MANANGO HOSPITAL

Page : 1 of 1
National Highway, San Antonio, Alicia, Isabela, Region II Philippines

Unpaid Philhealth Receivable Report

Reference Date From: 11/1/2023 To 11/30/2023
Filed
Patient Name Adm No. Entity Disch Date Date Filed Amount Total Remittance Balance Check No. Check Date O.R No. O.R Date

1 QUIBEN, EVELYN TAMAYAO 12244 Indigent 11/2/2023 3,990.00 0.00 3,990.00

2 MALUPENG, MARIA JOANNA KENT ALINGOG 12245 Social 11/3/2023 10,290.00 0.00 10,290.00
Security
3 BANSKOTA, EUGENELYN CARABBACAN 12246 Indigent 11/3/2023 3,990.00 0.00 3,990.00

4 ANDRADA, LETICIA BELEN 12247 Non-Paying 11/4/2023 12/22/2023 3,990.00 0.00 3,990.00

5 GABATO, JHON LYOD ORDONIO 12248 Indigent 11/3/2023 4,270.00 0.00 4,270.00

6 DIAZ, DARREL MARK JAVIER 54028 Indigent 11/2/2023 4,300.00 0.00 4,300.00

7 NORBERTE, LITO VISAYA 12249 Indigent 11/5/2023 6,160.00 0.00 6,160.00

8 LORENZO, HERBY LARN ENRIQUEZ 12250 Formal 11/5/2023 7,000.00 0.00 7,000.00
Economy
9 JULIAN, CASSANDRA ZIAN SIERRA 12251 Indigent 11/6/2023 4,340.00 0.00 4,340.00

10 APOSTOL, MARVEL GACUSAN 12252 Indigent 11/5/2023 7,000.00 0.00 7,000.00

11 ZAMORA, PRINCEZ ZHARICH DELA VEGA 12253 Social 11/5/2023 5,250.00 0.00 5,250.00
Security
12 JUSTO, STEVEN AQUINO 12254 Indigent 11/5/2023 4,620.00 0.00 4,620.00

13 LIBAN, GAVIN ALASTAIR ALIANGAN 12255 Indigent 11/6/2023 10,290.00 0.00 10,290.00

14 BAUTISTA, MARGARETT QUILANG 12256 Formal 11/7/2023 10,290.00 0.00 10,290.00

Economy
15 GUTIERREZ, RONALD BUGARIN 12257 Indigent 11/10/2023 12/22/2023 6,860.00 0.00 6,860.00

16 VITALEZ, VIELLA MAGDALENA 12259 Indigent 11/7/2023 12/22/2023 4,620.00 0.00 4,620.00

17 ATITIW, JULIO PODES 12260 Indigent 11/8/2023 2,800.00 0.00 2,800.00

18 DELA CRUZ, MARIO CARISMA 12261 Indigent 11/8/2023 2,800.00 0.00 2,800.00

Date :1/10/2024 9:29:11 AM FNAME :726456843.xlsx

 MANANGO HOSPITAL
Page : 1 of 1
National Highway, San Antonio, Alicia, Isabela, Region II Philippines

Unpaid Philhealth Receivable Report

Reference Date From: 11/1/2023 To 11/30/2023
Filed
Patient Name Adm No. Entity Disch Date Date Filed Amount Total Remittance Balance Check No. Check Date O.R No. O.R Date

19 NICOLAS, ERNESTO IBAYAT 12262 Indigent 11/7/2023 7,200.00 0.00 7,200.00

20 MANZANO, MAILYN ALEJANDRO 12263 Indigent 11/9/2023 14,400.00 0.00 14,400.00

21 BANHAN, JOEL PALAYON 12264 Indigent 11/9/2023 1/5/2024 10,290.00 0.00 10,290.00

22 BULANADI, CATHERINE BERNALES 12265 Formal 11/7/2023 11,400.00 0.00 11,400.00

Economy
23 RICARDO, ANGELICA PARALLAG 12266 Self- 11/12/2023 3,000.00 0.00 3,000.00
Employed
24 BULANADI, DAHLIA FAITH BERNALES 12267 Formal 11/7/2023 2,250.00 0.00 2,250.00
Economy
25 PINEDA, GRACE ACOSTA 12268 Formal 11/9/2023 18,000.00 0.00 18,000.00
Economy
26 DE CELIS, ROMMEL LAGERA 12269 Indigent 11/7/2023 2,800.00 0.00 2,800.00

