republic of the philippines department of health dr. jose...
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ALLOTMENT RECEIVED
Date Approved BALANCE
Referred Amount (DEFICIT)
0.00
02/01/18 Jean Ragos Dematera Gen. Trias, Cavite Hospital Bill 11,209.15
02/01/18 Girl Dematera Gen. Trias, Cavite Hospital Bill 6,457.26
02/01/18 Mark Tristan Moore Landicho Dasmariñas, cavite Hospital Bill 95,399.27
02/01/18 Romela Siervo Alulod Bulacan Hospital Bill 4,542.42
02/01/18 Antonio Pinlac Jordan Manila Laboratory Procedure 2,905.00
02/01/18 Flory Dolores Cinco Bacsal Tondo, Manila Laboratory Procedure 1,358.00
02/01/18 Flory Dolores Cinco Bacsal Tondo, Manila X-Ray 140.00
02/01/18 Jhoanna Crisse Yance Laguerta Sta. Cruz, Manila Ultrasound 990.00
02/01/18 Jhoanna Crisse Yance Laguerta Sta. Cruz, Manila Laboratory Procedure 500.00
02/01/18 Sherrie Ann Omero Sanchez Imus, Cavite Laboratory Procedure 2,648.00
02/01/18 Sherrie Ann Omero Sanchez Imus, Cavite Ultrasound 490.00
02/01/18 Jinkielyn Gumban Olete Laguna Laboratory Procedure 748.00
02/01/18 Vanessa Viva Esponilla Quezon City Ultrasound 990.00
02/01/18 Ellenor Wilson Alejandro Sta. Cruz, Manila Laboratory Procedure 2,950.00
02/01/18 Farrah Gay Perfecto Gallo Caloocan City Laboratory Procedure 1,604.00
02/01/18 Farrah Gay Perfecto Gallo Caloocan City Ultrasound 490.00
02/01/18 Janette Camungao Capacite Sta. Cruz, Manila Ultrasound 490.00
02/01/18 Gian Kylie Hachero Balles Parañaque City 2D Echo 2,300.00
02/01/18 Gian Kyla Hachero Balles Parañaque City 2D Echo 2,300.00
02/01/18 Leonora Balgos Tubongbanua Caloocan City Ultrasound 350.00
02/01/18 Leonora Balgos Tubongbanua Caloocan City Laboratory Procedure 230.00
02/01/18 Vina Colanta Mendoza Parañaque City Laboratory Procedure 1,764.00
02/01/18 Vina Colanta Mendoza Parañaque City Ultrasound 250.00
02/01/18 Romalyn Tumada Sotto Malabon City Laboratory Procedure 2,353.00
02/01/18 Maricel Feliciano Quiambao Bulacan Ultrasound 990.00
02/01/18 Charlene Hementera Bernardino Sta. Cruz, Manila Laboratory Procedure 1,685.00
02/02/18 Romelene Reyes San Antonio Sta. Cruz, Manila Laboratory Procedure 1,435.00
02/02/18 Mercy Concorda Florin Gen. Trias, Cavite Laboratory Procedure 1,399.00
02/02/18 Elna Montero Eñerez Rizal Hospital Bill 7,492.87
Assistance Needed
As of February 28, 2018
REMARKSDATE CHECK NO./SAA AMOUNT RECIPIENT ADDRESS
MEDICAL ASSISTANCE PROGRAM
Republic of the Philippines
Department of Health
DR. JOSE FABELLA MEMORIAL HOSPITAL
Accounting Office
M a n i l a
Page 1 of 30
ALLOTMENT RECEIVED
Date Approved BALANCE
Referred Amount (DEFICIT)Assistance Needed
As of February 28, 2018
REMARKSDATE CHECK NO./SAA AMOUNT RECIPIENT ADDRESS
MEDICAL ASSISTANCE PROGRAM
02/02/18 Marithess Quirante Bacuna Tondo, Manila Laboratory Procedure 1,435.00
02/02/18 Marithess Quirante Bacuna Tondo, Manila Ultrasound 250.00
02/02/18 Jocelyn Basa Garcia Tondo, Manila Ultrasound 490.00
02/02/18 Jocelyn Basa Garcia Tondo, Manila Laboratory Procedure 120.00
02/02/18 Vilma Molato Cureg Malabon City Laboratory Procedure 330.00
02/02/18 Vilma Molato Cureg Malabon City Ultrasound 500.00
02/02/18 Mary Rose Luyo Gagabuan Quezon City Laboratory Procedure 1,595.00
02/02/18 Girl Torrato (A) Parañaque City Hospital Bill 1,293.34
02/02/18 Girl Torrato (B) Parañaque City Hospital Bill 1,320.78
02/02/18 Carl Hendrix Carvajal Manila Hospital Bill 7,610.88
02/02/18 Jennalyn Torres Laconico Sta. Cruz, Manila Laboratory Procedure 130.00
02/02/18 Jennalyn Torres Laconico Sta. Cruz, Manila Ultrasound 350.00
02/02/18 Meljoy Mallari Garcia Caloocan City Ultrasound 990.00
02/02/18 Timmy Garcia Hernandez Sta. Cruz, Manila Laboratory Procedure 1,559.00
02/02/18 Timmy Garcia Hernandez Sta. Cruz, Manila Ultrasound 350.00
02/02/18 Melanie Maliban Ursua Parañaque City Laboratory Procedure 1,298.00
02/02/18 Analyn Morales Bayson Navotas City Laboratory Procedure 625.00
02/02/18 Ana Joy Yolores Recio Gen. Trias, Cavite Laboratory Procedure 1,764.00
02/02/18 Andrew Dave Cristobal Sta. Cruz, Manila Hospital Bill 100.00
02/02/18 Babylen Vallejera Verdadero Parañaque City Hospital Bill 25,497.41
02/02/18 Jonalie Caramihan Vilotendos Sta. Cruz, Manila Hospital Bill 4,382.02
02/02/18 Gabby Vallejera Verdadero Parañaque City Hospital Bill 227,950.50
02/03/18 Jan Lucas Vibas Catipon Tondo, Manila Hospital Bill 5,898.28
02/03/18 Margie Acosta Torres Tondo, Manila Hospital Bill 13,373.09
02/03/18 Sean Liwel Bago Abordo Gen. Trias, Cavite Hospital Bill 27,644.21
02/03/18 Emely Adriatico Bago Gen. Trias, Cavite Hospital Bill 11,387.43
02/04/18 Shiena Manlapaz Laguna Quezon City Hospital Bill 5,406.95
02/04/18 Leny Rose Aliparo Belanizo Caloocan City Hospital Bill 1,889.76
02/04/18 Lalaine Soriano Ignacio Tondo, Manila Hospital Bill 54,034.25
02/04/18 Angelita Soriano Ignacio Tondo, Manila Hospital Bill 16,344.64
02/05/18 Annalyn Catamco Capito Bacoor, Cavite Hospital Bill 8,044.53
02/05/18 Xandrea Kiel Capito Ravelo Bacoor, Cavite Hospital Bill 5,208.89
02/05/18 Mary Jane Brillones Bolo Caloocan City Laboratory Procedure 1,535.00
02/05/18 Mary Jane Brillones Bolo Caloocan City ECG 200.00
02/05/18 Mary Jane Brillones Bolo Caloocan City X-Ray 140.00
02/05/18 Rosalinda Binnua Lelis Caloocan City Laboratory Procedure 120.00
Page 2 of 30
ALLOTMENT RECEIVED
Date Approved BALANCE
Referred Amount (DEFICIT)Assistance Needed
As of February 28, 2018
REMARKSDATE CHECK NO./SAA AMOUNT RECIPIENT ADDRESS
MEDICAL ASSISTANCE PROGRAM
02/05/18 Rosalinda Binnua Lelis Caloocan City Ultrasound 490.00
02/05/18 Mary Claire Acoba Lucon San Juan City Ultrasound 1,400.00
02/05/18 Mary Claire Acoba Lucon San Juan City Laboratory Procedure 2,053.00
02/05/18 Mary Claire Acoba Lucon San Juan City X-Ray 140.00
02/05/18 Joy Ann Acebuche Sarmiento Malabon City Laboratory Procedure 1,435.00
02/05/18 Mary Rose Luyo Gagabuan Quezon City Laboratory Procedure 120.00
02/05/18 Mary Rose Luyo Gagabuan Quezon City Ultrasound 490.00
02/05/18 Loraine Aldave Delos Reyes Quezon City Laboratory Procedure 265.00
02/05/18 Jenda Adora Ramos Gen. Trias Cavite Laboratory Procedure 518.00
02/05/18 Melrose Pastidio Mapusao GMA, Cavite Laboratory Procedure 831.00
02/05/18 Melrose Pastidio Mapusao GMA, Cavite Ultrasound 490.00
02/05/18 Jobelle Docog Barcillano Sta. Cruz, Manila Laboratory Procedure 265.00
02/05/18 Giselle Fortunato Ferreras Tondo, Manila Laboratory Procedure 731.00
02/01/18 Jasmin Dasigao Gremaldo Gen. Trias Cavite Ultrasound 990.00
02/01/18 Jasmin Dasigao Gremaldo Gen. Trias Cavite Laboratory Procedure 1,779.00
02/01/18 Florentina Rico Tecson Tanza, Cavite Laboratory Procedure 1,535.00
02/01/18 Anna Angelica Veloso Sta. Cruz, Manila Laboratory Procedure 1,435.00
02/02/18 Ruby Angeles Capentes Sta. Cruz, Manila Laboratory Procedure 1,491.00
02/02/18 Ruby Angeles Capentes Sta. Cruz, Manila X-Ray 140.00
02/02/18 Ruby Angeles Capentes Sta. Cruz, Manila Ultrasound 350.00
02/02/18 Boy Aquino Port Area, Manila Hospital Bill 146,571.59
02/02/18 Leonora Abus Aquino Port Area, Manila Hospital Bill 57,348.92
02/02/18 Andrei Jeroz Bangcale Tahodo Quezon City Hospital Bill 100.00
02/02/18 Annaliza Galenzoga Bangcale Quezon City Hospital Bill 1,621.87
02/05/18 James Marquez Magbanua Sta. Cruz, Manila Hospital Bill 43,999.82
02/05/18 Annalyn Patigan Ternate Parañaque City Hospital Bill 11,347.57
02/05/18 Shin Alexander Patigan Ternate Parañaque City Hospital Bill 13,392.67
02/05/18 Ashnia Casidar Balangitao Parañaque City Hospital Bill 16,947.33
02/05/18 Ashlia Casidar Balangitao Parañaque City Hospital Bill 79,005.37
02/05/18 Naidah Casidar Balangitao Parañaque City Hospital Bill 21,369.38
02/05/18 Verna Garcia Marquez Sta. Cruz, Manila Hospital Bill 3,930.01
02/15/18 Airene Lucero Avengoza Laguna Hospital Bill 4,283.45
02/05/18 Analyn Morales Bayson Navotas City Hospital Bill 11,905.99
02/05/18 Kenn Jan Nathan Barrios Seco Las Piñas City Hospital Bill 8,863.17
02/05/18 Jesma Barrios Seco Las Piñas City Hospital Bill 4,624.23
02/05/18 Jeiselle Bodollo Gabayan Caloocan City Hospital Bill 2,373.09
Page 3 of 30
ALLOTMENT RECEIVED
Date Approved BALANCE
Referred Amount (DEFICIT)Assistance Needed
As of February 28, 2018
REMARKSDATE CHECK NO./SAA AMOUNT RECIPIENT ADDRESS
MEDICAL ASSISTANCE PROGRAM
02/05/18 Baby Joy Juan Valenzuela City Hospital Bill 7,403.43
02/05/18 Dina Talusi Bolante Parañaque City Hospital Bill 11,497.28
02/05/18 Adonalyn Libao Caeyan Caloocan City Laboratory Procedure 1,559.00
02/05/18 Melissa Sinamban Espino Tondo, Manila Laboratory Procedure 120.00
02/05/18 Melissa Sinamban Espino Tondo, Manila Ultrasound 490.00
02/05/18 Regille Bautista Cuevas Navotas City Ultrasound 490.00
02/05/18 Jenny RoseVergara Dela Cruz Tondo, Manila Laboratory Procedure 543.00
02/05/18 Jenny RoseVergara Dela Cruz Tondo, Manila Ultrasound 490.00
02/05/18 Julie Ann Afundar Delabajan Laguna Ultrasound 350.00
02/05/18 Cecelia Rosario Maralit Tondo, Manila Laboratory Procedure 265.00
02/05/18 Edna Almiñe Cuadra Quezon City Laboratory Procedure 518.00
02/05/18 Rose-Fe Lumbres Roluna Parañaque City Laboratory Procedure 1,435.00
02/05/18 Riza Obera Pelen Port Area, Manila Laboratory Procedure 1,764.00
02/06/18 Jefferson Eronia Mas Parañaque City X-Ray 224.00
02/06/18 Gina Amad Eronia Parañaque City X-Ray 140.00
02/06/18 Maria Bernice Baldovino Lamqui Parañaque City Hospital Bill 9,353.59
02/06/18 Dianalyn Ambajin Arellano Las Piñas City Laboratory Procedure 1,764.00
02/06/18 Dianalyn Ambajin Arellano Las Piñas City Ultrasound 740.00
02/06/18 Dolibeth Cinco Cabrales Valenzuela City Laboratory Procedure 1,135.00
02/06/18 Ann Julie Quiran Quezon City Laboratory Procedure 1,824.00
02/06/18 Josefina Carlos Garcia Muntinlupa City Ultrasound 490.00
02/06/18 Dina Gacias Gumabay Tondo, Manila Ultrasound 1,000.00
02/06/18 Ginelyn Estrellado Oraye Tondo, Manila Laboratory Procedure 100.00
02/06/18 Ginelyn Estrellado Oraye Tondo, Manila Ultrasound 250.00
02/06/18 Rian Uy De Guzman Sta. Cruz, Manila Ultrasound 490.00
02/06/18 Rosanna Ocena Navidad Bacoor, Cavite Laboratory Procedure 1,314.00
