Name of Hospital: Region: DOH - CAR Total...

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Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - CAR Total Allocation: Php. 27,580,000.00 No. DATE TYPE AMOUNT ACTUAL UTILIZATION BALANCE 1 Maranes Arabella Jem Espada Gibraltar, Baguio City May 6, 2014 Hospitalization 30,000.00 30,000.00 - 2 Bullod Leonida Agyao Loakan, Baguio City May 6, 2014 Hospitalization 14,041.40 14,041.40 - 3 Laberinto Gregorio Sarmiento BGH Compound, Baguio Ci May 6, 2014 Hospitalization 9,951.80 9,951.80 - 4 Bolla, Cesar Puddal Kias, Baguio City May 6, 2014 Hemodialysis 22,000.00 22,000.00 - 5 Kilongan, Winston Bangcawayan Brookside, Baguio City May 6, 2014 Hospitalization 16,934.50 16,934.50 - 6 Valdez, Althea Joy Macadaeg West Quirino Hill. B.C May 6, 2014 Hospitalization 12,226.43 12,226.43 - 7 Ansary, Jalil Ditangcapan CityCamp Central, Baguio C May 7, 2014 Hospitalization 1,000.00 1,000.00 - 8 Almoda, Jamesward Ganado Militay Cut-off, Baguio City May 8, 2014 Hospitalization 31,209.56 31,209.56 - 9 Coc-obab, Jennifer Enteria BonifacioSt, Baguio City May 12, 2014 Hospitalization 5,541.94 5,541.94 - 10 Brioso, Victoria Crecencia Cadate Dontogan, Baguio City May 14, 2014 Hospitalization 8,550.69 8,550.69 - 11 Bantiyao, Emelita Ruba Irisan Baguio City May 15, 2014 Hospitalization 19,105.00 19,105.00 - 12 Solera, Geraldine Confinente BGH Compound, Baguio Ci May 22, 2014 Hospitalization 28,178.39 28,178.39 - 13 Gatudan, Linda Ded-ay Sanitary Camp, Baguio City May 23, 2014 Hemodialysis 4,400.00 4,400.00 - 14 Benigno, Josephine Labarento Dominican Extn., Baguio C May 23, 2014 Hospitalization 12,000.00 12,000.00 - 15 Aspiras Conrado Lorenzo Pucay, Pinsao, Baguio City May 26, 2014 Hospitalization 3,989.00 3,989.00 - 16 Razote, Ferdinand Pilar New Lucban, Baguio City May 26, 2014 Hospitalization 4,000.00 4,000.00 - 17 Balisong, Evelyn Pit-og Bakakeng Norte, Baguio Ci May 26, 2014 Hospitalization 7,290.25 7,290.25 - 18 Viado, Roland Peralta Ambiong Rd, Baguio City May 26, 2014 Hospitalization 6,996.25 6,996.25 - 19 Buazon, PlacidoRacaza Crystal Cave, Baguio City May 26, 2014 Hospitalization 6,904.18 6,904.18 - 20 Perez, Kristan Kyle San Luis Village, Baguio Cit May 28, 2014 Hospitalization 4,025.75 4,025.75 - 21 Padilla, Ramon, Bernardo City Camp, Baguio City June 2, 2014 Hemodialysis 7,500.00 6,600.00 900.00 22 Castillo, Salvador Soriano Pacdal, Baguio City June 3, 2014 Medicines 20,000.00 - 20,000.00 23 Vergara, Jasmin Narte Green Valley, Baguio City June 3, 2014 Hospitalization 4,022.62 4,022.62 - 24 Tolentino, Dhalia Calosa Bayan Park, Baguio City June 3, 2014 Hospitalization 9,000.00 - 9,000.00 25 Orpilla, amor Inacay DPS Cmp, Baguio City June 5, 2014 Hemodialysis 4,400.00 4,400.00 - 26 Tandoc, Leandro Simeon Pinget, Baguio City June 9, 2014 Hemodialysis 4,400.00 4,400.00 - 27 Bagano, Edwin Sr. Annatil San Carlos Hgts, Baguio Ci June 9, 2014 Hemodialysis 4,400.00 4,400.00 - 28 Tomas, Robert Sakiwat Magsaysay, Baguio City June 9, 2014 Hemodialysis 4,400.00 4,400.00 - 29 Sakiwat, april Vincent Magsaysay, Baguio City June 9, 2014 Hemodialysis 4,400.00 4,400.00 - 30 Cacayurin, Willy Monis Pinget, Baguio City June 9, 2014 Hospitalization 20,000.00 20,000.00 - 31 Recile, Rocky Comila Pinget, Baguio City June 10, 2014 Hemodialysis 4,400.00 4,400.00 - 32 Sannadan, Nancy Boa Cadaclan, Happy Hallow, B June 10, 2014 Hospitalization 37,288.00 37,288.00 - 33 Tumingeb, Guigeon Falingchan Cypress, Irisan, Baguio Citr June 10, 2014 Hemodialysis 4,400.00 4,400.00 - 34 Gayao, Agustin Tacay Apugan, Irisan, Baguio City June 10, 2014 Hemodialysis 4,400.00 4,400.00 - 35 Domingo, Rolando Cora Lourdes, Subd., Baguio Cit June 11, 2014 Hemodialysis 4,400.00 4,400.00 - 36 Carino, Rene Richmond Ulalan Dominican Hill, Baguio City June 11, 2014 Hemodialysis 4,400.00 4,400.00 - 37 Taynan, Jerry Galacyan Magsaysay, Baguio City June 11, 2014 Hemodialysis 4,400.00 4,400.00 - 38 Gamboa, Juluis Sardoma P. Burgos, Baguio City June 11, 2014 Ct-scan, Labs 13,030.00 - 13,030.00 39 Vinluan, Jenny Lee Espiritu Gibraltar, Baguio City June 11, 2014 Hospitalization 11,270.37 11,270.37 - 40 Panda, rasmiah Tatao Queen of Peace, Baguio Ci June 11, 2014 Hospitalization 2,082.35 2,082.35 - 41 Uligan, Francisco Ssongcuan Fairview, Baguio City June 13, 2014 Hospitalization 11,900.40 11,900.40 - 42 Clemente, Virgilio Baut Honeymoon Rd., Baguio C June 13, 2014 Hemodialysis 4,400.00 4,400.00 - 43 Isilen, Fernando Sugmayao Camp 8, Baguio City June 13, 2014 Hemodialysis 4,400.00 4,400.00 - 44 Artos, Jenny Rose Galace Irisan Baguio City June 13, 2014 Hemodialysis 4,400.00 4,400.00 - 45 Dumansi, Erly Walincitan Pinsao, Baguio City June 13, 2014 Hemodialysis 4,400.00 4,400.00 - 46 Ayson, Nancy Calica Pinget, Baguio City June 13, 2014 Hemodialysis 4,400.00 4,400.00 - 47 Balangitan, Rex Olban Balacbac, Baguio City June 13, 2014 Hemodialysis 4,400.00 4,400.00 - 48 Lakibo, Carmina Hamilosen Bakakeng Central, Baguio C June 13, 2014 Hospitalization 7,452.80 7,452.80 - 49 Mendoza, Julius Cesar Ventura Dontogan, Baguio City June 13, 2014 Hemodialysis 4,400.00 4,400.00 - 50 David, Michael Angelo Sto Domin Kayang Ext., Baguio City June 13, 2014 Hospitalization 5,282.69 5,282.69 - 51 Sollarano, Bienvenido Gama San Luis Village, Baguio Cit June 13, 2014 Hospitalization 3,405.50 3,405.50 - 52 De Guzman, Diana Gonzales Bakakeng, Baguio City June 16, 2014 Hemodialysis 4,400.00 4,400.00 - 53 Binay-an, Mary Grace Domullog Irisan Baguio City June 16, 2014 Hemodialysis 4,400.00 4,400.00 - 54 Baniguen, Dominga Lubo-od Gibraltar, Baguio City June 16, 2014 Hemodialysis 4,400.00 4,400.00 - 55 Linsayen, Quakelyn Canuteb San Carlos Hgts, Baguio Ci June 16, 2014 Hemodialysis 4,400.00 4,400.00 - MEDICAL ASSISTANCE PROGRAM FUND UTILIZATION REPORT As of December 2014 NAME OF PATIENTS ADDRESS (District, City/ Mun., Prov.) ASSISTANCE GRANTED

Transcript of Name of Hospital: Region: DOH - CAR Total...

Name of Hospital: BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER Region: DOH - CARTotal Allocation: Php. 27,580,000.00

No.

DATE TYPE AMOUNT ACTUALUTILIZATION BALANCE

1 Maranes Arabella Jem Espada Gibraltar, Baguio City May 6, 2014 Hospitalization 30,000.00 30,000.00 -2 Bullod Leonida Agyao Loakan, Baguio City May 6, 2014 Hospitalization 14,041.40 14,041.40 -3 Laberinto Gregorio Sarmiento BGH Compound, Baguio CityMay 6, 2014 Hospitalization 9,951.80 9,951.80 -4 Bolla, Cesar Puddal Kias, Baguio City May 6, 2014 Hemodialysis 22,000.00 22,000.00 -5 Kilongan, Winston Bangcawayan Brookside, Baguio City May 6, 2014 Hospitalization 16,934.50 16,934.50 -6 Valdez, Althea Joy Macadaeg West Quirino Hill. B.C May 6, 2014 Hospitalization 12,226.43 12,226.43 -7 Ansary, Jalil Ditangcapan CityCamp Central, Baguio CityMay 7, 2014 Hospitalization 1,000.00 1,000.00 -8 Almoda, Jamesward Ganado Militay Cut-off, Baguio CityMay 8, 2014 Hospitalization 31,209.56 31,209.56 -9 Coc-obab, Jennifer Enteria BonifacioSt, Baguio City May 12, 2014 Hospitalization 5,541.94 5,541.94 -

10 Brioso, Victoria Crecencia CadaterDontogan, Baguio City May 14, 2014 Hospitalization 8,550.69 8,550.69 -11 Bantiyao, Emelita Ruba Irisan Baguio City May 15, 2014 Hospitalization 19,105.00 19,105.00 -12 Solera, Geraldine Confinente BGH Compound, Baguio CityMay 22, 2014 Hospitalization 28,178.39 28,178.39 -13 Gatudan, Linda Ded-ay Sanitary Camp, Baguio CityMay 23, 2014 Hemodialysis 4,400.00 4,400.00 -14 Benigno, Josephine Labarento Dominican Extn., Baguio CityMay 23, 2014 Hospitalization 12,000.00 12,000.00 -15 Aspiras Conrado Lorenzo Pucay, Pinsao, Baguio City May 26, 2014 Hospitalization 3,989.00 3,989.00 -16 Razote, Ferdinand Pilar New Lucban, Baguio City May 26, 2014 Hospitalization 4,000.00 4,000.00 -17 Balisong, Evelyn Pit-og Bakakeng Norte, Baguio CityMay 26, 2014 Hospitalization 7,290.25 7,290.25 -18 Viado, Roland Peralta Ambiong Rd, Baguio City May 26, 2014 Hospitalization 6,996.25 6,996.25 -19 Buazon, PlacidoRacaza Crystal Cave, Baguio City May 26, 2014 Hospitalization 6,904.18 6,904.18 -20 Perez, Kristan Kyle San Luis Village, Baguio CityMay 28, 2014 Hospitalization 4,025.75 4,025.75 -21 Padilla, Ramon, Bernardo City Camp, Baguio City June 2, 2014 Hemodialysis 7,500.00 6,600.00 900.0022 Castillo, Salvador Soriano Pacdal, Baguio City June 3, 2014 Medicines 20,000.00 - 20,000.0023 Vergara, Jasmin Narte Green Valley, Baguio City June 3, 2014 Hospitalization 4,022.62 4,022.62 -24 Tolentino, Dhalia Calosa Bayan Park, Baguio City June 3, 2014 Hospitalization 9,000.00 - 9,000.0025 Orpilla, amor Inacay DPS Cmp, Baguio City June 5, 2014 Hemodialysis 4,400.00 4,400.00 -26 Tandoc, Leandro Simeon Pinget, Baguio City June 9, 2014 Hemodialysis 4,400.00 4,400.00 -27 Bagano, Edwin Sr. Annatil San Carlos Hgts, Baguio CityJune 9, 2014 Hemodialysis 4,400.00 4,400.00 -28 Tomas, Robert Sakiwat Magsaysay, Baguio City June 9, 2014 Hemodialysis 4,400.00 4,400.00 -29 Sakiwat, april Vincent Magsaysay, Baguio City June 9, 2014 Hemodialysis 4,400.00 4,400.00 -30 Cacayurin, Willy Monis Pinget, Baguio City June 9, 2014 Hospitalization 20,000.00 20,000.00 -31 Recile, Rocky Comila Pinget, Baguio City June 10, 2014 Hemodialysis 4,400.00 4,400.00 -32 Sannadan, Nancy Boa Cadaclan, Happy Hallow, Baguio CityJune 10, 2014 Hospitalization 37,288.00 37,288.00 -33 Tumingeb, Guigeon Falingchan Cypress, Irisan, Baguio CitryJune 10, 2014 Hemodialysis 4,400.00 4,400.00 -34 Gayao, Agustin Tacay Apugan, Irisan, Baguio CityJune 10, 2014 Hemodialysis 4,400.00 4,400.00 -35 Domingo, Rolando Cora Lourdes, Subd., Baguio CityJune 11, 2014 Hemodialysis 4,400.00 4,400.00 -36 Carino, Rene Richmond Ulalan Dominican Hill, Baguio CityJune 11, 2014 Hemodialysis 4,400.00 4,400.00 -37 Taynan, Jerry Galacyan Magsaysay, Baguio City June 11, 2014 Hemodialysis 4,400.00 4,400.00 -38 Gamboa, Juluis Sardoma P. Burgos, Baguio City June 11, 2014 Ct-scan, Labs 13,030.00 - 13,030.0039 Vinluan, Jenny Lee Espiritu Gibraltar, Baguio City June 11, 2014 Hospitalization 11,270.37 11,270.37 -40 Panda, rasmiah Tatao Queen of Peace, Baguio CityJune 11, 2014 Hospitalization 2,082.35 2,082.35 -41 Uligan, Francisco Ssongcuan Fairview, Baguio City June 13, 2014 Hospitalization 11,900.40 11,900.40 -42 Clemente, Virgilio Baut Honeymoon Rd., Baguio CityJune 13, 2014 Hemodialysis 4,400.00 4,400.00 -43 Isilen, Fernando Sugmayao Camp 8, Baguio City June 13, 2014 Hemodialysis 4,400.00 4,400.00 -44 Artos, Jenny Rose Galace Irisan Baguio City June 13, 2014 Hemodialysis 4,400.00 4,400.00 -45 Dumansi, Erly Walincitan Pinsao, Baguio City June 13, 2014 Hemodialysis 4,400.00 4,400.00 -46 Ayson, Nancy Calica Pinget, Baguio City June 13, 2014 Hemodialysis 4,400.00 4,400.00 -47 Balangitan, Rex Olban Balacbac, Baguio City June 13, 2014 Hemodialysis 4,400.00 4,400.00 -48 Lakibo, Carmina Hamilosen Bakakeng Central, Baguio CityJune 13, 2014 Hospitalization 7,452.80 7,452.80 -49 Mendoza, Julius Cesar Ventura Dontogan, Baguio City June 13, 2014 Hemodialysis 4,400.00 4,400.00 -50 David, Michael Angelo Sto DomingoKayang Ext., Baguio City June 13, 2014 Hospitalization 5,282.69 5,282.69 -51 Sollarano, Bienvenido Gama San Luis Village, Baguio CityJune 13, 2014 Hospitalization 3,405.50 3,405.50 -52 De Guzman, Diana Gonzales Bakakeng, Baguio City June 16, 2014 Hemodialysis 4,400.00 4,400.00 -53 Binay-an, Mary Grace Domullog Irisan Baguio City June 16, 2014 Hemodialysis 4,400.00 4,400.00 -54 Baniguen, Dominga Lubo-od Gibraltar, Baguio City June 16, 2014 Hemodialysis 4,400.00 4,400.00 -55 Linsayen, Quakelyn Canuteb San Carlos Hgts, Baguio CityJune 16, 2014 Hemodialysis 4,400.00 4,400.00 -

