Republic of the Philippines

Department of Health
JOSE R. REYES MEMORIAL MEDICAL CENTER

LIST OF PATIENTS
MEDICAL ASSISTANCE FOR THE INDIGENT PATIENTS PROGRAM
FOR THE PERIOD SEPTEMBER 1-30, 2021

AMOUNT OF MEDICAL SERVICES

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

1-Jul-21 21-01 TALLER, WENDELYN P. 3 Laurel Bo.Magsaysay St. Brgy 116 Tondo Manila - 600.00 - 600.00
1-Jul-21 21-02 SABANGAN, ELGENE M. 83 B Iriga St. Brgy San Isidro Quezon City - 420.00 - 420.00
1-Jul-21 21-03 ENCABO, EMELICAR E. 237 Aguinaldo Hi-Way St. Brgy San Agustin 2 Dasmariñas
- Cavite 420.00 - 420.00
1-Jul-21 21-04 GUTIERREZ, ANTONINA A. 129 Latukan, Panatunan St. Brgy Manresa Quezon City- 300.00 - 300.00
5-Jul-21 21-05 IBARRA, CHRISTINE A. 1239 Sitio Haise 3 St. Brgy Moonwalk Parañaque City - 420.00 - 420.00
5-Jul-21 21-06 DELE , LORENA F. 0015 Laon Laan St. Brgy 25 Caloocan City - 600.00 - 600.00
6-Jul-21 21-07 CRUZ, ESTELITA D. 38 B. Samson Rd. St. Brgy 73 Caloocan City - 648.00 - 648.00
6-Jul-21 21-08 POLEA, ESMERALDA V. 959 San Placido St. Brgy 17, Zone 2 Tondo Manila - 420.00 - 420.00
6-Jul-21 21-09 LEE, EVABRENDA S. 61-A St. Brgy Balingasa Balintawak Quezon City - 420.00 - 420.00
6-Jul-21 21-10 PERALTA, MA. EXALTACION D. 98 Ilang ilang St. Brgy Karuhatan Valenzuela City - 420.00 - 420.00
6-Jul-21 21-11 CHAVEZ, ROSARIO G. Blk 170 Lot 1 Zone 4 AFP Housing St. Brgy Bulihan Silang
- Cavite 810.00 - 810.00
6-Jul-21 21-12 ROSARIO, EVANGELINE P. Blk 8 Lot 7 Jade St. Minahanlat St. Brgy Malanday Marikina
- City 420.00 - 420.00
7-Jul-21 21-13 LIMON, ARLENE V. 1283 Dinalupihan St. Brgy 206 Tondo Manila - 1,000.00 - 1,000.00
7-Jul-21 21-14 MANALANG, ANGEL JOYCE A. 781 Fullon St. Brgy 52 Tondo Manila - 600.00 - 600.00
7-Jul-21 21-15 GARAN, MARY LOVE G. 1238 DM Cmpd Heroes Del 96 St. Brgy 73 Caloocan City
- 1,000.00 - 1,000.00
7-Jul-21 21-16 JACOB, NICA ELOISA P. B19, L64, PH A4, St. Brgy Longos Malabon - 1,000.00 - 1,000.00
7-Jul-21 21-17 BAGADIONG, AKIKO VIOLA A. P9 B25 L18 Wellington Place St. Brgy Pascam II General
- Trias Cavite 900.00 - 900.00
8-Jul-21 21-18 FRANCISCO, MARIVIC A. Block 38 Lot 3 Carnation St. Brgy NBBS Navotas City - 420.00 - 420.00
12-Jul-21 21-19 LAVILLA, MA. LOURDES P. Pio Pedrosa St. Brgy Talon II Las Piñas City - 1,000.00 - 1,000.00
12-Jul-21 21-20 SARINO, JEMIMAH V. 201 Zapote St. Brgy 132 Bagong Barrio Caloocan City - 300.00 - 300.00
12-Jul-21 21-21 VIRAY, VIA ASHLEY A. 2465 Paulino, Ampioco St. Brgy 138 Tondo Manila - 600.00 - 600.00
26-Aug-21 21-22 MANLANGIT, EDITHA Y. 26 QUEZON St. Brgy 119 TONDO MANILA - - 3,545.57 3,545.57
13-Jul-21 21-23 RUIZ, ROSSELLE C. 808 Maharlika St. Brgy 85, Zone 7 Tondo Manila - 420.00 - 420.00
13-Jul-21 21-24 JAMITO, CHRISTINE MAE C. 1672 Sta. Clara St. Brgy 601, Zone 59 Old Sta. Mesa Manila
- 600.00 - 600.00
13-Jul-21 21-25 SERNA, CARINA E. Block 2C Lot 19 Phase 3E 1 St. Brgy 14 Caloocan City - 420.00 - 420.00
15-Jul-21 21-26 BENSIG, CLARICE ANN B. 6 Carcer St. Brgy 393 Quiapo Manila - 600.00 - 600.00
15-Jul-21 21-27 SY, MARY GRACE M. 48 G St. Brgy Bancal Meycauayan Bulacan - 870.00 - 870.00
15-Jul-21 21-28 CABRERA, CARMELA E. 1722 Ibarra St. Brgy 492, Zone 49 Sampaloc Manila - 600.00 - 600.00
15-Jul-21 21-29 FILAMOR, RUSSEL C. Lot 8 Blk 13 -B Phase 3E1 St. Brgy Longos Dagat-Dagatan
- Malabon City 600.00 - 600.00
15-Jul-21 21-30 MEDINA, RUTCHELLE B. 103 Martinez Ext St. Brgy San Roque Antipolo City - 600.00 - 600.00
15-Jul-21 21-31 DESUYO, MARY JANE F. 1382 RM. 2 Delafuente St. Brgy None Sampaloc Manila- 600.00 - 600.00
15-Jul-21 21-32 BORABO, JOAN N. 59 Guerrero St. Brgy San Antonio Quezon City - 900.00 - 900.00
15-Jul-21 21-33 DELA CRUZ, EJESA F. 4 A Leongson, Monteloyola St. Brgy San Roque Navotas- City 600.00 - 600.00
15-Jul-21 21-34 BOBILA, MARY ANN D. 163 Manga St. Brgy None Sta. Mesa Manila - 600.00 - 600.00
16-Jul-21 21-35 GERONIMO, NICCO R. 450 Villa Ramirez St. Brgy Tabon I Kawit Cavite - 1,695.00 - 1,695.00
19-Jul-21 21-36 VILLAFLORES, CAMILLE M. Brgy Bigo Lubang Occidental Mindoro - 490.00 - 490.00
19-Jul-21 21-37 FRANCISCO, RINA JOY G. 0462 17 T Samson Ave. St. Brgy 168 Deparo Caloocan City
- 600.00 - 600.00
19-Jul-21 21-38 LALIMOS, EVELYN S. Building 26, Aroma St. Brgy 105 Tondo Manila - 1,000.00 - 1,000.00
21-Jul-21 21-39 ROLIE, MICHELLE B. Road 13 NDC Compound St. Brgy 628 Sta. Mesa Manila- 600.00 - 600.00
22-Jul-21 21-40 MEJICO, GERELYN D. Blk 2 Lot 20 Dorotea 1 St. Brgy Halang Naic Cavite - 420.00 - 420.00
23-Jul-21 21-41 MARCELO, JOAN A. 31 Sta. Rosa, Cor. Biak na Bato St. Brgy Manresa Quezon
- City 600.00 - 600.00
26-Jul-21 21-42 EVANGELISTA, IRENE G. Block 10, Lot 34, Phase 3D St. Brgy 28, Zone 3 Dagat-Dagatan
- Caloocan City 420.00 - 420.00
26-Jul-21 21-43 LUDONG, RHEALYN A. L32 B9 Mary Grace Subd St. Brgy Santa Rosa I Marilao -Bulacan 810.00 - 810.00
23-Jul-21 21-44 ALEJANDRO, RACHEL A. Block 1 Lot 10 Camella Homes Subd., Crossandra St. Brgy
- Sambat San Pascual810.00
Batangas - 810.00
28-Jul-21 21-45 HERRADURA, MARY GRACE P. Lot 24 Block 41 Ilang-Ilang St., Rainbow Village 5 St. Brgy
- 171 Bagumbong Caloocan
900.00 City - 900.00
28-Jul-21 21-46 RESOS, ELMARIE P. B93 L2 Kawal St St. Brgy 28 Dagat Dagatan Caloocan City
- 600.00 - 600.00
29-Jul-21 21-47 BESAGAS, LOURDECITA F. B45 L1 Kawal St. Brgy 28 Caloocan City - 810.00 - 810.00
29-Jul-21 21-48 SALANGSANG, LILIBETH M. 164 Cleofer St Sta Quiteria St. Brgy 162 Caloocan City - 420.00 - 420.00
29-Jul-21 21-49 FERRER, CLARITA B. 2637 Lico St. Brgy 211, Zone 19 Tondo Manila - 900.00 - 900.00
29-Jul-21 21-50 SAJONAS, JELLEN V. 1933 Rizal Ave Sta. Cruz Manila - 900.00 - 900.00
11-Aug-21 21-51 MUÑOZ, MARIA CARMELA B. B63 L3 Nuvista St. Brgy Sto. Cristo San Jose Del 89,444.10
Monte Bulacan - - 89,444.10
12-Aug-21 21-52 FLORALDE, CESAR E. B19 L37 Athens St. cor. Washington St. Brgy Burol Summerwind
- Village 4, Dasmariñas
- Cavite36,684.52 36,684.52

Page 1
 AMOUNT OF MEDICAL SERVICES
LABORATORIES,
DATE CONTROL TOTAL
NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL &
GRANTED NO. HOSPITAL FEES ASSISTANCE
SUPPLIES DIAGNOSTICS
PROCEDURES

18-Aug-21 21-53 GARCIA, ANTONIO E. 739 Leo St. Brgy 569 Sampaloc Manila - - 1,890.00 1,890.00
17-Aug-21 21-54 DE VERA, UGENEEKA FAYE D. 1018-L Hermosa St., Manuguit St. Brgy 200 Zone 18 Tondo
- Manila - 16,283.64 16,283.64
19-Aug-21 21-55 CATUA, LUISA S. Mercado St. Brgy Basuie San Ildefonso Bulacan - 240.15 - 240.15
18-Aug-21 21-56 MORGADO, HUCK DAVID E. BLK4 LOT6 AROMA COMPOUND St. Brgy MARCELO GREEN
- VILLAGE PARAÑAQUE
- CITY 1,690.33 1,690.33
20-Aug-21 21-57 PABLO, CORNELIA I. 2 F Lazaro St. Brgy Canumay West Valenzuela City - 760.00 - 760.00
20-Aug-21 21-58 MODESTO, PRINCESITA N. 220 Int 56 Rodriguez St. Brgy 129 Balut Tondo Manila- 760.00 - 760.00
20-Aug-21 21-59 DAA, VERNADY F. Cugon St. Brgy 83-B San Jose Tacloban - 3,700.00 - 3,700.00
20-Aug-21 21-60 DE CASTRO, NANCY M. 2242 Sanchez St. Brgy Baclaran Parañaque City 3,344.99 - - 3,344.99
20-Aug-21 21-61 NAVARRO, MARIO G. 35 M. Francisco St. Brgy 420 Zone 43 Sampaloc Manila- 2,600.00 - 2,600.00
20-Aug-21 21-62 ARELLANO, MELODY P. 19 St. Brgy Barbarangay Banna Ilocos Norte - 3,700.00 - 3,700.00
20-Aug-21 21-63 SAFULNO, RIZALINE R. 536 P Rodriguez St. Brgy San Rafael Montalban Rizal - 1,552.00 - 1,552.00
20-Aug-21 21-64 BUCUD, REGINA CRISTAL E. 3301 Gate 5 Area C St. Brgy 11 Zone 20 Binondo Manila
- - 1,250.00 1,250.00
20-Aug-21 21-65 CATUA, LUISA S. Mercado St. Brgy Basuie San Ildefonso Bulacan - - 1,475.00 1,475.00
20-Aug-21 21-66 CATUA, LUISA S. Mercado St. Brgy Basuie San Ildefonso Bulacan 582.45 2,760.00 - 3,342.45
20-Aug-21 21-67 JIMENEZ, BENEDIC P. 52 B-10 St. Brgy 20 Parola Tondo Manila - - 530.00 530.00
20-Aug-21 21-68 MOVILLA, JELLY R. Sitio Pinagkaisa St. Brgy San Isidro Angono Rizal - 2,540.00 - 2,540.00
20-Aug-21 21-69 SIBOR, RHANIEL D. 1247 Yuseco St. Brgy 223 Tondo Manila - - 530.00 530.00
19-Aug-21 21-70 MALIGAYA, MARILYN P. 7 Zamora St. Brgy Asis 1 Mendez Cavite - - 7,843.23 7,843.23
19-Aug-21 21-71 VERDERA, ARLON D. Brgy Balikyas Looc Occidental Mindoro - - 15,600.85 15,600.85
19-Aug-21 21-72 DATU, JULIANA NICOLE B46 L4 St. Brgy San Antonio De Padua I Dasmariñas Cavite
- - 2,509.53 2,509.53
20-Aug-21 21-73 BERBER, NAILYN JOY B. 48 Bansalaning St. Brgy Veterans Village Project 7 Quezon
- City - 6,908.75 6,908.75
20-Aug-21 21-74 DELA CRUZ, RITA O. 350 A Pilapi Ext St. Brgy 121 Zone 9 Tondo Manila - - 2,496.79 2,496.79
20-Aug-21 21-75 TUYAY, ANGELITA F. 725 Interior 30 Laong Nasa St. Brgy 155 Zone 14 Tondo
- Manila - 720.00 720.00
20-Aug-21 21-76 GORGONIA, RAYMOND N. 40 Aganan Village St. Brgy Sauyo Novaliches Quezon City
- - 23,926.85 23,926.85
20-Aug-21 21-77 BABON, CHRISTIAN B. BLK 24 LOT 27 COMPOUND 3 SITIO KABATUHAN St. Brgy
- GEN T DE LEON VALENZUELA
- CITY
1,450.00 1,450.00
20-Aug-21 21-78 LOMOTAN, MARIETTA P. 211 CRISTOBAL St. Brgy 423 Sampaloc Manila - - 1,393.88 1,393.88
20-Aug-21 21-79 AGCAOILI, ADRIEL SHAKUR S. 905 ALGECIRAS St. Brgy 473 SAMPALOC MANILA - - 1,830.00 1,830.00
21-Aug-21 21-80 DELOS SANTOS, ARNOLD C. 143 S ROLDAN St. Brgy TANGOS NAVOTAS CITY - - 890.00 890.00
21-Aug-21 21-81 ANORE, ROMULO B. Blk 24 Lot 10 Northville 1 St. Brgy Bignay Valenzuela City
- - 1,881.18 1,881.18
21-Aug-21 21-82 RAMOS, BREZEL F. 25 Pitacion St. Brgy Marulas Valenzuela City - - 227.19 227.19
21-Aug-21 21-83 CIDILLO, MARICEL C. Purok 1 St. Brgy Kaybanban San Jose Del MOnte Bulacan
- - 2,908.00 2,908.00
21-Aug-21 21-84 GURROBAT, HANNAH S. Area 5 Blk 25 Rambutan St. Brgy Capre Novaliches Quezon
- City - 2,070.45 2,070.45
21-Aug-21 21-85 OBILLO, JOYCE ANNE CHATALIA B.
919 QUEZON BLVD St. Brgy 310 STA CRUZ MANILA - - 10,634.74 10,634.74
21-Aug-21 21-86 PANES, MARECEL R. B23 L13 Area D Purok 9 St. Brgy Sta. Cruz V Sapang Palay
- San Jose del Monte Bulacan
- 4,631.42 4,631.42
21-Aug-21 21-87 ADANTE, CAROLINE A. 41 Fridel Comp. Ilang Ilang St. Brgy Karuhatan Valenzuela
- City - 1,447.97 1,447.97
21-Aug-21 21-88 SORIANO, ESTELLA O. 227 Baltazar St. Brgy 110 7th Avenue Caloocan City - - 1,890.00 1,890.00
21-Aug-21 21-89 LALUNA, LIEZEL G. 2525 Onyx St. Brgy 775 San Adres Bukid Manila - - 6,413.70 6,413.70
21-Aug-21 21-90 ARAOAG, NARCISO B. 1909 Alley 2 Bocobo St. Brgy 702 Malate Manila - - 530.00 530.00
21-Aug-21 21-91 MAINIT, VINCENT LEWIS A. F107 Sambahayan sa Rawis, Chesa St. Brgy 118 Tondo-Manila - 1,440.00 1,440.00
21-Aug-21 21-92 MACION, JEANNE ANGELICA M. 93 E Mascardo St. Brgy 143 Bagong Barrio Caloocan City
- - 6,758.39 6,758.39
21-Aug-21 21-93 BINAYOG, NESTOR S. 880 Moriones St. Brgy 48 Tondo Manila - - 2,007.00 2,007.00
21-Aug-21 21-94 RIVERAL, ROSALINDA T. Progressive Vill, Blk 16 Lot 6 Sampaguita St. Brgy Molino
- 1 Bacoor Cavite - 6,482.00 6,482.00
21-Aug-21 21-95 FLORES, PRECIUS JEN A. 163 Herbosa Extension corner San Sebastian St. Brgy 111
- Tondo Manila - 530.00 530.00
21-Aug-21 21-96 PIDLAOAN, ELIZABETH P. 2927 Bagac St. Brgy 205 Tondo Manila - - 1,590.00 1,590.00
21-Aug-21 21-97 VILLAR, ROE JRL D. 181 El Sol Subd St. Brgy 3 Cabuyo Laguna - - 530.00 530.00
23-Aug-21 21-98 DOMINGUEZ, ZACH LORRAINE P. Block 6 Lot 35 JP Rizal St. Brgy 106 Tondo Manila - - 77,465.04 77,465.04
23-Aug-21 21-99 PO, MILANI A. Blk 39 Lot 49 Jade Residences, Verona St. Brgy Malagasang
- 1G Imus Cavite - 10,085.74 10,085.74
24-Aug-21 21-100 CONTADO, RHEZA D. Bldg 19 317 Permanent Housing St. Brgy 128 Balut Tondo
- Manila - 1,475.00 1,475.00
24-Aug-21 21-101 TARINGTING, EDUARDO C. 1021 M. 2B Dagupan St. Brgy 48 Tondo Manila - - 548.39 548.39
24-Aug-21 21-102 CARIDAD, CHRISTOPER C. 913 Fox Glove Lake View St. Brgy Putatan Muntinlupa -City - 360.00 360.00
24-Aug-21 21-103 OBANA, JB D. 120 Laurel St. Don Bosco St. Brgy 116 Tondo Manila - - 530.00 530.00
24-Aug-21 21-104 VELASCO, JESUS N. Blk 18 Lot 17 Mandarin Homes 1 St. Brgy F De Castro GMA
- Cavite - 1,060.00 1,060.00
24-Aug-21 21-105 RIVERA, EMELDA A. Blk 40 Lot 3 St. Brgy Longos Borromeo Malabon City - - 1,475.00 1,475.00
24-Aug-21 21-106 CATAPANG, FLORADEL J. 192 Magsaysay St. Brgy 116 Tondo Manila - - 700.00 700.00
25-Aug-21 21-107 DIONISIO, THELMA M. 725 Int 46 Laong Nasa St. Brgy 155 Tondo Manila - - 1,890.00 1,890.00
25-Aug-21 21-108 LOPEZ, LUZVIMINDA O. Bldg C 12 Bistek Ville 2 St. Brgy Kaligayahan Novaliches
- Quezon City - 360.00 360.00
25-Aug-21 21-109 CELLO, ALVIN P. 102 Gen Marcardo Ext St. Brgy 142 Bagon Barrio Caloocan
- City - 530.00 530.00
25-Aug-21 21-110 MAMAWAG, ANGELINA A. 815 Linampas St. Brgy 50 Dagupan, Tondo Manila - - 866.06 866.06
25-Aug-21 21-111 POLEA, ESMERALDA V. 959 San Placido St. Brgy 17, Zone 2 Tondo Manila - 130.00 - 130.00
25-Aug-21 21-112 EVANGELIO, MANUEL V. 1770 Miguelin St. Brgy 488 Sampaloc Manila - - 1,188.75 1,188.75

Page 2
 AMOUNT OF MEDICAL SERVICES
LABORATORIES,
DATE CONTROL TOTAL
NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL &
GRANTED NO. HOSPITAL FEES ASSISTANCE
SUPPLIES DIAGNOSTICS
PROCEDURES

25-Aug-21 21-113 TEMENIA, WENFE E. PH2 B8 L3 Winter Breeze Subd. St. Brgy Alingaro General
- Trias Cavite - 1,189.42 1,189.42
25-Aug-21 21-114 CLARO, WILLIAM A. 1064 Int 26 Bilibid Viejo St. Brgy 391 Quiapo Manila - - 1,890.00 1,890.00
25-Aug-21 21-115 BLANCO, JOLLY S. 120 Magsaysay Street 6th Avenue St. Brgy 123 Caloocan
- City 325.00 - 325.00
25-Aug-21 21-116 PASTORIL, NESTOR C. 1068 Kundiman St. Brgy 504 Sampaloc Manila - - 1,890.00 1,890.00
25-Aug-21 21-117 PANTUA, RAMUEL RONN M. 528 Sancho Panza St. Brgy 408 Sampaloc Manila - - 3,800.00 3,800.00
25-Aug-21 21-118 ALCANTARA, JEN ISAAC J. 18-A Sitio Rosal St. Brgy Maysilo Malabon CIty - - 530.00 530.00
25-Aug-21 21-119 HIANGAN, MARK E. Blk 1 Lot 16 Villa Natividad St. Brgy Minuyan Proper San
- Jose Del Monte Bulacan- 2,510.59 2,510.59
25-Aug-21 21-120 GABRIEL, RAQUEL A. 30 Camia, Merville Subd. St. Brgy Tanza Navotas - 780.00 - 780.00
24-Aug-21 21-121 SEMEÑIANO, MARK SEAN M. Sitio Taguisan Samakata St. Brgy Bagong Nayon Antipolo
- City Rizal - 12,001.44 12,001.44
25-Aug-21 21-122 VELARDE, HERMINIA A. Sitio Locanotive St. Brgy Canlubang Calamba Laguna - - 1,810.00 1,810.00
24-Aug-21 21-123 DUMARAN, MA. KATRINA G. 0235 BMBA COMPOUND St. Brgy 120 3RD AVE CALOOCAN
- CITY - 9,134.14 9,134.14
25-Aug-21 21-124 TAMBIS, JHON LOUIS P. 629 Magnolia St. Brgy Gen T. De Leon Santolan Road Valenzuela
- City - 1,246.19 1,246.19
24-Aug-21 21-125 ROXAS, ELIZABETH L. 107 Int. 7 Loreto St. Brgy 420 Sampaloc Manila - - 77,409.59 77,409.59
25-Aug-21 21-126 LACABA, CARIDAD P. 438 Nepomuceno St. Brgy 386 Quiapo Manila - - 1,060.00 1,060.00
25-Aug-21 21-127 DELA CRUZ, NIMFA L. 33-B Del Rosario Merville Subd St. Brgy Dampalit Malabon
- City 875.02 - 875.02
24-Aug-21 21-128 ZABALLERO, JOHN REY O. 28 Pineapple St. Brgy Potrero Malabon City - - 43,350.45 43,350.45
24-Aug-21 21-129 ELAYA, ANGEL RICA T. 96 Caliraya St. Brgy Tatalon Quezon City - - 5,556.09 5,556.09
25-Aug-21 21-130 ESTRELLA, LEONARDO 2844 INT 10 AURORA BLVD St. Brgy 375 STA CRUZ MANILA
- - 151,277.32 151,277.32
24-Aug-21 21-131 ASUNCION, JANICE A. 2224 San Agustin St. Brgy 540 Zone 54 Sampaloc Manila
- - 9,941.34 9,941.34
25-Aug-21 21-132 VENTURA, LEE JOHN C. 413 Mapagkalinga St. Brgy 98 Zone 14 Pasay City - - 530.00 530.00
25-Aug-21 21-133 BALUNAN, JULIET V. 19 JM. Aquino St. Brgy 105 Magsaysay Vill., Tondo Manila
- - 720.00 720.00
24-Aug-21 21-134 PEREZ, MARIBEL T. 43 Samala Comp St. Brgy Poblacion II A Imus Cavite - - 6,822.77 6,822.77
24-Aug-21 21-135 LIWANAG, LUCIO V. 6B Willson St. Brgy Damayan Quezon City - - 16,298.73 16,298.73
25-Aug-21 21-136 SORIANO, ELENITA S. 730 San Bernardo St. Brgy 305 Sta. Cruz Manila - - 608.00 608.00
24-Aug-21 21-137 SANCHEZ, JESDYN ANNE 443 Little Parañaque St. Brgy Niog II Bacoor Cavite - - 2,509.84 2,509.84
25-Aug-21 21-138 TERMULO, VENERANDO D. 038 Alcanar St. Brgy Wawang Pulo Valenzuela City - - 18,836.30 18,836.30
25-Aug-21 21-139 BAUTISTA, KRISTIAN KARLO 838 Fullon St. Brgy 53 Dagupan, Tondo Manila - - 1,996.09 1,996.09
25-Aug-21 21-140 PACIENCIA, WANDA B. 434 Pacheco St. Brgy 67 Tondo Manila - - 2,515.81 2,515.81
25-Aug-21 21-141 BON, ADRIAN S. 33 Guava Road St. Brgy Potrero Malabon City - - 2,276.00 2,276.00
26-Aug-21 21-142 CRUZ, IMELDA G. 736 Ma. Guizon St., Gagalangin St. Brgy 153 Tondo Manila
- - 1,890.00 1,890.00
26-Aug-21 21-143 CODERA, BEAUTY L. Block 9 Tambakan, Baseco Compound St. Brgy 649 Port
- Area Manila - 722.70 722.70
26-Aug-21 21-144 CABAHUG, FRANCIS RYE V. 256 Area C Gate 54 Parola Compound St. Brgy 275 Zone
- 25 Binondo Manila - 3,180.00 3,180.00
26-Aug-21 21-145 MAQUINTO, RAMIL G. 47 E. Jacinto St. Brgy Concepcion Malabon City - - 3,965.00 3,965.00
26-Aug-21 21-146 MEDINA, JESUS D. 534 J.P. Guzman St. Brgy 394 Quiapo Manila - - 3,925.00 3,925.00
26-Aug-21 21-147 PALAGTIW, MARIA NIKKELYN 8490 JP RIZAL St. Brgy STO NIÑO PARAÑAQUE CITY - - 360.00 360.00
26-Aug-21 21-148 BATION, KELVIN A. MANILA NORTH GREEN PARK St. Brgy 366 STA CRUZ -MANILA - 2,650.00 2,650.00
26-Aug-21 21-149 CABUNGAN, ROSALYN A. 322 JP Rizal St. Brgy Manggahan rodriguez Rizal - 1,552.00 - 1,552.00
26-Aug-21 21-150 CAPITIN, MARY GRACE M. 16-18 Levitown Ph5 Talco Cmpd St. Brgy Don Bosco Parañaque
- City 2,080.00 - 2,080.00
26-Aug-21 21-151 SUMAIT, ABIGAEL L. 130 Esguerra St. Brgy 175 Caloocan City - - 1,683.39 1,683.39
26-Aug-21 21-152 GUINTO, MARK JOSEPH M. Purok 3 St. Brgy Pandukot Calumpit Bulacan - - 111,316.29 111,316.29
26-Aug-21 21-153 ORBETA, ANGEL V. 850 OROQUIETA St. Brgy 310 STA CRUZ MANILA - - 10,244.29 10,244.29
26-Aug-21 21-154 ACHECOSO, BERNIE J. 29 K. Silonian St. Brgy Maysilo Malabon City - - 2,036.93 2,036.93
26-Aug-21 21-155 AQUINO, KIAN RODMAN 2637 Lico St. Brgy 211 Tondo Manila - - 3,290.00 3,290.00
27-Aug-21 21-156 AGATO, ELOISA M. 8 LINGKOD NG NAYON St. Brgy TUGATOG MALABON CITY
- - 1,800.00 1,800.00
27-Aug-21 21-157 TEOFILO, MARY JOY D. 621A M. Dela Fuente St. Brgy 449 Sampaloc Manila - - 1,890.00 1,890.00
27-Aug-21 21-158 DELA ROSA, LYDIA O. 539 Esguerra St. Brgy 87 Tondo Manila 6,873.74 - - 6,873.74
27-Aug-21 21-159 BELARMINO, SILVERITA D. 85570 Ireneo St. Brgy Holy Spirit Quezon City - - 54,679.26 54,679.26
26-Aug-21 21-160 HORTELANO, GRACE P. Bldg. C 307 Kagitingan St. Brgy 43 Tondo Manila - - 1,844.95 1,844.95
26-Aug-21 21-161 CATACUTAN, ERICA Z. 129 Nuestra Seniora St. Brgy 116 Caloocan City - - 2,901.20 2,901.20
26-Aug-21 21-162 OPENIAÑO, RONNYLO A. 5531 MH Del Pilar St. Brgy La Huerta Parañaque City - - 25,449.49 25,449.49
26-Aug-21 21-163 SAN LUIS, MACARIO L. Sagisag St. Brgy Tanza Navotas City - - 8,406.69 8,406.69
26-Aug-21 21-164 TORRELIZA, EMILY T. Block 209 Excess Lot Phase 5 St. Brgy Paliparan 3 Dasmariñas
- City Cavite - 17,964.91 17,964.91
27-Aug-21 21-165 CASAÑAS, MA. JESICA S. 839 Nicodemus Dagupan St. Brgy 51 Tondo Manila - - 6,252.41 6,252.41
27-Aug-21 21-166 ALINDAYU, TRIXIA LYN T. 194 C Molina St. Brgy Viente Reales Valenzuela City - - 3,984.64 3,984.64
30-Aug-21 21-167 MAGBANUA, MARIO A. 39 Zalamia St., DPB Village St. Brgy Almanza II Las Piñas
- City - 1,905.16 1,905.16
30-Aug-21 21-168 ILAO, AGAPITO M. 49 Kanlaon St. Brgy Sta Teresita Quezon City - - 285.14 285.14
30-Aug-21 21-169 DELA PEÑA, ILDEFONSA M. Blk 3 Bldg 3 Unit III Disiplina Village St. Brgy Bignay Valenzuela
- City - 1,890.00 1,890.00
30-Aug-21 21-170 SALAP, MILAROSA B. Blk 6 Lot 17 Phase 1 St. Brgy Punta Calamba Laguna - - 1,890.00 1,890.00
30-Aug-21 21-171 CRESPO, HEMERA ASTREA C. 839 Nicodemus Dagupan St. Brgy 51 Tondo Manila - - 1,359.83 1,359.83
30-Aug-21 21-172 ELIZALDE, THELMA J. 464 Castañas St. St. Brgy 118 Tondo Manila - - 2,430.00 2,430.00

