42
Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CAR Total Allocation: Php. 23,230,000.00 AMOUNT ACTUAL UTILIZATION BALANCE 1 Maranes Arabella Jem Espada Gibraltar, Baguio City Hospitalization 30,000.00 30,000.00 - 2 Bullod Leonida Agyao Loakan, Baguio City Hospitalization 14,041.40 14,041.40 - 3 Laberinto Gregorio Sarmiento BGH Compound, Baguio City Hospitalization 9,951.80 9,951.80 - 4 Bolla, Cesar Puddal Kias, Baguio City Hemodialysis 22,000.00 22,000.00 - 5 Kilongan, Winston Bangcawayan Brookside, Baguio City Hospitalization 16,934.50 16,934.50 - 6 Valdez, Althea Joy Macadaeg West Quirino Hill. B.C Hospitalization 12,226.43 12,226.43 - 7 Ansary, Jalil Ditangcapan CityCamp Central, Baguio City Hospitalization 1,000.00 1,000.00 - 8 Almoda, Jamesward Ganado Militay Cut-off, Baguio City Hospitalization 31,209.56 31,209.56 - 9 Coc-obab, Jennifer Enteria BonifacioSt, Baguio City Hospitalization 5,541.94 5,541.94 - 10 Brioso, Victoria Crecencia Cadate Dontogan, Baguio City Hospitalization 8,550.69 8,550.69 - 11 Bantiyao, Emelita Ruba Irisan Baguio City Hospitalization 19,105.00 19,105.00 - 12 Solera, Geraldine Confinente BGH Compound, Baguio City Hospitalization 28,178.39 28,178.39 - 13 Gatudan, Linda Ded-ay Sanitary Camp, Baguio City Hemodialysis 4,400.00 4,400.00 - 14 Benigno, Josephine Labarento Dominican Extn., Baguio City Hospitalization 12,000.00 12,000.00 - 15 Aspiras Conrado Lorenzo Pucay, Pinsao, Baguio City Hospitalization 3,989.00 3,989.00 - 16 Razote, Ferdinand Pilar New Lucban, Baguio City Hospitalization 4,000.00 4,000.00 - 17 Balisong, Evelyn Pit-og Bakakeng Norte, Baguio City Hospitalization 7,290.25 7,290.25 - 18 Viado, Roland Peralta Ambiong Rd, Baguio City Hospitalization 6,996.25 6,996.25 - 19 Buazon, PlacidoRacaza Crystal Cave, Baguio City Hospitalization 6,904.18 6,904.18 - 20 Perez, Kristan Kyle San Luis Village, Baguio City Hospitalization 4,025.75 4,025.75 - 21 Padilla, Ramon, Bernardo City Camp, Baguio City Hemodialysis 7,500.00 6,600.00 900.00 22 Castillo, Salvador Soriano Pacdal, Baguio City Medicines 20,000.00 - 20,000.00 23 Vergara, Jasmin Narte Green Valley, Baguio City Hospitalization 4,022.62 4,022.62 - 24 Tolentino, Dhalia Calosa Bayan Park, Baguio City Hospitalization 9,000.00 - 9,000.00 MEDICAL ASSISTANCE PROGRAM FUND UTILIZATION REPORT As of September 30, 2014 No. NAME OF PATIENTS ADDRESS (District, City/ Mun., Prov.) TYPE OF ASSISTANCE (Given) GUARANTEE LETTER (GL) ISSUED REMARKS 1 of 42 BGHMC - MAP

MEDICAL ASSISTANCE PROGRAM FUND UTILIZATION REPORT …bghmc.doh.gov.ph/wp-content/uploads/2015/05/map-2014-09.pdf · MEDICAL ASSISTANCE PROGRAM FUND UTILIZATION REPORT As of September

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Page 1: MEDICAL ASSISTANCE PROGRAM FUND UTILIZATION REPORT …bghmc.doh.gov.ph/wp-content/uploads/2015/05/map-2014-09.pdf · MEDICAL ASSISTANCE PROGRAM FUND UTILIZATION REPORT As of September

Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

1 Maranes Arabella Jem Espada Gibraltar, Baguio City Hospitalization 30,000.00 30,000.00 -2 Bullod Leonida Agyao Loakan, Baguio City Hospitalization 14,041.40 14,041.40 -3 Laberinto Gregorio Sarmiento BGH Compound, Baguio City Hospitalization 9,951.80 9,951.80 -4 Bolla, Cesar Puddal Kias, Baguio City Hemodialysis 22,000.00 22,000.00 -5 Kilongan, Winston Bangcawayan Brookside, Baguio City Hospitalization 16,934.50 16,934.50 -6 Valdez, Althea Joy Macadaeg West Quirino Hill. B.C Hospitalization 12,226.43 12,226.43 -7 Ansary, Jalil Ditangcapan CityCamp Central, Baguio City Hospitalization 1,000.00 1,000.00 -8 Almoda, Jamesward Ganado Militay Cut-off, Baguio City Hospitalization 31,209.56 31,209.56 -9 Coc-obab, Jennifer Enteria BonifacioSt, Baguio City Hospitalization 5,541.94 5,541.94 -

10 Brioso, Victoria Crecencia CadaterDontogan, Baguio City Hospitalization 8,550.69 8,550.69 -11 Bantiyao, Emelita Ruba Irisan Baguio City Hospitalization 19,105.00 19,105.00 -12 Solera, Geraldine Confinente BGH Compound, Baguio City Hospitalization 28,178.39 28,178.39 -13 Gatudan, Linda Ded-ay Sanitary Camp, Baguio City Hemodialysis 4,400.00 4,400.00 -14 Benigno, Josephine Labarento Dominican Extn., Baguio City Hospitalization 12,000.00 12,000.00 -15 Aspiras Conrado Lorenzo Pucay, Pinsao, Baguio City Hospitalization 3,989.00 3,989.00 -16 Razote, Ferdinand Pilar New Lucban, Baguio City Hospitalization 4,000.00 4,000.00 -17 Balisong, Evelyn Pit-og Bakakeng Norte, Baguio City Hospitalization 7,290.25 7,290.25 -18 Viado, Roland Peralta Ambiong Rd, Baguio City Hospitalization 6,996.25 6,996.25 -19 Buazon, PlacidoRacaza Crystal Cave, Baguio City Hospitalization 6,904.18 6,904.18 -20 Perez, Kristan Kyle San Luis Village, Baguio City Hospitalization 4,025.75 4,025.75 -21 Padilla, Ramon, Bernardo City Camp, Baguio City Hemodialysis 7,500.00 6,600.00 900.0022 Castillo, Salvador Soriano Pacdal, Baguio City Medicines 20,000.00 - 20,000.0023 Vergara, Jasmin Narte Green Valley, Baguio City Hospitalization 4,022.62 4,022.62 -24 Tolentino, Dhalia Calosa Bayan Park, Baguio City Hospitalization 9,000.00 - 9,000.00

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

1 of 42 BGHMC - MAP

Page 2: MEDICAL ASSISTANCE PROGRAM FUND UTILIZATION REPORT …bghmc.doh.gov.ph/wp-content/uploads/2015/05/map-2014-09.pdf · MEDICAL ASSISTANCE PROGRAM FUND UTILIZATION REPORT As of September

Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

25 Orpilla, amor Inacay DPS Cmp, Baguio City Hemodialysis 4,400.00 4,400.00 -26 Tandoc, Leandro Simeon Pinget, Baguio City Hemodialysis 4,400.00 - 4,400.0027 Bagano, Edwin Sr. Annatil San Carlos Hgts, Baguio City Hemodialysis 4,400.00 4,400.00 -28 Tomas, Robert Sakiwat Magsaysay, Baguio City Hemodialysis 4,400.00 4,400.00 -29 Sakiwat, april Vincent Magsaysay, Baguio City Hemodialysis 4,400.00 4,400.00 -30 Cacayurin, Willy Monis Pinget, Baguio City Hospitalization 20,000.00 20,000.00 -31 Recile, Rocky Comila Pinget, Baguio City Hemodialysis 4,400.00 - 4,400.0032 Sannadan, Nancy Boa Cadaclan, Happy Hallow, Baguio CityHospitalization 37,288.00 37,288.00 -33 Tumingeb, Guigeon Falingchan Cypress, Irisan, Baguio Citry Hemodialysis 4,400.00 4,400.00 -34 Gayao, Agustin Tacay Apugan, Irisan, Baguio City Hemodialysis 4,400.00 - 4,400.0035 Domingo, Rolando Cora Lourdes, Subd., Baguio City Hemodialysis 4,400.00 - 4,400.0036 Carino, Rene Richmond Ulalan Dominican Hill, Baguio City Hemodialysis 4,400.00 - 4,400.0037 Taynan, Jerry Galacyan Magsaysay, Baguio City Hemodialysis 4,400.00 - 4,400.0038 Gamboa, Juluis Sardoma P. Burgos, Baguio City Ct-scan, Labs 13,030.00 - 13,030.0039 Vinluan, Jenny Lee Espiritu Gibraltar, Baguio City Hospitalization 11,270.37 11,270.37 -40 Panda, rasmiah Tatao Queen of Peace, Baguio City Hospitalization 2,082.35 2,082.35 -41 Uligan, Francisco Ssongcuan Fairview, Baguio City Hospitalization 11,900.40 11,900.40 -42 Clemente, Virgilio Baut Honeymoon Rd., Baguio City Hemodialysis 4,400.00 - 4,400.0043 Isilen, Fernando Sugmayao Camp 8, Baguio City Hemodialysis 4,400.00 - 4,400.0044 Artos, Jenny Rose Galace Irisan Baguio City Hemodialysis 4,400.00 - 4,400.0045 Dumansi, Erly Walincitan Pinsao, Baguio City Hemodialysis 4,400.00 4,400.00 -46 Ayson, Nancy Calica Pinget, Baguio City Hemodialysis 4,400.00 - 4,400.0047 Balangitan, Rex Olban Balacbac, Baguio City Hemodialysis 4,400.00 4,400.00 -48 Lakibo, Carmina Hamilosen Bakakeng Central, Baguio City Hospitalization 7,452.80 7,452.80 -

2 of 42 BGHMC - MAP

Page 3: MEDICAL ASSISTANCE PROGRAM FUND UTILIZATION REPORT …bghmc.doh.gov.ph/wp-content/uploads/2015/05/map-2014-09.pdf · MEDICAL ASSISTANCE PROGRAM FUND UTILIZATION REPORT As of September

Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

49 Mendoza, Julius Cesar Ventura Dontogan, Baguio City Hemodialysis 4,400.00 - 4,400.0050 David, Michael Angelo Sto DomingoKayang Ext., Baguio City Hospitalization 5,282.69 5,282.69 -51 Sollarano, Bienvenido Gama San Luis Village, Baguio City Hospitalization 3,405.50 3,405.50 -52 De Guzman, Diana Gonzales Bakakeng, Baguio City Hemodialysis 4,400.00 - 4,400.0053 Binay-an, Mary Grace Domullog Irisan Baguio City Hemodialysis 4,400.00 - 4,400.0054 Baniguen, Dominga Lubo-od Gibraltar, Baguio City Hemodialysis 4,400.00 - 4,400.0055 Linsayen, Quakelyn Canuteb San Carlos Hgts, Baguio City Hemodialysis 4,400.00 4,400.00 -56 Boaging, Manuel Nanam San Carlos Hgts, Baguio City Hemodialysis 4,400.00 - 4,400.0057 Balisongen, Ben Irisan Baguio City Hospitalization 31,188.50 - 31,188.5058 Todlem, Requino Francisco Pinsao, Baguio City Hemodialysis 4,400.00 4,400.00 -59 Bango, Grace Dupingay San Carlos Hgts, Baguio City Hemodialysis 4,400.00 - 4,400.0060 Bumacas, Marco Valdez Quirino Hill, Baguio City Hemodialysis 4,400.00 - 4,400.0061 Benitez, Almario Jr Fernandez Campo Sioco, Baguio City Hemodialysis 4,400.00 4,400.00 -62 Bustarde, Emilda Seguin Pacdal, Baguio City Hemodialysis 4,400.00 4,400.00 -63 Enrade, Adela Baldomero San Carlos Hgts, Baguio City Hemodialysis 4,400.00 - 4,400.0064 Mangusan, Delfin Gomari Quirino Hill, Baguio City Hemodialysis 4,400.00 - 4,400.0065 Monteclaro, Agustina Esmenia Bonifacio St, Baguio City Hemodialysis 4,400.00 - 4,400.0066 Monteclaro, Gemma Esmena Bonifacio St, Baguio City Hemodialysis 4,400.00 - 4,400.0067 Cruz, Roel Laguipo Pacdal, Baguio City Hemodialysis 4,400.00 4,400.00 -68 Alarcon, Maleito Cabrillos Camdas, Baguio City Hospitalization 3,300.00 3,300.00 -69 Bastas, Shaly Cris Degay Irisan Baguio City Hemodialysis 4,400.00 - 4,400.0070 Legaspi, Mariel Real Pinget, Baguio City Hospitalization 2,954.37 2,954.37 -71 Buenavente, Meriam Paycowan Holy Ghost, Baguio City Hemodialysis 4,400.00 - 4,400.0072 Gaspar, Hilda Gigway Balsigan, Baguio City Hemodialysis 4,400.00 - 4,400.00