MEDICAL ASSISTANCE PROGRAMFUND UTILIZATION REPORT

As of December 2014

NAME OF PATIENTS ADDRESS (District,City/ Mun., Prov.)

ASSISTANCE GRANTED

56 Boaging, Manuel Nanam San Carlos Hgts, Baguio CityJune 16, 2014 Hemodialysis 4,400.00 4,400.00 -57 Balisongen, Ben Irisan Baguio City June 16, 2014 Hospitalization 31,188.50 31,188.50 -58 Todlem, Requino Francisco Pinsao, Baguio City June 16, 2014 Hemodialysis 4,400.00 4,400.00 -59 Bango, Grace Dupingay San Carlos Hgts, Baguio CityJune 16, 2014 Hemodialysis 4,400.00 4,400.00 -60 Bumacas, Marco Valdez Quirino Hill, Baguio City June 16, 2014 Hemodialysis 4,400.00 4,400.00 -61 Benitez, Almario Jr Fernandez Campo Sioco, Baguio City June 16, 2014 Hemodialysis 4,400.00 4,400.00 -62 Bustarde, Emilda Seguin Pacdal, Baguio City June 16, 2014 Hemodialysis 4,400.00 4,400.00 -63 Enrade, Adela Baldomero San Carlos Hgts, Baguio CityJune 16, 2014 Hemodialysis 4,400.00 4,400.00 -64 Mangusan, Delfin Gomari Quirino Hill, Baguio City June 17, 2014 Hemodialysis 4,400.00 4,400.00 -65 Monteclaro, Agustina Esmenia Bonifacio St, Baguio City June 17, 2014 Hemodialysis 4,400.00 4,400.00 -66 Monteclaro, Gemma Esmena Bonifacio St, Baguio City June 17, 2014 Hemodialysis 4,400.00 4,400.00 -67 Cruz, Roel Laguipo Pacdal, Baguio City June 17, 2014 Hemodialysis 4,400.00 4,400.00 -68 Alarcon, Maleito Cabrillos Camdas, Baguio City June 18, 2014 Hospitalization 3,300.00 3,300.00 -69 Bastas, Shaly Cris Degay Irisan Baguio City June 18, 2014 Hemodialysis 4,400.00 4,400.00 -70 Legaspi, Mariel Real Pinget, Baguio City June 19, 2014 Hospitalization 2,954.37 2,954.37 -71 Buenavente, Meriam Paycowan Holy Ghost, Baguio City June 19, 2014 Hemodialysis 4,400.00 4,400.00 -72 Gaspar, Hilda Gigway Balsigan, Baguio City June 19, 2014 Hemodialysis 4,400.00 4,400.00 -73 Resma, Jayson Caramat Loakan, Baguio City June 19, 2014 Hospitalization 4,612.37 4,612.37 -74 Libao, Reynante Samson QM. Baguio City June 19, 2014 Ct-scan, Labs 6,600.00 - 6,600.0075 Pet-ak, Lucio Ampatey Balsigan, Baguio City June 19, 2014 Hemodialysis 4,400.00 4,400.00 -76 Felix, Mary Grace Tada Itogon, Benguet June 19, 2014 Hospitalization 6,389.30 6,389.30 -77 Alla, Joseph Edgar Agustin Aurora Hill, Baguio City June 19, 2014 Hospitalization 12,970.50 - 12,970.5078 Cabutotan, Bonifacio Madriaga Country Club, Baguio City June 19, 2014 Hospitalization 11,800.22 11,800.22 -79 Daw-as, Andres Donga-il Poliwes, Baguio City June 20, 2014 Hemodialysis 4,400.00 4,400.00 -80 Montemayor, Oliver Bambico San Carlos Hgts, Baguio CityJune 20, 2014 Hemodialysis 4,400.00 4,400.00 -81 Sultan, Monaisa Ars Rock Quarry, Baguio City June 20, 2014 Hospitalization 2,145.37 - 2,145.3782 Bueno, Paul Steve Aquino Loakan, Baguio City June 20, 2014 Hemodialysis 4,400.00 4,400.00 -83 Orengo, Anna Amore Arnol Naguilian RD., Baguio City June 20, 2014 Hospitalization 2,050.75 2,050.75 -84 Dacaimat, Castor Resoso Aurora Hill, Baguio City June 20, 2014 Hospitalization 6,820.00 6,820.00 -85 Melo, Valerie Kay Cuae Gibraltar, Baguio City June 23, 2014 Hospitalization 3,146.19 - 3,146.1986 Caluza, Ercy Joy Quindara Imelda Village, Baguio CityJune 23, 2014 Hemodialysis 4,400.00 4,400.00 -87 Unciano, Daniela Marie Rock Quarry, Baguio City June 24, 2014 Hospitalization 1,875.49 1,875.49 -88 Unciano, Carl Andrae Daniel Rock Quarry, Baguio City June 24, 2014 Hospitalization 1,466.50 - 1,466.5089 Yukdawan, Catalina Pasan Aurora Hill, Baguio City June 24, 2014 Hemodialysis 4,400.00 4,400.00 -90 Almoda, Jamesward Ganado Militay Cut-off, Baguio CityJune 24, 2014 Hospitalization 26,155.58 26,155.58 -91 Navalta, Deborah Francisco Aurora Hill, Baguio City June 24, 2014 Hospitalization 5,000.00 - 5,000.0092 Quinio, Matso Contic P. Burgos, Baguio City June 24, 2014 Hemodialysis 4,400.00 4,400.00 -93 Linmayog, Lucia Bengtayen Balsigan, Baguio City June 25, 2014 Hemodialysis 4,400.00 - 4,400.0094 Mamaat, Marilou Mina Bakakeng, Baguio City June 25, 2014 Hospitalization 29,283.77 - 29,283.7795 Escara, Joshua Allen Vasquez Bakakeng, Baguio City June 25, 2014 Hospitalization 6,017.50 6,017.50 -96 Vallejos, Rizalina Rodellas Sto. Tomas, Baguio City June 26, 2014 Ct-scan, Labs 5,000.00 - 5,000.0097 Colalong, Petra Salingbay Balsigan, Baguio City June 26, 2014 Hemodialysis 4,400.00 4,400.00 -98 Marcelo, Smile Martin Pinget, Baguio City June 26, 2014 Hospitalization 25,206.03 25,206.03 -99 Bucasan, Nora Udan Asin Road, Baguio City June 26, 2014 Hospitalization 6,277.00 6,277.00 -

100 Falingchan, Julie Ann Pinos-an Fairview, Baguio City June 27, 2014 Hemodialysis 4,400.00 - 4,400.00101 Licnad, Merly Ann Kilikil Dontogan, Baguio City June 30, 2014 Hospitalization 3,852.50 3,852.50 -102 Clemens, Rowena Garcia Imelda Village, Baguio CityJune 30, 2014 Hospitalization 5,073.81 5,073.81 -103 Gonzales, Marcelina Costales City Camp, Baguio City July 1, 2014 Hospitalization 18,312.64 18,312.64 0.00104 Lamadrid, Carmelita Canero BGH Compound, Baguio CityJuly 1, 2014 Hemodialysis 4,400.00 4,400.00 -105 Tuzon, Ferdinand Calaustro Honeymoon Rd., Baguio CityJuly 1, 2014 Hemodialysis 4,400.00 4,400.00 -106 Nalos, Leonardo Hernandez Dontogan, Baguio City July 1, 2014 Hemodialysis 4,400.00 4,400.00 -107 Galon, Fely Gacosan Guisad, Baguio City July 1, 2014 Hemodialysis 4,400.00 4,400.00 -108 Payacda, Virginia Lokingan Irisan Baguio City July 1, 2014 Hemodialysis 4,400.00 4,400.00 -109 Seguin, Jonathan Cario Ambiong, A. Hill, Baguio CityJuly 1, 2014 Hemodialysis 4,400.00 4,400.00 -110 Viernes, Jonalyn Tabaray Dontogan, Baguio City July 1, 2014 Hospitalization 3,271.62 3,271.62 -111 Laberinto, Jose Fernandez BGH Compound, Baguio CityJuly 2, 2014 Payment of note 6,000.00 - 6,000.00112 Ranches, Rosalinda Deocariza T. Alonzo, Baguio City July 2, 2014 Hemodialysis 4,400.00 4,400.00 -113 Cabanting, Roberto Distor Imelda Village, Baguio CityJuly 2, 2014 Hemodialysis 4,400.00 - 4,400.00114 Bangcawayan, Angel Guisdan Brookside, Baguio City July 2, 2014 Hemodialysis 4,400.00 4,400.00 -115 Lao-ay, James Linday San Carlos Hgts, Baguio CityJuly 2, 2014 Hospitalization 16,650.00 - 16,650.00116 Doriano, Cresencio Bindo Lucnab, Baguio City July 3, 2014 Hemodialysis 4,400.00 4,400.00 -117 Manan, Jedan Dimac Campo Pilipino, Baguio CityJuly 3, 2014 Hospitalization 10,000.00 10,000.00 -118 Walsiyen, Joey Quiwasen Gibraltar, Baguio City July 4, 2014 Hemodialysis 4,400.00 4,400.00 -119 Laurian, Orlino Balanag San Roque Village, Baguio CityJuly 4, 2014 Hospitalization 4,410.02 4,410.02 -120 Polo, Nena Alis Hillside, Baguio City July 4, 2014 Hemodialysis 4,400.00 4,400.00 -121 Saguid, Ben Sr. Tonged Irisan Baguio City July 4, 2014 Hemodialysis 4,400.00 4,400.00 -122 Mathew Libatique Baguio City, Benguet July 7, 2014 Hemodialysis 4,400.00 4,400.00 -123 Jonathan Bulwayan Baguio City, Benguet July 7, 2014 Hemodialysis 4,400.00 4,400.00 -

