.00
6-Jan-19 19-861 CATANA, ELSIE ZAPOTE 2 BACOOR CAVITE - - 490.00 490.00
6-Jan-19 19-862 ATACADOR, ANALUO JOSE ABAD SANTOS TONDO MANILA - - 530.00 530.00
12-Oct-18 19-863 ARPON, ANNALYN 057 RIVERSIDE MALAYAN SBDV BIÑAN LAGUNA - 1,875.00 - 1,875.00
23-Oct-18 19-864 BALTAZAR, JOSEFINA KAUNLARAN VILLAGE NAVOTAS CITY - 2,860.00 - 2,860.00
23-Oct-18 19-865 PANCHO, YUMILKA SOLIS ST. TONDO MANILA - 1,595.00 - 1,595.00
23-Oct-18 19-866 BULATAO, NORMA CONCHA SEVILLAVTONDO MANILA - 1,640.00 - 1,640.00
23-Oct-18 19-867 EVANGELIO, MANUEL MIGUELIN ST. SAMPALOC MANILA - 210.00 - 210.00
23-Oct-18 19-868 ALEGADO, MONICA TAYABAS ST, TONDO MANILA - 1,235.00 - 1,235.00
23-Oct-18 19-869 GONSALES, EMILY PALIPAHAN DASMARIÑAS CAVITE - 740.00 - 740.00
23-Oct-18 19-870 ECLING, MARIA SAN FRANCISCO BALMONTE QUEZON CITY - 530.00 - 530.00
23-Oct-18 19-871 ALONZO, VICTORINA TENEJEROS MALABON CITY - 885.00 - 885.00
23-Oct-18 19-872 BATULA, MARIANITO MAYSILO MALABON CITY - 2,680.00 - 2,680.00
23-Oct-18 19-873 GARCIA, MARIA SALOME 1358 MUSA ST. SAMPALOC MANILA - 1,055.00 - 1,055.00
23-Oct-18 19-874 BLANCO, NADINE MARIA KRISTINEBALINTAWAK EXT. TAYUMAN TONDO MANILA - 2,620.00 - 2,620.00
23-Oct-18 19-875 BENITO, MARIA LEONILA F.AGUILAR TONDO MANILA - 1,640.00 - 1,640.00
23-Oct-18 19-876 AVIÑANTE, JR. JACINTO BARITAN MALABON CITY - 210.00 - 210.00
23-Oct-18 19-877 AVIÑANTE, JR. JACINTO BARITAN MALABON CITY - 2,500.00 - 2,500.00
23-Oct-18 19-878 CEZAR, JERISSE LETCHEROS ST. TONDO MANILA - 210.00 - 210.00
23-Oct-18 19-879 PUBLICO, CLARITA ANIMALES PASIG CITY - 400.00 - 400.00
23-Oct-18 19-880 ANDIAS, RENEBOY PINEAPPLE RD. POTRERO MALABON CITY - 5,100.00 - 5,100.00
23-Oct-18 19-881 GONZALES, RITA SUMAPANG MALOLOS, BULACAN - 530.00 - 530.00
23-Oct-18 19-882 SABADO, ESPERANZA BARLO, MABINI, PANGASINAN - 5,105.00 - 5,105.00
23-Oct-18 19-883 ESTABILLO, CONCEPCION SAN ISIDRO PALOMPON, LEYTE - 1,525.00 - 1,525.00
23-Oct-18 19-884 SABADO, ESPERANZA BARLO, MABINI, PANGASINAN - 530.00 - 530.00
23-Oct-18 19-885 DELEN, WILLIE BRGY.423 SAMPALOC MANILA - 19,140.00 - 19,140.00
23-Oct-18 19-886 PEÑOL, MAXIMA WALING-WALING BAGONG BARIO CALOOCAN CITY- 740.00 - 740.00
23-Oct-18 19-887 SANCHEZ, BIBIANO BRGY.IBABA MALABON CITY - 2,255.00 - 2,255.00
23-Oct-18 19-888 ARCE, JOSE SAMPAGUITA ST. TONDO MANILA - 2,500.00 - 2,500.00
23-Oct-18 19-889 NAVARRO, ROLANDO SAN LAZARO ST. STA,CRUZ MANILA - 740.00 - 740.00
23-Oct-18 19-890 ANGALO, VICTORINO NUEVE DE FEBRERO ST. MANDALUYONG CITY - 740.00 - 740.00
23-Oct-18 19-891 BARON, MA.THERESA RECTO BINONDO, MANILA CITY - 210.00 - 210.00
23-Oct-18 19-892 BARON, MA.THERESA RECTO BINONDO, MANILA CITY - 1,235.00 - 1,235.00
23-Oct-18 19-893 GAERLAN, ROSARIO QUIAPO MANILA B-385 239 D3 - 3,100.00 - 3,100.00
23-Oct-18 19-894 OCHADA, RESTITUTA STO.NIÑO AVENUE TAGUIG CITY - 360.00 - 360.00
23-Oct-18 19-895 HERVELA, ELNORA ARANETA AVE. BRGY.POTRERO MALABON CITY- 740.00 - 740.00
23-Oct-18 19-896 YNION, GREGORIA PANGAKO ST. BAGONG BARIO CALOOCAN CITY - 1,920.00 - 1,920.00
23-Oct-18 19-897 TADEO, DINAH BONA ALLEY BAGONG BARRIO CALOOCAN CITY- 1,175.00 - 1,175.00
25-Oct-18 19-898 CRISTOBAL, DANA STA.ANA ST, SAN ANTONIO TONDO MANILA - 740.00 - 740.00
25-Oct-18 19-899 TAMBALO JELLYLYN BRGY. SAN VICENTE ANGONO RIZAL - 1,060.00 - 1,060.00
25-Oct-18 19-900 PETILO, SOCORRO NAURA ST. TONDO MANILA - 764.00 - 764.00
25-Oct-18 19-901 BATIRZAL, EMELYN LONGOS, MALABON CITY - 860.00 - 860.00
25-Oct-18 19-902 SANDOVAL, DENNIS OROQUETA, ST. STA.CRUZ MANILA - 530.00 - 530.00
25-Oct-18 19-903 LIMAN, PRINCESS ISNAIRA BRGY. SAN ESTEBAN DASMA CAVITE - 1,080.00 - 1,080.00
25-Oct-18 19-904 LIMAN, PRINCESS ISNAIRA BRGY. SAN ESTEBAN DASMA CAVITE - 6,400.00 - 6,400.00
25-Oct-18 19-905 SIMPLICIO, CONCEPCION NIDORA, BRGY.65 CALOOCAN CITY - 1,235.00 - 1,235.00
25-Oct-18 19-906 TOOS, MAXIMINA BILAR ST. MANUGUIT TONDO MANILA - 210.00 - 210.00
25-Oct-18 19-907 MARAYA, ELENA MONROY, NAVOTAS CITY - 210.00 - 210.00
Page 15
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
25-Oct-18 19-908 ANG, ELENA MEDINA ST. VALENZUELA CITY - 820.00 - 820.00
25-Oct-18 19-909 DAVIS, DIOSDADO 1323 COMPOUND, CALOOCAN CITY - 740.00 - 740.00
25-Oct-18 19-910 REGALA, ESTELA BAGONG SIBOL ST. CALOOCAN CITY - 604.00 - 604.00
25-Oct-18 19-911 TATAC, FELIMON CORREGIDOR ST. BRGY. HOLY SPIRIT QUEZON CITY- 530.00 - 530.00
25-Oct-18 19-912 BOLGADO, FLORA MARIANO PONCE CALOOCAN CITY - 640.00 - 640.00
25-Oct-18 19-913 MAGAT, MICHAEL 860 JAIME ST, SAMPALOC MANILA - 530.00 - 530.00
25-Oct-18 19-914 AMPIL, NOVY SANTOS ISLA SAN JUAN CALOOCAN CITY - 1,800.00 - 1,800.00
25-Oct-18 19-915 DELOS REYES , PETER BRGY.STO.DOMINGO QUEZON CITY - 530.00 - 530.00
25-Oct-18 19-916 BUENAVENTURA, REMEDIOSHIZON ST. STA CRUZ MANILA - 740.00 - 740.00
25-Oct-18 19-917 REYES, ADELAIDA JUAN LUNA ST. ST, GAGALANGIN TONDO MANILA- 210.00 - 210.00
25-Oct-18 19-918 BRILLANTES, CIELO 422MA.CLARA 4TH AVENUE CALOOCANCITY - 530.00 - 530.00
25-Oct-18 19-919 BRILLANTES, CIELO 422MA.CLARA 4TH AVENUE CALOOCANCITY - 860.00 - 860.00
25-Oct-18 19-920 YAMBAO, JEFFERSON GAGALANGIN TONDO MANILA - 620.00 - 620.00
25-Oct-18 19-921 NAPULI, ALEJANDRO BAGONG SILANG CALOOCAN CITY - 570.00 - 570.00
25-Oct-18 19-922 NAPULI, ALEJANDRO BAGONG SILANG CALOOCAN CITY - 400.00 - 400.00
25-Oct-18 19-923 MANUEL, ROSITA PANDACAN MANILA - 5,100.00 - 5,100.00
25-Oct-18 19-924 ROSCO, LOLITA LEANDRO IBARRA ST. TONDO MANILA - 1,035.00 - 1,035.00
25-Oct-18 19-925 CEDILLA, MA.LOURDES PARACELLA, ST. NOVALICHES QUEZON CITY - 570.00 - 570.00
25-Oct-18 19-926 MEDINA, GABRIEL VURECO ST, STA, CRUZ MANILA - 2,680.00 - 2,680.00
25-Oct-18 19-927 RONDUEN, ANITA C.P. GARCIA ST. TONDO MANILA - 2,355.00 - 2,355.00
25-Oct-18 19-928 ITALIA, ARSENIO MALVAR ST. TONDO MANILA - 740.00 - 740.00
25-Oct-18 19-929 SAMSON, DIVINIA GOZON ST. CALOOCAN CITY - 2,350.00 - 2,350.00
25-Oct-18 19-930 GAMBE, MARILOU MABUHAY HOMES DARANGAN BINANGONAN RIZAL- 340.00 - 340.00
25-Oct-18 19-931 NICOLAS, MARCO SAN FERNANDO NUEVA ECIJA - 530.00 - 530.00
25-Oct-18 19-932 SITSON, MA.LOURDES BAMBANG ST. TONDO MANILA - 530.00 - 530.00
25-Oct-18 19-933 PADUA, AMELIA SOCIALIZED , TANZA NAVOTAS CITY - 1,235.00 - 1,235.00
25-Oct-18 19-934 LORICA, MILA KALAYAAN ST. CALOOCAN CITY - 210.00 - 210.00
25-Oct-18 19-935 DELA CRUZ, ROSEMARIE JACINTO ST, MAGSAYSAY TONDO MANILA - 210.00 - 210.00
25-Oct-18 19-936 GAMBA, ROGER GONZAGA ST. MANDALUYONG CITY - 740.00 - 740.00
25-Oct-18 19-937 NICOLAS, MARIA TABLANTE C,ARELLANO MALABON CITY - 650.00 - 650.00
25-Oct-18 19-938 ENCINARES, NOEL 2ND PORT AREA MANILA - 845.00 - 845.00
25-Oct-18 19-939 OBLEA, CRISTELA SBULAN, PULILIO QUEZON - 3,700.00 - 3,700.00
25-Oct-18 19-940 TULIAO, JOEL DAGAT-DAGATAN NAVOTAS CITY - 210.00 - 210.00
25-Oct-18 19-941 ARELLANO, JORGE LILO ST. TONDO MANILA - 210.00 - 210.00
25-Oct-18 19-942 YAPANA. ELIZA GARCIA ST. DON BOSCO TONDO MANILA - 3,470.00 - 3,470.00
25-Oct-18 19-943 JANORAS, SYDA BANGKULASI NAVOTAS CITY - 530.00 - 530.00
25-Oct-18 19-944 PISIGAN, JAIME SAN AGUSAN NOVA QUEZON CITY - 740.00 - 740.00
25-Oct-18 19-945 BONA CRUZ, REMIGIO LICO ST. TONDO MANILA - 1,060.00 - 1,060.00
25-Oct-18 19-946 CASTOR, EUFROCINA BALUT, SAN AGUSTIN, HAGONOY BULACAN - 740.00 - 740.00
25-Oct-18 19-947 FAELDONIA, CARLYN PANAKLAYAN MUZON - 570.00 - 570.00
25-Oct-18 19-948 NADUMA, ADORACION GARCIA ST.TONDO MANILA - 370.00 - 370.00
25-Oct-18 19-949 AVELINO, SORIAGA BRGY MARULAS VALENZUELA CITY - 2,680.00 - 2,680.00
25-Oct-18 19-950 LAVILLA, ROSARIO BRGY 38 CALOOCAN CITY - 1,300.00 - 1,300.00
25-Oct-18 19-951 ORIONDO, BAYANI BRGY SINGKO POBLACION NASUGBU BATANGAS- 570.00 - 570.00
25-Oct-18 19-952 MOLINA, ISABEL ALMEDA ST. TONDO MANILA - 740.00 - 740.00
25-Oct-18 19-953 TADEO, DINAH BAGONG BARRIO CALOOCAN CITY - 5,100.00 - 5,100.00
25-Oct-18 19-954 DE JESUS, DIANA BAGONG BARRIO CALOOCAN CITY - 940.00 - 940.00
25-Oct-18 19-955 BAJAMONDE. FLORENCIO GEN.T DE LEON VALENZUELA CITY - 1,000.00 - 1,000.00
25-Oct-18 19-956 ANDRES. WILMA BRGY SAN ISIDRO QUEZON CITY - 530.00 - 530.00
25-Oct-18 19-957 BEJAR, ANGELITA PONCO ST. SAN FRANCSCO DEL MONTE MARIBLO Q.C- 11,800.00 - 11,800.00
25-Oct-18 19-958 MAMBA, CRISEL SOLER ST. STA.CRUZ MANILA - 1,235.00 - 1,235.00
25-Oct-18 19-959 RAMOS, ERNESTO ALMEDA ST. TONDO MANILA - 530.00 - 530.00
25-Oct-18 19-960 SALVADOR, BERNARDO PALON ST. BRGY 75 CALOOCAN CITY - 1,685.00 - 1,685.00
25-Oct-18 19-961 NONO, ERNESTO BRGY 39 DIST.1 TONDO MANILA - 4,800.00 - 4,800.00
24-Oct-18 19-962 CAMASIS, CASIMIRA 287 10TH AVENUE GRACE PARK CALOOCAN CITY - 720.00 - 720.00
24-Oct-18 19-963 TAYAG, MANUEL 28 NENITA INT BRGY. GULOD NOVALICHES QUEZON CITY - 530.00 - 530.00
24-Oct-18 19-964 TROVISO, TONY 3192 INT 22 PILAR ST MANUGUIT TONDO MANILA- 570.00 - 570.00
24-Oct-18 19-965 DALISAY, NENITA 23 BM AGUINO MAGSAYSAY VILLAGE TONDO MANILA - 2,705.00 - 2,705.00
24-Oct-18 19-966 OBISPADO, CARMEN 460 K2 DE GUZMAN ST QUIAPO MANILA - 530.00 - 530.00
24-Oct-18 19-967 MARTINEZ, FRANCISCA 5947 SAN DIEGO ST BRGY. OLIMPIA MAKATI CITY - 1,300.00 - 1,300.00
24-Oct-18 19-968 DE BOLOS, ALVIN 2092 V SERRANO ST TONDO MANILA - 1,300.00 - 1,300.00
Page 16
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
24-Oct-18 19-969 FLORES, FRANCISCO BRGY. TABE GUIGUINTO BULACAN - 2,500.00 - 2,500.00
24-Oct-18 19-970 GREZER, JAIME 721 BANAL ST GAGALANGIN TONDO MANILA - 2,680.00 - 2,680.00
24-Oct-18 19-971 VERGARA, RODOLFO JR 260 HINAHON ST TONDO MANILA - 530.00 - 530.00
24-Oct-18 19-972 GABUCAN, EDILYN PUROK 4 MAISAN VALENZUELA CITY - 570.00 - 570.00
24-Oct-18 19-973 GABUCAN, EDILYN PUROK 4 MAISAN VALENZUELA CITY - 400.00 - 400.00
24-Oct-18 19-974 DONATO, MARILYN 1124 BM COMPOUND CALOOCAN CITY - 740.00 - 740.00
24-Oct-18 19-975 SANTOS, LOTTIE 1238 MITHI ST TONDO MANILA - 740.00 - 740.00
24-Oct-18 19-976 QUINING, NELSON BLK 32 LOT 9 DAGAT DAGATAN CALOOCAN NAOTAS CITY - 2,445.00 - 2,445.00
24-Oct-18 19-977 LEDDA, ROGELIO 1065 INT 24 NEW ATIPOLO ST TONDO MANILA - 1,405.00 - 1,405.00
24-Oct-18 19-978 TABIDO, JO MARIE 2281 ELIAS ST STA CRUZ MANILA - 650.00 - 650.00
24-Oct-18 19-979 MAGTANGOB, MAGIN BLK 22 PARADISE VILL MALABON CITY - 2,640.00 - 2,640.00
24-Oct-18 19-980 DELOS REYES, LOLITA 3281 SAN FRANCISCO ST VALENZUELA CITY - 740.00 - 740.00
24-Oct-18 19-981 AGUDO, CORAZON 30 A. MABINI ST ARTY KARUHATAN VALENZUELA CITY - 1,235.00 - 1,235.00
24-Oct-18 19-982 SANTOS, NORMA 14 LILIBETH ST TONDO MANILA - 1,975.00 - 1,975.00
24-Oct-18 19-983 PASCUAL, PATRICIA 116 GUIDO ST MAYPAJO CALOOCAN CITY - 4,800.00 - 4,800.00
24-Oct-18 19-984 CANTONJOS, MARIFE 270 TERESA ST. STA MESA MANILA - 1,515.00 - 1,515.00
25-Oct-18 19-985 ALFONSO, ELSA REPARO ROAD STA QUITERINA CALOOCAN CITY - 820.00 - 820.00
25-Oct-18 19-986 PADRO, LOLITA BLK 13 LOT 6 PALALI CANLUBANG LAGUNA - 2,005.00 - 2,005.00
26-Oct-18 19-987 PORCALLA, TERESITA BLK 14 LOT 18 SANTO ST BIÑAN LAGUNA - 1,000.00 - 1,000.00
26-Oct-18 19-988 PAGARAG, PRINCE XIAN 209 R HERNANDEZ ST TONDO MANILA - 530.00 - 530.00
26-Oct-18 19-989 SEGUIRA, FLORITO ROYAL PALM ST SITIO LUCBAN BRGY. DELA PAZ ANTIPOLO - 1,350.00 - 1,350.00
26-Oct-18 19-990 EVANGELIO, ELVIRA 1770 MIGUELINA BRGY. 488 SAMPALOC MANILA - 530.00 - 530.00
26-Oct-18 19-991 SAN JOSE, JOSE 600 C PILAR EXT BRGY. 432 SAMPALOC MANILA - 740.00 - 740.00
26-Oct-18 19-992 ANDAYA, ANGELITO BLK 26 LOT 7 BRGY. NBBS NAVOTAS CITY - 3,300.00 - 3,300.00
26-Oct-18 19-993 LOTERIÑA, CARLITO # 015 RIZAL AVENUE CALOOCAN CITY - 1,060.00 - 1,060.00
26-Oct-18 19-994 NOLASCO, TIMOTEO POB 1 STA MARIA LAGUNA - 570.00 - 570.00
26-Oct-18 19-995 ANOBA, PUBLIA BRGY. 574 STA MESA MANILA - 2,050.00 - 2,050.00
26-Oct-18 19-996 SANCHEZ, DIVINA 12 CALAVITE ANNEX BRGY. SALVACION LALOMA QUEZON CITY - 740.00 - 740.00
26-Oct-18 19-997 CABIGAO, NORMA # 323 AGUINALDO ST SAN MIGUEL MANILA - 3,100.00 - 3,100.00
26-Oct-18 19-998 DELA CRUZ, LUISITO 98 F GONZALES ST BINUANGAN OBANDO BULACAN - 12,900.00 - 12,900.00
26-Oct-18 19-999 CASPILLAN, VERDINO 1823 M HIZON ST STA CRUZ MANILA - 2,350.00 - 2,350.00
26-Oct-18 19-1000 BALDISIMO, ERLINDA 48 D STA TERESITA ST DON BOSCO TONDO MANILA - 210.00 - 210.00
26-Oct-18 19-1001 DE GUZMAN, PAULINO JR BRGY. TONSUYA MALABON CITY - 1,350.00 - 1,350.00
26-Oct-18 19-1002 CONTRERAS, ANITA 2257 VISION ST BRGY. 371 STACRUZ MANILA - 1,445.00 - 1,445.00
26-Oct-18 19-1003 BABON, IDA SITIO STO NIÑO NBBS NAVOTAS CITY - 740.00 - 740.00
26-Oct-18 19-1004 DIONISIO, ARTURO BLK 14 LOT 51 PHASE 1 CALAUAN LAGUNA - 2,350.00 - 2,350.00
26-Oct-18 19-1005 SALAMANCA, ROLANDO 2024 F DAGUPAN EXT TONDO MANILA - 740.00 - 740.00
26-Oct-18 19-1006 CAYABYAB, JERRY MADALAD ST TANZA NAVOTAS CITY - 1,030.00 - 1,030.00
26-Oct-18 19-1007 CRUZ, LORINA 27 3 HEROES DEL 96 CALOOCAN CITY - 5,100.00 - 5,100.00
3-Dec-18 19-1008 MENDOZA, LUCILA LIBIS GOCHUICO ST. CALOOCN CITY - 820.00 - 820.00
3-Dec-18 19-1009 CATAYLO, ROSARIO BAGONG SILANG CALOOCAN CITY - 2,295.00 - 2,295.00
6-Dec-18 19-1010 REMALLA, MARITES INT. DIMASALANG CALOOCAN CITY - 3,540.00 - 3,540.00
6-Dec-18 19-1011 LANIOJAN, MARICEL CABUYAO SAUYO NOVA QUEZON CITY - 1,235.00 - 1,235.00
5-Dec-18 19-1012 ENCARNACION, RENATO SAN FRANCISCO ST. KARUHATAN VALENZUELA CITY- 2,500.00 - 2,500.00
5-Dec-18 19-1013 QUINTANG, LUISA CAMBA ST. BINONDO MANILA - 7,340.00 - 7,340.00
6-Dec-18 19-1014 YUMOL, WILMA BRGY SAN ROQUE SAN LEONARDO NUEVA ECIJA- 11,250.00 - 11,250.00
6-Dec-18 19-1015 OLANO, ROMEO BRGY CONCEPCION MALABON CITY - 1,235.00 - 1,235.00
6-Dec-18 19-1016 RETIZA, SHYRA SITIO PUTTING BATO NBBS NAVOTAS CITY - 990.00 - 990.00
6-Dec-18 19-1017 RABASOL, RAIZZA KANILLE TITAN ST SUNRISER VILLAGE CALOOCAN CITY - 650.00 - 650.00
6-Dec-18 19-1018 ROBLEZA, MARY GRACE ROXANNEBRGY LAMBAKIN MARILAO BULACAN - 530.00 - 530.00
6-Dec-18 19-1019 CONTRERAS, LOLITA BRGY SANTOS MARINDUQUE - 1,235.00 - 1,235.00
6-Dec-18 19-1020 CALIBUSO, EDRALIN SAN ANDRES BUKID MALATE MANILA - 1,235.00 - 1,235.00
6-Dec-18 19-1021 AMOGUIS, NIDA MABINI ST. MAGSAYSAY TONDO MANILA - 950.00 - 950.00
6-Dec-18 19-1022 FALLESGON, LILIAN BRGY 168 CALOOCAN CITY - 210.00 - 210.00
6-Dec-18 19-1023 DELA CRUZ, JUDITH CORAL ST. TONDO MANILA - 5,100.00 - 5,100.00
6-Dec-18 19-1024 ELINON, ALBERT PAROLA TONDO MANILA - 2,350.00 - 2,350.00
6-Dec-18 19-1025 MASE, LUCILA IMELDA ST. LANGGAM SAN PEDRO LAGUNA - 1,235.00 - 1,235.00
6-Dec-18 19-1026 TELLO, AURELIA FATIMA II DASMARIÑAS CAVITE - 4,800.00 - 4,800.00
6-Dec-18 19-1027 IMMAM, ELIZABETH DEL PASO ST. QUIAPO MANILA - 1,235.00 - 1,235.00
6-Dec-18 19-1028 VIRAY, ISABELITA OESTE ALVAREZ EXT. STA.CRUZ MANILA - 1,235.00 - 1,235.00
6-Dec-18 19-1029 VIRAY, ISABELITA OESTE ALVAREZ EXT. STA.CRUZ MANILA - 2,500.00 - 2,500.00
Page 17
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
6-Dec-18 19-1030 BUSICO, ARLENE RIZAL AVE. STA.CRUZ MANILA - 2,880.00 - 2,880.00
6-Dec-18 19-1031 DRALIN, RODILYN CORAL ST. TONDO MANILA - 1,140.00 - 1,140.00
6-Dec-18 19-1032 GALANG, ROXANNE BAGONG SILANG CALOOCAN CITY - 530.00 - 530.00
6-Dec-18 19-1033 CARDIÑO, CHRISTINE FAYE GUIDO 2 MAYPAJO CALOOCAN CITY - 3,300.00 - 3,300.00
6-Dec-18 19-1034 OVIEDO, SCARLETT KATAMANAN ST. TONDO MANILA - 990.00 - 990.00
6-Dec-18 19-1035 SANTOS, GEORELYN GONZALES ST. NAVOTAS CITY - 860.00 - 860.00
6-Dec-18 19-1036 BORJA, MARNELLI JAIME ST. SAMPALOC MANILA - 640.00 - 640.00
6-Dec-18 19-1037 ARENAS, ELENA IBA ST.STA MESA HEIGHTS QUEZON CITY - 2,500.00 - 2,500.00
6-Dec-18 19-1038 MARBELLA, MARILYN MIGUEL ST. VALENZUELA CITY - 7,340.00 - 7,340.00
6-Dec-18 19-1039 JARANILLA, AUXILIADORA HABAY II BACOOR CAVITE - 1,300.00 - 1,300.00
6-Dec-18 19-1040 MINO, ROSALYN BRGY ANABU IMUS CAVITE - 1,235.00 - 1,235.00
6-Dec-18 19-1041 SARMIENTO, ROMEO URCELA ST. CALOOCAN CITY - 1,235.00 - 1,235.00
6-Dec-18 19-1042 SAN JOSE, ZENAIDA MOLINO BACOOR CAVITE - 2,500.00 - 2,500.00
7-Dec-18 19-1043 BERNAL, CORAZON BRGY 28 CALOOCAN CITY - 2,500.00 - 2,500.00
4-Dec-18 19-1044 PEREZ, MA.KATHRINA LOU BRGY FORTUNE MARIKINA CITY 442.00 2,680.00 - 3,122.00
5-Dec-18 19-1045 MADRID, LOURDES PINEDA BALINTAWAK QUEZON CITY - 1,235.00 - 1,235.00
7-Dec-18 19-1046 AQUINO, JUANITA JASMIN ST. MARULOS VALENZUELA CITY - 2,620.00 - 2,620.00
7-Dec-18 19-1047 FRANCISCO, ROSALINDA PAVIA ST. TONDO MANILA - 5,105.00 - 5,105.00
7-Dec-18 19-1048 BARAL, ESMERALDA SAN ANTONIO SAN LUIS BATANGAS - 11,800.00 - 11,800.00
7-Dec-18 19-1049 VILLABEZA, ROBERTO STA.CRUZ OCCIDENTAL MINDORO - 5,105.00 - 5,105.00
7-Dec-18 19-1050 ORTEGA, RODRIGO DM COMPOUND CALOOCAN CITY - 2,500.00 - 2,500.00
7-Dec-18 19-1051 DELOS TRIÑOS, LUZVIMINDAPARADISE HEIGHTS BALUT TONDO MANILA - 11,800.00 - 11,800.00
7-Dec-18 19-1052 LUMEN, ARTURO NAVOTAS CITY - 5,105.00 - 5,105.00
7-Dec-18 19-1053 VALEÑA, JOSEPHINE LONGOS MALABON CITY - 1,235.00 - 1,235.00
7-Dec-18 19-1054 NALUS, AMANCIA MOLAVE ST. TONDO MANILA - 2,000.00 - 2,000.00
12-Dec-18 19-1055 PEREZ, DANTE BRGY GULANG, LUCENA CITY - 5,105.00 - 5,105.00
12-Dec-18 19-1056 SANDOVAL, DENNIS BRGY 312 STA CRUZ, MANILA 43.50 530.00 - 573.50
12-Dec-18 19-1057 BARNILLO, BENILDA BRGY 38 TONDO, MANILA - 5,100.00 - 5,100.00
12-Dec-18 19-1058 NAVAL, MARIANO BRGY 93 TONDO, MANILA - 2,500.00 - 2,500.00
12-Dec-18 19-1059 ABENOJA, EDGARDO DULONG TANGKE MALINTA, VALENZUELA - 500.00 - 500.00
12-Dec-18 19-1060 BACUCANAG, JOCELYN OBANDO, BULACAN - 1,235.00 - 1,235.00
12-Dec-18 19-1061 MITRA, VICENTE CITY HOMES DASMARINAS CITY - 1,300.00 - 1,300.00
12-Dec-18 19-1062 MARABILLO, LETICIA GUYABANO ST CAMARIN II CALOOCAN CITY - 1,235.00 - 1,235.00
12-Dec-18 19-1063 MARABILLO, LETICIA GUYABANO ST CAMARIN II CALOOCAN CITY - 130.00 - 130.00
12-Dec-18 19-1064 RIVERA, ANITA A.R CRUZ ST TANGOS NAVOTAS CITY - 1,235.00 - 1,235.00
12-Dec-18 19-1065 LOPEZ, ADELINA VELASQUEZ TONDO MANILA - 1,060.00 - 1,060.00
12-Dec-18 19-1066 ALBAY, ESTER BRGY 405 SAMPALOC MANILA - 675.00 - 675.00
12-Dec-18 19-1067 MACALOOD, ILDEFONSO EMS BARRIO MARULAS VALENZUELA - 990.00 - 990.00
12-Dec-18 19-1068 OLIQUIANO, FREDERICK BRGY 232 TONDO, MANILA - 530.00 - 530.00
12-Dec-18 19-1069 CAOILE, ERNESTINA ABAD SANTOS TONDO MANILA - 5,580.00 - 5,580.00
12-Dec-18 19-1070 BATI-ON, EMMALYN KADIMA LETRE MALABON CITY - 960.00 - 960.00
12-Dec-18 19-1071 CRUZ, ATANACIO HUMAYAN ST DEL MONTE QUEZON CITY - 2,040.00 - 2,040.00
12-Dec-18 19-1072 ARTIZUELA, ROSEBELLA BRGY 161 CALOOCAN CITY - 1,235.00 - 1,235.00
12-Dec-18 19-1073 SUN, YOLANDA BRGY 92 TONDO, MANILA - 1,235.00 - 1,235.00
12-Dec-18 19-1074 MEDINA, ROSALIE CAMPUPOT ST. CABANATUAN CITY - 5,105.00 - 5,105.00
12-Dec-18 19-1075 ESPORTUNO, MYRNA MARULAS VALENZUELA CITY - 980.00 - 980.00
12-Dec-18 19-1076 NAHIL, ALBINA MALIGAYA ST PATUBIG MARILAO BULACAN - 5,105.00 - 5,105.00
12-Dec-18 19-1077 MALIWAT, EVALYN KAUNLARAN VILLAGE MALABON CITY - 820.00 - 820.00
12-Dec-18 19-1078 BELEN, JANNET BINTOG PLARIDEL BULACAN - 5,105.00 - 5,105.00
12-Dec-18 19-1079 GONZALES, ALICIA GULOD, CALATAGAN BATANGAS - 5,105.00 - 5,105.00
12-Dec-18 19-1080 LUNA, FLORENTINA ATHENES ST MANGGAHAN PASIG CITY - 5,105.00 - 5,105.00
12-Dec-18 19-1081 MONCELLER, ADELFA HULONG DUHAT MALABON CITY - 270.00 - 270.00
12-Dec-18 19-1082 TORRECAMPO, JUANITA DIZON ST BISIG NG KABATAAN CALOOCAN CITY- 530.00 - 530.00
12-Dec-18 19-1083 SARDEÑA, ROWENA BRGY CEMBO MAKATI CITY - 1,235.00 - 1,235.00
12-Dec-18 19-1084 PANERGU, GERALD BRGY 15 TONDO MANILA - 920.00 - 920.00
12-Dec-18 19-1085 YLAN, MILAGROS GAGALANGIN TONO MANILA - 1,300.00 - 1,300.00
12-Dec-18 19-1086 RAGUDO, IRMA TAMBUNTING ST STA CRUZ, MANILA - 12,560.00 - 12,560.00
13-Dec-18 19-1087 PONCE, LIGAYA BRGY TANZA NAVOTAS CITY - 1,390.00 - 1,390.00
13-Dec-18 19-1088 PONCE, LIGAYA BRGY TANZA NAVOTAS CITY - 1,235.00 - 1,235.00
13-Dec-18 19-1089 JULONGBAYAN, RAFAEL CAHIL CALACA BATANGAS - 5,105.00 - 5,105.00
13-Dec-18 19-1090 CRUZ, ROSEMARIE BRGY 157 BAGONG BARRIO CALOOCAN CITY - 400.00 - 400.00
Page 18
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
13-Dec-18 19-1091 SIMPLICIO, CONCEPCION BRGY 65 CALOOCAN CITY - 820.00 - 820.00
13-Dec-18 19-1092 MORALDE, RODILLO CACARONG BATA, PANDI BULACAN - 2,000.00 - 2,000.00
13-Dec-18 19-1093 PEREZ, NELIKA LAGUNDI PLARIDEL BULACAN - 3,300.00 - 3,300.00
13-Dec-18 19-1094 DELA CRUZ, CLAIRE ANNE SAN JOSE DEL MONTE BULACAN - 1,980.00 - 1,980.00
13-Dec-18 19-1095 RAMINEZ, RACHEL ANACLETO ST STA CRUZ MANILA - 1,235.00 - 1,235.00
13-Dec-18 19-1096 LAZO, XIAN BRGY POTRERO MALABON CITY - 1,235.00 - 1,235.00
13-Dec-18 19-1097 YANQUILING, ANA RICHELLEMASAMBONG QUEZON CITY - 1,235.00 - 1,235.00
13-Dec-18 19-1098 MATA, MIECHEL BRGY TRES CRUSE TANZA CAVITE - 1,365.00 - 1,365.00
13-Dec-18 19-1099 INTRAMPAS, ODESSA 417 NBBN NAVOTAS CITY - 1,235.00 - 1,235.00
13-Dec-18 19-1100 TURINGAN, FELISA BAUTISTA DASAMARINAS CAVITE - 415.00 - 415.00
13-Dec-18 19-1101 FLORES, JEROME BRGY TATALON QUEZON CITY - 1,235.00 - 1,235.00
13-Dec-18 19-1102 CORPUZ, FROILYN ROSE 14 FAB AVE GIDL QUEZON CITY - 990.00 - 990.00
13-Dec-18 19-1103 BANTUGAN, EVELYN DAYAO ST BALUT TONDO MANILA - 2,000.00 - 2,000.00
13-Dec-18 19-1104 CARBONEL, PRINCESS ANN BRGY SAN FERMIN CAUAYAN CITY ISABELA - 1,235.00 - 1,235.00
13-Dec-18 19-1105 TUAZON, ERLINDA BRGY NIUGAN MALABON CITY - 2,500.00 - 2,500.00
13-Dec-18 19-1106 PUNZALAN, ANGELO DAGUPAN TONDO MANILA - 1,235.00 - 1,235.00
13-Dec-18 19-1107 BALLENA, BIENVENIDA BRGY MAYBOCOG SAMAR - 1,300.00 - 1,300.00
13-Dec-18 19-1108 DAVID, JOVEN JOE BRGY CATMON MALABON CITY - 2,680.00 - 2,680.00
13-Dec-18 19-1109 LOMIBAO, CORAZON BRGY POTRERO MALABON CITY - 1,000.00 - 1,000.00
13-Dec-18 19-1110 JACOBE, EUGENIA BRGY 375 STA CRUZ MANILA - 1,300.00 - 1,300.00
13-Dec-18 19-1111 POHANES, RHODORA BRGY 120 GRACE PARK CALOOCAN CITY - 400.00 - 400.00
13-Dec-18 19-1112 ALTIZON, VIOLETA TADLOC LOS BAÑOS LAGUNA - 11,800.00 - 11,800.00
13-Dec-18 19-1113 BAUTISTA, ELIZABETH EAST LIBIS BAESA CALOOCAN CITY - 585.00 - 585.00
13-Dec-18 19-1114 TODOC, MARINA BRGY 152 CALOOCAN CITY - 1,235.00 - 1,235.00
13-Dec-18 19-1115 SIMON, JULIETA BRGY LIBTON MEYCAUAYAN BULACAN - 1,235.00 - 1,235.00
13-Dec-18 19-1116 DIGMAN, MAGDALENO JR BRGY 105 TONDO MANILA - 3,300.00 - 3,300.00
13-Dec-18 19-1117 MONTANEZ, SALVADOR BRGY 28 TONDO MANILA - 770.00 - 770.00
13-Dec-18 19-1118 REYES, ADELAIDA BRGY 161 CALOOCAN CITY - 2,120.00 - 2,120.00
13-Dec-18 19-1119 BACALA, GLAMER AZZI BRGY 217 STA MESA, MANILA - 1,060.00 - 1,060.00
13-Dec-18 19-1120 ANDRADE, ONOFRE BRGY HULONG DUHAT MALABON CITY - 800.00 - 800.00
13-Dec-18 19-1121 MADRADO, MAXIMA BRGY 170 CALOOCAN CITY - 600.00 - 600.00
14-Dec-18 19-1122 BUENO, ALDRIN TAMBUNTING ST STA CRUZ, MANILA - 2,350.00 - 2,350.00
14-Dec-18 19-1123 PINEDA, LIBERTAD BRGY 48 TONDO MANILA - 3,300.00 - 3,300.00
14-Dec-18 19-1124 MAMBA, CRISEL PINAMALAYAN ORIENTAL MINDORO - 1,235.00 - 1,235.00
14-Dec-18 19-1125 VILLASEÑOR, VIVENCIO SAN JOSE DEL MONTE BULACAN - 2,500.00 - 2,500.00
14-Dec-18 19-1126 AQUINO, IMELDA BRGY LONGOS MALABON CITY - 5,100.00 - 5,100.00
14-Dec-18 19-1127 ARANZA, CORAZON BRGY ARKONG BATO VALENZUELA CITY - 990.00 - 990.00
14-Dec-18 19-1128 MANANGHAYA, LILIA LAVANDEROS ST SAMPALOC MANILA - 530.00 - 530.00
14-Dec-18 19-1129 PINCA, SANCHO LAWANG BATO VALENZUELA CITY - 2,680.00 - 2,680.00
14-Dec-18 19-1130 SAGUM, MARIA AIDA BRGY MAYPAJO CALOOCAN CITY - 1,235.00 - 1,235.00
14-Dec-18 19-1131 SAGUM, MARIA AIDA BRGY MAYPAJO CALOOCAN CITY - 1,045.00 - 1,045.00
14-Dec-18 19-1132 VENTURA, KAREN KRISTINEOROQUIETA STA CRUZ, MANILA - 1,235.00 - 1,235.00
14-Dec-18 19-1133 VENTURA, LILIA OROQUIETA STA CRUZ, MANILA - 1,235.00 - 1,235.00
14-Dec-18 19-1134 VILLAR, MARJORIE DAGUPAN EXT TONDO MANILA - 960.00 - 960.00
14-Dec-18 19-1135 GAYOLA, ELSA BANGCULASI NAVOTAS CITY - 700.00 - 700.00
14-Dec-18 19-1136 LIAO, MARIA ALMA BRGY SALVACION QUEZON CITY - 770.00 - 770.00
14-Dec-18 19-1137 MACOGUE, EVELYN DON BOSCO TONDO MANILA - 1,060.00 - 1,060.00
14-Dec-18 19-1138 LOY, MARILYN BRGY 135 TONDO MANILA - 415.00 - 415.00
14-Dec-18 19-1139 CRUZ, MARISSA BRGY TINAJEROS MALABON CITY - 7,340.00 - 7,340.00
14-Dec-18 19-1140 BODANDO, ANA MARIE PALAWAN ST MAKATI CITY - 1,235.00 - 1,235.00
14-Dec-18 19-1141 LOBOS, MARCILLA PARODA ST TONDO MANILA - 360.00 - 360.00
14-Dec-18 19-1142 NACORDA, MARILYN SAMPALOC GEN T DE LEON VALENZUELA CITY - 6,230.00 - 6,230.00
17-Dec-18 19-1143 PASCUAL, ARLYN BACLARAN PARAÑAQUE CITY - 1,235.00 - 1,235.00
17-Dec-18 19-1144 MAZAREDO, MARCELINA DEL MONTE BULACAN - 990.00 - 990.00
28-Dec-18 19-1145 DELA CERNA, RONALD RIZAL ST UUPER BICUTAN TAGUIG - - 29,241.70 29,241.70
28-Dec-18 19-1146 BUENAOBRA, ROGELIO BONIFACIO COMP STA QUITERIA CALOOCAN - - 50,000.00 50,000.00
28-Dec-18 19-1147 AGUSTIN, GERARDO SAN JOSE ST SAN PASCUAL OBANDO BULACAN - - 30,000.00 30,000.00
27-Dec-18 19-1148 SUBARAN, ARTURO SAN NICOLAS VICTORIA TARLAC - - 20,000.00 20,000.00
28-Dec-18 19-1149 BUCARELI, JUN JUN PUTTING BATO BRGY 20 TONDO MANILA - - 26,645.58 26,645.58
10-Dec-18 19-1150 RAPSING, EDEN ZAPOTE ST BAGONG BARRIO CALOOCAN 79,728.50 - - 79,728.50
13-Dec-18 19-1151 BUNAYON, ZENAIDA AREA B PARIOLA BINONDO TONDO MANILA27,719.50 - - 27,719.50
Page 19
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
6-Dec-18 19-1152 SAMUEL, JOCELYN BRGY HULO MANDALUYONG CITY 29,114.40 - - 29,114.40
31-Oct-18 19-1153 DUQUE, MANUEL 91 ROMANTIC ST STA ANA TAGUIG CITY - 740.00 - 740.00
31-Oct-18 19-1154 CRUZ, CHRISTIAN BRGY. PINAGSAMA TAGUIG CITY - 2,000.00 - 2,000.00
31-Oct-18 19-1155 LABASTIDA, FLAVIANO FERIA ROAD BALARA QUEZON CITY - 530.00 - 530.00
31-Oct-18 19-1156 SUMAYAO, SAMANTHA 358 LAKANDULLA ST TONDO MANILA - 2,600.00 - 2,600.00
31-Oct-18 19-1157 SARCO, HERSON JR B5 LOT 13 GABRIELA SILANG ST BATASAN HILLS - 530.00 - 530.00
31-Oct-18 19-1158 DUQUE, FERDINAND 129 6 LORETO ST SAMPALOC MANILA - 530.00 - 530.00
31-Oct-18 19-1159 ESGUERRA, JULIET BLK 49 ALUPIHANG DAGAT MALABON CITY - 990.00 - 990.00
31-Oct-18 19-1160 VILLANUEVA, JERWIN BLK 5 LOT 25 SULUGAN 6 TANZA CAVITE - 360.00 - 360.00
31-Oct-18 19-1161 DE CASTRO, LOTA 676 TAGAYTAY ST BRGY. 126 CALOOCAN CITY - 530.00 - 530.00
31-Oct-18 19-1162 CASTILLO, YOLANDA 1868 CHAGO ST BRGY. 368 STA CRUZ MANILA - 1,235.00 - 1,235.00
31-Oct-18 19-1163 COSTALLES, MYRNA 1296 TAMBUNTING BRGY. 374 STA CRUZ MANILA - 210.00 - 210.00
31-Oct-18 19-1164 RUZGAL, RENELYN BLK 29 C LOT AREA 1 NBBS NAVOTAS CITY - 530.00 - 530.00
31-Oct-18 19-1165 DELA CRUZ, SALVACION 620 PENALASA ST TONDO MANILA - 740.00 - 740.00
31-Oct-18 19-1166 TAN, TEODORICO 1506 ANTONIO RIVERA ST TONDO MANILA - 300.00 - 300.00
31-Oct-18 19-1167 LIWAG, JOHN RAY 2647 B DEL ROSARIO TONDO MANILA - 530.00 - 530.00
31-Oct-18 19-1168 DEL ROSARIO, ADRIANA BLK 14 LOT 20 R SALAS CIUDAD REAL SJDM BULACAN - 530.00 - 530.00
31-Oct-18 19-1169 SAN PEDRO, JENNIFER BRGY. 29 CALOOCAN CITY - 530.00 - 530.00
31-Oct-18 19-1170 DE DIOS, ROSEMARIE # 362 RAXA TUPAZ ST DAANG HARI NAVOTAS CITY - 2,500.00 - 2,500.00
31-Oct-18 19-1171 TANG, ALEXANDER 1610 M HIZON BRGY. 339 STA CRUZ MANILA - 2,500.00 - 2,500.00
31-Oct-18 19-1172 DELLOVA, FLORINDA 200 JOSE ABAD SANTOS BRGY. 627 STA MESA MANILA - 530.00 - 530.00
31-Oct-18 19-1173 DELLOVA, FLORINDA 200 JOSE ABAD SANTOS BRGY. 627 STA MESA MANILA - 210.00 - 210.00
5-Nov-18 19-1174 SISON, MARCIANA 69 DOÑA JUANA ST DAMPALIT MALABON CITY - 740.00 - 740.00
5-Nov-18 19-1175 GAUTANE, PETRONILA BLK 33 BRGY. 12 CALOOCAN CITY - 740.00 - 740.00
5-Nov-18 19-1176 GREGORIO, TERESITA RODRIGUEZ ST BRGY. 129 BALUT TONDO MANILA - 740.00 - 740.00
5-Nov-18 19-1177 FETALINO, SHANTAL 199S ROLDAN ST BRGY TANGOS NAVOTAS CITY - 530.00 - 530.00
5-Nov-18 19-1178 LIBRE, NATANIEL GEN T DE LEON VALENZUELA CITY - 530.00 - 530.00
5-Nov-18 19-1179 VELEZ, ALBERTO 1625 IMELDA ST HERBOSA TONDO MANILA - 2,220.00 - 2,220.00
5-Nov-18 19-1180 CABRERA, HERNANDO 1002 J TAYABAS ST TONDO MANILA - 400.00 - 400.00
5-Nov-18 19-1181 CABRERA, HERNANDO 1002 J TAYABAS ST TONDO MANILA - 650.00 - 650.00
5-Nov-18 19-1182 TUASON, GERARDO 522 BALTAZAR ST TONDO MANILA - 1,060.00 - 1,060.00
5-Nov-18 19-1183 ORTIZ, ARTURO A 1 502 SHELL DAGAT DAGATAN CALOOCAN CITY - 570.00 - 570.00
5-Nov-18 19-1184 CAMARILLO, ANGELES 06 LUZVIMINDA ST NOVALICHES QUEZON CITY - 360.00 - 360.00
5-Nov-18 19-1185 GIMORO, NESTOR ANEX 12 DAGATDAGATAN CALOOCAN CITY - 530.00 - 530.00
5-Nov-18 19-1186 GATCHALIAN, ROGELIO 235 RODRIGUES ST BALUT TONDO MANILA - 740.00 - 740.00
5-Nov-18 19-1187 SANTIAGO, SARAH MABOLO ST MALANDAY VELENZUELA - 740.00 - 740.00
5-Nov-18 19-1188 MANALO, ROLANDO BRGY. INALAD SIATON NEGROS ORIENTAL - 740.00 - 740.00
5-Nov-18 19-1189 BON, CESAR III 2535 CALLEJON P FIDEL ST GAGALANGIN TONDO MANILA - 570.00 - 570.00
5-Nov-18 19-1190 HERRERA, FREDERICK POTRERO MALABON CITY - 360.00 - 360.00
5-Nov-18 19-1191 CALIMLIM, MELCHOR 1125 KUSANG LOOB STA CRUZ MANILA - 1,310.00 - 1,310.00
5-Nov-18 19-1192 FRIAS, ALEJANDRO 127 ZAPOTE ST BAGONG BARRIO CALOOCAN CITY - 740.00 - 740.00
5-Nov-18 19-1193 FRIAS, LEONARDA 127 ZAPOTE ST BAGONG BARRIO CALOOCAN CITY - 570.00 - 570.00
5-Nov-18 19-1194 BOROTIAO, MELISSA L ANGELES ST MALINTA VALENZUELA - 740.00 - 740.00
5-Nov-18 19-1195 GIRON, ELIZABETH 442 PRUDENCIO ST SAMPALOC MANILA - 2,590.00 - 2,590.00
5-Nov-18 19-1196 PEREZ, AMELIA 79 ELISA ST MAYPAJO CALOOCAN CITY - 740.00 - 740.00
5-Nov-18 19-1197 LORICA, MILA # 343 KALAYAAN ST. BRGY. 151 CALOOCAN CITY - 930.00 - 930.00
5-Nov-18 19-1198 CAYACAY, ANALIZA BRGY. MARIANAS QUEZON CITY - 310.00 - 310.00
5-Nov-18 19-1199 SUPNET, MARIE JOY 1042 INT 4 NEW ATIPOLO ST TONDO MANILA - 210.00 - 210.00
5-Nov-18 19-1200 BANDOQUILLO, VILMA 661 MARY ANN EXT TONDO MANILA BRGY. 177 - 740.00 - 740.00
5-Nov-18 19-1201 DOLFO, OMAR # 17 MANGUSTAN RD POTRERO MALABON CITY - 1,450.00 - 1,450.00
5-Nov-18 19-1202 SAYUMAN, ANNE BRGY. 455 SAMPALOC MANILA - 530.00 - 530.00
5-Nov-18 19-1203 UBUNGEN, MA. TERESA 28 MAPALAD ST MARIBO SFDM QUEZON CITY - 740.00 - 740.00
5-Nov-18 19-1204 LLAGA, FELIX BRGY. 105 TONDO MANILA - 740.00 - 740.00
5-Nov-18 19-1205 PERALTA, FELIX JR DAPITAN BRGY. 481 SAMPALOC MANILA - 740.00 - 740.00
5-Nov-18 19-1206 VIRAY, PETER 1025 ELOISA ST BRGY. 465 SAMPALOC MANILA - 570.00 - 570.00
5-Nov-18 19-1207 LAPUZ, SYLVIA 21 MASIPAGG ST BRGY. 105 CALOOCAN CITY - 740.00 - 740.00
5-Nov-18 19-1208 TABLANTE, GRACE 3145 INT 65 PILAR ST BRGY. 198 TONDO MANILA - 740.00 - 740.00
5-Nov-18 19-1209 TIQUIS, CHRISTINE LIPA CITY BATANGAS - 290.00 - 290.00
5-Nov-18 19-1210 ESCAMILLA, JOSIPHINE 940 QUEZON BLVD BRGY. 964 SAMPALOC MANILA - 740.00 - 740.00
6-Nov-18 19-1211 SUMIBCAY, JAYSON 23 DIEGO SILANG ST STA LUCIA NOVALICHES QUEZON CITY - 740.00 - 740.00
6-Nov-18 19-1212 DEL MUNDO, CARMELITA BRGY. 20 CALOOCAN CITY - 570.00 - 570.00
Page 20
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
6-Nov-18 19-1213 REGALARIO, DANNY BAGBAGIN VALENZUELA CITY - 570.00 - 570.00
6-Nov-18 19-1214 ABAD, WILBERT BMBA 5TH AVENUE BRGY. 118 CALOOCAN CITY - 1,110.00 - 1,110.00
6-Nov-18 19-1215 PALACAY, LINGLINGAY TABBUGAN CLAVERIA CAGAYAN - 740.00 - 740.00
6-Nov-18 19-1216 GO, MAURICIO # 1748 MILAGROS ST BRGY. 338 STA CRUZ MANILA - 740.00 - 740.00
6-Nov-18 19-1217 BONDOC, ARLINA 2547 TM KALAW ST SITIO DIWA BRGY 178 CALOOCAN CITY - 740.00 - 740.00
5-Nov-18 19-1218 NILES, SATURNINA 203 F MANALO EXT SAN JUAN CITY - 1,235.00 - 1,235.00
5-Nov-18 19-1219 POMIDA, LUZ 95 PAG ASA DOS BRGY. 201 PASAY CITY - 570.00 - 570.00
5-Nov-18 19-1220 VILLANUEVA, MARIA 927 R PAPA ST BRGY. 46 SAMPALOC MANILA - 1,390.00 - 1,390.00
6-Nov-18 19-1221 CELESTINO, SHERWIN BLK 13 LOT 8 PALMERA SPRING CALOOCAN CITY - 570.00 - 570.00
6-Nov-18 19-1222 IGNACIO, ANGELINA 1318 QUINTOS ST SAMPALOC MANILA - 740.00 - 740.00
6-Nov-18 19-1223 ARROGANTE, EMELITA 2529 INT A JOSE ABAD SANTOS BRGY. 216 - 1,000.00 - 1,000.00
6-Nov-18 19-1224 GONZALES, ROBERTO 59 P CADORNIGA ST BBN NAVOTAS CITY - 210.00 - 210.00
6-Nov-18 19-1225 ECLE, AURELIO SITIO 6 DUMPSITE CATMON MALABON CITY - 1,840.00 - 1,840.00
6-Nov-18 19-1226 COLLADO, JHAY MARK 2707 RIZAL AVENUE STA CRUZ MANILA - 4,100.00 - 4,100.00
6-Nov-18 19-1227 SUSON, MELISSA BLK 8 LOT SAGADA FAMILIA ST SAN ANDRES BUKID MANILA - 570.00 - 570.00
6-Nov-18 19-1228 DELA ROSA, EDUARDO 1805 A RIVERA ST TONDO MANILA - 570.00 - 570.00
6-Nov-18 19-1229 DELA ROSA, EDUARDO 1805 A RIVERA ST TONDO MANILA - 2,500.00 - 2,500.00
6-Nov-18 19-1230 CALUM, JELLI-ANNE 59 CADORNIGA ST BBN NAVOTAS CITY - 1,350.00 - 1,350.00
6-Nov-18 19-1231 UNAY, NOLASCO BALINGASA QUEZON CITY - 740.00 - 740.00
6-Nov-18 19-1232 TEMAJO, GLENN 2148 IPIL ST BRGY. 361 STA CRUZ MANILA - 210.00 - 210.00
6-Nov-18 19-1233 COMIA, FHRENZ BRGY. SAN FRANCISCO GENERAL TRIAL CAVITE - 2,550.00 - 2,550.00
6-Nov-18 19-1234 DE JAYCO, MARIFE 251 MABUHAY ST TONDO MANILA - 530.00 - 530.00
6-Nov-18 19-1235 ROMO, EMELITA 307 PELARGON ST BRGY. 151 BAGONG BARIO CALOOCAN CITY - 530.00 - 530.00
6-Nov-18 19-1236 ALKUINO, CONCEPCION 4500 VALENZUELA ST BRGY. 591 STA MESA MANILA - 475.00 - 475.00
6-Nov-18 19-1237 MAQUILAN, DELFINA 217 1 SITIO 6 CATMON MALABON CITY - 740.00 - 740.00
6-Nov-18 19-1238 MANLULU, PURIFICATION 1359 ALVAREZ NORTE STA CRUZ MANILA - 740.00 - 740.00
6-Nov-18 19-1239 MAÑALAC, SYLVIA 3281 INT 30 BAGAC ST BRGY. 197 TONDO MANILA - 1,615.00 - 1,615.00
6-Nov-18 19-1240 BRAGADO, AMELIA PATAT CANALIG MEYCAUYAN CITY BULACAN - 990.00 - 990.00
6-Nov-18 19-1241 HIZON, MARIA FE 520 D ZAMORA ST. TONDO MANILA - 1,805.00 - 1,805.00
6-Nov-18 19-1242 AGUIRRE, LOURDES 1254 KASIPAGAN ST. TONDO MANILA - 180.00 - 180.00
6-Nov-18 19-1243 TORILLO, ROSALINDA 1624 IMELDA ST TONDO MANILA - 740.00 - 740.00
6-Nov-18 19-1244 SALONGA, NORBERTO 1340 ALINIAN ST MORIONES ST TONDO MANILA - 740.00 - 740.00
6-Nov-18 19-1245 ALEGRE, ALBERTO 125 11TH AVE B SERRANO ST GRACE PARK CALOOCAN CITY - 570.00 - 570.00
6-Nov-18 19-1246 LUCARIA, EUGENIO JR 2106 ALMEDA ST TONDO MANILA - 1,690.00 - 1,690.00
6-Nov-18 19-1247 DEL ROSARIO, HELEN 1538 INT 9 J LUNA ST TONDO MANILA - 740.00 - 740.00
6-Nov-18 19-1248 BANGIT, ADORACION 1029 SULU ST STA CRUZ MANILA - 530.00 - 530.00
6-Nov-18 19-1249 BUBAN, ELISA BLDG. 13 UNIT 3 ROAD 10 VITAS TONDO MANILA - 740.00 - 740.00
6-Nov-18 19-1250 BUSO, ROGELIO 29 ZAPOTE ST BAGONG BARIO CALOOCAN CITY - 740.00 - 740.00
6-Nov-18 19-1251 SANCHEZ, GLORIA 335 BRGY. SAN VICENTE CABUYAO NUEVA ECIJA - 740.00 - 740.00
6-Nov-18 19-1252 GERONG, LORENA # 74 LOPEZ COMP DOÑA ROSARIO ST NOVALICHES QUEZON CITY - 570.00 - 570.00
7-Nov-18 19-1253 DE VERA, LORETA 753 INT 57 RAXABAGO ST TONDO MANILA - 740.00 - 740.00
7-Nov-18 19-1254 JIM, BENJAMIN 2601 LA MESA ST VALENZUELA CITY - 570.00 - 570.00
7-Nov-18 19-1255 AGNAS, JELETA 2601 LA MESA ST VALENZUELA CITY - 210.00 - 210.00
7-Nov-18 19-1256 ORBE, ISRAEL 547 ROAD 3 MANUICOT GAGALANGIN TONDO MANILA - 740.00 - 740.00
7-Nov-18 19-1257 JACOBO, VIOLETA 1B ILAGAN ST BRGY. PALTOK SDMF QUEZON CITY - 130.00 - 130.00
7-Nov-18 19-1258 LUCERNA, RAFAEL JR 3384 POLICARPIO ST G.T.D VALENZUELA CITY - 485.00 - 485.00
7-Nov-18 19-1259 TEOVISIO, TONY 3192 INT 22 PILAR ST TONDO MANILA - 400.00 - 400.00
7-Nov-18 19-1260 FLORES, ROGELIO BRGY. 3 MAMBURAO OCCIDENTAL MINDORO - 895.00 - 895.00
7-Nov-18 19-1261 PIAD, LOLIT 227 CAMIAS SAN MIGUEL BULACAN - 530.00 - 530.00
7-Nov-18 19-1262 SAGUN, MELANIE 1001 MACEDA ST SAMPALOC MANILA BRGY. 504 - 740.00 - 740.00
7-Nov-18 19-1263 IGLESIAS, VIGINIA BLK 34 LOT B NORTHVILLE 2 BIGNAY VALENZUELA CITY - 1,615.00 - 1,615.00
7-Nov-18 19-1264 LUGTU, ANGELA 2141 NATIVIDAD ST STA CRUZ MANILA - 570.00 - 570.00
7-Nov-18 19-1265 LUCAS, LOLITA # 272 QUINTINA ST STA MESA MANILA - 1,115.00 - 1,115.00
7-Nov-18 19-1266 JARDIEL, ANTONIO ISABANG TAYABAS QUEZON PROVINCE - 5,405.00 - 5,405.00
7-Nov-18 19-1267 BUNAYON, ZENAIDA # 181 AREA B GATE 50 PAROLA TONDO MANILA - 740.00 - 740.00
7-Nov-18 19-1268 ALFANTE, MATEO BLK 2 KUDIMA LETRE ROAD TONSUYA MALABON CITY - 1,555.00 - 1,555.00
7-Nov-18 19-1269 BERSAMINA, CORAZON BLK 19 LOT 24 MAGSAYSAY EXT SAN AGUSTIN MALABON - 130.00 - 130.00
7-Nov-18 19-1270 BALAGTAS, SEVERINO 66 INT PASCUAL ST BRGY. TANGOS MALABON CITY - 570.00 - 570.00
7-Nov-18 19-1271 ATIENZA, ELIZABETH LOT 20, SOUTH FAIRWAY HOMES, LANDAYAN SAN PEDRO LAGUNA - 740.00 - 740.00
7-Nov-18 19-1272 VILLAMARTIN, ELSA PADRIGAL ST TRINIDAD COMP KARUHATAN VALENZUELA - 210.00 - 210.00
7-Nov-18 19-1273 FLETA, JEE EMMA B4 LOT 40 VILLA CELESTINA BRGY. MAGSAYSAY SAN PEDRO LAGUNA - 1,535.00 - 1,535.00
Page 21
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
7-Nov-18 19-1274 AURE, MARGARITA 19 M BLAS HULONG DUHAT MALABON CITY - 740.00 - 740.00
7-Nov-18 19-1275 TORRES, ARTURO BLK 10 LOT 11 ROXAS VILLA ELISA IMUS CAVITE - 1,265.00 - 1,265.00
7-Nov-18 19-1276 BOHOL, ANGEL 1281 INT 45 TAMBUNTING ST STA CRUZ MANILA - 530.00 - 530.00
7-Nov-18 19-1277 VERGARA, NELSON # 105 SITIO JASMIN NIUGAN MALABON - 2,495.00 - 2,495.00
7-Nov-18 19-1278 MAGTANUM, GLICERIA B25 F. TAYUMAN ST TONDO MANILA - 740.00 - 740.00
7-Nov-18 19-1279 CATALAN, JOSE JR LOT 8 BLK 13 PHASE 3 KAUNLARAN VILLAGE CALOOCAN CITY - 740.00 - 740.00
7-Nov-18 19-1280 SACRAMENTO, ROSEMARIE 250 JOSEPHINE ST BMBA 3RD AVE CALOOCAN CITY - 3,210.00 - 3,210.00
7-Nov-18 19-1281 PARAFINA, SARAELISA 78 CAYABYAB ST BISIG NG KABATAAN CALOOCAN CITY - 1,235.00 - 1,235.00
7-Nov-18 19-1282 DE VERA, ANGELO # 5 ALLEY 2 REPARO ST BAGONG BARIO CALOOCAN CITY - 1,735.00 - 1,735.00
7-Nov-18 19-1283 BALDISIMO, ERLINDA 48 D STA TERESITA ST DON BOSCO TONDO MANILA - 1,235.00 - 1,235.00
7-Nov-18 19-1284 BUENDIA, SUSAN 1668 VELASQUEZ ST BRGY. 81 TONDO MANILA - 400.00 - 400.00
7-Nov-18 19-1285 BUENDIA, SUSAN 1668 VELASQUEZ ST BRGY. 81 TONDO MANILA - 570.00 - 570.00
7-Nov-18 19-1286 MIRANDA, MARIVIC BRGY. LANGKIWA BIÑAN LAGUNA - 740.00 - 740.00
7-Nov-18 19-1287 PACETE, AURELIO MAHARLIKA QUEZON CITY - 530.00 - 530.00
7-Nov-18 19-1288 YSULAN, EDA BLK 4 L16 ANNEX BELER LIVING BRGY. DON BOSCO PARANAQUE - 400.00 - 400.00
7-Nov-18 19-1289 MARI, ARSENIO # 71 B ELSION GALAS QUEZON CITY - 210.00 - 210.00
7-Nov-18 19-1290 LEYSON, ARIEL 223 MIRASOL ST BALUT TONDO MANILA - 2,235.00 - 2,235.00
7-Nov-18 19-1291 MAJERANO, VINCENT PAUL CANLUBANG CALAMBA CITY LAGUNA - 530.00 - 530.00
7-Nov-18 19-1292 PASCUAL, ROBERTO 104 ROXAS ST. MAGSAYSAY TONDO MANILA - 1,625.00 - 1,625.00
7-Nov-18 19-1293 RODRIGUEZ, ANITA 1925 F VARONA ST TONDO MANILA BRGY. 95 - 1,675.00 - 1,675.00
7-Nov-18 19-1294 PADERNAL, GUILLERMO 118 A ASISTIU ST BRGY. 88 CALOOCAN CITY - 570.00 - 570.00
7-Nov-18 19-1295 BORJA, ESTEFANIA 1241 CASAÑAS ST SAMPALOC MANILA BRGY. 514- 1,800.00 - 1,800.00
7-Nov-18 19-1296 JAMOT, ALBERTO JR SAMPAGUITA ST CLINIC VILLE BF HOMES PARANAQUE CITY - 2,195.00 - 2,195.00
14-Dec-18 19-1297 CARPIO, JOCELYN CATALINA ATIMONAN QUEZON CITY 2,589.80 1,200.00 - 3,789.80
19-Dec-18 19-1298 SANTOS, NELIA PUROK 6 SAMPALOC SAN RAFAEL BULACAN2,689.00 - - 2,689.00
28-Dec-18 19-1299 SOLOMON, MARY JOY BRGY RAWIS LAWANG NORTHERN SAMAR2,589.80 1,200.00 - 3,789.80
18-Dec-18 19-1300 BUSTINERA, CELIA PAJERO ST SUN VALLEY PARAÑAQUE CITY2,332.70 - - 2,332.70
27-Dec-18 19-1301 CABALLES, GILCONIDA IMUS CAVITE 8,251.25 - - 8,251.25
19-Dec-18 19-1302 NECESITO, LIELANI TIBAGAN CAYPOMBO STA MARIA BULACAN 457.25 1,200.00 - 1,657.25
6-Dec-18 19-1303 GUDEZ, EMMY QUIRICADA ST. TONDO MANILA - - 753.44 753.44
6-Dec-18 19-1304 MONCAYO, GENELYN ALARCON ST. MAYSAN VALENZUELA CITY - - 473.60 473.60
4-Jan-19 19-1305 AVELINO, MA. CECILIA CORDERO ST, 2ND AVE CALOOCAN CITY 5,666.00 - - 5,666.00
21-May-18 19-1306 SAN JOSE, CHIQUI HIZON ST. STA CRUZ MANILA 7,813.70 - - 7,813.70
3-Sep-18 19-1307 SALAZAR, EDMUND SAN JOSE NORTHERN SAMAR 6,189.80 - - 6,189.80
12-Nov-18 19-1308 CONDAT, YOLANDA SITIO GULOD MINUYAN PROPER SAN JOSE DEL MONTE BULACAN4,398.70 - - 4,398.70
27-Nov-18 19-1309 PAYNOR, MARCELA 2ND ST. 5TH AVE CALOOCAN CITY 7,265.05 - - 7,265.05
21-Nov-18 19-1310 LINGAD, BELEN DAGUPAN ST. TONDO MANILA 5,223.05 - - 5,223.05
10-Oct-18 19-1311 GARCIA, JOSELLE FELIX HUERTAS ST. STA CRUZ MANILA - - 4,024.52 4,024.52
29-Dec-18 19-1312 SAN LUIS, MARK ANTHONY NEPOMUCENO ST. TONDO MANILA - - 445.90 445.90
19-Dec-18 19-1313 LARA, JOYLYN EMANUEL II DASMA CAVITE - - 4,695.88 4,695.88
20-Dec-18 19-1314 AGAY, CAROLYN TAMBUNTING ST. STA CRUZ MANILA - - 428.87 428.87
19-Dec-18 19-1315 PATRICIO, CHERILYN LOWER EMPIRE PAYATAS QUEZON CITY - - 1,287.57 1,287.57
19-Dec-18 19-1316 VALMONTE, RIO ALGECIRAS ST. SAMPALOC MANILA - - 177.30 177.30
20-Dec-18 19-1317 MEDENA, CRYSTIL JEAN SITIO LIBIS KABATUHAN GEN.T DE LEON VALENZUELA CITY- - 1,892.93 1,892.93
20-Dec-18 19-1318 GACU, BABY JEAN AGPUDLOS SAN ANDRES ROMBLON - - 1,144.03 1,144.03
21-Dec-18 19-1319 MANALO, ABIGAIL PERMANENT HOUSING BALUT TONDO MANILA- - 1,274.54 1,274.54
22-Dec-18 19-1320 BAGAFORO, ANDRIA SITIO PULO ANABU II IMUS CAVITE - - 58.69 58.69
21-Dec-18 19-1321 ASUNCION, MA. DOLORES REA SAMPALOC LIBTONG MEYCUAYAN BULACAN- - 512.30 512.30
21-Dec-18 19-1322 ROBLES, SHANELL REIGN MARIA CLARA ST. STA CRUZ MANILA - - 274.50 274.50
21-Dec-18 19-1323 GONTEÑAS, SHAN KAYE MARIA CLARA ST. STA CRUZ MANILA - - 300.28 300.28
10-Nov-18 19-1324 ROQUE, ZENAIDA CRUZ TANGOS NAVOTAS CITY - - 15,048.93 15,048.93
24-Nov-18 19-1325 RODRIGUEZ, MATEO KAPATIRAN VILLAGE PASONG BUAYA 2 IMUS CAVITE- - 5,980.42 5,980.42
1-Dec-18 19-1326 BUCUD, MARRY GRACE SANTOSNORTH VILLE BIGNAY VALENZUELA CITY - - 12,984.45 12,984.45
1-Dec-18 19-1327 CUIZON, ANGELICA RIZAL ST. MAYPAJO CALOOCAN CITY - - 1,455.97 1,455.97
15-Dec-18 19-1328 SEE, MARY RONNIELEEN KADALAGAHAN ST. GULOD NOVALICHES QUEZON CITY- - 3,303.34 3,303.34
15-Dec-18 19-1329 ULPINA, REBECCA ARROCEROS ST. ERMITA MANILA - - 469.68 469.68
17-Dec-18 19-1330 BAUTISTA, TERESITA MALAGASANG II E IMUS CAVITE - - 677.21 677.21
19-Dec-18 19-1331 TISOY, JERICA POTRERO MALABON CITY - - 437.41 437.41
20-Dec-18 19-1332 DELOS SANTOS, MARITES KAPANALIG CALOOCAN CITY - - 8,403.71 8,403.71
22-Dec-18 19-1333 CLIMACOSA, JENEL PASONG CAMACHILE I GEN. TRIAS CAVITE - - 14,248.35 14,248.35
21-Dec-18 19-1334 REYES, VEREDJETTE DINALAGA CALOOCAN CITY - - 1,903.08 1,903.08
Page 22
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
22-Dec-18 19-1335 DE GUZMAN, EVELYN AMELIA ST. SAMAPALOC STA MESA MANILA - - 1,816.53 1,816.53
27-Dec-18 19-1336 OPIAZA, JOVELYN BAGONG SIBOL CALOOCAN CITY - - 6,198.98 6,198.98
27-Dec-18 19-1337 SANTIAGUEL, LUCILA BUCANDALA II IMUS CAVITE - - 8,639.65 8,639.65
6-Oct-18 19-1338 DE VEGA, NANCY 612 COLOONG I VALENZUELA CITY - - 5,438.91 5,438.91
13-Nov-18 19-1339 VIOVICENTE, ANA ROSE RIVERSIDE ST. SAN RAFAEL VILLAGE NAVOTAS CITY- - 906.15 906.15
13-Nov-18 19-1340 MANAHAN, ROSALINA 613 BALTAZAR ST. TONDO MANILA - - 1,046.05 1,046.05
14-Nov-18 19-1341 BAYQUEN, NOLLIEBELLE BENITA ST. GAGALANGIN TONDO MANILA - - 2,132.55 2,132.55
14-Nov-18 19-1342 MIRANDA, DALICA ALHAPTAP BRGY LANGGAM SAN PEDRO LAGUNA- - 2,321.28 2,321.28
14-Nov-18 19-1343 LOPEZ, ROXEANNE B35 NORHTVILLE 2 VALENZUELA CITY - - 965.40 965.40
20-Nov-18 19-1344 SALES, LOURDES 650 SAN DIEGO ST. SAMPALOC MANILA - - 1,963.02 1,963.02
24-Dec-18 19-1345 MANALO, KATRINA PAMPANGA ST. GAGALANGIN TONDO MANILA - - 4,717.03 4,717.03
25-Dec-18 19-1346 ANCHETA, FRANCISCO EXTRAMADURA ST. SAMPALOC MANILA - - 17,685.42 17,685.42
29-Dec-18 19-1347 TAMBALO, JELLYLYN DANIEL ST. SAN VICENTE ANGONO RIZAL - - 1,864.74 1,864.74
20-Nov-18 19-1348 SAHAC, KYLE SIMON ST. BRGY SAN ANTONIO BALINTAWAK - - 12,950.20 12,950.20
29-Dec-18 19-1349 TURO, CESARIO BAGUMABAYAN TUAO CAGAYAN - - 19,991.73 19,991.73
24-Dec-18 19-1350 BALAORO, MARIA ELIZABETH3RD ST. BRGY 118 CALOOCAN CITY - - 1,349.09 1,349.09
23-Dec-18 19-1351 CERES, TEODOLO STO CRISTO NAGA TIWI ALBAY - - 19,461.68 19,461.68
22-Dec-18 19-1352 CALINAWAN, ELLIJA MAE PUROK 5 ISLA PUTTING BATO TONDO MANILA - - 6,061.22 6,061.22
21-Dec-18 19-1353 ROBLES, REYNA MAE TOWERVILLE GAYA GAYA BULACAN - - 3,636.91 3,636.91
21-Dec-18 19-1354 AQUINO, MARITES RIZAL AVE. STA CRUZ MANILA - - 8,210.68 8,210.68
18-Dec-18 19-1355 RED, ZHYRIEL BLESS UNIDA ST. BACLARAN PARAÑAQUE CITY - - 1,011.01 1,011.01
13-Dec-18 19-1356 IRESARE, ASHLEY TINDALO ST. TONDO MANILA - - 4,550.88 4,550.88
18-Dec-18 19-1357 MANALESE, CAROLYN DE GULA COMP. VALENZUELA CITY 9,813.30 - - 9,813.30
27-Dec-18 19-1358 ANG, VIOLETA GUMAMELA EXT. VALENZUELA CITY 9,769.10 - - 9,769.10
12-Dec-18 19-1359 CASTRO, CRISTINA POLICARPIO ST. SAN JOSE NAVOTAS CITY13,285.10 1,200.00 - 14,485.10
19-Dec-18 19-1360 NUFABLE, INESITA ADELFA ST. NAPICO MANGGAHAN PASIG CITY14,425.40 - - 14,425.40
19-Dec-18 19-1361 BULACAN, ESTELA PUROK 4 LUGAM MALOLOS BULACAN 2,697.15 - - 2,697.15
19-Dec-18 19-1362 BANZUELO, LEONARDO BAYAYA ST. BRGY BUNGAD QUEZON CITY19,637.00 - - 19,637.00
10-Dec-18 19-1363 CABRAL, NOEL ANTONETTE TOWN HOMES MARULAS VALENZUELA CITY2,268.25 - - 2,268.25
20-Dec-18 19-1364 DOCDOCIL, ARCELI MOLINO II BACOOR CAVITE 910.00 - - 910.00
19-Dec-18 19-1365 BALLESTEROS, EMILY PIO MARULAS VALENZUELA CITY 17,862.55 - - 17,862.55
5-Dec-18 19-1366 TOLENTINO, SONIA SABITAN ST. STO ROSARIO MALOLOS BULACAN6,975.05 - - 6,975.05
27-Dec-18 19-1367 HERAMES, ERLINDA SOUTHVILLE 4 STA ROSA LAGUNA 4,588.90 - - 4,588.90
27-Dec-18 19-1368 ANAS, MIRIAM KATIPUNAN ST. BAYAN-BAYAN MALABON CITY9,172.80 - - 9,172.80
28-Dec-18 19-1369 AGNO, DEMETRIO VILLA CAMPO BAGBAGUIN CALOOCAN CITY24,686.80 - - 24,686.80
28-Dec-18 19-1370 MATIAS, NATHANIEL SHIN ALFONSA ST. STA QUITERIA CALOOCAN CITY - - 11,150.00 11,150.00
4-Jan-19 19-1371 MENDOZA, REMEDIOS APOLLO ST. VISTA VERDE CAINTA RIZAL 79,070.25 - - 79,070.25
4-Jun-18 19-1372 ENCISO, MARIFE PASTOR ST. BALUT TONDO MANILA 79,471.61 - - 79,471.61
23-Jul-18 19-1373 ESPIRITU, LIGAYA TAMBUBONG SAN RAFAEL BULACAN 27,756.06 - - 27,756.06
16-Oct-18 19-1374 INGERSO, ALIVER WELFAREVILLE COMP. MANDALUYONG CITY52,884.00 - - 52,884.00
26-Oct-18 19-1375 HOLGADO, LORETA BRGY BANGA TALISAY BATANGAS 79,413.55 1,200.00 - 80,613.55
14-Nov-18 19-1376 SORIANO, ENRIQUE MATUTUM ST. BRGY ST PETER QUEZON CITY27,244.15 - - 27,244.15
15-Nov-18 19-1377 LORENZO, NORBERTA BRGY CABATACAN PUDTOL APAYAO 20,984.25 - - 20,984.25
18-Dec-18 19-1378 BALORO, MARIAM DAGAT-DAGATAN CALOOCAN CITY - - 64,528.82 64,528.82
24-Dec-18 19-1379 BUMATAYO, CRISTINA MISSIONARIES IF CHARITY TAYUMAN ST. TONDO MANILA- - 34,207.93 34,207.93
23-Dec-18 19-1380 BEREZO, GLORIA KARISMA VILLAGE PANGHULO MALABON CITY - - 20,141.84 20,141.84
10-Dec-18 19-1381 SANTOS, FELIMON 72 PAEZ ST. MALABON CITY - - 104,966.01 104,966.01
27-Nov-18 19-1382 DURAN, MICHEL SAN ROQUE BRGY 142 PASAY CITY - - 28,604.37 28,604.37
25-Dec-18 19-1383 ANTONIO, NENITA EVERLASTING HOMES TALON 4 LAS PIÑAS CITY- - 77,768.91 77,768.91
19-Dec-18 19-1384 GUTIRREZ, BONIFACIO SAN FRANCISOC CONCEPCION TARLAC 28,473.15 - - 28,473.15
19-Dec-18 19-1385 BAGUIO, DELIA ROXAS ST. MAGSAYSAY TONDO MANILA 85,192.50 - - 85,192.50
12-Dec-18 19-1386 BALSAMO, ANABEL EMELDA ZAMBOANGA SIBUGAY - - 3,314.87 3,314.87
23-Dec-18 19-1387 MORALES, DOLORES GUMAMELA EXT. VALENZUELA CITY - - 4,908.50 4,908.50
20-Dec-18 19-1388 JABICAN, GERLYN MALAYA ST BRGY 124 TONDO MANILA - - 3,077.71 3,077.71
29-Aug-18 19-1389 SILVA, JAMIA MICHAELLA NBBS NAVOTAS CITY - - 2,350.00 2,350.00
6-Jan-19 19-1390 BUGTONG, ELPEDIO PILI BONIFACIO ALLEN NOTHERN SAMAR - - 3,291.63 3,291.63
6-Jan-19 19-1391 ALFONSO, DANICA BRGY MASAMBONG QUEZON CITY 47.25 - 130.00 177.25
6-Jan-19 19-1392 OCAMPO, DANIELA BRGY MASAMBONG QUEZON CITY - - 130.00 130.00
6-Jan-19 19-1393 QUILANTANG, MARK JOSHUAKAMIAS ST TONDO MANILA - - 1,590.00 1,590.00
6-Jan-19 19-1394 BABANO, ROQUE PNR COMP SAN SAN RD CALOOCAN - - 2,350.00 2,350.00
6-Jan-19 19-1395 ARRIETA, CRISTELYN DULONG ST TUGATOG MALABON CITY - - 530.00 530.00
Page 23
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
6-Jan-19 19-1396 BUMAGAT, RUFINA 4TH AVE CALOOCAN CITY - - 3,933.46 3,933.46
6-Jan-19 19-1397 HERRERA, LOVELY UNIT 224 BALUT TONDO MANILA - - 2,266.13 2,266.13
6-Jan-19 19-1398 MECAYDOR, ANTONETTE LONGOS MALABON CITY - - 1,094.74 1,094.74
6-Jan-19 19-1399 AGUILAR, JENNY ROSE ALMEDA ST TONDO MANILA - - 735.63 735.63
6-Jan-19 19-1400 SANTOS, APLE ALMEDA ST TONDO MANILA - - 810.15 810.15
6-Jan-19 19-1401 VIÑAR, NOEL JOHN JACOB BURGUNDY PATAG STA MARIA BULACAN - - 2,550.70 2,550.70
6-Jan-19 19-1402 ANTONIO, ROSE MARIE BRGY MARINIG CABUYAO LAGUNA - - 1,054.47 1,054.47
6-Jan-19 19-1403 DELA FUENTE, ROLLY CRAIG ST SAMPALOC MANILA - - 2,184.45 2,184.45
6-Jan-19 19-1404 VILLAHERMOSA, CAYO ABULALAS HAGONOY BULACAN 949.50 - - 949.50
6-Jan-19 19-1405 CABERIO, ISABELLA LAVANDEROS ST SAMPALOC MANILA - - 530.00 530.00
6-Jan-19 19-1406 CEPILLO, PRECIOUS JONICAOROQUETA ST STA CRUZ MANILA - - 4,960.00 4,960.00
6-Jan-19 19-1407 ALBA, AEIDAN MATTHEW ALLEY PROJECT 6 QUEZON CITY - - 229.40 229.40
6-Jan-19 19-1408 BAYDAL, GRACE ILLESCAS ST STO CRISTO ANGAT BULACAN - - 699.78 699.78
6-Jan-19 19-1409 COSTALES, JASON KUNDIMAN ST PALTOK QUEZON CITY - - 483.60 483.60
6-Jan-19 19-1410 FRANCISCO, JENAN BRGY ADDITION HILLS MANDALUYONG CITY - - 2,260.13 2,260.13
6-Jan-19 19-1411 TALAO, DOMINADOR MANOTOK ST GAGALANGIN TONDO MANILA - - 424.00 424.00
7-Jan-19 19-1412 SANTOS, MARIBEL TAYUMAN TONDO MANILA 990.00 - - 990.00
7-Jan-19 19-1413 SENGSON, MARIA GERTRUDESDOMINGO ST TANGOS NAVOTAS 3,120.00 - - 3,120.00
7-Jan-19 19-1414 BRILLANTES, CIELO MA CLARA ST CALOOCAN CITY 1,082.55 - - 1,082.55
7-Jan-19 19-1415 LOBA, ESTERLITA PANGAKO ST BAGONG BARRIO CALOOCAN1,134.00 - - 1,134.00
7-Jan-19 19-1416 ABERGOS, AMPARO KAUNLARAN VILL NBBS NAVOTAS 1,544.20 - - 1,544.20
7-Jan-19 19-1417 SUMO, IMELDA BALTAZAR ST CALOOCAN CITY - - 3,058.53 3,058.53
7-Jan-19 19-1418 VICENTE, RENATO PRUDENCIO ST SAMPALOC MANILA - - 1,039.88 1,039.88
7-Jan-19 19-1419 CALMA, MARICAR SAMPAGUITA MARULAS VALENZUELA CITY - - 4,477.32 4,477.32
7-Jan-19 19-1420 RECIDO, MYRNA MERECABAN ST SITIO JUAN PASAY - - 1,707.38 1,707.38
7-Jan-19 19-1421 MASACAYAN, ROSE AGUINALDO ST TALABA BACOOR CAVITE - - 4,335.52 4,335.52
7-Jan-19 19-1422 AUSAN, DALIA BRGY 120 CALOOCAN CITY - - 3,524.38 3,524.38
7-Jan-19 19-1423 DELIMA, REYNALDO LONGOS MALABON CITY - - 644.21 644.21
7-Jan-19 19-1424 ESCLETO, EDILBERTO SAMPAGUITA PARADAHAN I TANZA CAVITE - - 1,080.58 1,080.58
7-Jan-19 19-1425 NODALO, WINNIFREDA PAG ASA ST BAGONG BARRIO CALOOCAN 195.00 - - 195.00
7-Jan-19 19-1426 GARCIA, MARCELO KUNDIMAN ST SAMPALOC MANILA - - 6,631.63 6,631.63
7-Jan-19 19-1427 PASCUAL, ROBERT TANGUILE ST MAYSAN VALENZUELA - - 16,085.61 16,085.61
7-Jan-19 19-1428 MIRANO, ROMAIDA KAMUNING QUEZON CITY 315.00 - - 315.00
7-Jan-19 19-1429 AGOSTO, VICTOR DAGAT DAGATAN CALOOCAN 714.00 - - 714.00
7-Jan-19 19-1430 GAVINO, LEONORA BRGY 651 PORT AREA MANILA 859.50 - - 859.50
7-Jan-19 19-1431 VERZOSA, MARIETA SAN DIEGO ST MARULAS VALENZUELA - - 154,808.43 154,808.43
1-Jan-19 19-1432 LACANDULA, ROILAN SALCEDO II NOVELITA CAVITE - - 175,336.51 175,336.51
1-Jan-19 19-1433 BALUARTE, MA GLAIZA GONZALES BIÑAN LAGUNA - - 35,156.61 35,156.61
1-Jan-19 19-1434 CALLUENG, JEMMALYN RAXABAGO ST TONDO MANILA - - 27,154.28 27,154.28
4-Jan-19 19-1435 LAUZON, ERNESTO BRGY POBLACION 1 GMA CAVITE - - 22,616.67 22,616.67
4-Jan-19 19-1436 FRONDA, SYDNEY TULAY ODIONGAN ROMBLON - - 118,293.83 118,293.83
4-Jan-19 19-1437 BAYOLA, MARIBEL NORTH CEMETERY STA CRUZ MANILA - - 22,200.79 22,200.79
4-Jan-19 19-1438 FRANCIA, ENRICO SAMPAGUITA BUBUCAL STA CRUZ MANILA - - 131,262.81 131,262.81
4-Jan-19 19-1439 MANICAR, IRENE BRGY 343 STA CRUZ MANILA - - 27,174.13 27,174.13
4-Dec-18 19-1440 OMOROG, DEMETRIA BRGY BAGONG BARRIO CALOOCAN CITY - 7,340.00 - 7,340.00
4-Dec-18 19-1441 MURING, JULIE ANN BISIG NG NAYON, CALOOCAN CITY - 2,500.00 - 2,500.00
4-Dec-18 19-1442 JIMENEZ, CRISTINA PRUDENCIA ST. TONDO MANILA - 940.00 - 940.00
4-Dec-18 19-1443 LITA, TEODORO BRGY BENDITA 1 MAGALLANES CAVITE - 900.00 - 900.00
4-Dec-18 19-1444 SALVADOR, FRAHDELYN BRGY SITIO MINO QUEZON CITY - 650.00 - 650.00
5-Dec-18 19-1445 MORALES, CYNTHIA D.ATIS ALLEY CONCHA TONDO MANILA - 2,500.00 - 2,500.00
5-Dec-18 19-1446 MENDOZA, ALONA MALIGAYA ST. PATUBIG MARILAO BULACAN - 2,500.00 - 2,500.00
5-Dec-18 19-1447 TAMBIS, NORBERTO LETRE RD MALABON CITY - 2,500.00 - 2,500.00
3-Dec-18 19-1448 MACALOS, VILMA DAGAT DAGATAN LONGOS MALABON - 640.00 - 640.00
3-Dec-18 19-1449 ABLAT, VIRGILIO L SANTOS ST. TANGOS NAVOTAS CITY - 2,350.00 - 2,350.00
3-Dec-18 19-1450 ALFARO, JUAN ANGELES ST. SAN JOSE NAVOTAS CITY - 650.00 - 650.00
3-Dec-18 19-1451 URAGA, DIONISIA NERVANA ST. TUGATOG MALABON - 530.00 - 530.00
3-Dec-18 19-1452 GERNALDO, ROMEO BARILES ST. NBBS NAVOTAS CITY - 2,650.00 - 2,650.00
3-Dec-18 19-1453 LULU, VIRGINIA MANUNGGAL ST. QUEZON CITY - 860.00 - 860.00
3-Dec-18 19-1454 VERGARA, NELSON SITIO JASMIN NIUGAN MALABON CITY - 770.00 - 770.00
3-Dec-18 19-1455 PURIFICACION, PABLO BAYANIHAN ST. CALOOCAN CITY - 900.00 - 900.00
6-Dec-18 19-1456 MENESES, REYNALDO BRILLANTES ST. CALOOCAN CITY - 940.00 - 940.00
Page 24
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
6-Dec-18 19-1457 ASUNCION, ERAÑO NEW ERA QUEZON CITY - 11,800.00 - 11,800.00
6-Dec-18 19-1458 PARROCHA, JAIME DEL PILAR ST. TINAJEROS MALABON CITY - 770.00 - 770.00
6-Dec-18 19-1459 ARROGANTE, EMELITA JOSE ABAD SANTOS TONDO MANILA - 2,500.00 - 2,500.00
6-Dec-18 19-1460 CONTADO, ALICIA BAGONG SILANG CALOOCAN CITY - 640.00 - 640.00
7-Dec-18 19-1461 GARCIA, ARMANDO LARDIZABAL ST. SAMPALOC MANILA - 2,500.00 - 2,500.00
7-Dec-18 19-1462 PLATA, PATRICIA ALONZO ST. DALAHICAN CAVITE CITY - 2,500.00 - 2,500.00
7-Dec-18 19-1463 PEREZ, MARIA DIALA GIL PUYAT ST. QUIAPO MANILA - 940.00 - 940.00
12-Dec-18 19-1464 OCA, MILAGROS BRGY 25 TONDO, MANILA - 2,500.00 - 2,500.00
12-Dec-18 19-1465 LAURIO, DARWIN JAIME BRGY 649 BASECO PORT MANILA - 530.00 - 530.00
12-Dec-18 19-1466 HERNANDEZ, ZENAIDA AQUINO ST, NIUGAN MALABON CITY - 1,590.00 - 1,590.00
12-Dec-18 19-1467 DULFO, RITA MAGSAYSAY VILLAGE TONDO, MANILA - 530.00 - 530.00
12-Dec-18 19-1468 CRUZ, GERARDO MAPUA ST TONDO MANILA - 3,200.00 - 3,200.00
12-Dec-18 19-1469 SOCORRO, REYNALDO CABUYAO LAGUNA - 2,000.00 - 2,000.00
12-Dec-18 19-1470 TOLENTINO, MARIA RHEA MIGUELIN SAMPALOC MANILA - 1,200.00 - 1,200.00
12-Dec-18 19-1471 VISTA, KURT DAVE BRGY LONGOS MALABON CITY - 1,060.00 - 1,060.00
12-Dec-18 19-1472 TORRECAMPO, JUANITA DIZON ST SANGANDAAN CALOOCAN CITY - 2,500.00 - 2,500.00
12-Dec-18 19-1473 RAMOS, ERNESTO BRGY 223 TONDO MANILA - 530.00 - 530.00
13-Dec-18 19-1474 ENRIQUEZ, IMELDA BRGY CARMEN ROSALES PANGASINAN - 2,000.00 - 2,000.00
13-Dec-18 19-1475 SALVADOR, FRAHDELYN BRGY STO. NIÑO QUEZON CITY - 1,100.00 - 1,100.00
13-Dec-18 19-1476 SANTOS, RONALDO BRGY SAN ROQUE NAVOTAS CITY - 3,700.00 - 3,700.00
13-Dec-18 19-1477 VERANA, ROSE ANTONETTEBRGY 73 CALOOCAN CITY - 2,490.00 - 2,490.00
13-Dec-18 19-1478 ARELLANO, DINNA BRGY 67 TONDO MANILA - 890.00 - 890.00
13-Dec-18 19-1479 BALONGA, FELICIANO TENEJEROS PULILAN BULACAN - 7,340.00 - 7,340.00
13-Dec-18 19-1480 BALONGA, FELICIANO TENEJEROS PULILAN BULACAN - 11,800.00 - 11,800.00
14-Dec-18 19-1481 INOJALES, MAGDALENA HOLY SPIRIT QUEZON CITY - 940.00 - 940.00
18-Dec-18 19-1482 MEDINA, ROBERTO STA MESA MANILA - 900.00 - 900.00
19-Dec-18 19-1483 MATARUNDO, ALFREDO BRGY 132 CALOOCAN CITY - 900.00 - 900.00
19-Dec-18 19-1484 CABILES, EFREN BRGY TINAJEROS MALABON CITY - 2,500.00 - 2,500.00
19-Dec-18 19-1485 SALANDANAN, ESMERALDABRGY APLAYA STA ROSA LAGUNA - 2,500.00 - 2,500.00
19-Dec-18 19-1486 AROJADO, TESSIE BRGY CATMON MALABON CITY - 940.00 - 940.00
19-Dec-18 19-1487 SACDALAN, LEONILA BRGY SAN JOSE BULACAN - 600.00 - 600.00
20-Dec-18 19-1488 DAVID, TITO JR BRGY LOLOMBOY BULACAN - 2,160.00 - 2,160.00
20-Dec-18 19-1489 DAVID, TITO JR BRGY LOLOMBOY BULACAN - 2,000.00 - 2,000.00
20-Dec-18 19-1490 SANTOSIDAD, JOCELYN LAMBAKID MARILAO BULACAN - 820.00 - 820.00
20-Dec-18 19-1491 MILAN, JESUSA MEDICION 2 IMUS CAVITE - 940.00 - 940.00
20-Dec-18 19-1492 CALABUCAL, IGMEDIO OROQUIETA STA CRUZ, MANILA - 770.00 - 770.00
20-Dec-18 19-1493 MAPUTI, ELVIS KAUNLARAN VILLAGE NAVOTAS CITY - 900.00 - 900.00
20-Dec-18 19-1494 LANSANGAN, ROSALIE MAYPAJO CALOOCAN CITY - 740.00 - 740.00
20-Dec-18 19-1495 LANSANGAN, ROSALIE MAYPAJO CALOOCAN CITY - 940.00 - 940.00
20-Dec-18 19-1496 DE MESA, ASTHER BRGY BAYANAN BACOOR CAVITE - 3,100.00 - 3,100.00
21-Dec-18 19-1497 MALATE, MERLINDA BRGY 73 CALOOCAN CITY - 2,500.00 - 2,500.00
21-Dec-18 19-1498 VALDEZ, REBECCA BRGY 43 CALOOCAN CITY - 600.00 - 600.00
21-Dec-18 19-1499 ARAG, FRANCIA DAGAT DAGATAN CALOOCAN CITY - 940.00 - 940.00
21-Dec-18 19-1500 VIÑAS, MARCIAL BRGY 12 CALOOCAN CITY - 900.00 - 900.00
21-Dec-18 19-1501 SAYCO, DANTE CYPRESS VILLAGE QUEZON CITY - 900.00 - 900.00
27-Dec-18 19-1502 VELEZ, ALBERTO BRGY 108 TONDO MANILA - 900.00 - 900.00
27-Dec-18 19-1503 DIONISIO, JAMIL BRGY 325 STA CRUZ MANILA - 1,960.00 - 1,960.00
14-Dec-18 19-1504 DE DIOS, ROSEMARIE DAANGHARI NAVOTAS CITY - 600.00 - 600.00
17-Dec-18 19-1505 VENTURANZA, FLORINDA BRGY 373 STA CRUZ, MANILA - 640.00 - 640.00
17-Dec-18 19-1506 ALBOFINA, VIRGINIA BRGY MANUYO LAS PIÑAS CITY - 3,700.00 - 3,700.00
17-Dec-18 19-1507 PARUNGAO, JOHN MICHAELSAN VICENTE NUEVA ECIJA - 890.00 - 890.00
12-Dec-18 19-1508 REMEGIO, MAICHAEL BAGONG BARRIO CALOOCAN CITY - 2,500.00 - 2,500.00
18-Dec-18 19-1509 ESPINOSA, LETICIA STA CRUZ MANILA - 3,700.00 - 3,700.00
18-Dec-18 19-1510 GUTIERREZ, MADONNA ANTONIO ISIP ST PACO, MANILA - 940.00 - 940.00
18-Dec-18 19-1511 ORBE, ANGELICA BALINTAWAK ST TONDO MANILA - 2,600.00 - 2,600.00
18-Dec-18 19-1512 CASQUEJO, DOMINADOR BRGY LOWER TAGUIG - 12,560.00 - 12,560.00
7-Dec-18 19-1513 MENDOZA, HERLENE LATORRE ST. STA. CRUZ MANILA - 640.00 - 640.00
7-Dec-18 19-1514 MENDOZA, HERLENE LATORRE ST. STA. CRUZ MANILA - 940.00 - 940.00
7-Dec-18 19-1515 FRANCISCO, SUSANA YAKAL ST. PANGARAP VILLAGE CALOOCAN CITY- 2,350.00 - 2,350.00
10-Dec-18 19-1516 JOSEPH, EDMON LAGUNA EXT. TONDO MANILA - 3,860.00 - 3,860.00
10-Dec-18 19-1517 CARIÑO, LEONA SEVILLA ST. TONDO MANILA - 600.00 - 600.00
Page 25
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
10-Dec-18 19-1518 LAURE, EVANGELINE BRGY TANZA II NAVOTAS CITY - 2,680.00 - 2,680.00
10-Dec-18 19-1519 ARPON, ANNALYN RIVERSIDE MALAYAN SUBD. BACOOR CAVITE - 940.00 - 940.00
10-Dec-18 19-1520 CASTRO, FERMINA KARISMAVILLE PANGHULO MALABON CITY - 2,500.00 - 2,500.00
10-Dec-18 19-1521 VASQUEZ, NIEVES LONGOS MALABON CITY - 3,310.00 - 3,310.00
10-Dec-18 19-1522 BUSTAMANTE, ROSALINDA BANAHAW NST. BALUT TONDO MANILA - 990.00 - 990.00
10-Dec-18 19-1523 BAUTISTA, JOSE NORMAN PAROS ALLEY DAGAT-DAGATAN MALABON CITY- 2,500.00 - 2,500.00
11-Dec-18 19-1524 SANTIAGO, JUANITO LIBIS GOCHUICO ST. CALOOCN CITY - 2,500.00 - 2,500.00
11-Dec-18 19-1525 PATOL, VIRGINIA SAN JOSE DEL MONTE BULACAN - 2,500.00 - 2,500.00
11-Dec-18 19-1526 LIM, STEVEN JORDAN GUIJO ST. SAN ANTONIO MAKATI - 990.00 - 990.00
11-Dec-18 19-1527 ALCALA, BERNADETTE TAMBAK I NAVOTAS CITY - 2,600.00 - 2,600.00
11-Dec-18 19-1528 BATHAN, TEODORA BANGIN SAN NICOLAS BATANGAS - 2,500.00 - 2,500.00
11-Dec-18 19-1529 LEE, JOSE EDWIN ASUNCION ST. TONDO MANILA - 5,100.00 - 5,100.00
11-Dec-18 19-1530 DONOGA, NENITA DON MANUEL BALINGASA QUEZON CITY - 2,500.00 - 2,500.00
11-Dec-18 19-1531 DONOGA, NENITA DON MANUEL BALINGASA QUEZON CITY - 570.00 - 570.00
11-Dec-18 19-1532 DE RAMOS, JOHN AERON BALETE SAN NICOLAS BATANGAS - 740.00 - 740.00
11-Dec-18 19-1533 DE RAMOS, JOHN AERON BALETE SAN NICOLAS BATANGAS - 2,600.00 - 2,600.00
27-Dec-18 19-1534 SAMULDE, CRESILDA BRGY SAN VALLEY PARAÑAQUE CITY - 4,800.00 - 4,800.00
27-Dec-18 19-1535 TURAO, JENIFE SITIO MALINIS LAWANG BATO VALENZUELA CITY- 650.00 - 650.00
27-Dec-18 19-1536 MONTESA, CHARMIE DOÑA JUANA SAN AGUSTIN ROMBLON - 770.00 - 770.00
27-Dec-18 19-1537 ORIENZA, SALVACION M.PERALTA ST. CALOOCAN CITY - 940.00 - 940.00
27-Dec-18 19-1538 MENDOZA, VIRGILIO BRGY DON PEDRO MALASIGIN PANGASINAN - 940.00 - 940.00
27-Dec-18 19-1539 PEREZ, MICHAEL P. GUERVARRA ST. STA. CRUZ MANILA - 530.00 - 530.00
28-Dec-18 19-1540 QULAZON, ROGELIO M.NATIVIDAD ST. TONDO MANILA - 900.00 - 900.00
28-Dec-18 19-1541 DEMEPENDAN, JUSTINE OROQUETA ST STA CRUZ MANILA - - 2,065.09 2,065.09
28-Dec-18 19-1542 VILLAR, ALVEN DAGUOAN EXT TONDO MANILA - - 977.70 977.70
28-Dec-18 19-1543 SAMBILE, APHRODITE SAMANTHAGERARDO ST SAMPALOC MANILA - - 530.00 530.00
28-Dec-18 19-1544 FUENTES, EJERCITO KRESA ST STA MESA MANILA - - 1,325.00 1,325.00
28-Dec-18 19-1545 GALVAN, MARIA APPLE OCAMPO ST MALATE MANILA - - 976.20 976.20
28-Dec-18 19-1546 LOPEZ, MEYNARD OROQUETA ST STA CRUZ MANILA - - 1,229.34 1,229.34
28-Dec-18 19-1547 ENCARNACION, MANUEL NOVELETA CAVITE - - 6,043.74 6,043.74
28-Dec-18 19-1548 ARRIETA, CRISTELYN BRONCE ST TUGATOG MALABON - - 660.00 660.00
28-Dec-18 19-1549 MARCEDONIO, HERMIONE ANGELDINALUPIHAN ST TONDO MANILA - - 920.00 920.00
28-Dec-18 19-1550 ADRIANO, NORMA BRGY PINALAGAD VALENZUELA CITY - - 752.00 752.00
28-Dec-18 19-1551 BUSTAMANTE, RAMON BRGY TANYAG TAGUIG CITY - - 1,060.00 1,060.00
28-Dec-18 19-1552 MACHETE, ANGEL RURAL ST GALAS QUEZON CITY - - 2,908.84 2,908.84
29-Dec-18 19-1553 BAYLON, NORA PACHECO ST TONDO MANILA - - 848.00 848.00
28-Dec-18 19-1554 ROQUE, RANNIE GLORIA ST MAYPAJO CALOOCAN - - 2,429.60 2,429.60
28-Dec-18 19-1555 GAUANG, ROMEO 7TH KAMUNING QUEZON CITY 2,215.70 - - 2,215.70
28-Dec-18 19-1556 PALABRICA, JAMES OROQUETA ST STA CRUZ MANILA - 1,000.00 - 1,000.00
28-Dec-18 19-1557 CORDOVA, RADELYN SITIO MANGGAHAN BRGY 171 CALOOCAN CITY996.75 - - 996.75
28-Dec-18 19-1558 DIAMOS, ROWENA BRGY 34 MAYPAJO CALOOCAN 81.00 - - 81.00
28-Dec-18 19-1559 AREVALO, ROMILINA BRGY 505 SAMPALOC MANILA - 1,200.00 - 1,200.00
29-Dec-18 19-1560 CORRALES, ROSALYN 151 CALOOCAN CITY - - 3,143.37 3,143.37
29-Dec-18 19-1561 SANTOS, ALHANNAH GENORO ST THOMAS KARUHATN VALENZUELA- - 1,181.92 1,181.92
29-Dec-18 19-1562 TEODOSIO, ELLIN CAWIT TAAL BATANGAS - - 8,575.80 8,575.80
22-Nov-18 19-1563 MILLEVO, NATIVIDAD BRGY UGONG VALENZUELA CITY - 500.00 - 500.00
12-Dec-18 19-1564 DE JESUS, WINIFREDA BRGY 176 CALOOCAN CITY 79,728.50 - - 79,728.50
12-Dec-18 19-1565 DIEGO, ELIZABETH LUPA MAYPAJO CALOOCAN CITY 24,362.90 - - 24,362.90
27-Dec-18 19-1566 FRANCIA, RAMON KALIMBAS ST STA CRUZ MANILA 25,890.60 - - 25,890.60
4-Dec-18 19-1567 LAURIO, LARRY HERRERA ST IBABA MALABON 26,424.70 - - 26,424.70
3-Dec-18 19-1568 FRANCIA, RAMON KALIMBAS ST STA CRUZ MANILA 26,436.40 - - 26,436.40
11-Dec-18 19-1569 MONTECILLO, AMELIA BRGY RIZAL STA ELENA CAMARINES NORTE80,170.50 - - 80,170.50
4-Dec-18 19-1570 TUAZON, SOLEDAD CONCEPCION MARULAS VALENZUELA CITY27,417.90 - - 27,417.90
4-Dec-18 19-1571 AQUINO, VIRGINIA PABLO ST GTDL VALENZUELA CITY 88,805.10 - - 88,805.10
7-Dec-18 19-1572 VICTORINO, FLORIZA STA MONICA HAGONOY BULACAN 49,058.65 - - 49,058.65
6-Dec-18 19-1573 CAÑETE, DELFA BRGY RIVERSIDE SAN PEDRO LAGUNA 40,165.70 - - 40,165.70
5-Dec-18 19-1574 TOLIDANES, VICTORIA 5TH AVE GRACE PARK CALOOCAN 32,101.45 - - 32,101.45
5-Dec-18 19-1575 PAJARO, PRISCILLA BATO EXT RAXABAGO TONDO MANILA 25,518.25 - - 25,518.25
6-Dec-18 19-1576 MARCELINO, JOSE JR BRGY POTRERO MALABON CITY 24,466.55 - - 24,466.55
4-Dec-18 19-1577 REYES, AGNES GEN LUNA ST SINILOAN LAGUNA 58,792.10 - - 58,792.10
3-Dec-18 19-1578 PRUDENTE, LEONORA LANSONES ST SAN RAFAEL III NOVELETA CAVITE63,180.40 - - 63,180.40
12-Dec-18 19-1579 MAGHACOT, LEAH KATUPARAN VITAS TONDO MANILA 79,806.50 - - 79,806.50
Page 26
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
4-Dec-18 19-1580 ACOBA, WARILYN BRGY SALUBUNGAN SINILOAN LAGUNA 58,792.10 - - 58,792.10
4-Dec-18 19-1581 CANONO, EVELYN PLAPLA ST KAUNLARAN VILL CALOOCAN79,046.95 - - 79,046.95
4-Dec-18 19-1582 AMOROSO, CORAZON HABAY I BACOOR CAVITE 59,046.95 - - 59,046.95
6-Dec-18 19-1583 VALENTE, DOMINGO BRGY SAN ISIDRO CAVITE 26,436.40 - - 26,436.40
10-Dec-18 19-1584 ANTOLIN, VICENTE SAN NICOLAS BACOOR CITY CAVITE - 3,860.00 - 3,860.00
10-Dec-18 19-1585 CABARLES, JESSICA ILANG-ILANG ST.N CALOOCAN CITY - 1,235.00 - 1,235.00
10-Dec-18 19-1586 QUIAZON, MARY JOY BALAGTAS ST. SAN RAFAEL BULACAN - 6,230.00 - 6,230.00
10-Dec-18 19-1587 SAULOG, AMADOR SEVERINO REYES TONDO MANILA - 12,900.00 - 12,900.00
