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Republic of the Philippines Department of Health MEDICAL ASSISTANCE For the month of August year 2014 ILOCOS TRAINING AND REGIONAL MEDICAL CENTER No # Name of Patient Address Indorsement Date Assistance Amount Total Amount 1 Tessie B. Inigo Galimuyod, Ilocos Sur August 14, 2014 Hospital Bills 7,000.00 7,000.00 2 Francis Johnell Layco Tagudin, Ilocos Sur August 14, 2014 Hospital Bills 4,000.00 4,000.00 3 Joselito Galdones City Of Candon, Ilocos Sur August 15, 2014 Dialysis 6,000.00 6,000.00 4 Marlon Gacusan City Of Candon, Ilocos Sur August 18, 2014 CT-Scan 3,000.00 3,000.00 5 Lyndon Soriano Tagudin, Ilocos Sur August 18, 2014 Hospital Bills 7,000.00 7,000.00 6 Canisio Manzano Nagbukel, Ilocos Sur August 18, 2014 Medical Assistance 7,000.00 7,000.00 7 Edmundo Nonan Juralbal Sison, Pangasinan August 19, 2014 Medical Assistance 20,000.00 20,000.00 8 Neil Galano Santa Cruz, Ilocos Sur August 19, 2014 Dialysis 6,000.00 6,000.00 9 Ernesto Ragudo Santa Cruz, Ilocos Sur August 26, 2014 Hospital Bills 7,000.00 7,000.00 10 Violeta Martinez Santa Cruz, Ilocos Sur August 26, 2014 Chemotherapy 6,000.00 6,000.00 11 Rosebelle L. Lacondazo Sigay, Ilocos Sur August 27, 2014 Hospital Bills 6,000.00 6,000.00 12 Petra Maday-a Pulano Tagudin, Ilocos Sur August 27, 2014 Hospital Bills 7,000.00 7,000.00 13 Alicia Cortez Bok City Of Candon, Ilocos Sur August 27, 2014 Hospital Bills 3,000.00 3,000.00 14 Nemesio Garben Barit Santa Lucia, Ilocos Sur August 28, 2014 Hospital Bills 3,000.00 3,000.00 Total Patient: 14 92,000.00 92,000.00

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Page 1: Ilocos Training Medical Center

Republic of the PhilippinesDepartment of Health

MEDICAL ASSISTANCE

For the month of August year 2014ILOCOS TRAINING AND REGIONAL MEDICAL CENTER

No # Name of Patient Address Indorsement Date Assistance Amount Total Amount

1 Tessie B. Inigo Galimuyod, Ilocos Sur August 14, 2014 Hospital Bills 7,000.00 7,000.002 Francis Johnell Layco Tagudin, Ilocos Sur August 14, 2014 Hospital Bills 4,000.00 4,000.003 Joselito Galdones City Of Candon, Ilocos Sur August 15, 2014 Dialysis 6,000.00 6,000.004 Marlon Gacusan City Of Candon, Ilocos Sur August 18, 2014 CT-Scan 3,000.00 3,000.005 Lyndon Soriano Tagudin, Ilocos Sur August 18, 2014 Hospital Bills 7,000.00 7,000.00

6 Canisio Manzano Nagbukel, Ilocos Sur August 18, 2014 Medical Assistance 7,000.00 7,000.00

7 Edmundo Nonan Juralbal Sison, Pangasinan August 19, 2014 Medical Assistance 20,000.00 20,000.00

8 Neil Galano Santa Cruz, Ilocos Sur August 19, 2014 Dialysis 6,000.00 6,000.009 Ernesto Ragudo Santa Cruz, Ilocos Sur August 26, 2014 Hospital Bills 7,000.00 7,000.0010 Violeta Martinez Santa Cruz, Ilocos Sur August 26, 2014 Chemotherapy 6,000.00 6,000.0011 Rosebelle L. Lacondazo Sigay, Ilocos Sur August 27, 2014 Hospital Bills 6,000.00 6,000.0012 Petra Maday-a Pulano Tagudin, Ilocos Sur August 27, 2014 Hospital Bills 7,000.00 7,000.0013 Alicia Cortez Bok City Of Candon, Ilocos Sur August 27, 2014 Hospital Bills 3,000.00 3,000.0014 Nemesio Garben Barit Santa Lucia, Ilocos Sur August 28, 2014 Hospital Bills 3,000.00 3,000.00

Total Patient: 14 92,000.00 92,000.00

Page 2: Ilocos Training Medical Center

MEDICAL ASSISTANCE PROGRAMAccomplishment Report

ILOCOS TRAINING AND REGIONAL MEDICAL CENTERFor the month of September year 2014

No # Name of Patient Address Indorsement Date Assistance Amount Total Amount

1 Alberto Suarez Gagto City Of Candon, Ilocos Sur September 01, 2014 Hospital Bills 3,000.00 3,000.002 Josie Billones Teo Burgos, Ilocos Sur September 03, 2014 Hospital Bills 5,000.00 5,000.003 Josie Billones Teo Burgos, Ilocos Sur September 04, 2014 Hospital Bills 5,000.00 5,000.00

4 Cristeta Ancheta Delos Santos City Of Candon, Ilocos Sur September 09, 2014 Laboratory Procedures 2,000.00 2,000.00

5 Wilson Marquez Haboc Jr. Santa Lucia, Ilocos Sur September 10, 2014 Hospital Bills 6,000.00 6,000.00

6 Saturnino Lapitan Sudipen, La Union September 15, 2014 Medical Assistance 10,000.00 10,000.00

7 Elaisa Hera Pataray Tudayan Galimuyod, Ilocos Sur September 16, 2014 Hospital Bills 7,000.00 7,000.008 Marlon Berzabal Gacusan Tablac City Of Candon, Ilocos Sur September 16, 2014 Hospital Bills 3,000.00 3,000.009 Terence Libliben Lacondazo Sigay, Ilocos Sur September 17, 2014 Hospital Bills 6,000.00 6,000.0010 Annabel Cortez Alvis Santa Cruz, Ilocos Sur September 24, 2014 Hospital Bills 7,000.00 7,000.0011 Melanie Galutan Quidangen Galimuyod, Ilocos Sur September 26, 2014 Dialysis 2,000.00 2,000.00

Total Patient: 11 56,000.00 56,000.00

Page 3: Ilocos Training Medical Center

MEDICAL ASSISTANCE PROGRAMAccomplishment Report

ILOCOS TRAINING AND REGIONAL MEDICAL CENTERFor the month of October year 2014

No # Name of Patient Address Indorsement Date Assistance Amount Total Amount

1 Saturnino Lapitan Sudipen, La Union October 01, 2014 Hospital Bills 5,000.00 5,000.002 Mila Garcia. City Of Candon, Ilocos Sur October 02, 2014 Dialysis 2,000.00 2,000.003 Manolo B. Balles Salcedo (baugen), Ilocos Sur October 03, 2014 Chemotherapy 7,000.00 7,000.004 Maria Dolores G. Day-ong City Of Candon, Ilocos Sur October 03, 2014 Dialysis 6,000.00 6,000.005 Elena D. Cortez Santa Lucia, Ilocos Sur October 07, 2014 Dialysis 6,000.00 6,000.006 Sunshine D. Domisiw Santa Lucia, Ilocos Sur October 08, 2014 Hospital Bills 5,000.00 5,000.007 Godofredo Diego Rapanut Santa Maria, Ilocos Sur October 08, 2014 Hospital Bills 7,000.00 7,000.008 Leah D. Ruiz Santa Lucia, Ilocos Sur October 09, 2014 Hospital Bills 3,000.00 3,000.009 Jemmalyn Dagsi Sotelo Galimuyod, Ilocos Sur October 10, 2014 Hospital Bills 3,000.00 3,000.0010 Edwin Lucero Acosta San Jose (capital), Dinagat Islands October 20, 2014 Hospital Bills 5,000.00 5,000.0011 Mila G. Gracia City Of Candon, Ilocos Sur October 20, 2014 Dialysis 2,000.00 2,000.0012 Edwin Acosta Acosta Santa Lucia, Ilocos Sur October 21, 2014 Hospital Bills 5,000.00 1,500.00

13 Margarita T. Habab Santa Lucia, Ilocos Sur October 22, 2014 Hospital Bills and otherneeds 2,000.00 2,000.00

14 John Cleo Bilog Doria Salcedo (baugen), Ilocos Sur October 22, 2014 Hospital Bills 4,000.00 4,000.0015 Rahjic Delos Reyes City Of Candon, Ilocos Sur October 22, 2014 Hospital Bills 7,000.00 7,000.0016 Jose Noel Villabroza Santa Cruz, Ilocos Sur October 24, 2014 Hospital Bills 5,000.00 5,000.0017 Neil Z. Galano Villa Laurencia Santa Cruz, Ilocos Sur October 27, 2014 Dialysis 2,000.00 2,000.00