124 Rey Tudias Baguio City, Benguet July 7, 2014 Hospitalization 7,623.97 7,623.97 -125 Todlem, Salvador Francisco Tadian, Mountain ProvinceJuly 7, 2014 Hemodialysis 4,400.00 4,400.00 -126 Paul Steve Bueno Baguio City, Benguet July 8, 2014 Hemodialysis 4,400.00 4,400.00 -127 Jardine Kyle Milo Tuba, Benguet July 8, 2014 Ct-scan 6,500.00 6,500.00 -128 Terence Tumacdang Baguio City, Benguet July 8, 2014 Hospitalization 10,498.94 10,498.94 -129 Rowena Galas Valdez Rosales Pangasinan July 8, 2014 Hemodialysis 4,400.00 4,400.00 -130 Caroline Gameng Baguio City, Benguet July 9, 2014 Hemodialysis 4,400.00 4,400.00 -131 Cesar Puddal Bolla Baguio City, Benguet July 9, 2014 Hemodialysis 4,400.00 4,400.00 -132 Mathew Libatique Baguio City, Benguet July 9, 2014 Hospitalization 10,000.00 10,000.00 -133 Abelardo Padilla Baguio City, Benguet July 10, 2014 Hospitalization 4,145.63 4,145.63 -134 John Raven Urmaza Baguio City, Benguet July 10, 2014 Hospitalization 7,000.00 7,000.00 -135 Sharon V Dalida La Trinidad (Capaital) July 11, 2014 Hemodialysis 4,400.00 4,400.00 -136 Edwin Bonoy Baguio City, Benguet July 11, 2014 Hemodialysis 4,400.00 4,400.00 -137 Francisca Bagatila Baguio City, Benguet July 14, 2014 Hospitalization 23,358.25 23,358.25 -138 Beverliza Reyes Baguio City, Benguet July 16, 2014 Hospitalization 4,996.49 4,996.49 -139 Atinyao, Alipio Baguio City, Benguet July 17, 2014 Hemodialysis 4,400.00 4,400.00 -140 Linda Deo-ay Gatudan Baguio City, Benguet July 17, 2014 Hemodialysis 4,400.00 4,400.00 -141 Jardine Kyle Milo Tuba, Benguet July 17, 2014 Hospitalization 10,000.00 10,000.00 -142 Riobert Astudillo Baguio City, Benguet July 17, 2014 Hospitalization 15,692.79 15,692.79 -143 Elsie Espenilla Baguio City, Benguet July 17, 2014 Hospitalization 3,595.50 3,595.50 -144 Dalisay Mendoza Baguio City, Benguet July 18, 2014 Hospitalization 2,549.50 2,549.50 -145 Darlene Gallejos Baguio City, Benguet July 21, 2014 Hospitalization 1,850.00 - 1,850.00146 Maria Edith Gallejos Baguio City, Benguet July 21, 2014 Hospitalization 2,112.00 - 2,112.00147 Jessame Bandong Baguio City, Benguet July 21, 2014 Hospitalization 2,260.87 2,260.87 -148 Quakelyn Lisayen Baguio City, Benguet July 21, 2014 Hemodialysis 2,200.00 2,200.00 -149 Mary Grace Binay-an Baguio City, Benguet July 21, 2014 Hemodialysis 2,200.00 2,200.00 -150 Amor Orpilla Baguio City, Benguet July 21, 2014 Hemodialysis 2,200.00 2,200.00 -151 Mary Grace Calma Baguio City, Benguet July 21, 2014 Colonoscopy 3,000.00 - 3,000.00152 Alicia Lee Baguio City, Benguet July 21, 2014 Hemodialysis 4,400.00 4,400.00 -153 Renalyn Antionio Baguio City, Benguet July 21, 2014 Hospitalization 2,232.25 2,232.25 -154 Marilou Oyad Baguio City, Benguet July 21, 2014 Hospitalization 11,309.65 11,309.65 -155 Winter Diwag Baguio City, Benguet July 22, 2014 Hospitalization 7,255.12 7,255.12 -156 Teresa Rullan Baguio City, Benguet July 23, 2014 Hemodialysis 4,400.00 4,400.00 -157 Dario Ayeona Baguio City, Benguet July 23, 2014 Hemodialysis 4,400.00 4,400.00 -158 Euberto Simangan Baguio City, Benguet July 24, 2014 Hospitalization 11,347.59 11,347.59 -159 Clemente Virgilio Baguio City, Benguet July 24, 2014 Hemodialysis 2,200.00 2,200.00 -160 Agustina Gayao Baguio City, Benguet July 24, 2014 Hemodialysis 2,200.00 2,200.00 -161 Richard Justo Baguio City, Benguet July 24, 2014 Hemodialysis 4,400.00 4,400.00 -162 Janice Tamiray Baguio City, Benguet July 24, 2014 Hospitalization 10,000.00 10,000.00 -163 Edwin Bagano Baguio City, Benguet July 24, 2014 Hemodialysis 2,200.00 2,200.00 -164 Leandro Tandoc Baguio City, Benguet July 24, 2014 Hemodialysis 2,200.00 2,200.00 -165 Gemma Duran Baguio City, Benguet July 24, 2014 Hospitalization 10,000.00 10,000.00 -166 Nila De Vera Baguio City, Benguet July 25, 2014 Hemodialysis 4,400.00 4,400.00 -167 Nita Bentadan Baguio City, Benguet July 25, 2014 Hemodialysis 4,400.00 4,400.00 -168 Hilda Gaspar Baguio City, Benguet July 25, 2014 Hemodialysis 2,200.00 - 2,200.00169 Jerry Juco Baguio City, Benguet July 25, 2014 Hospitalization 15,032.25 15,032.25 -170 Requino Todlem Baguio City, Benguet July 25, 2014 Hemodialysis 4,400.00 4,400.00 -171 Meriam Buenavente Baguio City, Benguet July 25, 2014 Hemodialysis 2,200.00 - 2,200.00172 Jonabelle Tolentino Baguio City, Benguet July 25, 2014 Hospitalization 2,721.49 2,721.49 -173 Leonida Madriaga Baguio City, Benguet July 28, 2014 Hemodialysis 4,400.00 - 4,400.00174 Herminio Cacay Baguio City, Benguet July 28, 2014 Hemodialysis 4,400.00 4,400.00 -175 Marco Bumacas Baguio City, Benguet July 28, 2014 Hemodialysis 2,200.00 - 2,200.00176 Nancy Ayson Baguio City, Benguet July 28, 2014 Hemodialysis 4,400.00 - 4,400.00177 April Sakiwat Baguio City, Benguet July 28, 2014 Hemodialysis 2,200.00 2,200.00 -178 Robert Tomas Baguio City, Benguet July 28, 2014 Hemodialysis 2,200.00 2,200.00 -179 Salvador Castillo Baguio City, Benguet July 28, 2014 Hospitalization 37,863.85 - 37,863.85180 Christian Chicay Baguio City, Benguet July 30, 2014 Hospitalization 9,878.56 9,878.56 -181 Rosalinda Ranches Baguio City, Benguet July 30, 2014 Hemodialysis 2,200.00 - 2,200.00182 Manuel Nanam Boaging Baguio City, Benguet July 30, 2014 Hemodialysis 2,200.00 2,200.00 -183 Shaly Cris Bantas Baguio City, Benguet July 30, 2014 Hemodialysis 2,200.00 2,200.00 -184 Mary Grace Bautista Baguio City, Benguet July 30, 2014 Hospitalization 11,281.62 11,281.62 -185 Emmanuel Tresmnanio Baguio City, Benguet July 30, 2014 Hospitalization 9,231.62 9,231.62 -186 Grace D. Bango Baguio City, Benguet July 30, 2014 Hemodialysis 2,200.00 - 2,200.00187 Juna Kadjang Baguio City, Benguet July 31, 2014 Hospitalization 2,312.25 2,312.25 -188 Rolando Domingo Baguio City, Benguet July 31, 2014 Hemodialysis 2,200.00 2,200.00 -189 Maribel Orgaro Baguio City, Benguet July 31, 2014 Hospitalization 2,805.12 2,805.12 -190 H4-14-RCL-028 Baguio City, Benguet July 31, 2014 Hospitalization 10,000.00 10,000.00 -191 Leila Gonzaga Baguio City, Benguet July 31, 2014 Hospitalization 1,331.75 1,331.75 -

192 Edna Tanglao Baguio City, Benguet August 1, 2014 Hemodialysis 4,400.00 4,400.00 -193 Roel Cruz Baguio City, Benguet August 1, 2014 Hemodialysis 4,400.00 - 4,400.00194 Fernando Isilen Baguio City, Benguet August 1, 2014 Hemodialysis 2,200.00 2,200.00 -195 Virginia Payacda Baguio City, Benguet August 4, 2014 Hemodialysis 2,200.00 2,200.00 -196 John Cawayan Baguio City, Benguet August 4, 2014 Hemodialysis 4,400.00 4,400.00 -197 Nino Brabante Baguio City, Benguet August 4, 2014 Lab and meds 5,000.00 4,350.00 650.00198 Harry Uy Baguio City, Benguet August 4, 2014 Hospitalization 6,213.14 6,213.14 -199 Milagros Tait Baguio City, Benguet August 5, 2014 Hemodialysis 4,400.00 4,400.00 -200 Alexander Sawasi Mathew Kibungan, Benguet August 5, 2014 Hospitalization 20,000.00 - 20,000.00201 Mathew Libatique Baguio City, Benguet August 5, 2014 Hemodialysis 2,200.00 - 2,200.00202 Adalyn Ramos Baguio City, Benguet August 5, 2014 Hospitalization 2,283.75 2,283.75 -203 Pual steve Bueno Baguio City, Benguet August 5, 2014 Hemodialysis 4,400.00 4,400.00 -204 Bryan Narcelles Baguio City, Benguet August 5, 2014 Hospitalization 7,419.75 7,419.75 -205 Judith Ngalatan Baguio City, Benguet August 5, 2014 Hospitalization 6,493.62 6,493.62 -206 Diana Gonzales De Guzman Baguio City, Benguet August 5, 2014 Hemodialysis 2,200.00 2,200.00 -207 Flordeliza Mirhan Baguio City, Benguet August 6, 2014 Hemodialysis 4,400.00 4,400.00 -208 Alicia Bumacas Baguio City, Benguet August 6, 2014 Hospitalization 1,855.50 1,855.50 -209 Amor Orpilla Baguio City, Benguet August 6, 2014 Hemodialysis 2,200.00 2,200.00 -210 Mary Grace Binay-an Baguio City, Benguet August 6, 2014 Hemodialysis 2,200.00 2,200.00 -211 Adriel Dela Cruz Baguio City, Benguet August 7, 2014 Hospitalization 7,654.75 7,654.75 -212 Baslisa Ang Baguio City, Benguet August 22, 2014 Hemodialysis 5,000.00 - 5,000.00213 Jonathan Bulwayan Baguio City, Benguet August 8, 2014 Hemodialysis 2,200.00 2,200.00 -214 Rolando Ferrer Baguio City, Benguet August 11, 2014 Hospitalization 6,623.79 6,623.79 -215 Linda Buhhay Baguio City, Benguet August 11, 2014 Hospitalization 4,478.74 4,478.74 -216 Adela Enrade Baguio City, Benguet August 12, 2014 Hemodialysis 2,200.00 2,200.00 -217 Ramon Padilla Baguio City, Benguet August 12, 2014 Hemodialysis 4,400.00 2,200.00 2,200.00218 Mises Lozano Baguio City, Benguet August 13, 2014 Endoscopy 5,400.00 5,400.00 -219 Jocelyn Nalbog Laigo Burgos, La Union August 13, 2014 Hemodialysis 4,400.00 4,400.00 -220 Rociela Gravador Baguio City, Benguet August 13, 2014 Hospitalization 7,562.25 7,562.25 -221 Edriana Ap-apid Baguio City, Benguet August 13, 2014 Hospitalization 558.00 558.00 -222 Nena Alis Polo Baguio City, Benguet August 13, 2014 Hemodialysis 2,200.00 2,200.00 -223 Fely Galon Baguio City, Benguet August 13, 2014 Hemodialysis 2,200.00 2,200.00 -224 Jason Areola Baguio City, Benguet August 13, 2014 Hospitalization 6,636.37 6,636.37 -225 Franklin Arcido Baguio City, Benguet August 13, 2014 Hospitalization 40,301.25 40,301.25 -226 Glory Gutay Baguio City, Benguet August 13, 2014 Hospitalization 1,479.50 1,479.50 -227 Edwin Bagano Baguio City, Benguet August 15, 2014 Hemodialysis 2,200.00 2,200.00 -228 Marivic Pagar Baguio City, Benguet August 18, 2014 Hospitalization 2,499.18 2,499.18 -229 Jalilah Pimping Baguio City, Benguet August 18, 2014 Hospitalization 3,204.87 3,204.87 -230 Ramon Padilla Baguio City, Benguet August 18, 2014 Hospitalization 1,583.44 1,583.44 -231 Jerry Taynan Baguio City, Benguet August 18, 2014 Hemodialysis 2,200.00 2,200.00 -232 Virginia Ungria Baguio City, Benguet August 18, 2014 Lab and meds 1,115.00 1,050.00 65.00233 Matthew Libatique Baguio City, Benguet August 18, 2014 Hemodialysis 2,200.00 2,200.00 -234 April Sakiwat Baguio City, Benguet August 18, 2014 Hemodialysis 2,200.00 2,200.00 -235 Leonardo Nalos Besao Mountain Province August 18, 2014 Hemodialysis 2,200.00 2,200.00 -236 Leonardo Nalos Besao Mountain Province August 18, 2014 Hemodialysis 2,200.00 2,200.00 -237 Shaly Cris Bantas Baguio City, Benguet August 18, 2014 Hemodialysis 2,200.00 - 2,200.00238 Ferdinand Tuzon Besao Mountain Province August 18, 2014 Hemodialysis 2,200.00 2,200.00 -239 Marcelino Salvador Besao Mountain Province August 18, 2014 Hemodialysis 4,400.00 4,400.00 -240 Delia Gecobe Baguio City, Benguet August 18, 2014 Hospitalization 2,297.25 2,297.25 -241 Patrick Pineda Baguio City, Benguet August 18, 2014 Hospitalization 7,702.75 4,357.75 3,345.00242 Emilda Bustarde Baguio City, Benguet August 19, 2014 Hemodialysis 2,200.00 2,200.00 -243 Almario Benitez Jr Baguio City, Benguet August 19, 2014 Hemodialysis 2,200.00 2,200.00 -244 Almario Benitez Jr Baguio City, Benguet August 19, 2014 Hemodialysis 2,200.00 2,200.00 -245 Emilda Bustarde Baguio City, Benguet August 19, 2014 Hemodialysis 2,200.00 2,200.00 -246 Rowena Galas Valdez Rosales Pangasinan August 19, 2014 Hemodialysis 2,200.00 2,200.00 -247 Rex Olban Balangitan Bauko, Mountain ProvinceAugust 19, 2014 Hemodialysis 2,200.00 2,200.00 -248 Peter Simeon Lee Baguio City, Benguet August 19, 2014 Hospitalization 1,958.39 1,958.39 -249 Myrna Frias Baguio City, Benguet August 19, 2014 Hospitalization 10,940.51 10,940.51 -250 Cesar Puddal Bolla Baguio City, Benguet August 19, 2014 Hemodialysis 4,400.00 4,400.00 -251 Myrna Frias Baguio City, Benguet August 20, 2014 Hospitalization 8,000.00 8,000.00 -252 Meriam Buenavente Baguio City, Benguet August 20, 2014 Hemodialysis 2,200.00 2,200.00 -253 Amor Orpilla Baguio City, Benguet August 20, 2014 Hemodialysis 2,200.00 2,200.00 -254 Alicia Lee Baguio City, Benguet August 20, 2014 Hemodialysis 4,400.00 4,400.00 -255 Angelica Ronquillo Baguio City, Benguet August 20, 2014 Hospitalization 3,136.62 3,136.62 -256 Amor Orpilla Baguio City, Benguet August 22, 2014 Hemodialysis 2,200.00 2,200.00 -257 Joey Walsiyen Baguio City, Benguet August 22, 2014 Hemodialysis 2,200.00 2,200.00 -258 Vivian Tapoc Baguio City, Benguet August 22, 2014 Hospitalization 1,236.01 1,236.01 -259 David Puguon Baguio City, Benguet August 22, 2014 Hemodialysis 6,600.00 6,600.00 -