10-Dec-18 19-1588 DEPAYSO, JOSEFINA ANACLETO ST. STA.CRUZ MANILA - 1,235.00 - 1,235.00
10-Dec-18 19-1589 ANGELES, ALEX BERNARDO COMP. PALASAN VALENZUELA CITY- 2,500.00 - 2,500.00
10-Dec-18 19-1590 MURING, JULIE ANN BISIG NG NAYON, CALOOCAN CITY - 5,105.00 - 5,105.00
10-Dec-18 19-1591 CALLEJA, ANITA ESPIRITU ST. TINAJEROS MALABON CITY - 820.00 - 820.00
10-Dec-18 19-1592 NATIVIDAD, ERLINDA VIENTE REALES VALENZUELA CITY - 1,235.00 - 1,235.00
10-Dec-18 19-1593 ONTONG, LAILANI BULWAGAN PALIGAWAN SILANG CAVITE - 5,105.00 - 5,105.00
10-Dec-18 19-1594 GLOR, ANGELINA PINGKIAN, PASONG TAMO QUEZON CITY - 7,340.00 - 7,340.00
10-Dec-18 19-1595 COSNTANTINO, CARMELITAFRANCO NIVADA TONDO MANILA - 360.00 - 360.00
10-Dec-18 19-1596 HERNALIN, MARY ANN ICAMADA DAGAT DAGATAN CALOOCAN CITY - 755.00 - 755.00
10-Dec-18 19-1597 CARDENAS, ELSA VARGAS ST. ANTIPOLO TONDO MANILA - 2,500.00 - 2,500.00
10-Dec-18 19-1598 PASCUAL, CAMIL PERMANENT HOUSING TONDO MANILA - 1,235.00 - 1,235.00
10-Dec-18 19-1599 VASQUEZ, NIEVES LONGOS MALABON CITY - 2,300.00 - 2,300.00
10-Dec-18 19-1600 GABAGAT, DELFIN 6TH AVE. CALOOCAN CITY - 640.00 - 640.00
10-Dec-18 19-1601 FERNANDEZ, JESUSA BUKID MALINDA VALENZUELA CITY - 1,235.00 - 1,235.00
10-Dec-18 19-1602 IBAY, CONSTANTINO NARCISO ST. TONDO MANILA - 1,060.00 - 1,060.00
10-Dec-18 19-1603 PEDRANO, CECIL TANIGUE SAMATADD DAGAT DAGATAN CALOOCAN CITY- 820.00 - 820.00
10-Dec-18 19-1604 LABRAGUE, ANGELICA BRGY 14 CALOOCAN CITY - 210.00 - 210.00
10-Dec-18 19-1605 BARNEDO, JULIET CAYSIO STA. MARIA BULACAN - 650.00 - 650.00
10-Dec-18 19-1606 CASES, MA.ISABEL FELIX HUERTAS STA. CRUZ MANILA - 1,060.00 - 1,060.00
10-Dec-18 19-1607 BALBERAN, DANILO MARCLO ST. MAYSILO VALENZUELA CITY - 1,235.00 - 1,235.00
10-Dec-18 19-1608 AQUINO, JUANITA JASMIN ST. MARULAS VALENZUELA CITY - 415.00 - 415.00
10-Dec-18 19-1609 FRIAS, YAEL DAISY ST. HAPPY LAND TONDO MANILA - 1,060.00 - 1,060.00
10-Dec-18 19-1610 CUACHIN, CHRISTINA 7TH AVE. GRACE PARK CALOOCAN CITY - 1,235.00 - 1,235.00
10-Dec-18 19-1611 GALLO, FREDDIE GEN.TIRONA ST. BAGONG BARRIO CALOOCAN CITY- 2,680.00 - 2,680.00
10-Dec-18 19-1612 PAGALILAYAN, MARY GRACECALACHUCHI ST. TANZA NAVOTAS CITY - 1,235.00 - 1,235.00
10-Dec-18 19-1613 CRUZ, OSCAR MA.GUISON ST. GAGALANGIN TONDO MANILA - 4,800.00 - 4,800.00
10-Dec-18 19-1614 ESTOPACE, OSCAR JR STA. MESA MANILA - 530.00 - 530.00
10-Dec-18 19-1615 MEDEL, JONER HERNANDEZ ST. CATMON MALABON CITY - 7,340.00 - 7,340.00
11-Dec-18 19-1616 MANANSALA, ROD SAN LORENZO RUIZ SAN JOSE CONCEPCION TARLAC- 7,340.00 - 7,340.00
11-Dec-18 19-1617 ARROJADO, JOSE BRGY ARRIENDA TAYTAY RIZAL - 2,000.00 - 2,000.00
11-Dec-18 19-1618 BOLO, MARLYN 5H AVE. CALOOCAN CITY - 1,100.00 - 1,100.00
11-Dec-18 19-1619 CIRIACO, LEONIDA SAN AGUSTIN DASMA CAVITE - 800.00 - 800.00
11-Dec-18 19-1620 KING, NESTOR GEN. T DE LEON VALENZUELA CITY - 2,000.00 - 2,000.00
11-Dec-18 19-1621 PILAPIL, EDNA GOSON LETRE TONSUYA MALABON CITY - 415.00 - 415.00
11-Dec-18 19-1622 GOMEZ, ESTRELITA FAJARDO ST. SAMPALOC MANILA - 1,200.00 - 1,200.00
11-Dec-18 19-1623 PEREZ, DENVER LICO ST. TONDO MANILA - 1,235.00 - 1,235.00
11-Dec-18 19-1624 OVIEDO, ROBIN PADRE PIO PANDI BULACAN - 530.00 - 530.00
11-Dec-18 19-1625 CAGALINGAN, ELAISA ARNALDO II ST. DALAHICAN CAVITE CITY - 5,580.00 - 5,580.00
11-Dec-18 19-1626 LLAMES, FERNANDO JOSE ABAD SANTOS TONDO MANILA - 530.00 - 530.00
11-Dec-18 19-1627 AMPARO, TIRSO PUROK SAMPAGUITA LUCENA QUEZON - 1,000.00 - 1,000.00
11-Dec-18 19-1628 PALLASIGUE, LEONILA 6TH AVE. CALOOCAN CITY - 5,000.00 - 5,000.00
11-Dec-18 19-1629 KABIGTING, ELADIA JUAN LUNA ST. TONDO MANILA - 3,300.00 - 3,300.00
11-Dec-18 19-1630 LORENZO, ELVIRA ILANG-ILANG ST. KARUHATAN VALENZUELA CITY- 840.00 - 840.00
11-Dec-18 19-1631 ROSOS, EDGAR LUZON AVENUE OLD BALARA QUEZON CITY - 1,235.00 - 1,235.00
11-Dec-18 19-1632 ROSOS, EDGAR LUZON AVENUE OLD BALARA QUEZON CITY - 1,045.00 - 1,045.00
11-Dec-18 19-1633 ABECIA, REYNALDO LEGARDA ST. SAMPALOC MANILA - 11,800.00 - 11,800.00
11-Dec-18 19-1634 ROA, LYDIA IBONG PELAK ST. STA.MONICA QUEZON CITY - 270.00 - 270.00
11-Dec-18 19-1635 LUCAS, LOLITA QUINTANA ST. STA. MESA MANILA - 5,105.00 - 5,105.00
11-Dec-18 19-1636 JIMENEZ, MERLINA BRGY SJDM AVE. QUEZON CITY - 1,300.00 - 1,300.00
11-Dec-18 19-1637 BASA, LEONIDAS JR. KADIMA LETRE MALABON CITY - 2,000.00 - 2,000.00
11-Dec-18 19-1638 GABUYO, IGNACIA BANUIN MALITIG QUIRINO ILOCOS SUR - 11,800.00 - 11,800.00
11-Dec-18 19-1639 GASACAO, LOLITA MANONGGAL ST. TATALON QUEZON CITY - 3,300.00 - 3,300.00
11-Dec-18 19-1640 SANTOS, JULIANA SEVERINO REYES ST. STA. CRUZ MANILA - 755.00 - 755.00
Page 27
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
11-Dec-18 19-1641 BAISA, MILAGROS TAYABAS ST. TONDO MANILA - 2,000.00 - 2,000.00
11-Dec-18 19-1642 CLEMENTE, ROSALINDA LIBIS TALISAY DULO CALOOCAN CITY - 1,005.00 - 1,005.00
11-Dec-18 19-1643 YUTIGA, NIMFA RIVERSIDE DON GALO PARAÑAQUE CITY - 6,230.00 - 6,230.00
11-Dec-18 19-1644 JIMENEZ, ELIZALDE SAN GREGORIO CABIAO NUEVA ECIJA - 1,000.00 - 1,000.00
11-Dec-18 19-1645 YAMBAO, ROSARIO CONCEPCION ST. MARULAS VALENZUELA CITY - 1,235.00 - 1,235.00
28-Dec-18 19-1646 ISIP, ARISTOTLE BRGY 212 TONDO MANILA - - 1,411.09 1,411.09
28-Dec-18 19-1647 SARONA, EMELIANA MOLINA VENTRIALES VALENZUELA - - 530.00 530.00
28-Dec-18 19-1648 MANICIA, CARMELITA NEW ANTIPOLO ST. TONDO MANILA 811.50 - - 811.50
28-Dec-18 19-1649 YANZON, PRESCILA GENRAL LUCBAN ST. TONDO MANILA 760.50 - - 760.50
28-Dec-18 19-1650 LUMAGBAS, DARREL QUE GRANDE ST. B-UGONG VALENZUELA CITY - 2,640.00 - 2,640.00
28-Dec-18 19-1651 CACHERO, CARR BENEDICT YUSECO ST. TONDO MANILA 291.00 - - 291.00
28-Dec-18 19-1652 CACHERO, CARR BENEDICT YUSECO ST. TONDO MANILA - 7,800.00 - 7,800.00
28-Dec-18 19-1653 CACHERO, CARR BENEDICT YUSECO ST. TONDO MANILA 2,340.00 - - 2,340.00
28-Dec-18 19-1654 CAJAYON, ROMULFO DAGUPAN ST. TONDO MANILA - 7,800.00 - 7,800.00
28-Dec-18 19-1655 CAJAYON, ROMULFO DAGUPAN ST. TONDO MANILA 2,340.00 - - 2,340.00
28-Dec-18 19-1656 BALADIN, JUN JUN PALANCA ST. SAN MIGUEL MANILA - - 1,923.17 1,923.17
28-Dec-18 19-1657 ANIEL, RONALD GENARO ST. VELASQUEZ TONDO MANILA - - 1,211.53 1,211.53
28-Dec-18 19-1658 OCAMPO, FELICITAS BINITA GAGALANGIN TONDO MANILA - - 2,053.74 2,053.74
28-Dec-18 19-1659 CRUZ, OSCAR NARIA GUIZON ST. GAGALANGIN TONDO MANILA- - 2,972.12 2,972.12
28-Dec-18 19-1660 ROMERO, CERELO 3RD AVE. GRACE PARK CALOOCAN CITY - - 111.30 111.30
28-Dec-18 19-1661 HETEROZA, MERCEDES MALACASAN IMUS CAVITE - - 709.20 709.20
28-Dec-18 19-1662 LIWANAG, DOMINIC MAGSAYSAY ST. TONDO MANILA - - 637.00 637.00
28-Dec-18 19-1663 VEGA, CARLITO OCAMPO ST. SAN ROQUE CAVITE CITY - - 2,481.32 2,481.32
28-Dec-18 19-1664 CASIÑO, PIA GRETCHEN MANANTO ST. NOVALICHES QUEZON CITY - - 312.00 312.00
28-Dec-18 19-1665 GABINAY, CYNTHIA BULACAN ST. RIZAL AVE. STA. CRUZ MANILA - - 344.50 344.50
28-Dec-18 19-1666 INSIGNE, EDGARDO SALENG ST. PROJ.7 QUEZON CITY 213.50 - - 213.50
28-Dec-18 19-1667 CONTRERAS, JUANITO JR. ELIAS ST. STA. CRUZ MANILA - - 1,754.85 1,754.85
28-Dec-18 19-1668 RED, ANGELINA MARVEX DRIVE BALINTAWAK QUEZON CITY - - 424.00 424.00
28-Dec-18 19-1669 MABAG, MILAGROS CANDIDO ST MAPULANG LUPA VALENZUELA CITY520.00 - - 520.00
28-Dec-18 19-1670 BASQUINAS, MICA CABIG NAYON QUEZON CITY - - 903.00 903.00
28-Dec-18 19-1671 GUNGON, FERRAREN MALOLOS ST. BAGONG BARRIO CALOOCAN CITY- - 530.00 530.00
28-Dec-18 19-1672 SOLIMAN, REBECCA NATIVIDAD ST. STA. CRUZ MANILA 987.00 - - 987.00
28-Dec-18 19-1673 MERCADO, GERARDO ISAROG ST. LALOMA QUEZON CITY 1,107.85 - - 1,107.85
28-Dec-18 19-1674 ABANCO, ARION GLEN 3RD WEST CRAME SAN JUAN CITY 83.20 - - 83.20
28-Dec-18 19-1675 DACAYO, KRTISTIAN KAEL STA.CATALINA LALOMA QUEZON CITY - - 1,275.39 1,275.39
28-Dec-18 19-1676 PAO, JOJIE BRGY SAN MIGUEL TANTAY CITY NEGROS OCCIDENTAL- - 1,975.20 1,975.20
28-Dec-18 19-1677 BANTUG, JADE ABBICEL RAHA HUMABON ST. DAANGHARI NAVOTAS CITY- - 402.20 402.20
28-Dec-18 19-1678 ALFARO, JOHN LOUIE ARMOR VILLAGE MAKATI CITY - - 980.15 980.15
28-Dec-18 19-1679 RUADO, MARIBEL JORENZ AVE. TAÑADA SUBD. VALENZUELA CITY- 1,700.00 - 1,700.00
28-Dec-18 19-1680 PALOMA, ELENA ISLA I MARICABAN PASAY CITY 733.20 - - 733.20
28-Dec-18 19-1681 HERUELA, FIDEL ARANETA AVE. POTRERO MALABON CITY 1,006.50 - - 1,006.50
28-Dec-18 19-1682 TOBIO, MYRNA VILLA VISA NORTH BAGOMBONG CALOOCAN CITY909.00 - - 909.00
28-Dec-18 19-1683 ABCEDE, MARILOU PRUDENCIO ST. SAMPALOC MANILA 178.50 - - 178.50
28-Dec-18 19-1684 ORESTE, ANTONINA DAGUPAN ST. TONDO MANILA 859.50 - - 859.50
28-Dec-18 19-1685 NGAYAN, JOSEFINA REGIAN 2 KALSADANG BAGP IMUS CAVITE1,695.30 - - 1,695.30
28-Dec-18 19-1686 PECHAY, MARINA ALTA VISTA HOMES BAESA CALOOCAN CITY714.00 - - 714.00
28-Dec-18 19-1687 PECHAY, LEONARDO ALTA VISTA HOMES BAESA CALOOCAN CITY795.00 - - 795.00
28-Dec-18 19-1688 ANDEZA, FILOMENA ALMAR ST. DAGUPAN TONDO MANILA - 130.00 - 130.00
28-Dec-18 19-1689 BADAL, JOSE ELARDE NORTHVILLE 23 BAGOMBONG CALOOCAN CITY- 400.00 - 400.00
28-Dec-18 19-1690 MOLDON, EUGENIA BRGY KANLURAN ROSARIO CAVITE 550.50 - - 550.50
28-Dec-18 19-1691 RAYMUNDO, APRIL MAE MARILAO BULACAN 143.00 - - 143.00
28-Dec-18 19-1692 RACO, FLORENCE INOCENCIO ST. TONDO MANILA 2,340.00 7,800.00 - 10,140.00
28-Dec-18 19-1693 PATRICIO, ESMIRALDA PASCUAL ST. SAN JOSE NAVOTAS CITY - 1,700.00 - 1,700.00
28-Dec-18 19-1694 HALAYAHAY, CRESENCIA MANAPAIT ST. BRGY TAÑONG MALABON CITY549.00 - - 549.00
28-Dec-18 19-1695 CANDELARIO, CHARINE JOYCEBRGY PINAGSAMA TAGUIG CITY - 1,200.00 - 1,200.00
28-Dec-18 19-1696 PINEDA, KATHLEEN BRGY 696 MALATE MANILA - 130.00 - 130.00
28-Dec-18 19-1697 LEGANSON, GLICERIO GERONIMO ST. SAMPALOC MANILA 3,667.50 - - 3,667.50
28-Dec-18 19-1698 DE LEON, VALENTINO PAYUMO ST. DIZON COMP. NORZAGARAY BULACAN217.90 - - 217.90
28-Dec-18 19-1699 AFRICANO, ROMEO NADERATA ST. CALOOCAN CITY 3,667.50 - - 3,667.50
28-Dec-18 19-1700 RIVERA, JAIME RIVERA ST. TONDO MANILA 429.00 - - 429.00
28-Dec-18 19-1701 PASCUA, EDITHA VERONA ST. TONDO MANILA 1,592.70 - - 1,592.70
Page 28
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
28-Dec-18 19-1702 DE LEON, JOSEPHINE NARA ST. BRGY TAÑONG MALABON CITY 634.40 - - 634.40
28-Dec-18 19-1703 GUILLEN, LEONILENDA RIZAL AVE BRGY 333 STA CRUZ MANILA - 130.00 - 130.00
28-Dec-18 19-1704 GERVACIO, MARY GRACE BRGY TALOLONG LOPEZ QUEZON CITY - - 58,795.65 58,795.65
28-Dec-18 19-1705 RITO, MARILOU BANAWE ST BRGY DOÑA JOSEFA QUEZON CITY - - 168,398.65 168,398.65
28-Dec-18 19-1706 MATIAS, SHERILYN ALFONSA ST STA QUITERIA CALOOCAN - - 59,268.37 59,268.37
28-Dec-18 19-1707 FRANCIA, ENRICO SAMPAGUITA BABAKAL STA CRUZ LAGUNA - - 20,000.00 20,000.00
28-Dec-18 19-1708 BRILLANTES, CHARMAINE BARTOLOME SUBD VALENZUELA - - 48,586.75 48,586.75
28-Dec-18 19-1709 TOLENTINO, AIJEN BRGY SAN ISIDRO RODRIGUEZ RIZAL - - 146,197.73 146,197.73
28-Dec-18 19-1710 REY, ARNEL BRGY MADUYA CARMONA CAVITE - - 28,726.84 28,726.84
28-Dec-18 19-1711 DADIVAS, DANILO QUEZON BLVD STA CRUZ MANILA - - 54,893.76 54,893.76
28-Dec-18 19-1712 OROSCO, ROBERTO BRGY 774 STA ANA MANILA - - 20,458.16 20,458.16
28-Dec-18 19-1713 CONCEPCION, JOSEPH DEL ROSARIO SUBD TAMARAW MARULAS - - 20,036.41 20,036.41
28-Dec-18 19-1714 NAZARIO, ENRIQUE BRGY 130 BARRIO SAN JOSE CALOOCAN - - 68,566.04 68,566.04
28-Dec-18 19-1715 ADORABLE, DUSTYN XAVIERMARULAS ST CALOOCAN CITY - - 36,352.97 36,352.97
28-Dec-18 19-1716 BARANUELO, PATRICIA ANNCRISTOBAL ST TONDO MANILA - - 47,416.22 47,416.22
28-Dec-18 19-1717 NAVARRO, ELAINE JOY TIBAGAN SAN MIGUEL BULACAN - - 166,048.65 166,048.65
28-Dec-18 19-1718 BARRIENTOS, RENATO JR BALLESTEROS ST SAN ROQUE CAVITE CITY - - 64,426.01 64,426.01
28-Dec-18 19-1719 ZARSUELA, NOEL JAVIER ST SAN ANTONIO CAVITE - - 45,731.92 45,731.92
28-Dec-18 19-1720 BUEMIA, JERRY FILOMENA ST MARULAS VALENZUELA - - 106,290.30 106,290.30
28-Dec-18 19-1721 INFANTE, MARK LEE SAMPALOC IV DAMARIÑAS CAVITE - - 69,635.18 69,635.18
28-Dec-18 19-1722 BAUTISTA, SAMUEL DALANDANAN ST BF HOMES PARAÑAQUE - - 56,197.01 56,197.01
28-Dec-18 19-1723 TUDTUD, MELCHIDIS TALAKITOK ST CALOOCAN CITY - - 59,757.68 59,757.68
29-Dec-18 19-1724 BATUIGAS, ROGELIO SAMBAHAYAN RAWIS TONDO MANILA - - 21,804.63 21,804.63
29-Dec-18 19-1725 JIMENEZ, IRENEO BRGY SANPIRUHAN CALOOCAN CITY - - 146,722.60 146,722.60
28-Dec-18 19-1726 ASUNCION, DEBORRAH MAMBURAO OCCIDENTLA MINDORO - - 54,167.32 54,167.32
17-Sep-18 19-1727 RICAFORT, ARNEL B4 L14 TAÑONG MALABON - 570.00 - 570.00
13-Sep-18 19-1728 MALINAO, JENNIFER 1645 A.M HIZON ST STA CRUZ MANILA - 350.00 - 350.00
21-Sep-18 19-1729 NUERA, CHASTINE JOYCE B5 135 CAPULONG ST TONDO MANILA - 600.00 - 600.00
20-Sep-18 19-1730 GUITIERREZ, JOSEFINA 1997 A PAZ ST PACO MANILA - 210.00 - 210.00
24-Sep-18 19-1731 QUIÑO, WINIFREDA 27 GUILLERMO ST NAVOTAS CITY - 770.00 - 770.00
24-Sep-18 19-1732 SANTOS, ELMER VILLA AGUSTIN NOVALICHES QUEZON CITY - 3,700.00 - 3,700.00
24-Sep-18 19-1733 MOBO, CRISELDA M. ROXAS ST POB AKLAN - 1,395.00 - 1,395.00
24-Sep-18 19-1734 MAGNO, RODRIGO 367 ALGICIMOS ST. SAMPALOC MANILA - 210.00 - 210.00
24-Sep-18 19-1735 MESINA, RIA 1631 IMELDA ST BRGY. 108 TONDO MANILA - 870.00 - 870.00
24-Sep-18 19-1736 OBEÑA, AMALIA SAN JOSE STO TOMAS NUEVA ECIJA - 130.00 - 130.00
24-Sep-18 19-1737 LAZO, LARRY BRGY. 88 GRACE PARK CALOOCAN CITY - 2,500.00 - 2,500.00
24-Sep-18 19-1738 MARBELLA, MARILYN BRGY. MALINTA VALENZUELA - 2,500.00 - 2,500.00
20-Sep-18 19-1739 GONZALES,ALISON BRGY. MANRESA QUEZON CITY - 210.00 - 210.00
20-Sep-18 19-1740 PATLONAG, TITO BRGY. TALABA BACOOR CAVITE - 6,230.00 - 6,230.00
20-Sep-18 19-1741 MORALES, CORAZON BRGY. 31 MAYPAJO CALOOCAN CITY - 955.00 - 955.00
19-Sep-18 19-1742 TIU, EFREN B38 L19 F1 DAGTA-DAGATAN CALOOCAN CITY - 570.00 - 570.00
19-Sep-18 19-1743 PEREZ, DANTE GULANG GULANG LUCENA CITY - 2,500.00 - 2,500.00
25-Sep-18 19-1744 PINEDA, RONALDO 922 E QUEZON BLVD SAMPALOC MANILA - 810.00 - 810.00
25-Sep-18 19-1745 DEMCO, DELIA 132 RIMAS POTRERO MALABON CITY - 940.00 - 940.00
26-Sep-18 19-1746 CASTRO, ELSA BETINA ST SAMPALOC MANILA - 400.00 - 400.00
27-Sep-18 19-1747 PONTE, WILFREDO 52 D STO NIÑO ST TONDO MANILA - 2,920.00 - 2,920.00
27-Sep-18 19-1748 DE GUZMAN, DHIANA MAE 107 P BONIFACIO ST BRGY. 77 CALOOCAN CITY - 12,460.00 - 12,460.00
27-Sep-18 19-1749 MAGALLANES, ROGELIO LOT 84 PHASE 1 DAGATDAGATAN CALOOCAN - 1,950.00 - 1,950.00
27-Sep-18 19-1750 CABUÑAG, ILUMINADA 122 NATIVIDAD ST BRGY. 81 CALOOCAN CITY - 570.00 - 570.00
27-Sep-18 19-1751 YTAC, MARLON LOT 14 MALAGASANG IMUS CAVITE - 1,230.00 - 1,230.00
25-Sep-18 19-1752 FLORES, JULIE MARIA ILANG ILANG ST. KATIPUNAN BICUTAN TAGUIG CITY - 1,235.00 - 1,235.00
28-Sep-18 19-1753 CASAL, MYLENE PHASE 6 BLD 2B CAMARIN CALOOCAN CITY - 350.00 - 350.00
28-Sep-18 19-1754 CRUZ, JENNIFER BRGY. HULONG DUHAT MALABON CITY - 500.00 - 500.00
28-Sep-18 19-1755 ELAYAO, EMELITA BLK 29 LOT 8 AREA B CALOOCAN CITY 376.05 - - 376.05
1-Oct-18 19-1756 MULLON, NICANOR CONCEPCION AGUILA ST QUIAPO MANILA - 210.00 - 210.00
1-Oct-18 19-1757 PRESBITERO, JUVY KATAMANAN ST TONDO MANILA - 500.00 - 500.00
2-Oct-18 19-1758 GECITE, JEWEL ROSE PAMPLONA PARK LAS PIÑAS CITY - 680.00 - 680.00
2-Oct-18 19-1759 CUELLO, LYRA MAPAYA 2 SAN JOSE OCCIDENTAL MINDORO - 350.00 - 350.00
5-Oct-18 19-1760 DIEGO, ELIZABETH BRGY 38 MAYPAJO CALOOCAN CITY - 1,215.00 - 1,215.00
5-Oct-18 19-1761 EUGENIO, NATIVIDAD BADEO 5 TANZA I NAVOTAS CITY - 11,800.00 - 11,800.00
5-Oct-18 19-1762 TORRES, ARNOLD BRGY 154 TONDO MANILA - 1,205.00 - 1,205.00
Page 29
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
1-Oct-18 19-1763 FLORENDO, FRANCISCA J NOPMOCENO ST. QUIAPO MANILA 376.05 - - 376.05
4-Oct-18 19-1764 LEROY, LEONARDO B19 LOT 20 LOMA DE GATO MANILA - 11,800.00 - 11,800.00
4-Oct-18 19-1765 ATCHUELA, DAVID 42 VILLA MARTINES BAUTISTA ST. PANGHULO MALABON CITY - 615.00 - 615.00
4-Oct-18 19-1766 DELA CRUZ, LOURDES 1283 INT 20 TAMBUNTING ST BRGY. 375 STA CRUZ MANILA - 840.00 - 840.00
4-Oct-18 19-1767 GOBES, MA. TERESA BRGY. NBBS NAVOTAS CITY - 2,810.00 - 2,810.00
4-Oct-18 19-1768 ANG, ROLANDO 157 MA, CLARA ST 4TH AVE BRGY. 119 CALOOCAN CITY - 19,140.00 - 19,140.00
4-Oct-18 19-1769 YU, JANNINE 2031 BALINTAWAK EXT TONDO MANILA - 350.00 - 350.00
5-Oct-18 19-1770 LAXAMANA, LANY 261 K NAGKAISA ST BATASAN HILL QUEZON CITY - 500.00 - 500.00
5-Oct-18 19-1771 TORRES, CRIZZA MAE 288 CRISTOBAL ST SAMPALOC MANILA - 500.00 - 500.00
5-Oct-18 19-1772 AGAWIN, ALFONSO BRGY. SUBA CUYO PALAWAN - 650.00 - 650.00
5-Oct-18 19-1773 RODRIGUEZ, ERLINDA 1572 ALGECIRAS ST SAMPALOC MANILA - 1,300.00 - 1,300.00
3-Oct-18 19-1774 DICHOSO, ALONZO MAYA-MAYA ST. TONDO MANILA - 940.00 - 940.00
3-Oct-18 19-1775 PANADERO, ROGELIO TALDTAD ST TONDO MANILA - 900.00 - 900.00
3-Oct-18 19-1776 RIVERA,PATRICIA BRGY. TANGOS NAVOATS CITY - 1,460.00 - 1,460.00
3-Oct-18 19-1777 DAYAGANON, ROSARIO BRGY. 46 4TH AVENUE CALOOCAN CITY - 940.00 - 940.00
8-Oct-18 19-1778 GASPALINAO, ELIZABETH 1248 C TUAZON SAN ANDRESS MALATE MANILA - 2,505.00 - 2,505.00
8-Oct-18 19-1779 OLIVEROS, JOY 31 SAMPAGUITA ST MARULAS VALENZUELA - 1,660.00 - 1,660.00
8-Oct-18 19-1780 GOMEZ, ESTRELLITA 1600 INT 15 J FAJARDO SAMPLOC MANILA - 2,005.00 - 2,005.00
8-Oct-18 19-1781 CAÑETE, MARCELINA 42 SITIO PAJO BAESA QUEZON CITY - 2,320.00 - 2,320.00
8-Oct-18 19-1782 REPASO, JUVY BRGY. 649 BASECO PORT AREA MANILA - 890.00 - 890.00
8-Oct-18 19-1783 DEL MONTE, ESTER PH2 BLK3 SOUTH 3 MUNTINLUPA CITY - 1,455.00 - 1,455.00
3-Oct-18 19-1784 SUPSUPIN, DENNIS 13 GEN TINIO ST LALOMA QUEZON CITY - 900.00 - 900.00
10-Oct-18 19-1785 MACALINAO, WILFREDO 1543 A A RIVERA ST TONDO MANILA - 2,565.00 - 2,565.00
10-Oct-18 19-1786 MALAPIRA, TERESITA 1041 L DAGUPAN EXT TONDO MANILA - 2,500.00 - 2,500.00
10-Oct-18 19-1787 MALTO, REYNALDO 701 A ALFONSO ST SAMPALOC MANILA - 2,500.00 - 2,500.00
10-Oct-18 19-1788 DAMO, LYRA MARI BLK 36 LOT 3 APITONG ST ANABU II IMUS CAVITE - 2,500.00 - 2,500.00
10-Oct-18 19-1789 MARIN, FEDERICO 74 DALIA ST BAGONG BARIO CALOOCAN CITY - 630.00 - 630.00
10-Oct-18 19-1790 MARIN, FEDERICO 74 DALIA ST BAGONG BARIO CALOOCAN CITY - 680.00 - 680.00
10-Oct-18 19-1791 GALIDO, BERNARDO SR BRGY. BALINGASA BALINTAWAK QUEZON CITY - 805.00 - 805.00
10-Oct-18 19-1792 BERNABE, ANALIZA BRGY. 26 TONDO MANILA - 400.00 - 400.00
10-Oct-18 19-1793 URSAL, ARSULO NAGPAYUNG PINAGBUHATAN PASIG CITY - 400.00 - 400.00
9-Oct-18 19-1794 AMPONIN, ROMULO TOPLIDE MARIVELES BATAAN - 770.00 - 770.00
9-Oct-18 19-1795 MACALOOD, VIOLETA 74 EMS BO MARULAS VALENZUELA CITY - 1,020.00 - 1,020.00
5-Oct-18 19-1796 ORTEGA, DAISY 1739 KALIMBAS ST MALABON CITY - 2,500.00 - 2,500.00
9-Oct-18 19-1797 CABAGTONG, GILDA BRGY. 820 PACO MANILA - 235.00 - 235.00
9-Oct-18 19-1798 YAP, ANTONIO BRGY. BAGONG PAG ASA QUEZON CITY - 1,110.00 - 1,110.00
9-Oct-18 19-1799 DEL ROSARIO, OSCAR 332 A MABINI ST BRGY 19 CALOOCAN CITY - 530.00 - 530.00
9-Oct-18 19-1800 LORICA, MILA # 343 KALAYAAN BAGONG BARIO CALOOCAN CITY - 1,555.00 - 1,555.00
10-Oct-18 19-1801 CHING, HENRY 658 H LOPEZ BRGY 147 TONDO MANILA - 900.00 - 900.00
31-Jul-18 19-1802 MARIANO, JASON 783 SONS ST GAGALANGIN TONDO MANILA - 530.00 - 530.00
10-Oct-18 19-1803 GARCIA, GENE 1214 DM CMP BRGY. 73 CALOOCAN CITY - 6,000.00 - 6,000.00
10-Oct-18 19-1804 REBAGODA, CYNTHIA POTRERO MALBON CITY - 2,820.00 - 2,820.00
11-Oct-18 19-1805 HERNANDEZ, JENNIFER 773 KAGANDHAN ST GAGALANGIN TONDO MANILA - 1,430.00 - 1,430.00
11-Oct-18 19-1806 MAGCURO, DOMINGO BLK 5 C29 PH 2 A3 DAGAT DAGATAN CALOOCAN CITY - 740.00 - 740.00
11-Oct-18 19-1807 GALAROZA, JUSTINE BRYAN 186 P.B MENDOZA ST BRGY. ERMITANO SAN JUAN CITY - 530.00 - 530.00
11-Oct-18 19-1808 PALMARES, LORMY 203 QUEZON ST BRGY. 99 TONDO MANILA - 3,705.00 - 3,705.00
11-Oct-18 19-1809 CAGUIOA, WILFREDO 25-C ORCHID ST SAN MIGUEL PASIG CITY - 210.00 - 210.00
11-Oct-18 19-1810 CAGUIOA, WILFREDO 25-C ORCHID ST SAN MIGUEL PASIG CITY - 400.00 - 400.00
11-Oct-18 19-1811 RELOSA, RIZALYN 616 MAGALLANES ST INTRAMUROS MANILA - 210.00 - 210.00
11-Oct-18 19-1812 FRANCISCO, EMMA BRGY. YAKAL CATARMAN SAMAR - 645.00 - 645.00
11-Oct-18 19-1813 TAN, RIALYNN 70 C VICTORY AVE BRGY. TATALON QUEZON CITY - 500.00 - 500.00
12-Oct-18 19-1814 MERCADAL, AMELIA 80 PARADA VALENZUELA CITY - 400.00 - 400.00
11-Oct-18 19-1815 DIMLA, REYNALDO FO5 KAPITBAHAYAN, NAVOTAS CITY - 650.00 - 650.00
11-Oct-18 19-1816 MALIT, ROLAND 1547 YAKAL ST TONDO MANILA BRGY. 257 - 210.00 - 210.00
11-Oct-18 19-1817 BAYABORDA, OLIMPIA PARAISO CALATAGAN BATANGAS - 2,040.00 - 2,040.00
12-Oct-18 19-1818 PEREZ, EDGARDO 2024 MALATE MANILA - 900.00 - 900.00
12-Oct-18 19-1819 LAGUMAY, LEONARDO BLK 5 LOT 18 STA MARIA BULACAN - 970.00 - 970.00
12-Oct-18 19-1820 MENDAROS, ANN LINDSEY 2188 KANLURAN ST TONDO MANILA - 500.00 - 500.00
12-Oct-18 19-1821 TORRES, MARY GRACE BRGY. PILAN COMP MARCOS HIGHWAY BAGUIO CITY - 1,575.00 - 1,575.00
12-Oct-18 19-1822 DELLOSA, FLORINDA 2000 B JOSE ABAD SANTOS STA MESA MANILA - 1,295.00 - 1,295.00
12-Oct-18 19-1823 PAGLINAWAN, VIVENCIA BRGY. BUCANA SASAHAR NAIC CAVITE - 19,140.00 - 19,140.00
Page 30
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
12-Oct-18 19-1824 LOPEZ, GLORIA 991 INT 12 MOROY ST BRGY. 198 TONDO MANILA - 990.00 - 990.00
12-Oct-18 19-1825 BONAGUA, ANABELL 1164 TAGUMPAY ST TONDO MANILA - 2,035.00 - 2,035.00
12-Oct-18 19-1826 NAVARRO, ELEUTERIA 1485 FUGOSO ST STA CRUZ MANILA - 1,310.00 - 1,310.00
15-Oct-18 19-1827 CAPELLAN, FLORENCIO ALMANZA DOS PUGAD LAWIN LAS PIÑAS CITY 376.05 2,000.00 - 2,376.05
15-Oct-18 19-1828 CAMILON, JULIANA BRGY. LONGOS MALABON CITY - 740.00 - 740.00
15-Oct-18 19-1829 VALDEZ, ALBERTO 2101 DAGUPAN EXT TONDO MANILA - 1,590.00 - 1,590.00
15-Oct-18 19-1830 CASTAÑEDA, ANGELICA BRGY. 105 TONDO MANILA - 500.00 - 500.00
15-Oct-18 19-1831 VILLAMIN, RONQUILLO PINAGBUHATAN PASIG CITY - 400.00 - 400.00
15-Oct-18 19-1832 SEVILLA, JULIO JR 1773 P TOLENTINO ST SAMPALOC MANILA - 1,325.00 - 1,325.00
15-Oct-18 19-1833 GABRIEL, LEVIE JEAN 285 KABATUHAN RD BRGY. 168 DEPARO CALOOCAN - 500.00 - 500.00
15-Oct-18 19-1834 JOSE, JULETA BRGY. PAG ASA MOLINO 5 BACOOR CAVITE - 650.00 - 650.00
15-Oct-18 19-1835 MALINAO, JENNIFER BRGY. 339 STA CRUZ MANILA - 500.00 - 500.00
15-Oct-18 19-1836 PADUA, MA. LOLITA 1316 I CAVITE ST BRGY. 219 TONDO MANILA - 1,670.00 - 1,670.00
15-Oct-18 19-1837 NICANOR, HELEN TUGATOG MALABON - 1,740.00 - 1,740.00
15-Oct-18 19-1838 PELOBELLO, BRIGIDO BRGY. 75 CALOOCAN CITY - 1,310.00 - 1,310.00
16-Oct-18 19-1839 SARRO, LILIBETH 1208 ALGUE ST BRGY. 259 TONDO MANILA - 2,145.00 - 2,145.00
16-Oct-18 19-1840 BABAILAN, REGINA 106 D ALASKA ALLEY BAGONG BARIO CALOOCAN CITY - 740.00 - 740.00
16-Oct-18 19-1841 ALONZO, IRENE 1258 HAISE ST BRGY. MOONWALK PARANAQUE CITY - 500.00 - 500.00
15-Oct-18 19-1842 GALLEGO, MA. TERESA BLK 1 LOT 336 NORTH VILLE BAYUGO BULACAN - 2,815.00 - 2,815.00
12-Jan-19 19-1843 ALIÑO, GEMMA SAMPALOC II DASMARIÑAS CAVITE - - 4,324.59 4,324.59
12-Jan-19 19-1844 IMBAT, ROBERTO SAWATA AREA I MAYPAJO CALOOCAN - - 5,427.19 5,427.19
12-Jan-19 19-1845 CORONEL, NONITO JOSEFINA ST 4TH AVE CALOOCAN - - 424.00 424.00
12-Jan-19 19-1846 SUAREZ, REN REN TALISAY ST TONDO MANILA - - 572.59 572.59
12-Jan-19 19-1847 PIGOS, JHUNJAY BRGY 198 TONDO MANILA - - 274.30 274.30
12-Jan-19 19-1848 DACLAN, NOIME LIMAY ST HERMOSA TONDO MANILA - - 152.10 152.10
12-Jan-19 19-1849 MARCOS, MARTIN GEN SAN MIGUEL CALOOCAN - - 4,374.55 4,374.55
12-Jan-19 19-1850 RONQUILLO, JORAN BRGY TALABA BACOOR CAVITE - - 600.00 600.00
12-Jan-19 19-1851 ABEJERO, WILFREDO PANGAKO ST BAGONG BARRIO CALOOCAN - - 1,060.00 1,060.00
13-Jan-19 19-1852 CLIDORO, OPEL MASIPAG ST BAGONG BARRIO CALOOCAN - - 9,694.96 9,694.96
13-Jan-19 19-1853 NACORDA, ALFREDO SAMPALOC ST GTDL VALENZUELA - - 3,161.23 3,161.23
13-Jan-19 19-1854 CALZADA, KASHMIR GARCIA ST MORIONES TONDO MANILA - - 2,010.00 2,010.00
13-Jan-19 19-1855 GAURINO, MARIONNE BACO ST TERESITA QUEZON CITY - - 920.00 920.00
13-Jan-19 19-1856 SALANGA, ALVIN JUDGE ROLDAN ST SAN ROQUE NAVOTAS 737.10 - 530.00 1,267.10
13-Jan-19 19-1857 TADIA, JONATHAN JULIAN FELIPE ST CALOOCAN CITY - - 1,840.00 1,840.00
13-Jan-19 19-1858 PASAOL, ARLYN MABUHAY HOMES DASMARIÑAS CAVITE - - 1,856.24 1,856.24
13-Jan-19 19-1859 NACHOR, WELVIN LICO ST TONDO MANILA - - 1,460.74 1,460.74
13-Jan-19 19-1860 ESRAEL, MARIA CRISTINA KARLKAUNLARAN VILL NBBS NAVOTAS - - 1,056.96 1,056.96
13-Jan-19 19-1861 MILLER, MAY ANN KAGITINGAN ST TONDO MANILA - - 920.00 920.00
13-Jan-19 19-1862 LUCIANO, CRISANTO LEONGSON EXT SAN ROQUE NAVOTAS - - 599.14 599.14
13-Jan-19 19-1863 DOMINGO, STEPHEN KHYLEREGAL HOMES SUBD ALAPAN IMUS CAVITE 737.10 - 1,753.30 2,490.40
13-Jan-19 19-1864 MANALO, JERVEE BRGY MANRESA QUEZON CITY - - 530.00 530.00
13-Jan-19 19-1865 ANGELES, JEOVANIE DRAKETAYUMAN ST STA CRUZ MANILA - - 1,060.00 1,060.00
13-Jan-19 19-1866 MARIANO, VERONICA NATHALIEMAYSILO MALABON CITY - - 229.30 229.30
9-Jan-19 19-1867 VIDAL, MYRNA ASUNCION ST CALOOCAN CITY - - 9,166.29 9,166.29
12-Jan-19 19-1868 ADRIANO, NORMA PINALAGAD ST MALINTA VALENZUELA - - 16,852.21 16,852.21
13-Jan-19 19-1869 TABORADA, QUEENCY AJ QUINTOS ST SAN JOSE NAVOTAS - - 1,060.00 1,060.00
13-Jan-19 19-1870 CALDERON, ZENAIDA SANCHEZ ST CALOOCAN CITY 666.40 - 3,400.00 4,066.40
13-Jan-19 19-1871 LANON, NIÑO LOOC CALAMBA LAGUNA - - 18,237.23 18,237.23
13-Jan-19 19-1872 ARCEGA, MARILYN CALIBUYO TANZA CAVITE - - 17,681.62 17,681.62
13-Jan-19 19-1873 MANIEGO, CAMILLE NAVAL ST SIPAC ALMACEN NAVOTAS - - 1,749.00 1,749.00
1-Jan-19 19-1874 AGUILAR, ANICIA JOSE ABAD SANTOS TONDO MANILA - - 33,479.55 33,479.55
4-Jan-19 19-1875 PAGUIA, MARISSA KALAYAAN BAGONG BARRIO CALOOCAN - - 64,598.86 64,598.86
1-Oct-19 19-1876 MORADA, JANICE SAMAFA FAIRVIEW - - 56,512.08 56,512.08
10-Jan-19 19-1877 VILLEGAS, ROEL ALVAREZ EXT TONDO MANILA - - 59,857.17 59,857.17
10-Jan-19 19-1878 ARAGON, SALVADOR 11TH AVE CALOOCAN CITY - - 51,458.05 51,458.05
7-Jan-19 19-1879 ARMAMENTO, ZENAIDA GUIS GUIS SARYAYA QUEZON - - 21,368.86 21,368.86
11-Jan-19 19-1880 NEPOMUCENO, PEDRICO SANTOS ST PANGHULO OBANDO BULACAN - - 21,138.04 21,138.04
11-Jan-19 19-1881 CABUENAS, JOEL BAUTISTA ST UGONG VALENZUELA - 23,100.00 - 23,100.00
11-Jan-19 19-1882 PAJANUSTAN, CESAR IWAYAN ORAS EASTERN SAMAR - - 49,922.30 49,922.30
11-Jan-19 19-1883 CALILUNG, DARVIN SAN URBANO EMMALIS VIL LAS PIÑAS - - 45,443.44 45,443.44
11-Jan-19 19-1884 BUHIA, ALHEN SAMBAHAYANAN RAWIS TONDO MANILA - - 25,795.35 25,795.35
Page 31
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
11-Jan-19 19-1885 MADRIGAL, NICOLE EAST GOLDEN RD TAGAYTAY - - 33,434.48 33,434.48
13-Jan-19 19-1886 REYES, MELCHOR CORAL ST BANGKUSAY TONDO MANILA - - 41,745.07 41,745.07
12-Jan-19 19-1887 VILLATE, MAGIN CAMIA MATAO SILANGAN LUCENA QUEZON - - 45,756.74 45,756.74
12-Jan-19 19-1888 GAUFO, TEOFILA CAMELLA WOOD SAN PEDRO LAGUNA - - 28,945.28 28,945.28
11-Jan-19 19-1889 CONCEPCION, DERLY BANAHAW ST BALUT TONDO MANILA - - 113,010.58 113,010.58
10-Jan-19 19-1890 DE GUZMAN, LEONARDA LAPU LAPU CAMARIN CALOOCAN - - 210,484.73 210,484.73
10-Jan-19 19-1891 BAÑAGA, DOROTEA BRGY. MEMIJE GMA CAVITE - - 3,257.72 3,257.72
10-Jan-19 19-1892 CUEBILLAS, PURIFICATION BRGY. SAN ANTONIO SAN PEDRO LAGUNA - - 2,673.25 2,673.25
10-Jan-19 19-1893 BARTOLO, SOCRATES VILOC SUB LAWA BULACAN - - 11,531.15 11,531.15
10-Jan-19 19-1894 EVANGELISTA, ANGELITA SITIO 2 BRGY. LAGUNA - - 6,232.27 6,232.27
10-Jan-19 19-1895 LONGCANAYA, MAYOLITA LAYASI, CAVINTI LAGUNA - - 5,095.13 5,095.13
10-Jan-19 19-1896 VILLEGAS, MARY ANN 1601 PITONG GATANG ST. TONDO MANILA - - 1,253.31 1,253.31
10-Jan-19 19-1897 AQUINO, MANRIN NORTHVILLE BAGONGBONG CALOOCAN CITY - - 6,543.52 6,543.52
10-Jan-19 19-1898 BALANA, DEANNE ROSE 40 VICTORY ST. TATALON QUEZON - - 386.14 386.14
10-Jan-19 19-1899 TUBALLAS, MARY JOY 70 C VICTORINO AVE TATALON QUEZON CITY - - 1,013.26 1,013.26
10-Jan-19 19-1900 DIMA, ANIMA BRGY. 363 STA CRUZ MANILA - - 8,336.84 8,336.84
10-Jan-19 19-1901 BAYLON, JAYA MARIE LORETO ST. SAMPALOC MANILA - - 8,438.92 8,438.92
10-Jan-19 19-1902 EBREO, JARICK CRISTOFF MIGUELLORETO ST. SAMPALOC MANILA - - 255.00 255.00
10-Jan-19 19-1903 PAROHINOG, HENESEE 786 SEVINA ST. BINONDO MANILA - - 258.75 258.75
10-Jan-19 19-1904 OCAMPO, NATHAN CORAL ST. DAGUPAN TONDO MANILA - - 319.34 319.34
10-Jan-19 19-1905 UDAGAWA, ROSEMARY 1198 MASINOP ST. TONDO MANILA - - 82.23 82.23
10-Jan-19 19-1906 DUEZAN, LIZA BRGY. 649 PORT AREA MANILA - - 1,406.74 1,406.74
10-Jan-19 19-1907 DUEZAN, LIZA BRGY. 649 PORT AREA MANILA - - 523.44 523.44
10-Jan-19 19-1908 CHATO, JULIUS LRC COMP RECTO MANILA 491.40 - 1,060.00 1,551.40
10-Jan-19 19-1909 RABO, MARY ROSE BRGY. 106 TONDO MANILA - - 1,352.59 1,352.59
10-Jan-19 19-1910 FIGUEROA, RON JERIC 1929 BALINTAWAK EXT TONDO MANILA - - 1,060.00 1,060.00
10-Jan-19 19-1911 BABANO, ROGELIO PNR COMP CALOOCAN CITY 143.00 - 1,590.00 1,733.00
10-Jan-19 19-1912 RIVERA, ACE MAGSAYSAY TONDO MANILA - - 2,120.00 2,120.00
10-Jan-19 19-1913 BALBIN, JANALYN BRGY. SAN DIONISIO PARANAQUE CITY - - 342.75 342.75
10-Jan-19 19-1914 MONTEBON, TERESITA 30 KABESANG SEGUNDO SAN ISIDRO 1,422.80 - - 1,422.80
10-Jan-19 19-1915 ABELLO, EDGAR PANAPAAN 3 CITY OF BACOOR CAVITE 883.00 - - 883.00
10-Jan-19 19-1916 NATIVIDAD, ELENA STA. QUITERIA CALOOCAN CITY 1,152.00 - - 1,152.00
10-Jan-19 19-1917 DELA PEÑA, VICTORIA KAUNLARAN VILLAGE CALOOCAN CITY 1,087.50 - - 1,087.50
10-Jan-19 19-1918 GONZALES, KATHLEEN ROSE MAYPAJO CALOOCAN CITY 366.60 - - 366.60
10-Jan-19 19-1919 LOBA, RONALDO PANGAKO ST. BAGONG BARIO CALOOCAN 826.00 - - 826.00
10-Jan-19 19-1920 PIÑON, MARY ANN 917 KUSANG LOOB STA CRUZ MANILA 1,308.00 - - 1,308.00
10-Jan-19 19-1921 LOBA, ESTERLITA PANGAKO ST. BAGONG BARIO CALOOCAN 859.50 - - 859.50
10-Jan-19 19-1922 MENESES, REYNALDO CAMARIN RESEDENCE CALOOCAN CITY 145.50 - - 145.50
10-Jan-19 19-1923 JABAGATON, ENRIQUE BRGY. 175 CAMARIN CALOOCAN CITY 694.50 - - 694.50
10-Jan-19 19-1924 EGIA, GLENN 11 AGUDO ST. SAN JOSE QUEZON CITY 81.00 - - 81.00
10-Jan-19 19-1925 DELA CRUZ, ANGELI 49 A BONIFACIO TUGATOG MALABON - 1,200.00 - 1,200.00
10-Jan-19 19-1926 LORENZO, GLORIA BAGONG SILANG CALOOCAN CITY 519.00 - - 519.00
10-Jan-19 19-1927 AGAO, PIO BRGY. SAN ANTONIO SAN PEDRO LAGUNA 987.00 - - 987.00
10-Jan-19 19-1928 DIO, TOMAS GOMBURZA ST. PARANAQUE CITY - - 490.79 490.79
10-Jan-19 19-1929 BELTRAN, NELITA SAN JOSE MONTALBAN RIZAL 375.00 - 890.00 1,265.00
10-Jan-19 19-1930 DIONELA, ORLANDO BRGY. INCHIKAN SILANG CAVITE - - 2,340.92 2,340.92
10-Jan-19 19-1931 SALES, LEA BRGY. SALUYO QUEZON CITY - - 2,001.27 2,001.27
10-Jan-19 19-1932 DE LUNA, TIMOTHY CLLOYD BRGY. CATMON MALABON - - 2,350.00 2,350.00
10-Jan-19 19-1933 CAMINONG, ALEJANDRA 83 LALLANA EXT TONDO MANILA 1,122.00 - - 1,122.00
10-Jan-19 19-1934 BAGAT, REYNALDO INT 34 BO BANASA PANDACAN MANILA 563.30 - - 563.30
10-Jan-19 19-1935 DE MESA, MARICAR POTRERO MALABON CITY - - 870.00 870.00
10-Jan-19 19-1936 CLAVERIA, MARLYN 375 MATIISI TONDO MANILA - - 3,929.54 3,929.54
10-Jan-19 19-1937 TERTE, KHALIL TRISTAN 539 INT GULAYAN CATMON MALABON - - 1,798.63 1,798.63
10-Jan-19 19-1938 ATIENZA, ROSALIE RIZAL ST. ZONE 12 TAAL BATAGAS 897.00 - - 897.00
10-Jan-19 19-1939 CRUTO, ANNA ROSE BRGY. BASBAS QUEZON CITY - - 741.40 741.40
10-Jan-19 19-1940 GALANO, MICHAEL BRGY. 94 TONDO MANILA - - 1,336.05 1,336.05
10-Jan-19 19-1941 BAGACINA, MICHELLE DAGAT DAGATAN CALOOCAN CITY - - 1,590.00 1,590.00
10-Jan-19 19-1942 BULAWAN, RYAN BRGY. 337 STA. CRUZ MANILA - - 1,383.98 1,383.98
10-Jan-19 19-1943 MITTIAM, SHERMAIN 1410 CACTUS ST. GREENLAND CAINTA RIZAL 3,219.20 - - 3,219.20
10-Jan-19 19-1944 REMOLAZO, ALICE GRACE 15 V M,N COMP ANONAS RD MALABON - - 360.00 360.00
10-Jan-19 19-1945 SAMSON, RENATO BRGY. 217 TONDO MANILA - - 220.06 220.06
Page 32
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
10-Jan-19 19-1946 GO, ESPERANZA BRGY. CASTILLO PADRE GARCIA BATANGAS - - 960.52 960.52
10-Jan-19 19-1947 DURAN, DANICA JANE JUAN LUNA ST. TONDO MANILA - - 1,277.70 1,277.70
10-Jan-19 19-1948 ESPINAS, WILFREDO MALAGASANG II-B IMUS CAVITE 949.50 - - 949.50
10-Jan-19 19-1949 MARCOS, JEFFREY TAMBUNTING ST. STA CRUZ MANILA - - 5,154.32 5,154.32
10-Jan-19 19-1950 SENTORIAS, MARY ISABEL MARZAN ST. SAMPALOC MANILA - - 3,040.00 3,040.00
10-Jan-19 19-1951 FRAGO, JOSE GARUFEL HERNANDEZ ST. TONDO MANILA - - 530.00 530.00
10-Jan-19 19-1952 BATAYOLA, KING CARLO RONQUILLO STA CRUZ MANILA - - 1,662.33 1,662.33
10-Jan-19 19-1953 YUQUE, LINDA BLDG REGALADO AVE FAIRVIEW QUEZON CITY - - 4,494.46 4,494.46
10-Jan-19 19-1954 DALUPANG, FARIEL 1133 PC COMPOUND APAS CEBU CITY - - 13,859.20 13,859.20
10-Jan-19 19-1955 VELARDE, NOLITA MANILA DOCTORS ALMANZA II LAS PIÑAS CITY - - 4,905.37 4,905.37
10-Jan-19 19-1956 ARDEÑA, ROGER APILO CRUZ MALIBAY PASAY CITY - - 2,923.36 2,923.36
10-Jan-19 19-1957 RAYMUNDO, DANILO YUSECO ST. TONDO MANILA 630.00 - - 630.00
10-Jan-19 19-1958 BELEN, BLANQUITA MONICA ST. SAMPALOC MANILA 975.00 - - 975.00
10-Jan-19 19-1959 GALAN, BERNARDITA BLK 16 LOT 12 NARRA ST. CALZADE TAGUIG 1,047.00 - - 1,047.00
10-Jan-19 19-1960 PALACIO, MERLYNDA 443 DE JESUS ST. CALOOCAN CITY 2,301.15 - - 2,301.15
10-Jan-19 19-1961 ALFONSO, ELSA REPARO ROAD STA. QUITERIA CALOOCAN 1,236.20 - - 1,236.20
10-Jan-19 19-1962 LOVINO, ROMULO BRGY. 168 CALOOCAN CITY 1,149.60 - - 1,149.60
10-Jan-19 19-1963 TUALLA, FRANCIS NIEL BRGY. 93 11TH AVENUE CALOOCAN CITY 1,755.60 - - 1,755.60
10-Jan-19 19-1964 BERAME, ALLAN BRGY. CATMON MALABON 378.30 - - 378.30
10-Jan-19 19-1965 SALOMON, MARY JOY BRGY. RAWIS LAONG NORTHERN SAMAR - 10,200.00 - 10,200.00
10-Jan-19 19-1966 SEDANO, IMELDA VALENCIA ST. SAMPALOC MANILA 1,235.00 - - 1,235.00
10-Jan-19 19-1967 ESTRADA, MANUEL JR BRGY. 63 SANTIAGO CALOOCAN CITY 2,340.00 - - 2,340.00
10-Jan-19 19-1968 ESTRADA, MANUEL JR BRGY. 63 SANTIAGO CALOOCAN CITY 1,495.50 - - 1,495.50
10-Jan-19 19-1969 AMORA, ROWENA ARELLANO ST BAGONG BARRIO CALOOCAN 145.50 - - 145.50
10-Jan-19 19-1970 DEL ROSARIO, LEONIDA BRGY. 261 TONDO MANILA - 1,080.00 - 1,080.00
10-Jan-19 19-1971 TATTAO, CRESENCIO BUROL 1 DASMARINAS CAVITE 535.50 - - 535.50
10-Jan-19 19-1972 CARANTO, NORBERTO SAN JOSE DEL MONTE BULACAN 81.00 - - 81.00
10-Jan-19 19-1973 ENDAYA, RONALDO PUROK 4 TAMBO LIPA CITY BATANGAS 1,577.81 1,500.00 - 3,077.81
10-Jan-19 19-1974 FRIAS, ROMEO BRGY. SAN ROQUE NAVOTAS CITY - - 13,914.96 13,914.96
10-Jan-19 19-1975 ABAYA, ALEXIS SIPAC ALINCIN NAVOTAS CITY - - 7,964.91 7,964.91
10-Jan-19 19-1976 GODDY, GRICERIA BRGY. 28 CALOOCAN CITY 714.00 - - 714.00
10-Jan-19 19-1977 ORTIZ, ALAN LUPA ST. MAYPAJO CALOOCAN CITY 949.50 - - 949.50
10-Jan-19 19-1978 CUNANAN, LOLITA BRGY. POTRERO MALABON CITY 714.00 - - 714.00
10-Jan-19 19-1979 BINDAL, MARIA 790 MERCADO ST. ,TONDO MANILA 714.00 - - 714.00
10-Jan-19 19-1980 PRESTADO,AMELIA 1097 MALAMIG ST. SAMPALOC MANILA 2,340.00 - - 2,340.00
10-Jan-19 19-1981 BALME, JEAN MALIWALAS ST. KAHILOM II PANDACAN MANILA 714.00 - - 714.00
10-Jan-19 19-1982 SAMONTE, MARIETTA 387 MALLAMA ST. TONDO MANILA 967.50 - - 967.50
10-Jan-19 19-1983 JARABE, HEADEN CRISTIAN JAVIER ST. GAGALANGIN TONDO MANILA - - 4,250.00 4,250.00
10-Jan-19 19-1984 MARABILLO, CHERRYLYN BRGY. SOCORRO CUBAO QUEZON CITY - - 378.70 378.70
16-Jan-19 19-1985 CAÑETE, NELSIE PALAYAN CULITA QUEZON CITY - - 5,307.63 5,307.63
16-Jan-19 19-1986 CRUZ, AMIE SOLIS ST TONDO MANILA 1,560.00 - - 1,560.00
16-Jan-19 19-1987 MARQUEZ, KURT GJILLIAN 6TH AVE GRACE PARK CALOOCAN - - 12,374.05 12,374.05
16-Jan-19 19-1988 RAFAELES, VHAN JOMAR PATRIA ST BALUT TONDO MANILA - - 2,120.00 2,120.00
16-Jan-19 19-1989 HIPOLITO, EMILY SULU ST STA CRUZ MANILA - - 409.44 409.44
16-Jan-19 19-1990 EVANGELIO, MARK ALLAN GLORIA ST BATASAN HILLS QUEZON - - 6,188.26 6,188.26
16-Jan-19 19-1991 ONG, FELICIDAD BALTAZAR ST CALOOCAN CITY 2,691.40 - - 2,691.40
16-Jan-19 19-1992 FESTIJO, HONRIA HAPPY LAND TONDO MANILA 1,144.50 - - 1,144.50
16-Jan-19 19-1993 MENDEZABAL, RUBEN PARAISO ST CALOOCAN CITY - 2,400.00 - 2,400.00
16-Jan-19 19-1994 MERCADO, ROBERTO LAMBAKIN ST MARILAO BULACAN 936.00 - - 936.00
16-Jan-19 19-1995 DE GUZMAN, LOURDES AGNESRIZAL AVE TONDO MANILA 178.50 - - 178.50
16-Jan-19 19-1996 PULUMBARIT, CRISPIN MONTE LOYOLA ST SAN ROQUE NAVOTAS - 1,200.00 - 1,200.00
16-Jan-19 19-1997 PULUMBARIT, CRISPIN MONTE LOYOLA ST SAN ROQUE NAVOTAS 250.00 - - 250.00
16-Jan-19 19-1998 TACULOD, JENNY FUGOSO ST STA CRUZ MANILA 1,897.50 - - 1,897.50
16-Jan-19 19-1999 CULATA, JESUS ANTONIO RIVERA ST TONDO MANILA 4,488.00 - - 4,488.00
16-Jan-19 19-2000 PAYABYAB, JAIME ZABALA ST TONDO MANILA - 2,520.00 - 2,520.00
16-Jan-19 19-2001 ARCILLA, WILLARD BRGY 39 BLISS TONDO MANILA - - 2,513.95 2,513.95
16-Jan-19 19-2002 GAGABUAN, ALBERTO MATUTUM ST MANRESA QUEZON CITY - - 8,009.46 8,009.46
16-Jan-19 19-2003 FALQUEZA, RENE COLONG COLONG CORCUETA ROMBLON 4,680.00 - - 4,680.00
16-Jan-19 19-2004 ADAMERO, MARIA KAHAYAGAN NORTHERN SAMAR 1,582.60 1,500.00 - 3,082.60
16-Jan-19 19-2005 TABJAN ALBERTO ISAGANI ST STA CRUZ MANILA 491.40 - - 491.40
16-Jan-19 19-2006 ENGALLA, JECEL KABATUHAN ST UGONG VALENZUELA 1,304.15 1,500.00 - 2,804.15
Page 33
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
16-Jan-19 19-2007 CATAYLO, ROSARIO BAGONG SILANG CALOOCAN CITY 429.00 - - 429.00
16-Jan-19 19-2008 JOSE, RODOLFO ANONAS EXT STA MESA MANILA - 1,980.00 - 1,980.00
16-Jan-19 19-2009 SEBASTIAN, MARISA UBAS ST BAGONG BARRIO CALOOCAN - 1,320.00 - 1,320.00
29-Jan-19 19-2010 ALCANTARA, GEMMA SALAWAG ST DASMARIÑAS CAVITE 2,340.00 - - 2,340.00
29-Jan-19 19-2011 ACUÑA, ASHLY KIANA AURORA BLVD STA CRUZ MANILA - 500.00 - 500.00
29-Jan-19 19-2012 VELOSO, MARILYN STA CECILIA ST PARAÑAQUE 1,795.55 1,500.00 - 3,295.55
17-Jan-19 19-2013 ALBA, REMIGIO ALMEDA ST TONDO MANILA 193.70 - - 193.70
17-Jan-19 19-2014 MALICSI, CECILIA BURGOS ST CONCEPCION MALABON - - 15,016.82 15,016.82
17-Jan-19 19-2015 BELO, EVANGELINE CLAIREBRGY MALITLIT STA ROSA LAGUNA - - 3,416.78 3,416.78
17-Jan-19 19-2016 ASUTEN, JENIFER ORCHID ST LONGOS MALABON - - 8,606.30 8,606.30
17-Jan-19 19-2017 CERVANIA, MOANA MHIKAYLLEBLUM EXT QUEZON CITY - - 3,060.89 3,060.89
17-Jan-19 19-2018 MALACA, LURIE GUEVARRA ST STA CRUZ MANILA - - 4,968.97 4,968.97
17-Jan-19 19-2019 ANGCOSIN, MICHELLE BAGONG BARRIO CALOOCAN CITY - - 719.66 719.66
17-Jan-19 19-2020 SABULAO, MONICA BRGY APOLONIO SAMSON QUEZON - - 571.91 571.91
17-Jan-19 19-2021 OCAMPO, LIBERTY RIZAL AVE STA CRUZ MANILA - - 537.56 537.56
17-Jan-19 19-2022 MAGAT, ANNE MELVIE NATIVIDAD ST STA CRUZ MANILA - - 530.00 530.00
17-Jan-19 19-2023 CORTEZ, MARGARITA NATIVIDAD ST STA CRUZ MANILA - - 650.00 650.00
17-Jan-19 19-2024 ALMARIO, ROLANDO MARCO ST STA CRUZ MANILA - - 2,616.61 2,616.61
17-Jan-19 19-2025 PANDAPATAN, HANIFA GOLDEN MOSQUE QUIAPO MANILA - - 2,527.72 2,527.72
17-Jan-19 19-2026 PANOY, LESLY VITAS ST TONDO MANILA - - 646.16 646.16
17-Jan-19 19-2027 DEL MUNDO, LEIZY ANGEL NARRA EXT TAYUMAN TONDO MANILA - - 1,635.49 1,635.49
17-Jan-19 19-2028 DONOR, NELIA GALINO ST 9TH AVE CALOOCAN - - 926.62 926.62
17-Jan-19 19-2029 AMONGO, JANNAH MARIE BEGONIA VIGA CATANDUANES - - 5,725.00 5,725.00
17-Jan-19 19-2030 SANTOS, SANTIAGO SANTIAGO GEN TRIAS CAVITE - - 2,509.90 2,509.90
17-Jan-19 19-2031 MARASIGAN, RONEL BULASAN EXT TONDO MANILA - - 530.00 530.00
17-Jan-19 19-2032 PASCUAL, RHENZ JERALD CAIMITO ST DALANDANAN VALENZUELA - - 530.00 530.00
17-Jan-19 19-2033 FERNANDEZ, RICHARD LANGIT ST STA CRUZ MANILA - - 3,940.00 3,940.00
17-Jan-19 19-2034 JULIAN, MARY JIELLIEM PISTA ST STA CRUZ MANILA - - 2,350.00 2,350.00
17-Jan-19 19-2035 LEBATO, KYLE PATRIA ST BALUT TONDO MANILA - - 1,146.20 1,146.20
17-Jan-19 19-2036 CABER, BENHUR NAPALISAN GANDARA SAMAR - - 5,147.10 5,147.10
17-Jan-19 19-2037 BIARES, DOMINADOR MALIHUD BATARAZA PALAWAN 62.40 - - 62.40
17-Jan-19 19-2038 RANIS, LUZ BRGY 170 PANGARAP VILL CALOOCAN 97.50 - - 97.50
17-Jan-19 19-2039 ALVARO, GEORGIA PERSIA ST CALOOCAN CITY 491.40 - 781.02 1,272.42
17-Jan-19 19-2040 MOYA, ARLENE BAGBAG NOVALICHES QUEZON CITY - - 825.22 825.22
17-Jan-19 19-2041 VILLANUEVA, MARK STEPHENSAN PEDRO ST BALUT TONDO MANILA - - 1,060.00 1,060.00
17-Jan-19 19-2042 TAMAYO, LUCRESIO ALGECIRAS ST SAMPALOC MANILA - - 640.68 640.68
17-Jan-19 19-2043 CORDIAL, DANILO MOLAVE ST TONDO MANILA - - 424.00 424.00
17-Jan-19 19-2044 PALMERO, REN LOUIE HERMOSA ST TONDO MANILA - - 313.95 313.95
17-Jan-19 19-2045 GAYO, ANTONIO JR BRGY 174 CAMARIN CALOOCAN 373.50 - - 373.50
17-Jan-19 19-2046 PONGASI, BERNADINA SAN ROQUE ST NAVOTAS CITY - - 547.34 547.34
17-Jan-19 19-2047 SANCHEZ, JEFFREY SALUSO STO NIÑO SAN SIMON PAMPANGA - - 2,526.48 2,526.48
17-Jan-19 19-2048 ABERIN, JOSEFINO PINAGPALA ST MARULAS VALENZUEAL - - 2,710.23 2,710.23
17-Jan-19 19-2049 QUEZON, CATHERINE SAN LAZARO STA CRUZ MANILA - - 2,300.00 2,300.00
17-Jan-19 19-2050 MESINA, MERCEDITA SAMSON RD CALOOCAN CITY - - 1,133.78 1,133.78
17-Jan-19 19-2051 BALEROS, MA BELEN MODESTA VILL STO NIÑO SAN MATEO RIZAL - 900.00 - 900.00
17-Jan-19 19-2052 ONG, NORMA TIOCO ST TONDO MANILA 81.00 - - 81.00
17-Jan-19 19-2053 SANDOVAL, MARIA RIZAL AVE STA CRUZ MANILA 2,838.00 - - 2,838.00
17-Jan-19 19-2054 LATINA, JOHN MICHAEL BRGY BENJAMIN TIRONA GMA CAVITE - - 6,375.18 6,375.18
17-Jan-19 19-2055 CARREON, CECILIA CANUMAY WEST VALENZUELA CITY - - 9,738.54 9,738.54
17-Jan-19 19-2056 SIAPNO, ELIZABETH BOOL CULABA BILIRAN PROVINCE - - 10,765.92 10,765.92
17-Jan-19 19-2057 MANALOTO, GLORIA ELVINDA SUBD SAN PEDRO LAGUNA - - 2,803.45 2,803.45
17-Jan-19 19-2058 DELA CRUZ, MYLENE PAVIA ST TONDO MANILA - - 1,600.08 1,600.08
17-Jan-19 19-2059 OFRANCIA, ANGELINA SPRING TOWN VILLAS TANZA CAVITE - - 540.00 540.00
17-Jan-19 19-2060 LIRASAN, IRVEN PACHECO ST TONDO MANILA 752.70 - - 752.70
17-Jan-19 19-2061 ROMERO, MYRNA YAKAL ST MOLINO BACOOR CAVITE - - 5,984.58 5,984.58
17-Jan-19 19-2062 CARMONA, CAROLINE FIDEL REYES ST MALATE MANILA - 11,000.00 - 11,000.00
17-Jan-19 19-2063 FRANCISCO, BRILLANTINA BRGY 803 SAN ANDRES MANILA 173.00 - - 173.00
17-Jan-19 19-2064 LAPUZ, NIMFA TUAZON ST SAMPALOC MANILA - - 16,554.25 16,554.25
17-Jan-19 19-2065 CHIQUITO, RHEA KAPALARAN ST COMMONWEALTH QUEZON - - 2,884.87 2,884.87
17-Jan-19 19-2066 TOLOSA, FEDERICO VARONA ST TONDO MANILA - - 1,525.11 1,525.11
17-Jan-19 19-2067 SANTOS, ANTHONY JEFF JOSE ABAD SANTOS TONDO MANILA - - 1,060.00 1,060.00
Page 34
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
17-Jan-19 19-2068 MACASINAG, JOSE ROBERTOTAMBUNTING ST STA CRUZ MANILA - - 5,490.40 5,490.40
17-Jan-19 19-2069 MONTENO, VIRGILIO SANTOS ST BARRIO OBRERO TONDO MANILA - - 1,758.91 1,758.91
17-Jan-19 19-2070 FAJARDO, ANALYN CABALATA ST TATALON QUEZON CITY - 1,200.00 - 1,200.00
17-Jan-19 19-2071 ATIP, JAIME DAGOT ST MANRESA QUEZON CITY 81.00 - - 81.00
17-Jan-19 19-2072 DE GUZMAN, ALEJANDRA BRGY 163 DAGUPAN TONDO MANILA 4,680.00 - - 4,680.00
17-Jan-19 19-2073 LABAYOG, JOESAN FAJARDO ST SAMPALOC MANILA - - 2,662.26 2,662.26
17-Jan-19 19-2074 TOLENTINO, DALE ALREB MAPULANG LUPA PANDI BULCAN - - 3,679.53 3,679.53
17-Jan-19 19-2075 MILLA, JERLYN ILANG ILANG ST MAYSAN VALENZUELA - - 2,719.16 2,719.16
17-Jan-19 19-2076 PONTANARES, VICENTE SAN NICOLAS 3 BACOOR CAVITE - - 5,153.36 5,153.36
17-Jan-19 19-2077 MINA, HONNYLET 4TH AVE GRACE PARK CALOOCAN 116.55 - 279.20 395.75
17-Jan-19 19-2078 LLORES, DEXTER MILEGUAS ST CALOOCAN CITY - - 530.00 530.00
17-Jan-19 19-2079 PANTOJA, CARMINA HERBOSA ST TONDO MANILA - - 1,282.20 1,282.20
17-Jan-19 19-2080 ELINZANO, DANIELA ROSAL ST OLD STA MESA MANILA - - 1,060.00 1,060.00
17-Jan-19 19-2081 HERMOSO, MARIO BONIFACIO ST TONDO MANILA - - 360.00 360.00
17-Jan-19 19-2082 ALARCON, VIOLETA LAKANDULA ST TONDO MANILA - - 1,611.72 1,611.72
17-Jan-19 19-2083 MANALILI, CONDESA GUIZON ST TONDO MANILA 250.00 - 3,540.00 3,790.00
17-Jan-19 19-2084 ORTIZ, MERLITA SAN FRANCISCO ST SAN ROQUE SAMAR 81.00 - - 81.00
17-Jan-19 19-2085 PESTAÑO, REYNALDO 4TH AVE CALOOCAN CITY 1,105.50 - - 1,105.50
17-Jan-19 19-2086 BAUTISTA, FERNANDO KANLURAN LIBIS SILANG CAVITE 3,120.00 - - 3,120.00
17-Jan-19 19-2087 CALUSIN, THELMA MARKET SILE MARULAS VALENZUELA 1,079.50 - - 1,079.50
17-Jan-19 19-2088 BASANILLO, NELDRED CAMIA ST MARULAS VALENZUELA 3,496.30 1,500.00 - 4,996.30
17-Jan-19 19-2089 MACOGUE, EVELYN TALISAY ST DON BOSCO TONDO MANILA 81.00 - - 81.00
17-Jan-19 19-2090 PRESTADO, AMELIA MALAMIG ST SAMPALOC MANILA 2,340.00 - - 2,340.00
17-Jan-19 19-2091 TAÑEZA, JUAN REPARO ST BAGONG BARRIO CALOOCAN 350.00 - - 350.00
17-Jan-19 19-2092 TIMOTEO, CRESENCIO GUEVARRA ST STA CRUZ MANILA 81.00 - - 81.00
17-Jan-19 19-2093 PACAÑOT, EVELYN GASTAMBIDE ST SAMPALOC MANILA - 11,800.00 - 11,800.00
17-Jan-19 19-2094 BOLGADO, EFREN MARIANO BONCE ST BAGONG BARRIO CALOOCAN624.00 - - 624.00
17-Jan-19 19-2095 MARITANA, NORMA CUPANG MUNTINLUPA CITY - 2,400.00 - 2,400.00
17-Jan-19 19-2096 SORIANO, NORMA DIAMOND VILL KALIGAYAHAN QUEZON 1,107.85 - - 1,107.85
17-Jan-19 19-2097 HERMOSO, ROSEZEL VICTOR LOPEZ ST CAPULONG TONDO MANILA - 325.00 - 325.00 17-Jan-19 19-2098 ZAFRA, PRECILA CANARY ST LACSON TONDO MANILA - 900.00 - 900.00
17-Jan-19 19-2099 AZARES, PRECY PAYO ST TONDO MANILA 507.00 - - 507.00
17-Jan-19 19-2100 ULGASAN, HERMAN SULU ST STA CRUZ MANILA 81.00 - - 81.00
17-Jan-19 19-2101 CUYUGAN, MARIETA ALMEDA ST TONDO MANILA 710.00 - - 710.00
17-Jan-19 19-2102 MAQUISO, BREMALYN LUALHATI ST TONDO MANILA 385.50 - - 385.50
17-Jan-19 19-2103 MALATE, YOLANDA DAGUPAN ST TONDO MANILA 97.50 - - 97.50
17-Jan-19 19-2104 LUZA, MA CRISTINA PULIDO EXT GMA CAVITE 465.00 - - 465.00
17-Jan-19 19-2105 MALOBAGO, TERESITA DE JESUS ST BAGONG BARRIO CALOOCAN 491.40 - - 491.40
17-Jan-19 19-2106 TELEN, EDUARDO LAMBAKIN MARILAO BULACAN - - 3,183.14 3,183.14
17-Jan-19 19-2107 LEGASPI, MARILYN BORACAY ST WAWA III ROSARIO CAVITE 190.50 - - 190.50
17-Jan-19 19-2108 TUMULAK, GLENDA CAYPOMBO STA MARIA BULACAN - 1,200.00 - 1,200.00
17-Jan-19 19-2109 DE LARA, ARNEL HIZON ST CALOOCAN CITY - 1,200.00 - 1,200.00
17-Jan-19 19-2110 NABONG, MELANIE JASMIN ST MEYCAUAYAN BULACAN - 1,200.00 - 1,200.00
17-Jan-19 19-2111 OBEÑA, AMALIA STO TOMAS NUEVA ECIJA - 1,200.00 - 1,200.00
17-Jan-19 19-2112 SANTOS, NELIA SAMPALOC SAN RAFAEL BULACAN - 1,200.00 - 1,200.00
17-Jan-19 19-2113 PERSONA, MA VICTORIA ILANG ILANG GUIGUINTO BULACAN - 1,200.00 - 1,200.00
17-Jan-19 19-2114 AGUSTIN, RAYMONDO ST PETER TONDO MANILA - - 4,250.00 4,250.00
17-Jan-19 19-2115 ROYO, JULIANA ROSE CABILDO ST INTRAMUROS MANILA - - 530.00 530.00
17-Jan-19 19-2116 GARCIA, EMMA TERESA ST TONDO MANILA - - 1,040.73 1,040.73
17-Jan-19 19-2117 MAGSAYSAY, SHARON MACABAGDAL ST CALOOCAN CITY 491.40 - - 491.40
17-Jan-19 19-2118 REYES, NELIA MARIANO PONCE BAGONG BARRIO CALOOCAN - - 3,240.00 3,240.00
17-Jan-19 19-2119 ANTONIO, YOLANDA CASAÑAS ST SAMPALOC MANILA - - 936.90 936.90
17-Jan-19 19-2120 VENTURA, VANEZA AREA H PAROLA TONDO MANILA - - 661.30 661.30
17-Jan-19 19-2121 SABUITO, ALEX CUNANAN ST GAGALANGIN TONDO MANILA - - 1,716.26 1,716.26
17-Jan-19 19-2122 CORREA, EUFEMIO TICCO ST TONDO MANILA - - 458.70 458.70
17-Jan-19 19-2123 ROSETE, KEAN EZEKIEL IRAGA ST PAANG BUNDOK QUEZON CITY - - 1,227.24 1,227.24
17-Jan-19 19-2124 DELA CRUZ, NORBERTO SR BAUTISTA ST DASMARIÑAS CAVITE - - 1,767.20 1,767.20
17-Jan-19 19-2125 SAGUIT, RECHELL JOSEPH BIÑAN LAGUNA - - 1,487.20 1,487.20
17-Jan-19 19-2126 MIPHANGA, GASANARA NOVALICHES QUEZON CITY - - 1,555.00 1,555.00
17-Jan-19 19-2127 INOY, ROSANNA PNR COMP CALOOCAN CITY - - 2,133.90 2,133.90
17-Jan-19 19-2128 NABALATAN, JENNIFER CENTRAL SIGNAL VILL TAGUIG - - 1,527.83 1,527.83
17-Jan-19 19-2129 SEPONTOS, ROSEVELLA BRGY YAKAL SILANG CAVITE - - 16,518.14 16,518.14
Page 35
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
10-Jan-19 19-2130 MANCESA, JOHN ROBERT RIVIRAL ST. BAESA CALOOCAN CITY - - 1,420.00 1,420.00
10-Jan-19 19-2131 NATIVIDAD, JAIME RIVERA ST. CALOOCAN CITY 373.50 - - 373.50
10-Jan-19 19-2132 GALISTE, BERNARDO BALINGASA ST. BALINTAWAK QUEZON CITY 795.00 - - 795.00
10-Jan-19 19-2133 VALERIANO, RAMON 30 DEL ROSARIO ST MERVITT MALABON CITY 949.50 - - 949.50
10-Jan-19 19-2134 SELVES, FILEMON JR 132 MARULAS A. CALOOCAN CITY 667.55 - - 667.55
10-Jan-19 19-2135 MERCADO, SYLVIA 630 TAGAYTAY ST. CALOOCAN CITY 250.00 - - 250.00
10-Jan-19 19-2136 VALDEZ, EVELYN CASTILLO ST. MAYPAJO CALOOCAN CITY 795.00 - - 795.00
10-Jan-19 19-2137 BELTRAN, NELITA SAN JOSE MONTALBAN RIZAL 876.00 - - 876.00
10-Jan-19 19-2138 CASTAÑOS, FE BRGY. TONSUYA MALABON CITY 429.00 - - 429.00
10-Jan-19 19-2139 TAYACTAC, LUISA BRGY. LONGOS MALABON CITY 984.00 - - 984.00
10-Jan-19 19-2140 BRITO, VANESSA 6105 LIBIS NADURATO CALOOCAN CITY - - 405.27 405.27
10-Jan-19 19-2141 TOMASINA, JOHN MAR BRGY. 177 CALOOCAN CITY - - 360.00 360.00
10-Jan-19 19-2142 DULLETE, RENALYN LURISMA PEDRO GIL PACO MANILA - - 1,780.00 1,780.00
10-Jan-19 19-2143 DONOZO, MARY-AN LAMHAGA LAGING HANDA QUEZON CITY - - 780.53 780.53
10-Jan-19 19-2144 GALANO, AMELITA 370 MALVAR ST. TONDO MANILA - - 360.00 360.00
10-Jan-19 19-2145 QUIMPO, REYSEL BRGY. 391 GIL PUYAT QUIAPO MANILA - - 1,132.29 1,132.29
10-Jan-19 19-2146 EBUENGA, RUTCHEL MILAGROS ST. BAGONG BARIO CALOOCAN - - 360.00 360.00
10-Jan-19 19-2147 NOVENARIO, ANTONIO 1746 SULU ST. STA CRUZ MANILA 4,970.35 - 515.91 5,486.26
10-Jan-19 19-2148 AQUINO, IMELDA V.G CRUZ ST. SAMPALOC MANILA - - 1,420.00 1,420.00
10-Jan-19 19-2149 INTAWON, ROSEMARY VICENTE G. CRUZ ST. SAMPALOC MANILA - - 360.00 360.00
10-Jan-19 19-2150 ACLE, ANGEL 46 T JACINTO ST. CALOOCAN CITY 825.00 - - 825.00
10-Jan-19 19-2151 ELOPRE, JOHN CARL BRGY. 120 GRACE PARK CALOOCAN CITY - 1,200.00 - 1,200.00
10-Jan-19 19-2152 VELASCO, GODOFREDO DAGING COPADA CALOOCAN CITY 136.50 - - 136.50
10-Jan-19 19-2153 NONO, ERNESTO 1171 MABUHAY ST. TONDO MANILA 949.50 - - 949.50
10-Jan-19 19-2154 HABANA, ROLANDO 10 L- SANTOS NAVOTAS CITY 929.70 - - 929.70
10-Jan-19 19-2155 SANTOS, TERESITA 1542 ANTIPOLO ST. SAMPALOC MANILA 714.00 - - 714.00
10-Jan-19 19-2156 ABLAZA, ELEONOR 128 HERBOSA ST. TONDO MANILA - 2,280.00 - 2,280.00
10-Jan-19 19-2157 BARTOLOME, JULIETA GUILID LIGAO CITY ALBAY 694.50 - - 694.50
10-Jan-19 19-2158 TAN, EDUARDO 1781 INT 22 PANDACAN MANILA 949.50 - - 949.50
13-Jan-19 19-2159 REDITU, ROGEL BRGY. BARRA LUCENA CITY - - 15,967.58 15,967.58
13-Jan-19 19-2160 PINDOS, MARVELYN BRGY. MANRESA DAGUPAN ST. QUEZON CITY - - 360.00 360.00
13-Jan-19 19-2161 SOTA, RENANTE 1474 MASANGKAY ST. STA CRUZ MANILA - - 9,009.52 9,009.52
13-Jan-19 19-2162 BALINONG, CRISANTO 1593 F. VARONA ST. TONDO MANILA - - 390.59 390.59
13-Jan-19 19-2163 CABER, JUSTINE CLERK HAPPY LAND TONDO MANILA - - 2,120.00 2,120.00
13-Jan-19 19-2164 SEDOGUID, HENSON DAGAT DAGATAN CALOOCAN CITY - - 1,590.00 1,590.00
13-Jan-19 19-2165 DELMO, ARIS HOMES PACITA II SAN PEDRO LAGUNA - - 16,669.93 16,669.93
13-Jan-19 19-2166 YSAO, MARIA CRISTINA SAN RAFAEL CITY OF SAN JOSE DEL MONTE - - 9,971.91 9,971.91
13-Jan-19 19-2167 ICABANDI, CRESILDA 108 HERNANDEZ ST CATMON MALABON - - 5,359.58 5,359.58
13-Jan-19 19-2168 FALCON, ETHAN 2708 LEGARDA ST. SAMPALOC MANILA - - 219.99 219.99
13-Jan-19 19-2169 MARTINEZ, JOHN CMPD II SITIO KABANATUAN VALENZUELA - - 4,468.09 4,468.09
13-Jan-19 19-2170 AYO, LORETA 13 WEST RIVERSIDE QUEZON - - 895.63 895.63
13-Jan-19 19-2171 CALAGUI, MARY DHEL 01 QUIRINO ST. TONDO MANILA - - 1,880.00 1,880.00
13-Jan-19 19-2172 BRITANICO, JUNIE 31 NANGKA ROAD POTRERO MALABON - - 1,748.35 1,748.35
13-Jan-19 19-2173 MURILLO, MICHAEL BRGY. 649 PORT AREA MANILA - - 1,060.00 1,060.00
13-Jan-19 19-2174 ESTUROM,CYNDI BRGY. BALANGKAS VALENZUELA CITY - - 435.50 435.50
13-Jan-19 19-2175 GARCIA, JORDAN KAWAL PUROK 4 DAGAT DAGATAN CITY - - 1,441.50 1,441.50
13-Jan-19 19-2176 TEJERO, MARVIN PAROLA GATE 20 TONDO MANILA - - 530.00 530.00
13-Jan-19 19-2177 GONZALES, RICHARD 730 SAN BERNARDO ST. STA CRUZ MANILA - - 448.34 448.34
13-Jan-19 19-2178 CAGUICLA, ROWEL BLK 33 LOT 12 ST. PETER II CAVITE - - 737.60 737.60
13-Jan-19 19-2179 BURNES, JAISY 83 D QUIRINO ST. DON BOSCO TONDO MANILA - - 625.34 625.34
13-Jan-19 19-2180 PILI, PACIFICO 148 PRUDENCIO ST. SAMPALOC MANILA - - 424.00 424.00
13-Jan-19 19-2181 ORCALES, JESSICA BRGY. 649 BASECO PORT AREA MANILA - - 1,580.60 1,580.60
13-Jan-19 19-2182 TINDIOCO, XIAN VINCENT 750 FAJARDO ST. TONDO MANILA - - 530.00 530.00
13-Jan-19 19-2183 REYES, CAHRL JASCIER MAGSAYSAY TONDO MANILA - - 344.20 344.20
13-Jan-19 19-2184 ACUÑA, KRISTINE MARIE 2007 AGONCILLO ST. MALATE MANILA - - 530.00 530.00
13-Jan-19 19-2185 ARNALDO, VHINNZ ADAM CELINA PLAINS SUB STA ROSA LAGUNA - - 8,397.22 8,397.22
13-Jan-19 19-2186 ORLINA, OMER BRGY. SAN AGUSTIN QUEZON CITY - - 3,231.61 3,231.61
13-Jan-19 19-2187 BALDERAS, RED BRGY. MOONWALK PARANAQUE CITY - - 375.84 375.84
13-Jan-19 19-2188 BALDUISA, MELICIA BONIFACIO SUB ANGELES PAMPANGA - - 288.00 288.00
13-Jan-19 19-2189 LEONES, MA. ANGIE BRGY. TATALON QUEZON CITY - - 530.00 530.00
13-Jan-19 19-2190 DECENA, LILIA BRGY. 94 TONDO MANILA - - 1,250.00 1,250.00
Page 36
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
13-Jan-19 19-2191 DAEZ, GLICERIA BAGBAGUIN MEYCAUYAN BULACAN - - 2,544.00 2,544.00
13-Jan-19 19-2192 MENDOZA, LYDIA BRGY. 257 TONDO MANILA - - 873.89 873.89
13-Jan-19 19-2193 LACE, JIERADANE 38 G DE JESUS ST. CALOOCAN CITY - - 983.80 983.80
13-Jan-19 19-2194 SANDAGON, NICOLAS 2006 FB HARISON PASAY CITY - - 1,006.69 1,006.69
13-Jan-19 19-2195 PALANAS, VIRGINIA CARTIMAR PASAY CITY BRGY 30 - - 1,123.80 1,123.80
13-Jan-19 19-2196 ROXAS, ROMAN BRGY. 14 CALOOCAN CITY - - 1,590.00 1,590.00
14-Jan-19 19-2197 ESPAÑOLA, ALEJANDRO BRGY. TONSUYA MALABON CITY - - 8,285.55 8,285.55
14-Jan-19 19-2198 FRIAS, JHON PAUL BLK 3 LOT 24 KINGSTOWN 1 CALOOCAN CITY - - 5,164.62 5,164.62
14-Jan-19 19-2199 ABOGADO, YNNA MARIE IVY BRGY. PINYAHAN QUEZON CITY - - 957.32 957.32
14-Jan-19 19-2200 AGUIRRE, EXCELYN BRGY. 172 MALIBAY PASAY CITY - - 9,503.20 9,503.20
14-Jan-19 19-2201 SISON, ALEXANDER 612 RASABAGO TONDO MANILA - - 9,947.78 9,947.78
14-Jan-19 19-2202 RAMOS, ERNESTO KARLA VILLE SUB WAWA3 ROSARIO CAVITE - - 7,066.79 7,066.79
14-Jan-19 19-2203 BUAN, HANNA BRGY. 249 TONDO MANILA - - 849.35 849.35
14-Jan-19 19-2204 PINEDA, MERDI BRGY. 497 SAMPALOC MANILA - - 4,526.74 4,526.74
14-Jan-19 19-2205 DAYON, JEAN 253 ZONE 23 DIST TONDO MANILA - - 540.00 540.00
14-Jan-19 19-2206 ROMERO, AURORA BRGY. TANGOS NAVOTAS CITY - - 5,250.00 5,250.00
14-Jan-19 19-2207 VILLARANTE, JHON BRYAN BRGY. 29 TONDO MANILA - - 1,060.00 1,060.00
14-Jan-19 19-2208 MORGA, JOVEN CENTRAL BICUTAN TAGUIG CITY - - 8,558.40 8,558.40
14-Jan-19 19-2209 ROBLES, MINERVA SINAGTALA BAHAY PROJ 8 QUEZON CITY - - 5,381.51 5,381.51
14-Jan-19 19-2210 MANALISI, RAYMARK BRGY. TONSUYA MALABON CITY - - 114.40 114.40
14-Jan-19 19-2211 DELA CRUZ, RYZELLE BRGY. 19 TONDO MANILA - - 360.00 360.00
14-Jan-19 19-2212 CRUZ, EMILY BRGY. 258 YAKAL TONDO MANILA - - 848.00 848.00
14-Jan-19 19-2213 QUIJANO, JOYME KATAMANAN ST. TONDO MANILA - - 636.60 636.60
14-Jan-19 19-2214 FERNANDEZ, RICHARD BRGY. 342 STA CRUZ MANILA - - 1,820.00 1,820.00
14-Jan-19 19-2215 MARTIN, RUBEN BRGY. 360 STA CRUZ MANILA - - 168.00 168.00
14-Jan-19 19-2216 JAVIER, GIRLIE PARAISO ST. VELASQUEZ TONDO MANILA - - 520.50 520.50
14-Jan-19 19-2217 GARCIA, NELSON BRGY. 97 TONDO MANILA - - 520.50 520.50
14-Jan-19 19-2218 GARCIA, ANDRIE BRGY. 97 TONDO MANILA - - 2,716.45 2,716.45
14-Jan-19 19-2219 HERRERA, LESTER LOUIE BRGY. 351 STA CRUZ MANILA - - 795.50 795.50
14-Jan-19 19-2220 CLORES, DEXTER MILECUS ST. 11TH AVENUE CALOOCAN CITY - - 2,650.00 2,650.00
14-Jan-19 19-2221 PAÑA, TRIXIA ROSE BRGY. 553 SAMPALOC MANILA - - 360.00 360.00
14-Jan-19 19-2222 KATIGBAC, ARTURO POBLACION ROSARIO BATANGAS 1,030.50 - - 1,030.50
14-Jan-19 19-2223 ALMIRANEZ, PAZ 959 ROSARIO ST. SAMPALOC MANILA - - 360.00 360.00
14-Jan-19 19-2224 BRILLANTES, CHARMAINE BARTOLOME VIENTEREALES VALENZUELA 2,340.00 - - 2,340.00
14-Jan-19 19-2225 BALUYOT, JEFFREY LUACAN DINALUPIAN BATAAN - - 1,100.40 1,100.40
14-Jan-19 19-2226 SARGAN, ALVIN TONDO MANILA - - 530.00 530.00
14-Jan-19 19-2227 ORTIL, RELENA GOOD HARVEST PARK NOVALICHES 4,682.00 - - 4,682.00
14-Jan-19 19-2228 ALIJECERA, LOURDES EMMANUEL CUENCA BATANGAS - - 6,650.53 6,650.53
14-Jan-19 19-2229 NILES, SATURNINA 203 F MUNDO EXT SAN JUAN CITY 1,562.15 - - 1,562.15
14-Jan-19 19-2230 FUNILAS, FRANCIS MONTALBAN ROD RIZAL - - 6,558.55 6,558.55
14-Jan-19 19-2231 TAGYAM, EDNA BRGY. NBBS NAVOTAS CITY - - 2,534.20 2,534.20
14-Jan-19 19-2232 LEGASPI, JOSEPHINE 1975 O. KATAMANAN TONDO MANILA - - 1,820.00 1,820.00
14-Jan-19 19-2233 CRUZ, CHAZE ANDREI 1283 INT 38 TAMBUNTING STA CRUZ MANILA - - 1,621.00 1,621.00
14-Jan-19 19-2234 RIGOR, ROOSEVELT SITIO KABATUHAN GTDL VALENZUELA - - 1,833.59 1,833.59
14-Jan-19 19-2235 ABARING, ELEONOR BATO EXT, RAXABAGO TONDO MANILA 2,340.00 - - 2,340.00
14-Jan-19 19-2236 ANDAYA, IVAN ROXAS ST. TONDO MANILA 250.00 - 4,848.69 5,098.69
14-Jan-19 19-2237 GARAZA, KHYLE NATHALIE GEN TRIAS CAVITE - - 530.00 530.00
14-Jan-19 19-2238 ASI, DANILO PINA TAYSAN BATANGAS - 1,200.00 - 1,200.00
14-Jan-19 19-2239 AGUILAR, ELENA 8644 MAGSAYSAY ST. MALABON CITY 2,215.70 - - 2,215.70
14-Jan-19 19-2240 BABON, JHON KYRIE BRGY. 104 TONDO MANILA - - 467.70 467.70
14-Jan-19 19-2241 SIBAYAN, LUCILA BRGY. 178 PECHAYAN CAMARIN CALOOCAN CITY - - 5,974.66 5,974.66
14-Jan-19 19-2242 NAVARRETE, EMERITO CAMIA ST. MADUYA CARMONA CAVITE - - 17,314.49 17,314.49
14-Jan-19 19-2243 GAMULAO, ANNABELLA CRISTOBAL KARUHATAN VALENZUELA - - 13,273.17 13,273.17
14-Jan-19 19-2244 MAMARADLO, LUZVIMINDA BRGY, MATAHIMIK SAPANG PALAY BULACAN - - 13,864.50 13,864.50
14-Jan-19 19-2245 APALLA, THELMA BRGY. 12 DAGAT DAGATAN CALOOCAN CITY - - 1,060.00 1,060.00
14-Jan-19 19-2246 TORREVERDE, MONA 8TH AVENUE GRACE PARK CALOOCAN - - 688.34 688.34
14-Jan-19 19-2247 CANEJA, BERNARDO DAGAT DAGATAN CALOOCAN CITY - - 1,533.64 1,533.64
14-Jan-19 19-2248 CABINTOY, NENITA HERMOSA ST. TONDO MANILA 221.00 - 1,060.00 1,281.00
14-Jan-19 19-2249 JAVIER, ROBINA BRGY. 225 ALMEDA ST. TONDO MANILA - - 2,350.00 2,350.00
14-Jan-19 19-2250 NGO, RACQUEL PARANG MARIKINA CITY 442.00 - - 442.00
14-Jan-19 19-2251 CABILLAN, BRYAN QUIRINO 2 PROJECT 2 QUEZON CITY - - 3,240.00 3,240.00
Page 37
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
14-Jan-19 19-2252 ANDRADE, ROLANDO JR BRGY. LAMBAKIN MARILAO BULACAN - - 1,060.00 1,060.00
14-Jan-19 19-2253 MANCIA, ZEUS LLOYD SAN ANTONIO ST. TONDO MANILA - - 2,650.00 2,650.00
14-Jan-19 19-2254 RONQUILLO, JORAN BRGY. TALABA BACOOR CAVITE - - 1,119.95 1,119.95
14-Jan-19 19-2255 FRANCISCO, LINDA BRGY. 434 SAMPALOC MANILA - - 1,060.00 1,060.00
14-Jan-19 19-2256 REYNON, COURTNY LOURIN FELIX HUERTAS STA CRUZ MANILA - - 530.00 530.00
14-Jan-19 19-2257 PASCUAL, DANIEL JESSIE DE JESUS ST. CONCEPCION MALABON - - 12,836.21 12,836.21
14-Jan-19 19-2258 FERNANDEZ, JOHN MICHAEL 793 A 8TH AVE WEST CALOOCAN CITY - - 5,594.48 5,594.48
14-Jan-19 19-2259 VILLA, FLORIDA BRGY. SAUYO NOVALICHES QUEZON CITY - - 530.00 530.00
14-Jan-19 19-2260 ELINZANO, DANIELA KASANDRAROSAL ST. OLD STA MESA MANILA - - 1,060.00 1,060.00
14-Jan-19 19-2261 RAVELO, JUDE ROMEO BRGY. TATALON QUEZON CITY - - 2,350.00 2,350.00
14-Jan-19 19-2262 AZORES, SHIRLEY BRGY. 18 DELPAN TONDO MANILA 367.50 - - 367.50
14-Jan-19 19-2263 ALBAO, JERRY BRGY. 37 SOLIMAN CALOOCAN CITY - 3,420.00 - 3,420.00
14-Jan-19 19-2264 MANZANO, EMITERIO JOSE ABAD SANTOS TONDO MANILA 2,508.60 - - 2,508.60
14-Jan-19 19-2265 BATILARAN, MARILOU BRGY. 649 BASECO PORT AREA MANILA 156.00 - - 156.00
14-Jan-19 19-2266 BONDE, ZEAN FRANCES 83 MAGTANGGOL ST. CALOOCAN CITY - 500.00 - 500.00
14-Jan-19 19-2267 BONDE, ZEAN FRANCES 83 MAGTANGGOL ST. CALOOCAN CITY 78.00 - - 78.00
14-Jan-19 19-2268 CARPIO, MILAGROS MANUGUIT TONDO MANILA - 3,410.00 - 3,410.00
14-Jan-19 19-2269 NUILAN, JESUSA MEDICION II F IMUS CAVITE 81.00 - - 81.00
14-Jan-19 19-2270 PEREZ, MARIA NARCISA ABANGAN SUR, MARILAO BULACAN 487.50 - - 487.50
14-Jan-19 19-2271 PACQUINGAN, SHEILA SAN ANTONIO ST. MAKATI CITY - 130.00 - 130.00
14-Jan-19 19-2272 SALAMANTE, BENJAMIN JR BRGY. 157 BAGONG BARRIO CALOOCAN CITY - 2,400.00 - 2,400.00
14-Jan-19 19-2273 PASCUA, VALENTINO B6 KABULUSAN 1 CALOOCAN CITY 156.00 - - 156.00
14-Jan-19 19-2274 ARCA, REYNATO 147 CAMEDO ST. VALENZUELA CITY 2,340.00 - - 2,340.00
14-Jan-19 19-2275 DAVID, LOURDES 3 DAANG BAKAL ST 7TH AVE CALOOCAN CITY 1,170.80 - - 1,170.80
14-Jan-19 19-2276 CRESPO, VICTORIA ST DAVAO ST. BAGO BANTAY QUEZON CITY 1,350.00 - - 1,350.00
14-Jan-19 19-2277 PEÑA, ISABEL BAGONG BANTAY QUEZON CITY 250.00 - - 250.00
14-Jan-19 19-2278 BONDOC, LUZVIMINDA LILAC ST. DOMINIC SUB QUEZON CITY 97.50 - - 97.50
14-Jan-19 19-2279 LUCERNA, RAFAEL JR POLICARPIO GEN TRIAS VALENZUELA 65.00 - - 65.00
14-Jan-19 19-2280 PARRA, FIDELA VALENZUELA ST. MARULAS VALENZUELA 156.00 - - 156.00
14-Jan-19 19-2281 EVANGELIO, MANUEL 1770 MIGUELIN ST. SAMPALOC MANILA 841.40 - - 841.40
14-Jan-19 19-2282 PAISTE, CEFERINO B. VARGAS ST. TONDO MANILA - 1,260.00 - 1,260.00
14-Jan-19 19-2283 MILLARIO, DOMINGO MONICA ST. VIENTE REALES VALENZUELA 491.40 - - 491.40
14-Jan-19 19-2284 MAONZO, LYOID ANGEL LUNA ST. CONCEPCION BALIWAG BULACAN 193.70 - - 193.70
14-Jan-19 19-2285 JIMENEZ, ANGELITA 134 MALAC ST. MASAMBONG SFDM QC - 960.00 - 960.00
14-Jan-19 19-2286 CREIDO, LIGAYA 57 P PATERNO QUEZON CITY 429.00 - - 429.00
14-Jan-19 19-2287 AVANCEÑA, SAMUEL BAGONG BARRIO CALOOCAN CITY 2,369.10 - - 2,369.10
14-Jan-19 19-2288 AVANCEÑA, ERLINDA MASIKAP ST. BAGONG BARRIO CALOOCAN 292.90 - - 292.90
14-Jan-19 19-2289 DE JESUS, BARTOLOME BRGY. PAANG BUNDOK QUEZON CITY 273.00 - - 273.00
14-Jan-19 19-2290 CARREON, MARK RUSSEL SAN ANDRES MALATE MANILA 4,992.00 - - 4,992.00
14-Jan-19 19-2291 SARMIENTO, MARIA DITA CUENCA BATANGAS 3,057.60 - - 3,057.60
14-Jan-19 19-2292 FERRER, REYNALDO BRGY. 172 GAGALANGIN TONDO MANILA 366.60 - - 366.60
14-Jan-19 19-2293 GANDOL, CARMEN BRGY. 324 STA CRUZ MANILA 260.00 - - 260.00
14-Jan-19 19-2294 MAGNO, JESUS BRGY. 445 SAMPALOC MANILA 130.00 - - 130.00
14-Jan-19 19-2295 DELOS REYES, ARMANDO BRGY. 28 CALOOCAN CITY 1,946.35 - - 1,946.35
14-Jan-19 19-2296 BRIONES, MICHEAL TAMBAKAN ST. MAYPAJO CALOOCAN CITY 3,120.00 - - 3,120.00
14-Jan-19 19-2297 LAGUITAN, FE BRGY. LONGOS MALABON CITY - - 18,235.00 18,235.00
14-Jan-19 19-2298 ABAS, EDGAR HARBOR CENTER MANILA - - 2,350.00 2,350.00
14-Jan-19 19-2299 DELA CRUZ, JERICK CAINGIN MALDO BULACAN - - 2,427.23 2,427.23
14-Jan-19 19-2300 ARCA, JEROME VALENZUELA ST. MARULAS VALENZUELA - - 3,180.50 3,180.50
14-Jan-19 19-2301 SANTOS, RAMON DON GALO PARANAQUE CITY - - 562.44 562.44
14-Jan-19 19-2302 SANCHEZ, AILEEN BRGY. DAANG HARI NAVOTAS CITY - - 1,184.13 1,184.13
14-Jan-19 19-2303 DE LEON, MARK JORDAN 842 ANGALO ST. BINONDO MANILA - - 1,060.00 1,060.00
14-Jan-19 19-2304 GARAY, RIZMEL 2655 LICO ST. TONDO MANILA - - 770.54 770.54
14-Jan-19 19-2305 TOLIBAS, ANGELO BRGY. 143 BAGONG BARRIO CALOOCAN - - 2,880.00 2,880.00
14-Jan-19 19-2306 MALAGA, ARNULFO RIVERSIDE MALANDAY VALENZUELA CITY - - 1,700.00 1,700.00
14-Jan-19 19-2307 ALONZO, CORAZON MAMBOG 3 BACOOR CAVITE - - 8,011.55 8,011.55
14-Jan-19 19-2308 ANGELES, JOHN EDUARD BAMBANG TONDO MANILA - - 7,436.29 7,436.29
14-Jan-19 19-2309 SAPLALA, AZUCENA BATTA BOCAUE BULACAN 670.80 - - 670.80
14-Jan-19 19-2310 ARELLANO, DINNA CORONA A TONDO MANILA - 900.00 - 900.00
14-Jan-19 19-2311 NAPAY, JESSIE BRGY. 40 CALOOCAN MANILA 351.00 - - 351.00
14-Jan-19 19-2312 CASTILLO, ADELA 122 CALLE ONSE PARADA VALENZUELA - 1,800.00 - 1,800.00
Page 38
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
14-Jan-19 19-2313 CHICANO, ANTONIA BILIBID VIEJO ST. QUIAPO MANILA 81.00 - - 81.00
14-Jan-19 19-2314 GONZALES, FRANCISCA BRGY. 104 TONDO MANILA 448.50 - - 448.50
14-Jan-19 19-2315 CAJAYON, ROMULFO BRGY. 156 TONDO MANILA 2,340.00 - - 2,340.00
13-Jan-19 19-2316 DELA CRUZ, APRIL ANN DELA INDUSTRIA BINONDO MANILA - - 695.00 695.00
13-Jan-19 19-2317 COSICO, EDISON HERRERA ST. BARRIO OBRERO TONDO MANILA - - 442.24 442.24