3 of 42 BGHMC - MAP

Page 4: MEDICAL ASSISTANCE PROGRAM FUND UTILIZATION REPORT …bghmc.doh.gov.ph/wp-content/uploads/2015/05/map-2014-09.pdf · MEDICAL ASSISTANCE PROGRAM FUND UTILIZATION REPORT As of September

Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

73 Resma, Jayson Caramat Loakan, Baguio City Hospitalization 4,612.37 4,612.37 -74 Libao, Reynante Samson QM. Baguio City Ct-scan, Labs 6,600.00 - 6,600.0075 Pet-ak, Lucio Ampatey Balsigan, Baguio City Hemodialysis 4,400.00 - 4,400.0076 Felix, Mary Grace Tada Itogon, Benguet Hospitalization 6,389.30 6,389.30 -77 Alla, Joseph Edgar Agustin Aurora Hill, Baguio City Hospitalization 12,970.50 - 12,970.5078 Cabutotan, Bonifacio Madriaga Country Club, Baguio City Hospitalization 11,800.22 - 11,800.2279 Daw-as, Andres Donga-il Poliwes, Baguio City Hemodialysis 4,400.00 - 4,400.0080 Montemayor, Oliver Bambico San Carlos Hgts, Baguio City Hemodialysis 4,400.00 - 4,400.0081 Sultan, Monaisa Ars Rock Quarry, Baguio City Hospitalization 2,145.37 - 2,145.3782 Bueno, Paul Steve Aquino Loakan, Baguio City Hemodialysis 4,400.00 - 4,400.0083 Orengo, Anna Amore Arnol Naguilian RD., Baguio City Hospitalization 2,050.75 2,050.75 -84 Dacaimat, Castor Resoso Aurora Hill, Baguio City Hospitalization 6,820.00 6,820.00 -85 Melo, Valerie Kay Cuae Gibraltar, Baguio City Hospitalization 3,146.19 - 3,146.1986 Caluza, Ercy Joy Quindara Imelda Village, Baguio City Hemodialysis 4,400.00 - 4,400.0087 Unciano, Daniela Marie Rock Quarry, Baguio City Hospitalization 1,875.49 1,875.49 -88 Unciano, Carl Andrae Daniel Rock Quarry, Baguio City Hospitalization 1,466.50 - 1,466.5089 Yukdawan, Catalina Pasan Aurora Hill, Baguio City Hemodialysis 4,400.00 4,400.00 -90 Almoda, Jamesward Ganado Militay Cut-off, Baguio City Hospitalization 26,155.58 26,155.58 -91 Navalta, Deborah Francisco Aurora Hill, Baguio City Hospitalization 5,000.00 - 5,000.0092 Quinio, Matso Contic P. Burgos, Baguio City Hemodialysis 4,400.00 - 4,400.0093 Linmayog, Lucia Bengtayen Balsigan, Baguio City Hemodialysis 4,400.00 - 4,400.0094 Mamaat, Marilou Mina Bakakeng, Baguio City Hospitalization 29,283.77 - 29,283.7795 Escara, Joshua Allen Vasquez Bakakeng, Baguio City Hospitalization 6,017.50 6,017.50 -96 Vallejos, Rizalina Rodellas Sto. Tomas, Baguio City Ct-scan, Labs 5,000.00 - 5,000.00

4 of 42 BGHMC - MAP

Page 5: MEDICAL ASSISTANCE PROGRAM FUND UTILIZATION REPORT …bghmc.doh.gov.ph/wp-content/uploads/2015/05/map-2014-09.pdf · MEDICAL ASSISTANCE PROGRAM FUND UTILIZATION REPORT As of September

Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

97 Colalong, Petra Salingbay Balsigan, Baguio City Hemodialysis 4,400.00 4,400.00 -98 Marcelo, Smile Martin Pinget, Baguio City Hospitalization 25,206.03 25,206.03 -99 Bucasan, Nora Udan Asin Road, Baguio City Hospitalization 6,277.00 6,277.00 -

100 Falingchan, Julie Ann Pinos-an Fairview, Baguio City Hemodialysis 4,400.00 - 4,400.00101 Licnad, Merly Ann Kilikil Dontogan, Baguio City Hospitalization 3,852.50 3,852.50 -102 Clemens, Rowena Garcia Imelda Village, Baguio City Hospitalization 5,073.81 5,073.81 -103 Gonzales, Marcelina Costales City Camp, Baguio City Hospitalization 18,312.64 18,312.64 0.00104 Lamadrid, Carmelita Canero BGH Compound, Baguio City Hemodialysis 4,400.00 4,400.00 -105 Tuzon, Ferdinand Calaustro Honeymoon Rd., Baguio City Hemodialysis 4,400.00 4,400.00 -106 Nalos, Leonardo Hernandez Dontogan, Baguio City Hemodialysis 4,400.00 4,400.00 -107 Galon, Fely Gacosan Guisad, Baguio City Hemodialysis 4,400.00 4,400.00 -108 Payacda, Virginia Lokingan Irisan Baguio City Hemodialysis 4,400.00 4,400.00 -109 Seguin, Jonathan Cario Ambiong, A. Hill, Baguio City Hemodialysis 4,400.00 4,400.00 -110 Viernes, Jonalyn Tabaray Dontogan, Baguio City Hospitalization 3,271.62 3,271.62 -111 Laberinto, Jose Fernandez BGH Compound, Baguio City Payment of note 6,000.00 - 6,000.00112 Ranches, Rosalinda Deocariza T. Alonzo, Baguio City Hemodialysis 4,400.00 4,400.00 -113 Cabanting, Roberto Distor Imelda Village, Baguio City Hemodialysis 4,400.00 - 4,400.00114 Bangcawayan, Angel Guisdan Brookside, Baguio City Hemodialysis 4,400.00 4,400.00 -115 Lao-ay, James Linday San Carlos Hgts, Baguio City Hospitalization 16,650.00 - 16,650.00116 Doriano, Cresencio Bindo Lucnab, Baguio City Hemodialysis 4,400.00 4,400.00 -117 Manan, Jedan Dimac Campo Pilipino, Baguio City Hospitalization 10,000.00 10,000.00 -118 Walsiyen, Joey Quiwasen Gibraltar, Baguio City Hemodialysis 4,400.00 4,400.00 -119 Laurian, Orlino Balanag San Roque Village, Baguio City Hospitalization 4,410.02 4,410.02 -120 Polo, Nena Alis Hillside, Baguio City Hemodialysis 4,400.00 4,400.00 -

5 of 42 BGHMC - MAP

Page 6: MEDICAL ASSISTANCE PROGRAM FUND UTILIZATION REPORT …bghmc.doh.gov.ph/wp-content/uploads/2015/05/map-2014-09.pdf · MEDICAL ASSISTANCE PROGRAM FUND UTILIZATION REPORT As of September

Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

121 Saguid, Ben Sr. Tonged Irisan Baguio City Hemodialysis 4,400.00 4,400.00 -122 Mathew Libatique Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00123 Jonathan Bulwayan Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00124 Rey Tudias Baguio City, Benguet Hospitalization 7,623.97 7,623.97 -125 Todlem, Salvador Francisco Tadian, Mountain Province Hemodialysis 4,400.00 - 4,400.00126 Paul Steve Bueno Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00127 Jardine Kyle Milo Tuba, Benguet Ct-scan 6,500.00 6,500.00 -128 Terence Tumacdang Baguio City, Benguet Hospitalization 10,498.94 10,498.94 -129 Rowena Galas Valdez Rosales Pangasinan Hemodialysis 4,400.00 - 4,400.00130 Caroline Gameng Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00131 Cesar Puddal Bolla Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00132 Mathew Libatique Baguio City, Benguet Hospitalization 10,000.00 10,000.00 -133 Abelardo Padilla Baguio City, Benguet Hospitalization 4,145.63 4,145.63 -134 John Raven Urmaza Baguio City, Benguet Hospitalization 7,000.00 7,000.00 -135 Sharon V Dalida La Trinida (Capaital) Hemodialysis 4,400.00 - 4,400.00136 Edwin Bonoy Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00137 Francisca Bagatila Baguio City, Benguet Hospitalization 23,358.25 23,358.25 -138 Beverliza Reyes Baguio City, Benguet Hospitalization 4,996.49 4,996.49 -139 Atinyao, Alipio Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00140 Linda Deo-ay Gatudan Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00141 Jardine Kyle Milo Tuba, Benguet Hospitalization 10,000.00 10,000.00 -142 Riobert Astudillo Baguio City, Benguet Hospitalization 15,692.79 15,692.79 -143 Elsie Espenilla Baguio City, Benguet Hospitalization 3,595.50 3,595.50 -144 Dalisay Mendoza Baguio City, Benguet Hospitalization 2,549.50 2,549.50 -

6 of 42 BGHMC - MAP

Page 7: MEDICAL ASSISTANCE PROGRAM FUND UTILIZATION REPORT …bghmc.doh.gov.ph/wp-content/uploads/2015/05/map-2014-09.pdf · MEDICAL ASSISTANCE PROGRAM FUND UTILIZATION REPORT As of September

Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

145 Darlene Gallejos Baguio City, Benguet Hospitalization 1,850.00 - 1,850.00146 Maria Edith Gallejos Baguio City, Benguet Hospitalization 2,112.00 - 2,112.00147 Jessame Bandong Baguio City, Benguet Hospitalization 2,260.87 2,260.87 -148 Quakelyn Lisayen Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00149 Mary Grace Binay-an Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00150 Amor Orpilla Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00151 Mary Grace Calma Baguio City, Benguet Colonoscopy 3,000.00 - 3,000.00152 Alicia Lee Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00153 Renalyn Antionio Baguio City, Benguet Hospitalization 2,232.25 2,232.25 -154 Marilou Oyad Baguio City, Benguet Hospitalization 11,309.65 11,309.65 -155 Winter Diwag Baguio City, Benguet Hospitalization 7,255.12 7,255.12 -156 Teresa Rullan Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00157 Dario Ayeona Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00158 Euberto Simangan Baguio City, Benguet Hospitalization 11,347.59 11,347.59 -159 Clemente Virgilio Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00160 Agustina Gayao Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00161 Richard Justo Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00162 Janice Tamiray Baguio City, Benguet Hospitalization 10,000.00 - 10,000.00163 Edwin Bagano Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00164 Leandro Tandoc Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00165 Gemma Duran Baguio City, Benguet Hospitalization 10,000.00 - 10,000.00166 Nila De Vera Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00167 Nita Bentadan Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00168 Hilda Gaspar Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00

7 of 42 BGHMC - MAP

Page 8: MEDICAL ASSISTANCE PROGRAM FUND UTILIZATION REPORT …bghmc.doh.gov.ph/wp-content/uploads/2015/05/map-2014-09.pdf · MEDICAL ASSISTANCE PROGRAM FUND UTILIZATION REPORT As of September

Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

169 Jerry Juco Baguio City, Benguet Hospitalization 15,032.25 15,032.25 -170 Requino Todlem Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00171 Meriam Buenavente Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00172 Jonabelle Tolentino Baguio City, Benguet Hospitalization 2,721.49 2,721.49 -173 Leonida Madriaga Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00174 Herminio Cacay Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00175 Marco Bumacas Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00176 Nancy Ayson Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00177 April Sakiwat Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00178 Robert Tomas Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00179 Salvador Castillo Baguio City, Benguet Hospitalization 37,863.85 - 37,863.85180 Christian Chicay Baguio City, Benguet Hospitalization 9,878.56 9,878.56 -181 Rosalinda Ranches Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00182 Manuel Nanam Boaging Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00183 Shaly Cris Bantas Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00184 Mary Grace Bautista Baguio City, Benguet Hospitalization 11,281.62 11,281.62 -185 Emmanuel Tresmnanio Baguio City, Benguet Hospitalization 9,231.62 9,231.62 -186 Grace D. Bango Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00187 Juna Kadjang Baguio City, Benguet Hospitalization 2,312.25 2,312.25 -188 Rolando Domingo Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00189 Maribel Orgaro Baguio City, Benguet Hospitalization 2,805.12 2,805.12 -190 H4-14-RCL-028 Baguio City, Benguet Hospitalization 10,000.00 10,000.00 -191 Leila Gonzaga Baguio City, Benguet Hospitalization 1,331.75 1,331.75 -192 Edna Tanglao Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00