260 Jennefer Balansag Baguio City, Benguet August 22, 2014 Hospitalization 2,061.00 2,061.00 -261 Matthew Libatique Baguio City, Benguet August 22, 2014 Hemodialysis 2,200.00 2,200.00 -262 Carla Gene Reyes Baguio City, Benguet August 26, 2014 Hospitalization 7,814.81 7,814.81 -263 Ashley Anas Baguio City, Benguet August 26, 2014 Hospitalization 8,141.00 8,141.00 -264 Lucia Linmayog Baguio City, Benguet August 26, 2014 Hemodialysis 2,200.00 2,200.00 -265 Sharon V Dalida La Trinida (Capaital) August 26, 2014 Hemodialysis 2,200.00 2,200.00 -266 Dario Ayeona Baguio City, Benguet August 26, 2014 Hemodialysis 4,400.00 2,200.00 2,200.00267 Mateo Smith Baguio City, Benguet August 26, 2014 Hospitalization 8,290.25 3,196.00 5,094.25268 Doriano, Cresencio Baguio City, Benguet August 26, 2014 Hemodialysis 2,200.00 2,200.00 -269 Gregoria Patron Baguio City, Benguet August 26, 2014 Chemotherapy 10,000.00 10,000.00 -270 Joven Suriaga Baguio City, Benguet August 26, 2014 Hospitalization 986.55 986.55 -271 Leonida Neri Baguio City, Benguet August 26, 2014 Hospitalization 2,273.87 2,273.87 -272 Requino Todlem Baguio City, Benguet August 27, 2014 Hemodialysis 2,200.00 2,200.00 -273 Grace D. Bango Baguio City, Benguet August 27, 2014 Hemodialysis 2,200.00 2,200.00 -274 Nardo Codod Baguio City, Benguet August 27, 2014 Hemodialysis 4,400.00 4,400.00 -275 Amor Orpilla Baguio City, Benguet August 27, 2014 Hemodialysis 2,200.00 2,200.00 -276 Kristine Serote Baguio City, Benguet August 27, 2014 Hospitalization 2,270.25 2,270.25 -277 Julie Ann Falingchan Baguio City, Benguet August 28, 2014 Hemodialysis 2,200.00 2,200.00 -278 Delfin Mangusan Sagada, Mt. Province August 28, 2014 Hemodialysis 4,400.00 4,400.00 -279 April Sakiwat Baguio City, Benguet August 28, 2014 Hemodialysis 2,200.00 2,200.00 -280 Leandro Tandoc Baguio City, Benguet August 28, 2014 Hemodialysis 2,200.00 2,200.00 -281 Robert Tomas Baguio City, Benguet August 28, 2014 Hemodialysis 2,200.00 2,200.00 -282 Lyka Blanka Julito Baguio City, Benguet August 28, 2014 Hospitalization 4,306.74 4,306.74 -283 Ace Saleo -an Baguio City, Benguet August 28, 2014 Hospitalization 9,313.97 9,313.97 -284 Marco Bumacas Baguio City, Benguet August 28, 2014 Hemodialysis 2,200.00 2,200.00 -285 Naimah Malik Baguio City, Benguet August 28, 2014 Hospitalization 4,471.87 4,471.87 -286 Febe Agliam Benguet August 28, 2014 Hospitalization 4,442.62 4,442.62 -287 Maria Balanta Baguio City, Benguet August 28, 2014 Hospitalization 2,563.31 2,563.31 -288 John Mark de Guzman Baguio City, Benguet August 28, 2014 Hospitalization 4,647.25 4,647.25 -289 Mary Rose De Guzman Baguio City, Benguet August 28, 2014 Hospitalization 1,694.25 1,694.25 -290 Angelita Agliwang Bontoc, Mt. Province August 29, 2014 Medicince 2,000.00 651.00 1,349.00291 Virgilio Clemente Baguio City, Benguet August 29, 2014 Hemodialysis 2,200.00 2,200.00 -292 Dolores Wad-ingan Baguio City, Benguet August 29, 2014 Hospitalization 31,103.55 31,103.55 -293 Estefania Antonio Bauko, Mountain ProvinceAugust 29, 2014 Hospitalization 30,193.70 30,193.70 -294 Desiderio Astudillo Baguio City, Benguet August 29, 2014 Hospitalization 47,576.85 47,576.85 -295 Amor Orpilla Baguio City, Benguet August 29, 2014 Hemodialysis 4,400.00 4,400.00 -296 Jealjin Proceso Baguio City, Benguet August 29, 2014 Hospitalization 3,075.18 3,075.18 -297 Roel Cruz Baguio City, Benguet August 29, 2014 Hemodialysis 2,200.00 2,200.00 -298 Andres Daw-as Baguio City, Benguet August 29, 2014 Hemodialysis 2,200.00 - 2,200.00299 Susana Aliping Baguio City, Benguet August 29, 2014 Hospitalization 13,260.75 13,260.75 -300 Apriel Sophia Pasio Baguio City, Benguet August 29, 2014 Hospitalization 1,067.00 1,067.00 -301 Oscar Ocampo Baguio City, Benguet September 2, 2014 Hospitalization 3,128.74 3,128.74 -302 Petra Colalong Baguio City, Benguet September 2, 2014 Hemodialysis 2,200.00 2,200.00 -303 Danilo Lumibao Baguio City, Benguet September 2, 2014 Hospitalization 1,071.17 1,071.17 -304 Rolando Martos Baguio City, Benguet September 2, 2014 Hospitalization 3,278.50 3,278.50 -305 Jack Kitongan Baguio City, Benguet September 2, 2014 Hospitalization 16,690.84 16,690.84 -306 Agustina Gayao Baguio City, Benguet September 2, 2014 Hemodialysis 2,200.00 2,200.00 -307 Nancy Ayson Baguio City, Benguet September 2, 2014 Hemodialysis 2,200.00 2,200.00 -308 Victorino Saingan Baguio City, Benguet September 2, 2014 Hospitalization 10,828.21 10,828.21 -309 Ruben Lawingan Baguio City, Benguet September 2, 2014 Hospitalization 4,230.25 4,230.25 -310 Ronnie Foyagao Baguio City, Benguet September 2, 2014 Hemodialysis 2,200.00 2,200.00 -311 Evangeline Rizardo Baguio City, Benguet September 2, 2014 Hospitalization 2,286.75 2,286.75 -312 Jenelyn Antonio Baguio City, Benguet September 2, 2014 Hospitalization 2,267.25 2,267.25 -313 Adela Enrade Baguio City, Benguet September 2, 2014 Medicince 2,400.00 2,400.00 -314 Morris Surtat Baguio City, Benguet September 3, 2014 Hospitalization 5,984.25 5,984.25 -315 Recy Joy Caluza Baguio City, Benguet September 4, 2014 Hemodialysis 2,200.00 2,200.00 -316 Leonardo Nalos Besao Mountain Province September 5, 2014 Hemodialysis 2,200.00 - 2,200.00317 Carl Argoza Baguio City, Benguet September 6, 2014 Hospitalization 20,444.56 20,444.56 -318 Frederick Oller Baguio City, Benguet September 7, 2014 Hemodialysis 4,400.00 - 4,400.00319 Eva Onsar Baguio City, Benguet September 8, 2014 Hospitalization 2,135.75 2,135.75 -320 Cresencio Doriano Baguio City, Benguet September 4, 2014 Hemodialysis 2,200.00 2,200.00 -321 Ronnie Fogayao Baguio City, Benguet September 4, 2014 Hemodialysis 2,200.00 2,200.00 -322 Robert Nabus La Trinida (Capaital), BenguetSeptember 4, 2014 Hemodialysis 2,200.00 2,200.00 -323 Annalyn Dulay Baguio City, Benguet September 4, 2014 Hospitalization 2,089.75 2,089.75 -324 Cristina Estares Baguio City, Benguet September 4, 2014 Hospitalization 2,296.25 2,296.25 -325 Amor Orpilla Baguio City, Benguet September 5, 2014 Medicince 1,050.00 1,038.00 12.00326 Oliver Montemayor Baguio City, Benguet September 5, 2014 Hemodialysis 2,200.00 2,200.00 -327 Mary Grace Binay-an Baguio City, Benguet September 5, 2014 Hemodialysis 2,200.00 - 2,200.00

