baguio general hospital and medical center region:...

Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - CAR

Total Allocation: Php. 27,580,000.00+16,700,000.00+500,000.00+120,000.00+50,000.00

DATE TYPE AMOUNT ACTUAL

UTILIZATION BALANCE

1 Manuel Boaging Baguio City, Benguet November 5, 2014 Hemodialysis 1,253.16 1,253.16 -

2 Mary Grace Binay-an Baguio City, Benguet November 17, 2014 Hemodialysis 4,400.00 4,400.00 -


4 Leonardo Dela Pena Abaya Baguio City, Benguet January 14, 2015 Hemodialysis 13,200.00 13,200.00 -

5 Mary Grace Binay-an Baguio City, Benguet January 16, 2015 Hemodialysis 4,400.00 4,400.00 -

6 Victor Dizon Baguio City, Benguet January 16, 2015 Hemodialysis 19,800.00 19,800.00 -

7 Alex Khayad Wagsey Baguio City, Benguet February 3, 2015 Hemodialysis 4,400.00 4,400.00 -

8 Joey Walsiyen Baguio City, Benguet January 26, 2015 Hemodialysis 4,400.00 4,400.00 -

9 Alex Khayad Wagsey Baguio City, Benguet January 12, 2015 Hemodialysis 6,600.00 6,600.00 -

10 Catalina Yukdawan Baguio City, Benguet January 5, 2015 Hemodialysis 4,400.00 4,400.00 -

11 Rowena Valdez Baguio City, Benguet January 15, 2015 Hemodialysis 4,400.00 4,400.00 -

12 Julius Cesar V Mendoza Baguio City, Benguet April 21, 2015 Hemodialysis 4,400.00 4,400.00 -

13 Lycia Linmayog Baguio City, Benguet April 17, 2015 Hemodialysis 4,400.00 4,400.00 -

14 Alicia Bayot Lee Baguio City, Benguet April 17, 2015 Hemodialysis 4,400.00 4,400.00 -

15 Jocelyn Laigo Baguio City, Benguet April 13, 2015 Hemodialysis 4,400.00 4,400.00 -

16 Ramon Dacawi Baguio City, Benguet December 23, 2014 Hemodialysis 26,400.00 24,600.00 1,800.00

17 Alex Khayad Wagsey Baguio City, Benguet April 7, 2015 Hemodialysis 4,400.00 4,400.00 -

18 Joey Walsiyen Baguio City, Benguet March 26, 2015 Hemodialysis 4,400.00 4,400.00 -

19 Marina Bongotan Baguio City, Benguet April 30, 2015 Hemodialysis 4,400.00 4,400.00 -

20 April Sakiwat Baguio City, Benguet May 4, 2015 Hemodialysis 2,200.00 2,200.00 -

21 April Sakiwat Baguio City, Benguet April 7, 2015 Hemodialysis 4,400.00 4,400.00 -

MEDICAL ASSISTANCE PROGRAM

FUND UTILIZATION REPORT

for the Month of December 2015

No. NAME OF PATIENTSADDRESS (District,

City/ Mun., Prov.)

ASSISTANCE GRANTED

1 of 21 BGH-MAP-JANUARY-2015




UTILIZATION BALANCE


City/ Mun., Prov.)

ASSISTANCE GRANTED

22 April Sakiwat Baguio City, Benguet April 7, 2015 Hemodialysis 4,400.00 4,400.00 -

23 John Kennedy Sagmayao Baguio City, Benguet April 23, 2015 Hemodialysis 4,400.00 4,400.00 -

24 Polon Emelita Sablan, Benguet April 22, 2015 Hemodialysis 4,400.00 4,400.00 -

25 Oliver Montemayor Baguio City, Benguet April 15, 2015 Hemodialysis 4,400.00 4,400.00 -

26 Marcelino Salvador Besao Mountain Province April 6, 2015 Hemodialysis 4,400.00 4,400.00 -

27 Yel D. Sibaen Baguio City, Benguet April 13, 2015 Hemodialysis 4,400.00 4,400.00 -

28 Milagros Tait Baguio City, Benguet April 22, 2015 Hemodialysis 4,400.00 4,400.00 -

29 Leandro Tandoc Baguio City, Benguet April 8, 2015 Hemodialysis 4,400.00 4,400.00 -

30 Jeryy Galacyan Taynan Baguio City, Benguet April 7, 2015 Hemodialysis 4,400.00 4,400.00 -

31 Robert Tomas Baguio City, Benguet April 8, 2015 Hemodialysis 4,400.00 4,400.00 -

32 Guigeon Tumingeb Baguio City, Benguet April 1, 2015 Hemodialysis 4,400.00 4,400.00 -

33 Guigeon Tumingeb Baguio City, Benguet April 7, 2015 Hemodialysis 4,400.00 4,400.00 -

34 Avelino Ocampo Baguio City, Benguet October 13, 2014 Hemodialysis 4,400.00 4,400.00 -

35 April Sakiwat Baguio City, Benguet September 29, 2014 Hemodialysis 2,200.00 2,200.00 -

36 Jocelyn Laigo Baguio City, Benguet October 1, 2014 Hemodialysis 4,400.00 4,400.00 -

37 Carmelita Lamadrid Baguio City, Benguet October 24, 2014 Hemodialysis 4,400.00 4,400.00 -

38 Christopher Lapas Baguio City, Benguet October 1, 2014 Hemodialysis 4,400.00 4,400.00 -

39 Alicia Lee Baguio City, Benguet September 25, 2014 Hemodialysis 4,400.00 4,400.00 -

40 Baby Lyn Lumbas Baguio City, Benguet October 29, 2014 Hemodialysis 4,151.87 4,151.00 0.87

41 Leonida Madriaga Baguio City, Benguet October 28, 2014 Hemodialysis 4,400.00 4,400.00 -

42 Delfin Mangusan Baguio City, Benguet September 22, 2014 Hemodialysis 2,200.00 2,200.00 -

43 Flordeliza Mirhan Baguio City, Benguet September 30, 2014 Hemodialysis 4,400.00 4,400.00 -

44 Gemma Monteclaro Baguio City, Benguet October 1, 2014 Hemodialysis 4,400.00 4,400.00 -

45 Andres Daw-as Baguio City, Benguet August 29, 2014 Hemodialysis 2,200.00 2,200.00 -

46 Rolando Domingo Baguio City, Benguet October 1, 2014 Hemodialysis 2,200.00 2,200.00 -

47 Erly Dumansi Baguio City, Benguet October 1, 2014 Hemodialysis 4,400.00 4,400.00 -





UTILIZATION BALANCE


City/ Mun., Prov.)

ASSISTANCE GRANTED

48 Ronnie Foyagao Baguio City, Benguet October 27, 2014 Hemodialysis 4,400.00 4,400.00 -

49 Linda Gatudan Baguio City, Benguet September 29, 2014 Hemodialysis 6,600.00 6,600.00 -

50 Agustin Tacay Gayao Baguio City, Benguet October 27, 2014 Hemodialysis 4,400.00 2,200.00 2,200.00

51 Richard Justo Baguio City, Benguet October 23, 2014 Hemodialysis 4,400.00 4,400.00 -

52 Matso Quinio Baguio City, Benguet September 10, 2014 Hemodialysis 4,400.00 4,400.00 -

53 Nancy Ayson Baguio City, Benguet October 21, 2014 Hemodialysis 8,800.00 8,800.00 -

54 Nancy Ayson Baguio City, Benguet September 22, 2014 Hemodialysis 4,400.00 4,400.00 -

55 Edwin Bagano Baguio City, Benguet October 22, 2014 Hemodialysis 4,400.00 4,400.00 -

56 Almario Benitez Jr Baguio City, Benguet October 8, 2014 Hemodialysis 2,200.00 2,200.00 -

57 Cesar Bolla Baguio City, Benguet October 29, 2014 Hemodialysis 6,600.00 6,600.00 -

58 Amor Cahanap Baguio City, Benguet September 24, 2014 Hemodialysis 4,400.00 4,400.00 -

59 Virgilio Clemente Baguio City, Benguet October 30, 2014 Hemodialysis 4,400.00 4,400.00 -

60 Requino Todlem Baguio City, Benguet July 2, 2015 Hemodialysis 4,400.00 4,400.00 -

61 Robert S. Tomas Baguio City, Benguet July 10, 2015 Hemodialysis 4,400.00 4,400.00 -

62 Guigeon Tumingeb Baguio City, Benguet July 3, 2015 Hemodialysis 4,400.00 4,400.00 -

63 Alex Khayad Wagsey Baguio City, Benguet June 23, 2015 Hemodialysis 4,400.00 4,400.00 -

64 Joey Quiwase Walsiyen Baguio City, Benguet July 7, 2015 Hemodialysis 4,400.00 4,400.00 -

65 Alex Khayad Wagsey Baguio City, Benguet July 3, 2015 Hemodialysis 4,400.00 4,400.00 -

66 Lucia Linmayog Baguio City, Benguet July 13, 2015 Hemodialysis 4,400.00 4,400.00 -

67 Pablo Bienvinido Baguio City, Benguet June 15, 2015 Hemodialysis 4,400.00 4,400.00 -

68 Virginia Payacda Baguio City, Benguet June 29, 2015 Hemodialysis 4,400.00 4,400.00 -

69 David Puguon Baguio City, Benguet July 8, 2015 Hemodialysis 4,400.00 4,400.00 -

70 David Puguon Baguio City, Benguet June 9, 2015 Hemodialysis 4,400.00 4,400.00 -

71 David Puguon Baguio City, Benguet June 9, 2015 Hemodialysis 4,400.00 4,400.00 -

72 John Kennedy Sagmayao Baguio City, Benguet June 24, 2015 Hemodialysis 4,400.00 4,400.00 -

73 April Sakiwat Baguio City, Benguet July 2, 2015 Hemodialysis 4,400.00 4,400.00 -





UTILIZATION BALANCE


City/ Mun., Prov.)