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Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

193 Roel Cruz Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00194 Fernando Isilen Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00195 Virginia Payacda Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00196 John Cawayan Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00197 Nino Brabante Baguio City, Benguet Lab and meds 5,000.00 4,350.00 650.00198 Harry Uy Baguio City, Benguet Hospitalization 6,213.14 6,213.14 -199 Milagros Tait Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00200 Alexander Sawasi Mathew Kibungan, Benguet Hospitalization 20,000.00 - 20,000.00201 Mathew Libatique Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00202 Adalyn Ramos Baguio City, Benguet Hospitalization 2,283.75 2,283.75 -203 Pual steve Bueno Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00204 Bryan Narcelles Baguio City, Benguet Hospitalization 7,419.75 7,419.75 -205 Judith Ngalatan Baguio City, Benguet Hospitalization 6,493.62 6,493.62 -206 Diana Gonzales De Guzman Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00207 Flordeliza Mirhan Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00208 Alicia Bumacas Baguio City, Benguet Hospitalization 1,855.50 1,855.50 -209 Amor Orpilla Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00210 Mary Grace Binay-an Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00211 Adriel Dela Cruz Baguio City, Benguet Hospitalization 7,654.75 7,654.75 -212 Baslisa Ang Baguio City, Benguet Hemodialysis 5,000.00 - 5,000.00213 Jonathan Bulwayan Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00214 Rolando Ferrer Baguio City, Benguet Hospitalization 6,623.79 6,623.79 -215 Linda Buhhay Baguio City, Benguet Hospitalization 4,478.74 4,478.74 -216 Adela Enrade Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00

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Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

217 Ramon Padilla Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00218 Mises Lozano Baguio City, Benguet Endoscopy 5,400.00 5,400.00 -219 Jocelyn Nalbog Laigo Burgos, La Union Hemodialysis 4,400.00 - 4,400.00220 Rociela Gravador Baguio City, Benguet Hospitalization 7,562.25 7,562.25 -221 Edriana Ap-apid Baguio City, Benguet Hospitalization 558.00 558.00 -222 Nena Alis Polo Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00223 Fely Galon Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00224 Jason Areola Baguio City, Benguet Hospitalization 6,636.37 6,636.37 -225 Franklin Arcido Baguio City, Benguet Hospitalization 40,301.25 17,938.00 22,363.25226 Glory Gutay Baguio City, Benguet Hospitalization 1,479.50 1,479.50 -227 Edwin Bagano Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00228 Marivic Pagar Baguio City, Benguet Hospitalization 2,499.18 2,499.18 -229 Jalilah Pimping Baguio City, Benguet Hospitalization 3,204.87 3,204.87 -230 Ramon Padilla Baguio City, Benguet Hospitalization 1,583.44 1,583.44 -231 Jerry Taynan Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00232 Virginia Ungria Baguio City, Benguet Lab and meds 1,115.00 1,050.00 65.00233 Matthew Libatique Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00234 April Sakiwat Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00235 Leonardo Nalos Besao Mountain Province Hemodialysis 2,200.00 - 2,200.00236 Leonardo Nalos Besao Mountain Province Hemodialysis 2,200.00 - 2,200.00237 Shaly Cris Bantas Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00238 Ferdinand Tuzon Besao Mountain Province Hemodialysis 2,200.00 - 2,200.00239 Marcelino Salvador Besao Mountain Province Hemodialysis 4,400.00 - 4,400.00240 Delia Gecobe Baguio City, Benguet Hospitalization 2,297.25 2,297.25 -

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Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

241 Patrick Pineda Baguio City, Benguet Hospitalization 7,702.75 4,357.75 3,345.00242 Emilda Bustarde Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00243 Almario Benitez Jr Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00244 Almario Benitez Jr Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00245 Emilda Bustarde Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00246 Rowena Galas Valdez Rosales Pangasinan Hemodialysis 2,200.00 - 2,200.00247 Rex Olban Balangitan Bauko, Mountain Province Hemodialysis 2,200.00 - 2,200.00248 Peter Simeon Lee Baguio City, Benguet Hospitalization 1,958.39 1,958.39 -249 Myrna Frias Baguio City, Benguet Hospitalization 10,940.51 10,940.51 -250 Cesar Puddal Bolla Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00251 Myrna Frias Baguio City, Benguet Hospitalization 8,000.00 8,000.00 -252 Meriam Buenavente Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00253 Amor Orpilla Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00254 Alicia Lee Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00255 Angelica Ronquillo Baguio City, Benguet Hospitalization 3,136.62 3,136.62 -256 Amor Orpilla Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00257 Joey Walsiyen Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00258 Vivian Tapoc Baguio City, Benguet Hospitalization 1,236.01 - 1,236.01259 David Puguon Baguio City, Benguet Hemodialysis 6,600.00 - 6,600.00260 Jennefer Balansag Baguio City, Benguet Hospitalization 2,061.00 2,061.00 -261 Matthew Libatique Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00262 Carla Gene Reyes Baguio City, Benguet Hospitalization 7,814.81 7,814.81 -263 Ashley Anas Baguio City, Benguet Hospitalization 8,141.00 - 8,141.00264 Lucia Linmayog Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00

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Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

265 Sharon V Dalida La Trinida (Capaital) Hemodialysis 2,200.00 - 2,200.00266 Dario Ayeona Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00267 Mateo Smith Baguio City, Benguet Hospitalization 8,290.25 3,196.00 5,094.25268 Doriano, Cresencio Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00269 Gregoria Patron Baguio City, Benguet Chemotherapy 10,000.00 10,000.00 -270 Joven Suriaga Baguio City, Benguet Hospitalization 986.55 986.55 -271 Leonida Neri Baguio City, Benguet Hospitalization 2,273.87 2,273.87 -272 Requino Todlem Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00273 Grace D. Bango Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00274 Nardo Codod Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00275 Amor Orpilla Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00276 Kristine Serote Baguio City, Benguet Hospitalization 2,270.25 - 2,270.25277 Julie Ann Falingchan Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00278 Delfin Mangusan Sagada, Mt. Province Hemodialysis 4,400.00 - 4,400.00279 April Sakiwat Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00280 Leandro Tandoc Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00281 Robert Tomas Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00282 Lyka Blanka Julito Baguio City, Benguet Hospitalization 4,306.74 - 4,306.74283 Ace Saleo -an Baguio City, Benguet Hospitalization 9,313.97 - 9,313.97284 Marco Bumacas Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00285 Naimah Malik Baguio City, Benguet Hospitalization 4,471.87 - 4,471.87286 Febe Agliam Benguet Hospitalization 4,442.62 - 4,442.62287 Maria Balanta Baguio City, Benguet Hospitalization 2,563.31 - 2,563.31288 John Mark de Guzman Baguio City, Benguet Hospitalization 4,647.25 - 4,647.25

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Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

289 Mary Rose De Guzman Baguio City, Benguet Hospitalization 1,694.25 - 1,694.25290 Angelita Agliwang Bontoc, Mt. Province Medicince 2,000.00 651.00 1,349.00291 Virgilio Clemente Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00292 Dolores Wad-ingan Baguio City, Benguet Hospitalization 31,103.55 - 31,103.55293 Estefania Antonio Bauko, Mountain Province Hospitalization 30,193.70 - 30,193.70294 Desiderio Astudillo Baguio City, Benguet Hospitalization 47,576.85 - 47,576.85295 Amor Orpilla Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00296 Jealjin Proceso Baguio City, Benguet Hospitalization 3,075.18 - 3,075.18297 Roel Cruz Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00298 Andres Daw-as Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00299 Susana Aliping Baguio City, Benguet Hospitalization 13,260.75 - 13,260.75300 Apriel Sophia Pasio Baguio City, Benguet Hospitalization 1,067.00 - 1,067.00301 Oscar Ocampo Baguio City, Benguet Hospitalization 3,128.74 - 3,128.74302 Petra Colalong Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00303 Danilo Lumibao Baguio City, Benguet Hospitalization 1,071.17 - 1,071.17304 Rolando Martos Baguio City, Benguet Hospitalization 3,278.50 - 3,278.50305 Jack Kitongan Baguio City, Benguet Hospitalization 16,690.84 - 16,690.84306 Agustina Gayao Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00307 Nancy Ayson Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00308 Victorino Saingan Baguio City, Benguet Hospitalization 10,828.21 - 10,828.21309 Ruben Lawingan Baguio City, Benguet Hospitalization 4,230.25 - 4,230.25310 Ronnie Foyagao Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00311 Evangeline Rizardo Baguio City, Benguet Hospitalization 2,286.75 - 2,286.75312 Jenelyn Antonio Baguio City, Benguet Hospitalization 2,267.25 - 2,267.25

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Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

313 Adela Enrade Baguio City, Benguet Medicince 2,400.00 - 2,400.00314 Morris Surtat Baguio City, Benguet Hospitalization 5,984.25 - 5,984.25315 Recy Joy Caluza Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00316 Leonardo Nalos Besao Mountain Province Hemodialysis 2,200.00 - 2,200.00317 Carl Argoza Baguio City, Benguet Hospitalization 20,444.56 - 20,444.56318 Frederick Oller Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00319 Eva Onsar Baguio City, Benguet Hospitalization 2,135.75 - 2,135.75320 Cresencio Doriano Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00321 Ronnie Fogayao Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00322 Robert Nabus La Trinida (Capaital), Benguet Hemodialysis 2,200.00 - 2,200.00323 Annalyn Dulay Baguio City, Benguet Hospitalization 2,089.75 - 2,089.75324 Cristina Estares Baguio City, Benguet Hospitalization 2,296.25 - 2,296.25325 Amor Orpilla Baguio City, Benguet Medicince 1,050.00 - 1,050.00326 Oliver Montemayor Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00327 Mary Grace Binay-an Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00328 Felisa Lazaro Baguio City, Benguet Hospitalization 8,669.16 - 8,669.16329 Salvador Todlem Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00330 Requino Todlem Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00331 Raul Dumling Baguio City, Benguet Hospitalization 35,992.23 - 35,992.23332 Doriano Cresencio Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00333 Gladys Mae Caparuso Baguio City, Benguet Hospitalization 2,036.00 - 2,036.00334 Angelica Zabala Baguio City, Benguet Hospitalization 4,222.25 - 4,222.25335 Annabelle Malapit Baguio City, Benguet Hospitalization 18,361.12 - 18,361.12336 Carmelita Lamadrid Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00

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Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

337 Gloria Mallare Baguio City, Benguet Hospitalization 700.00 - 700.00338 Marimar Villanueva Baguio City, Benguet Hospitalization 2,261.75 - 2,261.75339 Ashley Tantay Baguio City, Benguet Hospitalization 1,562.25 - 1,562.25340 Meriam Buenavente Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00341 Karla Morales Baguio City, Benguet Hospitalization 13,553.87 - 13,553.87342 Maylen Madegyem Baguio City, Benguet Hospitalization 7,972.69 - 7,972.69343 Teresa Rullan Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00344 Edna Tanglao Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00345 Emelita polon Sablan, Benguet Hemodialysis 4,400.00 - 4,400.00346 Roel Cruz Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00347 Asnairah Gayao Baguio City, Benguet Hospitalization 395.25 - 395.25348 Asnor John Gayao Baguio City, Benguet Hospitalization 16,642.17 - 16,642.17349 Maricel Bautista Baguio City, Benguet Hospitalization 17,230.00 - 17,230.00350 Marlon Sabio Baguio City, Benguet Hospitalization 3,859.56 - 3,859.56351 Ezekiel Tantay Baguio City, Benguet Hospitalization 850.00 - 850.00352 Hernan Montalban Baguio City, Benguet Hospitalization 51,293.50 - 51,293.50353 Manuel Nanam Boaging Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00354 Rosita Ancheta Baguio City, Benguet Hospitalization 7,556.54 - 7,556.54355 Mercedez Caranto Baguio City, Benguet Hospitalization 2,226.00 - 2,226.00356 Jeda Banguisan Baguio City, Benguet Hospitalization 2,320.75 - 2,320.75357 Antonio Buccat Jr. Baguio City, Benguet Lab and meds 430.00 - 430.00358 Joy Maducdoc Baguio City, Benguet Hospitalization 5,493.62 - 5,493.62359 Emilda Bustarde Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00360 Matso Quinio Baguio City, Benguet Hospitalization 4,400.00 - 4,400.00