27 TUGAS, MARCELINA NAVARRO 12270 Lifetime 11/7/2023 1/9/2024 6,300.00 0.00 6,300.00
Member
28 GOMEZ, JUAN PANGANIBAN 54111 Non-Paying 11/6/2023 12/22/2023 4,300.00 0.00 4,300.00

29 TOMINEZ, GIAN DANE REYES 12271 Government 11/8/2023 12/25/2023 4,620.00 0.00 4,620.00
Social
30 GAOAT, FRANCISCA RAYMUNDO 54129 Lifetime 11/6/2023 2,800.00 0.00 2,800.00
Member
31 TANIA, JERAX DWYNE SILARAN 12272 Indigent 11/10/2023 12/20/2023 7,000.00 0.00 7,000.00

32 DEPASUPIL, LIGAYA DUPITAS 12273 Non-Paying 11/9/2023 3,990.00 0.00 3,990.00

33 DIZON, FREDDIE BOY TUGADE 12274 Indigent 11/8/2023 12/22/2023 2,800.00 0.00 2,800.00

34 DELA CRUZ, CLARITA ABEDOZA 12277 Non-Paying 11/8/2023 1/7/2024 7,000.00 0.00 7,000.00

35 DELA CRUZ, PRINCESS REEM SALAZAR 12278 Self- 11/8/2023 1/7/2024 4,620.00 0.00 4,620.00
Employed
36 DAGGAO, JOHNREY MARINAS 12279 Indigent 11/9/2023 1/9/2024 4,340.00 0.00 4,340.00

Date :1/10/2024 9:29:11 AM FNAME :726456843.xlsx

 MANANGO HOSPITAL
Page : 1 of 1
National Highway, San Antonio, Alicia, Isabela, Region II Philippines

Unpaid Philhealth Receivable Report

Reference Date From: 11/1/2023 To 11/30/2023
Filed
Patient Name Adm No. Entity Disch Date Date Filed Amount Total Remittance Balance Check No. Check Date O.R No. O.R Date

37 MAMAWAG, SHANE BACANI 12280 Indigent 11/11/2023 10,500.00 0.00 10,500.00

38 PUGUON, MARIE JOY CANDELARIO 12281 Indigent 11/9/2023 1/5/2024 7,700.00 0.00 7,700.00

39 RICARDO, CAYDEN SEVIE PARALLAG 12282 Indigent 11/12/2023 2,250.00 0.00 2,250.00

40 QUIBEN, WARREN PONCIO 12286 Indigent 11/9/2023 1/5/2024 4,620.00 0.00 4,620.00

41 TORRES, SUSAN CANCERAN 12283 Indigent 11/9/2023 1/9/2024 3,990.00 0.00 3,990.00

42 LANDICHO, FERNANDO ELEFANTE 12284 Non-Paying 11/11/2023 1/5/2024 7,000.00 0.00 7,000.00

43 LAPPAY, RUBEN GULAN SR 12285 Non-Paying 11/9/2023 12/23/2023 8,540.00 0.00 8,540.00

44 PATACSIL, CARLITO PASCUA 12287 Lifetime 11/15/2023 12,600.00 0.00 12,600.00

Member
45 CABAUATAN, ROMEL TAMANI 54183 Formal 11/8/2023 5,500.00 0.00 5,500.00
Economy
46 NARNE, PATRICIA BULUSAN 12288 Non-Paying 11/9/2023 12/23/2023 3,990.00 0.00 3,990.00