328 Felisa Lazaro Baguio City, Benguet September 5, 2014 Hospitalization 8,669.16 8,669.16 -329 Salvador Todlem Baguio City, Benguet September 5, 2014 Hemodialysis 4,400.00 4,400.00 -330 Requino Todlem Baguio City, Benguet September 5, 2014 Hemodialysis 4,400.00 4,400.00 -331 Raul Dumling Baguio City, Benguet September 5, 2014 Hospitalization 35,992.23 35,992.23 -332 Doriano Cresencio Baguio City, Benguet September 5, 2014 Hemodialysis 2,200.00 2,200.00 -333 Gladys Mae Caparuso Baguio City, Benguet September 5, 2014 Hospitalization 2,036.00 2,036.00 -334 Angelica Zabala Baguio City, Benguet September 8, 2014 Hospitalization 4,222.25 4,222.25 -335 Annabelle Malapit Baguio City, Benguet September 8, 2014 Hospitalization 18,361.12 18,361.12 -336 Carmelita Lamadrid Baguio City, Benguet September 8, 2014 Hemodialysis 2,200.00 2,200.00 -337 Gloria Mallare Baguio City, Benguet September 8, 2014 Hospitalization 700.00 700.00 -338 Marimar Villanueva Baguio City, Benguet September 8, 2014 Hospitalization 2,261.75 2,261.75 -339 Ashley Tantay Baguio City, Benguet September 8, 2014 Hospitalization 1,562.25 1,562.25 -340 Meriam Buenavente Baguio City, Benguet September 8, 2014 Hemodialysis 2,200.00 2,200.00 -341 Karla Morales Baguio City, Benguet September 8, 2014 Hospitalization 13,553.87 13,553.87 -342 Maylen Madegyem Baguio City, Benguet September 9, 2014 Hospitalization 7,972.69 - 7,972.69343 Teresa Rullan Baguio City, Benguet September 9, 2014 Hemodialysis 2,200.00 2,200.00 -344 Edna Tanglao Baguio City, Benguet September 9, 2014 Hemodialysis 2,200.00 2,200.00 -345 Emelita polon Sablan, Benguet September 9, 2014 Hemodialysis 4,400.00 - 4,400.00346 Roel Cruz Baguio City, Benguet September 9, 2014 Hemodialysis 4,400.00 4,400.00 -347 Asnairah Gayao Baguio City, Benguet September 9, 2014 Hospitalization 395.25 395.25 -348 Asnor John Gayao Baguio City, Benguet September 9, 2014 Hospitalization 16,642.17 16,642.17 -349 Maricel Bautista Baguio City, Benguet September 9, 2014 Hospitalization 17,230.00 17,230.00 -350 Marlon Sabio Baguio City, Benguet September 9, 2014 Hospitalization 3,859.56 3,859.56 -351 Ezekiel Tantay Baguio City, Benguet September 9, 2014 Hospitalization 850.00 850.00 -352 Hernan Montalban Baguio City, Benguet September 9, 2014 Hospitalization 51,293.50 51,293.50 -353 Manuel Nanam Boaging Baguio City, Benguet September 9, 2014 Hemodialysis 4,400.00 - 4,400.00354 Rosita Ancheta Baguio City, Benguet September 9, 2014 Hospitalization 7,556.54 7,556.54 -355 Mercedez Caranto Baguio City, Benguet September 9, 2014 Hospitalization 2,226.00 2,226.00 -356 Jeda Banguisan Baguio City, Benguet September 10, 2014 Hospitalization 2,320.75 2,320.75 -357 Antonio Buccat Jr. Baguio City, Benguet September 10, 2014 Lab and meds 430.00 280.00 150.00358 Joy Maducdoc Baguio City, Benguet September 10, 2014 Hospitalization 5,493.62 5,493.62 -359 Emilda Bustarde Baguio City, Benguet September 10, 2014 Hemodialysis 2,200.00 - 2,200.00360 Matso Quinio Baguio City, Benguet September 10, 2014 Hospitalization 4,400.00 - 4,400.00361 Herminia Cabalquinto Baguio City, Benguet September 11, 2014 Hospitalization 4,032.40 4,032.40 -362 Jorieta Pa-ayen Bauko, Mountain ProvinceSeptember 11, 2014 Hospitalization 57,407.00 57,407.00 -363 Petra Colalong Baguio City, Benguet September 11, 2014 Hemodialysis 4,400.00 - 4,400.00364 Renalyn Quintela Baguio City, Benguet September 11, 2014 Hospitalization 2,300.25 2,300.25 -365 Carolina Falaweg Baguio City, Benguet September 11, 2014 Hospitalization 18,649.49 18,649.48 0.01366 Nena Polo Baguio City, Benguet September 11, 2014 Hemodialysis 2,200.00 2,200.00 -367 Nowela Lamayo Baguio City, Benguet September 11, 2014 Hospitalization 22,312.50 22,312.50 -368 Cesar Villanueva Baguio City, Benguet September 12, 2014 2D Echo 1,500.00 1,500.00 -369 Milagros Tait Baguio City, Benguet September 12, 2014 Hemodialysis 2,200.00 - 2,200.00370 Eduardo Vloria Baguio City, Benguet September 12, 2014 Medicince 1,226.00 1,225.50 0.50371 Adela Enrade Baguio City, Benguet September 12, 2014 Medicince 3,600.00 3,600.00 -372 Jannah Maducdoc Baguio City, Benguet September 12, 2014 Hospitalization 3,092.50 3,092.50 -373 Antonio Apilado Baguio City, Benguet September 12, 2014 Hospitalization 2,950.56 2,950.50 0.06374 James Dumo Atok, Benguet September 12, 2014 Hospitalization 3,273.25 3,273.25 -375 Lou Adriennne Santos Baguio City, Benguet September 15, 2014 Hospitalization 8,907.50 8,907.50 -376 Dominga Baniguen Baguio City, Benguet September 15, 2014 Hemodialysis 2,200.00 - 2,200.00377 Elaine Lastima Baguio City, Benguet September 15, 2014 Hospitalization 3,176.37 3,176.37 -378 Kyle De Guzman Tabrilla Baguio City, Benguet September 15, 2014 Hospitalization 22,900.48 22,900.48 -379 Dryana Estolas Baguio City, Benguet September 15, 2014 Hospitalization 1,329.74 1,329.74 -380 Fernando Isilen Baguio City, Benguet September 15, 2014 Hemodialysis 2,200.00 - 2,200.00381 Judy ann Galang Baguio City, Benguet September 15, 2014 Hospitalization 1,166.24 1,166.24 -382 Christopher Soriano Baguio City, Benguet September 15, 2014 Lab and meds 2,046.50 2,046.50 -383 Ricky Budod Baguio City, Benguet September 16, 2014 Hospitalization 1,062.44 1,062.44 -384 Lourdes Gonzales Baguio City, Benguet September 16, 2014 Hemodialysis 4,400.00 - 4,400.00385 Rex Balangitan Baguio City, Benguet September 16, 2014 Hemodialysis 2,200.00 - 2,200.00386 Raquel Rico Baguio City, Benguet September 16, 2014 Hospitalization 2,473.00 2,473.00 -387 Reynelyn Yangco Baguio City, Benguet September 16, 2014 Hospitalization 1,457.87 1,457.87 -388 Felysitas Narciza Baguio City, Benguet September 16, 2014 Hospitalization 3,234.50 3,234.50 -389 Goerge Ballakis Baguio City, Benguet September 17, 2014 Hospitalization 16,774.00 16,774.00 -390 Narciso Reyes Baguio City, Benguet September 17, 2014 Hospitalization 3,754.54 3,754.54 -391 Darein Hadjinulla Baguio City, Benguet September 17, 2014 Hospitalization 1,206.62 1,206.62 -392 Anna Armiesto Baguio City, Benguet September 17, 2014 Hospitalization 7,211.49 7,211.49 -393 Joy Castillo Baguio City, Benguet September 17, 2014 Hospitalization 3,071.12 3,071.12 -394 Jonathan Seguin Baguio City, Benguet September 18, 2014 Hemodialysis 2,200.00 - 2,200.00395 Emeldinand Motas Baguio City, Benguet September 18, 2014 Hospitalization 4,517.37 4,517.37 -

396 Amor Orpilla Baguio City, Benguet September 18, 2014 Lab and meds 1,540.00 1,540.00 -397 Rowena Valdez Baguio City, Benguet September 18, 2014 Hemodialysis 4,400.00 - 4,400.00398 Estrella Balionga Baguio City, Benguet September 18, 2014 Hospitalization 6,888.80 6,888.80 -399 Leonardo Ognayon Baguio City, Benguet September 18, 2014 Hemodialysis 4,400.00 - 4,400.00400 Sharon V Dalida La Trinida (Capaital), BenguetSeptember 19, 2014 Hemodialysis 4,400.00 - 4,400.00401 Yul Bryan Batan Baguio City, Benguet September 19, 2014 Hospitalization 11,087.50 11,087.50 -402 Leandro Tandoc Baguio City, Benguet September 22, 2014 Hemodialysis 2,200.00 - 2,200.00403 Frederick Oller Baguio City, Benguet September 22, 2014 Hemodialysis 4,400.00 - 4,400.00404 Cydric Waig Baguio City, Benguet September 22, 2014 Hospitalization 3,987.25 3,987.25 -405 Cresencio Doriano Baguio City, Benguet September 22, 2014 Hemodialysis 2,200.00 - 2,200.00406 Nancy Ayson Baguio City, Benguet September 22, 2014 Hemodialysis 4,400.00 - 4,400.00407 Yzabel Francesca Cosme Baguio City, Benguet September 22, 2014 Hospitalization 4,037.50 4,037.50 -408 Annabelle Malapit Baguio City, Benguet September 22, 2014 Hospitalization 10,221.50 10,221.50 -409 Amor Orpilla Baguio City, Benguet September 22, 2014 Lab and meds 1,500.00 - 1,500.00410 Delfin Mangusan Baguio City, Benguet September 22, 2014 Hemodialysis 2,200.00 - 2,200.00411 Robert Tomas Baguio City, Benguet September 23, 2014 Hospitalization 2,200.00 - 2,200.00412 Adela Enrade Baguio City, Benguet September 23, 2014 Medicince 5,000.00 4,991.10 8.90413 Angeline Donacao Baguio City, Benguet September 23, 2014 Hospitalization 1,360.43 1,360.43 -414 Isidro Arciaga Baguio City, Benguet September 23, 2014 Hospitalization 2,726.37 2,726.37 -415 Trixy Mangsat Baguio City, Benguet September 23, 2014 Hospitalization 5,901.19 5,901.19 -416 Lucia Montoya Baguio City, Benguet September 23, 2014 Hospitalization 3,536.74 3,536.74 -417 Jose Oribello Baguio City, Benguet September 23, 2014 Hospitalization 3,163.50 3,163.50 -418 Rpwell Cortel Baguio City, Benguet September 23, 2014 Hospitalization 6,971.68 6,971.68 -419 Edwardo Acosta Baguio City, Benguet September 24, 2014 Hospitalization 2,730.00 2,730.00 -420 Almario Benitez Jr Baguio City, Benguet September 24, 2014 Hemodialysis 2,200.00 - 2,200.00421 Joey Quisawe Walsiyen Baguio City, Benguet September 24, 2014 Hemodialysis 2,200.00 - 2,200.00422 Mary Grace Camla Baguio City, Benguet September 24, 2014 Medicince 3,357.25 3,357.25 -423 Amor Cahanap Baguio City, Benguet September 24, 2014 Hemodialysis 4,400.00 - 4,400.00424 Jomar Perez Baguio City, Benguet September 24, 2014 Hospitalization 3,524.36 3,524.36 -425 Annabelle Malapit Baguio City, Benguet September 24, 2014 Hospitalization 19,786.50 19,786.50 -426 Perla Mahilum III Baguio City, Benguet September 25, 2014 Hospitalization 1,900.87 1,900.87 -427 Alicia Lee Baguio City, Benguet September 25, 2014 Hemodialysis 4,400.00 - 4,400.00428 Rogelio Golman Baguio City, Benguet September 25, 2014 Hospitalization 8,093.75 8,093.75 -429 Berlyn Diwag Baguio City, Benguet September 25, 2014 Hospitalization 3,272.00 3,272.00 -430 Rodalyn Wangco Baguio City, Benguet September 25, 2014 Hospitalization 1,050.00 1,050.00 -431 Omairah Abdul-asis Baguio City, Benguet September 25, 2014 Hospitalization 2,138.60 2,138.60 -432 Edwin Bagano Baguio City, Benguet September 26, 2014 Hemodialysis 2,200.00 - 2,200.00433 Edwin Bonoy Baguio City, Benguet September 26, 2014 Hemodialysis 4,400.00 - 4,400.00434 Yzabel Francesca Cosme Baguio City, Benguet September 26, 2014 Medicince 2,688.00 2,667.00 21.00435 Agustina Gayao Baguio City, Benguet September 26, 2014 Medicince 7,500.00 5,000.00 2,500.00436 Julie Ann Landingan Baguio City, Benguet September 26, 2014 Hospitalization 3,264.75 3,264.75 -437 Jose Abiasen Baguio City, Benguet September 26, 2014 Hospitalization 20,364.28 20,364.28 -438 Lorna Manuel Baguio City, Benguet September 26, 2014 Hospitalization 30,293.55 30,293.55 -439 April Sakiwat Baguio City, Benguet September 29, 2014 Hemodialysis 2,200.00 - 2,200.00440 Linda Gatudan Baguio City, Benguet September 29, 2014 Hemodialysis 6,600.00 - 6,600.00441 Joey Quisawe Walsiyen Baguio City, Benguet September 29, 2014 Hemodialysis 2,200.00 - 2,200.00442 Richelle Patacsil Baguio City, Benguet September 29, 2014 Hospitalization 7,601.34 7,601.34 -443 Baby Boy Patacsil Baguio City, Benguet September 29, 2014 Hospitalization 1,553.88 1,553.88 -444 Marie Pauline Ballesteros Baguio City, Benguet September 30, 2014 Hospitalization 4,532.00 4,532.00 -445 Flordeliza Mirhan Baguio City, Benguet September 30, 2014 Hemodialysis 4,400.00 - 4,400.00446 Roel Cruz Baguio City, Benguet September 30, 2014 Medicince 2,400.00 2,400.00 -447 Aloha Manalili Baguio City, Benguet September 30, 2014 Hospitalization 6,049.49 6,049.49 -448 Baby Boy Mahilum Baguio City, Benguet September 30, 2014 Hospitalization 3,263.19 3,263.19 -449 Diana Gonzales De Guzman Baguio City, Benguet September 30, 2014 Medicince 2,400.00 2,400.00 -450 Erly Dumansi Baguio City, Benguet October 1, 2014 Hemodialysis 4,400.00 - 4,400.00451 Agustina Monteclaro Baguio City, Benguet October 1, 2014 Hemodialysis 4,400.00 - 4,400.00452 Gemma Monteclaro Baguio City, Benguet October 1, 2014 Hemodialysis 4,400.00 - 4,400.00453 Jocelyn Laigo Baguio City, Benguet October 1, 2014 Hemodialysis 4,400.00 - 4,400.00454 Rolando Domingo Baguio City, Benguet October 1, 2014 Hemodialysis 2,200.00 - 2,200.00455 Herminio Dumaguin Baguio City, Benguet October 1, 2014 2D Echo 1,500.00 850.00 650.00456 Christopher Lapas Baguio City, Benguet October 1, 2014 Hemodialysis 4,400.00 - 4,400.00457 Cesar Bolla Baguio City, Benguet October 1, 2014 Hemodialysis 4,400.00 - 4,400.00458 Cesar Bolla Baguio City, Benguet October 1, 2014 Hemodialysis 2,200.00 - 2,200.00459 Benito Manangan Baguio City, Benguet October 1, 2014 Hospitalization 2,675.00 2,675.00 -460 Rowena Valdez Baguio City, Benguet October 2, 2014 Medicince 3,045.00 3,045.00 -461 Ramon Valentino Baguio City, Benguet October 2, 2014 Hospitalization 44,714.00 44,714.00 -462 Emilda Bustarde Baguio City, Benguet October 2, 2014 Hemodialysis 2,200.00 - 2,200.00463 Bonifacio Laroza Baguio City, Benguet October 3, 2014 Lab and meds 1,425.00 582.50 842.50