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Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

361 Herminia Cabalquinto Baguio City, Benguet Hospitalization 4,032.40 - 4,032.40362 Jorieta Pa-ayen Bauko, Mountain Province Hospitalization 57,407.00 - 57,407.00363 Petra Colalong Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00364 Renalyn Quintela Baguio City, Benguet Hospitalization 2,300.25 - 2,300.25365 Carolina Falaweg Baguio City, Benguet Hospitalization 18,649.49 - 18,649.49366 Nena Polo Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00367 Nowela Lamayo Baguio City, Benguet Hospitalization 22,312.50 - 22,312.50368 Cesar Villanueva Baguio City, Benguet 2D Echo 1,500.00 - 1,500.00369 Milagros Tait Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00370 Eduardo Vloria Baguio City, Benguet Medicince 1,226.00 - 1,226.00371 Adela Enrade Baguio City, Benguet Medicince 3,600.00 - 3,600.00372 Jannah Maducdoc Baguio City, Benguet Hospitalization 3,092.50 - 3,092.50373 Antonio Apilado Baguio City, Benguet Hospitalization 2,950.56 - 2,950.56374 James Dumo Atok, Benguet Hospitalization 3,273.25 - 3,273.25375 Lou Adriennne Santos Baguio City, Benguet Hospitalization 8,907.50 - 8,907.50376 Dominga Baniguen Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00377 Elaine Lastima Baguio City, Benguet Hospitalization 3,176.37 - 3,176.37378 Kyle De Guzman Baguio City, Benguet Hospitalization 22,900.48 - 22,900.48379 Dryana Estolas Baguio City, Benguet Hospitalization 1,329.74 - 1,329.74380 Fernando Isilen Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00381 Judy ann Galang Baguio City, Benguet Hospitalization 1,166.24 - 1,166.24382 Christopher Soriano Baguio City, Benguet Lab and meds 2,046.50 - 2,046.50383 Ricky Budod Baguio City, Benguet Hospitalization 1,062.44 - 1,062.44384 Lourdes Gonzales Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00

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Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

385 Rex Balangitan Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00386 Raquel Rico Baguio City, Benguet Hospitalization 2,473.00 - 2,473.00387 Reynelyn Yangco Baguio City, Benguet Hospitalization 1,457.87 - 1,457.87388 Felysitas Narciza Baguio City, Benguet Hospitalization 3,234.50 - 3,234.50389 Goerge Ballakis Baguio City, Benguet Hospitalization 16,774.00 - 16,774.00390 Narciso Reyes Baguio City, Benguet Hospitalization 3,754.54 - 3,754.54391 Darein Hadjinulla Baguio City, Benguet Hospitalization 1,206.62 - 1,206.62392 Anna Armiesto Baguio City, Benguet Hospitalization 7,211.49 - 7,211.49393 Joy Castillo Baguio City, Benguet Hospitalization 3,071.12 - 3,071.12394 Jonathan Seguin Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00395 Emeldinand Motas Baguio City, Benguet Hospitalization 4,517.37 - 4,517.37396 Amor Orpilla Baguio City, Benguet Lab and meds 1,540.00 - 1,540.00397 Rowena Valdez Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00398 Estrella Balionga Baguio City, Benguet Hospitalization 6,888.80 - 6,888.80399 Leonardo Ognayon Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00400 Sharon V Dalida La Trinida (Capaital), Benguet Hemodialysis 4,400.00 - 4,400.00401 Yul Bryan Batan Baguio City, Benguet Hospitalization 11,087.50 - 11,087.50402 Leandro Tandoc Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00403 Frederick Oller Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00404 Cydric Waig Baguio City, Benguet Hospitalization 3,987.25 - 3,987.25405 Cresencio Doriano Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00406 Nancy Ayson Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00407 Yzabel Francesca Cosme Baguio City, Benguet Hospitalization 4,037.50 - 4,037.50408 Annabelle Malapit Baguio City, Benguet Hospitalization 10,221.50 - 10,221.50

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Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

409 Amor Orpilla Baguio City, Benguet Lab and meds 1,500.00 - 1,500.00410 Delfin Mangusan Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00411 Robert Tomas Baguio City, Benguet Hospitalization 2,200.00 - 2,200.00412 Adela Enrade Baguio City, Benguet Medicince 5,000.00 - 5,000.00413 Angeline Donacao Baguio City, Benguet Hospitalization 1,360.43 - 1,360.43414 Isidro Arciaga Baguio City, Benguet Hospitalization 2,726.37 - 2,726.37415 Trixy Mangsat Baguio City, Benguet Hospitalization 5,901.19 - 5,901.19416 Lucia Montoya Baguio City, Benguet Hospitalization 3,536.74 - 3,536.74417 Jose Oribello Baguio City, Benguet Hospitalization 3,163.50 - 3,163.50418 Rpwell Cortel Baguio City, Benguet Hospitalization 6,971.68 - 6,971.68419 Edwardo Acosta Baguio City, Benguet Hospitalization 2,730.00 - 2,730.00420 Almario Benitez Jr Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00421 Joey Quisawe Walsiyen Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00422 Mary Grace Camla Baguio City, Benguet Medicince 3,357.25 - 3,357.25423 Amor Cahanap Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00424 Jomar Perez Baguio City, Benguet Hospitalization 3,524.36 - 3,524.36425 Annabelle Malapit Baguio City, Benguet Hospitalization 19,786.50 - 19,786.50426 Perla Mahilum III Baguio City, Benguet Hospitalization 1,900.87 - 1,900.87427 Alicia Lee Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00428 Rogelio Golman Baguio City, Benguet Hospitalization 8,093.75 - 8,093.75429 Berlyn Diwag Baguio City, Benguet Hospitalization 3,272.00 - 3,272.00430 Rodalyn Wangco Baguio City, Benguet Hospitalization 1,050.00 - 1,050.00431 Omairah Abdul-asis Baguio City, Benguet Hospitalization 2,138.60 - 2,138.60432 Edwin Bagano Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00

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Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

433 Edwin Bonoy Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00434 Yzabel Francesca Cosme Baguio City, Benguet Medicince 2,688.00 - 2,688.00435 Agustina Gayao Baguio City, Benguet Medicince 7,500.00 - 7,500.00436 Julie Ann Landingan Baguio City, Benguet Hospitalization 3,264.75 - 3,264.75437 Jose Abiasen Baguio City, Benguet Hospitalization 20,364.28 - 20,364.28438 Lorna Manuel Baguio City, Benguet Hospitalization 30,293.55 - 30,293.55439 April Sakiwat Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00440 Linda Gatudan Baguio City, Benguet Hemodialysis 6,600.00 - 6,600.00441 Joey Quisawe Walsiyen Baguio City, Benguet Hemodialysis 2,200.00 - 2,200.00442 Richelle Patacsil Baguio City, Benguet Hospitalization 7,601.34 - 7,601.34443 Baby Boy Patacsil Baguio City, Benguet Hospitalization 1,553.88 - 1,553.88444 Marie Pauline Ballesteros Baguio City, Benguet Hospitalization 4,532.00 - 4,532.00445 Flordeliza Mirhan Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00446 Roel Cruz Baguio City, Benguet Medicince 2,400.00 - 2,400.00447 Aloha Manalili Baguio City, Benguet Hospitalization 6,049.49 - 6,049.49448 Baby Boy Mahilum Baguio City, Benguet Hospitalization 3,263.19 - 3,263.19449 Diana Gonzales De Guzman Baguio City, Benguet Medicince 2,400.00 - 2,400.00450 Paz, Carmela Idio Adaday, Kabayan, Benguet Hospitalization 5,218.88 5,218.88 -451 Kiwang, Joseph Moga Virac, Itogon, Benguet Lab & meds 10,000.00 705.00 9,295.00452 Balanga, Donald Agudo Tadiangan, Tuba, Benguet Hospitalization 30,259.00 30,259.00 -453 Lapira, Marietta Santos Balili, La Trinidada, Benguet Lab & meds 5,000.00 - 5,000.00454 Lopez, May Anne Enriquez Tuba, Benguet Hospitalization 1,415.00 1,415.00 -455 Solano, Antonio Acusan Balili, La Trinidada, Benguet Hospitalization 20,000.00 - 20,000.00456 Dampulay, John Iba Balili, La Trinidada, Benguet Hospitalization 10,000.00 - 10,000.00

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Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

457 Bonoy, Edwin Balbal-o Itogon, Benguet Hemodialysis 10,000.00 - 10,000.00458 Tamiongo, Cristina Ferrer Asin, Tuba, Benguet Lab & meds 1,030.00 - 1,030.00459 Awacan, Santos Ablaza Lubas, La Trinidad, Benguet Hemodialysis 10,000.00 - 10,000.00460 Oras, Marco Jose Alapang, La Trinida, Benguet Hemodialysis 10,000.00 - 10,000.00461 Mendoza, Julius Cesar Ventura Tuba, Benguet Hemodialysis 15,000.00 - 15,000.00462 Remedios B. Gose La Trinidad (Capital), Benguet Hemodialysis 10,000.00 - 10,000.00463 Ben Tonged Saguid Sr Bagbuio City, Benguet Hemodialysis 15,000.00 - 15,000.00464 Melody M. Tanggo Itogon, Benguet Medicine 20,000.00 1,805.00 18,195.00465 lencio palengleng Itogon, Benguet Hemodialysis 15,000.00 - 15,000.00466 Henry Molina Benguet Hemodialysis 15,000.00 - 15,000.00467 Virgie Comising Sublino Tuba, Benguet Lab & meds 10,000.00 262.50 9,737.50468 Jardine Kyle Milo Tuba, Benguet Hospitalization 20,000.00 20,000.00 -469 Bertito Bermundo Itogon, Benguet Hospitalization 18,825.00 18,825.00 -470 Agustina Tacay Gayao Baguio City, Benguet Hemodialysis 15,000.00 - 15,000.00471 Jardine Kyle Milo Tuba, Benguet Hospitalization 25,000.00 22,721.00 2,279.00472 Adela Enrade Tuba, Benguet Hemodialysis 10,000.00 - 10,000.00473 Maureen Dasi Itogon, Benguet Hospitalization 20,000.00 - 20,000.00474 Rita Abance Tuba, Benguet Hospitalization 25,000.00 - 25,000.00475 Marvin K Leo Itogon, Benguet Hemodialysis 15,400.00 - 15,400.00476 Marina Luken Atingog La Trinidad (Capital), Benguet Hospitalization 15,000.00 15,000.00 -477 Jocelyn Biadno Bokod, Benguet Hemodialysis 15,000.00 - 15,000.00478 Jonathan Seguin Baguio City, Benguet Hemodialysis 8,800.00 - 8,800.00479 Sharon Dalida La Trinidad (Capital), Benguet Hemodialysis 11,000.00 - 11,000.00480 Nita Bentadan Baguio City, Benguet Hemodialysis 8,800.00 - 8,800.00

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Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

481 Nila De Vera Baguio City, Benguet Hemodialysis 11,000.00 - 11,000.00482 Ghella Dampulas Mankayan, Benguet Hospitalization 14,000.00 - 14,000.00483 Mordayne Gay Naslangan Bugias, Benguet Chemotherapy 10,500.00 10,500.00 -484 Robert Nabus La Trinidad (Capital), Benguet Hemodialysis 11,000.00 - 11,000.00485 Liezle Binwag Kinakin Itogon, Benguet Hemodialysis 11,000.00 - 11,000.00486 Algie Matias La Trinidad (Capital), Benguet Hospitalization 2,120.00 - 2,120.00487 Haidy Rose Matias La Trinidad (Capital), Benguet Hospitalization 7,880.00 - 7,880.00488 Cristina Saingan Tuba, Benguet Hemodialysis 11,000.00 - 11,000.00489 Berlyn Guzman La Trinidad (Capital), Benguet Chemotherapy 21,577.00 21,577.00 -490 Matso Quinio Baguio City, Benguet Hemodialysis 20,000.00 - 20,000.00491 Eller-ann Manalo Kapangan, Benguet Hospitalization 3,133.44 3,133.44 -492 Ernalyn Baste La Trinidad (Capital), Benguet Hospitalization 25,000.00 25,000.00 -493 Alipio Atinyao Atok, Benguet Hemodialysis 15,400.00 - 15,400.00494 Irsie Telino La Trinidad (Capital), Benguet Medicine 10,000.00 1,338.00 8,662.00495 April Sakiwat Baguio City, Benguet Hemodialysis 11,000.00 - 11,000.00496 Shaly Cris Bantas Baguio City, Benguet Hemodialysis 11,000.00 - 11,000.00497 Emelita Polon Sablan, Benguet Hemodialysis 11,000.00 - 11,000.00498 Rene Richmond Carino La Trinidad (Capital), Benguet Hemodialysis 11,000.00 - 11,000.00499 Edwin Bagano Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00500 Awakan Santos La Trinidad (Capital), Benguet Hemodialysis 11,000.00 - 11,000.00501 Leandro Tandoc Baguio City, Benguet Hemodialysis 11,000.00 - 11,000.00502 Guigeon Tumingeb Baguio City, Benguet Hemodialysis 11,000.00 - 11,000.00503 Fryla Dela Pena Kapangan, Benguet Hemodialysis 11,000.00 - 11,000.00504 Fernando Balog-as La Trinidad (Capital), Benguet Hemodialysis 11,000.00 - 11,000.00