18 Buenaventurado Garcia Bauang, La Union October 27, 2014 Medical Assistance 7,000.00 7,000.00

19 Lilia De Guzman Sudipen, La Union October 29, 2014 Medical Assistance 5,000.00 5,000.00

Total Patient: 19 88,000.00 84,500.00

Page 4: Ilocos Training Medical Center

No # Name of Patient Address Indorsement Date Assistance Amount

1 Lino J. Pitao Sudipen, La Union June 1, 2015 Medical Assistance 11,095.00

2 Jessie James G. Jimenez City Of Candon, Ilocos Sur June 2, 2015 Dialysis 3,000.00

3 Elsie A. Olidan Bacnotan, La Union June 2, 2015 Medical Assistance 5,000.00

4 Rodel O. Gamboa Sudipen, La Union June 2, 2015 Medical Assistance 2,000.00

5 Adelfa Jacaban Sudipen, La Union June 3, 2015 Medical Assistance 5,000.00

6 Neil Z. Galano Villa Laurencia Santa Cruz, Ilocos Sur June 8, 2015 Medical Assistance 2,000.00

7 Saturnino D. Pascua Suyo, Ilocos Sur June 8, 2015 Medical Assistance 10,000.00

8 Gerry Agyapas Sudipen, La Union June 8, 2015 Medical Assistance 4,000.00

9 Remedios Leonen Sudipen, La Union June 8, 2015 Medical Assistance 4,000.00

10 Empa Fuentes Sudipen, La Union June 8, 2015 Medical Assistance 5,000.00

11 Dona Amboni , La Union June 8, 2015 Medical Assistance 6,300.00

12 Maria Magdealena Meniano Sudipen, La Union June 8, 2015 Medical Assistance 5,000.00

13 Riorose Aquino Alilem, Ilocos Sur June 8, 2015 Medical Assistance 8,300.00

14 Mary Grace Casilla Sudipen, La Union June 11, 2015 Medical Assistance 5,000.00

15 Janice F. Lopez San Nicolas, Pangasinan June 15, 2015 Medical Assistance 5,000.00

16 Nelson Madrigal Sudipen, La Union June 16, 2015 Medical Assistance 5,000.00

17 Lorna T. Quitoriano Tagudin, Ilocos Sur June 16, 2015 Dialysis 2,000.00

18 Veronica Jaquias Tayum, Abra June 17, 2015 Medical Assistance 15,000.00

19 Whernham Bose Malibcong, Abra June 17, 2015 Medical Assistance 10,000.00

20 Felipe E. Ragasa Bulbulala Santiago, Ilocos Sur June 17, 2015 Hospital Bills 4,000.00

21 Albert Gonzaga Sudipen, La Union June 18, 2015 Medical Assistance 5,000.00

22 Rodelia Libao Sudipen, La Union June 22, 2015 Medical Assistance 5,000.00

23 Erlinda Monis , La Union June 22, 2015 Medical Assistance 5,000.00

24 Janebee Vilog Sudipen, La Union June 22, 2015 Medical Assistance 1,900.00

Republic of the Philippines

Department of Health

ILOCOS TRAINING AND REGIONAL MEDICAL CENTER

For the month of June year 2015

MEDICAL ASSISTANCE PROGRAM

Page 5: Ilocos Training Medical Center

25 Joy Cabatu Sudipen, La Union June 25, 2015 Medical Assistance 5,000.00

26 Romel Ballena Pilar, Abra June 25, 2015 Medical Assistance 8,000.00

27 Frank Noelle B. Bielza Santa, Ilocos Sur June 26, 2015 Hospital Bills 10,000.00

28 Jilmar G. Herrera Naguilian, La Union June 26, 2015 Medical Assistance 3,000.00

29 Unidad F. Yoro Naguilian, La Union June 26, 2015 Medical Assistance 3,000.00

30 Beatriz Danglapen Sudipen, La Union June 29, 2015 Medical Assistance 1,000.00

31 Merin Wayet Sudipen, La Union June 29, 2015 Medical Assistance 1,000.00

32 Conchita Lipadan Sudipen, La Union June 29, 2015 Medical Assistance 1,000.00

33 Elma Cuyaongan Sudipen, La Union June 29, 2015 Medical Assistance 1,000.00

34 Nena Masaspet Sudipen, La Union June 29, 2015 Medical Assistance 1,000.00

35 Erlinda Baldo Sudipen, La Union June 29, 2015 Medical Assistance 1,000.00

36 Joe Dapig Sudipen, La Union June 29, 2015 Medical Assistance 1,000.00

37 Smith Gayyed Sudipen, La Union June 29, 2015 Medical Assistance 1,000.00

38 Elvie Suda-e Sudipen, La Union June 29, 2015 Medical Assistance 1,000.00

39 Raymundo Gum-o Sudipen, La Union June 29, 2015 Medical Assistance 1,000.00

40 Merlita G. Valdez Sudipen, La Union June 29, 2015 Medical Assistance 1,000.00

41 Doris Bayang Sudipen, La Union June 29, 2015 Medical Assistance 1,000.00

42 Macrina Alebba Sudipen, La Union June 29, 2015 Medical Assistance 1,000.00

43 Soledad Lacbao , La Union June 29, 2015 Medical Assistance 1,000.00

44 Irene Cabanban Sudipen, La Union June 29, 2015 Medical Assistance 1,000.00

45 Policarpia Padtoc Sudipen, La Union June 29, 2015 Medical Assistance 1,000.00

46 Marina Dang-alan Sudipen, La Union June 29, 2015 Medical Assistance 1,000.00

47 Josefina Ancheta Sudipen, La Union June 29, 2015 Medical Assistance 1,000.00

48 Melecio Dang-alan Sudipen, La Union June 29, 2015 Medical Assistance 1,000.00

49 Lynya Ancheta Sudipen, La Union June 29, 2015 Medical Assistance 1,000.00

50 Teofila M. Mitrado Sudipen, La Union June 29, 2015 Laboratory Procedures 1,000.00

51 Florida P. Soliva Sudipen, La Union June 29, 2015 Laboratory Procedures 1,000.00

52 Teresita S. Gacusan Sudipen, La Union June 29, 2015 Laboratory Procedures 1,000.00

53 Mauro L. Libao Sudipen, La Union June 29, 2015 Laboratory Procedures 1,000.00

54 Edeltrudes Allapitan Sudipen, La Union June 29, 2015 Laboratory Procedures 1,000.00

55 Loreta Libao Sudipen, La Union June 29, 2015 Laboratory Procedures 1,000.00

56 Emerenciana Morla Sudipen, La Union June 29, 2015 Laboratory Procedures 1,000.00

57 Carmen R. Dumot Sudipen, La Union June 29, 2015 Laboratory Procedures 1,000.00

Page 6: Ilocos Training Medical Center

58 Arsenia A. Ostrea Sudipen, La Union June 29, 2015 Laboratory Procedures 1,000.00

59 Rosita Monis Sudipen, La Union June 29, 2015 Laboratory Procedures 1,000.00

60 Benjamin P. Dian Sudipen, La Union June 29, 2015 Laboratory Procedures 1,000.00

61 Andres L. Barcelona Sudipen, La Union June 29, 2015 Laboratory Procedures 1,000.00

62 Rodrigo M. Leonen Sudipen, La Union June 29, 2015 Laboratory Procedures 1,000.00

63 Elisio Dumot Sudipen, La Union June 29, 2015 Laboratory Procedures 1,000.00

64 Catalino L. Luzano Sudipen, La Union June 29, 2015 Medical Assistance 1,000.00

65 Jose Mostoles Sudipen, La Union June 29, 2015 Laboratory Procedures 1,000.00

66 Sonia Libao Sudipen, La Union June 29, 2015 Laboratory Procedures 1,000.00

67 Alfredo U. Soliva Sudipen, La Union June 29, 2015 Laboratory Procedures 1,000.00

68 Flordeliza Libao Sudipen, La Union June 29, 2015 Laboratory Procedures 1,000.00

69 Margarita T. Habab Banbanaba Santa Lucia, Ilocos Sur June 29, 2015 Dialysis 3,000.00

70 Alexander Joaquin D. Somera City Of Candon, Ilocos Sur June 30, 2015 Hospital Bills 5,000.00

71 Jeneson C. Galima City Of Candon, Ilocos Sur June 30, 2015 Hospital Bills 5,000.00

Total Patient: 71 214,595.00

Page 7: Ilocos Training Medical Center

No # Name of Patient Address Indorsement Date Assistance Amount

1 Melinda Q. Manzano Quirino (pob.) Tagudin, Ilocos Sur July 1, 2015 Hospital Bills 3,000.00

2 Felipa Zapata Sudipen, La Union July 1, 2015 Medical Assistance 1,000.00

3 Elena D. Cortez Santa Lucia, Ilocos Sur July 7, 2015 Dialysis 3,000.00

4 Rosalina Mostoles Sudipen, La Union July 7, 2015 Medical Assistance 5,000.00

5 Rufino Ducao Sudipen, La Union July 7, 2015 Medical Assistance 1,000.00

6 Rosario Catcatan Sudipen, La Union July 7, 2015 Medical Assistance 1,000.00

7 Lorena Gamboa Sudipen, La Union July 7, 2015 Medical Assistance 1,000.00

8 Nena U. Azan San Francisco Norte Sudipen, La Union July 7, 2015 Medical Assistance 1,000.00

9 Marciana C. Badbaden San Francisco Norte Sudipen, La Union July 7, 2015 Medical Assistance 1,000.00

10 Teresa Macusi San Francisco Norte Sudipen, La Union July 7, 2015 Medical Assistance 1,000.00

11 Elesio N. Rulloda San Francisco Norte Sudipen, La Union July 7, 2015 Medical Assistance 1,000.00

12 Agustin Boy-o Sudipen, La Union July 7, 2015 Medical Assistance 1,000.00

13 Luisa Dumasing Sudipen, La Union July 7, 2015 Medical Assistance 1,000.00

14 Dalmacio A. Diza San Francisco Norte Sudipen, La Union July 7, 2015 Medical Assistance 1,000.00

15 Linda Ambatan Sudipen, La Union July 7, 2015 Medical Assistance 1,000.00

16 Pedrito D. Carbonel San Francisco Norte Sudipen, La Union July 7, 2015 Medical Assistance 1,000.00

17 Juanito B. Aglutay San Francisco Norte Sudipen, La Union July 7, 2015 Medical Assistance 1,000.00

18 Salvador A. Palacio San Francisco Norte Sudipen, La Union July 7, 2015 Medical Assistance 1,000.00

19 Conrado I. Ordonez San Francisco Norte Sudipen, La Union July 7, 2015 Medical Assistance 1,000.00

20 Rosemarie Dysoyco San Francisco Norte Sudipen, La Union July 7, 2015 Medical Assistance 1,000.00

21 Felomena Sagud Sudipen, La Union July 7, 2015 Medical Assistance 1,000.00

22 Leoncio Passe Sr. Sudipen, La Union July 7, 2015 Medical Assistance 1,000.00

23 Armida G. Depdepen Castro Sudipen, La Union July 7, 2015 Medical Assistance 1,000.00

24 Remedios Ibeng Sudipen, La Union July 7, 2015 Medical Assistance 1,000.00

Republic of the Philippines

Department of Health

ILOCOS TRAINING AND REGIONAL MEDICAL CENTER

For the month of July year 2015