ASSISTANCE GRANTED

74 Marcelino Salvador Besao, Mountain Province July 3, 2015 Hemodialysis 4,400.00 4,400.00 -

75 Leandro Tandoc Baguio City, Benguet June 10, 2015 Hemodialysis 4,400.00 4,400.00 -

76 Alicia Bayot Lee Baguio City, Benguet May 28, 2015 Hemodialysis 4,400.00 4,400.00 -

77 Delfin Gomani Mangusan Baguio City, Benguet June 8, 2015 Hemodialysis 6,600.00 6,600.00 -

78 Delfin Mangusan Baguio City, Benguet March 24, 2015 Hemodialysis 6,600.00 4,400.00 2,200.00

79 Flordeliza Mirhan Baguio City, Benguet July 10, 2015 Hemodialysis 5,340.00 4,400.00 940.00

80 Flordeliza Mirhan Baguio City, Benguet July 1, 2015 Hemodialysis 4,400.00 4,400.00 -

81 Agustina Esmenia MonteclaroBaguio City, Benguet July 3, 2015 Hemodialysis 4,400.00 4,400.00 -

82 Oliver Montemayor Baguio City, Benguet July 10, 2015 Hemodialysis 4,400.00 4,400.00 -

83 Amor Orpilla Baguio City, Benguet July 6, 2015 Hemodialysis 4,400.00 4,400.00 -

84 Victor Dizon Baguio City, Benguet June 22, 2015 Hemodialysis 8,800.00 8,800.00 -

85 Erly Dumansi Baguio City, Benguet June 17, 2015 Hemodialysis 4,400.00 4,400.00 -

86 Hilda Gaspar Baguio City, Benguet June 30, 2015 Hemodialysis 4,400.00 4,400.00 -

87 Linda Deo-ay Gatudan Baguio City, Benguet June 18, 2015 Hemodialysis 13,200.00 13,200.00 -

88 Carmelita Lamadrid Baguio City, Benguet May 26, 2015 Hemodialysis 4,400.00 4,400.00 -

89 Carmelita Lamadrid Baguio City, Benguet June 30, 2015 Hemodialysis 4,400.00 4,400.00 -

90 Alicia Bayot Lee Baguio City, Benguet July 1, 2015 Hemodialysis 4,400.00 4,400.00 -

91 Rex Olban Balangitan Baguio City, Benguet July 9, 2015 Hemodialysis 4,400.00 4,400.00 -

92 Nita Montes Bentadan Baguio City, Benguet July 10, 2015 Hemodialysis 4,400.00 4,400.00 -

93 Emilda Bustarde Baguio City, Benguet July 21, 2015 Hemodialysis 4,400.00 4,400.00 -

94 John P. Cawayan Baguio City, Benguet June 30, 2015 Hemodialysis 4,400.00 4,400.00 -

95 Roel Cruz Baguio City, Benguet July 3, 2015 Hemodialysis 4,400.00 4,400.00 -

96 Andres Daw-as Baguio City, Benguet June 23, 2015 Hemodialysis 4,400.00 4,400.00 -

97 Agustina Monteclaro Baguio City, Benguet October 1, 2014 Hemodialysis 4,400.00 4,400.00 -

98 Cesar Bolla Baguio City, Benguet October 1, 2014 Hemodialysis 4,400.00 4,400.00 -

99 Frederick Oller Baguio City, Benguet September 7, 2014 Hemodialysis 4,400.00 4,400.00 -





UTILIZATION BALANCE


City/ Mun., Prov.)

ASSISTANCE GRANTED

100 Milagros Tait Baguio City, Benguet September 12, 2014 Hemodialysis 2,200.00 2,200.00 -

101 Dominga Baniguen Baguio City, Benguet September 15, 2014 Hemodialysis 2,200.00 2,200.00 -

102 Fernando Isilen Baguio City, Benguet September 15, 2014 Hemodialysis 2,200.00 2,200.00 -

103 Lourdes Gonzales Baguio City, Benguet September 16, 2014 Hemodialysis 4,400.00 4,400.00 -

104 Rex Balangitan Baguio City, Benguet September 16, 2014 Hemodialysis 2,200.00 2,200.00 -

105 Jonathan Seguin Baguio City, Benguet September 18, 2014 Hemodialysis 2,200.00 2,200.00 -

106 Emelita polon Sablan, Benguet September 9, 2014 Hemodialysis 4,400.00 4,400.00 -

107 Rowena Valdez Baguio City, Benguet September 18, 2014 Hemodialysis 4,400.00 4,400.00 -

108 Leonardo Ognayon Baguio City, Benguet September 18, 2014 Hemodialysis 4,400.00 4,400.00 -

109 Sharon V Dalida La Trinida (Capaital), Benguet September 19, 2014 Hemodialysis 4,400.00 4,400.00 -

110 Leandro Tandoc Baguio City, Benguet September 22, 2014 Hemodialysis 2,200.00 2,200.00 -

111 Frederick Oller Baguio City, Benguet September 22, 2014 Hemodialysis 4,400.00 4,400.00 -

112 Cresencio Doriano Baguio City, Benguet September 22, 2014 Hemodialysis 2,200.00 2,200.00 -

113 Robert Tomas Baguio City, Benguet September 23, 2014 Hemodialysis 2,200.00 2,200.00 -

114 Almario Benitez Jr Baguio City, Benguet September 24, 2014 Hemodialysis 2,200.00 2,200.00 -

115 Joey Quisawe Walsiyen Baguio City, Benguet September 24, 2014 Hemodialysis 2,200.00 2,200.00 -

116 Amor Cahanap Baguio City, Benguet September 24, 2014 Hemodialysis 4,400.00 4,400.00 -

117 Joey Quisawe Walsiyen Baguio City, Benguet September 29, 2014 Hemodialysis 2,200.00 2,200.00 -

118 Grace D. Bango Baguio City, Benguet December 1, 2014 Hemodialysis 8,800.00 8,800.00 -

119 Nancy Ayson Baguio City, Benguet October 31, 2014 Hemodialysis 6,600.00 6,600.00 -

120 Leonardo Abaya Baguio City, Benguet November 7, 2014 Hemodialysis 4,400.00 4,400.00 -

121 Erlinda Abad Baguio City, Benguet November 7, 2014 Hemodialysis 4,400.00 4,400.00 -



124 Nita Bentadan Baguio City, Benguet November 4, 2014 Hemodialysis 6,600.00 6,600.00 -

125 Almario Benitez Jr Baguio City, Benguet November 10, 2014 Hemodialysis 2,200.00 2,200.00 -





UTILIZATION BALANCE


City/ Mun., Prov.)