47 ALCANTARA, JAYLORD LORENZO 12289 Indigent 11/10/2023 12/6/2023 7,070.00 0.00 7,070.00

48 FORTUNA, FRANCE COFY CASTAÑAGA 12290 Government 11/14/2023 12/23/2023 10,500.00 0.00 10,500.00
Social
49 GERSALIA, JOCELYN PAGUYO 54199 Formal 11/8/2023 2,800.00 0.00 2,800.00
Economy
50 PULIDO, MANUEL ABUAN 12291 Non-Paying 11/9/2023 2,800.00 0.00 2,800.00

51 APOLINAR, JHAIRO MANONGDO 12292 Formal 11/11/2023 12/22/2023 2,800.00 0.00 2,800.00
Economy
52 GONGORA, ALICIA GONZALES 12293 Non-Paying 11/13/2023 1/5/2024 13,510.00 0.00 13,510.00

53 GANNOD, BELLE ALAIA MARQUEZ 12294 Indigent 11/13/2023 1/9/2024 4,620.00 0.00 4,620.00

54 BADUA, ALEGRE AYSON 12295 Formal 11/11/2023 10,080.00 0.00 10,080.00

Economy

Date :1/10/2024 9:29:11 AM FNAME :726456843.xlsx

 MANANGO HOSPITAL
Page : 1 of 1
National Highway, San Antonio, Alicia, Isabela, Region II Philippines

Unpaid Philhealth Receivable Report

Reference Date From: 11/1/2023 To 11/30/2023
Filed
Patient Name Adm No. Entity Disch Date Date Filed Amount Total Remittance Balance Check No. Check Date O.R No. O.R Date

55 ATITIW, JULIO PODES 12296 Indigent 11/13/2023 6,160.00 0.00 6,160.00

56 BALLESTEROS, RHOANNE DELA CRUZ 12297 Indigent 11/12/2023 10,290.00 0.00 10,290.00

57 CALICA, ERLINDA MARTIN 12298 Non-Paying 11/11/2023 1/9/2024 6,300.00 0.00 6,300.00

58 DE LEON, NAZIAH MEZHIKAIE LLARINAS 12299 Indigent 11/11/2023 12/6/2023 4,340.00 0.00 4,340.00

59 GAOAT, FRANCISCA RAYMUNDO 12300 Non-Paying 11/18/2023 4,900.00 0.00 4,900.00

60 BACTON, NOVIE CASERO 12301 Government 11/13/2023 11,400.00 0.00 11,400.00

Social
61 ELAS, FEDERICO CURAMENG JR 12302 Non-Paying 11/12/2023 12/25/2023 6,300.00 0.00 6,300.00

62 ALCONIS, AURELIO PARANADA 54247 Government 11/11/2023 4,300.00 0.00 4,300.00

Social
63 BACTON, TEESARA BENICE CASERO 12304 Government 11/13/2023 2,250.00 0.00 2,250.00
Social
64 RUPINTA, SAMUEL ASUNCION 6480 Self- 11/10/2023 4,300.00 0.00 4,300.00
Employed
65 LACAR, PACIFICO MACADANGDANG 12305 Non-Paying 11/14/2023 1/5/2024 8,540.00 0.00 8,540.00

66 NOQUE, KATHLYN USBAL 12306 Indigent 11/13/2023 10,290.00 0.00 10,290.00

67 RAMOS, JHONNY ALINDAYU 12307 Indigent 11/12/2023 2,800.00 0.00 2,800.00

68 LICAYO, ASHLEY JOCEL ESTEBAN 12309 Indigent 11/17/2023 12/22/2023 7,000.00 0.00 7,000.00

69 SIQUIAN, JHOLIVER DELA FUENTE 12310 Government 11/21/2023 13,510.00 0.00 13,510.00
Social
70 LAMPAD, RANEL JOHN BALUNSAT JR 12311 Indigent 11/13/2023 4,620.00 0.00 4,620.00