Page 3
 AMOUNT OF MEDICAL SERVICES
LABORATORIES,
DATE CONTROL TOTAL
NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL &
GRANTED NO. HOSPITAL FEES ASSISTANCE
SUPPLIES DIAGNOSTICS
PROCEDURES

30-Aug-21 21-173 PALATTAO, ELEAZAR C. 2255 Karapatan St. Brgy 351 Sta. Cruz Manila - - 1,290.00 1,290.00
30-Aug-21 21-174 VISQUERA, ANGIE F. 1283 Int. 20 Aurora Blvd. St. Brgy 375 Sta. Cruz Manila- - 1,800.00 1,800.00
30-Aug-21 21-175 QUINTO, OLIVER Q. 17 Dalisay St. Brgy Addition Hills Mandaluyong City - - 31,225.49 31,225.49
30-Aug-21 21-176 BANGAYAN, MARICEL S. 1748 Building A M. Hizon St. Brgy 337 Sta. Cruz Manila- - 6,980.70 6,980.70
30-Aug-21 21-177 DEGALA, LOVY D. Marcelo Green Village St. Brgy Gawad Kalinga Parañaque
- City - 1,392.14 1,392.14
30-Aug-21 21-178 LISONDRA, GLAISA T. 8-C Velasquez Compound, Marcos Alvarez Road St. Brgy
- Talon 5 Las Piñas City - 1,843.03 1,843.03
30-Aug-21 21-179 GOMEZ, ERLINDA C. 2424 Raymundo St. Brgy 772 Zone 84 San Andres Bukid
- Manila - 1,950.00 1,950.00
30-Aug-21 21-180 RONA, KEZIAH ALRHOD P. 3038 C First St. Brgy 596 V Mapa Manila - - 1,380.00 1,380.00
31-Aug-21 21-181 MADRID, REYMUNDO R. Block 48 Lot 14 Purok 6 St. Brgy San Martin III San Jose- Del Monte City Bulacan - 3,213.86 3,213.86
31-Aug-21 21-182 IGLESIA, RONNIE V. Bldg. 3 unit 116 Sampaguita St. Brgy Tanza Navotas City
- - 1,350.51 1,350.51
27-Aug-21 21-183 PANAGSAGAN, JOHNNY T. 169 Blk 1 Gasangan St. Brgy 649 Baseco Port Area Manila
- - 2,801.79 2,801.79
27-Aug-21 21-184 CRUZ, JOSHUA 533 PAROLA GATE 2 St. Brgy 20 TONDO MANILA - - 2,225.91 2,225.91
28-Aug-21 21-185 BARON, ILUMINADA A. 36 Lawaan St. Brgy 182 Maricaban, Malibay Pasay - - 2,171.78 2,171.78
28-Aug-21 21-186 FLORES, MANGIELYN I. 263 S. Roldan St. Brgy Tangos South Navotas City - - 43.36 43.36
29-Aug-21 21-187 OCAMPO, TERESA M. 1121 Blk 10 St. Brgy West Gumaoc San Jose Del Monte-Bulacan - 2,977.26 2,977.26
29-Aug-21 21-188 IBAÑEZ, AVEGAIL C. Brgy Santiago Sta. Maria Laguna - - 3,853.58 3,853.58
30-Aug-21 21-189 FELIX, PATRICK KIEL R. 186 UBAS ST. BILOG St. Brgy BALANGKAS VALENZUELA
- CITY - 20.00 20.00
6-Aug-21 21-190 DEFANTE, MICHAEL B. 1282 Ilaya Zone St. Brgy Malaban Biñan Laguna - - 121,300.28 121,300.28
16-Aug-21 21-191 PILLONES, ROSALINDO 91 Alcon St. Brgy San Isidro Labrador Quezon CIty - - 890.00 890.00
16-Aug-21 21-192 LARIDE, GERALD N. 435 O Acosta St. Brgy 34 Pajo Caloocan City - - 530.00 530.00
13-Aug-21 21-193 DECANO, JAYRECK G. B32 L31 South Ville 8B St. Brgy San Isidro Rodriguez Rizal
- - 124,983.04 124,983.04
16-Aug-21 21-194 DRIO, HELEN A. Sitio 6 Dumpsite St. Brgy Catmon Malabon City - - 129,421.24 129,421.24
20-Aug-21 21-195 CAYUBIT , CELSA M. Brgy Lambunao Malitbog Southern Leyte - 3,700.00 - 3,700.00
20-Aug-21 21-196 ALEJANDRO, GERALDINE C. Blk 9 Lot 62 Camachile Subd. St. Brgy Pasong Camachile
- I Gen. Trias Cavite3,880.00 - 3,880.00
20-Aug-21 21-197 NOVEDA, MYRNA R. 723 San Sebastian St. Brgy 390 Sta. Cruz Manila - 760.00 - 760.00
20-Aug-21 21-198 CASTILLO, RUSSELL T. 1645 A M. Hizon St. Brgy 334 Sta. Cruz Manila - 3,700.00 - 3,700.00
20-Aug-21 21-199 CACAL, JACQUELINE S. 784 Josefina St. Brgy 530 Sampaloc Manila - 760.00 - 760.00
20-Aug-21 21-200 CAPITIN, MARY GRACE M. 16-18 Levitown Ph5 Talco Cmpd St. Brgy Don Bosco Parañaque
- City 2,600.00 - 2,600.00
20-Aug-21 21-201 MANUEL, ROGELIO T. 282 P Gomez St. Brgy 67 10th Ave. Caloocan City - 760.00 - 760.00
20-Aug-21 21-202 BERNARDO, CONCEPCION J. 584 Masagana Homes Ph2 Purok 6 St. Brgy Tabang Guiguinto
- Bulacan 3,700.00 - 3,700.00
20-Aug-21 21-203 DELA CRUZ, ESTER C. 44 18Th Ave St. Brgy San Roque Cubao Quezon City - 3,880.00 - 3,880.00
21-Aug-21 21-204 AROTA, ANGEL M. 1320 CP Garcia Moriones St. Brgy 123 Zone 9 Tondo Manila
- - 530.00 530.00
21-Aug-21 21-205 MATEO, DION JHEFF Z. 3007 A Pilar Zone 18 St. Brgy 201 Tondo Manila - - 530.00 530.00
21-Aug-21 21-206 REYES, CHARLES NOAH S. 2030 F Varona St. Brgy 97 Tondo Manila - - 530.00 530.00
21-Aug-21 21-207 RECTO, RAYVEINE P. 832 Oroquieta St. Brgy 310 Zone 31 Sta. Cruz Manila - - 530.00 530.00
21-Aug-21 21-208 LUMABAS, DANIELA ELLA B. 1745 F. Varona St. Brgy 85 Tondo Manila - - 530.00 530.00
21-Aug-21 21-209 BOTICARIO, GLENDA C. 833 Linampas St. Brgy 50 Tondo Manila - - 530.00 530.00
21-Aug-21 21-210 MERCADO, NIÑO A. 880 K Sta Rita St. Brgy 14 Tondo Manila - - 1,590.00 1,590.00
21-Aug-21 21-211 BALAGASAY, JP B. 917 San Simon St. Brgy 18 Tondo Manila - - 1,060.00 1,060.00
21-Aug-21 21-212 LALUAN, JHON VENCENT S. 141 Mauban St. Brgy Manresa Quezon City - - 1,325.00 1,325.00
22-Aug-21 21-213 ANGELES, REYNALDO O. 1157 V Zapanta St. Brgy 733 Singalong Manila - - 2,650.00 2,650.00
22-Aug-21 21-214 SESE, VALTHIER HANZ P. 2262 Malaya St. Brgy 124 Balut Tondo Manila - - 4,540.00 4,540.00
22-Aug-21 21-215 PABONA, KHAZZLEY DHEIZHEN B.BS - 73 Imelda St. Brgy 108 Tondo Manila - - 2,360.00 2,360.00
22-Aug-21 21-216 ANGELES, ALEXA MAE J. A Carlos St., Figueroa Compound St. Brgy San Bartolome
- Novaliches Quezon City- 2,230.00 2,230.00
22-Aug-21 21-217 DE GUZMAN, GENELYN M. B16 L8 Adelina III Drive Ext St. Brgy Sto Tomas Biñan Laguna
- - 985.00 985.00
22-Aug-21 21-218 PANALIGAN, RODRIGO 1697 LRC Compound, CM Recto St. Brgy 310 Sta. Cruz Manila
- - 13,958.43 13,958.43
22-Aug-21 21-219 TAGLE, MARK ANTHONY L. 513 Sapphire St. Brgy 180 Maricaban Pasay City - - 952.11 952.11
22-Aug-21 21-220 LIGUTAN, JENNEFERE R. B3 L2 Villa Consuelo St. Brgy Bagbag Quezon City - - 1,325.00 1,325.00
22-Aug-21 21-221 CURIANO, ARISTON R. 2012 Silahis St. Brgy 782 Sta. Ana Manila - - 530.00 530.00
22-Aug-21 21-222 VILLANUEVA, MICHAEL S. 1926 A MAKATA St. Brgy 353 STA CRUZ MANILA - - 1,060.00 1,060.00
22-Aug-21 21-223 DESIDERIO, JAHNREY D. 353 Pilapil St. Brgy 66 Tondo Manila - - 890.00 890.00
22-Aug-21 21-224 ALCANTARA, JECAISA A. 1144 -D Adelfa St. Brgy 33 Tondo Manila - - 1,890.00 1,890.00
22-Aug-21 21-225 GUZMAN, ESTER C. 264 C. Teresa St. Brgy 591 Sta. Mesa Manila - - 530.00 530.00
22-Aug-21 21-226 DELA RIVA, CYRIL I. 251-I Teresa St. Brgy 592 Zone 58 Sta. Mesa Manila - - 1,564.40 1,564.40
22-Aug-21 21-227 FADRIQUELA, MAGDALINO F. Brgy Poblacion Banton Romblon - - 4,066.50 4,066.50
22-Aug-21 21-228 VILLAMIN, JEAN T. 329 A. H. Lacson St. Brgy 411 Sampaloc Manila - - 530.00 530.00
22-Aug-21 21-229 PANTOJA, LOLITA G. 1449 - B Librada Avelino St. Brgy 857 Pandacan Manila- - 784.94 784.94
22-Aug-21 21-230 RAAGAS, ROGER S. 89 De Jesus Compd tullahan rd St. Brgy 162 Sta. quiteria
- Caloocan City - 2,631.51 2,631.51
22-Aug-21 21-231 DUNGCA, PABLITO R. 2392 LAMESA St. Brgy UGONG VALENZUELA CITY - - 2,363.93 2,363.93
22-Aug-21 21-232 PERNATO, ENRIQUE D. Purok 2 St. Brgy Mapagong Calamba Laguna - - 590.00 590.00

Page 4
 AMOUNT OF MEDICAL SERVICES
LABORATORIES,
DATE CONTROL TOTAL
NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL &
GRANTED NO. HOSPITAL FEES ASSISTANCE
SUPPLIES DIAGNOSTICS
PROCEDURES

22-Aug-21 21-233 ESCABARTE, NAPOLEON NEIL R. 2916 INT 7 VALENCIA St. Brgy 634 STA MESA MANILA- - 1,780.00 1,780.00
23-Aug-21 21-234 MENDOZA, JERRY B. 1670 D TUAZON St. Brgy 419 SAMPALOC MANILA - - 283.36 283.36
23-Aug-21 21-235 SABANGAN, CAROLINA F. 988 INT 5 ORONG St. Brgy 198 TONDO MANILA - - 10,115.75 10,115.75
23-Aug-21 21-236 NAVARROZA, EDITHA P. Block 4 Lot 0180 M. de Leon West St. Brgy Santolan Pasig
- CIty - 3,932.33 3,932.33
23-Aug-21 21-237 SANCHO, NORMA R. 7012 Macopa St. Brgy Comembo Makati City - 3,880.00 - 3,880.00
23-Aug-21 21-238 ANDEN, SHIRLEY C. Brgy GUIOB ALCANTARA ROMBLON - 2,328.00 - 2,328.00
23-Aug-21 21-239 PORTUGAL, MARY ANN L. 4829 Lanzones St., SVF St. Brgy 178 Camarin Caloocan-City 760.00 - 760.00
23-Aug-21 21-240 NUGAS, ALONA Y. 24 Buco Cristy Libis St. Brgy Sta. Ana San Mateo Rizal - 3,880.00 - 3,880.00
19-Aug-21 21-241 ANGELO, ROLANDO P. Purok 3, 36 St. Brgy Lugam Malolos Bulacan - - 42,384.40 42,384.40
19-Aug-21 21-242 ESTRERA, JENNIFER D. Brgy Amapola Kanan Tanza Navotas City - - 5,731.67 5,731.67
19-Aug-21 21-243 SY, CONCHITA A. Purok 1 St. Brgy Pag-asa San Jose Occidental Mindoro - - 11,687.82 11,687.82
23-Aug-21 21-244 SIOSON, JOHANNA V. B10 L126 Southville HC St. Brgy San Isidro Rodriguez Rizal
- 760.00 - 760.00
23-Aug-21 21-245 CONQUILLO, PATRIA A. Purok 1 St. Brgy Nihaga Calbayog Eastern Samar - 3,104.00 - 3,104.00
23-Aug-21 21-246 DIZON, EDRALIN I. 337 J.P Rizal St. Brgy San Juan Project 4 Quezon City - 2,200.00 - 2,200.00
23-Aug-21 21-247 FERNANDEZ, MARICHU M. 4 North Lane Jem 2 Homes St. Brgy Pasong Tamo Quezon
- City 760.00 - 760.00
23-Aug-21 21-248 MATERNAL, SUSAN J. Blk 8 Lot 33 Park Land St. Brgy 177 Caloocan City - 3,700.00 - 3,700.00
23-Aug-21 21-249 NAMBIO, ALEC DENISE L. Monte Real Subd Blk 26 Lot 2 St. Brgy Alapan 2 A Imus- Cavite - 2,050.00 2,050.00
23-Aug-21 21-250 ENCIO, CARLA JANE 1157Lualhati St. Brgy 34 Tondo Manila - 3,880.00 - 3,880.00
21-Aug-21 21-251 MONTERNIL, ELVENIA D. Brgy Calugpog Naic Cavite - - 9,261.58 9,261.58
20-Aug-21 21-252 OFREN, LANI G. 1212 Purok 6 St. Brgy Dila Bay Laguna - - 16,204.32 16,204.32
21-Aug-21 21-253 SARMIENTO, FLORENCIA S. Doña Marciana Subd 5146 Orchid St. Brgy Ugong Valenzuela
- City - 50,272.20 50,272.20
23-Aug-21 21-254 DE GUZMAN, CHERRIE A. 3594 B. delos Santos St. Brgy Pulong Buhangin Sta. Maria
- Bulacan 3,880.00 - 3,880.00
23-Aug-21 21-255 BONAYOG, JOSHUA ROY E. BLK 7 LOT1 UC2 AREA D St. Brgy CITRUS SAN JOSE DEL
- MONTE BULACAN - 130.00 130.00
21-Aug-21 21-256 VILLAGRACIA, RAFAEL T. 127 Abes Comp St. Brgy 5 Sangandaan Caloocan City - - 8,400.87 8,400.87
22-Aug-21 21-257 GUNGON, JUVY LYN G. 283 Reyes St. Brgy Bangkulasi (NBBN) Navotas City - - 12,661.07 12,661.07
22-Aug-21 21-258 SAMSON, CRISTINE JHOY P. 10-A Remegio St. Brgy Maysilo Malabon City - - 10,355.08 10,355.08
23-Aug-21 21-259 PAKIN, CHRISTOPHER S. 961 DH Cano St. Brgy 310 Sta. Cruz Manila - - 50,405.49 50,405.49
22-Aug-21 21-260 PENETRANTE, JEMIELYN R. 1520 SALMON St. Brgy 8 DAGAT DAGATAN CALOOCAN
- CITY - 7,830.06 7,830.06
22-Aug-21 21-261 MASANGKAY, PRECILLA F. 136 C. Quirino St. Brgy 107 Zone 9 Tondo Manila - - 9,584.42 9,584.42
17-Aug-21 21-262 YMATA, EDDIE S. 1245 Tece De Agosto St. Brgy 679 Paco Manila - - 57,084.23 57,084.23
23-Aug-21 21-263 SALANATIN, JACQUILENE B. Gate 17 Area D Parola St. Brgy 20 Tondo Manila - - 1,568.26 1,568.26
23-Aug-21 21-264 MACAPILI, JEOFFREY C. #247 Blk7 Old Site St. Brgy 649 Baseco Port Area Manila
- - 2,453.92 2,453.92
22-Aug-21 21-265 KIM, JIN SUK D. 486 Riverside St. Brgy 180 Maricaban Pasay City - - 215.91 215.91
23-Aug-21 21-266 TEMENIA, WENFE E. PH2 B8 L3 Winter Breeze Subd. St. Brgy Alingaro General
- Trias Cavite - 1,345.00 1,345.00
23-Aug-21 21-267 RAMIREZ, MARIA CHRISTINA P. Blk 34-B Lot 5 Ph 3 F-1 St. Brgy 12 Dagat-Dagatan Caloocan
- City 566.60 - 566.60
20-Aug-21 21-268 BAUTISTA, ALEX E. BLK18 L14 Comp. 3 St. Brgy Gen. T. De Leon Valenzuela
- City - 5,137.49 5,137.49
22-Aug-21 21-269 RIVERA, ALEXIE DHANE E. Brgy Sahod Ulan Tanza Cavite - - 5,856.81 5,856.81
22-Aug-21 21-270 ADRALES, LETICIA P. Block C7 Lot 11 St. Brgy San Simon Dasmariñas Cavite- - 28,045.79 28,045.79
22-Aug-21 21-271 DELA CRUZ, FEDERICO D. 404 Alfonso St. Brgy 162 Sta. Quiteria Caloocan City - - 82,373.55 82,373.55
21-Aug-21 21-272 SANCHEZ, JOSE N. 154 Maligaya 3 St. Brgy Pacita 2 San Pedro Laguna - - 27,625.46 27,625.46
23-Aug-21 21-273 BENIGNO, PRECIOUS JAMAICA G. 1109 Prudencio St. Brgy 474 Sampaloc Manila - - 6,656.39 6,656.39
21-Aug-21 21-274 DEGRACIA, SHEILA C. BLK 1 LOT27 St. Brgy GREGORIA GMA CAVITE - - 7,759.44 7,759.44
23-Aug-21 21-275 ECO, QUIRINO C. 1056 E Torres Bugallon St. Brgy 204 Manuguit Tondo Manila
- - 1,890.00 1,890.00
23-Aug-21 21-276 MOLINA, ANTHONY C. Blk 43, Lot 22 St. Brgy San Miguel I Dasmariñas City Cavite
- - 234.17 234.17
23-Aug-21 21-277 MALIMBAN, RAFAEL V. #1 St. Brgy Talipusngo Maragondon CAVITE - - 160.09 160.09
20-Aug-21 21-278 RAMOS, BREZEL F. 25 Pitacion St. Brgy Marulas Valenzuela City - - 400.37 400.37
20-Aug-21 21-279 PILLAS, LEIZEL P. Happy Land St. Brgy 105 Tondo Manila - - 5,991.62 5,991.62
21-Aug-21 21-280 NABOR, HERME A. 1717 MACEDA St. Brgy 497 SAMPALOC MANILA - - 6,828.19 6,828.19
21-Aug-21 21-281 REYES, RODWIN Z. 96 Marulas B St. Brgy 36 Caloocan City - - 8,635.32 8,635.32
22-Aug-21 21-282 SALAÑO, LORNA B. 1340 P Burgos St. Brgy 826 Paco Manila - - 3,018.76 3,018.76
22-Aug-21 21-283 CRUZ, CARISSA JUNO S. 10-A Remegio St. Brgy Maysilo Malabon City - - 788.38 788.38
23-Aug-21 21-284 PIÑON, GENEROSO P. 341 E Dela Paz St. Brgy Sto Niño Marikina City - - 1,257.23 1,257.23
23-Aug-21 21-285 CALANO, JOE MAR G. 1351 Hernandez St. Brgy 69 Tondo Manila - - 1,060.00 1,060.00
23-Aug-21 21-286 VILLALOBOS, FERNANDO C. Unit 220 Building 5 Permanent Housing St. Brgy 128 Tondo
- Manila - 1,060.00 1,060.00
23-Aug-21 21-287 CARIÑO, JOYCE ANN MARIE P. 4782 Road 2, VP Mapa St. Brgy 595 Sta. Mesa Manila - - 1,060.00 1,060.00
23-Aug-21 21-288 CASAN, JANAH G. 19 Blk 18 Ext Baseco St. Brgy 649 Tondo Manila - - 4,710.00 4,710.00
23-Aug-21 21-289 BERNARDINO, JOSELITO S. Unit 857 2nd Floor Josefa Building, Padre Rada St. Brgy- 3 Zone 1 Tondo Manila - 14,545.25 14,545.25
23-Aug-21 21-290 ARMADA, KENDRICK NOAH L. 631 D-Reten St. Brgy 400 Sampaloc Manila - - 1,830.00 1,830.00
23-Aug-21 21-291 DIONISIO, THELMA M. 725 Int 46 Laong Nasa St. Brgy 155 Tondo Manila - - 115.94 115.94
23-Aug-21 21-292 AGUILA, BB MYRIAM 192 Ma. Clara St. Brgy 117 5th Avenue Caloocan City - - 523.49 523.49

Page 5
 AMOUNT OF MEDICAL SERVICES
LABORATORIES,
DATE CONTROL TOTAL
NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL &
GRANTED NO. HOSPITAL FEES ASSISTANCE
SUPPLIES DIAGNOSTICS
PROCEDURES

23-Aug-21 21-293 AGUILA, MYRIAM N. 192 Ma. Clara St. Brgy 117 5th Avenue Caloocan City - - 10,152.45 10,152.45
4-Aug-21 21-294 MAAYO, CONSUELO G. Ph. 2 Paradise Village St. Brgy Tonsuya Malabon City
258.40 - - 258.40
4-Aug-21 21-295 MENDOZA, EUGENE I. 68 Grand Pililia St. Brgy Tibig Ayala West Grove, Silang
5,989.00
Cavite - - 5,989.00
10-Aug-21 21-296 ESCALA, JOHN PRAE A. 4 T Santiago St St. Brgy Canumay West Valenzuela
1,045.00
City - - 1,045.00
11-Aug-21 21-297 BOLIMA, RAM DENVER S. 2803 Mendoza St. Brgy 182 Tondo Manila - - 26,366.36 26,366.36
11-Aug-21 21-298 PRINCIPIO, REYNALDO B. 197 Libis Ortega St. Brgy 20 South Caloocan City84,816.62 - - 84,816.62
12-Aug-21 21-299 ABIÑO, NOEL C. 1060 Blk 5 Magsaysay Village A Luna St. Brgy 1053,768.00
Tondo Manila - - 3,768.00
12-Aug-21 21-300 DAVID, CLARISSE E. 79 Banal, Bagong Barrio St. Brgy 147 Caloocan City 66.00 - - 66.00
12-Aug-21 21-301 DAVID, EVELYN E. 79 Banal St. Brgy None Bagong Barrio Caloocan City
471.00 - - 471.00
12-Aug-21 21-302 ACADEMIA, YOHANCE CHARLES R.
31 I-Int Herrera St. Brgy Ibaba Malabon City - - 52,505.26 52,505.26
16-Aug-21 21-303 CORPUZ, EMY E. 449 Carnacion St. Brgy NBBS Navotas City 1,422.90 - - 1,422.90
18-Aug-21 21-304 CACHUELA, IMELDA O. 1726 Felix Huertas St. Brgy 338 Sta. Cruz Manila - 483.82 - 483.82
18-Aug-21 21-305 CATUA, LUISA S. Mercado St. Brgy Basuie San Ildefonso Bulacan - 2,660.00 - 2,660.00
19-Aug-21 21-306 OBILLO, LEONORA O. 1253 Bayabas St. Brgy Bagbaguiin Valenzuela City
84,778.02 - - 84,778.02
20-Aug-21 21-307 ROLDAN, ALWENIA R. Purok 5 129 St. Brgy Paco Obando Bulacan - 3,104.00 - 3,104.00
20-Aug-21 21-308 TALABA, PABLITO V. Blk 6 Lot 5 Ignacio St. Brgy Daang Hari Navotas City
4,851.00 - - 4,851.00
20-Aug-21 21-309 DUQUE, FERDINAND J. 129 C. Loreto St. Brgy 419 Sampaloc Manila 510.00 - - 510.00
20-Aug-21 21-310 ENDIAPE, ELENA B. Sitio Santiago St. Brgy Pansoy San Andres Quezon - 3,880.00 - 3,880.00
20-Aug-21 21-311 ABECIA, REYNALDO H. 2708 Legarda St. Brgy 410 Sampaloc Manila 9,055.20 - - 9,055.20
19-Aug-21 21-312 GALIDO, PRINCES JOY A. 1206 Barrio Bitik St. Brgy Gen. T. De Leon Valenzuela City
- - 8,302.82 8,302.82
25-Aug-21 21-313 LOVEDORIAL, JEFERSON B. Block 33 Lot 24 Phase 6 Dasma 3 Subdivision St. Brgy -Salawag Dasmariñas City Cavite
- 55,000.00 55,000.00
25-Aug-21 21-314 JAYONA, DOMINGO JR F. Blk 37 N lot 19 Ph3 F1 Lapu-Lapu Ext. St. Brgy 124,527.60
Dagat-Dagatan Caloocan City - - 4,527.60
25-Aug-21 21-315 ESCOBIDAL, JONICK GIAN E. 459 Abbey Road, PNR Compound St. Brgy 73 Sangandaan
- Caloocan City 4,800.00 - 4,800.00
25-Aug-21 21-316 VITUG, ARMAND K. 196 Evangelista St. Brgy 142 Bagong Barrio Caloocan
6,306.30
City - - 6,306.30
25-Aug-21 21-317 PAGALA, YOLANDA T. #9 3rd West St. Brgy Crame San Juan City 3,276.00 - - 3,276.00
25-Aug-21 21-318 SANTOS, MERCEDITA J. 255 Inapostol St. Brgy 154 Bagong Barrio Caloocan
1,638.00
City - - 1,638.00
25-Aug-21 21-319 CADAGO, ROWENA P. 145 M. de Sotto St. Brgy Paso de Blas Valenzuela City
1,638.00 - - 1,638.00
26-Aug-21 21-320 TEE, MARVIN L. 650 Tagaytay St. Brgy 127 Caloocan City 8,721.22 - - 8,721.22
27-Aug-21 21-321 SALONGA, ROBERTO R. 682 Tagaytay St. Brgy 126 5th Ave. Caloocan City - - 30,000.00 30,000.00
27-Aug-21 21-322 BAROLO, AARON DAN CEDRIC C. BLK 34 LOT 67 ROAD 12 GRANDVILLAS St. Brgy LOMA- DE GATO MARILAO BULACAN
- 18,965.22 18,965.22
27-Aug-21 21-323 SUPSUPIN, JENNA CERALDE 71 MARCELA EXTENSION BRGY. 28 CALOOCAN CITY
3,939.00 - - 3,939.00
6-Aug-21 21-324 BENECIO, HECTOR T. Brgy España San Fernando Romblon - - 287,330.03 287,330.03
16-Aug-21 21-325 SALAS, ROMMEL B. 056 Area H. Gate 62 St. Brgy 275 Parola, Binondo Manila
- - 2,420.00 2,420.00
17-Aug-21 21-326 JUATAN, RIZZA M. 21 Tomas Pinpin St. Brgy Sto. Niño Quezon City - - 9,500.62 9,500.62
16-Aug-21 21-327 BALANSAG, CATTERYN S. 8849 Colmena St. Brgy Olympia Makati City - - 6,505.41 6,505.41
17-Aug-21 21-328 BELLEN, JAMAICA V. B47 L1 Area C Purok 5 St. Brgy San Martin III San Jose -del Monte Bulacan 608.00 - 608.00
14-Aug-21 21-329 PEÑA, ELIJAH MIGUEL B. 647 Sauler Comp. St. Brgy Bayan Luma 5 Imus Cavite - - 224,095.04 224,095.04
17-Aug-21 21-330 HERRERA, MARY ANN A. 1936 Katamanan St. Brgy 233 Tondo Manila - - 8,811.90 8,811.90
14-Aug-21 21-331 RODAS, RUZZEL B. Emirville Resident Polo St. Brgy Bisig Valenzuela City - - 2,905.95 2,905.95
17-Aug-21 21-332 RICABLANCA, DIANNE 3294 GUYABANO St. Brgy 178 CAMARIN CALOOCAN CITY
- - 8,835.90 8,835.90
17-Aug-21 21-333 ESTRADA, FREDIELIN P. BLk 23 Lot 44 Las Palmas St. Brgy Caypombo Sta. Maria
- Bulacan - 7,104.44 7,104.44
14-Aug-21 21-334 HERRERA, MARY ANN A. 1936 Katamanan St. Brgy 233 Tondo Manila - - 448.99 448.99
17-Aug-21 21-335 BARCELONA, PERLITA S. 194 Sampaloc Unit 6 Pagrai Hills Subd St. Brgy Mayamot
- Antipolo City Rizal - 890.00 890.00
14-Aug-21 21-336 MENDOZA, MIRIAM O. 413 Concha St. Brgy 121 Tondo Manila - - 1,220.01 1,220.01
14-Aug-21 21-337 HORTELANO, GRACE P. Bldg. C 307 Kagitingan St. Brgy 43 Tondo Manila - - 545.73 545.73
14-Aug-21 21-338 INTINTA, JANITA B. Blk 65 Lot 8 Mabuhay St. Brgy Mamatid Cabuyao Laguna
- - 22.02 22.02
17-Aug-21 21-339 POLINTAN, LEONIDA T. 436 Dulong Tangke St. Brgy Malinta Valenzuela City - - 1,060.00 1,060.00
17-Aug-21 21-340 DE LUNA, GENALYN J. 163 Rivera St. Brgy Pulo Valenzuela City - - 6,718.87 6,718.87
17-Aug-21 21-341 DE JESUS, IRENE S. 562 Tapuri St. Brgy 92 Tondo Manila - - 15,280.93 15,280.93
11-Aug-21 21-342 PARRE, EMILIANO JR C. 10 Navarro St. Brgy None General Trias CAVITE - - 8,610.00 8,610.00
17-Aug-21 21-343 MABINI, JUANA C. 267 SAN SEBASTIAN St. Brgy 122 TONDO MANILA - - 2,560.00 2,560.00
17-Aug-21 21-344 GARLAN, JERSON V. B2 L37 Lopez St. Brgy Daniel Fajardo Las Piñas City - - 530.00 530.00
17-Aug-21 21-345 FENIX, RICHELLY C. 1135 C.M. Recto St. Brgy 266 Zone 24 Tondo Manila - - 340.00 340.00
17-Aug-21 21-346 VENTURES, BERNIE ANN R. 52 A. Dizon Ext. St. Brgy Tinajeros Malabon City - - 2,476.50 2,476.50
17-Aug-21 21-347 INGCO, SIAN LUCKY G. 750 Int. 33 J. Planas St. Brgy 163 Gagalangin, Tondo Manila
- - 3,410.00 3,410.00
17-Aug-21 21-348 BULASA, MICHELLE P. Sitio Hanopol St. Brgy Kaong Silang Cavite - - 7,923.95 7,923.95
17-Aug-21 21-349 DIONISIO, CALVIN JAY D. Ph5 Blk8 Lot42 St. Brgy Don Vicente Pulo Cabuyao Laguna
- - 1,660.00 1,660.00
17-Aug-21 21-350 MARIÑAS, ARJHAY B. 1236 Prudencio St. Brgy 487 Sampaloc Manila - - 4,348.29 4,348.29
17-Aug-21 21-351 BERTOLANO, PAUL A. 0002 Lot N;LK 56 G PH3 F2 St. Brgy 8 Caloocan City - - 791.10 791.10
17-Aug-21 21-352 POBLETE, EVANGELINE M. 1242 Sto. Niño St. Brgy 43 Tondo Manila - - 256.25 256.25