02/06/18 Zoey Oquendo Epino Caloocan City 2D Echo 2,300.00
02/06/18 Zoey Oquendo Epino Caloocan City Laboratory Procedure 145.00
02/06/18 Jerry Mae Bueno Del Monte Bacoor, Cavite Hospital Bill 15,593.14
02/06/18 Jeriel Del Monte Bacoor, Cavite Hospital Bill 7,078.65
02/06/18 Florence Biscarra Masaoay Malabon City Hospital Bill 13,675.96
02/06/18 Rhodimtsev Biscarra Masaoay Malabon City Hospital Bill 115,233.06
02/06/18 Jonalyn Pingolio Anoya Las Piñas City Hospital Bill 3,996.91
02/06/18 Nora Velano Casicas Manila Hospital Bill 2,628.07
02/06/18 Marichu Lopez Magayaga Caloocan City Laboratory Procedure 1,559.00
02/06/18 Marichu Lopez Magayaga Caloocan City Ultrasound 350.00
Page 4 of 30
ALLOTMENT RECEIVED
Date Approved BALANCE
Referred Amount (DEFICIT)Assistance Needed
As of February 28, 2018
REMARKSDATE CHECK NO./SAA AMOUNT RECIPIENT ADDRESS
MEDICAL ASSISTANCE PROGRAM
02/06/18 Sarah Jean Dumdumaya Serrano Parañaque City Laboratory Procedure 465.00
02/06/18 Adonalyn Libao Caeyan Caloocan City Ultrasound 350.00
02/06/18 Rachelle Maang Alvarez Manila Laboratory Procedure 1,435.00
02/06/18 Erlinda Tan Trinidad Bacoor, Cavite Hospital Bill 1,687.49
02/06/18 Crisanta Dichi Cavite Hospital Bill 34,374.84
02/06/18 Criselda Bella Dichi Cavite Hospital Bill 26,644.63
02/06/18 Josefina Carlos Garcia Muntinlupa City Laboratory Procedure 365.00
02/06/18 Jelica Lacandula Cabajar Parañaque City Laboratory Procedure 1,435.00
02/06/18 Lazel Abrio Jose Quezon City Hospital Bill 4,752.43
02/06/18 Vanessa Tunggol Española Tondo, Manila Ultrasound 500.00
02/06/18 Katherine Cardona Joguilon Quezon City Hospital Bill 13,645.05
02/06/18 Catherine Galao Ganal Dasmariñas, cavite Hospital Bill 3,247.53
02/06/18 Reighn Rowell Ganal Estado Dasmariñas, cavite Hospital Bill 1,468.79
02/06/18 Delfie Taleon Gajito Caloocan City Laboratory Procedure 2,190.00
02/06/18 Reyflor Ferando Matabiog Manila X-Ray 140.00
02/06/18 Reyflor Ferando Matabiog Manila Laboratory Procedure 1,918.00
02/06/18 Reyflor Ferando Matabiog Manila Ultrasound 250.00
02/06/18 Nina Rina Mabalot Tongco Caloocan City Laboratory Procedure 889.00
02/06/18 Zeus Ace Joguilon Bondoc Quezon City Hospital Bill 1,465.70
02/06/18 Florida Gonzales Morada Laguna Laboratory Procedure 495.00
02/06/18 Reynardelyn Silvano Acogido Parañaque City Ultrasound 990.00
02/06/18 Roann Pegarro Labador Laguna Laboratory Procedure 1,435.00
02/06/18 Roann Pegarro Labador Laguna Ultrasound 490.00
02/06/18 Guillerma Vergara Selerio Quezon City Laboratory Procedure 1,629.00
02/06/18 Ma. Salome Sulit San Juan Las Piñas City Ultrasound 740.00
02/06/18 Ma. Salome Sulit San Juan Las Piñas City Laboratory Procedure 1,298.00
02/06/18 Anabelle De Asis Valencia Parañaque City Laboratory Procedure 510.00
02/06/18 Anabelle De Asis Valencia Parañaque City Ultrasound 490.00
02/06/18 Christine Grace Fernandez Ong Tondo, Manila Laboratory Procedure 100.00
02/06/18 Marie Grace Quimoyog Ayala Caloocan City Laboratory Procedure 1,314.00
02/06/18 Jellen Joy Daquio Dela Cruz Caloocan City Hospital Bill 6,046.60
02/06/18 Esterlita Bendijo Britz Sta. Rosa, Laguna Ultrasound 560.00
02/06/18 Esterlita Bendijo Britz Sta. Rosa, Laguna Laboratory Procedure 1,850.00
02/06/18 Annalyn Acosta Saraus Sta. Cruz, Manila Laboratory Procedure 1,559.00
02/07/18 Marylen Sarmiento Galisim Bacoor, Cavite Laboratory Procedure 2,260.00
02/07/18 Cherrylyn Manao Mandia Las Piñas City Laboratory Procedure 1,281.00
Page 5 of 30
ALLOTMENT RECEIVED
Date Approved BALANCE
Referred Amount (DEFICIT)Assistance Needed
As of February 28, 2018
REMARKSDATE CHECK NO./SAA AMOUNT RECIPIENT ADDRESS
MEDICAL ASSISTANCE PROGRAM
02/07/18 Cherrylyn Manao Mandia Las Piñas City Ultrasound 490.00
02/07/18 Marmie Canoy Sodoso Port Area, Manila Laboratory Procedure 1,764.00
02/07/18 Lady Madonna Garganta Orebiada Sta. Rosa, Laguna Hospital Bill 6,543.28
02/07/18 Denver Garganta Orebiada Sta. Rosa, Laguna Hospital Bill 24,434.82
02/07/18 Edna Obero Pontay Tondo, Manila Ultrasound 490.00
02/07/18 Ma. Corazon Marzado Normor Quezon City Laboratory Procedure 1,435.00
02/07/18 Ma. Corazon Marzado Normor Quezon City Ultrasound 490.00
02/07/18 Opher Navarro Rodriguez Malabon City Ultrasound 490.00
02/07/18 Irene Rogon Gan Quezon City Hospital Bill 8,700.48
02/07/18 Arianne Rogon Gan Quezon City Hospital Bill 18,496.38
02/07/18 Narcris Pacheco Besañez Tondo, Manila Ultrasound 980.00
02/07/18 Agnes Deocampo Margarejo Quezon City Laboratory Procedure 1,559.00
02/07/18 Kenny Jane Luciaja Tiao Pasay City Ultrasound 490.00
02/07/18 Mary Jane Fernandez Soriano Malabon City Ultrasound 990.00
02/07/18 Divine Grace Castañeda Roquero Sta. Cruz, Manila Hospital Bill 274.28
02/07/18 Clara Abug Cabanatan Bulacan Hospital Bill 5,432.59
02/07/18 Maria Veronica Butial Hechanova Parañaque City Hospital Bill 2,499.68
02/07/18 Michael Hechanova Parañaque City Hospital Bill 100.00
02/07/18 Skyler Abejay Estrella Sta. Cruz, Manila Hospital Bill 6,059.73
02/07/18 Allyssa Sacdalan Rico Tondo, Manila Laboratory Procedure 1,435.00
02/07/18 Michelle Miano Clavano Laguna Laboratory Procedure 365.00
02/07/18 Michelle Miano Clavano Laguna Ultrasound 490.00
02/07/18 Julie Ann Penilla Dranto Caloocan City Ultrasound 560.00
02/07/18 Julie Ann Penilla Dranto Caloocan City Laboratory Procedure 585.00
02/07/18 Giselle Fortunato Ferreras Tondo, Manila Ultrasound 490.00
02/07/18 Maria Rose Fabilane Igaya Parañaque City Ultrasound 490.00
02/07/18 Maria Rose Fabilane Igaya Parañaque City Laboratory Procedure 140.00
02/07/18 Rachelle Valente Go Parañaque City Ultrasound 490.00
02/07/18 Nerissa Socorro Dimaano Del Rosario Quezon City Laboratory Procedure 625.00
02/07/18 Arcily Decon Este Makati City Laboratory Procedure 1,604.00
02/07/18 Analyn Esguerra Florendo Quezon City Laboratory Procedure 120.00
02/07/18 Analyn Esguerra Florendo Quezon City Ultrasound 990.00
02/07/18 Salma Panganting Pacasum Rosario, cavite Laboratory Procedure 1,604.00
02/07/18 Mary Grace Aban Dela Cruz Tondo, Manila Laboratory Procedure 1,435.00
02/07/18 Anicia Baldedara Pertible Manila Laboratory Procedure 1,764.00
02/07/18 Anicia Baldedara Pertible Manila Ultrasound 350.00
Page 6 of 30
ALLOTMENT RECEIVED
Date Approved BALANCE
Referred Amount (DEFICIT)Assistance Needed
As of February 28, 2018
REMARKSDATE CHECK NO./SAA AMOUNT RECIPIENT ADDRESS
MEDICAL ASSISTANCE PROGRAM
02/07/18 Rosavilla Federico Belaro Quezon City Laboratory Procedure 1,495.00
02/07/18 Dina Gacias Gumabay Tondo, Manila Laboratory Procedure 610.00
02/07/18 Rona Ramos Nituma Sta. Cruz, Manila Laboratory Procedure 1,435.00
02/07/18 Mycel Sayno Fernandez Sta. Cruz, Manila Laboratory Procedure 1,435.00
02/07/18 Maria Elena Flores Crisostomo GMA, Cavite Hospital Bill 14,447.91
02/07/18 Yohana Liza Baylon Villamer Quezon City Hospital Bill 2,482.54
02/07/18 May Ann Roda Macalindong Valenzuela City Hospital Bill 9,837.02
02/07/18 Krizia Macalindong Corral Valenzuela City Hospital Bill 19,976.26
02/07/18 Mike Angelo Morandante Cabugsac Imus, Cavite Hospital Bill 26,172.42
02/07/18 Analyn Piedad Morandante Imus, Cavite Hospital Bill 15,690.63
02/07/18 Angelita Fernando Punzalan Caloocan City Laboratory Procedure 1,764.00
02/07/18 Irish Claire Pagute Espenilla Pasig City Laboratory Procedure 1,760.00
02/07/18 Ivy Joy Zamudio Rosario, cavite Ultrasound 990.00
02/07/18 Ivy Joy Zamudio Rosario, cavite Laboratory Procedure 2,430.00
02/01/18 Edna Almiñe Cuadra Quezon City Laboratory Procedure 518.00
02/07/18 Abby Amor Lequin Deang Tondo, Manila Hospital Bill 4,551.41
02/07/18 Joanna Sempron Julianes Parañaque City Hospital Bill 43,778.72
02/07/18 Jonna Sempron Julianes Parañaque City Hospital Bill 20,589.46
02/07/18 Gelly Ann Sempron Parañaque City Hospital Bill 14,512.37
02/07/18 Angelica Llever Baylon Quezon City Hospital Bill 10,141.76
02/07/18 Renjiro Llever Baylon Quezon City Hospital Bill 36,677.95
02/07/18 Mary Joy Federiso Bayaca Muntinlupa City Hospital Bill 7,125.99
02/07/18 Ma. Victoria Lacasa Palomeras Quezon City Hospital Bill 1,422.37
02/07/18 Rendy Palafox Rizal Laboratory Procedure 240.00
02/07/18 Rendy Palafox Rizal Ultrasound 490.00
02/07/18 Michelle Reyes Honrada Caloocan City Laboratory Procedure 1,196.00
02/07/18 Danielle Kaeden Chan Mabilog Bacoor, Cavite Hospital Bill 76,752.92
02/07/18 Corazon Chan Mabilog Bacoor, Cavite Hospital Bill 20,633.33
02/07/18 Zian Mahilom Tanghal Malabon City Hospital Bill 4,907.82
02/07/18 Jenny Barbosa Macapinlac Pasay City Ultrasound 490.00
02/07/18 Jenny Barbosa Macapinlac Pasay City Laboratory Procedure 1,903.00
02/07/18 Rachel Pasco Jacalne Parañaque City Ultrasound 490.00
02/08/18 Vilma Necor Mangano Caloocan City Laboratory Procedure 2,170.00
02/18/18 Ma. Erica Lucero Gagabuan Parañaque City Laboratory Procedure 1,051.00
02/08/18 Christine Joy Atienza Lagrada Malabon City Laboratory Procedure 1,764.00
02/08/18 Christine Joy Atienza Lagrada Malabon City Ultrasound 740.00
Page 7 of 30
ALLOTMENT RECEIVED
Date Approved BALANCE
Referred Amount (DEFICIT)Assistance Needed
As of February 28, 2018
REMARKSDATE CHECK NO./SAA AMOUNT RECIPIENT ADDRESS
MEDICAL ASSISTANCE PROGRAM
02/08/18 Liza Cubilla Fariscal San Juan City Ultrasound 490.00
02/08/18 Emma Ferrer Meneses Tondo, Manila Laboratory Procedure 365.00
02/08/18 Emma Ferrer Meneses Tondo, Manila Ultrasound 490.00
02/08/18 Erfie Flores Brocoy Sta. Cruz, Manila Laboratory Procedure 265.00
02/08/18 Mary Ann Tamoyang Samson Parañaque City Laboratory Procedure 1,918.00
02/08/18 Romelene Reyes San Antonio Sta. Cruz, Manila Laboratory Procedure 280.00
02/08/18 Romelene Reyes San Antonio Sta. Cruz, Manila Ultrasound 490.00
02/08/18 Mylene Roxas Macasio Sta. Cruz, Manila Laboratory Procedure 1,559.00
02/08/18 Mylene Roxas Macasio Sta. Cruz, Manila Ultrasound 250.00
02/08/18 Eterlita Bendijo Briz Laguna ECG 200.00
02/08/18 Axelle James Lucas Gumba Corral Cavite Hospital Bill 936.29
02/08/18 Ma. Edzaline Pitulan Gumba Cavite Hospital Bill 4,713.75