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Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

505 Pearl Lapena Tuba, Benguet Hospitalization 7,613.00 - 7,613.00506 Caroline Gameng Baguio City, Benguet Hemodialysis 15,400.00 - 15,400.00507 Sabado Nabe Kibungan, Benguet Hospitalization 20,000.00 20,000.00 -508 Lalyn Abellera Itogon, Benguet Hemodialysis 11,000.00 - 11,000.00509 Lucia Guines Atok, Benguet Hemodialysis 11,000.00 - 11,000.00510 Nancy Bugnay La Trinidad (Capital), Benguet Hemodialysis 11,000.00 - 11,000.00511 Rhonda Bayeng Kapangan, Benguet Hospitalization 5,922.00 - 5,922.00512 Glory D. Eban Itogon, Benguet Hemodialysis 11,000.00 - 11,000.00513 Jerelah Eusebio La Trinidad (Capital), Benguet Hemodialysis 20,000.00 - 20,000.00514 Alton Ticgongan Natonin, Mountain Province Hospitalization 15,000.00 - 15,000.00515 Robert Tomas Baguio City, Benguet Hemodialysis 11,000.00 - 11,000.00516 Marcelino Salvador Besao Mountain Province Hemodialysis 11,000.00 - 11,000.00517 Jun Bugtong Wakit Itogon, Benguet Hospitalization 9,834.44 - 9,834.44518 Alleja Quinanasan Itogon, Benguet Hospitalization 20,000.00 - 20,000.00519 Jerry Taynan Baguio City, Benguet Hemodialysis 11,000.00 - 11,000.00520 Lunes Sukil-ap La Trinidad (Capital), Benguet Chemotherapy 17,000.00 17,000.00 -521 Reyshan Latuwed Bugias, Benguet Hospitalization 50,000.00 50,000.00 -522 Faith Bernardo La Trinidad (Capital), Benguet Hospitalization 3,174.12 - 3,174.12523 Tylor Bogawit Itogon, Benguet Hospitalization 10,718.25 - 10,718.25524 Judith Bendaen La Trinidad (Capital), Benguet Hospitalization 10,000.00 - 10,000.00525 Patrick Bayangan La Trinidad (Capital), Benguet Hospitalization 20,000.00 - 20,000.00526 Marco Bumacas Baguio City, Benguet Hemodialysis 20,000.00 - 20,000.00527 James Acosta Bokod, Benguet Hemodialysis 22,000.00 - 22,000.00528 Nancy Depusoy La Trinidad (Capital), Benguet Chemotherapy 25,000.00 - 25,000.00

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Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

529 Janice Bobila Barlig Mountain Province Hemodialysis 11,000.00 - 11,000.00530 Wanhay, Benita Cayat Eheb, Tinoc, Ifugao Hospitalization 92,095.75 92,095.75 -531 Bumohya, Klein Xander Balajo Lagawe, Ifugao Hospitalization 23,311.00 15,334.75 7,976.25532 Gulom, Micah Umalco Caba, Lagawe, Ifugao Chemotherapy 263,142.00 5,595.00 257,547.00533 Gulom, Micah Umalco Caba, Lagawe, Ifugao Hospitalization 50,000.00 - 50,000.00534 Amayna, Jose Sr. Matebla Kiangan, Ifugao Chemotherapy 50,000.00 50,000.00 -535 Dinamling, Jane Atiwon Lagawe, Ifugao Hospitalization 100,000.00 - 100,000.00536 Baguiwong, Wilma Tillay Kiangan, Ifugao Hospitalization 50,000.00 27,248.00 22,752.00537 Camara, Alfredo Dizon Lagawe, Ifugao Hospitalization 85,419.75 85,419.75 -538 Jimmy Gano Hingyon Ifugao Hospitalization 50,000.00 13,437.50 36,562.50539 Noel Ananayo Kiangan, Ifugao Hospitalization 50,000.00 13,163.25 36,836.75540 Micah Flor Gulom Lagawe, Ifugao Hospitalization 50,000.00 15,372.50 34,627.50541 Jose Amayna Sr. Kiangan, Ifugao Chemotherapy 100,000.00 18,500.00 81,500.00542 Jose Amayna Sr. Kiangan, Ifugao Hospitalization 50,000.00 - 50,000.00543 Lito Olsim Tinoc, Ifugao Hospitalization 50,000.00 24,724.75 25,275.25544 Aida D. Guinsiman Tinoc, Ifugao Hospitalization 100,000.00 - 100,000.00545 Bugan Dayawon Popoc Banaue, Ifugao Hospitalization 50,000.00 14,732.40 35,267.60546 Noemi Habbiling Ballogan Baguio City Hospitalization 3,000.00 3,000.00 -547 Dexter Calhi Tumayan Tinoc, Ifugao Hospitalization 30,000.00 18,062.00 11,938.00548 Zhianzy Binuhe Ognayon Banaue, Ifugao Hospitalization 2,000.00 2,000.00 -549 Klein Xander Balajo Bumohya Lagawe, Ifugao Hospitalization 50,000.00 - 50,000.00550 Reyward Angel Bautista Alfonso Lista (Potia) Ifugao Hospitalization 50,000.00 - 50,000.00551 Mateo Taccab Ngayaan Banaue, Ifugao Hospitalization 4,378.00 - 4,378.00552 Felisa Tayaban Banaue, Ifugao Hospitalization 50,000.00 - 50,000.00

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Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

553 Alice Matro Lagawe (Capital), Ifugao Hospitalization 15,136.00 - 15,136.00554 Dumalsin, Michelle Paccay Lubuagan, Kalinga Hospitalization 6,138.09 6,138.09 -555 Naganag, Juan Valdez Bulanao, Tabuk, Kalinga Hospitalization 3,070.05 3,070.05 -556 Biddong, Leonard Andomang Pinulpok, Kalinga Hospitalization 6,000.00 6,000.00 -557 Saking, Cristina Kitoyen Tabuk, Kalinga Hospitalization 15,000.00 13,596.85 1,403.15558 Jonathan Bulwayan Tanudan, Kalinga Hemodialysis 20,000.00 - 20,000.00559 Endolyn B. Amador La Trinida (Capital) Hospitalization 8,000.00 8,000.00 -560 Jonathan Bulwayan Tanudan, Kalinga Hemodialysis 20,000.00 - 20,000.00561 Marissa Dacnes Baguio City, Benguet Hospitalization 15,000.00 - 15,000.00562 Pollard Langbawan Balbalan, Kalinga Lab and meds 12,000.00 172.50 11,827.50563 Ivy G. Diawan Baguio City, Benguet Hospitalization 3,923.75 3,923.75 -564 Michelle Peralta Tabuk, Kalinga Hospitalization 10,000.00 - 10,000.00565 Crisanto Bulaay Balbalan, Kalinga Chemotherapy 10,000.00 10,000.00 -566 Balag-ey, Den Mark Manengyao Sadanga, MT. Province Hospitalization 15,717.87 15,717.87 -567 Solang, Joseph Bagni Bontoc, Mt. Province Hospitalization 25,000.00 25,000.00 -568 Justo, Richard Awingan Sadanga, MT. Province Hemodialysis 17,600.00 17,600.00 -569 Langtiwan, Leon Dayangadang Bauko, Mt. Province Hemodialysis 17,600.00 17,600.00 -570 Ayugat, Mauricia Emong Sabangan, Mt. Province Hemodialysis 17,600.00 17,600.00 -571 Recile, Rocky Comila Bauko, Mt. Province Hemodialysis 17,600.00 17,600.00 -572 Bagano, Edwin Annatil Jr Tadian, Mt. Province Hemodialysis 17,600.00 17,600.00 -573 Boaging, Manuel Nanam Bauko, Mt. Province Hemodialysis 17,600.00 - 17,600.00574 Todlem, Requino Francisco Bontoc, Mt. Province Hemodialysis 17,800.00 17,600.00 200.00575 Lud-ayen, Jose Bawingan Abatan, Bauko, Mt. Province Hemodialysis 17,600.00 17,600.00 -576 Bangcawayan, Angel Guisdan Bila, Bauko, Mt. Province Hemodialysis 17,600.00 17,600.00 -

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Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

577 Tandoc, Leandro Simeon Otucan, Bauko, Mt. Province Hemodialysis 17,600.00 17,600.00 -578 Payacda, Virginia Otucan, Bauko, Mt. Province Hemodialysis 17,600.00 17,600.00 -579 Tumingeb, Guigeon Falingchan Tucucan, Bontoc, Mt. Province Hemodialysis 17,600.00 17,600.00 -580 Linmayog, Lucia Bengtayen Tetep-an, Sagada, Mt. Province Hemodialysis 17,600.00 - 17,600.00581 Tuzon, Ferdinand Calaustro Besao, Mt. Province Hemodialysis 17,600.00 - 17,600.00582 Sakiwat, April Vicente Bauko, Mt. Province Hemodialysis 17,600.00 - 17,600.00583 Tomas, Robert Sakiwat Bauko, Mt. Province Hemodialysis 17,600.00 17,600.00 -584 Battateng, Manuela Petlongay Bauko, Mt. Province Hemodialysis 17,600.00 17,600.00 -585 Baniqued, Dolores Samdao Bauko, Mt. Province Hospitalization 10,000.00 10,000.00 -586 Ollay, Ruben Dam-alan Bayyo, Bontoc, Mt, Province Hospitalization 11,979.75 11,979.75 -587 Nalos, Leonard Hernandez Besao, Mt. Province Hemodialysis 17,600.00 - 17,600.00588 Bantas, Shaly Cris Degay Besao, Mt. Province Hemodialysis 17,000.00 - 17,000.00589 Pediten, Josephine Marrero Tadian, Mt. Province Hemodialysis 17,600.00 - 17,600.00590 Agayao, Avelino Diosdado Tadian, Mt. Province Hemodialysis 7,600.00 - 7,600.00591 Ayeona, Dario Natonin, Mt. Province Hemodialysis 17,600.00 17,600.00 -592 Abuan, Melchor Manapeng Sagada, Mt. Province Hemodialysis 2,877.00 2,877.00 -593 Balisongen, Ben Besao, Mt. Province Hospitalization 25,000.00 - 25,000.00594 Naslangan, Mordayne Gay PangwaoBauko, Mt. Province Chemotherapy 15,000.00 15,000.00 -595 Mangusan, Delfin Gomari Sagada, Mt. Province Hemodialysis 17,600.00 - 17,600.00596 Balangitan, Rex Olban Bauko, Mt. Province Hemodialysis 17,600.00 17,600.00 -597 Dakiwag, Noli Dang-ay Paracelis, Mt. Province Hospitalization 5,107.75 5,107.75 -598 Aanonuevo, Rodel Jr Chamkas Bontoc, Mt. Province Hospitalization 11,468.00 11,468.00 -599 Aspilan, Mathew Lomino Sagada, Mt. Province Chemotherapy 15,000.00 15,000.00 -600 Astudillo, Pio Obanan Bauko, Mt. Province Hospitalization 20,000.00 19,533.00 467.00

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Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