Page 6
 AMOUNT OF MEDICAL SERVICES
LABORATORIES,
DATE CONTROL TOTAL
NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL &
GRANTED NO. HOSPITAL FEES ASSISTANCE
SUPPLIES DIAGNOSTICS
PROCEDURES

17-Aug-21 21-353 DELCANO, GERALDINE P. 22nd Montana St. Brgy Mapulang Lupa Metro Villa Subd.
- Valenzuela City - 1,060.00 1,060.00
18-Aug-21 21-354 FELICIANO, ANTHONY S. LAWAN St. Brgy CAMANGYANAN STA MARIA BULACAN
- - 1,590.00 1,590.00
18-Aug-21 21-355 ECO, BENJIE P. Aroma Bldg. 27 Unit 71 St. Brgy 105 Tondo Manila - - 4,470.00 4,470.00
18-Aug-21 21-356 NOJO, MARCELINO C. Bldg. 25 Unit 214 Permanent Housing St. Brgy 128 Balut,
- Tondo Manila - 1,978.79 1,978.79
18-Aug-21 21-357 BONINA, MARISSA M. 138 Amorato Laloma St. Brgy Laloma Quezon City - - 370.00 370.00
18-Aug-21 21-358 HABUHAT, ERIC H. Blk 179 Lot 1 Ph 1 Mabuhay City St. Brgy Paliparan 3 Dasmariñas
- Cavite - 1,590.00 1,590.00
18-Aug-21 21-359 ANDEN, SHIRLEY C. Brgy GUIOB ALCANTARA ROMBLON - 2,328.00 - 2,328.00
18-Aug-21 21-360 MATERNAL, SUSAN J. Blk 8 Lot 33 Park Land St. Brgy 177 Caloocan City - 2,220.00 - 2,220.00
18-Aug-21 21-361 MANERA, JOVELYN S. Brgy Dagupan Tuao Cagayan Cagayan Valley 391.44 940.00 - 1,331.44
18-Aug-21 21-362 ANGCAHAS, VICENTE I. Brgy Sapang Palay San Jose Del Monte Bulacan 38.85 - - 38.85
18-Aug-21 21-363 SADIAL, LESTER S. 1387 SH Loyola St. St. Brgy 459 Sampaloc Manila - - 1,590.00 1,590.00
18-Aug-21 21-364 ANDRES, RONNIE N. 04 Sampaloc St. Brgy 120 Tondo Manila - - 1,053.80 1,053.80
18-Aug-21 21-365 FLORALDE, NENETH G. 198 Guijo Alley St. Brgy 152 Bagong Barrio Caloocan
391.44
City - - 391.44
18-Aug-21 21-366 CATALAN, BERNARDO J. Blk 12 Lot 1 Rizal St. Brgy Queens Row West Bacoor Cavite
- - 1,890.00 1,890.00
18-Aug-21 21-367 CAÑAVERAL, JUNNEL 32 Yanga St. Brgy Maysilo Malabon City - - 11,074.32 11,074.32
18-Aug-21 21-368 HERMOSADA, LILIAN A. 14 Mithi St. Brgy 24 Caloocan City - - 7,904.20 7,904.20
18-Aug-21 21-369 CASTILLO, CHRISTINE JOY B. 28K I Marcelo St. Brgy Malanday Valenzuela City - - 6,985.27 6,985.27
18-Aug-21 21-370 BOCAR, SHIELA A. 1316 Ma. Cristina St. Brgy 491 Sampaloc Manila - - 3,635.37 3,635.37
18-Aug-21 21-371 SAGAYNO, MILAGROS G. 471 Centro St. Brgy San Jose Patag Sta. Maria Bulacan - - 1,531.52 1,531.52
18-Aug-21 21-372 CARLOS, REYNANTE T. 488 Doña Rita St. Brgy 19 Caloocan City - - 7,590.13 7,590.13
18-Aug-21 21-373 YUSYUSAN, IRENE MAE 2660A. Buendia Ext. St. Brgy 144 Balut, Tondo Manila - - 6,619.00 6,619.00
17-Aug-21 21-374 ORIS, SHIENA MARIE S. 1301C CM Recto St. Brgy 313 Sta. Cruz Manila - - 101,508.96 101,508.96
17-Aug-21 21-375 BASAS, ARME ANN C. San Roque Hill, SAV--9 St. Brgy San Antonio Parañaque- City - 6,354.10 6,354.10
18-Aug-21 21-376 AVISADO, LANCE MIGUEL A. 2438 Singalong St. Brgy 733 Malate Manila - - 22,054.41 22,054.41
20-Aug-21 21-377 MADREGALLO, RAQUEL A. 215 Blk7 Poinsetti St St. Brgy Payatas A Quezon City
5,989.00 - - 5,989.00
24-Aug-21 21-378 DE LEON, WILLIAM A. 106 Area A. Parola, Gate 1 St. Brgy 20 Tondo Manila - - 615.50 615.50
24-Aug-21 21-379 VILLANUEVA, ESTELA S. 637 Ma Cristina St. Brgy 449 Sampaloc Manila - - 720.00 720.00
24-Aug-21 21-380 NICDAO, RENATO E. 318 Osorio St. Brgy 97 Tondo Manila - - 288.00 288.00
24-Aug-21 21-381 AMAR, ARTURO O. 1449 AREA D DALANDAN St. Brgy 177 CAMARIN CALOOCAN
- CITY - 3,291.00 3,291.00
24-Aug-21 21-382 PATAG, LUALHATI I. San Lorenzo St. Brgy San Juan Taytay Rizal - - 37,263.30 37,263.30
24-Aug-21 21-383 EGLOSO, LIZA C. 551 1ST FLOOR HERBOSA St. Brgy 91 TONDO MANILA- - 1,670.60 1,670.60
24-Aug-21 21-384 FLORENDO, CHARIE C. Purok 1 St. Brgy Parian Calamba City Laguna 315.94 - - 315.94
24-Aug-21 21-385 LUZONG, NANETH N. 9 Chico Blk 37 St. Brgy Addition Hills Mandaluyong315.94
City - - 315.94
24-Aug-21 21-386 REYES, EDMOND A. 1781 INT13 Kahilom 1 St. Brgy 871 Pandacan Manila - - 43,506.04 43,506.04
24-Aug-21 21-387 FLORALDE, NENETH G. 198 Guijo Alley St. Brgy 152 Bagong Barrio Caloocan
131.26
City - - 131.26
24-Aug-21 21-388 DEL CASTILLO, MERCY R. Blk 8 Lot 25 Northville 4A St. Brgy Lambakin Marilao Bulacan
- - 18,457.80 18,457.80
24-Aug-21 21-389 MENSORADO, LYN MHEL MARK P.1131 D. Eugenio St. Brgy 831 Otis, Paco Manila - - 35,586.30 35,586.30
24-Aug-21 21-390 CABRERA, CARMELA E. 1722 Ibarra St. Brgy 492, Zone 49 Sampaloc Manila - - 13,399.19 13,399.19
24-Aug-21 21-391 DY, ROMEO JR. O. 1975 Katamanan St. Brgy 232 Tondo Manila - - 1,310.00 1,310.00
24-Aug-21 21-392 VILLAFLOR, ANA VANESSA C. 41 Bicol Group 3 St. Brgy Payatas Quezon City - 130.00 - 130.00
24-Aug-21 21-393 BONOSTRO, MERACEL P. Purok 145 St. Brgy Patutong Malaki South Tagaytay City
- Cavite - 1,115.00 1,115.00
24-Aug-21 21-394 CATBAGAN, JOHN BENEDICT 1142 St. Brgy 176 Bagong Silang Caloocan City - - 760.00 760.00
24-Aug-21 21-395 MIRANDA, JHOANNE S. 50 East Riverside St. Brgy Paltok Quezon City - - 8,252.39 8,252.39
24-Aug-21 21-396 DELA CRUZ, FERNIE P. 728 Mindoro St. Brgy 569 Sampaloc Manila - - 2,498.24 2,498.24
24-Aug-21 21-397 BONA, RENATO P. Capitulacion St. Brgy Zone 1 Bangued Abra - - 3,298.27 3,298.27
24-Aug-21 21-398 CABAHIT, ARMILA N. TRAMO LAWA St. Brgy CANLALAY BIÑAN LAGUNA - - 530.00 530.00
24-Aug-21 21-399 BALDESIMO, HERMINIA C. B4 L17 Westwood 1 St. Brgy Pasong Camachile Gen Trias
- Cavite - 555.98 555.98
24-Aug-21 21-400 DIZON, EDRALIN I. 337 J.P Rizal St. Brgy San Juan Project 4 Quezon City - 2,104.00 - 2,104.00
24-Aug-21 21-401 SUNGALON, KHRYSSTEL ANN C. Blk 9 Lot 1 Northville 2 Spring town St. Brgy Bucal Tanza
- Cavite - 1,778.65 1,778.65
23-Aug-21 21-402 BUEN, JHON MARK M. Brgy Calugpog Naic Cavite - - 11,574.17 11,574.17
23-Aug-21 21-403 REVILLEZA, JONAS B. B18 L60 Towerville St. Brgy Sto. Cristo SJDM Bulacan - - 13,913.76 13,913.76
23-Aug-21 21-404 ARDALES, AKIRA MISHA P. 001 Empire Hilltop Ph 3 St. Brgy Payatas B Quezon City- - 7,491.92 7,491.92
24-Aug-21 21-405 LOZADA, RUFINO D. 652 TAGAYTAY St. Brgy 127 CALOOCAN CITY - - 920.00 920.00
24-Aug-21 21-406 GOMEZ, FIONA AYIAH E. 460 BAYANI St. Brgy 37 MARULAS CALOOCAN CITY - - 1,081.20 1,081.20
23-Aug-21 21-407 FAJARDO, ELIJAH SONNIE S. BALANGAY AVE St. Brgy MOLINO 2 BACOOR CAVITE - - 74,068.84 74,068.84
23-Aug-21 21-408 SILVESTRE, JOHN MICHAEL P. B11 L28 Kawal Purok St. Brgy 28 Caloocan City - - 96,040.38 96,040.38
24-Aug-21 21-409 GAYABAN, MAY E. 17 N Oliveros Drive St. Brgy Balintawak Quezon City - - 6,540.59 6,540.59
24-Aug-21 21-410 ACHAY, GILDA T. 1283 INT 8 TAMBUNTING St. Brgy 375 STA CRUZ MANILA
- - 2,024.80 2,024.80
23-Aug-21 21-411 ESPARTERO, JEAN V. Urban Deca Homes Velasquez St. Brgy 99 Tondo Manila
- - 5,244.95 5,244.95
23-Aug-21 21-412 YAP, KAZUMI M. 1131 Cabuco St. Brgy 37 Mother Cavite City - - 5,970.90 5,970.90

Page 7
 AMOUNT OF MEDICAL SERVICES
LABORATORIES,
DATE CONTROL TOTAL
NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL &
GRANTED NO. HOSPITAL FEES ASSISTANCE
SUPPLIES DIAGNOSTICS
PROCEDURES

24-Aug-21 21-413 ROSALES, MARK ANTHONY R. BLK 2 BLDG 13 UNIT 104 DISIPLINA VILLAGE St. Brgy- BIGNAY VALENZUELA CITY
- 4,567.87 4,567.87
24-Aug-21 21-414 FLORES, RAMONCITO M. 1227 Bambang St. Brgy 142 Tondo Manila 30.00 - - 30.00
24-Aug-21 21-415 BOADA, ARTURO F. 664 J. Marzan St. Brgy 447 Sampaloc Manila - - 1,557.89 1,557.89
12-Aug-21 21-416 NIERE, JESSIE KHRIS A. 2616 BP Guevarra Blumentritt St. Brgy 379 Sta Cruz Manila
- - 13,765.57 13,765.57
26-Aug-21 21-417 FADOL, JOEL D. 1737 SULU St. Brgy 338 STA CRUZ MANILA - - 1,677.00 1,677.00
26-Aug-21 21-418 DOMINGO, ANTONIO F. 204 JP Rizal St. Brgy Tejeros Makati City - - 650.00 650.00
26-Aug-21 21-419 CUSTODIO, ANDREA PATRICE F. 4E Avocado Road St. Brgy Potrero Malabon City - - 464.23 464.23
25-Aug-21 21-420 ORTINELA, MIKO C. TRM Alonzo Compound, Pier 2 St. Brgy 20 Tondo Manila
- - 14,365.96 14,365.96
25-Aug-21 21-421 AZARCON, ROMANA C. 050 Valdez Compound St. Brgy Paso de Blas Valenzuela- City - 17,903.61 17,903.61
26-Aug-21 21-422 MONTEYRO, ROLANDO L. 734 Sunflower St., Bo. San Roque St. Brgy 187 Tala Caloocan
- City - 530.00 530.00
25-Aug-21 21-423 CANTAL, ROSALIE G. Manila North Cemetery 33 Blumentrit St. Brgy 372 Sta-Cruz Manila - 59,579.42 59,579.42
25-Aug-21 21-424 MANALO, KATHERINE JOY D. 21 MIRASOL St. Brgy NANGKA MARIKINA CITY - - 9,330.11 9,330.11
26-Aug-21 21-425 LABRIASA, PRINCESS F. 8143 ELIAS St. Brgy 351 STA CRUZ MANILA - - 4,120.00 4,120.00
25-Aug-21 21-426 PEREZ, CHARLOTTE B. 0400 Star Apple St. Brgy Gen. T. De Leon Valenzuela City
- - 16,323.27 16,323.27
26-Aug-21 21-427 TENEDERO, LIEZYL V. 24 P. Halili St. Brgy 128 Caloocan City - - 8,154.94 8,154.94
25-Aug-21 21-428 BUSTAMANTE, KEA S. Blk 37 Lot 13 Sunrise HOA Sitio 6 St. Brgy Catmon Malabon
- City - 6,081.29 6,081.29
26-Aug-21 21-429 MEDINA, BG RUTCHELLE 103 Martinez Ext St. Brgy San Roque Antipolo City - - 832.82 832.82
25-Aug-21 21-430 ORTEGA, MIRAHFLOR A. 273 Sto. Niño St., Urata Subdivision St. Brgy Dalico III Imus
- Cavite - 5,788.87 5,788.87
25-Aug-21 21-431 MEJORADA, RUTHCHIN T. 255 Sampaguita St. Brgy Tagalag Valenzuela City - - 9,600.05 9,600.05
25-Aug-21 21-432 VENTURA, KARYLL SHINE 1040-H New Antipolo St. Brgy 217 Zone 20 Tondo Manila
- - 4,520.07 4,520.07
26-Aug-21 21-433 DURAN, YOLANDA A. 1801 JP Laurel St. Brgy 637 San Miguel Manila - - 1,475.00 1,475.00
26-Aug-21 21-434 BONGOT, JACE MATTHEW B. 356 Malugay St. Brgy San Martin De Porres Parañaque-City - 2,360.00 2,360.00
26-Aug-21 21-435 CORTES, MA. CHRISTINA SOPHIA 949
L. BOHOL St. Brgy 561 BALIK BALIK SAMPALOC MANILA
- - 1,060.00 1,060.00
26-Aug-21 21-436 BOBILA, MARY ANN D. 163 Manga St. Brgy None Sta. Mesa Manila - - 10,496.95 10,496.95
26-Aug-21 21-437 TOLENTINO, NATE WESLEY C. 1772 TRAMO St. Brgy 46 PASAY CITY - - 1,060.00 1,060.00
26-Aug-21 21-438 HIZOLE, JOSEFINA M. 1026-A Malamig St. Brgy 536 Sampaloc Manila - - 1,672.56 1,672.56
27-Aug-21 21-439 ANGELO, MARISSA B. 1003 Arlegui St. Brgy 387 Quiapo Manila - - 2,180.00 2,180.00
27-Aug-21 21-440 BUNAG, DIEGO D. 2327 Rizal Avenue St. Brgy 356 Sta. Cruz Manila - - 447.89 447.89
27-Aug-21 21-441 NUGAS, ALONA Y. 24 Buco Cristy Libis St. Brgy Sta. Ana San Mateo Rizal - - 2,667.33 2,667.33
17-Feb-21 21-442 SANTOS, ROOSEVELT L. 135-E Kapok St. St. Brgy 126 San Jose Caloocan City
4,563.00 - - 4,563.00
5-Apr-21 21-443 LAMBOJON, ERICSON Brgy Tigman Aborlan Palawan - - 65,000.00 65,000.00
11-May-21 21-444 DE ASIS, REBECCA M. 126 L. Nadurata St. Brgy 31 Maypajo Caloocan City
4,658.21 - - 4,658.21
12-May-21 21-445 ESCOTO, JOANA MARIE A. 138-B C.Molina St. Brgy Viente Reales Valenzuela8,604.00
City - - 8,604.00
19-May-21 21-446 TIO, RECHARD A. 1759 Almeda St. Brgy 251 Tondo Manila 5,019.00 - - 5,019.00
19-May-21 21-447 ESCOTO, JOANA MARIE A. 138-B C.Molina St. Brgy Viente Reales Valenzuela3,000.00
City - - 3,000.00
19-May-21 21-448 CASTILLO, MINERVA Z. 477 Pilapil St. Brgy 74 Tondo Manila 5,000.00 - - 5,000.00
20-May-21 21-449 ABARING, ELEANOR B. 2115 A. Bato Ext. Raxabago St. Brgy 150, Zone 135,736.00
Tondo Manila - - 5,736.00
21-May-21 21-450 MENDOZA, MILAGROS D. Brgy Luciente II Bolinao Pangasinan 5,736.00 - - 5,736.00
24-May-21 21-451 FRANCISCO, REYNALDO R. 1637 Sulu St. Brgy 340 Sta. Cruz Manila 5,736.00 - - 5,736.00
25-May-21 21-452 MALLARI, FELINO JR D. 107 Adalia St. Brgy 101 10th Avenue Caloocan City
8,604.00 - - 8,604.00
25-May-21 21-453 ARUTA, JHOMAR P. 456 Castañas St. St. Brgy 118 Zone 9 Tondo Manila
2,868.00 - - 2,868.00
26-May-21 21-454 SANTOS, ROOSEVELT L. 135-E Kapok St. St. Brgy 126 San Jose Caloocan City
8,604.00 - - 8,604.00
27-May-21 21-455 CUETO, MARICRIS L. 273 Camias St. Brgy 162 Sta. Quiteria Caloocan City
5,736.00 - - 5,736.00
28-May-21 21-456 ESGUERRA, KENN CYRELLE D. 325 AGUSTO St. Brgy 642 SAN MIGUEL MANILA 8,604.00 - - 8,604.00
28-May-21 21-457 MALLILLIN, MARK ANTHONY T. 59 PLARIDEL St. Brgy DOÑA AURORA QUEZON CITY
1,434.00 - - 1,434.00
1-Jun-21 21-458 CAPAYCAPAY, GILBERT V. RD 12 NDC COMPOUND St. Brgy 628 STA MESA MANILA
- 3,860.00 - 3,860.00
2-Jun-21 21-459 ROLDAN, ALWENIA R. Purok 5 129 St. Brgy Paco Obando Bulacan - 4,084.00 - 4,084.00
15-Jul-21 21-460 DE JESUS, ENECITA A. 051 Lakandula St. Brgy Antipona Bocaue Bulacan - 4,084.00 - 4,084.00
16-Jul-21 21-461 DIVINA, RICHARD A. B18L26 St. Brgy San Isidro Rodriguez Rizal - 5,105.00 - 5,105.00
16-Jul-21 21-462 CANONO, MELMARK A. 119 INT 31 4TH AVE St. Brgy 49 CALOOCAN CITY - - 9,365.12 9,365.12
19-Jul-21 21-463 BRILLANTE, RICKY M. Blk. 5 Lot 16 Katuparan Village St. Brgy None Norzagaray
277.00 Bulacan - - 277.00
28-Jul-21 21-464 BANDIOLA, ROSARIO F. 194 P. Parada St. Brgy Sta. Lucia San Juan 29,254.60 - - 29,254.60
29-Jul-21 21-465 SAPIANDANTE, MARY JANE E. 604 Esguerra St. Brgy 90 Tondo Manila 4,182.00 - - 4,182.00
29-Jul-21 21-466 SALANGUIT, MA. RHODORA R. 1858 Oro-B St. Brgy 770 Sta.Ana Manila 1,638.00 - - 1,638.00
29-Jul-21 21-467 OBILLO, LEONORA O. 1253 Bayabas St. Brgy Bagbaguiin Valenzuela City
86,735.50 - - 86,735.50
29-Jul-21 21-468 OTICO, MA. CRISTINA V. 23 KANLURAN RD CAINGIN CITY OF MEYCUAYAN BULACAN
- 1,552.00 - 1,552.00
29-Jul-21 21-469 GARSIN JR, ODILON L. 34 Bisig Nayon St. Brgy 4 Sangandaan Caloocan City - 2,280.00 - 2,280.00
29-Jul-21 21-470 CONCEPCION, JEFFREY S. 102 St. Brgy TANAWAN BUSTOS BULACAN 442.00 - - 442.00
29-Jul-21 21-471 FRANCISCO, ROBERTO J. 8 2ND St. Brgy 194 PILDERA PASAY CITY 405.00 - - 405.00
30-Jul-21 21-472 RIVERA, DENNIS R. 137 Soler St. Brgy 309 Sta Cruz Manila - - 18,752.65 18,752.65

Page 8
 AMOUNT OF MEDICAL SERVICES
LABORATORIES,
DATE CONTROL TOTAL
NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL &
GRANTED NO. HOSPITAL FEES ASSISTANCE
SUPPLIES DIAGNOSTICS
PROCEDURES

30-Jul-21 21-473 MANGARING, LOVELY ANN A. 250 PNR COMPOUND SAMSON RD St. Brgy 73 CALOOCAN
- CITY - 40,793.83 40,793.83
30-Jul-21 21-474 ROBIDIZO, CLYDE JUSTINE N. 2528 Manuel Hizon St. Brgy 367 Sta Cruz Manila - - 24,100.82 24,100.82
2-Aug-21 21-475 ROQUE, KENNETH D. 13 R. Jacinto St. Brgy Canumay West Valenzuela City
387.79 1,200.00 - 1,587.79
2-Aug-21 21-476 ENDIAPE, ELENA B. Sitio Santiago St. Brgy Pansoy San Andres Quezon - 3,880.00 - 3,880.00
2-Aug-21 21-477 MENDOZA, ROMINA T. 777 Palawan St. Brgy 580 Sampaloc Manila 28,873.25 - - 28,873.25
3-Aug-21 21-478 CELIZ, MARICAR D. 87 Ilang Ilang, Feria Road St. Brgy Old Balara Quezon City
- 12,460.00 - 12,460.00
4-Aug-21 21-479 ANSING, LIGAYA D. B45 KENNETH RD St. Brgy PINAGBUHATAN NAGPAYONG
- PASIG - 42,417.66 42,417.66
4-Aug-21 21-480 SULIT, ARNALDO L. 21 Cambera St. Brgy 167 North Caloocan City 4,995.88 - - 4,995.88
4-Aug-21 21-481 DULAY, ALEXANDER B. 224 Valero St. Brgy Poblacion San Rafael Bulacan3,108.82 - - 3,108.82
4-Aug-21 21-482 LAGUERTA, JESTER A. 581 Wing 3 Kingspoint St. Brgy Bagbag Novaliches Quezon
- City 6,230.00 - 6,230.00
4-Aug-21 21-483 VALDERAMA, MARLYN Blk 8 Lot 17 Perugia St. Brgy San Bartolome Novaliches
1,638.00Quezon City - - 1,638.00
5-Aug-21 21-484 MORALES, FRANCISCO I. 425 Algueceras St. Brgy 444 Sampaloc Manila - 12,460.00 - 12,460.00
5-Aug-21 21-485 DE JESUS, KIM JEREBELLE D. 942 Interior 19 Bilibid Viejo St. Brgy 391 Quiapo Manila
- 6,230.00 - 6,230.00
5-Aug-21 21-486 MARIANO, MARYSON R. 184 8th Avenue East Extension St. Brgy 102 Grace Park- Caloocan City 18,690.00 - 18,690.00
6-Aug-21 21-487 GAMITEN, CHARLES AIDAN H. 19 E Tuazon St. Brgy San Jose Navotas City - 4,800.00 - 4,800.00
6-Aug-21 21-488 PERIDA, ANITA G. Sampaloc Site Mangga St. Brgy BF Home Parañaque
1,422.90
City - - 1,422.90
6-Aug-21 21-489 ODULIO, JASMINE 316 Magat Salamat St. Brgy Daang Hari Navotas City - 1,750.00 - 1,750.00
6-Aug-21 21-490 GLORI, ROMULO C. BLK 23 LOT 24 COMPOUNT 2 SITIO KABATUHAN4,618.80
St. Brgy GEN T DE LEON VALENZUELA
- CITY - 4,618.80
6-Aug-21 21-491 ENDIAPE, ELENA B. Sitio Santiago St. Brgy Pansoy San Andres Quezon - 3,880.00 - 3,880.00
6-Aug-21 21-492 MACAPAGAL, MARIETTA B. 1287 DM Cmpd. St. Brgy 73 Heroes Del 96 St. Caloocan
11,816.43
City - - 11,816.43
9-Aug-21 21-493 ROLDAN, ALWENIA R. Purok 5 129 St. Brgy Paco Obando Bulacan - 3,880.00 - 3,880.00
9-Aug-21 21-494 RAMOS, MARIA TERESA R. Interior IIB Nazareno St. Brgy Paco Obando Bulacan
4,914.00 - - 4,914.00
9-Aug-21 21-495 BAUTISTA, MARILYN M. Blk 3 Lot 5 Ph3 Mary Cris Homes St. Brgy Bucandala
4,914.00
III Imus Cavite - - 4,914.00
9-Aug-21 21-496 GALANG, CYNTHIA P. 192-E Manuel L. Quezon St. Brgy Lower Bicutan Taguig
345.42
City - - 345.42
9-Aug-21 21-497 BONCALES, ZOSIMA B. 136 Jasmin St. Brgy Bangcal Meycauayan Bulacan4,914.00 - - 4,914.00
9-Aug-21 21-498 APOSTOL, GLORIA V. 54-A Santiago St. Brgy Sipac-Almacen Navotas City
4,527.60 - - 4,527.60
10-Aug-21 21-499 PERSONA, MA. VICTORIA S. 871 St. Brgy Ilang-Ilang Guiguinto Bulacan 9,055.20 - - 9,055.20
10-Aug-21 21-500 MEDINA, EDUARDO Y. 1117 Area A Gate 5 Parola St. Brgy 20, Zone 1 Tondo
4,851.00
Manila - - 4,851.00
10-Aug-21 21-501 OÑEZ, CRESENCIA M. 4 Area 3 Purok 5 Laura St. Brgy Matandang Balara
4,527.60
Quezon City - - 4,527.60
11-Aug-21 21-502 SEE, JOHN PATRICK L. 695 Ilaya St. Brgy Malaban Biñan Laguna 956.30 - 81,184.76 82,141.06
16-Aug-21 21-503 CORTES, JUANITO S. 16 Comercio St. Brgy Tugatog Malabon City 4,527.60 - - 4,527.60
16-Aug-21 21-504 CAMPOS, MANUEL A. 434 Herbosa St. Brgy 83 Tondo Manila 1,592.80 - - 1,592.80
16-Aug-21 21-505 MORA, LILIBETH C. Bagong Sibol Purok 4 St. Brgy Mapulang Lupa Valenzuela
1,422.90City - - 1,422.90
16-Aug-21 21-506 BAJE, NENITA S. 4 Interior P. Juliano Cmpd, P. Santiago St. Brgy Canumay
1,638.00West Valenzuela City - - 1,638.00
16-Aug-21 21-507 DELA CRUZ, ALFONSO C. 738 Josefina St. Brgy 531 Sampaloc Manila - - 35,006.74 35,006.74
16-Aug-21 21-508 LINA, MA. CECILIA C. 15-58 A. Martin St. Brgy Tugatog Malabon City 4,527.60 - - 4,527.60
17-Aug-21 21-509 DE MATEO, RANDY M. 1534 Interior 29 St. Brgy Canonigo Paco Manila 4,527.60 - - 4,527.60
17-Aug-21 21-510 ROSARIO, EVANGELINE P. Blk 8 Lot 7 Jade St. Minahanlat St. Brgy Malanday4,527.60
Marikina City - - 4,527.60
17-Aug-21 21-511 ESGUERRA, JEFFERSON P. 3465 S DELOS SANTOS St. Brgy 198 BO OBRERO TONDO
- MANILA - 65,523.53 65,523.53
17-Aug-21 21-512 INDELIBLE, RUSSEL E. 1502 Tindalo St. Brgy 254 Tondo Manila 4,527.60 - - 4,527.60
17-Aug-21 21-513 CUAL, BELINDA B. 9 Guadalajara St. Brgy 37 2nd Avenue Caloocan City687.40 - - 687.40
14-Aug-21 21-514 RAMOS, ROMEO G. 1996 Int 8 G. Perfecto St. Brgy 157 Tondo Manila - - 38,245.01 38,245.01
18-Aug-21 21-515 ROMERO, ELLEMAE R. Liwliwa St. Brgy Sta MAria Tarlac Tarlac 5,989.00 - - 5,989.00
18-Aug-21 21-516 SUPERIANO, JEFFERSON M. 01 Chico St. Brgy North Signal Village Taguig City5,282.20 - - 5,282.20
18-Aug-21 21-517 MEDINA, EDUARDO Y. 1117 Area A Gate 5 Parola St. Brgy 20, Zone 1 Tondo
4,527.60
Manila - - 4,527.60
20-Aug-21 21-518 LIM, EDWARD C. 40 Manga Ave St. Brgy 581 Sampaloc Manila 1,734.30 - - 1,734.30
23-Aug-21 21-519 LIM, EDWARD C. 40 Manga Ave St. Brgy 581 Sampaloc Manila 1,102.00 - - 1,102.00
23-Aug-21 21-520 NOFUENTE, BELINDA V. 558 C. Purok 3 St. Brgy Sucat Muntinlupa City 2,964.50 - - 2,964.50
23-Aug-21 21-521 CANTILA, MARK KENNETH R. Bldg. 12 Room 204 Paradise Heights St. Brgy 128 Balut,
- Tondo Manila - 7,131.79 7,131.79
24-Aug-21 21-522 PADILLA, DELIA S. 65 Bonna Alley St. Brgy 151 Bagong Barrio Caloocan
1,563.10
City - - 1,563.10
24-Aug-21 21-523 ABEJO, MARIA GEORGIA C. 2082 Pista St. Brgy 352 Sta. Cruz Manila 1,638.00 - - 1,638.00
24-Aug-21 21-524 ADRIANO, JERRY S. 2044 A Rizal Avenue St. Brgy 346 Sta Cruz Manila - - 24,571.66 24,571.66
25-Aug-21 21-525 SANTOS, ROOSEVELT L. 135-E Kapok St. St. Brgy 126 San Jose Caloocan City924.00 - - 924.00
25-Aug-21 21-526 LAZO, LARRY E. 87 12th Ave. St. Brgy 88 Grace Park Caloocan City 432.00 - - 432.00
26-Aug-21 21-527 MALLARI, RICARDO L. 17-B St. Brgy Sto. Niño Parañaque City - - 28,000.00 28,000.00
26-Aug-21 21-528 MARQUEZ, BERTITO G. 833 Matimyas St. Brgy 525 Zone 54 Sampaloc Manila - - 32,924.84 32,924.84
26-Aug-21 21-529 PAJUDPUD, JUDITH A. 1119 laguna Ext. St. Brgy 227 Tondo Manila - - 50,000.00 50,000.00
26-Aug-21 21-530 VIZCARRA, ELISA S. 2105 Bato Ext St. Brgy 150 Tondo Manila 893.10 - - 893.10
23-Aug-21 21-531 GAEN, EDWIN S. 1168 Quiricada St. Abad Santos St. Brgy 239 Tondo Manila
- - 4,543.46 4,543.46
20-Aug-21 21-532 PADILLA, JASMIN B. Phase 5, Package 5, Blk 21, Lot 5 St. Brgy 176 Bagong69.70
Silang Caloocan City 940.00 - 1,009.70