71 COMIA, HAILEY GRACE CAMUNGAO 12312 Indigent 11/13/2023 4,270.00 0.00 4,270.00

72 LAPPAY, RUBEN GULAN SR 12313 Non-Paying 11/16/2023 12/23/2023 6,300.00 0.00 6,300.00

Date :1/10/2024 9:29:11 AM FNAME :726456843.xlsx

 MANANGO HOSPITAL
Page : 1 of 1
National Highway, San Antonio, Alicia, Isabela, Region II Philippines

Unpaid Philhealth Receivable Report

Reference Date From: 11/1/2023 To 11/30/2023
Filed
Patient Name Adm No. Entity Disch Date Date Filed Amount Total Remittance Balance Check No. Check Date O.R No. O.R Date

73 CALANGAN, PABLITO RUMA 12314 Indigent 11/13/2023 4,270.00 0.00 4,270.00

74 REGALA, FELICIDAD DELA CRUZ 12315 Non-Paying 11/13/2023 4,900.00 0.00 4,900.00

75 SAN PEDRO, PRINCE ERIC CABANILLA 12316 Indigent 11/14/2023 10,290.00 0.00 10,290.00

76 VELASQUEZ, KATHERINE ROMERO 12317 Indigent 11/15/2023 11,400.00 0.00 11,400.00

77 DARAWAY, SOTERO PALANGAO SR 12318 Non-Paying 11/15/2023 4,620.00 0.00 4,620.00

78 BARCELONA, ELI ENRIQUE SANTOS 12320 Indigent 11/16/2023 4,620.00 0.00 4,620.00

79 MIGUEL, PRUDENCIO VIDAD 6495 Indigent 11/12/2023 4,000.00 0.00 4,000.00

80 ORPIA, WINNIE RILLORTA 12321 Social 11/14/2023 12/23/2023 6,300.00 0.00 6,300.00
Security
81 UALAT, ROMARC TESORERO 12322 Indigent 11/14/2023 12/22/2023 4,270.00 0.00 4,270.00

82 DELA CRUZ, GRACE GALAS 12323 Formal 11/14/2023 4,130.00 0.00 4,130.00
Economy
83 CARIAGA, JOEL LUPAO 12324 Indigent 11/15/2023 12/23/2023 5,950.00 0.00 5,950.00

84 BARACAO, TERESITA ALCESTO 12325 Non-Paying 11/15/2023 4,340.00 0.00 4,340.00

85 BUMATAY, MARLON MALAPIRA 12331 Indigent 11/16/2023 7,000.00 0.00 7,000.00

86 SIADOR, MARY ANN KASING 12327 Indigent 11/15/2023 11,400.00 0.00 11,400.00

87 ESPIRITU, RODOLFO CELESTINO 12328 Lifetime 11/21/2023 7,000.00 0.00 7,000.00

Member
88 RAMENTO, PEDRO EDA 12330 Non-Paying 11/16/2023 4,900.00 0.00 4,900.00

89 ESPAÑOLA, ZIA MAE SIADOR 12329 Indigent 11/16/2023 10,440.00 0.00 10,440.00

90 CARABBACAN, CHARMY FAE PALATTAO 12332 Indigent 11/16/2023 2,800.00 0.00 2,800.00

Date :1/10/2024 9:29:11 AM FNAME :726456843.xlsx

 MANANGO HOSPITAL
Page : 1 of 1
National Highway, San Antonio, Alicia, Isabela, Region II Philippines

Unpaid Philhealth Receivable Report

Reference Date From: 11/1/2023 To 11/30/2023
Filed
Patient Name Adm No. Entity Disch Date Date Filed Amount Total Remittance Balance Check No. Check Date O.R No. O.R Date