601 Cawayan, John Pacio Besao, Mt. Province Hemodialysis 17,600.00 - 17,600.00602 Bantas, Shaly Cris Degay Besao, Mt. Province Hemodialysis 600.00 - 600.00603 Salvador, Marcelino Sadyoc Besao, Mt. Province Hemodialysis 17,600.00 17,600.00 -604 Codod, Nardo Sr. Atiwag Bontoc, Mt. Province Hemodialysis 17,600.00 17,600.00 -605 Marcelo, Smile Martin Sabangan, Mt. Province Hospitalization 15,000.00 15,000.00 -606 Ana-ao, Peter Cherwaken Bontoc, Mt. Province Hemodialysis 7,600.00 - 7,600.00607 Dacwag Diawen Sicwaten Sagada, Mt. Province Hospitalization 20,000.00 20,000.00 -608 Salvador, Todlem Tadian, Mt. Province Hemodialysis 17,600.00 - 17,600.00609 Julie Ann Pinos-an Falingchan Baguio City, Benguet Hemodialysis 17,600.00 - 17,600.00610 Ferdinand Isilen Baguio City, Benguet Hemodialysis 17,600.00 - 17,600.00611 Cristina L Baguilat Natonin, Mt. Province Vent usage 20,000.00 - 20,000.00612 Ernesto B. Nacnas Bauko, Mt. Province Chemotherapy 25,000.00 25,000.00 -613 Janice V Bobila Barlig, Mountain Province Hemodialysis 17,600.00 - 17,600.00614 Sisa Retuta Barlig, Mountain Province Chemotherapy 20,000.00 - 20,000.00615 John Ganga Pag-a Barlig, Mountain Province Hospitalization 12,827.00 12,827.00 -616 Agustin B. Lagadan Tadian, Mt. Province Hospitalization 19,000.00 19,000.00 -617 Estefania Antonio Bauko, Mt. Province Hospitalization 30,000.00 - 30,000.00618 Karen S. Peckley Bontoc, Mt. Province medicines 2,000.00 651.00 1,349.00619 Ernesto B. Nacnas Bauko, Mt. Province Hemodialysis 25,000.00 25,000.00 -620 Mona Bagwel Bontoc, Mt. Province Hospitalization/chemo 40,000.00 - 40,000.00621 Sum-ey Wayangen Sadanga, MT. Province Hospitalization 30,000.00 2,466.25 27,533.75622 Jorieta P. Pa-ayen Bauko, Mt. Province Chemotherapy 16,200.00 16,200.00 -623 Ezer Anne Onga-ong Bontoc, Mt. Province Hospitalization 18,754.31 18,754.31 -624 Jorieta P. Pa-ayen Bauko, Mt. Province Chemotherapy 16,200.00 16,200.00 -

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Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

625 Jovelyn Valenciano Tadian, Mt. Province Hospitalization 14,127.75 - 14,127.75626 Marion Bansen Bontoc, Mt. Province Hospitalization 30,000.00 - 30,000.00627 Josephine Pediten Tadian, Mt. Province Hemodialysis 11,000.00 - 11,000.00628 Jeric Pangog Sabangan, Mt. Province Hospitalization 30,000.00 - 30,000.00629 Orlando Fossing Natonin, Mt. Province Hospitalization 30,000.00 - 30,000.00630 Telesfora Agwilang Bontoc, Mt. Province medicines 10,000.00 - 10,000.00631 Shephere Gent Liis Bauko, Mt. Province Hospitalization 35,550.00 - 35,550.00632 Marieta Aglayen Sabangan, Mt. Province Hospitalization 1,927.00 - 1,927.00633 Andrew Bangcolen Busetan Bauko, Mt. Province Hospitalization 7,000.00 - 7,000.00634 Precentacion Las-egan Sabangan, Mt. Province medicines 5,000.00 - 5,000.00635 Daniel De Guzman Mountain Province Hospitalization 6,693.00 - 6,693.00636 Medina, Narcisa Aringay, La Union Hospitalization 7,500.00 - 7,500.00637 Tulipas, Ma. Morena Estioco Burgos, La Union Hospitalization 19,758.81 19,758.81 -638 Jonna Mae Rimas Florida Aringay, La Union Hospitalization 29,627.31 29,627.31 -639 Juliet Pascual Burgos, La Union Hemodialysis 4,400.00 - 4,400.00640 Flordeliza Mirhan Baguio City Hemodialysis 2,200.00 - 2,200.00641 Domingo, Fe De Vera Sison, Pangasinan Hemodailysis 20,000.00 - 20,000.00642 Cantorna, Rogelio Emralino Binalonan, Pangasinan Hospitalization 15,000.00 15,000.00 -643 Pepito Cerezo Pozzorobio, Pangasinan Hospitalization 19,000.00 19,000.00 -644 Racchel Ann Naces Pozzorobio, Pangasinan Hospitalization 9,000.00 9,000.00 -645 Mario Pajela Pagaduan City of Urdaneta, Pangasinan Hospitalization 15,000.00 15,000.00 -646 Rogelio Vergara Sison, Pangasinan Hospitalization 15,000.00 - 15,000.00647 Divina Grace Del Rosario Pozzorobio, Pangasinan Hospitalization 15,000.00 - 15,000.00648 Beatriz C. Padilla City of Urdaneta, Pangasinan Hospitalization 8,000.00 - 8,000.00

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Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

649 Agripa, Renato Orosco San Jose, Nueva Ecija Hospitalization 14,559.12 14,559.12 -650 Santos, Levilyn Beltran San Jose, Nueva Ecija Hospitalization 10,000.00 10,000.00 -651 Perfecto Miguel Dayag San Jose, Nueva Ecija Hospitalization 10,000.00 - 10,000.00652 Francisco Apostol San Jose, Nueva Ecija Hospitalization 10,000.00 10,000.00 -653 Olympia Ocampo San Jose, Nueva Ecija Laboratory 800.00 - 800.00654 Arellano, Elisa Magno Gerona, Tarlac Hospitalization 10,000.00 9,045.75 954.25655 Enrade, Adela Baldomera Asin, Tuba, Benguet Hemodialysis 10,000.00 - 10,000.00656 Mangusan, Delfin Gomari Quirino Hill, Baguio City Hemodialysis 13,200.00 - 13,200.00657 Sakiwat, April Vicente Magsaysay, Baguio City Hemodialysis 10,000.00 - 10,000.00658 Gayao, Agustin Tacay Irisan, Abguio City Hemodialysis 10,000.00 - 10,000.00659 Boaging, Manuel Nanam San Carlos Hgts, Baguio City Hemodialysis 10,000.00 - 10,000.00660 Taynan, Jerry Galacyang Magsaysay, Baguio City Hemodialysis 10,000.00 - 10,000.00661 Awacan, Santos Ablaza Lubas, La Trinidad, Benguet Hemodialysis 6,600.00 - 6,600.00662 Balangitan, Rex Olban Balacbac, Baguio City Hemodialysis 6,600.00 - 6,600.00663 Carino, Rene Richmond Ulalan Buyagan, La Trinidad, Benguet Hemodialysis 6,600.00 - 6,600.00664 De Guzman, Diana Gonzales Bakakeng, Baguio City Hemodialysis 8,000.00 - 8,000.00665 Daliling, LuzLuciano Itogon, Benguet Hospitalization 10,000.00 8,887.75 1,112.25666 Torres, Josepal Dela Cruz City Camp, Baguio City lab and meds 10,000.00 - 10,000.00667 Almario Benitez Jr. Baguio City , Benguet Hemodialysis 3,000.00 - 3,000.00668 Aplasen Tacdoy Abe La Trinidad (Capital), Benguet Hemodialysis 2,400.00 - 2,400.00669 Redito, Ephraim Sanchez Tayug, Pangasinan Hospitalization 2,900.00 - 2,900.00670 Juanitez Lailani Allas Tayug, Pangasinan Medicines 5,000.00 2,445.00 2,555.00671 Aboy, Chritian Cerezo San Quintin, Pangasinan Hospitalization 8,000.00 8,000.00 -672 Manuel, Erlinda Orbito Villasis, Pagasinan Hospitalization 20,000.00 20,000.00 -

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Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

673 Capua, Jaypee Opiniano Sta Barbara, Pangasinan Hospitalization 5,000.00 5,000.00 -674 Caseres, Natchie Charmia MeniadoBalongao, Pangasinan Medicines 3,000.00 1,755.00 1,245.00675 Arnaiz, Epifanio Sabadao Outlook Drive, Baguio Cioty Medicines 5,000.00 3,258.75 1,741.25676 Nalos, Leonard Hernandez Dontogan, Baguio City Hemodialysis 4,400.00 - 4,400.00677 Redito, Ephraim Sanchez Tayug, Pangasinan Hospitalization 2,900.00 2,900.00 -678 Binuya, Perfecto Sr. Mariane Villasis, Pagasinan Hemodialysis 15,000.00 - 15,000.00679 Juanitez Lailani Allas Celetial Village, Baguio City Medicines 5,000.00 - 5,000.00680 Esmeralda, Virgilio Gallarin Villasis, Pagasinan Hospitalization 10,000.00 10,000.00 -681 Bustillos, Bryan Matthew Parilla Rosales, Pangasinan Medicines 4,000.00 2,445.75 1,554.25682 Mandapat, Merlinda Mina Asingan, Pangasinan CT Scan 5,000.00 4,910.00 90.00683 Raguindin, Nolly Gonatice Villasis, Pagasinan Medicines 3,000.00 - 3,000.00684 Raguindin, Nolly Gonatice Villasis, Pagasinan Hospitalization 5,000.00 - 5,000.00685 Rosario, Lea Nicole San Nicolas, Pangasinan chemotherapy 3,000.00 3,000.00 -686 Valentina Domingo San Nicolas, Pangasinan Lab and meds 5,000.00 1,397.50 3,602.50687 Tessie B. Colcol Asingan, Pangasinan CT Scan 3,500.00 3,500.00 -688 Perfecto Binuya Sr. San Nicolas, Pangasinan Hemodialysis 4,400.00 - 4,400.00689 Rowena Valdez Rosales, Pangasinan Hemodialysis 6,600.00 - 6,600.00690 Nenita Ng Barraca, Villasis, Pangasinan Lab and meds 4,000.00 2,328.25 1,671.75691 Joey Q. Walsiyen Sison, Pangasinan Hemodialysis 4,400.00 - 4,400.00692 Regina Padawang Umingan, Pangasinan chemotherapy 4,900.00 4,600.00 300.00693 Perfecto Binuya Sr. San Nicolas, Pangasinan Hemodialysis 4,400.00 - 4,400.00694 Omar Aggabao Rosales, Pangasinan Lab and meds 2,000.00 850.00 1,150.00695 Joshua C Castillo Santa Maria, Pangasina Lab and meds 3,000.00 1,717.50 1,282.50696 Josephine Foronda Balungao, Pangasinan Hospitalization 5,000.00 5,000.00 -

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Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

697 Benigno Lovina San Quintin, Pangasinan Hemodialysis 5,000.00 - 5,000.00698 Lailani Juantez Tayug, Pangasinan Lab and meds 3,000.00 1,404.00 1,596.00699 Adela Enrade Alcala, Pangasinan Hemodialysis 4,400.00 - 4,400.00700 Marieta Miranda Tayug, Pangasinan Hospitalization 5,000.00 5,000.00 -701 Regina Padawang Umingan, Pangasinan chemotherapy 5,000.00 4,600.00 400.00702 Viginia Padillo Asingan, Pangasinan Lab and meds 3,000.00 1,520.00 1,480.00703 Eddie Esmeralda Villasis, Pagasinan Hospitalization 5,000.00 5,000.00 -704 Hegesipo Omar Aggabao Rosales, Pangasinan Lab and meds 2,000.00 1,620.00 380.00705 Ricardo E. Puno Balungao, Pangasinan Lab and meds 5,000.00 1,190.00 3,810.00706 Abe Aplasen Pico, La Trinidad, Benguet Medicines 3,500.00 3,500.00 -707 Marieta Miranda Tayug, Pangasinan Hospitalization 5,000.00 5,000.00 -708 Emilda Bustarde Maria Basa, Pacdal, Baguio City Hemodialysis 3,500.00 - 3,500.00709 Almario Benitez Campo Sioco, Baguio City Hemodialysis 3,500.00 - 3,500.00710 Edwin Bagano Jr. Irisan, Baguio City Hemodialysis 3,500.00 - 3,500.00711 Hannah Louisse Catu Naguilian Rd., Baguio City Hospitalization 10,000.00 6,104.25 3,895.75712 Mila Raguindin Pareno Villasis, Pagasinan Hospitalization 5,000.00 1,281.00 3,719.00713 German Monterey Rosales, Pangasinan Hospitalization 5,000.00 - 5,000.00714 Tandoc Leandro Pinget, Baguio City Hemodialysis 3,500.00 - 3,500.00715 April Sakiwat Magsaysay, Baguio City Hemodialysis 3,500.00 - 3,500.00716 Roel Cruz Pacdal, Baguio City Medicines 3,500.00 - 3,500.00717 Reynaldo Oria Rosales, Pangasinan Medicines 5,000.00 2,711.00 2,289.00718 Gayao, Agustin Irisan, Baguio City Hemodialysis 3,500.00 - 3,500.00719 Rowena Valdez Rosales, Pangasinan Hemodialysis 4,400.00 - 4,400.00720 Gabriel Doton San Quintin, Pangasinan Hemodialysis 4,400.00 - 4,400.00