Page 9
 AMOUNT OF MEDICAL SERVICES
LABORATORIES,
DATE CONTROL TOTAL
NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL &
GRANTED NO. HOSPITAL FEES ASSISTANCE
SUPPLIES DIAGNOSTICS
PROCEDURES

22-Aug-21 21-533 GONZALES, ZYN GENOS C. 815 Valdez St. Brgy 568 Sampaloc Manila - - 2,360.00 2,360.00
23-Aug-21 21-534 TAMBILING, RANDY L. 1000 Casteneojos St. Brgy 385 Quiapo Manila - - 116,209.19 116,209.19
23-Aug-21 21-535 PALINO, EMANUEL F. Teofilo St. Brgy Upper Tagpos Binangonan Rizal - - 461,793.79 461,793.79
25-Aug-21 21-536 MONTALBAN, MARIBEL M. 10TH AVE St. Brgy 108 GRACE PARK CALOOCAN CITY- - 181,642.34 181,642.34
27-Aug-21 21-537 MORADOS, JAY M. Brgy Sto. Rosario Masinloc Zambales 1,169.76 - - 1,169.76
27-Aug-21 21-538 ALEJANDRO, GERALDINE C. Blk 9 Lot 62 Camachile Subd. St. Brgy Pasong Camachile
- I Gen. Trias Cavite 776.00 - 776.00
27-Aug-21 21-539 MANUEL, ROGELIO T. 282 P Gomez St. Brgy 67 10th Ave. Caloocan City - 608.00 - 608.00
27-Aug-21 21-540 PASCUA, NORA P. 79 Sampaloc St. Brgy Purok 4 Lower Bicutan Taguig City
- 325.00 - 325.00
27-Aug-21 21-541 TARUC, ALXYQUE DEUX I. Merville Subd 0032 (B)Camia St. Brgy Tanza Navotas City
- - 991.57 991.57
27-Aug-21 21-542 POLICARPIO, RUFINO S. 4367 Sta. Ana Compound St. Brgy Sto. Niño Parañaque-City - 2,968.00 2,968.00
27-Aug-21 21-543 SANCHEZ, JOSE L. Blk 4 Damata St. Brgy Tonsuya Malabon City - - 665.50 665.50
27-Aug-21 21-544 VICENCIO, STEPHANY R. 389 Kaganahan St. Brgy Bagumbayan South Navotas City
- - 470.00 470.00
28-Aug-21 21-545 TOME, SHANE CASSANDRA -. 401-A Perla St. Brgy 68 Zone 6 Tondo Manila - - 1,060.00 1,060.00
28-Aug-21 21-546 MINES, ROBERTO S. 64 Camus Extension St. Brgy Ibaba Malabon City - - 3,780.00 3,780.00
28-Aug-21 21-547 SAFULNO, RIZALINE R. 536 P Rodriguez St. Brgy San Rafael Montalban Rizal - - 2,248.33 2,248.33
28-Aug-21 21-548 BENITEZ, SUSANA G. 1857 Abad Santos St. Brgy 235 Tondo Manila - - 1,890.00 1,890.00
28-Aug-21 21-549 SALVADICO, JOANA C. Block 26 Lot 19 Expansion 2 Heroes Ville 1 St. Brgy Gaya-Gaya
- San Jose Del Monte
- City Bulacan 642.04 642.04
28-Aug-21 21-550 GAMOROT, SAMUEL E. Unit 2121 21/F Crown Tower, Tolentino St. Brgy 396 Sampaloc
- Manila - 1,890.00 1,890.00
31-Aug-21 21-551 VILLARIN, JESSA MAE A. PH10 PKG 4 LOT 23 BLK 52 St. Brgy 176 BAGONG SILANG
- CALOOCAN CITY - 6,707.38 6,707.38
31-Aug-21 21-552 GARCIA, FE B. 2549 -B Topacio St. Brgy 765 Zone 86 San Andres Bukid
- Manila - 4,280.90 4,280.90
31-Aug-21 21-553 NAVARRA, CHARMAGNE JOY L. 2672 Dagupan Ext. St. Brgy 165 Tondo Manila - - 6,597.15 6,597.15
31-Aug-21 21-554 LIGUTAN, JENNEFERE R. Blk3 Lot8 Villa Consuelo Compound, Kingspoint Subd. -St. Brgy Bagbag Sauyo Novaliches
- Quezon
3,633.81
City 3,633.81
31-Aug-21 21-555 MARTINEZ, SHERILEY L. 308 BMBA 2nd St., 5th Avenue St. Brgy 118 Caloocan City
- - 4,199.02 4,199.02
26-Aug-21 21-556 SADANG, MAIRA D. Block 9 Lot 7 Phase 2 San Pedro St. Brgy Queensrow East
- (Molino 3) Bacoor Cavite
- 9,728.55 9,728.55
26-Aug-21 21-557 MARQUEZ, WESLEYROD V. Purok Masinop St. Brgy Agos Agos Infanta Quezon Province
- - 42,161.19 42,161.19
26-Aug-21 21-558 BALDOZA, CARMELITA P. 639 Evangelista St. Brgy Arkong Bato Valenzuela City - - 9,619.99 9,619.99
26-Aug-21 21-559 SAN MIGUEL, BENEDICTO S. Tanada Subd 1035 Lorex Ave. St. Brgy Gen. T. De Leon -Valenzuela City - 8,917.56 8,917.56
27-Aug-21 21-560 TUSTON, JOSHUA WARREN B. SAWATA C3 St. Brgy 28 DAGAT DAGATAN CALOOCAN-CITY - 2,461.30 2,461.30
27-Aug-21 21-561 AGUILAR, MEYNARD V. Block 8 Lot 56 Philippines St., San Marino Subdivision -St. Brgy Salawag Dasmariñas
- City Cavite
32,628.77 32,628.77
27-Aug-21 21-562 GAVIOLA, JONA MAE P. 2041 Makata St. Brgy 354 Sta. Cruz Manila - - 5,940.30 5,940.30
28-Aug-21 21-563 LAROZA, JACK G. 283 Reyes St. Brgy Bangkulasi (NBBN) Navotas City - - 5,622.56 5,622.56
31-Aug-21 21-564 MANA-AY, ELYN MAE B. 459 2nd Avenue St. Brgy 120 Grace Park Caloocan City- - 7,808.33 7,808.33
1-Sep-21 21-565 BURBANO, KRISTINE CLOUIE S. 6219 Sampaguita St. Brgy 18 Caloocan City - - 643.80 643.80
1-Sep-21 21-566 CARANTO, MA. ROCHELLE A. 6445 LIBIS ESPINA St. Brgy 18 CALOOCAN CITY - - 340.00 340.00
1-Sep-21 21-567 REYES, ROBERT P. 2036 Int 16 Pilar Estate A. Francisco St. Brgy 781
10,025.70
Sta. Ana Manila - - 10,025.70
1-Sep-21 21-568 SANCHEZ, AXEL S. 1407 M Dela Fuente St. Brgy 491 Sampaloc Manila - - 179.59 179.59
1-Sep-21 21-569 REGIO, KATRINA M. 5303 Binakod St. Brgy Olympia Makati City - - 1,062.55 1,062.55
1-Sep-21 21-570 MENDEZ, ALLEN KLYDE R. 5303 Binakod St. Brgy Olympia Makati City - - 205.00 205.00
1-Sep-21 21-571 CHAVEZ, JENELYN P. 119 Reparo St. Brgy Potrero Malabon City - - 5,297.91 5,297.91
1-Sep-21 21-572 DE GUZMAN, EDWIN A. 1393 RD 1 BO OBRERO St. Brgy 837 PANDACAN MANILA
- - 600.00 600.00
1-Sep-21 21-573 NAZARENO, AMELIA L. 750 Int 1 Noli Agno St. Brgy 708 Malate Manila - - 3,442.94 3,442.94
1-Sep-21 21-574 RIVERA, EMELDA A. Blk 40 Lot 3 St. Brgy Longos Borromeo Malabon City - - 490.00 490.00
1-Sep-21 21-575 GERON, CONCHITA C. 5513 Donña Marciana Subd Camia St. Brgy Ugong Valenzuela
- City 756.47 - 756.47
1-Sep-21 21-576 MEGIO, NANCY E. Brgy Ilaya Mandaluyong City - - 1,060.00 1,060.00
1-Sep-21 21-577 PENETRANTE, CHRISTOPHER M. 1520 Salmon St. Brgy 8 Dagat-Dagatan Caloocan City - - 530.00 530.00
2-Sep-21 21-578 CATANGAY, ERWIN GEORGE GUMAMELA ST. St. Brgy 598 STA. MESA MANILA - - 2,860.44 2,860.44
2-Sep-21 21-579 ENGADA, MELBA S. Blk 7 Lot 25 Samas Hoa St. Brgy Salinas I Bacoor Cavite- 1,552.00 - 1,552.00
2-Sep-21 21-580 RAMOS, BREZEL F. 25 Pitacion St. Brgy Marulas Valenzuela City - 304.00 - 304.00
2-Sep-21 21-581 CACAL, JACQUELINE S. 784 Josefina St. Brgy 530 Sampaloc Manila - 760.00 - 760.00
2-Sep-21 21-582 SISALDO, JOMAR T. Morning Glory St. Brgy Poblacion san Jose Del Monte Bulacan
- - 2,890.00 2,890.00
1-Sep-21 21-583 AQUISAP, HILARIO C. 2273 LINCEO St. Brgy 862 PANDACAN MANILA - - 60,332.89 60,332.89
2-Sep-21 21-584 PATAG, LUALHATI I. San Lorenzo St. Brgy San Juan Taytay Rizal - - 746.91 746.91
1-Sep-21 21-585 ROSARIO, ISAIAH EARL N. 227 Sitio Gubat St. Brgy Maitim First Amadeo Cavite - - 1,668.47 1,668.47
1-Sep-21 21-586 HOMERES, ELIZABETH A. 6B HOMES St. Brgy 95 CAIBAAN TACLOBAN CITY - - 16,467.95 16,467.95
1-Sep-21 21-587 URSUA, MARIA RICA 2915 A. Bonifacio St. Brgy Poblacion 1 Makati City - - 7,843.37 7,843.37
1-Sep-21 21-588 ANGELES, ESMERALDA F. 21 Atis Road St. Brgy 21 Malabon City - - 6,413.37 6,413.37
2-Sep-21 21-589 MAPALO, LEA P. 631 V. Alindada St. Brgy 535 Sampaloc Manila 614.10 - - 614.10
1-Sep-21 21-590 VALENZUELA, JAYDEN KHALIX S. 443 Little Parañaque St. Brgy Niog II Bacoor Cavite - - 1,949.69 1,949.69
1-Sep-21 21-591 JAGUIO, HAROLD H. PRESTIGE TOWER F ORTIGAS JR AVE St. Brgy SAN ANTONIO
- PASIG CITY - 5,694.46 5,694.46
2-Sep-21 21-592 RAZON, GABRIEL ANTHONY -. 52 A M Blast St. Brgy Hulong Duhat Malabon City - - 720.00 720.00

Page 10
 AMOUNT OF MEDICAL SERVICES
LABORATORIES,
DATE CONTROL TOTAL
NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL &
GRANTED NO. HOSPITAL FEES ASSISTANCE
SUPPLIES DIAGNOSTICS
PROCEDURES

2-Sep-21 21-593 CARREON, EARL SCOTTIE L. 30th, Manila North Cemetery St. Brgy 372 Sta. Cruz Manila
- - 2,350.00 2,350.00
2-Sep-21 21-594 SYQUIO, CONRAD DEO L. F. ROXAS St. Brgy 187 R.PAPA TONDO MANILA - - 720.00 720.00
2-Sep-21 21-595 FLORES, PRECIUS JEN A. 163 Herbosa Extension corner San Sebastian St. Brgy 111
- Tondo Manila - 1,060.00 1,060.00
2-Sep-21 21-596 TORRES, JENNYLYN R. 003 5th West Ave St. Brgy 50 Caloocan City - - 360.00 360.00
2-Sep-21 21-597 MIRANDA, JAISSA JANE D. 48 A Fortune St. Brgy Palasan Valenzuela City - - 3,651.44 3,651.44
2-Sep-21 21-598 INGCO, SIAN LUCKY G. 750 Int. 33 J. Planas St. Brgy 163 Gagalangin, Tondo Manila
- - 530.00 530.00
2-Sep-21 21-599 PANGAN, HERSHEY P. 724 PALAWAN St. Brgy 580 SAMPALOC MANILA - - 2,190.00 2,190.00
2-Sep-21 21-600 BARREDO, CHRISTINE JOY G. 151 D AQUINO St. Brgy 43 2ND AVE GRACE PARK CALOOCAN
- CITY - 4,840.69 4,840.69
2-Sep-21 21-601 PEREZ, LUZ R. 2 MAKABAYAN St. Brgy OBRERO QUEZON CITY - - 1,946.53 1,946.53
2-Sep-21 21-602 RECTO, RAYVEINE P. 832 Oroquieta St. Brgy 310 Zone 31 Sta. Cruz Manila - - 530.00 530.00
2-Sep-21 21-603 CACHO, ARNOLD JR D. 1266 Mithi St. Brgy 41 Tondo Manila - - 530.00 530.00
2-Sep-21 21-604 ARABA, NOMERIANO M. 500 Santol St. Brgy 586 Sta. Mesa Manila - - 360.00 360.00
2-Sep-21 21-605 REYES, CHARLES NOAH S. 2030 F Varona St. Brgy 97 Tondo Manila - - 530.00 530.00
2-Sep-21 21-606 BARROGA, VINCE LENARD P. 1956 ALMEDA St. Brgy 225 TONDO MANILA - - 2,825.00 2,825.00
2-Sep-21 21-607 CINEZA, CLARISSE P. PUROK 6 486 MADHAI HERNANDEZ St. Brgy CATMON- MALABON CITY - 1,420.00 1,420.00
2-Sep-21 21-608 ABDULRAHIM, REEHANA B. 68 SAN AGUSTIN St. Brgy 647 SAN MIGUEL QUIAPO MANILA
- - 4,540.00 4,540.00
2-Sep-21 21-609 VILLOTE, ZANDRA 330 PELAES St. Brgy 149 CALOOCAN CITY - - 470.00 470.00
3-Sep-21 21-610 ACIO, ANNA MARGARITA C. Block 37 Lot 2 Karilagan St., corner Karunungan St., Karangalan
- Village St. Brgy San
- Isidro Cainta
1,890.00
Rizal 1,890.00
3-Sep-21 21-611 MANGUBAT, PRINCE CARLO E. Block 37 Lot 2 Karilagan St., corner Karunungan St., Karangalan
- Village St. Brgy San
- Isidro Cainta
1,890.00
Rizal 1,890.00
3-Sep-21 21-612 AMANCIO, LOLITA A. 245 Lallana St. Brgy 104 Tondo Manila - - 490.00 490.00
3-Sep-21 21-613 GONONG, JOY C. 302 Balimbing St.. V. Mapa St. Brgy 600 Sta. Mesa Manila
- - 2,324.49 2,324.49
3-Sep-21 21-614 MORRIS, JOSEPH VINCENT L Salazar, Biglang Awa Subd, St. Brgy Talipapa Novaliches
- Quezon City - 1,590.00 1,590.00
4-Sep-21 21-615 DAZ, RODISA A. Daang Bakal 2101 Dagupan Ext St. Brgy 155 Tondo Manila
- - 1,122.92 1,122.92
4-Sep-21 21-616 DUERO, PAUL VINCENT 968 Oroquieta St. Brgy 312 Sta Cruz Manila - - 3,180.00 3,180.00
4-Sep-21 21-617 APON, DARLENE L. Lot 1 Blk 12 Tangili St. Brgy Bagbag Bernarte Quezon City
- - 4,148.99 4,148.99
4-Sep-21 21-618 LIMSON, FRANCISCO M. 32 Guadalupe Morning Breeze St. Brgy 83 Caloocan City
- - 1,010.47 1,010.47
4-Sep-21 21-619 BANAGA, GERALDINE B. 33 Kamagong Peria Rd St. Brgy Diliman Quezon City - - 293.89 293.89
4-Sep-21 21-620 ALVEAR, MC ETHAN C. 783 Int 27 Ma Guizon St. Brgy 152 Tondo Manila - - 1,660.00 1,660.00
4-Sep-21 21-621 REGADE, HERMINIA D. 1174 Metrica St. Brgy 506 Sampaloc Manila - - 2,710.00 2,710.00
4-Sep-21 21-622 YGBUHAY, RIZALDY JR. A. 1030 Hermosa Cor. Pilar St. Brgy 199 Tondo Manila - - 839.90 839.90
4-Sep-21 21-623 BULAON, LEONARDO M. 321B Lakandula St. Brgy 33 Zone 3 Tondo Manila - - 530.00 530.00
4-Sep-21 21-624 ORTILLAN, RAFAEL G. 2 Conchita M dela Cruz St. Brgy 127 Pasay City - - 530.00 530.00
4-Sep-21 21-625 ORDOVEZ, AZRIELLA AMORE D. 2106 Vision St. Brgy 351 Sta. Cruz Manila - - 1,060.00 1,060.00
4-Sep-21 21-626 GARCIA, JIMUEL H. 1479 Bajimo St. Brgy 498 Sampaloc Manila - - 530.00 530.00
4-Sep-21 21-627 AGUILAR, PAULA MAE T. Brgy Lawa Obando BUlacan - - 3,020.07 3,020.07
4-Sep-21 21-628 TOLEDO, ANDREI R. 1581 Int 29 F. Varona St. Brgy 67 Tondo Manila - - 1,590.00 1,590.00
4-Sep-21 21-629 RACCA, GEORGE BERZON J. 29 Talisay Evergreen Executive Village St. Brgy San Roque
- Antipolo City Rizal - 18,981.72 18,981.72
5-Sep-21 21-630 LABNAO, JOSEPH G. 081 Area B Gate 46 St. Brgy 275 Parola Binondo Manila- - 1,950.00 1,950.00
5-Sep-21 21-631 PAGDANGANAN, ADRIAN P. 293 Claro M. Recto St. Brgy 12 Tondo Manila - - 762.70 762.70
5-Sep-21 21-632 LACAR, GLORIA M. Blk 8 Section 18 Phase 2 Pabahay 2000 St. Brgy Muzon- San Jose Del Monte Bulacan
- 1,697.02 1,697.02
5-Sep-21 21-633 SARMIENTO, CHAYESELL A. BLK 36 LOT38 GREECE St. Brgy MUZON SAN JOSE DEL- MONTE BULACAN - 3,180.00 3,180.00
5-Sep-21 21-634 VELASCO, JESUS N. Blk 18 Lot 17 Mandarin Homes 1 St. Brgy F De Castro GMA
- Cavite - 530.00 530.00
5-Sep-21 21-635 LUMBERIO, HAIDE C. 110 AP Bonifacio Road St. Brgy 77 Samson Road Caloocan
- City - 2,248.09 2,248.09
5-Sep-21 21-636 PANTUA, RAMUEL RONN M. 528 Sancho Panza St. Brgy 408 Sampaloc Manila - - 1,345.00 1,345.00
5-Sep-21 21-637 PADUA, ADRIENNE CHLYNE R. Block 4 Lot 34 Camachile Subdivision St. Brgy Pascam -1 General Trias Cavite - 6,816.78 6,816.78
5-Sep-21 21-638 TEPACE, RONRON S. 1562 Jose Abad Santos cor.Bambang St. Brgy 254 Tondo
- Manila - 1,629.60 1,629.60
5-Sep-21 21-639 ADRA, JOANN A. 430-A Inocencio St. Brgy 93 Zone 8 Tondo Manila - - 327.60 327.60
5-Sep-21 21-640 MOLINA, CONSOLACION B. 131 Rizal St. Brgy Makinabang Baliwag Bulacan - - 1,475.00 1,475.00
1-Jul-21 21-641 PANELO, LORENA S. Gulod St. Brgy kaingin San Rafael Bulacan - 4,916.00 - 4,916.00
1-Jul-21 21-642 PASCUA, ANJELO V. Estero De Magdalena St. Brgy 259 Tondo Manila - 1,060.00 - 1,060.00
1-Jul-21 21-643 EDONG, JOEMAR E. Blk28 Lot15 St. Brgy Cabuco Trece Martirez Cavite - 530.00 - 530.00
2-Jul-21 21-644 DENDERO, JAIME P. 351 Nadelco St. Brgy 634 Sta. Mesa Manila - 530.00 - 530.00
2-Jul-21 21-645 VELASQUEZ, MERIAM O. 2027 Blk 27 Lot 9 Phase 35 St. Brgy 35 Dagat-Dagatan -Caloocan City 4,320.00 - 4,320.00
5-Jul-21 21-646 CHINGCUANGCO, EVANGELINE D.1211 Vicente Cruz St. Brgy 488 Sampaloc Manila - 720.00 - 720.00
5-Jul-21 21-647 ZARATE, VICTOR D. 597 H MONROY St. Brgy NAVOTAS WEST NAVOTAS CITY
- 900.00 - 900.00
5-Jul-21 21-648 OBZUNAR, ADELAIDA C. R10 Sitio Puting Bato St. Brgy NBBS North Bay Blvd. Navotas
- City 360.00 - 360.00
5-Jul-21 21-649 FLORES, ARMANDO -. 78 Purok Maligaya II St. Brgy Mambugan Antipolo City-Rizal 530.00 - 530.00
6-Jul-21 21-650 SIBUCAO, NATHAN N. Bldg 6, 2nd Flr, Temporary Housing St. Brgy 105 Tondo
- Manila 1,060.00 - 1,060.00
6-Jul-21 21-651 BAUTISTA, RECHAEL A. Purok 6 St. Brgy Sta. Maria Macabebe Pampanga - 530.00 - 530.00
7-Jul-21 21-652 ESPEDIDO, RACHEL M. Block 7 Lot 17 St. Brgy Poblacion 5 General Mariano Alvarez
- Cavite 900.00 - 900.00

Page 11
 AMOUNT OF MEDICAL SERVICES
LABORATORIES,
DATE CONTROL TOTAL
NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL &
GRANTED NO. HOSPITAL FEES ASSISTANCE
SUPPLIES DIAGNOSTICS
PROCEDURES

7-Jul-21 21-653 GARCIA, VILMA T. 748 PAMPANGA St. Brgy 161 TONDO MANILA - 600.00 - 600.00
7-Jul-21 21-654 ERMITA, JOCELYN S. 2830 M Natividad St. Brgy 375 Sta. Cruz Manila - 1,520.00 - 1,520.00
7-Jul-21 21-655 BAJON, BILLY T. 2078 F. Muñoz St. Brgy 738 San Andres Manila - 1,060.00 - 1,060.00
7-Jul-21 21-656 SISTOZA, GREGORLINO T. 583 Antipolo St. Brgy 169 Gagalangin Tondo Manila - 1,590.00 - 1,590.00
7-Jul-21 21-657 CATUBAG, MARILOU B. 115 El Nadorata, 4th Avenue St. Brgy 50 Gracepark Caloocan
- City 360.00 - 360.00
7-Jul-21 21-658 PONPON, RHECIA C. Block 34 Lot 21 Phase 2 Area 2 St. Brgy NBBS Navotas -City 1,520.00 - 1,520.00
7-Jul-21 21-659 PLACER, ALAYSA MARY A. Blk.7 Lot 5 Phase 1 GML Village St. Brgy Lingunan Valenzuela
- City 860.00 - 860.00
7-Jul-21 21-660 MEJICA, ANALIZA R. 56A St. Brgy Balingasa Balintawak Quezon City - 1,835.00 - 1,835.00
8-Jul-21 21-661 LIGUTAN, JENNEFERE R. B3 L2 Villa Consuelo St. Brgy Bagbag Quezon City - 420.00 - 420.00
8-Jul-21 21-662 ABELLADA, JUDITH P. 17 Angela St. Brgy Maysilo Malabon City - 420.00 - 420.00
8-Jul-21 21-663 VELASQUEZ, MERIAM O. 2027 Blk 27 Lot 9 Phase 35 St. Brgy 35 Dagat-Dagatan -Caloocan City 360.00 - 360.00
8-Jul-21 21-664 BAROLA, RODOLFO A. 2211-C Molave St. Brgy 228 Tondo Manila - 360.00 - 360.00
8-Jul-21 21-665 PAGDILAO, TERESITA N. 139 Camia, Magsaysay Village St. Brgy 106 Tondo Manila
- 940.00 - 940.00
8-Jul-21 21-666 JIMENEZ, JULIE ANN T. 109 Tagaytay St. Brgy 130 Caloocan City - 1,060.00 - 1,060.00
8-Jul-21 21-667 DINGLASAN, VICTORIA T. Brgy Puting Kahoy Rosario Cavite - 4,800.00 - 4,800.00
8-Jul-21 21-668 BLAS, RENATO T. Blk 3-A Bagong Silang Queensrow East St. Brgy None Bacoor
- Cavite 4,800.00 - 4,800.00
8-Jul-21 21-669 ADVINCULA, AMELITA M. 9 Tangili St. Brgy Marikina heights Marikina City - 1,900.00 - 1,900.00
8-Jul-21 21-670 ESGUERRA, ANDREA M. B-7 L-2 St. Brgy Silangan San Mateo Rizal - 600.00 - 600.00
8-Jul-21 21-671 GULLE, ROMMEL A. Phase 2 Block3 Lot 282 Green Breeze Subdivision St. Brgy
- San Isidro Rodriguez
530.00
Rizal - 530.00
8-Jul-21 21-672 GALANG, MONICA T. 26 General Tinio St. Brgy 132 Bagong Barrio Caloocan -City 1,235.00 - 1,235.00
9-Jul-21 21-673 RODOLFO, OLIVER I. 725 Int 44 Laon lasan St Dagupan Ext St. Brgy 155 Tondo
- MANILA 1,300.00 - 1,300.00
9-Jul-21 21-674 SISON, RONNIEL B. 295 M.H. del Pilar St. Brgy Libid Binangonan Rizal - 4,800.00 - 4,800.00
9-Jul-21 21-675 ALCANTARA, RITCHIE S. 883 Cristobal St. Brgy 662 Paco Manila - 3,840.00 - 3,840.00
9-Jul-21 21-676 BACAYCAY, MARICEL S. Tabing Dagat St. Bacoor Cavite - 940.00 - 940.00
12-Jul-21 21-677 MARCHA, VIRGIE B. B1, L18, PH3, Dita St. Brgy Sorrento Bacoor Cavite - 80.00 - 80.00
12-Jul-21 21-678 TAPNIO, ALBERTO F. 168 Salazar St. Brgy Parada Valenzuela City - 4,800.00 - 4,800.00
12-Jul-21 21-679 JABAR, AMINA A. 907 R Hidalgo St. Brgy 393 Quiapo Manila - 770.00 - 770.00
12-Jul-21 21-680 SUNGA, VIRGINIA G. Bato St. Brgy 150 Tondo Manila - 1,060.00 - 1,060.00
12-Jul-21 21-681 LLARENA, ALDY 1218 Suarez St. Brgy Daanghari Navotas - 530.00 - 530.00
12-Jul-21 21-682 LACABA, CARIDAD P. 438 Nepomuceno St. Brgy 386 Quiapo Manila - 1,060.00 - 1,060.00
12-Jul-21 21-683 ARGAÑOSA, TRISHA JENNIFER J. 127 Lopez Jaena St. Brgy Burol Majayjay Laguna - 2,535.00 - 2,535.00
12-Jul-21 21-684 JIMENEZ, JULIE ANN T. 109 Tagaytay St. Brgy 130 Caloocan City - 2,295.00 - 2,295.00
5-Jul-21 21-685 MALLARI, FERDINAND C. 1147 Santos Teodoro St. Brgy 196 Tondo Manila - 360.00 - 360.00
13-Jul-21 21-686 QUIAMBAO, NESTOR D. 277 St. Brgy Santo Tanawan Batangas City - 900.00 - 900.00
13-Jul-21 21-687 GREGORIO, JENNYFER S. 6 Masola St St. Brgy Masambong Quezon City - 640.00 - 640.00
13-Jul-21 21-688 RABAGO, FILIPINAS D. 35 Venus St. Brgy Sto. Niño Meycuayan Bulacan - 2,568.00 - 2,568.00
13-Jul-21 21-689 GOZON, NENA E. 753-A Laguna St. Brgy 152 Zone 14 Tondo Manila - 360.00 - 360.00
13-Jul-21 21-690 PIANG, SHIRELYN T. 167 Ruby St. Brgy 122 Tondo Manila - 1,200.00 - 1,200.00
12-Jul-21 21-691 PADLAN, CRISHEN NICOLE D. 86 Santiago St St. Brgy San Antonio Quezon City - 530.00 - 530.00
14-Jul-21 21-692 SERRADILLA, YNER C. Ricarte St. Brgy San Antonio San Pedro Laguna - 530.00 - 530.00
14-Jul-21 21-693 BANGIT, ANDREA JOY D. Block 9 Lot 14 KS 2 St. Brgy Navarro General Trias Cavite
- 1,980.00 - 1,980.00
14-Jul-21 21-694 VALENZUELA, LUISA O. Metro South Village 3, Blk 90, Lot 8, Iowa St. St. Brgy Manggahan
- General Trias
530.00
Cavite - 530.00
14-Jul-21 21-695 GAMBAYAN, MARIA CORAZON T. 204 Baco St. Brgy Laloma Quezon City - 1,360.00 - 1,360.00
14-Jul-21 21-696 ARGAÑOSA, TRISHA JENNIFER J. 127 Lopez Jaena St. Brgy Burol Majayjay Laguna - 360.00 - 360.00
14-Jul-21 21-697 DEL ROSARIO, MA. PILAR S. 68 CEFERINO LIMARDINA St. Brgy MARULAS VALENZUELA
- CITY 130.00 - 130.00
14-Jul-21 21-698 MARBIBI, MA DANICA ELISA P. 213 Padrerada St. Brgy 29 Tondo Manila - 530.00 - 530.00
14-Jul-21 21-699 BULAN, NOEMI MARIE M. B14, L27, WestPlain Subd St. Brgy De Ocampo Trece Martires
- Cavite 3,920.00 - 3,920.00
15-Jul-21 21-700 SOMBRITO, EDWIN S. 152 Iriga St. Brgy Salvacion La Loma Quezon City - 1,300.00 - 1,300.00
15-Jul-21 21-701 LIBUNAO, RHODORA C. 1725 D. Felix Huertas St. Brgy 337 Sta. Cruz Manila - 2,470.00 - 2,470.00
15-Jul-21 21-702 JULIAN, RYAN DAVE D. B8 L17 Tupaz St Golden Ville II Subd St. Brgy Sabang Dasmariñas
- Cavite 4,800.00 - 4,800.00
16-Jul-21 21-703 CAPARAS, KEVIN J. 439 Purok 6 St. Brgy Bigaa Cabuyao Laguna - 530.00 - 530.00
16-Jul-21 21-704 SANTOS, MOISES ANGELO R. 123 Bayanihan St. Brgy 159 Baesa Caloocan City - 720.00 - 720.00
16-Jul-21 21-705 BAROLA, RODOLFO A. 2211-C Molave St. Brgy 228 Tondo Manila - 530.00 - 530.00
16-Jul-21 21-706 BONCATO, ROMEO R. Block 5 Lot 38 Area G St. Brgy Poblacion 5 General Mariano
- Alvarez Cavite 360.00 - 360.00
16-Jul-21 21-707 GARSIN JR, ODILON L. 34 Bisig Nayon St. Brgy 4 Sangandaan Caloocan City - 650.00 - 650.00
19-Jul-21 21-708 DIONISIO, KENNETH L. 377 SITIO COLONIA St. Brgy GABIHAN SAN ILDEFONSO
- BULACAN 1,590.00 - 1,590.00
19-Jul-21 21-709 MENESES, SALVADOR D. 73 A Bonifacio St St. Brgy Tugatog Malabon City - 800.00 - 800.00
19-Jul-21 21-710 LLOYD, JEROME WENDELL - 4,500.00 - 4,500.00
19-Jul-21 21-711 VICLAR, JULUIS G. 309 A Ibañes St. Brgy San Vicente Angono Rizal - 530.00 - 530.00
22-Jul-21 21-712 PANLILIO, LUCIANO S. 267 Matimtiman St. Brgy 28 Tondo Manila - 4,800.00 - 4,800.00