MEDICAL ASSISTANCE PROGRAM

Page 8: Ilocos Training Medical Center

25 Constantino Balayog Sudipen, La Union July 7, 2015 Medical Assistance 1,000.00

26 Levy Bacate , La Union July 7, 2015 Medical Assistance 1,000.00

27 Dolores S. Narcise , La Union July 7, 2015 Medical Assistance 1,000.00

28 Jovita T. Amboni Castro Sudipen, La Union July 7, 2015 Medical Assistance 1,000.00

29 Leodegaria Dingle Sudipen, La Union July 7, 2015 Medical Assistance 1,000.00

30 Mauro Madrid Sudipen, La Union July 7, 2015 Medical Assistance 1,000.00

31 Elisa Arce Castro Sudipen, La Union July 7, 2015 Medical Assistance 1,000.00

32 Letecia Bacate Sudipen, La Union July 7, 2015 Medical Assistance 1,000.00

33 Jovita Quinto Cacho Anda, Pangasinan July 7, 2015 Medical Assistance 1,000.00

34 Edna Sagulo Sudipen, La Union July 7, 2015 Medical Assistance 1,000.00

35 Conrado Dela Cruz Sudipen, La Union July 7, 2015 Medical Assistance 1,000.00

36 Demetria Dingle Sudipen, La Union July 7, 2015 Medical Assistance 1,000.00

37 Noly Motiong Sudipen, La Union July 7, 2015 Medical Assistance 1,000.00

38 Priscilla Dictaan Sudipen, La Union July 7, 2015 Medical Assistance 1,000.00

39 Nieves Sobejana Sudipen, La Union July 7, 2015 Medical Assistance 1,000.00

40 Cristobal Manzano Sudipen, La Union July 7, 2015 Medical Assistance 1,000.00

41 Romana Macaranas Sudipen, La Union July 7, 2015 Medical Assistance 1,000.00

42 Saturnina Moling Sudipen, La Union July 7, 2015 Medical Assistance 1,000.00

43 Evelyn Catcatan Sudipen, La Union July 7, 2015 Medical Assistance 1,000.00

44 Florentino Rivera Sudipen, La Union July 7, 2015 Medical Assistance 1,000.00

45 Rodel C. Halos San Juan Santa Lucia, Ilocos Sur July 7, 2015 Hospital Bills 5,000.00

46 Benjamin Gacusan Sudipen, La Union July 8, 2015 Medical Assistance 1,000.00

47 Margarita T. Habab Banbanaba Santa Lucia, Ilocos Sur July 8, 2015 Dialysis 3,000.00

48 Maria Jonela F. Angala Santa Lucia, Ilocos Sur July 8, 2015 Hospital Bills 4,000.00

49 Maria Jonela F. Angala Santa Lucia, Ilocos Sur July 9, 2015 Hospital Bills 4,000.00

50 Mark John N. Encarnacion Tagudin, Ilocos Sur July 9, 2015 Hospital Bills 3,000.00

51 Jessie James G. Jimenez City Of Candon, Ilocos Sur July 9, 2015 Dialysis 3,000.00

52 Margarita T. Habab Banbanaba Santa Lucia, Ilocos Sur July 9, 2015 Dialysis 3,000.00

53 Cecilio Rabilas Uyaan Santa Cruz, Ilocos Sur July 13, 2015 Medical Assistance 20,000.00

54 Jessa Mae Lacondazo Sudipen, La Union July 13, 2015 Medical Assistance 5,000.00

55 Mark John N. Encarnacion Tagudin, Ilocos Sur July 13, 2015 Medical Assistance 5,000.00

56 Cleofe Macanas Sudipen, La Union July 14, 2015 Medical Assistance 2,000.00

57 Johny Dang-alan Sudipen, La Union July 14, 2015 Medical Assistance 5,000.00

Page 9: Ilocos Training Medical Center

58 Anita Milanes Agoo, La Union July 14, 2015 Medical Assistance 5,000.00

59 Virgilio O. Valdez Balaoan, La Union July 14, 2015 Medical Assistance 10,000.00

60 Noly Motiong Sudipen, La Union July 15, 2015 Medical Assistance 1,000.00

61 Levy Bacate , La Union July 15, 2015 Medical Assistance 1,000.00

62 Armida G. Depdepen Castro Sudipen, La Union July 15, 2015 Medical Assistance 1,000.00

63 Ariel D. Dom-ogen Suagayan Quirino (angkaki), Ilocos Sur July 15, 2015 Chemotherapy 8,000.00

64 Ernesto Mercanci Sudipen, La Union July 15, 2015 Medical Assistance 5,000.00

65 Marina B. Villanueva, Suyo, Ilocos Sur July 15, 2015 Medical Assistance 15,000.00

66 Eva Dela Pena Sudipen, La Union July 16, 2015 Medical Assistance 5,000.00

67 Michael Mostoles Sudipen, La Union July 16, 2015 Medical Assistance 3,000.00

68 Ivy Fe Lacar Sudipen, La Union July 16, 2015 Medical Assistance 2,000.00

69 Melita G. Valdez Sudipen, La Union July 16, 2015 Laboratory Procedures 1,000.00

70 Doris L. Bayang Sudipen, La Union July 16, 2015 Laboratory Procedures 1,000.00

71 Macrina B. Atebba Sudipen, La Union July 16, 2015 Laboratory Procedures 1,000.00

72 Aidena L. Nuesca Sudipen, La Union July 16, 2015 Medical Assistance 1,000.00

73 Soledad A. Lacbao , La Union July 16, 2015 Laboratory Procedures 1,000.00

74 Irene L. Cabanban Sudipen, La Union July 16, 2015 Laboratory Procedures 1,000.00

75 Policarpia B. Padtoc Sudipen, La Union July 16, 2015 Laboratory Procedures 1,000.00

76 Marina M. Dang-alan Sudipen, La Union July 16, 2015 Laboratory Procedures 1,000.00

77 Josefina D. Ancheta Sudipen, La Union July 16, 2015 Laboratory Procedures 1,000.00

78 Melecio B. Dang-alan Sudipen, La Union July 16, 2015 Laboratory Procedures 1,000.00

79 Lynza Ancheta Sudipen, La Union July 16, 2015 Laboratory Procedures 1,000.00

80 Beatriz Danglapen Sudipen, La Union July 16, 2015 Laboratory Procedures 1,000.00

81 Elvie Suda-e Sudipen, La Union July 16, 2015 Laboratory Procedures 1,000.00

82 Evelyn Corpuz Pinyahan Quezon City, Ncr Second District July 16, 2015 Medical Assistance 1,000.00

83 Ercel B. Moster Sudipen, La Union July 16, 2015 Medical Assistance 1,000.00

84 Raymundo Gum-o Sudipen, La Union July 16, 2015 Laboratory Procedures 1,000.00

85 Merin Wayet Sudipen, La Union July 16, 2015 Laboratory Procedures 1,000.00

86 Conchita Lipadan Sudipen, La Union July 16, 2015 Laboratory Procedures 1,000.00

87 Elma Cuyaongan Sudipen, La Union July 16, 2015 Laboratory Procedures 1,000.00

88 Alma D. Calindas Sudipen, La Union July 16, 2015 Medical Assistance 1,000.00

89 Brenda C. Lacar Sudipen, La Union July 16, 2015 Medical Assistance 1,000.00

90 Nena Masaspet Sudipen, La Union July 16, 2015 Laboratory Procedures 1,000.00

Page 10: Ilocos Training Medical Center

91 Erlinda Baldo Sudipen, La Union July 16, 2015 Laboratory Procedures 1,000.00

92 Joe Dapig Sudipen, La Union July 16, 2015 Laboratory Procedures 1,000.00

93 Smith Gayyed Sudipen, La Union July 16, 2015 Laboratory Procedures 1,000.00

94 Ernesto Somera Jr. Sudipen, La Union July 16, 2015 Medical Assistance 1,000.00

95 Aquilino Libao Sudipen, La Union July 16, 2015 Medical Assistance 1,000.00

96 Salvadora P. Bangaoil Sudipen, La Union July 16, 2015 Medical Assistance 1,000.00

97 Marilyn De Guzman City Of Malabon, Ncr Third District July 16, 2015 Medical Assistance 1,000.00

98 Wendy M. Onchete Sudipen, La Union July 16, 2015 Medical Assistance 1,000.00

99 Marilyn R. Buton Sudipen, La Union July 16, 2015 Medical Assistance 1,000.00

100 Maria Marzan Sudipen, La Union July 16, 2015 Medical Assistance 1,000.00

101 Marilyn A. Benicta Sudipen, La Union July 16, 2015 Medical Assistance 1,000.00

102 Gloria Somera Sudipen, La Union July 16, 2015 Medical Assistance 1,000.00

103 Aida Macusi Sudipen, La Union July 16, 2015 Medical Assistance 1,000.00

104 Jenny Arcega Sudipen, La Union July 16, 2015 Medical Assistance 1,000.00

105 Soledad Arcega Sudipen, La Union July 16, 2015 Medical Assistance 1,000.00

106 Esperanza Dacanay Sudipen, La Union July 16, 2015 Medical Assistance 1,000.00

107 Rhodora P. Leal Sudipen, La Union July 16, 2015 Medical Assistance 1,000.00

108 Evelyn Mostoles Sudipen, La Union July 16, 2015 Medical Assistance 1,000.00

109 Rayman Daquing Sudipen, La Union July 16, 2015 Medical Assistance 1,000.00

110 Elsa Fernandez Sudipen, La Union July 16, 2015 Medical Assistance 1,000.00

111 Sheryl D. Paco Sudipen, La Union July 16, 2015 Medical Assistance 1,000.00

112 Eva M. Ambatan Sudipen, La Union July 16, 2015 Medical Assistance 1,000.00

113 James Paul B. Lales Sudipen, La Union July 16, 2015 Medical Assistance 1,000.00

114 Renelyn Cantalejo Sudipen, La Union July 16, 2015 Medical Assistance 1,000.00

115 Teresita D. Macusi Turod Sudipen, La Union July 20, 2015 Laboratory Procedures 1,000.00

116 Marina O. Ostrea Turod Sudipen, La Union July 20, 2015 Laboratory Procedures 1,000.00

117 Flora C. Mitrado Sudipen, La Union July 20, 2015 Laboratory Procedures 1,000.00

118 Corazon M. Maballo Sudipen, La Union July 20, 2015 Laboratory Procedures 1,000.00

119 Aurora M. Orpilla Sudipen, La Union July 20, 2015 Laboratory Procedures 1,000.00

120 Anita I. Monis Sudipen, La Union July 20, 2015 Laboratory Procedures 1,000.00

121 Felisa A. Macusi Sudipen, La Union July 20, 2015 Laboratory Procedures 1,000.00

122 Roberto L. Mitrado Sudipen, La Union July 20, 2015 Laboratory Procedures 1,000.00

123 Fred M. Morla Sudipen, La Union July 20, 2015 Laboratory Procedures 1,000.00

Page 11: Ilocos Training Medical Center

124 Maximino M. Mico Sudipen, La Union July 20, 2015 Laboratory Procedures 1,000.00

125 Aurelia A. Aluyen Suyo, Ilocos Sur July 20, 2015 Medical Assistance 10,000.00

126 Marilyn R. Guzman. Sudipen, La Union July 20, 2015 Laboratory Procedures 1,000.00

127 Mary Jane A. Benicta Sudipen, La Union July 20, 2015 Laboratory Procedures 1,000.00