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Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

721 Mikkle Ison Magno Alaminos, Pangasinan Hospitalization 5,000.00 - 5,000.00722 Mikkle Ison Magno Alaminos, Pangasinan Hospitalization 5,000.00 - 5,000.00723 Mikkle Ison Magno Alaminos, Pangasinan Hospitalization 5,000.00 - 5,000.00724 Tomas Robert Magsaysay, Baguio City Hemodialysis 3,500.00 - 3,500.00725 Santos Awacan La Trinidad, Benguet Medicines 3,500.00 - 3,500.00726 Perfecto Binuya Villasis, Pagasinan Hemodialysis 6,600.00 - 6,600.00727 Jerry Taynan Magsaysay, Baguio City Hemodialysis 3,500.00 - 3,500.00728 Mart Jarius Belmonte Asingan, Pangasinan Hospitalization 5,000.00 - 5,000.00729 Warlito Orden Umingan, Pangasinan Hospitalization 5,000.00 - 5,000.00730 Felix D. Centino San Fabian, Pangasinan Hospitalization 5,000.00 - 5,000.00731 Eric Soriano Sto. Tomas, Pangasinan chemotherapy 3,000.00 3,000.00 -732 Mart Jairus Belmonte Asingan, Pangasinan Hospitalization 5,000.00 - 5,000.00733 Jennifer Gallentes Pozzorubio, Pangasinan Hospitalization 1,500.00 - 1,500.00734 Ezra Martinez Infanta, Pangasinan Hospitalization 3,000.00 - 3,000.00735 Natchie M. Caseres Balungao, Pangasinan Medicines 3,000.00 - 3,000.00736 Perfecto Binuya San Nicolas, Pangasinan Hemodialysis 6,600.00 - 6,600.00737 Renelyn Wilson Sta. Maria Pangasinan chemotherapy 5,000.00 4,600.00 400.00738 Epifanio Arnaiz Outlook Drive, Baguio Cioty Medicines 5,000.00 - 5,000.00739 Santos Estillore San Miguel Natividad, Pangasinanchemotherapy 5,000.00 5,000.00 -740 Eugenio Iluis Villasis, Pagasinan Hospitalization 5,000.00 - 5,000.00741 Eugenio Iluis Villasis, Pagasinan Hospitalization 5,000.00 - 5,000.00742 Donton Gabriel San Quintin, Pangasinan Hemodialysis 4,400.00 - 4,400.00743 Henry Balbin Villasis, Pagasinan Hospitalization 5,000.00 - 5,000.00744 Jingle Ugalde Sual, Pangasinan Hospitalization 3,500.00 - 3,500.00

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Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

745 Elma Mendoza Pozzorubio, Pangasinan Hospitalization 3,000.00 - 3,000.00746 Anthony Calatan Tuba, Benguet Hospitalization 1,411.34 - 1,411.34747 Bryan Matthew Bustillos Rosales, Pangasinan Medicines 4,000.00 - 4,000.00748 Marilyn Socia Asingan, Pangasinan Medicines 2,000.00 - 2,000.00749 Gio Angelo Samtillan San Fabian, Pangasinan Hospitalization 10,000.00 - 10,000.00750 Marlou Osias Cabanisas Tayug, Pangasinan Hemodialysis 4,400.00 - 4,400.00751 Cecille Perez Singh San Manuel, Pangasina Hospitalization 5,000.00 - 5,000.00752 Cecille Perez Singh San Manuel, Pangasina Hospitalization 5,000.00 - 5,000.00753 Bumacas, Marco Valdez Quirino Hill, Baguio City Hemodialysis 4,400.00 - 4,400.00754 Dumansi, Erly Walinchan Pinsao, Baguio City Hemodialysis 4,400.00 4,400.00 -755 Taynan, Jerry Galacyan La Trinidad, Benguet Hemodialysis 4,400.00 - 4,400.00756 Tandoc, Leandro Simeon Pinget, Baguio City Hemodialysis 4,400.00 - 4,400.00757 Sakiwat, April Vicente Tawang, La Trinidada, Benguet Hemodialysis 4,400.00 4,400.00 -758 Tomas, Robert Sakiwat Buyagan, Baguio City Hemodialysis 4,400.00 - 4,400.00759 Balangitan, Rex Olban Balacbac, Baguio City Medicines 4,400.00 500.00 3,900.00760 Bango, Grace Dumingay San Carlos Hghts Hemodialysis 4,400.00 - 4,400.00761 Binay-an, Mary Grace Damullog Irisan, Baguio City Hemodialysis 4,400.00 - 4,400.00762 Dalida, Sharon Valdez Ambiong, LTB Hemodialysis 4,400.00 - 4,400.00763 Lisayan, Qakelyn Canuteb San Carlos Hghts, Baguio City Hemodialysis 4,400.00 - 4,400.00764 Orpilla, Amor Inacay DPS CMP., Baguio City Hemodialysis 4,400.00 - 4,400.00765 Clemente, Virgilio Bautista Honeymoon, Baguio City Hemodialysis 4,400.00 - 4,400.00766 Gayo, Agustin Tacay Apugan, Irisan, Baguio City Hemodialysis 4,400.00 - 4,400.00767 Guines, Lucia Sacla Cattubao, Atok, Benguet Hemodialysis 4,400.00 - 4,400.00768 Bugtong, alex Kitongan Tuba, Benguet Hospitalization 5,000.00 5,000.00 -

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Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

769 Tumingeb, Guigeon Falingchan Irisan, Baguio City Medicines 4,400.00 - 4,400.00770 Lopez, May Anne Enriquez Tuba, Benguet Hospitalization 5,000.00 5,000.00 -771 Salvador, Marcelino Sadyoc Besao, Mt. Province Hemodialysis 4,400.00 4,400.00 -772 Eban, Glory Dangbis Itogon, Benguet Hemodialysis 4,400.00 - 4,400.00773 Enrade, Adela Baldomero Asin, Tuba, Benguet Hemodialysis 4,400.00 4,400.00 -774 Awacan, Santos Ablaza Lubas, La Trinidad, Benguet Hemodialysis 4,400.00 4,400.00 -775 Bagano, Edwin Sr. Annatil Alapang, La Trinidad, Benguet Hemodialysis 4,400.00 - 4,400.00776 Marquez, Shirley Rillera Sablan, Benguet Hospitalization 5,000.00 5,000.00 -777 Bucasan, Nora Udan Asin, Road, Baguio City Hospitalization 3,000.00 3,000.00 -778 Artos, Jennyrose Galace Irisan, Baguio City Hemodialysis 4,400.00 4,400.00 -779 De Guman, Diana Gonzales Bakakeng Norte, Baguio City Hemodialysis 4,400.00 4,400.00 -780 Polo, Nena Alis Hillside, Baguio City Hemodialysis 4,400.00 4,400.00 -781 Gaspar, Hilda Gigway Balsigan, Baguio City Hemodialysis 4,400.00 4,400.00 -782 Domingo, Rolando Cara Lourdes Subd Ext., Baguio City Hemodialysis 4,400.00 4,400.00 -783 Bustarde, Emilda Seguin Maria Basa, Pacdal, Baguio City Hemodialysis 4,400.00 4,400.00 -784 Gatudan, Linda Deo-ay Ambion, La Trinidad Hemodialysis 4,400.00 4,400.00 -785 Carino, Rene Richmond Ulalan Buyagan, Baguio City Hemodialysis 4,400.00 4,400.00 -786 Linmayog, Lucia Bengtayen Balsigan, Baguio City Hemodialysis 4,400.00 4,400.00 -787 Benitez, Almario Fernandez Campo Sioco, Baguio City Hemodialysis 4,400.00 - 4,400.00788 Nalos, Leonard Hernandez Dontogan, Baguio City Hemodialysis 4,400.00 4,400.00 -789 Bantas, Shalu Cris Degay Irisan, Baguio City Hemodialysis 4,400.00 4,400.00 -790 Recile, Rocky Comila Pinget, Baguio City Hemodialysis 4,400.00 - 4,400.00791 Payacda, Virginia Lokingan Irisan, Baguio City Hemodialysis 4,400.00 4,400.00 -792 Ayson, Nancy Calica Pinget, Baguio City Hemodialysis 4,400.00 4,400.00 -

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Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

793 Bobilla, Janice Vicente Cruz, La Trinidad, Benguet Hemodialysis 4,400.00 4,400.00 -794 Ranches, Rosalinda Deocariza T. Alonzo, Baguio City Hemodialysis 4,400.00 4,400.00 -795 Pediten, Josephine Marrero Kesbeng, Pob. LTB Hemodialysis 4,400.00 4,400.00 -796 Doriano, Cresencio Bindo Lucnab, Baguio City Hemodialysis 4,400.00 4,400.00 -797 Sara, Mary Jane Ogcido La Trinidad, Benguet Hospitalization 3,000.00 3,000.00 -798 Nabus, Robert Mendoza La Trinidad, Benguet Hemodialysis 4,400.00 - 4,400.00799 Abellera, Lalyn Pio Itogon, Benguet Hemodialysis 3,000.00 3,000.00 -800 Jushua Allen Escara Baguio City, Benguet Lab and Meds 4,000.00 1,797.50 2,202.50801 Roland Langbis La Trinidad, Benguet Hemodialysis 3,000.00 - 3,000.00802 Recy Joy Q. Caluza Baguio City, Benguet Hemodialysis 3,000.00 - 3,000.00803 Meriam Buenavente Baguio City, Benguet Hemodialysis 3,000.00 - 3,000.00804 Jocelyn Nalbog Laigo Burgos, La Union Hemodialysis 3,000.00 - 3,000.00805 Jose B. Lud-ayen Bauko, Mountain Province Hemodialysis 4,400.00 - 4,400.00806 Roel Cruz Baguio City, Benguet Medicines 4,400.00 4,400.00 -807 Clifford Cortado Camte Bambang, Nueva Viscaya Hospitalization 5,000.00 - 5,000.00808 Ferdinand Tuzon Besao, Mt. Province Hemodialysis 3,000.00 - 3,000.00809 Matso Quinio Baguio City, Benguet Hemodialysis 3,000.00 - 3,000.00810 Ferdinand Isilen Baguio City, Benguet Hospitalization 4,400.00 - 4,400.00811 Edwin Bonoy Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00812 Herminio Cacay Baguio City, Benguet Hemodialysis 3,000.00 - 3,000.00813 Felicidad o. Isaac Sison Pangasinan Hemodialysis 4,400.00 - 4,400.00814 Agustina Monteclaro Baguio City, Benguet Hemodialysis 3,000.00 - 3,000.00815 Gemma Monteclaro Baguio City, Benguet Hemodialysis 3,000.00 - 3,000.00816 Fryla Dela Pena Kapangan, Benguet Hemodialysis 4,400.00 - 4,400.00

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Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