464 Arabella Jem Estada Maranes Baguio City, Benguet October 3, 2014 Hospitalization 15,667.25 15,667.25 -465 Rod Dela Cruz Baguio City, Benguet October 3, 2014 Hospitalization 6,459.18 6,459.18 -466 Robert Tomas Baguio City, Benguet October 3, 2014 Hemodialysis 2,200.00 2,200.00 -467 April Sakiwat Baguio City, Benguet October 3, 2014 Hemodialysis 2,200.00 - 2,200.00468 Guigeon Tumingeb Baguio City, Benguet October 3, 2014 Medicince 4,400.00 3,925.00 475.00469 Dinky Irish Rentar Baguio City, Benguet October 3, 2014 Hospitalization 7,745.00 2,207.50 5,537.50470 Marcelino Salvador Baguio City, Benguet October 3, 2014 Hemodialysis 4,400.00 - 4,400.00471 Annie Olegario Baguio City, Benguet October 3, 2014 Hospitalization 7,034.62 7,034.62 -472 Elleria Faye Tundag Baguio City, Benguet October 7, 2014 Hospitalization 3,380.36 3,380.36 -473 Michelle Romera Baguio City, Benguet October 7, 2014 Hospitalization 2,983.81 2,983.81 -474 Agustin Lagadan Tadian, Mountain ProvinceOctober 7, 2014 Hospitalization 1,524.81 1,524.81 -475 Amor Orpilla Baguio City, Benguet October 7, 2014 Hemo/2D Echo 5,900.00 854.25 5,045.75476 Li-beth Villasencion Baguio City, Benguet October 7, 2014 Hospitalization 2,521.37 2,521.37 -477 Daniel Fillarca Baguio City, Benguet October 7, 2014 Hospitalization 5,366.49 5,366.49 -478 Fernando Isilen Baguio City, Benguet October 7, 2014 Hemodialysis 4,400.00 - 4,400.00479 Queen Emily Manzano Baguio City, Benguet October 7, 2014 Hospitalization 850.00 850.00 -480 Hazel ace Manzano Baguio City, Benguet October 7, 2014 Hospitalization 1,916.61 1,916.61 -481 Nora Coles Baguio City, Benguet October 7, 2014 Hospitalization 5,159.75 5,159.75 -482 Cesar Bolla Baguio City, Benguet October 7, 2014 Hemodialysis 6,600.00 - 6,600.00483 Lawrence Tabcao Baguio City, Benguet October 8, 2014 Lab and meds 2,030.00 - 2,030.00484 Kyle Courtney Tabrilla Baguio City, Benguet October 8, 2014 Hospitalization 32,776.00 32,776.00 -485 Leandro Tandoc Baguio City, Benguet October 8, 2014 Hemodialysis 4,400.00 - 4,400.00486 Rene Richmond Carino Baguio City, Benguet October 8, 2014 Hemodialysis 4,400.00 - 4,400.00487 Rose Saculles Baguio City, Benguet October 8, 2014 Hemodialysis 4,400.00 - 4,400.00488 Mary Grace Binay-an Baguio City, Benguet October 8, 2014 Medicince 1,650.00 1,620.00 30.00489 Felicidad Ducusin Baguio City, Benguet October 8, 2014 2D Echo 850.00 - 850.00490 Caroline Gameng Baguio City, Benguet October 8, 2014 Hemodialysis 6,600.00 - 6,600.00491 Cristina Robles Baguio City, Benguet October 8, 2014 Hospitalization 2,657.87 2,657.87 -492 Almario Benitez Jr Baguio City, Benguet October 8, 2014 Hemodialysis 2,200.00 - 2,200.00493 Delfin Mangusan Baguio City, Benguet October 8, 2014 Hemodialysis 13,200.00 - 13,200.00494 Clemente Virgilio Baguio City, Benguet October 9, 2014 Hemodialysis 2,200.00 - 2,200.00495 Beverliza Reyes Baguio City, Benguet October 9, 2014 Chemotherapy 10,000.00 10,000.00 -496 Berman Saturnino Baguio City, Benguet October 9, 2014 Medicince 4,325.00 4,325.00 -497 Alicia Lee Baguio City, Benguet October 9, 2014 Hemodialysis 4,400.00 - 4,400.00498 Benigna Reyes Baguio City, Benguet October 10, 2014 Lab and meds 1,376.25 1,376.25 -499 David Puguon Baguio City, Benguet October 10, 2014 Hemodialysis 4,400.00 - 4,400.00500 Marcelo Mangapan Baguio City, Benguet October 10, 2014 Hemodialysis 4,400.00 - 4,400.00501 Jennilyn Viray Baguio City, Benguet October 10, 2014 Hospitalization 2,264.00 2,264.00 -502 Juanito Jacinto Baguio City, Benguet October 10, 2014 Hospitalization 40,635.50 25,000.00 15,635.50503 Manuel Aquino Baguio City, Benguet October 10, 2014 Hospitalization 7,964.87 7,964.87 -504 Michelle Jaralba Baguio City, Benguet October 10, 2014 Ultrasound 400.00 - 400.00505 Stephany Rose Jaralba Baguio City, Benguet October 10, 2014 Ultrasound 400.00 400.00 -506 Nancy Ayson Baguio City, Benguet October 10, 2014 Hemodialysis 4,400.00 - 4,400.00507 Andres Daw-as Baguio City, Benguet October 10, 2014 Hemodialysis 4,400.00 - 4,400.00508 Flordeliza Mirhan Baguio City, Benguet October 10, 2014 Hemodialysis 4,400.00 - 4,400.00509 Meriam Buenavente Baguio City, Benguet October 10, 2014 Hemodialysis 4,400.00 - 4,400.00510 Marco Bumacas Baguio City, Benguet October 13, 2014 Hemodialysis 4,400.00 - 4,400.00511 Delfin Basungit Baguio City, Benguet October 13, 2014 Hospitalization 24,959.75 24,959.75 -512 April Ann Madrid Baguio City, Benguet October 13, 2014 Hospitalization 2,131.50 2,131.50 -513 Avelino Ocampo Baguio City, Benguet October 13, 2014 Hemodialysis 4,400.00 - 4,400.00514 Reynaldo Arnedo Baguio City, Benguet October 13, 2014 Hospitalization 23,925.25 23,925.25 -515 Jose Gamsawen Baguio City, Benguet October 13, 2014 Hospitalization 45,830.57 45,830.57 -516 Jeira Mae Martin Baguio City, Benguet October 13, 2014 Hospitalization 1,627.12 1,627.12 -517 Rose Saculles Baguio City, Benguet October 13, 2014 Hospitalization 4,400.00 - 4,400.00518 Patrick Paynor Baguio City, Benguet October 13, 2014 Hospitalization 7,029.62 7,029.62 -519 Joey Umpad Baguio City, Benguet October 13, 2014 Hospitalization 4,925.12 4,925.12 -520 Chester Pinasen Baguio City, Benguet October 13, 2014 Hospitalization 3,592.12 3,592.12 -521 Jayden Manduliuo Baguio City, Benguet October 13, 2014 Hospitalization 4,417.75 4,417.75 -522 Anzel Mae Gefes Baguio City, Benguet October 13, 2014 Hospitalization 2,900.71 2,900.71 -523 Rizalyn Laguerta Baguio City, Benguet October 13, 2014 Hospitalization 3,125.37 3,125.37 -524 Jennife Mingua Baguio City, Benguet October 13, 2014 Hospitalization 2,102.75 2,102.75 -525 Rea Angelica Saballe Baguio City, Benguet October 13, 2014 Hospitalization 2,265.50 2,265.50 -526 Rosemarie Leganson Baguio City, Benguet October 13, 2014 Hospitalization 1,107.87 1,107.87 -527 Mary Grace Binay-an Baguio City, Benguet October 14, 2014 Hemodialysis 4,400.00 - 4,400.00528 Amor Orpilla Baguio City, Benguet October 14, 2014 Hemodialysis 4,400.00 - 4,400.00529 Quakelyn Lisayen Baguio City, Benguet October 14, 2014 Hemodialysis 4,400.00 - 4,400.00530 Arlene Pasuquin Baguio City, Benguet October 14, 2014 Hospitalization 2,039.97 2,039.97 -531 Loraine Presaldo Baguio City, Benguet October 14, 2014 Hospitalization 2,662.00 2,662.00 -

532 Win Kenneth Tino Baguio City, Benguet October 14, 2014 Hospitalization 15,288.00 15,288.00 -533 Dariane Arino Baguio City, Benguet October 14, 2014 Hospitalization 15,935.93 15,935.93 -534 Manuel Nanam Boaging Baguio City, Benguet October 15, 2014 Hospitalization 4,400.00 - 4,400.00535 Mariano Tamayo Baguio City, Benguet October 15, 2014 Hospitalization 3,287.70 311.25 2,976.45536 Jonathan Sulit Baguio City, Benguet October 15, 2014 Hospitalization 3,622.68 3,622.68 -537 Linda Gatudan Baguio City, Benguet October 15, 2014 Hemodialysis 4,400.00 - 4,400.00538 Ahiro Alba Baguio City, Benguet October 15, 2014 Hospitalization 29,565.70 29,565.70 -539 Doriano Cresencio Baguio City, Benguet October 16, 2014 Hemodialysis 4,400.00 - 4,400.00540 Richard Cabutotan Baguio City, Benguet October 16, 2014 Hospitalization 2,223.63 2,223.63 -541 Renita Cabutotan Baguio City, Benguet October 16, 2014 Hospitalization 4,712.15 4,712.15 -542 Donna Cedilla Baguio City, Benguet October 16, 2014 Chemotherapy 65,620.00 65,620.00 -543 Julie Ann Falingchan Baguio City, Benguet October 16, 2014 Hemodialysis 4,400.00 - 4,400.00544 Recy Joy Caluza Baguio City, Benguet October 16, 2014 Hemodialysis 2,200.00 - 2,200.00545 Berman Saturnino Baguio City, Benguet October 16, 2014 Medicince 1,850.00 1,490.00 360.00546 Jeselle Padilla Baguio City, Benguet October 16, 2014 Hospitalization 3,140.37 3,140.37 -547 Alezx Wagsey Baguio City, Benguet October 17, 2014 Hemodialysis 4,400.00 - 4,400.00548 Judilyn Casuga Baguio City, Benguet October 17, 2014 Lab and meds 3,131.25 279.50 2,851.75549 Leonardo Nalos Besao Mountain Province October 17, 2014 AVF Creation 1,950.00 - 1,950.00550 Foyagao Ronnie Baguio City, Benguet October 17, 2014 Hemodialysis 4,400.00 - 4,400.00551 Amor Orpilla Baguio City, Benguet October 17, 2014 Medicince 1,392.50 1,392.50 -552 Amor Orpilla Baguio City, Benguet October 17, 2014 Medicince 2,188.75 2,188.75 -553 Rex Wa-o Baguio City, Benguet October 17, 2014 Hospitalization 1,386.89 1,386.89 -554 Flordeliza Mirhan Baguio City, Benguet October 17, 2014 Hemodialysis 4,400.00 - 4,400.00555 Milagros Tait Baguio City, Benguet October 17, 2014 Hemodialysis 4,400.00 - 4,400.00556 Joanna Dacaimat Baguio City, Benguet October 17, 2014 Lab and meds 1,550.00 1,050.00 500.00557 Roel Cruz Baguio City, Benguet October 17, 2014 Lab and meds 4,500.00 4,500.00 -558 Susana Aliping Baguio City, Benguet October 17, 2014 Lab and meds 2,020.00 1,500.00 520.00559 Analyn Rualo Baguio City, Benguet October 17, 2014 Hospitalization 19,781.63 19,781.63 -560 Erlinda Abad Baguio City, Benguet October 17, 2014 Hemodialysis 4,400.00 - 4,400.00561 Jofer Yante Baguio City, Benguet October 17, 2014 Hospitalization 1,751.62 1,751.62 -562 Cesar Bolla Baguio City, Benguet October 17, 2014 Hemodialysis 4,400.00 - 4,400.00563 Quakelyn Lisayen Baguio City, Benguet October 20, 2014 Hemodialysis 4,400.00 - 4,400.00564 Amor Orpilla Baguio City, Benguet October 20, 2014 Hemodialysis 4,400.00 - 4,400.00565 Mary Grace Binay-an Baguio City, Benguet October 20, 2014 Hemodialysis 4,400.00 - 4,400.00566 Herminio Cacay Baguio City, Benguet October 20, 2014 Hemodialysis 4,400.00 - 4,400.00567 Victor Dizon Baguio City, Benguet October 20, 2014 Hemodialysis 6,600.00 - 6,600.00568 Ramon Dacawi Baguio City, Benguet October 20, 2014 Hemodialysis 26,400.00 - 26,400.00569 Pablo Fontanilla Baguio City, Benguet October 20, 2014 Hospitalization 7,519.37 7,519.37 -570 Alberto Moran Baguio City, Benguet October 20, 2014 Medicince 985.00 975.00 10.00571 Eliza Fagkangan Bontoc (Capital) Mountain ProvinceOctober 20, 2014 Hospitalization 5,016.93 5,016.93 -572 John Cawayan Baguio City, Benguet October 20, 2014 Hemodialysis 4,400.00 - 4,400.00573 Henry Jimenez Baguio City, Benguet October 20, 2014 Hospitalization 519.77 519.77 -574 Isabel Panyag Baguio City, Benguet October 20, 2014 Hospitalization 5,367.75 5,367.75 -575 Frederick Oller Baguio City, Benguet October 21, 2014 Hemodialysis 4,400.00 - 4,400.00576 Nena Polo Baguio City, Benguet October 21, 2014 Hemodialysis 4,400.00 - 4,400.00577 Jonathan Nadeydey Baguio City, Benguet October 21, 2014 Hemodialysis 4,400.00 - 4,400.00578 Leonardo Nalos Baguio City, Benguet October 21, 2014 Hemodialysis 4,400.00 - 4,400.00579 Leonardo Nalos Baguio City, Benguet October 21, 2014 AVF Creation 6,500.00 1,500.00 5,000.00580 Nancy Ayson Baguio City, Benguet October 21, 2014 Hemodialysis 8,800.00 - 8,800.00581 Adela Enrade Baguio City, Benguet October 21, 2014 Medicince 2,400.00 2,400.00 -582 Sinal Pajad Baguio City, Benguet October 21, 2014 Hospitalization 8,684.49 8,684.49 -583 Jerry Taynan Baguio City, Benguet October 21, 2014 Hemodialysis 4,400.00 - 4,400.00584 Joey Walsiyen Baguio City, Benguet October 21, 2014 Hemodialysis 4,400.00 - 4,400.00585 Efraim Kelly Baguio City, Benguet October 21, 2014 Hospitalization 1,929.75 1,929.75 -586 Edwin Bagano Baguio City, Benguet October 22, 2014 Hemodialysis 4,400.00 - 4,400.00587 Catalina Yukdawan Baguio City, Benguet October 22, 2014 Hemodialysis 4,400.00 - 4,400.00588 Stephany Dedomo Baguio City, Benguet October 22, 2014 Hospitalization 3,035.00 3,035.00 -589 Aileen Dias Baguio City, Benguet October 22, 2014 Medicince 3,349.00 1,180.50 2,168.50590 Richard Justo Baguio City, Benguet October 23, 2014 Hemodialysis 4,400.00 - 4,400.00591 Sherla Mae Palagas Baguio City, Benguet October 23, 2014 Hospitalization 2,810.88 2,810.88 -592 Esteban Atos Baguio City, Benguet October 23, 2014 Medicince 1,072.50 871.50 201.00593 Julia Tubao Baguio City, Benguet October 23, 2014 Lab and meds 1,703.75 1,660.25 43.50594 Eden Delos Santos Baguio City, Benguet October 23, 2014 Hospitalization 14,235.50 14,235.50 -595 Leonardo Ognayon Baguio City, Benguet October 23, 2014 Hemodialysis 4,400.00 - 4,400.00596 Carol Bawa-an Baguio City, Benguet October 23, 2014 2D Echo 1,500.00 1,500.00 -597 Paul Steve Bueno Baguio City, Benguet October 24, 2014 Hemodialysis 8,800.00 - 8,800.00598 Paul Steve Bueno Baguio City, Benguet October 24, 2014 Hemodialysis 8,800.00 - 8,800.00599 Delfin Mangusan Baguio City, Benguet October 24, 2014 Hemodialysis 13,200.00 - 13,200.00