02/08/18 Alona Biason Feliciano Sta. Cruz, Manila Hospital Bill 4,961.29
02/08/18 Arlene Bajum De Alca Gapan, Nueva Ecija Hospital Bill 6,800.32
02/08/18 Arlene Bajum De Alca Caloocan City NBS-Hearing Test 950.00
02/08/18 Rashina Lori Morastil Balaguer Pasay City Hospital Bill 12,589.90
02/08/18 Alicia Mavie Lucena Yalong Quezon City Laboratory Procedure 190.00
02/08/18 Alicia Mavie Lucena Yalong Quezon City X-Ray 280.00
02/08/18 Naithan Salvador Cariaga Bacoor, Cavite Hospital Bill 100.00
02/08/18 Rachel Pida Cariaga Bacoor, Cavite Hospital Bill 2,779.16
02/08/18 Marjorie Jacobe Rupanan Navotas City Laboratory Procedure 120.00
02/08/18 Marjorie Jacobe Rupanan Navotas City Ultrasound 490.00
02/08/18 Sylvia Lyn Corsanes Regunay Rosario, cavite Laboratory Procedure 120.00
02/08/18 Sylvia Lyn Corsanes Regunay Rosario, cavite Ultrasound 490.00
02/08/18 Alexis Jhen Viola Cordero Pasay City Hospital Bill 6,573.05
02/08/18 Marry Joy Trono Selgo Tanza, Cavite Hospital Bill 2,855.37
02/08/18 Melanie Bongalon Trono Tanza, Cavite Hospital Bill 6,498.59
02/09/18 Meryl Haboc Rubio Sorsogon City Hospital Bill 12,048.79
02/09/18 Emilou Olfindo Roco Caloocan City Laboratory Procedure 3,054.00
02/09/18 Myleen Robero Quitay Quezon City Ultrasound 1,400.00
02/09/18 Sofia Leigh Gasmen Dequilla Caloocan City Hospital Bill 123,267.03
02/09/18 Reynalyn Navarro Delfin Caloocan City Hospital Bill 12,125.90
02/09/18 Xavier Lucas Gomez Castañeda Sta. Cruz, Manila Hospital Bill 24,812.63
02/09/18 Annabel Magdaet Regal Malabon City Laboratory Procedure 265.00
02/09/18 Athena Yeira Abdon Palatino Manila Hospital Bill 11,050.20
02/09/18 Armi Moya Abdon Manila Hospital Bill 5,664.96
Page 8 of 30
ALLOTMENT RECEIVED
Date Approved BALANCE
Referred Amount (DEFICIT)Assistance Needed
As of February 28, 2018
REMARKSDATE CHECK NO./SAA AMOUNT RECIPIENT ADDRESS
MEDICAL ASSISTANCE PROGRAM
02/09/18 Romalyn Tumada Sotto Malabon City Ultrasound 490.00
02/09/18 Victoria Condes Isuela Caloocan City Laboratory Procedure 2,815.00
02/09/18 Victoria Condes Isuela Caloocan City Ultrasound 1,050.00
02/09/18 Victoria Condes Isuela Caloocan City X-Ray 140.00
02/09/18 Victoria Condes Isuela Caloocan City ECG 200.00
02/09/18 Primalee Masula Awayan Manila Laboratory Procedure 1,435.00
02/09/18 Maribeth Gayon Plaza Bacoor, Cavite Ultrasound 490.00
02/09/18 Maribeth Gayon Plaza Bacoor, Cavite Laboratory Procedure 120.00
02/09/18 Mary An Salaila Danseco Quezon City Hospital Bill 3,493.14
02/09/18 Kaiden Kiefer Salaila Danseco Quezon City Hospital Bill 57,489.58
02/09/18 Fattylyn Jagonoy Alenio Manila Laboratory Procedure 1,545.00
02/09/18 Maria Rosario Saavedra Palajos Rosario, cavite Laboratory Procedure 365.00
02/09/18 Maria Rosario Saavedra Palajos Rosario, cavite Ultrasound 490.00
02/09/18 Reyflor Ferando Matabiog Manila Laboratory Procedure 1,512.00
02/09/18 Jewel Demain Callo Tondo, Manila Laboratory Procedure 265.00
02/09/18 Jewel Demain Callo Tondo, Manila Ultrasound 490.00
02/01/18 May Temporal Taal Gen. Trias Cavite Hospital Bill 1,563.81
02/03/18 Yohann Asugao Josol Sta. Cruz, Manila Hospital Bill 20,098.74
02/03/18 Carmelo Zachary Abril Ramos Mandaluyong Hospital Bill 151,555.29
02/03/18 Jennilyn Medalla Asugao Sta. Cruz, Manila Hospital Bill 15,118.51
02/03/18 Dylan Reigh Bardelas Dapiton Las Piñas City Hospital Bill 98,748.36
02/03/18 Daisyrel Cabangunay Bardelas Las Piñas City Hospital Bill 8,774.98
02/03/18 Maria Shella Leria Galla Las Piñas City Hospital Bill 1,125.14
02/04/18 Danielyn Ramos Donayre Las Piñas City Hospital Bill 5,287.38
02/04/18 Yrho Veriel Ramos Donayre Las Piñas City Hospital Bill 25,135.96
02/04/18 Felix Jr. Bejuna Patata Bulacan Hospital Bill 12,888.18
02/04/18 Vangie Villaflor Bides Dasmariñas, cavite Hospital Bill 11,436.04
02/04/18 Ma. Theresa Arellano David Caloocan City Hospital Bill 2,119.89
02/04/18 Fe Llanos Rapliza Quezon City Hospital Bill 4,256.42
02/06/18 Edna Sabit Macaspag Cavite Ultrasound 350.00
02/06/18 Edna Sabit Macaspag Cavite Laboratory Procedure 455.00
02/06/18 Clarissa Macaspag Sacil Cavite Laboratory Procedure 100.00
02/06/18 Clarissa Macaspag Sacil Cavite X-Ray 224.00
02/08/18 Edna Sabit Macaspag Cavite Ultrasound 1,050.00
02/08/18 Edna Sabit Macaspag Cavite X-Ray 140.00
02/08/18 Aireen Navarro Millares Bacoor, Cavite Ultrasound 490.00
Page 9 of 30
ALLOTMENT RECEIVED
Date Approved BALANCE
Referred Amount (DEFICIT)Assistance Needed
As of February 28, 2018
REMARKSDATE CHECK NO./SAA AMOUNT RECIPIENT ADDRESS
MEDICAL ASSISTANCE PROGRAM
02/08/18 Rufa Mae Dizon Navotas City Ultrasound 250.00
02/08/18 Ma. Claudine Onbico Bautista Parañaque City Laboratory Procedure 1,501.00
02/08/18 Mary Rose Pacantara Loreto Navotas City Ultrasound 490.00
02/08/18 Narcris Pacheco Besañez Tondo, Manila Laboratory Procedure 160.00
02/08/18 Maricar Recodig Olmeda Silang, cavite Ultrasound 490.00
02/08/18 Christine Melendres Clarito Parañaque City Ultrasound 500.00
02/08/18 Joy Ann Acebuche Sarmiento Malabon City Ultrasound 250.00
02/08/18 Kristel May Pascua Durana Sta. Cruz, Manila Laboratory Procedure 265.00
02/08/18 Kristel May Pascua Durana Sta. Cruz, Manila Ultrasound 250.00
02/08/18 Timothy James Avila Manila Ultrasound 560.00
02/08/18 Timothy James Avila Manila Laboratory Procedure 1,625.00
02/08/18 Geni Rose Ramos Velez Parañaque City Laboratory Procedure 425.00
02/08/18 Geni Rose Ramos Velez Parañaque City Ultrasound 490.00
02/08/18 Xian James Noa De Guzman Sobito Tondo, Manila Hospital Bill 120,720.98
02/08/18 Ma. Theresa Buzeta De Guzman Tondo, Manila Hospital Bill 15,569.77
02/08/18 Rhanier Binalay Panogan Dasmariñas, cavite Hospital Bill 109,240.53
02/08/18 Bella Calderon Lim Parañaque City Hospital Bill 2,980.52
02/08/18 Dana Hazel Buenbrazo Binalay Dasmariñas, cavite Hospital Bill 24,999.28
02/08/18 Richel Loyola Octavio Tanza, Cavite Laboratory Procedure 195.00
02/08/18 Mary Grace Bautista Calderon Parañaque City Hospital Bill 4,068.22
02/08/18 Janice Mae Villamor Gestiada Las Piñas City Ultrasound 490.00
02/08/18 Mary Ann Acosta Ringor Tondo, Manila Laboratory Procedure 1,559.00
02/08/18 Mary Ann Acosta Ringor Tondo, Manila Ultrasound 250.00
02/09/18 Marithess Quirante Bacuna Tondo, Manila Ultrasound 490.00
02/09/18 Catherine Erro Arce Tondo, Manila Laboratory Procedure 1,435.00
02/09/18 Catherine Erro Arce Tondo, Manila Ultrasound 490.00
02/09/18 Aura Marie Batoon Cortez Tondo, Manila Ultrasound 490.00
02/09/18 Janneth Tayum Wasan Quezon City Hospital Bill 4,424.54
02/09/18 Michelle Navaez Beltran Caloocan City Laboratory Procedure 2,534.00
02/09/18 Michelle Navaez Beltran Caloocan City Ultrasound 250.00
02/09/18 Jelyn Sualog Toh Valenzuela City Hospital Bill 15,068.18
02/09/18 Meryl Haboc Rubio Sorsogon City Laboratory Procedure 160.00
02/09/18 Jessica Oriendo Bobonao Taguig City Laboratory Procedure 1,664.00
02/09/18 Jessica Oriendo Bobonao Taguig City Ultrasound 490.00
02/09/18 Morena Clara Rosimo Robles Quezon City Laboratory Procedure 1,764.00
02/09/18 Vanelette Dela Cruz Clemente Quezon City Whole Abdomen Ultrasound 1,050.00
Page 10 of 30
ALLOTMENT RECEIVED
Date Approved BALANCE
Referred Amount (DEFICIT)Assistance Needed
As of February 28, 2018
REMARKSDATE CHECK NO./SAA AMOUNT RECIPIENT ADDRESS
MEDICAL ASSISTANCE PROGRAM
02/09/18 Vanelette Dela Cruz Clemente Quezon City Transvaginal Ultrasound 250.00
02/09/18 Vanelette Dela Cruz Clemente Quezon City Laboratory Procedure 1,089.00
02/09/18 Olivia Saberon Yangao Mandaluyong Laboratory Procedure 2,060.00
02/09/18 Kaiden Kierby Salalila Danseco Quezon City Hospital Bill 29,835.39
02/09/18 Apple Rubion Acson Las Piñas City Hospital Bill 1,226.72
02/09/18 Ezekiel Acson Ebueza Las Piñas City Hospital Bill 100.00
02/09/18 Rowena Etea Francisco Cavite Hospital Bill 2,847.74
02/09/18 Ramzes Grey Alfaro Macajig Quezon City Hospital Bill 4,023.90
02/09/18 Lhance Daniel Tria Toledo Occidental Mindoro Hospital Bill 9,045.36
02/09/18 Florida Gonzales Morada Laguna Laboratory Procedure 160.00
02/09/18 Scott Jorille Cagalitan Caloocan City Hospital Bill 187,077.15
02/09/18 Jennylyn Bustillo Fernandez Tondo, Manila Hospital Bill 4,575.04
02/09/18 Ivan Canlas Lopez Caloocan City Hospital Bill 7,864.24
02/09/18 Mary Joy Nene Guevarra Bacoor, Cavite X-Ray 140.00
02/09/18 Mary Joy Nene Guevarra Bacoor, Cavite Laboratory Procedure 685.00
02/09/18 Rachelle Maang Alvarez Manila Ultrasound 490.00
02/09/18 Rachelle Maang Alvarez Manila Laboratory Procedure 120.00
02/09/18 Nerissa Socorro Dimaano Del Rosario Quezon City Hospital Bill 12,048.79
02/09/18 Edna Almiñe Cuadra Quezon City Laboratory Procedure 518.00
02/10/18 Evalina Montilla Casero GMA, Cavite Hospital Bill 13,239.69
02/10/18 Boy Guerrera Sta. Cruz, Manila Hospital Bill 5,174.15
02/10/18 Virginia De Juan Marcelo Manila Hospital Bill 2,715.74
02/10/18 Maria Cristina Guillos Tiberio Silang, cavite Hospital Bill 12,162.82
02/10/18 Matthew Natahan Tiberio Estano Silang, cavite Hospital Bill 52,895.03
02/10/18 Mary Grace Albos Lulan Quezon City Hospital Bill 9,911.13
02/10/18 Roselle Gonzales Barnachea Quezon City Hospital Bill 4,956.97
02/10/18 Ferdinand Jose Barnachea Ferolino Quezon City Hospital Bill 4,786.50
02/10/18 Erma Peñarubia De Luna Laguna Hospital Bill 10,113.56
02/10/18 Kathryn Capisanan Estrellado Manila Hospital Bill 4,341.27
02/10/18 Gloria Bristol Brocante Bacoor, Cavite Hospital Bill 2,397.19
02/10/18 Joaquin Iñigo Marquez Blazo Valenzuela City Hospital Bill 22,174.64
02/10/18 Clarissa Esmeño Geven Las Piñas City Hospital Bill 3,000.93
02/10/18 Arci Iglesia Cataluña Las Piñas City Hospital Bill 19,988.67
02/10/18 Joy Del Rosario Iglesia Las Piñas City Hospital Bill 6,982.86
02/10/18 Jhadina Salasinas Mabasa Bacoor, Cavite Laboratory Procedure 1,559.00
02/11/18 Kimberly Amparo Camus GMA, Cavite Laboratory Procedure 2,934.00
Page 11 of 30
ALLOTMENT RECEIVED
Date Approved BALANCE
Referred Amount (DEFICIT)Assistance Needed
As of February 28, 2018
REMARKSDATE CHECK NO./SAA AMOUNT RECIPIENT ADDRESS
MEDICAL ASSISTANCE PROGRAM