128 Trinidad De Guzman Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

129 Charito Bayan Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

130 Angelina Corpuz. Sudipen, La Union July 20, 2015Medical Expenses and Medicines

1,000.00

131 Angelina Coloma Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

132 John Joshua Cachin Bangar, La Union July 20, 2015 Medical Assistance 10,000.00

133 Julie Anne Ducao Sudipen, La Union July 20, 2015 Medical Assistance 3,500.00

134 Ernesto Libao Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

135 ,lilia De Guzman Balaoan, La Union July 20, 2015 Medical Assistance 1,000.00

136 Raquel Dulatre Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

137 Jaime Morla Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

138 Ezperana Lucina Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

139 Marlyn Belmonte Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

140 Gil Pepito Lucina Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

141 Cresencia De Guzman Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

142 Leonardo. De Guzman Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

143 Glen Aspiras Calauan, Laguna July 20, 2015 Medical Assistance 6,000.00

144 Samuel G. Barroga Santa Lucia, Ilocos Sur July 20, 2015 Hospital Bills 6,000.00

145 Gloria Rabe Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

146 Cesar Libao Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

147 Concepcion Miniano Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

148 Cleofe Macayan Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

149 Santiago Fabro Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

150 Jovita Fabro Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

151 Gloria Lopez Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

152 Jose Lopez Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

153 Consolacion Maala Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

154 Lolita Moskito Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

155 Socorro Rivera Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

Page 12: Ilocos Training Medical Center

156 Ricardo Ambrosi Sr. Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

157 Gilda Maala Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

158 Herminia Visaya Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

159 Cristina Lacbao Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

160 Betty Padilla Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

161 Meriam Dimoloy Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

162 Jaime Macayan Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

163 Adela Acuyen Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

164 Jerick Sanson Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

165 Pepito Dulay Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

166 Manolo Culbengan Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

167 Victory Luquingan Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

168 Lolita Panggayan Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

169 Merlyn Lingbaoan Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

170 Elizabeth Fortes , La Union July 20, 2015 Medical Assistance 1,000.00

171 Felicidad Gabaon Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

172 Socorro Magmoyao Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

173 Mercedes Alac-ac Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

174 Hilario De Guzman Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

175 Teresita Palacio Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

176 Betty Corpuz Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

177 Andrea Culbengan Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

178 Josephine Wandasan Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

179 Victoria Esbeg Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

180 Darlina Langeo Sudipen, La Union July 20, 2015 Medical Assistance 1,000.00

181 Carolina Dicang Sudipen, La Union July 21, 2015 Medical Assistance 1,000.00

182 Florentina Lipadan Sudipen, La Union July 21, 2015 Medical Assistance 1,000.00

183 Ester Buquing Sudipen, La Union July 21, 2015 Medical Assistance 1,000.00

184 Beatriz Gom-o Sudipen, La Union July 21, 2015 Medical Assistance 1,000.00

185 Glory Balisong Sudipen, La Union July 21, 2015 Medical Assistance 1,000.00

186 Mary Balisong Sudipen, La Union July 21, 2015 Medical Assistance 1,000.00

187 Jesus Bisoy Sudipen, La Union July 21, 2015 Medical Assistance 1,000.00

188 Flora Depdepen Sudipen, La Union July 21, 2015 Medical Assistance 1,000.00

Page 13: Ilocos Training Medical Center

189 Lito Ledda Sudipen, La Union July 21, 2015 Medical Assistance 1,000.00

190 Saring Angliwan Sudipen, La Union July 21, 2015 Medical Assistance 1,000.00

191 Genesis Barillo Sudipen, La Union July 21, 2015 Medical Assistance 3,000.00

192 Raquel Delatre Sudipen, La Union July 22, 2015 Medical Assistance 1,000.00

193 Fortunato Tico Sudipen, La Union July 23, 2015 Medical Assistance 5,000.00

194 Julie Anne Ducao Sudipen, La Union July 24, 2015 Medical Assistance 3,100.00

195 Mila G. Gracia Tablac City Of Candon, Ilocos Sur July 27, 2015 Dialysis 3,000.00

196 Joselito Galdones City Of Candon, Ilocos Sur July 27, 2015 Hospital Bills 3,000.00

197 Ferdinand Robianes Santa Lucia, Ilocos Sur July 27, 2015 Hospital Bills 3,000.00

198 Maricon V. Manzano City Of Candon, Ilocos Sur July 27, 2015 Hospital Bills 5,000.00

199 Felomina M. Ballada Suyo, Ilocos Sur July 27, 2015 Medical Assistance 15,000.00

200 Joselin Buen Sudipen, La Union July 28, 2015 Medical Assistance 15,700.00

201 Manilyn J. Gabriel Santa Cruz, Ilocos Sur July 28, 2015 Hospital Bills 4,000.00

202 Rodrigo D. Handoc Jr. Santa Cruz, Ilocos Sur July 28, 2015 Hospital Bills 3,000.00

203 Consolacion Macusi Sudipen, La Union July 30, 2015 Medical Assistance 4,200.00

204 Alden L. Elefante Santiago, Ilocos Sur July 30, 2015 Hospital Bills 10,000.00

205 Jessie James G. Jimenez City Of Candon, Ilocos Sur July 30, 2015 Dialysis 3,000.00

206 Geralden P. Guidawen Suyo, Ilocos Sur July 30, 2015 Medical Assistance 4,000.00

207 Cerenia Ferreras Escobero Sudipen, La Union July 31, 2015 Medical Assistance 1,000.00

208 Lourdes Collado Arciaga Sudipen, La Union July 31, 2015 Medical Assistance 1,000.00

209 Sulpicio Luccag Depdepen Sr. Sudipen, La Union July 31, 2015 Laboratory Procedures 1,000.00

210 Berto Dagwace Fabro Sudipen, La Union July 31, 2015 Laboratory Procedures 1,000.00

211 Belen Aranco Ferreras Sudipen, La Union July 31, 2015 Laboratory Procedures 1,000.00

212 Febe Singyao Ferreras Sudipen, La Union July 31, 2015 Laboratory Procedures 1,000.00

213 Dominga Dumalanta Obillo Sudipen, La Union July 31, 2015 Laboratory Procedures 1,000.00

214 Lourdes Quizora Ogot Sudipen, La Union July 31, 2015 Laboratory Procedures 1,000.00

215 Agustina Depdepen Olais Sudipen, La Union July 31, 2015 Laboratory Procedures 1,000.00

216 Caridad Valdez Ordinario Sudipen, La Union July 31, 2015 Laboratory Procedures 1,000.00

217 Jaime Mendegoria Caba, La Union July 31, 2015 Medical Assistance 5,000.00

218 Gil T. Go Bangar, La Union July 31, 2015 Medical Assistance 5,000.00

219 Jona E. Castillo. Naguilian, La Union July 31, 2015 Medical Assistance 5,000.00

Total Patient: 219 433,500.00

Page 14: Ilocos Training Medical Center

No # Name of Patient Address Indorsement Date Assistance Amount

1 Kristopher J. Rabon Santa Cruz, Ilocos Sur August 3, 2015 Hospital Bills 5,000.00

2 Francisca Perez Up-uplas Sudipen, La Union August 3, 2015 Medical Assistance 1,000.00

3 Lolita Amoyen Sudipen, La Union August 3, 2015 Medical Assistance 1,000.00

4 Patricia Quistoy Sudipen, La Union August 3, 2015 Medical Assistance 1,000.00

5 Salvador Alamay Up-uplas Sudipen, La Union August 3, 2015 Medical Assistance 1,000.00

6 Prodencio Catcatan Up-uplas Sudipen, La Union August 3, 2015 Medical Assistance 1,000.00

7 John Reiven Collado Sudipen, La Union August 3, 2015 Medical Assistance 3,000.00

8 Leo Labrador Sudipen, La Union August 4, 2015 Medical Assistance 3,000.00

9 Reynacris Mercurio Sudipen, La Union August 4, 2015 Medical Assistance 3,200.00

10 Annaliza Laranang Cabugao, Ilocos Sur August 4, 2015 Medical Assistance 2,000.00

11 Vernie Gil Go Bangar, La Union August 4, 2015 Medical Assistance 5,000.00

12 Mishael Dang-alan Sudipen, La Union August 4, 2015 Medical Assistance 2,000.00

13 Jovy Astrero Tubao, La Union August 5, 2015 Medical Assistance 5,000.00

14 Levy Bacate , La Union August 7, 2015 Medical Assistance 1,000.00

15 Alicia Galang , La Union August 7, 2015 Medical Assistance 1,000.00