13-Jan-19 19-2318 YUSOPH, JANNILAH 1354 M CRISTINA ST. SAMPALOC MANILA - - 2,610.00 2,610.00
13-Jan-19 19-2319 DAVID, ANGELITA 1606 QUIRICADA ST. SAMPALOC MANILA - - 932.42 932.42
13-Jan-19 19-2320 SARTIN, BONIFACIO CUNANAN ST. TONDO MANILA - - 360.00 360.00
13-Jan-19 19-2321 DOMANICO, MERLINDA DEGATO MARILAO BULACAN - - 3,827.32 3,827.32
13-Jan-19 19-2322 BALAGTAS, GAUDELIA GARCIA ST. TEOVILLE EAST MANILA - 104.00 - 104.00
13-Jan-19 19-2323 CARABEO, MELCHORA BRGY. 85 VARONA TONDO MANILA - - 424.00 424.00
13-Jan-19 19-2324 DELA CRUZ, MARK QUINTOS ST. SAMPALOC MANILA - - 1,414.69 1,414.69
13-Jan-19 19-2325 SAMANIEGO, LEVY 831 A CABEZAS ST. DAGAT DAGATAN TONDO - - 1,193.65 1,193.65
13-Jan-19 19-2326 SAGUN, MELANIE MACEDA P FLORENTINO ST. SAMPALOC MANILA - - 1,583.29 1,583.29
13-Jan-19 19-2327 REYES, ALMA SAN VICENTE PAAMBONG BULACAN - - 916.15 916.15
13-Jan-19 19-2328 ILLUSTRISMO, DENISE BRGY. HOLY SPIRIT QUEZON CITY - - 3,385.78 3,385.78
13-Jan-19 19-2329 ADAYA, JOHN STEVE GATE 17 PAROLA TONDO MANILA - - 1,710.72 1,710.72
13-Jan-19 19-2330 ARMAS, BRIAN JAY 1094 DM COMP CALOOCAN CITY - - 1,590.00 1,590.00
15-Jan-19 19-2331 CEPEDA, NALINA BRGY. 8 DAGAT DAGATAN CALOOCAN CITY 500.00 - 2,350.00 2,850.00
15-Jan-19 19-2332 DELA CRUZ, LOTISQUE BRGY. SAUYO CABUYAO QUEZON CITY - - 854.16 854.16
15-Jan-19 19-2333 CAMPOSANO, ANGELA BRGY. 93 11TH AVENUE CALOOCAN CITY - - 790.00 790.00
15-Jan-19 19-2334 YANGAT, JEROME BRGY. SAN ISIDRO LABRADOR DASMARINAS 161.60 - 750.00 911.60
15-Jan-19 19-2335 PEREZ,ANGELITA 90 MANUNGGAL ST. TATALON QUEZON CITY - - 1,420.00 1,420.00
15-Jan-19 19-2336 SANTOS, ROGELIO BRGY. 413 SAMPALOC MANILA 110.50 - 2,584.20 2,694.70
15-Jan-19 19-2337 ANGELES, JEOVANIE DRAKEBRGY. 331 TAYMAN STA. CRUZ MANILA - - 530.00 530.00
15-Jan-19 19-2338 TABORADA, QUEENCY SAN JOSE NAVOTAS CITY - - 530.00 530.00
15-Jan-19 19-2339 PANILAWAN, RODOLFO BRGY. 49 NADURATA ST. CALOOCAN CITY 406.00 - - 406.00
15-Jan-19 19-2340 ANALUPA, MARIA SANGANG DAAN CALOOCAN CITY - - 3,846.60 3,846.60
15-Jan-19 19-2341 ALONZO, CORAZON BRGY. MAMBOG BACOOR CAVITE - - 1,296.25 1,296.25
15-Jan-19 19-2342 BOQUEO, DELIA NORH VILLE 5TH BATIA BOCAUE BULACAN - - 3,084.83 3,084.83
15-Jan-19 19-2343 TINGGAS, A.R BRGY. 118 CALOOCAN CITY - 810.00 - 810.00
15-Jan-19 19-2344 DOLAR, SUSAN GEN T. DE LEON VALENZUELA CITY 250.00 - - 250.00
15-Jan-19 19-2345 REYES, EMMA BRGY. 256 TAYUMAN TONDO MANILA 81.00 - - 81.00
15-Jan-19 19-2346 CATUNGGAL, CECILIA BRGY. 221 TONDO MANILA 526.50 - - 526.50
15-Jan-19 19-2347 REYES, MA. ELENA LANTAD HAGONOY BULACAN 9,172.80 - - 9,172.80
15-Jan-19 19-2348 LANIOJAN, MARICEL OLD CABUYAO SAUYO NOVALICHES 429.00 - - 429.00
15-Jan-19 19-2349 GLIPO, SALVADOR REYES ST. TONDO MANILA 52.80 - - 52.80
15-Jan-19 19-2350 JAMISON, GIOVA 174 FRANCISCO ST. CALOOCAN CITY 214.50 - - 214.50
15-Jan-19 19-2351 CERVANTES, ANGELITA 242 CORREGIDOR 10 ST AVE CALOOCAN CITY 980.00 - - 980.00
15-Jan-19 19-2352 FLORES, ANASTACIA BRGY. 375 STA CRUZ MANILA - 900.00 - 900.00
15-Jan-19 19-2353 SAN PEDRO, ZENAIDA GREENLAND NANGKA MARIKINA CITY - 900.00 - 900.00
15-Jan-19 19-2354 SEPONTOS, ROSEVELLA BRGY. YAKAL SILANG CAVITE 1,560.00 5,300.00 - 6,860.00
15-Jan-19 19-2355 BONGARES, PEDRO JR BENITA GAGALANGIN TONDO MANILA 81.00 - - 81.00
15-Jan-19 19-2356 ROMERO, BERNARDINA MADORATA ST. MAYPAJO CALOOCAN 429.00 - - 429.00
15-Jan-19 19-2357 MANUEL, CONRADO KARAPATAN ST. STA CRUZ MANILA 535.50 - - 535.50
15-Jan-19 19-2358 ADRIANO, CHRISTIAN JAMES PHASE 2 AREA 1 NBBS NAVOTAS CITY - 500.00 - 500.00
15-Jan-19 19-2359 VIRATA, MIRIAM BRGY. 20 CALOOCAN CITY 409.50 - - 409.50
15-Jan-19 19-2360 MACALINAO, AMELETA BRGY. 213 TONDO MANILA 1,107.85 - - 1,107.85
15-Jan-19 19-2361 BUSTOS, MENELEUS MAG VILL TONDO MANILA - 2,640.00 - 2,640.00
15-Jan-19 19-2362 OLGUERA, MAILEEN DEL PILAR BASEY SAMAR - 1,200.00 - 1,200.00
15-Jan-19 19-2363 CRUZ, SOCORRO 415 B CORAL ST. TONDO MANILA - 960.00 - 960.00
15-Jan-19 19-2364 SAMBILE, CORAZON MA. GUIZON ST. TONDO MANILA 195.00 - - 195.00
15-Jan-19 19-2365 AQUINO, SALUD BRGY. TONSUYA MALABON CITY 729.00 - - 729.00
15-Jan-19 19-2366 PASCUAL, BENJAMIN PHASE 2 AREA 1 NBBS NAVOTAS CITY 949.50 - - 949.50
15-Jan-19 19-2367 IIDEFONSO, MARIA NYMPHA KALSADANG BAGO IMUS CAVITE 3,120.00 - - 3,120.00
15-Jan-19 19-2368 DELGADO, PEPITO MASINOP BARABA ST. TONDO MANILA 156.00 - - 156.00
15-Jan-19 19-2369 MARTIN, EDUARDO 46 DALANAN ST. BAGONG BARRIO CALOOCAN 949.50 - - 949.50
15-Jan-19 19-2370 TOPULAR, FERLYN BRGY. MARULAS SANTA ROSA LAGUNA - - 7,056.65 7,056.65
15-Jan-19 19-2371 SEDANO, IMELDA 740 D VALENCIA ST. SAMPALOC MANILA - 1,200.00 - 1,200.00
15-Jan-19 19-2372 RONDINA, EMARITA BRGY. MUZON CSJDM BULACAN - 1,200.00 - 1,200.00
15-Jan-19 19-2373 TOLENTINO, ADELAIDA BRGY. ;MALIGAYA PALAYAN CITY NUEVA ECIJA 3,324.00 - - 3,324.00
Page 39
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
15-Jan-19 19-2374 MEJIA, PATRICIO BUSTAMANTE ST. CALOOCAN CITY 351.00 - - 351.00
15-Jan-19 19-2375 HERNANDEZ, JOSEFINA GRACE PARK CALOOCAN CITY 939.00 - - 939.00
15-Jan-19 19-2376 PANTIG, ROMEO PILAR ST. MANUGUID TONDO MANILA 535.50 - - 535.50
15-Jan-19 19-2377 SALVADOR, BERNARDO 181 A PALON ST. CALOOCAN CITY 156.00 - - 156.00
15-Jan-19 19-2378 FALCON, PAGASA 1627 QUIRICADA ST. STA CRUZ MANILA 1,517.40 - - 1,517.40
15-Jan-19 19-2379 BABILONIA, RIC FELIPA ST. SAMPALOC MANILA 429.00 - - 429.00
15-Jan-19 19-2380 YU, GLICERIA BALINTAWAK EXT TONDO MANILA 486.45 - - 486.45
15-Jan-19 19-2381 FACTOR, FERDINAND MABUHAY CITY CABUYAO LAGUNA 193.70 - - 193.70
15-Jan-19 19-2382 SANTIAGO, PEDRO MASINIP ST. TONDO MANILA - - 3,240.00 3,240.00
15-Jan-19 19-2383 BUITRE, SHEILA MAE CAYCO ST. SAMPALOC MANILA - - 4,240.00 4,240.00
15-Jan-19 19-2384 BARNACHEA, FEDERICO JR BRGY. 39 CALOOCAN CITY 987.10 - 1,420.90 2,408.00
15-Jan-19 19-2385 MUYO, ONIGA BASECO FORT AREA BRGY. 168 MANILA - - 470.00 470.00
15-Jan-19 19-2386 SANTOS, JEMUEL 385 MATIISIN BRGY. 25 TONDO MANILA - - 1,048.46 1,048.46
15-Jan-19 19-2387 JIMENEZ, EVA NORTH SIGNAL VILLAGE TAGUIG - - 3,660.33 3,660.33
15-Jan-19 19-2388 PAIGMA, GERALD BRGY. CATMON MALABON - - 7,091.00 7,091.00
15-Jan-19 19-2389 LIPON, SHEILA DASMARINAS CAVITE - - 530.00 530.00
15-Jan-19 19-2390 GALVEZ, RANDOLF JOSEPH BRGY. 183 GAGALANGIN TONDO MANILA - - 990.00 990.00
15-Jan-19 19-2391 DE TORRES, ERIC BRGY. 337 PANDACAN MANILA 250.00 - 1,350.00 1,600.00
15-Jan-19 19-2392 GARCIA, CARLITO BRGY. 142 TONDO MANILA - - 3,476.90 3,476.90
15-Jan-19 19-2393 VERGARA, ELINOR 100 7 ST C3 CALOOCAN CITY - - 1,325.58 1,325.58
15-Jan-19 19-2394 GARCIA, VILMA 748 PAMPANGA ST. TONDO MANILA 1,176.00 - - 1,176.00
15-Jan-19 19-2395 GARCIA, VICTORINO 748 PAMPANGA ST. TONDO MANILA 1,176.00 - - 1,176.00
16-Jan-19 19-2396 DATO, EDWINA BMBA 2ND CALOOCAN CITY - - 717.00 717.00
16-Jan-19 19-2397 AQUINO, JIMMY C2 ROAD CAPULONG TONDO MANILA - - 610.35 610.35
16-Jan-19 19-2398 CONCEPCION, DERLY BALUT TONDO MANILA - - 4,721.09 4,721.09
16-Jan-19 19-2399 COLICO, VIRGILIO GUILLERMO ST. BAYAMAN MUNTINLUPA - - 9,292.92 9,292.92
16-Jan-19 19-2400 PONPON, PRINCESS DIANE BRGY. 105 TONDO MANILA - - 9,330.71 9,330.71
16-Jan-19 19-2401 CABRERA, ERNESTO SR BLK 3 TONDO MANILA - - 582.52 582.52
16-Jan-19 19-2402 ARMAS, BRIAN JAY 1094 DM COMP CALOOCAN CITY 737.10 - 530.00 1,267.10
16-Jan-19 19-2403 PETEZA, MA.SONIA MABOLO AVENUE BAGONG BARRIO CALOOCAN - - 13,066.89 13,066.89
16-Jan-19 19-2404 CUSTADO, LEANDER EUGENEMUZON SAN JOSE DEL MONTE BULACAN - - 12,179.46 12,179.46
16-Jan-19 19-2405 SALIVIO, JAJA BRGY. 95 GRACE PARK CALOOCAN CITY - - 2,855.86 2,855.86
16-Jan-19 19-2406 JARAMIEL, ARIANNE NICOLER. CRUZ GAGALANGIN TONDO MANILA - - 2,551.90 2,551.90
16-Jan-19 19-2407 BARNACHEA, REDELIA BAGONG BARRIO CALOOCAN CITY - - 530.00 530.00
16-Jan-19 19-2408 ERAN, PEARLY 1079 PUROK 34 LUZON QUEZON CITY - - 7,870.09 7,870.09
16-Jan-19 19-2409 RELIONA, NICASIO BLK 3 LOT 24 KINGSTOWN 1 CALOOCAN CITY 721.50 - - 721.50
16-Jan-19 19-2410 GUEVARRA, DANILO BRGY. OCAMPO RIVERA NUEVA ECIJA 624.00 - - 624.00
16-Jan-19 19-2411 GAROLACAN, VEVERZA MABUHAY ST. PALIPARAN DASMARINAS - - 56,549.11 56,549.11
17-Jan-19 19-2412 DUHAYLUNGSOD, OSCAR RIZAL AVE STA CRUZ MANILA - - 4,169.02 4,169.02
17-Jan-19 19-2413 FORMENTERA, VIRGIE GULAYAN CATMON MALABON CITY 454.50 - - 454.50
17-Jan-19 19-2414 ENRIQUEZ, GIL RECAREDO CRAIG ST SAMPALOC MANILA 2,445.00 - - 2,445.00
17-Jan-19 19-2415 CAUNCERAN, MONICO BRGY 529 SAMPALOC MANILA 481.00 - - 481.00
17-Jan-19 19-2416 CANUTO, CORAZON FUASTINO ST PUNTURIN VALENZUELA - 1,200.00 - 1,200.00
17-Jan-19 19-2417 BERNAL, JOYCE ANN SAMSON RD CALOOCAN CITY 624.00 - - 624.00
10-Jan-19 19-2418 DELA CRUZ, ALFONSO SAN MIGUEL MANILA - - 10,045.29 10,045.29
13-Jan-19 19-2419 MALATE, ALECXIS JOY DAGUPAN ST TONDO MANILA - - 550.11 550.11
13-Jan-19 19-2420 OCAMPO, FELICITAS BENITA ST GAGALANGIN TONDO MANILA - - 1,145.83 1,145.83
17-Jan-19 19-2421 MANTILLA, DIONICIA BRGY 254 TONDO MANILA 955.50 - - 955.50
17-Jan-19 19-2422 AUSTRIA, AGUSTIN GARRY GERONIMO ST SAMPALOC MANILA 81.00 - - 81.00
17-Jan-19 19-2423 ARIMAS, EDMUNDO SAN MAYON TANZA CAVITE 949.50 - - 949.50
17-Jan-19 19-2424 JIMENEZ, ANGELES TAAL BATANGAS - - 6,998.02 6,998.02
17-Jan-19 19-2425 DIVINA, SALVADOR VISCARRA COMP MOLINO BACOOR CAVITE - - 2,586.04 2,586.04
31-Jan-19 19-2426 ENDRERA, MARY ROSE KIKO ROSA GEN TRIAS CAVITE - - 1,048.40 1,048.40
17-Jan-19 19-2427 JUSTO, ROMAN GULAYAN ST CONCEPCION MALABON - - 14,910.44 14,910.44
17-Jan-19 19-2428 LEE, DANIEL ALMEDA ST TONDO MANILA - - 781.62 781.62
18-Jan-19 19-2429 GINGA, BONALYN MASAMBONG QUEZON CITY - - 1,911.65 1,911.65
18-Jan-19 19-2430 GONZALO, TRISHA JOY E RODRIGUEZ BALUT TONDO MANILA - - 1,105.32 1,105.32
18-Jan-19 19-2431 BAFLOR, JANE ANNE PERMANENT HOUSING BALUT TONDO MANILA- - 2,558.66 2,558.66
18-Jan-19 19-2432 COLANOG, JOYLEN BRGY 120 CALOOCAN CITY - - 1,790.84 1,790.84
18-Jan-19 19-2433 PORCIUNCULA, JON ROSS TIRSO CRUZ ST GAGALANGIN TONDO MANILA - - 7,370.00 7,370.00
18-Jan-19 19-2434 DOMINGO, CRIS AIANAH BONIFACIO ST TONDO MANILA - - 2,398.13 2,398.13
18-Jan-19 19-2435 SOLIVA, RODOLFO JOSE ABAD SANTOS ST TONDO MANILA - - 9,175.17 9,175.17
Page 40
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
18-Jan-19 19-2436 BUGARIN, LAWRENCE DAPITAN ST SAMPALOC MANILA - - 14,835.58 14,835.58
18-Jan-19 19-2437 APOLINARIO, MYRA SULU ST STA CRUZ MANILA - 130.00 - 130.00
18-Jan-19 19-2438 ABARING, ELEONOR BATO EXT RAXABAGO TONDO MANILA 2,340.00 - - 2,340.00
18-Jan-19 19-2439 ABENOJA, EDGARDO DULONG TANGKE MALINTA VALENZUELA5,588.38 4,000.00 - 9,588.38
18-Jan-19 19-2440 AYSON, AIDA PEREZ TONSUYA MALABON CITY 429.00 - - 429.00
18-Jan-19 19-2441 KATO, BRYAN CRAIG EXT SAMPALOC MANILA 500.00 - - 500.00
18-Jan-19 19-2442 AQUINO, CAROLINA MAHOGANY ST MEYCAUAYAN BULACAN 721.50 - - 721.50
18-Jan-19 19-2443 PADUL, MINAMIE MARIKINA ST MAYPAJO CALOOCAN 528.00 - - 528.00
18-Jan-19 19-2444 LISING, NOVERANDO MAGSAYSAY ST TONDO MANILA 1,107.85 - - 1,107.85
18-Jan-19 19-2445 ROJAS, ALANIS VARONA ST TONDO MANILA - - 5,538.61 5,538.61
18-Jan-19 19-2446 MENDOZA, GEORGE LAON LAAN SAMPALOC MANILA 292.50 - - 292.50
18-Jan-19 19-2447 CANDELARIA, DENIA BITIK GTDL VALENZUELA 429.00 - - 429.00
18-Jan-19 19-2448 GABORNO, ELMER 5TH AVE CALOOCAN CITY 1,279.20 - - 1,279.20
18-Jan-19 19-2449 TIGBAUAN, PERLITO HUNTERS TATALON QUEZON CITY - 3,240.00 - 3,240.00
18-Jan-19 19-2450 FAJARDO, ANALYN CABALATA ST TATALON QUEZON CITY 2,210.00 - - 2,210.00
18-Jan-19 19-2451 HAW, AYTI OROQUETA ST STA CRUZ MANILA 1,014.00 - - 1,014.00
18-Jan-19 19-2452 URSUA, PEDRO QUEZON RD MAGSAYSAY TONDO MANILA 2,146.50 - - 2,146.50
18-Jan-19 19-2453 CORTEZ, FERNANDO FELO ST RINCON VALENZUELA 1,144.50 - - 1,144.50
18-Jan-19 19-2454 CALDIT, DALISAY BRGY 49 CALOOCAN CITY 276.00 - - 276.00
18-Jan-19 19-2455 FLETA, JEE EMMA BRGY MAGSAYSAY LAGUNA 214.50 - - 214.50
18-Jan-19 19-2456 BASILISCO, ROLANDO FUGOSO ST STA CRUZ MANILA 858.00 - - 858.00
18-Jan-19 19-2457 MANASIS, JUANCHO TENORIO ST STA ANA MANILA 3,078.00 - - 3,078.00
18-Jan-19 19-2458 SAYCO, DANTE EMERALD ST CYPRESS VILL QUEZON 1,731.85 - - 1,731.85
18-Jan-19 19-2459 DE GUZMAN, IMELDA BUAGAN ST CALOOCAN CITY - 2,340.00 - 2,340.00
18-Jan-19 19-2460 HERNANDEZ, ROMEO QUIRICADA ST STA CRUZ MANILA 429.00 - - 429.00
18-Jan-19 19-2461 BAUTISTA, NORMA GOV PASCUAL ST SIPAC ALMACEN NAVOTAS721.50 - - 721.50
18-Jan-19 19-2462 PATANAO, NELLIE JESUS ST BRGY 836 PANDACAN MANILA - 250.00 - 250.00
18-Jan-19 19-2463 TOLENTINO, FERNANDO SANCIANGCO ST STO NIÑO QUEZON 2,158.20 - - 2,158.20
18-Jan-19 19-2464 BIAG, MHELROSE INDEPENDENCE ST GTDL VALENZUELA - 1,200.00 - 1,200.00
18-Jan-19 19-2465 FAELDONIA, CARLYN PANAKLAY MUZON SJDM BULACAN - 8,500.00 - 8,500.00
18-Jan-19 19-2466 ZAFE, LILIBETH HARMONY HILLS MUZON SJDM BULACAN 9,172.80 - - 9,172.80
18-Jan-19 19-2467 OCAMPO, DELIA MARCELO GREEN PARAÑAQUE CITY 190.50 - - 190.50
18-Jan-19 19-2468 ORDOÑEZ, NORMIE DAGAT DAGATAN CALOOCAN CITY 9,172.80 - - 9,172.80
18-Jan-19 19-2469 RAMOS, FORTUNATO JR BATANES ST SAMPALOC MANILA 949.50 - - 949.50
18-Jan-19 19-2470 MANLULU, PURIFICACION ALVAREZ STA CRUZ MANILA 429.00 - - 429.00
18-Jan-19 19-2471 CONCEPCION, JOSEPH DEL ROSARIO ST MARULAS VALENZUELA 2,340.00 - - 2,340.00
18-Jan-19 19-2472 TAN, ROQUE ANYATAM SAN ILDEFONSO BULACAN 949.50 - - 949.50
18-Jan-19 19-2473 MORTEL, JOHN NOAH MENDEZ ST BAESA QUEZON CITY - 4,800.00 - 4,800.00
18-Jan-19 19-2474 CORTEZA, MA LUZ MAGSAYSAY ST TONDO MANILA 2,839.70 - - 2,839.70
18-Jan-19 19-2475 OSIAS, ANGELITO STO NIÑO ZAMBALES 4,321.30 1,500.00 - 5,821.30
18-Jan-19 19-2476 LAYOSA, JOSHUA ESGUERRA ST CALOOCAN CITY - 500.00 - 500.00
18-Jan-19 19-2477 IBAY, ROLANDO FUGOSO ST STA CRUZ MANILA 721.50 - - 721.50
18-Jan-19 19-2478 JAVIER, ROGELIA ROXAS ST BARRIO OBRERO TONDO MANILA4,321.30 4,000.00 - 8,321.30
18-Jan-19 19-2479 QUINTERO, KAIZER NHIRO CALAMBA ST TALAYAN QUEZON CITY - - 2,880.00 2,880.00
18-Jan-19 19-2480 BIALA, RAILEY BRGY 55 TONDO MANILA - - 4,240.00 4,240.00
18-Jan-19 19-2481 DELA TORRE, RODICO NEW ANTIPOLO ST TONDO MANILA - - 1,155.50 1,155.50
18-Jan-19 19-2482 VILLANUEVA, CRUZ MUÑOZ ST PASAY CITY - - 2,710.00 2,710.00
18-Jan-19 19-2483 PINAGAWA, ADRIAN PINALAGAD MALINTA VALENZUELA - - 587.20 587.20
18-Jan-19 19-2484 CRISTOBAL, RICHSON IVAN LEYTE DEL SUR SAMPALOC MANILA - - 760.00 760.00
18-Jan-19 19-2485 CONDE, PATRICK NICOLAS ST STA CRUZ MANILA - - 1,420.00 1,420.00
18-Jan-19 19-2486 STA ANA, ROYET BRGY LANGKIWA BIÑAN LAGUNA - - 4,970.00 4,970.00
18-Jan-19 19-2487 MIGUEL, MIKE JONARD IPIL ST STA CRUZ MANILA - - 3,220.17 3,220.17
18-Jan-19 19-2488 PRESTADO, AMELIA MALAMIG ST SAMPALOC MANILA - - 1,858.07 1,858.07
18-Jan-19 19-2489 PATANI, RODINA RAXABAGO ST TONDO MANILA - - 530.00 530.00
18-Jan-19 19-2490 SALAMAT, ROSEANN TEODORO ST BARRIO OBRERO TONDO MANILA- - 523.63 523.63
18-Jan-19 19-2491 LAYNO, ALLYSA BRGY 221 TONDO MANILA - - 1,590.00 1,590.00
18-Jan-19 19-2492 DELA CRUZ, ROMAR TAMARRAW HILLS VALENZUELA - - 4,301.31 4,301.31
18-Jan-19 19-2493 BARASONA, AARON STEPHEN11TH AVE CALOOCAN CITY - - 1,702.88 1,702.88
18-Jan-19 19-2494 QUILONG QUILONG, JASMINANACLETO ST STA CRUZ MANILA - - 634.00 634.00
18-Jan-19 19-2495 CRUZ, CORNELIO JASMIN ST BALIWAG BULACAN - - 273.98 273.98
18-Jan-19 19-2496 CALIBUSO, RONNEL OROQUETA ST STA CRUZ MANILA - - 13,684.43 13,684.43
Page 41
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
18-Jan-19 19-2497 ARIOLA, TERESITA GLADIOLA EXT PASAY CITY - - 15,556.02 15,556.02
18-Jan-19 19-2498 GO, LETICIA TIAONG GUIGUINTO BULACAN - 4,500.00 - 4,500.00
18-Jan-19 19-2499 ABUEME, MARVIN KABUYAO ST BILOG BALANGKAS VALENZUELA9,172.80 - - 9,172.80
18-Jan-19 19-2500 TAGLE, YOLANDA LUNA STA ROSA NUEVA ECIJA - 8,500.00 - 8,500.00
11-Jan-19 19-2501 LIM, EDWARD MANGA AVE SAMPALOC MANILA 549.00 - - 549.00
11-Jan-19 19-2502 ESTARES, ROLANDO GEN LUNA ST CALOOCAN CITY 1,365.00 - - 1,365.00
11-Jan-19 19-2503 SAPIANDANTE, DOMINADORESGUERRA ST TONDO MANILA 145.50 - - 145.50
11-Jan-19 19-2504 BASILISCO, ROLANDO FUGOSO ST STA CRUZ MANILA 1,099.50 - - 1,099.50
11-Jan-19 19-2505 BASILISCO, NORMA FUGOSO ST STA CRUZ MANILA 238.50 - - 238.50
11-Jan-19 19-2506 DELOS SANTOS, CARLITO SAN MARTIN DE PORRES PARAÑAQUE 500.00 - - 500.00
11-Jan-19 19-2507 CARMONA, CAROLINE FIDEL A REYES MALATE MANILA - - 19,127.67 19,127.67
11-Jan-19 19-2508 TADILI, MARICEL LEGIAN TUE SUBD IMUS CAVITE - - 9,957.19 9,957.19
11-Jan-19 19-2509 MONDIEGO, JENNIFER JACINTO ST CANUMAY WEST VALENZUELA - - 275.01 275.01
11-Jan-19 19-2510 ABAD, MARYCRIS NORTHVILLE 5 BATIA BOCAUE BULACAN - - 2,675.28 2,675.28
11-Jan-19 19-2511 ANES, JIMMY LEGARDA ST SAMPALOC MANILA - - 5,919.73 5,919.73
11-Jan-19 19-2512 BAYSA, JAYSON 2ND TAÑONG MALABON CITY - - 10,391.02 10,391.02
11-Jan-19 19-2513 ORDONIA, JANSEL KENNETHBRGY 651 PORT AREA MANILA - - 1,175.00 1,175.00
11-Jan-19 19-2514 ORDONIA, JUDY ANN BRGY 651 PORT AREA MANILA - - 18,690.94 18,690.94
11-Jan-19 19-2515 TISOY, RHIYAN CYRIL PINEAPPLE RD POTRERO MALABON - - 808.20 808.20
12-Jan-19 19-2516 LIBRES, NIÑA LYNN SALMON ST CALOOCAN CITY - - 2,461.82 2,461.82
12-Jan-19 19-2517 ESPEDIDO, KRIZTIANA DAINESITOP MASAYAHIN SAN PEDRO LAGUNA - - 255.00 255.00
12-Jan-19 19-2518 ROVIRA, AIRA JHOYCE BARCELONA ST BINONDO MANILA - - 2,922.69 2,922.69
12-Jan-19 19-2519 BALLENA, DENNIS BRGY ADDITION HILLS MANDAUYONG - - 8,136.02 8,136.02
12-Jan-19 19-2520 MORAN, PRINCE ALEX SAUYO RD NOVALICHES QUEZON - - 2,466.82 2,466.82
12-Jan-19 19-2521 CABESO, DIANNE SHERLY SITIO MASAYAHIN SAN PEDRO LAGUNA - - 3,625.51 3,625.51
12-Jan-19 19-2522 DONOR, LOLITA JOSE ABAD SANTOS ST STA MESA MANILA - - 1,287.85 1,287.85
12-Jan-19 19-2523 OLASIMAN, JOSEFINA ILAW ST BRGY PALTOK SJDM QUEZON 650.00 - - 650.00
12-Jan-19 19-2524 ARBOLADO, LOUIS ALBERT AREA F PAROLA BINONDO MANILA - - 4,240.00 4,240.00
12-Jan-19 19-2525 QUIÑONES, ROCHELLE ANNTILAPIA ST HAPPYLAND TONDO MANILA 491.40 - 901.80 1,393.20
12-Jan-19 19-2526 SAN ANDRES, RAVEN NICOLEILANG ILANG ST BALANGKAS VALENZUELA - - 2,880.00 2,880.00
12-Jan-19 19-2527 REALISTA, DOLORES DALAGAHAN ST GULOD NOVALICHES QUEZON - - 530.00 530.00
12-Jan-19 19-2528 REYES, ANDREI DON MANUEL ST BALINTAWAK QUEZON - - 2,350.00 2,350.00
12-Jan-19 19-2529 LACERNA, BELLA BRGY 178 CAMARIN CALOOCAN CITY - - 18,810.44 18,810.44
12-Jan-19 19-2530 SAGUIT, RECHELLE ST JOSEPH ST TIMBAO BIÑAN LAGUNA 736.60 - 806.52 1,543.12
12-Jan-19 19-2531 SAN JOSE, AURORA VIZCAYA ST BARRIO OBRERO TONDO MANILA523.50 - 1,932.24 2,455.74
12-Jan-19 19-2532 BRUCE, JENNIFER BIGNAY UNO SARIAYA QUEZON CITY - - 2,406.79 2,406.79
12-Jan-19 19-2533 GOLOSINDA, JOHN KENNEDYBRGY 165 CALOOCAN CITY - - 1,210.00 1,210.00
12-Jan-19 19-2534 MARCHAN, ARMILYN SAN NICOLAS III BACOOR CAVITE - - 2,541.35 2,541.35
12-Jan-19 19-2535 ORPILLA, ROEBIEN LOMA DE GATO MARILAO BULACAN - - 3,608.39 3,608.39
12-Jan-19 19-2536 CARRANZA, GENEVIEVE HAMABAR ST TONDO MANILA - - 607.46 607.46
12-Jan-19 19-2537 LONGA, ELENA NARRA TONDO MANILA - - 686.00 686.00
12-Jan-19 19-2538 GABRILLO, ALEX DAANG AMAYA ST TANZA CAVITE - - 566.40 566.40
12-Jan-19 19-2539 PINEDA, MIKE BUENOS ARIES STA MESA MANILA - - 920.00 920.00
12-Jan-19 19-2540 MATEOS, EDNA KASIPAGAN ST TONDO MANILA - - 643.90 643.90
12-Jan-19 19-2541 BUEN, KIER ARVIN KABULUSAN ST CALOOCAN CITY - - 229.30 229.30
12-Jan-19 19-2542 PANIMDIM, MA GLOWIN JUVIC ST MALINIS BAGBAGUIN VALENZUELA - - 192.40 192.40
12-Jan-19 19-2543 BORDAS, ROMANA TAMBUNTING ST STA CRUZ MANILA - - 530.00 530.00
12-Jan-19 19-2544 BITUIN, FLORENCIA PARADISE HEIGHTS BALUT TONDO MANILA - - 590.40 590.40
12-Jan-19 19-2545 DELA ROSA, CHERILYN BRGY MAUBAN MANRESA QUEZON CITY - - 1,069.83 1,069.83
12-Jan-19 19-2546 EPECTO, KEITHLYN TINDALO ST TONDO MANILA - - 2,710.00 2,710.00
12-Jan-19 19-2547 REYNALDO, EMILIA ILANG ILANG BANCAL MEYCAUAYAN BULACAN- - 7,516.69 7,516.69
12-Jan-19 19-2548 VILLAGRACIA, FLORA BRGY 59 CALOOCAN CITY - - 3,463.96 3,463.96
12-Jan-19 19-2549 FERNANDEZ, GINALYN BRGY 367 STA CRUZ MANILA - - 750.00 750.00
12-Jan-19 19-2550 AY-AY, ALICIA TECSON DE GUIA TONDO MANILA - - 530.00 530.00
12-Jan-19 19-2551 CANLAS, ARRABELLE LIGTASAN ST CAPAS TARLAC - - 4,220.88 4,220.88
12-Jan-19 19-2552 ARANETA, LILIAN BRGY 317 STA CRUZ MANILA - - 74.10 74.10
12-Jan-19 19-2553 MANGASIL, TESSIE BRGY POTRERO MALABON CITY - - 2,304.00 2,304.00
12-Jan-19 19-2554 RUÑA, ROSELA BRGY CAMIAS QUEZON CITY - - 1,366.15 1,366.15
12-Jan-19 19-2555 DELLA, CHRISTIAN QUEZON RD STA CRUZ MANILA - - 1,104.20 1,104.20
12-Jan-19 19-2556 DE RAMOS, JOHN AERON BALETE SAN NICOLAS BATANGAS - - 2,212.21 2,212.21
12-Jan-19 19-2557 RIVERA, VICTOR BAGONG SILANG BACOOR CAVITE - - 3,943.57 3,943.57
Page 42
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
12-Jan-19 19-2558 DELEVERIO, CARLOTA BRGY 372 STA CRUZ MANILA - - 8,759.38 8,759.38
12-Jan-19 19-2559 CASTILLO, VAN LERIE SHERWOOD HOMES ANABU IMUS CAVITE 65.00 - 5,028.26 5,093.26
12-Jan-19 19-2560 GATCHALIAN, LUCIANA BRGY 72 CRISTOBAL ST TONDO MANILA - - 738.06 738.06
12-Jan-19 19-2561 ULGASAN, HERMAN SULU ST STA CRUZ MANILA - - 260.00 260.00
12-Jan-19 19-2562 FRANCO, ANTONIO HIZON STA CRUZ MANILA - - 617.14 617.14
12-Jan-19 19-2563 PITALLANO, PURA KUNDIMAN ST SAMPALOC MANILA - - 2,265.50 2,265.50
12-Jan-19 19-2564 CORDITA, JENICRIS VILLA CAMPOS ST BAGBAGUIN CALOOCAN - - 340.00 340.00
12-Jan-19 19-2565 VILLALOBOS, MARBILYN BRGY TINAJEROS MALABON CITY - - 998.00 998.00
11-Jan-19 19-2566 GABUYA, GRACEL BRGY SALAWAG DASMARIÑAS CAVITE - 1,800.00 - 1,800.00
11-Jan-19 19-2567 VEGA, SONIA DE JESUS ST BAGONG BARRIO CALOOCAN - 325.00 - 325.00
11-Jan-19 19-2568 AGUILA, ZENAIDA DELOS SANTOS TONDO MANILA 694.50 - - 694.50
11-Jan-19 19-2569 BALTAZAR, JOSEFINA NBBS NAVOTAS CITY 630.00 - - 630.00
11-Jan-19 19-2570 HONDOLERO, LUZVIMINDA VICTONETA AVE POTRERO MALABON - 1,080.00 - 1,080.00
11-Jan-19 19-2571 TATING, DOMINGO TALISAY DULO CALOOCAN CITY - 325.00 - 325.00
11-Jan-19 19-2572 SAGAYSAY, TERESA MENDEL CROSSING EAST TAGUIG - 1,200.00 - 1,200.00
14-Jan-19 19-2573 MAGNO, JULIE ANN BALITE ST ILAYA LAS PIÑAS - 130.00 - 130.00
14-Jan-19 19-2574 DE GUZMAN, BERNARD GUINTOS SAN JOSE NAVOTAS CITY - - 1,426.66 1,426.66
14-Jan-19 19-2575 ABONG, ROBERT BONIFACIO USON MASBATE - 5,500.00 - 5,500.00
14-Jan-19 19-2576 CARANTO, NORBERTO SINGAPORE ST HARMONY HILLS SJDM BULACAN- 1,200.00 - 1,200.00
14-Jan-19 19-2577 HERNANDEZ, HENRY KALAYAAN ST GAGALANGIN TONDO MANILA - 810.00 - 810.00
3-Jan-19 19-2578 IBAY, ROLANDO FUGOSO ST STA CRUZ MANILA 969.00 - - 969.00
3-Jan-19 19-2579 BASILISCO, LETTY FUGOSO ST STA CRUZ MANILA 969.00 - - 969.00
3-Jan-19 19-2580 MANANSALA, BENJAMIN SULU ST STA CRUZ MANILA - 500.00 - 500.00
3-Jan-19 19-2581 SANTOS, TERESITA ANTIPOLO ST SAMPALOC MANILA 760.50 - - 760.50
3-Jan-19 19-2582 CARDENAS, ELSA VARGA ST TONDO MANILA - 1,980.00 - 1,980.00
3-Jan-19 19-2583 DELA CHICA, EDGARDO PRUDENCIO ST SAMPALOC MANILA 1,583.70 - - 1,583.70
3-Jan-19 19-2584 PIÑON, EULOGIO KUSANG LOOB ST STA CRUZ MANILA 1,051.50 - - 1,051.50
7-Jan-19 19-2585 GARAY, JOCELYN SARREAL VILL BUKANDALA IMUS CAVITE 546.00 - - 546.00
29-Jan-19 19-2586 RAMOS, REYNALDO DINALUPIHAN ST TONDO MANILA - 250.00 - 250.00
29-Jan-19 19-2587 SISON, NORBERTO SOLIS ST TONDO MANILA 429.00 - - 429.00
29-Jan-19 19-2588 POLO, MARY GRACE DULONG TANGKE ST MALINTA VALENZUELA - 1,200.00 - 1,200.00
4-Jan-19 19-2589 INSIGNE, JOSEPH RYAN CORAL ST TONDO MANILA 601.20 - - 601.20
15-Jan-19 19-2590 AQUINO, MELVIN DAGAT DAGATAN CALOOCAN CITY - - 15,167.64 15,167.64
15-Jan-19 19-2591 SALMAN, PRINCESS RAHMABRGY CENTRAL LUZON QUEZON - - 280.35 280.35
15-Jan-19 19-2592 PANARANDANG, ALAISA BRGY CENTRAL LUZON QUEZON - - 1,479.22 1,479.22
15-Jan-19 19-2593 ALGOPERA, ANITA BRGY MASAMBONG QUEZON CITY - - 220.55 220.55
15-Jan-19 19-2594 PANGAN, DANILO SAN ISIDRO 2 PAOMBONG BULACAN - - 5,273.24 5,273.24
15-Jan-19 19-2595 ENCARNACION, VICTOR MACTAN ST BACLARAN PARAÑAQUE - - 4,083.87 4,083.87
15-Jan-19 19-2596 CAMPAÑANO, JOSEPH BUENDIA EXT BALUT TONDO MANILA - - 3,919.87 3,919.87 15-Jan-19 19-2597 CUADRANTE, PRESCILLA ALCALDE ST GAGALANGIN TONDO MANILA 806.40 - 3,491.76 4,298.16
15-Jan-19 19-2598 ROGIO, NOEL TATALON QUEZON CITY 1,068.60 - - 1,068.60
14-Jan-19 19-2599 JUNIO, JOEY MONTALBAN SAN JOSE RODRIGUEZ RIZAL 51.90 - - 51.90
15-Jan-19 19-2600 SIBULLAS, PRINCE ROMMELPITONG GATANG ST TONDO MANILA - - 530.00 530.00
15-Jan-19 19-2601 ESTRELLA, ALBERTO SOLIS ST TONDO MANILA - - 657.50 657.50
15-Jan-19 19-2602 ALAY-AY, MERLITA BRGY 164 DISTRICT II TONDO MANILA - - 6,382.70 6,382.70
15-Jan-19 19-2603 ZOSIMO, RENATO DOÑA JUANA SUBD DAMPALIT MALABON 2,805.00 - - 2,805.00
15-Jan-19 19-2604 ANDONG, PASCASIO BASECO PORT AREA MANILA 1,203.00 - - 1,203.00
15-Jan-19 19-2605 CASINO, BEN SITO 6 CATMON MALABON CITY 195.00 - - 195.00
15-Jan-19 19-2606 PANGILINAN, ALFREDO BRGY 429 SAMPALOC MANILA 156.00 - - 156.00
15-Jan-19 19-2607 GALAGATE, CARLITO ARKONG BATO VALENZUELA CITY 949.50 - - 949.50
15-Jan-19 19-2608 VIRAY, SHAYNE LORAINE BAKAWAN ST QUEZON CITY 2,340.00 - - 2,340.00
15-Jan-19 19-2609 FORTADES, REI MALABO ST STA CRUZ MANILA - 900.00 - 900.00
15-Jan-19 19-2610 REAMBILLO, CORAZON BRGY BALINGASA QUEZON CITY 156.00 - - 156.00
15-Jan-19 19-2611 RAÑIN, ARNELIO BAGBAGUIN CALOOCAN CITY - 1,200.00 - 1,200.00
15-Jan-19 19-2612 SIMON, YOHAN BRGY 310 STA CRUZ MANILA - - 4,709.93 4,709.93
15-Jan-19 19-2613 DE HONOR, JEFFREY UNIVERSITY AVE POTRERO MALABON - - 1,250.00 1,250.00
15-Jan-19 19-2614 TRINIDAD, ESAVILL SAN GREGORIO ST GTDL VALENZUELA - - 190.59 190.59
15-Jan-19 19-2615 BUIZON, ROSARIO PILAR ST TONDO MANILA - - 348.45 348.45
15-Jan-19 19-2616 GUEVARRA, EVELYN MARGAL ST SAMPALOC MANILA - - 481.83 481.83
15-Jan-19 19-2617 GARCIA, ROSE MARIE BRGY 304 BINONDO MANILA - - 470.00 470.00
15-Jan-19 19-2618 EVIDOR, JOHN ERICK LEGARDA ST SAMPALOC MANILA - - 365.99 365.99
15-Jan-19 19-2619 DEGALA, JOSEFINA NEPOMUCENO ST TONDO MANILA 276.00 - - 276.00
Page 43
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
15-Jan-19 19-2620 FIRMALAN, MARY CHRIST REPARO ST BRGY 84 CALOOCAN - - 619.24 619.24
15-Jan-19 19-2621 CAJAYON, MIGUEL ALLAN SANTOS GAGALANGIN TONDO MANILA - - 563.55 563.55
15-Jan-19 19-2622 DELA CRUZ, CRISTELLE HUMILIDAD PASAY CITY - - 2,389.00 2,389.00
15-Jan-19 19-2623 BONA, EMMANUEL MANUGUIT ST TONDO MANILA - - 7,302.81 7,302.81
15-Jan-19 19-2624 PEÑA, CARMELITA VARONA ST TONDO MANILA - - 1,950.00 1,950.00
15-Jan-19 19-2625 BINAYUG, SARSI CLAIRE SAUYO NOVALICHES QUEZON CITY - - 384.96 384.96
15-Jan-19 19-2626 SECAPURI, MARIA GEZREL VILLAMOR AIR BASE PASAY CITY - - 16,549.16 16,549.16
15-Jan-19 19-2627 SALAZAR, MARY GRACE PATRIA ST BALUT TONDO MANILA - - 5,022.00 5,022.00
15-Jan-19 19-2628 BARTOLOME, SOL MINUYAM SJDM BULACAN - - 1,943.18 1,943.18
16-Jan-19 19-2629 SISON, FLORENTINO BRGY BARITAN MALABON CITY - - 9,754.16 9,754.16
16-Jan-19 19-2630 JUSTO, ROMAN GULAYAN ST CONCEPCION MALABON - - 14,910.44 14,910.44
16-Jan-19 19-2631 NIELO, ATHAN ZION OROQUETA ST STA CRUZ MANILA - - 260.85 260.85
16-Jan-19 19-2632 LINTAS, MICHELLE OROQUETA ST STA CRUZ MANILA - - 2,482.35 2,482.35
16-Jan-19 19-2633 ANORE, AYESHA KATE BRGY 139 CALOOCAN - - 255.00 255.00
16-Jan-19 19-2634 ANORE, ROSEMAE LACE BRGY 139 CALOOCAN - - 2,030.95 2,030.95
16-Jan-19 19-2635 ALCOVENDAS, RODCHELL BAGONG SILANG CALOOCAN CITY - - 280.35 280.35
16-Jan-19 19-2636 GELI, JENEBIE LOPEZ ST TONDO MANILA - - 310.93 310.93
16-Jan-19 19-2637 BAYLON, KLEINE PEARL BALAGTAS HEBREWS ALLEY CALOOCAN - - 1,119.81 1,119.81
16-Jan-19 19-2638 ALCOVENDAS, RICHELL BAGONG SILANG CALOOCAN CITY - - 2,754.75 2,754.75
16-Jan-19 19-2639 MAGADIA, NELDA BRGY 724 MALATE MANILA - - 12,684.11 12,684.11
16-Jan-19 19-2640 MARCIAL, MARIA MILDRED NORTHBRIDGE SJDM BULACAN - - 4,068.02 4,068.02
16-Jan-19 19-2641 QUINDO, MERLITA BRGY CATMON MALABON CITY - - 1,326.76 1,326.76
16-Jan-19 19-2642 JIMENEZ, SAVANAH MAREETAGAYTAY ST CALOOCAN CITY - - 466.69 466.69
16-Jan-19 19-2643 SANTOS, ROSALIE GEN TIRONA BAGONG BARRIO CALOOCAN1,162.20 - - 1,162.20
16-Jan-19 19-2644 BALASAN, MARCIANA PALASAN VALENZUELA CITY - - 6,159.92 6,159.92
16-Jan-19 19-2645 SANCHEZ, LINDA BRGY BUNGAD QUEZON CITY - - 1,612.79 1,612.79
16-Jan-19 19-2646 PALTAO, ESTRELLITA ERLITASAN BARTOLOME ST MAYPAJO CALOOCAN 500.00 - - 500.00
16-Jan-19 19-2647 BONILLA, MA LOURDES SINGALONG ST MALATE MANILA 3,324.00 - - 3,324.00
16-Jan-19 19-2648 ANDALES, IMELDA MANALO EXT PUERTO PRINCESA PALAWAN - 1,200.00 - 1,200.00
16-Jan-19 19-2649 TUAZON, JOY BARBARA CONSUELO ST ACACIA MALABON - 1,200.00 - 1,200.00
16-Jan-19 19-2650 CONCON, TRISTAN PLATA ST TUGATOG MALABON - 1,800.00 - 1,800.00
16-Jan-19 19-2651 MORENO, MARITES TORCILLO ST DAGAT DAGATAN CALOOCAN 630.00 - - 630.00
16-Jan-19 19-2652 MORENO, MARITES TORCILLO ST DAGAT DAGATAN CALOOCAN - 500.00 - 500.00
16-Jan-19 19-2653 TIU, JUVY KABATUHAN RD DEPARO CALOOCAN 1,099.80 - - 1,099.80
16-Jan-19 19-2654 ABAD, ALMIRA RAXABAGO ST TONDO MANILA 429.00 - - 429.00
16-Jan-19 19-2655 BAYANI, ROSEMARIE BMBA 3RD AVE CALOOCAN CITY 429.00 - - 429.00
16-Jan-19 19-2656 CASTILLO, MARIANNE BRGY MALITLIT STA ROSA LAGUNA 81.00 - - 81.00
16-Jan-19 19-2657 JOVERO, MARIBETH ELIAS ST STA CRUZ MANILA 81.00 - - 81.00
16-Jan-19 19-2658 ONTING, MARYLOU OLD LAUREL ST TONDO MANILA 1,200.35 1,500.00 - 2,700.35
16-Jan-19 19-2659 SALMO, IMELDA MALOLOS AVE BAGONG BARRIO CALOOCAN - 500.00 - 500.00
16-Jan-19 19-2660 CARILLO, EUGENE LIBIS REPARO ST BAESA CALOOCAN - - 868.00 868.00
16-Jan-19 19-2661 BALANO, JIMMY AREA B PAROLA BINONDO MANILA - - 490.10 490.10
16-Jan-19 19-2662 ANALO, ALIMAH MASINDAO ST ISLAMIC QUIAPO MANILA - - 8,511.46 8,511.46
16-Jan-19 19-2663 ABAD, LARRY ALMEDA ST TONDO MANILA - - 1,496.77 1,496.77
16-Jan-19 19-2664 MORALES, MARIFE HIZON ST STA CRUZ MANILA 491.40 - 620.00 1,111.40
16-Jan-19 19-2665 ERO, BABY LITA CARNATION ST NBBN NAVOTAS 65.00 - 530.00 595.00
16-Jan-19 19-2666 SANTIA, ARIEL SITIO 6 CATMON MALABON CITY - - 994.18 994.18
16-Jan-19 19-2667 ORTIZ, PERLITA BRGY TANZA NAVOTAS CITY 52.00 - 206.60 258.60
16-Jan-19 19-2668 KASIM, ABDUL SAJID BRGY 649 TONDO MANILA - - 906.60 906.60
16-Jan-19 19-2669 SILVESTRE, ELSIE PAJO MEYCAUAYAN BULACAN 975.00 - - 975.00
16-Jan-19 19-2670 CABUSAO, MARIBEL DINALAGA ST BAGONG BARRIO CALOOCAN 81.00 - - 81.00
16-Jan-19 19-2671 SUÑIR, MIRASOL BLDG 24 BALUT TONDO MANILA - 340.00 - 340.00
16-Jan-19 19-2672 SANTOS, EDUARDO KALAW ST MALATE MANILA - - 424.00 424.00
16-Jan-19 19-2673 RUBO, ESTELA SAN ANDRES BUKID MANILA - - 774.40 774.40
16-Jan-19 19-2674 ATENCIO, RENATO SAN AGUSTIN ST SAN MIGUEL MANILA - - 1,621.45 1,621.45
16-Jan-19 19-2675 BADILLA, DEAREST DAGUPAN ST TONDO MANILA - - 530.00 530.00
16-Jan-19 19-2676 RECEPCION, BEA TAMBUNTING ST STA CRUZ MANILA - - 1,821.10 1,821.10
16-Jan-19 19-2677 PELOTA, ANTERO DAGOT ST MANRESA QUEZON CITY - - 262.50 262.50
16-Jan-19 19-2678 PARAMBITA, AURORA ABUEG ST ROSARIO CAVITE - - 1,880.00 1,880.00
16-Jan-19 19-2679 TORRES, CARIDAD BALTAZAR ST TONDO MANILA - - 424.00 424.00
16-Jan-19 19-2680 CAGALANAN, JAMES CALDESAL ST BRGY SUN VALLEY PARAÑAQUE - - 2,048.24 2,048.24
Page 44
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
16-Jan-19 19-2681 LOPEZ, JULIEN DUHAT ST PAYATAS QUEZON CITY - - 998.11 998.11
16-Jan-19 19-2682 LOPEZ, SEAN MARCO DUHAT ST PAYATAS QUEZON CITY - - 255.00 255.00
16-Jan-19 19-2683 DEL ROSARIO, MARK VHYNCENTHTRINIDAD ST TONDO MANILA - - 4,610.00 4,610.00
16-Jan-19 19-2684 GARCIA, ALLAN PATRICK CORAL ST DAGUPAN TONDO MANILA - - 2,330.00 2,330.00
16-Jan-19 19-2685 DELOS SANTOS, ROSIE WEST RIVER SIDE SFDM QUEZON - - 263.32 263.32
16-Jan-19 19-2686 ELGERA, NORMA BRGY GAYA GAYA SJDM BULACAN - - 630.00 630.00
16-Jan-19 19-2687 ENERO, CHERYL BANANA RD POTRERO MALABON - - 1,250.00 1,250.00
16-Jan-19 19-2688 PURAS, ANTHONY V MAPA ST STA MESA MANILA - - 691.20 691.20
16-Jan-19 19-2689 GULAM, AIBAN BASECO PORT AREA MANILA - - 1,648.25 1,648.25
16-Jan-19 19-2690 MUCHANO, ALLAN BRGY MAYAMOT ANTIPOLO CITY - - 13,776.71 13,776.71
16-Jan-19 19-2691 DE TORRES, JOCELYN BAGONG POOK LIPA CITY - - 1,694.47 1,694.47
16-Jan-19 19-2692 AUSA, LEONILA FELIX HUERTAS ST STA CRUZ MANILA - - 2,238.63 2,238.63
16-Jan-19 19-2693 ALMONTE, JOBERT IMMACULATA ST TONDO MANILA - - 1,060.00 1,060.00
16-Jan-19 19-2694 RICO, MA FLORISA WAWA 3 ROSARIO CAVITE - - 530.00 530.00
16-Jan-19 19-2695 AQUINO, MANRIN BAGUMBONG CALOOCAN CITY - - 721.44 721.44
16-Jan-19 19-2696 MAGLASANG, EDNELIO SEMILLA ST CALOOCAN CITY - - 5,035.37 5,035.37
16-Jan-19 19-2697 DACAYANAN, LEONADO 503 TALAYAN QUEZON CITY - - 2,975.21 2,975.21
16-Jan-19 19-2698 DEL ROSARIO, LEANDRO LAMBAKIN ST MARILAO BULACAN - - 717.70 717.70
16-Jan-19 19-2699 QUISTO, JESSAN SALONGA ST TONDO MANILA - - 530.00 530.00
16-Jan-19 19-2700 ORTEGA, JOHN JOSUA CRUZ ST TANGOS NAVOTAS CITY - - 1,060.00 1,060.00
16-Jan-19 19-2701 TEODORO, PAOLO PARTIDA NORZAGARAY BULACAN - - 3,424.68 3,424.68
16-Jan-19 19-2702 PANELO, LORENA GULOG CAINGIN SAN RAFAEL BULACAN 4,111.70 - - 4,111.70
16-Jan-19 19-2703 ILUIS, SALVADOR RUBEN RIZAL AVE STA CRUZ MANILA 1,109.30 - - 1,109.30
16-Jan-19 19-2704 ILUIS, EVELYN RIZAL AVE STA CRUZ MANILA 1,135.70 - - 1,135.70
16-Jan-19 19-2705 ALCAIDE, CELERINA KAHUNARI ST SAN JOSE NAVOTAS 1,201.80 - - 1,201.80
16-Jan-19 19-2706 DACLES, ESTELITA FLORENTINO ST STO DOMINGO QUEZON - - 9,263.62 9,263.62
5-Dec-18 19-2707 VARGAS, ANABEL LARDIZABAL ST. SAMPALOC MANILA - 740.00 - 740.00
5-Dec-18 19-2708 ORDOÑA, EDWIN PLANAS ST. TONDO MANILA - 1,470.00 - 1,470.00
5-Dec-18 19-2709 VISTA, RAQUEL GOLD ST. PARAÑAQUE CITY - 210.00 - 210.00
5-Dec-18 19-2710 PUERTOLLANO, JERICO SAN ANDRES ST. VALENZUELA CITY - 360.00 - 360.00
5-Dec-18 19-2711 CAJAYON, GISELLE NBBN NAVOTAS CITY - 1,800.00 - 1,800.00
5-Dec-18 19-2712 DELA ROSA, EUNICE REAL CALAMBA LAGUNA - 530.00 - 530.00
5-Dec-18 19-2713 VALDEZ, ELENA GEN TINIO ST.BAGONG BARRIO CALOOCAN CITY- 570.00 - 570.00
5-Dec-18 19-2714 CRISTOBAL, ANITA QUEZON ST. MAGSAYSAY TONDO MANILA - 570.00 - 570.00
5-Dec-18 19-2715 IYO, ROMANO JAVIER ST. GAGALANGIN TONDO MANILA - 570.00 - 570.00
5-Dec-18 19-2716 YANZON, PRESCILA GEN.LUCBAN TONDO MANILA - 530.00 - 530.00
5-Dec-18 19-2717 CUANAN, EDGAR FERNANDEZ ST. SFDM QUEZON CITY - 360.00 - 360.00
5-Dec-18 19-2718 CAJAYON, LEDESMA NBBN NAVOTAS CITY - 210.00 - 210.00
5-Dec-18 19-2719 SANTOS, KAISER DAN MACAYAPYAP BANNA ILOCOS NORTE - 530.00 - 530.00
5-Dec-18 19-2720 SEVILLA, DANILO DAYAO ST. BALUT TONDO MANILA - 210.00 - 210.00
5-Dec-18 19-2721 MENDOZA, ALONA MALIGAYA ST. PATUBIG MARILAO BULACAN - 530.00 - 530.00
5-Dec-18 19-2722 RABANES, LEONORA MALVAR ST. CALOOCAN CITY - 740.00 - 740.00
5-Dec-18 19-2723 TAMBIS, NORBERTO LETRE RD MALABON CITY - 530.00 - 530.00
5-Dec-18 19-2724 NUYDA, MENARVE PALA-PALA SAN ILDEFONSO BULACAN - 740.00 - 740.00
5-Dec-18 19-2725 FRANCO, CORAZON STA.ANA SUN PARAÑAQUE CITY - 570.00 - 570.00
5-Dec-18 19-2726 MANANGAN, JOVITO MULAWIN ST. PANGHULI MALABON CITY - 570.00 - 570.00
5-Dec-18 19-2727 QUIROZ, FELICIDAD C. NAMIE ST CALOOCAN CITY - 740.00 - 740.00
5-Dec-18 19-2728 BASAS, NATHAN ANDREW BANAHAW ST.BALUT TONDO MANILA - 530.00 - 530.00
5-Dec-18 19-2729 BULATAO, NORMA SEVILLA CONCHA TONDO MANILA - 990.00 - 990.00
3-Dec-18 19-2730 DEPABLO, MARISOL KABULUSAN 1 CALOOCAN CITY - 350.00 - 350.00
3-Dec-18 19-2731 MAGPOC, RENANTE LIBIS TALISAY DULO CALOOCAN - 210.00 - 210.00
3-Dec-18 19-2732 MAKILING, ESTRELLA BRGY JAVIER SUGOD SOUTHERN LEYTE - 570.00 - 570.00
3-Dec-18 19-2733 MAKILING, ESTRELLA BRGY JAVIER SUGOD SOUTHERN LEYTE - 400.00 - 400.00
3-Dec-18 19-2734 ESLER, OLINE GRACE DEL PILAR ST. MABOLO VALENZUELA CITY - 740.00 - 740.00
3-Dec-18 19-2735 DELA CRUZ, RODELYN BRGY STO. CRISTO BULACAN - 530.00 - 530.00
3-Dec-18 19-2736 GO, VIOLETA VARONA ST. TONDO MANILA - 740.00 - 740.00
3-Dec-18 19-2737 BALLERAS, ISIDRA PASONG TAMO QUEZON CITY - 740.00 - 740.00
3-Dec-18 19-2738 SAMPORNA, SOLAIMAN AGUARRA ST. PASAY CITY - 740.00 - 740.00
3-Dec-18 19-2739 CABIA, ANTONIO MUZON, SAN JOSE DEL MONTE BULACAN - 530.00 - 530.00
3-Dec-18 19-2740 CANLAS, BERNARDO PUBLIC MKT, POBLACION MEYCUAYAN BULACAN- 570.00 - 570.00
3-Dec-18 19-2741 LOPEZ, TERESITA DAGAT DAGATAN CALOOCAN CITY - 990.00 - 990.00
Page 45
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
3-Dec-18 19-2742 RIVERA, RODRIGO ELEUR DE LUZ CAPITOL CAMARIN CALOOCAN CITY- 740.00 - 740.00
3-Dec-18 19-2743 GARRIDO, TITA DE JUNIO ST. TONDO MANILA - 210.00 - 210.00
3-Dec-18 19-2744 SANTIAGO, JUANITO LIBIS GOCHUICO ST. CALOOCN CITY - 570.00 - 570.00
3-Dec-18 19-2745 GARRIDO, ROSALYN DE JUNIO ST. TONDO MANILA - 210.00 - 210.00
3-Dec-18 19-2746 ORTEGA, DAISY BRGY 334 STA.CRUZ MANILA - 740.00 - 740.00
3-Dec-18 19-2747 BARRUGA, EDNA SALUBONG ST. QUEZON CITY - 530.00 - 530.00
3-Dec-18 19-2748 BUMAGAT, ARRIANE ANTIPOLO ST. STA.CRUZ MANILA - 11,800.00 - 11,800.00
3-Dec-18 19-2749 BUMAGAT, ARRIANE ANTIPOLO ST. STA.CRUZ MANILA - 7,340.00 - 7,340.00
3-Dec-18 19-2750 HABULAN, BRAULIA 7TH AVE. CALOOCAN CITY - 6,340.00 - 6,340.00
3-Dec-18 19-2751 RUIZ, CATALINA BRGY MALIYA GMA CAVITE - 740.00 - 740.00
3-Dec-18 19-2752 MORALES, MANUEL STO.NIÑO ST.SAN FRANCISCO DEL MONTE BULACAN- 210.00 - 210.00
3-Dec-18 19-2753 MORALES, AIDA STO.NIÑO ST. SAN FRANCISCO DEL MONTE BULACAN- 740.00 - 740.00
3-Dec-18 19-2754 CARIÑO, JOSE NOLASCO ST. TONDO MANILA - 740.00 - 740.00
3-Dec-18 19-2755 ENRIQUEZ, GIL RECAREDO CRAIG ST. SAMPALOC MANILA - 210.00 - 210.00
3-Dec-18 19-2756 ABEJERO, NELIA PANGAKO ST. BAGONG BARRIO CALOOCAN CITY- 890.00 - 890.00
3-Dec-18 19-2757 VILLANUEVA, JUDITH PARADISE VILLAGE TUNSUYA MALABON CITY - 350.00 - 350.00
3-Dec-18 19-2758 ACOSTA, ROMANANILDA OROQUETA ST. STA.CRUZ MANILA - 740.00 - 740.00
3-Dec-18 19-2759 BARON, MA.THERESA ANGALO ST. BINONDO MANILA - 1,235.00 - 1,235.00
6-Dec-18 19-2760 SORIANO, ANTONIO BRGY 543 SAMPALOC MANILA - 570.00 - 570.00
6-Dec-18 19-2761 ADOLFO, MARILYN ILAYA ST. ALABANG MUNTINLUPA CITY - 530.00 - 530.00
6-Dec-18 19-2762 VALDEZ, EVELYN CASTILLO ST.MAYPAJO CALOOCAN CITY - 350.00 - 350.00
6-Dec-18 19-2763 VALDEZ, EVELYN CASTILLO ST.MAYPAJO CALOOCAN CITY - 1,235.00 - 1,235.00
6-Dec-18 19-2764 DE LEON, ALBERTO ANTIPOLO ST. TONDO MANILA - 570.00 - 570.00
6-Dec-18 19-2765 MORENO, MARITES TORCILLO ST. DAGAT DAGATAN CALOOCAN CITY- 740.00 - 740.00
6-Dec-18 19-2766 CONTRERAS, LOLITA BRGY SANTOS MARINDUQUE - 740.00 - 740.00
6-Dec-18 19-2767 FIGUEROA, MANUEL JR. SAN ANTONIO TAYUMAN BINANGONAN RIZAL - 360.00 - 360.00
6-Dec-18 19-2768 GANTE, MARICEL CAMIA ST. MAYSILO MALABON CITY - 740.00 - 740.00
6-Dec-18 19-2769 GREGORIO, JOHN PATRICK RODRIGUES ST. BALUT TONDO MANILA - 530.00 - 530.00
6-Dec-18 19-2770 DAMASCO, BENIGNA MAGSAYSAY SAN AGUSTIN MALABON CITY - 1,235.00 - 1,235.00
6-Dec-18 19-2771 CRUZ, GERARDO TOMAS MAPUA ST. TONDO MANILA - 2,500.00 - 2,500.00
6-Dec-18 19-2772 HERRERA, RAMON CAPILLAN ST. SFDM QUEZON CITY - 740.00 - 740.00
6-Dec-18 19-2773 TEOLOGO, ARTEMIO JACINTO ST. BAGBAGIN CALOOCAN CITY - 570.00 - 570.00
6-Dec-18 19-2774 QUISIL, FRANCIS JR. ROSAL ST. OLD STA.MESA MANILA - 740.00 - 740.00
6-Dec-18 19-2775 BOGNALBAL, ARISTOTLE ARANETA AVE. RODRIGUEZ TATALON Q.C - 530.00 - 530.00
6-Dec-18 19-2776 FRANCISCO, JHANA BILIBID VIEJO QUIAPO MANILA - 530.00 - 530.00
6-Dec-18 19-2777 HITOSIS, LEONARDO PASIG LINE STA ANA MANILA - 360.00 - 360.00
6-Dec-18 19-2778 DE GUZMAN, EMELDA TORCILO DAGAT DAGATAN CALOOCAN CITY - 740.00 - 740.00
6-Dec-18 19-2779 PAGALAN, PRAXEDES DE CASTRO ST. CALOOCAN CITY - 740.00 - 740.00
6-Dec-18 19-2780 CHENG, PRISCILLA BRGY LONGOS MALABON CITY - 360.00 - 360.00
6-Dec-18 19-2781 PAGATPAT, ENRIQUE BRGY NBBS KAUNLARAN NAVOTAS CITY - 740.00 - 740.00
6-Dec-18 19-2782 RICABO, ERLINDA LUNA ST. BAMBANG BOCAUE BULACAN - 530.00 - 530.00
6-Dec-18 19-2783 FLETA, BRYAN PAUL BRGY MAGSAYSAY SAN PEDRO LAGUNA - 530.00 - 530.00
6-Dec-18 19-2784 BUSTAMANTE, MANOLO ALABAT ST. TONDO MANILA - 530.00 - 530.00
6-Dec-18 19-2785 NEBRES, EDGARDO CAPALAD ST. BALANGKAS VALENZUELA CITY - 740.00 - 740.00
6-Dec-18 19-2786 FERNANDEZ, BILLY L;ANDASKA CALOOCAN CITY - 210.00 - 210.00
6-Dec-18 19-2787 RAMOS, GRACE NEPOMUCENO ST. QUIAPO MANILA - 530.00 - 530.00
4-Dec-18 19-2788 MONTIBON, ANTONIO BULAC MALHACAN MEYCUAYAN BULACAN - 2,545.00 - 2,545.00
19-Dec-18 19-2789 FIGUERAS, ANA KATRINA PANTUBIG SAN RAFAEL BULACAN - 3,030.00 - 3,030.00
7-Dec-18 19-2790 ROMO, EMELITA PELARGON ALLEY ST. BAGONG BARRIO CALOOCAN CITY- 270.00 - 270.00
7-Dec-18 19-2791 FRANCISCO, ROSALINDA PAVIA ST. TONDO MANILA - 570.00 - 570.00
7-Dec-18 19-2792 JACINTO, ALFREDO VENTEREALES VALENZUELA CITY - 570.00 - 570.00
7-Dec-18 19-2793 FADIRUGAO, MARYLIN STO.NIÑO BRGY SAN ANTONIO QUEZON CITY - 210.00 - 210.00
7-Dec-18 19-2794 PATANAO, NELLIE JESUS ST. PANDACAN MANILA - 530.00 - 530.00
7-Dec-18 19-2795 NALUS, AMANCIA MOLAVE ST. TONDO MANILA - 210.00 - 210.00
7-Dec-18 19-2796 AVANCEÑA, SAMUEL MASIKAP ST. BAGONG BARRIO CALOOCAN CITY- 570.00 - 570.00
7-Dec-18 19-2797 JULIO, EDITHA CABASAAN ST. CENTRAL SIGNAL TAGUIG CITY - 530.00 - 530.00
7-Dec-18 19-2798 ROCO, LANI NDC COMPOUND STA.MESA MANILA - 740.00 - 740.00
7-Dec-18 19-2799 PEREZ, MARIA DIALA GIL PUYAT ST. QUIAPO MANILA - 1,255.00 - 1,255.00
12-Dec-18 19-2800 MARDOQUIO, ARRIES BRGY 105 ROXAS ST. TONDO MANILA - 740.00 - 740.00
12-Dec-18 19-2801 VILLANUEVA, MA. TERESA BRGY SAN ANDRES CAINTA RIZAL - 570.00 - 570.00
12-Dec-18 19-2802 CANLAS, EVELYN DAGAT DAGATAN CALOOCAN CITY - 270.00 - 270.00
Page 46
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
12-Dec-18 19-2803 FRANCO, DORIS BRGY 33 TONDO MANILA - 2,350.00 - 2,350.00
12-Dec-18 19-2804 PARAS, MICHAEL BRGY 349 STA CRUZ, MANILA - 210.00 - 210.00
12-Dec-18 19-2805 ABARQUEZ, JOCELYN BRGY 143 CALOOCAN CITY - 210.00 - 210.00
12-Dec-18 19-2806 CUBOS, SOLEDAD DAVILA ST NAVOTAS CITY - 740.00 - 740.00
12-Dec-18 19-2807 PERALTA, REYNALDO TUAZON ST, SAN JOSE NAVOTAS CITY - 615.00 - 615.00
12-Dec-18 19-2808 RIVERA, ANITA A.R CRUZ ST TANGOS NAVOTAS CITY - 570.00 - 570.00
12-Dec-18 19-2809 RONQUILLO, CARNA BRGY SAN MARTIN III SAPANG PALAY BULACAN- 530.00 - 530.00
12-Dec-18 19-2810 JAIME, LOLITA SISA EXT TINAJEROS MALABON CITY - 530.00 - 530.00
12-Dec-18 19-2811 ENRIQUEZ, DIONISIA TOMAS MAPUA ST, STA CRUZ MANILA - 2,270.00 - 2,270.00
12-Dec-18 19-2812 NUÑEZ, JULY TAMBUNTING ST STA CRUZ, MANILA - 530.00 - 530.00
12-Dec-18 19-2813 FLORES, GLORIA MAMBURAO OCCIDENTAL MINDORO - 700.00 - 700.00
12-Dec-18 19-2814 PESTAÑO, REYNALDO BRGY 49 CALOOCAN CITY - 940.00 - 940.00
12-Dec-18 19-2815 SANTOS, NORMA BRGY 55 TONDO, MANILA - 1,235.00 - 1,235.00
12-Dec-18 19-2816 ARAÑEZ, PONCIANO JR BRGY GULOD NOVALICHES, QUEZON CITY - 210.00 - 210.00
12-Dec-18 19-2817 EDEM, MA THERESA CHOPSEUY SAN JOSE DASMA CAVITE - 1,545.00 - 1,545.00
12-Dec-18 19-2818 CUSTODIO, ELIZABETH ROSARIOSAN JOSE DASMA CAVITE - 570.00 - 570.00
12-Dec-18 19-2819 CUSTODIO, JOSEPHINE BRGY SAN JOSE DASMA CAVITE - 1,695.00 - 1,695.00
12-Dec-18 19-2820 CASINGAL, ROMELYN CSJDM BULACAN - 1,235.00 - 1,235.00
12-Dec-18 19-2821 PABLO, VIRGILLO SAN JOSE NAVOTAS CITY - 620.00 - 620.00
12-Dec-18 19-2822 TORRES, LINA BRGY 226 ALMEDA ST. TONDO, MANILA - 740.00 - 740.00
12-Dec-18 19-2823 NAPAY, BERNARD BRGY 494 SAMPALOC MANILA - 1,060.00 - 1,060.00
12-Dec-18 19-2824 MONTANO, ROBERT TOLENTINO ST QUEZON CITY - 740.00 - 740.00
12-Dec-18 19-2825 MONTANO, ELOISA TOLENTINO ST QUEZON CITY - 740.00 - 740.00
12-Dec-18 19-2826 DEL PILAR, RENATO BRGY TONSUYA VILLANUEVA ST MALABON CITY- 770.00 - 770.00
12-Dec-18 19-2827 SEMIC, GENOVIVA BRGY 107 TONDO MANILA - 210.00 - 210.00
12-Dec-18 19-2828 ADRIANO, RYAN BRGY 78 CALOOCAN CITY - 12,560.00 - 12,560.00
12-Dec-18 19-2829 HERNANDEZ, ILUMINADA DAGAT DAGATAN NAVOTAS CITY - 210.00 - 210.00
12-Dec-18 19-2830 GLIPO, SALVADOR BRGY 58 TONDO MANILA - 1,590.00 - 1,590.00
12-Dec-18 19-2831 DE LEON, ROMEO KAGANDAHAN ST TONDO MANILA - 740.00 - 740.00
12-Dec-18 19-2832 ARGONES, BENJAMIN BRGY 418 SAMPALOC MANILA - 740.00 - 740.00
13-Dec-18 19-2833 YULO, ELIZABETH MILAGROSA ST BAGONG BARRIO CALOOCAN CITY- 570.00 - 570.00
13-Dec-18 19-2834 ALFONSO, ELISA BRGY 106 CALOOCAN CITY - 1,270.00 - 1,270.00
13-Dec-18 19-2835 CRUZ, ROSEMARIE BRGY 157 BAGONG BARRIO CALOOCAN CITY - 530.00 - 530.00
13-Dec-18 19-2836 CRUZ, ROSEMARIE BRGY 157 BAGONG BARRIO CALOOCAN CITY - 210.00 - 210.00
13-Dec-18 19-2837 DE REAL, LORETO MABIGA MABALACAY PAMPANGA - 990.00 - 990.00
13-Dec-18 19-2838 IBARRA, ROMINA GUMAMELA ST VALENZUELA CITY - 530.00 - 530.00
13-Dec-18 19-2839 SACRAMENTO, RAMIR BRGY 120 CALOOCAN CITY - 740.00 - 740.00
13-Dec-18 19-2840 FAJARDO, CARMELITO STA QUITERIA CALOOCAN CITY - 210.00 - 210.00
13-Dec-18 19-2841 HERNANDEZ, ROMEO BRGY 253 STA CRUZ MANILA - 1,860.00 - 1,860.00
13-Dec-18 19-2842 PUNZALAN, ANGELO DAGUPAN TONDO MANILA - 210.00 - 210.00
13-Dec-18 19-2843 GATIL, JAIME SINIGUELASAN BACOOR CAVITE - 1,600.00 - 1,600.00
14-Dec-18 19-2844 MEDALLON, LILY MALIGAYA ORIENTAL MINDORO - 1,140.00 - 1,140.00
14-Dec-18 19-2845 MASAYON, LORD JIM MAJAMPONG QUEZON CITY - 530.00 - 530.00
14-Dec-18 19-2846 VILLASEÑOR, VIVENCIO SAN JOSE DEL MONTE BULACAN - 740.00 - 740.00
14-Dec-18 19-2847 LALAGUNA, LOLITA BAGONG SILANG CALOOCAN CITY - 740.00 - 740.00
13-Aug-18 19-2848 VILLAFLOR, ZANDRA PINAGBUHATAN PASIG CITY - 1,045.00 - 1,045.00
5-Nov-18 19-2849 GAMAO, NORMA BAGONG SILANG CALOOCAN CITY - 300.00 - 300.00
5-Nov-18 19-2850 LIBRE, FLORDELIZA 3226 ROAD 3 TEACHER VILLAGE VALENZUELA CITY - 300.00 - 300.00
5-Nov-18 19-2851 DELA ROSA, AENEL 141 SAN MARCOS ST BRGY. 34 TONDO MANILA - 300.00 - 300.00
6-Nov-18 19-2852 NUEVAS, REYNALYN BELMONT HOMES, HALANG NAIC CAVITE - 300.00 - 300.00
6-Nov-18 19-2853 JARILLA, MELLYT 82 UGNATAN ST CONCEPCION MALABON - 300.00 - 300.00
6-Nov-18 19-2854 VILLANUEVA, MARILYN 33 KATIPUNAN ST 2ND AVENUE CALOOCAN CITY - 300.00 - 300.00
6-Nov-18 19-2855 DELA ROSA, JOAN BRGY. MANA INFANTA PANGASINAN - 300.00 - 300.00
6-Nov-18 19-2856 ZAPICO, ANNABETH 1360 B QUIRICAD ST STA CRUZ MANILA - 300.00 - 300.00
8-Nov-18 19-2857 MENDEZ, RIZZA 1210 ESTIMADA INT SOLMAN BRGY. 8 DAGAT DAGATAN CALOOCAN - 300.00 - 300.00
8-Nov-18 19-2858 SUAREZ, ELAINE BINUANGAN OBANDO MANILA - 300.00 - 300.00
7-Nov-18 19-2859 BERSAMINA, CORAZON BLK 19 LOT 24 MAGSAYSAY EXT SAN AGUSTIN MALABON - 300.00 - 300.00
7-Nov-18 19-2860 UMANDAP, FELEAH 1165 INT 21 SANTOS TEODORO TONDO MANILA - 300.00 - 300.00
9-Nov-18 19-2861 ANDRES, MARY CATHERINE GREENLAND SUBD NOVALICHES QUEZON CITY - 600.00 - 600.00
13-Nov-18 19-2862 SABANA, JESUS BRGY. 105 TONDO MANILA - 530.00 - 530.00
20-Nov-18 19-2863 MENDOZA, MICHAEL BRGY CATMON MALABON CITY - 570.00 - 570.00
Page 47
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
20-Nov-18 19-2864 BERNARDO, WILFREDO QUIZON ST TONDO MANILA - 1,235.00 - 1,235.00
20-Nov-18 19-2865 ALMEDA, MILAGROS BALAGTAS ST BAGONG BARRIO CALOOCAN CITY - 1,045.00 - 1,045.00
20-Nov-18 19-2866 GERMAN, MARY ANN BRGY. 160 LIBIS CALOOCAN CITY - 2,620.00 - 2,620.00
20-Nov-18 19-2867 RAZON, TOMAS LENO ST. PANDACAN MANILA - 1,270.00 - 1,270.00
20-Nov-18 19-2868 PESADO, CONCEPCION BRGY. TERONA GMA CAVITE - 860.00 - 860.00
20-Nov-18 19-2869 BALMORES, EFREN MAYPAJO CALOOCAN CITY - 530.00 - 530.00
20-Nov-18 19-2870 BALMORES, EFREN MAYPAJO CALOOCAN CITY - 940.00 - 940.00
20-Nov-18 19-2871 FRIAS, LEONARDO BAGONG BARRIO CALOOCAN CITY - 210.00 - 210.00
20-Nov-18 19-2872 MORALES, SOPHIA PALANZA DOÑA IMELDA QUEZON CITY - 360.00 - 360.00
20-Nov-18 19-2873 MALAGA, MA. JANE ANIBAN ZAPOTE BACOOR CAVITE - 1,235.00 - 1,235.00
20-Nov-18 19-2874 CANOY, LIZYL R.A REYES ST TONDO MANILA - 570.00 - 570.00
20-Nov-18 19-2875 CAGUÑA, MELINA BRGY. 514 SAMPALOC MANILA - 740.00 - 740.00
20-Nov-18 19-2876 BARCELONA, RYAN 2235 NARRA ST. TONDO MANILA - 360.00 - 360.00
20-Nov-18 19-2877 ALMAZAR, ERWIN ALGERIA ST SAMPALOC MANILA - 740.00 - 740.00
20-Nov-18 19-2878 EBIT, ROSA POBLACION STA MARIA BULACAN - 740.00 - 740.00
20-Nov-18 19-2879 BRAGADO, AMELIA CAMALIC MEYCAUYAN BULACAN - 360.00 - 360.00
20-Nov-18 19-2880 ALTAS, MARITES HERBOSA ST. TONDO MANILA - 570.00 - 570.00
20-Nov-18 19-2881 NERVAN, MANUELITO BRGY. 457 SAMPALOC MANILA - 1,890.00 - 1,890.00
22-Nov-18 19-2882 RETIRVA, ROMEO KAUNLARAN VILLAGE CALOOCAN CITY - 1,800.00 - 1,800.00
22-Nov-18 19-2883 DE GUZMAN, BLUEBOY STA. MONICA NOVALICHES QUEZON CITY - 3,960.00 - 3,960.00
22-Nov-18 19-2884 VASQUEZ, CRISTINA PROJECT 7 QUEZON CITY - 210.00 - 210.00
22-Nov-18 19-2885 DE GUZMAN, DIOSDADA ALMARIO ST DAGUPAN TONDO MANILA - 210.00 - 210.00
22-Nov-18 19-2886 REYES, MANETTA SANNAGO ST VALENZUELA CITY - 740.00 - 740.00
22-Nov-18 19-2887 TAN, ZENAIDA LAKANDULA ST. TONDO MANILA - 740.00 - 740.00
22-Nov-18 19-2888 SERVANO, JHON BAHAGANG PAG-ASA VALENZUELA CITY - 530.00 - 530.00
22-Nov-18 19-2889 SALIGUMBA, EDNA BRGY. LONGOS MALABON CITY - 1,385.00 - 1,385.00
22-Nov-18 19-2890 BUIZA, REMEDIOS DE GUZMAN ST. CONCEPCION I MARIKINA CITY - 350.00 - 350.00
22-Nov-18 19-2891 CASTRO, REMEDIOS BRGY. STO DOMINGO QUEZON CITY - 740.00 - 740.00
22-Nov-18 19-2892 DELA VEGA, LORETO MAMATID CABUYAO LAGUNA - 740.00 - 740.00
22-Nov-18 19-2893 BALBARONA, MARIE FE CAA LAS PIÑAS CITY - 740.00 - 740.00
22-Nov-18 19-2894 BATO, ISABELITA BRGY. 108 TONDO MANILA - 3,300.00 - 3,300.00
22-Nov-18 19-2895 MABANSAG, CATHERINE MAHARLIKA ST BRGY. 85 TONDO MANILA - 640.00 - 640.00
22-Nov-18 19-2896 VALEROS, CARLOS BRGY. 30 MAYPAJO CALOOCAN CITY - 1,705.00 - 1,705.00
22-Nov-18 19-2897 ALFARO, JUAN BRGY. SAN ROQUE NAVOTAS CITY - 740.00 - 740.00
22-Nov-18 19-2898 PUA, MYRNA BRGY. COMMONWEALTH QUEZON CITY - - - -
22-Nov-18 19-2899 TOMILLOSO, ANTONIO BRGY. SAN ANTONIO QUEZON CITY - 740.00 - 740.00
22-Nov-18 19-2900 SALVADOR, VIRGINIA BRGY. 361 STA CRUZ MANILA - 210.00 - 210.00
22-Nov-18 19-2901 BACTOL, LUISA BUKID MALINTA VALENZUELA - 210.00 - 210.00
22-Nov-18 19-2902 DEPAYSO, JOSEFINA BRGY. 332 STA CRUZ MANILA - 2,500.00 - 2,500.00
22-Nov-18 19-2903 BUSBOS, ROSALINDA BRGY. TONSUYA MALABON CITY - 530.00 - 530.00
22-Nov-18 19-2904 DELA CRUZ, PRINCESS DIVINE LAWANG BATO VALENZUELA CITY - 530.00 - 530.00
22-Nov-18 19-2905 PADERNAL, ARACELI 1524 LACSON ST STA CRUZ MANILA - 1,235.00 - 1,235.00
22-Nov-18 19-2906 OCAMPO, LOVINA BRGY. 189 OBRERO TONDO MANILA - 740.00 - 740.00
22-Nov-18 19-2907 DE GUZMAN, LOLITA BRGY. 274 BINONDO MANILA - 2,260.00 - 2,260.00
26-Nov-18 19-2908 JUTARCIEGO, NELSON BRGY 158 TONDO MANILA - 455.00 - 455.00
26-Nov-18 19-2909 BIGTAS, ROSA GATE 56 PAROLA BINONDO MANILA - 740.00 - 740.00
26-Nov-18 19-2910 RAMOS, VIVIAN SUNSHNE VILL TRECE MARTIRES CAVITE - 600.00 - 600.00
26-Nov-18 19-2911 TITOY, MARIA STO DOMINGO ST BALINGASA QUEZON - 1,125.00 - 1,125.00
26-Nov-18 19-2912 SANTOS, TERESITA ANTIPOLO ST SAMPALOC MANILA - 770.00 - 770.00
26-Nov-18 19-2913 DE JESUS, DIANA DE CASTRO ST BAGONG BARRIO CALOOCAN - 570.00 - 570.00
26-Nov-18 19-2914 CABER, ISACAR CAINTA ST MAYPAJO CALOOCAN - 1,440.00 - 1,440.00
26-Nov-18 19-2915 VICMUDO, ENRICO ILANG ILANG PERYA OLD BALARA QUEZON - 740.00 - 740.00
26-Nov-18 19-2916 YONZAGA, EVELYN NARRA ST OLD STA MESA MANILA - 990.00 - 990.00
26-Nov-18 19-2917 BALMORES, ELIZABETH BULACAN ST 10TH AVE CALOOCAN - 1,740.00 - 1,740.00
26-Nov-18 19-2918 LANGCUYAN, SALOME ZARAGOSA ST TONDO MANILA - 890.00 - 890.00
26-Nov-18 19-2919 MANDING, MOHAMMAD BRGY 650 PORT AREA MANILA - 250.00 - 250.00
26-Nov-18 19-2920 CLEMENTE, ROSALINDA LIBIS TALISAY CALOOCAN CITY - 575.00 - 575.00
26-Nov-18 19-2921 BERNALDEZ, CONSTANCIO PARKHOMES MUNTINLUPA CITY - 1,985.00 - 1,985.00
26-Nov-18 19-2922 MAZO, MARILOU DE ROXAS BARRIO OBRERO TONDO MANILA - 1,965.00 - 1,965.00
26-Nov-18 19-2923 BELTRAN, JAMES MANUGUIT SUBD TONDO MANILA - 210.00 - 210.00
26-Nov-18 19-2924 MACHADO, MAXIMA SIKATUNA ST URDUJA VILL CALOOCAN - 530.00 - 530.00
Page 48
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
23-Nov-18 19-2925 BALAGTAS, GAUDELIA PRES GARCIA ST PARAÑAQUE - 3,700.00 - 3,700.00
23-Nov-18 19-2926 BAYSON, ANALYN FISHPORT COMPLEX NBBN NAVOTAS - 740.00 - 740.00
23-Nov-18 19-2927 GUEVARRA, ISABELITA SUNOG APOG ST BRGY 186 TONDO MANILA - 880.00 - 880.00
26-Nov-18 19-2928 SERVANO, JOHN DAVE BISUGO ST NBBS NAVOTAS - 1,235.00 - 1,235.00
26-Nov-18 19-2929 CRISTOBAL, LORNA MIGNEL ST NBBN NAVOTAS - 740.00 - 740.00
26-Nov-18 19-2930 SAN LUIS, DANILO BRGY DAMPALIT MALABON CITY - 748.00 - 748.00
26-Nov-18 19-2931 DIGMAN, ARTEMIO SINILYASI DAGAT DAGATAN CALOOCAN - 2,680.00 - 2,680.00
26-Nov-18 19-2932 TIQUIS, CARLO CATALINA LIPA CITY - 1,080.00 - 1,080.00
26-Nov-18 19-2933 VALDEZ, EDNA BULIRAN SAN MIGUEL BULACAN - 940.00 - 940.00
26-Nov-18 19-2934 MARBELLA, MARILYN SAN MIGUEL BALUBARAN MALINTA VALENZUELA- 5,105.00 - 5,105.00
26-Nov-18 19-2935 MASUBAY, MERCEDITA CRUZ ST MALIBAY PASAY - 11,800.00 - 11,800.00
26-Nov-18 19-2936 BANAAG, ROSITA DE CASTRO ST MALINTA VALENZUELA - 1,045.00 - 1,045.00
26-Nov-18 19-2937 SORIANO, NORMA BRGY KALIGAYAHAN NOVALICHES QUEZON - 1,300.00 - 1,300.00
26-Nov-18 19-2938 VALENZUELA, HERMINIA OSLO ST VISTA VERDE CALOOCAN - 1,975.00 - 1,975.00
26-Nov-18 19-2939 MAQUILAN, ZOSIMO SITIO 6 CATMON MALABON - 740.00 - 740.00
26-Nov-18 19-2940 TEODOSIO, CARMEN PROGRESO ST BAGONG BARRIO CALOOCAN - 1,895.00 - 1,895.00
26-Nov-18 19-2941 DAYAO, ROMEO CAIMITO RD CALOOCAN CITY - 770.00 - 770.00
23-Nov-18 19-2942 BARROA, LUCELIE FAMA SPA GTDL VALENZUELA - 1,300.00 - 1,300.00
23-Nov-18 19-2943 ULIT, JUANITA SANTOL ST SANTOL QUEZON CITY - 3,700.00 - 3,700.00
23-Nov-18 19-2944 LAUNGAYAN, PATRICIA MAYSILANGAN MAYPAJO CALOOCAN - 1,235.00 - 1,235.00
23-Nov-18 19-2945 FLORENCIO, RENATO AQUINO ST NIUGAN MALABON - 740.00 - 740.00
23-Nov-18 19-2946 ANINANG, WILLIAM DON CARLOS ST PASAY - 3,095.00 - 3,095.00
23-Nov-18 19-2947 MONA, RAQUEL ANTONIO RIVERA ST TONDO MANILA - 210.00 - 210.00
23-Nov-18 19-2948 SILVESTRE, LOURDES TAMBUNTING ST STA CRUZ MANILA - 860.00 - 860.00
23-Nov-18 19-2949 ABARRACOSO, MARICEL DOMINGO ST TANGOS NAVOTAS - 740.00 - 740.00
23-Nov-18 19-2950 DALIMOCON, HERMINIA LAWAAN ALLEY BAGONG BARRIO CALOOCAN - 970.00 - 970.00
23-Nov-18 19-2951 NUGUIT, NORBERTO GUERRERO ST ERMITA MANILA - 7,340.00 - 7,340.00
23-Nov-18 19-2952 MERCADO, DEOGRACIAS DINALUPIHAN ST TONDO MANILA - 530.00 - 530.00
23-Nov-18 19-2953 DIMACALI, MARY JANE RECTO STA CRUZ MANILA - 530.00 - 530.00
23-Nov-18 19-2954 LAUDIT, CRESLY PAYATAS QUEZON CITY - 210.00 - 210.00
23-Nov-18 19-2955 VILLANUEVA, MARILYN KATIPUNAN ST 2ND AVE CALOOCAN - 210.00 - 210.00
23-Nov-18 19-2956 MACASINAG, JESSERIE LETRE TONSUYA MALABON - 530.00 - 530.00
23-Nov-18 19-2957 TRUJILLO, LEONORA BRGY 50 TONDO MANILA - 2,500.00 - 2,500.00
23-Nov-18 19-2958 CERVANTES, MA LOURDES PANDI BULACAN - 970.00 - 970.00
23-Nov-18 19-2959 HERMOSISIMA, PACENCIA BRGY SALAWAG DASMARIÑAS CAVITE - 650.00 - 650.00
23-Nov-18 19-2960 HERMOSISIMA, PACENCIA BRGY SALAWAG DASMARIÑAS CAVITE - 400.00 - 400.00
23-Nov-18 19-2961 OTIS, ESPERANZA BRGY 12 CALOOCAN CITY - 740.00 - 740.00
23-Nov-18 19-2962 MALAZARTE, JAMAICA NBBS NAVOTAS CITY - 1,475.00 - 1,475.00
23-Nov-18 19-2963 FRANCISCO, HERMINIO DAANG HARI CALOOCAN CITY - 740.00 - 740.00
23-Nov-18 19-2964 BADANOY, ESTRELLA MODERNA ST BALUT TONDO MANILA - 570.00 - 570.00
23-Nov-18 19-2965 MOLINA, PATRICIA NARRA ALLEY BAGONG BARRIO CALOOCAN - 740.00 - 740.00
23-Nov-18 19-2966 SERRANO, CORAZON SANTIAGO ST FORTUNE VILL GTDL VALENZUELA- 210.00 - 210.00
23-Nov-18 19-2967 CORREGIDOR, JENNY BRGY SAN ISIDRO RIZAL - 790.00 - 790.00
23-Nov-18 19-2968 ZAPATA, ESPERANZA QUIRICADA ST STA CRUZ MANILA - 770.00 - 770.00
23-Nov-18 19-2969 LEE, DANIELLA KATE TEMP HOUSING VITAS TONDO MANILA - 530.00 - 530.00
23-Nov-18 19-2970 SOLOMON, ANALYN BRGY 78 TONDO MANILA - 740.00 - 740.00
23-Nov-18 19-2971 ACOSTA, EFRAIN BRGY 8 DAGAT DAGATAN CALOOCAN - 740.00 - 740.00
23-Nov-18 19-2972 DELA SERNA, MARGARITA MALAGASANG II D IMUS CAVITE - 1,990.00 - 1,990.00
23-Nov-18 19-2973 TANTAY, NENITA PINAGBAKAHAN MALOLOS BULACAN - 530.00 - 530.00
23-Nov-18 19-2974 MEJICA, ANALIZA BALINGASA ST BALINTAWAK QUEZON - 210.00 - 210.00
27-Nov-18 19-2975 FABITO, FLORENTINA SALMON ST DAGAT DAGATAN CALOOCAN - 740.00 - 740.00
27-Nov-18 19-2976 IBAO, PEDERITO LILOC ST WEST FAIRVIEW QUEZON - 405.00 - 405.00
27-Nov-18 19-2977 RICO, MICHAEL BRGY 81 TONDO MANILA - 2,510.00 - 2,510.00
27-Nov-18 19-2978 MELGAREJO, NENITA ASTER ST MAGSAYSAY TONDO MANILA - 560.00 - 560.00
27-Nov-18 19-2979 MEDINA, BRENDA NADORATA ST 10TH AVE CALOOCAN - 1,565.00 - 1,565.00
27-Nov-18 19-2980 CASTILLO, VIRGILIO STO TOMA MARIA AURORA, AURORA - 7,340.00 - 7,340.00
27-Nov-18 19-2981 ATIENZA, JESSA ROXAS ORIENTAL MINDORO - 1,780.00 - 1,780.00
27-Nov-18 19-2982 ANDRADE, JOAN MARIE ANTIPOLO ST BRGY 349 STA CRUZ MANILA - 940.00 - 940.00
27-Nov-18 19-2983 CAMILON, JULIANA AREA 3 MALABON CITY - 210.00 - 210.00
27-Nov-18 19-2984 LINTAN, MONICA PERFECTO ST TONDO MANILA - 1,475.00 - 1,475.00
27-Nov-18 19-2985 CABUHAT, ROSALYN LOURDES ST MARCELA CALOOCAN - 800.00 - 800.00
Page 49
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
27-Nov-18 19-2986 AQUINO, MARITES RIZAL AVE STA CRUZ MANILA - 210.00 - 210.00
27-Nov-18 19-2987 BLANCO, ROSENDA MOLINO II BACOOR CAVITE - 1,635.00 - 1,635.00
27-Nov-18 19-2988 ENECO, TRINIDAD TONSUYA ST MALABON CITY - 900.00 - 900.00
27-Nov-18 19-2989 POLIARCO, LUDIMAR BAGONG BARRIO CALOOCAN - 3,195.00 - 3,195.00
27-Nov-18 19-2990 DE LUNA, JUANITO LIBJO CATARMAN NORTHERN SAMAR - 740.00 - 740.00
23-Nov-18 19-2991 CALDERON, BENITO ZAMORA ST BRGY 17 CALOOCAN - 740.00 - 740.00
27-Nov-18 19-2992 GALMAN, ESPERANZA SITIO PAJO BRGY SAN ISIDRO PAOMBONG BULACAN- 7,340.00 - 7,340.00
27-Nov-18 19-2993 PLATA, PATRICIA ALONZO ST DALAHICAN CAVITE - 570.00 - 570.00
27-Nov-18 19-2994 BUSTOS, CRICYL DAGAT DAGATAN CALOOCAN - 11,800.00 - 11,800.00
27-Nov-18 19-2995 NALUS, ROGELIO BONIFACIO COMP PASO DE BLAS VALENZUELA - 650.00 - 650.00
27-Nov-18 19-2996 MANIQUIZ, MARITES RIZAL SAN LEONARDO NUEVA ECIJA - 740.00 - 740.00
27-Nov-18 19-2997 LABARDA, EMETERIA BRGY 147 TONDO MANILA - 2,100.00 - 2,100.00
27-Nov-18 19-2998 LABARDA, EMETERIA BRGY 147 TONDO MANILA - 940.00 - 940.00
27-Nov-18 19-2999 LAURIO, JESTONI ARANETA AVE BRGY TATALON QUEZON CITY - 2,680.00 - 2,680.00
27-Nov-18 19-3000 GEROY, RANDY BRGY 276 BINONDO MANILA - 1,975.00 - 1,975.00
23-Oct-18 19-3001 LONAN, FERNANDO SAMPALOC, ,MANILA - 740.00 - 740.00
22-Oct-18 19-3002 ESTERA, EVA GREENVALLEY LAS PINAS CITY - 740.00 - 740.00
23-Oct-18 19-3003 DIWA, MELCHOR MEL ALCALDE ST. TONDO MANILA - 2,680.00 - 2,680.00
23-Oct-18 19-3004 OCTAVIO, JOEL BRGY COMMONWEALTH QUEZON CITY - 740.00 - 740.00
23-Oct-18 19-3005 ANDAYA, RANNIE MALHACAN MYC, BULACAN - 1,000.00 - 1,000.00
23-Oct-18 19-3006 NABOR, HELEN CATLEYA ST. CALOOCAN CITY - 530.00 - 530.00
23-Oct-18 19-3007 MANALO, ERLINDA PACO,OBANDO BULACAN - 650.00 - 650.00
23-Oct-18 19-3008 VILLARICO, ROSALINDA LACSON ST. TONDO MANILA - 3,060.00 - 3,060.00
23-Oct-18 19-3009 BUENAOBRA, MYRNA SOCIEDAD ST.BAGONG BARIO CALOOCAN CITY - 2,450.00 - 2,450.00
23-Oct-18 19-3010 DE JESUS, MARLANY BIGNAY VALENZUELA CITY - 530.00 - 530.00
23-Oct-18 19-3011 MADURO, EUSEBIO SAN LAZARO ST. BRGY.340 S5TA.CRUZ MANILA - 1,670.00 - 1,670.00
24-Oct-18 19-3012 TAMBALO JELLYLYN BRGY.SAN VICENTE ANGONO RIZAL - 500.00 - 500.00
23-Oct-18 19-3013 TIU, AIDA SABALO ST. DAGAT-DAGATAN CALOOCAN CITY - 360.00 - 360.00
23-Oct-18 19-3014 FERNANDEZ, NOE STO.NINO ST DELPAN TONDO MANILA - 740.00 - 740.00
23-Oct-18 19-3015 SULIVAN, MIRASOL 5TH AVENUE WEST CALOOCAN CITY - 860.00 - 860.00
23-Oct-18 19-3016 REPASO, JUVY BASECO COMPOUND PORT AREA MANILA - 1,310.00 - 1,310.00
23-Oct-18 19-3017 CANDIVIDA, JULIETA ELLAS ST. STA. CRUZ MANILA - 530.00 - 530.00
23-Oct-18 19-3018 ALMAZAR, EDGARDO ALGECIRAS ST. SAMPALOC MANILA - 500.00 - 500.00
23-Oct-18 19-3019 MAYLAS, REGINA TRINIDAD RIZAL, ST. TONDO MANILA - 2,680.00 - 2,680.00
23-Oct-18 19-3020 MANUEL, CONRADO KARAPATAN , STA.CRUZ MANILA - 2,680.00 - 2,680.00
23-Oct-18 19-3021 PADILLA, IRISH BLK49 LOT 20 PH3 AR.2 LONGOS MALABON - 2,350.00 - 2,350.00
23-Oct-18 19-3022 DURAN, ERLINDA BANCAL, MEYCUAYAN BULACAN - 2,620.00 - 2,620.00
23-Oct-18 19-3023 BINONGO, JOHN DENIELLE SANTAN , MAGSAYSAY VILLAGE, TONDO MANILA- 1,100.00 - 1,100.00
23-Oct-18 19-3024 SEGUNTO, RODELIA 1577 QUIRINO ALMOND ST. TONDO MANILA - 1,805.00 - 1,805.00
23-Oct-18 19-3025 NIVAL, MAY NATIVIDAD, ST. STA CRUZ MANILA - 2,500.00 - 2,500.00
23-Oct-18 19-3026 DELA ROSA, PHILMA MAHARLIKA ST. TONDO MANILA - 570.00 - 570.00
23-Oct-18 19-3027 MEERA, LUDIVINA BLK5 LOT12 CALBUECO, LAGUNA - 820.00 - 820.00
23-Oct-18 19-3028 ENTAC, LOURDES SAWATA MAY PAJO CALOOCAN CITY - 2,580.00 - 2,580.00
23-Oct-18 19-3029 QUIAMBAO, JOHN REED PILAR ST, TONDO MANILA - 1,980.00 - 1,980.00
23-Oct-18 19-3030 BERNARDO, MARIETA GUEVARRA ST. STA.CRUZ MANILA - 1,100.00 - 1,100.00
23-Oct-18 19-3031 ACAMPADO, CRISTITUTA CELESTINO ST. NAVOTAS CITY - 940.00 - 940.00
23-Oct-18 19-3032 BALAGTAS, SEVERINO PASCUAL TANGOS NAVOTAS CITY - 1,060.00 - 1,060.00
23-Oct-18 19-3033 TERANTE, EDITHA LERMA ST. MANAGUIT TONDO MANILA - 740.00 - 740.00
23-Oct-18 19-3034 PEREZ, NORMA RODRIGUEZ CUBAO QUEZON CITY - 620.00 - 620.00
23-Oct-18 19-3035 MACALOOD, ILDEFONSO BARRIO MARULAS VALENZUELA - 740.00 - 740.00
5-Nov-18 19-3036 ANAVISO, NIMFA BILOG ST BINAGONAN RIZAL - 960.00 - 960.00
6-Nov-18 19-3037 SUNGA, VIRGINIA BLK 3 LOT 5 BAGONG SIBOL CALOOCAN CITY - 1,085.00 - 1,085.00
6-Nov-18 19-3038 BERNABE, NACIANCENA 2629 INT 21 DAGUPAN EXT TONDO MANILA - 485.00 - 485.00
7-Nov-18 19-3039 BAUTISTA, COLEEN 161 LABO ST LALOMA QUEZON CITY - 90.00 - 90.00
7-Nov-18 19-3040 DRUHUM, CORAZON BRGY. 176 CALOOCAN CITY - 340.00 - 340.00
8-Nov-18 19-3041 VASQUEZ, NIEVES B17 LOT 3 PHASE 2 BRGY. LONGOS MA,LABON CITY - 885.00 - 885.00
8-Nov-18 19-3042 JAMON, ANGLE MAE 23 P RAMOS ST PALASON VALENZUELA CITY - 585.00 - 585.00
7-Nov-18 19-3043 BUNANGIN, LUCRECIA 2 KALAMANSI CORNER MAGSAYSAY BRGY. 120 TONDO MANILA - 1,345.00 - 1,345.00
7-Nov-18 19-3044 BUHANGIN, EVELYN EMA 2 KALAMANSI CORNER MAGSAYSAY BRGY. 120 TONDO MANILA - 1,355.00 - 1,355.00
7-Nov-18 19-3045 DATILES, MILDRED 164 FALCON ST BRGY. SALVACION LA LOMA QUEZON CITY - 375.00 - 375.00
7-Nov-18 19-3046 GOMEZ, ROSELA # 57 MARTINEZ ST BRGY. 28 CALOOCAN CITY - 985.00 - 985.00
Page 50
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
7-Nov-18 19-3047 SABELLANO, LEONOR 367 L SANTOS TANGOS NAVOTAS CITY - 650.00 - 650.00
7-Nov-18 19-3048 BIASURA, LEA 2186 ISABELO DELOS REYES TONDO MANILA - 1,575.00 - 1,575.00
7-Nov-18 19-3049 CAYABYAB, JESSIEMAR BLK 2 KADIMA ST BRGY. TONSUYA MALABON - 1,475.00 - 1,475.00
7-Nov-18 19-3050 MEDALLON, BENIGNA HABAY BACOOR CAVITE CITY - 1,060.00 - 1,060.00
7-Nov-18 19-3051 PAAÑO, JEANETH SAN RAFAEL CARABA PAMPANGA - 585.00 - 585.00
7-Nov-18 19-3052 JAYSON, HELEN 937 ALGELIAS BRGY. 473 SAMPALOC MANILA - 130.00 - 130.00
8-Nov-18 19-3053 COPER, JERALYN FRANCISCO ST , TONDO MANILA - 585.00 - 585.00
8-Nov-18 19-3054 CARIAGA, PAUL BRENT 976 A N LACSON ST. SAMPALOC MANILA - 140.00 - 140.00
8-Nov-18 19-3055 DEL ROSARIO, ALLAN 1328 A. H LACSON ST STA CRUZ MANILA - 730.00 - 730.00
8-Nov-18 19-3056 OLIP, EVELYN BLK 18 LOT 82 GENERAL MARIANO ALVAREZ CAVITE - 1,405.00 - 1,405.00
8-Nov-18 19-3057 UMANDAL, ESTELITO 1633 PAMPANGA ST STA CRUZ MANILA - 2,405.00 - 2,405.00
8-Nov-18 19-3058 BALLESTEROS, GINA 2825 LORENZO DELA PAZ BRGY. 839 PANDACAN MANILA - 300.00 - 300.00
8-Nov-18 19-3059 VILLARTA, NILDA 2314 F TINDALO EXT TONDO MANILA - 1,345.00 - 1,345.00
8-Nov-18 19-3060 PASTE, KRISTINE BRGY. LIMBON SARIAYA QUEZON PROVINCE - 140.00 - 140.00
8-Nov-18 19-3061 SENOBIO, YOLANDA 361 K GAINO AVOCADO ST BALINGASA QUEZON CITY - 2,020.00 - 2,020.00
8-Nov-18 19-3062 VIZCARRA, ADRILLES 25 A PP SOTTO ST SAN JUAN CITY - 1,685.00 - 1,685.00
8-Nov-18 19-3063 AYSON, AIDA 1112 C PEREZ ST BRGY. TONSUYA MALABON CITY - 715.00 - 715.00
9-Nov-18 19-3064 DELA CRUZ, ROMULO 1353 RD REYES ST BRGY. 58 TONDO MANILA - 1,615.00 - 1,615.00