Page 12
 AMOUNT OF MEDICAL SERVICES
LABORATORIES,
DATE CONTROL TOTAL
NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL &
GRANTED NO. HOSPITAL FEES ASSISTANCE
SUPPLIES DIAGNOSTICS
PROCEDURES

23-Jul-21 21-713 GALIDO, PRINCES JOY 1206 Barangay Gen. T De Leon, Valenzuela City - - 7,127.49 7,127.49
26-Jul-21 21-714 REBLANDO, GREGORIO M. Blk49 Lot 52 Alupihan St. Brgy Longos Malabon City - 530.00 - 530.00
16-Jul-21 21-715 NADAYAO, EDWARD E. Bldg 12 Unit 301 Paradise Height Rodriguez St. Brgy 128
- Balut Tondo Manila360.00 - 360.00
26-Jul-21 21-716 CRUZ, BRYAN M. 2448 Gapan Callejo St. Brgy 172 Gagalangin Tondo Manila
- 530.00 - 530.00
21-Jul-21 21-717 LARITA, JULITO C. 42 Int. St. Brgy Paco Obando Bulacan` - 1,595.00 - 1,595.00
26-Jul-21 21-718 ZURITA, FERADY B. 150 Marulas A. St. Brgy 36 Caloocan - 360.00 - 360.00
28-Jul-21 21-719 LOPEZ, RAINLYN A. 604 Mejorada St. Brgy 63 Tondo Manila - 1,060.00 - 1,060.00
28-Jul-21 21-720 DELOYAS, DAVE HARVEY R. 135 E. Ramos Drive St. Brgy 168 Deparo Caloocan City- 530.00 - 530.00
28-Jul-21 21-721 PIDLAOAN, ELIZABETH P. 2927 Bagac St. Brgy 205 Tondo Manila - 530.00 - 530.00
29-Jul-21 21-722 FUENTES Jr., ANTONIO B. Gate 17 Area D St. Brgy 20 Parola, Tondo Manila - 530.00 - 530.00
29-Jul-21 21-723 CURIANO, ARISTON R. 2012 Silahis St. Brgy 782 Sta. Ana Manila - 530.00 - 530.00
30-Jul-21 21-724 MIRA, GIRVO M. 0040 Sitio Elang St. Brgy San Francisco General Trias Cavite
- 1,060.00 - 1,060.00
30-Jul-21 21-725 BURDEOS, NOEL E. 0462 St. Brgy Tapia Imus Cavite - 530.00 - 530.00
30-Jul-21 21-726 EDONG, JOEMAR E. Blk28 Lot15 St. Brgy Cabuco Trece Martirez Cavite - 530.00 - 530.00
30-Jul-21 21-727 CABERTE, JOHN CARLO F. B26 L18 North Ville II St. Brgy Bignay Valenzuela City - 1,060.00 - 1,060.00
30-Jul-21 21-728 CRUZ, GEMMA A. 753 Int. 8 Raxabago St. Brgy 160 Tondo Manila - 1,060.00 - 1,060.00
27-Jul-21 21-729 Torres, Dina S. 232 Kaingin St. Brgy San Rafael Bulacan - 2,680.00 - 2,680.00
4-Aug-21 21-730 ESTARIZ, PELITA P. 301 11th St St. Brgy 93 Gracepark Caloocan City - 2,156.00 - 2,156.00
4-Aug-21 21-731 LUBIS, ELIZABETH C. 159 F. Manalo St. Brgy Kabayanan San Juan 5,989.00 - - 5,989.00
11-Aug-21 21-732 MARIANO, NATHALIE JOY B. 571 Benita St. Brgy 180 Tondo Manila - 1,235.00 - 1,235.00
11-Aug-21 21-733 RELOX, TRINIDAD C. 329 Marulas A St. Brgy 36 Caloocan City - 2,600.00 - 2,600.00
12-Aug-21 21-734 REYES, ISABELO A. 8281 Romblon St. Brgy 541 Sampaloc Manila - 4,080.00 - 4,080.00
20-Aug-21 21-735 ALBERTO, JOCELYN L. 15 Jasmin St. Brgy Capri Novaliches Quezon City - 4,600.00 - 4,600.00
24-Aug-21 21-736 CORDON, MAGDALENA C. 1124 San Sebastian St. Brgy 111 Gagalangin Tondo Manila
- 400.00 - 400.00
24-Aug-21 21-737 PULIDO, ELVIRA B. Block 9 Lot 25 Model Community St. Brgy 72 Tondo Manila
- 2,000.00 - 2,000.00
27-Aug-21 21-738 SANTOS, ANSHERINA JOY R. B48 L36 Martiniko St St. Brgy Longos Malabon City294.60 - - 294.60
31-Aug-21 21-739 ROXAS, ELIZABETH L. 107 Int. 7 Loreto St. Brgy 420 Sampaloc Manila 1,215.50 - - 1,215.50
24-Aug-21 21-740 BARBOZA, CARLOS A. 14 MH Del Pilar St. Brgy Tugatog Malabon City - - 18,285.86 18,285.86
3-Sep-21 21-741 GO, JOEL U. 33 3rd Paliparan Subdivision St. Brgy Sto. Niño Marikina
- City - 11,026.03 11,026.03
4-Sep-21 21-742 LUMANLAN, DANILYN A. 085 BLISS St. Brgy LABAC NAIC CAVITE - - 6,437.00 6,437.00
6-Sep-21 21-743 PALAFOX, EMERSON P. Block 4 Lot 6 Juta Compound Bambang Ni Peles St. Brgy
- Sta. Ana Taguig City 247.80 - 247.80
6-Sep-21 21-744 FERNANDEZ, MARICHU M. 4 North Lane Jem 2 Homes St. Brgy Pasong Tamo Quezon
- City 760.00 - 760.00
6-Sep-21 21-745 JAZON, BG JENNYLYN Bldg 19 Unit 406 Permanent Housing St. Brgy 128 Balut,
- Tondo Manila - 250.00 250.00
6-Sep-21 21-746 JAZON, JENNYLYN N. Bldg 19 Unit 406 Permanent Housing St. Brgy 128 Balut,
- Tondo Manila - 831.91 831.91
6-Sep-21 21-747 SUMADSAD, JEZEIL L. 0361 Rose St. Brgy Biclatan General Trias Cavite - - 6,097.60 6,097.60
6-Sep-21 21-748 LOPEZ, JOHN MATTHEW 991 Int 12 Morong St. Brgy 198 Tondo Manila - - 1,250.00 1,250.00
6-Sep-21 21-749 PINGCO, MA. TERESA A. 23 Paglinawan St. Brgy San Antonio Parañaque City
1,704.30 - - 1,704.30
6-Sep-21 21-750 CASINILIO, AILEEN C. 558 P Burgos St. Brgy Hagdang Bato Itaas Mandaluyong
- City 940.00 - 940.00
6-Sep-21 21-751 GERABAN, DOLORES O. 004 Samonte Road St. Brgy Nagkaisang Nayon Novaliches
745.07 Quezon City 1,128.00 - 1,873.07
6-Sep-21 21-752 RODICOL, MA. ALLISON D. 2409 Isagani St. Brgy 369 Sta. Cruz Manila - - 595.00 595.00
6-Sep-21 21-753 DELA CRUZ, MA. CORAZON B. 2409 Isagani St. Brgy 369 Sta. Cruz Manila - - 5,667.90 5,667.90
6-Sep-21 21-754 GUTIERREZ, BEATRIZ E. 24 F.Carlos St. Brgy Apolonia Samson Quezon City - 1,202.99 - 1,202.99
6-Sep-21 21-755 ENRIQUEZ, TERESITA N. 621-A Pitong Gatang St. Brgy 78 Tondo Manila - - 1,060.00 1,060.00
6-Sep-21 21-756 FABUL, SANDRA L. B4 L21 Sampaloc St. Brgy Golden Acres Las Piñas City - - 6,706.09 6,706.09
6-Sep-21 21-757 CARREON, JOSE ROMEO D. 34-1C Fellow 1 Subdivision St. Brgy Rincon Valenzuela- City - 1,000.00 1,000.00
3-Sep-21 21-758 TAMAYO, JOANAMARIE E. 813 ENDAYA St. Brgy 53 DAGUPAN TONDO MANILA - - 6,449.80 6,449.80
3-Sep-21 21-759 MAGPURI, APRILYN Purok 2 St. Brgy Santol Tanza Cavite - - 3,309.57 3,309.57
4-Sep-21 21-760 TUMALAD, MARIVIC A. 53 Commonwealth Avenue St. Brgy Holy Spirit Quezon- City - 6,623.77 6,623.77
4-Sep-21 21-761 COLECO, PAUL NATHANIEL M. 255 Sampaguita St. Brgy Tagalag Valenzuela City - - 2,593.85 2,593.85
4-Sep-21 21-762 PAÑA, JOHN ZENVER ECO C. 56 E-Branches St. Brgy Project 8 QUEZON CITY - - 3,524.88 3,524.88
4-Sep-21 21-763 SORIANO, JAM-RICHELL F. 1006 I. Delos Reyes, Yuseco St. Brgy 232 Tondo Manila- - 6,345.79 6,345.79
4-Sep-21 21-764 RAMOS, MANILYN D. 11 TM Kalao Tura Kura St. Brgy Tandang Sora Quezon-City - 4,630.26 4,630.26
4-Sep-21 21-765 EUGENIO, RODOLFO V. Blk 14 Lot 15 Maravilla Subdivision, Alberta St. Brgy Francisco
- General Trias Cavite
- 2,694.54 2,694.54
6-Sep-21 21-766 TOTING, RACQUEL Y. 46 F. Guido 4 St. Brgy 33 Maypajo Caloocan City - - 130.00 130.00
6-Sep-21 21-767 OGSILA, ABIGAIL G. 186 D Ampil St. Brgy 631 Sta.Mesa Manila - - 521.59 521.59
6-Sep-21 21-768 ROSAS JR, RICHARD C. Road 10 Sitio Puting Bato St. Brgy NBBS Proper Navotas
- City - 3,267.67 3,267.67
6-Sep-21 21-769 VILLAR, ROEL JR D. 181 El Sol Subd St. Brgy 3 Cabuyao Laguna - - 530.00 530.00
6-Sep-21 21-770 MONTEROSO, JOHN MICHAEL C. BLDG 2 UNIT 520 PERMANENT HOUSING St. Brgy 128- BALUT TONDO MANILA - 530.00 530.00
6-Sep-21 21-771 LIU, BETTY C. 2749 Rizal Ave. cor. Pampanga St. Brgy 210 Tondo Manila
- - 2,190.00 2,190.00
7-Sep-21 21-772 PAGUIO, NOEL O. 2447 L. Rivera St. Brgy 364 Sta. Cruz Manila - - 300.30 300.30

Page 13
 AMOUNT OF MEDICAL SERVICES
LABORATORIES,
DATE CONTROL TOTAL
NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL &
GRANTED NO. HOSPITAL FEES ASSISTANCE
SUPPLIES DIAGNOSTICS
PROCEDURES

7-Sep-21 21-773 SALVADOR, VIRGINIA M. 1416 Lorenzo St. Brgy 361 Sta. Cruz Manila - - 244.50 244.50
7-Sep-21 21-774 BOLLER, RODELYN C. BLK -D7 LOT 8 St. Brgy SAN NICOLAS 1 DASMARIÑAS -CAVITE - 840.00 840.00
8-Sep-21 21-775 TOVILLO, JENIFE V. 344 Narra St. Brgy Tagbang Lubang Occidental Mindoro
- - 1,160.00 1,160.00
8-Sep-21 21-776 LUZONG, NANETH N. 9 Chico Blk 37 St. Brgy Addition Hills Mandaluyong131.26
City - - 131.26
8-Sep-21 21-777 ISRAITA, LEANDRO D. Purok 4 St. Brgy Umpucan San ildefonso Bulacan1,432.70 - - 1,432.70
8-Sep-21 21-778 CLAVITA, MARITES B. Nstra Sra. del Rosario St. Brgy 3 Laoag Ilocos Norte131.26 - - 131.26
8-Sep-21 21-779 MORALES, JEUS KRISTIAN M. 7 Bernadette St. Brgy 59 Grace Park Caloocan - - 1,890.00 1,890.00
7-Sep-21 21-780 TAGLE, MARLISA C. 813 Building C.M. Recto St. Brgy None Sampaloc Manila
- - 31,621.39 31,621.39
8-Sep-21 21-781 ESPIRITU, MERCEDES I. 306 INT 9 L NADURATA St. Brgy 43 3RD AVE CALOOCAN
- CITY 304.00 - 304.00
7-Sep-21 21-782 LABRADOR, MICHAEL B. Balbarosa St. Brgy Bubog II San Jose Occidental Mindoro
- - 41,088.74 41,088.74
8-Sep-21 21-783 HERMINIA PANGILINAN Brgy.161, Baesa Caloocan City - - 640.00 640.00
7-Sep-21 21-784 SARITO, EDDIE M. 1 DIEGO DILANG St. Brgy PAGASA SAN JOSE OCCIDENTAL
- MINDORO - 89,226.15 89,226.15
8-Sep-21 21-785 AGUILAR, CEZAR M. 4377 B34 L8 P2 M3 St. Brgy 35 Dagat-Dagatan Caloocan
- City - 2,250.00 2,250.00
7-Sep-21 21-786 JIMENEZ, ROSEMARIE F. 1722-A Ibarra St. Brgy 492 Zone 49 Sampaloc Manila - - 5,602.60 5,602.60
7-Sep-21 21-787 SAN PEDRO, ROYLEE 2611 SAN JOSE St. Brgy 838 PANDACAN MANILA - - 80.82 80.82
7-Sep-21 21-788 PANTOJA, MELJHUN G. 98 STA ELENA St. Brgy 102 TONDO MANILA - - 177.15 177.15
7-Sep-21 21-789 CUÑA, ROGELIO N. Creekland Blk 4 Lot 82 Acasia St. Brgy Hagonoy Taguig- City - 7,957.62 7,957.62
7-Sep-21 21-790 ALSADO, MYLENE V. B2 L28 Ciudad Grande PH 2 Brgy. Lawa Meycauayan City
- Bulacan - 8,192.76 8,192.76
8-Sep-21 21-791 BINAYOG, NESTOR S. 880 Moriones St. Brgy 48 Tondo Manila - - 1,413.23 1,413.23
8-Sep-21 21-792 BRON, ERICO LORENZO C. 24 Oscaris St. Brgy 384 Quiapo Manila - - 1,060.00 1,060.00
8-Sep-21 21-793 ANORE, ROMULO B. Blk 24 Lot 10 Northville 1 St. Brgy Bignay Valenzuela City
- - 530.00 530.00
8-Sep-21 21-794 JOSE, JOSEPH M. 112 Quirino St. Brgy 116 Zone 9 Tondo Manila - - 1,060.00 1,060.00
8-Sep-21 21-795 SANTIAGO, SALVACION C. 3434 West Vigan St. Brgy 570 Sampaloc Manila - - 1,656.65 1,656.65
9-Sep-21 21-796 SANCHEZ, JACKIE LOU F. 2611-K Jesus St. Brgy 836 Pandacan Manila - - 2,020.00 2,020.00
9-Sep-21 21-797 PLANTA, GLORIA S. 1577 B. Barrio Kapampangan St. Brgy 869 Zone 95 Sta.- Ana Manila - 2,905.87 2,905.87
9-Sep-21 21-798 NIU, JENILYN G. 223 Bagong Nayon St. Brgy Bagbaguin Valenzuela City- - 1,893.00 1,893.00
9-Sep-21 21-799 EVANGELISTA, EVANGELINE M. 267 MGR Gate 1 St. Brgy Malabanban Norte Candelaria- Quezon 760.00 - 760.00
6-Sep-21 21-800 VILLAFLOR, LOURD 87 L3 LRT SITE St. Brgy GREGORIA DE JESUS GMA CAVITE
- - 99,494.48 99,494.48
6-Sep-21 21-801 ALAS, MICHELLE V. 120 Katipunan St. Brgy 38 2nd Avenue Caloocan City - - 6,603.05 6,603.05
6-Sep-21 21-802 GASMEN, JAMES GENESIS P. 191 8th Ave Ext St. Brgy 105 Caloocan City - - 761.18 761.18
6-Sep-21 21-803 PRUDENTE, ANTON N. Brgy Sapa II Rosario Cavite - - 4,060.14 4,060.14
6-Sep-21 21-804 SANCHEZ, AXEL S. 1407 M Dela Fuente St. Brgy 491 Sampaloc Manila - - 12,143.24 12,143.24
8-Sep-21 21-805 RIVERAL, CHRISTELLE ANN S. 1146 DAISY SITIO GITNA St. Brgy 166 CAYBIGA CALOOCAN
- CITY - 49,482.20 49,482.20
8-Sep-21 21-806 BUMAGAT, ANNABELLE C. 1738 Antipolo corner Oroquieta St. Brgy 349 Sta. Cruz-Manila - 24,994.43 24,994.43
8-Sep-21 21-807 LETRODO, JUVILYN L. 17 Maliksi St. Brgy Pinyahan Quezon City - - 16,661.47 16,661.47
8-Sep-21 21-808 SABIDO, KATHERINE MAY R. 216 A Santos St. Brgy Malinta Valenzuela City - - 928.87 928.87
8-Sep-21 21-809 BAYAN, LYZA E. 47 Bronze St. Brgy Tugatog Malabon City - - 5,958.30 5,958.30
8-Sep-21 21-810 ARAGON, BABYLIN Q. 75 Araneta Ave St. Brgy Potrero Malabon City - - 9,698.32 9,698.32
23-Aug-21 21-811 EGANO, GLORIA H. 204 Sitio Maligaya St. Brgy Baclaran Parañaque City - - 3,380.90 3,380.90
23-Aug-21 21-812 CAPANGPANGAN, MC CHARLIE S.Blk 15 138 Baseco Compound St. Brgy 649 Port Area Manila
- - 2,120.00 2,120.00
26-Aug-21 21-813 REFORMINA, ROQUE P. 300 Governor Pascual Sitio 6 St. Brgy Catmon Malabon- City - 1,825.01 1,825.01
26-Aug-21 21-814 BESA, BHANRI D. Callejon 1 Sulucan St. Brgy Hulong Duhat Malabon City- 960.00 - 960.00
26-Aug-21 21-815 PEÑAMANTE, SUNSHINE O. 2708 Legarda St. Brgy 410 Sampaloc Manila - - 8,380.85 8,380.85
28-Aug-21 21-816 GAMOROT, ROWENA E. Unit 2121 21/F Crown Tower, Tolentino St. Brgy 396 Sampaloc
- Manila - 1,890.00 1,890.00
28-Aug-21 21-817 TAMAYO, JANIS D. 2162 C. Tuazon St. Brgy 739 San Andres, Malate Manila- - 470.00 470.00
28-Aug-21 21-818 ORTECIO, MARIVIC C. 2262 Muñoz St. Brgy 733 Malate Manila - - 9,040.15 9,040.15
28-Aug-21 21-819 MANSANO, ELENA D. 835 Salazar St. Brgy 296 Binondo Manila - - 171.00 171.00
28-Aug-21 21-820 BOY, KEONNA CHLOE D. 5149 San Vicente Ferrer St. Brgy 178 Caloocan City - - 2,976.71 2,976.71
28-Aug-21 21-821 HERNANDEZ, EDWARD H. 24th St. Brgy 372 Manila North Cemetery, Sta. Cruz Manila
- - 615.50 615.50
28-Aug-21 21-822 ARAOAG, NARCISO B. 1909 Alley 2 Bocobo St. Brgy 702 Malate Manila - - 530.00 530.00
28-Aug-21 21-823 CHU, CHAD KLAUZ E. 707 C. Namie St. Brgy 25 Caloocan City - - 1,432.85 1,432.85
28-Aug-21 21-824 MORES, ANGELICA Purok 6 St. Brgy 2 Calamba Laguna - - 1,640.00 1,640.00
28-Aug-21 21-825 BARRAQUIO, DENMARC H. 8 Canonigo St. Brgy 824 Paco Manila - - 530.00 530.00
28-Aug-21 21-826 TABAGAN, DINDO C. 2148 C. Granate St. Brgy 795 San Andres Bukid, Malate- Manila - 1,890.00 1,890.00
28-Aug-21 21-827 AVIÑANTE JR., JACINTO L. 111 Naval St. Brgy Baritan Malabon City - - 541.93 541.93
28-Aug-21 21-828 MANOS, ZYRIL JANE G. 1113 Narra St. Brgy 242 Tondo Manila - - 1,368.19 1,368.19
28-Aug-21 21-829 EBUNA, AMELITA A. 588 A Magtanggol St. Brgy 29 Maypajo Caloocan City - - 1,320.19 1,320.19
29-Aug-21 21-830 GUNABE, YOLANDA T. Blk 4 Lot 9 Francisco Homes 3 St. San Jose Del Monte City
- Bulacan - 740.00 740.00
29-Aug-21 21-831 SALUT, SHAMZEY EUNICE C. 1193 Mabuhay St. Brgy 39 Tondo Manila - - 530.00 530.00
29-Aug-21 21-832 BINUYA, ACHILLES JR. A. 201 Malonzo St. Brgy 74 Caloocan City - - 530.00 530.00

Page 14
 AMOUNT OF MEDICAL SERVICES
LABORATORIES,
DATE CONTROL TOTAL
NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL &
GRANTED NO. HOSPITAL FEES ASSISTANCE
SUPPLIES DIAGNOSTICS
PROCEDURES

29-Aug-21 21-833 CALVO, ADELAIDA S. 35 Brixton Hill Araneta St. Brgy Santol Quezon City - - 597.35 597.35
29-Aug-21 21-834 DILAG, RHEA P. B35 L49 Marilao Grand Villas St. Brgy Loma De Gato Marilao
- Bulacan - 910.95 910.95
29-Aug-21 21-835 OBANA, JB D. 120 Laurel St. Don Bosco St. Brgy 116 Tondo Manila - - 530.00 530.00
29-Aug-21 21-836 BACULANTA, ROWVEN P. 94 PASIG EXT St. Brgy 35 DEPARO CALOOCAN CITY - - 3,180.00 3,180.00
29-Aug-21 21-837 ECO, BENJIE P. Aroma Bldg. 27 Unit 71 St. Brgy 105 Tondo Manila - - 1,060.00 1,060.00
29-Aug-21 21-838 CIRO, JEFFREY P. NAPOCOR St. Brgy Poblacion II Ternate Cavite - - 720.00 720.00
29-Aug-21 21-839 DEALAGDON, AIYANA C. Blk 5 Aguinaldo St. Brgy 105 Tondo Manila - - 1,060.00 1,060.00
29-Aug-21 21-840 SY, MERY E. Block 3 Lot 80 Phase 2 Area 3 St. Brgy Longos Dagat-Dagatan
- Malabon City - 947.60 947.60
29-Aug-21 21-841 LUMABAS, DANIELA ELLA B. 1745 F. Varona St. Brgy 85 Tondo Manila - - 1,060.00 1,060.00
29-Aug-21 21-842 CABAHUG, FRANCIS RYE V. 256 Area C Gate 54 Parola Compound St. Brgy 275 Zone
- 25 Binondo Manila - 530.00 530.00
29-Aug-21 21-843 FRANCISCO, AILEEN D. Block 3 Lot 26 Cattleya St. Brgy NBBS Navotas City - - 1,235.00 1,235.00
29-Aug-21 21-844 BERNUS, MHAYZEL FAYE -. 700 Felina St. Brgy 429 Sampaloc Manila - - 1,911.85 1,911.85
29-Aug-21 21-845 MADRAZO, BERNADETTE ANNE M.
2525 Onix St. Brgy 775 San Andres Bukid Manila - - 530.00 530.00
29-Aug-21 21-846 MANGAO, VON DARYLL B. 459 Saturn, Del Rey 3, Sta Quiteria St. Brgy 162 Caloocan
- City - 5,380.00 5,380.00
29-Aug-21 21-847 MANUEL, ROMMEL B. 751 Camba St. Brgy 272 Binondo Manila - - 1,117.20 1,117.20
29-Aug-21 21-848 MARTINEZ, JIDEON Blk 46 Lot 33 St. Brgy Longos Malabon City - - 600.80 600.80
29-Aug-21 21-849 ELIGARCO, DARREL M. Road 10 Bldg 17 Rooftop St. Brgy 105 Katuparan Vitas-Tondo Manila - 1,060.00 1,060.00
29-Aug-21 21-850 MENSORADO, LYN MHEL MARK P.1131 D. Eugenio St. Brgy 831 Otis, Paco Manila - - 210.00 210.00
29-Aug-21 21-851 HORTELANO, GRACE P. Bldg. C 307 Kagitingan St. Brgy 43 Tondo Manila - - 1,074.26 1,074.26
29-Aug-21 21-852 BALAGASAY, JP B. 917 San Simon St. Brgy 18 Tondo Manila - - 1,060.00 1,060.00
29-Aug-21 21-853 PELIGRINO, JOVELITA A. 4588 Everlasting St., San Vicente St. Brgy 178 Camarin-Caloocan City - 1,032.40 1,032.40
30-Aug-21 21-854 SALAZAR, DENNIS M. 14 U Howmart Road St. Brgy Apolonio Samson Quezon- City - 2,025.00 2,025.00
31-Aug-21 21-855 BERNARDO, ANGELICO R. 2173 Santisima St. Brgy 539 Zone 53 Sampaloc Manila- - 286.13 286.13
31-Aug-21 21-856 DOROMAL, CRISTINA D. 160 Raminad St. Brgy 154 Bagong Barrio Caloocan City- - 1,627.44 1,627.44
31-Aug-21 21-857 REYES, ROMEO R. BLK 3 LOT22B PAR HOMES 3 C5 EXT St. Brgy LAHUERTA
- PARAÑAQUE CITY - 360.00 360.00
31-Aug-21 21-858 NOVEDA, MYRNA R. 723 San Sebastian St. Brgy 390 Sta. Cruz Manila - 608.00 - 608.00
31-Aug-21 21-859 SALDE, TEODYLYN S. 145 Pano St. Brgy Baesa Quezon City - - 1,218.90 1,218.90
31-Aug-21 21-860 CACAL, JACQUELINE S. 784 Josefina St. Brgy 530 Sampaloc Manila - 608.00 - 608.00
31-Aug-21 21-861 DAA, VERNADY F. Cugon St. Brgy 83-B San Jose Tacloban - 608.00 - 608.00
31-Aug-21 21-862 SIOSON, JOHANNA V. B10 L126 Southville HC St. Brgy San Isidro Rodriguez Rizal
- 608.00 - 608.00
31-Aug-21 21-863 FERNANDEZ, MARICHU M. 4 North Lane Jem 2 Homes St. Brgy Pasong Tamo Quezon
- City 608.00 - 608.00
31-Aug-21 21-864 FLORALDE, NENETH G. 198 Guijo Alley St. Brgy 152 Bagong Barrio Caloocan
131.26
City - - 131.26
31-Aug-21 21-865 PADILLA, JASMIN B. Phase 5, Package 5, Blk 21, Lot 5 St. Brgy 176 Bagong
131.20
Silang Caloocan City 940.06 - 1,071.26
31-Aug-21 21-866 PABLO, CORNELIA I. 2 F Lazaro St. Brgy Canumay West Valenzuela City 608.00 - - 608.00
31-Aug-21 21-867 MIANO, MARITESS C. 351 Padre Rada St. Brgy 25 Tondo Manila - 1,480.00 - 1,480.00
31-Aug-21 21-868 CASTILLO, BEATRIZ A. 19 Doña Juana St. Brgy Potrero Malabon City - - 439.58 439.58
31-Aug-21 21-869 REYES, MARRY JANE A. 1076 A. Bonifacio St. Brgy Balingasa Balintawak Quezon
- City 608.00 - 608.00
31-Aug-21 21-870 FLORENDO, CHARIE C. Purok 1 St. Brgy Parian Calamba City Laguna 131.26 - - 131.26
31-Aug-21 21-871 ESPIRITU, MERCEDES I. 306 INT 9 L NADURATA St. Brgy 43 3RD AVE CALOOCAN
- CITY 456.00 - 456.00
31-Aug-21 21-872 CARPIO, MARY JANE O. 146 P. Zamora St. Brgy 19 Caloocan City - - 530.00 530.00
29-Aug-21 21-873 BILOG-UY, NEHEMIAH LIZA A. 5002 14th St. Brgy Sto. Niño Parañaque City - - 8,954.38 8,954.38
31-Aug-21 21-874 MARIN, EDUARDO S. 54-2 B. Mariano St. Brgy Sta. Ana San Mateo Rizal - - 31,467.36 31,467.36
31-Aug-21 21-875 NUMBRADO, JENIFFER M. Blk 19 Lot 14 Ph 3 Carissa Homes St. Brgy Bagtas Tanza
- Cavite - 14,616.07 14,616.07
31-Aug-21 21-876 DEL ROSARIO, FERNANDO R. 21 Esguerra St. Brgy Flores Malabon City - - 62,582.00 62,582.00
31-Aug-21 21-877 MAGAMPO, MARIA LUZ G. 10 C. Perez St. Brgy Tonsuya Malabon City - - 31,918.51 31,918.51
28-Aug-21 21-878 DE JESUS, KIM JEREBELLE D. 942 Interior 19 Bilibid Viejo St. Brgy 391 Quiapo Manila
- - 9,688.62 9,688.62
31-Aug-21 21-879 DIZON, AZALEA CHARLOTTE B. 49 Espiritu Comp St. Brgy UPS V Sucat Parañaque City- - 13,671.44 13,671.44
31-Aug-21 21-880 GRAJO, MARIONNE LEIGH A. Blk 45 Lot 1 Recoville 1, Ph3, Deparo II St. Brgy 170 Caloocan
- City - 7,992.72 7,992.72
31-Aug-21 21-881 BONDALO, JESSA MAE B. 2447 Oro B St. Brgy 770 San Andres Bukid Manila - - 4,842.89 4,842.89
28-Aug-21 21-882 CLEMEN, GADY MA ELIZABETH G.1412 Area B Gate 10 St. Brgy None Parola Tondo Manila
- - 26,416.64 26,416.64
28-Aug-21 21-883 RUBIO, JOSEPH JOON R. 14 General San Miguel St. Brgy 8 Sangandaan Caloocan- City - 8,526.23 8,526.23
28-Aug-21 21-884 NIEVERA, LYN CYROSE B. 227 Sitio Gubat St. Brgy Maitim First Amadeo Cavite - - 7,856.94 7,856.94
28-Aug-21 21-885 RAMOS, BREZEL F. 25 Pitacion St. Brgy Marulas Valenzuela City - - 20,282.71 20,282.71
28-Aug-21 21-886 MOVILLA, BENITA S. 178 Moderna St. Brgy 146 Tondo Manila - - 17,810.98 17,810.98
31-Aug-21 21-887 PAKIN, CHRISTOPHER S. 961 DH Cano St. Brgy 310 Sta. Cruz Manila - - 485.00 485.00
28-Aug-21 21-888 CARMONA, PATRICIA MARIE L. 1573 J. Matienza St. Brgy 640 San Miguel Manila - - 21,612.02 21,612.02
28-Aug-21 21-889 TUDLA, MICAELLA L. 56 Mejorada St. Brgy 62 Tondo Manila - - 6,635.25 6,635.25
23-Aug-21 21-890 REYES, ROMEO R. BLK 3 LOT22B PAR HOMES 3 C5 EXT St. Brgy LAHUERTA
- PARAÑAQUE CITY - 7,055.31 7,055.31
27-Aug-21 21-891 CLARO, ANGELICA C. 91D PINEAPPLE RD St. Brgy POTRERO MALABON CITY
- - 8,360.61 8,360.61
31-Aug-21 21-892 AGUILAR, CHRISTIAN L. Blk7 Lot4 St. Brgy Yakal Silang Cavite - - 2,650.00 2,650.00