16 Dionesia Subagan Sudipen, La Union August 7, 2015 Laboratory Procedures 1,000.00

17 Salvacion Ordinario Sudipen, La Union August 7, 2015 Laboratory Procedures 1,000.00

18 Naty Ocning Sudipen, La Union August 7, 2015 Medical Assistance 1,000.00

19 Carlos L. Pantil Jr. Bacnotan, La Union August 7, 2015 Medical Assistance 5,000.00

20 Mercedes Dian Sudipen, La Union August 7, 2015 Laboratory Procedures 1,000.00

21 Melita Veldez Sudipen, La Union August 7, 2015 Laboratory Procedures 1,000.00

22 Pacita Bona Sudipen, La Union August 7, 2015 Laboratory Procedures 1,000.00

23 Miguel Padtoc Sudipen, La Union August 7, 2015 Laboratory Procedures 1,000.00

24 Natividad Macanas Sudipen, La Union August 7, 2015 Laboratory Procedures 1,000.00

Republic of the Philippines

Department of Health

ILOCOS TRAINING AND REGIONAL MEDICAL CENTER

For the month of August year 2015

MEDICAL ASSISTANCE PROGRAM

Page 15: Ilocos Training Medical Center

25 Flora Enamag Sudipen, La Union August 7, 2015 Laboratory Procedures 1,000.00

26 Josefa Austin Sudipen, La Union August 7, 2015 Laboratory Procedures 1,000.00

27 Beatriz Budeng Sudipen, La Union August 7, 2015 Laboratory Procedures 1,000.00

28 Teodora Dagiw-as Sudipen, La Union August 7, 2015 Laboratory Procedures 1,000.00

29 Efigenia Orlina Sudipen, La Union August 7, 2015 Laboratory Procedures 1,000.00

30 Venancio Dictaan Sudipen, La Union August 7, 2015 Laboratory Procedures 1,000.00

31 Clarita Laya Sudipen, La Union August 7, 2015 Laboratory Procedures 1,000.00

32 Remedios Padilla Sudipen, La Union August 7, 2015 Laboratory Procedures 1,000.00

33 Paulina Budeng Sudipen, La Union August 7, 2015 Laboratory Procedures 1,000.00

34 Severina Budeng Sudipen, La Union August 7, 2015 Laboratory Procedures 1,000.00

35 Adelina Facun Sudipen, La Union August 7, 2015 Laboratory Procedures 1,000.00

36 Rosita Masi Ilocano Sudipen, La Union August 7, 2015 Laboratory Procedures 1,000.00

37 Lolita Apilado Sudipen, La Union August 7, 2015 Laboratory Procedures 1,000.00

38 Nena R. Apilado Sudipen, La Union August 7, 2015 Laboratory Procedures 1,000.00

39 Soledad M. Bulin Sudipen, La Union August 7, 2015 Laboratory Procedures 1,000.00

40 Caridad M, Yuson Sudipen, La Union August 7, 2015 Laboratory Procedures 1,000.00

41 Dominador M. Apilado Ilocano Sudipen, La Union August 7, 2015 Laboratory Procedures 1,000.00

42 Generoza F. Moral Sudipen, La Union August 7, 2015 Laboratory Procedures 1,000.00

43 Felisidad A. Masi Sudipen, La Union August 7, 2015 Laboratory Procedures 1,000.00

44 Cristina Lacbao Sudipen, La Union August 7, 2015 Laboratory Procedures 1,000.00

45 Manolo Culbengan Sudipen, La Union August 7, 2015 Laboratory Procedures 1,000.00

46 Jaime Macayan Sudipen, La Union August 7, 2015 Laboratory Procedures 1,000.00

47 Meriam Dimoloy Sudipen, La Union August 7, 2015 Laboratory Procedures 1,000.00

48 Adela Acuyen Sudipen, La Union August 7, 2015 Laboratory Procedures 1,000.00

49 Pepito Dulay Sudipen, La Union August 7, 2015 Laboratory Procedures 1,000.00

50 Herminio P. Valdez Sudipen, La Union August 7, 2015 Laboratory Procedures 1,000.00

51 Efraim E. Lingbaoan Sudipen, La Union August 7, 2015 Laboratory Procedures 1,000.00

52 Fema L. Mangilit Sudipen, La Union August 7, 2015 Laboratory Procedures 1,000.00

53 Orpha L. Ordinario Sudipen, La Union August 7, 2015 Laboratory Procedures 1,000.00

54 Catalina B. Masi Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

55 Catalina. M. Masi Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

56 Nerisa M. Ramos, City Of San Fernando (capital), La Union August 10, 2015 Medical Assistance 2,000.00

57 Herminia V. Apiado Burgos, Ilocos Sur August 10, 2015 Chemotherapy 5,000.00

Page 16: Ilocos Training Medical Center

58 Marcelina Garce. Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

59 Florencia Mabanes Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

60 Lolita Bucaoto Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

61 Marina Lales Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

62 Evangelina Mostoles Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

63 Emiliana Isidre Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

64 Avelina Libao Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

65 Glory Manzano Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

66 Victoria Bucaoto Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

67 Castor Libao Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

68 Leticia M. Dian Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

69 Rosita Dian. Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

70 Maria D. Quitoriano Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

71 Aurelia B. Dian Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

72 Cresencia D. Dian Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

73 Gregoria L. Macusi Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

74 Melania M. Ferolino Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

75 Trinidad M. Merlin Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

76 Norma M. Maballo Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

77 Virgilio G. Maballo Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

78 Josie Banida Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

79 Fema L. Bunias Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

80 Ely P. Cudan Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

81 Juieta E. Lacondazo Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

82 Judy Q. Madiam Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

83 Elsie L. Mangideg Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

84 Marina V. Oriente Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

85 Gina A. Pang-es Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

86 Mary Jane Wandas Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

87 Fe Amoyen Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

88 Florabel Banayo Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

89 Preciosa Lita Bautista Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

90 Sharon S. Corral Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

Page 17: Ilocos Training Medical Center

91 Flordeliza Daquing Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

92 Milagros Lagang Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

93 Lanie Maynes Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

94 Levy Miniano Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

95 Marjorie Notarte Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

96 Cheryl G. Putil Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

97 Joveline Sapla Sudipen, La Union August 10, 2015 Laboratory Procedures 1,000.00

98 Quintin Hidalgo , La Union August 11, 2015 Medical Assistance 25,000.00

99 Editha A. Mendoza Santa Maria, Ilocos Sur August 11, 2015 Chemotherapy 5,000.00

100 Willy Oler Sudipen, La Union August 11, 2015 Laboratory Procedures 1,000.00

101 Irene. Oler Sudipen, La Union August 11, 2015 Laboratory Procedures 1,000.00

102 Anita Dangle Sudipen, La Union August 11, 2015 Laboratory Procedures 1,000.00

103 Emeterio Omanito Sudipen, La Union August 11, 2015 Laboratory Procedures 1,000.00

104 Gina Palitayan Sudipen, La Union August 11, 2015 Laboratory Procedures 1,000.00

105 Ruben Lingbaoan Sudipen, La Union August 11, 2015 Laboratory Procedures 1,000.00

106 Nelia Sagud Sudipen, La Union August 11, 2015 Laboratory Procedures 1,000.00

107 Salome Amoyen Sudipen, La Union August 11, 2015 Laboratory Procedures 1,000.00

108 Arlene Bumacas Sudipen, La Union August 11, 2015 Laboratory Procedures 1,000.00

109 Jose Bumacas Sudipen, La Union August 11, 2015 Laboratory Procedures 1,000.00

110 Emily Segundo Sudipen, La Union August 12, 2015 Laboratory Procedures 1,000.00

111 Loreto Daniel Sudipen, La Union August 12, 2015 Laboratory Procedures 1,000.00

112 Jose Banez Sudipen, La Union August 12, 2015 Laboratory Procedures 1,000.00

113 James Bagsange Sudipen, La Union August 12, 2015 Laboratory Procedures 1,000.00

114 Rosita Sabastian Sudipen, La Union August 12, 2015 Laboratory Procedures 1,000.00

115 Zenaida Bacon Sudipen, La Union August 12, 2015 Laboratory Procedures 1,000.00

116 Dolores Banez Sudipen, La Union August 12, 2015 Laboratory Procedures 1,000.00

117 Melecio Amboni Sudipen, La Union August 12, 2015 Laboratory Procedures 1,000.00

118 Felicitas Balisong Sudipen, La Union August 12, 2015 Laboratory Procedures 1,000.00

119 Carlito Ledda Sudipen, La Union August 12, 2015 Laboratory Procedures 1,000.00

120 Patrocinia G. Manzano Sudipen, La Union August 12, 2015 Laboratory Procedures 1,000.00