ASSISTANCE GRANTED

126 Almario Benitez Jr Baguio City, Benguet November 17, 2014 Hemodialysis 4,400.00 4,400.00 -

127 Gentry Behis Baguio City, Benguet December 3, 2014 Hemodialysis 4,400.00 4,400.00 -

128 Gentry Behis Baguio City, Benguet November 26, 2014 Hemodialysis 4,400.00 4,400.00 -

129 Dominga Baniguen Baguio City, Benguet December 11, 2014 Hemodialysis 4,400.00 4,400.00 -

130 Nancy Ayson Baguio City, Benguet November 27, 2014 Hemodialysis 4,400.00 4,400.00 -

131 Joseph Santo Buguis, Benguet March 25, 2015 Hospitalization 25,000.00 25,000.00 -

132 Janice Bobila Barlig Mountain Province December 16, 2014 Hemodialysis 22,000.00 22,000.00 -

133 Vicente L. Ekwey Tuba, Benguet December 23, 2014 Hemodialysis 11,000.00 11,000.00 -

134 Marlon Tarcero Benguet January 7, 2014 Hemodialysis 22,000.00 22,000.00 -

135 Julius Cesar Mendoza Baguio City, Benguet March 26, 2015 Hemodialysis 11,000.00 11,000.00 -

136 Roland Langbis La Trinidad (Capital), Benguet March 26, 2015 Hemodialysis 11,000.00 11,000.00 -

137 Mark Anthony Galao-ey Mankayan, Benguet January 7, 2014 Hemodialysis 22,000.00 22,000.00 -

138 Jerry Taynan Baguio City, Benguet September 22, 2014 Hemodialysis 11,000.00 11,000.00 -

139 Mendoza, Julius Cesar VenturaTuba, Benguet July 2, 2014 Hemodialysis 15,000.00 13,200.00 1,800.00

140 Daniel Pontino Tublay, Benguet October 16, 2014 Hemodialysis 22,000.00 22,000.00 -

141 Marcelino Salvador Besao Mountain Province October 10, 2014 Hemodialysis 13,200.00 13,200.00 -

142 Marcelino Salvador Besao Mountain Province September 16, 2014 Hemodialysis 11,000.00 11,000.00 -

143 James Acosta Bokod, Benguet September 26, 2014 Hemodialysis 22,000.00 22,000.00 -

144 Janice Bobila Barlig Mountain Province September 26, 2014 Hemodialysis 11,000.00 11,000.00 -

145 Jerelah Eusebio La Trinidad (Capital), Benguet September 11, 2014 Hemodialysis 20,000.00 19,800.00 200.00

146 Marcelo Mangalipo MangapangLa Trinidad (Capital), Benguet June 29, 2015 Hemodialysis 8,800.00 8,800.00 -

147 Harry Pagnas Tuba, Benguet May 20, 2015 Hemodialysis 8,000.00 6,600.00 1,400.00

148 lencio palengleng Itogon, Benguet March 26, 2015 Hemodialysis 22,000.00 22,000.00 -

149 Bernardino Tejero Jr Baguio City, Benguet July 3, 2015 Hemodialysis 4,400.00 4,400.00 -

150 Erly Dumansi Baguio City, Benguet May 15, 2015 Hemodialysis 11,000.00 11,000.00 -

151 Julio Walis Fermin Sr Bokod, Benguet July 6, 2015 Hemodialysis 8,800.00 8,800.00 -





UTILIZATION BALANCE


City/ Mun., Prov.)

ASSISTANCE GRANTED

152 Jemaima A. Gac-oy Itogon, Benguet July 24, 2015 Hemodialysis 2,200.00 2,200.00 -

153 Linda Gatudan Baguio City, Benguet July 6, 2015 Hemodialysis 4,400.00 4,400.00 -

154 Linda Gatudan Baguio City, Benguet May 20, 2015 Hemodialysis 15,400.00 15,400.00 -

155 Marilou Bantulo Tublay, Benguet June 22, 2015 Hemodialysis 6,600.00 6,600.00 -

156 Nita Montes Bentadan Baguio City, Benguet June 26, 2015 Hemodialysis 8,800.00 8,800.00 -

157 Allan Bernardo La Trinidad (Capital), Benguet July 1, 2015 Hemodialysis 4,400.00 4,400.00 -

158 Rosela Camut Tuba, Benguet July 3, 2015 Hemodialysis 4,400.00 4,400.00 -

159 Alfredo J. Cortez Jr Itogon, Benguet July 1, 2015 Hemodialysis 4,400.00 4,400.00 -

160 Isabel Coytop Kapangan, Benguet June 16, 2015 Hemodialysis 11,000.00 11,000.00 -

161 Sharon D. Esplana La Trinidad (Capital), Benguet June 26, 2015 Hemodialysis 4,400.00 4,400.00 -

162 Fryla Dela Pena Kapangan, Benguet September 2, 2014 Hemodialysis 11,000.00 11,000.00 -

163 Rene Richmond Carino La Trinidad (Capital), Benguet August 29, 2014 Hemodialysis 11,000.00 11,000.00 -

164 Edwin Bagano Baguio City, Benguet September 2, 2014 Hemodialysis 4,400.00 4,400.00 -

165 Awakan Santos La Trinidad (Capital), Benguet September 2, 2014 Hemodialysis 11,000.00 11,000.00 -

166 Leandro Tandoc Baguio City, Benguet September 2, 2014 Hemodialysis 11,000.00 11,000.00 -

167 Guigeon Tumingeb Baguio City, Benguet September 2, 2014 Hemodialysis 11,000.00 11,000.00 -

168 Cristina Saingan Tuba, Benguet August 18, 2014 Hemodialysis 11,000.00 11,000.00 -

169 Alipio Atinyao Atok, Benguet August 26, 2014 Hemodialysis 15,400.00 15,400.00 -

170 Shaly Cris Bantas Baguio City, Benguet August 29, 2014 Hemodialysis 11,000.00 11,000.00 -

171 Emelita Polon Sablan, Benguet August 29, 2014 Hemodialysis 11,000.00 11,000.00 -

172 Sharon Dalida La Trinidad (Capital), Benguet August 11, 2014 Hemodialysis 11,000.00 11,000.00 -

173 Nita Bentadan Baguio City, Benguet August 13, 2014 Hemodialysis 8,800.00 8,800.00 -

174 Nila De Vera Baguio City, Benguet August 13, 2014 Hemodialysis 11,000.00 11,000.00 -

175 Liezle Binwag Kinakin Itogon, Benguet August 15, 2014 Hemodialysis 11,000.00 11,000.00 -

176 Henry Molina Benguet July 14, 2014 Hemodialysis 15,000.00 15,000.00 -

177 Adela Enrade Tuba, Benguet July 25, 2014 Hemodialysis 10,000.00 8,800.00 1,200.00





UTILIZATION BALANCE


City/ Mun., Prov.)

ASSISTANCE GRANTED

178 Jocelyn Biadno Bokod, Benguet August 6, 2014 Hemodialysis 15,000.00 15,000.00 -

179 Jonathan Seguin Baguio City, Benguet August 8, 2014 Hemodialysis 8,800.00 8,800.00 -

180 Marco Joseph Jose Ogas La Trinidad (Capital), Benguet December 16, 2014 Hemodialysis 22,000.00 22,000.00 -

181 James Acosta Baguio City, Benguet October 14, 2014 Hemodialysis 13,200.00 13,200.00 -

182 Lalyn Abellera Itogon, Benguet November 18, 2014 Hemodialysis 22,000.00 22,000.00 -

183 Rene Richmond Carino La Trinidad (Capital), Benguet November 12, 2014 Hemodialysis 15,400.00 15,400.00 -

184 Rosela Camut Tuba, Benguet October 21, 2014 Hemodialysis 15,400.00 15,400.00 -

185 Nancy Bugnay La Trinidad (Capital), Benguet October 17, 2014 Hemodialysis 13,200.00 13,200.00 -

186 Marco Joseph Jose Ogas La Trinidad (Capital), Benguet December 1, 2015 Hemodialysis 8,800.00 - 8,800.00

187 Azor Calsie Kapangan, Benguet December 8, 2015 Hospitalization 11,334.15 - 11,334.15

188 Elpidio A. Kidsolan Kapangan, Benguet December 16, 2015 Hemodialysis 8,800.00 - 8,800.00

189 Khiara Keith Reyes Tuba, Benguet December 18, 2015 Hospitalization 4,479.05 - 4,479.05

190 Noel Galio-an Lizardo Tuba, Benguet December 22, 2015 Lab and meds 1,200.00 - 1,200.00

191 Jonathan Bulwayan Tanudan, Kalinga August 8, 2014 Hemodialysis 20,000.00 19,800.00 200.00

192 Jemaima Gac-oy Tinglayan, Kalinga May 21, 2015 Hemodialysis 40,000.00 39,600.00 400.00

193 Jonathan Bulwayan Tanudan, Kalinga October 27, 2014 Hemodialysis 40,000.00 39,600.00 400.00

194 Albert L. Dalipog Pasil, Kalinga December 1, 2015 Hospitalization 50,000.00 - 50,000.00

195 Paul Brian Panabe Rizal(Liwan) Kalinga December 4, 2015 Hospitalization 20,000.00 - 20,000.00

196 Nora L. Ayangwa Pasil, Kalinga December 7, 2015 Hospitalization 13,026.89 - 13,026.89

197 Nora L. Ayangwa Pasil, Kalinga December 7, 2015 Hospitalization 10,000.00 - 10,000.00

198 Tito Dulnuan Alfonso Lista (Potia) Ifugao December 7, 2015 Hospitalization 39,358.00 - 39,358.00

199 Klein Xander Balajo BumohyaLagawe (Capital), Ifugao December 9, 2015 Hospitalization 9,617.00 - 9,617.00

200 Rogeliz G. Rebolledo Tabuk (Capital), Kalinga December 9, 2015 Chemotherapy 8,000.00 - 8,000.00

201 Tristan Conrado Habelito Luna, Apayao December 14, 2015 Hospitalization 10,000.00 - 10,000.00

202 Julio D. Paligan Tanudan, Kalinga December 15, 2015 Hospitalization 3,000.00 - 3,000.00

203 Nardo Atolba Kinggingan Lagawe (Capital), Ifugao December 15, 2015 Hospitalization 20,000.00 - 20,000.00





UTILIZATION BALANCE


City/ Mun., Prov.)