91 ANDRES, LEXIE BLAIRE OGAYON 12333 Indigent 11/16/2023 12/22/2023 7,000.00 0.00 7,000.00

92 DELA CRUZ, ELDEPONSO AGUSTIN 12335 Indigent 11/15/2023 3,990.00 0.00 3,990.00

93 MALAPIT, KEVIN CABADIDO 12336 Indigent 11/18/2023 12/27/2023 2,800.00 0.00 2,800.00

94 BERNABE, CES FRANZUA JOLIE CACAL 12338 Formal 11/16/2023 1/5/2024 4,340.00 0.00 4,340.00
Economy
95 TELAN, MANUEL SALES 12339 Formal 11/20/2023 1/5/2024 14,400.00 0.00 14,400.00
Economy
96 SEBASTIAN, EDMUND TADEO JR 12341 Indigent 11/17/2023 12/22/2023 4,620.00 0.00 4,620.00

97 GAMAYON, REYNALDO LARGO 12342 Indigent 11/18/2023 2,800.00 0.00 2,800.00

98 MANALI, EMERENCIANA LACHICA 12343 Non-Paying 11/18/2023 6,300.00 0.00 6,300.00

99 FANIO, MARY LOUISE OBTINALLA 12345 Formal 11/20/2023 1/5/2024 2,800.00 0.00 2,800.00
Economy
100 GASPAR, FELIZ GILLIANA GUILLERMO 12344 Indigent 11/19/2023 10,290.00 0.00 10,290.00

101 GARCIA, JOANA AQUINDE 12346 Indigent 11/18/2023 4,270.00 0.00 4,270.00

102 CASTRO, JUZTINE ANDRES 12347 Indigent 11/19/2023 5,500.00 0.00 5,500.00

103 OLIPAS, MANOLITO CALICA 12348 Non-Paying 11/21/2023 12/6/2023 9,940.00 0.00 9,940.00

104 DUMALIANG, EMILY SIQUIAN 12349 Indigent 11/19/2023 6,860.00 0.00 6,860.00

105 PERDIDO, KAREN GAY BAUTISTA 12351 Non-Paying 11/24/2023 4,760.00 0.00 4,760.00

106 ZAMORA, JHON GABRIELE DELA VEGA 12352 Social 11/21/2023 1/9/2024 6,300.00 0.00 6,300.00
Security
107 LALUAN, PATRICIA ELAINE GUMPAL 12353 Self- 11/20/2023 4,620.00 0.00 4,620.00
Employed
108 RIVERA, WARLITO GUMTANG 54491 Indigent 11/19/2023 12/23/2023 4,300.00 0.00 4,300.00

Date :1/10/2024 9:29:11 AM FNAME :726456843.xlsx

 MANANGO HOSPITAL
Page : 1 of 1
National Highway, San Antonio, Alicia, Isabela, Region II Philippines

Unpaid Philhealth Receivable Report

Reference Date From: 11/1/2023 To 11/30/2023
Filed
Patient Name Adm No. Entity Disch Date Date Filed Amount Total Remittance Balance Check No. Check Date O.R No. O.R Date

109 RAMOS, CHRISTAN BAPTISTA 12356 Social 11/21/2023 12/22/2023 4,620.00 0.00 4,620.00
Security
110 RUANO, ELANIE SOLIVEN 12357 Indigent 11/23/2023 11,400.00 0.00 11,400.00

111 OLINARES, MARIO SUPREMIDO 12358 Indigent 11/21/2023 1/5/2024 10,080.00 0.00 10,080.00

112 CORPUZ, ALBERT CASTRO 12359 Non-Paying 11/22/2023 1/5/2024 6,300.00 0.00 6,300.00

113 CLEMENTE, RUSTOM ALIANGAN 12361 Indigent 11/21/2023 12/27/2023 4,300.00 0.00 4,300.00

114 CLEMENTE, APRIL MAY ALIANGAN 12360 Non-Paying 11/21/2023 12/27/2023 7,200.00 0.00 7,200.00

115 ALCANTARA, PRINCE YUAN RUANO 12362 Indigent 11/22/2023 2,250.00 0.00 2,250.00

116 DE LEON, ZEDRICK JOHN MARK CAYETANO 12363 Indigent 11/23/2023 6,300.00 0.00 6,300.00

117 MARAYAG, JONAS CADA 12364 Indigent 11/22/2023 1/5/2024 4,620.00 0.00 4,620.00

118 ORTEGA, ROLANDO DIONISIO 54530 Lifetime 11/20/2023 2,800.00 0.00 2,800.00
Member
119 BALAUAG, CELESTINE JOY BACCAY 12365 Self- 11/24/2023 10,290.00 0.00 10,290.00
Employed
120 CARIAGA, HAIDEE MAE ULNAGAN 12366 Indigent 11/22/2023 4,270.00 0.00 4,270.00