121 Dedicacion B. Amoyen Sudipen, La Union August 12, 2015 Laboratory Procedures 1,000.00

122 Florendo Valdez Sudipen, La Union August 12, 2015 Medical Assistance 5,000.00

123 Emily Segundo Sudipen, La Union August 12, 2015 Laboratory Procedures 1,000.00

Page 18: Ilocos Training Medical Center

124 Loreto Daniel Sudipen, La Union August 12, 2015 Laboratory Procedures 1,000.00

125 Jose Banez Sudipen, La Union August 12, 2015 Laboratory Procedures 1,000.00

126 James Bagsange Sudipen, La Union August 12, 2015 Laboratory Procedures 1,000.00

127 Rosita Sebastian Sudipen, La Union August 12, 2015 Laboratory Procedures 1,000.00

128 Zenaida Bacon Sudipen, La Union August 12, 2015 Laboratory Procedures 1,000.00

129 Dolores Banez Sudipen, La Union August 12, 2015 Laboratory Procedures 1,000.00

130 Melecio Amboni Sudipen, La Union August 12, 2015 Laboratory Procedures 1,000.00

131 Felicitas Balisong Sudipen, La Union August 12, 2015 Laboratory Procedures 1,000.00

132 Carlito Ledda Sudipen, La Union August 12, 2015 Laboratory Procedures 1,000.00

133 Sheryl Paco. Sudipen, La Union August 12, 2015 Laboratory Procedures 1,000.00

134 Morena Dulatre Sudipen, La Union August 12, 2015 Laboratory Procedures 1,000.00

135 Rodolfo Arcega Sudipen, La Union August 12, 2015 Laboratory Procedures 1,000.00

136 Jose Mostoles Sudipen, La Union August 12, 2015 Laboratory Procedures 1,000.00

137 Exequiel Guzman Sudipen, La Union August 12, 2015 Laboratory Procedures 1,000.00

138 Elisa Arce Castro Sudipen, La Union August 12, 2015 Laboratory Procedures 1,000.00

139 Corazon M. Maballo Sudipen, La Union August 12, 2015 Laboratory Procedures 1,000.00

140 Aurora M. Orpilla Sudipen, La Union August 12, 2015 Laboratory Procedures 1,000.00

141 Florentina Rivera Sudipen, La Union August 12, 2015 Laboratory Procedures 1,000.00

142 Felipa Zapata Sudipen, La Union August 12, 2015 Laboratory Procedures 1,000.00

143 Josephina Onza Sudipen, La Union August 12, 2015 Laboratory Procedures 1,000.00

144 Rosemarie Dysoyco San Francisco Norte Sudipen, La Union August 12, 2015 Laboratory Procedures 1,000.00

145 Pedrito D. Carbonel San Francisco Norte Sudipen, La Union August 12, 2015 Laboratory Procedures 1,000.00

146 Juanito B. Aglutay San Francisco Norte Sudipen, La Union August 12, 2015 Laboratory Procedures 1,000.00

147 Dalmacio A. Diza San Francisco Norte Sudipen, La Union August 12, 2015 Laboratory Procedures 1,000.00

148 Rafael A. Ramolete Santa Cruz, Ilocos Sur August 12, 2015 Medical Assistance 5,000.00

149 Jemari Rose Espiritu Sudipen, La Union August 13, 2015 Medical Assistance 3,000.00

150 Lea Compas Sudipen, La Union August 13, 2015 Medical Assistance 4,200.00

151 Rosemarie Felix Candalican Santa Cruz, Ilocos Sur August 13, 2015 Medical Assistance 2,000.00

152 Jessie James G. Jimenez City Of Candon, Ilocos Sur August 14, 2015 Dialysis 2,000.00

153 Theresa G. Gratuito City Of Candon, Ilocos Sur August 14, 2015 Hospital Bills 10,000.00

154 Margie Almoite City Of San Fernando (capital), La Union August 17, 2015 Medical Assistance 5,000.00

155 Rosemarie D. Felix Candalican Santa Cruz, Ilocos Sur August 17, 2015 Medical Assistance 2,000.00

156 Roberto Padilla Rosario, La Union August 17, 2015 Medical Assistance 5,000.00

Page 19: Ilocos Training Medical Center

157 Melita G. Valdez Sudipen, La Union August 18, 2015 Medical Assistance 1,000.00

158 Dionesia Subagan Sudipen, La Union August 18, 2015 Medical Assistance 1,000.00

159 Freedom Light Cera Bangued (capital), Abra August 18, 2015 Medical Assistance 15,000.00

160 Ruvellen F. Ola Bangued (capital), Abra August 18, 2015 Medical Assistance 5,000.00

161 Jaecelle Grace Subala Bauang, La Union August 18, 2015 Medical Assistance 3,000.00

162 Albert P. Rivera City Of San Fernando (capital), La Union August 18, 2015 Medical Assistance 3,617.92

163 Telesfura Morales Balaoan, La Union August 18, 2015 Medical Assistance 5,000.00

164 Erenio Natura Balaoan, La Union August 18, 2015 Medical Assistance 2,000.00

165 Elena D. Cortez Santa Lucia, Ilocos Sur August 18, 2015 Dialysis 5,000.00

166 Yuanna Clowie C. Arcena Narvacan, Ilocos Sur August 18, 2015 Hospital Bills 5,000.00

167 Rodolfo B. Raguidin Suyo, Ilocos Sur August 19, 2015 Medical Assistance 20,000.00

168 Telesfura Morales Balaoan, La Union August 20, 2015 Medical Assistance 20,000.00

169 Erenio Natura Balaoan, La Union August 20, 2015 Medical Assistance 10,000.00

170 Jaecelle Grace Subala Bauang, La Union August 20, 2015 Medical Assistance 12,000.00

171 Lolita Amoyen Sudipen, La Union August 24, 2015 Laboratory Procedures 1,000.00

172 Francisca Perez Up-uplas Sudipen, La Union August 24, 2015 Laboratory Procedures 1,000.00

173 Patricia Quistoy Up-uplas Sudipen, La Union August 24, 2015 Laboratory Procedures 1,000.00

174 Prodencio Catcatan Up-uplas Sudipen, La Union August 24, 2015 Laboratory Procedures 1,000.00

175 Salvador Alamay Up-uplas Sudipen, La Union August 24, 2015 Laboratory Procedures 1,000.00

176 Ever Abaya Sudipen, La Union August 24, 2015 Medical Assistance 3,000.00

177 Mary Rose Polante Sudipen, La Union August 25, 2015 Medical Assistance 2,500.00

178 Ronalyn Pillos Sudipen, La Union August 25, 2015 Medical Assistance 1,000.00

179 Rosemelita G. Mendoza City Of Candon, Ilocos Sur August 25, 2015Hospital Bills and other needs

5,000.00

180 Jessie James G. Jimenez City Of Candon, Ilocos Sur August 26, 2015 Dialysis 2,000.00

181 Mila G. Gracia Tablac City Of Candon, Ilocos Sur August 26, 2015 Medical Assistance* 3,000.00

182 Stefanie E. Valencia City Of Candon, Ilocos Sur August 26, 2015 Hospital Bills 5,000.00

183 Cristina E. Ordonio Sudipen, La Union August 26, 2015 Laboratory Procedures 1,000.00

184 Emerenciana Ledda Sudipen, La Union August 26, 2015 Laboratory Procedures 1,000.00

185 Clarita O. Ledda Sudipen, La Union August 26, 2015 Laboratory Procedures 1,000.00

186 Salvacion Labayog Sudipen, La Union August 26, 2015 Laboratory Procedures 1,000.00

187 Leonida Ledda Sudipen, La Union August 26, 2015 Laboratory Procedures 1,000.00

188 Dolores E. Cachola Sudipen, La Union August 26, 2015 Laboratory Procedures 1,000.00

Page 20: Ilocos Training Medical Center

189 Nestor C. Ordinario Sudipen, La Union August 26, 2015 Laboratory Procedures 1,000.00

190 Aleja Marinas Sudipen, La Union August 26, 2015 Laboratory Procedures 1,000.00

191 Encarnacion Castro. Sudipen, La Union August 26, 2015 Laboratory Procedures 1,000.00

192 Jullana Haber Sudipen, La Union August 26, 2015 Laboratory Procedures 1,000.00

193 Robella C. Millano Santa Cruz, Ilocos Sur August 26, 2015 Hospital Bills 5,000.00

194 Sean Khalil C. Garabiles City Of Candon, Ilocos Sur August 27, 2015 Hospital Bills 5,000.00

Total Patient: 194 400,517.92

Page 21: Ilocos Training Medical Center

No # Name of Patient Address Indorsement Date Assistance Amount

1 Richard Lacondazo Sudipen, La Union September 1, 2015 Medical Assistance 49,571.00

2 Marina Abana , La Union September 2, 2015 Medical Assistance 5,000.00

3 Teresita Taquedan Sudipen, La Union September 3, 2015 Medical Assistance 1,000.00

4 Romeo Monis Sudipen, La Union September 3, 2015 Medical Assistance 4,000.00

5 Bert Miniano Sudipen, La Union September 3, 2015 Medical Assistance 1,000.00

6 Clarita Galingan Santa Cruz, Ilocos Sur September 3, 2015 Hospital Bills 5,000.00

7 Jessie James G. Jimenez City Of Candon, Ilocos Sur September 3, 2015 Dialysis 2,000.00

8 Zenaida J. Flores Santa Cruz, Ilocos Sur September 3, 2015 Laboratory Procedures 2,000.00

9 Maria Valdez. Sudipen, La Union September 4, 2015 Laboratory Procedures 1,000.00

10 Maria Bella. Sudipen, La Union September 4, 2015 Laboratory Procedures 1,000.00

11 Dolores Valdez Sudipen, La Union September 4, 2015 Laboratory Procedures 1,000.00

12 Leonida Valdez Sudipen, La Union September 4, 2015 Laboratory Procedures 1,000.00

13 Avelino Matro Sudipen, La Union September 4, 2015 Laboratory Procedures 1,000.00

14 Leonida Sarmiento Sudipen, La Union September 4, 2015 Laboratory Procedures 1,000.00

15 Florentina Marzan. Sudipen, La Union September 4, 2015 Laboratory Procedures 1,000.00

16 Greta Valdez Sudipen, La Union September 4, 2015 Laboratory Procedures 1,000.00

17 Emelita M. Cardenas Tagudin, Ilocos Sur September 4, 2015 Hospital Bills 5,000.00

18 Cresencia De Guzman Sudipen, La Union September 4, 2015 Laboratory Procedures 1,000.00

19 Elizabeth Fortes , La Union September 4, 2015 Laboratory Procedures 1,000.00

20 Ariston De Guzman Sudipen, La Union September 4, 2015 Laboratory Procedures 1,000.00

21 ,lilia De Guzman Balaoan, La Union September 4, 2015 Laboratory Procedures 1,000.00