02/11/18 Irish Pearl Pelayo Bandoquillo Silang, cavite Hospital Bill 3,037.29
02/11/18 Zyrus Jave Bandoquillo Silang, cavite Hospital Bill 3,555.23
02/11/18 Mhardy Grace Cual Pineda Quezon City Hospital Bill 12,943.13
02/11/18 Marialyn Zaballero Cual Quezon City Hospital Bill 8,674.75
02/11/18 Angelita Labitag Cantara Pasig City Hospital Bill 8,786.47
02/12/18 Ma. Julie Mar Geronimo Mandaluyong City Hospital Bill 16,086.05
02/12/18 Rachel Mabutin Madriaga Quezon City Hospital Bill 4,199.51
02/12/18 Keifer Madriaga Apin Quezon City Hospital Bill 951.28
02/12/18 Allysza Ashley Fae Villar Batuac Parañaque City Hospital Bill 9,047.68
02/12/18 Kimberly Galvan Reyes Tondo, Manila Ultrasound 490.00
02/12/18 Bea Mae Dalton Vazquez Taguig City Laboratory Procedure 1,559.00
02/12/18 Gina -Vi Bolante Guarin Laguna Laboratory Procedure 2,689.00
02/12/18 Irene Mosqueda Bonifacio Taguig City Laboratory Procedure 1,704.00
02/12/18 Girl Daquiz Imus, Cavite Hearing test 350.00
02/12/18 Mary Ann Felizardo Lacerna Las Piñas City Laboratory Procedure 775.00
02/12/18 Catherine Franco Ancheta Taguig City Ultrasound 490.00
02/12/18 Richel Loyola Octavio Tanza, Cavite Ultrasound 990.00
02/12/18 Zenaida Lebato Alegado GMA, Cavite Laboratory Procedure 2,353.00
02/12/18 Maricris Vibar De Jesus Tondo, Manila Laboratory Procedure 1,559.00
02/12/18 Julie Ann Penilla Dranto Caloocan City Laboratory Procedure 1,495.00
02/12/18 Jessa Marie De Torres Duque Marikina City Laboratory Procedure 325.00
02/12/18 Jessa Marie De Torres Duque Marikina City Ultrasound 500.00
02/12/18 Cherry Mae Calunsag Sta. Cruz, Manila Laboratory Procedure 1,559.00
02/12/18 Cherry Mae Calunsag Sta. Cruz, Manila Ultrasound 250.00
02/12/18 Joan Garcia Mutuc Gen. Trias Cavite Ultrasound 490.00
02/12/18 Marjorie De Vera Espiritu GMA, Cavite Ultrasound 490.00
02/12/18 Boy Macasio Sta. Cruz, Manila Hospital Bill 1,668.79
02/12/18 Mila Reponte Linezo Bacoor, Cavite Ultrasound 490.00
02/12/18 Aira Jacosalem Balidoy Parañaque City Hospital Bill 4,499.45
02/12/18 Kyle Asher Aldaba Pasay City Hospital Bill 19,102.54
02/12/18 Karyl Conde Intervencion Silang, cavite Ultrasound 490.00
02/12/18 Shiela May Marzado Adorio Malabon City Ultrasound 490.00
02/12/18 Jaica Beriña Vasquez Imus, Cavite Laboratory Procedure 2,589.00
02/12/18 Jaica Beriña Vasquez Imus, Cavite Ultrasound 250.00
02/12/18 Ryan Mae Juta Carlos Parañaque City Laboratory Procedure 518.00
02/12/18 Honelyn Dela Cruz Bolarde Malabon City Laboratory Procedure 835.00
Page 12 of 30
ALLOTMENT RECEIVED
Date Approved BALANCE
Referred Amount (DEFICIT)Assistance Needed
As of February 28, 2018
REMARKSDATE CHECK NO./SAA AMOUNT RECIPIENT ADDRESS
MEDICAL ASSISTANCE PROGRAM
02/12/18 Honelyn Dela Cruz Bolarde Malabon City Ultrasound 490.00
02/12/18 Mary Jean Urlanda Marbella Caloocan City Ultrasound 490.00
02/12/18 Roselyn Ybo Providencia Quezon City Laboratory Procedure 406.00
02/12/18 Melinda Mangalinao Sumodebila Valenzuela City Hospital Bill 13,803.20
02/13/18 Edeliza Naval Quintana Gen. Trias Cavite Laboratory Procedure 1,764.00
02/13/18 Edeliza Naval Quintana Gen. Trias Cavite Ultrasound 750.00
02/13/18 Michelle Mercado Mercado Malabon City Laboratory Procedure 1,764.00
02/13/18 Loretamar Calindas Waay Tondo, Manila Laboratory Procedure 265.00
02/13/18 Salima Gallardo Omar Caloocan City Pap Smear 180.00
02/13/18 Salima Gallardo Omar Caloocan City Laboratory Procedure 60.00
02/13/18 Salima Gallardo Omar Caloocan City Ultrasound 350.00
02/13/18 Margie Pascual Tambis Rosario, cavite Laboratory Procedure 220.00
02/13/18 Margie Pascual Tambis Rosario, cavite Ultrasound 490.00
02/13/18 Ann Julie Quiran Quezon City Laboratory Procedure 1,435.00
02/13/18 Mary Ann Tamoyang Samson Parañaque City Laboratory Procedure 570.00
02/13/18 Mary Ann Tamoyang Samson Parañaque City Ultrasound 250.00
02/08/18 Shiela Timbol Tondo, Manila Laboratory Procedure 1,280.00
02/08/18 Mary Grace Llazos Lautan Caloocan City Ultrasound 740.00
02/08/18 Mary Grace Llazos Lautan Caloocan City Laboratory Procedure 220.00
02/08/18 Irene Cardinal Petronio Parañaque City Ultrasound 490.00
02/08/18 Ermie Velasquez Sapian Caloocan City Laboratory Procedure 518.00
02/13/18 Jenalyn Panganiban Jawali Bacoor, Cavite Ultrasound 490.00
02/13/18 Shirly Nicanor Jamendeng Parañaque City Ultrasound 490.00
02/13/18 Phoebe Eulin Tan Dasmariñas, cavite Laboratory Procedure 2,235.00
02/13/18 Samantha Manalo Arellano Bacoor, Cavite Hospital Bill 10,480.95
02/13/18 Jhadina Salasinas Mabasa Bacoor, Cavite Ultrasound 250.00
02/13/18 Arleene Buguis Marcelo Sta. Cruz, Manila Ultrasound 990.00
02/13/18 Bheybhie Casandra Refugio Asistin Sta. Cruz, Manila Ultrasound 420.00
02/13/18 Evelyn Nallano Sereño Caloocan City Ultrasound 990.00
02/13/18 Rosalinda Bansil Occidental Tondo, Manila Ultrasound 350.00
02/13/18 Leilani Tayag Royeca Tondo, Manila Ultrasound 490.00
02/13/18 Ferdinand Joe Barnachea Ferolino Quezon City Laboratory Procedure 1,596.00
02/13/18 Mara Santerna Simbahon Caloocan City Hospital Bill 11,337.81
02/13/18 Miller Simbahon Morales Caloocan City Hospital Bill 8,551.99
02/13/18 Maribel Butlig Estilloro Caloocan City Ultrasound 490.00
02/13/18 Jorlan Fajardo Discarga Imus, Cavite Laboratory Procedure 430.00
Page 13 of 30
ALLOTMENT RECEIVED
Date Approved BALANCE
Referred Amount (DEFICIT)Assistance Needed
As of February 28, 2018
REMARKSDATE CHECK NO./SAA AMOUNT RECIPIENT ADDRESS
MEDICAL ASSISTANCE PROGRAM
02/13/18 Jorlan Fajardo Discarga Imus, Cavite Ultrasound 1,050.00
02/13/18 Rhian Mallari Manila 2D Echo 2,300.00
02/13/18 Lerma Maclang Sarmiento Bulacan Ultrasound 350.00
02/13/18 Mary Bien Commandante Custodio Gen. Trias Cavite Laboratory Procedure 170.00
02/13/18 Mary Bien Commandante Custodio Gen. Trias Cavite Ultrasound 990.00
02/14/18 Rodelen Rios Espolong Quezon City Ultrasound 750.00
02/14/18 Rodelen Rios Espolong Quezon City Laboratory Procedure 1,559.00
02/14/18 Jacklyn Jose De Vera Malabon City Laboratory Procedure 665.00
02/14/18 Maria Luisa Ambil Hatshorn Occidental Mindoro Laboratory Procedure 160.00
02/14/18 Janelle Salaysay Salaysay Rosario, cavite Laboratory Procedure 1,764.00
02/14/18 Janelle Salaysay Salaysay Rosario, cavite Ultrasound 250.00
02/14/18 Lilibeth Prado Davila Parañaque City Laboratory Procedure 2,589.00
02/14/18 Lilibeth Prado Davila Parañaque City Ultrasound 740.00
02/14/18 Jessica Oriendo Bobonao Taguig City Hospital Bill 2,247.76
02/14/18 Karen May Delos Santos Natividad Bacoor, Cavite Laboratory Procedure 685.00
02/14/18 Michelle Conelas Nuñez Bacoor, Cavite Hospital Bill 3,192.95
02/14/18 Ezekiel Nuñez Flores Bacoor, Cavite Hospital Bill 100.00
02/15/18 Rowena Bunda Ortega Cavite Ultrasound 490.00
02/15/18 Merope Docena Valdes Parañaque City Laboratory Procedure 1,435.00
02/15/18 Maribeth Gayon Plaza Bacoor, Cavite Ultrasound 490.00
02/15/18 Annalyn Altrecha Regencia Tondo, Manila Laboratory Procedure 1,619.00
02/16/18 Elmarisa Parilla Quiris Rosario, cavite Laboratory Procedure 518.00
02/16/18 Rhys Kheiszhien Rae Galapago Cernias Tondo, Manila Ultrasound 700.00
02/16/18 Roxanne Sharrel Caragdag Dionisio Tondo, Manila Ultrasound 490.00
02/16/18 Ma. Rhealyn Solis Palacio Gen. Trias Cavite Ultrasound 1,490.00
02/16/18 Ma. Rhealyn Solis Palacio Gen. Trias Cavite Laboratory Procedure 130.00
02/16/18 Jinglyn Martirez Torre Parañaque City Laboratory Procedure 1,764.00
02/16/18 Heaven Alucard Ruiz Baluran Cavite Hospital Bill 205,811.55
02/16/18 Jennifer Narez Ruiz Cavite Hospital Bill 18,618.91
02/16/18 Rizalina Cabaña Sura Manila Hospital Bill 12,755.70
02/16/18 Amarah Chelsea Marcos Garcia Tondo, Manila Hospital Bill 19,538.26
02/16/18 Emilia Gapol Jagunob Bacoor, Cavite Hospital Bill 4,083.59
02/16/18 Prince Rayven Briones Navarro Quezon City Hospital Bill 44,997.26
02/16/18 Geralyn Barbosa Briones Quezon City Hospital Bill 13,819.43
02/16/18 Maribeth Robeso Badilla Antipolo, Rizal Hospital Bill 25,449.59
02/16/18 Samantha Guarino Lozon Tondo, Manila Hospital Bill 10,724.79
Page 14 of 30
ALLOTMENT RECEIVED
Date Approved BALANCE
Referred Amount (DEFICIT)Assistance Needed
As of February 28, 2018
REMARKSDATE CHECK NO./SAA AMOUNT RECIPIENT ADDRESS
MEDICAL ASSISTANCE PROGRAM
02/16/18 Rosalina Bansil Occidental Tondo, Manila Hospital Bill 5,880.68
02/17/18 Jacklyn Jose De Vera Malabon City Laboratory Procedure 620.00
02/17/18 Salima Gallardo Omar Caloocan City Laboratory Procedure 2,233.00
02/17/18 Evelyn Denieva Ramos Gen. Trias Cavite Hospital Bill 9,295.50
02/17/18 Jenny Borja Baldono San Pedro, Laguna Hospital Bill 6,095.16
02/17/18 Dashiel Jaiden Denieva Ramos Gen. Trias Cavite Hospital Bill 41,623.34
02/17/18 Fatma Mantoc Dayto Port Area, Manila Hospital Bill 5,251.53
02/17/18 Diane Santos Esteban Tondo, Manila Hospital Bill 5,434.49
02/17/18 Elijah Sven Hibi Tondo, Manila Hospital Bill 18,218.11
02/17/18 Ella Mari Hibi Tondo, Manila Hospital Bill 10,008.42
02/17/18 Fedele Ethan Rox Morales Arevalo Quezon City Hospital Bill 11,996.32
02/17/18 Yvonne Riccalyza Fariscal San Juan City Hospital Bill 11,166.06
02/17/18 Liza Cubilla Fariscal San Juan City Hospital Bill 7,374.75
02/17/18 Jenny Landar Olpenda Pasay City Hospital Bill 5,526.81
02/06/18 Ian Jay Tubao Flores Las Piñas City Hospital Bill 13,087.36
02/06/18 May Ann Tana Tubao Las Piñas City Hospital Bill 13,177.76
02/13/18 Ruxanne Mahinay Flores Manila Hospital Bill 3,663.73
02/14/18 Richell Joy Goze Golong Sta. Cruz, Manila Hospital Bill 7,496.06
02/14/18 Jannica Pilar Opiana Vinzon Quiapo, Manila Hospital Bill 9,157.78
02/14/18 Jemarie Castillo Andallion Cavite Hospital Bill 8,555.30
02/14/18 Rick Jiegoh Castillo Andallion Cavite Hospital Bill 3,780.95
02/14/18 Sierra Mae Gerebit Marikina City Hospital Bill 3,608.62
02/14/18 Sky Wagwag Lara Quezon City Hospital Bill 3,395.24
02/14/18 Ma. Cristina Quiros Navidad Caloocan City Laboratory Procedure 3,174.00
02/14/18 Charlene Bisnar Gisalan Tondo, Manila Ultrasound 490.00
02/14/18 Charlene Bisnar Gisalan Tondo, Manila Laboratory Procedure 1,435.00