ASSISTANCE GRANTED

204 Rowena Bay-ong Kiangan, Ifugao December 15, 2015 Hospitalization 7,629.70 - 7,629.70

205 Sonia A. Dumaoal Rizal(Liwan) Kalinga December 18, 2015 Chemotherapy 25,000.00 - 25,000.00

206 Glenda E. Copiatong Tabuk ( Capital) Kalinga December 18, 2015 Medicines 10,000.00 - 10,000.00

207 Clifford P. Ramos Pinukpuk, Kalinga December 18, 2015 Hospitalization 8,000.00 - 8,000.00

208 Eduardo M. Iyadan Tabuk (Capital) Kalinga December 21, 2015 Hospitalization 10,000.00 - 10,000.00

209 Ronilon B. Tumalding Rizal(Liwan) Kalinga December 21, 2015 Ct Scan 10,000.00 - 10,000.00

210 Adela G. Tannong Tabuk (Capital) Kalinga December 22, 2015 Medicines 8,000.00 - 8,000.00

211 Rizaldo B. Cubit Kalinga December 23, 2015 Hospitalization 27,526.98 - 27,526.98

212 Patricia R. Bayangan Pinukpuk, Kalinga December 29, 2015 Hospitalization 35,000.00 - 35,000.00

213 Patricia R. Bayangan Pinukpuk, Kalinga December 29, 2015 Hospitalization 15,000.00 - 15,000.00

214 Manuel Boaging Baguio City, Benguet November 12, 2014 Hemodialysis 3,000.00 2,200.00 800.00

215 Bagano, Edwin Annatil Jr Baguio City, Benguet November 20, 2014 Hemodialysis 15,000.00 13,200.00 1,800.00

216 Dario Ayeona Baguio City, Benguet November 21, 2014 Hemodialysis 10,000.00 8,800.00 1,200.00

217 Josephine Pediten Tadian, Mt. Province August 29, 2014 Hemodialysis 11,000.00 11,000.00 -

218 Florante astudillo Baguio City, Benguet June 8, 2015 Hemodialysis 8,800.00 8,800.00 -

219 Bryan Kelly N. Becaca Itogon, Benguet June 15, 2015 Hemodialysis 8,800.00 8,800.00 -

220 Petra Colalong Baguio City, Benguet July 9, 2015 Hemodialysis 4,400.00 4,400.00 -

221 Cresencio Doriano Baguio City, Benguet June 5, 2015 Hemodialysis 8,800.00 8,800.00 -

222 Carl Piluden Guzman Sagada, Mt. Province November 18, 2015 Hospitalization 33,293.00 16,646.50 16,646.50

223 Jose B. Lud-ayem Bauko, Mt. Province December 1, 2015 medicines 4,400.00 - 4,400.00

224 Erly Dumansi Baguio City, Benguet December 1, 2015 medicines 4,400.00 - 4,400.00

225 Lalaine T. Fesway Bontoc (Capital), Mt. Province December 1, 2015 Hospitalization 51,600.76 - 51,600.76

226 Roselle C. Pespes Sagada, Mt. Province December 1, 2015 Hospitalization 70,000.00 - 70,000.00

227 Presentation Las-egan Sabangan, Mt. Province December 2, 2015 medicines 15,000.00 - 15,000.00

228 Cresncio Calisen Cadwising Baguio City, Benguet December 2, 2015 medicines 4,400.00 - 4,400.00

229 Benedict Mek-eng La Trinidada, Benguet December 2, 2015 medicines 4,400.00 - 4,400.00





UTILIZATION BALANCE


City/ Mun., Prov.)

ASSISTANCE GRANTED

230 Severo N. Taluyan Natonin, Mt. Province December 3, 2015 Hospitalization 12,054.00 - 12,054.00

231 Josephine Pediten Tadian, Mt. Province December 4, 2015 medicines 8,800.00 - 8,800.00

232 John Calugan Calos Tadian, Mt. Province December 7, 2015 medicines 19,800.00 - 19,800.00

233 Mercy Masadao Sadanga, MT. Province December 8, 2015 Hospitalization 100,000.00 - 100,000.00

234 Fernando Isilen Baguio City, Benguet December 8, 2015 medicines 4,400.00 - 4,400.00

235 Linda Deo-ay Gatudan Baguio City, Benguet December 9, 2015 Hospitalization 24,200.00 - 24,200.00

236 Marcelino Salvador Baguio City, Benguet December 9, 2015 medicines 11,000.00 - 11,000.00

237 Guigeon Tumingeb Baguio City, Benguet December 10, 2015 medicines 6,600.00 - 6,600.00

238 Marissa Puyongan Sabangan, Mt. Province December 10, 2015 medicines 24,200.00 - 24,200.00

239 Robert S. Tomas Baguio City, Benguet December 10, 2015 medicines 11,000.00 - 11,000.00

240 April V. Sakiwat Baguio City, Benguet December 10, 2015 medicines 6,600.00 - 6,600.00

241 John Kennedy Sagmayao Baguio City, Benguet December 10, 2015 medicines 19,800.00 - 19,800.00

242 Daniel Lacdao Jr Baguio City, Benguet December 11, 2015 medicines 7,000.00 - 7,000.00

243 Leandro Tandoc Baguio City, Benguet December 11, 2015 medicines 11,000.00 - 11,000.00

244 Hilda Gaspar Baguio City, Benguet December 11, 2015 medicines 6,600.00 - 6,600.00

245 Joel Sacyafen Tocanog Baguio City, Benguet December 11, 2015 Hospitalization 50,000.00 - 50,000.00

246 Rose S. Madalang Tabuk, Kalinga December 14, 2015 Hospitalization 100,000.00 - 100,000.00

247 Mary Lynne M. Bautista Baguio City, Benguet December 14, 2015 Hospitalization 50,000.00 - 50,000.00

248 Angela Fillag Bontoc (Capital), Mt. Province December 15, 2015 Hospitalization 15,000.00 - 15,000.00

249 Florante Astudillo Baguio City, Benguet December 15, 2015 Hospitalization 6,600.00 - 6,600.00

250 Amelita Baguiwen Sabangan, Mt. Province December 16, 2015 medicines 24,200.00 - 24,200.00

251 Rex Oblan Balangitan Bauko, Mt. Province December 16, 2015 medicines 6,600.00 - 6,600.00

252 Requino Todlem Baguio City, Benguet December 17, 2015 medicines 24,200.00 - 24,200.00

253 Andres D. Dawas Baguio City, Benguet December 17, 2015 medicines 15,400.00 - 15,400.00

254 Remedios I. Cobsilen Baguio City, Benguet December 17, 2015 medicines 24,200.00 - 24,200.00

255 Lucia B. Linmayog Baguio City, Benguet December 18, 2015 medicines 6,600.00 - 6,600.00





UTILIZATION BALANCE


City/ Mun., Prov.)