9-Nov-18 19-3065 SORIANO, ENRIQUE # 19 MATUTU ST PETER QUEZON CITY - 890.00 - 890.00
9-Nov-18 19-3066 SABINO, MADRELIE TANGUILE ST DUNGVILLE HOMES SAN MATEO RIZAL - 1,740.00 - 1,740.00
9-Nov-18 19-3067 CAMACHO, JUANITO BRGY. CAPRI NOVALICHES QUEZON CITY - 370.00 - 370.00
9-Nov-18 19-3068 AGOSTO, VICTOR DAGAT DAGATAN NAVOTAS - 2,300.00 - 2,300.00
12-Nov-18 19-3069 GUINTO, MARK JOSEPH BRGY. PANDUCOT CALUMPIT BULACAN - 1,255.00 - 1,255.00
12-Nov-18 19-3070 CAJAYON, MANOLITO BRGY. 35 MAYPAJO CALOOCAN CITY - 715.00 - 715.00
12-Nov-18 19-3071 PALELEO, VIOLETA BRGY. SAN ROQUE NAVOATS CITY - 650.00 - 650.00
12-Nov-18 19-3072 HANABA, MANUEL BRGY. 365 STA CRUZ MANILA - 955.00 - 955.00
13-Nov-18 19-3073 BONIFACIO, DANILO BRGY. 25 CALOOCAN CITY - 1,060.00 - 1,060.00
15-Nov-18 19-3074 SANTOS, MELECIA SERIAN TAAL BATANGAS - 7,340.00 - 7,340.00
15-Nov-18 19-3075 TORNEDA, HERMINILGILDO BRGY. 51 DAGUPAN TONDO MANILA - 1,060.00 - 1,060.00
16-Nov-18 19-3076 LUY, MARILYN BRGY. 135 BALUT TONDO MANILA - 415.00 - 415.00
16-Nov-18 19-3077 MALONES, DELIA DAGANG ST STA. ANA MANILA - 1,235.00 - 1,235.00
16-Nov-18 19-3078 GOMEZ, MARIETA BRGY. 58 TONDO MANILA - 1,300.00 - 1,300.00
20-Nov-18 19-3079 BIANES, JADE ANVIER TEMP AROMA TONDO MANILA - 660.00 - 660.00
21-Nov-18 19-3080 LEYNES, KAY DAPITAN ST. SAMPALOC MANILA - 1,980.00 - 1,980.00
21-Nov-18 19-3081 CONSTANTINO, CARMELITA BRGY. 65 TONDO MANILA - 990.00 - 990.00
21-Nov-18 19-3082 SOLIVEN, ASHER JOHN DAVID ST. BRGY. BAESA QUEZON CITY - 360.00 - 360.00
21-Nov-18 19-3083 PACHECO, ALMARIO BRGY. 358 STA CRUZ MANILA - 1,520.00 - 1,520.00
21-Nov-18 19-3084 FANCUBILA, LUCIA BRGY. SAN ISIDRO RODRIGUEZ RIZAL - 530.00 - 530.00
21-Nov-18 19-3085 ANDAYA, MARIVIC BRGY. 100 MAGSAYSAY VILLAGE TONDO MANILA - 770.00 - 770.00
21-Nov-18 19-3086 ARCAYA, ADELA A BONIFACIO ST GUMACA QUEZON PROVINCE - 14,680.00 - 14,680.00
21-Nov-18 19-3087 QUILO, RESTITUTO # 05 OAK EXT WEST FAIRVIEW QUEZON CITY - 530.00 - 530.00
21-Nov-18 19-3088 ENCARNACION, EUNIKA BALETE SAN NICOLAS BATANGAS - 5,580.00 - 5,580.00
21-Nov-18 19-3089 GABOTERO, BAMBIE 6TH AVENUE CALOOCAN CITY - 940.00 - 940.00
21-Nov-18 19-3090 NACARIO, ESPERANZA 103 MENDOZA ST GEN TRIAS CAVITE - 3,300.00 - 3,300.00
21-Nov-18 19-3091 JIMENEZ, THELMA BRGY. 67 TONDO MANILA - 650.00 - 650.00
21-Nov-18 19-3092 ALBARICO, ANNABELLE BRGY. 342 STA CRUZ MANILA - 2,620.00 - 2,620.00
21-Nov-18 19-3093 INFANTE, MA. SUSANA BALONG BATO SAN JUAN CITY - 360.00 - 360.00
21-Nov-18 19-3094 DOZO, RUTH ZAMORA ST. TONDO MANILA - 2,000.00 - 2,000.00
21-Nov-18 19-3095 BONCATAO, ROMEO SANTIAGO ST GMA CAVITE - 530.00 - 530.00
21-Nov-18 19-3096 PERALTA, REYNALDO BRGY. SIPAC ALMACE NAVOTAS CITY - 900.00 - 900.00
21-Nov-18 19-3097 DE PAZ, YSSABELLA BRGY. 8 CALOOCAN CITY - 5,500.00 - 5,500.00
21-Nov-18 19-3098 VILLANUEVA, RENATO BRGY. 151 RAXABAGO TONDO MANILA - 2,350.00 - 2,350.00
21-Nov-18 19-3099 CERDEÑO, ELPIDIO BRGY. TUGATOG MALABON CITY - 990.00 - 990.00
21-Nov-18 19-3100 DELLOVA, ELLA MARIE BRGY. MINTAL PANDI BULACAN - 985.00 - 985.00 20-Nov-18 19-3101 SAPNO, ROBERTO BRGY. 164 TONDO MANILA - 130.00 - 130.00
20-Nov-18 19-3102 GAERLAND, ROSARIO VERGARA ST QUIAPO MANILA - 3,300.00 - 3,300.00
20-Nov-18 19-3103 VASQUEZ, NIEVES AREA 3 DAGAT DAGATAN CALOOCAN CITY - 2,350.00 - 2,350.00
20-Nov-18 19-3104 ABRENICA, PAULINA BRGY. LONGOS MALABON CITY - 650.00 - 650.00
20-Nov-18 19-3105 STA.MARIA. KEIRAH MIRACLE QUINTOS ST SAMPALOC MANILA - 1,950.00 - 1,950.00
20-Nov-18 19-3106 OVIEDO, ROBIN KAKARONG PANDI BULUCAN - 530.00 - 530.00
22-Nov-18 19-3107 CABALLES, JEMELLE MIDIAN ST TOWN AND COUNTY DASMA CAVITE - 1,520.00 - 1,520.00
22-Nov-18 19-3108 CRUZ, AMIE BRGY. 215 SOLIS ST. TONDO MANILA - 1,450.00 - 1,450.00
Page 51
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
22-Nov-18 19-3109 VASQUEZ, CRISTINA PROJECT 7 QUEZON CITY - 940.00 - 940.00
22-Nov-18 19-3110 SAN ANTONIO, RESTITUTO TIGPALAS SAN MIGUEL BULACAN - 4,000.00 - 4,000.00
22-Nov-18 19-3111 TOSIO, CENON WAGAS ST. TONDO MANILA - 2,680.00 - 2,680.00
22-Nov-18 19-3112 SAPLALA, AZUCENA BATIA BOCAE BULACAN - 2,500.00 - 2,500.00
22-Nov-18 19-3113 BONZA, NICANOR ESCODA ST. NAVOTAS CITY - 530.00 - 530.00
22-Nov-18 19-3114 BORRETO, BIENVENIDO BRGY. 385 QUIAPO MANILA - 2,350.00 - 2,350.00
22-Nov-18 19-3115 DOSTILLA, RAMON TAYUMAN ST. TONDO MANILA - 2,800.00 - 2,800.00
22-Nov-18 19-3116 PABLO, TERESITA BRGY. CALAMBA LAGUNA - 580.00 - 580.00
22-Nov-18 19-3117 MARASIGAN, ISAGANI NATIVIDAD ST STA CRUZ MANILA - 1,060.00 - 1,060.00
22-Nov-18 19-3118 ORANDE, TERESITA NORZAGARAY BULACAN - 770.00 - 770.00
22-Nov-18 19-3119 NAVA, LEONILA BRGY. 37 CALOOCAN CITY - 740.00 - 740.00
22-Nov-18 19-3120 LEGASPI, RUTH BRGY. 320 STA CRUZ MANILA - 600.00 - 600.00
22-Nov-18 19-3121 LUMBANG, SUMILANG M. HIZON ST. STA CRUZ MANILA - 600.00 - 600.00
22-Nov-18 19-3122 DELA CRUZ, LUISITO BINYAGAN BINONDO MANILA - 2,225.00 - 2,225.00
22-Nov-18 19-3123 BALADJAY, ADRIANNE BRGY. 105 TEMP HOUSING TONDO MANILA - 530.00 - 530.00
22-Nov-18 19-3124 PEPINO, JOAN BRGY. 128 BALUT TONDO MANILA - 585.00 - 585.00
22-Nov-18 19-3125 MANANSALA, SUSAN TAWIRAN OBNADO BULACAN - 72.00 - 72.00
26-Nov-18 19-3126 JOAQUIN, ELENA MARCELO GREEN PARAÑAQUE CITY - 455.00 - 455.00
26-Nov-18 19-3127 TEODORO, MA THERESA BRGY NBBS NAVOTAS - 600.00 - 600.00
26-Nov-18 19-3128 DIEGO, ELIZABETH LUPA MAYPAJO CALOOCAN - 1,070.00 - 1,070.00
26-Nov-18 19-3129 MONCELLER, ADELFA BERNADETTE ST GABRIEL SUBD MALABON - 360.00 - 360.00
26-Nov-18 19-3130 BATAC, SWEDEN LACSON ST TONDO MANILA - 360.00 - 360.00
26-Nov-18 19-3131 CABUNGCAL, MA EHRICKA ANNECOMP ADDITION HILLS MANDALUYONG - 375.00 - 375.00
26-Nov-18 19-3132 TIMON, SEBASTIAN CRIS SAN PEDRO SJDM BULACAN - 4,800.00 - 4,800.00
26-Nov-18 19-3133 ALVAREZ, KRISTEL JOY BRGY GULPI MENDEZ CAVITE - 960.00 - 960.00
26-Nov-18 19-3134 TEMPLONUEVO, WILLIAM BRGY 73 CALOOCAN - 2,375.00 - 2,375.00
26-Nov-18 19-3135 RIFOL, ELENA DELA CRUZ ST BAGUYO MECAUAYAN BULACAN- 5,100.00 - 5,100.00
26-Nov-18 19-3136 RAMOS, ROGEN TRAMO ST PASAY CITY - 960.00 - 960.00
26-Nov-18 19-3137 MANANSALA, MA GRACITA BRGY 30 CALOOCAN CITY - 3,015.00 - 3,015.00
26-Nov-18 19-3138 PALAD, EMMA BRGY CALAANAN BONGABON NUEVA ECIJA - 675.00 - 675.00
26-Nov-18 19-3139 CORDERO, MARIO BRGY SUN VALLEY PARAÑAQUE - 1,310.00 - 1,310.00
26-Nov-18 19-3140 TAYAO, ALBERTO ANYATAM SAN ILDEFONSO BULACAN - 500.00 - 500.00
26-Nov-18 19-3141 NAVARRO, RAFAEL SAN ALZARO ST STA CRUZ MANILA - 1,970.00 - 1,970.00
26-Nov-18 19-3142 MAZO, JOSE DE ROXAS BARRIO OBRERO TONDO MANILA - 2,045.00 - 2,045.00
26-Nov-18 19-3143 SOBERANO, REYNA IGLAO-AN MALIPAYON MURCIA NEGROS OCCIDENTAL- 340.00 - 340.00
26-Nov-18 19-3144 ESTRELLA, FREDERICO BAYLE ST BRGY 177 TONDO MANILA - 415.00 - 415.00
26-Nov-18 19-3145 BALLESTEROS, EMILY PIO VALENZUELA ST MARULAS VALENZUELA CITY- 360.00 - 360.00
31-Aug-18 19-3146 ALPUERTO, JOVELYN ALGECIRAS ST. SAMPALOC MANILA - 530.00 - 530.00
16-Oct-18 19-3147 LAGUNDINO, BONIFACIO BLK 2 LOT 3 BRGY. MAMBOG BACOOR CAVITE - 325.00 - 325.00
16-Oct-18 19-3148 VILLENA, LINA 308 TENEMENT DELPAN ST BRGY. 17 TONDO MANILA - 2,255.00 - 2,255.00
16-Oct-18 19-3149 LARA, JACQUELINE BRGY. SAN DIONISIO PARANAQUE CITY - 740.00 - 740.00
16-Oct-18 19-3150 TERCENIO, HENRY 716 FAJARDO ST TONDO MANILA - 530.00 - 530.00
16-Oct-18 19-3151 ANDRES, ROSELYN 12 E ROTC ROSARIO PASIG CITY - 740.00 - 740.00
16-Oct-18 19-3152 CRUZANA, JOSE NICOLASA BIGATA GMA CAVITE - 740.00 - 740.00
16-Oct-18 19-3153 MADERA, ROWENA BRGY. 166 CALOOCAN CITY - 1,065.00 - 1,065.00
16-Oct-18 19-3154 PERALTA, MARITESS 124 HOMART ROAD BAESA QUEZON CITY - 530.00 - 530.00
16-Oct-18 19-3155 JOVES, IMELDA BRGY. 8 SAMSON CALOOCAN CITY - 740.00 - 740.00
16-Oct-18 19-3156 LIBUNAO, RITA BRGY. 22 CALOOCAN CITY - 570.00 - 570.00
16-Oct-18 19-3157 PICAR, SHIRLEY 400 MALOR ST BRGY. 94 TONDO MANILA - 360.00 - 360.00
16-Oct-18 19-3158 SAPIANDANTE, MARY JANE 604 ESGUERRA ST TONDO MANILA - 170.00 - 170.00
16-Oct-18 19-3159 PABLO, LIBRADA 91 MABITUAN ST MASAMBONG QUEZON CITY - 1,800.00 - 1,800.00
16-Oct-18 19-3160 LABUTE, NIDA 11 C NAHO ST BRGY. 23 CALOOCAN CITY - 740.00 - 740.00
16-Oct-18 19-3161 BAGA, LILIA BRGY. DISIPLINA BIGNAY VALENZUELA CITY - 1,200.00 - 1,200.00
16-Oct-18 19-3162 VALERIO, FELIPE NBINUAGAN OBANDO BULACAN - 3,100.00 - 3,100.00
16-Oct-18 19-3163 ECLE, BIENVIENIDA SITIO 6 BRGY. CATMON MALABON - 970.00 - 970.00
16-Oct-18 19-3164 GUALBERTO, REYMAN 104 SALVADOR ST BAESA CALOOCAN CITY - 360.00 - 360.00
16-Oct-18 19-3165 GASCON, EDNA BRGY. SOUTH TRIANGLE DILIMAN QUEZON CITY - 530.00 - 530.00
16-Oct-18 19-3166 RODULFO, RAMIL 214 DOÑA RITA ST CALOOCAN CITY - 1,620.00 - 1,620.00
16-Oct-18 19-3167 AZORES, SHIRLEY BLK 4 SAN LUCAS BRGY. 18 TONDO MANILA - 740.00 - 740.00
16-Oct-18 19-3168 HERERRA, CARMELITA BRGY. 81 TONDO MANILA - 1,610.00 - 1,610.00
16-Oct-18 19-3169 RAMOS, VIVIAN TAGUBAY BAYUGAN AGUSAN DEL SUR - 740.00 - 740.00
Page 52
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
16-Oct-18 19-3170 GONZALES, REBECCA 5 SANTIAGO SYJUCO IBABA MALABON CITY - 3,070.00 - 3,070.00
16-Oct-18 19-3171 LOPEZ, JESUS 2316 D OROQUIETA ST STA CRUZ MANILA - 570.00 - 570.00
16-Oct-18 19-3172 DIMAALA, EDUARDO BLK 16 REFORM ILANO CALOOCAN CITY - 740.00 - 740.00
16-Oct-18 19-3173 VARGAS, LETICIA BRGY. LINGUNAN VALENZUELA CITY - 1,075.00 - 1,075.00
16-Oct-18 19-3174 BELTRAN, VERGIE HULONG DUHAT MALABON CITY - 210.00 - 210.00
16-Oct-18 19-3175 LOPEZ, SAGUN 1448 ANACLETO ST BRGY. 334 STA CRUZ MANILA - 2,500.00 - 2,500.00
16-Oct-18 19-3176 ANGELES, EDUARDO BRGY. SAN ISIDRO GALAS QUEZON CITY - 800.00 - 800.00
16-Oct-18 19-3177 IRABON, FRANCISCO BRGY. 28 KAUNLARAN VILLAGE VALENZUELA CITY - 352.00 - 352.00
16-Oct-18 19-3178 NUYDA, MENARVE DALAPA SAN IDELFONSO BULACAN - 700.00 - 700.00
16-Oct-18 19-3179 BERNAL, SERNA KAUNLARAN VILLAGE BRGY. 14 CALOOCAN CITY - 1,935.00 - 1,935.00
16-Oct-18 19-3180 RESURRECTION, CARIDAD 664 MARULAS A CALOOCAN CITY - 570.00 - 570.00
16-Oct-18 19-3181 TABO, EJ BOY BRGY. MANGAHAN PASIG CITY - 7,100.00 - 7,100.00
17-Oct-18 19-3182 MALLARI, MILAGROS BEVERLY HOMES PUREZA MARILAO BULACAN - 740.00 - 740.00
17-Oct-18 19-3183 ORTEGA, RODRIGO 1359 DM CMPD CALOOCAN CITY - 1,020.00 - 1,020.00
17-Oct-18 19-3184 TIO, CRISTINA 1760 ALMEDA ST BRGY. 251 TONDO MANILA - 350.00 - 350.00
17-Oct-18 19-3185 AGUIRRE, LOURDES 1254 KASIPAGAN ST TONDO MANILA BRGY. 42 - 895.00 - 895.00
17-Oct-18 19-3186 JUNIO, MARILOU BRGY. 225 CAMRINES ST TONDO MANILA - 340.00 - 340.00
17-Oct-18 19-3187 FABALLA, SALVACION BRGY. 165 BAGBAGIN CALOOCAN CITY - 755.00 - 755.00
17-Oct-18 19-3188 CAYNILA, NENITA 1021 C YUSECO ST TONDO MANILA - 2,145.00 - 2,145.00
17-Oct-18 19-3189 DAYRIT, DANILO BRGY. 254 TONDO MANILA - 3,770.00 - 3,770.00
17-Oct-18 19-3190 MALIPOL, LUISA BRGY. SAN FELISIA STO TOMAS BATANGAS - 530.00 - 530.00
17-Oct-18 19-3191 URBANO, KYN STO. CRISTO SAN JOSE DEL MONTE CITY OF BULACAN - 1,060.00 - 1,060.00
17-Oct-18 19-3192 BANTUGAN, ROMEO BLD 19 LOT 10 VICTORIA SECRET DASMARIÑAS CAVITE - 1,255.00 - 1,255.00
17-Oct-18 19-3193 MAZO, IMELDA 1007 EF YUSECO ST TONDO MANILA - 210.00 - 210.00
17-Oct-18 19-3194 PAISTE, CEFERINO 1139 INT 23 B VARGAS ST BRGY. 216 TONDO MANILA - 3,100.00 - 3,100.00
17-Oct-18 19-3195 FORROSUELO, REY 338 RECTO AVENUE BINONDO MANILA - 360.00 - 360.00
17-Oct-18 19-3196 KIYAWAN, LOLITA BRGY. 105 TONDO MANILA - 1,895.00 - 1,895.00
17-Oct-18 19-3197 BULANDRES, ROGELIO LONGOS MALOLOS BULACAN - 740.00 - 740.00
17-Oct-18 19-3198 ROMERO, LEONARDO 2808 DAGUPAN EX GAGALANGIN TONDO MANILA - 940.00 - 940.00
17-Oct-18 19-3199 LAZARO, TESSIE SAMSON ROAD BRGY. 75 CALOOCAN CITY - 3,060.00 - 3,060.00
17-Oct-18 19-3200 ROMERO, GLORIA BRGY. 152 TONDO MANILA - 570.00 - 570.00
17-Oct-18 19-3201 ROMERO, GLORIA BRGY. 152 TONDO MANILA - 400.00 - 400.00
17-Oct-18 19-3202 LIAO, MARIA ALMA 46 DON MANUEL ST BRGY. SALVACION QUEZON CITY - 740.00 - 740.00
17-Oct-18 19-3203 OCAP, ERWIN BRGY. CATMON MALABON CITY - 3,060.00 - 3,060.00
17-Oct-18 19-3204 CABACANG, AMADO 1025 BILBAO ST TONDO MANILA - 2,120.00 - 2,120.00
17-Oct-18 19-3205 DAYAO, ROMEO 27 CAIMITO ROAD CALOOCAN CITY - 2,375.00 - 2,375.00
17-Oct-18 19-3206 BALDONADO, GLORIA 1529 F HUERTA ST STA CRUZ MANILA - 400.00 - 400.00
17-Oct-18 19-3207 GUITA, ROSALINA 1507 8TH ST FABIE PACO MANILA - 350.00 - 350.00
17-Oct-18 19-3208 MIRASOL,TERESITA 1367 B ASUNCION EXT BRGY. 70 TONDO MANILA - 570.00 - 570.00
17-Oct-18 19-3209 FRANCISCO, ESTRELLA BLOCK 58 LOT 2 DAGAT DAGATAN CALOOCAN CITY - 620.00 - 620.00
17-Oct-18 19-3210 SALAZAR, NELIA BLK 1-A DAGAT DAGATAN CALOOCAN CITY - 1,925.00 - 1,925.00
17-Oct-18 19-3211 CAPELLAN, FLORENCIO ZONE 5 PUGAD LAWIN ALMANZA DOS LAS PIÑAS CITY - 3,100.00 - 3,100.00
17-Oct-18 19-3212 CAPELLAN, FLORENCIO ZONE 5 PUGAD LAWIN ALMANZA DOS LAS PIÑAS CITY - 650.00 - 650.00
17-Oct-18 19-3213 GASACAO, LOLITA MANGAHAN ST BRGY. TATALON QUEZON CITY - 1,880.00 - 1,880.00
17-Oct-18 19-3214 ASUNCION, MERLIN 609 BANCAL EXT MEYCAUYAN BULACAN - 685.00 - 685.00
17-Oct-18 19-3215 BUCAD, LETECIA 353 MAYA MAYA ST BRGY. 66 TONDO MANILA - 940.00 - 940.00
17-Oct-18 19-3216 RABANES, LEONORA # 5 GEN MALVAR ST BRGY. 135 CALOOCAN CITY - 740.00 - 740.00
17-Oct-18 19-3217 BALDIDLES, CARMELITA 0662 AREA C BOTOKAN QUEZON CITY - 1,795.00 - 1,795.00
18-Oct-18 19-3218 ANIANO, ERIC JHON BRGY NBBS NAVOTAS CITY - 1,765.00 - 1,765.00
18-Oct-18 19-3219 IGNACIO, MARIETTA DEL MUNDO SUBD LLANO CALOOCAN CITY - 1,530.00 - 1,530.00
18-Oct-18 19-3220 ARCANGEL, RIZA BRGY 81 GENERAL SIMON ST CALOOCAN CITY - 280.00 - 280.00
18-Oct-18 19-3221 ALMARIO, MARCELA NEPOMUCENO ST TONDO MANILA - 860.00 - 860.00
18-Oct-18 19-3222 MAMANAG, ANGELINA LINAMPAS ST TONDO MANILA - 1,670.00 - 1,670.00
18-Oct-18 19-3223 NULLA, ANGELA BRGY MUNTING MARINO NAIC CAVITE - 1,660.00 - 1,660.00
18-Oct-18 19-3224 GUEVARRA, EVA PATRIA ST TONDO MANILA - 3,300.00 - 3,300.00
18-Oct-18 19-3225 ACOPIADO, EUGENIO BULAO LASNAVAS NORTHERN SAMAR - 530.00 - 530.00
18-Oct-18 19-3226 INCIONG, GREGORIO BRGY NBBN NAVOTAS CITY - 2,350.00 - 2,350.00
18-Oct-18 19-3227 GALLEGO, LARRY BRGY 20 TONDO MANILA - 2,240.00 - 2,240.00
18-Oct-18 19-3228 ONG, RUBY BRGY 764 SAN ANDRES BUKID MANILA - 530.00 - 530.00
18-Oct-18 19-3229 ENCARNACION, MYRA BRGY SAN FRANCISCO VICTORIA LAGUNA - 740.00 - 740.00
18-Oct-18 19-3230 DIMAYUGA, ELENA BRGY MUZON SJDM BULACAN - 530.00 - 530.00
Page 53
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
18-Oct-18 19-3231 MIRANDA, MA. THERESA TAGAYTAY ST CALOOCAN CITY - 1,865.00 - 1,865.00
18-Oct-18 19-3232 GABITAN, LYDIA BRGY IPIL IPIL CATARMAN NORTHERN SAMAR - 1,000.00 - 1,000.00
18-Oct-18 19-3233 PESINO, JADE BLK 6 LOT 6 VILLA ROMA BRGY LIAS MARILAO BULACAN - 1,300.00 - 1,300.00
18-Oct-18 19-3234 MARSO, GABRIEL BRGY. SAN ISIDRO TALISAY CAMARINES NORTE - 1,545.00 - 1,545.00
18-Oct-18 19-3235 RODRIGUEZ, EDUARDO 438 ARENAS ST BRGY. 407 SAMPALOC MANILA - 2,360.00 - 2,360.00
18-Oct-18 19-3236 TOLENTINO, MA.THERESA 2526 ISAGANI ST. BRGY. 370 STA CRUZ MANILA - 1,765.00 - 1,765.00
18-Oct-18 19-3237 JOVES, ALBERTO 2006 GEN SAN MIGUEL CALOOCAN CITY - 900.00 - 900.00
18-Oct-18 19-3238 MANZANILLA, EMMANUEL 1858 ORO B BRGY. 770 SAN ANDRESS BUKID MANILA - 650.00 - 650.00
18-Oct-18 19-3239 BALMES, JEAN 1228 INT MAALIWALAS ST BRGY. 868 PANDACAN MANILA- 1,235.00 - 1,235.00
18-Oct-18 19-3240 AHONGON, ALMA # 609 16 DE AGOSTO PASAY CITY - 5,105.00 - 5,105.00
18-Oct-18 19-3241 SAGOM, MARIA AIDA 1610 AREA 1 SAWATA MAYPAJO CALOOCAN - 1,235.00 - 1,235.00
18-Oct-18 19-3242 MOJICA, ELVIRA 686 STA CRUZ STA MARIA BULACAN - 2,185.00 - 2,185.00
18-Oct-18 19-3243 TACLA, LEANDRO MALIGAYA ST BRGY. DEL REMEDIA SPC LAGUNA - 5,500.00 - 5,500.00
18-Oct-18 19-3244 TORILLO, FRANCIS NABULAO SIPALAY NEGROS OCCIDENTAL - 2,620.00 - 2,620.00
18-Oct-18 19-3245 BIGTING, NERISA 319 CORAL ST TONDO MANILA BRGY. 119 - 530.00 - 530.00
18-Oct-18 19-3246 ABAD, ABIGAIL 2A 113 STO NINO ST BRGY. TATALON QUEZON CITY - 1,235.00 - 1,235.00
18-Oct-18 19-3247 PADING, VISITACION 2022 EXT 34 G PERFECTO TONDO MANILA - 2,050.00 - 2,050.00
18-Oct-18 19-3248 YUMUL, SHERWIN 2640 A I HUERTAS ST STA CRUZ MANILA - 1,310.00 - 1,310.00
18-Oct-18 19-3249 CONSTANTINO, ANALIE TINDALO ST STA CLARA SANTA MARIA BULACAN - 11,800.00 - 11,800.00
18-Oct-18 19-3250 DE LEON, ERNESTO BLK 3040 DAGAT DAGATAN BRGY. 12 CALOOCAN CITY - 400.00 - 400.00
18-Oct-18 19-3251 NAING, VIOLETA 54 GITNA ST APOLONIO SAMSON BRGY BALINTWAK QUEZON CITY - 565.00 - 565.00
18-Oct-18 19-3252 ORTIL, RELENA BLK 29 LOT 10 GOOD HARVEST PARK NOVALICHES CALOOCAN CITY- 890.00 - 890.00
16-Oct-18 19-3253 GIDUCOS, MA. FLORENDA BRGY. 14 DAGAT DAGATAN CALOOCAN CITY - 1,505.00 - 1,505.00
24-Oct-18 19-3254 TIMBAL, LUDIMA 120 J.P LAUREL ST TONDO MANILA - 895.00 - 895.00
17-Oct-18 19-3255 CULALA, JESUS 1767 ANTONIO RIVERA TONDO MANILA - 1,235.00 - 1,235.00
17-Oct-18 19-3256 DELA CRUZ, NOEMI 1237 A.M HIZON ST STA CRUZ MANILA - 570.00 - 570.00
17-Oct-18 19-3257 PONTI, JONALYN 1510 MARIA CLARA ST SAMPALOC MANILA - 570.00 - 570.00
17-Oct-18 19-3258 YADAO, ARNEL BRGY. 116 CALOOCAN CITY - 530.00 - 530.00
17-Oct-18 19-3259 NOVEDA, MARIVIC BLK 6 LOT 3 LOPEZ COMP LAS PIÑAS CITY - 2,500.00 - 2,500.00
17-Oct-18 19-3260 LIM, EPIFANIO JR. 275 61 DE VERA ST BRGY. 276 BINONDO MANILA - 1,600.00 - 1,600.00
17-Oct-18 19-3261 FLORES, FRANCISCO 747 DON QUIJOTE BRGY 455 SAMPALOC MANILA - 3,725.00 - 3,725.00
17-Oct-18 19-3262 BAQUERO, DELIA BLK 20 LOT 29 NUS BATIG BOCAQUE BULACAN - 5,105.00 - 5,105.00
17-Oct-18 19-3263 BIGLETE, ROSANNA 1131 E QUINTO ST BRGY.507 SAMPALOC MANILA - 2,230.00 - 2,230.00
17-Oct-18 19-3264 SALE, EDNA 55 D GALICIN ST BANGKULASI NAVOTAS CITY - 7,100.00 - 7,100.00
17-Oct-18 19-3265 HABUHAT, LUZVIMINDA BRGY. PALIPARAN DASMARINAS CAVITE - 530.00 - 530.00
17-Oct-18 19-3266 PUSANCHO, EVANGELINE BRGY. BINUAN INFANTA QUEZON CITY - 740.00 - 740.00
19-Oct-18 19-3267 DIZON, ANGELITO 2010 NAVARRA ST TONDO MANILA - 210.00 - 210.00
19-Oct-18 19-3268 BORJA, PATRICIA 10 K LEYTE ST BRGY. 562 SAMPALOC MANILA - 210.00 - 210.00
18-Oct-18 19-3269 ABUAN, AZUCENA BRGY. 142 CALOOCAN CITY - 2,785.00 - 2,785.00
18-Oct-18 19-3270 BAGSIC,ROGELIO BRGY. 38 KAGITINGAN TONDO MANILA - 570.00 - 570.00
18-Oct-18 19-3271 ABASOLA, ANALIZA 219 14 11 TS CRUZ BAESA QUEZON CITY - 740.00 - 740.00
18-Oct-18 19-3272 ARELLANO, ERLINDA 1229 NUSA ST BRGY. 515 DAPITAN SAMPALOC MANILA - 210.00 - 210.00
18-Oct-18 19-3273 EVANGELIO, ELVIRA BRGY. 488 SAMPALOC MANILA - 740.00 - 740.00
18-Oct-18 19-3274 GATCHALIAN, ANGEL JR. BLDG, 9 VITAS KATUPARAN BRGY. 101 TONDO MANILA - 3,060.00 - 3,060.00
18-Oct-18 19-3275 BALINONG, CLEOFAS 002 LOWER HASMIN ST PAYATAS QUEZON CITY - 280.00 - 280.00
18-Oct-18 19-3276 PURIFICATION, PABLO 170 BAYANIHAN ST BAGONG BARIO CALOOCAN CITY - 740.00 - 740.00
18-Oct-18 19-3277 AMAYA, REMEDIOUS 776 L CORAL ST TONDO MANILA - 570.00 - 570.00
18-Oct-18 19-3278 ANIEL, AMELITA 1929 GENARIO ST VELASQUEZ TONDO MANILA - 740.00 - 740.00
18-Oct-18 19-3279 MANLANGIT, ELIZABETH BLK 1 LOT 3 BRGY. STO CRISTO BULACAN - 2,120.00 - 2,120.00
18-Oct-18 19-3280 SALAZAR, LUIS MC ARTHUR MALANDAY VALENZUELA CITY - 1,885.00 - 1,885.00
18-Oct-18 19-3281 ARANETA, ROBELYN # 84 PUGONG GINTO BRGY. SANTA MONICA NOVALICHES QUEZON - 210.00 - 210.00
18-Oct-18 19-3282 CLUB, LYN # 144 BLK 1 EVERLASTING COMP BRGY. MARCELO PARANAQUE CITY - 5,105.00 - 5,105.00
18-Oct-18 19-3283 ILLUSTRISIMO, AGNES YANGCO ST NAVOTAS EAST NAVOTAS CITY - 2,100.00 - 2,100.00
18-Oct-18 19-3284 SISION,NORBERTO 1314 4 SOLIS ST BRGY. 206 TONDO MANILA - 505.00 - 505.00
18-Oct-18 19-3285 ECHEVARRIA, EUTROPIA BLK 3 VILLA PARAISO 1 SUN VALLEY PARANAQUE CITY - 710.00 - 710.00
18-Oct-18 19-3286 ENCARNACION, JOEL 3 355 BARGY. BATONG PALIG KAWIT CAVITE - 600.00 - 600.00
19-Oct-18 19-3287 SABALZA, RICARDO BRGY. TONSUYA MALABON CITY - 1,760.00 - 1,760.00
19-Oct-18 19-3288 MALLA, MELISSA 2320 B CHROMIUM ST SAN ANDRESS BUKID MANILA - 1,235.00 - 1,235.00
26-Oct-18 19-3289 TAMBONG, CARLITO 1529 DAGUPAN ST TONDO MANILA 2,340.00 - - 2,340.00
26-Oct-18 19-3290 SEVILLA, JASPHERE LOWER MALIBU WEST FAIRVIEW QUEZON CITY - 530.00 - 530.00
26-Oct-18 19-3291 RIVERA, LEONARD 1869 E MANALO ST STA CRUZ MANILA - 570.00 - 570.00
Page 54
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
26-Oct-18 19-3292 CORREGIDOR, JENNY BLK 161 LOT 17 SOUTHVILLE BRGY SAN ISIDRO RIZAL - 8,500.00 - 8,500.00
26-Oct-18 19-3293 LORENZO, CORAZON BRGY. IBA OSTE CALUMPIT BULACAN - 7,340.00 - 7,340.00
26-Oct-18 19-3294 MIGUEL, JOSEPH 1922 T MAPUA ST BRGY. 353 STA CRUZ MANILA - 11,800.00 - 11,800.00
26-Oct-18 19-3295 GALICHA, LENORA 201 JUAN REYES ST KARUHATAN VALENZUELA - 740.00 - 740.00
26-Oct-18 19-3296 BARCELONA, ARIEL BLK 56 DAGAT DAGATAN CALOOCAN CITY - 740.00 - 740.00
26-Oct-18 19-3297 QUESORA, HENDRY 1247 l YUSECO ST TONDO MANILA - 740.00 - 740.00
26-Oct-18 19-3298 DELMO, ROMEO MANGANESE ANILAO ILO-ILO - 400.00 - 400.00
26-Oct-18 19-3299 DELMO, ROMEO MANGANESE ANILAO ILO-ILO - 740.00 - 740.00
26-Oct-18 19-3300 MAULAS, VIVIAN # 05 J MARCELO ST MAYSAN VALENZUELA CITY - 530.00 - 530.00
26-Oct-18 19-3301 GUINTO, RAYMART 605 MORGA ST TONDO MANILA - 360.00 - 360.00
26-Oct-18 19-3302 FERRER, CELIA 421 2ND AVENUE EAST GRACE PARK CALOOCAN CITY - 740.00 - 740.00
26-Oct-18 19-3303 JIMENEZ, MEDERATO 9 ESTRELLA ST NAVOTAS CITY - 530.00 - 530.00
26-Oct-18 19-3304 POLIARCO, NORMA 38 GEN. CONCEPCION ST. CALOOCAN CITY - 210.00 - 210.00
26-Oct-18 19-3305 MATIAS, FRANCISCO 1773 QUIRICADA ST. STA CRUZ MANILA - 1,060.00 - 1,060.00
26-Oct-18 19-3306 RELLOTO, ALICIA 1084 D SEVILLA 2ND AVE CALOOCAN CITY - 740.00 - 740.00
26-Oct-18 19-3307 ONAYAN, FELIZARDO 1994 KATAMARAN ST BRGY. 222 TONDO MANILA - 740.00 - 740.00
26-Oct-18 19-3308 SEVILLA, GALICANO BLK 5 LOT 19 LEGIAS II SOUTH SUB LAS PIÑAS CITY - 210.00 - 210.00
26-Oct-18 19-3309 MALAPIRA, TERESITA 1441 1 DAGUPAN EXT BRGY. 159 TONDO MANILA - 7,800.00 - 7,800.00
26-Oct-18 19-3310 ANTONIO, FELICIDAD BRGY. TINANG CONCEPCION TARLAC - 1,745.00 - 1,745.00
26-Oct-18 19-3311 EVANGELIO, MANUEL 1770 MIGUENLIN ST BRGY.510 SAMPALOC MANILA - 355.00 - 355.00
26-Oct-18 19-3312 SIO, RUBEN BLK 20 LOT 11 NAGKAISANG NAYON NOVALICHES QUEZON CITY - 2,680.00 - 2,680.00
26-Oct-18 19-3313 PINILI, MARILOU 407 CALLANA ST BRGY. 93 TONDO MANILA - 570.00 - 570.00
26-Oct-18 19-3314 CRUZ, NATIVIDAD 441 INOCENCIO ST TONDO MANILA BRGY 91 - 570.00 - 570.00
26-Oct-18 19-3315 ZABOANGA, EDUARDO 246 SAMSON ROAD BRGY. 246 CALOOCAN CITY - 2,680.00 - 2,680.00
22-Oct-18 19-3316 SALVADOR, EMELITA BRGY. PACO OBANDO BULACAN - 1,045.00 - 1,045.00
18-Oct-18 19-3317 TUSCANO, SATURNINA # 6258 NATIVIDAD ST MAPULANG LUPA VALENZUELA CITY - 530.00 - 530.00
30-Oct-18 19-3318 ESTRADA, MANUEL JR. 155 R. SANTIAGO ST. 9TH AVE CALOOCAN CITY - 7,800.00 - 7,800.00
30-Oct-18 19-3319 PALTAO, ESTRELLITA BRGY. 34 MAYPAJO CALOOCAN CITY - 740.00 - 740.00
29-Oct-18 19-3320 SAGOT, PILAR BLK 29 LOT 8 SOUTHVILLE BRGY INOCINCIO NAIC CAVITE - 650.00 - 650.00
29-Oct-18 19-3321 LIM, YOLANDA BRGY. CODON GUBAT SORSOGON - 2,650.00 - 2,650.00
25-Oct-18 19-3322 VILLANUEVA, MARILYN 331 KATIPUNAN ST 2ND AVENUE BRGY. 38 CALOOCAN CITY - 700.00 - 700.00
26-Oct-18 19-3323 MORILLO, JOSE JR AGPIPINA ST TAMBO PARANAQUE CITY - 19,140.00 - 19,140.00
29-Oct-18 19-3324 ORTIL, MANUEL JR BLK 29 LOT 10 GOOD HARVEST PARK NOVALICHES CALOOCAN CITY- 360.00 - 360.00
29-Oct-18 19-3325 TABLADA, PUREZA 217 ADELFA ST BRGY. 13 CALOOCAN CITY - 530.00 - 530.00
29-Oct-18 19-3326 VITTO, FLORIDA 548 GULAYAN ST BRGY. CATMON MANILA - 2,500.00 - 2,500.00
29-Oct-18 19-3327 MENDOZA, MYLENE 1056 TORRES BUGALLON BRGY. 204 TONDO MANILA - 740.00 - 740.00
29-Oct-18 19-3328 NOCHE, MARITES BLK 16 LOT 17 BRGY. LONGOS MALABON CITY - 1,595.00 - 1,595.00
29-Oct-18 19-3329 SANTOS, LOTTIE 1238 MITHI ST TONDO MANILA - 570.00 - 570.00
29-Oct-18 19-3330 OCAMPO, ROSITA 235 ROMUALDEZ MAGSAYSAY TONDO MANILA - 740.00 - 740.00
29-Oct-18 19-3331 DEVERA, EPEFANIA BRGY. MANRESA QUEZON CITY - 740.00 - 740.00
29-Oct-18 19-3332 FALCON, PAG ASA BRGY. 339 QUIRICADA STA CRUZ MANILA - 210.00 - 210.00
29-Oct-18 19-3333 ELLA, PRINCE CARL 1750 SAN LAZARO ST STA CRUZ MANILA - 2,350.00 - 2,350.00
29-Oct-18 19-3334 ANDRES, EDGARDO 44 A SANTIAGO ST SIPAC NAVOTAS CITY - 2,760.00 - 2,760.00
29-Oct-18 19-3335 ALITA, CONCESA 109 JOSEFINA ST CALOOCAN CITY - 6,120.00 - 6,120.00
29-Oct-18 19-3336 PINTO, PEREGRINO 232 C JAVIER ST BARITAN MALBON CITY - 530.00 - 530.00
29-Oct-18 19-3337 PINTO, PEREGRINO 232 C JAVIER ST BARITAN MALBON CITY - 400.00 - 400.00
29-Oct-18 19-3338 LLONOSO, ARMANDO 158 LINGUNAN PAGIBIG ST VALENZUELA CITY - 530.00 - 530.00
29-Oct-18 19-3339 ANG, IMELDA BRGY. PUNTURIN VALENZUELA CITY - 570.00 - 570.00
29-Oct-18 19-3340 PASTE, KRISTINE LIMBON SARIAYA QUEZON PROVINCE - 360.00 - 360.00
29-Oct-18 19-3341 PABLO, ZENAIDA 157 REPARO ST. BAESA ROAD CALOOCAN CITY - 1,975.00 - 1,975.00
29-Oct-18 19-3342 VALDEZ, REBECCA 117 2ND AVENUE GRACE PARK CALOOCAN CITY - 530.00 - 530.00
29-Oct-18 19-3343 MANZANADE, AILENE BRGY. ANABU II IMUS CAVITE - 600.00 - 600.00
29-Oct-18 19-3344 MANZANADE, AILENE BRGY. ANABU II IMUS CAVITE - 210.00 - 210.00
29-Oct-18 19-3345 SALAMANCA, LINDA ILANG-ILANG ST VALENZUELA CITY - 740.00 - 740.00
29-Oct-18 19-3346 DE JESUS, LEONILA 3201 MOLAVE EXT TONDO MANILA - 1,350.00 - 1,350.00
29-Oct-18 19-3347 REQUIESTAS, JOSE 28 MAKANENENG ST BAGONG BARIO CALOOCAN CITY - 3,460.00 - 3,460.00
29-Oct-18 19-3348 GARCIA, CELEDONIA 139 SAN PEDRO ST TONDO MANILA - 740.00 - 740.00
29-Oct-18 19-3349 ZAMORA, ARLENE 703 BAGONG KALSADA ST NAVOTAS CITY - 530.00 - 530.00
29-Oct-18 19-3350 BITONG, MARIA TERESA 176 BRGY. BAURIN MATAAS NA KAHOY BATANGAS - 1,235.00 - 1,235.00
29-Oct-18 19-3351 CAMPINGCO, GUILLERMO 1017 SULU ST STA CRUZ MANILA - 740.00 - 740.00
29-Oct-18 19-3352 DEL PILAR, ROSANNA 40 SITIO BALUT MALABON CITY - 5,580.00 - 5,580.00
Page 55
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
29-Oct-18 19-3353 REYES, ADELINA 2606 BRGY. 161 GAGALANGIN TONDO MANILA - 570.00 - 570.00
29-Oct-18 19-3354 PAQUEO, MAXIMO 2080 CANDIDO ST MAPULANG LUPA VALENZUELA - 740.00 - 740.00
29-Oct-18 19-3355 CANLAS, BERNARDO PUBLIC MARKET POBLACION MEYCAUYAN BULACAN - 640.00 - 640.00
29-Oct-18 19-3356 JACOBO, VIOLETA 1B ILAGAN ST BRGY. PALTOK QUEZON CITY - 210.00 - 210.00
29-Oct-18 19-3357 ABALA, EDUARDO 424 MALAGAY ST UPS 1 PARANAQUE CITY - 530.00 - 530.00
29-Oct-18 19-3358 SAPIANDANTE, DOMINADOR 604 ESQUERRA ST BRGY. 90 TONDO MANILA - 740.00 - 740.00
29-Oct-18 19-3359 ATIENZA, ORLANDO 1328 E QUINTIS ST SAMPALOC MANILA - 770.00 - 770.00
29-Oct-18 19-3360 NAPAY, JESSIE # 66 SECOND ST 1ST AVENUE G.P CALOOCAN CITY - 570.00 - 570.00
29-Oct-18 19-3361 DELA CHICA, EDGARDO 442 PRUDENCIO ST SAMPALOC MANILA - 1,375.00 - 1,375.00
29-Oct-18 19-3362 DELA CHICA, EDGARDO 442 PRUDENCIO ST SAMPALOC MANILA - 900.00 - 900.00
29-Oct-18 19-3363 FERRER, REYNALDO 2448 GAPAN ST GAGALANGIN TONDO MANILA - 1,000.00 - 1,000.00
29-Oct-18 19-3364 HERNANDEZ, ROMEO 1208 E QUIRICADA ST. STA CRUZ MANILA - 530.00 - 530.00
29-Oct-18 19-3365 MENDOZA, ARLENE # 11 SANTOL ST BILOG BALANGKAS VALENZUELA CITY - 740.00 - 740.00
29-Oct-18 19-3366 MARTINEZ, CRESENCIANA 2406 C3 JUAN LUNA ST GAGALANGIN TONDO MANILA - 2,000.00 - 2,000.00
29-Oct-18 19-3367 HERNANDEZ, JARICS URIE BRGY. BAGHAG SAUYO ROAD NOVALICHES QUEZON CITY - 530.00 - 530.00
29-Oct-18 19-3368 CABELLO, AMANDO STO NIÑO SAN NICOLAS BATANGAS - 530.00 - 530.00
29-Oct-18 19-3369 DE GUZMAN, JOVILYN 1723 MAYHALIGUE ST STA CRUZ MANILA - 4,500.00 - 4,500.00
29-Oct-18 19-3370 JABLA, GINA 138 A MABINI ST BRGY. BURGOS RODRIGUEZ RIZAL - 740.00 - 740.00
29-Oct-18 19-3371 DIAÑO, JOSELINA 14 KALAMANSANAY PROJ 7 QUEZON CITY - 530.00 - 530.00
30-Oct-18 19-3372 MENDIOLA, MARILOU 128 C NAME ST CALOOCAN CITY - 570.00 - 570.00
30-Oct-18 19-3373 TOLENTINO, SONIA 1017 SABITAN ST STO ROSANA MALOLOS BULACAN - 7,340.00 - 7,340.00
30-Oct-18 19-3374 PAPINA, ARNEL 2251 VISION ST STA CRUZ MANILA BRGY. 351 - 2,700.00 - 2,700.00
30-Oct-18 19-3375 PAPINA, ARNEL 2251 VISION ST STA CRUZ MANILA BRGY. 351 - 3,100.00 - 3,100.00
30-Oct-18 19-3376 LIBUNAO, ALFRED 26 PISA ST B.F HOMES CAA LAS PINAS CITY - 2,620.00 - 2,620.00
30-Oct-18 19-3377 ARANCES, GUILLERMO 35 BROOKSIDE KAINGIN 2 BRGY. PANSOL QUEZON CITY - 570.00 - 570.00
30-Oct-18 19-3378 BALLESTEROS, ALBERTO 1489 CARISSA ST DASMA VILLAGE MAKATI CITY - 570.00 - 570.00
30-Oct-18 19-3379 CABAHUG, BALTAZAR 245 ALBATROS ST TONDO MANILA - 570.00 - 570.00
30-Oct-18 19-3380 VILLENA, LINA 308 TENEMENT BUILDING BRGY. 17 TONDO MANILA - 210.00 - 210.00
30-Oct-18 19-3381 CORTEZ, LIGAYA 753 INT 76 RAXABAGO ST TONDO MANILA - 740.00 - 740.00
30-Oct-18 19-3382 QUINO, WENIFREDA 27 GUILLERMO ST SAN RAFAEL NAVOTAS - 740.00 - 740.00
30-Oct-18 19-3383 PORNOBI, ESTELITA 384 CAPULONG ST TONDO MANILA - 530.00 - 530.00
30-Oct-18 19-3384 TAMPICO, HERMINIGILDO 4229 BLK 10 MAYPAJO CALOOCAN CITY - 360.00 - 360.00
30-Oct-18 19-3385 ALONZO, VICTORINA 32 B ESPIRITU ST MALABON CITY - 2,500.00 - 2,500.00
30-Oct-18 19-3386 RUBIO, MARIA BLK 12 LOT 112 PHASE 1 CALOOCAN CITY - 5,100.00 - 5,100.00
30-Oct-18 19-3387 ARELLANO, ERLINDA 1229 MUSA ST DAPITAN SAMPALOC MANILA - 570.00 - 570.00
30-Oct-18 19-3388 VICTORIO, EVELYN BRGY. 88 CALOOCAN CITY - 1,235.00 - 1,235.00
30-Oct-18 19-3389 VICTORIO, EVELYN BRGY. 88 CALOOCAN CITY - 1,270.00 - 1,270.00
30-Oct-18 19-3390 REYES, FRAEY 9 INT B ANGELES ST SAN ROQUE NAVOTAS CITY - 698.00 - 698.00
30-Oct-18 19-3391 GUIHARDE, ELIZABETH 778 KAGANDAHAN ST JUAN LUNA GAGALANGIN TONDO MANILA - 740.00 - 740.00
30-Oct-18 19-3392 PEDROSA, NESTOR 1139 VARGAS ST TONDO MANILA - 740.00 - 740.00
30-Oct-18 19-3393 FRANCISCO, CRESILLA 163 B ROMANA ST BRGY. 103 TONDO MANILA - 530.00 - 530.00
30-Oct-18 19-3394 RICO, MICHAEL 472 DANDAN ST BRGY. 81 TONDO MANILA - 650.00 - 650.00
30-Oct-18 19-3395 GALICIO, ALICIA 212 A SANTOS BRGY. MALINTA VALENZUELA CITY - 1,235.00 - 1,235.00
30-Oct-18 19-3396 CAS, LUZ 607 DANDAN ST BRGY. 90 TONDO MANILA - 740.00 - 740.00
30-Oct-18 19-3397 BARREDO, CRIZEL LEMERY BATANGAS - 500.00 - 500.00
30-Oct-18 19-3398 SANTIAGO, RAYMUNDO BRGY. 91 TONDO MANILA - 570.00 - 570.00
30-Oct-18 19-3399 ZATA, CECILIA 2671 JUAN LUNA ST BRGY. 179 GAGALANGIN TONDO MANILA - 2,035.00 - 2,035.00
30-Oct-18 19-3400 DE JUAN, ELIZABETH # 1392 ALVARADO EXT TONDO MANILA - 600.00 - 600.00
30-Oct-18 19-3401 PATI, KANDAPTI LEGEND MANSION CONDO 212 SAN JUAN PASAY CITY - 8,200.00 - 8,200.00
30-Oct-18 19-3402 GOJANGCO, AVELINA 40 INT REPARO ST BAGONG BARIO CALOOCAN CITY - 940.00 - 940.00
30-Oct-18 19-3403 STA CRUZ, ANGELINA BAGBAG NOVALICHES QUEZON CITY - 570.00 - 570.00
30-Oct-18 19-3404 SALINAS, GLORIA 44 BALINGASA ST BRGY. BALINGASA QUEZON CITY - 3,945.00 - 3,945.00
30-Oct-18 19-3405 SILLEZA, ELVIRA 202 DANDAN ST DON BOSCO TONDO MANILA - 650.00 - 650.00
30-Oct-18 19-3406 FAILANGA, THELMA KAIMITO ST DOÑA JOSEFA VILL ALMAZAN LAS PINAS CITY - 570.00 - 570.00
29-Oct-18 19-3407 TAFALLA, ANNABELLE 006 BRGY. PEREZ BULAKAN BULACAN - 820.00 - 820.00
30-Oct-18 19-3408 DELOS SANTOS, RAUL BRGY. LONGOS MALABON CITY - 740.00 - 740.00
30-Oct-18 19-3409 SAN JOSE, SHERLYN 4352 BLK 8 SAWATA MAYPAJO CALOOCAN CITY - 360.00 - 360.00
30-Oct-18 19-3410 ALBACEA, ANITA 2235 FERNANDEZ ST GAGALANGIN TONDO MANILA - 740.00 - 740.00
30-Oct-18 19-3411 AMBE, JULIETA BRGY. DANAO 1 P1 TINAMBACAN CALBAYOG SAMAR - 770.00 - 770.00
31-Oct-18 19-3412 MARCELLANA, ARNOLD NATIVIDAD ST STA CRUZ MANILA - 2,500.00 - 2,500.00
30-Oct-18 19-3413 MALANO, JESTER TABON EAST CAINGIN BULACAN - 530.00 - 530.00
Page 56
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
30-Oct-18 19-3414 CASIDO, JOAN 225 SAN COLAS BRGY. 283 BINONDO MANILA - 1,310.00 - 1,310.00
30-Oct-18 19-3415 ABALETA, PERLITA PLEASANT VIEW BAGBAGIN CALOOCAN CITY - 940.00 - 940.00
30-Oct-18 19-3416 ABALETA, PERLITA PLEASANT VIEW BAGBAGIN CALOOCAN CITY - 740.00 - 740.00
30-Oct-18 19-3417 VELASQUEZ, MILDRED 156 P SANTOS BRGY. 172 MALIBAY PASAY - 940.00 - 940.00
30-Oct-18 19-3418 FERNANDEZ, JEFRREY MAYHALEGE ST STA CRUZ MANILA - 740.00 - 740.00
29-Oct-18 19-3419 DURAN, RAPHAEL ETHAN BLK 11 LOT 13 ROSES STA VALENZUELA CITY - 530.00 - 530.00
31-Oct-18 19-3420 PAREDES, RODOLFO 1298 N DINALUPHAN ST BRGY. 204 TONDO MANILA - 845.00 - 845.00
31-Oct-18 19-3421 UY, VENERANDO 873 P CAMPA BRGY. 396 SAMPALOC MANILA - 530.00 - 530.00
31-Oct-18 19-3422 BAGAYAWA, CARLOTA BRGY. 117 TONDO MANILA - 530.00 - 530.00
31-Oct-18 19-3423 OCULTO, EDUARD 364 B SAINT MARY BRGY. 14 TONDO MANILA - 530.00 - 530.00
31-Oct-18 19-3424 ROBLES, ERLINDA 33 GOVERNOR PASCUAL POTRERO MALABON CITY - 400.00 - 400.00
31-Oct-18 19-3425 ROBLES, ERLINDA 33 GOVERNOR PASCUAL POTRERO MALABON CITY - 570.00 - 570.00
31-Oct-18 19-3426 ALLARDE, LYDIA BLK 12 LOT 11 NORTH VILLE 4-A MARILAO BULACAN - 940.00 - 940.00
31-Oct-18 19-3427 MALUBAY, PRECILA # 395 PADECO ST BRGY. 67 TONDO MANILA - 5,105.00 - 5,105.00
31-Oct-18 19-3428 BONGGA, FLOR 1698 PANDAY PARA ST TONDO MANILA - 740.00 - 740.00
31-Oct-18 19-3429 MARQUEZ,KURT GJILLIAN 96 MABALCAT ST CALOOCAN CITY - 1,555.00 - 1,555.00
31-Oct-18 19-3430 DEL ROSARIO, ALLAN 1328 A.H ST BRGY. 343 STA CRUZ MANILA - 800.00 - 800.00
31-Oct-18 19-3431 CHACON, YOLANDA MALIKLIK ST BRGY. 184 TONDO MANILA - 740.00 - 740.00
11-Oct-18 19-3432 PAGALA, WALTER TONDO, MANILA - 1,970.00 - 1,970.00
19-Dec-18 19-3433 RIÑOS, MICHAEL VALENZUELA CITY 830.00 - 530.00 1,360.00
17-Dec-18 19-3434 ESCOREAL, ERLINDA CALOOCAN CITY 714.00 - - 714.00
10-Dec-18 19-3435 ORESTE, ANTONINA TONDO, MANILA 722.00 - 3,180.96 3,902.96
10-Dec-18 19-3436 GALLON, MARILYN TONDO, MANILA 1,630.50 - - 1,630.50
6-Dec-18 19-3437 ACEVEDA, RHODORA MALABON CITY - - 1,329.88 1,329.88
11-Dec-18 19-3438 LOPEZ, ALVISANDRO STA CRUZ, MANILA 571.65 - 1,176.75 1,748.40
11-Dec-18 19-3439 SARMIENTO, JESUS ROLANDOTONDO, MANILA 995.30 - - 995.30
12-Dec-18 19-3440 TORILLOS, MARK CHRISTIANTONDO, MANILA 582.40 - 1,218.49 1,800.89
6-Dec-18 19-3441 LIBAN, ELONA VALENZUELA CITY - - 804.51 804.51
9-Nov-18 19-3442 DEBIL, JOSEPHINE NOVALICHES, QUEZON CITY - 820.00 - 820.00
9-Nov-18 19-3443 COCADIZ, JOSEPH SAMPALOC, MANILA - 2,000.00 - 2,000.00
15-Nov-18 19-3444 SORIANO, PAUL JEDRICK CALOOCAN CITY - 5,100.00 - 5,100.00
7-Dec-18 19-3445 PALOMERAS, DONATO TONDO, MANILA 6,110.80 1,500.00 - 7,610.80
7-Dec-18 19-3446 SIGUA, ED VINCENT TONDO, MANILA - 800.00 - 800.00
5-Dec-18 19-3447 RAMOS, DIVINA VALENZUELA CITY 429.00 - - 429.00
4-Dec-18 19-3448 VERGARA, JOHN TONDO, MANILA - - 816.27 816.27
2-Dec-18 19-3449 ESCLADA, KEVIN FRANK STA MESA, MANILA - - 530.00 530.00
3-Dec-18 19-3450 DELA CRUZ, DANILO TONDO, MANILA 814.50 - - 814.50
12-Nov-18 19-3451 SEMIPREÑA, EMMA QUEZON CITY - 1,235.00 - 1,235.00
20-Nov-18 19-3452 REYES, ALMA PAOMBONG, BULACAN 12,384.25 1,200.00 - 13,584.25
22-Nov-18 19-3453 CORNEA, JESSY MAE TONDO, MANILA - - 2,562.00 2,562.00
6-Dec-18 19-3454 ESCLAMAYO. RAFFY VALENZUELA CITY - 325.00 - 325.00
30-Oct-18 19-3455 CAGUIRON, FELIX TONDO, MANILA 923.84 1,500.00 - 2,423.84
30-Oct-18 19-3456 DE OCAMPO, TERESITA PLARIDEL, BULACAN - - 1,177.00 1,177.00
30-Oct-18 19-3457 ALBAY, LOLITA TONDO, MANILA - - 840.00 840.00
4-Nov-18 19-3458 REYES, PRINCE MARICABAN, PASAY - - 22,207.81 22,207.81
4-Nov-18 19-3459 GONZAGA, RIZAL QUIAPO, MANILA - - 2,880.00 2,880.00
5-Nov-18 19-3460 CAINCOY, JESUS PARAÑAQUE, CITY 491.40 - 3,669.14 4,160.54
25-Oct-18 19-3461 REMO, VICTORINO STA CRUZ, MANILA - - 530.00 530.00
25-Oct-18 19-3462 TULIAO, JOEL NAVOTAS CITY 762.00 - - 762.00
25-Oct-18 19-3463 PUNZALAN, SHEREEN QUEZON CITY - 500.00 - 500.00
24-Aug-18 19-3464 CARIÑO, MARY DAN ROSE TONDO, MANILA - 350.00 - 350.00
24-Aug-18 19-3465 SALVADOR, MILAGROS STA CRUZ, LAGUNA - 1,255.00 - 1,255.00
30-Aug-18 19-3466 HIPOLITO, YOLANDA STA MARIA, BULACAN - 2,700.00 - 2,700.00
30-Aug-18 19-3467 NAVERA, HELEN MALABON CITY - 1,825.00 - 1,825.00
29-Aug-18 19-3468 ADAWAG, MERALYN TONDO, MANILA - 500.00 - 500.00
29-Aug-18 19-3469 ZABALA, ANA BATAAN - 7,920.00 - 7,920.00
29-Aug-18 19-3470 RAMIREZ, ROSANA MALABON CITY - 1,425.00 - 1,425.00
29-Aug-18 19-3471 DONADILLA, LALAINE MANILA - 75.00 - 75.00
29-Aug-18 19-3472 YAMZON, MARIA SAMPALOC, MANILA - 2,100.00 - 2,100.00
29-Aug-18 19-3473 MENDOZA, ROGELIO PACO, MANILA - 80.00 - 80.00
29-Aug-18 19-3474 DE GUZMAN, DIOSDADA TONDO, MANILA - 1,480.00 - 1,480.00
Page 57
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
29-Aug-18 19-3475 GATCHALIAN, ROSITA TONDO, MANILA - 2,120.00 - 2,120.00
2-Oct-18 19-3476 YU, AVA GRACE CALOOCAN CITY - - 55,546.89 55,546.89
28-Sep-18 19-3477 FORMENTO, LETICIA TONDO, MANILA - 6,800.00 - 6,800.00
23-Aug-18 19-3478 BARRIENTOS, ELIZABETH QUEZON CITY - 2,500.00 - 2,500.00
23-Jul-18 19-3479 FLORES, PHILIP PANDACAN, MANILA - 290.00 - 290.00
21-Sep-18 19-3480 ADILANTADO, ROSEMARIE MALABON CITY - 2,680.00 - 2,680.00
10-Sep-18 19-3481 AYUHAN, JOSEPH MANILA - 2,280.00 - 2,280.00
29-Aug-18 19-3482 MENDOZA, TERESITA TONDO, MANILA - 1,055.00 - 1,055.00
13-Oct-18 19-3483 BRION, FRANKLIN STA CRUZ, MANILA 364.45 - 4,250.00 4,614.45
7-Aug-18 19-3484 HIPOLITO, YOLANDA STA MARIA, BULACAN - 1,300.00 - 1,300.00
7-Aug-18 19-3485 ALEJANDRO, TEODORO SAMAL, BATAAN - 460.00 - 460.00
1-Aug-18 19-3486 ESMAN, EMMELYN CALAMBA, LAGUNA - 210.00 - 210.00
28-Sep-18 19-3487 NUYDA, MENARVE SAN ILDEFONSO, BULACAN - 1,200.00 - 1,200.00
3-Oct-18 19-3488 PENSADER, JENNYLYN TONDO, MANILA - 130.00 - 130.00
10-Mar-18 19-3489 DE LEON, HOLDEN CALOOCAN CITY 3,620.27 1,500.00 - 5,120.27
19-Sep-18 19-3490 JOSE, GLADYS QUEZON CITY - - 2,886.35 2,886.35
24-Sep-18 19-3491 CATIMBUHAN, ZAC KRAMERCALOOCAN CITY 2,275.00 - - 2,275.00
23-Sep-18 19-3492 OLMOQUEZ, NIDA SAN JUAN 1,261.10 - 530.00 1,791.10
24-Oct-18 19-3493 ALONZO, IRENE PARAÑAQUE, CITY - 500.00 - 500.00
13-Aug-18 19-3494 LOVENARIO, EVANGELINE SARIAYA, QUEZON - 530.00 - 530.00
13-Aug-18 19-3495 GANORIA, LUZVIMINDA TONDO, MANILA - 2,500.00 - 2,500.00
13-Aug-18 19-3496 GANORIA, LUZVIMINDA TONDO, MANILA - 1,525.00 - 1,525.00
13-Aug-18 19-3497 PALISTAN, AURORA STA CRUZ, MANILA - 5,105.00 - 5,105.00
13-Aug-18 19-3498 PRINCIPE, WILFREDA TONDO, MANILA - 1,045.00 - 1,045.00
13-Aug-18 19-3499 FERNANDEZ, ABELARDO STA CRUZ, MANILA - 1,835.00 - 1,835.00
13-Aug-18 19-3500 VILLANUEVE, RUBEN MALABON CITY - 3,700.00 - 3,700.00
13-Aug-18 19-3501 FLORDELIZA, ROGER CALOOCAN CITY - 380.00 - 380.00
13-Aug-18 19-3502 CORBILLON, JENNIFER NAVOTAS CITY - 1,800.00 - 1,800.00
13-Aug-18 19-3503 CAPINIG, MA. CRYSTALA MEYCAUAYAN, BULACAN - 2,600.00 - 2,600.00
13-Aug-18 19-3504 SALUD, RIO CALOOCAN CITY - 530.00 - 530.00
13-Aug-18 19-3505 GERALDUZ, ROWENA PLARIDEL, BULACAN - 740.00 - 740.00
13-Aug-18 19-3506 RAPADA, SOTERA TONDO, MANILA - 570.00 - 570.00
13-Aug-18 19-3507 AJUD, FAIZA ZAMBOANGA CITY - 5,100.00 - 5,100.00
13-Aug-18 19-3508 CAHUSAY, THELMA VALENZUELA CITY - 4,500.00 - 4,500.00
13-Aug-18 19-3509 JUNIO, LOLITA VALENZUELA CITY - 570.00 - 570.00
13-Aug-18 19-3510 NAONG, MORELO TONDO, MANILA - 360.00 - 360.00
13-Aug-18 19-3511 OBLENA, ANGELI TONDO, MANILA - 2,500.00 - 2,500.00
13-Aug-18 19-3512 RIVERA, ERLINDA OBANDO, BULACAN - 530.00 - 530.00
13-Aug-18 19-3513 MASONGSONG, EVA MANDALUYONG CITY - 890.00 - 890.00
13-Aug-18 19-3514 ROMAGOS, ANABELLE CALOOCAN CITY - 680.00 - 680.00
13-Aug-18 19-3515 FABRO, MA. GERLIZA QUEZON CITY - 360.00 - 360.00
13-Aug-18 19-3516 BENJAMIN, JOSE TONDO, MANILA - 740.00 - 740.00
13-Aug-18 19-3517 TUPAL, HERMINIA MALABON CITY - 740.00 - 740.00
13-Aug-18 19-3518 ESGUERRA, CECILIA TONDO, MANILA - 3,500.00 - 3,500.00
13-Aug-18 19-3519 JAVIER, CARMELITA TONDO, MANILA - 720.00 - 720.00
13-Aug-18 19-3520 FRANCISO, JESSICA CALOOCAN CITY - 2,350.00 - 2,350.00
13-Aug-18 19-3521 FLORESCA, CHRISTIAN TONDO, MANILA - 360.00 - 360.00
13-Aug-18 19-3522 TUBIL, CYRIN CALOOCAN CITY - 740.00 - 740.00
13-Aug-18 19-3523 MATA, ABELITA VALENZUELA CITY - 1,270.00 - 1,270.00
13-Aug-18 19-3524 ARROGANTE, EMELITA TONDO, MANILA - 1,400.00 - 1,400.00
13-Aug-18 19-3525 ARROGANTE, EMELITA TONDO, MANILA - 570.00 - 570.00
13-Aug-18 19-3526 AMORSOLO, GINES VALENZUELA CITY - 460.00 - 460.00
13-Aug-18 19-3527 BORJA, ADELA NAVOTAS CITY - 740.00 - 740.00
13-Aug-18 19-3528 CUASAY, ALICIA STA CRUZ MANILA - 530.00 - 530.00
13-Aug-18 19-3529 GABRIEL, LUCIO SAN RAFAEL, BULACAN - 740.00 - 740.00
13-Aug-18 19-3530 URAL, DISENTE TONDO, MANILA - 530.00 - 530.00
13-Aug-18 19-3531 MARTINEZ, RONALD OCCIDENTAL MINDORO - 1,000.00 - 1,000.00
13-Aug-18 19-3532 DEL ROSARIO, ALLAN STA CRUZ, MANILA - 2,350.00 - 2,350.00
13-Aug-18 19-3533 DEL ROSARIO, ALLAN STA CRUZ, MANILA - 570.00 - 570.00
13-Aug-18 19-3534 PAGATPATAN, LIZA STA CRUZ, LAGUNA - 740.00 - 740.00
13-Aug-18 19-3535 NORCIO, EVELYN BASECO, MANILA - 210.00 - 210.00
Page 58
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
13-Aug-18 19-3536 TEMPERANTE, ANTHONY STA MESA, MANILA - 740.00 - 740.00
13-Aug-18 19-3537 LINGAT, RODOLFO STA CRUZ, MANILA - 740.00 - 740.00
13-Aug-18 19-3538 BANDINO, ANGELICA MALABON CITY - 2,350.00 - 2,350.00
13-Aug-18 19-3539 TABLADA, PURIZA CALOOCAN CITY - 740.00 - 740.00
10-Nov-18 19-3540 PERALTA, ARTURO TONDO, MANILA - - 965.58 965.58
27-Dec-18 19-3541 GADUANG, MARIO NIÑO SAN JOSE, LA UNION - - 5,173.00 5,173.00
29-Dec-18 19-3542 DIVINA, PAUL FRANCIS TONDO, MANILA - - 312.00 312.00
4-Oct-18 19-3543 CRUZ, IMELDA TONDO, MANILA - 5,100.00 - 5,100.00
4-Oct-18 19-3544 NAVARRO, MILAGROS SJDM, BULACAN - 865.00 - 865.00
18-Dec-18 19-3545 ABARQUEZ, VERONICA SAN MATEO, RIZAL 9,360.00 - - 9,360.00
29-Nov-18 19-3546 ARCEGA, ERNESTO SILANG, CAVITE 495.00 - - 495.00
30-Nov-18 19-3547 COROÑA, JESSIE STA CRUZ, MANILA - - 385.68 385.68
27-Nov-18 19-3548 FLORENTINO, ARNEL ANTIPOLO - - 4,250.00 4,250.00
27-Nov-18 19-3549 BAUTISTA, ROGELIO ERMITA, MANILA - - 912.11 912.11
25-Nov-18 19-3550 SUICO, JAMES AGUSAN DEL SUR 262.00 - 4,240.68 4,502.68
19-Nov-18 19-3551 NAPARI, MICHAEL PARAÑAQUE, CITY 1,264.75 1,580.00 - 2,844.75
19-Nov-18 19-3552 CAGUIOA, JONI MEYCAUAYAN, BULACAN 4,995.37 1,500.00 - 6,495.37
19-Nov-18 19-3553 WILLING, CHRISTINA BINONDO, MANILA 295.50 - 825.50 1,121.00
20-Nov-18 19-3554 CALISURA, MANUELA CALOOCAN CITY - - 530.00 530.00
21-Nov-18 19-3555 SAGMITE, ERIEL CALOOCAN CITY - - 278.60 278.60
9-Nov-18 19-3556 MALSE, ARNEL SAN MATEO, RIZAL - 2,340.00 - 2,340.00
11-Oct-18 19-3557 CADUGLA, EDNA TONDO, MANILA - 2,510.00 - 2,510.00
6-Nov-18 19-3558 SENECA, JAYZEL PARAÑAQUE, CITY 1,016.80 - 5,777.76 6,794.56
6-Nov-18 19-3559 ILDEFONSO, MARIA NYMPHAIMUS, CAVITE - 1,560.00 - 1,560.00
13-Aug-18 19-3560 OBAMOS, ROBERT TONDO, MANILA - 2,510.00 - 2,510.00
17-Aug-18 19-3561 CATACUTAN, SUSANA TONDO, MANILA - 1,705.00 - 1,705.00
15-Aug-18 19-3562 GADDI, JOSEFINA CALOOCAN CITY - 1,270.00 - 1,270.00
15-Nov-18 19-3563 ROSACEÑA, VIRGILIO CALOOCAN CITY - - 2,350.00 2,350.00
14-Nov-18 19-3564 RICO, EDWARD MALABON CITY 2,829.75 1,500.00 - 4,329.75
13-Nov-18 19-3565 ENCINA, MICHAELA STA MESA, MANILA - - 1,710.00 1,710.00
13-Nov-18 19-3566 ORTEGA, MARLA CALOOCAN CITY 1,348.00 - - 1,348.00
14-Nov-18 19-3567 HILA, BEDA QUEZON CITY - - 1,553.90 1,553.90
7-Nov-18 19-3568 VILLARICO, LUCENA STA ROSA, LAGUNA - - 3,070.00 3,070.00
8-Nov-18 19-3569 MARI, ARSENIO QUEZON CITY - 1,320.00 - 1,320.00
9-Nov-18 19-3570 MCBROOM, PATROCINA MALABON CITY 565.50 - - 565.50
8-Nov-18 19-3571 PALPAL-LATOC, JOHNNY MANILA - - 10,000.00 10,000.00
8-Nov-18 19-3572 PASAHOL, RICO BOY TONDO, MANILA - 1,200.00 - 1,200.00
11-Dec-18 19-3573 BARTOLOME, CHRISTOPHERCONCEPCION ST VALENZUELA 23,016.10 - - 23,016.10
12-Dec-18 19-3574 CORTEZ, MARCELA MANANG ST PARADA VALENZUELA 86,238.05 - - 86,238.05
4-Dec-18 19-3575 ANTARAN, FELY BRGY PAYATAS QUEZON CITY 88,966.30 - - 88,966.30
4-Dec-18 19-3576 NUFABLE, INESITA ADELFA ST PASIG CITY 28,922.00 - - 28,922.00
10-Dec-18 19-3577 SANTIAGO, CARMELITA BANABAN ANGAT BULACAN 88,854.50 - - 88,854.50
11-Dec-18 19-3578 DELFIN, LOLITA TIWALA ST BALAGTAS BULACAN 81,724.50 - - 81,724.50
13-Dec-18 19-3579 MANALOTO, MONICA LIBIS DEL PILAR SAN FERNANDO PAMPANGA79,092.40 - - 79,092.40
11-Dec-18 19-3580 BORLONGAN, MARITA PLANAS ST BRGY 163 TONDO MANILA 63,180.40 1,200.00 - 64,380.40
12-Dec-18 19-3581 SALVADOR, VIRGINIA LORENZO ST BRGY 361 STA CRUZ MANILA26,750.35 - - 26,750.35
20-Dec-18 19-3582 VALDEZ, MARIBEL COVINO SUBD BUHAY NA TUBIG IMUS CAVITE22,430.75 - - 22,430.75
18-Dec-18 19-3583 DOMINGO, GENOVEVA SAN JUAN HAGONOY BULACAN 25,761.35 - - 25,761.35
12-Dec-18 19-3584 PAYNOR, MARCELA 5TH AVE GRACE PARK CALOOCAN 25,817.25 - - 25,817.25
12-Dec-18 19-3585 TIONLOC, AIDA BAGUMBAYAN BULACAN 26,328.50 - - 26,328.50
13-Dec-18 19-3586 TORREGOSA, ROSALIO SAN ROQUE GAPAN NUEVA ECIJA 47,364.45 - - 47,364.45
12-Dec-18 19-3587 CASTILLO, FLORDELIZA REPARO ST BAESA CALOOCAN CITY 26,384.40 - - 26,384.40
19-Dec-18 19-3588 DEE, FEDERICO LAGUNA EXT GAGALANGIN TONDO MANILA23,936.50 - - 23,936.50
10-Dec-18 19-3589 DACALOS, MARIA CARMELITABRGY 116 TONDO MANILA 28,680.60 1,200.00 - 29,880.60
11-Dec-18 19-3590 SEMINIANO, ERLINDA POBLACION STA MARIA BULACAN 79,046.95 - - 79,046.95
17-Dec-18 19-3591 SANTOS, ROWENA TALIPTIP BULACAN 59,046.95 - - 59,046.95
17-Dec-18 19-3592 YUQUE, LINDA FAIRVIEW PARL QUEZON CITY 30,512.80 - - 30,512.80
10-Dec-18 19-3593 MALAYAO, ROMEO JEWEL ST GULOD NOVALICHES QUEZON CITY26,328.50 - - 26,328.50
27-Dec-18 19-3594 WEBSTER, MERLINDA BRGY BAGUMBAYAN SOUTH NAVOTAS CITY27,411.05 - - 27,411.05
21-Dec-18 19-3595 ECO, QUIRINO TORRES BUGALLON ST MANUGUIT TONDO MANILA25,884.85 - - 25,884.85
3-Dec-18 19-3596 SOLOMON, MARY JOY BRGY RAWIS LAWANG NORTHERN SAMAR2,798.90 - - 2,798.90
10-Dec-18 19-3597 CUARTO, EDITHA SEIRAN TAAL BATANGAS 656.90 1,200.00 - 1,856.90
Page 59
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
5-Dec-18 19-3598 REYNALDO, LORETA 7TH ST. GOODRICH VILLAGE MARIKINA CITY8,233.00 - - 8,233.00
10-Dec-18 19-3599 DE VILLA, FLORENCIA SAN GREGORIO MALVAR BATANGAS 7,706.50 - - 7,706.50
4-Dec-18 19-3600 GALAROZA, TERESITA SANTIAGO ST. CANUMAY WEST VALENZUELA CITY18,812.85 - - 18,812.85
6-Dec-18 19-3601 TORRES, WINNIE SANTIAGO ST. LINGUNAN VALENZUELA CITY9,172.80 - - 9,172.80
10-Dec-18 19-3602 MACALAWI, SAMEN GUNAYANGAN QUEZON CITY 1,225.60 - - 1,225.60
5-Dec-18 19-3603 ESPORTUNO, MYRNA BATIMANA COMP. MARULAS VALENZUELA CITY8,654.60 - - 8,654.60
6-Dec-18 19-3604 SOTTO, TERESITA TINALDO ST. TONDO MANILA 4,221.60 - - 4,221.60
6-Dec-18 19-3605 LEABAN, LUZ BRGY 5 AMADEO CAVITE CITY 7,986.85 - - 7,986.85
4-Dec-18 19-3606 BELIZAR, CRISTINA DULONG BRONCE ST. TUGATOG MALABON CITY4,810.55 - - 4,810.55
6-Dec-18 19-3607 PAGTALUNAN, MELANIE PILAR ST. TONDO MANILA 8,060.55 - - 8,060.55
4-Dec-18 19-3608 DOROTEA, CELERIO AREA H GATE 58 PAROLA SAN NICOLAS BINONDO9,936.80 - - 9,936.80
6-Dec-18 19-3609 TINAZA, ALICE SAN ISIDRO SAN JUAN ILOCOS SUR 4,895.00 - - 4,895.00
5-Dec-18 19-3610 MENDOZA, JEANETTE M.NAVAL ST. SAN ROQUE NAVOTAS CITY 7,924.00 - - 7,924.00
6-Dec-18 19-3611 MENDOZA, CYNTHIA DAGUPAN ST. TONDO MANILA 6,885.35 - - 6,885.35
14-Dec-18 19-3612 PERSONA, MA.VICTORIA ILANG-ILANG GUIGUINTO BULACAN 13,455.00 1,200.00 - 14,655.00
4-Dec-18 19-3613 LARANANG, ROSALINDA ABLOLA ST. TANGOS NAVOTAS CITY 2,360.85 - - 2,360.85
5-Dec-18 19-3614 RAMOS, RAMON BRGY BATASAN 21 SAN MIGUEL BULACAN1,970.00 - - 1,970.00
5-Dec-18 19-3615 ANAS, MIRIAM KATIPUNAN ST. MALABON CITY 9,172.80 - - 9,172.80
4-Dec-18 19-3616 RABIN, LUZVIMINDA PRENZA 2 MARILAO BULACAN 8,804.15 - - 8,804.15
3-Dec-18 19-3617 CONCEPCION, DONATO DAVID ALGER ST. CALOOCAN CITY 3,016.55 - - 3,016.55
3-Dec-18 19-3618 AGUILAR, EDNA LIBIS ST. IBA CITY OF MEYCUAYAN BULACAN4,836.55 - - 4,836.55
4-Dec-18 19-3619 DELMA, ANALIZA SAN DIEGO ST MALANDAY VALENZUELA CITY9,172.80 - - 9,172.80
3-Dec-18 19-3620 PANGAN, MARIA LUISA NIBUNGCO ST. SAN AGUSTIN MALABON CITY3,686.55 - - 3,686.55
10-Dec-18 19-3621 BALASTA, LEOTERIDO PECHAYAN PAROLE 7 SITIO4 CAMARIN CALOOCAN CITY1,073.95 - - 1,073.95
11-Dec-18 19-3622 CONSTANTINO, ANALIE TINPALO ST. STA CLARA STA MARIA BULACAN6,942.00 - - 6,942.00
14-Dec-18 19-3623 BALDO, MYRA PUROK 2 CUPANG MUNTINLUPA CITY 4,206.90 - - 4,206.90
17-Dec-18 19-3624 BAUSIN, ADELINA CAMPO 2 TANDANG SORA AVE. QUEZON CITY5,247.95 - - 5,247.95
5-Dec-18 19-3625 SAGAYSAY, TERESA BRGY MENDEZ CROSSING EAST TAGAYTAY CITY903.90 - - 903.90
20-Dec-18 19-3626 MENDOZA, JEANETTE M.NAVAL ST SAN ROQUE NAVOTAS CITY 8,988.90 - - 8,988.90
5-Dec-18 19-3627 MENDOZA, MAXIMO FERNANDEZ ST. BRGY PAG-IBIG SANAYON Q.C3,486.35 - - 3,486.35
11-Dec-18 19-3628 PITAO, CRESCENCIA SAN VICENTE ST. SAN PEDRO LAGUNA 3,810.40 - - 3,810.40
6-Dec-18 19-3629 PAGKALIWANGAN, RONALDORAXA BAGO ST. TONDO MANILA 6,358.40 - - 6,358.40
7-Dec-18 19-3630 RABINO, LUZVIMINDA BRGY PRENZA 2 MARILAO BULACAN 19,477.80 - - 19,477.80
11-Dec-18 19-3631 BIARES, DOMINADOR MALIHUD BATARAZA PALAWAN 8,431.40 - - 8,431.40
27-Dec-18 19-3632 CONCEPCION, DONATO DAVID ALGER ST. CALOOCAN CITY 3,314.80 - - 3,314.80
11-Dec-18 19-3633 CONCEPCION, DONATO DAVID ALGER ST. CALOOCAN CITY 3,824.20 - - 3,824.20
5-Dec-18 19-3634 NOGA, MERLY KASAGANAAN ST BRGY MARULAS VALENZUELA CITY8,672.80 - - 8,672.80
7-Dec-18 19-3635 NATABA, NATIVIDAD KAUNLARAN VILLAGE CALOOCAN CITY 6,626.60 - - 6,626.60
4-Dec-18 19-3636 AUSTRIA, JIMMY QUIRICADA ST. STA CRUZ MANILA 17,263.60 - - 17,263.60
4-Dec-18 19-3637 LOPEZ, MA. DIVINA LARA ST. SUBIC BALIWAG BULACAN 6,991.00 - - 6,991.00
5-Dec-18 19-3638 REPASO, JUVY OLD SITE BASECO COMP. METRO MANILA19,923.40 - - 19,923.40
3-Dec-18 19-3639 MASONGSONG, EVA PANATAG ROAD ADDITION HILLS MANDALUYONG CITY6,436.40 - - 6,436.40
10-Dec-18 19-3640 DELA CRUZ, ESTER TAMBUBONG BOCAUE BULACAN 11,044.80 - - 11,044.80
3-Dec-18 19-3641 AGUILAR, ERLINDA LAUREL ST. TONDO MANILA 8,216.55 - - 8,216.55
11-Dec-18 19-3642 MULI, GLENDA VITAS KATUPARAN TONDO MANILA 830.60 - - 830.60
5-Dec-18 19-3643 SANTOS, NELIA LIBIS POBLACION BALIWAG BULACAN 2,176.70 - - 2,176.70
4-Dec-18 19-3644 DELICA, DELIA BRGY GINANGA SARIAYA QUEZON CITY 12,469.25 - - 12,469.25
11-Dec-18 19-3645 VERSOZA, CRISELDA SOUTHVILLE I BRGY MARINIG CABUYAO LAGUNA2,566.25 - - 2,566.25
14-Dec-18 19-3646 SOLOMON, MARY JOY BRGY RAWIS LAWANG NORTHERN SAMAR1,935.95 1,200.00 - 3,135.95
18-Dec-18 19-3647 TIMOGTIMOG, EDNA MANILANA ST. PUROK7 MARIKINA CITY 9,244.55 - - 9,244.55
19-Dec-18 19-3648 REYES, MA. ELENA BINACOD PAOMBONG BULACAN 11,142.80 1,200.00 - 12,342.80
19-Dec-18 19-3649 GARCIA, MARIBEL SERRANO ST. GRACE PARK CALOOCAN CITY4,895.00 1,200.00 - 6,095.00
19-Dec-18 19-3650 DE LARA, ARNEL HIZON ST. 10TH AVE CALOOCAN CITY 3,650.00 - - 3,650.00
19-Dec-18 19-3651 SANTOS, GLORIA SAN GABRIEL ST. BRGY TATALON QUEZON CITY2,525.55 - - 2,525.55
18-Dec-18 19-3652 SERAFIN, ROBERTA MARULAS B CALOOCAN CITY 11,461.35 - - 11,461.35
14-Dec-18 19-3653 HUAB, EDGAR TERNATE ST. TALANAY BATASAN HILLS QUEZON CITY12,124.70 1,200.00 - 13,324.70
7-Dec-18 19-3654 SANTOS, GLORIA SAN GABRIEL ST. BRGY TATALON QUEZON CITY2,973.10 - - 2,973.10
11-Dec-18 19-3655 AMOYAN, PASTOR BALUBARAN ST. VALENZUELA CITY 6,942.00 - - 6,942.00
12-Dec-18 19-3656 PAREDES, THELMA PANAPAAN 2 BACOOR CAVITE 13,680.60 1,200.00 - 14,880.60
12-Dec-18 19-3657 FRANCIA, ILUMINADA ZAMORA ST. MEYCUAYAN BULACAN 8,654.60 - - 8,654.60
11-Dec-18 19-3658 DACLES, MERCEDES DIAM ST. DE LEON VALENZUELA CITY 9,172.80 - - 9,172.80
Page 60
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
13-Dec-18 19-3659 NAUI, MARY ANN BANGAG LALLO CAGAYAN 10,615.00 - - 10,615.00
17-Dec-18 19-3660 SEDANO, IMELDA VALENCIA ST. SAMPALOC MANILA 8,269.45 1,200.00 - 9,469.45
10-Dec-18 19-3661 YBAÑEZ, ERLINDA VICENTE NORTH SUSANA OLD BALARA QUEZON CITY8,233.00 - - 8,233.00
10-Dec-18 19-3662 BUSTINERA, CELIA PAJERO ST SUN VALLEY PARAÑAQUE CITY3,129.10 1,200.00 - 4,329.10
17-Dec-18 19-3663 CARLOS, ZENAIDA KAINGIN ROAD BRGY APOLONIO SAMSON Q.C6,300.00 - - 6,300.00
10-Dec-18 19-3664 DEMATERA, ADELINA VIGAN ST. SAMPALOC MANILA 5,166.75 - - 5,166.75
11-Dec-18 19-3665 SANTIAGO, EVELYN ASTORGA ST. CALOOCAN CITY 8,654.60 - - 8,654.60
13-Dec-18 19-3666 ESTEVES, REBECCA DURIAN ST. DONIA JOSEFA VILLAGE LAS PIÑAS CITY6,136.55 - - 6,136.55
4-Dec-18 19-3667 REYES, GLORIA PALTAO PULILAN BULACAN 3,490.10 - - 3,490.10
12-Dec-18 19-3668 LINGAD, BELEN DAGUPAN ST. TONDO MANILA 18,343.90 - - 18,343.90
12-Dec-18 19-3669 BELIZAR, CISTERIA BRONZE ST. TUGATOG MALABON CITY 3,350.60 - - 3,350.60
10-Dec-18 19-3670 QUEVADA, MARILYN MARIGOLD BURGOS RODRIGUEZ RIZAL 3,292.10 - - 3,292.10
13-Dec-18 19-3671 IBARRETA, LILIA ELIAS CORPORAL ST. SAN AGUSTIN IRIGA CITY8,389.00 - - 8,389.00
4-Dec-18 19-3672 SOLOMON, EVELYN AMBERLAND STA MONICA ST. PINALAD PINAGBUHATAN PASIG8,645.90 - - 8,645.90
12-Dec-18 19-3673 CANDAROMA, ROSALINDA VILLA SAN PEDRO MAGSAYSAY SAN PEDRO LAGUNA8,645.90 - - 8,645.90
21-Dec-18 19-3674 BALASTA, LEOTERIDO PECHAYAN PAROLE 7 SITIO4 CAMARIN CALOOCAN CITY1,243.50 - - 1,243.50
21-Dec-18 19-3675 DELA CRUZ, ESTER TAMBOBONG BOCAUE BULACAN 10,328.55 1,200.00 - 11,528.55
20-Dec-18 19-3676 AGUILAR, EDNA LIBIS ST. IBA CITY OF MEYCUAYAN BULACAN10,140.00 - - 10,140.00
20-Dec-18 19-3677 ORILLO, DOROTHY JEAN FACTOR BRGY DON GALO PARAÑAQUE CITY14,169.25 - - 14,169.25
18-Dec-18 19-3678 QUEVADA, MARILYN MARIGOLD BURGOS RODRIGUEZ RIZAL 6,800.80 - - 6,800.80
10-Dec-18 19-3679 SANCHEZ, REBECCA BALTAZAR ST. TONDO MANILA 929.90 1,200.00 - 2,129.90
17-Dec-18 19-3680 MILLA, MA. VIOLETA URRUTIA ST. BRGY ARKONG BATO VALENZUELA CITY14,879.90 - - 14,879.90
19-Dec-18 19-3681 SANTOS, LEONILA ESTRELLA ST. BRGY NBBS NAVOTAS CITY 722.40 - - 722.40
17-Dec-18 19-3682 NECESITO, LIELANI CAYPOMBO STA MARIA BULACAN 5,716.60 1,200.00 - 6,916.60
14-Dec-18 19-3683 DELA CRUZ, ESTELITA BAESA JOAQUIN ST. QUEZON CITY 8,654.60 - - 8,654.60
17-Dec-18 19-3684 AGUILAR, EDNA LIBIS ST. IBA CITY OF MEYCUAYAN BULACAN6,516.05 - - 6,516.05
14-Dec-18 19-3685 MABOTOT, NERISA AVOCADO ST. TAYTAY RIZAL 4,280.60 - - 4,280.60
5-Dec-18 19-3686 MOLINES, MARISSA SAN AGUSTIN HAGONOY BULACAN 9,126.00 - - 9,126.00
14-Dec-18 19-3687 GUILALAS, LAUREANO BRGY MUZON SAN JOSE DEL MONTE BULACAN8,633.55 - - 8,633.55
18-Dec-18 19-3688 PAGTALUNAN, MELANIE PILAR ST. TONDO MANILA 14,485.15 - - 14,485.15
17-Dec-18 19-3689 ORDOÑEZ, HELEN ROMUALDEZ ST. ERMITA MANILA 5,733.90 - - 5,733.90
13-Dec-18 19-3690 PETILONA. MA. LUISA GOV. PASCUAL ST. SIPAC ALMACEN NAVOTAS CITY10,882.50 - - 10,882.50
11-Dec-18 19-3691 MAGCARANG, ROWENA MAHABANG PARANG BIGNAY VALENZUELA CITY5,733.90 - - 5,733.90
27-Dec-18 19-3692 MULI, GLENDA VITAS KATUPARAN TONDO MANILA 10,441.25 - - 10,441.25
19-Dec-18 19-3693 VIRAY, ELSA PANGAKO ST. BAGONG BARRIO CALOOCAN CITY9,545.50 - - 9,545.50
14-Dec-18 19-3694 BASILIO, ROMELLA BRGY GUYONG STA MARIA BULACAN 6,955.90 - - 6,955.90
18-Dec-18 19-3695 SOTTO, TERESITA TINDALO ST. TONDO MANILA 4,927.55 - - 4,927.55
20-Dec-18 19-3696 SOTTO, TERESITA TINDALO ST. TONDO MANILA 5,004.20 - - 5,004.20
10-Dec-18 19-3697 SAMSON, EMELITA HERITAGE HOMES LOMA DE GATO MARILAO BULACAN4,680.80 - - 4,680.80
14-Dec-18 19-3698 CRUZ, LILIBETH RIZAL ST. MAYPAJO CALOOCAN CITY 4,093.20 - - 4,093.20
18-Dec-18 19-3699 ARRIBADO, AILEEN BRGY TAGNAO GANDARA WESTERN SAMAR3,586.20 - - 3,586.20
10-Dec-18 19-3700 VILLALON, ARCELI TAMBAKAN BASECO PORT AREA MANILA 5,166.75 - - 5,166.75
11-Dec-18 19-3701 ROA, LYDIA IBONG PELAK ST. STA.MONICA QUEZON CITY17,814.45 - - 17,814.45
19-Dec-18 19-3702 BALASTA, LEOTERIDO PECHAYAN PAROLE 7 SITIO4 CAMARIN CALOOCAN CITY1,664.50 1,200.00 - 2,864.50
19-Dec-18 19-3703 DELA CRUZ, ESTER TAMBUBONG BOCAUE BULACAN 475.45 - - 475.45
10-Dec-18 19-3704 GOBES, MA. TERESA SITE 8 DAGAT-DAGATAN NAVOTAS CITY 7,382.55 - - 7,382.55
17-Dec-18 19-3705 BADIDLES, CARMELITA BRGY BOTOCAN QUEZON CITY 1,870.75 1,200.00 - 3,070.75
21-Dec-18 19-3706 TUMULAK, GLENDA CALLE MALABON CAYPOMBO STA MARIA BULACANA1,500.80 - - 1,500.80
13-Dec-18 19-3707 DIZON, MA. LILIA BRGY LAS PIÑAS PEÑARANDA NUEVA ECIJA3,358.10 1,200.00 - 4,558.10
11-Dec-18 19-3708 JABLA, GINA MABINI ST. BURGOS RODRIGUEZ RIZAL 3,337.55 - - 3,337.55
21-Dec-18 19-3709 DELA VIÑA, LORETA LA FILONILA ST. RODRIGUEZ QUEZON CITY4,072.90 - - 4,072.90
17-Dec-18 19-3710 RONDINA, EMARITA VILLA ESPAÑOLA SAN JOSE DEL MONTE BULACAN1,657.55 - - 1,657.55
14-Dec-18 19-3711 TIFLIS, BENAFE HULO ST. LIBTONG MEYCUAYAN BULACAN5,090.60 - - 5,090.60
28-Dec-18 19-3712 MAHINAY, MARIVIC YLAYA ST. TONDO MANILA 6,066.50 - - 6,066.50
27-Dec-18 19-3713 JABAY, JOSEFINA QUEZON CITY 9,486.25 - - 9,486.25
8-Nov-18 19-3714 GUERRERO, SILVESTRA 1015 E NEW ANTIPOLO ST TONDO MANILA - 3,275.00 - 3,275.00
9-Nov-18 19-3715 ANDRES, JOHN LORENZO BLK 2 LOT 14 BREEZEWOOD DOS MAMBOG 1 BACOOR CAVITE - 3,320.00 - 3,320.00
12-Nov-18 19-3716 HERNANDEZ, MANUEL INT SOLIS TONDO MANILA - 2,460.00 - 2,460.00
12-Nov-18 19-3717 BARRERA, ILUMINADO SAOG MARILAO BULACAN - 3,164.00 - 3,164.00
12-Nov-18 19-3718 MALLARI, REYNALDO BRGY. SALAWAG DASMARINAS CITY - 820.00 - 820.00
12-Nov-18 19-3719 NATIVIDAD, ERLINDA VEINTE REALES VALENZUELA CITY - 210.00 - 210.00
Page 61
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
12-Nov-18 19-3720 GANGAN, SYLVIA PROJ 4 QUEZON CITY - 570.00 - 570.00
12-Nov-18 19-3721 BALTAZAR, MARISA BRGY. 36 CALOOCAN CITY - 530.00 - 530.00
12-Nov-18 19-3722 SISON, WILFREDO 1681 SAWATA DULO ST MAYPAJO CALOOCAN CITY - 740.00 - 740.00
12-Nov-18 19-3723 CASES, MA. ISABEL FELIX HUERTA STA CRUZ MANILA - 740.00 - 740.00
12-Nov-18 19-3724 ZABAY, NOLI 491 AREA B PAROLA TONDO MANILA - 740.00 - 740.00
12-Nov-18 19-3725 CRISTOBAL, LORNA # 46 MIGUEL ST NBBN NAVOTAS CITY - 980.00 - 980.00
12-Nov-18 19-3726 BANTUGAN, ROMEO 10 VICTONA REYES DASMARINAS CAVITE - 530.00 - 530.00
12-Nov-18 19-3727 SY, OLIVA ALMEDA TONDO MANILA - 740.00 - 740.00
12-Nov-18 19-3728 LOPEZ, ROBERTO LIBIS ESPINA CALOOCAN CITY - 770.00 - 770.00
12-Nov-18 19-3729 LOPEZ, ROBERTO LIBIS ESPINA CALOOCAN CITY - 765.00 - 765.00
12-Nov-18 19-3730 VITUG,PRISCILLA 24 F JARIOS BALINTAWAK QUEZON CITY - 2,295.00 - 2,295.00
12-Nov-18 19-3731 ROXAS, ROLANDO FELIX HUERTAS STA CRUZ MANILA - 1,425.00 - 1,425.00
12-Nov-18 19-3732 GALOPO, GLORIA BRGY. LAWANG BATO VALENZUELA CITY - 1,985.00 - 1,985.00
12-Nov-18 19-3733 PACALDO, GEMMA 104 BAYANE ST CALOOCAN CITY - 1,295.00 - 1,295.00
12-Nov-18 19-3734 SEMIPREÑA, EMMA ROLDAN ST BATASAN QUEZON CITY - 825.00 - 825.00
12-Nov-18 19-3735 SANTOS, GLORIA MAYHALIGUE ST TONDO MANILA - 740.00 - 740.00
12-Nov-18 19-3736 JARDELEZA, LEANDRO POBLACION BANSUD, ORIENTAL MINDORO - 210.00 - 210.00
12-Nov-18 19-3737 JARDELEZA, LEANDRO POBLACION BANSUD, ORIENTAL MINDORO - 400.00 - 400.00
12-Nov-18 19-3738 JARDELEZA, EDWIN POBLACION BANSUD, ORIENTAL MINDORO - 400.00 - 400.00
12-Nov-18 19-3739 JARDELEZA, EDWIN POBLACION BANSUD, ORIENTAL MINDORO - 570.00 - 570.00
12-Nov-18 19-3740 PEÑA, ESTELITA PEREZ MEYCAUYAN BULACAN - 740.00 - 740.00
12-Nov-18 19-3741 HERIDA, MARIBEL BRGY. LONGOS MALABON CITY - 770.00 - 770.00
12-Nov-18 19-3742 CABANTOG, VADIA BRGY. SAN VICENTE APALUT PAMPANGA - 530.00 - 530.00
12-Nov-18 19-3743 GABON, SHERYL BRGY. 129 TONDO MANILA - 530.00 - 530.00
13-Nov-18 19-3744 SALAZAR, ROMEO BRGY. MARULAS VALENZUELA CITY 359.25 - - 359.25
13-Nov-18 19-3745 CALLEJA, CONNIE BRGY. BURO II DASMARINAS CAVITY - 600.00 - 600.00
13-Nov-18 19-3746 SICO, DOMICIANA SAN GREGORIO MALVAR BATANGAS - 1,250.00 - 1,250.00
13-Nov-18 19-3747 HIZON, LENILYN SILANG CRINGIN MEYCAUYAN BULACAN - 570.00 - 570.00
13-Nov-18 19-3748 SORIANO, EDITHA DOÑA ROSARIO ST NOVALICHES QUEZON CITY - 720.00 - 720.00
13-Nov-18 19-3749 CASTILLO, VICTORIA 735 PAROLA ST TONDO MANILA - 1,060.00 - 1,060.00
13-Nov-18 19-3750 DELA CRUZ, ARSENIA CORAL ST TONDO MANILA - 740.00 - 740.00
13-Nov-18 19-3751 CHALINAT, JULIA CARAGASAN ALFONSO LOTA IFUGAO - 2,000.00 - 2,000.00
13-Nov-18 19-3752 ARIPIO, DELIA GEN T DE LEON VALENZUELA CITY - 530.00 - 530.00
13-Nov-18 19-3753 QUIAMBAO, FLORITA BRGY. 225 TONDO MANILA - 1,810.00 - 1,810.00
13-Nov-18 19-3754 VICENTE, JULIETA BRGY. 82 TONDO MANILA - 1,135.00 - 1,135.00
13-Nov-18 19-3755 DIONISIO, GALIZALDY BRGY. 50 VARONA ST TONDO MANILA - 2,065.00 - 2,065.00
13-Nov-18 19-3756 FERNANDEZ, ROMMEL BRGY. TANGOS NAVOTAS CITY - 1,970.00 - 1,970.00
13-Nov-18 19-3757 MAWILI, JOSEFINA STA MARIA CASTILLEROS ZAMBALES - 1,165.00 - 1,165.00
13-Nov-18 19-3758 MURAO, ROSALINA BRGY. 73 TONDO MANILA - 1,810.00 - 1,810.00
13-Nov-18 19-3759 VALERIO, MEER SAMSON ROAD CALOOCAN CITY - 530.00 - 530.00
13-Nov-18 19-3760 CARIÑO, LEONA BRGY. 46 TONDO MANILA - 210.00 - 210.00
13-Nov-18 19-3761 GUMAPAC, SUSANA MAUBAN QUEZON PROVINCE - 1,685.00 - 1,685.00
13-Nov-18 19-3762 RAGUTANA, WILFREDO BRGY. 335 SAMPALOC MANILA - 360.00 - 360.00
13-Nov-18 19-3763 ALMAZAR, AILYN VEINTE REALES VALENZUELA CITY - 570.00 - 570.00
13-Nov-18 19-3764 TAN, ROQUE BRGY. ANYATAM SAN IDELFONSO BULACAN - 740.00 - 740.00
13-Nov-18 19-3765 TARCENA, FRANCISCA HERRERA ST MALABON CITY - 740.00 - 740.00
13-Nov-18 19-3766 MANANSALA, VALERIANO SAN MIGUEL HEIGHTS VALENZUELA CITY - 2,065.00 - 2,065.00
13-Nov-18 19-3767 PANGANIBAN, LINO BRGY. BAMATTE SAN JUAN BATANGAS - 1,535.00 - 1,535.00
13-Nov-18 19-3768 RULL, RISTETUTO BRGY. BULA CAMARINES SUR - 210.00 - 210.00
13-Nov-18 19-3769 RULL, RISTETUTO BRGY. BULA CAMARINES SUR - 900.00 - 900.00
13-Nov-18 19-3770 AFRICA, CRISTINA OLIVEROS DRIVE BALINTAWAK QUEZON CITY - 280.00 - 280.00
13-Nov-18 19-3771 ANG, AURORA BAYUGO MEYCAUYAN BULACAN - 740.00 - 740.00
13-Nov-18 19-3772 ROSARIO, ELMA BRGY. 312 M NATIVIDAD ST STA CRUZ MANILA - 715.00 - 715.00
13-Nov-18 19-3773 DAYRIT, DANILO BRGY. 254 TONDO MANILA - 530.00 - 530.00
13-Nov-18 19-3774 LAGUADOR, FLORDELISA VALENZUELA EXT. OLD STA MESA MANILA - 1,735.00 - 1,735.00
13-Nov-18 19-3775 BUCACAO, EDGARDO F QUIRINO ST TONDO MANILA - 900.00 - 900.00
13-Nov-18 19-3776 SANTOS, VIRGINIA BRGY. PANGHULO BULACAN - 650.00 - 650.00
13-Nov-18 19-3777 ESTRADA, LEONILA TEACHERS VILLAGE MALABON CITY - 570.00 - 570.00
13-Nov-18 19-3778 TONIDO, RAFAEL BRGY. POTRERO MALABON CITY - 570.00 - 570.00
13-Nov-18 19-3779 SUYAT, FREDESWINDA CORREGIDOR EXT TONDO MANILA - 740.00 - 740.00
14-Nov-18 19-3780 AZUCENA, AIDA PERMANENT HOUSING TONDO MANILA - 2,350.00 - 2,350.00
Page 62
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
14-Nov-18 19-3781 DE GUZMAN, MARY ROSE 1447 J. LUNA TONDO MANILA - 2,350.00 - 2,350.00
14-Nov-18 19-3782 ROMERO, BERNARDINA MAYPAJO CALOOCAN CITY - 210.00 - 210.00
14-Nov-18 19-3783 FERNANDEZ, RAMON GEN TENIO CALOOCAN CITY - 1,995.00 - 1,995.00
14-Nov-18 19-3784 LECCIONES, JANE NBBS TANZA CAVITE - 740.00 - 740.00
14-Nov-18 19-3785 RAAGAS, ANGELA SMC DASMARINAS CAVITE - 360.00 - 360.00
14-Nov-18 19-3786 PAGUIRIGAN, VIRGINIA BRGY. 75 CALOOCAN CITY - 210.00 - 210.00
14-Nov-18 19-3787 GERONIMO, RODEL TUAZON ST, SAMPALOC MANILA - 570.00 - 570.00
14-Nov-18 19-3788 RAMBANO, CONRADA SAN JOSE DEL MONTE BULACAN - 740.00 - 740.00
14-Nov-18 19-3789 EUMAGUE, JEREMIAS BAGONG BARRIO CALOOCAN CITY - 570.00 - 570.00
14-Nov-18 19-3790 PASCUAL, PATRICIA GUIDO ST MAYPAJO CALOOCAN CITY - 530.00 - 530.00
14-Nov-18 19-3791 DE GUZMAN, SILVESTRE BRGY. 211 TONDO MANILA - 2,121.00 - 2,121.00
14-Nov-18 19-3792 MENDEZ, RIZZA SALMON ST DAGAT DAGATAN CALOOCAN - 210.00 - 210.00
14-Nov-18 19-3793 LAO, CONCHA MALVAR ST TONDO MANILA - 1,270.00 - 1,270.00
14-Nov-18 19-3794 DANGANAN, JESUS BAMBANG ST STA CRUZ MANILA - 72.00 - 72.00
14-Nov-18 19-3795 AIZONA, PRISCILLA MARCELO VALENZUELA CITY - 1,545.00 - 1,545.00
14-Nov-18 19-3796 CLEMENTE, RODOLFO OLORIO ST TONDO MANILA - 925.00 - 925.00
14-Nov-18 19-3797 ENRIQUEZ, SIMEON LOOK 1, MALOLOS BULACAN - 5,500.00 - 5,500.00
14-Nov-18 19-3798 GARCIA, ALMARIO BRGY. STO. NIÑO DASMARINAS CAVITE - 570.00 - 570.00
14-Nov-18 19-3799 PORNOBI, ESTELITA CAPULONG ST TONDO MANILA - 530.00 - 530.00
14-Nov-18 19-3800 ORDOÑO, LETICIA BRGY. 253 TONDO MANILA - 740.00 - 740.00
14-Nov-18 19-3801 CABAGSANG, LUCIANA BRGY. 361 STA CRUZ MANILA - 540.00 - 540.00