121 SALVADOR, ANTONINO SORIANO 12367 Non-Paying 11/23/2023 1/9/2024 8,400.00 0.00 8,400.00

122 SOTELO, CELEDONIO DUMO 12368 Lifetime 11/24/2023 12/6/2023 9,660.00 0.00 9,660.00
Member
123 PARAGUISON, WINNIE DIZO 12369 Indigent 11/24/2023 11,400.00 0.00 11,400.00

124 MIRANDILLA, JOANE NICOLE NONAN 12370 Overseas 11/23/2023 12/22/2023 4,620.00 0.00 4,620.00
Workers
125 AGUSTIN, BERNARDO ABAN 12371 Non-Paying 11/23/2023 12/27/2023 8,400.00 0.00 8,400.00

126 PARAGUISON, AMIRAH JHOWEN DIZO 12372 Indigent 11/24/2023 10,440.00 0.00 10,440.00

Date :1/10/2024 9:29:11 AM FNAME :726456843.xlsx

 MANANGO HOSPITAL
Page : 1 of 1
National Highway, San Antonio, Alicia, Isabela, Region II Philippines

Unpaid Philhealth Receivable Report

Reference Date From: 11/1/2023 To 11/30/2023
Filed
Patient Name Adm No. Entity Disch Date Date Filed Amount Total Remittance Balance Check No. Check Date O.R No. O.R Date

127 ELEFANTE, MARLON MEJIA 12373 Non-Paying 11/24/2023 7,000.00 0.00 7,000.00

128 VILLAMOR, CASSANDRA RODRIGUEZ 12374 Formal 11/24/2023 4,620.00 0.00 4,620.00
Economy
129 VEA, CELESTINE DUAMAN 12375 Indigent 11/25/2023 12/27/2023 10,440.00 0.00 10,440.00

130 BANIQUED, JEREMIAH JOM ELARDE 12376 Indigent 11/24/2023 1/9/2024 8,190.00 0.00 8,190.00

131 MIGUEL, ROBERT QUINTOS 12377 Indigent 11/25/2023 1/5/2024 10,080.00 0.00 10,080.00

132 ALBA, OLIVER GARCIA 12378 Indigent 11/24/2023 1/7/2024 4,340.00 0.00 4,340.00

133 PANGANIBAN, WYETT JACOB CLARAVAL 12379 Indigent 11/24/2023 4,620.00 0.00 4,620.00

134 ANDAYA, THALIA LYN N/A 12382 Indigent 11/27/2023 10,500.00 0.00 10,500.00

135 WANGDALI, OLTISA LUMIQUED 12384 Social 11/24/2023 1/6/2024 4,620.00 0.00 4,620.00
Security
136 TAMUNDONG, MARIETA SIMANGAN 12383 Indigent 11/28/2023 6,300.00 0.00 6,300.00

137 CASTAÑEDA, ZENAIDA PAJARILLO 54611 Lifetime 11/23/2023 12/6/2023 2,800.00 0.00 2,800.00
Member
138 TALLOD, SCHUYLER KENJI BODINO 12385 Formal 11/27/2023 10,500.00 0.00 10,500.00
Economy
139 SALAZAR, DENIEL WINSON ORDOÑEZ 12386 Self- 11/26/2023 1/5/2024 7,070.00 0.00 7,070.00
Employed
140 DELA CRUZ, CLARITA ABEDOZA 12387 Non-Paying 11/30/2023 1/7/2024 19,600.00 0.00 19,600.00