817 Requino Todlem Baguio City, Benguet Hemodialysis 3,000.00 - 3,000.00818 Delfin Gomari Mangusan Sagada, Mountain Province Hemodialysis 4,400.00 - 4,400.00819 Marco Jose Ogas La Trinidad, Benguet Hemodialysis 4,400.00 - 4,400.00820 Jonathan Bulwayan Tanudan, Kalinga Hemodialysis 4,400.00 - 4,400.00821 Angelo Natividad Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00822 Abe Aplasen La Trinidad, Benguet Hemodialysis 4,400.00 - 4,400.00823 Nancy Bugnay La Trinidad, Benguet Hemodialysis 3,000.00 - 3,000.00824 Manuel Nanam Boaging Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00825 Jocelyn Balasbas Biadno Bokod, Benguet Hemodialysis 4,400.00 - 4,400.00826 Rowena Valdez Baguio City, Benguet Hemodialysis 3,000.00 - 3,000.00827 Liezle B. Kinakin Lagawe, Ifugao Hemodialysis 4,400.00 - 4,400.00828 Julie Ann Pinos-an Falingchan Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00829 Edna Tanglao Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00830 Bryan Becaca Itogon, Benguet Hemodialysis 4,400.00 - 4,400.00831 James Acosta Bokod, Benguet Hemodialysis 4,400.00 - 4,400.00832 Joey Quiwase Walsiyen Baguio City, Benguet Hemodialysis 3,000.00 - 3,000.00833 Avelino Agayao Tadian, Mountain Province Hemodialysis 4,400.00 - 4,400.00834 Lencio Palengleng Itogon, Benguet Hemodialysis 3,000.00 - 3,000.00835 Basilisa Ang Baguio City, Benguet Hemodialysis 4,400.00 2,500.00 1,900.00836 Richard Gusto Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00837 Teresa Rullan Baguio City, Benguet Hemodialysis 4,000.00 - 4,000.00838 Flordeliza Mirhan Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00839 Dario Ayeona Baguio City, Benguet Hemodialysis 3,000.00 - 3,000.00840 Amparo Gayo La Union Hospitalization 2,000.00 2,000.00 -

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Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

841 John Cawayan Besao, Mt. Province Hemodialysis 4,400.00 - 4,400.00842 John Dampulay Tublay, Benguet Hemodialysis 4,400.00 - 4,400.00843 Jennilyn Antonio La Trinidad, Benguet Hospitalization 5,000.00 5,000.00 -844 Angelito Estero Pozzorubio, Pangasinan Hospitalization 4,000.00 - 4,000.00845 Cindy Mamaril Baguio City, Benguet Hospitalization 2,000.00 - 2,000.00846 Roger Alsaen Atok, Benguet Hemodialysis 4,400.00 - 4,400.00847 Roy Sagalto Sagada, Mountain Province Hemodialysis 4,400.00 - 4,400.00848 Desseri Bumanglag Rosario La Union Hospitalization 1,300.00 - 1,300.00849 Jonalyn Cadiogan Tuba, Benguet Hospitalization 3,000.00 - 3,000.00850 Armando Siano Kapangan, Benguet Hospitalization 4,400.00 - 4,400.00851 Caroline Gameng Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00852 Milagros Tait Baguio City, Benguet Hemodialysis 4,400.00 - 4,400.00853 Abe Aplasen La Trinidad, Benguet Medicines 3,000.00 2,500.00 500.00854 Adela Enrade Tuba, Benguet Hemodialysis 3,000.00 - 3,000.00855 Danny J. Cadao Itogon, Benguet Hemodialysis 3,000.00 - 3,000.00856 Janice Tamiray Baguio City, Benguet Hospitalization 3,000.00 - 3,000.00857 Juliet Dokipen Baguio City, Benguet Hospitalization 1,500.00 - 1,500.00858 Joey Walsiyen Baguio City, Benguet Hemodialysis 2,500.00 - 2,500.00859 Jardine Kyle Milo Tuba, Benguet Hospitalization 3,000.00 578.25 2,421.75860 Emilda Bustarde Baguio City, Benguet Hemodialysis 2,500.00 - 2,500.00861 Almario Benitez Baguio City, Benguet Medicines 1,500.00 1,170.00 330.00862 Edwin Bagano Baguio City, Benguet Hemodialysis 2,500.00 - 2,500.00863 April Sakiwat Baguio City, Benguet Hemodialysis 2,500.00 - 2,500.00864 Santos Awacan Baguio City, Benguet Hemodialysis 2,500.00 - 2,500.00

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Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

865 Leandro Tandoc Baguio City, Benguet Hemodialysis 2,500.00 - 2,500.00866 Shaly Cris Bantas Baguio City, Benguet Hemodialysis 2,500.00 - 2,500.00867 Marieta Miranda Tayug, Pangasinan Hospitalization 2,500.00 2,500.00 -868 Recy Joy Caluza Baguio City, Benguet Hemodialysis 2,500.00 - 2,500.00869 Asnor John Gayao Baguio City, Benguet Medicines 2,500.00 - 2,500.00870 Cresencio Doriano Baguio City, Benguet Hemodialysis 2,500.00 - 2,500.00871 Nancy Bugnay Baguio City, Benguet Hemodialysis 2,500.00 - 2,500.00 56872 Castro Derlyn Banares Market, Baguio City Hospitalization 2,223.37 2,223.37 -873 Entuna, Mylene Fernandez Poblacion, Tuba, Benguet Hospitalization 2,079.37 - 2,079.37874 Magusan, Delfin Gomari Quirino Hill, Baguio City Hemodialysis 2,500.00 - 2,500.00875 Bagano, Edwin Sr. Annatil San Carlos hts., Baguio City Hemodialysis 2,500.00 - 2,500.00876 Tandoc, Leandro Simeon Pinget, Baguio City Hemodialysis 2,200.00 - 2,200.00877 Awacan, Santos Ablaza La Tinidad, Benguet Hemodialysis 2,200.00 - 2,200.00878 Carino, Rene Richmond Ulalan Dominican Hill, Baguio City Hemodialysis 2,500.00 - 2,500.00879 Orpilla, Amor Inacay DPS Cmpd., Baguio City Hemodialysis 2,200.00 - 2,200.00880 Arcilla, Almario Jr. Liwanag Scout Bario, Baguio City Hospitalization 4,079.50 4,079.50 -881 Taynan, Jerry Galayan Magsaysay, Baguio City Hemodialysis 2,200.00 - 2,200.00882 Garcia, Sheryl Almendarez Mabini, Pangasinan Hospitalization 3,220.00 3,220.00 -883 Binay-an, Mary Grace Domullog Irisan, Baguio City Hemodialysis 2,200.00 - 2,200.00884 Lisayen, Quakelyn, Canuteb San Carlos hts., Baguio City Hemodialysis 2,200.00 - 2,200.00885 Biadno, Jocelyn Balasbas Bokod, Benguet Hemodialysis 2,200.00 - 2,200.00886 Artos, Jenny Rose Galace Irisan, Baguio City Hemodialysis 2,200.00 - 2,200.00887 Mirhan, Floredeliza Oribello Bakakeng, Baguio City Hemodialysis 2,200.00 - 2,200.00888 Escalante, Joan Sanchez Happy Hallow, Baguio City Hospitalization 3,115.25 3,115.25 0.00

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Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

889 Ebbes, Jenny Claire Sabado Sablan, Benguet Hospitalization 5,000.00 4,621.75 378.25890 Laigo, Jocelyn Nalbog Burgos, La Union Hemodialysis 2,200.00 - 2,200.00891 Lucas, Rycher Jonet Banto Burgos, La Union Hospitalization 1,644.81 1,644.81 -892 Corrit, Amena Baniaca Itogon, Benguet Hospitalization 2,952.12 2,952.12 -893 Cajigal, Joy Sagasag Phil-Amm, baguio City Hospitalization 2,139.25 2,139.25 -894 Walsiyen, Joey Quiwasen Gibraltar, Baguio City Hospitalization 2,200.00 - 2,200.00895 Polo, Nena Alis Hillside, Baguio City Hemodialysis 2,200.00 - 2,200.00896 Bonoy, Edwin Balbal-o Itogon, Benguet Hemodialysis 2,200.00 - 2,200.00897 Gayao, Agustin Tacay Irisan, Baguio City Hemodialysis 2,200.00 - 2,200.00898 Escara Joshua Allen Vasquez Bakakeng, Baguio City Hospitalization 3,000.00 3,000.00 -899 Ayson, Nancy Calica Pinget, Baguio City Hemodialysis 2,200.00 - 2,200.00900 Cruz, Roel Laguipo Pacdal, Baguio City Hemodialysis 2,200.00 - 2,200.00901 Caluza, Recy Joy Quindara Imelda Village, Baguio City Hemodialysis 2,200.00 - 2,200.00902 De Guzman, Diana Gonzales Bakakeng, Baguio City Hemodialysis 2,200.00 - 2,200.00903 Suico, Wella Geosua Trancoville, Baguio City Hospitalization 3,000.00 3,000.00 -904 Alingaongao, Ronie Aledo Alimodian, Iloilo Hospitalization 5,000.00 - 5,000.00905 Tarcenio, Gymberlie Olarte Sison, Pangasinan Hospitalization 5,000.00 5,000.00 -906 Cabanting, Roberto Distor Imelda Village, Baguio City Hemodialysis 2,200.00 - 2,200.00907 Delfin, Leonora Moral Kias, Baguio City Hospitalization 3,000.00 - 3,000.00908 Doriano, Cresencio Bindo Lucnab, Baguio City Hemodialysis 2,200.00 - 2,200.00909 Alla, Joseph Edgar Agustin Baguio City Hospitalization 5,000.00 - 5,000.00910 Dumansi, Erly Walinchan Itogon, Benguet Hemodialysis 2,200.00 - 2,200.00911 Manuel Nanam Boaging Baguio City, Benguet Hospitalization 2,200.00 - 2,200.00912 Jinky Mae Salonga Baguio City, Benguet Hospitalization 3,000.00 3,000.00 -

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Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

913 Jennifer Pedronan Baguio City, Benguet Hospitalization 3,000.00 3,000.00 -914 Jimmy Dela Cruz Dingle Umingan Pangasinan Hospitalization 4,263.72 4,263.72 -915 Ronel Dela Rosa Bello Umingan Pangasinan Hospitalization 2,500.00 2,500.00 -916 Danny J. Cadao Itogon, Benguet Hemodialysis 2,200.00 - 2,200.00917 Manuel Mabiasan Baddao Itogon, Benguet Hospitalization 3,000.00 - 3,000.00918 Manuel Mabiasan Baddao Itogon, Benguet Hospitalization 3,000.00 - 3,000.00919 Manuel Mabiasan Baddao Itogon, Benguet Hospitalization 3,000.00 - 3,000.00920 Marieta Miranda Tayug, Pangasinan Hospitalization 4,000.00 4,000.00 -921 Sharon Dalida La Tinidad, Benguet Hemodialysis 2,200.00 - 2,200.00922 Francisco Apostol San Jose, Nueva Ecija Hospitalization 3,000.00 3,000.00 -923 Najwah Pangandaman Baguio City, Benguet Hospitalization 1,305.50 - 1,305.50924 Asnor John Gayao Baguio City, Benguet Hospitalization 2,500.00 - 2,500.00925 Vergie Ante Asingan, Pangasinan Hospitalization 2,500.00 - 2,500.00

TOTAL 7,894,060.57 2,775,899.36 5,118,161.21

SUMMARY:

Total Allocation - Total (actual Utilization)23,230,000.00PhP 2,775,899.36PhP 20,454,100.64PhP

Certified Correct: Approve by:Prepared by:

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Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - MAP- CARTotal Allocation: Php. 23,230,000.00

AMOUNT ACTUAL

UTILIZATIONBALANCE

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of September 30, 2014

No. NAME OF PATIENTSADDRESS (District, City/ Mun.,

Prov.)TYPE OF ASSISTANCE

(Given)

GUARANTEE LETTER (GL) ISSUEDREMARKS

Head, Budget Section

ROSELAINE B. MACABADA EDNA L. MOGAMOG, CPA EMMANUEL F. ACLUBA, MD, MHASupervising Administrative Officer Medical Center Chief II

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FUND SOURCESApril May June July August September

Total No. OfPatientServed

Abra 0 0 0 0 0 0 0Baguio City 5 15 82 89 109 149 449Benguet 2 1 7 14 25 31 80Kalinga 0 2 1 3 4 2 12Mt. Province 2 18 20 10 12 8 70La Union - 2nd District 0 0 1 3 1 0 5Pangasinan - 5th District 0 0 2 3 1 2 8Nueva Ecija - 2nd District 0 1 1 1 1 1 5BUHAY Partylist 0 0 0 3 6 10 19AKBAYAN Partylist 0 0 0 0 0 0 0ABONO Partylist 0 3 10 13 22 35 83COOP NATCO Partylist 0 0 0 0 0 0 0MAGDALO Partylist 0 0 32 13 7 2 54KALINGA Partylist 0 0 0 0 0 0 0ABS Partylist 1 0 12 2 0 1 16ANAC-IP Partylist 0 0 32 44 16 8 100Ifugao 0 2 5 7 5 5 24

TOTAL 10 42 205 205 209 254 925

BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER CHIEF2014 Medical Healthcare Assistance Program

As of September 30, 2014

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