14-Nov-18 19-3802 ERO, VIRGIE FUGUSO ST. BRGY. 330 STA CRUZ MANILA - 740.00 - 740.00
14-Nov-18 19-3803 HESHAN, MARY GRACE V FUGOSO ST STA CRUZ MANILA - 570.00 - 570.00
14-Nov-18 19-3804 HULAR, EDUVIJES BRGY. TATALON QUEZON CITY - 2,025.00 - 2,025.00
14-Nov-18 19-3805 LAMSANG, VALENTINA DAGAT DAGATAN MALABON CITY - 2,390.00 - 2,390.00
14-Nov-18 19-3806 GALINGAN, FLORINDA MARULAS VALENZUELA CITY - 740.00 - 740.00
14-Nov-18 19-3807 LORIA, ALFREDO BRGY. 35 PANDACAN MANILA - 530.00 - 530.00
14-Nov-18 19-3808 SALIBAY, LILIA BRGY. QUIRINO MADRID SURIGAO DEL SUR - 530.00 - 530.00
14-Nov-18 19-3809 TABUYAN, ESMERALDA SAN ROQUE NAVOTAS CITY - 1,235.00 - 1,235.00
14-Nov-18 19-3810 TOLENTINO, ADELAIDA BRGY. MALIGAYA PALAYAN CITY - 1,270.00 - 1,270.00
14-Nov-18 19-3811 NACORDA, ALFREDO GEN T. DELEON VALENZUELA - 740.00 - 740.00
14-Nov-18 19-3812 SERRANO, CORAZON GEN T. DELEON VALENZUELA - 530.00 - 530.00
14-Nov-18 19-3813 SISON, FLORENTINO DAMPALIT MALABON CITY - 570.00 - 570.00
15-Nov-18 19-3814 VELASCO, HERMINIA BRGY. 150 CALOOCAN CITY - 530.00 - 530.00
15-Nov-18 19-3815 TURO, CESARIO BRGY. LAWANG BATO VALENZUELA CITY - 570.00 - 570.00
15-Nov-18 19-3816 GASES, RICHARD BRGY. 190 TONDO MANILA - 1,115.00 - 1,115.00
15-Nov-18 19-3817 MASAMOC, JSESSE DIMASALANG MASBATE - 1,060.00 - 1,060.00
15-Nov-18 19-3818 ACLAO, NENA UPPER BICUTAN TAGUIG CITY - 2,650.00 - 2,650.00
15-Nov-18 19-3819 DAVID, CARLOTA BRGY. 81 TONDO MANILA - 1,060.00 - 1,060.00
15-Nov-18 19-3820 PEÑALOSA, LUZ BRGY. 486 SAMPALOC MANILA - 740.00 - 740.00
15-Nov-18 19-3821 QUIMSON, GLORIA BRGY. 128 BALUT TONDO MANILA - 740.00 - 740.00
15-Nov-18 19-3822 GALISTE, BERNARDO BRGY, BALINGASA QUEZON CITY - 1,270.00 - 1,270.00
15-Nov-18 19-3823 MARQUEZ, JOSEFINA SAN PASCUAL OBANDO BULACAN - 740.00 - 740.00
15-Nov-18 19-3824 MENANO, JOHN PATRICK BRGY. SAN JOSE MANDALUYONG - 530.00 - 530.00
15-Nov-18 19-3825 MILANTE, ROMY SAN JOSE TARLAC CITY - 210.00 - 210.00
15-Nov-18 19-3826 TIPAN, FEDERICO BRGY. POTRERO MALABON CITY - 360.00 - 360.00
15-Nov-18 19-3827 TANONG, ROSARIO BRGY. 243 TONDO MANILA - 570.00 - 570.00
15-Nov-18 19-3828 LIM, EDWARD BRGY. 581 SAMPALOC MANILA - 210.00 - 210.00
15-Nov-18 19-3829 OJERA, MODESTA BRGY. 586 STA MESA MANILA - 740.00 - 740.00
15-Nov-18 19-3830 VALDEZ, ROMEO BRGY. 122 TONDO MANILA - 740.00 - 740.00
15-Nov-18 19-3831 ARAG, FRANCIA DAGAT DAGATAN MALABON CITY - 210.00 - 210.00
15-Nov-18 19-3832 ARAN, ADELAIDA 1925 F. VARONA TONDO MANILA - 1,420.00 - 1,420.00
15-Nov-18 19-3833 DALUNES, JOVITA BRGY. 486 SAMPALOC MANILA - 740.00 - 740.00
15-Nov-18 19-3834 RAMIREZ, NELSON LARDIZABAL ST. SAMPALOC MANILA - 740.00 - 740.00
15-Nov-18 19-3835 PERUCHO, RONNICO 622 PERLA ST TONDO MANILA - 530.00 - 530.00
15-Nov-18 19-3836 RESURRECCION, ARFEL VARONA ST. TONDO MANILA - 530.00 - 530.00
15-Nov-18 19-3837 FELICES, ROSARIO BAGONG BARIO CALOOCAN CITY - 1,900.00 - 1,900.00
15-Nov-18 19-3838 AGARON, CLARITA BRGY. 499 SAMPALOC MANILA - 210.00 - 210.00
15-Nov-18 19-3839 SAYCO, DANTE OPAL ST QUEZON CITY - 570.00 - 570.00
4-Nov-18 19-3840 CUSTODIO, RODOLFO BRGY. 117 TONDO MANILA - 1,915.00 - 1,915.00
22-Nov-18 19-3841 ARIAS, ERICKSON ALFONSO ST CALOOCAN CITY - 1,815.00 - 1,815.00
Page 63
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
26-Nov-18 19-3842 SIBUG, THELMA 5TH AVE CALOOCAN CITY - 2,275.00 - 2,275.00
26-Nov-18 19-3843 JABAGATON, ENRIQUE SOLIS ST CALOOCAN CITY - 2,165.00 - 2,165.00
26-Nov-18 19-3844 GLOBIO, TERESITA PRUDENCIO ST BRGY 444 SAMPALOC MANILA - 1,050.00 - 1,050.00
26-Nov-18 19-3845 BARCELONA, ROBERT NICOLAS ST BRGY NIUGAN MALABON - 900.00 - 900.00
26-Nov-18 19-3846 BOLANDO, ANA MARIE PALAWAN ST PITOGO MAKATI - 650.00 - 650.00
26-Nov-18 19-3847 ENGALLA, JECEL SITIO KABATUHAN GTDL VALENZUELA - 2,145.00 - 2,145.00
27-Nov-18 19-3848 BALITARAN, ROLDAN BASECO PORT AREA MANILA - 755.00 - 755.00
27-Nov-18 19-3849 DELA VEGA, DOROTEO RD 2 GAGALAGIN TONDO MANILA - 500.00 - 500.00
27-Nov-18 19-3850 LIPATA, JOSEPHINE ORANGE RD POTRERO MALABON - 1,025.00 - 1,025.00
28-Nov-18 19-3851 CASICA, ALFREDO PRENZA I MARILAO BULACAN - 4,645.00 - 4,645.00
19-Nov-18 19-3852 FERNANDEZ, BAYANI FAJARDO ST SAMPALOC MANILA 7,000.00 - - 7,000.00
4-Dec-18 19-3853 GUEVARRA, ANGELINA BALTAZAR GRACE PARK CALOOCAN CITY - 3,100.00 - 3,100.00
12-Dec-18 19-3854 OSORTO, JONNIX BRGY NBBN NAVOTAS CITY - 2,600.00 - 2,600.00
18-Dec-18 19-3855 DALIMOCON, HERMINIA BRGY 152 CALOOCAN CITY - 2,500.00 - 2,500.00
12-Dec-18 19-3856 ABARQUEZ, JOCELYN BRGY 143 CALOOCAN CITY - 2,500.00 - 2,500.00
12-Dec-18 19-3857 BALLERAS, ISIDRO BRGY PASING TAMO QUEZON CITY - 2,500.00 - 2,500.00
16-Oct-18 19-3858 SARTO, RIZALDE BRGY. POBLACION NUEVA ECIJA - 2,350.00 - 2,350.00
16-Oct-18 19-3859 SAMSON, MARIBEL 66 KARINGAL ST NAVARA SIDE TANDANG SORA QUEZON CITY - 2,040.00 - 2,040.00
16-Oct-18 19-3860 ISIP, ROSEMARIE 742 BENITA ST GAGALANGIN TONDO MANILA BRGY. 185- 2,355.00 - 2,355.00
16-Oct-18 19-3861 ABIERA, ROSALIE 128 DANIAC COMP BAGBAG NOVALICHES QUEZON CITY - 500.00 - 500.00
16-Oct-18 19-3862 ABIERA, ROSALIE 128 DANIAC COMP BAGBAG NOVALICHES QUEZON CITY - 335.00 - 335.00
16-Oct-18 19-3863 SAFERA, ERNESTO ZABALA ST TONDO MANILA - 2,710.00 - 2,710.00
16-Oct-18 19-3864 CHAMPANO, ESTELITA BRGY. HONDUGAU LOPEZ QUEZON PROVINCE - 210.00 - 210.00
17-Oct-18 19-3865 PANTALUNAN, JOSE RODRIGUES SAN ANTONIO 17 DOMINGO SFDM BULACAN - 2,550.00 - 2,550.00
17-Oct-18 19-3866 SARMIENTO, CONCHITA BRGY. 199 TONDO MANILA - 530.00 - 530.00
17-Oct-18 19-3867 NUYA, TERESITA BATASAN HILLS QUEZON CITY - 1,725.00 - 1,725.00
17-Oct-18 19-3868 BAHIS, FERNANDO SITIO BANLIC SAMPALOC TANAY RIZAL - 210.00 - 210.00
17-Oct-18 19-3869 YIÑAS, VIGINIA BRGY. 12 CALOOCAN CITY - 675.00 - 675.00
17-Oct-18 19-3870 VIÑIAS, MARCIAL BLK 39 LOT 12 BRGY. 12 CALOOCAN CITY - 1,120.00 - 1,120.00
17-Oct-18 19-3871 GUARDIAN, CEZANNE JANINEBRGY 129 TONDO MANILA - 1,970.00 - 1,970.00
18-Oct-18 19-3872 FLORES, WILFRED ANTIPOLO ST STA CRUZ MANILA - 430.00 - 430.00
15-Oct-18 19-3873 MANAGA, NERISA 2420 FELIX BRGY. 365 STA CRUZ MANILA - 350.00 - 350.00
18-Oct-18 19-3874 FRANCISCO, AFRICACION 2937 PILAR ST. BRGY. 198 TONDO MANILA - 1,105.00 - 1,105.00
18-Oct-18 19-3875 BALMES, JEAN 1228 INT MAALIWALAS ST BRGY. 868 PANDACAN MANILA- 740.00 - 740.00
18-Oct-18 19-3876 GONZALVO, ESMERALDA 1200 KATAMARAN TONDO MANILA - 350.00 - 350.00
18-Oct-18 19-3877 SAWAL, HERMINIGILDO 1697 L.R.C STA CRUZ MANILA BRGY. 310 - 7,100.00 - 7,100.00
18-Oct-18 19-3878 OLLARES, ANDRES 63 F LIBIS ST KAINGIN ROAD BALINTAWAK QUEZON CITY - 210.00 - 210.00
18-Oct-18 19-3879 RUBIO, TERESITA BLK 73 LOT 10 K 20 ST KARANGALAN VILL CAINTA RIZAL - 2,385.00 - 2,385.00
18-Oct-18 19-3880 DE LEON, ERNESTO BLK 3040 DAGAT DAGATAN BRGY. 12 CALOOCAN CITY - 210.00 - 210.00
17-Oct-18 19-3881 MANGABON, MARTIN GENERAL T DE LEON VALENZUELA CITY - 900.00 - 900.00
17-Oct-18 19-3882 MALAJACAN, MARICEL 118 CASHECO ST RODMON VILLE NAGPAYONG PASIG CITY - 740.00 - 740.00
17-Oct-18 19-3883 NOVEDA, MARIVIC BLK 6 LOT 3 LOPEZ COMP LAS PIÑAS CITY - 740.00 - 740.00
17-Oct-18 19-3884 CATUGAS, FEDERICO 356 MYNA ST BRGY. 122 TONDO MANILA - 740.00 - 740.00
17-Oct-18 19-3885 ENERIA, PABLO BLK 21 LOT 9 PHASE 2-A BRGY. AGUINALDO TMC CAVITE - 3,055.00 - 3,055.00
24-Sep-18 19-3886 ALVAREZ, EMERSON # 13 DHALIA ST DE CASTRO PASIG CITY - 1,110.00 - 1,110.00
9-Oct-18 19-3887 NAVARRO, GENOVEVA 50 SCONT OJEDA BRGY. OBRERO QUEZON CITY - 210.00 - 210.00
17-Oct-18 19-3888 TORREN, ARNOLD 712 C RAXABAGO ST BRGY. 154 TONDO MANILA - 635.00 - 635.00
17-Oct-18 19-3889 MORENO, ANITA BRGY. 205 ROXAS TONDO MANILA - 1,400.00 - 1,400.00
17-Oct-18 19-3890 MISA, TERESA 1283 INT 27 TAMBUNTING ST STA CRUZ MANILA - 460.00 - 460.00
18-Oct-18 19-3891 FESTITO, HONRIA BRGY. 105 TONDO MANILA - 280.00 - 280.00
18-Oct-18 19-3892 TORILLO, JOCELYN 1586 IMELDA ST BRGY. 108 TONDO MANILA - 210.00 - 210.00
19-Oct-18 19-3893 PAGAOLIAN, MARIA BRGY. 20 TONDO MANILA - 290.00 - 290.00
19-Oct-18 19-3894 YUMO, NOEL 87 LILY ST PINGKIAN 3 BRGY. PASONG TAMO QUEZON CITY - 2,500.00 - 2,500.00
19-Oct-18 19-3895 MARTINEZ, MA. CORAZON 10-B MATIISIN ST COR LACSON ST TONDO MANILA - 740.00 - 740.00
19-Oct-18 19-3896 EVANGELISTA, ANGELITA SITIO II BIÑAN PAGSANJAN LAGUNA CITY - 210.00 - 210.00
19-Oct-18 19-3897 VIRATA, MIRIAM # 51 TALAKIKOK ST KAUNLARAN VILLAGE CALOOCAN CITY - 210.00 - 210.00
19-Oct-18 19-3898 BALLELOS, LUCIA BLK 3B LIO PHASE 3 KAUNLARAN VILLAGE CALOOCAN CITY - 740.00 - 740.00
19-Oct-18 19-3899 SORIANO, NORMA LOT 20 BG DIAMANO BRGY. KALIGAYAHAN NOVALICHES QUEZON CITY- 2,293.00 - 2,293.00
19-Oct-18 19-3900 CAÑETE, NITA BLK 38 SOUTH POBLACION MUNTINLUPA ALABANG - 1,505.00 - 1,505.00
19-Oct-18 19-3901 LOPEZ, EDMER 1626 C. ANTONIO RIVERA TONDO MANILA - 1,810.00 - 1,810.00
19-Oct-18 19-3902 TORRES, MA. CRISTINA # 6 FLORES DE MAYO ST QUEZON CITY - 210.00 - 210.00
Page 64
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
19-Oct-18 19-3903 BIARES, DOMINADOR SR. MALIHUD BATARAZA PALAWAN - 740.00 - 740.00
19-Oct-18 19-3904 BERGANIA, RAQUEL # 561 R DAZO ST CALVARIO CITY MEYCAUYAN BULACAN - 530.00 - 530.00
19-Oct-18 19-3905 TAROG, PRIMITIVA PHASE 78 PACKAGE 4 BLK 17 BAGONG SILANG CALOOCAN CITY - 640.00 - 640.00
22-Oct-18 19-3906 EUGENIO, JANE A 029 ST JOSEPH PARANAQUE CITY - 2,595.00 - 2,595.00
22-Oct-18 19-3907 ROBLES, GIDEON 49 GEN LUNA ST VALENZUELA CITY - 1,695.00 - 1,695.00
22-Oct-18 19-3908 BAGUIOSO, VERONICA BLK 19 LOT 215 SOUTH VILLE SAN ISIDRO RIZAL - 840.00 - 840.00
17-Oct-18 19-3909 CULATA, JESUS 1767 ANTONIO RIVERA TONDO MANILA - 1,145.00 - 1,145.00
22-Oct-18 19-3910 SANTOS, TERESITA 1542 ANTIPOLO ST SAMPALOC MANILA - 885.00 - 885.00
22-Oct-18 19-3911 VICENTE, RENATO 645 PRUDENCIO ST SAMPALOC MANILA - 725.00 - 725.00
22-Oct-18 19-3912 ESPIRITU, TERESA 1503 TAYUMAN ST STA CRUZ MANILA - 210.00 - 210.00
22-Oct-18 19-3913 TAMBONG, CARLITO 1529 DAGUPAN ST TONDO MANILA - 4,400.00 - 4,400.00
24-Oct-18 19-3914 POLICAR, HERMINIO 16 MARSELLA ST. BAGBAG 1 ROSARIO CAVITE - 210.00 - 210.00
22-Oct-18 19-3915 PASCUA, JENNIFER 1581 INT 26 F VARONA ST TONDO MANILA - 360.00 - 360.00
22-Oct-18 19-3916 NATIVIDAD, ERLINDA BLK 5 LOT 3 CAYPOMBO STA MARIA BULACAN - 210.00 - 210.00
22-Oct-18 19-3917 GABRIEL, LUNINGNING 1656 PRUDENCIA ST BRGY.M 52 TONDO MANILA - 4,675.00 - 4,675.00
22-Oct-18 19-3918 ALZATE, ARTHUR 50 A ACACIA MALABON CITY - 755.00 - 755.00
22-Oct-18 19-3919 SALAMANCA, JAN ARVIN PUROK 2 BINAUANGAN OBANDO BULACAN - 740.00 - 740.00
22-Oct-18 19-3920 PARES, LARA MAE BRGY. LOWER BICUTAN TAGUIG CITY - 130.00 - 130.00
22-Oct-18 19-3921 AQUINO, IMELDA BRGY. CABIAO NUEVA ECIJA - 1,510.00 - 1,510.00
22-Oct-18 19-3922 RAYMUNDO, MARIEBETH BLK 31 LOT 19 PHASE 3 DAGAT DAGATAN CALOOCAN CITY - 210.00 - 210.00
22-Oct-18 19-3923 MENDOZA, HERLENE 1350 LA TORRE ST BRGY 262 TONDO MANILA - 2,380.00 - 2,380.00
24-Oct-18 19-3924 CABUNGCAL, NENITA 3476 OBRERO TONDO MANILA - 775.00 - 775.00
24-Oct-18 19-3925 GONZALES, JESSICA 159 QUEZON AVE SAN ISIDRO AGONO RIZAL - 1,895.00 - 1,895.00
24-Oct-18 19-3926 LAXAMANA, DANILO 261 - K NAGKAISA ST BATASAN HILLS QUEZON CITY - 1,300.00 - 1,300.00
23-Oct-18 19-3927 PEREZ, CLARISSA QUEZON ST. DON BOSCO TONDO MANILA - 410.00 - 410.00
23-Oct-18 19-3928 BAUTISTA, PRINCESS ANN QUIRICADA ST. STA CRUZ MANILA - 350.00 - 350.00
23-Oct-18 19-3929 MEERA, LUDIVINA BLK5 LOT12 CALBUECO, LAGUNA - 400.00 - 400.00
23-Oct-18 19-3930 RAMIRERZ, ROMUALDO ALGECIRAS ST. SAMPALOC MANILA - 210.00 - 210.00
23-Oct-18 19-3931 VILLAN, REYNALDO LALOMA QUEZON CITY - 2,580.00 - 2,580.00
23-Oct-18 19-3932 DE LEON , LOLITA KAWAG BIAK NA BATO VALENZUELA CITY - 570.00 - 570.00
23-Oct-18 19-3933 PUBLICO, CLARITA ANIMALES PASIG CITY - 650.00 - 650.00
23-Oct-18 19-3934 ANDIAS, RENEBOY PINEAPPLE RD. POTRERO MALABON CITY - 740.00 - 740.00
25-Oct-18 19-3935 DELA TORRE, JR. ANACLETONOVALICHES QUEZON CITY - 2,355.00 - 2,355.00
25-Oct-18 19-3936 POLENIO, ANTONIO SAN OSE DEL MONTE BULACAN - 530.00 - 530.00
25-Oct-18 19-3937 ORTEGA, VIRGILIO PUROK II SUCAT MUNTINLUPA - 2,275.00 - 2,275.00
25-Oct-18 19-3938 RAMIN, ARNELIO BAGBAGUIN CALOOCAN CITY - 1,425.00 - 1,425.00
24-Oct-18 19-3939 COLLARGA, JECELYN BUILDING 16 UNIT 117 KATUPARAN ST VITAS TONDO MANILA - 530.00 - 530.00
26-Oct-18 19-3940 DELA CRUZ, GLORIA 2732 B LICO ST TONDO MANILA - 210.00 - 210.00
26-Oct-18 19-3941 RAMOS, RULITA PAMPANGA ST TONDO MANILA - 570.00 - 570.00
26-Oct-18 19-3942 FRANCISCO, EMMA QUINO ST BRGY. YAKAL PUROK 2 CATARMAN SAMAR - 1,830.00 - 1,830.00
26-Oct-18 19-3943 TUSI, JOSE 17 G DE JESUS ST BAGONG BARRIO CALOOCAN CITY - 570.00 - 570.00
26-Oct-18 19-3944 YU, MARY GRACE 217 PNR COMPOUND SAMSON ROAD CALOOCAN CITY - 500.00 - 500.00
26-Oct-18 19-3945 LAGUNA, LUCILA 2113 M. HIZON ST BRGY. 345 STA CRUZ CRUZ MANILA - 1,345.00 - 1,345.00
26-Oct-18 19-3946 PRIMAVERA, OLGA 534 ESGUERRA ST BRGY. 89 TONDO MANILA - 740.00 - 740.00
26-Oct-18 19-3947 BONIFACIO, DANILO 17 C NAME ST BRGY. 25 CALOOCAN CITY - 530.00 - 530.00
16-Oct-18 19-3948 GO, LETICIA TIANONG GUIGUINTO BULACAN - 210.00 - 210.00
29-Oct-18 19-3949 AQUINO, SALUD 244 BLK 4 BRGY. TONSUYA MALABON CITY - 3,290.00 - 3,290.00
29-Oct-18 19-3950 MACALOS, VILMA BRGY. LONGOS MALABON CITY - 740.00 - 740.00
29-Oct-18 19-3951 CARPIO, SUPRIMO LOOK ST MALOLOS BULACAN - 2,500.00 - 2,500.00
29-Oct-18 19-3952 CARPIO, SUPRIMO LOOK ST MALOLOS BULACAN - 2,500.00 - 2,500.00
29-Oct-18 19-3953 LANUZO, RAFAEL RTTY COMPOUND PANGHULON MALABON CITY - 530.00 - 530.00
29-Oct-18 19-3954 ROCHA, NESTOR LOWER BICUTAN TAGUIG - 740.00 - 740.00
29-Oct-18 19-3955 CASTRO, CECILIA 67 D BANSALANG ST PROJ 7 QUEZON CITY - 5,465.00 - 5,465.00
30-Oct-18 19-3956 BUIZA, REMEDIOS 142 DE GUZMAN ST. MANCINA CITY - 740.00 - 740.00
30-Oct-18 19-3957 DESUYO, CLARA BRGY. LONGOS MALABON CITY - 740.00 - 740.00
30-Oct-18 19-3958 BERNARDO, MARIETA 1850 F GUEVARRA ST STA CRUZ MANILA - 3,060.00 - 3,060.00
30-Oct-18 19-3959 REYES, FRAEY 9 INT B ANGELES ST SAN ROQUE NAVOTAS CITY - 2,080.00 - 2,080.00
30-Oct-18 19-3960 GALICIO, ALICIA 212 A SANTOS BRGY. MALINTA VALENZUELA CITY - 740.00 - 740.00
30-Oct-18 19-3961 MOSTAZA, MARVIN TAYUMAN ST. STA CRUZ MANILA - 4,130.00 - 4,130.00
30-Oct-18 19-3962 GOMEZ, MARK LOUIE B 79 L-13 MABUHAY HOMES 200 BRGY SALAWAG DASMA CAVITE - 740.00 - 740.00
30-Oct-18 19-3963 SANTIAGO, MARY JANE 909 D STA ROSA ST. TONDO MANILA - 360.00 - 360.00
Page 65
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
30-Oct-18 19-3964 ALHAMBRA, ALEXANDER 1996 G PERFECTO ST BRGY. 157 TONDO MANILA - 530.00 - 530.00
30-Oct-18 19-3965 TUCONG, FE 3018 ABUCAY ST MANUGUID TONDO MANILA - 740.00 - 740.00
30-Oct-18 19-3966 CAPARAS, DENNIS 2946 LOMAY ST BRGY. 205 TONDO MANILA - 530.00 - 530.00
30-Oct-18 19-3967 GARCIA, REBECCA 783 D INT 35 MARIA GUIZON BRGY. 182 TONDO MANILA - 530.00 - 530.00
30-Oct-18 19-3968 DELA ROSA, EUNICE REAL CALAMBA LAGUNA - 530.00 - 530.00
31-Oct-18 19-3969 MALUBAY, PRECILA # 395 PADECO ST BRGY. 67 TONDO MANILA - 530.00 - 530.00
31-Oct-18 19-3970 PITAS, EDWIN 118 C QUEZON ST TONDO MANILA - 740.00 - 740.00
31-Oct-18 19-3971 LOPEZ, JOSELITO 430 B DAMAYAN ST MAYPAJO CALOOCAN CITY - 4,300.00 - 4,300.00
31-Oct-18 19-3972 DELA CRUZ, NORMA 145 R DOMINGO TANGOS NAVOTAS CITY - 2,570.00 - 2,570.00
31-Oct-18 19-3973 CASTILLO, YOLANDA 1868 CHAGO ST BRGY. 368 STA CRUZ MANILA - 740.00 - 740.00
31-Oct-18 19-3974 RAYMUNDO, GLORIA BRGY. 311 STA CRUZ MANILA - 2,000.00 - 2,000.00
31-Oct-18 19-3975 VILLANUEVA, IRENEO 766 MARIA GUIZON ST BRGY. 152 TONDO MANILA - 740.00 - 740.00
31-Oct-18 19-3976 SEGOVIA, THELMA BRGY. SAN ROQUE NAVOTAS CITY - 1,420.00 - 1,420.00
31-Oct-18 19-3977 MAYOR, ANTONIO 205 RIZAL AVENUE BRGY. 335 STA CRUZ MANILA - 740.00 - 740.00
5-Nov-18 19-3978 DE VERA, JULIE GUMAMELA ST BRGY. 202 TONDO MANILA - 1,410.00 - 1,410.00
5-Nov-18 19-3979 ATENDIDO, MARCELO BRGY. MISWA INFANTA QUEZON CITY - 570.00 - 570.00
5-Nov-18 19-3980 MAGTIBAY, EDGARDO MASAMBONG SAN FRANCISCO DEL MONTE QUEZON CITY- 570.00 - 570.00
5-Nov-18 19-3981 ABUAN, AZUCENA 258 UBAS ST BRGY. 142 CALOOCAN CITY - 1,265.00 - 1,265.00
5-Nov-18 19-3982 ORZAL, EPIFANIA 373 LAPU LAPU ST NAVOTAS CITY - 1,025.00 - 1,025.00
5-Nov-18 19-3983 LAYUSO, CARMELITA BRGY. 5 ABES COR SANGANGDAAN CALOOCAN CITY - 1,845.00 - 1,845.00
5-Nov-18 19-3984 LANIOJAN, MARICEL # 01- B OLD CABUYAO, SAYO ROAD SAUYO CALOOCAN CITY - 905.00 - 905.00
6-Nov-18 19-3985 AGUILAR, LEONA 23 DIEGO SILANG ST STA LUCIA NOVALICHES QUEZON CITY - 3,080.00 - 3,080.00
5-Nov-18 19-3986 MASENDO, JULIO SAPA 2 ROSARIO CAVITE - 1,030.00 - 1,030.00
6-Nov-18 19-3987 GUMBAN, PACIENCIA 112 DULONG HERNANDEZ ST. CATMON MALABON CITY - 1,975.00 - 1,975.00
7-Nov-18 19-3988 DELOS ANGELES, SUSANA # 218 DE AMPIL ST STA MESA MANILA - 1,350.00 - 1,350.00
7-Nov-18 19-3989 SENGSON, MILAGROS # 60 D ILANG ILANG ST TANZA 2 NAVOTAS CITY - 600.00 - 600.00
7-Nov-18 19-3990 CUETO, ANACLETA 0861 A TORSILLO PHASE 3 BRGY. 28 CALOOCAN CITY - 5,235.00 - 5,235.00
8-Nov-18 19-3991 SASBILLA, JULIA 1600 INT 13 J FAJARDO ST. SAMPALOC MANILA - 1,850.00 - 1,850.00
8-Nov-18 19-3992 NATIVIDAD, FELISA 784 8TH AVENUE WEST GRACE BRGY. 59 CALOOCAN CITY - 2,700.00 - 2,700.00
8-Nov-18 19-3993 LIPAOPAO, TERESITA 202 PNR COMP SAMSON ROAD CALOOCAN CITY - 780.00 - 780.00
8-Nov-18 19-3994 SUMALDE, RUDY PHASE 2 BLK 25 TRESE MARTERES CAVITE - 2,040.00 - 2,040.00
8-Nov-18 19-3995 GARCIA, RICHARD SAN JOSE GUMI LUBAO PARANAQUE CITY - 3,450.00 - 3,450.00
13-Dec-18 19-3996 MALLA, MELISSA BRGY 771SAN ANDRES MANILA - 210.00 - 210.00
13-Dec-18 19-3997 FERRER, RENE BRGY SAN ANTONIO SAN PEDRO LAGUNA - 2,500.00 - 2,500.00
13-Dec-18 19-3998 NORMON, DOLORES BRGY BAYO VALBAYOG CITY - 2,500.00 - 2,500.00
14-Dec-18 19-3999 GONZAGA, LENI SAN VICENTE SAN PABLO LAGUNA - 3,100.00 - 3,100.00
14-Dec-18 19-4000 INLONG, MARY SOCORRO BRGY DON BOSCO PARAÑAQUE - 2,500.00 - 2,500.00
14-Dec-18 19-4001 MONGAYA, NERISSA SAN JOSE RODRIGUEZ, RIZAL - 2,500.00 - 2,500.00
18-Dec-18 19-4002 AGUIRRE, LOURDES BRGY 42 TONDO MANILA - 1,000.00 - 1,000.00
19-Dec-18 19-4003 DELA CRUZ, MA. ELSA BRGY 105 TONDO MANILA - 1,235.00 - 1,235.00
19-Dec-18 19-4004 ASTROLOGIA, JERRY BRGY CENTRO 1 CAGAYAN - 2,500.00 - 2,500.00
19-Dec-18 19-4005 BABIERA, LORNA BRGY BEBITO QUEZON - 6,230.00 - 6,230.00
19-Dec-18 19-4006 CADUCIO, LORNA HIZON ST STA CRUZ MANILA - 1,235.00 - 1,235.00
19-Dec-18 19-4007 SANTOS, ANATALIA BRGY 181 TONDO MANILA - 5,100.00 - 5,100.00
19-Dec-18 19-4008 CABILES, EFREN BRGY TINAJEROS MALABON CITY - 2,300.00 - 2,300.00
19-Dec-18 19-4009 SALANDANAN, ESMERALDABRGY APLAYA STA ROSA LAGUNA - 2,300.00 - 2,300.00
19-Dec-18 19-4010 RAÑIN, ARNELIO BRGY 165 CALOOCAN CITY - 4,100.00 - 4,100.00
19-Dec-18 19-4011 CORDOVA, RADELYN BRGY 171 CALOOCAN CITY - 820.00 - 820.00
19-Dec-18 19-4012 DELA CRUZ, MA. CHARLENEBRGY TAGAPA STA ROSA LAGUNA - 820.00 - 820.00
19-Dec-18 19-4013 JUNTARCIEGO, NELSON BRGY 158 TONDO MANILA - 530.00 - 530.00
19-Dec-18 19-4014 TRAGURA, NOLI PANDACAN MANILA - 5,100.00 - 5,100.00
19-Dec-18 19-4015 FELICIANO, AUREA CIUDAD GRANDE NORTH VALENZUELA CITY - 820.00 - 820.00
19-Dec-18 19-4016 BERLOS, NORELLY BAGBAGUIN CALOOCAN CITY - 1,300.00 - 1,300.00
19-Dec-18 19-4017 CUACHIN, CHRISTINA 7TH AVE GRACE PARK CALOOCAN CITY - 415.00 - 415.00
19-Dec-18 19-4018 DELA PEÑA, FRANCISCA NBBS NAVOTAS CITY - 1,235.00 - 1,235.00
19-Dec-18 19-4019 PANGILINAN, PATRICIA BRGY 52 CALOOCAN CITY - 1,235.00 - 1,235.00
19-Dec-18 19-4020 VIAÑA, MARIA LOURDES MARULAS VALENZUELA CITY - 650.00 - 650.00
19-Dec-18 19-4021 CULANG, JOY OLIVIA SAMPALOC MANILA - 1,235.00 - 1,235.00
19-Dec-18 19-4022 DINGLASA, LETICIA NBBS NAVOTAS CITY - 820.00 - 820.00
19-Dec-18 19-4023 LABENDIA, LYDIA CALBAYOG SAMAR - 415.00 - 415.00
19-Dec-18 19-4024 LAYOG, SHIELA BRGY 165 CALOOCAN CITY - 400.00 - 400.00
Page 66
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
19-Dec-18 19-4025 BABON, MARICEL BRGY 118 CALOOCAN CITY - 1,000.00 - 1,000.00
19-Dec-18 19-4026 SACDALAN, LEONILA BRGY SAN JOSE BULACAN - 360.00 - 360.00
20-Dec-18 19-4027 PELAYO, MARVIN SAN MIGUEL BULACAN - 360.00 - 360.00
20-Dec-18 19-4028 PALAD, ARACELI BRGY 41 TONDO MANILA - 1,060.00 - 1,060.00
20-Dec-18 19-4029 DELA CRUZ, DIONISIO BRGY WEST NAVOTAS CITY - 990.00 - 990.00
20-Dec-18 19-4030 MENDAROS, ANN BRGY 126 TONDO MANILA - 1,235.00 - 1,235.00
20-Dec-18 19-4031 DELINA, ERLINDA SITIO BITIK VALENZUELA CITY - 1,235.00 - 1,235.00
20-Dec-18 19-4032 MAGHARI, ENRIQUETA BRGY 209 TONDO MANILA - 3,300.00 - 3,300.00
20-Dec-18 19-4033 MORALES, EVELYN BULUSAN ST QUEZON CITY - 1,235.00 - 1,235.00
20-Dec-18 19-4034 OPIS, ROSEMARIE CLUB ST GALAS QUEZON CITY - 1,235.00 - 1,235.00
20-Dec-18 19-4035 RIVERA, HILDA BRGY CABAGUAS EASTERN SAMAR - 1,235.00 - 1,235.00
20-Dec-18 19-4036 MALON, MUSTAPHA BRGY 105 TONDO MANILA - 400.00 - 400.00
20-Dec-18 19-4037 MARTINEZ, JULIE ANNE SAHUD ULAN TANZA CAVITE - 820.00 - 820.00
20-Dec-18 19-4038 BARTONAGO, JOSEFINA BRGY BAESA MANILA - 530.00 - 530.00
20-Dec-18 19-4039 TURINGAN, FELISA BAUTISTA DASMARINAS CAVITE - 1,235.00 - 1,235.00
20-Dec-18 19-4040 SUAREZ, ELAINE BINUANGAN OBANDO BULACAN - 820.00 - 820.00
20-Dec-18 19-4041 GARCES, VERONICA PHAASE 3-C CALOOCAN CITY - 1,300.00 - 1,300.00
20-Dec-18 19-4042 PLASABAS, ANGELINA AROROY MASBATE - 1,235.00 - 1,235.00
21-Dec-18 19-4043 TENORIO, SONIA SAN NICOLAS BATANGAS - 1,235.00 - 1,235.00
21-Dec-18 19-4044 BERONILLA, BEBEGENE TAGUM CITY DAVAO DEL NORTE - 5,105.00 - 5,105.00
21-Dec-18 19-4045 MARTINEZ, JUANA SEVILLA ST TONDO MANILA - 2,880.00 - 2,880.00
21-Dec-18 19-4046 MATUNDING, DOLORES DANGAL ST STA MESA MANILA - 3,840.00 - 3,840.00
21-Dec-18 19-4047 BARTOLOME, VICKY BRGY 95 TONDO MANILA - 530.00 - 530.00
21-Dec-18 19-4048 CASTRO, RICHEL BRGY 128 TONDO MANILA - 740.00 - 740.00
21-Dec-18 19-4049 NOLASCO, ROCELLE BRGY 184 TONDO MANILA - 1,045.00 - 1,045.00
21-Dec-18 19-4050 NOLASCO, ROCELLE BRGY 184 TONDO MANILA - 1,235.00 - 1,235.00
21-Dec-18 19-4051 MARTENECIO, LORENA BRGYV 28 CALOOCAN CITY - 820.00 - 820.00
21-Dec-18 19-4052 CATALBAS, RAZEL BRGY SAGRADA CAPIZ - 1,235.00 - 1,235.00
21-Dec-18 19-4053 CUADRO, MAY BRGY CATMON MALABON CITY - 1,235.00 - 1,235.00
21-Dec-18 19-4054 CASTILLO, AIMY DGUMAMELA EXT VALENZUELA CITY - 1,235.00 - 1,235.00
21-Dec-18 19-4055 ASUNCION, ROSARIO BRGY 226 TONDO MANILA - 5,100.00 - 5,100.00
21-Dec-18 19-4056 MORGADO, EMMA SAN AGUSTIN ROMBLON - 2,500.00 - 2,500.00
21-Dec-18 19-4057 CABALLAR, LISAJOY STA MESA MANILA - 1,235.00 - 1,235.00
21-Dec-18 19-4058 COTOCO, ANNABELLE MEYLAND HOMES MEYCAUAYANBULACAN - 820.00 - 820.00
21-Dec-18 19-4059 QUITALIG, JOSE BRGY 158 CALOOCAN CITY - 1,060.00 - 1,060.00
21-Dec-18 19-4060 CADAG, JUNEL MARIE AWAI DONSOL SORSOGON - 1,235.00 - 1,235.00
21-Dec-18 19-4061 ABIT, JOHN JACOB BRGY APOLONIA QUEZON CITY - 1,060.00 - 1,060.00
21-Dec-18 19-4062 BAGSIC, FERNANDO BRGY 38 TONDO MANILA - 900.00 - 900.00
27-Dec-18 19-4063 NORTIGA, CYRINE JOYCE MAGSAYSAY EXT MARULAS VALENZUELA CITY - 1,235.00 - 1,235.00
27-Dec-18 19-4064 MABAG, MILAGROS CANDIDO ST VALENZUELA CITY - 5,100.00 - 5,100.00
27-Dec-18 19-4065 LAMBAN, RUSSEL BRGY CUT-COT PULILAN BULACAN - 5,105.00 - 5,105.00
27-Dec-18 19-4066 BALTAZAR, ARNEL RODRIGUEZ RIZAL MONTALBAN - 1,235.00 - 1,235.00
27-Dec-18 19-4067 TEMAJO, GLENN BRGY 361 STA CRUZ MANILA - 1,235.00 - 1,235.00
14-Dec-18 19-4068 INOJALES, MAGDALENA HOLY SPIRIT QUEZON CITY - 2,500.00 - 2,500.00
14-Dec-18 19-4069 BOBARES, PACITA FELIZA PARADA VALENZUELA CITY - 820.00 - 820.00
17-Dec-18 19-4070 RODRIGUEZ, LOURDES KAUNLARAN VILLAGE NAVOTAS CITY - 11,800.00 - 11,800.00
17-Dec-18 19-4071 DELA CRUZ, ZARINA BRGY 109 TONDO MANILA - 820.00 - 820.00
17-Dec-18 19-4072 ALCANTARA, NORMA BRGY 94 TONDO MANILA - 3,200.00 - 3,200.00
17-Dec-18 19-4073 CLAVERIA, ROSALINA PAVIA ST TONDO MANILA - 400.00 - 400.00
17-Dec-18 19-4074 DIONEDA, CONRADO BRGY STO DOMINGO SORSOGON CITY - 2,000.00 - 2,000.00
17-Dec-18 19-4075 JIMENEZ, JOSE JR LIBIS ESPINA ST CALOOCAN CITY - 1,300.00 - 1,300.00
17-Dec-18 19-4076 YABUT, ROSALINDA MAYPAJO CALOOCAN CITY - 1,000.00 - 1,000.00
17-Dec-18 19-4077 OCMER, RONALYN BRGY UNGOS REAL QUEZON - 530.00 - 530.00
17-Dec-18 19-4078 BALADJAY, ADRIANNE UNIT 50 TEMP HOUSING TONDO MANILA - 530.00 - 530.00
17-Dec-18 19-4079 GONZALES, ALICIA GULOD CALATAGAN BATANGAS - 820.00 - 820.00
17-Dec-18 19-4080 VELASQUEZ, MILDRED BRGY 172 PASAY CITY - 1,070.00 - 1,070.00
17-Dec-18 19-4081 SEDANO, IMELDA BRGY 461 SAMPALOC MANILA - 280.00 - 280.00
17-Dec-18 19-4082 GAY, JEROME CHESTER BRGY HOLY SPIRIT QUEZON CITY - 820.00 - 820.00
17-Dec-18 19-4083 PANSACALA, ALLAN BAYBAY STA CRUZ OZAMIS CITY - 2,000.00 - 2,000.00
17-Dec-18 19-4084 LARIOS, VIRGINIA BERNABE COMP. LAS PIÑAS CITY - 3,200.00 - 3,200.00
17-Dec-18 19-4085 PETILO, SOCORRO BRGY 244 TONDO MANILA - 2,710.00 - 2,710.00
Page 67
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
17-Dec-18 19-4086 CENTERO, VICTORIA 4TH AVE GRACE PARK CALOOCAN CITY - 210.00 - 210.00
17-Dec-18 19-4087 GALICIO, ALICIA SANTOS ST MALINTA VALENZUELA - 1,235.00 - 1,235.00
17-Dec-18 19-4088 DELOS SANTOS, KRISTINE GALLONA ST TONDO MANILA - 860.00 - 860.00
17-Dec-18 19-4089 PAGTALUNAN, MELANIE PILAR ST TONDO MANILA - 1,070.00 - 1,070.00
17-Dec-18 19-4090 VALENZUELA, MINERVA CAMARIN CALOOCAN CITY - 1,520.00 - 1,520.00
17-Dec-18 19-4091 BERMUDEZ, ERWIN OROQUIETA STA CRUZ, MANILA - 530.00 - 530.00
17-Dec-18 19-4092 PARUNGAO, JOHN MICHAELSAN VICENTE NUEVA ECIJA - 4,800.00 - 4,800.00
17-Dec-18 19-4093 FRANCISCO, MARISSA BRGY 161 CALOOCAN CITY - 820.00 - 820.00
17-Dec-18 19-4094 ALINSUNURIN, SHEKINAH BRGY UNITED BAYANIHAN SAN PEDRO LAGUNA- 1,865.00 - 1,865.00
14-Dec-18 19-4095 RAMOS, CRISANTA BANGA PLARIDEL BULACAN - 5,105.00 - 5,105.00
18-Dec-18 19-4096 REYES, MARILOU SALCEDO 2 NOVELETA CAVITE - 4,100.00 - 4,100.00
18-Dec-18 19-4097 FERNANDEZ, JESUSA BUKID MALINTA VALENZUELA CITY - 1,235.00 - 1,235.00
18-Dec-18 19-4098 SANTOS, LETICIA SAN ROQUE NAVOTAS CITY - 415.00 - 415.00
18-Dec-18 19-4099 JOVEN, JOE BENZON BRGY 221 TONDO MANILA - 770.00 - 770.00
18-Dec-18 19-4100 HERMOSO, ROCAFORT LIPA BATANGAS - 2,500.00 - 2,500.00
18-Dec-18 19-4101 VA-AY, RENITA BAYAN BAYANAN MARILAO BULACAN - 820.00 - 820.00
18-Dec-18 19-4102 ARCAYA, ADELA DALANDANAN VALENZUELA CITY - 210.00 - 210.00
18-Dec-18 19-4103 ARCAYA, ADELA DALANDANAN VALENZUELA CITY - 1,235.00 - 1,235.00
18-Dec-18 19-4104 MIRANDA, AGNES MA CLARA ST STA CRUZ MANILA - 1,235.00 - 1,235.00
18-Dec-18 19-4105 LEYNES, MANUEL BRGY 484 SAMPALOC MANILA - 5,105.00 - 5,105.00
18-Dec-18 19-4106 GUZON, JARNIE BRGY PAYATAS QUEZON CITY - 1,060.00 - 1,060.00
18-Dec-18 19-4107 MACARIO, GLORIPHINE DANTOC MEYCAUYAN BULACAN - 975.00 - 975.00
18-Dec-18 19-4108 GEMINIANO, NORA BRGY 87 YANGCO ST TONDO MANILA - 3,860.00 - 3,860.00
18-Dec-18 19-4109 MOMO, AMY CLEMENTE COMP VALENZUELA CITY - 1,300.00 - 1,300.00
18-Dec-18 19-4110 JOROLAN, LILIBETH CANUMAY VALENZUELA CITY - 820.00 - 820.00
18-Dec-18 19-4111 MACROL, MARY ROSE BRGY MERVILLE PARAÑAQUE CITY - 820.00 - 820.00
18-Dec-18 19-4112 MACROL, MARY ROSE BRGY MERVILLE PARAÑAQUE CITY - 650.00 - 650.00
18-Dec-18 19-4113 CARIÑO, GLENBAL STO NINO PARANAQUE CITY - 5,100.00 - 5,100.00
18-Dec-18 19-4114 TOMENIO, ERLINDA BRGY BINUGANAN SAMAR - 530.00 - 530.00
18-Dec-18 19-4115 CACHERO, REMEDIOS DESULA COMP VALENZUELA CITY - 400.00 - 400.00
18-Dec-18 19-4116 BUCACAO, CYNTHIA BRGY 116 TONDO MANILA - 1,235.00 - 1,235.00
18-Dec-18 19-4117 VALENCIA, JUANITO BRGY 54 TONDO MANILA - 1,060.00 - 1,060.00
18-Dec-18 19-4118 ABUEVA, VICTORIANO TANGUELI VALENZUELA CITY - 3,700.00 - 3,700.00
18-Dec-18 19-4119 VALDEZ, MARINA GAJARDO SAMPALOC MANILA - 1,235.00 - 1,235.00
18-Dec-18 19-4120 ABLAZA, MYRA BRGY MALINTA VALENZUELA CITY - 640.00 - 640.00
3-Dec-18 19-4121 MARTINEZ, VICTOR SITIO BANAL ST. BRGY WAWA ROSARIO CAVITE- 1,300.00 - 1,300.00
7-Dec-18 19-4122 GALVEZ, DAISY IDELOS REYES ST. TONDO MANILA - 820.00 - 820.00
7-Dec-18 19-4123 NICOLAS, RODRIGO MONCADA TARLAC - 3,110.00 - 3,110.00
7-Dec-18 19-4124 VILLANUEVA, LOURDES MARIANO ST. MARULAS VALENZUELA CITY - 1,235.00 - 1,235.00
7-Dec-18 19-4125 TECIO, MERLYN TAHIMIK ST. TONDO MANILA - 1,045.00 - 1,045.00
7-Dec-18 19-4126 TECIO, MERLYN TAHIMIK ST. TONDO MANILA - 415.00 - 415.00
7-Dec-18 19-4127 MONTON, MAR.CRISTINA GREZAR ST. BAGBAG NOVALICHES QUEZON CITY- 1,300.00 - 1,300.00
7-Dec-18 19-4128 DELA VEGA, CRISTY SUMMER FIELA TRECE MARTIRES CAVITE - 1,235.00 - 1,235.00
7-Dec-18 19-4129 GONZALES, JOBEN CENTRO LAWANG BATO VALENZUELA CITY - 1,060.00 - 1,060.00
7-Dec-18 19-4130 CASTRO, LOURDES MINDANAO ST. SAMPALOC MANILA - 11,800.00 - 11,800.00
7-Dec-18 19-4131 VICENTE, RENATO PRODENCIO ST. SAMPALOC MANILA - 3,860.00 - 3,860.00
7-Dec-18 19-4132 JABAGATON, ENRIQUE CAMARIN CALOOCAN CITY - 1,880.00 - 1,880.00
7-Dec-18 19-4133 GONJURAN, JILYN BRGY BAGBAG NOVALICHES QUEZON CITY - 820.00 - 820.00
7-Dec-18 19-4134 PADUA, LANCE KAISER CAVITE ST. TONDO MANILA - 5,500.00 - 5,500.00
7-Dec-18 19-4135 GONZAGA, DOMINGO BALON ST LANGKA MEYCUAYAN BULACAN - 530.00 - 530.00
7-Dec-18 19-4136 NATARTE, MYRA BRGY 96 TONDO MANILA - 1,060.00 - 1,060.00
7-Dec-18 19-4137 PERALTA, MARY ANN KAPITBAHAYAN NAVOTAS CITY - 820.00 - 820.00
7-Dec-18 19-4138 TUAZON, AIDA GULAYAN ST. CONCEPCION MALABON CITY - 1,235.00 - 1,235.00
10-Dec-18 19-4139 AHMAD, MARY JOY RESERVATION OLD COMP. MUNTINLUPA CITY - 1,235.00 - 1,235.00
10-Dec-18 19-4140 CAMERO, MELANIE OSMEÑA ST. TONDO MANILA - 1,980.00 - 1,980.00
21-Nov-18 19-4141 MAGNO, JESUS ALGECIRAS ST SAMPALOC MANILA - 900.00 - 900.00
21-Nov-18 19-4142 INSIGNE, EDGARDO BALIC BALIC SAMPALOC MANILA - 570.00 - 570.00
21-Nov-18 19-4143 GARCIA, CELIA BALTAZAR ST 5TH AVENUE CALOOCAN CITY - 210.00 - 210.00
21-Nov-18 19-4144 LOPEZ, PAULINO OROQUITA ST STA CRUZ MANILA - 740.00 - 740.00
21-Nov-18 19-4145 ANIMOZA, ANSELMO DIMASALANG ST MAYPAJO CALOOCAN CITY - 415.00 - 415.00
21-Nov-18 19-4146 MERADOR, MARIA PRISALIABRGY. 95 PACITA CALOOCAN CITY - 415.00 - 415.00
Page 68
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
21-Nov-18 19-4147 AQUINO, GILBERTO BRGY. ROXAS QUEZON CITY - 3,300.00 - 3,300.00
21-Nov-18 19-4148 ESTRELLA, ALBERTO BRGY. 165 TONDO MANILA - 210.00 - 210.00
21-Nov-18 19-4149 UMBAC, BERNARDITA BRGY. 331 STA CRUZ MANILA - 530.00 - 530.00
21-Nov-18 19-4150 TATON, JOE MARIE BRGY. BAGUMBAYAN TAGUIG CITY - 740.00 - 740.00
21-Nov-18 19-4151 LINAY, NARCISO JULUGAN VI TANZA CAVITE - 530.00 - 530.00
21-Nov-18 19-4152 MICADIO, ROSALINDA MAYPAJO CALOOCAN CITY - 740.00 - 740.00
21-Nov-18 19-4153 BACANI, CARINA BRGY. 246 TONDO MANILA - 570.00 - 570.00
21-Nov-18 19-4154 RUFINO, ANTONIETTA BRGY. 632 STA MESA MANILA - 570.00 - 570.00
21-Nov-18 19-4155 BRECIA, NILDA TARTARIA SILANG CAVITE - 740.00 - 740.00
21-Nov-18 19-4156 SAWAL, HERMINIGILDO BRGY. 310 STA CRUZ MANILA - 740.00 - 740.00
21-Nov-18 19-4157 TATTAD, CRESENCIO BRGY. BUROL DASMARINAS CAVITE - 570.00 - 570.00
4-Jan-19 19-4158 ESTEBAN, PABLO BRGY II A SAN PABLO LAGUNA - - 132,949.71 132,949.71
4-Jan-19 19-4159 CABALLEGAN, LEONARDO ANGALO ST BINONDO MANILA - - 25,927.78 25,927.78
4-Jan-19 19-4160 VERZOSA, MARIETA SAN DIEGO ST MARULAS VALENZUELA - - 154,808.43 154,808.43
4-Jan-19 19-4161 TOMIMBANG, ALELI SITIO MENDEZ BAESA QUEZON CITY - - 22,664.52 22,664.52
4-Jan-19 19-4162 MAGTAGÑOB, VILMA NBBS NAVOTAS CITY - - 47,642.28 47,642.28
6-Jan-19 19-4163 TU, RUBEN BRGY PIAR A-II SILANG CAVITE - - 28,509.39 28,509.39
6-Jan-19 19-4164 IGAT, ALBERT MACANAS ST PANGHULO MALABON - - 34,296.10 34,296.10
6-Jan-19 19-4165 MEJIA, FLORA MALINDONG BINMALEY PANGASINAN - - 20,562.80 20,562.80
6-Jan-19 19-4166 DEL ROSARIO, LEANDRO LAMBAKIN MARILAO BULACAN - - 56,319.32 56,319.32
11-Jan-19 19-4167 LANZADO, MERIAN MARTINEZ ST CAYPOMBO STA MARIA MANILA - - 173,025.04 173,025.04
7-Jan-19 19-4168 MACARAEG, NOEL SANTOL RD POTRERO MALABON - - 58,495.20 58,495.20
7-Jan-19 19-4169 GABILO, ADONIS BALTAZAR ST CALOOCAN CITY - - 25,525.71 25,525.71
7-Jan-19 19-4170 MILAN, ARTHUR CATANGHALAN OBANDO MANILA - - 58,376.58 58,376.58
7-Jan-19 19-4171 GATCHE, LOLITA PANGHULO OBANDO MANILA - - 145,331.29 145,331.29
7-Jan-19 19-4172 BERMAS, GILBERT LANGKAAN II DASMARIÑAS CAVITE - - 20,460.12 20,460.12
7-Jan-19 19-4173 ORTEGA, DAISY BRGY. 338 STA CRUZ MANILA - 1,620.00 - 1,620.00
7-Jan-19 19-4174 LOBA, ESTERLITA PANGAKO ST. BAGONG BARIO CALOOCAN - 130.00 - 130.00
7-Jan-19 19-4175 LEGASPI, PRINCESS EUNICE BRGY. PANDAYAN MEYCAUYAN BULACAN - 500.00 - 500.00
7-Jan-19 19-4176 BORELA, JENNO 32 DAGAT ST. MANRESA QUEZON CITY - 500.00 - 500.00
7-Jan-19 19-4177 PEREZ, MA. KATHRINA BRGY. V MARIA CLARA QUEZON CITY 1,428.00 - - 1,428.00
7-Jan-19 19-4178 DATO, RENZO ALFONSO ST. TONDO MANILA - - 2,460.56 2,460.56
7-Jan-19 19-4179 ITUM, MARIA MERLINDA GEN LUNA BAYAN BAYANAN MALABON - - 15,355.56 15,355.56
7-Jan-19 19-4180 VALLEJO, GINALYN CARISSA CJDM BULACAN 1,080.60 - - 1,080.60
7-Jan-19 19-4181 CORTEZA, MA LUZ MAGSAYSAY ST TONDO MANILA 90.50 - 530.00 620.50
7-Jan-19 19-4182 ISANAN, OSCAR LIBIS BAESA CALOOCAN CITY - - 592.00 592.00
7-Jan-19 19-4183 PAYNA, GLORIA GRANATE ST BRGY 776 STA ANA MANILA - - 592.00 592.00
7-Jan-19 19-4184 GUARDO, MARCO LOPE DE VEGA ST STA CRUZ MANILA - - 400.33 400.33
7-Jan-19 19-4185 BESONIA, PABLO AREA D PAROLA TONDO MANILA - - 965.50 965.50
7-Jan-19 19-4186 SISMUNDO, MARIFE ANAKBAYAN BRGY PALTOK QUEZON CITY - - 836.00 836.00
7-Jan-19 19-4187 ABARING, ELEANOR BATO EXT RAXABAGO TONDO MANILA 2,340.00 - - 2,340.00
7-Jan-19 19-4188 ANDO, APOLINARIO PALAWAN ST SAMPALOC MANILA 2,113.50 - - 2,113.50
13-Jan-19 19-4189 ORBE, SHIELA MAY BALINTAWAK ST TONDO MANILA 1,107.85 - 530.00 1,637.85
7-Jan-19 19-4190 NERVAR, MANUELITO CRUZ ST SAMPALOC MANILA 714.00 - - 714.00
7-Jan-19 19-4191 SILORIO, MAYLINE KABULUSAN CALOOCAN CITY - - 3,070.00 3,070.00
7-Jan-19 19-4192 EREZO, ROMINA MAY MORIONES ST TONDO MANILA - - 432.73 432.73
7-Jan-19 19-4193 FLORES, RACHILLE COREHOUSE BANCAL CARMONA CAVITE - - 815.77 815.77
7-Jan-19 19-4194 MONTOJO, ANN MAYETTE CASTILLO ST CALOOCAN CITY - - 1,060.00 1,060.00
7-Jan-19 19-4195 GUIAO, FLORENTINO STA RITA MINALI PAMPANGA 887.25 - 530.00 1,417.25
7-Jan-19 19-4196 CRUCILLO, MARVIN ADRIANMABINI ST MENDEZ CAVITE - 810.00 - 810.00
7-Jan-19 19-4197 PERALTA, EMILY AMBAT AMADEO CAVITE - - 756.20 756.20
7-Jan-19 19-4198 SOLOMON, MARY JOY BRGY RAWIS LAOANG NORTHERN SAMAR - 1,200.00 - 1,200.00
7-Jan-19 19-4199 REGINO, VILMA PASONG BAYONG DASMARIÑAS CAVITE 619.70 - - 619.70
7-Jan-19 19-4200 PETRAS, PAMELA DENISE ALUPIHAN DAGAT ST LONGOS MALABON - 130.00 - 130.00
7-Jan-19 19-4201 NUFABLE, ROMEO NORTH BAY BLVD NAVOTAS CITY 487.50 - - 487.50
7-Jan-19 19-4202 FLORES, EVANGELINE ALMEDA ST TONDO MANILA 1,006.50 - - 1,006.50
7-Jan-19 19-4203 ZAPANTA, LETICIA PAMASAWATA DAGAT DAGATAN CALOOCAN630.00 - - 630.00
7-Jan-19 19-4204 MANASIS, JUANCHO TENORIO ST STA ANA MANILA 859.50 - - 859.50
7-Jan-19 19-4205 CAJAPAY, ALFREDO BUSTOS CALOOCAN CITY 288.50 - - 288.50
7-Jan-19 19-4206 DELA CRUZ, MARIEL SAN BERNARDO ST STA CRUZ MANILA 5,896.50 1,500.00 - 7,396.50
7-Jan-19 19-4207 BRIONES, MICHAEL TAMBAKAN ST MAYPAJO CALOOCAN 1,560.00 - - 1,560.00
Page 69
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
7-Jan-19 19-4208 SIAZON, NONILON TALABA II BACOOR CAVITE 2,340.00 - - 2,340.00
7-Jan-19 19-4209 MASANGKAY, VIOLETA ALMEDA ST TONDO MANILA 795.00 - - 795.00
7-Jan-19 19-4210 REYES, EFREN SAN VICENTE STA MARIA BULACAN 878.70 - - 878.70
7-Jan-19 19-4211 YU, EDGAR COPANG ANTIPOLO RIZAL 286.00 - - 286.00
7-Jan-19 19-4212 CAJAYON, ROMULFO DAGUPAN EXT TONDO MANILA 2,340.00 - - 2,340.00
7-Jan-19 19-4213 EDILLOR, MARILOU MARTINIKO ST LONGOS MALABON CITY 145.50 - - 145.50
7-Jan-19 19-4214 GREGORIO, MANOLO ZAMORA ST TONDO MANILA 429.00 - - 429.00
7-Jan-19 19-4215 SARILE, ROSARIO BRGY TABON 1 KAWIT CAVITE - - 14,761.06 14,761.06
7-Jan-19 19-4216 BONTIA, SONIA SALMON DAGAT DAGATAN CALOOCAN CITY - 1,200.00 - 1,200.00
7-Jan-19 19-4217 RIVERA, ROMEO MORIONES ST TONDO MANILA - - 633.09 633.09
7-Jan-19 19-4218 MONTECALVO, TIBURCIO ALMEDA ST TONDO MANILA - 960.00 - 960.00
7-Jan-19 19-4219 MONTECALVO, TIBURCIO ALMEDA ST TONDO MANILA - 1,200.00 - 1,200.00
7-Jan-19 19-4220 VIRAY, SHAYNE BRGY VETERANS VILL QUEZON CITY - 7,800.00 - 7,800.00
7-Jan-19 19-4221 VIRAY, SHAYNE BRGY VETERANS VILL QUEZON CITY 2,340.00 - - 2,340.00
7-Jan-19 19-4222 MASULA, ROSITA MENDEZ BAESA QUEZON CITY 714.00 - - 714.00
7-Jan-19 19-4223 MANGAHAS, MYRNA JUAN LUNA ST TONDO MANILA 714.00 - - 714.00
7-Jan-19 19-4224 BRON, EDITHA LETRE TONSUYA MALABON 314.25 - - 314.25
7-Jan-19 19-4225 BAUTISTA, FERNANDO KAUNLARAN TIBIG SILANG CAVITE 2,340.00 - - 2,340.00
7-Jan-19 19-4226 BANTIGUE, ERICH BRGY 148 CALOOCAN CITY - 1,200.00 - 1,200.00
7-Jan-19 19-4227 BOCAL, ROMEO BRGY 178 CALOOCAN CITY 847.50 - - 847.50
7-Jan-19 19-4228 PIDO, PLACER BRGY 377 STA CRUZ MANILA 162.50 - - 162.50
8-Jan-19 19-4229 CUSTODIO, AMADO ANTIPOLO ST STA CRUZ MANILA 949.50 - - 949.50
8-Jan-19 19-4230 PEÑARANDA, TERESITA OROSCO ST MAPULANG LUPA VALENZUELA549.00 - - 549.00
8-Jan-19 19-4231 NAQUIMA, RHODORA AQUINO ST SANGANDAAN CALOOCAN 6,942.00 - - 6,942.00
8-Jan-19 19-4232 BALOIS, JHOAN DE CASTRO ST STA QUITERIA CALOOCAN - 1,200.00 - 1,200.00
8-Jan-19 19-4233 CAMPOS, MARIA REBECCA EAXABAGO ST TONDO MANILA - - 2,350.00 2,350.00
8-Jan-19 19-4234 TAN, MERCY DOROTEO JOSE ST STA CRUZ MANILA - - 1,984.55 1,984.55
8-Jan-19 19-4235 GILBUENA, LORENZO LUIZ APAHAP ST NAVOTAS CITY - - 1,870.57 1,870.57
8-Jan-19 19-4236 SERRANO, LOURDES AGONCILLO ST JACINTO RIZAL BATANGAS 350.00 - - 350.00
8-Jan-19 19-4237 AMAGAN, MARILYN KAUNLARAN VILL CALOOCAN CITY - 1,080.00 - 1,080.00
8-Jan-19 19-4238 FAUSTO, RICARDO PINEAPPLE RD POTRERO MALABON 949.50 - - 949.50
8-Jan-19 19-4239 SILVA, FLORDELIZA LAPERA ST HERBOSA TONDO MANILA - 4,140.00 - 4,140.00
9-Jan-18 19-4240 BULASO, ALADINO FABELLA ST MAPULANG LUPA VALENZUELA - 1,200.00 - 1,200.00
8-Jan-19 19-4241 BORLONGAN, SOLEDAD SAN DIEGO ST SAMPALOC MANILA 1,802.00 - - 1,802.00
1-Feb-19 19-4242 HADUCA, RAYMOND HILLSIDE VILL UGONG VALENZUELA 369.00 - - 369.00
4-Jan-19 19-4243 SERASPI, JULITA QUIRICADA ST STA CRUZ MANILA 1,107.85 - - 1,107.85
4-Jan-19 19-4244 DATILES, MILDRED HALCON ST LALOMA QUEZON CITY 1,608.80 - - 1,608.80
9-Jan-19 19-4245 LABASBAS, MARIO LETRE TONSUYA MALABON - 1,200.00 - 1,200.00
9-Jan-19 19-4246 SANTOS, MARITES BRGY BATIA BOCAUE BULACAN 288.00 - - 288.00
4-Jan-19 19-4247 ESPINAS, WILFREDO MALAGASANG IMUS CAVITE 6,942.00 - - 6,942.00
10-Jan-18 19-4248 MERCADO, RENATO TAGAYTAY ST CALOOCAN CITY - 500.00 - 500.00
10-Jan-19 19-4249 MAYLAS, NASH ANDREW QUIRINO ST TONDO MANILA - 325.00 - 325.00
7-Jan-19 19-4250 FERRER, SALVACION HEROES DEL DM COMP CALOOCAN - 1,800.00 - 1,800.00
3-Jan-19 19-4251 FERMIN, RAMIL 7TH AVE TANDANG SORA ST CALOOCAN - - 14,840.08 14,840.08
8-Jan-19 19-4252 BADINAS, ABIGAIL NDC COMP STA MESA MANILA - - 12,582.98 12,582.98
9-Jan-19 19-4253 TOTING, CEDRICK BRGY BANAL BAGONG BARRIO CALOOCAN - - 221.90 221.90
4-Jan-19 19-4254 LACSON, AMELIA HUMALAN ST BRGY 103 TONDO MANILA 190.50 - - 190.50
3-Jan-19 19-4255 DE LEON, RICAMILE PABLE STATE STA ANA MANILA - - 969.50 969.50
3-Jan-19 19-4256 MAHILUM, MERLIN HAPPYLAND TONDO MANILA - - 949.49 949.49
4-Jan-19 19-4257 ALVIZ, SUSAN DOSCASTILLAS ST SAMPALOC MANILA - - 16,986.44 16,986.44
4-Jan-19 19-4258 SOMBICE, JENNIFER APOLONIO SAMSON KAINGIN QUEZON - - 2,120.34 2,120.34
4-Jan-19 19-4259 TAYOTO, PRESCY MALIGAYA PARK NOVALICHES QUEZON CITY - - 1,002.04 1,002.04
4-Jan-19 19-4260 LIWANAG, JERICHO TORRES BUGALLON TONDO MANILA - - 8,945.77 8,945.77
6-Jan-19 19-4261 RAVIDA, RONA PILAPIL CATMON MALABON - - 3,225.48 3,225.48
1-Jan-19 19-4262 MARATAS, BENJAMEN AVOCADO ST BAGBAGUIN VALENZUELA - - 63.01 63.01
1-Jan-19 19-4263 SATSATIN, ELISEO ST JOSEPH STO TOMAS BIÑAN LAGUNA - - 10.15 10.15
11-Jan-19 19-4264 ORTIZ, ANALYN LUPA ST QUEZON CITY 737.10 - - 737.10
11-Jan-19 19-4265 ESPIRITU, LEILANIE CAPALANGAN APALIT PAMPANGA 546.00 - - 546.00
11-Jan-19 19-4266 SATURNINO, SAMUEL TAMBUNTING ST STA CRUZ MANILA - - 530.00 530.00
11-Jan-19 19-4267 LEYTE, GARNET BRGY PRENZA ST II MARILAO BULACAN 167.45 - - 167.45
11-Jan-19 19-4268 DELOS REYES, LYDIA BRGY 164 DAGUPAN TONDO MANILA 3,744.00 - - 3,744.00
Page 70
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
11-Jan-19 19-4269 BACCAY, DANILO MARULAS ST CALOOCAN CITY 714.00 - - 714.00
11-Jan-19 19-4270 VALLOSO, ANSELMO MASINOP ST TONDO MANILA 949.50 - - 949.50
11-Jan-19 19-4271 YALUNG, ESTANISLAO LUPA ST MAYPAJO CALOOCAN 714.40 - - 714.40
11-Jan-19 19-4272 OSORIO, LOVELIE LICO ST TONDO MANILA 2,340.00 - - 2,340.00
11-Jan-19 19-4273 VALDEZ, ROMEO SAPPHIRE ST TONDO MANILA 200.20 - - 200.20
11-Jan-19 19-4274 PALMA, MARLOU SANTAN ST MARULAS CALOOCAN 714.00 - - 714.00
11-Jan-19 19-4275 ORBISO, MELY GRACE GARCIA ST MORIONES TONDO MANILA - - 1,074.13 1,074.13
11-Jan-19 19-4276 MACATUMBAS, MARCELO DALAGANG BUKID NBBS NAVOTAS - - 3,069.99 3,069.99
11-Jan-19 19-4277 LUZ, MILAGROS DELA CRUZ ST VALENZUELA - 1,200.00 - 1,200.00
11-Jan-19 19-4278 DANES, EULANDO BLK 4 CATMON MALABON CITY 491.40 - - 491.40
11-Jan-19 19-4279 YUQUE, LINDA REGALADO DRIVE FAIRVIEW QUEZON - - 1,431.27 1,431.27
1-Oct-18 19-4280 AHMAD, MARY JOY BRGY ALABANG MUNTINLUPA CITY - 1,235.00 - 1,235.00
1-Oct-18 19-4281 DENSE, IRENE JANE BRGY 176 BAGONG SILANG CALOOCAN CITY - 1,045.00 - 1,045.00
2-Oct-18 19-4282 VENTURA, BONIFACIO IMMAYOS NORTE SAN JUAN ILOCOS SUR - 1,235.00 - 1,235.00
2-Oct-18 19-4283 DE LEON, LETECIA ASUNCION ST MORNING BREEZA CALOOCAN CITY- 1,235.00 - 1,235.00
2-Oct-18 19-4284 CARBUNGCO, AURORA BRGY 95 TONDO MANILA - 1,045.00 - 1,045.00
1-Oct-18 19-4285 SANTOSIDAD, JOCELYN BLK 26 LOT 9 NORTH VILLE LAMBAKIN MARILAO BULACAN - 1,045.00 - 1,045.00
4-Oct-18 19-4286 TABUZO, RUBIELYN SAN AGUSTIN III DASMARINAS CAVITE - 1,235.00 - 1,235.00
4-Oct-18 19-4287 PAGDILAO, TERESITA 139 CAMIA ST TONDO MANILA - 1,235.00 - 1,235.00
4-Oct-18 19-4288 ESTARIZ, PELITA 10 TH AVENUE GRACE PARK CALOOCAN CITY - 820.00 - 820.00
5-Oct-18 19-4289 MALLARI, FLORDELIZA 151 SELECTA DRIVE BALINTAK QUEZON CITY - 1,235.00 - 1,235.00
5-Oct-18 19-4290 TEJADA, DEBBY BRGY. PALMERA SAN JOSE BULACAN - 820.00 - 820.00
8-Oct-18 19-4291 POLICAR, HERMINIO 16 MARSELLA ST BAGBAG 1 ROSARIO CAVITE - 1,235.00 - 1,235.00
10-Oct-18 19-4292 BERNALDEZ, LORNA 27 TAMPAY II MARULAS VALENZUELA CITY - 2,500.00 - 2,500.00
11-Oct-18 19-4293 BAROLA, MOISES LAMATAN BALARYAN BATANGAS - 2,880.00 - 2,880.00
12-Oct-18 19-4294 CANDARE, LEONORA BLK 57 LOT 15 DAGAT DAGATAN CALOOCAN CITY - 2,500.00 - 2,500.00
17-Oct-18 19-4295 PANTALUNAN, JOSE RODRIGUES SAN ANTONIO 17 DOMINGO SFDM BULACAN - 2,500.00 - 2,500.00
17-Oct-18 19-4296 BULANDRES, ROGELIO LONGOS MALOLOS BULACAN - 2,500.00 - 2,500.00
17-Oct-18 19-4297 VIÑAS, VIGINIA BRGY. 12 CALOOCAN CITY - 2,350.00 - 2,350.00
17-Oct-18 19-4298 DEL MONTE, ESTER SOUTHVILLE 3 POBLACION MUNTINLUPA CITY - 2,500.00 - 2,500.00
17-Oct-18 19-4299 SANTOSIDAD, JOCELYN BLK 26 LOT 9 LAMBAKIN MARILAO BULACAN - 820.00 - 820.00
19-Oct-18 19-4300 AQUINO, LORNA 6 DAHLIA ST BRGY. ROXAS QUEZON CITY - 1,235.00 - 1,235.00
24-Oct-18 19-4301 MIANA, LEILANI BLK 14 LOT 36 TIERRA BAITA SUBD SAN JOSE DEL MONTE BULACAN - 990.00 - 990.00
23-Oct-18 19-4302 MATA, MIECHEL BRGY, TRES CRUSES TANZA CAVITE - 1,235.00 - 1,235.00
25-Oct-18 19-4303 ANDRES. WILMA BRGY SAN ISIDRO QUEZON CITY - 2,500.00 - 2,500.00
24-Oct-18 19-4304 CAMASIS, CASIMIRA 287 10TH AVENUE GRACE PARK CALOOCAN CITY - 5,105.00 - 5,105.00
26-Oct-18 19-4305 RAMOS, RULITA 245 PAMPANGA ST TONDO MANILA - 2,500.00 - 2,500.00
15-Nov-18 19-4306 LEUTERIO, GLORIA SALVACION ST TONDO MANILA - 740.00 - 740.00
15-Nov-18 19-4307 BERNALES, IRENE MAPULANG LUPA VALENZUELA CITY - 530.00 - 530.00
15-Nov-18 19-4308 MIGUELIN, MELANIE WEST FAIRVIEW QUEZON CITY - 1,235.00 - 1,235.00
15-Nov-18 19-4309 SANTIAGO, MELBA VARONA ST. TONDO MANILA - 740.00 - 740.00
15-Nov-18 19-4310 TORREON, ROWENA 335 BMBA 5TH AVENUE CALOOCAN CITY - 740.00 - 740.00
15-Nov-18 19-4311 MENDEZ, RENSON PERMANENT HOUSING TONDO MANILA - 530.00 - 530.00
15-Nov-18 19-4312 GUIAM, CARLO JHONE BRGY. 374 STA CRUZ MANILA - 360.00 - 360.00
15-Nov-18 19-4313 BAUTISTA, ALEXIS ANNE 1933 TIOCO ST TONDO MANILA - 1,060.00 - 1,060.00
15-Nov-18 19-4314 GAVINA, ROSALINDA 2167 ISABELO DELOS REYES TONDO - 740.00 - 740.00
15-Nov-18 19-4315 RAMIREZ, MERIAM LARDIZABAL ST. SAMPALOC MANILA - 740.00 - 740.00
15-Nov-18 19-4316 SIOSON, PILIPINAS CASTRO ST. MALINTA VALENZUELA CITY - 1,235.00 - 1,235.00
15-Nov-18 19-4317 RUSIA, SOLEDAD BRGY. HOLY SPIRIT QUEZON CITY - 1,235.00 - 1,235.00
15-Nov-18 19-4318 REYES, MYNA GAGALANGIN TONDO MANILA - 530.00 - 530.00
19-Nov-18 19-4319 PALOYO, ABSALON BRGY. 118 TONDO MANILA - 2,000.00 - 2,000.00
19-Nov-18 19-4320 CEDERIA, HILDA YUSECO ST. STA CRUZ MANILA - 1,630.00 - 1,630.00
19-Nov-18 19-4321 BAMBICO, ROSALINDA NORTH BAY NAVOTAS CITY - 246.00 - 246.00
19-Nov-18 19-4322 ASTROLOGIA, JERRY SANCHEZ MIRA CAGAYAN - 740.00 - 740.00
19-Nov-18 19-4323 ALVARAN, CARMELITA BRGY. 60 CALOOCAN CITY - 2,520.00 - 2,520.00
19-Nov-18 19-4324 IBAO, JHONY EMMANUEL JASMIN PINAGBUHATAN PASIG CITY - 210.00 - 210.00
19-Nov-18 19-4325 ENRIQUEZ, MARINA BRGY. 60 CALOOCAN CITY - 1,425.00 - 1,425.00
19-Nov-18 19-4326 BURAC, IMELDA GEN . GERMINO ST. CALOOCAN CITY - 530.00 - 530.00
19-Nov-18 19-4327 LOPEZ, ERNESTO ABAD SANTOS BRGY. 226 TONDO MANILA - 740.00 - 740.00
19-Nov-18 19-4328 AURE, DELFIN HULONG DUHAT MALABON CITY - 530.00 - 530.00
19-Nov-18 19-4329 EDPALINA, MYRNA MARKET 3 NBBN NAVOTAS CITY - 570.00 - 570.00
Page 71
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
19-Nov-18 19-4330 NEPOMUCENO, FLORDELIZA BRGY. 555 SAMPALOC MANILA - 210.00 - 210.00
19-Nov-18 19-4331 SEMIC, GENOVEVA STO NIÑO ST MORIONES TONDO MANILA - 530.00 - 530.00
19-Nov-18 19-4332 RAMIREZ, HELEN 438 PAKIUSAP ST STA CRUZ MANILA - 740.00 - 740.00
16-Nov-18 19-4333 TESORO, NOEL MEYCAUAYAN II, MARILAO BULACAN - 720.00 - 720.00
16-Nov-18 19-4334 DEMCO, DELIA POTRERO MALABON CITY - 915.00 - 915.00
16-Nov-18 19-4335 JARDIEL, TERESITA BRGY. ISABANG TAYABAS QUEZON PROVINCE - 1,975.00 - 1,975.00
16-Nov-18 19-4336 MAGTIBAY, EDGARDO MASAMBONG SAN FRANCISCO QUEZON CITY - 210.00 - 210.00
16-Nov-18 19-4337 GRIMALDO, FELY AMPARO CAPRI NOVALICHES QUEZON CITY - 900.00 - 900.00
16-Nov-18 19-4338 IGNACIO, ALPHA GELLINE SUB-URBAN RODRIGUEZ RIZAL - 490.00 - 490.00
16-Nov-18 19-4339 ROMINEZ, MIKAELA JOY BRGY. NBBS NAVOTAS CITY - 650.00 - 650.00
16-Nov-18 19-4340 PENIZ, MARIA RODESSA 842 ANGALO ST BINONDO MANILA - 1,885.00 - 1,885.00
16-Nov-18 19-4341 SERRANO, JOSE CAPOAS ST MASAMBANG QUEZON CITY - 570.00 - 570.00
16-Nov-18 19-4342 GASPAR, MA. JEANDRA LORETO ST. SAMPALOC MANILA - 570.00 - 570.00
16-Nov-18 19-4343 PLATERO, AVELINA BRGY. PARAISO QUEZON CITY - 570.00 - 570.00
16-Nov-18 19-4344 LEGASPI, ERLINDA TAMBUNTING ST. STA CRUZ MANILA - 210.00 - 210.00
16-Nov-18 19-4345 SANTOS, ROSA 167 AVOLADO ST STA RITA OLONGAPO CITY - 3,300.00 - 3,300.00
16-Nov-18 19-4346 AQUINO, EVELYN BRGY. 222 TONDO MANILA - 740.00 - 740.00
16-Nov-18 19-4347 SERVANO, JOHN DAVE NBBS NAVOTAS CITY - 530.00 - 530.00
16-Nov-18 19-4348 MASE, LUCILA IMELDA ST. SAN PEDRO LAGUNA - 360.00 - 360.00
16-Nov-18 19-4349 TRAMBULO, CESAR BINAKAYAN KAWIT CAVITE - 740.00 - 740.00
16-Nov-18 19-4350 ABELLA, MARILOU SOLIS ST BRGY. 165 TONDO MANILA - 740.00 - 740.00
16-Nov-18 19-4351 CONSERMAN, ERIC BRGY. 105 TONDO MANILA - 740.00 - 740.00
16-Nov-18 19-4352 BARCELONA, NORMITA BRGY. 8 DAGAT DAGATAN CALOOCAN CITY - 570.00 - 570.00
16-Nov-18 19-4353 VALINO, ROLANDO BRGY. 93 TONDO MANILA - 530.00 - 530.00
16-Nov-18 19-4354 SAPIERA, ERNESTO 513 ZABALA ST LONGOS MALABON CITY - 530.00 - 530.00
16-Nov-18 19-4355 PINCA, ULDAR BRGY. 8 CALOOCAN CITY - 360.00 - 360.00
16-Nov-18 19-4356 TORRES, MA.CRISTINA BRGY. DAMAYAN SFDM QUEZON CITY - 740.00 - 740.00
16-Nov-18 19-4357 VELASQUEZ, MILDRED SANTOS MALIBAY PASAY CITY - 895.00 - 895.00
16-Nov-18 19-4358 CAMONGOL, CHRISTINA BRGY. BUKANDALA IMUS CAVITE - 210.00 - 210.00
19-Nov-18 19-4359 CRUZ, ADELAIDA PACO OBANDO BULACAN - 740.00 - 740.00
19-Nov-18 19-4360 MASANGKAY, VIOLETA ALMEDA ST TONDO MANILA - 740.00 - 740.00
19-Nov-18 19-4361 DELOS REYES, PETER BRGY. STO DOMINGO QUEZON CITY - 570.00 - 570.00
19-Nov-18 19-4362 BUNDOC, DOLORA PANDAY PERA ST TONDO MANILA - 740.00 - 740.00
19-Nov-18 19-4363 GLIPO, SALVADOR R.A REYES ST. TONDO MANILA - 530.00 - 530.00
19-Nov-18 19-4364 GREGANDA, ELENA GANDAVILLA STA ROSA LAGUNA - 3,000.00 - 3,000.00
19-Nov-18 19-4365 CASTILLO, ARREN FRIA SAN AGUSTIN IBAAN BATANGAS - 570.00 - 570.00
19-Nov-18 19-4366 CENA, ROMUALDO SITE BOULEVARD LUCENA CITY - 570.00 - 570.00
15-Nov-18 19-4367 VINZON, SESINANDO ANACLETO ST STA CRUZ MANILA - 570.00 - 570.00
19-Nov-18 19-4368 YAWN, JAZZMINE BRGY. BAGTAS TANZA CAVITE - 990.00 - 990.00
19-Nov-18 19-4369 BARQUIN, JUAN BRGY. SAN AGUSTIN MALABON CITY - 570.00 - 570.00
19-Nov-18 19-4370 REMEGIO, ANTONIO BRGY. 73 CALOOCAN CITY - 740.00 - 740.00
19-Nov-18 19-4371 SALVANERA, NELIA BRGY. CENTRAL BICUTAN TAGUIG - 740.00 - 740.00
19-Nov-18 19-4372 UGALE, RICARDO BAGONG BARRIO CALOOCAN CITY - 570.00 - 570.00
19-Nov-18 19-4373 LIBONAO, RITA BRGY. 22 TALANGKA ST. CALOOCAN CITY - 570.00 - 570.00
19-Nov-18 19-4374 BURGOS, ORDEZA KATAMARAN EXT TONDO MANILA - 210.00 - 210.00
19-Nov-18 19-4375 ORING, LUCIO DON SIMEON ST MAPULANG LUPA VALENZUELA - 530.00 - 530.00
19-Nov-18 19-4376 MARQUEZ, FRANCISCA VILLA APOLONIA NAIC CAVITE - 230.00 - 230.00
19-Nov-18 19-4377 LIVETA, RUBHIE ROSE LIBIS BAESA CALOOCAN CITY - 530.00 - 530.00
19-Nov-18 19-4378 BUENAVENTURA, FELY TECSON ST. TONDO MANILA - 740.00 - 740.00
19-Nov-18 19-4379 REYES, JOSEPHINE TINEJEROS MALABON CITY - 740.00 - 740.00
19-Nov-18 19-4380 PONTECILLA, MAY SANTAN ST. TAGALAG VALENZUELA CITY - 740.00 - 740.00
19-Nov-18 19-4381 ACLA, RODOLFO SAN JOSE OCCIDENTAL MINDORO - 210.00 - 210.00
20-Nov-18 19-4382 ABALOS, SATURNINO SULU ST STA CRUZ MANILA - 530.00 - 530.00
15-Nov-18 19-4383 DAGUIL, FLORIFE UGONG VALENZUELA CITY - 740.00 - 740.00
20-Nov-18 19-4384 FORONDA, LOURDES TUMARIZ ST TUGATOG MALABON CITY - 740.00 - 740.00
20-Nov-18 19-4385 DELA CRUZ, REYMEL V GONZALES ST. SABANG BULACAN - 570.00 - 570.00
20-Nov-18 19-4386 SEPONTOS, ROSEVELLA BRGY. YAKAL SILANG CAVITE - 7,800.00 - 7,800.00
18-Nov-18 19-4387 LABIÑA, LOUIEGIE ZAMORA ST. TONDO MANILA - 530.00 - 530.00
19-Nov-18 19-4388 DEGAMO, ROSEMARIE 1856 M. HIZON ST STA CRUZ MANILA - 740.00 - 740.00
19-Nov-18 19-4389 BORBIGDAN, CLARISSA BRGY. SAN LUIS ANTIPOLO CITY - 530.00 - 530.00 22-Nov-18 19-4390 MARISTELA, MELENCIA SAN NICOLAS BATANGAS - 740.00 - 740.00
22-Nov-18 19-4391 CABALLES, JEMELLE MIDIAN ST TOWN AND COUNTY DASMA CAVITE - 5,500.00 - 5,500.00
Page 72
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
20-Nov-18 19-4392 PANISA, NILDA MALIGAYA ST KAHILOM PANDACAN MANILA - 740.00 - 740.00
20-Nov-18 19-4393 AQUINO, MARITES RIZAL AVE STA. CRUZ MANILA - 360.00 - 360.00
20-Nov-18 19-4394 PAJANILLA, WILMAR SAN JOSE NUEVA ECIJA - 530.00 - 530.00
20-Nov-18 19-4395 BUENAVENTURA, DOMINGO 5TH AVENUE EAST GRACE PARK CALOOCAN CITY - 740.00 - 740.00
20-Nov-18 19-4396 ADOLFO, JASMINE 271 MARULAS A CALOOCAN CITY - 360.00 - 360.00
20-Nov-18 19-4397 GARCIA, EMMA BRGY. STO. NIÑO MARIKINA CITY - 740.00 - 740.00
20-Nov-18 19-4398 GAON, JUSTACIO GSIS HILLS SUB PALIPPA CALOOCAN CITY - 210.00 - 210.00
20-Nov-18 19-4399 DELA CRUZ, DANILO BRGY. 246 TONDO MANILA - 740.00 - 740.00
20-Nov-18 19-4400 CASTILLO, JENNIFER AGUINALDO TRECE MARTINEZ CAVITE - 740.00 - 740.00
20-Nov-18 19-4401 DULFO, MA. PERLITA BRGY. HABAY BACOOR CAVITE - 740.00 - 740.00
20-Nov-18 19-4402 FLORES, DOREEN BRGY. 193 TONDO MANILA - 740.00 - 740.00
20-Nov-18 19-4403 NOLASCO, TIMOTEO STA. MARIA LAGUNA - 530.00 - 530.00
20-Nov-18 19-4404 BABARAN, DIOSCORO BRGY. 251 TONDO MANILA - 210.00 - 210.00
20-Nov-18 19-4405 ESPIRITU, CORAZON BRGY. WAWA NAVOTAS CITY - 740.00 - 740.00
20-Nov-18 19-4406 FLORES, JULIETA RAXABAGO ST. TONDO MANILA - 1,610.00 - 1,610.00
20-Nov-18 19-4407 CASTRO, FERMINA BRGY. PANGHULO MALABON CALOOCAN CITY - 740.00 - 740.00
21-Nov-18 19-4408 LUGTU, CONCHITA LIAS MARIA MARILAO BULACAN - 2,365.00 - 2,365.00
21-Nov-18 19-4409 GONZAGA, DOMAINA BRGY. LOMNGOS MALABON CITY - 530.00 - 530.00
21-Nov-18 19-4410 MASAMOC, JESSE BRGY. G ALINO DIMASALANG MASBATE - 740.00 - 740.00
21-Nov-18 19-4411 LOPEZ, MERIAM DEL PILAR TUGATOG MALABON CITY - 210.00 - 210.00
21-Nov-18 19-4412 LAURENA, JHON JHON BRGY. AYA TALISAY BATANGAS - 360.00 - 360.00
21-Nov-18 19-4413 CABODBOD, MELISA CANUMAY WEST VALENZUELA CITY - 770.00 - 770.00
21-Nov-18 19-4414 ESPINOSA , CARLITO BRGY. MAGUBAS BURAWIN LEYTE - 740.00 - 740.00
21-Nov-18 19-4415 PRANADA, RIZALITA BRGY. 545 SAMPALOC MANILA - 1,235.00 - 1,235.00
21-Nov-18 19-4416 ARBAS, THELMA BRGY. 439 SAMPALOC MANIL A - 740.00 - 740.00
21-Nov-18 19-4417 DE CASTRO, VIVIAN SAN JUAN FLOODWAY CAINTA RIZAL - 210.00 - 210.00
21-Nov-18 19-4418 GALIDO, IGNACIA LAMBAKIN MARILAO BULACAN - 570.00 - 570.00
21-Nov-18 19-4419 LOPEZ, ENRIQUE BRGY. 77 PASAY CITY - 2,300.00 - 2,300.00
21-Nov-18 19-4420 PUA, MYRNA BRGY. COMMONWEALTH QUEZON CITY - 1,060.00 - 1,060.00
21-Nov-18 19-4421 CALLEJA, CONNIE BRGY. BUROL II DASMARINAS CAVITE - 570.00 - 570.00
21-Nov-18 19-4422 PLASTICO, ROGENA PASAY CITY - 940.00 - 940.00
1-Jan-19 19-4423 SOLDEVILLA, ELIZABETH FLORANTE ST BALAGTAS LAS PIÑAS CIT - - 8,440.65 8,440.65
11-Jan-19 19-4424 PEÑA, ROWENA MEDINA ST GTDL VALENZUELA - - 530.00 530.00
11-Jan-19 19-4425 PARUNGAO, ANITA JACINTO ST CONCEPCION MALABON - - 1,950.00 1,950.00
11-Jan-19 19-4426 AMPALO, DULCY PHASE 3 CALOOCAN CITY - - 470.00 470.00
11-Jan-19 19-4427 QUIJANO, JOYME KATAMANAN ST TONDO MANILA - - 1,198.23 1,198.23
11-Jan-19 19-4428 ARRIETA, CRISTELYN BRONCE TUGATOG MALABON CITY - - 1,346.77 1,346.77
11-Jan-19 19-4429 GUILLERMO, BENITA CRISTOBAL ST SAMPALOC MANILA - - 540.00 540.00
11-Jan-19 19-4430 ZABALA, ANA OSORIO REPOLYO ST TONDO MANILA - - 2,559.53 2,559.53
11-Jan-19 19-4431 MARQUEZ, SOPPHIA LORAINEASUNCION EXT TONDO MANILA - - 1,060.00 1,060.00
11-Jan-19 19-4432 RONQUILLO, GERMAINE ALLYNAMALIGAYA PARK SUBD NOVALICHES QUEZON - - 3,850.15 3,850.15
11-Jan-19 19-4433 ABANCO, ARION GLEN KATIPUNAN ST BAYAN BAYANAN MALABON - - 830.70 830.70
11-Jan-19 19-4434 FALLER, JOMAR LIBIS ORTEGA ST CALOOCAN CITY - - 6,853.05 6,853.05
11-Jan-19 19-4435 ILIGAN, ANDRELO KATIPUNAN VITAS TONDO MANILA - - 530.00 530.00
12-Jan-19 19-4436 DOSAL, JOEY MILAGROSA ST BAGONG BARRIO CALOOCAN - - 496.00 496.00
12-Jan-19 19-4437 CAÑARES, NOELEN LINAMPAS ST DAGUOAN TONDO MANILA - - 1,149.86 1,149.86
12-Jan-19 19-4438 SANTOS, AIRA MAE DULONG TANGKE MALINTA VAENZUELA - - 2,350.00 2,350.00
11-Jan-19 19-4439 CELIS, DUSTIN RAE PISTA ST STA CRUZ MANILA - - 756.11 756.11
11-Jan-19 19-4440 RIO, LAILA RIZAL ST TUGATOG MALABON - - 1,153.63 1,153.63
11-Jan-19 19-4441 RONQUILLO, JORAN TALABA 6 BACOOR CAVITE - - 3,180.00 3,180.00
11-Jan-19 19-4442 CALMA, RAVEN KIANN CLEMENTE ST TONDO MANILA - - 2,305.39 2,305.39
11-Jan-19 19-4443 OFRANCIA, DANICA BRGY BUCAL TANZA CAVITE - - 2,350.00 2,350.00
11-Jan-19 19-4444 YROMA, STEPH SOUTHVILLE 9 PINOGAY BARAS RIZAL - - 2,350.00 2,350.00
11-Jan-19 19-4445 MOLINA, ARCELO CALAMBA ST TALAYAN QUEZON CITY - - 552.90 552.90
11-Jan-19 19-4446 GABILO, VECITACION SAMPAGUITA ST 11TH AVE CALOOCAN - - 1,590.00 1,590.00
11-Jan-19 19-4447 MALAN, ARKEL FRANKS CACARONG BATA PANDI BULACAN - - 2,880.00 2,880.00
11-Jan-19 19-4448 ROYO, MA ELAINE SAMBAHAYA SA RAWIS TONDO MANILA - - 7,602.78 7,602.78
11-Jan-19 19-4449 DEOCANEZA, EDUARDO SITIO BUKID RIVERSIDE SAN PEDRO LAGUNA - - 530.00 530.00
11-Jan-19 19-4450 MESA, MAY CHARLOTTE MERCEDES ST BIÑAN LAGUNA - - 14,002.90 14,002.90
11-Jan-19 19-4451 CABALLO, MA ROSAL BAUTISTA ST UGONG VALENZUELA - - 9,562.04 9,562.04
11-Jan-19 19-4452 CORTEZ, JASMINE CHARLOTTENISSAN ST SUNVALLEY PARAÑAQUE - - 2,974.71 2,974.71
Page 73
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
11-Jan-19 19-4453 MALONZO, YOLANDA OSMEÑA ST TONDO MANILA - - 530.00 530.00
11-Jan-19 19-4454 ARCE, LUNINGNING MAGTANGGOL ST MAYPAJO CALOOCAN 982.80 - - 982.80
11-Jan-19 19-4455 QUERON, JAIME KATARUNGAN ST BAGONG BARRIO CALOOCAN949.50 - - 949.50
11-Jan-19 19-4456 ARGONES, BENJAMIN LORETO SAMPALOC MANILA 714.00 - - 714.00
11-Jan-19 19-4457 CARDEÑO, MELVIN DAGAT DAGATAN CALOOCAN 1,143.00 - - 1,143.00
11-Jan-19 19-4458 MORALES, MANUEL STO NIÑO ST QUEZON 733.20 - - 733.20
11-Jan-19 19-4459 PAJARITO, ALMA PACHECO ST TONDO MANILA - 900.00 - 900.00
11-Jan-19 19-4460 ARENAS, ELENA BRGY STA TERESITA QUEZON CITY 1,014.00 - - 1,014.00
11-Jan-19 19-4461 HONDOLERO, LUZVIMINDA VICTONETA AVE POTRERO MALABON 871.00 - - 871.00
11-Jan-19 19-4462 PUNLA, ARNELIO SAN ISIDRO HAGONOY BULACAN 1,464.00 - - 1,464.00
11-Jan-19 19-4463 PIÑON, EULOGIO KUSANG LOOB ST STA CRUZ MANILA 292.50 - - 292.50
11-Jan-19 19-4464 BASILISCO, LETTY LOPE DE VEGA ST STA CRUZ MANILA 292.50 - - 292.50
11-Jan-19 19-4465 ARPON, ANNALYN RIVERSIDE MALAYAN SUBD BIÑAN LAGUNA714.00 - - 714.00
11-Jan-19 19-4466 POLINTAN, MARIO NIÑO PANDAY PIRA ST TONDO MANILA 714.00 - - 714.00
11-Jan-19 19-4467 YLAGAN, EDUARDO CAWONGAN PADRE GARCIA BATANGAS - - 13,892.96 13,892.96
11-Jan-19 19-4468 SANTOS, MILAGROS OLYMPUS SUBD KALIGAYAHAN QUEZON CITY - 250.00 - 250.00
11-Jan-19 19-4469 BALTAZAR, MA THERESA ENRIQUEZ ST PANGINAY GUIGUINTO BULACAN366.60 - - 366.60
11-Jan-19 19-4470 TABALNO, ADORACION PERFECTO ST TONDO MANILA - 2,880.00 - 2,880.00
11-Jan-19 19-4471 NATARTE, MYRA JUAN LUNA ST TONDO MANILA 195.00 - - 195.00
11-Jan-19 19-4472 LOSITO, VERONICA ILAYA ALABANG MUNTINLUPA - 900.00 - 900.00
11-Jan-19 19-4473 EPONG, DIEGO SAN ANTONIO STO TOMAS BATANGAS - - 7,574.54 7,574.54
11-Jan-19 19-4474 IDIO, DINNES MOLAVE ST BATANGAS EXT TONDO MANILA167.45 - 1,133.41 1,300.86
11-Jan-19 19-4475 MANALO, MERVIN BATONG DALIG KAWIT CAVITE 991.40 - 12,010.89 13,002.29
11-Jan-19 19-4476 VILLARANTE, JHON BRYAN ZARAGOSO ST TONDO MANILA - - 2,120.00 2,120.00
11-Jan-19 19-4477 BALUYOT, JEFFREY BRGY LUWAKAN DINALUPIHAN BATAAN - - 4,184.72 4,184.72
11-Jan-19 19-4478 BECERRO, ZEDRICK MALVAR EXT BAGONG BARRIO CALOOCAN - - 3,770.00 3,770.00
11-Jan-19 19-4479 ARGAL, ROLANDO ALGECIRAS ST SAMPALOC MANILA - - 1,308.03 1,308.03
11-Jan-19 19-4480 BINASOY, EMELINDA SITIO KABATUHAN GTDL VALENZUELA 97.50 - - 97.50
11-Jan-19 19-4481 PADUA, MA LOLITA CAVITE ST TONDO MANILA 646.50 - - 646.50
11-Jan-19 19-4482 CARAIG, MOISES LANATAN BALAYAN BATANGAS 2,340.00 - - 2,340.00
11-Jan-19 19-4483 TOLENTINO, FERNANDO SANGCIANCO ST QUEZON CITY 2,549.10 - - 2,549.10
11-Jan-19 19-4484 RESUELLO, ARTURO SANTOS ST SANTOLAN MALABON 180.00 - - 180.00
11-Jan-19 19-4485 DULDULAO, CONSORCIA ALMEDA ST TONDO MANILA 727.50 - - 727.50
11-Jan-19 19-4486 BERNARDINO, FELICIDAD CAYBIGA ST CALOOCAN CITY 987.00 - - 987.00
11-Jan-19 19-4487 VECIDA, JONATHAN BRGY SILANGANG MAYAO LUCENA 250.00 - - 250.00
11-Jan-19 19-4488 DE VERA, LILIA BRGY DAANG BUNDOK QUEZON CITY 714.00 - - 714.00
11-Jan-19 19-4489 DAYAO, GIAN LEMUEL BRGY SAN AGUSTIN BAYAN MARILAO - - 530.00 530.00
11-Jan-19 19-4490 PASTOR, CHILLER BARRIO OBRERO TONDO MANILA - - 1,270.10 1,270.10
11-Jan-19 19-4491 REALENGO, ANGELINA VARGAS ST TONDO MANILA - - 2,264.24 2,264.24
11-Jan-19 19-4492 MAGAT, ETHAN GREYSON SEVILLA ST CALOOCAN CITY - - 2,350.00 2,350.00
11-Jan-19 19-4493 LABRA, JAYLO AMARLANHAGUI ST TONDO MANILA - - 1,760.03 1,760.03
11-Jan-19 19-4494 GANANCIAL, AARON MALUPPOD URDANETA PANGASINAN - - 217.43 217.43
11-Jan-19 19-4495 GERVACIO, LUNINGNING GEN TRIAS CAVITE - - 530.00 530.00
11-Jan-19 19-4496 GUEVARA, MA RYZEL ANN RIVERA ST TONDO MANILA - - 2,651.60 2,651.60
11-Jan-19 19-4497 ALAP-AP, NELSON MOLINO 3 BACOOR CAVITE - - 1,219.39 1,219.39
11-Jan-19 19-4498 MORTA, JESUS MATA ST TONDO MANILA 547.40 - - 547.40
11-Jan-19 19-4499 MUICO, VENUS NICOLASA GEN TRIAS CAVITE - - 625.40 625.40
11-Jan-19 19-4500 OJERA, MODESTA SILENCIO ST STA MESA MANILA 549.00 - - 549.00
27-Nov-18 19-4501 DE ASIS, PETRONA SUARES ST DAANG HARI NAVOTAS - 1,060.00 - 1,060.00
27-Nov-18 19-4502 MAGAYAC, CLARITA ARTEX ST PANGHULO MALABON - 7,340.00 - 7,340.00
27-Nov-18 19-4503 PELLEJERA, MARLON BASECO PORT AREA MANILA - 740.00 - 740.00
27-Nov-18 19-4504 CASIPONG, AZARIAH SALAWAG DASMARIÑAS CAVITE - 530.00 - 530.00
27-Nov-18 19-4505 DE ASIS, MYLEN BRGY DAMAYAN LAGI QUEZON CITY - 2,315.00 - 2,315.00
27-Nov-18 19-4506 VELASQUEZ, NENITA MOLAVE ST TONDO MANILA - 730.00 - 730.00
27-Nov-18 19-4507 ARROGANTE, EMELITA JOSE ABAD SANTOS TONDO MANILA - 1,665.00 - 1,665.00
27-Nov-18 19-4508 POLIARCO, LUDIMAR GEN CONCEPCION BAGONG BARRIO CALOOCAN- 940.00 - 940.00
27-Nov-18 19-4509 CHING, HENRY BRGY 147 TONDO MANILA - 2,680.00 - 2,680.00
27-Nov-18 19-4510 SUBAN, ERLINDA PERFECTO ST TONDO MANILA - 210.00 - 210.00
27-Nov-18 19-4511 LEONGSON, JANET CRUZ TANGOS NAVOTAS CITY - 1,235.00 - 1,235.00
27-Nov-18 19-4512 VEGA, JOSEFINA GARCIA ST TONDO MANILA - 2,950.00 - 2,950.00
27-Nov-18 19-4513 MORALES, FLORENCIO SAMPAGUITA ST BAGONG BARRIO CALOOCAN - 1,325.00 - 1,325.00
Page 74
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
27-Nov-18 19-4514 CEZAR, FERDINAND JOSEFINA ST MAMBUGAN ANTIPOLO - 570.00 - 570.00
27-Nov-18 19-4515 ESTOY, CLARA BRGY 649 BASECO MANILA - 4,250.00 - 4,250.00
27-Nov-18 19-4516 MONTILLA, REYNALDO LIBIS NADURATA CALOOCAN - 570.00 - 570.00
27-Nov-18 19-4517 RAPADA, SOTERA FRANCO ST TONDO MANILA - 988.90 - 988.90
27-Nov-18 19-4518 GONZAGA, ROBERT SAN PEDRO ST BALUT TONDO MANILA - 3,100.00 - 3,100.00
27-Nov-18 19-4519 LAGUMBAY, ANTONIO ANTIPOLO VARGAS TONDO MANILA - 1,320.00 - 1,320.00
27-Nov-18 19-4520 ALFONSO, JANEZ GERONIMO ST SAMPALOC MANILA - 950.00 - 950.00
28-Nov-18 19-4521 SENGSON, MILAGROS ILANG ILANG ST TANZA NAVOTAS - 360.00 - 360.00
28-Nov-18 19-4522 ORTEGA, ESPERANZA VILLAROSA HOMES ESTRELLA SAN PEDRO LAGUNA- 740.00 - 740.00
28-Nov-18 19-4523 INES, JAYSON RODRIGUEZ HIGHWAY SAN JOSE RODRIGUEZ RIZAL- 1,195.00 - 1,195.00
28-Nov-18 19-4524 IGNACIO, NANCY STA MARIA BULACAN - 740.00 - 740.00
28-Nov-18 19-4525 BALINGCASAG, ARSENIO AREA B PAROLA BINONDO MANILA - 530.00 - 530.00
28-Nov-18 19-4526 CAMANGON, ANTONIO SAN NICOLAS ST HAGONOY BULACAN - 600.00 - 600.00
28-Nov-18 19-4527 ROSS, WILLIAM BRGY 35 MAYPAJO CALOOCAN - 210.00 - 210.00
28-Nov-18 19-4528 PAREJA, MELANIE LHINETTE HOMES BIGA TANZA CAVITE - 2,680.00 - 2,680.00
28-Nov-18 19-4529 TABERNERA, JOHN RAFAELRECUERDO ST BINONDO MANILA - 1,160.00 - 1,160.00
28-Nov-18 19-4530 LACSON, CELESTINA BRGY SAN MARTIN IV SJDM BULACAN - 1,235.00 - 1,235.00
28-Nov-18 19-4531 FALLARCUNA, KERVENZ BRGY 3 ROMBLON ROMBLON - 530.00 - 530.00
28-Nov-18 19-4532 DARIO, ENRIQUITA AREA H GATE 2 PAROLA TONDO MANILA - 580.00 - 580.00
28-Nov-18 19-4533 BERINGUEL, GILBERT PANDAY PIRA ST BAGONG BARRIO CALOOCAN - 360.00 - 360.00
28-Nov-18 19-4534 IBE, ARNOLD MILAGROSA ST BAGONG BARRIO CALOOCAN - 210.00 - 210.00
28-Nov-18 19-4535 MERCADER, NICANOR BRGY LAMBAKIN MARILAO BULACAN - 740.00 - 740.00
28-Nov-18 19-4536 MATA, ABELITA LA MESA VILL BRGY UGONG VALENZUELA - 530.00 - 530.00
28-Nov-18 19-4537 PRIMAVERA, RICARDO BRGY 89 TONDO MANILA - 740.00 - 740.00
29-Nov-18 19-4538 DE GUZMAN, NENITA CORAL JUAN LUNA TONDO MANILA - 530.00 - 530.00
29-Nov-18 19-4539 LUNA, ROSELYN BAGUMBONG DULO CALOOCAN CITY - 210.00 - 210.00
29-Nov-18 19-4540 LOR, LAUREANA DON BOSCO TONDO MANILA - 7,340.00 - 7,340.00
29-Nov-18 19-4541 DACALOS, MARIA CARMELITA BRGY. 116 TONDO MANILA - 570.00 - 570.00
29-Nov-18 19-4542 VALENCIA, ELISA KAGANDAHAN ST. GAGALANGIN TONDO MANILA - 1,985.00 - 1,985.00
29-Nov-18 19-4543 GOOCH, EVANGELINE BRGY. 379 STA CRUZ MANILA - 1,190.00 - 1,190.00
29-Nov-18 19-4544 ONG, NATIVIDAD HERBOSA ST. TONDO MANILA - 530.00 - 530.00
29-Nov-18 19-4545 LEQUIGAN, SOFIA RICA ZAPOTE LAS PINAS CITY - 620.00 - 620.00
29-Nov-18 19-4546 BORDADO, MARCELINA BIJIA CAIBUYU TANZA CAVITE - 1,235.00 - 1,235.00