141 SANTOS, MYRNA PASCUAL 12388 Non-Paying 11/25/2023 1/5/2024 2,800.00 0.00 2,800.00

142 MAMARIL, HILDA GONZALES 12389 Indigent 11/25/2023 11,400.00 0.00 11,400.00

143 BLANDO, ASUNCION BAL-UT 12390 Non-Paying 11/25/2023 3,990.00 0.00 3,990.00

144 LOPEZ, LEANNE RIZETTE ARIOLA 12392 Formal 11/26/2023 6,300.00 0.00 6,300.00
Economy

Date :1/10/2024 9:29:11 AM FNAME :726456843.xlsx

 MANANGO HOSPITAL
Page : 1 of 1
National Highway, San Antonio, Alicia, Isabela, Region II Philippines

Unpaid Philhealth Receivable Report

Reference Date From: 11/1/2023 To 11/30/2023
Filed
Patient Name Adm No. Entity Disch Date Date Filed Amount Total Remittance Balance Check No. Check Date O.R No. O.R Date

145 MAMARIL, JEENAR HAELIA GONZALES 12391 Indigent 11/25/2023 1/5/2024 10,440.00 0.00 10,440.00

146 CASTULO, RICARDO LOMBOY 12393 Non-Paying 11/30/2023 1/9/2024 10,150.00 0.00 10,150.00

147 FLORES, RODOLFO TOBIAS SR 54633 Lifetime 11/24/2023 12/27/2023 2,800.00 0.00 2,800.00
Member
148 PADAM, RHIAM AZRID BAYAN 12396 Self- 11/27/2023 1/5/2024 4,620.00 0.00 4,620.00
Employed
149 URSUA, JEREMY TELAN 12397 Formal 12/2/2023 5,460.00 0.00 5,460.00
Economy
150 UALAT, ROMARIE TESORERO 12398 Government 11/26/2023 1/5/2024 4,340.00 0.00 4,340.00
Social
151 ABENOJAR, LEMAR CAPINDING 12402 Indigent 11/29/2023 12/27/2023 6,720.00 0.00 6,720.00

152 VALENCIA, MARIA ANGELICA MARCOS 12399 Formal 11/28/2023 14,400.00 0.00 14,400.00
Economy
153 VALENCIA, MARIA VENUS SHINE MARCOS 12400 Formal 12/24/2023 2,250.00 0.00 2,250.00
Economy
154 DE GUZMAN, ANALINE GERARDO 54674 Indigent 11/25/2023 5,500.00 0.00 5,500.00

155 BARBADO, LOWEL JABINAR 12403 Indigent 11/29/2023 1/9/2024 4,620.00 0.00 4,620.00

156 CASTILLO, KARL MEGAIL JOSE 54694 Indigent 11/26/2023 2,800.00 0.00 2,800.00

157 ABECIA, EARL JOHN COSO 12404 Indigent 11/28/2023 12/27/2023 4,900.00 0.00 4,900.00

158 ENCARNACION, THAIRICIA DELFINADO 12405 Indigent 11/30/2023 1/7/2024 4,130.00 0.00 4,130.00

159 BRAVO, JAVIER BAYSA 12407 Indigent 11/30/2023 4,900.00 0.00 4,900.00

160 DURAN, MARIETA DICANG 12406 Non-Paying 12/2/2023 19,600.00 0.00 19,600.00

161 JIMENEZ, QZZEL THAD BAUTISTA 12408 Government 11/29/2023 1/5/2024 4,620.00 0.00 4,620.00
Social
162 PAGULAYAN, ARNEL MAGAOAY 12409 Indigent 12/1/2023 7,000.00 0.00 7,000.00

Date :1/10/2024 9:29:11 AM FNAME :726456843.xlsx

 MANANGO HOSPITAL
Page : 1 of 1
National Highway, San Antonio, Alicia, Isabela, Region II Philippines