ASSISTANCE GRANTED

256 Dominga Lubo-ud Baniguen Baguio City, Benguet December 18, 2015 medicines 15,400.00 - 15,400.00

257 Vicente Ekwey Baguio City, Benguet December 21, 2015 medicines 2,200.00 - 2,200.00

258 Ericson Bocyong Bauko, Mt. Province December 22, 2015 Hospitalization 100,000.00 - 100,000.00

259 Atanasio Fomalin Matib Natonin, Mt. Province December 22, 2015 medicines 19,800.00 - 19,800.00

260 Corpuz Kaslangen Omanang Bontoc (Capital), Mt. Province December 22, 2015 Hospitalization 6,827.00 - 6,827.00

261 Theodora Adingan Sagada, Mt. Province December 23, 2015 Hemodialysis 6,600.00 - 6,600.00

262 Manuel Nanam Boaging Baguio City, Benguet December 28, 2015 medicines 15,400.00 - 15,400.00

263 Fernando Isilen Baguio City, Benguet December 28, 2015 medicines 4,400.00 - 4,400.00

264 Yel D. Sibaen Baguio City, Benguet December 29, 2015 medicines 11,000.00 - 11,000.00

265 Mark Marrero Baguio City, Benguet December 29, 2015 medicines 24,200.00 - 24,200.00

266 Edward Marcelino Sagada, Mt. Province December 29, 2015 medicines 24,200.00 - 24,200.00

267 Ferdinand Tuzon Besao, Mt. Province December 29, 2015 medicines 15,400.00 - 15,400.00

268 Petra Colalong Baguio City, Benguet December 29, 2015 medicines 11,000.00 - 11,000.00

269 Quakelyn Lisayen Baguio City, Benguet December 29, 2015 medicines 24,200.00 - 24,200.00

270 Flordeliza Mirhan Baguio City August 13, 2014 Hemodialysis 2,200.00 2,200.00 -

271 Lucia Camit Naguilian, La Union December 8, 2015 Hospitalization 22,000.00 - 22,000.00

272 Lulu B. Llavan Agoo, La Union December 15, 2015 Hospitalization 17,500.00 - 17,500.00

273 Arlyn Baluyot Olegario Baguio City, Benguet December 1, 2015 Ultarasound 650.00 - 650.00

274 Leezel Carino Baguio City, Benguet December 2, 2015 Lab & Ct scan 5,410.00 5,410.00

275 Lourdes Baroma Baguio City, Benguet December 4, 2015 Hospitalization 3,125.00 3,125.00

276 Adela Enrade Alcala, Pangasinan December 4, 2015 Lab & meds 25,000.00 25,000.00

277 Solomon N. Nalbog Baguio City, Benguet December 7, 2015 Hospitalization 1,171.40 1,171.40

278 Maribel Laguipo Cruz Baguio City, Benguet December 7, 2015 Medicines 9,000.00 9,000.00

279 Oliver Chiquino Alipio Baguio City, Benguet December 7, 2015 Hospitalization 1,844.02 1,844.02

280 Flyson K. Miguel Baguio City, Benguet December 7, 2015 Hospitalization 7,020.84 7,020.84

281 Jaime S. Tabo Baguio City, Benguet December 7, 2015 Radiology 1,100.00 1,100.00





UTILIZATION BALANCE


City/ Mun., Prov.)

ASSISTANCE GRANTED

282 Rdenthor Jaeger L. Cabebe Baguio City, Benguet December 7, 2015 Hospitalization 3,939.05 3,939.05

283 John Inggo Buteng Baguio City, Benguet December 7, 2015 Hospitalization 8,709.19 8,709.19

284 Soledad C. Dancel Baguio City, Benguet December 7, 2015 Hospitalization 17,349.64 17,349.64

285 Marlene Pesay Julian Baguio City, Benguet December 7, 2015 Hospitalization 26,500.60 26,500.60

286 Gene Paul R. Joven Baguio City, Benguet December 7, 2015 Hospitalization 8,813.30 8,813.30

287 Clifford P. Pit-og Sr Baguio City, Benguet December 7, 2015 Hospitalization 10,747.40 10,747.40

288 Prince Ckianne C. Sotelo Baguio City, Benguet December 7, 2015 Hospitalization 3,865.07 3,865.07

289 Elorde P. De Guzman Baguio City, Benguet December 7, 2015 Hospitalization 41,385.60 41,385.60

290 Bernard S. Lara Baguio City, Benguet December 7, 2015 Hospitalization 13,417.31 13,417.31

291 Rhea B. Suyat Rosario, La Union December 8, 2015 Hospitalization 325.99 325.99

292 Florabel P. Bering Baguio City, Benguet December 8, 2015 Hospitalization 707.13 707.13

293 Rahbaniyyah O. Buat Baguio City, Benguet December 8, 2015 Hospitalization 15,135.60 15,135.60

294 Francisco B. Jularbal Baguio City, Benguet December 8, 2015 Hospitalization 13,560.10 13,560.10

295 Diosdado J. Africa Baguio City, Benguet December 8, 2015 Hospitalization 15,910.81 15,910.81

296 Jenny C. Timbreza Baguio City, Benguet December 8, 2015 Hospitalization 1,824.04 1,824.04

297 Nely M. Aleo Baguio City, Benguet December 8, 2015 Hospitalization 14,176.98 14,176.98

298 Samuel Isaiah Ahiezer A. AmagenBaguio City, Benguet December 8, 2015 Hospitalization 11,639.55 11,639.55

299 Robert Valdez Roldan Baguio City, Benguet December 8, 2015 Laboratory 1,600.00 1,600.00

300 Julir Gali Baguio City, Benguet December 8, 2015 Laboratory 1,600.00 1,600.00

301 Arsenia Bucao Dela Cruz Baguio City, Benguet December 8, 2015 Ultarasound 1,600.00 1,600.00

302 Gabriel Toralde Baguio City, Benguet December 10, 2015 Lab & Meds 2,225.25 2,225.25

303 Maura S. Graido Baguio City, Benguet December 10, 2015 Ct Scan 8,000.00 8,000.00

304 Jeremiah Galino Baguio City, Benguet December 10, 2015 Hospitalization 19,880.60 19,880.60

305 Gloria Batore Humiwat Baguio City, Benguet December 10, 2015 Hospitalization 11,126.45 11,126.45

306 Janelle Briel Gahuman Baguio City, Benguet December 10, 2015 Hospitalization 1,855.00 1,855.00

307 Donalyn Tadina Magallanes Baguio City, Benguet December 10, 2015 Hospitalization 3,679.39 3,679.39





UTILIZATION BALANCE


City/ Mun., Prov.)

ASSISTANCE GRANTED

308 Rommel Paul Gonzales FloresBaguio City, Benguet December 10, 2015 Hospitalization 15,503.50 15,503.50

309 Arafat Muripaga Baguio City, Benguet December 10, 2015 Hospitalization 7,000.00 7,000.00

310 Fausto O. Mesina Baguio City, Benguet December 10, 2015 Hospitalization 12,370.88 12,370.88

311 Ghellian V. Solis Baguio City, Benguet December 10, 2015 Hospitalization 851.88 851.88

312 Samcia Omar Buat Baguio City, Benguet December 10, 2015 Hospitalization 37,137.90 37,137.90

313 Sofia Ulban Saingan Baguio City, Benguet December 10, 2015 Hospitalization 25,717.12 25,717.12

314 Jennifer A. Nillo Baguio City, Benguet December 10, 2015 Hospitalization 3,484.17 3,484.17

315 Angelica L. Bucbucalon Baguio City, Benguet December 10, 2015 Hospitalization 1,244.55 1,244.55

316 Macario Bayating Valle Baguio City, Benguet December 11, 2015 Hospitalization 25,717.12 25,717.12

317 Prudencio Mintac Baguio City, Benguet December 11, 2015 Hospitalization 20,000.00 20,000.00

318 Marina L Altuna Baguio City, Benguet December 11, 2015 Hospitalization 30,833.68 30,833.68

319 Alicia Bayot Lee Baguio City, Benguet December 11, 2015 Hospitalization 30,000.00 30,000.00

320 Febe Timbreza Pacis Baguio City, Benguet December 11, 2015 Hospitalization 6,801.40 6,801.40

321 Felmor Carpio Bugnay Tuba, Benguet December 11, 2015 Hospitalization 9,318.05 9,318.05

322 Wilson P. Delizo Baguio City, Benguet December 11, 2015 Hospitalization 6,230.80 6,230.80

323 John Leonard C. Quinto Baguio City, Benguet December 11, 2015 Hospitalization 4,633.75 4,633.75

324 Jovy Oborro Pitas Baguio City, Benguet December 11, 2015 Hospitalization 7,621.75 7,621.75

325 Baby Girl Pitas Baguio City, Benguet December 11, 2015 Hospitalization 2,150.00 2,150.00

326 Alexander Kyle Sison Patricio Baguio City, Benguet December 11, 2015 Hospitalization 1,490.67 1,490.67

327 Razzan Monib Bonsalagan Baguio City, Benguet December 11, 2015 Hospitalization 950.00 950.00

328 Zohaira Monib Bonsalagan Baguio City, Benguet December 11, 2015 Hospitalization 2,683.25 2,683.25

329 Percival Lumas-e Backing Baguio City, Benguet December 11, 2015 Hospitalization 5,266.20 5,266.20

330 Julie Ann Pinos-an FalingchanBaguio City, Benguet December 11, 2015 Hospitalization 17,170.40 17,170.40

331 Dwayne Abluyen Baguio City, Benguet December 11, 2015 Hospitalization 2,905.75 2,905.75

332 Grace Dulnuan Baguio City, Benguet December 11, 2015 Hospitalization 3,000.00 3,000.00

333 Dith Smith Gabiola Baguio City, Benguet December 14, 2015 Hospitalization 2,751.25 2,751.25





UTILIZATION BALANCE


City/ Mun., Prov.)