29-Nov-18 19-4547 ALINGAL, ELMER BRGY. SAN AGUSTIN MALABON CITY - 530.00 - 530.00
29-Nov-18 19-4548 RAMOS, YOLANDO 1858 OROQUIETA ST. TAYUMAN MANILA - 1,455.00 - 1,455.00
29-Nov-18 19-4549 REMO, VICTORINO BRGY. 335 STA CRUZ MANILA - 210.00 - 210.00
29-Nov-18 19-4550 GUTIERREZ, LIEZEL 1501 JOSE ABAD SANTOS ARANETA TONDO MANILA - 210.00 - 210.00
29-Nov-18 19-4551 MAATUBANG, ALLAN PORT AREA BRGY. 50 MANILA - 2,770.00 - 2,770.00
29-Nov-18 19-4552 BONITE, ROLANDO CONCEPCION AGUILA ST QUIAPO MANILA - 770.00 - 770.00
29-Nov-18 19-4553 SINAG, CAROLINA NEW ATIPOLO ST TONDO MANILA - 1,875.00 - 1,875.00
29-Nov-18 19-4554 GERONIMO, RODEL TUAZON ST. SAMPALOC MANILA - 2,500.00 - 2,500.00
29-Nov-18 19-4555 MANANSALA, ROD SAN JOSE CONCEPCION TARLAC - 500.00 - 500.00
29-Nov-18 19-4556 DE GUZMAN, PAULINO 776 CORAL SUB TONDO MANILA - 2,680.00 - 2,680.00
29-Nov-18 19-4557 BANAL, EMMA 1509 MEL ALCALDE ST. TONDO MANILA - 210.00 - 210.00
29-Nov-18 19-4558 MALATE, YOLANDA 991 DAGUPAN ST TONDO MANILA - 2,120.00 - 2,120.00
29-Nov-18 19-4559 TEJONES, CHRISTOPHER JHON PNR COMP SAMSON ROAD CALOOCAN CITY - 530.00 - 530.00
29-Nov-18 19-4560 BO, ISABEL MAGSAYSAY EXT. MALABON CITY - 740.00 - 740.00
29-Nov-18 19-4561 MALANDOG, MARY ANN 1547 PRUDENCIO ST. SAMPALOC MANILA - 12,900.00 - 12,900.00
29-Nov-18 19-4562 MONDARES, GERALD MALINTA VALENZUELA CITY - 2,350.00 - 2,350.00
29-Nov-18 19-4563 GARCIA, RICHARD BRGY. SAN JOSE GUMI LUBAO PAMPANGA - 990.00 - 990.00
29-Nov-18 19-4564 MANLANGIT, DAVE BAGUMBONG TAAS BRGY. 171 CALOOCAN CITY - 895.00 - 895.00
29-Nov-18 19-4565 CAURES, RICHARD PAROLA TONDO MANILA - 7,340.00 - 7,340.00
29-Nov-18 19-4566 SALVADOR, SUSAN VARONA ST. TONDO MANILA - 740.00 - 740.00
29-Nov-18 19-4567 MERCADO, ROSAURO 1026 F YUSECO ST. TONDO MANILA - 210.00 - 210.00
29-Nov-18 19-4568 VILLACAN, FERDINAND 271 PANGINAY BALAGTAS BULACAN - 740.00 - 740.00
29-Nov-18 19-4569 CANDELARIA, DARLA CAMILLE BRGY. 193 LIMAYA ST. TONDO MANILA - 1,325.00 - 1,325.00
29-Nov-18 19-4570 ONG, BRENDA ARANETA AVE BRGY MANRESA QUEZON CITY - 210.00 - 210.00
29-Nov-18 19-4571 ARCEGA, ERNESTO BRGY. PUTTING KAHOY SILANG CAVITE - 740.00 - 740.00
29-Nov-18 19-4572 ALFONSO, ALENA BRGY. 429 SAMPALOC MANILA - 2,125.00 - 2,125.00
29-Nov-18 19-4573 NALUZ, CESAR BRGY. SAN ESTEBAN DASMARINAS CAVITE - 740.00 - 740.00
29-Nov-18 19-4574 AQUINO, VICTORIA BRGY. APOLONIO SAMSON QUEZON CITY - 210.00 - 210.00
23-Nov-18 19-4575 SANTOS, LOLITO NAVAL ST ALMACEN NAVOTAS CITY - 1,235.00 - 1,235.00
Page 75
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
29-Nov-18 19-4576 ARQUILETA, BABY LORNA MUNTING MAPINO NAIC CAVITE - 1,920.00 - 1,920.00
28-Nov-18 19-4577 LIM, JOSIELYN INCENCIO ST TONDO MANILA - 5,580.00 - 5,580.00
28-Nov-18 19-4578 TEVES, TRINIDAD PASCUAL ST BAYUGO MEYCAUAYAN BULACAN - 360.00 - 360.00
28-Nov-18 19-4579 GARCIA, MERLITA JOSE ABAD SANTOS ST TONDO MANILA - 210.00 - 210.00
28-Nov-18 19-4580 JAIME, JAIME CASIMIRO TOWN HOMES PULANG LUPA LAS PIÑAS- 740.00 - 740.00
28-Nov-18 19-4581 ROJERO, YOLANDA HASA HASA ST MALABON CITY - 765.00 - 765.00
28-Nov-18 19-4582 PEÑARANDA, JOEL NORTH CEMETERY STA CRUZ MANILA - 210.00 - 210.00
28-Nov-18 19-4583 KALAW, ARIEL MESTIZO ST BINONDO MANILA - 530.00 - 530.00
28-Nov-18 19-4584 RIVERA, PATRICIA CRUZ ST TANGOS NAVOTAS - 1,235.00 - 1,235.00
28-Nov-18 19-4585 QUIROZ, EMMA GEN CONCEPCION BAGONG BARRIO CALOOCAN- 2,000.00 - 2,000.00
28-Nov-18 19-4586 DANES, HOMER HERNANDEZ ST CATMON MANILA - 740.00 - 740.00
28-Nov-18 19-4587 CANDARE, ROMEO DAGAT DAGATAN CALOOCAN - 370.00 - 370.00
28-Nov-18 19-4588 TELAN, FLOR 7TH AVE GRACE PARK CALOOCAN - 7,340.00 - 7,340.00
28-Nov-18 19-4589 BONIFACIO, ZENAIDA RAXABAGO ST TONDO MANILA - 1,470.00 - 1,470.00
27-Nov-18 19-4590 NAREDO, REYNALDO MALICLIC ST GAGALANGIN TONDO MANILA - 1,610.00 - 1,610.00
4-Dec-18 19-4591 ALIÑARTE, MACARIO OROQUETA ST. STA.CRUZ MANILA - 530.00 - 530.00
4-Dec-18 19-4592 ALIÑARTE, MARIA LUISA OROQUETA ST. STA.CRUZ MANILA - 530.00 - 530.00
4-Dec-18 19-4593 APUAD, SALVACION SAMPAGUITA ST. CALOOCAN CITY - 1,235.00 - 1,235.00
4-Dec-18 19-4594 BONAGUA, ANABELL TAGUMPAY ST. TONDO MANILA - 740.00 - 740.00
4-Dec-18 19-4595 IBAO, PEPERITO URLINA LILAC ST. WEST FAIRVIEW QUEZON CITY- 210.00 - 210.00
4-Dec-18 19-4596 ALFORTE, GUILLERMA PIER I FISHPORT COMPLEX NAVOTAS CITY - 740.00 - 740.00
4-Dec-18 19-4597 BAYED, MARILOU MAYNALIGUE ST. STA.CRUZ MANILA - 740.00 - 740.00
4-Dec-18 19-4598 CABUENAS, JOEL BAUTISTA ST. UGONG VALENZUELA CITY - 210.00 - 210.00
4-Dec-18 19-4599 AGUILAR, FRANCISCO JUAN LUNA ST. TONDO MANILA - 740.00 - 740.00
4-Dec-18 19-4600 TAMBONG, CARLITO DAGUPAN ST. TONDO MANILA - 700.00 - 700.00
4-Dec-18 19-4601 DIANGCO, SIMON STA.CLARA ST. SAMPALOC MANILA - 770.00 - 770.00
4-Dec-18 19-4602 GALLON, AIDA STA. CECILIA TONDO MANILA - 1,235.00 - 1,235.00
4-Dec-18 19-4603 LIM, FELICISIMA KALAYAAN B. BATASAN HILLS QUEZON CITY - 740.00 - 740.00
4-Dec-18 19-4604 ABAD, SERVANDA STO.ROSARIO ST. MAGSAYSAY TONDO MANILA - 740.00 - 740.00
4-Dec-18 19-4605 CABRERA, CELSO VARONA ST. TONDO MANILA - 740.00 - 740.00
4-Dec-18 19-4606 DE PAZ, DWAYNE ETHAN DE LEON ST. BAMBANG TONDO MANILA - 530.00 - 530.00
4-Dec-18 19-4607 TATING, DOMINGO LIBIS DALISAY DULO CALOOCAN CITY - 570.00 - 570.00
4-Dec-18 19-4608 ANDRES, MANUEL TANGKE ST. MALINTA VALENZUELA CITY - 210.00 - 210.00
4-Dec-18 19-4609 DE LUNA, GERONIMA NERISAKARANGALAN VILLAGE MANGGAHAN PASIG CITY- 530.00 - 530.00
4-Dec-18 19-4610 DURAN, ERLINDA ROSAL ST. BANCAL MEYCUAYAN BULACAN - 740.00 - 740.00
4-Dec-18 19-4611 SEVILLA, CRISPIN BRGY SAN JOSE NAVOTAS CITY - 400.00 - 400.00
4-Dec-18 19-4612 BUMATAYO, CRISTINA TAYUMAN ST. TONDO MANILA - 570.00 - 570.00
4-Dec-18 19-4613 BONDOC, LUZVIMINDA PANDAY PIRA ST.TONDO MANILA - 2,350.00 - 2,350.00
4-Dec-18 19-4614 VALDEZ, MARINA FAJARDO SAMPALOC MANILA - 740.00 - 740.00
4-Dec-18 19-4615 JACOBO, LUZVIMINDA FRANCISCO ST. GAGALANGIN TONDO MANILA - 740.00 - 740.00
4-Dec-18 19-4616 CAJIPE, ROSARIO JUAN LUNA ST. TONDO MANILA - 570.00 - 570.00
4-Dec-18 19-4617 MADURO, ADELINA SAN LAZARO ST. STA.CRUZ MANILA - 210.00 - 210.00
4-Dec-18 19-4618 LITA, TEODORO BRGY BENDITA 1 MAGALLANES CAVITE - 740.00 - 740.00
4-Dec-18 19-4619 CARIAGA, CAMILO DAGUPAN EXT. TONDO MANILA - 740.00 - 740.00
4-Dec-18 19-4620 ABAYABAY, DEOVIN GANADO 2 BIÑAN LAGUNA - 1,235.00 - 1,235.00
4-Dec-18 19-4621 ENRIQUEZ, VICENTE BINUANGAN OBANDO BULACAN - 210.00 - 210.00
4-Dec-18 19-4622 GARCIA, ROWENA KATAMANAN ST. TONDO MANILA - 740.00 - 740.00
5-Dec-18 19-4623 PANLILIO, ANGELA BALUT TONDO MANILA - 1,100.00 - 1,100.00
5-Dec-18 19-4624 MANALO, MACARIO BRGY SAN ISIDRO PARAÑAQUE CITY - 210.00 - 210.00
5-Dec-18 19-4625 LOPEZ, SABINA LOPEZ ST. TONDO MANILA - 210.00 - 210.00
5-Dec-18 19-4626 ROSALES, RAMELA BAGONG MAYON BAGBAGUIN VALENZUELA CITY- 740.00 - 740.00
5-Dec-18 19-4627 AQUIJO, VICTORIA BRGY SAN ANTONIO ENRILE CASAYAN - 3,300.00 - 3,300.00
5-Dec-18 19-4628 DECENA, RIZAL DON PEPE ST. BRGY STO.DOMINGO QUEZON CITY- 210.00 - 210.00
5-Dec-18 19-4629 VICENTA, BASILIO MANGUSTAN RD.POTRERO MALABON CITY - 3,240.00 - 3,240.00
5-Dec-18 19-4630 PAREL, EUGENIO 2ND ST. 3RD AVE CALOOCAN CITY - 740.00 - 740.00
5-Dec-18 19-4631 PURQUED, EDGARDO LANGIT ST. MAYPAJO CALOOCAN CITY - 210.00 - 210.00
5-Dec-18 19-4632 OMINGA, MARY ANN LAMBAKIN MARILAO BULACAN - 740.00 - 740.00
5-Dec-18 19-4633 VILLANUEVA, JOSEPHINE DAGUPAN EXT. TONDO MANILA - 530.00 - 530.00
14-Dec-18 19-4634 SAGUM, MARIA AIDA BRGY MAYPAJO CALOOCAN CITY - 740.00 - 740.00
16-Dec-18 19-4635 MANANSALA, ROLANDO CAPULONG ST TONDO MANILA - 1,730.00 - 1,730.00
14-Dec-18 19-4636 BAVIERA, REYNALDO MARIKINA HEIGHTS MARIKINA CITY - 740.00 - 740.00
Page 76
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
14-Dec-18 19-4637 ANDES, TERESITA TABON DARAGA ALBAY - 530.00 - 530.00
14-Dec-18 19-4638 VELASCO, FELICIDAD BRGY 225 TONDO MANILA - 1,200.00 - 1,200.00
14-Dec-18 19-4639 HAPSON, MA. FE DAMATA LETRE ROAD TONSUYA MALABON - 740.00 - 740.00
14-Dec-18 19-4640 AZARCON, ELGIN PASONG TAMO QUEZON CITY - 210.00 - 210.00
14-Dec-18 19-4641 VALEROS, CARLOS JR BRGY 30 CALOOCAN CITY - 5,500.00 - 5,500.00
14-Dec-18 19-4642 HERNANDEZ, ROSALINDA MARIULAS CALOOCAN CITY - 1,780.00 - 1,780.00
14-Dec-18 19-4643 AVIÑANTE, JACINTO JR BRGY 12 DAGAT DAGATAN MALABON CITY - 210.00 - 210.00
14-Dec-18 19-4644 TERENCIO, MARIA CRISTINADALANDANAN VALENZUELA CITY - 7,100.00 - 7,100.00
14-Dec-18 19-4645 CAMPANER, MARIA ELLALYNBRGY 116 TONDO MANILA - 530.00 - 530.00
14-Dec-18 19-4646 PAÑA, VERGILIA BRGY 518 SANTA MARIA - 1,235.00 - 1,235.00
14-Dec-18 19-4647 DE LEON, ANGELITO BRGY TAÑONG MALABON CITY - 860.00 - 860.00
17-Dec-18 19-4648 PEROL, ROSA SANGANDAAN CALOOCAN CITY - 2,680.00 - 2,680.00
17-Dec-18 19-4649 BASTES, ZENAS ACOSTA ST PASAY CITY - 415.00 - 415.00
17-Dec-18 19-4650 CANTILLO, JOEL SAUYO RD NOVALICHES QUEZON CITY - 740.00 - 740.00
17-Dec-18 19-4651 PUYAT, ROSENDA PANDI BULACAN - 530.00 - 530.00
17-Dec-18 19-4652 SAMONTE, MARIETTA BRGY 93 TONDO MANILA - 740.00 - 740.00
17-Dec-18 19-4653 BABASA, JOSELITO BRGY 203 BINONDO - 570.00 - 570.00
17-Dec-18 19-4654 VELASCO, HERMINIA BRGY 150 CALOOCAN CITY - 7,340.00 - 7,340.00
18-Dec-18 19-4655 MATITO, KAREN TANGOS NAVOTAS CITY - 12,560.00 - 12,560.00
18-Dec-18 19-4656 URSUA, PEDRO BRGY 112 TONDO MANILA - 740.00 - 740.00
18-Dec-18 19-4657 CALIMLIM, ZENAIDA STA CRUZ MANILA - 570.00 - 570.00
18-Dec-18 19-4658 NGAYON, JOSEFINA KALSADANG BAGO IMUS CAVITE - 1,360.00 - 1,360.00
18-Dec-18 19-4659 DOMINGO, MICHAEL BRGY 344 STA CRUZ MANILA - 740.00 - 740.00
18-Dec-18 19-4660 HABANA, ROLANDO BRGY TANGOS NAVOTAS CITY - 740.00 - 740.00
18-Dec-18 19-4661 ROJO, LYDIA INDEPENDENT ST VALENZUELA CITY - 1,695.00 - 1,695.00
18-Dec-18 19-4662 MANUEL, BETTY BRGY 8 CALOOCAN CITY - 1,235.00 - 1,235.00
19-Dec-18 19-4663 DIME, MELCHOR STA LUCIA NOVALICHES QUEZON CITY - 740.00 - 740.00
19-Dec-18 19-4664 SILVESTRE, ANGELINA BRGY 321 SAT CRUZ MANILA - 740.00 - 740.00
19-Dec-18 19-4665 SINGH, ANNALIZA BRGY UGONG VALENZUELA CITY - 11,800.00 - 11,800.00
19-Dec-18 19-4666 LACOSTA, FELIPE ESTRELLA HOMES MARILAO BULACAN - 740.00 - 740.00
19-Dec-18 19-4667 PEREZ, CATALINA MARULAS VALENZUELA CITY - 740.00 - 740.00
19-Dec-18 19-4668 ASIODCHE, ROMEO BRGY 26 TONDO MANILA - 3,860.00 - 3,860.00
19-Dec-18 19-4669 CHAVEZ, MICHAEL BRGY LONGOS MALABON CITY - 530.00 - 530.00
19-Dec-18 19-4670 SANTOS, KAISER BRGY MACAYAPYAP ILOCOS NORTE - 530.00 - 530.00
19-Dec-18 19-4671 NARCISO, PAULO BRGY 130 TONDO MANILA - 210.00 - 210.00
19-Dec-18 19-4672 CANIMO, SALVADOR JR BRGY 142 CALOOCAN CITY - 1,800.00 - 1,800.00
19-Dec-18 19-4673 VILLANUEVA, RUBEN BRGY CATMON MALABON CITY - 740.00 - 740.00
19-Dec-18 19-4674 CANIMO, GLORIA BAGONG BARRIO CALOOCAN CITY - 2,120.00 - 2,120.00
19-Dec-18 19-4675 GALANG, EDGARDO BRGY 822 PACO MANILA - 570.00 - 570.00
19-Dec-18 19-4676 INSAS, JOSE JR BRGY 138 TONDO MANILA - 570.00 - 570.00
19-Dec-18 19-4677 ABAÑO, KYRIE NAITH MAKATA ST STA CRUZ, TAYUMAN - 530.00 - 530.00
19-Dec-18 19-4678 SERVANO, JOHN DAVE NBBS NAVOTAS CITY - 530.00 - 530.00
19-Dec-18 19-4679 DUGUEN, OLIVER BRGY 628 STA MESA MANILA - 210.00 - 210.00
19-Dec-18 19-4680 LAYOG, SHIELA BRGY 165 CALOOCAN CITY - 740.00 - 740.00
19-Dec-18 19-4681 PAGUIO, WILFREDO BRGY 189 TONDO MANILA - 210.00 - 210.00
19-Dec-18 19-4682 SEVA, ERLINDA BRGY 149 CALOOCAN CITY - 210.00 - 210.00
19-Dec-18 19-4683 ENCINARIAL, EDWIN BRGY TINAJEROS MALABON CITY - 990.00 - 990.00
19-Dec-18 19-4684 DELOS SANTOS, VIVIAN BRGY MAROGAN QUEZON CITY - 530.00 - 530.00
20-Dec-18 19-4685 NAINQUE, ROSALINDA STA MARIA BULACAN - 740.00 - 740.00
20-Dec-18 19-4686 REYES, JUDITH BRGY 16 CALOOCAN CITY - 530.00 - 530.00
20-Dec-18 19-4687 HERMITANIO, RASHA BRGY DON BOSCO PARAÑAQUE CITY - 530.00 - 530.00
20-Dec-18 19-4688 CASTRO, RICARDO JR BRGY 144 CALOOCAN CITY - 740.00 - 740.00
20-Dec-18 19-4689 DOMINADOR, SIMON BRGY 275 BINONDO MANILA - 610.00 - 610.00
20-Dec-18 19-4690 BLANCO, JAIME STA CRUZ MANILA - 210.00 - 210.00
20-Dec-18 19-4691 VALEDA, MANUEL NATIVIDAD ST CALOOCAN CITY - 1,060.00 - 1,060.00
20-Dec-18 19-4692 DAVID, TITO BRGY LOLOMBOY BULACAN - 1,235.00 - 1,235.00
20-Dec-18 19-4693 BALOLOY, EMILY BRGY POBLACIO ALBAY - 740.00 - 740.00
20-Dec-18 19-4694 GALECHA, JESSICA BRGY NBBS NAVOTAS CITY - 210.00 - 210.00
20-Dec-18 19-4695 VICENTE, CAROLINA BRGY 382 STA CRUZ MANILA - 1,235.00 - 1,235.00
20-Dec-18 19-4696 MALON, MUSTAPHA BRGY 105 TONDO MANILA - 570.00 - 570.00
20-Dec-18 19-4697 SANTOS, MA. CHRISTINA BRGY 73 CALOOCAN CITY - 210.00 - 210.00
Page 77
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
20-Dec-18 19-4698 NABONG, MELANIE LAWA MEYCAUAYAN BULACAN - 5,105.00 - 5,105.00
20-Dec-18 19-4699 ABLAN, GLICERIA BAGONG SILANG CALOOCAN CITY - 570.00 - 570.00
20-Dec-18 19-4700 DELA PEÑA, VICTORIA KAUNLARAN VILLAGE CALOOCAN CITY - 740.00 - 740.00
20-Dec-18 19-4701 DELA PEÑA, VICTORIA KAUNLARAN VILLAGE CALOOCAN CITY - 2,400.00 - 2,400.00
20-Dec-18 19-4702 CARREON, ARCHISTRATEGOSLAGUNA EXT TONDO MANILA - 530.00 - 530.00
20-Dec-18 19-4703 MARITAN, BERNARDO ARAGON ST STA ANA MANILA - 740.00 - 740.00
20-Dec-18 19-4704 MORAL, KATHERINE BRGY 67 TONDO MANILA - 360.00 - 360.00
21-Dec-18 19-4705 TENORIO, SONIA SAN NICOLAS BATANGAS - 530.00 - 530.00
21-Dec-18 19-4706 VIZCARRA, MANUEL BRGY 129 CALOOCAN CITY - 740.00 - 740.00
21-Dec-18 19-4707 TAYACTAC, LUISA BRGY LONGOS MALABON CITY - 740.00 - 740.00
21-Dec-18 19-4708 LIVEROS, GENEROSO JR BRGY ISABANG TAYABAS QUEZON - 530.00 - 530.00
21-Dec-18 19-4709 PANGANIBAN, DEVI TERESITA ST MALATE MANILA - 1,235.00 - 1,235.00
21-Dec-18 19-4710 MERCADO, ANABEL VILLA SAN AGUSTIN NOVALICHES QUEZON CITY- 210.00 - 210.00
21-Dec-18 19-4711 IGNACIO, TEODORA PALIWAS OBANDO BULACAN - 530.00 - 530.00
21-Dec-18 19-4712 DELA ROSA, ARLENE CORAL ST TONDO MANILA - 130.00 - 130.00
21-Dec-18 19-4713 DE OCAMPO, MARIVIC BRGY SAN FRANCISCO CAVITE - 530.00 - 530.00
21-Dec-18 19-4714 FALCON, PAG ASA BRGY 339 STA CRUZ MANILA - 530.00 - 530.00
21-Dec-18 19-4715 LIWANAG, ARLENE BRGY 59 CALOOCAN CITY - 210.00 - 210.00
21-Dec-18 19-4716 ROMINEZ, MIKAELA NBBS NAVOTAS CITY - 530.00 - 530.00
21-Dec-18 19-4717 LAGUDA, RODRIGO BRGY BIGNAY VALENZUELA CITY - 2,000.00 - 2,000.00
21-Dec-18 19-4718 TUPAS, PASCUAL BRGY 37 CALOOCAN CITY - 900.00 - 900.00
21-Dec-18 19-4719 COROÑA, ROSIE BRGY TANZA NAVOTAS CITY - 530.00 - 530.00
21-Dec-18 19-4720 DELA CRUZ, EDWIN STA MARIA ST VALENZUELA CITY - 360.00 - 360.00
21-Dec-18 19-4721 TORRE, MARIA GMA CAVITE - 530.00 - 530.00
21-Dec-18 19-4722 LUBO, RAQUEL PINALAGAD MALINTA VALENZUELA CITY - 360.00 - 360.00
21-Dec-18 19-4723 DADADAP, MISCHEL ALLEY ST MAYSAN VALENZUELA CITY - 210.00 - 210.00
21-Dec-18 19-4724 YAMSON, JANEL QUEZON BLVD STA CRUZ MANILA - 1,060.00 - 1,060.00
21-Dec-18 19-4725 PARDO, NELIA BRGY CATMON MALABON CITY - 1,765.00 - 1,765.00
21-Dec-18 19-4726 BALAGTAS, JOSE BRGY 61 TONDO MANILA - 740.00 - 740.00
21-Dec-18 19-4727 LEYESA, CLEMENTE BRGY 1 CUENCABATANGAS - 210.00 - 210.00
21-Dec-18 19-4728 LEYESA, CLEMENTE BRGY 1 CUENCABATANGAS - 400.00 - 400.00
21-Dec-18 19-4729 SAYCO, DANTE CYPRESS VILLAGE QUEZON CITY - 530.00 - 530.00
27-Dec-18 19-4730 SAMSON, JUANITA OROQUIETA STA CRUZ, MANILA - 12,560.00 - 12,560.00
27-Dec-18 19-4731 ARRIOLA, ARYCHELLE BUNGANAY BOAC MARINDUQUE - 12,460.00 - 12,460.00
27-Dec-18 19-4732 OANDASAN, LEONIDO CAMALANIUGAN CAGAYAN - 2,500.00 - 2,500.00
27-Dec-18 19-4733 ABAD, VISITACION BRGY 374 STA CRUZ MANILA - 740.00 - 740.00
27-Dec-18 19-4734 ABAD, VISITACION BRGY 374 STA CRUZ MANILA - 2,000.00 - 2,000.00
27-Dec-18 19-4735 GASINGAN, ALICIA BRGY 56 TONDO MANILA - 210.00 - 210.00
27-Dec-18 19-4736 ROCAMORA, PATRICIA BRGY 184 TONDO MANILA - 6,230.00 - 6,230.00
14-Dec-18 19-4737 INOJALES, MAGDALENA HOLY SPIRIT QUEZON CITY - 530.00 - 530.00
14-Dec-18 19-4738 SANCHEZ, YOLANDA BRGY 73 CALOOCAN CITY - 210.00 - 210.00
17-Dec-18 19-4739 LADOC, EDITHA BURIAS MAMBUSAO CAPIZ - 3,110.00 - 3,110.00
17-Dec-18 19-4740 ESTRADA, LEONILA BRGY CATMON MALABON CITY - 740.00 - 740.00
17-Dec-18 19-4741 NICOLAS, RODRIGO BRGY CAMP 2 MONCADA TARLAC - 210.00 - 210.00
17-Dec-18 19-4742 FLORES, FRANCISCO GUIGUINTO BULACAN - 570.00 - 570.00
17-Dec-18 19-4743 BARRE, CONNIE DIMASALANG ST CALOOCAN CITY - 3,100.00 - 3,100.00
17-Dec-18 19-4744 RODOQUILLO, VIRGINIA BRGY 82 TONDO MANILA - 80.00 - 80.00
17-Dec-18 19-4745 ABAYABAY, DEOVIN GANADO, BINAN LAGUNA - 1,445.00 - 1,445.00
17-Dec-18 19-4746 LETADA, LITO BAGONG BARRIO CALOOCAN CITY - 210.00 - 210.00
17-Dec-18 19-4747 BAGTAS, ELVIRA BRGY 224 TONDO MANILA - 1,240.00 - 1,240.00
17-Dec-18 19-4748 PANGANIBAN, LIZZA BRGY 19 CALOOCAN CITY - 740.00 - 740.00
17-Dec-18 19-4749 HERNANDEZ, VANISSA BRGY SANTOL BALAYAN BATANGAS - 1,580.00 - 1,580.00
17-Dec-18 19-4750 GABRAL, JANET BACOOD STA MESA MANILA - 575.00 - 575.00
17-Dec-18 19-4751 CABREJAS, MA DOLORES BRGY 152 TONDO MANILA - 1,235.00 - 1,235.00
17-Dec-18 19-4752 YANZON, RICHELLE BRGY 169 TONDO MANILA - 740.00 - 740.00
17-Dec-18 19-4753 DELOS ANGELES, MIRIAM BRGY COMMONWEALTH WUEZON CITY - 210.00 - 210.00
17-Dec-18 19-4754 BUSBOS, ROSALINDA BRGY TONSUYA MALABON CITY - 600.00 - 600.00
17-Dec-18 19-4755 PANGAN, EDITHA BRGY REMEDIOS PAMPANGA - 650.00 - 650.00
17-Dec-18 19-4756 PEÑARANDA, AILEEN SAN AGUSTIN NOVALICHES QUEZON CITY - 2,280.00 - 2,280.00
17-Dec-18 19-4757 JUBLE, SAMUEL TED CAMARIN CALOOCAN CITY - 530.00 - 530.00
21-Dec-18 19-4758 MERCADO, ANABEL SAN AGUSTIN NOVALICHES QUEZON CITY - 940.00 - 940.00
Page 78
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
18-Dec-18 19-4759 SABILLA, LEONILA BRGY BLVD NAVOTAS CITY - 740.00 - 740.00
18-Dec-18 19-4760 ANDRADE, MARY JOY BRGY MANRESA QUEZON CITY - 130.00 - 130.00
18-Dec-18 19-4761 ANOS, ANTONIO BRGY 08 EASTERN SAMAR - 210.00 - 210.00
18-Dec-18 19-4762 TESORO, NOEL METROGATE MEYCAUYAN BULACAN - 1,060.00 - 1,060.00
18-Dec-18 19-4763 AGAPIN, NARRA BAGONG BARRIO CALOOCAN CITY - 1,460.00 - 1,460.00
18-Dec-18 19-4764 CAPARAS, ALVIN BRGY 109 TONDO MANILA - 210.00 - 210.00
18-Dec-18 19-4765 CONTADO, JOSEPHINE BRGY 176 CALOOCAN CITY - 2,395.00 - 2,395.00
18-Dec-18 19-4766 SUNGA, VIRGINIA BAGONG SIBOL CALOOCAN CITY - 6,230.00 - 6,230.00
18-Dec-18 19-4767 COSS, LORNA NBBN NAVOTAS CITY - 570.00 - 570.00
18-Dec-18 19-4768 GREGORIO, RAMIL BRGY 166 CALOOCAN CITY - 740.00 - 740.00
18-Dec-18 19-4769 SABALZA, VIRGINIA BRGY TONSUYA MALABON CITY - 530.00 - 530.00
18-Dec-18 19-4770 LIM, DOLORES PANDACAN MANILA - 740.00 - 740.00
18-Dec-18 19-4771 DE LEON, APRIL BRGY 120 CALOOCAN CITY - 130.00 - 130.00
18-Dec-18 19-4772 PEPITO, DANILO BRGY MANREJA QUEZON CITY - 210.00 - 210.00
18-Dec-18 19-4773 CATIGAN, NORBERTO FRANCO ST TONDO MANILA - 210.00 - 210.00
18-Dec-18 19-4774 CACHERO, REMEDIOS DESULA COMP VALENZUELA CITY - 570.00 - 570.00
18-Dec-18 19-4775 LUY, BENITO BRGY 68 TONDO MANILA - 2,680.00 - 2,680.00
18-Dec-18 19-4776 ALVAREZ, ROSALINDA MARULAS VALENZUELA CITY - 210.00 - 210.00
18-Dec-18 19-4777 PEJI, DANIELLE MUZON CAVITE - 1,170.00 - 1,170.00
18-Dec-18 19-4778 CAS, LUZ DANDAN ST TONDO MANILA - 210.00 - 210.00
7-Dec-18 19-4779 AVANCEÑA, ERLINDA MASIKAP ST. BAGONG BARRIO CALOOCAN CITY- 210.00 - 210.00
7-Dec-18 19-4780 MARQUEZ, FLORENCIA BALANGA ST. TONDO MANILA - 740.00 - 740.00
7-Dec-18 19-4781 AMAMANGPANG, JESU DELA CRUZ ST. VALENZUELA CITY - 740.00 - 740.00
7-Dec-18 19-4782 SARDEÑA, ROWENA SAMPALOC ST. MAKATI CITY - 740.00 - 740.00
7-Dec-18 19-4783 LEGADA, CONSTANTINO KASIPAGAN ST. TONDO MANILA - 1,060.00 - 1,060.00
7-Dec-18 19-4784 SIERVO, NILA BRGY CANUZ WEST VALENZUELA CITY - 210.00 - 210.00
7-Dec-18 19-4785 RIVERA, GIL MENDEZ ROAD QUEZON CITY - 940.00 - 940.00
7-Dec-18 19-4786 SARMIENTO, ROMEO URCELA ST. CALOOCAN CITY - 740.00 - 740.00
7-Dec-18 19-4787 OQUILA, LORETA NORTH HARBOR TONDO MANILA - 740.00 - 740.00
7-Dec-18 19-4788 BALDUEZA, MARIA CRISTINAHERBOSA ST. TONDO MANILA - 345.00 - 345.00
10-Dec-18 19-4789 ASUNCION, BENJAMIN GOV.PASCUAL TINAJEROS MALABON CITY - 740.00 - 740.00
10-Dec-18 19-4790 JIMENEZ, ANGEL JOY AETAB ST. TONDO MANILA - 1,060.00 - 1,060.00
10-Dec-18 19-4791 BOLINAS, JOEL VERGARA ST. QUIAPO MANILA - 210.00 - 210.00
10-Dec-18 19-4792 SAN JOSE, LILIAN VERGARA ST. QUIAPO MANILA - 570.00 - 570.00
10-Dec-18 19-4793 BENINGUEL, GILBERT BRGY CALIPAYAN MAYONGA LEYTE - 530.00 - 530.00
10-Dec-18 19-4794 JARITO, MANSUETA MAGSAYSAY ST. TONDO MANILA - 740.00 - 740.00
10-Dec-18 19-4795 MULTO, MILA PROPER STA.CRUZ NAGA CITY - 640.00 - 640.00
10-Dec-18 19-4796 AGUNAT, JACKIE BACO DAANGHARI NAVOTAS CITY - 530.00 - 530.00
10-Dec-18 19-4797 LIBUAN, ROSELYN BRGY MEDINA MAGALLANES CAVITE - 325.00 - 325.00
10-Dec-18 19-4798 IBAÑEZ, GONZALO MALIGAYA SUBD. IMUS CAVITE - 210.00 - 210.00
10-Dec-18 19-4799 ONG DY, EDDY M.HIZON ST.STA.CRUZ MANILA - 530.00 - 530.00
10-Dec-18 19-4800 EVANGELIO, MANUEL MIGUELIN ST. SAMPALOC MANILA - 740.00 - 740.00
10-Dec-18 19-4801 RODRIGUEZ, INOCENCIO GEN.TINIO ST. LALOMA QUEZON CITY - 530.00 - 530.00
10-Dec-18 19-4802 CARDENAS, ELSA VARGAS ST. ANTIPOLO TONDO MANILA - 210.00 - 210.00
10-Dec-18 19-4803 GATUS, ROSARIO STO CRISTO TONDO MANILA - 1,525.00 - 1,525.00
10-Dec-18 19-4804 DATU, APRILYN LOURDES ST. CALOOCAN CITY - 1,235.00 - 1,235.00
10-Dec-18 19-4805 DE VERA, ARNEL ROSA ST. GEN.T DE LEONN VALENZUELA CITY - 500.00 - 500.00
10-Dec-18 19-4806 PARDO, NELIA VALDEZ ST. CATMON MALABON CITY - 210.00 - 210.00
10-Dec-18 19-4807 BANUA, ENGRACIA DEL PILAR ST. CALOOCAN CITY - 1,630.00 - 1,630.00
10-Dec-18 19-4808 MARQUEZ, ROGELIO ORCHIA ST. LONGOS MALABON CITY - 210.00 - 210.00
10-Dec-18 19-4809 BORCE, CANDELARIA MORONG ST. MANUGUIT TONDO MANILA - 740.00 - 740.00
10-Dec-18 19-4810 ESCOREAL, ERLINDA KAUNLARAN VILLAGE NAVOTAS CITY - 740.00 - 740.00
10-Dec-18 19-4811 SAMSON, ROSE MARIE BAYANI ST. ARANETA AVE. QUEZON CITY - 530.00 - 530.00
10-Dec-18 19-4812 SALONGA, JAYSON SANTIAGO KALIWA ST. VALENZUELA CITY - 5,500.00 - 5,500.00
10-Dec-18 19-4813 BERE, CORAZON BLK 51 TANZA NAVOTAS CITY - 740.00 - 740.00
10-Dec-18 19-4814 RECTO, GLORINA OROQUIETA ST. STA. CRUZ MANILA - 1,235.00 - 1,235.00
11-Dec-18 19-4815 GALANG, JOSEPH GEN. TINIO ST. BAGONG BARRIO CALOOCAN CITY- 3,090.00 - 3,090.00
11-Dec-18 19-4816 ALINA, ARNOLD LOUIE KAIMITO ST. VERDANT ACRES PAMPIONA 3 LAS PIÑAS- 830.00 - 830.00
11-Dec-18 19-4817 ANDICO, VICTOR VIZCAYA ST. TONDO MANILA - 755.00 - 755.00
11-Dec-18 19-4818 FACUNDO, LORENA JUANA 3B BIÑAN LAGUNA - 880.00 - 880.00
11-Dec-18 19-4819 FERRER, RENE SAN PEDRO LAGUNA - 1,520.00 - 1,520.00
Page 79
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
11-Dec-18 19-4820 LOYOLA, ADORACION LOVETO ST. SAMPALOC MANILA - 210.00 - 210.00
11-Dec-18 19-4821 PANGILINAN, ERNESTO TAMBUNTING ST. STA.CRUZ MANILA - 1,560.00 - 1,560.00
11-Dec-18 19-4822 SARMIENTO, JESUS ROLANDOVELASQUEZ ST. TONDO MANILA - 300.00 - 300.00
11-Dec-18 19-4823 DOMINGO, ERLINDA PANDAY PIRA ST. TONDO MANILA - 740.00 - 740.00
11-Dec-18 19-4824 BALMADRID, TERESITA ROMANA EXT. TONDO MANILA - 1,060.00 - 1,060.00
11-Dec-18 19-4825 DIJAMCO, LOURDES CRISTOBAL ST. TONDO MANILA - 740.00 - 740.00
11-Dec-18 19-4826 PEREZ, DENVER LICO ST. TONDO MANILA - 210.00 - 210.00
11-Dec-18 19-4827 MERCADO, SYLVIA TAGAYTAY ST. CALOOCAN CITY - 1,595.00 - 1,595.00
11-Dec-18 19-4828 ISAGA, MA.THERESA SITIO PULO CTK SUBD. LAS PIÑAS CITY - 1,060.00 - 1,060.00
11-Dec-18 19-4829 SIERRA, JUAN M.FRANCISCO ST. LINGUNAN VALENZUELA CITY- 570.00 - 570.00
11-Dec-18 19-4830 FRANCIA, DIOSA MAXIMO ST. CALOOCAN CITY - 2,760.00 - 2,760.00
11-Dec-18 19-4831 GACITA, MARIA TERESA QUIRINO ST. MAGSAYSAY TONDO MANILA - 210.00 - 210.00
11-Dec-18 19-4832 DE GUZMAN, JUANITA STO.NIÑO ST. TONDO MANILA - 400.00 - 400.00
11-Dec-18 19-4833 PANGILINAN, DOLORES TAMBUNTING ST. STA.CRUZ MANILA - 2,760.00 - 2,760.00
11-Dec-18 19-4834 LOPEZ, MARINA CORCUERA ST. TONDO MANILA - 210.00 - 210.00
11-Dec-18 19-4835 MONGAN, ERLINDA GERONIMO ST. SAMPALOC MANILA - 360.00 - 360.00
11-Dec-18 19-4836 WEST, MARY ANN PILAR VILLAGE LAS PIÑAS CITY - 340.00 - 340.00
11-Dec-18 19-4837 BATHAN, TEODORA BANGIN SAN NICOLAS BATANGAS - 530.00 - 530.00
11-Dec-18 19-4838 BALBARINO, LUCIMINDA CARNATION ST. HAPPYLAND TONDO MANILA - 700.00 - 700.00
11-Dec-18 19-4839 ALEGRE, KENNETH MABINI ST. MENDEZ CAVITE - 4,815.00 - 4,815.00
11-Dec-18 19-4840 ALEGRE, KENNETH MABINI ST. MENDEZ CAVITE - 1,590.00 - 1,590.00
11-Dec-18 19-4841 MOSE, DELFIN SCORPIO ST. LOMA DE GATO MARILAO BULACAN- 740.00 - 740.00
11-Dec-18 19-4842 BARTOLOME, FELICITAS LINAMPAS ST. DAGUPAN TONDO MANILA - 1,375.00 - 1,375.00
11-Dec-18 19-4843 MALATE, YOLANDA DAGUPAN ST. TONDO MANILA - 470.00 - 470.00
11-Dec-18 19-4844 YAMBAO, ROSARIO CONCEPCION ST. MARULAS VALENZUELA CITY - 740.00 - 740.00
11-Dec-18 19-4845 CAGANDE, MARY RODRIGUEZ DRIVE BAESA QUEZON CITY - 1,070.00 - 1,070.00
11-Dec-18 19-4846 GARCIA, RAFAEL FRONDA ST. GAGALANGIN TONDO MANILA - 530.00 - 530.00
20-Dec-18 19-4847 MALATE, YOLANDA DAGUPAN ST. TONDO MANILA - 130.00 - 130.00
27-Dec-18 19-4848 DEATO, DANIELLE ANN WAWANG PULO VALENZUELA CITY - 12,560.00 - 12,560.00
27-Dec-18 19-4849 SARTE, LORNA BRGY 39 TONDO MANILA - 210.00 - 210.00
27-Dec-18 19-4850 DALIGDIG, ELPIDIO TATA ANDRES ST. VALENZUELA CITY - 530.00 - 530.00
27-Dec-18 19-4851 TEMPLADO, JAIME MALAYA ST. CALOOCAN CITY - 1,235.00 - 1,235.00
27-Dec-18 19-4852 RAMOS, CRISANTA BANGA 2ND PLARIDEL BULACAN - 1,460.00 - 1,460.00
27-Dec-18 19-4853 ALSOSA, CARMELITA SALVACION ST. TONDO MANILA - 740.00 - 740.00
27-Dec-18 19-4854 CONSUELO, FRANCISCUS TIGBI TIWI ALBAY - 1,700.00 - 1,700.00
27-Dec-18 19-4855 CONSUELO, FRANCISCUS TIGBI TIWI ALBAY - 1,240.00 - 1,240.00
27-Dec-18 19-4856 SUMAYAW, ARNOLD ANAK BAYAN ST. PACO MANILA - 12,560.00 - 12,560.00
27-Dec-18 19-4857 ALEGRIA, KEN M.HIZON ST.STA.CRUZ MANILA - 530.00 - 530.00
27-Dec-18 19-4858 DE MESA, NESTOR SIMON ST. CALOOCAN CITY - 740.00 - 740.00
27-Dec-18 19-4859 DIESTA, MARITCHEL IRELAND ST. HERITAGE HOMES MARILAO BULACAN- 360.00 - 360.00
27-Dec-18 19-4860 PASCUAL, MARISSA MORONG ST. TONDO MANILA - 210.00 - 210.00
27-Dec-18 19-4861 GALLARDO, AMMY ROSA HERMOSA ST. GAGALANGIN TONDO MANILA - 210.00 - 210.00
27-Dec-18 19-4862 ARVEL, LUISITO HULONG DUHAT SULUCAN ST. MALABON CITY - 210.00 - 210.00
27-Dec-18 19-4863 BABASA, JOSELITO RAMIREZ ST. BINONDO MANILA - 530.00 - 530.00
27-Dec-18 19-4864 NOTA, AVELINA ALABANG MUNTINLUPA CITY - 740.00 - 740.00
27-Dec-18 19-4865 MACALOOD, VIOLETA BO.MARULAS VALENZUELA CITY - 650.00 - 650.00
27-Dec-18 19-4866 EVANGELISTA, ANGELITA BRGY BIÑAN PAGSANJAN LAGUNA - 740.00 - 740.00
27-Dec-18 19-4867 FAJARDO, PERINA DANDAN ST. TONDO MANILA - 740.00 - 740.00
27-Dec-18 19-4868 ESTOYA, NOREEN BACOOR CAVITE CITY - 530.00 - 530.00
27-Dec-18 19-4869 PESINO, JADE VILLA ROMA IV LIAS MARILAO BULACAN - 10,048.00 - 10,048.00
27-Dec-18 19-4870 TABLADA, PURIZA BRGY 132 CALOOCAN CITY - 530.00 - 530.00
27-Dec-18 19-4871 BELTRAN, BRENDA QUIRICADA ST. TONDO MANILA - 740.00 - 740.00
27-Dec-18 19-4872 FRANCIA, ADORACION KALIMBAG ST. STA. CRUZ MANILA - 3,700.00 - 3,700.00
27-Dec-18 19-4873 RAMOS, ERNESTO ALMEDA ST. TONDO MANILA - 530.00 - 530.00
27-Dec-18 19-4874 VALDENEBRO, BUENVENIDABRGY GUINTAS JAMINDAN CAPIZ - 360.00 - 360.00
27-Dec-18 19-4875 DALIGDIG, MA.LUISA TATA ANDRES ST. VALENZUELA CITY - 740.00 - 740.00
27-Dec-18 19-4876 ABADILLA, ELIZABETH H.LACSON ST. STA. CRUZ MANILA - 740.00 - 740.00
27-Dec-18 19-4877 BARBA, MEKAELA JOY TAMBUNTING ST. STA.CRUZ MANILA - 530.00 - 530.00
28-Dec-18 19-4878 CAMACHO, TRINIDAD ANTIPOLO ST. TONDO MANILA - 740.00 - 740.00
28-Dec-18 19-4879 CAMACHO, TRINIDAD ANTIPOLO ST. TONDO MANILA - 2,500.00 - 2,500.00
28-Dec-18 19-4880 ZAMBOANGA, GEMMA VILLAROSA ST. CALOOCAN CITY - 1,235.00 - 1,235.00
Page 80
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
28-Dec-18 19-4881 DIAMOS, ROWENA DAANG COPADA ST. CAOOCAN CITY - 2,910.00 - 2,910.00
28-Dec-18 19-4882 OSIAS, ANGELITO DOME ST BARRIO SAN JOSE CALOOCAN CITY - 1,260.00 - 1,260.00
28-Dec-18 19-4883 PADIN, DOLORES OLD STA. MESA MANILA - 640.00 - 640.00
28-Dec-18 19-4884 MONTESA, CHARMIE DOÑA JUANA SAN AGUSTIN ROMBLON - 2,500.00 - 2,500.00
28-Dec-18 19-4885 GOZON, REYNALDO A.CRUZ TANGOS NAVOTAS CITY - 360.00 - 360.00
28-Dec-18 19-4886 FERNANDEZ, MYRNA BOY TICSON SUBD. I STO ANGEL SAN PABLO LAGUNA- 530.00 - 530.00
28-Dec-18 19-4887 IBALE, JEANA LIZA DULONG BAUTISTA KARISMA VILLE MALABON CITY- 530.00 - 530.00
28-Dec-18 19-4888 PACHEJO, JOCELYN CRISTOBAL ST. TONDO MANILA - 1,070.00 - 1,070.00
28-Dec-18 19-4889 PACHEJO, JUANITO CRISTOBAL ST. TONDO MANILA - 360.00 - 360.00
28-Dec-18 19-4890 TOBIO, MYRNA VILLA LUISA NORTH BAGOMBONG CALOOCAN CITY- 530.00 - 530.00
28-Dec-18 19-4891 ABCEDE, MARILOU PRUDENCIO ST. SAMPALOC MANILA - 1,235.00 - 1,235.00
28-Dec-18 19-4892 CONSTANTINO, FLORDELIZAPILAN EXT. PASONG TAMO TANDANG SORA QUEZON CITY- 740.00 - 740.00
28-Dec-18 19-4893 ANDEZA, FILOMENA ALMAR ST. DAGUPAN TONDO MANILA - 1,580.00 - 1,580.00
28-Dec-18 19-4894 BADAL, JOSE NORTHVILLE 23 BAGOMBONG CALOOCAN CITY- 210.00 - 210.00
28-Dec-18 19-4895 DELA CRUZ, JAYSONLEE SN PEDRO ST. BALUT TONDO MANILA - 4,800.00 - 4,800.00
28-Dec-18 19-4896 TULIPAN, MARIE ROSE SAINT JOSEPH ST. HOLLY SPIRIT QUEZON CITY - 3,800.00 - 3,800.00
28-Dec-18 19-4897 SALENTES, GIL POTRERO MALABON CITY - 530.00 - 530.00
28-Dec-18 19-4898 MAGUGAT, CONSORCIA BRGY 79 TONDO MANILA - 570.00 - 570.00
28-Dec-18 19-4899 IBARRA, ESTER DEATO ST. MARULAS VALENZUELA CITY - 600.00 - 600.00
28-Dec-18 19-4900 SARDEÑA, ROWENA SAMPALOC ST. CEMBO MAKATI. - 5,100.00 - 5,100.00
28-Dec-18 19-4901 RAMIREZ, MARLEA NARRA ST. TONDO MANILA - 570.00 - 570.00
28-Dec-18 19-4902 PAGAYONAN, CRISTINA DOMINGO SANTIAGO ST. SAMPALOC MANILA - 740.00 - 740.00
28-Dec-18 19-4903 TEVES, TRINIDAD BRGY BAYUGONG MEYCUAYAN BULACAN - 210.00 - 210.00
16-Jan-19 19-4904 CARIAGA, CAMILO 2633 DAGUPAN EXT SOLIS TONDO MANILA 429.00 - - 429.00
16-Jan-19 19-4905 NAVARRO, MELITA TANAUAN BATANGAS 546.00 - - 546.00
16-Jan-19 19-4906 ARAN, ADELAIDA BRGY. 95 TONDO MANILA - 1,200.00 - 1,200.00
16-Jan-19 19-4907 SIA, NELIA BRGY. 352 STA CRUZ MANILA 195.00 - - 195.00
16-Jan-19 19-4908 BERNAL, ROLANDO BRGY. 52 YABUT ST. CALOOCAN 563.30 - - 563.30
16-Jan-19 19-4909 PACUNAYEN, CLARITA NORTH VILLE BOCAUE BULACAN 1,224.40 - - 1,224.40
16-Jan-19 19-4910 LAMSEN, CESARIO BRGY. 35 TONDO MANILA 949.50 - - 949.50
16-Jan-19 19-4911 GINES, AMORSOLO MORNING VILLEGE CANUMAY VALENZUELA 429.00 - - 429.00
16-Jan-19 19-4912 BALANZAT, JENNIFER BLK 24 LOT CSJDM BULACAN - 325.00 - 325.00
16-Jan-19 19-4913 MATABAN, DOLORES CORREGIDOR ST. TONDO MANILA 1,080.70 - - 1,080.70
16-Jan-19 19-4914 POLIARCO, LUDIMAR BAGONG BARRIO CALOOCAN CITY - 500.00 - 500.00
16-Jan-19 19-4915 DUBLIN, ANNIE SAN LORENZO BACOOR CAVITE - - 4,157.20 4,157.20
16-Jan-19 19-4916 MARBAN, ERNESTO F REYES COMP VALENZUELA CITY 1,573.50 - - 1,573.50
16-Jan-19 19-4917 OLIMBERIO, RHODORA NORTH VILLE BAGONGBONG CALOOCAN - - 1,008.83 1,008.83
17-Jan-19 19-4918 SAMONTE, EDGAR LIBIS TALISAY CALOOCAN - - 530.00 530.00
31-Oct-18 19-4919 ORPIADA, ANGELITO IMUS, CAVITE - 2,000.00 - 2,000.00
4-Sep-18 19-4920 DELIZO, ROLANDO STA CRUZ, MANILA - 1,640.00 - 1,640.00
4-Sep-18 19-4921 RODRIGUEZ, LUZVIMINDA ROSARIO, CAVITE - 1,170.00 - 1,170.00
4-Sep-18 19-4922 MANILA, FRANCESKO NAGCARLAN, LAGUNA - 1,130.00 - 1,130.00
5-Sep-18 19-4923 PILAPIL, ANNABELLE CALOOCAN CITY - 2,750.00 - 2,750.00
5-Sep-18 19-4924 DIEGO, ELIZABETH CALOOCAN CITY - 1,070.00 - 1,070.00
5-Sep-18 19-4925 BOJOCAN. ROSARIO BINONDO, MANILA - 1,060.00 - 1,060.00
6-Sep-18 19-4926 MINAY,BERNA SJDM, BULACAN - 1,060.00 - 1,060.00
6-Sep-18 19-4927 TAMAYO, LEILANI CAGAYAN - 1,150.00 - 1,150.00
6-Sep-18 19-4928 NICERIO, BELEN SAMPALOC, MANILA - 885.00 - 885.00
3-Sep-18 19-4929 AGUILAR, ELENA MALABON CITY - 1,685.00 - 1,685.00
3-Sep-18 19-4930 SANTOS, ARNEL TONDO, MANILA - 940.00 - 940.00
10-Sep-18 19-4931 BITANCUR, MANELYN STA CRUZ, MANILA - 350.00 - 350.00
10-Sep-18 19-4932 LAGURIN, JHOANA MALABON CITY - 350.00 - 350.00
10-Sep-18 19-4933 BACLAO, MA. THERESA STA CRUZ, MANILA - 970.00 - 970.00
10-Sep-18 19-4934 OPIAZA, JOVELYN CALOOCAN CITY - 950.00 - 950.00
10-Sep-18 19-4935 CADACIO, CORA NORZAGARAY,BULACAN - 5,105.00 - 5,105.00
11-Sep-18 19-4936 GEMPERO, ANGELICA MALABON CITY - 390.00 - 390.00
12-Sep-18 19-4937 SAGUILON, KIELLE MALABON CITY - 800.00 - 800.00
12-Sep-18 19-4938 MANLUNAS, DORINA SAN PEDRO LAGUNA - 640.00 - 640.00
17-Sep-18 19-4939 MARTINEZ, DEXTER CAVITE CITY - 1,300.00 - 1,300.00
17-Sep-18 19-4940 DELMONTE, CRISANTO CALAMBA, LAGUNA - 1,200.00 - 1,200.00
17-Sep-18 19-4941 GUALBERTO, EVELYN STA MESA, MANILA - 1,060.00 - 1,060.00
Page 81
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
13-Sep-18 19-4942 MORALES, AIDA QUEZON CITY - 1,300.00 - 1,300.00
18-Sep-18 19-4943 SILVINO, REYNALDO CALOOCAN CITY - 1,590.00 - 1,590.00
19-Sep-18 19-4944 ROQUE, MARIA THERESA TONDO, MANILA - 1,565.00 - 1,565.00
19-Sep-18 19-4945 GALOLO, JONATHAN SAN ANDRES BUKID, MANILA - 800.00 - 800.00
13-Sep-18 19-4946 REYES, JEN QUEZON CITY - 350.00 - 350.00
18-Jan-19 19-4947 BULAWIT, DAVID CAMBA ST BINONDO MANILA - 2,340.00 - 2,340.00
18-Jan-19 19-4948 VERGARA, VICENTE SEVILLA EXT TONDO MANILA 3,165.20 - - 3,165.20
18-Jan-19 19-4949 EVANGELISTA, ROLANDO MABINI MAYPAJO CALOOCAN 2,057.35 - - 2,057.35
18-Jan-19 19-4950 REYES, MYRNA BAGONG SILANG CALOOCAN CITY 500.00 - - 500.00
18-Jan-19 19-4951 DELA CRUZ, LAUREANO JR VILLANUEVA ST MALABON CITY - 4,800.00 - 4,800.00
18-Jan-19 19-4952 ARCA, REYNATO KAMEDO ST PASOLO VALENZUELA 2,340.00 - - 2,340.00
18-Jan-19 19-4953 JARILLA, JERRY TROPICAL VILL GEN TRIAS CAVITE - - 36,767.29 36,767.29
16-Jan-19 19-4954 LLANETA, PEDRO SR LUCIANO TRECE MARTIRES CAVITE - - 20,703.70 20,703.70
16-Jan-19 19-4955 BATOON, TERESITA SEVERINO REYES STA CRUZ MANILA - - 77,112.11 77,112.11
18-Jan-19 19-4956 VILLASEÑOR, CONSOLACIONMLQ ST MANGGAHAN PASIG CITY - - 42,712.06 42,712.06
17-Jan-19 19-4957 ZARSUELA, ROSALINDA SARIAYA QUEZON PROVINCE - - 79,872.04 79,872.04
17-Jan-19 19-4958 YUSOP, PRINCESS NAILIA GONZALES SILANG CAVITE - - 34,099.33 34,099.33
17-Jan-19 19-4959 SUÑIGA, CRISANTO CHERRY EAST SUN VALLEY PARAÑAQUE - - 30,400.71 30,400.71
17-Jan-19 19-4960 SANTOS, EDWIN LAMESA ST UGONG VALENZUELA - - 43,999.84 43,999.84
18-Jan-19 19-4961 MAHILUM, TERESA EVERLASTING ST LAS PIÑAS CITY - - 73,478.45 73,478.45
18-Jan-19 19-4962 SANTOS, HANZ CALVIN THOMAS MANUEL KARUHATAN VALENZUELA - - 60,287.29 60,287.29
18-Jan-19 19-4963 DELA CRUZ, RACHEL BAGONG NAYON BALIUAG BULACAN - - 53,657.98 53,657.98
18-Jan-19 19-4964 NARVASA, RAMON SILANGAN BATASAN HILLS QUEZON - - 33,440.62 33,440.62
17-Jan-19 19-4965 YUTA, LONIRIE BRGY PUNTA I TANZA CAVITE - - 111,234.26 111,234.26
17-Jan-19 19-4966 CARREON, WILLIAM PIÑA ST LAS PIÑAS CITY - - 173,467.91 173,467.91
15-Jan-19 19-4967 LAMAYRA, HERMINIO MAKINABANG BALIUAG BUACAN - - 152,062.25 152,062.25
16-Jan-19 19-4968 PLATA, PATRICIA ALONZO ST DALAHICAN CAVITE - 11,800.00 - 11,800.00
8-Jan-19 19-4969 MALICSE, CLYDE BRGY BAGBAG NOVALICHES SUBIC ZAMBALES - - 5,039.59 5,039.59
8-Jan-19 19-4970 GRUTAS, RENALYN MOTONG ST. TONDO MANILA - - 2,844.63 2,844.63
8-Jan-19 19-4971 QUIMEQUIME, MA. EMMALYN#246 B5 E. RODRIGUEZ QUEZON CITY - - 567.86 567.86
8-Jan-19 19-4972 DELA CRUZ, KRISTAL SILANGAN HABAY I BACOOR CAVITE - - 1,134.74 1,134.74
8-Jan-19 19-4973 BOGNOT, JOLINA P. DUCOS ST. QUIAPO MANILA - - 1,046.89 1,046.89
8-Jan-19 19-4974 ALPE, JERICO C-CALLEJON LUZ SOLIS ST. TONDO MANILA - - 1,503.98 1,503.98
8-Jan-19 19-4975 MAHILUM, DARREL AREA I KENKO MOONWALK PARAÑAQUE CITY - - 8,620.63 8,620.63
8-Jan-19 19-4976 ABANA, JOAN ANONAS EXT. WEST STA MESA MANILA - - 2,208.99 2,208.99
8-Jan-19 19-4977 MANIBALE, RENANTE BRGY MAGSAYSAY SAN PEDRO LAGUNA CITY - - 1,908.44 1,908.44
8-Jan-19 19-4978 CERO, MARICEL HABITAT SITE TANZA NAVOTAS CITY - - 628.94 628.94
8-Jan-19 19-4979 MOLIJON, DIANNE ROSE OROQUIETA ST. STA CRUZ MANILA - - 1,117.20 1,117.20
8-Jan-19 19-4980 JOYA, LUIS VILLA MONTERVERDE, MULAWIN TANZA CAVITE714.00 - - 714.00
8-Jan-19 19-4981 JOYA, LUIS VILLA MONTERVERDE, MULAWIN TANZA CAVITE714.00 - - 714.00
8-Jan-19 19-4982 ALEJANDRO, FELINA NIEVES SAN LEONARDO NUEVA ECIJA 2,948.90 - - 2,948.90
8-Jan-19 19-4983 ALEJANDRO, MARY ANN PAZNIEVES SAN LEONARDO NUEVA ECIJA 3,315.00 - - 3,315.00
8-Jan-19 19-4984 GABRIEL, GENARO MAYON ST. LALOMA QUEZON CITY 292.50 - - 292.50
8-Jan-19 19-4985 SALVIO, MARITES FERNANDO ST. MALANDAY VALENZUELA CITY - - 530.00 530.00
8-Jan-19 19-4986 CADUCOY, RAYMART PERMANENT HOUSING BALUT TONDO MANILA- - 6,108.43 6,108.43
8-Jan-19 19-4987 FORMANES, AUDEL DOÑA FAUSTINA TANDANG SORA QUEZON CITY- - 17,938.57 17,938.57
8-Jan-19 19-4988 CASTRO, MARCIA GREGORIO DE JESUS GMA CAVITE - - 8,182.10 8,182.10
8-Jan-19 19-4989 BARRIENTOS, RAINIER ALMEDA ST. ERMITA MANILA - - 2,113.84 2,113.84
8-Jan-19 19-4990 BALAY, JOHN CARLO DAGUPAN EXT. TONDO MANILA - - 2,389.30 2,389.30
8-Jan-19 19-4991 TAN, BENSON D. JOSE ST. STA CRUZ MANILA - - 360.00 360.00
8-Jan-19 19-4992 MARIÑAS, ELMAR E.RODRIGUEZ ST. QUEZON CITY - - 6,427.53 6,427.53
8-Jan-19 19-4993 BLAS, SYDNIE DWEN OSMEÑA ST. TONDO MANILA - - 4,240.00 4,240.00
8-Jan-19 19-4994 LOPE, ROSARIO MAYPAJO CALOOCAN CITY - - 809.83 809.83
8-Jan-19 19-4995 AGUNDAY, KARL ARJHEL LOT 5 KAWAL DAGAT-DAGATAN CALOOCAN CITY- - 1,060.00 1,060.00
8-Jan-19 19-4996 BRILLO, MARIONITO MAGNOLIA ST. SAN PEDRO LAGUNA - - 1,374.00 1,374.00
8-Jan-19 19-4997 TENORIO, RODOLFO GAGALANGIN TONDO MANILA - - 4,240.00 4,240.00
8-Jan-19 19-4998 AGUILAR, ELENA MAGSAYSAY ST. BRGY SAN AGUSTIN MALABON CITY2,215.70 - - 2,215.70
18-Jan-19 19-4999 MAGTAGNOB, BARTOLOME BRGY 28 DAGAT DAGATAN CALOOCAN CITY370.50 - - 370.50
8-Jan-19 19-5000 GARAY, JOCELYN SARREAL VILL. BUKANDALA IMUS CAVITE1,337.00 - - 1,337.00
8-Jan-19 19-5001 CANLAS, SHERRY ROSE VITAS ST. TONDO MANILA - 810.00 - 810.00
8-Jan-19 19-5002 MALIGAYA, ROSARIO SULU ST. STA CRUZ MANILA 2,998.70 - - 2,998.70
Page 82
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
8-Jan-19 19-5003 CRUZ, AMIE SOLIS ST. TONDO MANILA 1,560.00 - - 1,560.00
11-Jan-19 19-5004 CANO, MARAVILLA GEN. LUIS ST. PASO DE BLAS VALENZUELA CITY193.70 - - 193.70
19-Jan-19 19-5005 BANTING, JACOB JOSH JOSE ABAD SANTOS TONDO MANILA - - 1,080.00 1,080.00
8-Jan-19 19-5006 DIZON, ANGELINA KASOY ST. COMEMBO MAKATI CITY 1,575.00 - - 1,575.00
8-Jan-19 19-5007 VILLANUEVA, MENVILOS ALIBOG MAGSAYSAY OCCIDENTAL MINDORO - - 5,772.25 5,772.25
8-Jan-19 19-5008 ENRIQUEZ, FELIPE BRGY LUMBRERAS GMA CAVITE - - 441.38 441.38
8-Jan-19 19-5009 BAUTISTA, WILFREDO PAG ASA ST. BAGONG BARRIO CALOOCAN CITY - - 336.72 336.72
8-Jan-19 19-5010 VILLARBA, MARIBETH PERMANENT HOUSING BALUT TONDO MANILA- - 1,888.00 1,888.00
8-Jan-19 19-5011 AKRAMAN, ALFATA BASECO PORT AREA MANILA - - 530.00 530.00
8-Jan-19 19-5012 CARLOS, NOEL BRGY UPPER BICUTAN TAGUIG CITY - - 2,181.80 2,181.80
8-Jan-19 19-5013 ROFLO, ROSARIO VALDERAMA ST. BINONDO MANILA - - 1,083.80 1,083.80
8-Jan-19 19-5014 ENRIQUEZ, JUSTINE REY BRGY BACLARAN PARAÑAQUE CITY - - 1,060.00 1,060.00
8-Jan-19 19-5015 HIDALGO, DINO RANCEL RIZAL AVE STA CRUZ MANILA - - 4,240.00 4,240.00
8-Jan-19 19-5016 TEODORO, HEIDI SAN MARCELINO ST. ERMITA MANILA - - 3,180.00 3,180.00
8-Jan-19 19-5017 GUDMALIN, RUEL CHRISTIANCORAL ST. TONDO MANILA - - 2,298.24 2,298.24
8-Jan-19 19-5018 DE LEON, LLOYD ANACLETO ST. STA CRUZ MANILA - - 1,590.00 1,590.00
8-Jan-19 19-5019 FABIANO, TEE JAY QUEZON BLVD STA CRUZ MANILA - - 965.50 965.50
8-Jan-19 19-5020 SANTOS, MARY JANE DIMASALANG BALAGER STA CRUZ MANILA - - 589.04 589.04
8-Jan-19 19-5021 SOLOMON, JACOB SULU ST. STA CRUZ MANILA - - 3,238.59 3,238.59
8-Jan-19 19-5022 BONANZA, JOHN CARL ALFONSO MENDOZA ST. STA CRUZ MANILA - - 269.14 269.14
8-Jan-19 19-5023 AVANCEÑA, FLORA MAY AQUINO ST. BRGY BALINGASA QUEZON CITY1,107.85 - - 1,107.85
8-Jan-19 19-5024 TAYOTO, NELLY NORTHVILLE BAGUMBONG CALOOCAN CITY1,137.00 - - 1,137.00
8-Jan-19 19-5025 MALLARI, FELINO ADALIA ST. BRGY 101 CALOOCAN CITY 9,360.00 - - 9,360.00
8-Jan-19 19-5026 MARTIN, MERCEDES MARULAS CALOOCAN CITY 922.50 - - 922.50
8-Jan-19 19-5027 RAMOS, ANTONIO BANGA 2ND PLARIDEL BULACAN 1,560.00 - - 1,560.00
8-Jan-19 19-5028 RAMOS, ANTONIO BANGA 2ND PLARIDEL BULACAN 949.50 - - 949.50
7-Jan-19 19-5029 ALCANTARA, REMEDIOS VITAS KATIPUNAN TONDO MANILA - - 784.00 784.00
7-Jan-19 19-5030 FERNANDEZ, ROMMEL BAGONG KALSADA TANGOS SOUTH NAVOTAS CITY1,867.40 - - 1,867.40
7-Jan-19 19-5031 ETOL, EFRAIM UGNATAN CONCEPCION MALABON CITY - - 7,934.79 7,934.79
7-Jan-19 19-5032 ARENDAIN, RYAM CAIDEN BMBA 2ND ST. 5TH AVENUE CALOOCAN CITY - - 530.00 530.00
7-Jan-19 19-5033 PANGILINAN, ALFREDO FELINA ST. SAMPALOC MANILA 620.90 - 2,105.78 2,726.68
7-Jan-19 19-5034 MANALILI, MONA WAGAS MATIMTIMAN ST. TONDO MANILA - - 1,742.19 1,742.19
8-Jan-19 19-5035 TUAZON, JAIRUS EDREY STO. ROSARIO ST. KARUHATAN VALENZUELA CITY- - 3,830.00 3,830.00
8-Jan-19 19-5036 LETADA, CHRISTIAN MASCARDO ST. BAGONG BARRIO CALOOCAN CITY- - 530.00 530.00
8-Jan-19 19-5037 BILLONES, ROSENELL J.P LAUREL BULAN SORSOGON - - 1,270.00 1,270.00
8-Jan-19 19-5038 LIPATA, GARCIANO JR ORANGE ROAD POTRERO MALABON CITY - - 159.72 159.72
8-Jan-19 19-5039 GALLARDO, CHRISTIAN PAULVARONA ST. TONDO MANILA 250.00 - 1,060.00 1,310.00
8-Jan-19 19-5040 CAYAO, CHARICE DALAGA ST. TONDO MANILA 250.00 - 2,120.00 2,370.00
8-Jan-19 19-5041 MANGAMPO, MYRA KASOY ST. AREA D CAMARIN CALOOCAN CITY - - 1,361.03 1,361.03
8-Jan-19 19-5042 GADUINA, MARICHAEL TAYUMAN ST. TONDO MANILA - - 2,749.03 2,749.03
8-Jan-19 19-5043 BARSAGA, TEODY BAGONG SILANG CALOOCAN CITY - - 1,699.72 1,699.72
8-Jan-19 19-5044 ESPIRITU, NIGEL RAIKO SAN LAZARO ST. STA CRUZ MANILA - - 2,350.00 2,350.00
8-Jan-19 19-5045 CABER, JUSTINE CLERK HAPPY LAND TONDO MANILA - - 2,120.00 2,120.00
8-Jan-19 19-5046 RETUALO, SHERWIN MOLAVE ST. TONDO MANILA - - 1,354.90 1,354.90
8-Jan-19 19-5047 CANDELARIA, JEROME ANTIPOLO ST. SAMPALOC MANILA - - 530.00 530.00
8-Jan-19 19-5048 DAYAO, GIAN LEMUEL MAGSAYSAY ST. SAN AGUSTIN BAYAN MALABON CITY- - 1,420.00 1,420.00
8-Jan-19 19-5049 FRANCO, CECILIA BAGONG KALSADA TANGOS SOUTH NAVOTAS CITY271.95 - - 271.95
8-Jan-19 19-5050 VILLAMOR, ISABELA IMELDA ST. SITIO CAPULONG TONDO MANILA - - 4,820.98 4,820.98
8-Jan-19 19-5051 SALCEDO, MARY ROSE SAN BARTOLOME ST. MAYPAJO CALOOCAN CITY- - 512.74 512.74
8-Jan-19 19-5052 TAPIS, SOFIA SITIO TUBIGAN BRGY GAYA GAYA SAN JOSE DEL MONTE BULACAN- - 193.34 193.34
8-Jan-19 19-5053 SACASAN, JESRIEL BRGY MABUHAY CARMONA CAVITE - - 156.00 156.00
8-Jan-19 19-5054 GOMEZ, ROSELA MARTINEZ EXT. ST. CALOOCAN CITY - - 1,441.30 1,441.30
8-Jan-19 19-5055 DE VERA, MARITES RINCON VALENZUELA CITY 9,172.80 - - 9,172.80
8-Jan-19 19-5056 DACALOS, MARIA CARMELITAP.GARCIA MAGSAYSAY TONDO MANILA 1,413.50 - - 1,413.50
8-Jan-19 19-5057 SANTOS, NELIA POBLACION BALIWAG BULACAN - 1,200.00 - 1,200.00
8-Jan-19 19-5058 ACUDESIN, ASHLEY JANE ALFONSO MENDOZA ST. STA CRUZ MANILA - 500.00 - 500.00
8-Jan-19 19-5059 ORTILLO, REMEDIOS VERINIAL ST. QUEZON CITY - 325.00 - 325.00
8-Jan-19 19-5060 NAPILISAN, MARICAR MATIMYAS ST. SAMPALOC MANILA - 500.00 - 500.00
8-Jan-19 19-5061 LANSANGAN, ROSALIE NADIRATA ST. MAYPAJO CALOOCAN CITY 381.00 - - 381.00
8-Jan-19 19-5062 GALPA, ROWENA IBARRA ST. SAMPALOC MANILA - 325.00 - 325.00
8-Jan-19 19-5063 SIO, RUBEN VILLA NOVA SUBD.NOVALICHES QUEZON CITY949.50 - - 949.50
Page 83
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GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
8-Jan-19 19-5064 DIAZ, MARIA TERESA PANGAKO ST. BAGONG BARRIO CALOOCAN CITY193.70 - - 193.70
8-Jan-19 19-5065 BOGNOT, ELENA BULUSAN ST. LALOMA QUEZON CITY 109.50 - - 109.50
8-Jan-19 19-5066 DELA PEÑA, MARICEL COPADA ST. CALOOCAN CITY 795.00 - - 795.00
8-Jan-19 19-5067 ENRIQUEZ, LALAINE KARAMA ST. TONSUYA MALABON CITY - 2,210.00 - 2,210.00
8-Jan-19 19-5068 SABIDO, EMMA OACHECO EXT. TONDO MANILA 859.50 - - 859.50
8-Jan-19 19-5069 ORTEGA, BERNARD HERNANDEZ ST. CATMON MALABON CITY 714.00 - - 714.00
8-Jan-19 19-5070 ALEGRE, ALBERTO SERRANO ST. GRACE PARK CALOOCAN CITY1,006.50 - - 1,006.50
8-Jan-19 19-5071 LACSON, NIDA MATIISIN ST. TONDO MANILA 1,082.00 - - 1,082.00
8-Jan-19 19-5072 MARTIN, EDUARDO DALANDAN ST. BAGONG BARRIO CALOOCAN CITY949.50 - - 949.50
8-Jan-19 19-5073 MANCILIT, SONIA COPADA ST. CALOOCAN CITY 438.00 - - 438.00
8-Jan-19 19-5074 NATIVIDAD, REBECCA VELASQUEZ ST. TONDO MANILA 588.90 - - 588.90
8-Jan-19 19-5075 LIBUNAO, RITA MARIA TEE TALANGKA ST. DAGAT DAGATAN CALOOCAN CITY549.00 - - 549.00
8-Jan-19 19-5076 LIBUNAO, MIGUELITO TALANGKA ST. DAGAT DAGATAN CALOOCAN CITY357.00 - - 357.00
19-Jan-19 19-5077 SEBASTIAN, ROBIN MORONG ST. TONDO MANILA - - 603.59 603.59
8-Jan-19 19-5078 CASAÑAS, ERNESTO SONS ST. TONDO MANILA 957.00 - - 957.00
8-Jan-19 19-5079 VELOSO, ROSITA RIZAL AVE. GRACE PARK CALOOCAN CITY 357.00 - - 357.00
8-Jan-19 19-5080 LOPEZ, VIRGILIO BRGY BF HOMES SUCAT PARAÑAQUE CITY - 250.00 - 250.00
8-Jan-19 19-5081 RENTA, PRISCILLA RAXABANGO TONDO MANILA - 1,200.00 - 1,200.00
8-Jan-19 19-5082 HABACON, LIWAYWAY CARNATION ST. NBBS NAVOTAS CITY 1,507.35 - - 1,507.35
8-Jan-19 19-5083 MARTINEZ, ROMEO ZAMORA ST. PANDACAN MANILA - 900.00 - 900.00
8-Jan-19 19-5084 SANTOS, TERESITA AGUILAR ST. TONDO MANILA 117.00 - - 117.00
8-Jan-19 19-5085 AMAGAN, RAFAEL KAUNLARAN VILLAGE CALOOCAN CITY 2,146.50 - - 2,146.50
8-Jan-19 19-5086 DE LUNA, JUAN ALMARIO ST. DAGUPAN TONDO MANILA 129.50 - - 129.50
8-Jan-19 19-5087 BEGINO, AMADOR GEN. SAN MIGUEL SANGANDAAN CALOOCAN CITY1,693.50 - - 1,693.50
8-Jan-19 19-5088 DECASTRO, DOMINGO LONGOS MALABON CITY 949.50 - - 949.50
8-Jan-19 19-5089 CAÑIZARES, CORAZON DINALUPIHAN ST. TONDO MANILA - 900.00 - 900.00
8-Jan-19 19-5090 ADVINCULA, VIRGILIO SAMPAGUITA BRGY SAN ISIDRO PARAÑAQUE CITY1,663.50 - - 1,663.50
8-Jan-19 19-5091 DIAZ, ANTONIO HIZON ST. STA CRUZ MANILA 1,942.80 - - 1,942.80
8-Jan-19 19-5092 ARCA, REYNATO KAMEDO PASOLO VALENZUELA CITY - - 9,293.23 9,293.23
8-Jan-19 19-5093 LOPEZ, REMEDIOS KASIYAHAN BRGY HOLY SPIRIT QUEZON CITY - - 597.83 597.83
9-Jan-19 19-5094 ZAMBRANO, SHARON DE GUZMAN PARADA VALENZUELA CITY - - 2,960.01 2,960.01
9-Jan-19 19-5095 BARANDA, JASMIN VISTAVERDE BUDAPEST ST. LLANO CALOOCAN CITY- - 3,967.19 3,967.19
9-Jan-19 19-5096 MESA, JACOB GOZON COMPLEX TONSUYA MALABON CITY - - 255.00 255.00
9-Jan-19 19-5097 MESA, RUBY GOZON COMPLEX TONSUYA MALABON CITY - - 3,550.54 3,550.54
9-Jan-19 19-5098 CERVANIA, CHRISTINA BLUM. EXT QUEZON CITY - - 3,145.04 3,145.04
9-Jan-19 19-5099 CO, JOVITO HERNANDEZ ST. TONDO MANILA 987.10 - 2,399.45 3,386.55
9-Jan-19 19-5100 VILLANUEVA, MENVILOS LIBUG MAGSAYSAY OCCIDENTAL MINDORO - - 140.00 140.00
9-Jan-19 19-5101 PAGHUNASAN, REMEDIOS 107 KAHUNARI ST. SAN JOSE NAVOTAS CITY491.40 - - 491.40
9-Jan-19 19-5102 PACETE, AURELIO MALAYA ST. STA MESA HEIGHTS QUEZON CITY1,555.20 - - 1,555.20
9-Jan-19 19-5103 PACETE, PRESENTACION MALAYA ST. STA MESA HEIGHTS QUEZON CITY822.00 - - 822.00
9-Jan-19 19-5104 MACAHILIG, JODITO ROSE ST. GOLDEN ACRES SUBD TALON LAS PIÑAS CITY- - 16,079.09 16,079.09
9-Jan-19 19-5105 GAA, RIO PARADISE HEIGHTS BALUT TONDO MANILA445.00 - - 445.00
9-Jan-19 19-5106 SOLIVEN, ADOLFO PAVIA ST. TONDO MANILA - - 3,036.69 3,036.69
9-Jan-19 19-5107 FERNANDEZ, JESUSA BUKID MALINTA VALENZUELA CITY - - 7,004.20 7,004.20
9-Jan-19 19-5108 CALINAYA, LAURENCE KAGITINGAN SUN FLOWER ST. TONDO MANILA250.00 - 360.00 610.00
9-Jan-19 19-5109 CASTRO, ERNESTO BANSALANGIN ST. VETERANA VILLAGE QUEZON CITY987.00 - - 987.00
9-Jan-19 19-5110 GUILLIA, FAISAH C. PALANCA ST. SAN MIGUEL MANILA - - 530.00 530.00
9-Jan-19 19-5111 FERNANDEZ, CRISTINE MAEBALUGNOGAN PANDAN CATANDUANES - - 1,750.00 1,750.00
9-Jan-19 19-5112 DELA CRUZ, CORA CUTCUT I CAPAS TARLAC - 250.00 - 250.00
9-Jan-19 19-5113 DELA CRUZ, CORA CUTCUT I CAPAS TARLAC - 130.00 - 130.00
9-Jan-19 19-5114 BALEÑA, SONIA BRGY SAN MATEO BORONGAN EASTERN SAMAR- - 530.00 530.00
9-Jan-19 19-5115 FLORES, CRYEON LOUR SOIRBRGY 163 STA QUITERIA CALOOCAN CITY 273.50 - - 273.50
9-Jan-19 19-5116 SAPIANDANTE, MARY JANE ESGUERRA ST. TONDO MANILA 6,552.00 - - 6,552.00
9-Jan-19 19-5117 CATAYLO, ROSARIO BAGONG SILANG CALOOCAN CITY 714.00 - - 714.00
9-Jan-19 19-5118 SIMBULAN, MARCELINA MERCEDES DAGUPAN TONDO MANILA 598.50 - - 598.50
9-Jan-19 19-5119 BERNABE, SAMUEL BRGY BOOL CENTRAL CUGABA BILIRAN 949.50 - - 949.50
9-Jan-19 19-5120 MAINGAT, DALE MC MOLAVE BRGY 228 TONDO MANILA - - 1,311.59 1,311.59
9-Jan-19 19-5121 CANDILOSAS, JHONAR JR. BONIFACIO BALINTAWAK QUEZON CITY - - 256.93 256.93
9-Jan-19 19-5122 HERNANDEZ, ROLANDO SAN JOSE BALANGA CITY BATAAN - - 9,466.43 9,466.43
9-Jan-19 19-5123 SUELA, ANALITA ESPIRITU ST. TINAJEROS MALABON - - 4,819.56 4,819.56
9-Jan-19 19-5124 PAGUILA, CEDRICK LOUIE ESPIRITU ST. TINAJEROS MALABON - - 580.00 580.00
Page 84
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
9-Jan-19 19-5125 QUILES, NAZARENE GAIL SEVERINO R BRGY 209 TONDO MANILA - - 784.04 784.04
9-Jan-19 19-5126 CRUZ, CATHERINE SANTAN ST. TIAONG GUIGUINTO BULACAN - - 1,112.08 1,112.08
9-Jan-19 19-5127 GASINGAN, ALICIA CAPULONG ST. TONDO MANILA - - 1,584.30 1,584.30
9-Jan-19 19-5128 FABELLA, RICKY INT. ST. NAVOTAS CITY - - 530.00 530.00
9-Jan-19 19-5129 ARIOLA, BEVERLYN DINALAGA ST. EAST BAGONG BARRIO CALOOCAN CITY- - 973.75 973.75
9-Jan-19 19-5130 PACOMA, LORDY RIZAL AVE. STA CRUZ MANILA - - 530.00 530.00
9-Jan-19 19-5131 LAGUINLIN, WILLIAM GEN. KALENTONG BRGY PAG ASA MANDALUYONG CITY- - 1,005.29 1,005.29
9-Jan-19 19-5132 BASALO, MARJORIE LYNETTEPLATA ST. BRGY TUGATOG MALABON CITY - - 890.00 890.00
9-Jan-19 19-5133 VARGAS, ALLYSSA DULO MALIGAYA BAGBAG QUEZON CITY - - 606.59 606.59
9-Jan-19 19-5134 LACSAMANA, RUNEL AINT26 RAXABAGO TONDO MANILA - - 1,060.00 1,060.00
9-Jan-19 19-5135 MAGLINTE, ROCKY TOMAS ST. HERRERA STA CRUZ MANILA - - 2,120.00 2,120.00
9-Jan-19 19-5136 RAMIREZ, MARY JOY SOUTHVILLE 2 CAVITE - - 4,992.62 4,992.62
9-Jan-19 19-5137 BUSTINERA, CELIA PAJERO ST. CULDESAC PARAÑAQUE CITY - 1,200.00 - 1,200.00
9-Jan-19 19-5138 DE DIOS, ROSEMARIE RAXA TUPAZ ST. DAANGHARI NAVOTAS CITY - 455.00 - 455.00
9-Jan-19 19-5139 TEODORO, MA. TERESA BRGY NBBS DAGAT DAGATAN NAVOTAS CITY78.00 - - 78.00
9-Jan-19 19-5140 LAGUMBAY, FEBRONIA HINUNDAYAN SOUTHERN LEYTE 520.00 - - 520.00
9-Jan-19 19-5141 AGUSTIN, ANTONIO WILLINGTON RESIDENCE TANZA CAVITE - 8,300.00 - 8,300.00
9-Jan-19 19-5142 BETAY, NELIA PILIG ALTO CABAGAN YSABELA 1,299.00 - - 1,299.00
9-Jan-19 19-5143 BETAY, BENJAMIN PILIG ALTO CABAGAN YSABELA 1,299.00 - - 1,299.00
9-Jan-19 19-5144 VITUG, RICHARD BRGY MALIGAYA I PACITA 2 SAN PEDRO LAGUNA- - 16,046.36 16,046.36
9-Jan-19 19-5145 SALAZAR, SETH JOASH BELVEDERE PARADAHAN I TANZA CAVITE - - 8,094.60 8,094.60
9-Jan-19 19-5146 VILLAMOR, ISABELLA CAPULONG ST. TONDO MANILA - - 4,035.00 4,035.00
21-Jan-19 19-5147 TABJAN, ALEXANDER BRGY 370 TONDO MANILA 535.50 - - 535.50
21-Jan-19 19-5148 SENGSON, MARIA GERTRUDESDOMINGO ST TANGOS NAVOTAS CITY 3,120.00 - - 3,120.00
21-Jan-19 19-5149 CARODAN, ALSIE BRGY 306 QUIAPO MANILA 292.50 - - 292.50
21-Jan-19 19-5150 NAZ, RODERICK OLD ANTIPOLO ST STA CRUZ MANILA - 1,200.00 - 1,200.00
21-Jan-19 19-5151 DE GUZMAN, RUBEN LICO ST TONDO MANILA 429.00 - - 429.00
21-Jan-19 19-5152 BARON, LEONARDO MALIGAYA ST BAGONG BARRIO CALOOCAN CITY2,340.00 - - 2,340.00
21-Jan-19 19-5153 VIGO, EDGAR PANAPAAN IV BACOOR CAVITE - 3,140.00 - 3,140.00
21-Jan-19 19-5154 LLAGA, FELIX MAGSAYSAY VILLAGE TONDO MANILA 721.50 - - 721.50
21-Jan-19 19-5155 MARCELO, EGMEDIO BRGY 351 STA CRUZ MANILA - 1,440.00 - 1,440.00
21-Jan-19 19-5156 BAYANI, ROSEMARIE JOSEFINA ST 3RD AVE CALOOCAN CITY 714.00 - - 714.00
21-Jan-19 19-5157 NICDAO, PRINCESS NICOLE MARCELO ST MALANDAY VALENZUELA CITY - 500.00 - 500.00
21-Jan-19 19-5158 NICDAO, FRANCIS NORMANMARCELO ST MALANDAY VALENZUELA CITY - 500.00 - 500.00
21-Jan-19 19-5159 BRUTAS, ROMUALDO SEVERINO REYES ST STA CRUZ MANILA 195.00 - - 195.00
21-Jan-19 19-5160 BALAGUER, LORNA KUSANG LOOB ST STA CRUZ MANILA 195.00 - - 195.00
21-Jan-19 19-5161 DE LEON, CARMELLA JOY KAPANALIG ST CALOOCAN CITY - 325.00 - 325.00
21-Jan-19 19-5162 ABAN, SHIRLEY BRGY GALAS QUEZON CITY 429.00 - - 429.00
21-Jan-19 19-5163 TACAL, MA. TERESA TAMBUNTING ST STA CRUZ MANILA 81.00 - - 81.00
21-Jan-19 19-5164 CARDEÑO, MELVIN DAGAT DAGATAN CALOOCAN CITY 1,336.70 - - 1,336.70
21-Jan-19 19-5165 ERNACIO, MICHELLE LORETO ST SAMPALOC MANILA - 500.00 - 500.00
21-Jan-19 19-5166 MACALINAO, ROSE ANN BRGY 213 TONDO MANILA - 130.00 - 130.00
21-Jan-19 19-5167 SAULOG, AMADOR SEVERINO REYES ST STA CRUZ MANILA 1,497.85 - - 1,497.85
21-Jan-19 19-5168 CRUZ, EDWINA BRGY 200 TONDO MANILA 429.00 - - 429.00
21-Jan-19 19-5169 RIVERA, ADORACION BRGY 40 GRACE PARK CALOOCAN CITY - - 322.60 322.60
21-Jan-19 19-5170 RILLON, JOHN MARTIN VALDEZ ST SAMPALOC MANILA - - 530.00 530.00
21-Jan-19 19-5171 ORDIZ, JOSE TEDDY MCGREGOR ST QUIAPO MANILA - - 640.50 640.50
21-Jan-19 19-5172 VILLASANTA, ARSENIA BRGY LALAGUNA LOPEZ QUEZON - - 3,645.39 3,645.39
21-Jan-19 19-5173 VENTANILLA, RUDOLF SIMONGEN LUKBAN ST TONDO MANILA 1,107.85 - - 1,107.85
21-Jan-19 19-5174 DIZON, LEO BENITA ST TONDO MANILA - - 4,105.96 4,105.96
21-Jan-19 19-5175 TAMAYO, GALILEA PROGRESO ST BAGONG BARRIO CALOOCAN CITY- - 795.63 795.63
21-Jan-19 19-5176 NIVAL, ZYRAH YSABELLE BRGY MANRESA QUEZON CITY - - 257.73 257.73
21-Jan-19 19-5177 BAKING, JUANITO BRGY BAHAY TORO QUEZON CITY - - 2,101.63 2,101.63
21-Jan-19 19-5178 TEMPLADO, JAIME BRGY 28 MALAYA ST CALOOCAN CITY 624.00 - - 624.00
21-Jan-19 19-5179 OSAL, TERESITA ESGUERRA ST BISIG KABATAAN CALOOCAN CITY421.20 - - 421.20
21-Jan-19 19-5180 SOTTO, PILIPINO BRGY STO DOMINGO QUEZON CITY 949.50 - - 949.50
21-Jan-19 19-5181 PACIA, REYNALDO BAGONG SILANG CALOOCAN CITY - 2,400.00 - 2,400.00
21-Jan-19 19-5182 SANTOS, NICANDRO PILAPIL ST TONDO MANILA 429.00 - - 429.00
21-Jan-19 19-5183 PATLONAG, TITO TALABA II BACOOR CAVITE - 250.00 - 250.00
21-Jan-19 19-5184 ESPIRITU, MARIANO SALAY SALAY ST CALOOCAN CITY 1,355.55 - - 1,355.55
21-Jan-19 19-5185 ARCIBAL, GERMIE BRGY PAG IBIG SA NAYON QUEZON CITY - 1,600.00 - 1,600.00
Page 85
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GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
21-Jan-19 19-5186 PELAEZ, MARLON SAN ANTONIO PARAÑAQUE CITY - - 13,833.33 13,833.33
21-Jan-19 19-5187 ESPINO, JELYN DAGUPAN ST TONDO MANILA - - 2,495.42 2,495.42
21-Jan-19 19-5188 FERNANDEZ, MARINA PILAPIL ST TONDO MANILA - - 530.00 530.00
21-Jan-19 19-5189 SANTIAGO, BERNARDO YUSECO ST TONDO MANILA - - 3,609.24 3,609.24
21-Jan-19 19-5190 MIRANDA, ARSENIO BRGY HULONG DUHAT MALABON CITY - - 2,376.00 2,376.00
21-Jan-19 19-5191 CATANDUANES, PRINCESS CAILIEBRGY CATMON MALABON CITY - - 230.94 230.94
21-Jan-19 19-5192 DE GUZMAN, MARICEL COT-COT PULILAN BULACAN - - 546.15 546.15
21-Jan-19 19-5193 CRISOSTOMO, ROLANDO DON BENITO ST CALOOCAN CITY - - 566.40 566.40
21-Jan-19 19-5194 VENTANILLA, RUDOLF SIMONGEN LUKBAN ST TONDO MANILA - - 530.00 530.00
21-Jan-19 19-5195 ASI, DANILO PIÑA TAYSAN BATANGAS - 325.00 - 325.00
21-Jan-19 19-5196 GOMEZ, LAURO SIPAC ALMACEN NAVOTAS CITY 1,299.50 - - 1,299.50
21-Jan-19 19-5197 VASQUEZ, NIEVES BRGY LONGOS MALABON CITY - 1,200.00 - 1,200.00
21-Jan-19 19-5198 REYES, ARMELINA BRGY UGONG VALENZUELA CITY 429.00 - - 429.00
21-Jan-19 19-5199 REYES, VLADIMIR BRGY UGONG VALENZUELA CITY 429.00 - - 429.00
21-Jan-19 19-5200 DELA ROSA, LEONARDO BRGY 36 CALOOCAN CITY 429.00 - - 429.00
21-Jan-19 19-5201 TAMBONG, CARLITO DAGUPAN ST TONDO MANILA 2,340.00 - - 2,340.00
21-Jan-19 19-5202 RUIZ, MICHAEL BRGY MARULAS VALENZUELA CITY - 3,060.00 - 3,060.00
21-Jan-19 19-5203 NALDO, NIDA BRGY COMMONWEALTH QUEZON CITY 429.00 - - 429.00
21-Jan-19 19-5204 CACHERO, CARR BENEDICT PERFECTO ST TONDO MANILA 2,340.00 - - 2,340.00
21-Jan-19 19-5205 MORADA, ROSALYN DE GUZMAN ST QUIAPO MANILA - - 1,450.01 1,450.01
21-Jan-19 19-5206 BRIONES, MICHAEL TAMBAKAN ST MAYPAJO CALOOCAN CITY 3,120.00 - - 3,120.00
21-Jan-19 19-5207 APELADO, JIM JERVIES PARAISO ST TONDO MANILA - 2,400.00 - 2,400.00
21-Jan-19 19-5208 GASINGAN, ERLINDA PACHECO ST TONDO MANILA 81.00 - - 81.00
21-Jan-19 19-5209 BALLELOS, LUCIA KAUNLARAN VILLAGE CALOOCAN CITY 526.50 - - 526.50
21-Jan-19 19-5210 FULGENCIO, CORAZON INOCENCIO ST TONDO MANILA 721.50 - - 721.50
21-Jan-19 19-5211 MALIWAT, EVALYN KAUNLARAN VILL MALABON CITY 466.70 - - 466.70
21-Jan-19 19-5212 CAMPBELL, CORAZON TAYUMAN ST TONDO MANILA 1,107.85 - - 1,107.85
21-Jan-19 19-5213 SANDING, AMELIA BRGY 163 TONDO MANILA - 900.00 - 900.00
21-Jan-19 19-5214 NAVA, JULITO BRGY 33 MAYPAJO CALOOCAN CITY 429.00 - 2,655.08 3,084.08
21-Jan-19 19-5215 IRINCO, JOHNNY BRGY 69 TONDO MANILA 150.00 - 703.24 853.24
21-Jan-19 19-5216 CAPIZ, CHRISTALIAN JAMESBRGY 60 TONDO MANILA - - 2,605.29 2,605.29
21-Jan-19 19-5217 DELIM, LINDA BRGY 357 STA CRUZ MANILA 150.00 - 3,478.09 3,628.09
21-Jan-19 19-5218 ESCUETA, ANTONIO BRGY 76 TONDO MANILA 250.00 - 4,787.00 5,037.00
21-Jan-19 19-5219 MANANGAN, ERMINA APOLONIO SAMSON QUEZON CITY - - 2,934.24 2,934.24
21-Jan-19 19-5220 MANIO, JENNELL ROSE GALAURAN ST 6TH AVE CALOOCAN CITY - - 87.51 87.51
10-Jan-19 19-5221 SAN JUAN, ANGELINE PASONG KAWAYAN GEN TRIAS CAVITE - - 1,544.98 1,544.98
10-Jan-19 19-5222 GRANADA, ARNEL BRGY NBBS NAVOTAS CITY - - 3,996.71 3,996.71
11-Jan-19 19-5223 BITANCUR, MANELYN NATIVIDAD ST STA CRUZ MANILA - - 1,632.84 1,632.84
11-Jan-19 19-5224 EDLAS, MICHAEL MANUYO LAS PIÑAS CITY - - 8,827.17 8,827.17
13-Jan-19 19-5225 BROSAS, MARK ANTHONY BRGY DON BOSCO PARAÑAQUE CITY - - 14,684.39 14,684.39
15-Jan-19 19-5226 CORTEZ, RACHELLE BRGY PAG IBIG SA NAYON QUEZON CITY - - 9,725.72 9,725.72
22-Jan-19 19-5227 ANDRADE, ELMALYN BRGY MAPULANG LUPA VALENZUELA CITY - - 912.41 912.41
22-Jan-19 19-5228 PUNA, DAISY BRGY 125 CALOOCAN CITY - - 1,506.76 1,506.76
22-Jan-19 19-5229 BASINILLO, NELDRED BRGY MARULAS VALENZUELA CITY 2,846.85 1,500.00 - 4,346.85
22-Jan-19 19-5230 BORENAGA, SUZETTE M HIZON ST STA CRUZ MANILA - 2,640.00 - 2,640.00
22-Jan-19 19-5231 BANATE, JASPER LILAC ST WEST FAIRVIEW QUEZON CITY 3,900.00 - - 3,900.00
22-Jan-19 19-5232 DABAC, ARTURO SR DAGAT DAGATAN CALOOCAN CITY 429.00 - - 429.00
22-Jan-19 19-5233 NERVAR, MANUELITO JR BRGY 475 SAMPALOC MANILA - 1,200.00 - 1,200.00
22-Jan-19 19-5234 NERVAR, MANUELITO JR BRGY 475 SAMPALOC MANILA - 1,320.00 - 1,320.00
22-Jan-19 19-5235 PEREZ, MARIA NARCISA ABANGAN SUR MARILAO BULACAN 370.50 - - 370.50
22-Jan-19 19-5236 GARCIA, ARMANDO LARDIZABAL SAMPALOC MANILA 920.40 - - 920.40
22-Jan-19 19-5237 RAGO, RUELLA BIANCA BRGY 829 PACO MANILA 491.40 - - 491.40
22-Jan-19 19-5238 FABALLA, JORDAN BAGBAGUIN CALOOCAN CITY - - 1,284.14 1,284.14
22-Jan-19 19-5239 BAGTASOS, DELIA PKG 11 BAGONG SILANG CALOOCAN CITY - - 654.80 654.80
22-Jan-19 19-5240 RAMOS, GABRIELLY JHOANNDOÑA RITA ST 5TH AVE CALOOCAN CITY - - 530.00 530.00
22-Jan-19 19-5241 PERDON, JAKE TYRON TORCILLO ST DAGAT DAGATAN CALOOCAN CITY- - 2,840.00 2,840.00
22-Jan-19 19-5242 RAGASA, ANTONIO BARCELONA SORSOGON - - 897.59 897.59
22-Jan-19 19-5243 CAÑAS, JERICK BRGY 20 TONDO MANILA 4,680.00 - - 4,680.00
22-Jan-19 19-5244 APUHIN, EULA KENT PIER 2 TONDO MANILA - - 2,350.00 2,350.00
22-Jan-19 19-5245 CABANGUNAY, MARK DAVEBAESA CALOOCAN CITY - - 8,000.08 8,000.08
22-Jan-19 19-5246 DELOS REYES, VIA PETA ST BAGONG BARRIO CALOOCAN CITY - - 3,607.69 3,607.69
22-Jan-19 19-5247 DE GUZMAN, JADE BEATRIZSEVILLA ST BINONDO MANILA - - 253.31 253.31
Page 86
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
22-Jan-19 19-5248 SINLAO, JO ANN LAMBAKIN MARILAO BULACAN - - 2,295.20 2,295.20
22-Jan-19 19-5249 ABARCA, EDEN MAKISIG ST STA MESA MANILA - 130.00 - 130.00
22-Jan-19 19-5250 CORTEZ, FERNANDO BRGY RINCON VALENZUELA CITY - 900.00 - 900.00
22-Jan-19 19-5251 VILLAFUERTE, JOSELITO LEONOR ST SAN PABLO LAGUNA - - 18,035.50 18,035.50
22-Jan-19 19-5252 ALONZO, JOVEN PULONG BUHANGIN STA MARIA BULACAN - 2,400.00 - 2,400.00
22-Jan-19 19-5253 BELEN, JANNET BINTOG PLARIDEL BULACAN - 1,200.00 - 1,200.00
22-Jan-19 19-5254 ALFONSO, MANRY BAYBAY CARMONA CAVITE - 2,000.00 - 2,000.00
22-Jan-19 19-5255 MENDOZA, LIBERTY TUBERA ST TONDO MANILA - 1,200.00 - 1,200.00
22-Jan-19 19-5256 WEE, JERCY BRGY 183 TONDO MANILA 250.00 - 720.00 970.00
22-Jan-19 19-5257 BRASILEÑO, EDWIN BRGY LONGOS MALABON CITY - - 654.80 654.80
22-Jan-19 19-5258 SAPLAN, JANA VICTORIA DOÑA MARIA ST SAMPALOC MANILA - - 530.00 530.00
22-Jan-19 19-5259 MACAHILIG, ROLANDO ROMUALDEZ ST TONDO MANILA - 1,620.00 - 1,620.00
22-Jan-19 19-5260 BAUTISTA, ANGELICA BRGY CATMON MALABON CITY - - 1,059.00 1,059.00
22-Jan-19 19-5261 PUGATA, CHRISTINE LYN BRGY 52 7TH AVE CALOOCAN CITY - - 2,800.34 2,800.34
22-Jan-19 19-5262 SALIVIO, DULCE AMOR LANETE RD LAS PIÑAS CITY - - 1,900.79 1,900.79
22-Jan-19 19-5263 COMPLOMA, RUDY BATKONG DALIG KAWIT CAVITE - - 608.00 608.00
22-Jan-19 19-5264 GUZON, JARNIE ASUCINA ST PAYATAS 4 QUEZON CITY - - 4,836.11 4,836.11
22-Jan-19 19-5265 LAYSON, JOCELYN MALABOGON LIBMANAN CAMARINES SUR - - 4,253.09 4,253.09
22-Jan-19 19-5266 OCILLOS, CHRISTINE PAEL CULIAT QUEZON CITY - - 9,564.50 9,564.50
22-Jan-19 19-5267 PEPITO, DANILO BRGY MANRESA QUEZON CITY 1,143.00 - - 1,143.00
22-Jan-19 19-5268 MALAPIRA, TERESITA DAGUPAN EXT TONDO MANILA 2,340.00 - - 2,340.00
22-Jan-19 19-5269 MONTAÑA, DIVINO BRGY STO TOMAS CALAUAN LAGUNA 2,340.00 - - 2,340.00
22-Jan-19 19-5270 DURAN, ROSE ANN MOLAVE ST TONDO MANILA - - 896.25 896.25
22-Jan-19 19-5271 ACUIN, RODOLFO BARRIO OBRERO PANDACAN MANILA - - 2,995.05 2,995.05
22-Jan-19 19-5272 BADILLA, GERALD ANTIPOLO ST SAMPALOC MANILA - - 750.53 750.53
22-Jan-19 19-5273 GARRAY, JULIUS DEL MUNDO VILLAGE LLANO CALOOCAN CITY - - 545.84 545.84
22-Jan-19 19-5274 MAGDALUYO, VIOLETA MAHARLIKA ST TONDO MANILA 144.00 - - 144.00
22-Jan-19 19-5275 PUATO, ISIDRO BAGONG BARRIO CALOOCAN CITY 714.00 - - 714.00
22-Jan-19 19-5276 JARILLA, JERRY SAN FRANCISCO GEN TRIAS CAVITE - - 2,599.51 2,599.51
22-Jan-19 19-5277 MARAÑA, SALITO BRGY MARULAS VALENZUELA CITY - - 1,095.00 1,095.00
22-Jan-19 19-5278 FARREN, EMY BRGY BAGO BANTAY QUEZON CITY - - 1,588.60 1,588.60
22-Jan-19 19-5279 SORIA, MICHAEL BRGY TATALON QUEZON CITY - - 2,601.97 2,601.97
22-Jan-19 19-5280 HILARIO, JANELLA MAE BAMBANG ST TONDO MANILA - - 2,097.78 2,097.78
22-Jan-19 19-5281 TEODORO, SEAN STEVEN SAN ROQUE HAGONOY BULACAN - - 1,060.00 1,060.00
22-Jan-19 19-5282 CASIDSID, EVELYN TAMBUNTING ST STA CRUZ MANILA 429.00 - - 429.00
22-Jan-19 19-5283 REAL, MONETT BULIHAN SILANG CAVITE 714.00 - - 714.00
22-Jan-19 19-5284 ARRIOLA, BIENVENIDA CRISTOBAL ST SAMPALOC MANILA 97.50 - - 97.50
22-Jan-19 19-5285 DEOCAREZA, EDUARDO RIVERSIDE SAN PEDRO LAGUNA 723.00 - - 723.00
22-Jan-19 19-5286 CONANAN, SALVADOR BRGY SAN ANTONIO PARAÑAQUE CITY 429.00 - - 429.00
22-Jan-19 19-5287 TOPANG, IMELDA BRGY 25 NAME ST CALOOCAN CITY 535.50 - - 535.50
22-Jan-19 19-5288 SAMPILO, ELIZABETH BRGY 93 TONDO MANILA 624.00 - - 624.00
22-Jan-19 19-5289 LUCERO, LEONILLO TEACHERS VILLAGE GMA CAVITE 949.50 - - 949.50
22-Jan-19 19-5290 CALDERON, EVELYN BRGY TATALON QUEZON CITY 714.00 - - 714.00
22-Jan-19 19-5291 BARTOLO, SOFRONIO BRGY 54 TONDO MANILA - 500.00 - 500.00
18-Jan-19 19-5292 GAUANG, ROMEO KAMUNING QUEZON CITY 388.50 - - 388.50
18-Jan-19 19-5293 ESPIÑA, AURORA BRGY BAGONG SILANG QUEZON CITY - - 530.00 530.00
18-Jan-19 19-5294 SUPSUP, MARISSA SAN JOSE RODRIGUEZ RIZAL - - 1,705.29 1,705.29
18-Jan-19 19-5295 CRUCILLO, MARVIN ADRIANMABINI ST. MENDEZ CAVITE - 1,710.00 - 1,710.00
18-Jan-19 19-5296 JALANDRA, GHIAN JILCY STA RITA BACLARAN PARAÑAQUE CITY - - 1,080.00 1,080.00
18-Jan-19 19-5297 FUNDAL, ELIZABETH BRGY 84 CALOOCAN CITY - - 1,060.00 1,060.00
18-Jan-19 19-5298 LEGASPI, MA. ARLENE BRGY 60 TONDO MANILA - - 530.00 530.00
18-Jan-19 19-5299 GOTOC, BALTAZAR SAN RAFAEL BULACAN - 250.00 - 250.00
18-Jan-19 19-5300 ANGELES, JEOVANIE DRAKETAYUMAN ST. STA CRUZ MANILA - - 530.00 530.00