02/14/18 Barbie Joy Saldivar Hafalla Sta. Cruz, Manila Ultrasound 490.00
02/14/18 Remilyn Roca Pactol Quezon City Laboratory Procedure 1,435.00
02/14/18 Melanie Sosito Medina Malabon City Ultrasound 740.00
02/14/18 Melanie Sosito Medina Malabon City Laboratory Procedure 933.00
02/14/18 Arline Cabahug Lazaro Caloocan City Laboratory Procedure 1,655.00
02/14/18 Jenny Lyn Araullo Raval Tondo, Manila Laboratory Procedure 1,049.00
02/14/18 Zenaida Tibunsay Avecilla Taguig City X-Ray 140.00
02/14/18 Zenaida Tibunsay Avecilla Taguig City ECG 200.00
02/14/18 Zenaida Tibunsay Avecilla Taguig City Laboratory Procedure 2,205.00
02/14/18 Regeljen Famillaran Yambot Quezon City Laboratory Procedure 1,559.00
Page 15 of 30
ALLOTMENT RECEIVED
Date Approved BALANCE
Referred Amount (DEFICIT)Assistance Needed
As of February 28, 2018
REMARKSDATE CHECK NO./SAA AMOUNT RECIPIENT ADDRESS
MEDICAL ASSISTANCE PROGRAM
02/14/18 Regeljen Famillaran Yambot Quezon City Ultrasound 350.00
02/14/18 Analyn Morales Bayson Navotas City Laboratory Procedure 160.00
02/14/18 Joanne Marie Ondo Mesada Pasig City Ultrasound 490.00
02/14/18 Sarah Jean Dumdumaya Serrano Parañaque City Laboratory Procedure 1,435.00
02/14/18 Nerissa Socorro Dimaano Del Rosario Quezon City Laboratory Procedure 160.00
02/14/18 Laarni Canlas Darantinao Caloocan City Laboratory Procedure 1,435.00
02/14/18 Laarni Canlas Darantinao Caloocan City Ultrasound 490.00
02/15/18 Jerosa Lardizabal Paje Pasay City Laboratory Procedure 951.00
02/15/18 Celeste Lagula Olido Taguig City Laboratory Procedure 1,435.00
02/15/18 Regielyn Amaro Sayago Caloocan City Ultrasound 700.00
02/15/18 Arnie Lucas Barbarona Bulacan Hospital Bill 9,610.11
02/15/18 Alma Porlage Colima Pasay City Laboratory Procedure 1,764.00
02/15/18 Khaider Panganiban Jawali Bacoor, Cavite Newborn Screening 600.00
02/14/18 Romarica Avedencia Rosario Quezon City Ultrasound 490.00
02/14/18 Ermie Velasquez Sapian Caloocan City Laboratory Procedure 518.00
02/15/18 Maria Liza Mayor Donayre Malabon City Ultrasound 500.00
02/15/18 Judy Anne Sanchez Asis Quezon City Hospital Bill 4,398.99
02/15/18 Ma. Rochelle Mendoza Tayamora Quezon City Hospital Bill 7,573.48
02/15/18 Xian Heart Mendoza Tayamora Quezon City Hospital Bill 5,625.42
02/15/18 Marissa Baristo Adobas Mandaluyong City Hospital Bill 7,199.47
02/15/18 Ronna Ayque Reyes Manila Laboratory Procedure 2,690.00
02/15/18 Ronna Ayque Reyes Manila Ultrasound 350.00
02/15/18 Analyn Esguerra Florendo Quezon City Laboratory Procedure 120.00
02/15/18 Analyn Esguerra Florendo Quezon City Ultrasound 490.00
02/15/18 Camille Cacalda Villareal Tondo, Manila Laboratory Procedure 1,915.00
02/15/18 Camille Cacalda Villareal Tondo, Manila Ultrasound 500.00
02/15/18 Joan Dayrit Pagulayan Caloocan City Laboratory Procedure 2,835.00
02/17/18 Alyanna Jean Ortega Bagon Makati City Hospital Bill 365.76
02/17/18 Sunshine Ortega Montero Makati City Hospital Bill 7,247.32
02/17/18 Akisha Jezz Alhambra Medoranda Sampaloc, Manila Hospital Bill 10,757.20
02/17/18 Jennylyn Ybañez Alhambra Sampaloc, Manila Hospital Bill 4,874.42
02/17/18 Dirk Baldono Canaria San Pedro, Laguna Hospital Bill 11,858.18
02/18/18 Jennifer Sabino Mayano Laguna Hospital Bill 21,174.48
02/18/18 Ricardo Zephaniah Sabino Mayano Laguna Hospital Bill 184,349.27
02/18/18 Zyra Condat Rementas Parañaque City Hospital Bill 7,527.30
02/19/18 Allysa Sacdalan Rico Tondo, Manila Laboratory Procedure 600.00
Page 16 of 30
ALLOTMENT RECEIVED
Date Approved BALANCE
Referred Amount (DEFICIT)Assistance Needed
As of February 28, 2018
REMARKSDATE CHECK NO./SAA AMOUNT RECIPIENT ADDRESS
MEDICAL ASSISTANCE PROGRAM
02/19/18 Erin Skye Gullaba Gimao Sta. Cruz, Manila X-Ray 224.00
02/19/18 Marilou Encinares Castillo Quezon City Laboratory Procedure 1,501.00
02/19/18 Boy Tarrayo Las Piñas City Medicine 2,240.00
02/19/18 Julie-Ann Lano Cillano Quezon City Ultrasound 490.00
02/19/18 Maricon Urdilas Alcantara Cavite Ultrasound 250.00
02/19/18 Richel Loyola Octavio Tanza, Cavite Ultrasound 990.00
02/19/18 Mariel Wenceslao Parañaque City Laboratory Procedure 1,401.00
02/19/18 Mariel Wenceslao Parañaque City X-Ray 140.00
02/19/18 Jucel Felizarta Quirimit Caloocan City Laboratory Procedure 1,559.00
02/19/18 Jucel Felizarta Quirimit Caloocan City Ultrasound 250.00
02/19/18 Miriam Monteroyo Roxas Las Piñas City Laboratory Procedure 425.00
02/19/18 Miriam Monteroyo Roxas Las Piñas City Ultrasound 490.00
02/15/18 Cherilyn Jerona Ompaling Parañaque City Ultrasound 250.00
02/15/18 Cherilyn Jerona Ompaling Parañaque City Laboratory Procedure 1,764.00
02/15/18 Marylen Sarmiento Galisim Bacoor, Cavite Laboratory Procedure 1,555.00
02/15/18 Marylen Sarmiento Galisim Bacoor, Cavite Ultrasound 490.00
02/15/18 Eprilyn Alquitas Cordova Sampaloc, Manila Laboratory Procedure 748.00
02/15/18 Mary Grace Aban Dela Cruz Tondo, Manila Ultrasound 490.00
02/15/18 Mary Grace Aban Dela Cruz Tondo, Manila Laboratory Procedure 60.00
02/15/18 Analyn Barnido Lacena Sta. Cruz, Manila Ultrasound 250.00
02/15/18 Analyn Barnido Lacena Sta. Cruz, Manila Laboratory Procedure 160.00
02/15/18 Dominique Therese Liwanag Cuilao Marikina City Laboratory Procedure 680.00
02/15/18 Ethel Palomata Salvador Caloocan City Ultrasound 250.00
02/15/18 Ethel Palomata Salvador Caloocan City Laboratory Procedure 1,559.00
02/15/18 Yrish Claire Pagute Espenilla Pasay City Ultrasound 490.00
02/15/18 Marilyn Allavado Mamaril Caloocan City Ultrasound 350.00
02/15/18 Helen Tan Adap Kawiit, Cavite Laboratory Procedure 1,895.00
02/15/18 Rojen Seraspe Balaba Laguna Ultrasound 500.00
02/15/18 Michelle Mercado Malabon City Ultrasound 490.00
02/15/18 Dina Gacias Gumabay Tondo, Manila Ultrasound 500.00
02/19/18 Precila Bianca Ocfemia Delos Reyes Quezon City Laboratory Procedure 220.00
02/19/18 Jinglyn Martirez Torre Parañaque City Ultrasound 490.00
02/19/18 Joy Mateos Gullaba Sta. Cruz, Manila X-Ray 224.00
02/19/18 Joy Mateos Gullaba Sta. Cruz, Manila Laboratory Procedure 77.00
02/19/18 Elaine Velasquez Salvador Parañaque City Laboratory Procedure 1,435.00
02/19/18 Carolina Loyola Santos Quezon City Laboratory Procedure 240.00
Page 17 of 30
ALLOTMENT RECEIVED
Date Approved BALANCE
Referred Amount (DEFICIT)Assistance Needed
As of February 28, 2018
REMARKSDATE CHECK NO./SAA AMOUNT RECIPIENT ADDRESS
MEDICAL ASSISTANCE PROGRAM
02/19/18 Jhamaica Caldito Cajes Bacoor, Cavite Hospital Bill 25,344.47
02/19/18 Remy Roxas Caldito Bacoor, Cavite Hospital Bill 13,238.99
02/19/18 Apreal Macabuhay Elpidama Laguna Hospital Bill 859.01
02/19/18 Zion Joey Lacanilao Ariza Imus, Cavite Hospital Bill 2,970.32
02/19/18 Don Maxy Delima Quezon City Hospital Bill 11,210.06
02/19/18 Maria Josephine Gonzales Delima Quezon City Hospital Bill 10,645.06
02/19/18 Mildred Menchavez Queseo Parañaque City Hospital Bill 2,235.85
02/19/18 Lyna Domingo Manaois Sampaloc, Manila Hospital Bill 7,153.53
02/20/18 Salima Gallardo Omar Caloocan City ECG 200.00
02/20/18 Salima Gallardo Omar Caloocan City X-Ray 140.00
02/20/18 Josyl Pabilan Magtagad Sta. Cruz, Manila Laboratory Procedure 265.00
02/10/18 John Roan Calzado Hamor Laguna Hospital Bill 3,362.54
02/10/18 Jeanette Galeno Eso Dasmariñas, cavite Hospital Bill 4,276.66
02/10/18 Lusanta Salazar Tapalla Kawiit, Cavite Hospital Bill 4,115.31
02/10/18 Analyn De Juan Caruyan Kawiit, Cavite Hospital Bill 6,187.28
02/11/18 Nerilyn Fordan Antolino Caloocan City Hospital Bill 11,875.97
02/12/18 Glenda Barquin Mancilla Valenzuela City Hospital Bill 18,912.47
02/15/18 Fiehla Amaya Mancilla Dela Cruz Valenzuela City Hospital Bill 116,780.12
02/15/18 John Rey Buendia Caloocan City Laboratory Procedure 100.00
02/15/18 John Rey Buendia Caloocan City X-Ray 224.00
02/15/18 Niña Salde Pastrana Dasmariñas, cavite Laboratory Procedure 1,111.00
02/15/18 Niña Salde Pastrana Dasmariñas, cavite Ultrasound 490.00
02/15/18 Lanie Negre Paculba Imus, Cavite Laboratory Procedure 180.00
02/15/18 Lanie Negre Paculba Imus, Cavite Ultrasound 250.00
02/15/18 Angela Sinadjan Ponce Dasmariñas, cavite Laboratory Procedure 1,700.00
02/15/18 Angela Sinadjan Ponce Dasmariñas, cavite Ultrasound 250.00
02/15/18 Lhiza Escol Multo Kawiit, Cavite Laboratory Procedure 265.00
02/15/18 Jenina Durin Mugas Dasmariñas, cavite Laboratory Procedure 1,215.00
02/15/18 Annie Matuguina Pangasian San Pedro, Laguna Laboratory Procedure 1,700.00
02/15/18 Jinglyn Martirez Torre Parañaque City Laboratory Procedure 1,764.00
02/15/18 Ana Lisa Libante Lao Parañaque City Hospital Bill 3,801.40
02/15/18 Andrea Libante Lao Parañaque City Hospital Bill 1,304.45
02/19/18 Arlene Eugenio Creencia Bacoor, Cavite Hospital Bill 10,695.58
02/19/18 Jeremie Dwayne Baarde Diaz Tondo, Manila Hospital Bill 47,342.66
02/19/18 Boy Patungan Malabon City Torch Assay 2,200.00
02/19/18 Lynie Guile Timtim Tondo, Manila Ultrasound 490.00
Page 18 of 30
ALLOTMENT RECEIVED
Date Approved BALANCE
Referred Amount (DEFICIT)Assistance Needed
As of February 28, 2018
REMARKSDATE CHECK NO./SAA AMOUNT RECIPIENT ADDRESS
MEDICAL ASSISTANCE PROGRAM
02/19/18 Rachel Corpuz Cuyag Tondo, Manila Ultrasound 500.00
02/19/18 Justine Diary Manato Prado Dasmariñas, cavite Laboratory Procedure 1,401.00
02/19/18 Rhodora Villamor Fagaragan Manila Laboratory Procedure 1,535.00
02/19/18 Rhodora Villamor Fagaragan Manila X-Ray 140.00
02/19/18 Rhodora Villamor Fagaragan Manila ECG 200.00
02/19/18 Reynardelyn Silvano Acogido Parañaque City Ultrasound 490.00
02/20/18 John Rey Buendia Caloocan City Hospital Bill 1,114.47
02/20/18 Monica Antonio Fuliga Sta. Cruz, Manila Hospital Bill 1,425.08
02/20/18 Alcy Shyrene Lampad Ferrer Dasmariñas, cavite Hospital Bill 101,449.67
02/20/18 Aquisha Mae Ajesta Garotche Quiapo, Manila Hospital Bill 11,693.59
02/20/18 Denise Fernandez Vasquez Sta. Cruz, Manila Laboratory Procedure 1,905.00
02/20/18 Denise Fernandez Vasquez Sta. Cruz, Manila X-Ray 140.00
02/20/18 Denise Fernandez Vasquez Sta. Cruz, Manila ECG 200.00
02/20/18 Mitshe Kibra Abella Valenzuela City Ultrasound 1,000.00