Unpaid Philhealth Receivable Report

Reference Date From: 11/1/2023 To 11/30/2023
Filed
Patient Name Adm No. Entity Disch Date Date Filed Amount Total Remittance Balance Check No. Check Date O.R No. O.R Date

163 BEJARIN, ANGEL MARK AGLIAM 12411 Indigent 12/4/2023 1/9/2024 7,070.00 0.00 7,070.00

164 DAMAGEN, ROSALINA BACLAYEN 12413 Indigent 11/29/2023 3,990.00 0.00 3,990.00

165 DUMLAO, CECILIA MENDOZA 12412 Formal 12/2/2023 7,910.00 0.00 7,910.00
Economy
166 MABAGOS, MARIETTA AQUINO 12414 Indigent 11/30/2023 1/7/2024 3,990.00 0.00 3,990.00

167 SIQUIAN, JACOB MATTHEW BALAUAG 12416 Government 12/2/2023 14,400.00 0.00 14,400.00
Social
168 LAMPAD, REYVILYN SINSUAN 12418 Indigent 12/2/2023 11,400.00 0.00 11,400.00

169 MEDINA, ZYAIR MALIK GARCIA 12415 Indigent 12/1/2023 1/7/2024 10,290.00 0.00 10,290.00

170 SALVADOR, DYLAN CLYDE SEGUNDO 12417 Indigent 12/2/2023 1/7/2024 10,500.00 0.00 10,500.00

171 CORPUZ, JEWEL AUDREY FAITH ASUNCION 12419 Indigent 12/2/2023 4,200.00 0.00 4,200.00

172 ESTOESTA, PRINCESS BARBIE VALDEZ 12420 Indigent 12/2/2023 10,290.00 0.00 10,290.00

173 PRIETO, MCKENZIE N/A 12421 Self- 12/2/2023 12/27/2023 2,800.00 0.00 2,800.00
Employed
174 GUIANG, NEIL SIMON 12422 Social 11/30/2023 1/5/2024 2,800.00 0.00 2,800.00
Security
175 JAMON, JEWEL JOY VILORIA 12424 Indigent 12/2/2023 1/9/2024 7,000.00 0.00 7,000.00

176 GARGABITE, ROMEO COLLADO 12425 Indigent 12/2/2023 10,290.00 0.00 10,290.00

177 MANAHAN, JOSEPH MARTINEZ JR 54811 Formal 11/29/2023 1/5/2024 4,300.00 0.00 4,300.00
Economy
178 ANTONIO, ANGELITO GORDO 12426 Non-Paying 12/1/2023 1/7/2024 6,300.00 0.00 6,300.00

179 DOMINGO, ZIA AGUSTIN 12428 Social 12/4/2023 1/9/2024 4,340.00 0.00 4,340.00
Security
180 ECHANES, STELLA QUIELYN LAMPAD 12429 Indigent 12/2/2023 2,250.00 0.00 2,250.00

Date :1/10/2024 9:29:11 AM FNAME :726456843.xlsx

 MANANGO HOSPITAL
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National Highway, San Antonio, Alicia, Isabela, Region II Philippines

Unpaid Philhealth Receivable Report

Reference Date From: 11/1/2023 To 11/30/2023
Filed
Patient Name Adm No. Entity Disch Date Date Filed Amount Total Remittance Balance Check No. Check Date O.R No. O.R Date

181 MATA, BENILDA IGNACIO 12430 Non-Paying 12/2/2023 1/5/2024 4,620.00 0.00 4,620.00

182 MARQUEZ, EVELYN IGNACIO 12431 Indigent 12/3/2023 7,000.00 0.00 7,000.00

183 TACCABAN, ROSALINA MARTINEZ 12432 Non-Paying 12/4/2023 1/9/2024 7,000.00 0.00 7,000.00

Total............... ### 0.00 1,201,740.00

Date :1/10/2024 9:29:11 AM FNAME :726456843.xlsx

Page : 1 of 1

O.R Date

Date :1/10/2024 9:29:11 AM FNAME :726456843.xlsx