600 Carmelita Lamadrid Baguio City, Benguet October 24, 2014 Hemodialysis 4,400.00 - 4,400.00601 Genile Estrada Baguio City, Benguet October 24, 2014 Hospitalization 3,057.50 3,057.50 -602 Fely Galon Baguio City, Benguet October 24, 2014 Hemodialysis 4,400.00 - 4,400.00603 Eme Lou Apolinario Baguio City, Benguet October 24, 2014 Hospitalization 3,319.44 3,319.44 -604 Michael Salenga Baguio City, Benguet October 24, 2014 Hospitalization 5,007.25 5,007.25 -605 Rosita Velasco Baguio City, Benguet October 24, 2014 Medicince 923.00 923.00 -606 Agustin Tacay Gayao Baguio City, Benguet October 27, 2014 Hemodialysis 4,400.00 - 4,400.00607 Rowena Valdez Rosales, Pangasinan October 27, 2014 Hemodialysis 4,400.00 - 4,400.00608 Rodel Garcia Baguio City, Benguet October 27, 2014 Hospitalization 4,119.68 4,119.68 -609 Ponciano Serran Baguio City, Benguet October 27, 2014 Hospitalization 2,111.75 2,111.75 -610 Ronnie Foyagao Baguio City, Benguet October 27, 2014 Hemodialysis 4,400.00 - 4,400.00611 Mary Grace Binay-an Baguio City, Benguet October 27, 2014 Hemodialysis 4,400.00 - 4,400.00612 Amor Orpilla Baguio City, Benguet October 27, 2014 Hemodialysis 4,400.00 - 4,400.00613 Camille Samonte Baguio City, Benguet October 27, 2014 Hospitalization 2,343.37 2,343.37 -614 Juvilyn Julianda Baguio City, Benguet October 27, 2014 Hospitalization 3,103.44 3,103.44 -615 Nathan Julianda Baguio City, Benguet October 27, 2014 Hospitalization 1,047.50 1,047.50 -616 Leonida Madriaga Baguio City, Benguet October 28, 2014 Hemodialysis 4,400.00 - 4,400.00617 Calvin Klein Agbayani Baguio City, Benguet October 28, 2014 Hospitalization 10,980.77 10,980.77 -618 Beverliza Reyes Baguio City, Benguet October 28, 2014 Lab and meds 1,207.50 640.00 567.50619 Emelita polon Baguio City, Benguet October 28, 2014 Hemodialysis 4,400.00 - 4,400.00620 Quakelyn Lisayen Baguio City, Benguet October 28, 2014 Medicince 2,400.00 2,400.00 -621 Roel Cruz Baguio City, Benguet October 28, 2014 Medicince 5,958.00 5,958.00 -622 Sherwin Semanero City of Santiago Isabela October 28, 2014 Hemodialysis 26,400.00 - 26,400.00623 April Sakiwat Baguio City, Benguet October 28, 2014 Medicince 5,786.00 5,786.00 -624 Rolando Domingo Baguio City, Benguet October 28, 2014 Medicince 5,786.00 5,786.00 -625 Grace D. Bango Baguio City, Benguet October 28, 2014 Hemodialysis 4,400.00 - 4,400.00626 Agustina Bagbagen Baguio City, Benguet October 28, 2014 Hospitalization 17,460.04 17,460.04 -627 Kristine Joy Esquillo Baguio City, Benguet October 29, 2014 Lab and meds 1,250.00 1,250.00 -628 Estrella Balionga Baguio City, Benguet October 29, 2014 Hospitalization 8,913.27 8,913.27 -629 Rex Balangitan Baguio City, Benguet October 29, 2014 Hemodialysis 4,400.00 - 4,400.00630 Mary Grace Calma Baguio City, Benguet October 29, 2014 Medicince 5,865.00 5,865.00 -631 Baby Lyn Lumbas Baguio City, Benguet October 29, 2014 Hemodialysis 4,151.87 - 4,151.87632 Kristine Joy Esquillo Baguio City, Benguet October 29, 2014 Medicince 550.00 550.00 -633 Cesar Bolla Baguio City, Benguet October 29, 2014 Hemodialysis 6,600.00 - 6,600.00634 Joey Umpad Baguio City, Benguet October 29, 2014 Hospitalization 5,345.64 5,345.64 -635 Marissa Tabula Baguio City, Benguet October 29, 2014 Hospitalization 697.37 697.37 -636 June Malana Baguio City, Benguet October 29, 2014 Hospitalization 21,586.50 21,586.50 -637 Geoffrey Dominguez Baguio City, Benguet October 29, 2014 Hospitalization 9,657.50 9,657.50 -638 Elpidio Ngohayon Baguio City, Benguet October 29, 2014 Hospitalization 3,814.75 3,814.75 -639 Virgilio Clemente Baguio City, Benguet October 30, 2014 Hemodialysis 4,400.00 - 4,400.00640 Cris Guillermo Baguio City, Benguet October 30, 2014 Hospitalization 4,050.90 1,356.25 2,694.65641 Kristine Joy Esquillo Baguio City, Benguet October 30, 2014 Medicince 50.00 50.00 -642 Frederick Oller Baguio City, Benguet October 30, 2014 Hemodialysis 4,400.00 - 4,400.00643 Anelyn Figueroa Ortaleza Bani Pangasinan October 30, 2014 Hospitalization 1,461.87 1,461.87 -644 Paul Miranda Baguio City, Benguet October 30, 2014 Hospitalization 2,344.62 2,344.62 -645 Gladys Dormiendo Baguio City, Benguet October 31, 2014 Hospitalization 4,060.61 4,060.61 -646 Jenny Rose Velasco Baguio City, Benguet October 31, 2014 Lab and meds 1,150.00 525.00 625.00647 Jerry Taynan Baguio City, Benguet October 31, 2014 Hemodialysis 4,400.00 - 4,400.00648 Nancy Ayson Baguio City, Benguet October 31, 2014 Hemodialysis 6,600.00 - 6,600.00649 Hilda Gaspar Baguio City, Benguet October 31, 2014 Hemodialysis 4,400.00 - 4,400.00650 Robert Tomas La Trinida (Capaital), BenguetOctober 31, 2014 Hemodialysis 4,400.00 - 4,400.00651 Nila De Vera Baguio City, Benguet October 31, 2014 Hemodialysis 6,600.00 - 6,600.00652 Leandro Tandoc Baguio City, Benguet November 3, 2014 Hemodialysis 4,400.00 - 4,400.00653 Leandro Tandoc Baguio City, Benguet November 3, 2014 Medicince 4,278.00 - 4,278.00654 Teresa Rullan Baguio City, Benguet November 3, 2014 Hemodialysis 4,400.00 - 4,400.00655 Ronnie Foyagao Baguio City, Benguet November 3, 2014 Hemodialysis 4,400.00 - 4,400.00656 Amor Orpilla Baguio City, Benguet November 3, 2014 Hemodialysis 4,400.00 - 4,400.00657 Amor Orpilla Baguio City, Benguet November 3, 2014 Medicince 818.50 818.50 -658 Joey Walsiyen Baguio City, Benguet November 3, 2014 Hospitalization 1,166.31 1,166.31 -659 Joey Walsiyen Baguio City, Benguet November 3, 2014 Hemodialysis 4,400.00 - 4,400.00660 John Cawayan Baguio City, Benguet November 3, 2014 Hemodialysis 4,400.00 - 4,400.00661 Sharon V Dalida Baguio City, Benguet November 3, 2014 Hemodialysis 4,400.00 - 4,400.00662 Julie Ann Falingchan Baguio City, Benguet November 3, 2014 Hemodialysis 4,400.00 - 4,400.00663 Ezra Sharland Baguio City, Benguet November 3, 2014 Medicince 5,905.50 - 5,905.50664 Cristy Ann Achivar Baguio City, Benguet November 3, 2014 Hospitalization 2,093.12 2,093.12 -665 Matso Quinio Baguio City, Benguet November 3, 2014 Hemodialysis 4,400.00 - 4,400.00666 Anicca Angela Manzano Baguio City, Benguet November 3, 2014 Hospitalization 7,175.75 7,175.75 -667 Romulo Estolas Baguio City, Benguet November 3, 2014 Lab and meds 1,160.00 1,160.00 -