02/20/18 Maria Theresa Tumagan Espina Caloocan City Laboratory Procedure 1,154.00
02/20/18 Robiryn Orosco Dannud Parañaque City Laboratory Procedure 1,281.00
02/20/18 Vanessa Tunggol Española Tondo, Manila Laboratory Procedure 265.00
02/20/18 Vanessa Tunggol Española Tondo, Manila Ultrasound 490.00
02/20/18 Rochelle Nieva Gorpido Parañaque City Hospital Bill 7,268.94
02/20/18 Silfa Ajesta Taguinod Quiapo, Manila Hospital Bill 9,374.80
02/20/18 Bernadeth Bacani Temporal Sta. Cruz, Manila Hospital Bill 7,158.69
02/20/18 Boy Gorpido Parañaque City Hospital Bill 2,550.00
02/20/18 Boy Gorpido Parañaque City NBS/Hearing Test 950.00
02/20/18 Arlene Aquino Ruiz Caloocan City Laboratory Procedure 1,435.00
02/20/18 Riza Lisbos Dandoy Parañaque City Laboratory Procedure 265.00
02/20/18 Riza Lisbos Dandoy Parañaque City Ultrasound 250.00
02/20/18 Rojean Ann Del Monte Estacio Quezon City Laboratory Procedure 518.00
02/20/18 Glayza San Antonio Gamad Sta. Cruz, Manila Laboratory Procedure 1,076.00
02/20/18 Annie Rose Gertes Cochico Caloocan City Ultrasound 490.00
02/20/18 Sarah Jane Lipata Labriaga Parañaque City Laboratory Procedure 2,150.00
02/20/18 Romelene Reyes San Antonio Sta. Cruz, Manila Laboratory Procedure 120.00
02/20/18 Romelene Reyes San Antonio Sta. Cruz, Manila Ultrasound 490.00
02/20/18 Maria Teresa Pebenito Pastoral Sta. Mesa, Manila Laboratory Procedure 715.00
02/20/18 Maria Teresa Pebenito Pastoral Sta. Mesa, Manila Ultrasound 490.00
02/20/18 Maricel Cito Tingua Parañaque City Laboratory Procedure 325.00
02/20/18 Jenny San Diego Navarra Tondo, Manila Ultrasound 500.00
Page 19 of 30
ALLOTMENT RECEIVED
Date Approved BALANCE
Referred Amount (DEFICIT)Assistance Needed
As of February 28, 2018
REMARKSDATE CHECK NO./SAA AMOUNT RECIPIENT ADDRESS
MEDICAL ASSISTANCE PROGRAM
02/20/18 Rosalinda Mauricio Torres Taguig City Ultrasound 250.00
02/20/18 Rosalinda Mauricio Torres Taguig City Laboratory Procedure 2,453.00
02/21/18 Ronalyn Joy Bongay Vinluan Tondo, Manila Laboratory Procedure 1,764.00
02/21/18 Lina Tabon Bayani Parañaque City Hospital Bill 12,689.17
02/21/18 Price Yuan Tumbaga Sta. Cruz, Manila Hospital Bill 5,533.32
02/21/18 Diane Santos Esteban Tondo, Manila Laboratory Procedure 518.00
02/21/18 Jannette Navas Madredeo Cavite Laboratory Procedure 993.00
02/21/18 Jannette Navas Madredeo Cavite Ultrasound 250.00
02/21/18 Honey Perez Loyola Imus, Cavite Ultrasound 990.00
02/19/18 Joyce Bartolay Esparrago Caloocan City Ultrasound 490.00
02/19/18 Alyssa Ashley Pelonio Quezon City Hospital Bill 3,731.66
02/19/18 Safiya Isabella Pelonio Quezon City Hospital Bill 4,739.43
02/20/18 Yohan Vincent Allones Bulacan Colostomy Bag 2,250.00
02/20/18 Rosie Gicole Gadong Valenzuela City Laboratory Procedure 2,583.00
02/20/18 Rosie Gicole Gadong Valenzuela City Ultrasound 1,490.00
02/20/18 Maricar Montallana Lubat Dasmariñas, cavite Hospital Bill 1,286.94
02/20/18 Abegail Velasco Madridano San Pedro, Laguna Hospital Bill 3,115.88
02/20/18 Maricel Vivit Vitalicio Tondo, Manila Hospital Bill 2,408.95
02/20/18 Arianne Pascua Daiz Kawiit, Cavite Hospital Bill 2,282.85
02/20/18 Myles Christine Dela Cruz Muncada Malabon City Hospital Bill 1,046.30
02/20/18 Ma. Cristina Albano Dela Cruz Malabon City Hospital Bill 4,285.62
02/20/18 Mercie Abbygale Estallo Villanueva Bulacan Hospital Bill 10,425.78
02/20/18 Genara Estallo Villanueva Bulacan Hospital Bill 20,799.82
02/20/18 Adelin Tubon Tondo, Manila Ultrasound 490.00
02/20/18 Kurt Margarette Jusay Yanga Quezon City 2D Echo 2,300.00
02/20/18 Angelica Lopez Albus Tondo, Manila Laboratory Procedure 1,824.00
02/20/18 Angelica Lopez Albus Tondo, Manila Ultrasound 250.00
02/20/18 Arminia Madriaga Magdaraog Caloocan City Ultrasound 490.00
02/20/18 Jeany Alagos Barcebal Malabon City Laboratory Procedure 100.00
02/20/18 Jeany Alagos Barcebal Malabon City Ultrasound 350.00
02/20/18 Renziel Balane Atuel Quiapo, Manila Ultrasound 490.00
02/20/18 Sheila Castañeda Delos Reyes Silang, cavite Laboratory Procedure 1,764.00
02/20/18 Sheila Castañeda Delos Reyes Silang, cavite Ultrasound 750.00
02/20/18 Stephanie Baligasa Flores Tondo, Manila Ultrasound 250.00
02/20/18 Stephanie Baligasa Flores Tondo, Manila Laboratory Procedure 1,559.00
02/20/18 Nicole Banaag Jusayan Sta. Mesa, Manila Laboratory Procedure 873.00
Page 20 of 30
ALLOTMENT RECEIVED
Date Approved BALANCE
Referred Amount (DEFICIT)Assistance Needed
As of February 28, 2018
REMARKSDATE CHECK NO./SAA AMOUNT RECIPIENT ADDRESS
MEDICAL ASSISTANCE PROGRAM
02/20/18 Irish Bago Fallorin Parañaque City Ultrasound 490.00
02/20/18 Frances Dizon Eva Sta. Cruz, Manila Ultrasound 560.00
02/20/18 Roselyn Ybo Providencia Quezon City Laboratory Procedure 815.00
02/20/18 Roselyn Ybo Providencia Quezon City X-Ray 140.00
02/20/18 Roselyn Ybo Providencia Quezon City Ultrasound 490.00
02/20/18 Shirley Clariño Aguido Caloocan City X-Ray 140.00
02/20/18 Shirley Clariño Aguido Caloocan City Laboratory Procedure 2,815.00
02/20/18 Boy Magante Bacoor, Cavite Mechanical Ventilator 2,100.00
02/21/18 Rosalinda Binnua Lelis Caloocan City Ultrasound 490.00
02/21/18 Vanessa Doctor Sampaloc, Manila Laboratory Procedure 1,435.00
02/21/18 Rolaida Pineda Torio Valenzuela City Laboratory Procedure 1,764.00
02/21/18 Judith Somogod Galan Bacoor, Cavite Laboratory Procedure 1,435.00
02/21/18 Mary Grace Tormis Yee Caloocan City Ultrasound 250.00
02/21/18 Mary Ann Osorio Rayray Sampaloc, Manila Ultrasound 600.00
02/21/18 Annalyn Orense Soriano Caloocan City Laboratory Procedure 1,559.00
02/21/18 Annalyn Orense Soriano Caloocan City Ultrasound 350.00
02/21/18 Jobelle Patio Coroña Malabon City Ultrasound 490.00
02/21/18 Jobelle Patio Coroña Malabon City Laboratory Procedure 1,273.00
02/21/18 Cecilia Rosanto Maralit Tondo, Manila Ultrasound 490.00
02/21/18 Marjorie Fernando Torio Bacoor, Cavite Laboratory Procedure 140.00
02/21/18 Maribeth Gayon Plaza Bacoor, Cavite Ultrasound 490.00
02/21/18 Maribeth Gayon Plaza Bacoor, Cavite Laboratory Procedure 120.00
02/21/18 Anita Nazareno Topacio Caloocan City Ultrasound 350.00
02/21/18 Janessa May Rojas Capulong Quezon City Ultrasound 250.00
02/21/18 Janessa May Rojas Capulong Quezon City Laboratory Procedure 1,109.00
02/21/18 Jessa Marie De Torres Duque Marikina City Laboratory Procedure 160.00
02/21/18 Rochelle Valerio Camero Parañaque City Hospital Bill 9,463.45
02/21/18 Girl Ortega Las Piñas City Hospital Bill 10,174.11
02/21/18 Precious Chloe Legaspi Canog Laguna Hospital Bill 13,648.96
02/21/18 Farrah Gay Perfecio Gallo Caloocan City Hospital Bill 1,558.44
02/22/18 Lilibeth Bengaora Pepito Pasay City Hospital Bill 11,131.58
02/22/18 Jayden Dela Peña Ibañez Port Area, Manila Hospital Bill 50,292.71
02/22/18 Merla Panapanaan Pelayo Silang, cavite Hospital Bill 15,339.67
02/22/18 Joshua Jeremy Endino Caloocan City X-Ray 224.00
02/22/18 Jenelyn Nanquil Saberola Caloocan City Laboratory Procedure 1,559.00
02/22/18 Jenelyn Nanquil Saberola Caloocan City Ultrasound 250.00
Page 21 of 30
ALLOTMENT RECEIVED
Date Approved BALANCE
Referred Amount (DEFICIT)Assistance Needed
As of February 28, 2018
REMARKSDATE CHECK NO./SAA AMOUNT RECIPIENT ADDRESS
MEDICAL ASSISTANCE PROGRAM
02/22/18 Rodelyn Figueroa Lafue Caloocan City Laboratory Procedure 1,764.00
02/22/18 Rodelyn Figueroa Lafue Caloocan City Ultrasound 250.00
02/22/18 Kimberly Ortega Dizon Quiapo, Manila Laboratory Procedure 1,764.00
02/22/18 AJ Hans Ibit Atillo Quezon City 2D Echo 2,300.00
02/22/18 Melanie Maliban Ursua Parañaque City Ultrasound 490.00
02/22/18 John Roan Calzado Hamor Tanza, Cavite 2D Echo 2,300.00
02/22/18 Rovie Lita Guillermo Dandoy Parañaque City 2D Echo 2,300.00
02/14/18 Vanelette Dela Cruz Clemente Quezon City Laboratory Procedure 2,250.00
02/20/18 Marites Rayray Gamilla Manila Laboratory Procedure 2,821.00
02/20/18 Marites Rayray Gamilla Manila Ultrasound 1,050.00
02/20/18 Gynlie Antig Flores Pasay City Laboratory Procedure 1,435.00
02/20/18 Margie Yodico Alba Caloocan City Laboratory Procedure 525.00
02/20/18 Margie Yodico Alba Caloocan City Ultrasound 500.00
02/20/18 Maylyn Tubale De Guzman Rosario, cavite Ultrasound 250.00
02/20/18 Lucia Del Mundo Arguelles Batangas Mammography 2,437.00
02/20/18 Angelica Delos Santos Caloocan City Purchase Blood 1,500.00
02/21/18 Aiza Redondo Noval Caloocan City Hospital Bill 618.32
02/21/18 Jean Heraldez Rodulfo Parañaque City Hospital Bill 36,044.54
02/21/18 Jenwell Ray Heraldez Rodulfo Parañaque City Hospital Bill 177,938.07
02/21/18 Gilda Sidol Gelizon GMA, Cavite Hospital Bill 17,564.09
02/21/18 Rhenzo Gelizon Bacod GMA, Cavite Hospital Bill 32,386.48
02/22/18 Kimberly Gail Pagtakhan Kawiit, Cavite Hospital Bill 7,082.18
02/22/18 Renz Joseph Azarias Salvoza Sampaloc, Manila Hospital Bill 50,483.42
02/22/18 April Portin Alcaide Tondo, Manila Hospital Bill 12,622.16
02/22/18 Jack Raiden Garcia Mendiola Caloocan City Hospital Bill 89,747.48
02/22/18 Clarizza Arenas Garcia Caloocan City Hospital Bill 3,976.75
02/22/18 Emmanuel Asusano Recluta GMA, Cavite Hospital Bill 52,928.79
02/22/18 Elisa Casuyon Asusano GMA, Cavite Hospital Bill 5,013.16
02/22/18 Angelito Reymunda Llaneras Bulacan Laboratory Procedure 400.00
02/22/18 Arcelita Asilo Basa San Pedro, Laguna Laboratory Procedure 1,435.00
02/22/18 Arcelita Asilo Basa San Pedro, Laguna Whole Abdomen Ultrasound 1,050.00
02/22/18 Arcelita Asilo Basa San Pedro, Laguna Transvaginal Ultrasound 350.00
02/22/18 Mary Joy Sabido Batincela Taguig City Laboratory Procedure 951.00
02/22/18 Apple Mitra Pineda Sampaloc, Manila Laboratory Procedure 1,865.00
02/22/18 Emelyn Paculan Tondo, Manila Laboratory Procedure 220.00
02/22/18 Girl Ortega Las Piñas City Newborn Screening 600.00
Page 22 of 30
ALLOTMENT RECEIVED
Date Approved BALANCE
Referred Amount (DEFICIT)Assistance Needed
As of February 28, 2018
REMARKSDATE CHECK NO./SAA AMOUNT RECIPIENT ADDRESS
MEDICAL ASSISTANCE PROGRAM
02/22/18 Giona Beatrice Ureta Dela Cruz Caloocan City Laboratory Procedure 140.00
02/22/18 Gretchen Jadumas Muyco Sta. Cruz, Manila Laboratory Procedure 1,180.00