18-Jan-19 19-5301 DALIDA, JUVY JANE BRGY SAN FELIPE CUENCA BATANGAS - - 360.00 360.00
18-Jan-19 19-5302 TABARNO, CONCHITA NORTH ROAD ST. VEINTE REALES VALENZUELA CITY- - 3,659.37 3,659.37
18-Jan-19 19-5303 CAMPOSANO, RED CYRUS SAN NICOLAS ST. BINONDO MANILA - - 2,575.00 2,575.00
18-Jan-19 19-5304 ECHON, JEREMY PAGKAKAISA ST. TONDO MANILA - - 565.98 565.98
18-Jan-19 19-5305 VILLARUEL, JAIZA CAYABYAB ST. SANGANDAAN CALOOCAN CITY134.05 - - 134.05
18-Jan-19 19-5306 CORDOVA, RENE BRGY 328 STA CRUZ MANILA - - 210.00 210.00
18-Jan-19 19-5307 ENCARNACION, DANADEL ANNG TUAZON ST. SAMPALOC MANILA - - 530.00 530.00
18-Jan-19 19-5308 BAGUIO, ARLENE ROXAS ST. BRGY MANRESA QUEZON CITY - - 297.51 297.51
Page 87
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
18-Jan-19 19-5309 CAÑEZO, BERNARD LAGUSAN ST. KAINGIN BUKID APOLONIO SAMSON- - 163,774.13 163,774.13
18-Jan-19 19-5310 BALTAZAR, MA. THERESA ENRIQUEZ ST. PANGINAY GUIGUINTO BULACAN- - 54,638.65 54,638.65
18-Jan-19 19-5311 DALMACIO, WILFREDO HENERAL UNO PASONG KAWAYAN II GEN TRIAS CAVITE- - 190,619.04 190,619.04
18-Jan-19 19-5312 BUSTINERA, CELIA PAJARO ST. CULDESAC SUN VALLEY PARAÑAQUE CITY- 31,000.00 - 31,000.00
18-Jan-19 19-5313 MADERA, ROMEO WEST PLAIN BRGY DE OCAMPO TRECE MARTIRES CAVITE- - 119,896.58 119,896.58
18-Jan-19 19-5314 JOVEN, GENEROSO JONES ST. WAWA TAGUIG CITY - - 29,441.56 29,441.56
18-Jan-19 19-5315 ADANI, RONALD TOMAS MAPUA ST. BRGY 354 MANILA - - 23,720.17 23,720.17
18-Jan-19 19-5316 LUMABAS, GABRIEL 447 NBBN NAVOTAS CITY - - 104,661.49 104,661.49
19-Jan-19 19-5317 JUNIO, MARILOU CAMARINES ST TONDO MANILA - - 665.79 665.79
19-Jan-19 19-5318 PELINGON, IJONA BANAL ST BAGONG BARRIO CALOOCAN CITY - - 1,031.85 1,031.85
19-Jan-19 19-5319 ZHOYBIA, BB GIRL BARRACKS COMPD NOVALICHES QUEZON CITY - - 176.32 176.32
19-Jan-19 19-5320 RAMOS, JENNIFER CALDOZO ST PUROK LOWER BICUTAN TAGUIG - - 299.07 299.07
19-Jan-19 19-5321 DY, JENNIFER SUYO RD NOVALICHES QUEZON CITY - - 5,332.37 5,332.37
19-Jan-19 19-5322 SARDAN, ROSALIE SAN GREGORIO VILL EXT TRAMO PASAY CITY - - 3,551.71 3,551.71
19-Jan-19 19-5323 GUTIERREZ, CAMILLE ABAO ST LA LOMA QUEZON CITY - - 12,275.55 12,275.55
19-Jan-19 19-5324 CABER, RHODA SAN SEBASTIAN KAWIT CAVITE - - 8,284.22 8,284.22
19-Jan-19 19-5325 GUINACARAN, JOVE BRGY 12 LIBIS DULO CALOOCAN CITY - - 9,173.79 9,173.79
19-Jan-19 19-5326 SANCHEZ, CASHARINE BARRACKS COMPD NOVALICHES QUEZON CITY - - 60.00 60.00
19-Jan-19 19-5327 VIREYNATO, IRISH VP CAMPUS DILIMAN QUEZON CITY - - 1,107.31 1,107.31
19-Jan-19 19-5328 CHUATE, CHRISTOPER ANTONIO RIVERA ST TONDO MANILA - - 130.00 130.00
19-Jan-19 19-5329 ILO, DINDO CALUMBIG ST CUBAO QUEZON CITY - - 8,995.85 8,995.85
19-Jan-19 19-5330 FELICIA, MICHAEL BRGY 116 TONDO MANILA - - 14,426.44 14,426.44
19-Jan-19 19-5331 CINCO, FRANCO PAROLA BINONDO MANILA - - 2,631.77 2,631.77
19-Jan-19 19-5332 ESQUILLO, JESUS KAMIAS QUEZON CITY - - 6,647.52 6,647.52
19-Jan-19 19-5333 ALVARO, GEORGIA BRGY 39 PERSIA ST CALOOCAN CITY 607.95 - 759.80 1,367.75
19-Jan-19 19-5334 CABAHUG, RENITA PRENZA II MARILAO BULACAN 143.00 - 3,641.63 3,784.63
19-Jan-19 19-5335 BERENGUER, CALVIN JAKE CAMBA EXT TONDO MANILA - - 2,120.00 2,120.00
19-Jan-19 19-5336 FULGENCIO, JIMMY BRGY LONGOS MALABON CITY 500.00 - 2,377.25 2,877.25
19-Jan-19 19-5337 RAFAELES, VHAN JOMAR BRGY 144 TONDO MANILA - - 530.00 530.00
19-Jan-19 19-5338 DELA CRUZ, MA CHARLENE ANNEBRGY TAGAPO STA ROSA LAGUNA - - 7,573.53 7,573.53
19-Jan-19 19-5339 NEJERA, ARIES PINALAGAN MALINTA VALENZUELA CITY - - 2,650.00 2,650.00
19-Jan-19 19-5340 DELA CRUZ, DEXTER BRGY 649 TONDO MANILA - - 3,592.63 3,592.63
19-Jan-19 19-5341 TAYAO, KENSTEVEN SAN FRANCISCO ST TONDO MANILA - - 1,258.90 1,258.90
19-Jan-19 19-5342 ALVAREZ, CHARLES BRIAN RIZAL AVE STA CRUZ MANILA 193.70 - - 193.70
19-Jan-19 19-5343 MALAGA, ARNULFO RIVERSIDE MALANDAY VALENZUELA CITY - - 1,849.50 1,849.50
19-Jan-19 19-5344 BALANGKIT, EVANGELINE BRGY LAWANG BATO VALENZUELA CITY - - 574.21 574.21
19-Jan-19 19-5345 CAYTON, JAYSON APOLONIO SAMSON QUEZON CITY - - 2,350.00 2,350.00
19-Jan-19 19-5346 BALDOZA, JULIANA BRGY RAMON CRUZ GMA CAVITE - - 530.00 530.00
19-Jan-19 19-5347 SOLIS, LORENZO BRGY LANGKIWA BIÑAN LAGUNA - - 4,031.00 4,031.00
19-Jan-19 19-5348 RAZON, ERIC BRGY SEINNA QUEZON CITY - - 1,146.13 1,146.13
19-Jan-19 19-5349 ROA, BARTOLOME KAUNLARAN VILL NAVOTAS CITY - - 4,250.00 4,250.00
19-Jan-19 19-5350 OLASO, KARL NEITHAN BRGY 176 BAGONG SILANG CALOOCAN CITY - - 2,376.08 2,376.08
19-Jan-19 19-5351 VALMADRID, REX BRGY CAALIBAGBAGAN CABANATUAN CITY - - 4,109.95 4,109.95
19-Jan-19 19-5352 PABLO, JOMAR SIPAC ALMACEN NAVOTAS CITY - - 1,060.00 1,060.00
19-Jan-19 19-5353 PALCONIT, CONCHITA BRGY 48-A CAVITE - - 1,401.34 1,401.34
19-Jan-19 19-5354 PANER, DONATO BRGY MAYONDON LOS BAÑOS LAGUNA - - 10,797.83 10,797.83
19-Jan-19 19-5355 ABARRACOSO, MARICEL BRGY TANGOS NAVOTAS CITY - - 18,588.21 18,588.21
19-Jan-19 19-5356 YERRO, JOSE GEN DEL PILAR ST BANGKAL MAKATI CITY - - 13,720.54 13,720.54
19-Jan-19 19-5357 GANUTAN, JAYSON BRGY 206 TONDO MANILA - - 16,873.44 16,873.44
19-Jan-19 19-5358 AUDITOR, ROSENDO BRGY 162 STA QUITERIA CALOOCAN CITY - - 899.21 899.21
19-Jan-19 19-5359 CASIPONG, ALLAN AGOSTO FRANCISCO ST STA ANA MANILA - - 530.00 530.00
19-Jan-19 19-5360 PEREZ, ERNESTO BRGY TEJEROS MAKATI CITY - - 530.00 530.00
19-Jan-19 19-5361 POLLENTE, ROBERT LAUREL ST TONDO MANILA - - 726.09 726.09
19-Jan-19 19-5362 TOCAYAO, FREDDIE PAROLA TONDO MANILA - - 543.63 543.63
19-Jan-19 19-5363 BAYBAYON, MA. ISABEL BRGY PASONG KAMATSILI GEN TRIAS CAVITE - - 7,624.23 7,624.23
19-Jan-19 19-5364 MARAÑON, AUBREY DRAKEDAGUPAN ST TONDO MANILA - - 3,157.05 3,157.05
19-Jan-19 19-5365 PLAZA, DAISY ALGECIRAZ ST SAMPALOC MANILA - - 1,649.95 1,649.95
19-Jan-19 19-5366 OSAL, TERESITA ESGUERRA ST BISIG KABATAAN CALOOCAN CITY- - 841.12 841.12
19-Jan-19 19-5367 GADIAN, ROSALIE KAUNLARAN VILLAGE CALOOCAN CITY - - 5,383.06 5,383.06
19-Jan-19 19-5368 LAMSEN, BRYAN ILANG ILANG ST KARUHATAN VALENZUELA CITY- - 1,060.00 1,060.00
19-Jan-19 19-5369 RUEDA, JOSE ANTIPOLO ST STA CRUZ MANILA - - 1,322.25 1,322.25
Page 88
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
20-Jan-19 19-5370 CASER, EVELYN BRGY CAPILI NOVALICHES QUEZON CITY - - 6,368.70 6,368.70
20-Jan-19 19-5371 ELLENA, MARIFE CM RECTO STA CRUZ MANILA - - 843.82 843.82
20-Jan-19 19-5372 OAFERINA, HAROLD JAY BRGY MARKET AREA STA ROSA LAGUNA - - 4,040.00 4,040.00
20-Jan-19 19-5373 DOCALLOS, DONNABELLE M CRUZ ST STO NIÑO MARIKINA CITY - - 1,270.36 1,270.36
20-Jan-19 19-5374 DIOKNO, ALDRIN BRGY MAHARLIKA QUEZON CITY - - 585.93 585.93
20-Jan-19 19-5375 GARCIA, RENZ CHRISTIAN KALIMBAS ST STA CRUZ MANILA - - 4,610.00 4,610.00
20-Jan-19 19-5376 CALALAY, PAUL VINCENT BRGY BALINGASA QUEZON CITY - - 674.10 674.10
20-Jan-19 19-5377 INIDAL, DIDATU PACITA SAN PEDRO LAGUNA - - 783.04 783.04
20-Jan-19 19-5378 MALBAROSA, JHONNY SILVERIO COMPD SAN ISIDRO PARAÑAQUE CITY- - 1,590.00 1,590.00
20-Jan-19 19-5379 LISING, NOVERANDO MAGSAYSAY ST TONDO MANILA 491.40 - 1,104.55 1,595.95
20-Jan-19 19-5380 DELOS REYES, ARTURO VARGAS ST TONDO MANILA - - 1,880.00 1,880.00
20-Jan-19 19-5381 OQUIÑO, SOPHIA GRACE BARRIO BARARA PANDACAN MANILA - - 1,669.32 1,669.32
20-Jan-19 19-5382 BAUTISTA, FRANCIS IVAN BRGY 571 SAMPALOC MANILA - - 4,610.00 4,610.00
20-Jan-19 19-5383 ZACARIAS, JOHN KEVIN BRGY 150 REPARO ST CALOOCAN CITY - - 869.94 869.94
20-Jan-19 19-5384 DEITA, REYNANTE PAROLA BINONDO MANILA - - 17,943.59 17,943.59
20-Jan-19 19-5385 TANDAAN, SONNY NUESTA SEÑORA ST PANGHULO MALABON CITY- - 6,305.00 6,305.00
20-Jan-19 19-5386 TENORIO, URDUJA 1ST AVE GRACE PARK CALOOCAN CITY - - 9,721.14 9,721.14
20-Jan-19 19-5387 MIRANDA, CRISTINA STA LUTGARDA MACABEBE PAMPANGA - - 709.24 709.24
20-Jan-19 19-5388 GULAM, AIBAN BASECO PORT AREA MANILA - - 530.00 530.00
20-Jan-19 19-5389 BIALA, RAILEY PRUDENCIA ST TONDO MANILA - - 530.00 530.00
20-Jan-19 19-5390 DEPEÑA, MERLA TIGBE NORZAGARAY BULACAN - - 3,121.85 3,121.85
20-Jan-19 19-5391 GAMAMA, ASNAWE SAN MIGUEL QUIAPO MANILA - - 2,496.74 2,496.74
20-Jan-19 19-5392 MARAÑA, SALITO BRGY MARULAS VALENZUELA CITY - - 2,529.33 2,529.33
20-Jan-19 19-5393 BERNANTE, JESSA MAE PARKLANE DASMARIÑAS CAVITE - - 1,380.28 1,380.28
20-Jan-19 19-5394 CATALBAS, RAZEL BRGY MANLOD ILOILO CITY - - 6,382.93 6,382.93
20-Jan-19 19-5395 BAJANDI, JOSEPH ELIAS ST STA CRUZ MANILA - - 13,059.53 13,059.53
20-Jan-19 19-5396 MATO, CARLO SAMPALOK ST TONDO MANILA - - 816.65 816.65
20-Jan-19 19-5397 TECHICO, FRANCIS MALABAN BIÑAN LAGUNA - - 2,350.00 2,350.00
20-Jan-19 19-5398 BUJAWE, PRINCE DARREL BRGY 120 2ND AVE CALOOCAN CITY - - 1,920.81 1,920.81
20-Jan-19 19-5399 DELA PEÑA, HYPHEN KHYLLEBRGY 175 BAESA CALOOCAN CITY - - 1,313.50 1,313.50
20-Jan-19 19-5400 ROLLON, MARILYN BRGY 308 QUIAPO MANILA 221.00 - 868.00 1,089.00
20-Jan-19 19-5401 BARCIAL, BELLA BRGY TONSUYA MALABON CITY 858.00 - 982.10 1,840.10
20-Jan-19 19-5402 BARCENA, DANIELLA BRGY 93 TONDO MANILA - - 2,350.00 2,350.00
20-Jan-19 19-5403 MAGBANUA, JAMES ALFIE BRGY 147 BAGONG BARRIO CALOOCAN CITY - - 130.00 130.00
20-Jan-19 19-5404 MACARAEG, NICO BRGY 420 SAMPALOC MANILA - - 416.03 416.03
20-Jan-19 19-5405 CORTEZ, RUPERTO BRGY SAN JOSE QUEZON CITY - - 1,130.00 1,130.00
20-Jan-19 19-5406 ESPIRITU, AERON BRGY 633 STA MESA MANILA - - 1,751.43 1,751.43
20-Jan-19 19-5407 CORTEZ, PRINCESS MAE BRGY 227 TONDO MANILA - - 445.83 445.83
20-Jan-19 19-5408 CASTILLO, SHIRLEY BRGY MARULAS VALENZUELA CITY - - 530.00 530.00
20-Jan-19 19-5409 AQUINO, VICTORIA APOLONIO SAMSON QUEZON CITY - - 7,332.57 7,332.57
20-Jan-19 19-5410 MOLINA, JOEY RICAFORT ST TONDO MANILA - - 507.62 507.62
20-Jan-19 19-5411 PACO, MYLINDA MOLINO III BACOOR CAVITE - - 635.15 635.15
20-Jan-19 19-5412 JOAQUIN, CLAUDINE BALAYA ST TONDO MANILA - - 687.19 687.19
20-Jan-19 19-5413 ZACARIAS, AIRA JOY LIBIS REPARO CALOOCAN CITY - - 2,589.89 2,589.89
20-Jan-19 19-5414 BALANTAC, JOHN PHILIP BULUSAN ST LA LOMA QUEZON CITY - - 7,447.62 7,447.62
21-Jan-19 19-5415 MENESES, REYNALDO BRILLANTES ST 5TH AVE CALOOCAN CITY1,059.00 - - 1,059.00
21-Jan-19 19-5416 RUSIANA, LAMBERTO JR BRGY NBBS NAVOTAS CITY - - 3,928.36 3,928.36
21-Jan-19 19-5417 VERGARA, ANGELICA BRGY MANREZA QUEZON CITY - - 2,163.78 2,163.78
21-Jan-19 19-5418 SANTOSIDAD, PIERRE JR LUNA ST BINONDO MANILA 319.00 - 452.40 771.40
21-Jan-19 19-5419 CONSTANTE, GLENN KAYQUIT 3 INDANG CAVITE - - 1,257.40 1,257.40
21-Jan-19 19-5420 ALBAO, EDWIN BRGY GANGAWI BALINO MASBATE - - 1,824.27 1,824.27
21-Jan-19 19-5421 GARCIA, MARIO BRGY PAMPANG ANGLES PAMPANGA - - 1,268.11 1,268.11
21-Jan-19 19-5422 CORTAN, JULITA CHESA ST TONDO MANILA - - 417.63 417.63
21-Jan-19 19-5423 GINOS, ROWENA SAN ROQUE SAN PEDRO LAGUNA - - 2,587.61 2,587.61
21-Jan-19 19-5424 FLORES, AUGUSTO IBARRA ST SAMPALOC MANILA - - 1,772.48 1,772.48
21-Jan-19 19-5425 BORJA, LORENZO FRANCISCO ST STA MESA MANILA 714.00 - - 714.00
21-Jan-19 19-5426 CAYABYAB, GREGORIA BASILIO ST SAMPALOC MANILA - - 3,581.32 3,581.32
21-Jan-19 19-5427 MATANGGUIHAN, GERLANDNANGKAAN SAN PASCUAL BATANGAS - - 951.15 951.15
21-Jan-19 19-5428 GLORIOSO, REYNALDO PANDAYAN MEYCAUAYAN BULACAN - - 123.83 123.83
21-Jan-19 19-5429 GURROBAT, CECILIA BRGY BIGNAY VALENZUELA CITY - - 7,308.26 7,308.26
21-Jan-19 19-5430 SANTIAGO, PEDRO MASINOP ST TONDO MANILA - - 960.00 960.00
Page 89
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NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
21-Jan-19 19-5431 OSIAS, LESLY SAN FRANCISCO ST KARUHATAN VALENZUELA CITY- - 1,418.06 1,418.06
21-Jan-19 19-5432 VITTO, WARREN KYLE CABESSAS ST TONDO MANILA - - 10,913.24 10,913.24
21-Jan-19 19-5433 UMADHAY, JANNAH BRGY BUNGO CALAMBA LAGUNA - - 14,938.33 14,938.33
21-Jan-19 19-5434 HIPOL, GEMMA TOWER II SUN RESIDENCES QUEZON CITY 618.00 - - 618.00
21-Jan-19 19-5435 RODA, ANGELET BRGY CATMON MALABON CITY 132.60 - - 132.60
12-Oct-18 19-5436 CANDARE, ROMEO BLK 57 LOT 15 DAGAT DAGATAN CALOOCAN CITY - 1,900.00 - 1,900.00
15-Oct-18 19-5437 BALINONG, CLEOFAS 002 LOWER HASMIN ST PAYATAS QUEZON CITY - 2,035.00 - 2,035.00
16-Oct-18 19-5438 BUTI-AN, MELLY 649 KAPITBAHAYAN BRGY. NBBS NAVOTAS CITY - 1,965.00 - 1,965.00
25-Oct-18 19-5439 REY, DOMINGO DE GUZMAN ST. QUIAPO MANILA - 2,265.00 - 2,265.00
12-Nov-18 19-5440 AYOSA, ROSEMARIE BRGY. 128 BALUT TONDO MANILA - 3,200.00 - 3,200.00
12-Nov-18 19-5441 GARCIA, ROMULO BENITA ST. GAGALANGIN TONDO MANILA - 3,200.00 - 3,200.00
12-Nov-18 19-5442 ROTAIRO, MERIAM MARIANO PONCE BAGONG BARIO CALOOCAN CITY - 2,355.00 - 2,355.00
12-Nov-18 19-5443 LICAYAN, ELENA SISA ST SAMPALOC MANILA - 1,500.00 - 1,500.00
12-Nov-18 19-5444 NEPOMUCENO, LARRY BRGY. 315 STA CRUZ MANILA - 2,235.00 - 2,235.00
13-Nov-18 19-5445 GIBERTAS, RAUL BRGY. 14 DAGAT DAGATAN CALOOCAN CITY - 2,785.00 - 2,785.00
13-Nov-18 19-5446 ROMERO, MARY ROSE BRGY. 627 STA. MESA MANILA - 2,045.00 - 2,045.00
13-Nov-18 19-5447 DIMABAYAO, LIBERATA BRGY. MARULAS VALENZUELA CITY - 1,255.00 - 1,255.00
13-Nov-18 19-5448 DAYAO, ISAGANI KATANGHALAN OBANDO BULACAN - 2,465.00 - 2,465.00
13-Nov-18 19-5449 GO, LETICIA BRGY. TIAONG GUIGUINTO BULACAN - 1,275.00 - 1,275.00
13-Nov-18 19-5450 EVANGELISTA, ROLANDO MABINI ST. CALOOCAN CITY - 2,590.00 - 2,590.00
13-Nov-18 19-5451 VELASCO, FELICIDAD 1938 PAMBAHAY ST. TONDO MANILA - 1,960.00 - 1,960.00
13-Nov-18 19-5452 CLEMENTE, MARIA KRISELDA ANACLETO ST STA CRUZ MANILA - 1,345.00 - 1,345.00
13-Nov-18 19-5453 LUCENA, JENALYN METRICAL ST SAMPALOC MANILA - 2,335.00 - 2,335.00
13-Nov-18 19-5454 FELICIANO, AUREA VALENZUELA CITY - 740.00 - 740.00
13-Nov-18 19-5455 DIOLATA, AMELIA BRGY. STO DOMINGO QUEZON CITY - 1,880.00 - 1,880.00
13-Nov-18 19-5456 ITALIA, ARSENIO MALVAR ST TONDO MANILA - 1,795.00 - 1,795.00
13-Nov-18 19-5457 DY, EDDY BRGY. 339 STA CRUZ MANILA - 1,555.00 - 1,555.00
14-Nov-18 19-5458 MIANA, LEILANI SAN JOSE DEL MONTE BULACAN - 600.00 - 600.00
14-Nov-18 19-5459 MAYLAS, REGINA BRGY. 96 TONDO MANILA - 1,765.00 - 1,765.00
14-Nov-18 19-5460 BUHI-AN, MELLY BRGY. NBBS NAVOTAS CITY - 1,325.00 - 1,325.00
15-Nov-18 19-5461 DONATO, LEONORA BRGY. PAGAMBOA AGUILAR PANGASINAN - 1,275.00 - 1,275.00
16-Nov-18 19-5462 DELA CRUZ, MARIEL BRGY. 305 STA CRUZ MANILA - 970.00 - 970.00
22-Nov-18 19-5463 SALONGDONG, PATROCINIA KATUPARAN VITAS TONDO MANILA - 3,030.00 - 3,030.00
11/26/2018 19-5464 BRILLANTES, DOMINADOR BRGY POTRERO MALABON - 7,430.00 - 7,430.00
11/26/2018 19-5465 AMADO, MILA VALLE ST TANGOS NAVOTAS - 1,825.00 - 1,825.00
11/23/2018 19-5466 BERNALES, CARMEN PAROLA COMP BINONDO MANILA - 2,275.00 - 2,275.00
11/23/2018 19-5467 BAUTISTA, ELIGIO ADRIAN ST NORTH FAIRVIEW QUEZON - 7,200.00 - 7,200.00
11/27/2018 19-5468 ANDALIS, OLIVER DOÑA ELENA ST PUNTURIN MALABON - 1,835.00 - 1,835.00
11/27/2018 19-5469 BUENAFE, MARK ANTHONYLOPEZ JAENA ST CARIDAD CAVITE - 7,340.00 - 7,340.00
11/27/2018 19-5470 LAURIO, JESTONI ARANETA AVE BRGY TATALON QUEZON CITY - 4,800.00 - 4,800.00
11/27/2018 19-5471 RICO, MICHAEL BRGY 81 TONDO MANILA - 1,300.00 - 1,300.00
29-Nov-18 19-5472 SAN GABRIEL, ROWENA BRGY. SAN ISIDRO DASMARINAS CAVITE - 715.00 - 715.00
29-Nov-18 19-5473 CAURES, RICHARD PAROLA TONDO MANILA - 12,840.00 - 12,840.00
29-Nov-18 19-5474 NALUZ, CESAR SR BRGY. SAN ESTEBAN DASMARINAS CAVITE - 900.00 - 900.00
5-Dec-18 19-5475 PICA, BERNARD QUIRICADA ST.STA CRUZ MANILA - 1,060.00 - 1,060.00
3-Dec-18 19-5476 VALDEZ, ALBERTO BRGY 155 TONDO MANILA - 900.00 - 900.00
6-Dec-18 19-5477 MALIWAT, EVALYN KAUNLARAN VILLAGE MALABON CITY - 415.00 - 415.00
6-Dec-18 19-5478 CAMACHO, JUANITO BRGY CAPRI NOVALICHES QUEZON CITY - 12,900.00 - 12,900.00
12-Dec-18 19-5479 FLORES, DENNIS ALVAREZ EXT TONDO, MANILA - 2,575.00 - 2,575.00
14-Dec-18 19-5480 LAPLAP, NONITO BRGY 20 TONDO MANILA - 1,060.00 - 1,060.00
14-Dec-18 19-5481 GOTOC, BALTAZAR BRGY LIBIS SAN RAFAEL BULACAN - 7,100.00 - 7,100.00
14-Dec-18 19-5482 ALCANTARA, THELMA BAGONG SILANG CALOOCAN CITY - 2,360.00 - 2,360.00
14-Dec-18 19-5483 GUTIERREZ, LIEZEL ARANETA ST TONDO MANILA - 1,150.00 - 1,150.00
18-Dec-18 19-5484 AGUIRRE, RODRIGO BRGY 42 TONDO MANILA - 2,000.00 - 2,000.00
18-Dec-18 19-5485 ROCES, RHEDD KAMIAS ST BALINTAWAK QUEZON CITY - 530.00 - 530.00
9-Jan-19 19-5486 LUMABAS, GABRIEL BRGY NBBN NAVOTAS CITY 465.00 - - 465.00
9-Jan-19 19-5487 SULLANO, CHRISTIAN DAVEGASANGAN BASECO PORT AREA MANILA - - 1,060.00 1,060.00
9-Jan-19 19-5488 LUIS, BG REALYN REPUBLIC AVE. FAIRVIEW QUEZON CITY - - 2,020.60 2,020.60
9-Jan-19 19-5489 SALAZAR, WENNIE DAGAT DAGATAN CALOOCAN CITY 738.00 - 3,206.93 3,944.93
9-Jan-19 19-5490 DUEZAN, LIZA PORT AREA BASECO COMP. MANILA 250.00 - 471.00 721.00
9-Jan-19 19-5491 LUCAS, LILIA GRACE PARK CALOOCAN CITY 221.00 - 890.00 1,111.00
9-Jan-19 19-5492 TARCENA, ROLLY RIZAL ST. TONDO MANILA - - 1,195.09 1,195.09
Page 90
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CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
9-Jan-19 19-5493 CAPULONG, JAYVEE MASIGASIG ST. CAPITOL PARK CALOOCAN CITY- - 171.60 171.60
9-Jan-19 19-5494 PERALTA, FELIX JR DOS CASTILLAS SAMPALOC MANILA 81.00 - - 81.00
9-Jan-19 19-5495 ABEJERO, NELIA PANGAKO ST. BAGONG BARRIO CALOOCAN CITY- 900.00 - 900.00
9-Jan-19 19-5496 SANTIAGO, EUBERTA ABALDE ST. BRGY 117 TONDO MANILA - 1,080.00 - 1,080.00
9-Jan-19 19-5497 SANTIAGO, EUBERTA ABALDE ST. BRGY 117 TONDO MANILA 350.00 - - 350.00
9-Jan-19 19-5498 GUTIERREZ, JERRY BOY KALIRAYA ST. TATALON QUEZON CITY 507.00 - - 507.00
9-Jan-19 19-5499 VERDEFLOR, ELIZABETH TAMPAY 2 MARULAS VALENZUELA CITY 2,410.70 - - 2,410.70
9-Jan-19 19-5500 DIONISIO, TERESITA DIMASALANG ST. MAYPAJO CALOOCAN CITY145.50 - - 145.50
9-Jan-19 19-5501 ADVINCULA, VIRGILIO SAMPAGUITA BRGY SAN ISIDRO PARAÑAQUE CITY949.50 - - 949.50
9-Jan-19 19-5502 LIBUNAO, RITA MARIA TEE BRGY 22 CALOOCAN CITY 670.80 - - 670.80
9-Jan-19 19-5503 BISCOCHO, LORENZ ALLEN BRGY LIPA MATAAS NA KAHOY BATANGAS - 400.00 - 400.00
9-Jan-19 19-5504 HANABAN, MANUEL OROQUIETA ST. STA CRUZ MANILA 500.00 - - 500.00
9-Jan-19 19-5505 GALLON, AIDA STA CECILIA TONDO MANILA 714.00 - - 714.00
9-Jan-19 19-5506 OGATO, RHODORA HOTEL ST. CALOOCAN CITY 300.00 - - 300.00
9-Jan-19 19-5507 GAMBA, EUGENIO VARONA ST. TONDO MANILA 720.30 - - 720.30
9-Jan-19 19-5508 MAKATANGAY, MADALEN ABIACAO SAN LUIS BATANGAS - 11,800.00 - 11,800.00
9-Jan-19 19-5509 PADUA, AMELIA SOCIALIZED HOUSING BRGY TANZA NAVOTAS CITY468.00 - - 468.00
9-Jan-19 19-5510 MANALOTO, CORAZON BAMBANG ST. TONDO MANILA 1,104.00 - - 1,104.00
9-Jan-19 19-5511 ORTEGA, ROSITA DM COMP. CALOOCAN CITY 588.00 - - 588.00
9-Jan-19 19-5512 NOTA, AVELINA TELE COMP. ALABANG MUNTINLUPA CITY 714.00 - - 714.00
9-Jan-19 19-5513 AGUIRRE, LOURDES KASIPAGAN ST. TONDO MANILA 1,635.00 - - 1,635.00
9-Jan-19 19-5514 ANTONIO, YOLANDA CASANIAS ST. BRGY 494 SAMPALOC MANILA - - 6,853.71 6,853.71
9-Jan-19 19-5515 AMPOAN, ADELINA PAKIUSAP ST. GRACE PARK CALOOCAN CITY549.00 - - 549.00
9-Jan-19 19-5516 SACASAN, JESRIEL BRGY MABUHAY CARMONA CAVITE 138.00 - - 138.00
9-Jan-19 19-5517 OAS, ROSARIO JOSE SISA ST. BRGY ACACIA MALABON CITY - - 2,350.00 2,350.00
9-Jan-19 19-5518 ALMODOVAR, EDUARDO PAG-ASA ST. TONDO MANILA - - 4,794.97 4,794.97
9-Jan-19 19-5519 DASIGAO, REYNALDO INAMAN ST. MASAMBONG QUEZON CITY - - 540.86 540.86
9-Jan-19 19-5520 GARDUQUE, LEE ANDRICEL VEEMAGSAYSAY ST. TONDO MANILA - - 659.83 659.83
9-Jan-19 19-5521 GENOVE, ELTON JAY MOLAVE ST. TONDO MANILA - - 2,892.64 2,892.64
9-Jan-19 19-5522 SALVADOR, ETHEL TENNIS ST. 10TH AVE GRACE PARK CALOOCAN CITY- - 458.07 458.07
9-Jan-19 19-5523 CADULDULAN, YOLANDA MANRESA QUEZON CITY - - 2,382.52 2,382.52
9-Jan-19 19-5524 MANERO, MARVIN ROXAS ST. BATANGAS TONDO MANILA - - 1,155.89 1,155.89
9-Jan-19 19-5525 GARCIA, RUFO VIOCAGO HMS QUEZON CITY - - 794.34 794.34
9-Jan-19 19-5526 BERNARDO, ESTRELLITA MARULAS CALOOCAN CITY - - 5,803.20 5,803.20
9-Jan-19 19-5527 PAROHINOG, HENESEE SEVILLA ST. BINONDO MANILA - - 1,089.41 1,089.41
9-Jan-19 19-5528 FABIAN, JOHN REAL JURIE IBARRA ST. SAMPALOC MANILA - - 3,180.00 3,180.00
9-Jan-19 19-5529 MABILANGAN, ROLANDO MORONG ST. TONDO MANILA 685.50 - - 685.50
9-Jan-19 19-5530 GO, ESTER REINA REGENTE ST. BINONDO 670.80 - - 670.80
9-Jan-19 19-5531 MALE, BENJAMIN TAYUMAN ABAD SANTOS TONDO MANILA - 500.00 - 500.00
9-Jan-19 19-5532 DIANA, DOLORES TALISAY ST. DON BOSCO TONDO MANILA 795.00 - - 795.00
9-Jan-19 19-5533 GARCIA, RAFAEL FORONDA ST. GAGALANGIN TONDO MANILA714.00 - - 714.00
9-Jan-19 19-5534 EVANGELIO, ELVIRA MIGUELINE ST. TONDO MANILA 250.00 - - 250.00
9-Jan-19 19-5535 MANDAC, MA. LOURDES OLD SANTOLAN RD VALENZUELA CITY - 325.00 - 325.00
9-Jan-19 19-5536 FAJARDO, CARMELITO CLEOFER ST. BAESA STA QUITERIA CALOOCAN CITY549.00 - - 549.00
9-Jan-19 19-5537 TONEL, ANITA NILAMPAS ST. DAGUPAN TONDO MANILA 670.80 - - 670.80
9-Jan-19 19-5538 TONEL, ANITA NILAMPAS ST. DAGUPAN TONDO MANILA 408.20 - - 408.20
18-Jan-19 19-5539 GATCHALIAN, ROGELIO RODRIGUEZ ST. BALUT TONDO MANILA 630.00 - - 630.00
18-Jan-19 19-5540 PIDO, PLACER CUPADA ST. MAYPAJO CALOOCAN CITY 81.00 - - 81.00
18-Jan-19 19-5541 FULLONA, MARINA BRGY 5 SANGANDAAN CALOOCAN CITY 737.10 - - 737.10
18-Jan-19 19-5542 SANTOS, AILEEN GEN. RICARTE ST. CAINTA RIZAL - 4,800.00 - 4,800.00
18-Jan-19 19-5543 RONQUILLO, KRISTIN PALO ALTO ST. MARULAS VALENZUELA CITY 67.50 - - 67.50
18-Jan-19 19-5544 CANDIDO, RETCHIE STO NIÑO ST. OLD STA MESA MANILA - - 7,048.20 7,048.20
18-Jan-19 19-5545 ROSOS, DAN EZEKIEL STO NIÑO ST. OLD STA MESA MANILA - - 255.00 255.00
18-Jan-19 19-5546 RONQUILLO, NICOLE PALO ALTO ST. MARULAS VALENZUELA CITY - - 750.00 750.00
18-Jan-19 19-5547 ALARCON, CATHERINE REHANCE ROAD NAGKAISANG NAYON QUEZON CITY737.10 - 530.00 1,267.10
18-Jan-19 19-5548 ARNEJO, JACKQUILINE ZAPOTE RD SAMARIN CALOOCAN CITY - - 8,197.20 8,197.20
18-Jan-19 19-5549 FRANCISCO, EMMANUEL BRGY 333 STA CRUZ MANILA 8,174.40 - - 8,174.40
18-Jan-19 19-5550 SARMIENTO, ELIZABETH MARIANO AVE. DELA PAZ PASIG CITY 97.50 - - 97.50
18-Jan-19 19-5551 ORFINADA, GLORIA TANEGUE ST. SAMATAD CALOOCAN CITY - 900.00 - 900.00
18-Jan-19 19-5552 VASQUEZ, MAGTANGGOL QUIRINO ST. TONDO MANILA - - 3,743.53 3,743.53
18-Jan-19 19-5553 LUTCHAVEZ, ARLENE BRGY RAMON CRUZ CAVITE - - 1,149.56 1,149.56
18-Jan-19 19-5554 TOLENTINO, RESTITUTO COMERCIO ST. TUGATOG MALABON CITY - - 7,282.39 7,282.39
Page 91
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NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
18-Jan-19 19-5555 DAGUIA, DONNIECON LAUREL ST. TONDO MANILA - - 530.00 530.00
18-Jan-19 19-5556 SERRANO, JOSE JR. MASANGSANG QUEZON CITY 1,107.85 - - 1,107.85
18-Jan-19 19-5557 SARMIENTO, STEPHEN MARIANO AVE. DELA PAZ PASIG CITY 546.00 - - 546.00
18-Jan-19 19-5558 PEÑANO, MERCY BRGY SILANG CALOOCAN CITY - - 1,374.22 1,374.22
18-Jan-19 19-5559 AMERILA, FEBBIE KAYE 1ST ST. CALOOCAN CITY - - 2,437.08 2,437.08
18-Jan-19 19-5560 MARAMBA, ROSALIE BARIHON MALOLOS CITY BULACAN - 900.00 - 900.00
18-Jan-19 19-5561 SABLAYA, LORIMEL BAYABAS ST. CALOOCAN CITY - 1,800.00 - 1,800.00
18-Jan-19 19-5562 DE LEON, VIRGIE PITACION ST. MARULAS VALENZUELA CITY - - 3,207.23 3,207.23
18-Jan-19 19-5563 MANJARES, BERNARDO BRGY BAGB AG NOVALICHES QUEZON CITY - - 2,121.58 2,121.58
18-Jan-19 19-5564 REPANCOL, CHRISTHIA MARYORIS HOMES BUCANDALA IMUS CAVITE630.00 - - 630.00
18-Jan-19 19-5565 FLORENDO, GREGORIO REYES ST. LOWER BICUTAN TAGUIG - - 342.00 342.00
18-Jan-19 19-5566 JACINTO, JAMMEL LAURENCELRC COMP. TSA CRUZ MANILA - - 2,698.00 2,698.00
18-Jan-19 19-5567 CATIGDAY, ROBERTO PEÑAFRANCIA CUPANG ANTIPOLO CITY - - 530.00 530.00
18-Jan-19 19-5568 ALCAIDE, AALAICA MAINE PERLA ST. TONDO MANILA - - 1,229.13 1,229.13
18-Jan-19 19-5569 ALMADIN, CLAYFORD MAULANIN ST. CARMONA CAVITE - - 530.00 530.00
18-Jan-19 19-5570 ECLE, ESTELITA KATIPUNAN ST. BAYAN BAYANAN MALABON CITY- - 530.00 530.00
18-Jan-19 19-5571 SAN JOSE, EDRALYN LINAMPAS ST. DAGUPAN TONDO MANILA 96.60 - 2,350.00 2,446.60
18-Jan-19 19-5572 BUSICO, ARLENE RIZAL AVE. STA CRUZ MANILA - - 5,856.13 5,856.13
18-Jan-19 19-5573 DE LEON, LETECIA ASUNCION ST. CALOOCAN CITY 39.00 - 424.00 463.00
18-Jan-19 19-5574 SOTTO, JOSEPH BINONDO MANILA - - 78.00 78.00
18-Jan-19 19-5575 DE SILVA, JESS SITIO BALUT TONDO MANILA 250.00 - 5,635.00 5,885.00
18-Jan-19 19-5576 FORBES, SAIMON GUMAMELA ST. TAGALAG VALENZUELA CITY - - 2,350.00 2,350.00
18-Jan-19 19-5577 REYES, DELIA YAKAL ST. TONDO MANILA 429.00 - 2,595.82 3,024.82
18-Jan-19 19-5578 BALAQUIAO, KATE EMERY BRGY MAYAPA CALAMBA CITY LAGUNA - - 9,614.69 9,614.69
18-Jan-19 19-5579 BUENAOBRA, JOSE PAULO ZAMORA ST. PACO MANILA - - 7,207.90 7,207.90
18-Jan-19 19-5580 MANALOTO, GLORIA BEGONIA VILLAGE ELVENDA SAN PEDRO LAGUNA- - 164.80 164.80
14-Dec-18 19-5581 CRISOSTOMO, MA. VICTORIABRGY IBABA MALABON CITY - 4,000.00 - 4,000.00
19-Dec-18 19-5582 GALANG, EDGARDO BRGY 822 PACO MANILA - 2,000.00 - 2,000.00
20-Dec-18 19-5583 ALMEDA, RHEA BAGONG BARRIO CALOOCAN CITY - 210.00 - 210.00
21-Dec-18 19-5584 BAGSIC, FERNANDO BRGY 38 TONDO MANILA - 740.00 - 740.00
17-Dec-18 19-5585 GALON, LOURDES BRGY MUZON, CSJDM, BULACAN - 12,460.00 - 12,460.00
17-Dec-18 19-5586 CLAVIZA, CARLOS JR BRGY BIRATA CAVITE - 720.00 - 720.00
17-Dec-18 19-5587 TATING, GAODELIA BRGY 12 CALOOCAN CITY - 3,085.00 - 3,085.00
17-Dec-18 19-5588 TIONLOC, JOSELITO JONATHAN ST TONDO MANILA - 2,770.00 - 2,770.00
17-Dec-18 19-5589 PADILLA, ZENAIDA SAN JUAN ILDEFONSO BULACAN - 12,900.00 - 12,900.00
7-Dec-18 19-5590 NUÑEZ, WENEFREDO BRGY LONGOS MALABON CITY - 3,300.00 - 3,300.00
10-Dec-18 19-5591 GONZALES, NOEL EVANGELISTA ST. SAN BARTOLOME NOVALICHES Q.C- 1,905.00 - 1,905.00
11-Dec-18 19-5592 CORTEZA, MA.LUZ MAGSAYSAY ST. TONDO MANILA - 2,000.00 - 2,000.00
11-Dec-18 19-5593 MERCADO, LOLITA STA. CRUZ MANILA - 2,760.00 - 2,760.00
11-Dec-18 19-5594 NAZARIO, ENRIQUE AGUDO ST. CALOOCAN CITY - 3,300.00 - 3,300.00
28-Dec-18 19-5595 YU, EDGAR ANTIPOLO RIZAL - 2,120.00 - 2,120.00
28-Dec-18 19-5596 PACHEJO, JUANITO CRISTOBAL ST. TONDO MANILA - 5,100.00 - 5,100.00
1-Mar-19 19-5597 STA RITA, HEZEL LOMA DE GATO MARILAO BULACAN - 2,500.00 - 2,500.00
1-Mar-19 19-5598 BAYACA, RONNIE BRGY 315 STA CRUZ MANILA - 1,060.00 - 1,060.00
1-Jul-19 19-5599 TABUYAN, ESMERALDA LEONGSON ST SAN ROQUE NAVOTAS - 12,560.00 - 12,560.00
1-Mar-19 19-5600 LUGTU, ENRIQUE OROQUETA ST STA CRUZ MANILA - 1,905.00 - 1,905.00
1-Mar-19 19-5601 REMALLA, MARITES DIMASALANG ST BRGY 30 CALOOCAN - 5,105.00 - 5,105.00
1-Mar-19 19-5602 GALLANO, ANTONIO IMLEDA ST BRGY 108 TONDO MANILA - 1,805.00 - 1,805.00
1-Mar-19 19-5603 MARTIN, JULIET SAGRADA FAMILIA HAGONOY BULACAN - 640.00 - 640.00
1-Mar-19 19-5604 LUCENA, JENALYN METRICA ST SAMPALOC MANILA - 1,235.00 - 1,235.00
1-Mar-19 19-5605 CAMELLO, MARISSA ACENO ST TUGATOG MALABON - 820.00 - 820.00
1-Mar-19 19-5606 DE VENECIA, CAROLINA CUNANAN ST TONDO MANILA - 2,275.00 - 2,275.00
1-Mar-19 19-5607 CIPRIANO, MA ANTONIETH KAUNLARAN VILL NAVOTAS CITY - 1,575.00 - 1,575.00
1-Mar-19 19-5608 SALAMEDA, ANGELINA PANGAKO ST BRGY 151 CALOOCAN CITY - 940.00 - 940.00
1-Mar-19 19-5609 BACHECHA, EMELINDA ROSE ST BAESA CALOOCAN CITY - 820.00 - 820.00
1-Mar-19 19-5610 MOMPIL, CARMELITA MANDARAGAT NAVOTAS CITY - 650.00 - 650.00
1-Mar-19 19-5611 MOMPIL, CARMELITA MANDARAGAT NAVOTAS CITY - 1,235.00 - 1,235.00
1-Mar-19 19-5612 LANSANGAN, ROSSLIE NADURATA ST MAYPAJO CALOOCAN CITY - 1,960.00 - 1,960.00
1-Mar-19 19-5613 CABUENAS, JOEL BAUTISTA ST UGONG VALENZUELA CITY - 3,300.00 - 3,300.00
1-Mar-19 19-5614 PAGHILIGAN, LEONORA ALFONSO ST ALAPAN IMUS CAVITE - 3,120.00 - 3,120.00
1-Mar-19 19-5615 RENTURA, REMIA DULONG HERRERA ST MALABON CITY - 1,235.00 - 1,235.00
Page 92
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
1-Mar-19 19-5616 BAGTAS, MARIA ANA (MARY ANN)SAN JOSE ST ISLA MAYPAJO CALOOCAN - 3,080.00 - 3,080.00
1-Mar-19 19-5617 TOLENTINO, FLORA MEL ALCAIDE ST MAGSAYSAY TONDO MANILA - 1,205.00 - 1,205.00
1-Mar-19 19-5618 AQUINO, SALUD DAMATA MALABON CITY - 650.00 - 650.00
1-Mar-19 19-5619 SAULAN, LUCIA MAGSAYSAY ST DON BOSCO TONDO MANILA - 640.00 - 640.00
1-Mar-19 19-5620 GOOCH, EVANGELINE KALIMBAS ST STA CRUZ MANILA - 1,235.00 - 1,235.00
1-Mar-19 19-5621 DEL PILAR, LEONIDA ALMEDA ST TONDO MANILA - 635.00 - 635.00
1-Mar-19 19-5622 COBING, ERLINDA BRGY 110 TONDO MANILA - 3,300.00 - 3,300.00
1-Mar-19 19-5623 AGNAS, JELETA LAMESA ST UGONG VALENZUELA CITY - 650.00 - 650.00
1-Mar-19 19-5624 NEVADO, MARIA LOURDES NORTHVILLE BIGNAY VALENZUELA - 3,300.00 - 3,300.00
1-Mar-19 19-5625 AMPARO, TIRSO SAMPAGUITA ST SILANGAN MAYAO LUCENA - 3,300.00 - 3,300.00
1-Mar-19 19-5626 BANDIOLA, JOHN REY BASECO PORT AREA MANILA - 940.00 - 940.00
1-Mar-19 19-5627 NALDO, NIDA DON DAMIAN ST COMMONWEALTH QUEZON - 1,235.00 - 1,235.00
1-Mar-19 19-5628 ELLAGA, JAIME UNIVERSITY AVE POTRERO MALABON - 5,100.00 - 5,100.00
1-Mar-19 19-5629 MOJICA, GRACE ZAMORA ST ASIS MENDEZ CAVITE - 6,230.00 - 6,230.00
1-Mar-19 19-5630 LOPEZ, ROBERTO LIBIS ESPINA CALOOCAN CITY - 770.00 - 770.00
1-Mar-19 19-5631 AQUINO, SALUD LETRE RD DAMATA MALABON CITY - 2,065.00 - 2,065.00
1-Apr-19 19-5632 MIRAFLOR, ROMA LIBIS BAESA ST CALOOCAN - 765.00 - 765.00
1-Apr-19 19-5633 FLORES, MERLY SAWATA MAYPAJO CALOOCAN CITY - 2,205.00 - 2,205.00
1-Apr-19 19-5634 SANCHEZ, ROSALINDA SAN VICENTE BIÑAN LAGUNA - 1,300.00 - 1,300.00
1-Apr-19 19-5635 MACASINAG, SALVADOR LETRE TONSUYA MALABON CITY - 3,300.00 - 3,300.00
1-Apr-19 19-5636 VEDAR, YOLANDA LIGTONG 4 ROSARIO CAVITE - 1,300.00 - 1,300.00
1-Apr-19 19-5637 ORTIZ, PERLITA PABAHAY TANZA NAVOTAS CITY - 3,860.00 - 3,860.00
1-Apr-19 19-5638 ANG, MELITA MORIONES ST TONDO MANILA - 2,275.00 - 2,275.00
1-Apr-19 19-5639 ROBLES, ANGELO LAWRENCEBERNARDINO ST UGONG VALENZUELA - 5,100.00 - 5,100.00
1-Apr-19 19-5640 PADUA, MARLIE BRIONES ST GRACEPARK CALOOCAN - 530.00 - 530.00
1-Apr-19 19-5641 RAPSING, CERPELINO JR ILAGAN ST PALTOK SFDM QUEZON CITY - 1,480.00 - 1,480.00
1-Apr-19 19-5642 HERRERA, RAMON CAPILLAN ST SAN FRANCISCO DM QUEZON - 1,235.00 - 1,235.00
1-Apr-19 19-5643 VILLEGAS, ELMIE JOY FRANCISCO HOMES SJDM BULACAN - 1,235.00 - 1,235.00
1-Apr-19 19-5644 GEMINIANO, NORA TANGCO ST BRGY 87 TONDO MANILA - 3,860.00 - 3,860.00
1-Apr-19 19-5645 HERRERA, RAMON CAPILLAN ST SAN FRANCISCO DM QUEZON - 2,680.00 - 2,680.00
1-Apr-19 19-5646 BACALLO, LILIA BRGY PEMBO MAKATI CITY - 2,275.00 - 2,275.00
1-Apr-19 19-5647 LEGASPI, NORMA ALMEDA ST TONDO MANILA - 530.00 - 530.00
1-Apr-19 19-5648 PADILLA, RUPERTO NBBS NAVOTAS CITY - 1,300.00 - 1,300.00
1-Apr-19 19-5649 BACAL, GERONIMO BAGUMBONG CALOOCAN CITY - 1,010.00 - 1,010.00
1-Apr-19 19-5650 MORENO, HECTOR MASINOP ST TONDO MANILA - 2,500.00 - 2,500.00
1-Apr-19 19-5651 MORENO, HECTOR MASINOP ST TONDO MANILA - 1,980.00 - 1,980.00
1-Apr-19 19-5652 GARCIA, RHODARITA ROLDAN ST TANGOS SOUTH NAVOTAS - 1,235.00 - 1,235.00
1-Apr-19 19-5653 GARCIA, RHODARITA ROLDAN ST TANGOS SOUTH NAVOTAS - 370.00 - 370.00
1-Apr-19 19-5654 IGNACIO, JOHN SIMON BASECO PORT AREA MANILA - 890.00 - 890.00
1-Apr-19 19-5655 JABOYANON, VIVENCIA LIAS MARILAO BULACAN - 2,150.00 - 2,150.00
1-Apr-19 19-5656 REGALA, CHARMAINE PACHECO ST TONDO MANILA - 770.00 - 770.00
1-Apr-19 19-5657 CASTRO, ROSALIE MOLINA VIENTE REALES VALENZUELA - 1,235.00 - 1,235.00
1-Apr-19 19-5658 ARCE, LUNINGNING MAGTANGGOL ST MAYPAJO CALOOCAN - 130.00 - 130.00
1-Apr-19 19-5659 CRUZ, EMILIA BRGY BULIHAN SILANG CAVITE - 1,685.00 - 1,685.00
1-Apr-19 19-5660 TOTING, RACQUEL BANAL ST BAGONG BARRIO CALOOCAN - 900.00 - 900.00
1-Jul-19 19-5661 FERNANDEZ, ERLINDA 512 ESGUERRA ST. TONDO MANILA - 1,060.00 - 1,060.00
1-Jul-19 19-5662 MAÑALAC, JECHELLE ESTER BRGY. 35 MAYPAJO CALOOCAN CITY - 1,840.00 - 1,840.00
1-Jul-19 19-5663 SARMIENTO, JESUSA BRGY. 73 SAMSON ROAD CALOOCAN CITY - 530.00 - 530.00
1-Jul-19 19-5664 SARMIENTO, JESUSA BRGY. 73 SAMSON ROAD CALOOCAN CITY - 1,235.00 - 1,235.00
1-Jul-19 19-5665 QUILINGAN, ARLENE TAMBO LIGAW CITY ALBAY - 1,235.00 - 1,235.00
1-Jul-19 19-5666 CLARO, ERNESTO PANGHULO MALABON CITY - 5,580.00 - 5,580.00
1-Jul-19 19-5667 ALMARIO, MARCELA BRGY. 78 VELENZUELA TONDO MANILA - 1,235.00 - 1,235.00
1-Jul-19 19-5668 BAYANI, ROSEMARIE BRGY. 120 CALOOCAN CITY - 770.00 - 770.00
1-Jul-19 19-5669 HIPOLITO, EMELITA EL PUEBLO STA. MARIA BULACAN - 3,300.00 - 3,300.00
1-Jul-19 19-5670 ALORAN, ROSARIO BRGY. 170 TONDO MANILA - 530.00 - 530.00
1-Jul-19 19-5671 BARCELONA, ARIEL BRGY. 8 CALOOCAN CITY - 1,235.00 - 1,235.00
1-Jul-19 19-5672 GUZMAN, DULCESIMA BRGY. POTRERO MALABON CITY - 2,410.00 - 2,410.00
1-Jul-19 19-5673 SARMIENTO, MAUREEN 1680 VELASQUEZ ST. TONDO MANILA - 1,235.00 - 1,235.00
1-Jul-19 19-5674 DEL ROSARIO, MA. CRISTINA BRGY. 239 TONDO MANILA - 1,300.00 - 1,300.00
1-Jul-19 19-5675 NAGAL, OFELIA BRGY. 203 TONDO MANILA - 1,235.00 - 1,235.00
1-Jul-19 19-5676 SELLADO, JOEL BRGY. PASONG TAMO QUEZON CITY - 3,700.00 - 3,700.00
Page 93
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
1-Jul-19 19-5677 ANDES, LENY BRGY. CAWIT EXT. MAGALLANES SORSOGON - 2,000.00 - 2,000.00
1-Jul-19 19-5678 BURGOS, ANTHONY 2121 A KATAMANAN TONDO MANILA - 2,500.00 - 2,500.00
1-Jul-19 19-5679 AVILA, MARIA JUANA POBLACION ESPERANZA MASBATE - 2,680.00 - 2,680.00
1-Jul-19 19-5680 LUCERNA, RAFAEL JR 3384 POLICARPIO ST. VALENZUELA CITY - 1,235.00 - 1,235.00
1-Jul-19 19-5681 MANALO, MARIA PRECIOUS 1720 FRANCO ST. TONDO MANILA - 530.00 - 530.00
1-Jul-19 19-5682 RONQUILLO, JASPER KENT ARELLANO ST. SINGALANG MASBATE MANILA - 5,500.00 - 5,500.00
1-Jul-19 19-5683 GUEVARRA, ESTRELLITA BRGY. 497 SAMPALOC MANILA - 860.00 - 860.00
1-Jul-19 19-5684 MATA, EVELYN 561 RAMBUTAN ST. NOVALICHES QUEZON CITY - 2,500.00 - 2,500.00
1-Jul-19 19-5685 FERNANDEZ, ELOISA 942 INOCEBCIO ST. SAN ROQUE CAVITE - 600.00 - 600.00
1-Jul-19 19-5686 PETRAS, PAMELA DENISE BRGY. LONGOS MALABON CITY - 470.00 - 470.00
1-Jul-19 19-5687 TELAN, FLOR 604 4TH AVE EAST CALOOCAN CITY - 5,105.00 - 5,105.00
1-Jul-19 19-5688 GODINO, NIDA 4681 GUADAL CANAL ST. STA MESA MANILA - 940.00 - 940.00
1-Jul-19 19-5689 ESTRADA, LEONILA BRGY. CATMON MALABON - 2,500.00 - 2,500.00
1-Jul-19 19-5690 DE SILVA, JANICE MAY BRGY. TONSUYA MALABON CITY - 5,100.00 - 5,100.00
1-Jul-19 19-5691 RAMOS, LUZVIMINDA TANZA NAVOTAS CITY - 5,580.00 - 5,580.00
1-Jul-19 19-5692 PESINO, JADE VILLA ROMA IV MARILAO BULACAN - 820.00 - 820.00
1-Jul-19 19-5693 ALMOGUERA, ESTRELLA 401C INT 16 PERLA TONDO MANILA - 3,130.00 - 3,130.00
1-Jul-19 19-5694 CABINTA, REMEDIOS PANTIHAN 1 MARAGONDON CAVITE - 11,800.00 - 11,800.00
1-Jul-19 19-5695 MARQUEZ, ZENAIDA BONTOC ST. GAGALANGIN TONDO MANILA - 14,680.00 - 14,680.00
1-Jul-19 19-5696 VISITACION, ORCULLO PANDAN TUBIGON BOHOL - 1,235.00 - 1,235.00
1-Jul-19 19-5697 ADRALES, LETICIA BRGY. SAN SIMON DASMA CAVITE - 5,105.00 - 5,105.00
1-Jul-19 19-5698 ESPINOSA, WILSIE 705 MORET ST. SAMPALOC MANILA - 5,105.00 - 5,105.00
1-Jul-19 19-5699 DADOR, ZINNIA GEN T. DE LEON VALENZUELA CITY - 4,800.00 - 4,800.00
1-Jul-19 19-5700 PARUNGAO, LUZVIMINDA KABUTIHAN GLD VALENZUELA CITY - 1,235.00 - 1,235.00
1-Jul-19 19-5701 DAVID, ROLANDO POB STO. TOMAS PAMPANGA - 2,100.00 - 2,100.00
1-Jul-19 19-5702 PUNO, CLEMENTE 225 C NAMIE ST. 2ND AVE CALOOCAN CITY - 3,300.00 - 3,300.00
1-Jul-19 19-5703 GIDUCOS, MA. FLORENDA BLOCK 1 LOT 8 PHASE 1 CALOOCAN CITY - 3,845.00 - 3,845.00
1-Aug-19 19-5704 FERRER, JOEL TIOCO ST TONDO MANILA - 4,800.00 - 4,800.00
1-Aug-19 19-5705 RUMBAOA, JACKYLYN SAN DIEGO ST SAMPALOC MANILA - 1,045.00 - 1,045.00
1-Aug-19 19-5706 TOLENTINO, AIDIAN BRGY 882 PACO MANILA - 1,235.00 - 1,235.00
1-Aug-19 19-5707 CRUZ, MA JOANNA NORTHLANE ST LAS PIÑAS CITY - 1,235.00 - 1,235.00
1-Aug-19 19-5708 LUMAPGUID, JOANE TANGOS ST NAVOTAS CITY - 740.00 - 740.00
1-Aug-19 19-5709 BOLISAY, TEODORA SOLIS ST TONDO MANILA - 210.00 - 210.00
1-Aug-19 19-5710 PASCUAL, JERIC ANGGALO ST TONDO MANILA - 530.00 - 530.00
1-Aug-19 19-5711 ZARATE, MARITES PONCE ST BAGONG BARRIO CALOOCAN - 1,235.00 - 1,235.00
1-Aug-19 19-5712 MORENO, MILAGROS VILLA GRANDE LAMBAKIN MARILAO BULACAN- 530.00 - 530.00
1-Aug-19 19-5713 PASTIDIO, EVELYN MUNDO ST SAN PEDRO LAGUNA - 3,860.00 - 3,860.00
1-Aug-19 19-5714 SERRANO, LOURDES BRGY JACINTO RIZAL BATANGAS CITY - 2,350.00 - 2,350.00
1-Aug-19 19-5715 BUTIONG, TOMAS BRGY STO NIÑO PARAÑAQUE CITY - 400.00 - 400.00
1-Aug-19 19-5716 DACUYAN, CARIDAD KABAYANIHAN CAINTA RIZAL - 400.00 - 400.00
1-Aug-19 19-5717 LORENZO, JENNIFER TAMBUNTING ST STA CRUZ MANILA - 1,235.00 - 1,235.00
1-Aug-19 19-5718 LOVENARIO, EVANGELINE PINAGBAKURAN SARIAYA QUEZON - 1,235.00 - 1,235.00
1-Aug-19 19-5719 LOVENARIO, EVANGELINE PINAGBAKURAN SARIAYA QUEZON - 530.00 - 530.00
1-Aug-19 19-5720 VILLAREAL, ALPHA CAINGIN SAN RAFAEL BULACAN - 5,105.00 - 5,105.00
1-Aug-19 19-5721 SANTOS, MARILYN JUAN LUNA ST TONDO MANILA - 5,105.00 - 5,105.00
1-Aug-19 19-5722 SANTOS, MARILYN JUAN LUNA ST TONDO MANILA - 2,500.00 - 2,500.00
1-Aug-19 19-5723 LUNA, FLORENTINA ATHENCE ST MANGGAHAN PASIG CITY - 600.00 - 600.00
22-Jan-19 19-5724 CRUZ, ROSALIE BRGY NBBN NAVOTAS CITY - - 1,480.00 1,480.00
22-Jan-19 19-5725 CREDO, REYNALDO BRGY 596 STA MESA MANILA - - 530.00 530.00
22-Jan-19 19-5726 DELOS SANTOS, WELMAR BRGY 76 CALOOCAN CITY - - 7,539.62 7,539.62
22-Jan-19 19-5727 VICENCIO, ALICIA VARONA ST TONDO MANILA - - 1,520.00 1,520.00
22-Jan-19 19-5728 SEPADA, JAKE BRGY 654 INTRAMUROS MANILA - - 530.00 530.00
22-Jan-19 19-5729 MAGLANQUE, GRICILITO HERRERA ST TONDO MANILA 1,274.00 - - 1,274.00
22-Jan-19 19-5730 LLANES, JOSEPHINE VELASQUEZ ST TONDO MANILA - - 19,715.15 19,715.15
22-Jan-19 19-5731 BALMORES, EFREN SILANGANAN ST MAYPAJO CALOOCAN CITY - 20,000.00 - 20,000.00
22-Jan-19 19-5732 ADRIAS, NELSON BRGY SAN VICENTE ANGONO RIZAL 523.50 - - 523.50
22-Jan-19 19-5733 RONDINA, EMARITA VILLA ESPAÑOLA SJDM BULACAN - 1,200.00 - 1,200.00
12-Jan-19 19-5734 GALGANA, YOLANDA DAGAT DAGATAN CALOOCAN CITY - - 24,026.96 24,026.96
12-Jan-19 19-5735 CRUZ, ERLINDA WAWA ST ALABANG MUNTINLUPA - - 313,302.50 313,302.50
13-Jan-19 19-5736 SARIA, PATRICIA ALAPAN I IMUS CAVITE - - 34,830.19 34,830.19
14-Jan-19 19-5737 NUQUI, JEFFERSON RIVERA ST NOVALICHES QUEZON CITY - - 26,717.27 26,717.27
Page 94
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
14-Jan-19 19-5738 RAMOS, PAQUITO BRGY NBBN NAVOTAS CITY - - 29,447.71 29,447.71
15-Jan-19 19-5739 BELCHEZ, CENENCIO BRGY TANGOS NAVOTAS CITY - - 102,030.87 102,030.87
19-Jan-19 19-5740 PICHAY, DOMINADOR DIZON ST TONDO MANILA - - 213,507.70 213,507.70
22-Jan-19 19-5741 FORTEO, MINERVA BRGY RINCON VALENZUELA CITY - - 24,691.05 24,691.05
22-Jan-19 19-5742 TRICHERA, ROBERTO BRGY SAN ANTONIO QUEZON CITY - - 20,609.85 20,609.85
22-Jan-19 19-5743 AURE, JUANA BRGY VI MENDEZ NUNEZ CAVITE - - 22,952.62 22,952.62
23-Jan-19 19-5744 LUCERO, PACITA MARIANO PONCE BAGONG BARRIO CALOOCAN CITY- - 24,109.00 24,109.00
22-Jan-19 19-5745 LADERAS, ELENA BRGY HULONG DUHAT MALABON CITY - 2,250.00 - 2,250.00
22-Jan-19 19-5746 SOLOMON, MARY JOY BRGY RAWIS LAO-ANG NORTHERN SAMAR - 1,200.00 - 1,200.00
22-Jan-19 19-5747 LIM, ANDREW BRGY 161 MALIBAY PASAY CITY - 1,200.00 - 1,200.00
22-Jan-19 19-5748 BALANE, LILIA BRGY TATALON QUEZON CITY 178.50 - - 178.50
22-Jan-19 19-5749 SORIANO, ROMEO MOLAVE ST TONDO MANILA 714.00 - - 714.00
22-Jan-19 19-5750 AMA, ALFREDO PAG ASA ST CALOOCAN CITY 663.00 - - 663.00
22-Jan-19 19-5751 AMA, SUZETTE PAG ASA ST CALOOCAN CITY 429.00 - - 429.00
22-Jan-19 19-5752 NABONG, JULIETA DANDAN ST TONDO MANILA 1,338.00 - - 1,338.00
22-Jan-19 19-5753 RIZO, GERRY PUREZA ST STA MESA MANILA 3,120.00 - - 3,120.00
22-Jan-19 19-5754 PILI, ESTELA BRGY LONGOS MALABON CITY 714.00 - - 714.00
22-Jan-19 19-5755 GATUS, ROSARIO SANTO CRISTO ST TONDO MANILA 714.00 - - 714.00
22-Jan-19 19-5756 SAPIANDANTE, DOMINADOR JRESGUERRA ST TONDO MANILA 429.00 - - 429.00
22-Jan-19 19-5757 ESPAÑOLA, JANEL ANN MACABUD MONTALBAN RIZAL - - 2,661.63 2,661.63
22-Jan-19 19-5758 LABAHATA, MERCY BRGY NBBS NAVOTAS CITY - - 752.43 752.43
22-Jan-19 19-5759 ALVAREZ, MARY GRACE KAWAL ST DAGAT DAGATAN CALOOCAN CITY - - 698.00 698.00
22-Jan-19 19-5760 VINLUAN, JEROME QUEZON BLVD STA CRUZ MANILA - - 1,357.20 1,357.20
22-Jan-19 19-5761 PACINIO, VENUS BRGY MAPULANG LUPA VALENZUELA CITY - - 724.11 724.11
22-Jan-19 19-5762 DELA CRUZ, JOSE MARXIA BRGY HOLY SPIRIT QUEZON CITY - - 1,714.88 1,714.88
22-Jan-19 19-5763 ANGELES, EVANGELINE BAHAY TORO PROJ 8 QUEZON CITY - - 3,148.15 3,148.15
22-Jan-19 19-5764 SOLO, ROWELLA TONDO MANILA - - 1,559.98 1,559.98
22-Jan-19 19-5765 HILIT, JEREBELL STA ROSARIO PANDAN ANTIQUE - - 7,280.64 7,280.64
22-Jan-19 19-5766 FERNANDEZ, GINALYN ANTIPOLO ST STA CRUZ MANILA - - 1,188.75 1,188.75
23-Jan-19 19-5767 CARMONA, CAROLINE FIDEL A REYES MALATE MANILA - - 4,158.05 4,158.05
23-Jan-19 19-5768 SUAREZ, MA. LUZ ROXAS ST SAN ROQUE MARIKINA CITY - - 2,024.46 2,024.46
23-Jan-19 19-5769 MENDOZA, ROCHELLE ANN LICO ST TONDO MANILA - - 2,570.52 2,570.52
23-Jan-19 19-5770 CALABRIA, MARJORIE BRGY LONGOS MALABON CITY - - 1,331.18 1,331.18
23-Jan-19 19-5771 CRUZ, AMIE SOLIS ST TONDO MANILA 3,120.00 - - 3,120.00
23-Jan-19 19-5772 ENSIGNE, GLENDA INSTRUCCION ST SAMPALOC MANILA - 1,350.00 - 1,350.00
23-Jan-19 19-5773 CORDERO, EDITHA ORO EXT STA ANA MANILA - - 2,673.30 2,673.30
23-Jan-19 19-5774 TONIDO, PAUL EZEKIEL BRGY POTRERO MALABON CITY - - 5,227.56 5,227.56
23-Jan-19 19-5775 IBARRETA, JULIETA INAON PULILAN BULACAN 795.00 - - 795.00
23-Jan-19 19-5776 DELOS SANTOS, MARLON ALVAREZ EXT TONDO MANILA - - 340.00 340.00
23-Jan-19 19-5777 LIBANAN, MARIFE NAIC TAFT EASTERN SAMAR - - 11,275.76 11,275.76
23-Jan-19 19-5778 SILVESTRE, ROBERTSON KAGITINGAN ST TONDO MANILA 958.10 - 1,100.53 2,058.63
23-Jan-19 19-5779 ORAZA, CARLOS BRGY CATMON MALABON CITY - - 4,962.74 4,962.74
23-Jan-19 19-5780 LOPEÑA, JAY-AR CABANGIS ST TONDO MANILA - - 1,235.00 1,235.00
23-Jan-19 19-5781 RANERA, JOJO BRGY 210 STA CRUZ MANILA - 500.00 - 500.00
23-Jan-19 19-5782 SIDA, NOLI BRGY 165 BAGBAGUIN CALOOCAN CITY 667.55 1,200.00 - 1,867.55
23-Jan-19 19-5783 MENDOZA, DEMETRIO JR TAMBUNTING ST STA CRUZ MANILA - 1,200.00 - 1,200.00
23-Jan-19 19-5784 MOLINES, MARISSA SAN AGUSTIN HAGONOY BULACAN - 1,200.00 - 1,200.00
23-Jan-19 19-5785 DALISAY, MA. TERESA BRGY 109 TONDO MANILA 1,143.00 - - 1,143.00
23-Jan-19 19-5786 UMADHAY, JANNAH AKIESHABUNGGO CALAMBA LAGUNA - - 7,963.42 7,963.42
23-Jan-19 19-5787 SANTOS, LEONIDA TORCILLO ST DAGAT DAGATAN CALOOCAN CITY- - 530.00 530.00
23-Jan-19 19-5788 HERNANDEZ, TERESA TUBERA ST STA CRUZ MANILA - - 1,358.38 1,358.38
23-Jan-19 19-5789 ROSITA, KYLER KENT PAROLA BINONDO MANILA - - 5,909.13 5,909.13
23-Jan-19 19-5790 CANLAS, JEFFREY SALITRAN I DASMARINAS CAVITE - - 530.00 530.00
23-Jan-19 19-5791 MAHAYAG, SOFRIANO JR STA MARIA STA ANA PAMPANGA - - 1,859.93 1,859.93
23-Jan-19 19-5792 MEDORANDA, JONATHAN BANGKAL MEYCAUAYAN BULACAN - - 6,626.31 6,626.31
23-Jan-19 19-5793 SALAPUDIN, MELIZABETH KALIMBAS ST STA CRUZ MANILA - - 4,062.56 4,062.56
23-Jan-19 19-5794 BRION, ELVIN BRGY MARULAS VALENZUELA CITY - - 3,394.56 3,394.56
23-Jan-19 19-5795 JORVINA, PRINCESS LANGAYAN SAN PEDRO LAGUNA - - 1,460.93 1,460.93
23-Jan-19 19-5796 ADONIS, ELMA EVANGELISTA ST QUIAPO MANILA - - 2,622.14 2,622.14
23-Jan-19 19-5797 DACALOS, MARIA CARMELITABARRIO MAGSAYSAY TONDO MANILA 714.00 - - 714.00
23-Jan-19 19-5798 RODRIGO, TRISTAN CONCHA ST TONDO MANILA - - 907.59 907.59
Page 95
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GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
23-Jan-19 19-5799 EGUILLON, GEMMA BRGY OLYMPIA MAKATI CITY 630.00 - - 630.00
23-Jan-19 19-5800 DE PEDRO, GINA GOLDEN VALLEY RECTO MANILA - - 1,576.57 1,576.57
23-Jan-19 19-5801 CARIG, MARCHOVEN SOLER ST STA CRUZ MANILA - - 640.80 640.80
23-Jan-19 19-5802 MENON, NEIL BRGY LINGUNAN VALENZUELA CITY - - 1,812.73 1,812.73
23-Jan-19 19-5803 BERNAL, KRISTINE JOY SAN MATEO ST STA CRUZ CAVITE CITY - - 944.14 944.14
23-Jan-19 19-5804 PEREZ, GENER BRGY MARULAS VALENZUELA CITY - - 1,883.94 1,883.94
23-Jan-19 19-5805 BUSTAMANTE, WALTER BAGONG SILANG CALOOCAN CITY - - 561.04 561.04
23-Jan-19 19-5806 TUMAMAO, VILLAMOR SAN NICOLAS ILOCOS NORTE - - 4,087.39 4,087.39
23-Jan-19 19-5807 SALES, MIRIAM CECILIA SULUCAN ST SAMPALOC MANILA - 810.00 - 810.00
23-Jan-19 19-5808 RELUCIO, ZYRHIEL BRGY GEN T DE LEON VALENZUELA CITY - - 530.00 530.00
23-Jan-19 19-5809 MANCITO, EDUARDO BRGY TUGATOG MALABON CITY - - 5,917.74 5,917.74
23-Jan-19 19-5810 SANTIAGO, JUANITO LIBIS GUICHICO ST CALOOCAN CITY 338.00 - - 338.00
23-Jan-19 19-5811 DOCALLOS, DONNABELLE M CRUZ ST STO NIÑO MARIKINA CITY - - 1,580.96 1,580.96
23-Jan-19 19-5812 ABBU, LINA JOSE R REYES FEMALE DORMITORY 714.00 - - 714.00
23-Jan-19 19-5813 SIBAL, ESPERANZA MALONZO ST CALOOCAN CITY 714.00 - - 714.00
23-Jan-19 19-5814 TAN SENG, DAWL OROQUIETA ST STA CRUZ MANILA 273.00 - - 273.00
23-Jan-19 19-5815 TOLENTINO, JANETTE LAUREL ST TONDO MANILA 2,340.00 - - 2,340.00
23-Jan-19 19-5816 BALINGUE, GLADYS PALIPARAN III DASMARIÑAS CAVITE - - 1,060.00 1,060.00
23-Jan-19 19-5817 CLORES, DEXTER 11TH AVE GRACE PARK CALOOCAN CITY - - 530.00 530.00
23-Jan-19 19-5818 ARCILLA, ROSEMARIE BRGY 628 STA MESA MANILA 2,439.70 - - 2,439.70
23-Jan-19 19-5819 SINAG, CAROLINA NEW ANTIPOLO ST TONDO MANILA 1,143.00 - - 1,143.00
23-Jan-19 19-5820 TIMARIO, ROWENA BRGY CAMALIG MEYCAUAYAN BULACAN 1,150.50 - - 1,150.50
23-Jan-19 19-5821 ECO, HERMELINA BRGY 58 TONDO MANILA 3,081.21 1,500.00 - 4,581.21
23-Jan-19 19-5822 SOBERANO, MARITES ROXAS ST SAMPALOC MANILA 885.00 - - 885.00
23-Jan-19 19-5823 GUEVARRA, DENNIS ZAPOTE II BACOOR CAVITE 1,665.00 - - 1,665.00
23-Jan-19 19-5824 MANALILI, MARIA TERESA DINALAGA ST BAGONG BARRIO CALOOCAN CITY795.00 - - 795.00
23-Jan-19 19-5825 URSAIZ, JULIO BRGY DAANG HARI NAVOTAS CITY 630.00 - - 630.00
23-Jan-19 19-5826 ZAMORA, ALFREDO BRGY 7 CALOOCAN CITY 429.00 - - 429.00
23-Jan-19 19-5827 MAYUGBA, GUADALUPE BRGY 198 TONDO MANILA 1,143.00 - - 1,143.00
23-Jan-19 19-5828 LOBA, ESTERLITA BRGY 151 BAGONG BARRIO CALOOCAN CITY2,320.50 - - 2,320.50
23-Jan-19 19-5829 HERMOSO, ROSEZEL CAPULONG TONDO MANILA - 325.00 - 325.00
23-Jan-19 19-5830 GINETE, ALICIA HALILI ST SAMPALOC MANILA 214.50 - - 214.50
23-Jan-19 19-5831 GINETE, FREDELITO HALILI ST SAMPALOC MANILA 429.00 - - 429.00
23-Jan-19 19-5832 COMIA, YOLANDA ILAYA STA TERESITA BATANGAS 1,006.20 - - 1,006.20
23-Jan-19 19-5833 EUMAGUE, JOANNA BRGY 149 BAGONG BARRIO CALOOCAN CITY714.00 - - 714.00
23-Jan-19 19-5834 EUMAGUE, EMMA BRGY 149 BAGONG BARRIO CALOOCAN CITY714.00 - - 714.00
23-Jan-19 19-5835 BONAO, FRANCISCO BRGY 35 MAYPAJO CALOOCAN CITY - 810.00 - 810.00
23-Jan-19 19-5836 VICENCIO, CHRISTENE JAY BRGY TANGOS NAVOTAS CITY - 130.00 - 130.00
23-Jan-19 19-5837 EUGENIO, CERBELINA CALAOCAN QUEZON NUEVA CIZCAYA 156.00 - - 156.00
23-Jan-19 19-5838 ARANGCON, ZENAIDA PRENZA II MARILAO BULACAN 292.50 - - 292.50
23-Jan-19 19-5839 CANDAR, ALEJANDRO CARSADANG BAGO 2 IMUS CAVITE - 1,440.00 - 1,440.00
23-Jan-19 19-5840 LEONES, MA. ANGIE BRGY TATALON QUEZON CITY 714.00 - - 714.00
23-Jan-19 19-5841 ELLI, DIOSDADO SAN DIONISIO SORSOGON 799.50 - - 799.50
23-Jan-19 19-5842 ONAG, EMMA ALBATROS ST TONDO MANILA 260.00 - - 260.00
23-Jan-19 19-5843 REMETIO, CHRISTINA BEVERLY HOMES MARILAO BULACAN 721.50 - - 721.50
23-Jan-19 19-5844 ADRIANO, BENJAMIN PILAR ST TONDO MANILA 949.50 - - 949.50
23-Jan-19 19-5845 CRUZ, SOCORRO CORAL ST TONDO MANILA - 1,200.00 - 1,200.00
23-Jan-19 19-5846 FRIAS, LEONARDA ZAPOTE ST BAGONG BARRIO CALOOCAN CITY974.00 - - 974.00
23-Jan-19 19-5847 FERNANDEZ, EVANGELINE BRGY 85 GEN TINIO ST CALOOCAN CITY 1,214.00 - - 1,214.00
23-Jan-19 19-5848 HERRERA, EVELYN BRGY TANGOS NAVOTAS CITY - 500.00 - 500.00
23-Jan-19 19-5849 BRILLON, CANDICE MONIQUERANGER ST HOLY SPIRIT QUEZON CITY 6,552.00 - - 6,552.00
23-Jan-19 19-5850 PEÑA, LEONARDO BRGY 93 GRACE PARK CALOOCAN CITY 19,983.60 - - 19,983.60
23-Jan-19 19-5851 EUGENIO, HANNAH ELI BRGY BAGO BANTAY QUEZON CITY - - 10,000.00 10,000.00
23-Jan-19 19-5852 DONOGA, MELVIN TALON I LAS PIÑAS CITY - 500.00 - 500.00
23-Jan-19 19-5853 ELLA, LUCITA SAN LAZARO ST STA CRUZ MANILA 265.20 - - 265.20
23-Jan-19 19-5854 ESTRELLA, SATURNINA CUT-CUT GUIGUINTO BULACAN 1,641.00 - - 1,641.00
23-Jan-19 19-5855 VACINO, REBECCA CAPULONG ST TONDO MANILA 1,338.00 - - 1,338.00
23-Jan-19 19-5856 NICOLAS, MARILOU NARA ST TONDO MANILA 491.40 - - 491.40
23-Jan-19 19-5857 TUMULAK, GLENDA CAYPOMBO WSTA MARIA BULACAN - 1,200.00 - 1,200.00
23-Jan-19 19-5858 VELASCO, GRACE CAPADA ST MAYPAJO CALOOCAN CITY 1,435.50 - - 1,435.50
23-Jan-19 19-5859 MANALO, MACARIO SAINT CATHERINE SUBD PARAÑAQUE CITY2,638.50 - - 2,638.50
Page 96
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
23-Jan-19 19-5860 VILLALINO, ANGELES LALLANA ST TONDO MANILA - 1,080.00 - 1,080.00
23-Jan-19 19-5861 SALAC, EULOGIO NAVA ST TOND MANILA 1,596.00 - - 1,596.00
23-Jan-19 19-5862 CASTILLO, ISRAEL VITAS ST TONDO MANILA 1,811.50 1,500.00 - 3,311.50
23-Jan-19 19-5863 SABALLA, JESUS HAPPYLAND TONDO MANILA 750.00 - - 750.00
23-Jan-19 19-5864 PACUNAYEN, CLARITA NORTHVILLE BOCAUE BULACAN 2,215.70 - - 2,215.70
23-Jan-19 19-5865 BETAY, JOAN PILIG ALTO CABAGAN ISABELA 273.00 - - 273.00
23-Jan-19 19-5866 TAJUNA, ALBERT JUAN LUNA ST TONDO MANILA 195.00 - - 195.00
23-Jan-19 19-5867 SEE, JOHN PATRICK MALABAN BIÑAN LAGUNA - 325.00 - 325.00
8-Dec-18 19-5868 TANG, ALEXANDER BRGY 399 SAMPALOC MANILA - - 2,024.78 2,024.78
21-Sep-18 19-5869 GUMATAY, NORMA ABACA MABINI BOHOL - - 672.55 672.55
12-Oct-18 19-5870 SORIANO, MICHAEL BRGY NBBS NAVOTAS CITY - - 1,079.44 1,079.44
12-Nov-18 19-5871 DE LEON, THINABELLE STA QUITERIA CALOOCAN CITY - - 64.97 64.97
18-Nov-18 19-5872 GONZAGA, JUMAICA LAGUNA EXT TONDO MANILA - - 255.00 255.00
29-Nov-18 19-5873 FAUSTINO, ALECSA BERNARDINO ST UGONG VALENZUELA - - 255.00 255.00
1-Dec-18 19-5874 BONDOCOY, MARYCLAIRE BRGY TATALON QUEZON CITY - - 4,311.55 4,311.55
10-Dec-18 19-5875 DADOR, ZINNIA OLD PRODON GTDL VALENZUELA CITY - - 9,958.87 9,958.87
12-Dec-18 19-5876 LAURIO, MARIA THERESA BRGY DAGAT DAGATAN CALOOCAN - - 8,359.25 8,359.25
18-Dec-18 19-5877 NELSON, ELEINA JANE BRGY 12 CALOOCAN CITY - - 10,892.47 10,892.47
22-Dec-18 19-5878 PILAPIL, JANETH BRGY PULO VALENZUELA CITY - - 10,504.16 10,504.16
23-Dec-18 19-5879 VALERO, EVELYN MANILA CITY JAIL - - 1,180.38 1,180.38
20-Dec-18 19-5880 CAINDOY, BRIX PILDERA II NAIA PASAY CITY - - 255.00 255.00
20-Dec-18 19-5881 BEROTIAO, MELISSA BRGY MALINTA VALENZUELA CITY - - 4,383.04 4,383.04
30-Dec-18 19-5882 CORTEZ, MARIETTA BATO EXT TONDO MANILA - - 12,721.33 12,721.33
13-Sep-18 19-5883 LAMBINO, MARIA KRISTEL BRGY 162 CALOOCAN CITY - - 19,666.65 19,666.65
11-Sep-18 19-5884 SAMILLANO, MARCO PAULOKAPULONG TONDO MANILA - - 750.00 750.00
11-Sep-18 19-5885 ALIMA, NIÑA KAPULONG TONDO MANILA - - 4,788.20 4,788.20
17-Sep-18 19-5886 ANTONIO, MARICEL DM COMP CALOOCAN CITY - - 13,565.78 13,565.78
17-Sep-18 19-5887 TRAJECO, CAZMIR LASTE MAGSAYSAY OCCIDENTAL MINDORO - - 17,350.70 17,350.70
18-Sep-18 19-5888 FRANCISCO, MICHELLE BMBA COMP CALOOCAN CITY - - 5,099.60 5,099.60
19-Sep-18 19-5889 SOTOMAYOR, GLEN LAUREL ST TONDO MANILA - - 13,630.82 13,630.82
20-Sep-18 19-5890 RIVERA, MERCY HALILI ST CALOOCAN CITY - - 1,963.50 1,963.50
22-Sep-18 19-5891 KONG, JANICE BMBA GRACE PARK CALOOCAN - - 8,176.95 8,176.95
23-Sep-18 19-5892 REYES, GERLIES VIZCAYA ST TONDO MANILA - - 19,456.73 19,456.73
24-Sep-18 19-5893 MAGTAGÑOB, VILMA NORTHBAY BLVD SOUTH NAVOTAS CITY - - 1,012.74 1,012.74
27-Sep-18 19-5894 ALBASON, ROSANALY KAYLAWAY NASUGBU BATANGAS - - 14,836.46 14,836.46
9-Oct-18 19-5895 GARCIA, SARAH JANE 4TH AVE CALOOCAN CITY - - 825.51 825.51
4-Oct-18 19-5896 CAMASIS, MONALYN 10TH AVE CALOOCAN CITY - - 19,377.94 19,377.94
10-Oct-18 19-5897 JINGGONA, RADIA SAN ANDRES MALATE MANILA - - 9,209.81 9,209.81
11-Oct-18 19-5898 ABINGONA, ALONA MAE DULONG TANGKE MALINTA VALENZUELA - - 1,959.56 1,959.56
11-Oct-18 19-5899 SANQUILLOS, RENE ROSE ZAMORA ST CALOOCAN CITY - - 10,117.67 10,117.67
15-Oct-18 19-5900 CENEZA, ZACK CARLO BRGY 95 PASAY CITY - - 255.00 255.00
17-Oct-18 19-5901 BAUTISTA, ERICH JHIANNE MA GUIZON ST TONDO MANILA - - 4,720.79 4,720.79
30-Oct-18 19-5902 SORIZO, JENNIFER SEACOM COMP PARAÑAQUE CITY - - 18,973.22 18,973.22
31-Oct-18 19-5903 BUENAVENTURA, JOSEPHINEBRGY BAGNA MALOLOS BULACAN - - 16,339.13 16,339.13
8-Nov-18 19-5904 LOREMIA, SARAH NOEMI 2ND AVE CALOOCAN CITY - - 578.57 578.57
1-Nov-18 19-5905 ALMAZAN, ZENAIDA SITIO MILITAR QUEZON CITY - - 10,160.99 10,160.99
8-Nov-18 19-5906 LINAAC, CHARINYL ST MARY LAS PIÑAS CITY - - 7,357.84 7,357.84
14-Nov-18 19-5907 CARIÑO, MARGARITA HOUSING NEW ERA QUEZON CITY - - 15,732.20 15,732.20
18-Nov-18 19-5908 PENSADER, JENNYLYN BARRIO OBRERO TONDO MANILA - - 5,180.13 5,180.13
3-Dec-18 19-5909 JURADA, CHOLYN BRGY 12 CALOOCAN CITY - - 19,404.31 19,404.31
9-Dec-18 19-5910 CONDAT, YOLANDA SAGRADA FAMILIA BUHI CAMARINES SUR - - 3,662.44 3,662.44
20-Dec-18 19-5911 CATALAN, ROSELA SAN PAULO SUBD NOVALICHES QUEZON CITY - 11,000.00 - 11,000.00
4-Dec-18 19-5912 BANIQUID, MARY JANE VARONA ST TONDO MANILA - - 2,850.83 2,850.83
4-Dec-18 19-5913 NUQUI, AVRIANAH MARIE VARONA ST TONDO MANILA - - 1,050.00 1,050.00
24-Oct-18 19-5914 MULI, GLENDA KATUPARAN VITAS TONDO MANILA - - 7,652.53 7,652.53
28-Oct-18 19-5915 BELMONTE, MARK GABRIELLFELIX HUERTAS ST STA CRUZ MANILA - - 2,457.88 2,457.88
9-Dec-18 19-5916 PAULIN, NOEMI SAN VICENTE SAN PEDRO LAGUNA - - 6,126.07 6,126.07
11-Dec-18 19-5917 TORTOLES, KENNETH AREA B PAYATAS QUEZON CITY - - 3,229.83 3,229.83
11-Dec-18 19-5918 CANANEA, JUVISA BRGY BULALACAO CORON PALAWAN - - 3,818.54 3,818.54
8-Dec-18 19-5919 TERANTE, EDITHA MANUGUIT HERMOSA TONDO MANILA - - 4,113.54 4,113.54
14-Dec-18 19-5920 HIZON, LENILYN CAINGIN MEYCAUAYAN BULACAN - - 6,100.28 6,100.28
Page 97
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CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
15-Dec-18 19-5921 ECHEVARRIA, EUTROPIA SUN VALLEY PARAÑAQUE CITY - - 3,306.74 3,306.74
17-Dec-18 19-5922 GOZO, JULIO BRGY GREGORIO DE JESUS GMA CAVITE - - 5,405.72 5,405.72
18-Dec-18 19-5923 GENCIANE, ATHEENA YVONEBRGY STO NIÑO DASMARIÑAS CAVITE - - 2,941.10 2,941.10
18-Dec-18 19-5924 TERUEL, ANTHONY ACE TRINIDAD ST TONDO MANILA - - 4,901.89 4,901.89
18-Dec-18 19-5925 SORIANO, RUBY BUKID MALINTA VALENZUELA CITY - - 2,447.36 2,447.36
20-Dec-18 19-5926 DIZON, MARY VARONA ST TONDO MANILA - - 3,928.50 3,928.50
23-Dec-18 19-5927 RIVERA, GLORIA BALING CAMAWAY TARLAC CITY - - 6,950.81 6,950.81
25-Dec-18 19-5928 MULETA, KRYSNA ANGELICASTO NIÑO NBBS NAVOTAS CITY - - 3,553.53 3,553.53
25-Dec-18 19-5929 ROSANA, MARJORIE BRGY TAGUMPAY BAY LAGUNA - - 2,493.56 2,493.56
30-Dec-18 19-5930 LINAAC, CHARINYL ST MARY LAS PIÑAS CITY - - 13,493.91 13,493.91
24-Dec-18 19-5931 RAMOS, QUEEN JENNY LYN KAYBAGAL NORTH TAGAYTAY CITY - - 12,731.48 12,731.48
21-Dec-18 19-5932 TAGAPAN, DOMINGO CAALAMAGUI EAST STA MARIA ISABELA - - 19,555.08 19,555.08
19-Dec-18 19-5933 ESMANA, ALDHEN RHIEY MATALA IBAAN BATANGAS - - 11,848.00 11,848.00
16-Dec-18 19-5934 BELLO, JHOANA MAE PALIWAS OBANDO BULACAN - - 9,230.84 9,230.84
28-Sep-18 19-5935 MAÑALAC, SHEILA ANZARES ST SAMPALOC MANILA - - 159.05 159.05
28-Sep-18 19-5936 DIMABAYAO, SAM GABRIEL BAYAN BAYANAN SAN PEDRO LAGUNA - - 426.80 426.80
1-Oct-18 19-5937 SUAREZ, SILVERIA BRGY PALASAN VALENZUELA CITY - - 7,837.69 7,837.69
29-Sep-18 19-5938 YUMUL, LOLITA BETTER LIVING PARAÑAQUE CITY - - 2,276.01 2,276.01
4-Oct-18 19-5939 ABAC, RHONNALIZA SAN FRANCISCO DASMARIÑAS CAVITE - - 4,064.08 4,064.08
14-Nov-18 19-5940 SOGO, MYRNA BRGY 358 STA CRUZ MANILA - - 328.39 328.39
22-Nov-18 19-5941 GARCHITORENA, FELINA BRGY BALUBARAN MALINTA VALENZUELA - - 4,617.01 4,617.01
2-Dec-18 19-5942 ARCILLA, RUEL BAMBANG ST STA CRUZ MANILA - - 5,045.72 5,045.72
6-Dec-18 19-5943 GAMUSA, LESLIE CORNEJO COMP MALIBAY PASAY CITY - - 5,324.84 5,324.84
7-Dec-18 19-5944 JUNIO, QUEEN ATHENIELLESAN ANTONIO SAN PEDRO LAGUNA - - 4,901.14 4,901.14
7-Dec-18 19-5945 ILAN, NICA ELLA BRGY UGONG VALENZUELA CITY - - 4,602.13 4,602.13
9-Dec-18 19-5946 TALAGTAG, ROSITA BOMBERO STA CRUZ MANILA - - 16,414.37 16,414.37
25-Nov-18 19-5947 BALUYOT, OLIVIA BRGY 296 BINONDO MANILA - - 4,352.81 4,352.81
28-Dec-18 19-5948 POTO, PRINCE DUKE KARUHATAN VALENZUELA CITY - - 1,229.17 1,229.17
24-Dec-18 19-5949 FELICIANO, THALIA MAY NATIVIDAD ST CALOOCAN CITY - - 4,362.59 4,362.59
17-Dec-18 19-5950 FERNANDEZ, YOLANDA GEN TINIO ST MBS CALOOCAN CITY - - 14,577.65 14,577.65
14-Dec-18 19-5951 TAN, GENALYN STA QUITERIA ST CALOOCAN CITY - - 6,409.73 6,409.73
28-Dec-18 19-5952 SARMIENTO, NATIVIDAD SOLIS ST TONDO MANILA 1,155.80 - - 1,155.80
14-Oct-18 19-5953 SARMIENTO, MYRNA AREA D CAMARIN CALOOCAN CITY - - 1,610.39 1,610.39
20-Oct-18 19-5954 NAVA, ALJHON KIER BRGY 120 CALOOCAN CITY - - 1,904.34 1,904.34
27-Oct-18 19-5955 TULAYLAY, ALVIN NAGTAHAN SAMPALOC MANILA - - 4,345.71 4,345.71
1-Nov-18 19-5956 VICENTE, RENATO PRUDENCIO ST SAMPALOC MANILA - - 16,896.81 16,896.81
30-Oct-18 19-5957 OÑATE, JAYMARIE MARALA BALUT TONDO MANILA - - 7,605.09 7,605.09
6-Nov-18 19-5958 PURIFACACION, ALEXANDERDAGAT DAGATAN CALOOCAN - - 12,100.60 12,100.60
6-Nov-18 19-5959 ESPINO, RHODORA BETINA ST SAMPALOC MANILA - - 2,541.10 2,541.10
8-Nov-18 19-5960 RAMOS, ANALYN QUEENS ROW EAST BACOOR CAVITE - - 10,086.24 10,086.24
10-Nov-18 19-5961 LAQUESTA , NICA STA MARIA ST TONDO MANILA - - 3,043.39 3,043.39
10-Nov-18 19-5962 NAUI, MARY ANN BRGY BANGANG CAGAYAN - - 5,849.23 5,849.23
10-Nov-18 19-5963 ROBERTO, JUSTINE R PAPA TONDO MANILA - - 326.50 326.50
10-Nov-18 19-5964 CAÑEDA, MARY JEAN R PAPA TONDO MANILA - - 667.71 667.71
12-Nov-18 19-5965 MOLINES, MYRVIC JOSE ABAD SANTOS ST TONDO MANILA - - 10,361.43 10,361.43
12-Nov-18 19-5966 MOLINES, DAVID JOSE ABAD SANTOS ST TONDO MANILA - - 3,870.62 3,870.62
1-Dec-18 19-5967 GREGORIO, RAMIL GEN LUIS KAYBIGA CALOOCAN - - 8,581.15 8,581.15
4-Dec-18 19-5968 SALAS, CRISTINA LOMA DE GATO MARILAO BULACAN - - 3,024.42 3,024.42
5-Dec-18 19-5969 STA ELENA, MELOSINA BRGY 25 CAVITE CITY - - 775.49 775.49
5-Dec-18 19-5970 MONDEZ, JENEL MANPLASAN BIÑAN LAGUNA - - 2,023.57 2,023.57
6-Dec-18 19-5971 OLEA, JANEIL PALMERA SPRING CAMARIN CALOOCAN - - 5,611.57 5,611.57
6-Dec-18 19-5972 ROMAN, ROQUE FRANCISCO COMP KARUHATAN VALENZUELA - - 11,879.26 11,879.26
6-Dec-18 19-5973 TACAYON, PATRICIA ANN FARNECIO ST QUIAPO MANILA - - 2,457.40 2,457.40
7-Dec-18 19-5974 RAZOS, JHONNA CALAMBA ST STO DOMINGO QUEZON - - 6,312.92 6,312.92
7-Dec-18 19-5975 JACOB, EVELYN SANTISIMA CRUZ STA CRUZ LAGUNA - - 12,266.43 12,266.43
10-Dec-18 19-5976 REYES, JERGIE BRGY 129 SAN JOSE CALOOCAN - - 7,069.97 7,069.97
11-Dec-18 19-5977 GONGON, MEDALYN MALIIG LUBANG OCCIDENTAL MINDORO - - 3,792.50 3,792.50
11-Dec-18 19-5978 CALIPARA, JENNY 3RD AVE CALOOCAN CITY - - 1,605.76 1,605.76
13-Dec-18 19-5979 HILARIO, LORD AIKEN DULONG TANGKE MALINTA VALENZUELA - - 17,495.64 17,495.64
15-Dec-18 19-5980 CORNEJO, JHON LUIS BRGY 106 PASAY CITY - - 9,333.29 9,333.29
16-Dec-18 19-5981 GUTIERREZ, ERIC SON BRGY 32 CALOOCAN CITY - - 18,850.49 18,850.49
Page 98
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NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
17-Dec-18 19-5982 QUILANG, MA ELIZABETH STA CRUZ ANGAT BULACAN - - 13,720.35 13,720.35
19-Dec-18 19-5983 DELA CRUZ, OFELIA CAVITE ST STA CRUZ MANILA - - 1,668.79 1,668.79
20-Dec-18 19-5984 BORJAL, LYDIA BRGY 14 CALOOCAN CITY - - 12,793.85 12,793.85
22-Dec-18 19-5985 LAGARDE, REINALYN NATIVIDAD ST STA CRUZ MANILA - - 694.71 694.71
27-Dec-18 19-5986 BACAY, SHANDREE PACHECO ST TONDO MANILA - - 4,232.34 4,232.34
29-Dec-18 19-5987 ANGULUAN, MALIC DON QUITOJE SAMPALOC MANILA - - 13,053.83 13,053.83
2-Dec-18 19-5988 FABIALA, PATRICIO MEJO RADA ST TONDO MANILA - - 3,634.68 3,634.68
8-Jan-19 19-5989 MORENO, GEMMA AGUTAY MAGDIWANG ROMBLON - 1,235.00 - 1,235.00
8-Jan-19 19-5990 DELA CRUZ, PRINCESS DIVINEBRGY LAWANG BATO VALENZUELA CITY - 1,000.00 - 1,000.00
8-Jan-19 19-5991 FUNELAS, MYRA ELLA MORONG ST MAYPAJO CALOOCAN - 1,235.00 - 1,235.00
8-Jan-19 19-5992 DIAZ, MARIA TERESA PANGAKO ST BAGONG BARRIO CALOOCAN - 2,500.00 - 2,500.00
8-Jan-19 19-5993 DIAZ, MARIA TERESA PANGAKO ST BAGONG BARRIO CALOOCAN - 1,235.00 - 1,235.00
8-Jan-19 19-5994 BOGNOT, ELENA BULUSAN ST LA LOMA QUEZON CITY - 820.00 - 820.00
8-Jan-19 19-5995 EÑEREZ, JENIELYN KAUNLARAN ST MAPULANG LUPA VALENZUELA- 1,235.00 - 1,235.00
8-Jan-19 19-5996 PARRA, FIDELA PIO VALENZUELA ST MARULAS VALENZUELA - 1,235.00 - 1,235.00
20-Jan-19 19-5997 FLORES, EDWIN SAN FRANCISCO GEN TRIAS CAVITE - - 164,349.14 164,349.14
20-Jan-19 19-5998 CATALAN, ROSELA SAN PAULO NOVALICHES QUEZON CITY - - 126,942.60 126,942.60
19-Jan-19 19-5999 DAULAT, MORENO BRGY CATMON MALABON CITY - - 76,892.26 76,892.26
19-Jan-19 19-6000 SALINAS, ROGELIO MARULAS CALOOCAN CITY - - 37,121.95 37,121.95
21-Jan-19 19-6001 FADOL, JUDITH BRGY 338 STA CRUZ MANILA - - 46,747.57 46,747.57
21-Jan-19 19-6002 TUMACBAS, ROQUE BRGY IV ROMBLON ROMBLON - - 95,230.06 95,230.06
22-Jan-19 19-6003 TUMACBAS, ROQUE BRGY IV ROMBLON ROMBLON - - 107,091.95 107,091.95
22-Jan-19 19-6004 LOVINO, JULIET BRGY 168 CALOOCAN CITY - 900.00 - 900.00
22-Jan-19 19-6005 GALLIOS, WILHEMINA LIBIS ESPINA ST CALOOCAN CITY - 900.00 - 900.00
22-Jan-19 19-6006 BALBUENA, REX TAYABAS ST TONDO MANILA 743.25 - - 743.25
22-Jan-19 19-6007 GINOS, ROWENA SAN ROQUE SAN PEDRO LAGUNA - - 446.64 446.64
22-Jan-19 19-6008 PEREZ, RODELIO BRGY 335 PANDACAN MANILA - - 1,498.40 1,498.40
22-Jan-19 19-6009 ALONZO, TERESITA CANARY ST TONDO MANILA - - 530.00 530.00
22-Jan-19 19-6010 OCLARES, ANDRES KAINGIN RD BALINTAWAK QUEZON CITY 714.00 - - 714.00
22-Jan-19 19-6011 ABALOYAN, CECILE ALMANZA I LAS PIÑAS CITY - - 2,706.65 2,706.65
24-Jan-19 GER-19-01 DE LEON, ELIZABETH CALOOCAN CITY - 2,485.00 - 2,485.00
24-Jan-19 GER-19-02 LAPID, VIRGINIA QUIAPO, MANILA - 1,715.00 - 1,715.00
24-Jan-19 GER-19-03 PAJELA, ESTRELLA PANGASINAN 714.00 1,325.00 - 2,039.00
24-Jan-19 GER-19-04 OGERIO, FELISICIMO QUIAPO, MANILA - 2,485.00 - 2,485.00
24-Jan-19 GER-19-05 PASCUAL, GLORIA ANTIPOLO CITY - 2,565.00 - 2,565.00
24-Jan-19 GER-19-06 PASCUA, RIZALINO ANTIPOLO CITY - 2,475.00 - 2,475.00
24-Jan-19 GER-19-07 QUING, TERESITA STA MESA, MANILA 8.00 3,465.00 - 3,473.00
24-Jan-19 GER-19-08 RABENA, LORETO TONDO, MANILA - 1,205.00 - 1,205.00
24-Jan-19 GER-19-09 SALCEDO, JOSE QUEZON CITY - 80.00 - 80.00
24-Jan-19 GER-19-10 TABOTABO, CONCEPCION CALOOCAN CITY 717.85 2,395.00 - 3,112.85
25-Jan-19 GER-19-11 ALFONSO, REBECCA BACOOR, CAVITE - 530.00 - 530.00
25-Jan-19 GER-19-12 SUMAWANG, ADELA MALATE, MANILA - 1,060.00 - 1,060.00
25-Jan-19 GER-19-13 PAÑA, ROSENDO MALATE, MANILA - 360.00 - 360.00
25-Jan-19 GER-19-14 CENIZA, ARNOLD TONDO, MANILA 1,121.40 - - 1,121.40
25-Jan-19 GER-19-15 DIZON, ROBERTO DASMARIÑAS, CAVITE - 570.00 - 570.00
25-Jan-19 GER-19-16 FAJARDO, DANILO SAMPALOC, MANILA - 210.00 - 210.00
25-Jan-19 GER-19-17 FALLER, JESUS QUIAPO, MANILA 1,121.40 2,500.00 - 3,621.40
25-Jan-19 GER-19-18 FRANCO, HELEN QUIAPO, MANILA - 360.00 - 360.00
25-Jan-19 GER-19-19 HERMOGINO, MERLYN TAYTAY, RIZAL - 5,985.00 - 5,985.00
25-Jan-19 GER-19-20 MACASINAG, ILUMINADA QUEZON CITY - 210.00 - 210.00
25-Jan-19 GER-19-21 OMAÑA, ANDREA SAN ANDRES BUKID, MANILA 216.94 - - 216.94
25-Jan-19 GER-19-22 VIOLA, VIOLETA STA MESA, MANILA 1,121.40 - - 1,121.40
25-Jan-19 GER-19-23 SALOPAGIO, BENIGNO STA MESA, MANILA 357.00 - - 357.00
25-Jan-19 GER-19-24 ENRIQUEZ, NATIVIDAD TONDO, MANILA 714.00 - - 714.00
25-Jan-19 GER-19-25 RENDOR, MA. CORAZON QUEZON CITY 714.00 - - 714.00
25-Jan-19 GER-19-26 RAQUEL, CLARA SAMPALOC, MANILA 560.70 - - 560.70
25-Jan-19 GER-19-27 FERRERAS, MAMERTA SJDM, BULACAN 560.70 - - 560.70
25-Jan-19 GER-19-28 BANZON, ALICIA SAMPALOC, MANILA 96.46 - - 96.46
25-Jan-19 GER-19-29 ARIETA, NORMILITA STA MESA, MANILA 442.00 - - 442.00
25-Jan-19 GER-19-30 RAÑON, ZENAIDA MALATE, MANILA 357.00 - - 357.00
25-Jan-19 GER-19-31 DELA CRUZ, ELVIRA SAN MIGUEL, MANILA 357.00 - - 357.00