Page 15
 AMOUNT OF MEDICAL SERVICES
LABORATORIES,
DATE CONTROL TOTAL
NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL &
GRANTED NO. HOSPITAL FEES ASSISTANCE
SUPPLIES DIAGNOSTICS
PROCEDURES

31-Aug-21 21-893 TARCENA, MARIA-LYN T. 87 Samson St. Brgy Baritan Malabon - - 2,149.99 2,149.99
31-Aug-21 21-894 PORTUGAL, MARY ANN L. 4829 Lanzones St., SVF St. Brgy 178 Camarin Caloocan-City 608.00 - 608.00
31-Aug-21 21-895 REFORMINA, ROQUE P. 300 Governor Pascual Sitio 6 St. Brgy Catmon Malabon- City - 72,349.60 72,349.60
31-Aug-21 21-896 ABRASALDO, JUNBRIEL D. 2217 Barrio Roxas St. Brgy 227 Tondo Manila - - 3,410.00 3,410.00
31-Aug-21 21-897 GAPPAL, NAJIB R. Blk 9 Ext Newsite Evacuation Baseco St. Brgy 649 Port-Area Manila - 2,120.00 2,120.00
31-Aug-21 21-898 PACAY, LIAN M. 270 Almazor St. Brgy 185 Maricaban Pasay City - - 2,310.00 2,310.00
31-Aug-21 21-899 GARAY, RIZMEL B. 2635 Lico St. Brgy 210 Tondo Manila - - 2,120.00 2,120.00
31-Aug-21 21-900 ONOYA, ARISTON B. 6th Avenue St. Brgy 111 Caloocan City - - 1,191.19 1,191.19
31-Aug-21 21-901 ABUDA, FRANK G. 1454 Sanchez St. Brgy None Tondo Manila - - 2,210.00 2,210.00
31-Aug-21 21-902 JAPITANA, VERONICA S. Nazareth Compound St. Brgy Molino III Bacoor Cavite - - 9,103.67 9,103.67
31-Aug-21 21-903 FRANCISCO, RONALD A. 5 Lapu-Lapu St. Brgy 78 Caloocan City - - 170,340.35 170,340.35
31-Aug-21 21-904 ALBERTO, ARMANDO R. 2050 C F MUÑOZ St. Brgy 738 MALATE MANILA - - 146,696.51 146,696.51
31-Aug-21 21-905 MORTA, LEONILA P. Blk 3 Lot 5 Diamond St. Brgy Interville Talipapa Quezon
- City - 46,614.63 46,614.63
31-Aug-21 21-906 HAMSAJIN, LYDIA J. 12 St. New Port St. Brgy 650 Port Area Manila - - 14,315.32 14,315.32
28-Aug-21 21-907 MEDINA, RUTCHELLE B. 104 Martinez Ext St. Brgy San Roque Antipolo City - - 4,390.92 4,390.92
30-Aug-21 21-908 AUSTRIA, ARMANDO H. 1676 Int 8 Velasquez St. Brgy 81 Tondo Manila - - 8,184.70 8,184.70
30-Aug-21 21-909 DABAC, ELOISA R. 42 M Rodriguez St. Brgy La Huerta Parañaque City - - 8,178.31 8,178.31
31-Aug-21 21-910 DELA CRUZ, KHRISTINE JOY A. 471 B CONCHA St. Brgy 71 TONDO MANILA - - 8,259.50 8,259.50
31-Aug-21 21-911 HERMANO, CHENILYN E. 121 Duhat Road St. Brgy Potrero Malabon City - - 5,937.80 5,937.80
31-Aug-21 21-912 MENDEZ, AILYN I. 93 Banal St. Brgy 147 Bagong Barrio Caloocan - - 7,362.27 7,362.27
1-Sep-21 21-913 DELA PEÑA, JOSEPH G. Libiran St. Brgy Malanday Valenzuela City - - 1,223.80 1,223.80
1-Sep-21 21-914 ALZATE, JOVINA Blk 8, Lot 20 Molave St. Brgy 145 Sto Niño Pasay City - - 3,115.00 3,115.00
1-Sep-21 21-915 QUILICOT, HAYDEE M. 18 Tribu St. Brgy San Isidro Cainta Rizal - 304.00 - 304.00
1-Sep-21 21-916 NICOLAS, MARICEL D. 1002 C Leyte del Sur St. Brgy 563 Sampaloc Manila - 456.00 - 456.00
1-Sep-21 21-917 ACIO, DJERMALYN H. Purok 2 St. Brgy Magsaysay Bayombong Nueva Ecija - - 773.36 773.36
1-Sep-21 21-918 SIBOR, RHANIEL D. 1247 Yuseco St. Brgy 223 Tondo Manila - - 1,060.00 1,060.00
1-Sep-21 21-919 POSTERO, FRANKLIN R10 Proper, Champaca St. Brgy NBBS Navotas City - - 1,145.00 1,145.00
1-Sep-21 21-920 LIWANAG, MELODY M. 753 Int 57 Raxabago St. Brgy 155 Tondo Manila - - 3,341.91 3,341.91
1-Sep-21 21-921 BALAGASAY, JP B. 917 San Simon St. Brgy 18 Tondo Manila - - 1,174.40 1,174.40
1-Sep-21 21-922 RINGOR, CORAZON GREGORIA C. 523 LOPE COMP St. Brgy 108 PASAY CITY - - 1,847.44 1,847.44
2-Sep-21 21-923 DELA CRUZ, ROMMEL A. 148 Flamenco St. Brgy Panghulo Obando Bulacan - - 1,820.00 1,820.00
2-Sep-21 21-924 ESQUILONA, SAM WINCHESTER S.Kataran St. Brgy Latero Biñan Laguna - - 2,362.90 2,362.90
2-Sep-21 21-925 LEONARDO, LARRY M. 15 UE Tech University Hills St. Brgy 80 Caloocan City - - 1,385.00 1,385.00
2-Sep-21 21-926 VELASCO, METCHICA T. 140 ENRIQUEZ St. Brgy SAN GABRIEL MALOLOS BULACAN
- - 1,890.00 1,890.00
2-Sep-21 21-927 VELASCO, OLIVER R. 140 ENRIQUEZ St. Brgy SAN GABRIEL MALOLOS BULACAN
- - 1,890.00 1,890.00
3-Sep-21 21-928 PABLO, CORNELIA I. 2 F Lazaro St. Brgy Canumay West Valenzuela City - 456.00 - 456.00
3-Sep-21 21-929 VIRAY, SHAYNE LORAINE C. 47 Bakawan St St. Brgy Veterans Village Project 7 Quezon
- City 1,200.00 - 1,200.00
3-Sep-21 21-930 CONCEPCION, JOSEPH P. 24 Del Rosario Subd. Lower Tamaraw St. Brgy Marulas- Valenzuela City 1,200.00 - 1,200.00
3-Sep-21 21-931 NOVEDA, MYRNA R. 723 San Sebastian St. Brgy 390 Sta. Cruz Manila - 760.00 - 760.00
3-Sep-21 21-932 DAA, VERNADY F. Cugon St. Brgy 83-B San Jose Tacloban - 760.00 - 760.00
3-Sep-21 21-933 PORTUGAL, MARY ANN L. 4829 Lanzones St., SVF St. Brgy 178 Camarin Caloocan-City 760.00 - 760.00
3-Sep-21 21-934 SIOSON, JOHANNA V. B10 L126 Southville HC St. Brgy San Isidro Rodriguez Rizal
- 760.00 - 760.00
3-Sep-21 21-935 ESQUEJO, EMMANUEL B. Fidel St. Brgy Tabon Pulilan Bulacan 1,365.10 - - 1,365.10
3-Sep-21 21-936 RAMOS, BREZEL F. 25 Pitacion St. Brgy Marulas Valenzuela City - 760.00 - 760.00
3-Sep-21 21-937 OSORIO, MHAI PRINCESS O. 1329 New Antipolo St. Brgy 220 Tondo Manila - - 1,830.00 1,830.00
3-Sep-21 21-938 EVARISTO, MARIA EDRALIN D. Brgy None General Trias Cavite - - 57,750.10 57,750.10
3-Sep-21 21-939 GESLANI, MERIAN P. B 3 L14 Rivera Heights St. Brgy Labas Sta Rosa Laguna- 760.00 - 760.00
3-Sep-21 21-940 MANUEL, ROGELIO T. 282 P Gomez St. Brgy 67 10th Ave. Caloocan City - 760.00 - 760.00
3-Sep-21 21-941 PALAFOX, EMERSON P. Block 4 Lot 6 Juta Compound Bambang Ni Peles St. Brgy
- Sta. Ana Taguig City - 660.00 660.00
3-Sep-21 21-942 MATIC, RALPH KENNETH M. 249 Kabulusan II St. Brgy 22 Caloocan City - - 1,620.75 1,620.75
3-Sep-21 21-943 SEDULLO, ARNIEL B. 011 Tramo St. Brgy Talaba 7 Bacoor Cavite - - 55,654.74 55,654.74
3-Sep-21 21-944 AMOLAR, RAVEN R. 4 NS. Amoranto St. Brgy Salvacion La Loma Quezon City
- - 1,060.00 1,060.00
4-Sep-21 21-945 CARINGAL, CEDRIC V. Bldg 22 Unit 216 Permanent Housing Rodriguez St. Brgy
- 128 Tondo Manila - 880.00 880.00
4-Sep-21 21-946 ELACION, FLORDELIZA B. Area 5 Naval St. Brgy Sauyo Novaliches Quezon City - - 1,963.87 1,963.87
4-Sep-21 21-947 DELA CRUZ, ROMMEL A. 148 Flamenco St. Brgy Panghulo Obando Bulacan - - 530.00 530.00
4-Sep-21 21-948 PARAYNO, ABRAHAM L. 598 7th Avenue St. Brgy Pag-ibig sa Nayon Balintawak-Quezon City - 800.31 800.31
5-Sep-21 21-949 RAYMUNDO, CORAZON Q. 1026 C. Tayabas St. Brgy 232 Tondo Manila - - 530.00 530.00
5-Sep-21 21-950 SACAPAÑO, MARY JANE G. B1 L59 C. Meywoods Road St. Brgy Lawa Meycauayan Bulacan
- - 1,958.50 1,958.50
5-Sep-21 21-951 DELA CRUZ, ZALDY M. 833 A Dos Castillas St. Brgy 456 Sampaloc Manila - - 890.00 890.00
5-Sep-21 21-952 TOLENTINO, GABRIELA A. 1857 Dapdap St. Brgy 331 Sta. Cruz Manila - - 530.00 530.00

Page 16
 AMOUNT OF MEDICAL SERVICES
LABORATORIES,
DATE CONTROL TOTAL
NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL &
GRANTED NO. HOSPITAL FEES ASSISTANCE
SUPPLIES DIAGNOSTICS
PROCEDURES

5-Sep-21 21-953 DE PAZ, ALEX G. Guiguinto St. Brgy Digman Bacoor Cavite - - 1,060.00 1,060.00
5-Sep-21 21-954 BORNEA, RICARDO W. 1285 Dinalupihan St. Brgy 206 Tondo Manila - - 2,020.79 2,020.79
5-Sep-21 21-955 FLORES, CATHERINE M. 64 Plaridel St. Brgy Doña Aurora Galas Quezon City - - 1,325.00 1,325.00
5-Sep-21 21-956 PACHECO, ARMARIO C. 1028 I Benavidez St. Brgy 295 Tondo Manila - - 3,540.00 3,540.00
6-Sep-21 21-957 MONTALLANA, JESUS L. 1614 St. Brgy 372 Sta Cruz Manila - - 1,742.50 1,742.50
6-Sep-21 21-958 MANRIQUE, KYLE A. Ph1 B5 L10 St. Brgy Gen T De Leon Valenzuela City - - 1,059.59 1,059.59
1-Jul-21 21-959 CORRAL, CRISANTA A. 500 Interior 29 Baltazar St. Brgy 49 5th Avenue Caloocan
- City 3,960.00 - 3,960.00
2-Jul-21 21-960 POLICARPIO, JASMINE P. 707 Calabash Road St. Brgy 553, Zone 53 Sampaloc Manila
- 3,840.00 - 3,840.00
5-Jul-21 21-961 MENDOZA, JADE LAWRENCE Sunny Group 1 Blk12 Lot6 Section11 St. Brgy San Francisco
- Gen. Trias Cavite
1,590.00
City - 1,590.00
5-Jul-21 21-962 CURAY, VICENTE JR M. B11 L24 Celina Plains St. Brgy Malagasang 1G Imus Cavite
- 360.00 - 360.00
5-Jul-21 21-963 BALBAS, MARLENE G. 1 Aurora Boulevard St. Brgy Donya Imelda Quezon City- 360.00 - 360.00
5-Jul-21 21-964 ORBETA, MANOLITO G. 3206 A. Mabini St. Brgy Poblacion Makati City - 900.00 - 900.00
6-Jul-21 21-965 BARIZO, MICHELLE B. Lot 4 Phase 1-C Babanse St. Brgy NBBS Navotas City - 1,480.00 - 1,480.00
6-Jul-21 21-966 BALANCAR, JIV HEART T. Phase 1 St. Brgy bugtong Palay San Mateo Rizal - 3,960.00 - 3,960.00
6-Jul-21 21-967 ENDONA, BENJAMEN H. Blk 2 Lot 15 Market 3 St. Brgy NBBN Fishport Complex- Navotas City 530.00 - 530.00
6-Jul-21 21-968 SANTELICES, DOMINADOR S. 24 F. Carlos St. Brgy Baesa Quezon City - 1,330.00 - 1,330.00
6-Jul-21 21-969 MACAPAÑAS, JOE VINCENT ROLAND
1715
O.TRAMO St. Brgy 42 PASAY CITY - 1,590.00 - 1,590.00
7-Jul-21 21-970 VILLAFLORES, NOEL JR L. 1420 Laong Laan St. Brgy 470 Sampaloc Manila - 1,300.00 - 1,300.00
8-Jul-21 21-971 AQUINO, NICAELLA N. 2257 Tomas Mapua St. Brgy 357 Sta. Cruz Manila - 1,315.00 - 1,315.00
9-Jul-21 21-972 FUENTES Jr., ANTONIO B. Gate 17 Area D St. Brgy 20 Parola, Tondo Manila - 530.00 - 530.00
12-Jul-21 21-973 ELECCION, JANICE E. Ernesto Fojas St. Brgy Sahud Ulan Tanza Cavite - 3,960.00 - 3,960.00
12-Jul-21 21-974 BUENAVENTURA, CELSO U. 1639 M. Hizon St. Brgy 339 Zone 34 Sta. Cruz Manila - 1,030.00 - 1,030.00
13-Jul-21 21-975 CURIANO, ARISTON R. 2012 Silahis St. Brgy 782 Sta. Ana Manila - 530.00 - 530.00
13-Jul-21 21-976 FLORES, JOHNIE E. 92 C. Cordero St. Brgy 42 2nd Avenue Caloocan City - 940.00 - 940.00
13-Jul-21 21-977 ALDANA, ERNESTO L. 1274 INDUSTRIA St. Brgy None PANDACAN MANILA - 900.00 - 900.00
14-Jul-21 21-978 DAVID, ALEXANDER MIGUEL C. 80 M Cornejo St. Brgy 161 Malibay Pasay City - 530.00 - 530.00
14-Jul-21 21-979 NACES, AL-MIRA BABES R. 418-F Teresa cor. Candilaria St. Brgy 35 Caloocan City - 360.00 - 360.00
14-Jul-21 21-980 PASCUA, ANJELO V. Estero De Magdalena St. Brgy 259 Tondo Manila - 530.00 - 530.00
14-Jul-21 21-981 RONQUILLO, SHIELA A. 1266 Dama De Noche St. Brgy 37 Moriones, Tondo Manila
- 1,590.00 - 1,590.00
15-Jul-21 21-982 BACOLANDO, ERNESTO O. Dr. Amparo, Rivera St. Brgy Gulod Poblacion Pandi Bulacan
- 3,960.00 - 3,960.00
15-Jul-21 21-983 JAVIER, ANGELO JAMES V. 863 Bagong Silang St. Brgy San Nicolas San Pablo Laguna
- 4,800.00 - 4,800.00
15-Jul-21 21-984 ABELA, JAIME T. 15 Noli Me Tangere St. Brgy Pinagkamaligan Tanay Rizal
- 1,030.00 - 1,030.00
15-Jul-21 21-985 SANTOS, ELAINE N. 2005 Katamanan St. Brgy 222 Tondo Manila - 4,800.00 - 4,800.00
16-Jul-21 21-986 SANTOS, MOISES ANGELO R. 123 Bayanihan St. Brgy 159 Baesa Caloocan City - 720.00 - 720.00
19-Jul-21 21-987 MIRA, GIRVO M. 0040 Sitio Elang St. Brgy San Francisco General Trias Cavite
- 1,060.00 - 1,060.00
19-Jul-21 21-988 MENDOZA, JADE LAWRENCE Sunny Group 1 Blk12 Lot6 Section11 St. Brgy San Francisco
- Gen. Trias Cavite
1,590.00
City - 1,590.00
19-Jul-21 21-989 LAMBOT, LUZVIMINDO J. 53-N. Vicencio St. Brgy Niugan Malabon - 800.00 - 800.00
19-Jul-21 21-990 CAÑAVERAL, JUNNEL 32 Yanga St. Brgy Maysilo Malabon City - 530.00 - 530.00
21-Jul-21 21-991 BAYLON, EFREN III G. 98 Lilag St. Brgy West Fairview Quezon City - 530.00 - 530.00
22-Jul-21 21-992 TROGON, NOEL L. Blk 7 Lot 7 Homeowners St. Brgy Isla Valenzuela City - 530.00 - 530.00
23-Jul-21 21-993 VELASCO, JESUS N. Blk 18 Lot 17 Mandarin Homes 1 St. Brgy F De Castro GMA
- Cavite 530.00 - 530.00
23-Jul-21 21-994 TULAY, ANTHONY T. 9 Madre Cacao St. Brgy San Bartolome Novaliches Quezon
- City 530.00 - 530.00
23-Jul-21 21-995 NANA, JAMES ANTHONY M. 1756 B Int. Oroqueta St. Brgy 337 Sta. Cruz Manila - 360.00 - 360.00
26-Jul-21 21-996 MERERIA, REGINA S. B225, L2, PH3, Southville 8B St. Brgy San Isidro Rodriguez
- Rizal 530.00 - 530.00
26-Jul-21 21-997 BAJON, BILLY T. 2078 F. Muñoz St. Brgy 738 San Andres Manila - 530.00 - 530.00
27-Jul-21 21-998 NACES, AL-MIRA BABES R. 418-F Teresa cor. Candilaria St. Brgy 35 Caloocan City - 360.00 - 360.00
27-Jul-21 21-999 REPATO JR., MICHAEL B. 901 Road 3 St. Brgy Malanday Valenzuela City - 360.00 - 360.00
27-Jul-21 21-1000 CARDENAS, RICKY JOHN P. 8 Rimas St. Brgy Quirino 2A Quezon City - 4,800.00 - 4,800.00
29-Jul-21 21-1001 FRANCISCO, ROBERTO J. 8 2ND St. Brgy 194 PILDERA PASAY CITY - 1,430.00 - 1,430.00
29-Jul-21 21-1002 DELA CRUZ, NIMFA L. 33-B Del Rosario Merville Subd St. Brgy Dampalit Malabon
- City 930.00 - 930.00
29-Jul-21 21-1003 VILLAROSA, JOSE Y. 110 Matapat St. Brgy 145 Bagong Barrio Caloocan City- 3,840.00 - 3,840.00
11-Aug-21 21-1004 DELOS SANTOS, RODETH L. Phase 2 Lot 7 Villa Somera Rivera St. Brgy 163 Sta. Quiteria
- Caloocan City 500.00 - 500.00
19-Aug-21 21-1005 ARROGANTE, WILMA M. 32 F. Dela Cruz St. Brgy Talon II BFResort Village Las Piñas
- City 5,105.00 - 5,105.00
28-Aug-21 21-1006 PIEL, CARMEN G. B31 L18 Flores De Mayo St. Brgy Lagro Quezon City - - 447,290.41 447,290.41
2-Sep-21 21-1007 GARCIA, MARVIN C. 1461 C Ext Labores St. Brgy 857 Pandacan Manila - 820.00 - 820.00
3-Sep-21 21-1008 RAMOS, KIMBERLY S. 89 Rodriguez II St. Brgy Dampalit Malabon City - 1,235.00 - 1,235.00
6-Sep-21 21-1009 PEREZ, RAMON C. 55 Baltazar St. Brgy 60 8th Avenue Caloocan City - - 114,466.13 114,466.13
3-Sep-21 21-1010 PORTAL, BASILIA S. B12 L20 PH1 WEST CAMELLAS SPRINGVILLE PURIAN- St. Brgy MOLINO 3 BACOOR
- CAVITE238,629.88 238,629.88
7-Sep-21 21-1011 CALDERON, FRANCIS S. 116 M. Hizon St. Brgy 64 Caloocan City - - 357,787.68 357,787.68
8-Sep-21 21-1012 LADERA, CZARINA CATHRINA M. 2467 Espiritu St. Brgy 746 Malate Manila - - 5,910.30 5,910.30