22 Angelina Corpuz. Sudipen, La Union September 4, 2015 Laboratory Procedures 1,000.00

23 Trinidad De Guzman Sudipen, La Union September 4, 2015 Laboratory Procedures 1,000.00

24 Billy Biasora Sudipen, La Union September 4, 2015 Laboratory Procedures 1,000.00

Republic of the Philippines

Department of Health

ILOCOS TRAINING AND REGIONAL HOSPITAL

For the month of September year 2015

MEDICAL ASSISTANCE PROGRAM

Page 22: Ilocos Training Medical Center

25 Luisa Palmiano Sudipen, La Union September 4, 2015 Laboratory Procedures 1,000.00

26 Luisa Picar Sudipen, La Union September 4, 2015 Laboratory Procedures 1,000.00

27 Linda Quindoy Sudipen, La Union September 4, 2015 Laboratory Procedures 1,000.00

28 Carmelita. Reyes Sudipen, La Union September 4, 2015 Laboratory Procedures 1,000.00

29 Lourdes Macusi Sudipen, La Union September 4, 2015 Laboratory Procedures 1,000.00

30 Adoracion Ordanza Sudipen, La Union September 4, 2015 Laboratory Procedures 1,000.00

31 Ernesto Ordanza Sudipen, La Union September 4, 2015 Laboratory Procedures 1,000.00

32 Domingo Ligayo Sudipen, La Union September 4, 2015 Laboratory Procedures 1,000.00

33 Rodolfo Arcega Sudipen, La Union September 4, 2015 Laboratory Procedures 1,000.00

34 Alfredo Arcega Sudipen, La Union September 4, 2015 Laboratory Procedures 1,000.00

35 Ruby Ann R. Arcena Narvacan, Ilocos Sur September 4, 2015 Hospital Bills 3,000.00

36 Marina Abana , La Union September 7, 2015 Medical Assistance 10,000.00

37 Rogene Amboni Sudipen, La Union September 7, 2015 Medical Assistance 3,500.00

38 Elizabeth P. Balawen Sudipen, La Union September 8, 2015 Medical Assistance 20,000.00

39 Zachary Levi P. Amboni City Of San Fernando (capital), La Union September 8, 2015 Medical Assistance 20,000.00

40 Arnold R. Nangcas Tagudin, Ilocos Sur September 8, 2015 Hospital Bills 5,000.00

41 Filomena Natura Balaoan, La Union September 9, 2015 Medical Assistance 5,000.00

42 Marina Collado Sudipen, La Union September 9, 2015 Laboratory / Check-Up 1,000.00

43 Francisca Perez Up-uplas Sudipen, La Union September 9, 2015 Laboratory Procedures 1,000.00

44 Lolita Amoyen Sudipen, La Union September 9, 2015 Laboratory Procedures 1,000.00

45 Patricia Quistoy Up-uplas Sudipen, La Union September 9, 2015 Laboratory Procedures 1,000.00

46 Alfredo Garces Sudipen, La Union September 9, 2015 Medical Assistance 1,000.00

47 Rizaldo Leal Sudipen, La Union September 9, 2015 Medical Assistance 1,000.00

48 Salvador Alamay Up-uplas Sudipen, La Union September 9, 2015 Laboratory Procedures 1,000.00

49 Prodencio Catcatan Up-uplas Sudipen, La Union September 9, 2015 Laboratory Procedures 1,000.00

50 Jose Garces Sudipen, La Union September 9, 2015 Medical Assistance 1,000.00

51 Petrocinia Manzano Sudipen, La Union September 9, 2015 Laboratory Procedures 1,000.00

52 Dedicacion B. Amoyen Sudipen, La Union September 9, 2015 Laboratory Procedures 1,000.00

53 Benjamin Ramos Sudipen, La Union September 9, 2015 Medical Assistance 1,000.00

54 Emilia Ramos Sudipen, La Union September 9, 2015 Medical Assistance 1,000.00

55 Antonio Ramos Sudipen, La Union September 9, 2015 Medical Assistance 1,000.00

56 Elizabeth Bacon Sudipen, La Union September 9, 2015 Medical Assistance 1,000.00

57 Damiana Lagon Sudipen, La Union September 9, 2015 Medical Assistance 1,000.00

Page 23: Ilocos Training Medical Center

58 Rubina Gaoen Sudipen, La Union September 9, 2015 Medical Assistance 1,000.00

59 Sigundina Cornel Sudipen, La Union September 9, 2015 Medical Assistance 1,000.00

60 Ophelia Bacon Sudipen, La Union September 9, 2015 Medical Assistance 1,000.00

61 Eden Salico Sudipen, La Union September 9, 2015 Medical Assistance 1,000.00

62 Elpidio Cioba Sudipen, La Union September 9, 2015 Medical Assistance 1,000.00

63 Marciano Bacon Sudipen, La Union September 9, 2015 Medical Assistance 1,000.00

64 Simeon Lagon Sudipen, La Union September 9, 2015 Medical Assistance 1,000.00

65 Joy Salico Sudipen, La Union September 9, 2015 Medical Assistance 1,000.00

66 Virginia Acosta Sudipen, La Union September 9, 2015 Medical Assistance 1,000.00

67 Antonio Acosta Sudipen, La Union September 9, 2015 Medical Assistance 1,000.00

68 Remedios Grifaldeo Sudipen, La Union September 9, 2015 Medical Assistance 1,000.00

69 Jaime Monis Sudipen, La Union September 9, 2015 Medical Assistance 1,000.00

70 Ilominada Acosta Sudipen, La Union September 9, 2015 Medical Assistance 1,000.00

71 Anastacio Acosta Sudipen, La Union September 9, 2015 Medical Assistance 1,000.00

72 Florendo Valdez Sudipen, La Union September 9, 2015 Medical Assistance 1,000.00

73 Mary Rose Polante Sudipen, La Union September 9, 2015 Medical Assistance 1,000.00

74 Abraham Ocasen Suyo, Ilocos Sur September 9, 2015 Medical Assistance 15,000.00

75 Alberto Padilla Rosario, La Union September 9, 2015 Medical Assistance 5,000.00

76 Milagros L. Garcia Bimmanga Tagudin, Ilocos Sur September 9, 2015 Medical Assistance 4,000.00

77 Emilio Badua Sudipen, La Union September 9, 2015 Laboratory Procedures 1,000.00

78 Alfredo Daniel Sudipen, La Union September 9, 2015 Laboratory Procedures 1,000.00

79 Merly Mallare Caba, La Union September 9, 2015 Medical Assistance 4,000.00

80 Wennie Gaile Tumicad Sudipen, La Union September 11, 2015 Medical Assistance 4,300.00

81 Mildred Banno Sudipen, La Union September 11, 2015 Medical Assistance 20,000.00

82 Ralph Arvin Torib Sudipen, La Union September 15, 2015 Medical Assistance 4,500.00

83 Agustin Soni Dangle Iii Sudipen, La Union September 16, 2015 Medical Assistance 10,000.00

84 Andrea Kate B. Lorenzana Tagudin, Ilocos Sur September 17, 2015 Hospital Bills 3,000.00

85 Mariano Lopez Balaoan, La Union September 17, 2015 Medical Assistance 10,000.00

86 Jessie James G. Jimenez City Of Candon, Ilocos Sur September 17, 2015 Dialysis 3,000.00

87 Gloria Arce , La Union September 18, 2015 Medical Assistance 1,000.00

88 Estela Banes , La Union September 18, 2015 Medical Assistance 1,000.00

89 Princess Angel Llaneras , La Union September 18, 2015 Medical Assistance 1,000.00

90 Maria Mabel Libao , La Union September 18, 2015 Medical Assistance 4,000.00

Page 24: Ilocos Training Medical Center

91 Lawrence A. Montero Narvacan, Ilocos Sur September 18, 2015 Hospital Bills 5,000.00

92 Herminia V. Apiado Burgos, Ilocos Sur September 18, 2015 Chemotherapy 2,000.00

93 Virgilio O. Valdez Balaoan, La Union September 18, 2015 Medical Assistance 10,000.00

94 Andrea Kate Lorenzano Tagudin, Ilocos Sur September 21, 2015 Medical Assistance 4,000.00

95 Robin D. Doclara Tagudin, Ilocos Sur September 21, 2015 Medical Assistance 4,000.00

96 Virgilio O. Valdez Balaoan, La Union September 21, 2015 Medical Assistance 6,000.00

97 Roleta A. Manangbao Lagangilang, Abra September 21, 2015 Medical Assistance 15,000.00

98 Librada Saguiped Langiden, Abra September 21, 2015 Medical Assistance 5,000.00

99 Virgilio Martos Sudipen, La Union September 21, 2015 Medical Assistance 4,000.00

100 John Mark R. Gomez Sudipen, La Union September 21, 2015 Medical Assistance 5,000.00

101 Norma Olbinado Balaoan, La Union September 22, 2015 Medical Assistance 5,000.00

102 Ligaya P. Daniel Sudipen, La Union September 23, 2015 Medical Assistance 5,000.00

103 Felipe Tangog Santa Cruz, Ilocos Sur September 23, 2015 Hospital Bills 4,000.00

104 Orlando D. Conde Sudipen, La Union September 23, 2015 Medical Assistance 5,000.00

105 Patricia Sayangda Sudipen, La Union September 23, 2015 Medical Assistance 5,000.00

106 Antonia Dian. Sudipen, La Union September 24, 2015 Medical Assistance 1,000.00

107 Tirso Sangalang Balaoan, La Union September 28, 2015 Medical Assistance 5,000.00

108 Robin D. Doclaran Tagudin, Ilocos Sur September 28, 2015 Medical Assistance 5,000.00

109 Neil Z. Galano Villa Laurencia Santa Cruz, Ilocos Sur September 28, 2015 Medical Assistance 3,000.00

110 Estrella Jimenez Sudipen, La Union September 29, 2015 Medical Assistance 1,000.00

111 Ana Bisoy Sudipen, La Union September 29, 2015 Laboratory Procedures 1,000.00

112 Marina Magpali Sudipen, La Union September 29, 2015 Medical Assistance 1,000.00

113 Magdalena Tadios Sudipen, La Union September 29, 2015 Medical Assistance 1,000.00

114 Edna Lang-es Sudipen, La Union September 29, 2015 Laboratory Procedures 1,000.00

115 Stephanie Aldao Sudipen, La Union September 29, 2015 Laboratory Procedures 1,000.00

116 Glory Balisong Sudipen, La Union September 29, 2015 Laboratory Procedures 1,000.00

117 Pacencia Dicang Sudipen, La Union September 29, 2015 Laboratory Procedures 1,000.00

118 Agostina Padtoc Sudipen, La Union September 29, 2015 Laboratory Procedures 1,000.00

119 Marcelina Angliwan Sudipen, La Union September 29, 2015 Laboratory Procedures 1,000.00

120 Antonia Dian. Sudipen, La Union September 29, 2015 Laboratory Procedures 1,000.00

121 Mark Joseph F. Bolima City Of Candon, Ilocos Sur September 29, 2015 Hospital Bills 20,000.00

122 Dedicacion B. Amoyen Sudipen, La Union September 30, 2015 Medical Assistance 1,000.00

123 Patrocinia G. Manzano Sudipen, La Union September 30, 2015 Medical Assistance 1,000.00

Page 25: Ilocos Training Medical Center

124 Glory S. Rubio Salcedo (baugen), Ilocos Sur September 30, 2015 Hospital Bills 5,000.00

125 Catherine Reamucio City Of San Fernando (capital), La Union September 30, 2015 Medical Assistance 10,000.00

Total Patient: 125 435,871.00

Page 26: Ilocos Training Medical Center

No # Name of Patient Address Indorsement Date Assistance Amount

1 Jose Magarro Jr. Sudipen, La Union October 1, 2015 Medical Assistance 2,000.00

2 Patricio Macusi Sudipen, La Union October 1, 2015 Medical Assistance 4,000.00

3 Robin D. Doclara Tagudin, Ilocos Sur October 1, 2015 Medical Assistance 5,000.00

4 Rolly D. Aguilar Santa Cruz, Ilocos Sur October 1, 2015 Medical Assistance 5,000.00

5 Asuncion C. Castro San Esteban, Ilocos Sur October 5, 2015 Medical Assistance 5,000.00

6 Ryan V. Lagumbay Santa Cruz, Ilocos Sur October 5, 2015 Medical Assistance 5,000.00

7 Creselda Alcartado Sudipen, La Union October 6, 2015 Medical Assistance 3,000.00

8 John Mckee Pineda Bacnotan, La Union October 6, 2015 Medical Assistance 3,500.00

9 Danilo S. Cudiamat Banayoyo, Ilocos Sur October 7, 2015 Medical Assistance 5,000.00