02/22/18 Mary Grace Tampoco Geñorga Quezon City Ultrasound 490.00
02/23/18 Kristine Joy Dequiña Aguiluz Parañaque City Ultrasound 490.00
02/23/18 Angela Sinadjan Ponce Dasmariñas, cavite Laboratory Procedure 220.00
02/23/18 Angela Sinadjan Ponce Dasmariñas, cavite Ultrasound 990.00
02/15/18 Leah Pidoy Hara Bacoor, Cavite Hospital Bill 11,080.78
02/15/18 Hannah Angelshane Hara Cuivillas Bacoor, Cavite Hospital Bill 18,294.14
02/15/18 Maricel Cito Tingua Parañaque City Ultrasound 490.00
02/19/18 Myla Balanag Mangahas Nueva Ecija Hospital Bill 23,121.21
02/20/18 Dahlia Fleur Lazo Que Chua Tondo, Manila Medicine 6,041.57
02/21/18 Arvelle Jhane Guro Gigante Quezon City Hospital Bill 800.00
02/21/18 Aljhur Posadas Calugbang Port Area, Manila Hospital Bill 20,969.66
02/21/18 Jake Posadas Calugbang Port Area, Manila Hospital Bill 6,552.79
02/21/18 Gemma Bugarso Posadas Port Area, Manila Hospital Bill 16,458.79
02/21/18 Chatty Tumampo Reubal Sampaloc, Manila Laboratory Procedure 1,764.00
02/22/18 Riza Tegio Pomarejos Manila Laboratory Procedure 1,435.00
02/22/18 Rizza Novelo Yagumyum Bacoor, Cavite Laboratory Procedure 1,435.00
02/22/18 Rizza Novelo Yagumyum Bacoor, Cavite Ultrasound 350.00
02/22/18 Leilani Tayag Royeca Tondo, Manila Ultrasound 490.00
02/22/18 Christine Danice Bigay Narra Port Area, Manila Hospital Bill 296.17
02/22/18 Mari Fresette Antones Molina Silang, cavite Hospital Bill 20,797.20
02/22/18 Jorize Trilles Antones Silang, cavite Hospital Bill 84,150.71
02/22/18 Cherina Dante Amante Las Piñas City Hospital Bill 1,134.72
02/23/18 Gladymer Linawod Vergara Parañaque City Hospital Bill 1,591.02
02/23/18 Shawn Kyrie Tobalado Sevilla Parañaque City Hospital Bill 11,908.32
02/23/18 Fheriza Geronimo Pacalda Valenzuela City Hospital Bill 12,292.04
02/23/18 Aalijah Erin Geronimo Pacalda Valenzuela City Hospital Bill 46,972.34
02/23/18 Marynin Valenzuela Hiteroza Parañaque City Hospital Bill 783.74
02/23/18 Ma. Niña Valenzuela Hiteroza Parañaque City Hospital Bill 10,300.23
02/23/18 Romee Rose Mataro Sta. Cruz, Manila Hospital Bill 2,284.33
02/23/18 Manilyn Tuballas Siervo San Pedro, Laguna Hospital Bill 3,780.33
02/23/18 Emerita Menguito Anselmo Caloocan City Laboratory Procedure 100.00
02/23/18 Emerita Menguito Anselmo Caloocan City Ultrasound 490.00
02/23/18 Maricol Babas Quiambao Sta. Cruz, Manila Laboratory Procedure 1,154.00
02/23/18 Rizza Lignes Garamay Valenzuela City Laboratory Procedure 1,153.00
Page 23 of 30
ALLOTMENT RECEIVED
Date Approved BALANCE
Referred Amount (DEFICIT)Assistance Needed
As of February 28, 2018
REMARKSDATE CHECK NO./SAA AMOUNT RECIPIENT ADDRESS
MEDICAL ASSISTANCE PROGRAM
02/23/18 Rizza Lignes Garamay Valenzuela City Ultrasound 250.00
02/23/18 Rubilyn Tigas Quiroz Caloocan City Laboratory Procedure 265.00
02/23/18 Rubilyn Tigas Quiroz Caloocan City Ultrasound 500.00
02/23/18 Jerose Lardizabal Paje Pasay City Laboratory Procedure 120.00
02/23/18 Jerose Lardizabal Paje Pasay City Ultrasound 490.00
02/14/18 Vanelette Dela Cruz Clemente Quezon City Laboratory Procedure 21,265.00
02/23/18 Angelica Delos Santos Caloocan City Hospital Bill 11,558.95
02/23/18 Jardin Ais Bautista Gaspi Parañaque City Hospital Bill 72,624.71
02/23/18 Susana Tumala Gunayan Sta. Mesa, Manila Hospital Bill 17,966.08
02/23/18 Gil Gunayan Abellan Sta. Mesa, Manila Hospital Bill 41,276.34
02/23/18 Aireen Sarroca Montarom Parañaque City Laboratory Procedure 1,185.00
02/23/18 Aireen Sarroca Montarom Parañaque City Ultrasound 1,490.00
02/23/18 Bernardita Dela Roca Sariaya, Quezon X-Ray 140.00
02/23/18 Bernardita Dela Roca Sariaya, Quezon Laboratory Procedure 2,815.00
02/23/18 Bernardita Dela Roca Sariaya, Quezon ECG 200.00
02/23/18 Lilia Capacite Obina Quezon City Laboratory Procedure 1,941.00
02/23/18 Lilia Capacite Obina Quezon City Ultrasound 1,050.00
02/23/18 Lilia Capacite Obina Quezon City X-Ray 140.00
02/23/18 Lilia Capacite Obina Quezon City ECG 200.00
02/23/18 Maria Liza Mayor Donayre Malabon City Laboratory Procedure 120.00
02/23/18 Maria Liza Mayor Donayre Malabon City Ultrasound 490.00
02/24/18 Eden Tuscano Jose Sampaloc, Manila Laboratory Procedure 1,154.00
02/24/18 Caiden Klein Perez Garcia GMA, Cavite Hospital Bill 28,011.53
02/24/18 Cired James Baniasia Tamayo Imus, Cavite Hospital Bill 8,622.48
02/24/18 Chloie Yusores Terevillo Quezon City Hospital Bill 100.00
02/24/18 Dahlia Aldave Yusores Quezon City Hospital Bill 7,248.95
02/24/18 Philip Bryle Retante Taguig City Hospital Bill 19,691.62
02/24/18 Jeremy Pedernal Cristo Gen. Trias Cavite Hospital Bill 19,340.07
02/24/18 Mayleen Pedernal Villacarlos Gen. Trias Cavite Hospital Bill 11,197.18
02/24/18 John Ezekiel Palad Dela Cruz Sta. Cruz, Manila Hospital Bill 10,578.35
02/24/18 Mikael James Pia Flores Pasay City Hospital Bill 88,545.21
02/24/18 Emmalyn Perihan Pia Pasay City Hospital Bill 24,638.08
02/24/18 Adaiah Kheil Ellorin Dato Valenzuela City Hospital Bill 3,215.96
02/24/18 Jacquilyn Dela Cruz Ramos Caloocan City Hospital Bill 8,886.83
02/25/18 Sittie Rainie Aplaca Faisal Parañaque City Hospital Bill 16,779.23
02/25/18 Girl Sercado Atadero Dasmariñas, cavite Hospital Bill 65,540.57
Page 24 of 30
ALLOTMENT RECEIVED
Date Approved BALANCE
Referred Amount (DEFICIT)Assistance Needed
As of February 28, 2018
REMARKSDATE CHECK NO./SAA AMOUNT RECIPIENT ADDRESS
MEDICAL ASSISTANCE PROGRAM
02/25/18 Girl Sercado Atadero Dasmariñas, cavite NBS/Hearing Test 950.00
02/25/18 Amelia Sercado Atadero Dasmariñas, cavite Hospital Bill 40,383.41
02/25/18 Emma Ferrer Meneses Tondo, Manila Hospital Bill 6,594.45
02/26/18 Leanna Mae Villar Eustaquio Quiapo, Manila Laboratory Procedure 1,619.00
02/14/18 Florida Gonzales Morada Laguna Laboratory Procedure 555.00
02/14/18 Winalyn Lunasco Sampang Makati City Laboratory Procedure 4,080.00
02/14/18 Timmy Garcia Hernandez Sta. Cruz, Manila Laboratory Procedure 1,435.00
02/19/18 Julie Ann Penilla Dranto Caloocan City Laboratory Procedure 100.00
02/19/18 Julie Ann Penilla Dranto Caloocan City Ultrasound 490.00
02/19/18 Shiella Mae Alocada Salazar Sta. Cruz, Manila Laboratory Procedure 120.00
02/19/18 Shiella Mae Alocada Salazar Sta. Cruz, Manila Ultrasound 490.00
02/19/18 Phavis Serrano Esteban Quezon City Ultrasound 490.00
02/19/18 Lodelyn Murillo Astrera Imus, Cavite Laboratory Procedure 1,561.00
02/19/18 Joylen Zonio Salvador Quezon City Ultrasound 490.00
02/19/18 Joylen Zonio Salvador Quezon City Laboratory Procedure 100.00
02/19/18 Ma. Niña Valenzuela Hiteroza Parañaque City Medicine 380.00
02/19/18 Boy Lucreda Pasay City Medicine 55.00
02/19/18 Girl Macapodi Taguig City Medicine 55.00
02/19/18 Boy Lictaoa Tanza, Cavite Medicine 4,500.00
02/19/18 Boy Constantino Malabon City Medicine 55.00
02/19/18 Boy Pedragosa Pasay City Medicine 4,500.00
02/19/18 Girl Atadero Dasmariñas, cavite Medicine 55.00
02/19/18 Boy Gremaldo Cavite Medicine 220.00
02/19/18 Boy Gadaoni Laguna Medicine 2,680.00
02/19/18 Boy Camacho Bacoor, Cavite Medicine 2,680.00
02/19/18 Crystine Joice Zamora Tondo, Manila Medicine 55.00
02/19/18 Girl Aplaca Pasay City Medicine 220.00
02/19/18 Girl Teñoso Quezon City Medicine 220.00
02/19/18 Girl Santiago GMA, Cavite Medicine 220.00
02/19/18 Boy Gipunan Pasay City Medicine 220.00
02/19/18 Girl Lontabo Caloocan City Medicine 220.00
02/20/18 Boy Morales Gen. Trias Cavite Medicine 110.00
02/20/18 Boy Gregorio Manila Medicine 110.00
02/20/18 Boy Garcia Muntinlupa CIty Medicine 110.00
02/20/18 Girl Pacheco San Pedro, Laguna Medicine 110.00
02/20/18 Boy Gunayan Sta. Mesa, Manila Medicine 4,500.00
Page 25 of 30
ALLOTMENT RECEIVED
Date Approved BALANCE
Referred Amount (DEFICIT)Assistance Needed
As of February 28, 2018
REMARKSDATE CHECK NO./SAA AMOUNT RECIPIENT ADDRESS
MEDICAL ASSISTANCE PROGRAM
02/20/18 Annalyn Oray Imus, Cavite Laboratory Procedure 3,000.00
02/23/18 Marjorie Jacobe Rupanan Navotas City Laboratory Procedure 120.00
02/23/18 Marjorie Jacobe Rupanan Navotas City Ultrasound 490.00
02/21/18 Princess Rica Alvarez Devilla Caloocan City Laboratory Procedure 1,559.00
02/21/18 Loretamar Calindas Waay Tondo, Manila Ultrasound 490.00
02/23/18 Olivia Martinez Binlayo Rizal Laboratory Procedure 2,815.00
02/23/18 Olivia Martinez Binlayo Rizal X-Ray 140.00
02/23/18 Kimberly Dizon Ortega Quiapo, Manila Laboratory Procedure 1,435.00
02/23/18 Maricel Menez Bacal Quezon City Ultrasound 490.00
02/26/18 Arcelita Asilo Basa San Pedro, Laguna Laboratory Procedure 1,475.00
02/26/18 Arcelita Asilo Basa San Pedro, Laguna ECG 200.00
02/26/18 Arcelita Asilo Basa San Pedro, Laguna X-Ray 140.00
02/26/18 Jenifer Palisoc Jimenez Tondo, Manila Ultrasound 250.00
02/26/18 Clariza Nhel Latina Rosimo Caloocan City Ultrasound 250.00
02/26/18 Clariza Nhel Latina Rosimo Caloocan City Laboratory Procedure 1,700.00
02/26/18 Karen May Delos Santos Natividad Bacoor, Cavite Ultrasound 990.00
02/26/18 Mary Rose Fatima Dumo Samarro Malabon City Laboratory Procedure 1,559.00
02/26/18 Mary Rose Fatima Dumo Samarro Malabon City Ultrasound 250.00
02/26/18 Jennifer Cervantes Bustamante Quezon City Ultrasound 990.00
02/26/18 Jennifer Cervantes Bustamante Quezon City Laboratory Procedure 120.00
02/26/18 Joan Nierva Sta. Cruz, Manila Laboratory Procedure 265.00
02/26/18 Meryl Haboc Rubio Sorsogon CIty Laboratory Procedure 555.00
02/26/18 Joylyn Sardido Raquel Tondo, Manila Laboratory Procedure 1,499.00
02/26/18 Lady Lhen Bayani Guanzon Bacoor, Cavite Laboratory Procedure 265.00
02/26/18 Lady Lhen Bayani Guanzon Bacoor, Cavite Ultrasound 250.00
02/26/18 Emelda Lazaro Jagonoy Manila Hospital Bill 16,497.05
02/26/18 Vicpress Abellanosa Mangalus Port Area, Manila Laboratory Procedure 160.00
02/26/18 Vicpress Abellanosa Mangalus Port Area, Manila Ultrasound 250.00
02/27/18 Joyce Sumahit Pardo Imus, Cavite 2D Echo 2,300.00
02/27/18 Yohan Vincent Allones Bulacan Laboratory Procedure 600.00
02/27/18 Yohan Vincent Allones Bulacan X-Ray 224.00
02/27/18 Jeizel Jane Jaralbe Libron Pasig City Ultrasound 490.00
02/27/18 Angelica Abalajen Lesaca Quezon City Laboratory Procedure 1,845.00