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

9-Sep-21 21-1013 CACAL, JACQUELINE S. 784 Josefina St. Brgy 530 Sampaloc Manila - 760.00 - 760.00
9-Sep-21 21-1014 REYES, MARRY JANE A. 1076 A. Bonifacio St. Brgy Balingasa Balintawak Quezon
- City 760.00 - 760.00
9-Sep-21 21-1015 DELA CRUZ, CHRISTOPHER D. 57 F. Faustino St. Brgy Punturin Valenzuela City - - 1,060.00 1,060.00
9-Sep-21 21-1016 MANGAHAS, ESTELA B. Sitio Tanag St. Brgy San Isidro Rodriguez Rizal - - 1,345.00 1,345.00
9-Sep-21 21-1017 SANTOS, ALFREDO E. 152 St. Brgy Dampol 2nd B Pulilan Bulacan - - 967.67 967.67
10-Sep-21 21-1018 CRUZ, MERLIZA V. 81 Lucero St. Brgy Mabolo Malolos Bulacan 862.80 - - 862.80
10-Sep-21 21-1019 MANUEL, ROGELIO T. 282 P Gomez St. Brgy 67 10th Ave. Caloocan City - 760.00 - 760.00
10-Sep-21 21-1020 VISTAR, GLORIA Q. 102 Basilio St. Brgy Acacia Malabon City - 760.00 - 760.00
10-Sep-21 21-1021 PATA-UES, BRIELLE RZAYAH B. 167 San Marcos St. Brgy 34 Maypajo Caloocan City - - 990.00 990.00
10-Sep-21 21-1022 VINOYA, MARIAN A. Brgy Amonoy Majayjay Laguna - 760.00 - 760.00
10-Sep-21 21-1023 SUMADSAD, ZYRA MAE 0361 Rose St. Brgy Biclatan General Trias Cavite - - 1,716.41 1,716.41
10-Sep-21 21-1024 MIANO, MARITESS C. 351 Padre Rada St. Brgy 25 Tondo Manila - 760.00 - 760.00
10-Sep-21 21-1025 LIABAN, KIMBERLY A. Blk4 L32 St. Brgy Yakal Silang Cavite - - 2,216.99 2,216.99
10-Sep-21 21-1026 SEGUIRA, ALEJO B. Temporary Housing Bldg 8 Unit 19 St. Brgy 105 Tondo- Manila - 30,052.81 30,052.81
9-Sep-21 21-1027 SANCHEZ, APRIL D. 0677 BMBA, 1st Avenue St. Brgy 120 Caloocan City - - 5,950.39 5,950.39
10-Sep-21 21-1028 AQUISAP, HILARIO C. 2273 LINCEO St. Brgy 862 PANDACAN MANILA 1,006.00 - - 1,006.00
9-Sep-21 21-1029 BIGALBAL, REINNA MUNNETTE N.
216 Timalan St. Brgy Balsahan Naic Cavite - - 34,737.38 34,737.38
9-Sep-21 21-1030 AYAAY, JEZRIEL JOY B. Brgy Bagbag II Rosario Cavite - - 6,733.16 6,733.16
9-Sep-21 21-1031 DAZ, RODISA A. Daang Bakal 2101 Dagupan Ext St. Brgy 155 Tondo Manila
- - 3,240.20 3,240.20
10-Sep-21 21-1032 LAU LEE, ROWENA A. 14 Kap. Akong St. Brgy Marulas Valenzuela - 650.00 - 650.00
9-Sep-21 21-1033 ESPINA, LORD RAIN D. 712 Tolentino St. Brgy 88 Caloocan City - - 5,871.94 5,871.94
9-Sep-21 21-1034 BISCOCHO, RYSHIEL D. 0934 Purok 4 St. Brgy Buod Tanawan Batangas - - 9,122.16 9,122.16
10-Sep-21 21-1035 AMANCIO, LOLITA A. 245 Lallana St. Brgy 104 Tondo Manila - - 1,464.55 1,464.55
10-Sep-21 21-1036 DE OMANIA, HERMOGENES R. 91-D St. Brgy Paco Obando Bulacan - - 1,712.99 1,712.99
10-Sep-21 21-1037 PEREZ, ALLAN JOHN O. B6 L4 Lotus Bukid St. Brgy Panapaan IV Bacoor Cavite- - 305.89 305.89
12-Sep-21 21-1038 ALESIN, CAMILLE A. B8 L5 Magdiwang Sudb. St. Brgy Quensrow West Baccoor
- Cavite - 1,866.21 1,866.21
13-Sep-21 21-1039 CORTEZ, ROLANDO SANCHEZ 17 Kasarinlan, Muzon, Malabon City - - 207.70 207.70
13-Sep-21 21-1040 ENRIQUEZ, JACKYLYN T. 2722 Sunog Apog St. Brgy 180 Gagalangin, Tondo Manila
- - 1,855.00 1,855.00
9-Sep-21 21-1041 MENDOZA, MANUEL JR P. 173 Manggahan St. Brgy 157 Bagong Barrio Caloocan City
- - 55,308.28 55,308.28
9-Sep-21 21-1042 HINALAS, APPLE D. 38-C Magsaysay St. Brgy 107 Tondo Manila - - 6,767.78 6,767.78
4-Sep-21 21-1043 BISCOCHO, AIRYSH NATHALIA D. 0934 Purok 4 St. Brgy Buod Tanawan Batangas - - 400.00 400.00
9-Sep-21 21-1044 GAETOS, AUSTINE CLOUD P. 3538 V. Mapa Extension St. Brgy 601 Sta. Mesa Manila- - 7,237.27 7,237.27
13-Sep-21 21-1045 TAN SENG, DAWL S. 1750 A1 Oroqueta St. Brgy 334 Sta. Cruz Manila - - 1,183.09 1,183.09
13-Sep-21 21-1046 CASINILLO, AILEEN C. 558 P Burgos St. Brgy Hagdang Bato Itaas Mandaluyong
- City 940.00 - 940.00
13-Sep-21 21-1047 BILASON, LORETO III N. 1933 C Road 14 St. Brgy 789 Sta Ana Manila - - 2,617.94 2,617.94
10-Sep-21 21-1048 CLARACOY, JOSEPHINE V. 7 Wood Pecker St. Brgy Pandayan Meycauyan Bulacan- - 12,143.93 12,143.93
10-Sep-21 21-1049 QUELIZA, MARIE ANN A. 354 Rose St. Brgy 161 Baesa Caloocan City - - 9,080.01 9,080.01
10-Sep-21 21-1050 CARBON, JESSICA P. Kamias St. Brgy 185 Malaria Tala Caloocan City - - 7,878.48 7,878.48
9-Sep-21 21-1051 NG, MA. ANGELICA V. 19 Dolorito St. Brgy Marulas Valenzuela City - - 12,660.43 12,660.43
11-Sep-21 21-1052 LUGTU, CALIX JOAQUIN A. Blk 3 Lot 9 Phase 6 Almera St., Villa Primarosa Subd. St.- Brgy Mambog III Bacoor- Cavite 13,669.42 13,669.42
13-Sep-21 21-1053 CALUSIN, ARRIANAH IRISH D. 562 Tapuri St. Brgy 92 Tondo Manila - 1,750.00 - 1,750.00
13-Sep-21 21-1054 CALUSIN, ATHALIAH ERISH D. 562 Tapuri St. Brgy 92 Tondo Manila - 1,750.00 - 1,750.00
13-Sep-21 21-1055 FERNANDEZ, MARICHU M. 4 North Lane Jem 2 Homes St. Brgy Pasong Tamo Quezon
- City 760.00 - 760.00
13-Sep-21 21-1056 FUGGAN, JESICAME O. 108 Gen. Valdez St. Brgy 21 Caloocan City - - 4,336.85 4,336.85
13-Sep-21 21-1057 ADRIANO, JOVELYN D. 1191 Medina St. Brgy Gen. T. De Leon Valenzuela City - - 1,115.00 1,115.00
11-Sep-21 21-1058 PIZARRO, RENATO V. Brgy Cataning Balanga Bataan - - 64,426.92 64,426.92
13-Sep-21 21-1059 GIANAN, FLORESA T. Block 6 Lot 6 San Marino Classic St. Brgy Salawag Dasmariñas
- Cavite - 3,390.47 3,390.47
13-Sep-21 21-1060 MAICO, RENESSA D. B17 L34 Lucas Chua St. Brgy Muzon San Jose Del Monte
- Bulacan - 1,389.74 1,389.74
13-Sep-21 21-1061 TECHICO, JOYCELYN A. 1969 San Lorenzo St. Brgy 232 Tondo Manila - 455.00 - 455.00
10-Sep-21 21-1062 EVANGELISTA, JENNIFER 1211 Blumitrit St. Brgy 369 Sta Cruz Manila - - 6,785.75 6,785.75
10-Sep-21 21-1063 MICLAT, MELYN C. 1742 Felix Huertas St. Brgy 339 Sta. Cruz Manila - - 8,091.68 8,091.68
10-Sep-21 21-1064 HERMOSA, AIREEN A. Sinagtala Association, Green Valley St. Brgy San Nicolas- 3 Bacoor Cavite - 6,686.43 6,686.43
10-Sep-21 21-1065 ABRANTES, ALEXANDER H. 38-C Magsaysay St. Brgy 107 Tondo Manila - - 1,608.76 1,608.76
11-Sep-21 21-1066 REYES, ELISHA DESERIE R. Blk 13 Lot 10 Chesa St. Brgy 72 Tondo Manila - - 277.78 277.78
12-Sep-21 21-1067 TUPAZ, JAYMIE 2520 Felix Huertas St. Brgy 367 Sta. Cruz Manila - - 6,808.31 6,808.31
11-Sep-21 21-1068 SARSIA, GEORGIE P. 241 CP Garcia St. Brgy 123 Moriones, Tondo Manila - - 19,927.00 19,927.00
12-Sep-21 21-1069 FERNANDEZ, AXEL DAVE T. 2770 Pinagkaisa St. Brgy Commonwealth Quezon City - - 3,561.33 3,561.33
13-Sep-21 21-1070 POLO, KRISTINE GRACE Y. Blk 13 Lot 32 Villa Lessandra St. Brgy Salinas I Bacoor -Cavite - 48,816.68 48,816.68
13-Sep-21 21-1071 DIOKNO, PATERNO S. 1640 C. Oroquieta St. Brgy None Sta. Cruz Manila - - 2,587.89 2,587.89
13-Sep-21 21-1072 COLASITO, JADE EATHAN 306 INT 18 NADURATA St. Brgy 43 3RD AVE CALOOCAN
- CITY - 10,901.47 10,901.47

Page 18
 AMOUNT OF MEDICAL SERVICES
LABORATORIES,
DATE CONTROL TOTAL
NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL &
GRANTED NO. HOSPITAL FEES ASSISTANCE
SUPPLIES DIAGNOSTICS
PROCEDURES

13-Sep-21 21-1073 CALAZAN, TIA MARYSE C Abueg St. Brgy Manggahan Sapa 1 Rosario Cavite - - 475.00 475.00
13-Sep-21 21-1074 MAYOR, KATHRINA BERNADETTEC S.
Abueg St. Brgy Manggahan Sapa 1 Rosario Cavite - - 3,414.59 3,414.59
13-Sep-21 21-1075 GESLANI, MERIAN P. B 3 L14 Rivera Heights St. Brgy Labas Sta Rosa Laguna- 760.00 - 760.00
13-Sep-21 21-1076 LARIDE, GERALD N. 435 O Acosta St. Brgy 34 Pajo Caloocan City - - 1,060.00 1,060.00
13-Sep-21 21-1077 CAPANGPANGAN, MC CHARLIE S.Blk 15 138 Baseco Compound St. Brgy 649 Port Area Manila
- - 530.00 530.00
13-Sep-21 21-1078 DARIA, ARIEL B. 1003 Malaya St. Brgy 181 Pangarap Village Caloocan - - 530.00 530.00
13-Sep-21 21-1079 CRIZALDO, NELSON B. Purok 3 St. Brgy Caluangan Magallanes Cavite - - 1,060.00 1,060.00
13-Sep-21 21-1080 BARING, JOMAR T. Mabuhay St. Brgy 30 Tondo Manila - - 628.00 628.00
13-Sep-21 21-1081 SALDAÑA, MARCO PAULO M. Block 2 Lot 14 Annex B Green Place St. Brgy Malagasang
- 2A Imus Cavite - 770.70 770.70
13-Sep-21 21-1082 RAMIREZ, SUSANO T. 022 Blossom St. Brgy 184 Maricaban Pasay City - - 1,215.01 1,215.01
13-Sep-21 21-1083 CARACAS, ISIDRO JR O. Purok 6 St. Brgy Lower Magsaysay San Pedro City Laguna
- - 1,420.00 1,420.00
7-Sep-21 21-1084 MAGSIPOC, EYA NATHALIE S. Blk 10 Lot 1 Camella I St. Brgy Queens Row West Bacoor
- Cavite - 41,833.78 41,833.78
15-Sep-21 21-1085 GUZMAN, ESTER C. 264 C. Teresa St. Brgy 591 Sta. Mesa Manila - - 530.00 530.00
27-Jul-21 21-1086 CASTILLO, REBECCA F. 1034 Gerardo St. Brgy 561 Sampaloc Manila - 530.00 - 530.00
29-Jul-21 21-1087 DUQUE, FERDINAND J. 129 C. Loreto St. Brgy 419 Sampaloc Manila 267.00 700.00 - 967.00
16-Aug-21 21-1088 CASTRO, JEANNE DOROTHY V. Block 7 Lot 7 Perpetual Village 8 St. Brgy Habay I Bacoor
- Cavite 16,560.00 - 16,560.00
18-Aug-21 21-1089 MENDOZA, MIRIAM O. 413 Concha St. Brgy 121 Tondo Manila - 13,880.00 - 13,880.00
23-Aug-21 21-1090 OBALDO, BENJAMIN G. 70 C VIictory Ave St. Brgy Tatalon Quezon City - 12,560.00 - 12,560.00
25-Aug-21 21-1091 TORRES, ARRON M. 166 7th Ave St. Brgy 54 West Caloocan City - 25,020.00 - 25,020.00
3-Sep-21 21-1092 Viray, Madelene V. 1279 L. Bambang Ext St. Brgy 258 Sta Cruz Manila - 1,235.00 - 1,235.00
5-Sep-21 21-1093 ALANO, MELINDA C. F. San Andres St. Brgy Malanday Valenzuela City - - 390.00 390.00
7-Sep-21 21-1094 OLAYBAR, KATRIN JANICE G. 649 V. Del Fierro St. Brgy 174, Zone 15 Gagalangin, Tondo
- Manila 455.00 - 455.00
7-Sep-21 21-1095 TOLENTINO, EVANGELINE F. 147 Velasco St. Brgy 7 Caloocan City - - 1,590.00 1,590.00
7-Sep-21 21-1096 VILLAGRACIA, ROMOLO T. 54 Laura St. Brgy Old Balara Diliman Quezon City - - 1,926.51 1,926.51
7-Sep-21 21-1097 LORENZO, DOMINGA L. 1073 P. Noval St. Brgy 465 Sampaloc Manila - - 716.40 716.40
7-Sep-21 21-1098 CIRO, JEFFREY P. NAPOCOR St. Brgy Poblacion II Ternate Cavite - - 1,050.00 1,050.00
7-Sep-21 21-1099 FERNANDEZ, CRISTINE JOY D. 275 P Domingo St. Brgy Tangos North Navotas City - - 1,060.00 1,060.00
7-Sep-21 21-1100 PORCADILLA, CRIXUZ R. 1049 P Guevarra St. Brgy 311 Sta Cruz Manila - - 561.20 561.20
7-Sep-21 21-1101 REYES, RYCO C. 210 Magasaysay St. Brgy 116 Tondo Manila - - 192.70 192.70
8-Sep-21 21-1102 LAGARTO, MICHAEL T. Parola Gate 48 St. Brgy 275 Binondo Manila - - 6,142.60 6,142.60
8-Sep-21 21-1103 DAMES, CARMENCITA P. 1928 IMMACULADA St. Brgy 232 TAYUMAN TONDO MANILA
- - 235.19 235.19
8-Sep-21 21-1104 DORIN, JHAMSKIEL M. Brgy 105 Tondo Manila - - 940.00 940.00
8-Sep-21 21-1105 LIZARDO, ARIANA M. 345 Zabala St. Brgy 25 tondo Manila - - 530.00 530.00
8-Sep-21 21-1106 EVANGELIO, ELVIRA V. 1170 Miguelin St. Brgy 488 Sampaloc Manila - - 115.53 115.53
8-Sep-21 21-1107 DONEZA, MICHELLE JOY L. Camposanto St. Brgy 7 Julugan, Tanza Cavite - 940.00 - 940.00
8-Sep-21 21-1108 VINOYA, MARIAN A. Brgy Amonoy Majayjay Laguna - 304.00 - 304.00
8-Sep-21 21-1109 MENDOZA, ROMINA T. 777 Palawan St. Brgy 580 Sampaloc Manila - 1,552.00 - 1,552.00
8-Sep-21 21-1110 DESALES, REGIS D. 30 Chesa St. Brgy None Tondo Manila - - 115,673.91 115,673.91
9-Sep-21 21-1111 NITAIRA, MAKI P. 1030 F Yuseco St. Brgy 232 Tondo Manila - - 1,060.00 1,060.00
9-Sep-21 21-1112 DUERME, JACKELYN C. 74B Dinalaga St. Brgy 157 East Bagong Barrio Caloocan
- City - 7,499.98 7,499.98
11-Sep-21 21-1113 PATAG, LUALHATI I. San Lorenzo St. Brgy San Juan Taytay Rizal - - 636.21 636.21
13-Sep-21 21-1114 CRIZALDO, NELSON B. Purok 3 St. Brgy Caluangan Magallanes Cavite - - 3,198.34 3,198.34
11-Sep-21 21-1115 PUASO, VIOLETA B. Blk 4 Lot 40 St. Brgy San Jose Rodriguez Rizal - - 208,930.11 208,930.11
11-Sep-21 21-1116 MERCADO, SHARON M. 174 Kabulusan II St. Brgy 22 Caloocan City - - 306,690.39 306,690.39
13-Sep-21 21-1117 MOLDEZ, JOEL C. 1408 Felix Huertas St. corner Bambang St. Brgy 320 Sta.
- Cruz Manila - 566.00 566.00
14-Sep-21 21-1118 PEREZ, LUZ R. 2 MAKABAYAN St. Brgy OBRERO QUEZON CITY - - 410.00 410.00
14-Sep-21 21-1119 ALBURO, JOMARI P. Purok 12 St. Brgy Bacao 2 General Trias Cavite - - 1,305.90 1,305.90
12-Sep-21 21-1120 BANTANG, MARY GRACE S. 64 B Unang Hakbang St. Brgy Sto Niño Galas Quezon City
- - 17,068.20 17,068.20
12-Sep-21 21-1121 SANTOS, FELINA D. Heritage Homes Blk 523 Lot 26 Phase 5B Gardenia St. Brgy
- Loma De Gato Marilao
- Bulacan 27,620.24 27,620.24
14-Sep-21 21-1122 PASCUA, JHONPAUL D. 156 Septiembre St., Sun Valley St. Brgy 195 NAIA Pasay- City - 1,726.71 1,726.71
11-Sep-21 21-1123 PEREZ, HONORATO M. 638 J Arzan St. Brgy 447 Sampaloc Manila - - 28,160.99 28,160.99
11-Sep-21 21-1124 ALAR, ROMECEL C. B17 L15 Paligawan Matanda St. Brgy Lantic Carmona Cavite
- - 10,365.70 10,365.70
14-Sep-21 21-1125 QUILLOSA, REGIE P. 353 Pilapil St. Brgy 66 Tondo Manila - - 2,331.20 2,331.20
11-Sep-21 21-1126 ISO, DIANA MARIEL G. Phase 3-B Block 18 Lot 27 Psalm St., Sto. Niño St. Brgy -Perez Meycauayan Bulacan
- 27,680.75 27,680.75
14-Sep-21 21-1127 BON, HERMENIGILDO G. 157 HALCON St. Brgy SALVACION LA LOMA QUEZON CITY
- - 1,890.00 1,890.00
11-Sep-21 21-1128 LARGA, ZENAIDA A. 352 Manuel L. Quezon St. Brgy Lower Bicutan Taguig City
- - 9,520.18 9,520.18
14-Sep-21 21-1129 MANZON, KIAN JAN P. 1055 Instruccion St. Brgy 519 Sampaloc Manila - - 530.00 530.00
14-Sep-21 21-1130 SICAT, JESSALYN P. R10 Vitas Katuparan St. Brgy 101 Tondo Manila - 250.00 - 250.00
14-Sep-21 21-1131 SULIT, AMELIA M. 1923 Tioco St. Brgy 91 Tondo Manila - 250.00 - 250.00
14-Sep-21 21-1132 SUAY, ETHELYN V. Lamcuta St. Brgy Concepcion Malabon City - - 1,950.00 1,950.00

Page 19
 AMOUNT OF MEDICAL SERVICES
LABORATORIES,
DATE CONTROL TOTAL
NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL &
GRANTED NO. HOSPITAL FEES ASSISTANCE
SUPPLIES DIAGNOSTICS
PROCEDURES

13-Sep-21 21-1133 MONTARON, PRECY O. Bokadilla St. Brgy San Pascual Masbate - - 1,488.91 1,488.91
13-Sep-21 21-1134 TOTING, RACQUEL Y. 46 F. Guido 4 St. Brgy 33 Maypajo Caloocan City - - 1,816.21 1,816.21
14-Sep-21 21-1135 ROJERO, SOPHIA LAUREN T. 565 Balderama St. Brgy 286 Binondo Manila - - 3,370.00 3,370.00
13-Sep-21 21-1136 RESURRECCION, CHELO MARIE V.125 Burgos Ugnatan St. Brgy Concepcion Malabon - - 4,228.05 4,228.05
14-Sep-21 21-1137 GATMAITAN, RICHARD F. 665 FELINA St. Brgy 429 SAMPALOC MANILA - - 2,515.61 2,515.61
14-Sep-21 21-1138 ALVARICO, ARSENIA S. 704 Delpan St. Brgy 272, Zone 25 Binondo Manila - - 1,355.67 1,355.67
14-Sep-21 21-1139 LLAMERA, RENZ EMMANUEL F. 31 (1) Sta. Catalina St. Brgy dela Paz Biñan Laguna - - 530.00 530.00
14-Sep-21 21-1140 ALIPIO, MARCUS GUILLER O. 1064 B LIWANAG SOLIS St. Brgy 215 TONDO MANILA- - 530.00 530.00
14-Sep-21 21-1141 DELOS SANTOS, HYRAM G. 1051 Valdez St. Brgy 559 Sampaloc Manila - - 705.00 705.00
14-Sep-21 21-1142 BRAVO, FRANCIS T. 44 Ignacio St. Brgy Bagumbayan North Navotas City - - 5,830.00 5,830.00
15-Sep-21 21-1143 TIMBANG, BELEN A. 610-B Felina Ext. St. Brgy 429 Sampaloc Manila - - 3,250.00 3,250.00
15-Sep-21 21-1144 MARCOS, LUISITO A. 2311 Crysanthenum St. Brgy 174 Camarin Caloocan City
- - 3,116.43 3,116.43
15-Sep-21 21-1145 CRUZ, MERLIZA V. 81 Lucero St. Brgy Mabolo Malolos Bulacan - - 2,160.00 2,160.00
15-Sep-21 21-1146 BARTOLOME, JESSIE A. 413 Amelia St. Brgy 439 Sampaloc Manila - - 1,115.00 1,115.00
15-Sep-21 21-1147 RIGOR, ESTRELLA R. 853 Guinhawa St. Brgy Barangca Drive Mandaluyong City
- 1,552.00 - 1,552.00
15-Sep-21 21-1148 LUZONG, NANETH N. 9 Chico Blk 37 St. Brgy Addition Hills Mandaluyong City
69.70 - - 69.70
13-Sep-21 21-1149 HILARIO, LUISITO G. 385 Pavia St. Brgy 70 Tondo Manila - - 9,723.00 9,723.00
13-Sep-21 21-1150 LAPARA, MA. ANGELA D. 74B Dinalaga St. Brgy 157 East Bagong Barrio Caloocan
- City - 1,189.23 1,189.23
15-Sep-21 21-1151 MAGALLON, MARJIE C. 273 B. Padre Prada St. Brgy 28 Tondo Manila - - 360.00 360.00
15-Sep-21 21-1152 RAQUIZA, JANICE B. 693 Libis Baesa St. Brgy 160, Zone 14 Caloocan City - 325.00 - 325.00
13-Sep-21 21-1153 FRANCISCO, GLORIA D. Block 36 Lot Northville 5 St. Brgy Batia Bocaue Bulacan- - 34,611.31 34,611.31
15-Sep-21 21-1154 VELASCO, EDGAR T. Block 3 Lot 143 Phase 1D Kasiglahan Village St. Brgy San
- Jose Montalban Rizal - 67,951.97 67,951.97
15-Sep-21 21-1155 COMETA, NICANOR M. 488 Dandan St. Brgy 82 Tondo Manila 127.40 - - 127.40
15-Sep-21 21-1156 DEL ROSARIO, ROSALINA A. 291 Sitio 6 St. Brgy Catmon Malabon City - - 591.15 591.15
15-Sep-21 21-1157 TAYCO, MA. CHRISTINA RAZEL D.760 C. 6th AvenueArellano St. Brgy 125 Caloocan City - 325.00 - 325.00
15-Sep-21 21-1158 PANELO, LORENA S. Gulod St. Brgy kaingin San Rafael Bulacan 2,426.20 - - 2,426.20
14-Sep-21 21-1159 NERMAL, CHARINA 3A Amuslan St. Brgy Masambong Quezon City - - 7,374.81 7,374.81
15-Sep-21 21-1160 CORLA, JANNAH MARIE G. Jacob St. Brgy Masuso Pandi Bulacan - - 54,766.12 54,766.12
15-Sep-21 21-1161 BERMEJO, NORLY B. 404B Cleanville St. Brgy Manuyo 1 Las Piñas - - 6,238.90 6,238.90
14-Sep-21 21-1162 INDIGADO, LEONARDO S. 1016 Voluntad St. Brgy Turo Bocaue Bulacan - - 616.15 616.15
14-Sep-21 21-1163 REYES, MARY CLARENCE L. 1162 Santos Teodoro St. Brgy 187 Tondo Manila - - 8,739.55 8,739.55
14-Sep-21 21-1164 CAGALINGAN, CASSANDRA AIKO Y.
581 Arnaldo 2 St. Brgy 1 Cavite City - - 6,121.39 6,121.39
15-Sep-21 21-1165 TAMAYO, ROMEO V. 13 Riverside St. Brgy None Potrero Malabon City - - 28,197.20 28,197.20
15-Sep-21 21-1166 ACUÑA, RYAN A. 2015 ALMEDA STREET St. Brgy 226 Z-21 TONDO MANILA
- - 4,240.00 4,240.00
15-Sep-21 21-1167 ESPAGO, NERISSA M. 302 San Ignacio Street St. Brgy Barangay 104 CAPULONG
- ROXAS MANILA - 1,060.00 1,060.00
15-Sep-21 21-1168 MANUEL, VICTOR R. 1247 G Tayabas St. Brgy 223 Tondo Manila - - 1,890.00 1,890.00
15-Sep-21 21-1169 RIMA, MARILYN P. 113 SAN BEDA St. Brgy BAHAY TORO LIBIS QUEZON CITY
- - 1,115.00 1,115.00
16-Sep-21 21-1170 MACALALAG, DESIREE P. 188 OSMEÑA St. Brgy 112 TONDO MANILA - - 2,710.00 2,710.00
16-Sep-21 21-1171 SANCHEZ, TRICIA MAE S. 1407 M DELA FUENTE St. Brgy 491 SAMPALOC MANILA
- - 261.44 261.44
16-Sep-21 21-1172 PAYRA, MARIA SALVE L. 35-M A. Luna St. Brgy West Rembo Makati City - - 968.10 968.10
16-Sep-21 21-1173 CORALDE, JHARA JACK S. R10 MARCOS HIGHWAY St. Brgy 123 TONDO MANILA- - 890.00 890.00
16-Sep-21 21-1174 YANGA, ARVIN M. 427 A CONCIA St. Brgy 70 TONDO MANILA - - 1,890.00 1,890.00
16-Sep-21 21-1175 SANTOS, RACQUEL L. 7 N RAMIREZ COR STO TOMAS ESPAÑA ROTONDA St.-Brgy DON MANUEL QUEZON
- CITY 580.00 580.00
15-Sep-21 21-1176 CALUAG, ROBERTO A. 64 Everybody Youth Club St. Brgy San Pedro San Simon
- Pampanga - 22,297.00 22,297.00
15-Sep-21 21-1177 BALDERAMA, MARIA ROSE ANN T.DENR Compound St. Brgy PAGASA Agham Road Quezon
- City - 4,120.55 4,120.55
15-Sep-21 21-1178 SAYOSA, JASTINE L. 4777 Road 2 V. Mapa St. Brgy 595 Zone 59 Sta. Mesa Manila
- - 6,641.20 6,641.20
15-Sep-21 21-1179 LLEVA, WAIIAN MATTHEW A. 42 DAVAO St. Brgy ALICIA BAGO BANTAY QUEZON CITY
- - 2,115.43 2,115.43
15-Sep-21 21-1180 ALCOVENDAS, RICHELL S. Phase 3 Package 1 Block 1 Lot Excess St. Brgy 176 Bagong
- Silang Caloocan City - 7,831.05 7,831.05
15-Sep-21 21-1181 AMANCIO, LOLITA A. 245 Lallana St. Brgy 104 Tondo Manila - - 5,148.82 5,148.82
15-Sep-21 21-1182 ARIOLA, EMILYN S. 567 Miguelin St. Brgy 440 Sampaloc Manila - - 7,892.99 7,892.99
15-Sep-21 21-1183 TEOPE, GIMA G. 3 Emerald St. Brgy Merville Paranaque City - - 4,130.77 4,130.77
11-Sep-21 21-1184 REYES, DESERIE R. Blk 13 Lot 10 Chesa St. Brgy 72 Tondo Manila - - 8,922.21 8,922.21
22-Sep-21 21-1185 MADRID, REYMUNDO JR R. Block 48 Lot 14 Purok 6 St. Brgy San Martin III San Jose- Del Monte City Bulacan - 32,134.52 32,134.52
24-Sep-21 21-1186 RELOX, ELLA-JEAN V. Area 2 Manggahan St. Brgy Moonwalk Parañaque City -Parañaque City - 2,385.10 2,385.10
24-Sep-21 21-1187 ABABON, ROSEMARIE N. 1901 V Int 53 Zamora St. Brgy 843 Pandacan Manila - - 2,573.83 2,573.83
24-Sep-21 21-1188 VACAL, ELISHA HOPE G. 16 Road 21 St. Brgy North Daang Hari Taguig City - - 8,525.39 8,525.39
24-Sep-21 21-1189 DUMA, MELVIN S. 751 Galicia St. Brgy None Sampaloc Manila - - 1,292.90 1,292.90
24-Sep-21 21-1190 TAPEL, ROSIE T. 3129 D Agusto St. Brgy Salapan San Juan City - - 596.20 596.20
25-Sep-21 21-1191 DAVID, ERLINDA C. 14 Jonathan St. Brgy 55 Tondo Manila - - 2,456.00 2,456.00
25-Sep-21 21-1192 TENGSON, MAYBILYN M. 374 L. Santos St. Brgy Tangos South Navotas - - 530.00 530.00

Page 20
 AMOUNT OF MEDICAL SERVICES
LABORATORIES,
DATE CONTROL TOTAL
NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL &
GRANTED NO. HOSPITAL FEES ASSISTANCE
SUPPLIES DIAGNOSTICS
PROCEDURES