ASSISTANCE GRANTED

334 junior Carpizo Dulay Baguio City, Benguet December 14, 2015 Hospitalization 8,976.38 8,976.38

335 Mary Lynne M. Bautista Baguio City, Benguet December 14, 2015 Hospitalization 40,000.00 40,000.00

336 Ryian A. Drequito Baguio City, Benguet December 14, 2015 Hospitalization 2,509.38 2,509.38

337 Paulino A. Laquidan Baguio City, Benguet December 15, 2015 Hospitalization 4,200.00 4,200.00

338 Richard Justo Baguio City, Benguet December 21, 2015 Medicines 10,000.00 10,000.00

339 Reynaldo B. Alasaas Baguio City, Benguet December 22, 2015 Medicines 5,000.00 5,000.00

340 Marilou Buenaventura San Jose, Nueva Ecija June 11, 2015 Hemodialysis 10,000.00 10,000.00 -

341 Rex Olban Balangitan Baguio City, Benguet December 22, 2015 Medicines 6,000.00 - 6,000.00

342 Roland Padsingan San Vicente, Baguio CityNovember 24, 2014 Hemodialysis 3,500.00 2,200.00 1,300.00

343 Marlou Osias Cabanisas Tayug, Pangasinan October 7, 2014 Hemodialysis 4,400.00 4,400.00 -

344 Marlou Osias Cabanisas Tayug, Pangasinan September 30, 2014 Hemodialysis 4,400.00 4,400.00 -

345 Virgilio Carino Alaminos, Pangasinan October 9, 2014 Hemodialysis 6,600.00 6,600.00 -

346 Gayao, Agustin Irisan, Baguio City September 2, 2014 Hemodialysis 3,500.00 2,200.00 1,300.00

347 Nalos, Leonard Hernandez Dontogan, Baguio City June 9, 2014 Hemodialysis 4,400.00 4,400.00 -

348 Benigno Lovina San Quintin, PangasinanAugust 11, 2014 Hemodialysis 5,000.00 4,400.00 600.00

349 Almario Benitez Campo Sioco, Baguio CityAugust 19, 2014 Hemodialysis 3,500.00 2,200.00 1,300.00

350 Tandoc Leandro Pinget, Baguio City August 27, 2014 Hemodialysis 3,500.00 3,500.00 -

351 Emilda Bustarde Maria Basa, Pacdal, Baguio CityAugust 19, 2014 Hemodialysis 3,500.00 2,200.00 1,300.00

352 April Sakiwat Magsaysay, Baguio CityAugust 27, 2014 Hemodialysis 3,500.00 3,500.00 -

353 Edwin Bagano Jr. Irisan, Baguio City August 19, 2014 Hemodialysis 3,500.00 2,200.00 1,300.00

354 Donton Gabriel San Quintin, PangasinanSeptember 23, 2014 Hemodialysis 4,400.00 4,400.00 -

355 Perfecto Binuya San Nicolas, PangasinanSeptember 18, 2014 Hemodialysis 6,600.00 6,600.00 -

356 Armando A. Teodoro San Jose City, Nueva EcijaDecember 29, 2015 medicine 5,000.00 - 5,000.00

357 Flordeliza Mirhan Baguio City, Benguet December 15, 2015 Medicines 3,200.00 - 3,200.00

358 Zenaida Viernes Tagtagon Baguio City, Benguet December 1, 2015 Medicines 5,000.00 - 5,000.00

359 Josefina Banlaolay Dagupan City, PangasinanDecember 1, 2015 Hospitalization 4,000.00 - 4,000.00





UTILIZATION BALANCE


City/ Mun., Prov.)

ASSISTANCE GRANTED

360 Adela Enrade Tuba, Benguet December 4, 2015 Medicines 15,000.00 - 15,000.00

361 Dexter V. Catubay Baguio City , Benguet December 7, 2015 Hospitalization 7,000.00 - 7,000.00

362 Adela B. Enrade Baguio City, Benguet December 9, 2015 Medicines 5,000.00 - 5,000.00



365 Diana G. De Guzman Baguio City, Benguet December 17, 2015 lab and meds 10,000.00 - 10,000.00

366 Juanito Cale Baguio City, Benguet December 28, 2015 lab and meds 5,000.00 - 5,000.00

367 Lupo V. Masanda Sison Pangasinan December 18, 2014 Hemodialysis 4,400.00 4,400.00 -

368 Daniel Sr. T. Pontino Tublay, Benguet February 12, 2015 Hemodialysis 4,400.00 4,400.00 -

369 Avelino M. Ocampo Baguio City, Benguet February 2, 2015 Hemodialysis 4,400.00 4,400.00 -

370 Rafael P. Montes Buguias, Benguet January 30, 2015 Hemodialysis 4,400.00 4,400.00 -

371 Fely Galon Baguio City, Benguet December 17, 2014 Hemodialysis 4,400.00 4,400.00 -

372 Martina Macario Baguio City, Benguet February 11, 2015 Hemodialysis 4,400.00 4,400.00 -

373 Erly Dumansi Baguio City, Benguet December 29, 2014 Hemodialysis 4,400.00 4,400.00 -

374 Alicia Bayot Lee Baguio City, Benguet November 8, 2014 Hemodialysis 4,400.00 4,400.00 -

375 Jerry Galacyan Taynan Baguio City, Benguet December 8, 2014 Hemodialysis 4,400.00 4,400.00 -

376 Leandro Tandoc Baguio City, Benguet December 8, 2014 Hemodialysis 4,400.00 4,400.00 -

377 Juliet Pascual Burgos, La Union December 8, 2014 Hemodialysis 4,400.00 4,400.00 -

378 Robert Tomas Baguio City, Benguet February 9, 2015 Hemodialysis 4,400.00 4,400.00 -

379 Robert Nabus La Trinidad, Benguet December 5, 2014 Hemodialysis 4,400.00 4,400.00 -

380 Jonathan Nadeydey Baguio City, Benguet December 17, 2014 Hemodialysis 4,400.00 4,400.00 -

381 Leandro Tandoc Baguio City, Benguet February 4, 2015 Hemodialysis 4,400.00 4,400.00 -

382 April Sakiwat Baguio City, Benguet February 9, 2015 Hemodialysis 4,400.00 4,400.00 -

383 Flordeliza Mirhan Baguio City, Benguet December 18, 2014 Hemodialysis 4,400.00 4,400.00 -

384 Marco Bumacas Baguio City, Benguet December 12, 2014 Hemodialysis 4,400.00 4,400.00 -

385 Mary Grace D. Binay-an Baguio City, Benguet December 29, 2014 Hemodialysis 4,400.00 4,400.00 -

386 Rosela Camut Tuba, Benguet February 4, 2015 Hemodialysis 4,400.00 4,400.00 -

387 Emilda Bustarde Baguio City, Benguet February 2, 2015 Hemodialysis 4,400.00 4,400.00 -

388 Nancy Ayson Baguio City, Benguet December 5, 2014 Hemodialysis 4,400.00 4,400.00 -

389 Roger C. Alsaen Sr. Atok, Benguet December 17, 2014 Hemodialysis 4,400.00 4,400.00 -

390 Grace Bango Baguio City, Benguet February 18, 2015 Hemodialysis 4,400.00 4,400.00 - 15 of 21 BGH-MAP-JANUARY-2015




UTILIZATION BALANCE


City/ Mun., Prov.)