02/27/18 Angelica Abalajen Lesaca Quezon City Ultrasound 1,000.00
02/27/18 Trexie Canete Toreña Parañaque City Laboratory Procedure 265.00
02/27/18 Trexie Canete Toreña Parañaque City Ultrasound 490.00
Page 26 of 30
ALLOTMENT RECEIVED
Date Approved BALANCE
Referred Amount (DEFICIT)Assistance Needed
As of February 28, 2018
REMARKSDATE CHECK NO./SAA AMOUNT RECIPIENT ADDRESS
MEDICAL ASSISTANCE PROGRAM
02/27/18 Cristina Palmero Rojas GMA, Cavite Laboratory Procedure 120.00
02/27/18 Cristina Palmero Rojas GMA, Cavite Ultrasound 990.00
02/14/18 Zeus Kiel Cabral Montalban Pasay City Hospital Bill 29,758.37
02/14/18 Rechelle Raynon Cabral Pasay City Hospital Bill 11,110.26
02/14/18 John Michael Lapasanda Las Piñas City Hospital Bill 13,405.56
02/14/18 Mechelle Jane Cabug-Os Lapasanda Las Piñas City Hospital Bill 6,803.11
02/22/18 Aileen Galario Noche Parañaque City Laboratory Procedure 2,283.00
02/22/18 Ronielle Sildo Balanay San Pedro, Laguna Ultrasound 250.00
02/22/18 John Geo Bobier Orocio Muntinlupa CIty 2D Echo 2,300.00
02/22/18 Saguira Sangkupan Kusain Port Area, Manila Laboratory Procedure 1,559.00
02/27/18 Melrose Pastidio Mapusao GMA, Cavite Laboratory Procedure 120.00
02/27/18 Melrose Pastidio Mapusao GMA, Cavite Ultrasound 490.00
02/27/18 Marilou Nacion Guiriba Bacoor, Cavite Laboratory Procedure 2,183.00
02/27/18 Celeste Lagula Olido Taguig City Laboratory Procedure 495.00
02/27/18 Sayrene Braga Santonia Quezon City Laboratory Procedure 670.00
02/27/18 Sayrene Braga Santonia Quezon City Ultrasound 350.00
02/27/18 Jessah Belle Sanchez Terania Tanza, Cavite Laboratory Procedure 1,764.00
02/27/18 Jessah Belle Sanchez Terania Tanza, Cavite Ultrasound 490.00
02/27/18 Sarah Jane Lipata Labriaga Parañaque City Ultrasound 490.00
02/27/18 Cristelle Joy Tunday Aragon Parañaque City Laboratory Procedure 1,700.00
02/27/18 Jelly Ann Lusuego Valdez Bacoor, Cavite Laboratory Procedure 1,604.00
02/27/18 Ryan Mae Juta Carlos Parañaque City Laboratory Procedure 518.00
02/27/18 Lovely Fronda Sta. Cruz, Manila Laboratory Procedure 265.00
02/27/18 Lovely Fronda Sta. Cruz, Manila Ultrasound 250.00
02/27/18 Joan Llorca Fabay Caloocan City Laboratory Procedure 1,764.00
02/27/18 Joan Llorca Fabay Caloocan City Ultrasound 490.00
02/27/18 Mary Ann Acosta Ringor Tondo, Manila Laboratory Procedure 265.00
02/27/18 Nicole Remegio Labanda Quezon City Laboratory Procedure 1,604.00
02/27/18 Josie Fajardo Nabual Las Piñas City Laboratory Procedure 325.00
02/27/18 Josie Fajardo Nabual Las Piñas City Ultrasound 490.00
02/27/18 Sunshine Balajadia Rebamuntan Dasmariñas, cavite Hospital Bill 5,557.92
02/27/18 Marie Sheen Rebamuntan Dionio Dasmariñas, cavite Hospital Bill 11,560.08
216/18 Girl Olmeda Silang, cavite Mechanical Ventilator 2,100.00
02/19/18 Aria Quinn Balasan Bentillo Tondo, Manila Ultrasound 700.00
02/19/18 Jeaneve Waut Jebone Caloocan City Laboratory Procedure 1,535.00
02/19/18 Mary Ann Tamoyang Samson Parañaque City ECG 200.00
Page 27 of 30
ALLOTMENT RECEIVED
Date Approved BALANCE
Referred Amount (DEFICIT)Assistance Needed
As of February 28, 2018
REMARKSDATE CHECK NO./SAA AMOUNT RECIPIENT ADDRESS
MEDICAL ASSISTANCE PROGRAM
02/19/18 Lualhati Burgos Felipe Batangas Hospital Bill 3,719.16
02/20/18 Kimberly Galvan Reyes Tondo, Manila Laboratory Procedure 120.00
02/20/18 Jell Renzel Casanova Norada Caloocan City Laboratory Procedure 951.00
02/20/18 Sarah Jane Ramelo Aquinde Parañaque City Laboratory Procedure 1,399.00
02/20/18 Sarah Jane Ramelo Aquinde Parañaque City Ultrasound 350.00
02/20/18 Beberly Quiteves Ambo Quezon City Ultrasound 490.00
02/23/18 Joanna Marie Palconit Araojo Pasay City Hospital Bill 2,786.37
02/25/18 Boy Peñero Silang, cavite Platelet Concentrate 1,500.00
02/25/18 Merry Deleña Bermas Sta. Cruz, Manila Hospital Bill 14,862.56
02/26/18 Rovie Lita Guillermo Dandoy Parañaque City Hospital Bill 3,568.42
02/26/18 Leonice Obero Santiago GMA, Cavite Hospital Bill 15,657.11
02/26/18 Rhea Viorge Ferrer Valenzuela City Hospital Bill 12,491.29
02/26/18 Annabelle Lisao Cerro Las Piñas City Hospital Bill 9,340.73
02/26/18 Abeshai Jean Delloro Roldan Quezon City Hospital Bill 4,571.86
02/26/18 Michelle Mendez Delloro Quezon City Hospital Bill 4,794.32
02/26/18 Maria Luisa Ambil Hatshorn Occidental Mindoro Laboratory Procedure 625.00
02/26/18 Nerrissa Socorro Del Rosario Occidental Mindoro Laboratory Procedure 495.00
02/26/18 Cherry Caballero Gregorio Dasmariñas, cavite Laboratory Procedure 2,429.00
02/26/18 Nathalia Alcoba Bacoor, Cavite Ultrasound 490.00
02/26/18 Abegail Dayang Tandinco Rizal Laboratory Procedure 1,198.00
02/26/18 Ma. Christina Baquiran Ybañez Caloocan City Laboratory Procedure 1,559.00
02/26/18 Abigail Salino Cabucos Quezon City Laboratory Procedure 1,764.00
02/26/18 Montessa Matilla Lorenzana Muntinlupa CIty Laboratory Procedure 1,555.00
02/26/18 Montessa Matilla Lorenzana Muntinlupa CIty Ultrasound 490.00
02/26/18 Mary Grace Llazos Lautan Caloocan City Laboratory Procedure 265.00
02/26/18 Laarni Canlas Darantinao Caloocan City Laboratory Procedure 725.00
02/26/18 Jowena Marie Consumo Arca Parañaque City Laboratory Procedure 1,435.00
02/26/18 Gylann Grey Sombero Andot Sta. Cruz, Manila Scrotal Ultrasound 560.00
02/23/18 Mary Bien Commandante Custodio Gen. Trias Cavite Laboratory Procedure 525.00
02/23/18 Maricar Lancero De Pablo Malabon City ECG 200.00
02/23/18 Maricar Lancero De Pablo Malabon City Laboratory Procedure 1,635.00
02/23/18 Anacel Donato Matuco Caloocan City Ultrasound 490.00
02/23/18 Anacel Donato Matuco Caloocan City Laboratory Procedure 1,855.00
02/23/18 Ma. Rhea Fernandez Manzon Taguig City Hospital Bill 3,236.83
02/27/18 Renzy Mae Sacorom Sadie Laguna Hospital Bill 7,430.44
02/27/18 Sherrie Ann Omero Sanchez Imus, Cavite Hospital Bill 1,207.73
Page 28 of 30
ALLOTMENT RECEIVED
Date Approved BALANCE
Referred Amount (DEFICIT)Assistance Needed
As of February 28, 2018
REMARKSDATE CHECK NO./SAA AMOUNT RECIPIENT ADDRESS
MEDICAL ASSISTANCE PROGRAM
02/27/18 Jolian Andrada Mique Pasay City Hospital Bill 10,908.29
02/27/18 Krizzy Kaye Saulo Cavite Hospital Bill 456.76
02/27/18 Rosemarie Caliao Camarines Caloocan City Hospital Bill 755.00
02/27/18 Jenalyn Lianda Solidor GMA, Cavite Hospital Bill 1,222.09
02/27/18 Mia Jannelah Gayoso Sevilla Tondo, Manila Hospital Bill 5,077.46
02/27/18 Jennalyn Ramos Gayoso Tondo, Manila Hospital Bill 4,941.95
02/27/18 Azizah Racman Amroding Manila Laboratory Procedure 1,198.00
02/27/18 Karen Delos Santos Natividad Bacoor, Cavite Laboratory Procedure 1,225.00
02/27/18 Virginia Libunao Maglonzo Tondo, Manila Ultrasound 1,050.00
02/27/18 Alexius Deven Duro Reyes Sta. Cruz, Manila 2D Echo 2,300.00
02/27/18 Alexius Deven Duro Reyes Sta. Cruz, Manila X-Ray 224.00
02/27/18 Jennifer Cruz Manuel Caloocan City Hospital Bill 8,961.81
02/27/18 Princess Andrea Casem Guanlao Quezon City Laboratory Procedure 1,700.00
02/27/18 Cherrylyn Manao Mandia Las Piñas City Laboratory Procedure 210.00
02/28/18 Farrah Canayong Guimbaolibot Bacoor, Cavite Hospital Bill 5,997.36
02/28/18 Annie Rose Gertes Cochico Caloocan City Ultrasound 490.00
02/28/18 Clyde John Espineli Mataverde Parañaque City Ultrasound 560.00
02/28/18 Clyde John Espineli Mataverde Parañaque City Laboratory Procedure 1,280.00
02/28/18 Jericho Haboc Cruz Tondo, Manila X-Ray 224.00
02/28/18 Jhon Klevin Haboc Cruz Tondo, Manila X-Ray 224.00
02/28/18 Jane De Galicia Rigor Quezon City Hospital Bill 13,366.54
02/28/18 Judy Ann Raagas Perez Manila Laboratory Procedure 1,764.00
02/28/18 Judy Ann Raagas Perez Manila Ultrasound 490.00
02/14/18 Riane Peñaranda Santos Dasmariñas, cavite Hospital Bill 2,896.29
02/20/18 Princess Enoveso Manila Medicine 128.00
02/20/18 Shawn Kyrie Tobalado Sevilla Parañaque City Medicine 504.00
02/20/18 Gabriella Verano Parañaque City Medicine 96.00
02/20/18 Precious Chloe Legaspi Canog Laguna Medicine 1,280.00
02/20/18 Lance Gabrielle Cadag Bulacan Medicine 675.00
02/20/18 Dharlyn Andalinog Port Area, Manila Medicine 64.00
02/20/18 Quenn Michelle Baid Caloocan City Medicine 504.00
02/20/18 Jerome Dwayne Diaz Tondo, Manila Medicine 70.00
02/20/18 Bhong Xander Aborque Tondo, Manila Medicine 70.00
02/20/18 Boy Bucatcat Tondo, Manila Medicine 70.00
02/20/18 Jheymie Manlulu Dasmariñas, cavite Medicine 574.00
02/20/18 Christine Danque Las Piñas City Medicine 128.00
Page 29 of 30
ALLOTMENT RECEIVED
Date Approved BALANCE
Referred Amount (DEFICIT)Assistance Needed
As of February 28, 2018
REMARKSDATE CHECK NO./SAA AMOUNT RECIPIENT ADDRESS
MEDICAL ASSISTANCE PROGRAM
02/20/18 Philip Bryle Retante Taguig City Medicine 70.00
02/20/18 Anthony Belarma Quiapo, Manila Medicine 664.00
02/20/18 Patricia Sanguyo Bacoor, Cavite Medicine 385.00
02/20/18 MJ Baldecasa Quezon City Medicine 70.00
02/20/18 Daniel Añasco Parañaque City Medicine 320.00
02/23/18 Florie Norcio Robion Sta. Cruz, Manila Ultrasound 350.00
02/24/18 Marikit Francisco Potenciano Dasmariñas, cavite Purchase Blood 1,800.00
02/27/18 Mary Jane Soria Valdez Cavite Hospital Bill 6,189.90
02/27/18 Yhacinth Erica Tanael Cruz Laguna Hospital Bill 3,156.51
02/27/18 Eros Grey Cordova Rodriguez Manila Hospital Bill 3,257.77
02/28/18 Sheryll Gelvez Ferolino Cavite Hospital Bill 8,147.20
02/28/18 Marivec Bayron Aplacador Rizal Hospital Bill 9,124.52
02/28/18 Teresita Bedrona Gime GMA, Cavite Laboratory Procedure 1,559.00
02/28/18 Judith Abellera Agot Quezon City Ultrasound 490.00
02/28/18 Kristel Bandilla Cambel Quezon City Laboratory Procedure 1,760.00
02/28/18 Kristel Bandilla Cambel Quezon City Ultrasound 990.00
02/28/18 Ma. Rhealyn Solis Palacio Gen. Trias Cavite Laboratory Procedure 120.00
02/28/18 Marites Rayray Gamilla Manila Laboratory Procedure 265.00
02/28/18 Danielle Kaeden Chan Mabilog Bacoor, Cavite Laboratory Procedure 430.00
02/28/18 Danielle Kaeden Chan Mabilog Bacoor, Cavite Ultrasound 560.00
Total Utilization For February 1-28, 2018 6,851,250.85 0.00
Certified Correct:
MERCILITA D. FORTIER
Accountant IV
/agb
Page 30 of 30