10 Rosita Igarta Sudipen, La Union October 7, 2015 Medical Assistance 3,000.00

11 Reynaldo E. Contaoi Banayoyo, Ilocos Sur October 9, 2015 Medical Assistance 8,000.00

12 Rolly L. Sipin Tagudin, Ilocos Sur October 9, 2015 Medical Assistance 8,000.00

13 Jayzelle Ayee S. Dangalan City Of San Fernando (capital), La Union October 9, 2015 Medical Assistance 10,000.00

14 Pia Dolores Alviar Morla City Of San Fernando (capital), La Union October 9, 2015 Medical Assistance 10,000.00

15 Gerry Agyapas Sudipen, La Union October 12, 2015 Medical Assistance 1,000.00

16 Jayzelle Ayee S. Dangalan City Of San Fernando (capital), La Union October 12, 2015 Medical Assistance 5,000.00

17 Pia Dolores Alviar Morla City Of San Fernando (capital), La Union October 12, 2015 Medical Assistance 5,000.00

18 Ricky B. Alviar Burgos, Ilocos Sur October 13, 2015 Medical Assistance 8,000.00

19 Jonathan M. Quodala City Of Candon, Ilocos Sur October 21, 2015 Medical Assistance 20,000.00

20 Wilfredo C. Bielza City Of Candon, Ilocos Sur October 22, 2015 Medical Assistance 10,000.00

21 Sarah Jane B. Olaviaga Suyo, Ilocos Sur October 22, 2015 Medical Assistance 5,000.00

22 Neil Z. Galano Villa Laurencia Santa Cruz, Ilocos Sur October 22, 2015 Medical Assistance 3,000.00

23 Myke Sheanczar Orencia Laroco City Of San Fernando (capital), La Union October 26, 2015 Medical Assistance 5,000.00

Republic of the Philippines

Department of Health

ILOCOS TRAINING AND REGIONAL MEDICAL CENTER

For the month of October year 2015

MEDICAL ASSISTANCE PROGRAM

Page 27: Ilocos Training Medical Center

24 Danilo S. Cudiamat Banayoyo, Ilocos Sur October 26, 2015 Chemotherapy 5,000.00

25 Ramil N. Ledda Balaoan, La Union October 27, 2015 Medical Assistance 10,000.00

26 Melissa T. Luyas Balaoan, La Union October 27, 2015 Medical Assistance 10,000.00

27 Rodolfo B. Raguindin Suyo, Ilocos Sur October 28, 2015 Medical Assistance 30,000.00

28 Georgia Mae Caole Anda, Pangasinan October 28, 2015 Medical Assistance 15,000.00

29 Ernesto T. Daoa Suyo, Ilocos Sur October 28, 2015 Medical Assistance 15,000.00

30 Erna Mendoza Lidlidda, Ilocos Sur October 29, 2015 Chemotherapy 5,000.00

31 Patricio Macusi Sudipen, La Union October 29, 2015 Medical Assistance 5,000.00

32 Elizabeth Fortes , La Union October 30, 2015 Medical Assistance 5,000.00

33 Jan Kaila Corpuz Sudipen, La Union October 30, 2015 Medical Assistance 5,000.00

34 Patricio Macusi Sudipen, La Union October 30, 2015 Medical Assistance 5,000.00

Total Patient: 34 248,500.00

Page 28: Ilocos Training Medical Center

No # Name of Patient Address Indorsement Date Assistance Amount

1 Richel Baldevieso Laurente Bangued (capital), Abra November 2, 2015 Medical Assistance 8,800.00

2 Crisencio Rafael , La Union November 2, 2015 Medical Assistance 5,000.00

3 Cristina P. Carbonel, Caba, La Union November 2, 2015 Medical Assistance 6,000.00

4 Shiela Mae Sumalpong , Ilocos Sur November 2, 2015 Medical Assistance 3,500.00

5 Jennilyn Morla Sudipen, La Union November 3, 2015 Medical Assistance 5,000.00

6 Jimmielle Kizzy Sly Lopez Sudipen, La Union November 3, 2015 Medical Assistance 5,000.00

7 Jeronimo Mostoles Sudipen, La Union November 3, 2015 Medical Assistance 28,000.00

8 Perlito Disono Bangued (capital), Abra November 4, 2015 Medical Assistance 4,000.00

9 Liwliwa Maala Sudipen, La Union November 5, 2015 Medical Assistance 3,000.00

10 Antonio Barnachea , Ilocos Sur November 5, 2015 Medical Assistance 5,000.00

11 Vincent P. Pascua Narvacan, Ilocos Sur November 6, 2015 Medical Assistance 7,000.00

12 Wilfredo L Alcartado , La Union November 6, 2015 Medical Assistance 5,000.00

13 Keith Russel Col-long Salcedo (baugen), Ilocos Sur November 6, 2015 Medical Assistance 5,000.00

14 Alberto Padilla Rosario, La Union November 6, 2015 Medical Assistance 5,000.00

15 Rogelio C. Barnachea Jr Bacnotan, La Union November 9, 2015 Medical Assistance 5,000.00

16 Michael B. Licay Bacnotan, La Union November 9, 2015 Medical Assistance 5,000.00

17 Ralph Sherwin Vilog Bacnotan, La Union November 9, 2015 Medical Assistance 5,000.00

18 Carlos L. Pantil Jr. Bacnotan, La Union November 9, 2015 Medical Assistance 5,000.00

19 Jan Kaila Corpuz Sudipen, La Union November 9, 2015 Medical Assistance 5,000.00

20 Aries A. Bermudez Narvacan, Ilocos Sur November 9, 2015 Medical Assistance 5,000.00

21 Teresita G. Castillo Narvacan, Ilocos Sur November 10, 2015 Medical Assistance 3,000.00

22 Caridad Fontanilla , La Union November 11, 2015 Medical Assistance 3,000.00

23 Justina Mumar , La Union November 11, 2015 Medical Assistance 3,000.00

24 Darwin Bunagen , La Union November 11, 2015 Medical Assistance 3,000.00

Republic of the Philippines

Department of Health

ILOCOS TRAINING AND REGIONAL MEDICAL CENTER

For the month of November year 2015

MEDICAL ASSISTANCE PROGRAM

Page 29: Ilocos Training Medical Center

25 Letty B. Badol Suyo, Ilocos Sur November 12, 2015 Medical Assistance 8,000.00

26 Esmeralda Vargas , La Union November 13, 2015 Medical Assistance 3,000.00

27 Lyn Lyn Big-asan , La Union November 13, 2015 Medical Assistance 3,000.00

28 Esmeralda Vargas , La Union November 13, 2015 Medical Assistance 3,000.00

29 Esmeralda Vergara , La Union November 16, 2015 Medical Assistance 3,000.00

30 Emilia Ramos Sudipen, La Union November 16, 2015 Medical Assistance 5,000.00

31 Flordeliza Libao Sudipen, La Union November 16, 2015 Medical Assistance 1,000.00

32 Batay-an Maguensay Santos Tubo, Abra November 23, 2015 Medical Assistance 15,000.00

33 Marissa Moster , La Union November 23, 2015 Medical Assistance 5,000.00

34 Corazon Luquingan , La Union November 23, 2015 Medical Assistance 5,000.00

35 Jose A. Rico Santa Lucia, Ilocos Sur November 23, 2015 Medical Assistance 5,000.00

36 Magdalena Leonen , La Union November 24, 2015 Medical Assistance 1,000.00

37 Romeo Tabios Suyo, Ilocos Sur November 24, 2015 Medical Assistance 20,000.00

38 Bernalyn J. Javinar Santa Cruz, Ilocos Sur November 24, 2015 Medical Assistance 5,000.00

39 Charlie B. Olaviaga Suyo, Ilocos Sur November 24, 2015 Medical Assistance 8,000.00

40 Jinky Cabaya , La Union November 25, 2015 Medical Assistance 5,000.00

41 Antonio Oslay , La Union November 25, 2015 Medical Assistance 5,000.00

42 Mary Jane Lopez. Villasis, Pangasinan November 25, 2015 Medical Assistance 40,000.00

43 Marissa S. Fabro Suyo, Ilocos Sur November 25, 2015 Medical Assistance 4,000.00

44 John Lester Raquedan Balaoan, La Union November 25, 2015 Medical Assistance 5,000.00

45 Irene Obar Obra Balaoan, La Union November 25, 2015 Medical Assistance 5,000.00

46 Ghenro Inego Gutierrez Balaoan, La Union November 25, 2015 Medical Assistance 5,000.00

47 Christian Lardizabal Sudipen, La Union November 26, 2015 Medical Assistance 1,000.00

48 Marissa S. Fabro Suyo, Ilocos Sur November 26, 2015 Medical Assistance 4,000.00

49 Jean Velarde City Of San Fernando (capital), La Union November 27, 2015 Medical Assistance 10,000.00

50 Juvie Ann Miralles , La Union November 27, 2015 Medical Assistance 1,000.00

51 Joana Joy Espiritu Sudipen, La Union November 27, 2015 Medical Assistance 5,000.00

52 Julieta C. Abaya City Of Candon, Ilocos Sur November 27, 2015 Medical Assistance 5,000.00

53 Charlie B. Olaviaga Suyo, Ilocos Sur November 27, 2015 Medical Assistance 6,000.00

Total Patient: 53 328,300.00

Page 30: Ilocos Training Medical Center

No # Name of Patient Address Indorsement Date Assistance Amount

1 Neil Z. Galano Villa Laurencia Santa Cruz, Ilocos Sur December 1, 2015 Medical Assistance 3,000.00

2 Alfreo D. Pagaduan Tagudin, Ilocos Sur December 1, 2015 Medical Assistance 6,000.00

3 Alfredo D. Pagaduan Tagudin, Ilocos Sur December 1, 2015 Medical Assistance 6,000.00

4 Danilo S. Cudiamat Banayoyo, Ilocos Sur December 2, 2015 Medical Assistance 5,000.00

5 Cheyser Bulacso Tan , La Union December 2, 2015 Medical Assistance 5,000.00

6 Godfrey D. Ramos Santiago, Ilocos Sur December 2, 2015 Medical Assistance 3,000.00

7 Adela T. Bisnan Bucay, Abra December 4, 2015 Medical Assistance 15,000.00

8 Markos Lapitan , Ilocos Sur December 4, 2015 Medical Assistance 5,000.00

9 Marina Magpali Sudipen, La Union December 4, 2015 Medical Assistance 1,000.00

10 Filomena Orfiano Natura Balaoan, La Union December 4, 2015 Medical Assistance 10,000.00

11 Baby Girl Oliviaga Suyo, Ilocos Sur December 7, 2015 Medical Assistance 3,000.00

12 Vicente Banno , La Union December 10, 2015 Medical Assistance 5,000.00

13 Angela Siquiang , La Union December 10, 2015 Medical Assistance 5,000.00

14 Johana Marie Agaton Macatiag Langiden, Abra December 11, 2015 Medical Assistance 20,000.00

15 Norma Orfiano Bautista, Balaoan, La Union December 11, 2015 Medical Assistance 10,000.00

16 Edrian Noel A. Annaguey Salcedo (baugen), Ilocos Sur December 15, 2015 Medical Assistance 10,000.00

17 Jollidel Andaya , La Union December 15, 2015 Medical Assistance 5,000.00

18 Lilia De Guzman Balaoan, La Union December 15, 2015 Medical Assistance 5,000.00

19 Edrian Noel A. Annaguey Salcedo (baugen), Ilocos Sur December 17, 2015 Medical Assistance 10,000.00

20 Raul V. Laranang Tagudin, Ilocos Sur December 18, 2015 Medical Assistance 10,000.00

21 Ignacio Corpuz , La Union December 21, 2015 Medical Assistance 5,000.00

22 Neil Z. Galano Villa Laurencia Santa Cruz, Ilocos Sur December 22, 2015 Medical Assistance 5,000.00

23 Daniel V. Ramirez Narvacan, Ilocos Sur December 22, 2015 Medical Assistance 10,000.00

24 Mc Daryll L. Albano Tagudin, Ilocos Sur December 28, 2015 Medical Assistance 10,000.00

Republic of the Philippines

Department of Health

ILOCOS TRAINING AND REGIONAL MEDICAL CENTER

For the month of December year 2015

MEDICAL ASSISTANCE PROGRAM

Page 31: Ilocos Training Medical Center

25 Jeffrey L. Barbado Santa Cruz, Ilocos Sur December 28, 2015 Medical Assistance 4,000.00

26 Angeli Manzano , La Union December 28, 2015 Medical Assistance 5,000.00

27 Johnsan Dacuag , La Union December 28, 2015 Medical Assistance 3,000.00

28 Mark Anthony Solamo , La Union December 28, 2015 Medical Assistance 3,000.00

29 Mamerto Magile , La Union December 28, 2015 Medical Assistance 5,000.00

30 Eugenia Tagata , La Union December 29, 2015 Medical Assistance 5,000.00

Total Patient: 30 197,000.00