ASSISTANCE GRANTED

391 Lalyn P. Abellera Itogon, Benguet January 22, 2015 Hemodialysis 4,400.00 4,400.00 -

392 Rowena Valdez Rosales, Pangasinan December 23, 2014 Hemodialysis 4,400.00 4,400.00 -

393 Fernando Isilen Baguio City, Benguet January 27, 2015 Hemodialysis 4,400.00 4,400.00 -

394 Rebecca Corpuz Anda, Pangasinan December 18, 2014 Hemodialysis 4,400.00 4,400.00 -

395 John P. Cawayan Baguio City, Benguet December 15, 2014 Hemodialysis 4,400.00 4,400.00 -

396 Adela B. Enrade Tuba, Benguet January 23, 2015 Hemodialysis 4,400.00 4,400.00 -

397 Rolando Domingo Baguio City, Benguet February 4, 2015 Hemodialysis 4,400.00 4,400.00 -

398 Nanny Carpio Tuba, Benguet December 22, 2014 Hemodialysis 4,400.00 4,400.00 -

399 Nicasio Casido Baguio City, Benguet December 18, 2014 Hemodialysis 4,400.00 4,400.00 -

400 Rene Richmond Carino La Trinidad, Benguet December 17, 2014 Hemodialysis 4,400.00 2,200.00 2,200.00

401 Eudencia Canlas Baguio City, Benguet December 12, 2014 Hemodialysis 4,400.00 4,400.00 -

402 John Cawayan Besao, Mt. Province August 22, 2014 Hemodialysis 4,400.00 4,400.00 -

403 Armando Siano Kapangan, Benguet September 24, 2014 Hemodialysis 4,400.00 4,400.00 -

404 Roger Alsaen Atok, Benguet September 8, 2014 Hemodialysis 4,400.00 4,400.00 -

405 Joey Quiwase Walsiyen Baguio City, Benguet August 7, 2014 Hemodialysis 3,000.00 3,000.00 -

406 Flordeliza Mirhan Baguio City, Benguet August 15, 2014 Hemodialysis 4,400.00 4,400.00 -

407 Richard Justo Baguio City, Benguet August 15, 2014 Hemodialysis 4,400.00 4,400.00 -

408 Teresa Rullan Baguio City, Benguet August 15, 2014 Hemodialysis 4,000.00 4,000.00 -

409 Jocelyn Balasbas Biadno Bokod, Benguet July 30, 2014 Hemodialysis 4,400.00 4,400.00 -

410 Bryan Becaca Itogon, Benguet August 5, 2014 Hemodialysis 4,400.00 4,400.00 -

411 Dario Ayeona Baguio City, Benguet August 18, 2014 Hemodialysis 3,000.00 2,200.00 800.00

412 John Dampulay Tublay, Benguet August 22, 2014 Hemodialysis 4,400.00 4,400.00 -

413 Abe Aplasen La Trinidad, Benguet July 25, 2014 Hemodialysis 4,400.00 4,400.00 -

414 Julie Ann Pinos-an FalingchanBaguio City, Benguet July 31, 2014 Hemodialysis 4,400.00 4,400.00 -

415 Edna Tanglao Baguio City, Benguet August 1, 2014 Hemodialysis 4,400.00 4,400.00 -

416 Avelino Agayao Tadian, Mountain ProvinceAugust 7, 2014 Hemodialysis 4,400.00 4,400.00 -

417 Lencio Palengleng Itogon, Benguet August 7, 2014 Hemodialysis 3,000.00 3,000.00 -

418 James Acosta Bokod, Benguet August 5, 2014 Hemodialysis 4,400.00 4,400.00 -

419 Gemma Monteclaro Baguio City, Benguet July 18, 2014 Hemodialysis 3,000.00 2,200.00 800.00

420 Jonathan Bulwayan Tanudan, Kalinga July 22, 2014 Hemodialysis 4,400.00 4,400.00 -

421 Sharon Dalida La Trinidad, Benguet December 5, 2014 Hemodialysis 4,400.00 4,400.00 - 16 of 21 BGH-MAP-JANUARY-2015




UTILIZATION BALANCE


City/ Mun., Prov.)

ASSISTANCE GRANTED

422 Petra Colalong Baguio City, Benguet November 17, 2014 Hemodialysis 4,400.00 4,400.00 -

423 Rosela Camut Tuba, Benguet December 1, 2015 Medicines 3,000.00 - 3,000.00

424 Nida Arana Baguio City, Benguet December 2, 2015 Medicines 5,000.00 - 5,000.00

425 Ernesto Ariones Baguio City, Benguet December 2, 2015 Chemotherapy 7,000.00 - 7,000.00

426 Arlene Lyn Dacumos Flores Baguio City, Benguet December 7, 2015 Hospitalization 3,000.00 - 3,000.00

427 Shawn Britz A. Mamaril La Trinidada (Capital), BenguetDecember 7, 2015 Hospitalization 3,000.00 - 3,000.00

428 Jeffrey Bertudes Damulag Sablan, Benguet December 14, 2015 Ct Scan 4,200.00 - 4,200.00

429 Florante Astudillo Baguio City, Benguet December 15, 2015 Medicines 3,000.00 - 3,000.00

430 Liezle B. Kinakin Lagawe (Capital), IfugaoDecember 23, 2014 Hemodialysis 30,000.00 17,600.00 12,400.00

431 Ronny Balinon Hingyon Ifugao December 2, 2015 Ct Scan 7,000.00 6,186.00 814.00

432 Ronald Balbuena Arreola Santa Maria PangasinanNovember 12, 2015 Hospitalization 36,289.97 - 36,289.97

433 Sherwin N. Manuel San Nicolas, PangasinanDecember 7, 2015 Hospitalization 3,274.58 - 3,274.58

434 Mary Grace Abenoja San Manuel , PangasinanDecember 10, 2015 Hospitalization 2,361.26 - 2,361.26

435 Romeo P. Olorozo Baguio City, Benguet December 16, 2015 MRI 12,200.00 12,200.00

436 Sylvia Razon Quinones Baguio City, Benguet December 16, 2015 Ultrasound 1,000.00 1,000.00

437 Lydia Munar Rivera Rosario, La Union December 17, 2015 Hospitalization 2,074.72 2,074.72

438 Earlwin Joseph Lrae T. Palcis Baguio City, Benguet December 17, 2015 Hospitalization 8,203.92 8,203.92

439 Criselda Castelo Baguio City, Benguet December 18, 2015 Hospitalization 8,000.00 8,000.00

440 Clifford Monte Baguio City, Benguet December 18, 2015 Ct Scan 8,000.00 8,000.00

441 Eddie Olivar Villasis, Pangasinan December 18, 2015 Hospitalization 20,000.00 20,000.00

442 Romeo Rosado Baguio City, Benguet December 21, 2015 Hospitalization 11,911.60 11,911.60

443 Salvacion Cervantes Baguio City, Benguet December 21, 2015 Ct Scan 10,500.00 10,500.00

444 Richard L. Dilem Baguio City, Benguet December 21, 2015 Ct Scan 10,500.00 10,500.00

445 Loreta C. Suba Baguio City, Benguet December 22, 2015 Hospitalization 1,430.57 1,430.57

446 Randel Alfred J. Dauz Baguio City, Benguet December 22, 2015 Chemotherapy 3,400.00 3,400.00

447 Teresita Estayo Carino Baguio City, Benguet December 22, 2015 Hospitalization 11,596.76 11,596.76

448 Berlita S. Ugay Baguio City, Benguet December 23, 2015 Ct Scan 4,200.00 4,200.00

449 Cipriano Pascua Figueroa Baguio City, Benguet December 23, 2015 Hospitalization 8,320.17 8,320.17

450 Prince Cristoflie Punzalan TorralbaBaguio City, Benguet December 23, 2015 Hospitalization 2,150.00 2,150.00

451 Ma. Creselyn Punzalan TorralbaBaguio City, Benguet December 23, 2015 Hospitalization 10,973.25 10,973.25

452 Adrian Nico Lopez La Trinidad (Capital) BenguetDecember 28, 2015 Hospitalization 950.00 950.00 17 of 21 BGH-MAP-JANUARY-2015




UTILIZATION BALANCE


City/ Mun., Prov.)

ASSISTANCE GRANTED

453 Lourdes A Mercado Asingan, Pangasinan December 28, 2015 Lab & Ultrasound 2,050.00 2,050.00

454 Lilibeth Padilla Asingan, Pangasinan December 28, 2015 Lab & meds 1,700.00 1,700.00

455 Emilia Gocoscos Kapangan, Benguet December 28, 2015 Laboratory 1,050.00 1,050.00

456 Charito Mabalot Baguio City, Benguet December 28, 2015 Lab & meds 1,300.00 1,300.00

457 Norma Aping Baguio City, Benguet December 28, 2015 Hospitalization 8,921.76 8,921.76

458 Josephine Batay-an La Trinidad (Capital) BenguetDecember 28, 2015 Hospitalization 48,811.64 48,811.64

459 Dionisio Oliva Baguio City, Benguet December 28, 2015 Hospitalization 7,855.88 7,855.88

460 Jaime Johllel Tayag Baguio City, Benguet December 28, 2015 Hospitalization 5,144.48 5,144.48

461 Marie Bengtayen Baguio City, Benguet December 28, 2015 Hospitalization 50,000.00 50,000.00

462 Moises Degracia Baguio City, Benguet December 28, 2015 Hospitalization 44,798.80 44,798.80

463 Sofia Ulba Saingan Tuba, Benguet December 28, 2015 Hospitalization 769.01 769.01

464 Jasim Arimao Baguio City, Benguet December 28, 2015 Hospitalization 850.00 850.00

465 Omaima Arimao Baguio City, Benguet December 28, 2015 Hospitalization 2,209.54 2,209.54

466 Dave Caser Baguio City, Benguet December 28, 2015 Hospitalization 18,370.34 18,370.34

467 Jinkee Chomling Baguio City, Benguet December 28, 2015 Hospitalization 2,402.67 2,402.67

468 Jane Marie Intogay Baguio City, Benguet December 28, 2015 Hospitalization 4,800.00 4,800.00

469 Carol Bawa-an Baguio City, Benguet December 29, 2015 2D Echo 1,500.00 1,500.00

470 Francisca Mugal Olsim Baguio City, Benguet December 29, 2015 2D Echo 1,500.00 1,500.00

471 Jocelyn Amarillo Framil San Nicolas, PangasinanDecember 29, 2015 Laboratory 965.00 965.00

472 April V. Sakiwat Baguio City, Benguet December 29, 2015 Medicines 3,600.00 3,600.00

473 Leandro S. Tandoc Baguio City, Benguet December 4, 2015 Medicines 5,000.00 - 5,000.00

474 Fredelyn Garcia Baguio City, Benguet December 17, 2015 Hospitalization 10,000.00 - 10,000.00

475 Francisco Solis Jr Binalonan, Pangasinan November 20, 2015 Hemodialysis 5,000.00 5,000.00 -

476 Amor Orpilla Baguio City, Benguet August 10, 2015 Hemodialysis 6,000.00 296.00 5,704.00

477 Dalia Kangitit Baguio City, Benguet December 1, 2015 Hospitalization 10,000.00 - 10,000.00

478 May Joy Cabansi Baguio City, Benguet December 2, 2015 Medicines 5,000.00 - 5,000.00

479 Shakira Migie Tobias Binalonan, Pangasinan December 3, 2015 Hospitalization 9,076.77 - 9,076.77

480 Mark Marrero Tadian Mountain ProvinceDecember 3, 2015 Hemodialysis 4,000.00 - 4,000.00

481 Elizabeth Rodrigo Baguio City, Benguet December 3, 2015 Chemotherapy 30,000.00 - 30,000.00

482 Alicia Lee Baguio City, Benguet December 3, 2015 Hospitalization 10,000.00 - 10,000.00

483 Adela Enrade Tuba, Benguet December 4, 2015 Lab and Meds 5,000.00 - 5,000.00 18 of 21 BGH-MAP-JANUARY-2015




UTILIZATION BALANCE


City/ Mun., Prov.)