25-Sep-21 21-1193 ZAMORA, PAUL IVAN L. 1088 E. Solis St. Brgy 215 Tondo Manila - - 1,780.00 1,780.00
25-Sep-21 21-1194 PASCUA, NORA P. 79 Sampaloc St. Brgy Purok 4 Lower Bicutan Taguig City
- - 1,325.00 1,325.00
25-Sep-21 21-1195 MARAASIN, MARUJA R. B4, L16, PH8, ACM St. Brgy Alapan I-A Imus Cavite - - 3,184.30 3,184.30
25-Sep-21 21-1196 BAYON-ON, RAY ANNE JEAN M. Alba St. Brgy Mataas na Parang San ildefonso Bulacan - - 11,349.27 11,349.27
25-Sep-21 21-1197 ADRIANO, JOVELYN D. 1191 Medina St. Brgy Gen. T. De Leon Valenzuela City - - 530.00 530.00
25-Sep-21 21-1198 AUSTRIA, ARMANDO H. 1676 Int 8 Velasquez St. Brgy 81 Tondo Manila - - 318.20 318.20
25-Sep-21 21-1199 MACARANAS, ANGEL LOUISE R. 2968 Int 10 Tambunting St. Brgy 374 Sta. Cruz Manila - - 530.00 530.00
25-Sep-21 21-1200 MARAVILLA, ROSEL E. 109-A San Bartolome St. Brgy 30 Maypajo Caloocan City
- - 360.00 360.00
25-Sep-21 21-1201 DELA CRUZ, KYLINE BLAIR M. 1808 Maharlika St. Brgy 85 Tondo Manila - - 27,655.53 27,655.53
25-Sep-21 21-1202 GUEVARRA, GINA T. 310 Altura Extension St. Brgy 592 Sta. Mesa Manila - - 293.83 293.83
25-Sep-21 21-1203 SEBASTIAN, JAY MARTHE V. 2671 INT 7 JUAN LUNA St. Brgy 159 GAGALANGIN TONDO
- MANILA - 530.00 530.00
25-Sep-21 21-1204 CARACAS, ISIDRO JR O. Purok 6 St. Brgy Lower Magsaysay San Pedro City Laguna
- - 399.14 399.14
25-Sep-21 21-1205 TUGON, MARY JOY B. 1336 Hernandez St. Brgy 69 Tondo Manila - - 1,280.30 1,280.30
25-Sep-21 21-1206 BARREDO, KIMBERLY ANN B. 821 Mindoro St. Brgy 572 Sampaloc Manila - - 700.00 700.00
25-Sep-21 21-1207 ABLAY, RAYMOND L. Brgy Addition Hills Mandaluyong City - - 1,641.40 1,641.40
25-Sep-21 21-1208 ESLLER, RICKY D. Brgy Bukal, Sampaloc 2 Dasmariñas Cavite City - - 1,590.00 1,590.00
25-Sep-21 21-1209 TOLENTINO, JASON S. 140 Pandan St. Brgy 116 Barrio Magsaysay, Tondo Manila
- - 2,228.59 2,228.59
25-Sep-21 21-1210 ESPAÑOLA, EDROSE M. HONTIVEROS COMPOUND FOURTH ESTATE St. Brgy SAN
- ANTONIO PARAÑAQUE
- CITY 3,761.03 3,761.03
25-Sep-21 21-1211 ADRILLANO, CARMELITA E. 269 Malaya St. Brgy 125 Balut, Tondo Manila - - 1,060.00 1,060.00
25-Sep-21 21-1212 LOPEZ, LEONOR B. 1754 M. Natividad St. Corner Malabon St. Brgy 337 Sta.- Cruz Manila - 2,929.87 2,929.87
26-Sep-21 21-1213 MADRID, ALLEN A. Cantada Comp. St. Brgy Mambog III Bacoor Cavite - - 806.74 806.74
26-Sep-21 21-1214 YSON, JENNIFER G. 1635 Int 5A F. Varona St. Brgy 80 Tondo Manila - - 1,785.82 1,785.82
26-Sep-21 21-1215 INTERIOR, MILDRED M. 53 Quirino Ext. Purok 15, Z6 St. Brgy South Signal Village
- Taguig City - 1,045.70 1,045.70
26-Sep-21 21-1216 CALDERON, FRANCIS S. 116 M. Hizon St. Brgy 64 Caloocan City - - 433.31 433.31
26-Sep-21 21-1217 PADILLA, JOJO D. De Castro Subd 479 Wista St. Brgy Paso De Blas Valenzuela
- City - 843.50 843.50
26-Sep-21 21-1218 CORPUZ, JOEL S. 1140 Kagitingan St. Brgy 34 Tondo Manila - - 890.00 890.00
26-Sep-21 21-1219 WAILAN, HERBERT N. SITIO DARULOG St. Brgy DUPLIGAN TANUDAN KALINGA
- TABOC CITY - 2,120.00 2,120.00
26-Sep-21 21-1220 AVISADO, LANCE MIGUEL A. 2438 Singalong St. Brgy 733 Malate Manila - - 530.00 530.00
26-Sep-21 21-1221 PAPA, ALLYSA MARIE U. 164 Tagaytay St. Brgy 130 Caloocan City - - 530.00 530.00
26-Sep-21 21-1222 CAMACHO, KEVIN D. Blk 6 Lot 19 Silver Crest Villa St. Brgy Habay 1 Bacoor -Cavite - 530.00 530.00
26-Sep-21 21-1223 CINCO, DELIA M. 136 J MARIANO St. Brgy 95 CALOOCAN CITY - - 2,350.00 2,350.00
26-Sep-21 21-1224 SABADO, AIDEN DWIGHT B. Block 12 St. Brgy Gumaoc West San Jose Del Monte Bulacan
- - 718.64 718.64
26-Sep-21 21-1225 BALAGASAY, JP B. 917 San Simon St. Brgy 18 Tondo Manila - - 1,060.00 1,060.00
26-Sep-21 21-1226 CONDE, EVELYN M. 1062 Tambakan St., Road 1 St. Brgy 35 Maypajo Caloocan
- City - 1,645.00 1,645.00
17-Sep-21 21-1227 LOBA, ESTERLITA T. 126 A Bona Alley Pangako St. Brgy 151 Bagong Barrio
852.00
Caloocan City - - 852.00
7-Jul-21 21-1228 SISTOZA, JOSEFINA T. 583 Antipolo St. St. Brgy 169 Tondo Manila - 848.00 - 848.00
19-Jul-21 21-1229 PIANG, SHIRELYN T. 167 Ruby St. Brgy 122 Tondo Manila - 3,645.00 - 3,645.00
21-Jul-21 21-1230 VITAL, SUSAN S. Blk 419 Jupiter Cor Mercury St., Heritage Homes St. Brgy
- Loma De Gato Marilao
1,060.00
Bulacan - 1,060.00
21-Jul-21 21-1231 VELEZ, ALBERTO D. B38 L11 Palao St. Brgy Canlubang Calamba Laguna420.00 990.00 - 1,410.00
21-Jul-21 21-1232 BETANIO, MARK JOSEPH D. 871 Tomas Claudio Pandacan Manila - 530.00 - 530.00
21-Jul-21 21-1233 SIBAL, ESPERANZA D. Brgy Tartaria Silang cavite - 6,830.00 - 6,830.00
22-Jul-21 21-1234 PUATO, ISIDRO G. 69 Mabuti General Evalista St. Brgy 145 Bagong Barrio- Caloocan City 600.00 - 600.00
23-Jul-21 21-1235 PENETRANTE, CHRISTOPHER M. 1520 Salmon St. Brgy 8 Dagat-Dagatan Caloocan City - 530.00 - 530.00
29-Aug-21 21-1236 SALCEDA, JOHN MATTHEW D. 442 J Marzan St. Brgy 438 Sampaloc Manila - - 46,431.19 46,431.19
31-Aug-21 21-1237 BULANON, NATASHA LOUISSE Y. 2660A. Buendia Ext. St. Brgy 144 Balut, Tondo Manila - - 2,092.74 2,092.74
31-Aug-21 21-1238 FRANCISCO, CITADEL M. Block 16 Aratelis St. Brgy BF Homes Sucat Parañaque City
- - 9,800.00 9,800.00
1-Sep-21 21-1239 MACADAG-UM, SEAN SILVER MARTIN
Blk 9B.
Lot 12 Bille de Palme farm Subd St. Brgy Santiago- General Trias CAVITE - 158,235.72 158,235.72
1-Sep-21 21-1240 NIEVA, RODEL S. 117 Stotsenburg St. Brgy 67 10th Avenue Caloocan City- - 530.00 530.00
1-Sep-21 21-1241 REYES, DAN-JANNUEL V. Brgy CAYPOMBO STA MARIA BULACAN - - 1,340.00 1,340.00
4-Sep-21 21-1242 IGNACIO, MERYLIN N. Zone 6 Capiral Comp St. Brgy Sun Valley Parañaque City
- - 19,544.18 19,544.18
6-Sep-21 21-1243 PAJARES, LUZ L. Bangbang St. Brgy Castaños Cerca General Emilio Aguinaldo
- Cavite - 42,120.89 42,120.89
5-Sep-21 21-1244 TORRES, LEONARDO Q. 31 B JAPAN St. Brgy BETTER LIVING PARAÑAQUE CITY
- - 39,346.10 39,346.10
6-Sep-21 21-1245 SOTTO, PERLYN C. Blk 5 Lot 8 Lakeview Heights Subd St. Brgy Lamesa Calamba
- Laguna - 62,959.95 62,959.95
1-Sep-21 21-1246 FLORES, CARMELITA C. 215 Blk. 2 Sta. Catalina St. Brgy 102 Tondo Manila - - 32,958.19 32,958.19
6-Sep-21 21-1247 ROSALES, RENE P. 433 M.H. del Pilar St. Brgy 5 Cuenca Batangas - - 64,362.00 64,362.00
3-Sep-21 21-1248 ABONG, PATRICIO B. 1322 Asuncion Extension St. Brgy 69 Tondo Manila - - 58,911.31 58,911.31
6-Sep-21 21-1249 ASGAR, SHERAMAE J. BLK 18 LOT 36 PH2 A4 HASA HASA St. Brgy LONGOS MALABON
- CITY - 23,938.71 23,938.71
6-Sep-21 21-1250 CUIZON, LINO M. 3231 Bagac Zone 2 St. Brgy 202 Manuguit, Tondo Manila
- - 51,930.00 51,930.00
3-Sep-21 21-1251 COMENDADOR, SEBASTIAN Y. 1259 PRUDENCIO St. Brgy 487 SAMPALOC MANILA - - 46,961.17 46,961.17
6-Sep-21 21-1252 MAHUSAY, LOURDES S. A4 Matipuno St. Brgy Malinta Sition Pinalagad Valenzuela
- City - 12,068.28 12,068.28

Page 21
 AMOUNT OF MEDICAL SERVICES
LABORATORIES,
DATE CONTROL TOTAL
NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL &
GRANTED NO. HOSPITAL FEES ASSISTANCE
SUPPLIES DIAGNOSTICS
PROCEDURES

6-Sep-21 21-1253 BAUTISTA, PEARLITA R. Blk30 L65 Ph3B Talilong Talaba St. Brgy 31 Maypajo Caloocan
- City - 1,172.62 1,172.62
4-Sep-21 21-1254 CAPILI, JENNIFER ROMANVILLE St. Brgy TAGAPO STA ROSA LAGUNA - - 6,319.06 6,319.06
4-Sep-21 21-1255 PALMARES, MA. RINA N. 3538 V. Mapa Extension St. Brgy 601 Sta. Mesa Manila- - 6,034.01 6,034.01
4-Sep-21 21-1256 BENSIG, CLARICE ANN B. 6 Carcer St. Brgy 393 Quiapo Manila - - 2,087.78 2,087.78
4-Sep-21 21-1257 AGUSTIN, ALEXANDRA DENIZ M. 42 DAVAO St. Brgy ALICIA BAGO BANTAY QUEZON CITY
- - 7,183.13 7,183.13
4-Sep-21 21-1258 MANSANERO, JOANA C. Agleham Bernardo St. Brgy Palasan Valenzuela City - - 6,380.05 6,380.05
5-Sep-21 21-1259 BARTE, KYNARRA ANDREA R. Olivarez Home Phase 5 St. Brgy Sto Tomas Biñan Laguna
- - 6,687.86 6,687.86
2-Sep-21 21-1260 GUTIERREZ, NOVELYN C. 210 A. Pitong Gatang St. Brgy 80 Tondo Manila - - 3,275.66 3,275.66
3-Sep-21 21-1261 VESA, JESSIEBEL B. C PEREZ St. Brgy TONSUYA MALABON CITY - - 10,215.76 10,215.76
7-Sep-21 21-1262 EVANGELISTA, EVANGELINE M. 267 MGR Gate 1 St. Brgy Malabanban Norte Candelaria- Quezon 608.00 - 608.00
3-Sep-21 21-1263 CAPANGPANGAN, MC CHARLIE S.Blk 15 138 Baseco Compound St. Brgy 649 Port Area Manila
- - 9,828.55 9,828.55
7-Sep-21 21-1264 VISTAR, GLORIA Q. 102 Basilio St. Brgy Acacia Malabon City - 608.00 - 608.00
7-Sep-21 21-1265 GARGANTA, JANET M. 34 Victory Avenue, Mabolo St. Brgy Tatalon Quezon City
- 608.00 - 608.00
4-Sep-21 21-1266 CURA, MISSIE P. 56 E-Branches St. Brgy Project 8 QUEZON CITY - - 27,502.84 27,502.84
3-Sep-21 21-1267 OBINGUAR, MARIANE B. 55 7th St. Brgy 93 11th Avenue Caloocan City - - 7,946.93 7,946.93
7-Sep-21 21-1268 TIMBOL, FLORENCE E. Tayuman Dagupan Ext St. Brgy 157 Tondo Manila - - 530.00 530.00
7-Sep-21 21-1269 LEGASPI, EVELYN C. C. Perez St. Brgy Tonsuya Malabon City - - 1,705.14 1,705.14
7-Sep-21 21-1270 FELIPE, RODRIGO E. Blk 7 Lot 2 Mandarin Homes St. Brgy Malagasang II-B Imus
- Cavite - 1,890.00 1,890.00
7-Sep-21 21-1271 CLAVITA, MARITES B. Nstra Sra. del Rosario St. Brgy 3 Laoag Ilocos Norte - 940.00 - 940.00
7-Sep-21 21-1272 DE LEON, SARAH JANE D. 28 PNP Compound Hilltop St. Brgy Dolores Taytay Rizal
- - 1,025.00 1,025.00
7-Sep-21 21-1273 DE LEON, SARAH JANE D. 28 PNP Compound Hilltop St. Brgy Dolores Taytay Rizal
- - 530.00 530.00
7-Sep-21 21-1274 CHAN, CINDY T. 1214 Sitio Biik St. Brgy Gen. T. De Leon Valenzuela City- - 6,069.20 6,069.20
7-Sep-21 21-1275 MONILLA, SHIELA MARIE D. Block 29 Lot 17 Carissa Homes North 2-A St. Brgy Kaypian
- San Jose Del Monte City
- Bulacan 7,982.38 7,982.38
7-Sep-21 21-1276 AGASINO, TERRY JEAN V. 2358 Jasmin Singalong St. Brgy 754 Sta Ana Manila - - 1,890.00 1,890.00
6-Sep-21 21-1277 TAPEL, JHUSTINE KYLE D. 942 Interior 19 Bilibid Viejo St. Brgy 391 Quiapo Manila
- - 7,253.20 7,253.20
6-Sep-21 21-1278 TALUSAN, AURORA S. 1952 Obesis St., President Qurino Avenue St. Brgy 844-Zone 92 Pandacan Manila- 815.67 815.67
6-Sep-21 21-1279 GASMEN, JOANA MARIE P. 191 8th Ave Ext St. Brgy 105 Caloocan City - - 8,631.51 8,631.51
6-Sep-21 21-1280 CALANOG, BRENDA LEE C. Brgy Santol Tanza Cavite City - - 5,781.00 5,781.00
6-Sep-21 21-1281 VERASTIGUE, SARAH JANE D. 1171 Area A, Gate 5 St. Brgy 20 Parola, Tondo Manila - - 6,193.20 6,193.20
6-Sep-21 21-1282 LAUDER, EVELYN L. 584-120 PUROK 4 St. Brgy 704 SAN ANDRES MALATE-MANILA - 89,477.01 89,477.01
6-Sep-21 21-1283 CACAFRANCA, ISIDORO B. 1317 P. Jacinto St. Brgy 165 Bagbaguin Caloocan City - - 20,889.35 20,889.35
7-Sep-21 21-1284 CEZAR, AIDA B. 18 Lily St., San Antonio Valley 17 St. Brgy Talong 4 315.94
Las Piñas City - - 315.94
6-Sep-21 21-1285 FABRO, DOLORA Y. 17-C N. Ponce St. Brgy Doña Aurora Galas Quezon City- - 23,539.03 23,539.03
6-Sep-21 21-1286 HUBILLA, JHOANNA G. 233 St. Brgy Bancal Meycauayan City Bulacan - - 19,442.42 19,442.42
7-Sep-21 21-1287 ECO, BENJIE P. Aroma Bldg. 27 Unit 71 St. Brgy 105 Tondo Manila - - 530.00 530.00
7-Sep-21 21-1288 TIBAY, LITO D. 295 B HERBOSA St. Brgy 95 TONDO MANILA - - 21,801.01 21,801.01
9-Sep-21 21-1289 DAA, VERNADY F. Cugon St. Brgy 83-B San Jose Tacloban - 760.00 - 760.00
9-Sep-21 21-1290 GARGANTA, JANET M. 34 Victory Avenue, Mabolo St. Brgy Tatalon Quezon City
- 760.00 - 760.00
9-Sep-21 21-1291 GONZALES, ARIEL JC G. 0711 Pugala Road St. Brgy Lagundi Morong Riza - - 759.74 759.74
9-Sep-21 21-1292 MORTEL, DEO M. Brgy POBLACION MAGDIWANG ROMBLON - - 837.15 837.15
9-Sep-21 21-1293 EVANGELISTA, BENEDICTO P. 13 Gen Malvar Ext St. Brgy 133 Bagong Barrio Caloocan
- City - 2,182.43 2,182.43
8-Sep-21 21-1294 PASCUAL, TRICIA MAE R. 2483 Crisolita St. Brgy 767 San Andres Bukid Manila - - 7,948.14 7,948.14
8-Sep-21 21-1295 SISON, ARVIN CHRISTIAN L. 1308 C Tindalo St. Brgy 224 Tondo Manila - - 22,478.29 22,478.29
8-Sep-21 21-1296 LEGASPI, JOSELITO JR S. Block 30 Sitio Forest Site St. Brgy San Isidro Antipolo City
- - 11,099.83 11,099.83
9-Sep-21 21-1297 CERVANTES, JANELLE E. Blk 9 Tambakan St. Brgy 649 Baseco, Port Manila - - 1,111.18 1,111.18
8-Sep-21 21-1298 EUSEBIO, JUSTINE AIKO R. 608 Danganan St. Brgy 182 Gagalangin, Tondo Manila - - 20,035.85 20,035.85
8-Sep-21 21-1299 LOLAN, LIZA -. Block 18 Lot 17 St. Brgy Poblacion 1 General Mariano Alvarez
- Cavite - 15,403.73 15,403.73
9-Sep-21 21-1300 REYES, CALLIANNA LORIENNE P.Block 4 Lot 34 Camachile Subdivision St. Brgy Pascam -1 General Trias Cavite - 1,603.19 1,603.19
8-Sep-21 21-1301 ESGANA, LEONALYN Z. Block 56 Lot 10 Phase 3 Sabalo St. Brgy 8 Dagat-Dagatan
- Caloocan City - 14,613.12 14,613.12
9-Sep-21 21-1302 DOMINGO, EDWARDSON D. 30 Boifacio St. Brgy Bantog Roxas Isabela - - 89,690.53 89,690.53
9-Sep-21 21-1303 ABANCO, ELMIRA S. B1 L9 Don Fernando St. Brgy Niyugan Malabon - - 1,590.00 1,590.00
9-Sep-21 21-1304 MAGALLANES, JOCELYN C. 94 4TH AVE WEST St. Brgy 48 GRACE PARK CALOOCAN
- CITY - 1,696.27 1,696.27
9-Sep-21 21-1305 BURAGA, JAYVIE F. Brgy Luquilu Cabagan Isabela - - 19,303.46 19,303.46
9-Sep-21 21-1306 SANCHEZ, HERVIEY JHUN C. 206 Mirasol St. Balut St. Brgy 145 Zone 12 Tondo Manila
- - 845.00 845.00
10-Sep-21 21-1307 CUVINAR, ARTURO A. 918 Blumentrit St. Brgy 513 zone 51 Sampaloc Manila- - 2,292.86 2,292.86
10-Sep-21 21-1308 LAURENTE, QUEEN DYNISE M. Bldg 8 Unit 36 Temporary Housing St. Brgy 105 Tondo- Manila - 530.00 530.00
10-Sep-21 21-1309 PAPA, ALLYSA MARIE U. 164 Tagaytay St. Brgy 130 Caloocan City - - 1,420.00 1,420.00
10-Sep-21 21-1310 SANDKJENN, EDITHA T. Blk 3 Lot 4 Loporzano St., Tierranova Royale 3 St. Brgy- 171 Bagumbong Caloocan
- City 4,200.93 4,200.93
10-Sep-21 21-1311 ADRIANO, JOVELYN D. 1191 Medina St. Brgy Gen. T. De Leon Valenzuela City - - 2,580.00 2,580.00
10-Sep-21 21-1312 DONEZA, MICHELLE JOY L. Camposanto St. Brgy 7 Julugan, Tanza Cavite - 940.00 - 940.00

Page 22
 AMOUNT OF MEDICAL SERVICES
LABORATORIES,
DATE CONTROL TOTAL
NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL &
GRANTED NO. HOSPITAL FEES ASSISTANCE
SUPPLIES DIAGNOSTICS
PROCEDURES

11-Sep-21 21-1313 ALCANTARA, ROMY F. Sitio Kastila St. Brgy Magtalongtong Lobo Batangas - - 36,103.40 36,103.40
11-Sep-21 21-1314 BARRIENTOS, JERIMAE B. 1050 Kagitingan St. Brgy 98 Tondo Manila - - 22,638.32 22,638.32
11-Sep-21 21-1315 BALILI, JOEVIL S. Star Apple St. Brgy Buenavista Dumaguete - - 1,060.00 1,060.00
11-Sep-21 21-1316 ITO , RONEL T. 3532 F. Roxas St. Brgy 91 Barrio Obrero Tondo Manila- - 729.30 729.30
11-Sep-21 21-1317 AQUINO, IMEE C. 2654 Dagupan St. Brgy 165 Tondo Manila - - 500.00 500.00
11-Sep-21 21-1318 ABLAY, RAYMOND L. Brgy Addition Hills Mandaluyong City - - 530.00 530.00
12-Sep-21 21-1319 DAMES, CARMENCITA P. 1928 IMMACULADA St. Brgy 232 TAYUMAN TONDO MANILA
- - 1,741.20 1,741.20
12-Sep-21 21-1320 VILLARIN, FELICIDAD A. 109 San Pedro St. Brgy 146 Tondo Manila - - 345.18 345.18
12-Sep-21 21-1321 TINDUGAN, EVELYN A. 76 Katipunan Kaliwa St. Brgy Bagbag Novaliches Quezon
- City - 1,521.04 1,521.04
12-Sep-21 21-1322 NACIS, JOHN DEXTER V. 409 Pampanga St., Gagalangin St. Brgy 180, Zone 16 Tondo
- Manila - 1,527.00 1,527.00
12-Sep-21 21-1323 DE GUZMAN, EUGENE M. 1206 Barcelona St. Brgy 45 Tondo Manila - - 950.00 950.00
12-Sep-21 21-1324 BARBO, JUAN M. 3201-E J. Trinidad St. Brgy 195 Zone 17 Tondo Manila- - 1,544.93 1,544.93
12-Sep-21 21-1325 ENSALADA, DEXTER P. Block 42 Lot 29 San Antonio St., Melody Plains St. Brgy- Muzon San Jose Del Monte
- City Bulacan 650.00 650.00
12-Sep-21 21-1326 SANTIAGO, SALVACION C. 3434 West Vigan St. Brgy 570 Sampaloc Manila - - 261.59 261.59
12-Sep-21 21-1327 PASION, NORELYN O. 138 Sarmiento Comp Zytek St. Brgy Pasong Tamo Quezon
- City - 6,281.93 6,281.93
12-Sep-21 21-1328 DELEMOS, DARWIN O. 308 Lallana St. Brgy 95 Zone 8 Tondo Manila - - 4,240.00 4,240.00
12-Sep-21 21-1329 TAYSON, RON DENVER F. 119 Zamora St. Brgy Paliwas Ubando Bulacan - - 1,590.00 1,590.00
12-Sep-21 21-1330 BELIALBA, ANGELICA C. 28 V Francisco St. Brgy Cruz Na Ligas Quezon City - - 9,885.56 9,885.56
12-Sep-21 21-1331 CONZAGA, MARYJANE P. 144 White Plain St. Brgy Luna Bolinao Pangasinan - - 1,059.27 1,059.27
12-Sep-21 21-1332 OBATAY, CORAZON T. 2034 Tramo St., Zone 11 St. Brgy 106 Pasay City - - 340.00 340.00
12-Sep-21 21-1333 VALDEZ, EMILIE C. Brgy Tumagay Plaridel Quezon Province - - 2,138.34 2,138.34
3-Sep-21 21-1334 NUÑEZ, ADELINO T. 3164 Bagac St. Brgy 202-A Manuguit, Tondo Manila - - 22,762.69 22,762.69
20-Aug-21 21-1335 BORROMEO, EMILIO 133 GUANSING ST. BRGY. PULO VALENZUELA CITY - 608.00 - 608.00
27-Aug-21 21-1336 TIZON, PRECY Q. Blk32 Lot13 Ph2 A2 St. Brgy NBBS Dagat-Dagatan Navotas
- City - 123,913.00 123,913.00
27-Aug-21 21-1337 SALAMAT, DOLORES G. 2906J TAMBUNTING ST., RIZAL AVENUE EXT. STA
1,005.30
CRUZ MANILA - - 1,005.30
27-Aug-21 21-1338 BORROMEO, EMILIO 133 GUANSING ST. BRGY. PULO VALENZUELA CITY - 608.00 - 608.00
31-Aug-21 21-1339 TIMOLA, VIENZL D. 39 General Malvar St. Brgy 135 Bagong Barrio Caloocan
- City - 20,000.00 20,000.00
3-Sep-21 21-1340 SERRANO, JOSE JR. G. 22 A Caposas St St. Brgy Masambong Quezon City 175.80 - - 175.80
3-Sep-21 21-1341 BORROMEO, EMILIO 133 GUANSING ST. BRGY. PULO VALENZUELA CITY - 760.00 - 760.00
3-Sep-21 21-1342 NAKAJIMA, STEPHANIE M. 54 MH Del Pilar St. Brgy Sto. Tomas Pasig City - - 12,391.37 12,391.37
2-Sep-21 21-1343 PAJARES, LUZ L. Bangbang St. Brgy Castaños Cerca General Emilio4,952.40
Aguinaldo Cavite - - 4,952.40
3-Sep-21 21-1344 SABINO, NADIEL A. 828 Fullion St. Brgy 63 Tondo Manila - - 10,000.00 10,000.00
18-Aug-21 21-1345 BALDERAS, CECILIA M. 24 F. Carlos St. Brgy Baesa Quezon City - 6,105.00 - 6,105.00
19-Aug-21 21-1346 DE VERA, RAIDEN ACE C. 244 C Arellano St. Brgy Baritan Malabon City - - 783.60 783.60
12-Aug-21 21-1347 MARDO, ZHAIRUS I. Block 21 Lot 17 Phase 1-B St. Brgy NBBS Navotas City - - 1,060.00 1,060.00
28-Jul-21 21-1348 ROJAS, RYAN JAY T. 813 Gabriella St. Brgy 53 Tondo Manila - 325.00 - 325.00
16-Aug-21 21-1349 PADILLA, JASMIN B. Phase 5, Package 5, Blk 21, Lot 5 St. Brgy 176 Bagong
206.76
Silang Caloocan City 940.00 - 1,146.76
19-Jul-21 GER-21-01 MADOLID, HELEN G. 127 ZAPOTE St. Brgy BAGONG BARRIO CALOOCAN
3,120.00 10,400.00 - 13,520.00
19-Jul-21 GER-21-02 PAGOTAISIDRO, BERNARDITO E. 440 SAN DIEGO St. Brgy 550 Sampaloc MANILA 3,120.00 10,400.00 - 13,520.00
30-Jul-21 GER-21-03 BUGHAO, ROMULO A. 1347 L. ANGELES St. MALINTA VALENZUELA 3,120.00 10,400.00 - 13,520.00
2-Aug-21 GER-21-04 CASTAÑEDA, ALFREDO T. 926 Sitio Fatima St. Brgy Palangoy Binangonan Rizal
3,120.00 - - 3,120.00
3-Aug-21 GER-21-05 DINO, ANA MARIA A. 639 Int 2 Geronimo St. Brgy 432 Sampaloc Manila3,120.00 10,400.00 - 13,520.00
9-Aug-21 GER-21-06 PAGHUNASAN, LEONCIO G. 45 BMA AVE St. Brgy TATALON QUEZON CITY 3,120.00 - - 3,120.00
10-Aug-21 GER-21-07 DINO, ANA MARIA A. 639 Int 2 Geronimo St. Brgy 432 Sampaloc Manila - 390.00 - 390.00
12-Aug-21 GER-21-08 CASTAÑEDA, ALFREDO T. 926 Sitio Fatima St. Brgy Palangoy Binangonan Rizal - 10,400.00 - 10,400.00
13-Aug-21 GER-21-09 CUTINEZ, MIRALUNA G. BLK 1 LOT 4 PH 2 FIRENZE SUBD. St. Brgy BUHAY NA -TUBIG IMUS CAVITE
10,400.00 - 10,400.00
16-Aug-21 GER-21-10 PAGOTAISIDRO, BERNARDITO E. 440 SAN DIEGO St. Brgy 550 Sampaloc MANILA - 10,400.00 - 10,400.00
23-Aug-21 GER-21-11 DINO, ANA MARIA A. 639 Int 2 Geronimo St. Brgy 432 Sampaloc Manila3,120.00 - - 3,120.00
24-Aug-21 GER-21-12 MANALATA, RAIMER P. C3 B7 OISHI St. Brgy None BASECO, PORT AREA MANILA
3,120.00 - - 3,120.00
30-Aug-21 GER-21-13 MADOLID, HELEN G. 127 ZAPOTE St. Brgy BAGONG BARRIO CALOOCAN - 10,400.00 - 10,400.00
25-May-21 GER-21-14 BUGHAO, ROMULO A. 1347 L. ANGELES St. MALINTA VALENZUELA - 5,200.00 - 5,200.00
8-Jul-21 GER-21-15 AGBAYANI, LIWAYWAY J. 665 D. GENERAL LUKBAN St. TONDO MANILA - 12,460.00 - 12,460.00
11-Aug-21 GER-21-16 AQUINO, ERLINDA R. 825 Prudencio St. Brgy 450 Sampaloc Manila 3,120.00 10,400.00 - 13,520.00
12-Aug-21 GER-21-17 CATBAGAN, JOSEFINA A. 1956 S.H. LOYOLA St. Brgy 5522 SAMPALOC MANILA
3,120.00 - - 3,120.00
16-Aug-21 GER-21-18 CASTAÑEDA, ALFREDO T. 926 Sitio Fatima St. Brgy Palangoy Binangonan Rizal
3,120.00 - - 3,120.00
17-Aug-21 GER-21-19 DINO, ANA MARIA A. 639 Int 2 Geronimo St. Brgy 432 Sampaloc Manila - 10,400.00 - 10,400.00
20-Aug-21 GER-21-20 CRISOSTOMO, ROLANDO M. 6043 Sitio Incenerator, Project 8 St. Brgy Bahay Toro
3,120.00
Quezon City 10,400.00 - 13,520.00
20-Aug-21 GER-21-21 BERMUNDO, APOLINAR B. 1902 Franco St. Brgy 91 Tondo Manila - 10,400.00 - 10,400.00
23-Aug-21 GER-21-22 MARAVIVE, ELMER I. 70 C. SILENCIO St. Brgy SANTOL QUEZON CITY 3,120.00 10,400.00 - 13,520.00
26-Aug-21 GER-21-23 CASTAÑEDA, ALFREDO T. 926 Sitio Fatima St. Brgy Palangoy Binangonan Rizal - 10,400.00 - 10,400.00

Page 23
 AMOUNT OF MEDICAL SERVICES
LABORATORIES,
DATE CONTROL TOTAL
NAME OF PATIENTS ADDRESS MEDICINES AND MED DENTAL &
GRANTED NO. HOSPITAL FEES ASSISTANCE
SUPPLIES DIAGNOSTICS
PROCEDURES

27-Aug-21 GER-21-24 BLANCO, NADINE MARIA KRISTINE

1163
C. C. Balintawak Ext St. Brgy 229 Tondo Manila - 12,800.00 - 12,800.00
24-Aug-21 GER-21-25 MENDEZ, LORENZA B. 120 A. LUNA St. Brgy SALAPAN SAN JUAN 3,120.00 - - 3,120.00
30-Aug-21 GER-21-26 DINO, ANA MARIA A. 639 Int 2 Geronimo St. Brgy 432 Sampaloc Manila - 10,400.00 - 10,400.00
30-Aug-21 GER-21-27 CATBAGAN, JOSEFINA A. 1956 S.H. LOYOLA St. Brgy 5522 SAMPALOC MANILA - 10,400.00 - 10,400.00
31-Aug-21 GER-21-28 MENDEZ, LORENZA B. 120 A. LUNA St. Brgy SALAPAN SAN JUAN - 10,400.00 - 10,400.00
30-Aug-21 GER-21-29 PAGHUNASAN, LEONCIO G. 45 BMA AVE St. Brgy TATALON QUEZON CITY - 10,400.00 - 10,400.00
6-Sep-21 GER-21-30 BLANCO, NADINE MARIA KRISTINE
1163
C. C. Balintawak Ext St. Brgy 229 Tondo Manila - 12,800.00 - 12,800.00
6-Sep-21 GER-21-31 PAGOTAISIDRO, BERNARDITO E. 440 SAN DIEGO St. Brgy 550 Sampaloc MANILA - 10,400.00 - 10,400.00
- - - -

1380 774,915.68 829,671.91 11,322,087.99 12,926,675.58

PREPARED BY: CERTIFIED CORRECT: Approved by:

Maricel R. Talusan Jayson G. Dela Cruz ,CPA,MPA EMMANUEL F. MONTAÑA, JR, MD, FPCS, FACS, MHA
Admin Officer I Financial & Management Officer ll Medical Center Chief ll

Page 24