Page 99
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NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
25-Jan-19 GER-19-32 TAGUBA, ANITAS STA CRUZ, MANILA 360.85 - - 360.85
25-Jan-19 GER-19-33 GALANG, EDUARDO MANILA 2,002.00 - - 2,002.00
25-Jan-19 GER-19-34 DURAN, ESTOPIA TONDO, MANILA 8.00 - - 8.00
25-Jan-19 GER-19-35 OPEÑA, PRIMITIVA QUEZON CITY 1,345.50 - - 1,345.50
25-Jan-19 GER-19-36 GARCIA, JULITA TONDO, MANILA 357.00 - - 357.00
25-Jan-19 GER-19-37 BONA, CARLOS MUNTINLUPA CITY 416.00 - - 416.00
25-Jan-19 GER-19-38 SALAS, MARIBEL STA MESA, MANILA 1,020.30 - - 1,020.30
25-Jan-19 GER-19-39 ALABAN, PEDRO SAMPALOC, MANILA 2,002.00 - - 2,002.00
25-Jan-19 GER-19-40 JOVELLANO, JOSEPHINE MUNTINLUPA CITY 917.70 - - 917.70
25-Jan-19 GER-19-41 MONTUYO, PALMIE DASMARIÑAS, CAVITE 1,121.40 - - 1,121.40
25-Jan-19 GER-19-42 PAÑA, PILAR MALATE, MANILA 21.70 - - 21.70
28-Jan-19 GER-19-43 ADRIANO, RONALD TONDO, MANILA - - 1,065.48 1,065.48
28-Jan-19 GER-19-44 ALCANTARA, ALEJANDRO PANDACAN, MANILA 54.25 - - 54.25
28-Jan-19 GER-19-45 ALGAS, JULIETA MANILA 309.40 - - 309.40
28-Jan-19 GER-19-46 BATITAY, ERNESTO STA MESA, MANILA 6.00 - - 6.00
28-Jan-19 GER-19-47 BARROS, FELICITAS SAMPALOC, MANILA 34.50 - - 34.50
28-Jan-19 GER-19-48 CABER, LEONILA QUEZON CITY 260.00 - - 260.00
28-Jan-19 GER-19-49 CALADIAO, FLORITA SAN MIGUEL, MANILA 127.40 - - 127.40
28-Jan-19 GER-19-50 DE JESUS, EDGARDO SAMPALOC, MANILA 142.75 - - 142.75
28-Jan-19 GER-19-51 DELA CRUZ, MERIAM STA MESA, MANILA 88.50 - - 88.50
28-Jan-19 GER-19-52 EUGENIO, JUAQUINITO CALOOCAN CITY 618.80 360.00 - 978.80
28-Jan-19 GER-19-53 JUMADIAO, IRENEO SAMPALOC, MANILA 1,345.50 - - 1,345.50
28-Jan-19 GER-19-54 NICOLAS, CECILIA TONDO, MANILA 200.20 - - 200.20
28-Jan-19 GER-19-55 PILAPIL, GILLEA ANNE PANDACAN, MANILA 212.94 - - 212.94
28-Jan-19 GER-19-56 PILAR, REYNALDO QUEZON CITY 200.20 - - 200.20
28-Jan-19 GER-19-57 ABANES, CRESENCIA PANDACAN, MANILA - 1,915.00 - 1,915.00
28-Jan-19 GER-19-58 AVILA, EVELYN STA MESA, MANILA 3.85 2,485.00 - 2,488.85
28-Jan-19 GER-19-59 GARCIA, ELVIRA QUIAPO, MANILA - 80.00 - 80.00
28-Jan-19 GER-19-60 GONZALES, ALBERTO SAMPALOC, MANILA 1,745.30 1,515.00 - 3,260.30
28-Jan-19 GER-19-61 GONZALES, YOLANDA SAMPALOC, MANILA 136.50 2,655.00 - 2,791.50
28-Jan-19 GER-19-62 JOAQUIN, ROSALIE TONDO, MANILA - 2,485.00 - 2,485.00
28-Jan-19 GER-19-63 JOAQUIN, VIRGILIO TONDO, MANILA - 2,485.00 - 2,485.00
28-Jan-19 GER-19-64 MALLARI, MANUEL TANZA, CAVITE 200.20 2,185.00 - 2,385.20
28-Jan-19 GER-19-65 NOBLEZA, CORAZON QUEZON CITY 127.40 3,335.00 - 3,462.40
28-Jan-19 GER-19-66 OSICOS, THELMA QUEZON CITY - 2,515.00 - 2,515.00
28-Jan-19 GER-19-67 QUIÑORES, ADELMA TAYTAY, RIZAL - 2,175.00 - 2,175.00
28-Jan-19 GER-19-68 RACHO, EDERLINDA SAMPALOC, MANILA - 2,165.00 - 2,165.00
28-Jan-19 GER-19-69 SAN JUAN, ROGELIO QUIAPO, MANILA - 960.00 - 960.00
28-Jan-19 GER-19-70 TAIB, MOEN SAN MIGUEL, MANILA - 130.00 - 130.00
28-Jan-19 GER-19-71 TORRES, ROSALINA SAN MIGUEL, MANILA 271.04 2,485.00 - 2,756.04
18-Jan-19 GER-19-72 DIOQUINO, VICTORIA CALOOCAN CITY - 740.00 - 740.00
23-Jan-19 GER-19-73 COPIACO, LOURDES MALABON 714.00 2,500.00 - 3,214.00
23-Jan-19 GER-19-74 VERZOSA, RAQUEL QUIAPO, MANILA - 250.00 - 250.00
25-Jan-19 GER-19-75 USISON, JENNIE QUIAPO, MANILA 86.80 2,625.00 - 2,711.80
25-Jan-19 GER-19-76 SALINO, RUDY STA MESA, MANILA 3,123.40 1,515.00 - 4,638.40
25-Jan-19 GER-19-77 SALINO, GLORIA STA MESA, MANILA 1,121.40 2,715.00 - 3,836.40
25-Jan-19 GER-19-78 PION, PACITA TONDO, MANILA - 2,500.00 - 2,500.00
25-Jan-19 GER-19-79 ORPIA, LILIA STA MESA, MANILA - 1,435.00 - 1,435.00
25-Jan-19 GER-19-80 GUIYAB, MONINA QUEZON CITY 560.70 - - 560.70
25-Jan-19 GER-19-81 FABRO, ZENAIDA QUEZON CITY - 1,915.00 - 1,915.00
17-Jan-19 GER-19-82 CALATA, VERONICA TONDO, MANILA 91.00 - - 91.00
21-Jan-19 GER-19-83 DUPAYA, BELEN IMUS, CAVITE 200.20 2,595.00 - 2,795.20
21-Jan-19 GER-19-84 DILAY, ZENAIDA SAN JUAN CITY - 1,265.00 - 1,265.00
23-Jan-19 GER-19-85 ACAB, BELEN CALOOCAN CITY - 1,115.00 - 1,115.00
24-Jan-19 GER-19-86 DELA CRUZ, CARMELITA CALOOCAN CITY 116.25 1,360.00 - 1,476.25
24-Jan-19 GER-19-87 BULSECO, EMELDA QUEZON CITY - 2,800.00 - 2,800.00
25-Jan-19 GER-19-88 ALAGAR, NENA BACOOR, CAVITE - 4,220.00 - 4,220.00
25-Jan-19 GER-19-89 LEONA, ELSIE QUEZON CITY - 2,345.00 - 2,345.00
25-Jan-19 GER-19-90 DULFO, ROSARIO SAMPALOC, MANILA - 2,485.00 - 2,485.00
28-Jan-19 GER-19-91 SARINGO, ERLINDA PANDACAN, MANILA - 1,790.00 - 1,790.00
28-Jan-19 GER-19-92 REYES, CARMELITA STA CRUZ, MANILA 65.00 1,150.00 - 1,215.00
Page 100
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NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
28-Jan-19 GER-19-93 RASTRULLO, LEONIDA QUIAPO, MANILA - 2,250.00 - 2,250.00
28-Jan-19 GER-19-94 QUIJANO, DELILAH SAMPALOC, MANILA - 1,705.00 - 1,705.00
28-Jan-19 GER-19-95 PIMENTEL, RITA PACO, MANILA - 805.00 - 805.00
28-Jan-19 GER-19-96 PASTORAL, JAIME TONDO, MANILA 200.20 3,795.00 - 3,995.20
28-Jan-19 GER-19-97 DELA CRUZ, EDITA SAMPALOC, MANILA - 1,220.00 - 1,220.00
10-Jan-19 GER-19-98 MAYORES, NELSON LAB, XRAY,ECG - 2,515.00 - 2,515.00
10-Jan-19 GER-19-99 INFANTE, REYNALDO XRAY - 530.00 - 530.00
10-Jan-19 GER-19-100 KING, JESUSA SAMPALOC, MANILA - 3,330.00 - 3,330.00 10-Jan-19 GER-19-101 CORONEL, MAXIMO SAMPALOC, MANILA - 2,500.00 - 2,500.00
10-Jan-19 GER-19-102 URBANO, JOSEFINA STA MESA, MANILA - 2,500.00 - 2,500.00
10-Jan-19 GER-19-103 TORRES, EUGENIA SAMPALOC, MANILA 34.50 2,485.00 - 2,519.50
10-Jan-19 GER-19-104 REYES, CARMELITA STA CRUZ, MANILA 145.50 2,185.00 - 2,330.50
10-Jan-19 GER-19-105 MONEDA, VIRGINIA SAN ANDRES BUKID, MANILA - 1,935.00 - 1,935.00
10-Jan-19 GER-19-106 MIRANDA, ELVIRA SAMPALOC, MANILA - 845.00 - 845.00
10-Jan-19 GER-19-107 MARIANO, ROMEO TONDO, MANILA - 170.00 - 170.00
10-Jan-19 GER-19-108 CASTILLO, ASUNCION TONDO, MANILA 745.10 340.00 - 1,085.10
10-Jan-19 GER-19-109 CHING, JOSE QUEZON CITY 1,663.50 2,485.00 - 4,148.50
10-Jan-19 GER-19-110 SANTIAGO, EDUARDO SAMPALOC, MANILA 549.00 1,435.00 - 1,984.00
10-Jan-19 GER-19-111 SANTIAGO, AQUILINA SAMPALOC, MANILA - 80.00 - 80.00
10-Jan-19 GER-19-112 BALAUAG, ANTONIO QUIAPO, MANILA 292.50 715.00 - 1,007.50
10-Jan-19 GER-19-113 ASUNCION, PRISCILA SAN MIGUEL, MANILA - 2,930.00 - 2,930.00
11-Jan-19 GER-19-114 GORAYEB, VIOLETA SAMPALOC, MANILA - 360.00 - 360.00
11-Jan-19 GER-19-115 LOPEZ, BIENVENIDO MALATE, MANILA - 1,850.00 - 1,850.00
11-Jan-19 GER-19-116 ACAY, ESPERANZA QUEZON CITY - 2,275.00 - 2,275.00
11-Jan-19 GER-19-117 GURION, LETICIA SAMPALOC, MANILA - 2,525.00 - 2,525.00
11-Jan-19 GER-19-118 CAÑASO, CAMILO SAMPALOC, MANILA - 170.00 - 170.00
11-Jan-19 GER-19-119 CABALLEGAN, JUDY QUIAPO, MANILA - 1,110.00 - 1,110.00
11-Jan-19 GER-19-120 ANGELES, EDMUNDO QUEZON CITY - 90.00 - 90.00
11-Jan-19 GER-19-121 ASUNCION, MACARIO SAN MIGUEL, MANILA - 1,915.00 - 1,915.00
11-Jan-19 GER-19-122 CABALLEGAN, RODOLFO QUIAPO, MANILA - 1,995.00 - 1,995.00
11-Jan-19 GER-19-123 CARPIO, VIRGINIA QUEZON CITY - 2,095.00 - 2,095.00
11-Jan-19 GER-19-124 CLARINAN, ALFREDO QUEZON CITY 127.40 3,205.00 - 3,332.40
11-Jan-19 GER-19-125 CRUZ, PEDRO QUEZON CITY 91.00 2,145.00 - 2,236.00
11-Jan-19 GER-19-126 DELA CRUZ, ALFREDO QUIAPO, MANILA - 755.00 - 755.00
11-Jan-19 GER-19-127 ESGUERRA, CESAR SAN MIGUEL, MANILA - 2,225.00 - 2,225.00
11-Jan-19 GER-19-128 HALCON, CONCISO DASMARIÑAS, CAVITE 200.20 2,105.00 - 2,305.20
11-Jan-19 GER-19-129 HONA, CIPRIANA PASAY CITY - 2,145.00 - 2,145.00
11-Jan-19 GER-19-130 JOCSON, MANUEL SAMPALOC, MANILA - 530.00 - 530.00
11-Jan-19 GER-19-131 LAGSA, ROSITA SAMPALOC, MANILA - 1,995.00 - 1,995.00
11-Jan-19 GER-19-132 MAGAYAGA, JOSEFINA NAVOTAS CITY - 1,695.00 - 1,695.00
11-Jan-19 GER-19-133 MANALO, VENANCIO TONDO, MANILA - 2,055.00 - 2,055.00
11-Jan-19 GER-19-134 MANICLANG, LEONORA STA MESA, MANILA 91.00 3,135.00 - 3,226.00
11-Jan-19 GER-19-135 MIRANDILLA, NORMA QUEZON CITY 145.50 1,915.00 - 2,060.50
11-Jan-19 GER-19-136 NUDO, CECILIA NAVOTAS CITY - 2,145.00 - 2,145.00
11-Jan-19 GER-19-137 PANCHO, BASILIO QUEZON CITY 1,558.20 2,275.00 - 3,833.20
11-Jan-19 GER-19-138 RAMAC, REYNALDO QUIAPO, MANILA - 1,045.00 - 1,045.00
11-Jan-19 GER-19-139 SALON, JUDITH SAMPALOC, MANILA - 1,865.00 - 1,865.00
11-Jan-19 GER-19-140 SORIANO, MA. LOURDES STA CRUZ, MANILA 195.00 1,575.00 - 1,770.00
11-Jan-19 GER-19-141 VILLANUEVA, ARMANDO STA MESA, MANILA - 1,715.00 - 1,715.00
11-Jan-19 GER-19-142 GUILLEN, ADDIE CALOOCAN CITY 309.40 1,995.00 - 2,304.40
11-Jan-19 GER-19-143 ANGELES, EDMUNDO QUEZON CITY 949.50 - - 949.50
11-Jan-19 GER-19-144 ARRESGADO, JIMMY CALOOCAN CITY 3,714.10 - - 3,714.10
11-Jan-19 GER-19-145 BAUTISTA, RAMON SAMPALOC, MANILA 949.50 - - 949.50
11-Jan-19 GER-19-146 BURGOS, NELLY TAGUIG CITY 442.00 - - 442.00
11-Jan-19 GER-19-147 CARIÑO, FLORITA STA MESA, MANILA 345.70 - - 345.70
11-Jan-19 GER-19-148 CASTRO, BIENVENIDO SAMPALOC, MANILA 949.50 - - 949.50
11-Jan-19 GER-19-149 CATAYLO, ROSARIO CALOOCAN CITY 145.50 - - 145.50
11-Jan-19 GER-19-150 CENIZA, ARNOLD TONDO, MANILA 2,002.00 - - 2,002.00
11-Jan-19 GER-19-151 CREDO, REYNALDO STA MESA, MANILA 429.00 - - 429.00
11-Jan-19 GER-19-152 CRISOSTOMO, ROMEO CALOOCAN CITY 145.50 - - 145.50
11-Jan-19 GER-19-153 CRISPINO, DIALITA PANDACAN, MANILA 195.00 - - 195.00
11-Jan-19 GER-19-154 DELOSATA, MICHAEL CALOOCAN CITY 387.90 - - 387.90
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SUPPLIES
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DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
11-Jan-19 GER-19-155 DESTRIZA, ANICETO NAVOTAS CITY 949.50 - - 949.50
11-Jan-19 GER-19-156 DIZON, ANTONIO MALATE, MANILA 6.00 - - 6.00
11-Jan-19 GER-19-157 EVIDENTE, CLETO QUEZON CITY 949.50 - - 949.50
11-Jan-19 GER-19-158 FAJARDO, DANILO SAMPALOC, MANILA 3,421.60 - - 3,421.60
11-Jan-19 GER-19-159 GRIVA, DOLORES TONDO, MANILA 188.50 - - 188.50
11-Jan-19 GER-19-160 GUINTO, FERNANDO STA MESA, MANILA 2,002.00 - - 2,002.00
11-Jan-19 GER-19-161 HERNANDEZ, ROSARIO QUEZON CITY 34.50 - - 34.50
11-Jan-19 GER-19-162 LACSON, JESSIE CALOOCAN CITY 3,421.60 - - 3,421.60
11-Jan-19 GER-19-163 LAZARO, BIENVENIDO TONDO, MANILA 949.50 - - 949.50
11-Jan-19 GER-19-164 MAGLAOY, JULITA STA MESA, MANILA 637.40 156.00 - 793.40
11-Jan-19 GER-19-165 MAHAYAG, EDUARDO PORT AREA MANILA 120.46 - - 120.46
11-Jan-19 GER-19-166 MANANSALA, MA. BUENA SAMPALOC, MANILA 292.50 - - 292.50
11-Jan-19 GER-19-167 MANIZLANG, MERCEDITA STA MESA, MANILA 41.00 - - 41.00
11-Jan-19 GER-19-168 MENDIOLA, MARIA CLEO MALABON CITY 395.20 - - 395.20
11-Jan-19 GER-19-169 MENOR, CONSOLACION SAN MIGUEL, MANILA 195.00 - - 195.00
11-Jan-19 GER-19-170 MIRANDA, BENJAMIN STA MESA, MANILA 145.50 - - 145.50
11-Jan-19 GER-19-171 PAHILONA, ROLANDO SAMPALOC, MANILA 949.50 - - 949.50
11-Jan-19 GER-19-172 PARTOZA, ESTELITA STA MESA, MANILA 97.50 - - 97.50
11-Jan-19 GER-19-173 PIANO, SOLIMA STA CRUZ, MANILA 145.50 - - 145.50
11-Jan-19 GER-19-174 RAMOS, GLORIA ERMITA, MANILA 195.00 - - 195.00
11-Jan-19 GER-19-175 RAZON, MERLIE QUIAPO, MANILA 729.30 - - 729.30
11-Jan-19 GER-19-176 RIEGO, MARIA JUNE TONDO, MANILA 145.50 - - 145.50
11-Jan-19 GER-19-177 SAMBITO, LEONARDO QUEZON CITY 949.50 - - 949.50
11-Jan-19 GER-19-178 SOLIDUM, EMILY QUEZON CITY 663.00 - - 663.00
11-Jan-19 GER-19-179 TABLATE, NOLY BACOOR, CAVITE 949.50 - - 949.50
11-Jan-19 GER-19-180 TAN, ROLANDO MUNTINLUPA CITY 117.00 - - 117.00
11-Jan-19 GER-19-181 TIMBOL, CALIXTO JR SAN MIGUEL, MANILA 145.50 - - 145.50
11-Jan-19 GER-19-182 ZARATAN, DOLORES MALABON CITY 438.00 - - 438.00
11-Jan-19 GER-19-183 GALANG, REYNALDO SAMPALOC, MANILA - 530.00 - 530.00
11-Jan-19 GER-19-184 ESTRADO, ROWENA PARAÑAQUE CITY - 2,120.00 - 2,120.00
11-Jan-19 GER-19-185 MENOR,MANUEL SAN MIGUEL, MANILA - 570.00 - 570.00
14-Jan-19 GER-19-186 YULIP, ALEXANDER QUIAPO, MANILA - 1,200.00 - 1,200.00
14-Jan-19 GER-19-187 MANTOL, TARHATA SAN MIGUEL, MANILA - 1,200.00 - 1,200.00
14-Jan-19 GER-19-188 TU, ROLANDO CALOOCAN CITY - 900.00 - 900.00
14-Jan-19 GER-19-189 ONG, LYDIA QUEZON CITY - 1,080.00 - 1,080.00
14-Jan-19 GER-19-190 ALFONSO, OSCAR SAN MIGUEL, MANILA 442.00 - - 442.00
14-Jan-19 GER-19-191 ANGELES, ANTONIO SAMPALOC, MANILA 179.50 - - 179.50
14-Jan-19 GER-19-192 JOAQUIN, JESUS SAMPALOC, MANILA 1,720.80 - - 1,720.80
14-Jan-19 GER-19-193 NATOR, REYNALDO STA MESA, MANILA 949.50 - - 949.50
14-Jan-19 GER-19-194 VALDELLON, NELSON QUEZON CITY 437.70 - - 437.70
14-Jan-19 GER-19-195 ALGAS, JULIETA TONDO, MANILA - 900.00 - 900.00
14-Jan-19 GER-19-196 GAROBAT, MERLY CALOOCAN CITY 34.50 - - 34.50
14-Jan-19 GER-19-197 DELA CRUZ, RUPERTO SAN MIGUEL, MANILA 145.50 - - 145.50
14-Jan-19 GER-19-198 PUNDATO, INTAN QUIAPO, MANILA 292.50 - - 292.50
14-Jan-19 GER-19-199 DELA CRUZ, ALFREDO QUIAPO, MANILA - 1,200.00 - 1,200.00
14-Jan-19 GER-19-200 VALENZUELA, ISMAELITA STA MESA, MANILA 195.00 - - 195.00
14-Jan-19 GER-19-201 RAZON, PATRICIO IMUS, CAVITE 292.50 - - 292.50
14-Jan-19 GER-19-202 CASTRO, DEBORAH SAMPALOC, MANILA 195.00 - - 195.00
14-Jan-19 GER-19-203 BAUTISTA, ARMANDO SAMPALOC, MANILA 145.50 - - 145.50
14-Jan-19 GER-19-204 GABAYAN, AMELIA STA MESA, MANILA 145.50 - - 145.50
14-Jan-19 GER-19-205 NUDO, CECILIA NAVOTAS CITY 69.00 - - 69.00
14-Jan-19 GER-19-206 VILLANUEVA, PURISIMA SAMPALOC, MANILA 911.10 - - 911.10
14-Jan-19 GER-19-207 BACCAY, FELICIDAD QUEZON CITY 195.00 - - 195.00
14-Jan-19 GER-19-208 CALLADA, ELMA STA MESA, MANILA - 90.00 - 90.00
14-Jan-19 GER-19-209 GONZALES, CELSO QUEZON CITY - 755.00 - 755.00
14-Jan-19 GER-19-210 MUSNGI, ERLINDA TEODORA STA CRUZ, MANILA - 2,770.00 - 2,770.00
14-Jan-19 GER-19-211 PEMENTERA, MELITONA SAMPALOC, MANILA - 90.00 - 90.00
14-Jan-19 GER-19-212 PADILLA, LILIA QUEZON CITY - 3,010.00 - 3,010.00
14-Jan-19 GER-19-213 AGAD, LUZ QUEZON CITY - 3,530.00 - 3,530.00
14-Jan-19 GER-19-214 DE MESA, ANACLETA PASAY CITY - 4,290.00 - 4,290.00
14-Jan-19 GER-19-215 CABANSAG, DANIEL PACO, MANILA - 3,010.00 - 3,010.00
Page 102
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AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
14-Jan-19 GER-19-216 MAYOR, ROSARIO STA MESA, MANILA - 2,085.00 - 2,085.00
14-Jan-19 GER-19-217 ESTACIO, HENRY CALOOCAN CITY - 675.00 - 675.00
14-Jan-19 GER-19-218 VALLES, FRANCISCO SAMPALOC, MANILA 97.50 80.00 - 177.50
14-Jan-19 GER-19-219 CABURNIDA, PEDRO JR TONDO, MANILA 177.00 5,730.00 - 5,907.00
14-Jan-19 GER-19-220 CABANSAG, RUTH PACO, MANILA 145.50 3,290.00 - 3,435.50
14-Jan-19 GER-19-221 BAUTISTA, WILFREDOS CALOOCAN CITY - 2,085.00 - 2,085.00
14-Jan-19 GER-19-222 FERRER, TERESA CALOOCAN CITY - 2,085.00 - 2,085.00
14-Jan-19 GER-19-223 ABILONG, LEONILO QUEZON CITY 45.50 975.00 - 1,020.50
14-Jan-19 GER-19-224 GO, ROBERT QUEZON CITY 97.50 3,360.00 - 3,457.50
14-Jan-19 GER-19-225 MINOÑA, IMELDA QUEZON CITY - 2,085.00 - 2,085.00
14-Jan-19 GER-19-226 HERNANDEZ, AMPARO SAMPALOC, MANILA - 2,760.00 - 2,760.00
14-Jan-19 GER-19-227 IDANIOL, LITA QUEZON CITY - 3,170.00 - 3,170.00
14-Jan-19 GER-19-228 JAVIER, NORRIS SAN MIGUEL, MANILA 145.50 885.00 - 1,030.50
14-Jan-19 GER-19-229 CHAN, FE SAMPALOC, MANILA - 2,085.00 - 2,085.00
14-Jan-19 GER-19-230 ALLID, LILIA SAMPALOC, MANILA - 2,125.00 - 2,125.00
14-Jan-19 GER-19-231 RIVERA, REBECCA TONDO, MANILA - 2,295.00 - 2,295.00
14-Jan-19 GER-19-232 TY, TITO QUEZON CITY - 2,550.00 - 2,550.00
14-Jan-19 GER-19-233 MAGANDA, LUDECITA PANDACAN, MANILA - 1,925.00 - 1,925.00
14-Jan-19 GER-19-234 MAGANDA, BERNARDO PANDACAN, MANILA - 1,045.00 - 1,045.00
14-Jan-19 GER-19-235 SALVADOR, CONCHITA QUEZON CITY - 915.00 - 915.00
14-Jan-19 GER-19-236 MEDALLA, ELIZABETH PANDACAN, MANILA - 2,570.00 - 2,570.00
14-Jan-19 GER-19-237 ALOJADA, MODESTO STA MESA, MANILA - 1,452.00 - 1,452.00
14-Jan-19 GER-19-238 CASTRO, NICOMEDES PANDACAN, MANILA - 2,465.00 - 2,465.00
14-Jan-19 GER-19-239 YABUT, ELIZA TONDO, MANILA 311.40 3,320.00 - 3,631.40
14-Jan-19 GER-19-240 OLIVEROS, LOLITA SAN MIGUEL, MANILA 145.50 1,850.00 - 1,995.50
14-Jan-19 GER-19-241 DELA PEÑA, LUISA SAMPALOC, MANILA - 2,485.00 - 2,485.00
14-Jan-19 GER-19-242 JIAO, CORAZON SAMPALOC, MANILA 259.50 2,605.00 - 2,864.50
14-Jan-19 GER-19-243 PALAGAR, CLARITA CALOOCAN CITY 34.50 5,690.00 - 5,724.50
14-Jan-19 GER-19-244 EMANO, MILAGROS SAN JUAN CITY - 4,720.00 - 4,720.00
8-Jan-19 GER-19-245 CABILDO, JULITA NAVOTAS CITY 2,554.95 - - 2,554.95
10-Jan-19 GER-19-246 MARMETO, CARLITO MUNTINLUPA CITY - 2,920.00 - 2,920.00
10-Jan-19 GER-19-247 MARMETO, SUSANA MUNTINLUPA CITY - 2,590.00 - 2,590.00
10-Jan-19 GER-19-248 SAMIOS UY, EDGARDO STA CRUZ, MANILA - 360.00 - 360.00
11-Jan-19 GER-19-249 MARMERTO, SUSANA MUNTINLUPA CITY 200.20 - - 200.20
11-Jan-19 GER-19-250 MARMERTO, CARLITO MUNTINLUPA CITY 2,002.00 - - 2,002.00
11-Jan-19 GER-19-251 SANCHEZ, NANCY TONDO, MANILA 300.30 2,655.00 - 2,955.30
15-Jan-19 GER-19-252 SAYO, REYNALDO BACOOR, CAVITE - 755.00 - 755.00
16-Jan-19 GER-19-253 RAMIREZ, MINDA SAN MIGUEL, MANILA - - 2,567.24 2,567.24
16-Jan-19 GER-19-254 REYES, MA. ELSIE TONDO, MANILA - 935.00 - 935.00
17-Jan-18 GER-19-255 ANGELES, LYDIA QUEZON CITY 145.50 80.00 - 225.50
17-Jan-18 GER-19-256 AGGABAO, TRINIDAD QUEZON CITY - 755.00 - 755.00
17-Jan-18 GER-19-257 CAMPOSANO, CLARITA QUEZON CITY - 2,575.00 - 2,575.00
17-Jan-18 GER-19-258 CATUNGAL, JULIO SAMPALOC, MANILA - 170.00 - 170.00
17-Jan-18 GER-19-259 DYTUCO, SIMEONA STA CRUZ, MANILA - 1,745.00 - 1,745.00
17-Jan-18 GER-19-260 HEPSANT, ELISA MUNTINLUPA CITY - 2,295.00 - 2,295.00
17-Jan-18 GER-19-261 ENCINA, TERESITA STA MESA, MANILA 91.00 90.00 - 181.00
17-Jan-18 GER-19-262 LABASTIDA, ANTONIA QUEZON CITY - 2,625.00 - 2,625.00
17-Jan-18 GER-19-263 RESPICIO, DIONISIA SAMPALOC, MANILA - 2,485.00 - 2,485.00
17-Jan-18 GER-19-264 REYES, ROBERTO QUIAPO, MANILA - 2,055.00 - 2,055.00
17-Jan-18 GER-19-265 TANCHICO, JULIETA QUIAPO, MANILA - 1,825.00 - 1,825.00
17-Jan-18 GER-19-266 VILLARAN, MARIE ANN SAN MIGUEL, MANILA - 170.00 - 170.00
17-Jan-18 GER-19-267 CRISOLOGO, MILAGROS STA MESA, MANILA - 350.00 - 350.00
17-Jan-18 GER-19-268 GALLARDEZ, DOLORES QUEZON CITY - 960.00 - 960.00
18-Jan-19 GER-19-269 PAYAWAL, NORMA SAMPALOC, MANILA 200.20 1,060.00 - 1,260.20
18-Jan-19 GER-19-270 TOLENTINO, CORAZON SAMPALOC, MANILA - - 536.04 536.04
18-Jan-19 GER-19-271 GABRANA, REGINA SAN MIGUEL, MANILA - - 33.69 33.69
18-Jan-19 GER-19-272 MANGALINDAN, CARIDAD SAMPALOC, MANILA 145.50 - - 145.50
18-Jan-19 GER-19-273 DIANCO, SIMON SAMPALOC, MANILA 949.50 - - 949.50
18-Jan-19 GER-19-274 LABASTIDA, MARIBETH QUEZON CITY 12.20 - - 12.20
18-Jan-19 GER-19-275 VENEGAS, CRISTELLA VALENZUELA CITY 145.50 - - 145.50
18-Jan-19 GER-19-276 TACDERAS, CATHERINE QUEZON CITY 345.70 - - 345.70
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AMOUNT OF MEDICAL SERVICES
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ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
18-Jan-19 GER-19-277 MANALO, EDUARDO BACOOR, CAVITE 200.20 - - 200.20
18-Jan-19 GER-19-278 SAYO, NORBERTO CALOOCAN CITY 949.50 - - 949.50
18-Jan-19 GER-19-279 INTIC, ALFREDO QUEZON CITY 949.50 - - 949.50
18-Jan-19 GER-19-280 LOPEZ, CORAZON CALOOCAN CITY 442.00 - - 442.00
18-Jan-19 GER-19-281 ANTONIO, VIRGINIA SAN MIGUEL, MANILA 96.46 - - 96.46
18-Jan-19 GER-19-282 FANTILLANA, JEANITH QUEZON CITY - 530.00 - 530.00
18-Jan-19 GER-19-283 MONEDA, VIRGINIA SAN ANDRES BUKID, MANILA - 530.00 - 530.00
18-Jan-19 GER-19-284 GREGORIO, REGINA STA MESA, MANILA - 900.00 - 900.00
18-Jan-19 GER-19-285 ESTRADA, MANUEL SAMPALOC, MANILA 832.50 - - 832.50
18-Jan-19 GER-19-286 DELA CRUZ, PENELOPE STA MESA, MANILA 1,720.50 - - 1,720.50
15-Jan-19 GER-19-287 LIM, JULIO STA MESA, MANILA - 4,885.00 - 4,885.00
15-Jan-19 GER-19-288 SY, MELCHA SAN JUAN CITY - 1,865.00 - 1,865.00
15-Jan-19 GER-19-289 DE GUZMAN, MARTIN SAMPALOC, MANILA 884.00 - - 884.00
15-Jan-19 GER-19-290 ABUCAY, ERNESTO NORZAGARAY, BULACAN 1,377.60 - - 1,377.60
15-Jan-19 GER-19-291 DELA CRUZ, MANUEL TONDO, MANILA 949.50 - - 949.50
15-Jan-19 GER-19-292 TY, MARY DELAILAH QUEZON CITY 145.50 - - 145.50
15-Jan-19 GER-19-293 JOVELLANO, MARCIAL SAMPALOC, MANILA 3,421.60 - - 3,421.60
23-Jan-19 GER-19-294 AGLIAM, AVELINA TARLAC - 1,865.00 - 1,865.00
23-Jan-19 GER-19-295 ALFONSO, PASCUAL CALOOCAN CITY 791.25 - - 791.25
23-Jan-19 GER-19-296 NUEVO, LILIA CALOOCAN CITY - 1,705.00 - 1,705.00
23-Jan-19 GER-19-297 MARTINEZ, BETTY ANTIPOLO 8.00 - - 8.00
23-Jan-19 GER-19-298 MARIANO, ANICETO STA MESA, MANILA 714.00 - - 714.00
23-Jan-19 GER-19-299 JIMENEZ, LETICIA QUEZON CITY 549.00 2,610.00 - 3,159.00
23-Jan-19 GER-19-300 ESPAÑOLA, RODALYN QUEZON CITY 6.00 - - 6.00
23-Jan-19 GER-19-301 ELVEÑA, JUANITO QUIAPO, MANILA - 2,655.00 - 2,655.00
23-Jan-19 GER-19-302 DE GUZMAN, LUZVIMINDA SAMPALOC, MANILA 549.00 1,495.00 - 2,044.00
23-Jan-19 GER-19-303 CRUZ, HILARIO SAN ANDRES BUKID, MANILA - 210.00 - 210.00
23-Jan-19 GER-19-304 CONTRERAS, SOCORRO STA MESA, MANILA - 2,205.00 - 2,205.00
23-Jan-19 GER-19-305 CAMBIADO, DOMINGO STA MESA, MANILA 714.00 - - 714.00
23-Jan-19 GER-19-306 CABLLON, DEMETRIO BINANGONAN, RIZAL 91.00 - - 91.00
23-Jan-19 GER-19-307 BORJA, DOLORES MANDALUYONG CITY - 2,565.00 - 2,565.00
23-Jan-19 GER-19-308 BALMES, JOSE JR QUIAPO, MANILA 1,079.50 - - 1,079.50
23-Jan-19 GER-19-309 BALIVAG, JOSE TONDO, MANILA 791.00 - - 791.00
23-Jan-19 GER-19-310 ALFONSO, REBECCA CALOOCAN CITY - 845.00 - 845.00
23-Jan-19 GER-19-311 ALAGOS, TERESITA SAN MIGUEL, MANILA 357.00 - - 357.00
23-Jan-19 GER-19-312 ACUTINA, ANTONIO SAMPALOC, MANILA 783.00 1,670.00 - 2,453.00
24-Jan-19 GER-19-313 CUISON, ROY MUNTINLUPA CITY 1,122.00 - - 1,122.00
24-Jan-19 GER-19-314 NUDO, CECILIA NAVOTAS CITY 448.00 - - 448.00
24-Jan-19 GER-19-315 NASER, BILANG QUIAPO, MANILA 12.00 210.00 - 222.00
24-Jan-19 GER-19-316 GARCIA, ENRIQUE QUIAPO, MANILA 357.00 - 4,709.36 5,066.36
24-Jan-19 GER-19-317 CREDO, REYNALDO STA MESA, MANILA - - 286.76 286.76
24-Jan-19 GER-19-318 CAUBANG, MARIA ERMITA, MANILA - 210.00 - 210.00
24-Jan-19 GER-19-319 CADACIO, JOSE SAN MIGUEL, MANILA 113.10 360.00 - 473.10
24-Jan-19 GER-19-320 ALIS, REGINA BACOOR, CAVITE - 360.00 - 360.00
24-Jan-19 GER-19-321 BAUTISTA,ANTONIO SAN MIGUEL, MANILA - 210.00 - 210.00
24-Jan-19 GER-19-322 OLYMPIA, CLEMENTE MANILA 2,145.00 - - 2,145.00
24-Jan-19 GER-19-323 CATINDIG, REYNALDO PACO, MANILA 357.00 - - 357.00
24-Jan-19 GER-19-324 DIZON, LOURDES QUEZON CITY 8.00 - - 8.00
24-Jan-19 GER-19-325 ALTA, JOSELITA QUEZON CITY 917.70 - - 917.70
24-Jan-19 GER-19-326 DELOS REYES, PACITA MAKATI CITY 595.20 - - 595.20
24-Jan-19 GER-19-327 MAPACPAC, LOLITA STA MESA, MANILA 169.00 - - 169.00
24-Jan-19 GER-19-328 SIMON, ELISA BIÑAN, LAGUNA 714.00 - - 714.00
24-Jan-19 GER-19-329 DE GUZMAN, WILFREDO SAN MIGUEL, MANILA 117.00 - - 117.00
24-Jan-19 GER-19-330 BUCU, AURORA TONDO, MANILA 748.50 - - 748.50
24-Jan-19 GER-19-331 MALING, VIRGILIO SAMPALOC, MANILA 391.50 - - 391.50
24-Jan-19 GER-19-332 MORENO, EDGARDO SAMPALOC, MANILA 714.00 - - 714.00
24-Jan-19 GER-19-333 DE GUZMAN, ANITA SAMPALOC, MANILA 69.00 - - 69.00
24-Jan-19 GER-19-334 SOMERA, CECILIA QUEZON CITY 714.00 - - 714.00
24-Jan-19 GER-19-335 FLORES, ZENAIDA SAMPALOC, MANILA 357.00 - - 357.00
24-Jan-19 GER-19-336 SERQUINA, NORMA STA MESA, MANILA 917.70 - - 917.70
24-Jan-19 GER-19-337 TY, MARY DELAILAH QUEZON CITY 714.00 - - 714.00
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AMOUNT OF MEDICAL SERVICES
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ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
24-Jan-19 GER-19-338 GALLARDEZ, DOLORES QUEZON CITY 560.70 - - 560.70
24-Jan-19 GER-19-339 NARAG, JENIFER CALOOCAN CITY 195.00 - - 195.00
24-Jan-19 GER-19-340 PHUA, ARACELI CALOOCAN CITY 952.20 - - 952.20
24-Jan-19 GER-19-341 BERNARDO, MONSERRAT STA ANA, MANILA 96.00 - - 96.00
24-Jan-19 GER-19-342 DELOS SANTOS, APOLINARIAMANDALUYONG CITY 560.70 - - 560.70
24-Jan-19 GER-19-343 VALDEZ, FEDERICO SAMPALOC, MANILA 391.50 - - 391.50
7-Jan-19 GER-19-344 ABELONG, MA. LILIA STA MESA, MANILA - 570.00 - 570.00
7-Jan-19 GER-19-345 ANGELES, LYDIA QUEZON CITY - 3,230.00 - 3,230.00
7-Jan-19 GER-19-346 APARICI, JUDY JANE IMUS, CAVITE - 990.00 - 990.00
7-Jan-19 GER-19-347 BALLESTEROS, MARCELO BOCAUE, BULACAN 905.00 - - 905.00
7-Jan-19 GER-19-348 DELA CRUZ, JOSEPHINE SAMPALOC, MANILA - 2,620.00 - 2,620.00
7-Jan-19 GER-19-349 ELUMBA, DAVID MALABON CITY - 1,405.00 - 1,405.00
7-Jan-19 GER-19-350 LABAO, LEONORA PACO, MANILA 646.50 - - 646.50
7-Jan-19 GER-19-351 LAPUEBLA, ROSAMILIA SAN MIGUEL, MANILA - 2,885.00 - 2,885.00
7-Jan-19 GER-19-352 LUMBRE, ROGELIO TONDO, MANILA 1,018.50 - - 1,018.50
7-Jan-19 GER-19-353 MANUTO, VIRGINIA TONDO, MANILA 607.40 2,355.00 - 2,962.40
7-Jan-19 GER-19-354 MARCELO, JUSTINA MANDALUYONG CITY - 740.00 - 740.00
7-Jan-19 GER-19-355 MATA, NUNILA SAMPALOC, MANILA - 210.00 - 210.00
7-Jan-19 GER-19-356 MIGUEL, ZENAIDA PANDACAN, MANILA - 420.00 - 420.00
7-Jan-19 GER-19-357 MODESTO, FLORDELIZA SAMPALOC, MANILA - 210.00 - 210.00
7-Jan-19 GER-19-358 NUIGRE, DIOSMINDA QUIAPO, MANILA - 1,425.00 - 1,425.00
7-Jan-19 GER-19-359 OMAÑA, ANDREA SAN ANDRES BUKID, MANILA - 570.00 - 570.00
7-Jan-19 GER-19-360 PAYUMO, CYNTHIA SAMPALOC, MANILA - 885.00 - 885.00
7-Jan-19 GER-19-361 RAMIREZ, TERESITA SAN PEDRO, LAGUNA - 740.00 - 740.00
7-Jan-19 GER-19-362 SAMPANG, ZENAIDA CALOOCAN CITY 749.20 - - 749.20
7-Jan-19 GER-19-363 SANOY, ERLINDA MUNTINLUPA CITY - 740.00 - 740.00
7-Jan-19 GER-19-364 VELASCO, ROMULO QUEZON CITY - 1,785.00 - 1,785.00
7-Jan-19 GER-19-365 CHABELDIN, ROBERT STA MESA, MANILA 864.75 2,275.00 - 3,139.75
8-Jan-19 GER-19-366 CAYANAN, GLORIA STA MESA, MANILA 9.50 1,340.00 - 1,349.50
8-Jan-19 GER-19-367 DOMINGUEZ, ERLINDA MANDALUYONG CITY - 2,130.00 - 2,130.00
8-Jan-19 GER-19-368 TAN, MYRNA TONDO, MANILA - 2,945.00 - 2,945.00
8-Jan-19 GER-19-369 VILLANUEVA, LORENZA STA MESA, MANILA 605.40 740.00 - 1,345.40
8-Jan-19 GER-19-370 VILLANUEVA, MARGARITA SAMPALOC, MANILA - 975.00 - 975.00
10-Jan-19 GER-19-371 MIRANDA, ARNULFO SAMPALOC, MANILA 1,741.50 - - 1,741.50
10-Jan-19 GER-19-372 NAVARRO, JANET MUNTINLUPA CITY 606.75 - - 606.75
10-Jan-19 GER-19-373 PUNZAL, ERNESTO QUEZON CITY - 210.00 - 210.00
10-Jan-19 GER-19-374 SAVAITNISAGON, CONCHITA QUEZON CITY - 1,590.00 - 1,590.00
10-Jan-19 GER-19-375 SY, JOSE SAN MIGUEL, MANILA 672.75 210.00 - 882.75
10-Jan-19 GER-19-376 VERGARA, JOHN SAMPALOC, MANILA - 2,065.00 - 2,065.00
10-Jan-19 GER-19-377 VILLANUEVA, JEFFREY GEN TRIAS CAVITE 1,254.50 - - 1,254.50
10-Jan-19 GER-19-378 BALABAT, LUCIA DASMARIÑAS, CAVITE 744.00 - - 744.00
10-Jan-19 GER-19-379 CAGUIOA, WENONAH ROSE CALOOCAN CITY 88.25 - - 88.25
10-Jan-19 GER-19-380 CARDINEZ, NORMA TONDO, MANILA 195.00 1,925.00 - 2,120.00
10-Jan-19 GER-19-381 DOMINGO, ERLINDA CALOOCAN CITY - 740.00 - 740.00
11-Jan-19 GER-19-382 ABUBO, UBALDO STA ANA, MANILA - 1,785.00 - 1,785.00
11-Jan-19 GER-19-383 CRUZ, JOSEFINA STA ANA, MANILA 134.00 1,295.00 - 1,429.00
11-Jan-19 GER-19-384 DEL ROSARIO, CRISTINA TONDO, MANILA - 1,085.00 - 1,085.00
11-Jan-19 GER-19-385 FRANCISCO, VICENTE SAMPALOC, MANILA - 570.00 - 570.00
11-Jan-19 GER-19-386 MACASINAG, ILUMINADA QUEZON CITY - 2,315.00 - 2,315.00
11-Jan-19 GER-19-387 MUSA, CRISANTA LAS PIÑAS CITY 309.40 1,785.00 - 2,094.40
18-Jan-19 GER-19-388 PALAFOX, JESUSA QUEZON CITY - 360.00 - 360.00
23-Jan-19 GER-19-389 ARAOS, MANUEL SAMPALOC, MANILA - 3,440.00 - 3,440.00
23-Jan-19 GER-19-390 PASTORAL, ZENAIDA TONDO, MANILA - 2,635.00 - 2,635.00
24-Jan-19 GER-19-391 DELA CRUZ, JACKILYN NUEVA ECIJA - 2,860.00 - 2,860.00
24-Jan-19 GER-19-392 ANTONIO, LORETA SAMPALOC, MANILA 663.00 2,565.00 - 3,228.00
24-Jan-19 GER-19-393 DE JESUS, MYRNA TONDO, MANILA - 2,275.00 - 2,275.00
14-Jan-19 GER-19-394 DELA ROSA, RONALD SAMPALOC, MANILA - 2,150.00 - 2,150.00
14-Jan-19 GER-19-395 BRODETH, JESSICA STA MESA, MANILA 97.50 2,610.00 - 2,707.50
14-Jan-19 GER-19-396 BRODETH, NESTOR STA MESA, MANILA 204.20 3,670.00 - 3,874.20
14-Jan-19 GER-19-397 TIIN, MARILYN SAMPALOC, MANILA 340.50 3,290.00 - 3,630.50
14-Jan-19 GER-19-398 LIGA, PRESCILLA SAN JUAN CITY - 2,500.00 - 2,500.00
Page 105
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CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
14-Jan-19 GER-19-399 CALDERON, LYDIA SAN MIGUEL, MANILA 39.00 2,295.00 - 2,334.00
15-Jan-19 GER-19-400 YAO, VIOLETA SAMPALOC, MANILA - 2,780.00 - 2,780.00
15-Jan-19 GER-19-401 SOMERA, CECILIA QUEZON CITY 145.50 - - 145.50
15-Jan-19 GER-19-402 PANLICAN, ESTER CALOOCAN CITY 145.50 2,085.00 - 2,230.50
15-Jan-19 GER-19-403 DUARTE, DETELINDA TONDO, MANILA - 2,735.00 - 2,735.00
15-Jan-19 GER-19-404 DELOS REYES, PETER QUEZON CITY 200.20 2,045.00 - 2,245.20
15-Jan-19 GER-19-405 DELOS REYES, PACITA CAINTA, RIZAL - 2,565.00 - 2,565.00
16-Jan-19 GER-19-406 RAMOS, RODOLFO STA MESA, MANILA - 2,595.00 - 2,595.00
16-Jan-19 GER-19-407 TECSON, RODOLFO QUEZON CITY 949.50 935.00 - 1,884.50
16-Jan-19 GER-19-408 SALVACION, ERNESTO SAMPALOC, MANILA - 2,645.00 - 2,645.00
16-Jan-19 GER-19-409 IMPERIAL, SALVADOR STA MESA, MANILA 12.00 3,375.00 - 3,387.00
16-Jan-19 GER-19-410 DIAZ, GUILLERMO JR STA CRUZ, MANILA 949.50 3,095.00 - 4,044.50
16-Jan-19 GER-19-411 PENOLIAR, LITO TONDO, MANILA - 4,330.00 - 4,330.00
17-Jan-19 GER-19-412 PENALBA, BERNARDITA SAMPALOC, MANILA - 2,500.00 - 2,500.00
17-Jan-19 GER-19-413 CORONADO, DOLOREES QUEZON CITY - 2,710.00 - 2,710.00
18-Jan-19 GER-19-414 VILLANUEVA, ROBERTO STA MESA, MANILA - 2,625.00 - 2,625.00
17-Jan-19 GER-19-415 GUIYAB, MONINA QUEZON CITY 761.75 755.00 - 1,516.75
17-Jan-19 GER-19-416 GUILLERMO, RESELDA PANDACAN, MANILA - 2,165.00 - 2,165.00
18-Jan-19 GER-19-417 FRANCISCO, NENITA QUEZON CITY 1,121.40 3,795.00 - 4,916.40
18-Jan-19 GER-19-418 RICO, RUBEN SAN MIGUEL, MANILA - 170.00 - 170.00
18-Jan-19 GER-19-419 ALABAN, PEDRO SAMPALOC, MANILA - 300.00 - 300.00
18-Jan-19 GER-19-420 CATINDIG, REYNALDO TONDO, MANILA - 170.00 - 170.00
18-Jan-19 GER-19-421 AVILA, MARIA STA MESA, MANILA - 3,715.00 - 3,715.00
18-Jan-19 GER-19-422 VICTORINO, CARMELITA STA MESA, MANILA 145.50 415.00 - 560.50
18-Jan-19 GER-19-423 PARAYNO, GRACIA SAMPALOC, MANILA - 615.00 - 615.00
18-Jan-19 GER-19-424 PALARPALAR, OLIMPIO SAMPALOC, MANILA - 210.00 - 210.00
18-Jan-19 GER-19-425 PEÑAFLOR, EUFEMIA IMUS, CAVITE - 2,795.00 - 2,795.00
18-Jan-19 GER-19-426 MARIANO, ANICETO STA MESA, MANILA - 2,375.00 - 2,375.00
18-Jan-19 GER-19-427 MANGALINDAN, ROMEO SAMPALOC, MANILA - 3,140.00 - 3,140.00
18-Jan-19 GER-19-428 FATALLO, NICOLAS CALOOCAN CITY - 2,485.00 - 2,485.00
18-Jan-19 GER-19-429 DE GUIA, PACITA CALOOCAN CITY - 3,655.00 - 3,655.00
18-Jan-19 GER-19-430 DANGAN, ERLINDA SAMPALOC, MANILA - 2,485.00 - 2,485.00
18-Jan-19 GER-19-431 COLUMBINO, SABINA QUEZON CITY - 2,575.00 - 2,575.00
18-Jan-19 GER-19-432 CALVARIO, ZENENA QUEZON CITY - 2,860.00 - 2,860.00
18-Jan-19 GER-19-433 CALIWLIW, JOSEFINA CALOOCAN CITY 34.50 3,655.00 - 3,689.50
18-Jan-19 GER-19-434 CABIGON, EDNA SAMPALOC, MANILA - 2,375.00 - 2,375.00
21-Jan-19 GER-19-435 AGCOL, ELISA SAN MIGUEL, MANILA - 640.00 - 640.00
21-Jan-19 GER-19-436 CARILLO, JUANITA PACO, MANILA - 1,495.00 - 1,495.00
21-Jan-19 GER-19-437 CLARITO, NORMA STA MESA, MANILA 327.50 3,625.00 - 3,952.50
21-Jan-19 GER-19-438 DOMINGO, EDUARDO QUEZON CITY - 275.00 - 275.00
21-Jan-19 GER-19-439 EROJO, LORETA QUEZON CITY - 360.00 - 360.00
21-Jan-19 GER-19-440 EVANGELISTA, EDITHA CALOOCAN CITY 1,121.40 2,425.00 - 3,546.40
21-Jan-19 GER-19-441 GAMBAN, DOLORES SAMPALOC, MANILA - 2,565.00 - 2,565.00
21-Jan-19 GER-19-442 POBLETE, GREGORIA PACO, MANILA - 170.00 - 170.00
21-Jan-19 GER-19-443 AQUINO, LOURDES SAMPALOC, MANILA 8.00 3,725.00 - 3,733.00
21-Jan-19 GER-19-444 BONDOC, MARINA SAMPALOC, MANILA - 360.00 - 360.00
21-Jan-19 GER-19-445 CALEON, RODOLFO SAMPALOC, MANILA - 910.00 - 910.00
21-Jan-19 GER-19-446 CAMBIADO, DOMINGO STA MESA, MANILA 1,083.60 - - 1,083.60
21-Jan-19 GER-19-447 CESPEDES, ANGELINA SAMPALOC, MANILA 145.60 1,080.00 - 1,225.60
21-Jan-19 GER-19-448 CLEMENIA, CORAZON SAMPALOC, MANILA - 2,425.00 - 2,425.00
21-Jan-19 GER-19-449 DEATA CRUZ, EDDIE PANDACAN, MANILA 8.00 1,015.00 - 1,023.00
21-Jan-19 GER-19-450 DELOS SANTOS, YOLANDA QUEZON CITY 200.20 2,425.00 - 2,625.20
21-Jan-19 GER-19-451 DEL ROSARIO, JOVITA CAINTA, RIZAL 259.50 - - 259.50
21-Jan-19 GER-19-452 DIMAGUILA, ERMINDA STA MESA, MANILA - 2,205.00 - 2,205.00
21-Jan-19 GER-19-453 MANGABAT, EUGENIA STA MESA, MANILA - 900.00 - 900.00
21-Jan-19 GER-19-454 DURAN, ANGUSTIA STA CRUZ, MANILA 319.41 - - 319.41
21-Jan-19 GER-19-455 ESPOSA, LEO MANDALUYONG CITY 1,669.50 - - 1,669.50
21-Jan-19 GER-19-456 FAENCONI, MARISSA PACO, MANILA - 360.00 - 360.00
21-Jan-19 GER-19-457 GUERIBA, ANGELITA PASIG CITY 1,121.40 - - 1,121.40
21-Jan-19 GER-19-458 JUNIO, DELIA CAMARINES SUR 8.00 3,015.00 - 3,023.00
21-Jan-19 GER-19-459 KADIL, KASDIATUL QUIAPO, MANILA 74.25 - - 74.25
Page 106
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CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
21-Jan-19 GER-19-460 MAPACPAC, LOLITA STA MESA, MANILA 324.21 - - 324.21
21-Jan-19 GER-19-461 MAGANDA, BERNARDO PANDACAN, MANILA 1,166.00 - - 1,166.00
21-Jan-19 GER-19-462 MAGANDA, LUDECITA PANDACAN, MANILA 34.50 - - 34.50
21-Jan-19 GER-19-463 MELITADO, DELIA SAN MIGUEL, MANILA 145.50 - - 145.50
21-Jan-19 GER-19-464 MENDOZA, ALFONSO SAN MIGUEL, MANILA - 810.00 - 810.00
21-Jan-19 GER-19-465 MUSNGI, ERLINDA STA CRUZ, MANILA - 1,440.00 - 1,440.00
21-Jan-19 GER-19-466 OPINALDO, JUSTILITA SAN JUAN CITY 263.50 - - 263.50
21-Jan-19 GER-19-467 PUA, FELICIDAD TONDO, MANILA 145.50 - - 145.50
21-Jan-19 GER-19-468 TABLATE, NOLY BACOOR, CAVITE 91.00 360.00 - 451.00
21-Jan-19 GER-19-469 TENEDERO, JOSEFINA QUEZON CITY - 2,625.00 - 2,625.00
21-Jan-19 GER-19-470 VALIENTE, TEOFISTA STA MESA, MANILA 8.00 - - 8.00
21-Jan-19 GER-19-471 VIADO, VICTORIA IMUS, CAVITE - 2,535.00 - 2,535.00
21-Jan-19 GER-19-472 VILLATE, VERONICA QUEZON CITY 200.20 - - 200.20
21-Jan-19 GER-19-473 MANUEL, AGRIPINA SAMPALOC, MANILA 14.35 - - 14.35
21-Jan-19 GER-19-474 ISIP, IGNACIO SAN MIGUEL, MANILA - 960.00 - 960.00
21-Jan-19 GER-19-475 EUGENIO, LEONARDA CALOOCAN CITY - 5,135.00 - 5,135.00
21-Jan-19 GER-19-476 JIMENEZ, BENILDA QUEZON CITY - 900.00 - 900.00
22-Jan-19 GER-19-477 ARIZALA, MARILOU SAMPALOC, MANILA 200.20 1,915.00 - 2,115.20
22-Jan-19 GER-19-478 FERNANDEZ, MONICA TONDO, MANILA - 1,635.00 - 1,635.00
22-Jan-19 GER-19-479 FONTANILLA, MARIA LUISA QUIAPO, MANILA - 340.00 - 340.00
22-Jan-19 GER-19-480 GUILLEN, ADDIE CALOOCAN CITY - 140.00 - 140.00
22-Jan-19 GER-19-481 CRUZ, ANITA STA MESA, MANILA - 1,910.00 - 1,910.00
22-Jan-19 GER-19-482 LUCAS, MA. CRISTINA GMA, CAVITE 4.00 3,335.00 - 3,339.00
22-Jan-19 GER-19-483 RICAMARA, LEONARDO SAN MIGUEL, MANILA - 1,435.00 - 1,435.00
22-Jan-19 GER-19-484 OLALO, PABLO QUEZON CITY 269.20 1,040.00 - 1,309.20
22-Jan-19 GER-19-485 DE GAMO, CIPRIANO JR SAMPALOC, MANILA 208.20 730.00 - 938.20
22-Jan-19 GER-19-486 TAN, AGELINA SUCAT, MUNTINLUPA - 520.00 - 520.00
22-Jan-19 GER-19-487 FRISNEDI, TERESITA MUNTINLUPA CITY - 6,090.00 - 6,090.00
22-Jan-19 GER-19-488 ROUX, GEORGE SAN MIGUEL, MANILA - 2,455.00 - 2,455.00
15-Jan-19 GER-19-489 ARTES, JESUS JR STA MESA, MANILA 949.50 - - 949.50
15-Jan-19 GER-19-490 LLAMOS, DANILO CALOOCAN CITY 949.50 - - 949.50
15-Jan-19 GER-19-491 MADRID, LILIA QUEZON CITY 127.90 - - 127.90
15-Jan-19 GER-19-492 SAN PEDRO, CONRADO TONDO, MANILA 145.50 - - 145.50
15-Jan-19 GER-19-493 MANTOL, TARHATA SAN MIGUEL, MANILA - 360.00 - 360.00
15-Jan-19 GER-19-494 BALOLOY, EDNA SAMPALOC, MANILA - 2,910.00 - 2,910.00
15-Jan-19 GER-19-495 CABRERA, ELEMITA QUIAPO, MANILA - 2,085.00 - 2,085.00
15-Jan-19 GER-19-496 DIZON, EDUARDO CALOOCAN CITY 200.20 2,595.00 - 2,795.20
15-Jan-19 GER-19-497 GABUAT, PETER MAKATI CITY - 340.00 - 340.00
15-Jan-19 GER-19-498 MANIO, ABELARDO QUIAPO, MANILA - 80.00 - 80.00
15-Jan-19 GER-19-499 PALARPALAR, OLIMPIO SAMPALOC, MANILA 345.70 3,855.00 - 4,200.70
15-Jan-19 GER-19-500 SALON, RENATO SAMPALOC, MANILA 145.50 2,525.00 - 2,670.50
15-Jan-19 GER-19-501 SUMILANG, FELIPA SAMPALOC, MANILA 200.90 2,595.00 - 2,795.90
15-Jan-19 GER-19-502 TRAQUEÑA, BELENDA SAMPALOC, MANILA - 3,145.00 - 3,145.00
15-Jan-19 GER-19-503 VILLEGAS, EDERLINDA SAMPALOC, MANILA - 1,995.00 - 1,995.00
16-Jan-19 GER-19-504 VIGO, ZOSIMA SAMPALOC, MANILA - 415.00 - 415.00
16-Jan-19 GER-19-505 MACOY, ISABEL SAMPALOC, MANILA - 2,500.00 - 2,500.00
16-Jan-19 GER-19-506 SAMSON, JEWEL REGINE NAVOTAS CITY 442.00 - - 442.00
16-Jan-19 GER-19-507 VILLONES, ADRIANA CALOOCAN CITY - 5,030.00 - 5,030.00
16-Jan-19 GER-19-508 TOLENTINO, VEVENCIA TONDO, MANILA - 2,285.00 - 2,285.00
16-Jan-19 GER-19-509 SADI, CRISTINA SAMPALOC, MANILA - 2,735.00 - 2,735.00
16-Jan-19 GER-19-510 BALDO, MARIO JOSE BINONDO, MANILA 2.80 2,695.00 - 2,697.80
16-Jan-19 GER-19-511 ALTA, JOSELITA QUEZON CITY - 1,205.00 - 1,205.00
16-Jan-19 GER-19-512 MANGILAYA, MELARITA STA MESA, MANILA - 1,200.00 - 1,200.00
16-Jan-19 GER-19-513 MARCELO, JUSTINA MAKATI CITY - 1,080.00 - 1,080.00
16-Jan-19 GER-19-514 DOMAGAS, ELIZABETH SAN MIGUEL, MANILA - 1,440.00 - 1,440.00
16-Jan-19 GER-19-515 ANTONIO, MAGDALENA MAKATI CITY - 1,080.00 - 1,080.00
16-Jan-19 GER-19-516 ISIP, IGNACIO QUIAPO, MANILA - 1,320.00 - 1,320.00
16-Jan-19 GER-19-517 MARCELO, CIRILO MANDALUYONG CITY 534.30 - - 534.30
16-Jan-19 GER-19-518 SALAS, MARIBEL STA MESA, MANILA 200.20 - - 200.20
16-Jan-19 GER-19-519 GABAYAN, AMELIA STA MESA, MANILA - 900.00 - 900.00
16-Jan-19 GER-19-520 PECO, MACRO MANDALUYONG CITY 949.50 - - 949.50
Page 107
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CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
16-Jan-19 GER-19-521 FERNANDO, REGINA NAVOTAS CITY 105.56 - - 105.56
16-Jan-19 GER-19-522 BALDO, ELEANORE BINONDO, MANILA - 1,560.00 - 1,560.00
16-Jan-19 GER-19-523 ROA, NORMAN SAMPALOC, MANILA 182.00 - - 182.00
17-Jan-19 GER-19-524 CABURNIDA, PEDRO JR TONDO, MANILA 200.20 - - 200.20
17-Jan-19 GER-19-525 YBAÑEZ, ROSALINDA TONDO, MANILA 108.50 - - 108.50
17-Jan-19 GER-19-526 GUIANG, EVANGELINE SAMPALOC, MANILA 127.40 - - 127.40
17-Jan-19 GER-19-527 PATERNO, RODOLFO SAMPALOC, MANILA - 530.00 - 530.00
17-Jan-19 GER-19-528 MAPACPAC, LOLITA STA MESA, MANILA - 2,710.00 - 2,710.00
17-Jan-19 GER-19-529 MAYORES, JOSEFINA MUNTINLUPA CITY 145.50 - - 145.50
17-Jan-19 GER-19-530 TIGLAO, EDUARDO SAMPALOC, MANILA 2,002.00 - - 2,002.00
17-Jan-19 GER-19-531 OCAMPO, JOSE SR SAMPALOC, MANILA 949.50 - - 949.50
17-Jan-19 GER-19-532 ROMANO, YOLANDA SAMPALOC, MANILA 145.50 - - 145.50
17-Jan-19 GER-19-533 RULODA, FREDELITO STA ANA, MANILA 91.00 - - 91.00
17-Jan-19 GER-19-534 NG, EMMA MARIKINA CITY 153.20 - - 153.20
17-Jan-19 GER-19-535 POJANES, DANILO SAN MIGUEL, MANILA 7.50 - - 7.50
17-Jan-19 GER-19-536 ALVEÑO, CLEOTILDE SAN MIGUEL, MANILA - 210.00 - 210.00
17-Jan-19 GER-19-537 MANUTO, VIRGINIA TONDO, MANILA 4.00 - - 4.00
17-Jan-19 GER-19-538 PAMINTUAN, ANGELINA STA MESA, MANILA 145.50 - - 145.50
17-Jan-19 GER-19-539 ACHUELA, ALBERTO TONDO, MANILA 127.40 - - 127.40
17-Jan-19 GER-19-540 BONDOC, MARINA SAMPALOC, MANILA 145.50 - - 145.50
17-Jan-19 GER-19-541 LACAP, CRISPULO TONDO, MANILA 254.00 - - 254.00
17-Jan-19 GER-19-542 MARANDA, SAMBITORY SAMPALOC, MANILA 949.50 - - 949.50
17-Jan-19 GER-19-543 SURALTA, EFEFANIA QUEZON CITY 145.50 - - 145.50
17-Jan-19 GER-19-544 ABRERO, ROSA TONDO, MANILA - 1,160.00 - 1,160.00
17-Jan-19 GER-19-545 CARANDANG, DICARDO SAN MIGUEL, MANILA 200.20 790.00 - 990.20
18-Jan-19 GER-19-546 HABABAG, LOURDES QUEZON CITY - 1,435.00 - 1,435.00
18-Jan-19 GER-19-547 DOMAGAS, OSCAR SAN MIGUEL, MANILA 2,002.00 90.00 - 2,092.00
18-Jan-19 GER-19-548 ZAMORA, AURORA QUIAPO, MANILA - 80.00 - 80.00
18-Jan-19 GER-19-549 GALVES, ROBERTO TONDO, MANILA 88.50 2,795.00 - 2,883.50
21-Jan-19 GER-19-550 TANUECOZ, NATALIA SAMPALOC, MANILA - 1,170.00 - 1,170.00
21-Jan-19 GER-19-551 FLORDELIS, ISABELITA PANDACAN, MANILA - 210.00 - 210.00
21-Jan-19 GER-19-552 MINDO DE VARONA, JOSEFINAPANDACAN, MANILA - 900.00 - 900.00
21-Jan-19 GER-19-553 PERALTA, GREGORIA STA MESA, MANILA - 1,170.00 - 1,170.00
21-Jan-19 GER-19-554 SESE, LYDIA QUEZON CITY - 3,615.00 - 3,615.00
21-Jan-19 GER-19-555 ABIERRA, RODOLFO SAMPALOC, MANILA - 1,915.00 - 1,915.00
21-Jan-19 GER-19-556 DEALCA, ARMANDO SAN PEDRO, LAGUNA - 1,205.00 - 1,205.00
21-Jan-19 GER-19-557 DELA CRUZ, ELVIRA SAN MIGUEL, MANILA - 300.00 - 300.00
21-Jan-19 GER-19-558 GUERRA, MARITA STA ANA, MANILA - 90.00 - 90.00
21-Jan-19 GER-19-559 LLOREN, DELIA QUEZON CITY - 1,075.00 - 1,075.00
21-Jan-19 GER-19-560 LOPEZ, VIOLETA SAMPALOC, MANILA - 1,325.00 - 1,325.00
21-Jan-19 GER-19-561 PEREZ, TERESITA SAMPALOC, MANILA - 2,055.00 - 2,055.00
21-Jan-19 GER-19-562 SALONGA, ZENAIDA STA MESA, MANILA - 210.00 - 210.00
22-Jan-19 GER-19-563 DELA CRUZ, RUPERTO SAN MIGUEL, MANILA 714.00 - - 714.00
22-Jan-19 GER-19-564 TING, MARIA LUISA QUEZON CITY 91.00 - - 91.00
22-Jan-19 GER-19-565 ALOJADO, MODESTA STA MESA, MANILA 722.00 - - 722.00
22-Jan-19 GER-19-566 ENCINA, TERESITA STA MESA, MANILA 27.30 - - 27.30
22-Jan-19 GER-19-567 BETAY, BENJAMIN STA CRUZ, MANILA 1,033.41 - - 1,033.41
22-Jan-19 GER-19-568 BETAY, NELIA STA CRUZ, MANILA 1,342.50 - - 1,342.50
22-Jan-19 GER-19-569 AGGABAO, TRINIDAD QUEZON CITY 714.00 - - 714.00
22-Jan-19 GER-19-570 GUIYOB, MONINA QUEZON CITY 714.00 - - 714.00
22-Jan-19 GER-19-571 ALFARO, ROMEO SAN MIGUEL, MANILA 2,002.00 2,845.00 - 4,847.00
22-Jan-19 GER-19-572 ANTONIO, VIRGINIA SAN MIGUEL, MANILA - 1,995.00 - 1,995.00
22-Jan-19 GER-19-573 BITANCOR, HERMOGINA QUEZON CITY - 2,625.00 - 2,625.00
22-Jan-19 GER-19-574 DE DIOS, ERNESTO TONDO, MANILA 4.00 3,335.00 - 3,339.00
22-Jan-19 GER-19-575 PAKINGAN, ROSALINA BACOOR, CAVITE - 3,680.00 - 3,680.00
22-Jan-19 GER-19-576 SANCHEZ,NELLY QUEZON CITY - 2,485.00 - 2,485.00
22-Jan-19 GER-19-577 TORRES, CELIA PANDACAN, MANILA - 1,915.00 - 1,915.00
7-Jan-19 GER-19-578 MATA, DOMINGO SAMPALOC, MANILA - 2,205.00 - 2,205.00
7-Jan-19 GER-19-579 VILLAGRACIA, JESUS STA MESA, MANILA 3,421.60 80.00 - 3,501.60
7-Jan-19 GER-19-580 GARCIA, ARMANDO SAMPALOC, MANILA - 805.00 - 805.00
7-Jan-19 GER-19-581 TRIPOLI, CORAZON SAMPALOC, MANILA 91.00 80.00 - 171.00
8-Jan-19 GER-19-582 FRANCISCO, CARIDAD SAMPALOC, MANILA 492.70 3,740.00 - 4,232.70
Page 108
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
8-Jan-19 GER-19-583 CASTRO, CRISTINA CALOOCAN CITY - 3,225.00 - 3,225.00
10-Jan-19 GER-19-584 REQUINTO, ARTILY MANDALUYONG CITY 200.20 2,425.00 - 2,625.20
10-Jan-19 GER-19-585 JOAQUINITO, EUGENIO CALOOCAN CITY 291.00 3,210.00 - 3,501.00
10-Jan-19 GER-19-586 CONCEPCION, RODITA SAMPALOC, MANILA - 2,275.00 - 2,275.00
11-May-18 GER-19-587 MACAWILI, LILIA STA MESA, MANILA - - 1,173.98 1,173.98
19-Jun-18 GER-19-588 DOMINGO, ANTONIA SAMPALOC, MANILA 162.00 2,215.00 - 2,377.00
22-May-18 GER-19-589 LARINAY, ESTALITA QUEZON CITY 823.50 - - 823.50
22-May-18 GER-19-590 MIRANDA, ARNULFO SAMPALOC, MANILA 2,707.50 715.00 - 3,422.50
22-May-18 GER-19-591 ZAMORA, DANTE STA CRUZ, MANILA 475.00 2,215.00 - 2,690.00
22-May-18 GER-19-592 JALGALADO, MERLEN STA MESA, MANILA 405.00 - - 405.00
22-May-18 GER-19-593 NICOLAS, CECILIA TONDO, MANILA 81.00 635.00 - 716.00
22-May-18 GER-19-594 QUILALA, RAMON STA MESA, MANILA 1,747.50 - - 1,747.50
23-May-18 GER-19-595 CRUZ, ANITA STA MESA, MANILA 18.90 2,910.00 - 2,928.90
23-May-18 GER-19-596 BARBOSA, CORAZON STA MESA, MANILA - 995.00 - 995.00
23-May-18 GER-19-597 MARCELO, ROMEO SAN MIGUEL, MANILA 330.20 2,850.00 - 3,180.20
23-May-18 GER-19-598 ALENAS, LOZADA MALABON CITY 345.80 - - 345.80
23-May-18 GER-19-599 BALDOVINO, TERESITA TONDO, MANILA 721.50 - - 721.50
23-May-18 GER-19-600 BANGALA, CHARITO PASIG CITY 138.00 - - 138.00
23-May-18 GER-19-601 BUENAFE, FERNANDO SAN MIGUEL, MANILA 819.00 - - 819.00
23-May-18 GER-19-602 CHAVEZ, JAIME MUNTINLUPA CITY 966.00 - - 966.00
23-May-18 GER-19-603 DELA CRUZ, REYNALDO SAN MIGUEL, MANILA 114.00 - - 114.00
23-May-18 GER-19-604 DELOS REYES, REBECCA SAN MIGUEL, MANILA 145.50 - - 145.50
23-May-18 GER-19-605 DELOS SANTOS, APOLINARIAMANDALUYONG CITY 208.50 - - 208.50
23-May-18 GER-19-606 FABICON, DAISY MANDALUYONG CITY 721.50 - - 721.50
23-May-18 GER-19-607 GALACE, TEODULO SAMPALOC, MANILA 795.00 - - 795.00
23-May-18 GER-19-608 QUIJO, DILLA STA MESA, MANILA 216.50 - - 216.50
23-May-18 GER-19-609 HORNALES, ISABEL STA CRUZ, MANILA 33.00 - - 33.00
23-May-18 GER-19-610 ISIRO, ANTONIO BACOOR, CAVITE 9.00 1,440.00 - 1,449.00
23-May-18 GER-19-611 JAVAN, EMELITA TONDO, MANILA 804.40 - - 804.40
9-Jul-18 GER-19-612 MAIGTING, VICTORINA SAMPALOC, MANILA 282.00 1,855.00 - 2,137.00
20-Dec-18 GER-19-613 JOVELLANO, AIDA SAMPALOC, MANILA - 2,500.00 - 2,500.00
28-Dec-18 GER-19-614 MENDOZA, LOLITA TONDO, MANILA 200.20 2,035.00 - 2,235.20
28-Dec-18 GER-19-615 PADERO, ARMANDO SAMPALOC, MANILA 200.20 2,565.00 - 2,765.20
28-Dec-18 GER-19-616 SANTIAGO, MA. CORAZON CAINTA, RIZAL - 2,655.00 - 2,655.00
28-Dec-18 GER-19-617 SIAOTONG, NORA SAMPALOC, MANILA 909.00 985.00 - 1,894.00
28-Dec-18 GER-19-618 VILLANUEVA, PURISIMA SAMPALOC, MANILA 200.20 2,320.00 - 2,520.20
27-Dec-18 GER-19-619 ALEJO, CANDELARIA BALON BATO, QUEZON CITY - 1,845.00 - 1,845.00
27-Dec-18 GER-19-620 CASTILLO, PEREGRINO SAMPALOC, MANILA - 1,765.00 - 1,765.00
27-Dec-18 GER-19-621 CORTEZ, ROMEO PANDACAN, MANILA 55.12 210.00 - 265.12
27-Dec-18 GER-19-622 DURAN, FELICISIMA STA MESA, MANILA 132.00 2,500.00 - 2,632.00
27-Dec-18 GER-19-623 FAMACION, PILAR PANDACAN, MANILA 340.20 6,855.00 - 7,195.20
27-Dec-18 GER-19-624 GABUNDUIN, MILAGROS QUEZON CITY - 3,000.00 - 3,000.00
27-Dec-18 GER-19-625 GALANGAM, RODOLFO SAMPALOC, MANILA 38.00 210.00 - 248.00
27-Dec-18 GER-19-626 GOMBA, ENCARNACION TONDO, MANILA - 210.00 - 210.00
27-Dec-18 GER-19-627 JAVIER, FELICIDAD TONDO, MANILA - 715.00 - 715.00
27-Dec-18 GER-19-628 JAVIER, MACARIO TONDO, MANILA - 895.00 - 895.00
27-Dec-18 GER-19-629 JOVELLANO, AIDA SAMPALOC, MANILA 1,710.80 - - 1,710.80
27-Dec-18 GER-19-630 SANCHEZ, MIGUELITO SAN MIGUEL, MANILA 422.50 2,655.00 - 3,077.50
27-Dec-18 GER-19-631 SARCENO, RAFAEL STA ANA, MANILA - 1,765.00 - 1,765.00
27-Dec-18 GER-19-632 SEVERINO, GUILLERMO CALOOCAN CITY 672.75 - - 672.75
27-Dec-18 GER-19-633 TAN, ERLINDA QUEZON CITY - 2,500.00 - 2,500.00
27-Dec-18 GER-19-634 VILLANUEVA, LAMBERTO SAMPALOC, MANILA - 1,765.00 - 1,765.00
27-Dec-18 GER-19-635 YANSON, ROSENDA STA ANA, MANILA - 1,625.00 - 1,625.00
21-Dec-18 GER-19-636 CANLAS, BENJAMIN STA MESA, MANILA - 740.00 - 740.00
21-Dec-18 GER-19-637 LIM, MA. CECILIA STA MESA, MANILA 36.40 - - 36.40
21-Dec-18 GER-19-638 OFIAZA, NELITA SAMPALOC, MANILA - 1,800.00 - 1,800.00
21-Dec-18 GER-19-639 PEÑALOZA, TRIFINA SAMPALOC, MANILA - 740.00 - 740.00
21-Dec-18 GER-19-640 TOLERO, RELITA SAMPALOC, MANILA 127.40 1,800.00 - 1,927.40
20-Dec-18 GER-19-641 BONCOCAN, LOIDA SAN MIGUEL, MANILA 4.00 - - 4.00
20-Dec-18 GER-19-642 CUNANAN, MERCY LUZ SAMPALOC, MANILA 148.50 2,400.00 - 2,548.50
10-Dec-18 GER-19-643 DE LEON. EUGENIO QUEZON CITY - 2,500.00 - 2,500.00
Page 109
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
20-Dec-18 GER-19-644 DIPAY, HAIDE DASMARIÑAS, CAVITE 91.00 - - 91.00
20-Dec-18 GER-19-645 JALILI, LYDIA QUIAPO, MANILA 389.00 2,900.00 - 3,289.00
20-Dec-18 GER-19-646 MEDALLA, LETICIA QUEZON CITY - 2,190.00 - 2,190.00
20-Dec-18 GER-19-647 POLICARPIO, EDITHA STA MESA, MANILA 357.00 - - 357.00
19-Dec-18 GER-19-648 CASAMA, JOSEFINA PANDACAN, MANILA - 530.00 - 530.00
18-Dec-18 GER-19-649 DE LEON, MANUEL STA MESA, MANILA - 170.00 - 170.00
18-Dec-18 GER-19-650 MANALO, NORA STA MESA, MANILA 805.00 2,355.00 - 3,160.00
18-Dec-18 GER-19-651 TADEO, PEDRO QUIAPO, MANILA 49.50 715.00 - 764.50
17-Dec-18 GER-19-652 AGUILAR, ROSE EDIZA QUEZON CITY - 740.00 - 740.00
17-Dec-18 GER-19-653 SANTOS, ANITA BINONDO, MANILA 259.50 2,635.00 - 2,894.50
14-Dec-18 GER-19-654 LACAP, GERARDO TONDO, MANILA 1,710.80 90.00 - 1,800.80
13-Dec-18 GER-19-655 AGUSTIN, MARY STA MESA, MANILA - 170.00 - 170.00
13-Dec-18 GER-19-656 SULA, ADOLFO ERMITA, MANILA 1,710.00 - - 1,710.00
12-Dec-18 GER-19-657 IDULSA, AMY JEAN MALABON CITY - 570.00 - 570.00
12-Dec-18 GER-19-658 JOVELLANO, AIDA SAMPALOC, MANILA 12.00 - - 12.00
11-Dec-18 GER-19-659 DURANO, TERESITA TONDO, MANILA 99.00 - - 99.00
10-Dec-18 GER-19-660 DELA CRUZ, ERNESTO CALOOCAN CITY - 1,655.00 - 1,655.00
10-Dec-18 GER-19-661 SUMAWANG, ADELA BACOOR, CAVITE - 570.00 - 570.00
6-Dec-18 GER-19-662 ABUCAY, ERNESTO NORZAGARAY, BULACAN - 3,070.00 - 3,070.00
29-Nov-18 GER-19-663 SUMILANG, ONOFRE SAMPALOC, MANILA - 4,705.00 - 4,705.00
5-Dec-18 GER-19-664 CALADIAO, FLORITA SAN MIGUEL, MANILA - 2,840.00 - 2,840.00
29-Aug-18 GER-19-665 DIGMAN, ELENA LAS PIÑAS CITY 12.00 2,345.00 - 2,357.00
28-Jan-19 GER-19-666 CAPUCHINO, ELISA CALOOCAN CITY - 1,215.00 - 1,215.00
28-Jan-19 GER-19-667 GARCIA, MELINDA MALACAÑANG COMP, MANILA 91.00 2,990.00 - 3,081.00
29-Jan-19 GER-19-668 PAJANES, NEO-CLYDE SAN MIGUEL, MANILA - - 1,553.05 1,553.05
29-Jan-19 GER-19-669 PONCE, EMILIANA STA MESA, MANILA - 2,310.00 - 2,310.00
29-Jan-19 GER-19-670 NANTONA, ORLANDO STA MESA, MANILA 4.00 1,915.00 - 1,919.00
29-Jan-19 GER-19-671 GUMARANG, LETICIA STA MESA, MANILA - 2,655.00 - 2,655.00
29-Jan-19 GER-19-672 CRISOSTOMO, ROLANDO QUEZON CITY 1,345.50 1,515.00 - 2,860.50
30-Jan-19 GER-19-673 GABITO, NORMA SAMPALOC, MANILA - 2,395.00 - 2,395.00
30-Jan-19 GER-19-674 MAGNO, EXALTACION SAMPALOC, MANILA - 3,060.00 - 3,060.00
30-Jan-19 GER-19-675 BANTIQUE, LEONIDA QUEZON CITY 96.46 2,695.00 - 2,791.46
30-Jan-19 GER-19-676 ENCALLADO, ERNESTO SINGALONG, MANILA - 90.00 - 90.00
30-Jan-19 GER-19-677 DE GUZMAN, GENOVEVA SAN MIGUEL, MANILA - 300.00 - 300.00
31-Jan-19 GER-19-678 CANDAZA, ANA TONDO, MANILA - 156.00 - 156.00
31-Jan-19 GER-19-679 CERENO, RAMON MARIKINA CITY - 210.00 - 210.00
31-Jan-19 GER-19-680 FONTANOS, BENJAMIN CALOOCAN CITY - - 229.00 229.00
31-Jan-19 GER-19-681 AMON, CARMENCITA STA ANA, MANILA - 416.00 - 416.00
31-Jan-19 GER-19-682 TIMBOL, CARLITO SAN MIGUEL, MANILA - - 544.04 544.04
24-Jan-19 GER-19-683 BALTAZAR, SHIRLEY TONDO, MANILA 422.00 3,795.00 - 4,217.00
25-Jan-19 GER-19-684 ARTES, AZUCENA STA MESA, MANILA 8.00 1,155.00 - 1,163.00
25-Jan-19 GER-19-685 BALO, EMILY PASIG CITY 6.00 3,415.00 - 3,421.00
25-Jan-19 GER-19-686 ESTAÑO, CATALINA SAMPALOC, MANILA 6.00 3,625.00 - 3,631.00
25-Jan-19 GER-19-687 GONZALES, MARCINA SAMPALOC, MANILA 1,121.40 1,970.00 - 3,091.40
25-Jan-19 GER-19-688 MARQUESES, SEVERINO STA MESA, MANILA - 1,985.00 - 1,985.00
25-Jan-19 GER-19-689 MATRE, VIOLETA QUEZON CITY - 1,915.00 - 1,915.00
25-Jan-19 GER-19-690 MORALES, TRINIDAD QUEZON CITY - 2,625.00 - 2,625.00
25-Jan-19 GER-19-691 OTIVILLADOR, ARACELI BINONDO, MANILA - 935.00 - 935.00
28-Jan-19 GER-19-692 MIRANDA, BENJAMIN STA MESA, MANILA - 2,035.00 - 2,035.00
28-Jan-19 GER-19-693 BONUS, JOSEPHINE PANDACAN, MANILA - 2,295.00 - 2,295.00
29-Jan-19 GER-19-694 SAMSON, JEWEL REGINE NAVOTAS CITY 709.80 - - 709.80
29-Jan-19 GER-19-695 VILLANOZA, CORAZON STA MESA, MANILA 88.50 - - 88.50
29-Jan-19 GER-19-696 SANTIAGO, LOURDES STA MESA, MANILA 560.70 - - 560.70
15-Jan-19 GER-19-697 SAYO, AURORA BACOOR, CAVITE - 755.00 - 755.00
22-Jan-19 GER-19-698 YLADE, ALICE STA MESA, MANILA 202.20 1,913.00 - 2,115.20
24-Jan-19 GER-19-699 DELA CRUZ, JULIETA SAMPALOC, MANILA - 2,860.00 - 2,860.00
24-Jan-19 GER-19-700 LICUP, MYRNA BACOOR, CAVITE 442.00 2,625.00 - 3,067.00
25-Jan-19 GER-19-701 JOSE, MILAGROS CALOOCAN CITY - 800.00 - 800.00
25-Jan-19 GER-19-702 VASQUEZ, VINCENT STA MESA, MANILA - 5,205.00 - 5,205.00
25-Jan-19 GER-19-703 LISING, ROMANA QUEZON CITY - 2,525.00 - 2,525.00
28-Jan-19 GER-19-704 CAMPAÑANO, ARMEL SAN MIGUEL, MANILA - 530.00 - 530.00
Page 110
DATE
GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
29-Jan-19 GER-19-705 DECA, SAIDEN QUIAPO, MANILA 629.30 2,485.00 - 3,114.30
29-Jan-19 GER-19-706 TABJAN, ESTRELLA STA CRUZ, MANILA - 2,375.00 - 2,375.00
29-Jan-19 GER-19-707 JOSE, EVELYN TONDO, MANILA - 3,940.00 - 3,940.00
30-Jan-19 GER-19-708 VENTOSO, NORMA MUNTINLUPA CITY - 3,010.00 - 3,010.00
30-Jan-19 GER-19-709 RAÑAN, ZENAIDA MALATE, MANILA - 2,350.00 - 2,350.00
30-Jan-19 GER-19-710 MABUNA, AGUIDA QUEZON CITY 121.75 2,565.00 - 2,686.75
30-Jan-19 GER-19-711 GARGAR, CELTA QUEZON CITY - 3,010.00 - 3,010.00
30-Jan-19 GER-19-712 DELOS REYES, REBECCA SAN MIGUEL, MANILA - 3,480.00 - 3,480.00
30-Jan-19 GER-19-713 SISON, CLARITA QUEZON CITY - 715.00 - 715.00
30-Jan-19 GER-19-714 GUDELANO,, ENRIQUE SAMPALOC, MANILA - 675.00 - 675.00
30-Jan-19 GER-19-715 AZARCON, NELIA PACO, MANILA - 2,950.00 - 2,950.00
31-Jan-19 GER-19-716 ALVERIO, CLEOTILDE SAN MIGUEL, MANILA 629.30 - - 629.30
31-Jan-19 GER-19-717 CALEON, RODOLFO SAMPALOC, MANILA 2.75 - - 2.75
31-Jan-19 GER-19-718 DELMIDA, ROGELIO QUEZON CITY 117.00 2,795.00 - 2,912.00
31-Jan-19 GER-19-719 DELOS REYES, PETER QUEZON CITY 12.00 - - 12.00
31-Jan-19 GER-19-720 EBERO, ROLANDO STA MESA, MANILA 122.81 - - 122.81
31-Jan-19 GER-19-721 LASERNA, ROMEO STA ROSA, LAGUNA 1,558.20 - - 1,558.20
31-Jan-19 GER-19-722 MANTOL, TARHATA QUIAPO, MANILA 91.00 - - 91.00
31-Jan-19 GER-19-723 QUEÑARES, ADELMA SORSOGON, BICOL 1,121.40 - - 1,121.40
31-Jan-19 GER-19-724 RAMOS, MA. AUXILIADORA STA MESA, MANILA - 570.00 - 570.00
31-Jan-19 GER-19-725 AGAD, LUZ QUEZON CITY - 90.00 - 90.00
31-Jan-19 GER-19-726 CRUZ, EDGARDO CALOOCAN CITY - 715.00 - 715.00
31-Jan-19 GER-19-727 ENCIANA, AIDA PANDACAN, MANILA 91.00 3,010.00 - 3,101.00
31-Jan-19 GER-19-728 GALVEZ, CORNELIA QUEZON CITY - 5,295.00 - 5,295.00
31-Jan-19 GER-19-729 LAGARTO, ROMEO PACO, MANILA - 1,390.00 - 1,390.00
31-Jan-19 GER-19-730 MANCERA, ROSITA QUEZON CITY 200.20 2,095.00 - 2,295.20
31-Jan-19 GER-19-731 MOLDES, FEDERITO CALOOCAN CITY - 2,350.00 - 2,350.00
31-Jan-19 GER-19-732 MIRASOL, CORAZON SAMPALOC, MANILA - 2,085.00 - 2,085.00
31-Jan-19 GER-19-733 PABILONA, ROLANDO SAMPALOC, MANILA 442.00 3,120.00 - 3,562.00
31-Jan-19 GER-19-734 SANCHEZ, MIGUELITO SAN MIGUEL, MANILA - 1,295.00 - 1,295.00
31-Jan-19 GER-19-735 SAN SEBASTIAN, LEONARDOPANDACAN, MANILA - 2,800.00 - 2,800.00
31-Jan-19 GER-19-736 VERGARA, FLORENCIO QUEZON CITY - 1,745.00 - 1,745.00
31-Jan-19 GER-19-737 VICTORINO, CARMELITA STA MESA, MANILA - 2,485.00 - 2,485.00
31-Jan-19 GER-19-738 GUTIERREZ, VICTORINO QUEZON CITY - 3,645.00 - 3,645.00
31-Jan-19 GER-19-739 DUCUSIN, ROSALINDA STA MESA, MANILA - 2,195.00 - 2,195.00
31-Jan-19 GER-19-740 DE GUZMAN, MARIA LOURDESSTA MESA, MANILA - 4,710.00 - 4,710.00
31-Jan-19 GER-19-741 CONI, ROSALIND ANTIPOLO, RIZAL - 2,125.00 - 2,125.00
1-Feb-19 GER-19-742 ACABAN, NAÑO STA MESA, MANILA 259.50 1,515.00 - 1,774.50
30-Jan-19 GER-19-743 ALISCANO, HERMONIGILDOTONDO, MANILA - 2,655.00 - 2,655.00
30-Jan-19 GER-19-744 BALBERONA, RAQUEL QUEZON CITY 4.00 4,775.00 - 4,779.00
30-Jan-19 GER-19-745 BELTRAN, NORMA SAMPALOC, MANILA - 3,475.00 - 3,475.00
30-Jan-19 GER-19-746 CALATA, VERONICA TONDO, MANILA - 1,020.00 - 1,020.00
30-Jan-19 GER-19-747 CONDA, MURIEL SORSOGON, BICOL - 2,655.00 - 2,655.00
30-Jan-19 GER-19-748 DRAMAYO, NEMECIA QUEZON CITY - 2,565.00 - 2,565.00
30-Jan-19 GER-19-749 LATAG, AMPARO QUEZON CITY 91.00 - - 91.00
30-Jan-19 GER-19-750 MUNSAYAC, RENATO STA MESA, MANILA - 1,530.00 - 1,530.00
30-Jan-19 GER-19-751 GUIANG, EVANGELINE SAMPALOC, MANILA - 1,170.00 - 1,170.00
30-Jan-19 GER-19-752 OTARRA, JOSELITO SAN MIGUEL, MANILA 1,124.40 - - 1,124.40
30-Jan-19 GER-19-753 DECA, NORMA QUIAPO, MANILA 135.40 1,170.00 - 1,305.40
30-Jan-19 GER-19-754 ATUTUBO, JOSEPHINE QUIAPO, MANILA 1,121.40 - - 1,121.40
30-Jan-19 GER-19-755 CAPUCHINO, ELISA CALOOCAN CITY 1,121.40 - - 1,121.40
30-Jan-19 GER-19-756 SUGASTE, ELEONOR SAN MIGUEL, MANILA 560.70 - - 560.70
30-Jan-19 GER-19-757 DELA CRUZ, ALFONSO SAN MIGUEL, MANILA 1,121.40 - - 1,121.40
30-Jan-19 GER-19-758 ARTES, JESUS JR STA MESA, MANILA - 1,620.00 - 1,620.00
30-Jan-19 GER-19-759 SICCION, TERESA QUIAPO, MANILA - 1,560.00 - 1,560.00
30-Jan-19 GER-19-760 LIGA, PRESCILLA SAN JUAN CITY - 900.00 - 900.00
30-Jan-19 GER-19-761 ISIDRO, MARIETTA SAN MIGUEL, MANILA 1,345.50 - - 1,345.50
31-Jan-19 GER-19-762 BULSECO, JUANITO QUEZON CITY - 635.00 - 635.00
30-Jan-19 GER-19-763 ALISCUANO, FELICITAS TONDO, MANILA - 2,485.00 - 2,485.00
7-Feb-19 GER-19-764 CARANTO, CARMELITA TONDO, MANILA - 2,605.00 - 2,605.00
7-Feb-19 GER-19-765 BACAY, RAMON SAMPALOC, MANILA - 2,485.00 - 2,485.00
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GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
7-Feb-19 GER-19-766 AQUINO, MANUEL STA MESA, MANILA - 210.00 - 210.00
7-Feb-19 GER-19-767 DELA CUESTA, OLIVER SAN MIGUEL, MANILA 718.00 - - 718.00
7-Feb-19 GER-19-768 MANGALINDAN, CARIDAD SAMPALOC, MANILA 714.00 - - 714.00
7-Feb-19 GER-19-769 VILLANUEVA, JEFFREY GEN TRIAS, CAVITE 865.20 - - 865.20
7-Feb-19 GER-19-770 VERGARA, JOHN SAMPALOC, MANILA 304.50 - - 304.50
7-Feb-19 GER-19-771 TORREFIEL, ARMANDO NAIC, CAVITE 714.00 - - 714.00
7-Feb-19 GER-19-772 TORRES, EUGENIA SAMPALOC, MANILA 34.50 - - 34.50
7-Feb-19 GER-19-773 REYES, CARMELITA STA CRUZ, MANILA 997.50 - - 997.50
7-Feb-19 GER-19-774 REQUINTO, ARTILY MANDALUYONG CITY 560.70 - - 560.70
7-Feb-19 GER-19-775 PASCUAL, RIZALINO ANTIPOLO CITY 291.20 - - 291.20
7-Feb-19 GER-19-776 OMBRA, MOHAMMAD SAN MIGUEL, MANILA 304.50 2,500.00 - 2,804.50
7-Feb-19 GER-19-777 MARTINEZ, MARITES TONDO, MANILA 304.50 - - 304.50
7-Feb-19 GER-19-778 MANGILAYA, MELARITA STA MESA, MANILA 865.20 - - 865.20
7-Feb-19 GER-19-779 MANGALINDAN, ROMEO SAMPALOC, MANILA 714.00 - - 714.00
7-Feb-19 GER-19-780 LALIK, MARIA PAZ STA MESA, MANILA 577.95 - - 577.95
7-Feb-19 GER-19-781 GUIANG, EVANGELINE SAMPALOC, MANILA 304.50 - - 304.50
7-Feb-19 GER-19-782 GENER, ROLANDO NORZAGARAY, BULACAN 967.50 - - 967.50
7-Feb-19 GER-19-783 GARCIA,ELVIRA QUIAPO, MANILA 560.70 - - 560.70
7-Feb-19 GER-19-784 FONTANOS, MILAGROS CALOOCAN CITY 560.70 - - 560.70
7-Feb-19 GER-19-785 LOR, ERLINDA CALOOCAN CITY 783.00 - - 783.00
7-Feb-19 GER-19-786 DURAN, TERESITA QUEZON CITY 714.00 - - 714.00
7-Feb-19 GER-19-787 DULFO, ROSARIO SAMPALOC, MANILA 720.40 - - 720.40
7-Feb-19 GER-19-788 CONTADO, HENRY QUIAPO, MANILA 311.40 - - 311.40
7-Feb-19 GER-19-789 CERENO, RAMON JR MARIKINA CITY 233.55 - - 233.55
7-Feb-19 GER-19-790 CARREON, CAROLINA STA ANA, MANILA 309.50 - - 309.50
7-Feb-19 GER-19-791 BORNALES, TERESITA STA MESA, MANILA 1,274.70 - - 1,274.70
7-Feb-19 GER-19-792 BARRERAS, IRENE TONDO, MANILA 560.70 - - 560.70
7-Feb-19 GER-19-793 AQUINO, LOURDES SAMPALOC, MANILA 718.00 - - 718.00
7-Feb-19 GER-19-794 APILADO, AMADOR SAN JUAN CITY 714.00 - - 714.00
7-Feb-19 GER-19-795 AGGABAO, TRINIDAD QUEZON CITY 560.70 - - 560.70
7-Feb-19 GER-19-796 PANAGUITON, REBECCA IMUS CAVITE - 170.00 - 170.00
7-Feb-19 GER-19-797 ISIDRO, MIGUEDO SAN MIGUEL, MANILA - 1,355.00 - 1,355.00
7-Feb-19 GER-19-798 ISIDRO, MARIETTAS SAN MIGUEL, MANILA - 1,515.00 - 1,515.00
7-Feb-19 GER-19-799 DELA CRUZ, BLADINER TONDO, MANILA - 995.00 - 995.00
1-Feb-19 GER-19-800 MARCELO, JUSTINA TONDO, MANILA - 3,970.00 - 3,970.00
1-Feb-19 GER-19-801 VALDELLON, NELSON QUEZON CITY - 2,485.00 - 2,485.00
1-Feb-19 GER-19-802 MENDOZA, CARINA QUIAPO, MANILA - 1,565.00 - 1,565.00
1-Feb-19 GER-19-803 MARCIAL, JOVELLANO SAMPALOC, MANILA - 1,705.00 - 1,705.00
6-Feb-19 GER-19-804 SALAS, LYKA STA MESA, MANILA 12.00 340.00 - 352.00
6-Feb-19 GER-19-805 SALAS,ANDREAH STA MESA, MANILA 12.00 340.00 - 352.00
6-Feb-19 GER-19-806 BALMES, MILA QUIAPO, MANILA - 80.00 - 80.00
7-Feb-19 GER-19-807 BALASBAS, LOLITA TERESA, RIZAL 560.70 2,435.00 - 2,995.70
7-Feb-19 GER-19-808 BALAIS, MA. CORAZON PASAY CITY - 2,055.00 - 2,055.00
7-Feb-19 GER-19-809 VEA, SIMEONA STA MESA, MANILA - 1,425.00 - 1,425.00
7-Feb-19 GER-19-810 VALDEZ, SOFIO PACO, MANILA - 1,435.00 - 1,435.00
7-Feb-19 GER-19-811 USISON, JOVITA QUIAPO, MANILA - 1,865.00 - 1,865.00
7-Feb-19 GER-19-812 TUPAY, EMMA TERESA, RIZAL - 2,355.00 - 2,355.00
7-Feb-19 GER-19-813 SULTAN, NORAIMAH SAN MIGUEL, MANILA - 2,035.00 - 2,035.00
4-Feb-19 GER-19-814 LUMBERA, LETECIA CABUYAO, LAGUNA - 2,035.00 - 2,035.00
4-Feb-19 GER-19-815 ALEGADO, JOSE SAMPALOC, MANILA - 300.00 - 300.00
4-Feb-19 GER-19-816 CHABELDIN, ROBERT STA MESA, MANILA 1,293.30 - - 1,293.30
4-Feb-19 GER-19-817 BUEN, RICARDO SAMPALOC, MANILA - 1,070.00 - 1,070.00
4-Feb-19 GER-19-818 GARCIA, ARMANDO SAMPALOC, MANILA 18.00 1,565.00 - 1,583.00
4-Feb-19 GER-19-819 GARCIA, JULITA TONDO, MANILA - 765.00 - 765.00
4-Feb-19 GER-19-820 TOMANDAO,JULITA MUNTINLUPA CITY - 2,355.00 - 2,355.00
4-Feb-19 GER-19-821 TOMANDAO, RODOLFO MUNTINLUPA CITY - 2,525.00 - 2,525.00
6-Feb-19 GER-19-822 DELA CRUZ, MANUEL TONDO, MANILA - 80.00 - 80.00
6-Feb-19 GER-19-823 DE LEON, LILIA TONDO, MANILA - 170.00 - 170.00
6-Feb-19 GER-19-824 DELOS REYES, HELEN STA MESA, MANILA - 1,955.00 - 1,955.00
6-Feb-19 GER-19-825 DEL POZO, TERESITA TONDO, MANILA - 1,955.00 - 1,955.00
6-Feb-19 GER-19-826 ESCOBEDO, ERLINDA SAN MIGUEL, MANILA - 2,385.00 - 2,385.00
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GRANTED
CONTROL
NO.NAME OF PATIENTS ADDRESS
AMOUNT OF MEDICAL SERVICES
TOTAL
ASSISTANCE MEDICINES
AND MED
SUPPLIES
LABORATORIES,
DENTAL &
DIAGNOSTICS
PROCEDURES
HOSPITAL
FEES
6-Feb-19 GER-19-827 FERIA, MINERVA QUIAPO, MANILA - 2,950.00 - 2,950.00
6-Feb-19 GER-19-828 JOSE, CATALINO QUIAPO, MANILA - 2,355.00 - 2,355.00
6-Feb-19 GER-19-829 KIONISALA,FRANKLIN STA MESA, MANILA 291.20 1,955.00 - 2,246.20
6-Feb-19 GER-19-830 KIONISALA,ZENAIDA STA MESA, MANILA - 2,355.00 - 2,355.00
6-Feb-19 GER-19-831 LEAÑO, ADORACION TONDO, MANILA 308.50 1,695.00 - 2,003.50
6-Feb-19 GER-19-832 MALLARI, ANAFE SAN PEDRO, LAGUNA 560.70 2,525.00 - 3,085.70
6-Feb-19 GER-19-833 NICDAO, CELEDONIA MALATE, MANILA - 1,955.00 - 1,955.00
6-Feb-19 GER-19-834 POSTRADO, ROSEMARY TONDO, MANILA - 1,955.00 - 1,955.00
6-Feb-19 GER-19-835 RODAJE, FLOREME STA MESA, MANILA - 2,315.00 - 2,315.00
6-Feb-19 GER-19-836 RODAJE, LUNCIANITA STA MESA, MANILA - 2,035.00 - 2,035.00
6-Feb-19 GER-19-837 SAMSON, MA. ESTRELITA SAMPALOC, MANILA - 1,435.00 - 1,435.00
6-Feb-19 GER-19-838 TACULOG, REMIGIO CALOOCAN CITY 59.60 2,275.00 - 2,334.60
6-Feb-19 GER-19-839 VICENTE, ROSALINDA TONDO, MANILA - 170.00 - 170.00
12-Feb-19 GER-19-840 ABNER, MERCEDES CALOOCAN CITY 637.50 - - 637.50
12-Feb-19 GER-19-841 BALAUAG, ANTONIO TONDO, MANILA 425.25 - - 425.25
12-Feb-19 GER-19-842 CHING, CORAZON QUEZON CITY 637.50 - - 637.50
12-Feb-19 GER-19-843 DE GUZMAN, MA. LOURDES STA MESA, MANILA 637.50 - - 637.50
12-Feb-19 GER-19-844 DE GUZMAN, MARTIN SAMPALOC, MANILA 1,256.30 - - 1,256.30
12-Feb-19 GER-19-845 DINGLE, ROSIE SAN MIGUEL, MANILA 193.50 - - 193.50
12-Feb-19 GER-19-846 ESCOBIDO, DELIA STA MESA, MANILA 490.50 - - 490.50
12-Feb-19 GER-19-847 LACAP, ZENAIDA STA MESA, MANILA 318.75 - - 318.75
12-Feb-19 GER-19-848 MADARANG, RODRIGO NAVOTAS CITY 291.20 - - 291.20
12-Feb-19 GER-19-849 PARCO, SILVINO SAN MIGUEL, MANILA 490.50 - - 490.50
12-Feb-19 GER-19-850 POSADA, EVELIA QUEZON CITY 436.80 - - 436.80
12-Feb-19 GER-19-851 RECAÑA,CRISTITA TONDO, MANILA 490.50 - - 490.50
12-Feb-19 GER-19-852 ROCA, HERMINIO MANILA 850.50 - - 850.50
12-Feb-19 GER-19-853 TING, JOHNNY STA MESA, MANILA 490.50 - - 490.50
12-Feb-19 GER-19-854 URBANO, RUBEN OBANDO, BULACAN 30.00 - - 30.00
12-Feb-19 GER-19-855 VILLANUEVA, PURISIMA SAMPALOC, MANILA 490.50 - - 490.50
12-Feb-19 GER-19-856 ZARAGOZA, NORLANDA QUEZON CITY 291.20 - - 291.20
8-Feb-19 GER-19-857 BUNAG, ZENAIDA STA CRUZ, MANILA - 1,575.00 - 1,575.00
8-Feb-19 GER-19-858 CHAN, RICARDO SAMPALOC, MANILA 850.50 - - 850.50
6869 4,792,174.59 6,396,403.90 13,144,389.85 24,332,968.34
PREPARED BY: CERTIFIED CORRECT: Approved by:
Maricel R. Talusan Jayson G. Dela Cruz ,CPA,MPA EMMANUEL F. MONTAÑA, JR, MD, FPCS, MHA
Admin Officer I Financial & Management Officer ll Medical Center Chief ll
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