ASSISTANCE GRANTED

484 Susan L. Castro Tadian Mountain ProvinceDecember 4, 2015 Lab and Meds 3,000.00 - 3,000.00

485 Armando De Vera Baguio City, Benguet December 4, 2015 Medicines 10,000.00 - 10,000.00

486 Roel Cruz Baguio City, Benguet December 4, 2015 Medicines 5,000.00 - 5,000.00

487 Renato Nebres Rosario, La Union December 7, 2015 Medicines 5,000.00 - 5,000.00

488 Mary Grace D. Binay-an Baguio City, Benguet December 7, 2015 Medicines 5,000.00 - 5,000.00

489 Julian Carbonell Santo Tomas, La Union December 8, 2015 Medicines 5,000.00 - 5,000.00

490 Emilda Bustarde Baguio City, Benguet December 8, 2015 Medicines 3,000.00 - 3,000.00

491 Noario Bumatnong Baguio City, Benguet December 8, 2015 Medicines 3,000.00 - 3,000.00

492 Rowena Rebutoc Mapandan, Pangasinan December 8, 2015 Medicines 3,000.00 - 3,000.00

493 Bernabe S. Gannaban La Trinidad (Capital), BenguetDecember 10, 2015 Ct Scan 3,000.00 - 3,000.00

494 Rocky Recile Baguio City, Benguet December 11, 2015 Medicines 3,000.00 - 3,000.00

495 Joel Sacyafen Tocanog Baguio City, Benguet December 11, 2015 Hospitalization 15,000.00 - 15,000.00

496 Robert Guerrero City of Valenzuela NCR 3rd DistrictDecember 14, 2015 Medicines 4,000.00 - 4,000.00

497 Sharon D. Esplana La Trinidad (Capital), BenguetDecember 14, 2015 Medicines 3,000.00 - 3,000.00

498 Bonifacio Yackengon Baguio City, Benguet December 14, 2015 Medicines 5,000.00 - 5,000.00

499 Cresencio Calisen Cadwising JrBaguio City, Benguet December 14, 2015 Medicines 5,000.00 - 5,000.00

500 Benedict Mek-eng La Trinidad (Capital), BenguetDecember 14, 2015 Medicines 5,000.00 - 5,000.00

501 Saturnino R. Mendoza Baguio City, Benguet December 15, 2015 Hemodialysis 5,000.00 - 5,000.00

502 Lily B. Bimuyag Baguio City, Benguet December 15, 2015 2D Echo 1,500.00 - 1,500.00

503 Zenaida Viernes Tagtagon Baguio City, Benguet December 18, 2015 Medicines 3,000.00 - 3,000.00

504 Reynaldo B. Alasaas Baguio City, Benguet December 22, 2015 Medicines 3,000.00 - 3,000.00

505 Reynaldo Viscaya Ticuan Baguio City, Benguet December 22, 2015 Medicines 3,000.00 - 3,000.00

506 Marcelo Bacud Sr. Baguio City, Benguet December 22, 2015 Hospitalization 5,000.00 - 5,000.00

507 Beny Padilla Baguio City, Benguet December 22, 2015 Hospitalization 5,000.00 - 5,000.00

508 Rachel Ann Mendoza MercadoBaguio City, Benguet December 23, 2015 Hospitalization 15,000.00 - 15,000.00

509 Edna S. Tanglao Baguio City, Benguet December 23, 2015 Medicines 10,000.00 - 10,000.00

510 Richard L. Dilem Baguio City, Benguet December 28, 2015 Medicines 3,000.00 3,000.00

511 John B. Damogo Baguio City, Benguet December 29, 2015 Medicines 3,000.00 3,000.00

512 Richard W. Justo Baguio City, Benguet December 29, 2015 Medicines 5,000.00 5,000.00

513 Jose B. Lud-ayen Bauko, Mountain ProvinceDecember 29, 2015 Medicines 3,000.00 3,000.00

514 Jose B. Lud-ayen Bauko, Mountain ProvinceDecember 29, 2015 Medicines 3,000.00 3,000.00 19 of 21 BGH-MAP-JANUARY-2015




UTILIZATION BALANCE


City/ Mun., Prov.)

ASSISTANCE GRANTED

515 Noario Bumatnong San Emilio, Ilocos Sur December 1, 2015 Medicines 5,000.00 5,000.00 -

516 Reynaldo Viscaya Ticuan Baguio City, Benguet December 1, 2015 Medicines 5,000.00 5,000.00

517 Noario Bumatnong San Emilio, Ilocos Sur December 1, 2015 Medicines 5,000.00 5,000.00

518 Angelica Colorado FredelucesDasol, Pangasinan December 2, 2015 Hospitalization 10,000.00 10,000.00

519 Prudencio Mintac Andres Pozzorubio, PangasinanDecember 2, 2015 Medicines 5,000.00 5,000.00

520 Abe Tacdoy Aplasen La Trinidada (Capital) BenguetDecember 3, 2015 Medicines 5,000.00 5,000.00

521 Odessy L. Ciano Bakun, Benguet December 3, 2015 Medicines 5,000.00 5,000.00

522 Mauricio Bolislis Malanes Baguio City, Benguet December 8, 2015 Hospitalization 12,000.00 12,000.00

523 Bernardino Tejero Jr. Baguio City, Benguet December 9, 2015 Hospitalization 5,000.00 5,000.00

524 Andrea Paula N. Palisoc Baguio City, Benguet December 9, 2015 Chemotherapy 5,000.00 5,000.00

525 Daniel Lacdao Jr Baguio City, Benguet December 10, 2015 Medicines 5,000.00 5,000.00

526 Nardo A. Kinggingan Baguio City, Benguet December 14, 2015 Medicines 5,000.00 5,000.00

527 John Inggo Buteng Baguio City, Benguet December 14, 2015 Medicines 5,000.00 5,000.00

528 Amor Orpilla Baguio City, Benguet December 15, 2015 Medicines 5,000.00 5,000.00

529 Emilda Bustarde Baguio City, Benguet December 15, 2015 Medicines 5,000.00 5,000.00

530 Mykel Chryz Villanuea Abuan Baguio City, Benguet December 15, 2015 Hospitalization 11,200.00 11,200.00

531 Vicente L. Ekwey Tuba, Benguet December 16, 2015 Medicines 5,000.00 5,000.00

532 Jerry Galacyan Taynan Baguio City, Benguet December 17, 2015 Medicines 5,000.00 5,000.00

533 Leandro S. Tandoc Baguio City, Benguet December 21, 2015 Medicines 5,000.00 5,000.00

534 Daisy B. Calimodg La Trinidada (Capital) BenguetDecember 21, 2015 Medicines 5,000.00 5,000.00

535 Jericho Vinson Marciano TellesTuba, Benguet December 23, 2015 Medicines 5,000.00 5,000.00

536 Alicia Bayot Lee Baguio City, Benguet January 5, 2016 Hospitalization 3,700.00 3,700.00

537 Guigeon Tumingeb Baguio City, Benguet December 10, 2015 medicines 7,000.00 - 7,000.00

538 Daniel Lacdao Baguio City, Benguet December 11, 2015 medicines 10,000.00 - 10,000.00

TOTAL 4,848,519.39 1,797,332.66 3,051,186.73

SUMMARY:

Total Allocation - Total (actual Utilization)





UTILIZATION BALANCE


City/ Mun., Prov.)

ASSISTANCE GRANTED

24,762,739.09Php

Prepared by: Certified Correct: Approved by:

EMMANUEL F. ACLUBA, MD, MHA

Medical Center Chief II

Head, Budget Section

1,797,332.66Php 22,965,406.43Php

ROSELAINE B. MACABADA EDNA L. MOGAMOG, CPA

Supervising Administrative Officer


baguio general hospital and medical center region:...

Documents