668 Romulo Estolas Baguio City, Benguet November 3, 2014 Lab and meds 3,125.00 2,025.00 1,100.00669 Thelma Villanueva Baguio City, Benguet November 3, 2014 2D Echo 1,500.00 - 1,500.00670 Remedios Nialla Baguio City, Benguet November 3, 2014 Medicince 2,022.02 1,374.50 647.52671 Uriel Grei Padilla Baguio City, Benguet November 3, 2014 Hospitalization 9,148.75 9,148.75 -672 Christopher Lapas Baguio City, Benguet November 4, 2014 Hemodialysis 4,400.00 - 4,400.00673 Christine Magno Garcia Baguio City, Benguet November 4, 2014 Hospitalization 957.74 957.74 -674 Petra Colalong Baguio City, Benguet November 4, 2014 Hemodialysis 4,400.00 - 4,400.00675 Jacinto Baltazar Baguio City, Benguet November 4, 2014 Hospitalization 14,442.50 14,442.50 -676 Nita Bentadan Baguio City, Benguet November 4, 2014 Hemodialysis 6,600.00 - 6,600.00677 Helen Dana Baguio City, Benguet November 4, 2014 Hospitalization 13,410.19 13,410.19 -678 Manuel Boaging Baguio City, Benguet November 5, 2014 Hemodialysis 4,400.00 - 4,400.00679 Mary Santos Baguio City, Benguet November 5, 2014 Hospitalization 8,600.92 8,600.92 -680 Marco Bumacas Baguio City, Benguet November 5, 2014 Hemodialysis 4,400.00 - 4,400.00681 Reynaldo Arnedo Baguio City, Benguet November 5, 2014 Hospitalization 60,388.97 60,388.97 -682 Amor Orpilla Baguio City, Benguet November 5, 2014 Lab and meds 2,500.00 2,500.00 -683 Mary Grace Binay-an Baguio City, Benguet November 5, 2014 Hemodialysis 4,400.00 - 4,400.00684 Rodel Garcia Baguio City, Benguet November 5, 2014 Hospitalization 2,043.31 2,043.31 -685 Baby Boy Garcia Baguio City, Benguet November 5, 2014 Hospitalization 1,525.00 1,525.00 -686 Robert Flores Baguio City, Benguet November 5, 2014 Hospitalization 1,181.36 1,181.36 -687 Rovy Ann Ferrer Baguio City, Benguet November 5, 2014 Hospitalization 2,282.86 2,282.86 -688 Irene Dayag Baguio City, Benguet November 5, 2014 Hospitalization 4,096.06 4,096.06 -689 Ligaya Wangco Baguio City, Benguet November 6, 2014 2D Echo 850.00 - 850.00690 Maricel Wangco Baguio City, Benguet November 6, 2014 2D Echo 850.00 - 850.00691 Monico Herman Tuba, Benguet November 6, 2014 Hemodialysis 4,400.00 - 4,400.00692 Recy Joy Caluza Baguio City, Benguet November 6, 2014 Hemodialysis 4,400.00 - 4,400.00693 Madeline Wagang Baguio City, Benguet November 6, 2014 Medicince 600.00 - 600.00694 Richard Justo Baguio City, Benguet November 6, 2014 Medicince 3,600.00 3,600.00 -695 Thelma Calaycay Baguio City, Benguet November 6, 2014 Hospitalization 6,322.95 6,322.95 -696 Leonardo Nalos Baguio City, Benguet November 7, 2014 Hemodialysis 4,400.00 - 4,400.00697 Asunta Warren Baguio City, Benguet November 7, 2014 Hospitalization 27,377.80 27,377.80 -698 Mary Grace Eden Baguio City, Benguet November 7, 2014 Hospitalization 4,347.25 4,347.25 -699 Erlinda Abad Baguio City, Benguet November 7, 2014 Hemodialysis 4,400.00 - 4,400.00700 Amor Orpilla Baguio City, Benguet November 7, 2014 Hemodialysis 4,400.00 - 4,400.00701 Quakelyn Lisayen Baguio City, Benguet November 7, 2014 Medicince 2,400.00 2,400.00 -702 Frederick Oller Baguio City, Benguet November 7, 2014 Hemodialysis 4,400.00 - 4,400.00703 Baby Boy Fontanilla Baguio City, Benguet November 7, 2014 Hospitalization 21,788.50 21,788.50 -704 Mirhan Flordeliza Baguio City, Benguet November 7, 2014 Hemodialysis 4,400.00 - 4,400.00705 Aaron Tagtagon Baguio City, Benguet November 7, 2014 Hospitalization 3,125.31 3,125.31 -706 Emilda Bustarde Baguio City, Benguet November 7, 2014 Hemodialysis 2,200.00 - 2,200.00707 Leonardo Abaya Baguio City, Benguet November 7, 2014 Hemodialysis 4,400.00 - 4,400.00708 Cesar Bolla Baguio City, Benguet November 7, 2014 Hemodialysis 6,600.00 - 6,600.00709 Rene Richmond Carino Baguio City, Benguet November 7, 2014 Hemodialysis 4,400.00 - 4,400.00710 Rogelio Gajonera Baguio City, Benguet November 10, 2014 Hospitalization 54,929.27 - 54,929.27711 Doriano Cresencio Baguio City, Benguet November 10, 2014 Hemodialysis 4,400.00 - 4,400.00712 April Sakiwat Baguio City, Benguet November 10, 2014 Medicince 4,400.00 4,400.00 -713 Edna Tanglao Baguio City, Benguet November 10, 2014 Hemodialysis 4,400.00 - 4,400.00714 Jomar Soriano Baguio City, Benguet November 10, 2014 Hospitalization 1,436.00 1,436.00 -715 Almario Benitez Jr Baguio City, Benguet November 10, 2014 Hemodialysis 2,200.00 - 2,200.00716 Oliver Montemayor Baguio City, Benguet November 10, 2014 Hemodialysis 6,600.00 - 6,600.00717 Jose Arate Faruyan Baguio City, Benguet November 10, 2014 Hemodialysis 6,600.00 - 6,600.00718 Rosemarie Navsn Baguio City, Benguet November 10, 2014 Hospitalization 9,443.25 9,443.25 -719 Deiserie Antolin Baguio City, Benguet November 10, 2014 Hospitalization 4,669.64 4,669.64 -720 Asunta Warren Baguio City, Benguet November 10, 2014 Hospitalization 7,160.30 7,160.30 -721 Mark anthony Lewis Baguio City, Benguet November 10, 2014 Hospitalization 2,448.25 2,448.25 -722 Janine Rollogue Baguio City, Benguet November 10, 2014 Hospitalization 2,085.86 2,085.86 -723 Glenda Fernanez Baguio City, Benguet November 10, 2014 Hospitalization 2,355.74 2,355.74 -724 Joven Sawangin Baguio City, Benguet November 10, 2014 Hospitalization 1,730.16 1,730.16 -725 Jhemson Urbina Baguio City, Benguet November 10, 2014 Hospitalization 5,577.87 5,577.87 -726 Tristan Sabado Baguio City, Benguet November 10, 2014 Hospitalization 7,566.50 7,566.50 -727 Shaly Cris Bantas Baguio City, Benguet November 10, 2014 Hospitalization 5,271.28 5,271.28 -728 Cynthia Maquinto Baguio City, Benguet November 11, 2014 Ultrasound 650.00 - 650.00729 Elisa Solano Baguio City, Benguet November 11, 2014 Medicince 2,250.00 - 2,250.00730 Delfin Mangusan Baguio City, Benguet November 11, 2014 Hemodialysis 13,200.00 - 13,200.00731 Roel Cruz Baguio City, Benguet November 11, 2014 Medicince 5,878.59 5,878.59 -732 Mary Grace Binay-an Baguio City, Benguet November 11, 2014 Hemodialysis 4,400.00 - 4,400.00733 Ronnie Foyagao Baguio City, Benguet November 11, 2014 Hemodialysis 4,400.00 - 4,400.00734 Baby Lyn Lumbas Baguio City, Benguet November 11, 2014 Hemodialysis 4,400.00 - 4,400.00735 Nicasio Casido Baguio City, Benguet November 11, 2014 Hemodialysis 4,400.00 - 4,400.00

736 Jorgette Deduque Baguio City, Benguet November 11, 2014 Hospitalization 26,026.50 26,026.50 -737 Judith Bendaen Baguio City, Benguet November 11, 2014 Hospitalization 5,913.41 5,913.41 -738 Virgilio Protacio Baguio City, Benguet November 12, 2014 Hospitalization 8,139.46 8,139.46 -739 Jerry Taynan Baguio City, Benguet November 12, 2014 Hemodialysis 4,400.00 - 4,400.00740 Agustina Monteclaro Baguio City, Benguet November 12, 2014 Hemodialysis 4,400.00 - 4,400.00741 Mhayden Manantan Baguio City, Benguet November 12, 2014 Hospitalization 10,974.72 10,974.72 -742 Asnor Masnar Gayao Baguio City, Benguet November 12, 2014 Medicince 987.00 981.70 5.30743 Beverliza Reyes Baguio City, Benguet November 12, 2014 Chemotherapy 12,000.00 12,000.00 -744 Jocelyn Laigo Baguio City, Benguet November 12, 2014 Hemodialysis 4,400.00 - 4,400.00745 Fabiola Ikug Baguio City, Benguet November 12, 2014 Hospitalization 64,938.55 64,938.55 -746 Karina Ocampo Baguio City, Benguet November 12, 2014 Hospitalization 3,176.37 3,176.37 -747 Leonardo Ognayon Baguio City, Benguet November 12, 2014 Hemodialysis 4,400.00 - 4,400.00748 Nancy Cauguiran Baguio City, Benguet November 12, 2014 Hospitalization 4,516.24 4,516.24 -749 Nardo Atiwag Codod Sr Baguio City, Benguet November 13, 2014 Hemodialysis 4,400.00 - 4,400.00750 Mary Garce Calma Baguio City, Benguet November 13, 2014 Chemotherapy 47,160.00 47,160.00 -751 Alberto Romerro Baguio City, Benguet November 13, 2014 Hospitalization 2,466.00 2,466.00 -752 Nana Polo Baguio City, Benguet November 13, 2014 Hemodialysis 4,400.00 - 4,400.00753 Jocelyn Bernardo Baguio City, Benguet November 13, 2014 Hospitalization 4,041.87 4,041.87 -754 Erlinda Dagdagui Baguio City, Benguet November 13, 2014 Hospitalization 11,655.00 11,655.00 -755 Petra Colalong Baguio City, Benguet November 14, 2014 Hemodialysis 4,400.00 - 4,400.00756 Welfred Eliseo Baguio City, Benguet November 14, 2014 Ultrasound 700.00 - 700.00757 Catalina Yukdawan Baguio City, Benguet November 14, 2014 Hemodialysis 4,400.00 - 4,400.00758 Rose Andrada Baguio City, Benguet November 14, 2014 Hospitalization 9,039.19 9,039.19 -759 Abegail Bedonio Baguio City, Benguet November 14, 2014 Hospitalization 1,075.14 1,075.14 -760 Daryl Danielle Alfaro Baguio City, Benguet November 14, 2014 Hospitalization 3,173.36 3,173.36 -761 Charles Aguel Apron Baguio City, Benguet November 14, 2014 Hospitalization 2,435.69 2,435.69 -762 Emilda Bustarde Baguio City, Benguet November 14, 2014 Hemodialysis 4,400.00 - 4,400.00763 Rossana Baysic Baguio City, Benguet November 17, 2014 Hospitalization 1,432.50 1,075.00 357.50764 Almario Benitez Jr Baguio City, Benguet November 17, 2014 Hemodialysis 4,400.00 - 4,400.00765 Jonathan Seguin Baguio City, Benguet November 17, 2014 Hemodialysis 4,400.00 - 4,400.00766 Quakelyn Lisayen Baguio City, Benguet November 17, 2014 Hemodialysis 4,400.00 - 4,400.00767 Mary Grace Binay-an Baguio City, Benguet November 17, 2014 Hemodialysis 4,400.00 - 4,400.00768 Amor Orpilla Baguio City, Benguet November 17, 2014 Lab and meds 2,500.00 2,500.00 -769 Renalyn Castro Baguio City, Benguet November 17, 2014 Hospitalization 3,402.69 3,402.69 -770 Gentry Behis Baguio City, Benguet November 17, 2014 Hemodialysis 4,400.00 - 4,400.00771 Kurt Nicklaus Rismal Baguio City, Benguet November 17, 2014 Hospitalization 1,685.44 1,685.44 -772 Teodora Estolas Baguio City, Benguet November 18, 2014 Lab and meds 1,892.50 367.50 1,525.00773 Teodora Estolas Baguio City, Benguet November 18, 2014 Lab and meds 850.00 850.00 -774 Andres Daw-as Baguio City, Benguet November 18, 2014 Hemodialysis 4,400.00 - 4,400.00775 Teresa Rullan Baguio City, Benguet November 18, 2014 Hemodialysis 4,400.00 - 4,400.00776 Adela Enrade Baguio City, Benguet November 18, 2014 Medicince 2,400.00 2,400.00 -777 Baby Jean Ronquillo Baguio City, Benguet November 18, 2014 Hospitalization 4,849.61 4,849.61 -778 Amor Orpilla Baguio City, Benguet November 18, 2014 Hemodialysis 4,400.00 - 4,400.00779 Milagros Tait Baguio City, Benguet November 18, 2014 Hemodialysis 4,400.00 - 4,400.00780 Alona De Rosario Baguio City, Benguet November 18, 2014 Hospitalization 2,392.37 2,392.37 -781 Amor Cahanap Baguio City, Benguet November 18, 2014 Hemodialysis 6,600.00 - 6,600.00782 Caroline Gameng Baguio City, Benguet November 18, 2014 Hemodialysis 4,400.00 - 4,400.00783 Edna Tanglao Baguio City, Benguet November 18, 2014 Hemodialysis 4,400.00 - 4,400.00784 Ma. Teresa Seno Baguio City, Benguet November 18, 2014 Hospitalization 2,312.37 2,312.37 -785 Oliver Montemayor Baguio City, Benguet November 18, 2014 Hemodialysis 4,400.00 - 4,400.00786 Frederick Oller Baguio City, Benguet November 18, 2014 Hemodialysis 4,400.00 - 4,400.00787 Maricel Sabana Baguio City, Benguet November 19, 2014 Hospitalization 1,230.99 1,230.99 -788 Grace D. Bango Baguio City, Benguet November 19, 2014 Hemodialysis 4,400.00 - 4,400.00789 Bonifacio Flores Baguio City, Benguet November 19, 2014 Hospitalization 8,033.42 8,033.42 -790 Romeo A. Flores Baguio City, Benguet November 19, 2014 Medicince 745.00 640.00 105.00791 Cesar Bolla Baguio City, Benguet November 19, 2014 Hemodialysis 6,600.00 - 6,600.00792 Kiela Gerren Rimando Baguio City, Benguet November 19, 2014 Hospitalization 3,195.87 3,195.87 -793 Lolita Fontanos Baguio City, Benguet November 19, 2014 Hospitalization 6,702.00 5,761.60 940.40794 Zion Jeric Alejandro Baguio City, Benguet November 19, 2014 Hospitalization 4,152.62 4,152.62 -795 David Puguon Baguio City, Benguet November 19, 2014 Hemodialysis 6,600.00 - 6,600.00796 Avelino Ocampo Baguio City, Benguet November 20, 2014 Hemodialysis 4,400.00 - 4,400.00797 Dean Casuga Baguio City, Benguet November 20, 2014 Lab and meds 1,550.00 550.00 1,000.00798 Angelina Tampol Baguio City, Benguet November 20, 2014 Hospitalization 2,154.61 2,154.61 -799 Recy Joy Caluza Baguio City, Benguet November 20, 2014 Hemodialysis 4,400.00 - 4,400.00800 Edwin Bagano Baguio City, Benguet November 20, 2014 Medicince 2,400.00 2,400.00 -801 Christopher Lapas Baguio City, Benguet November 20, 2014 Hemodialysis 4,400.00 - 4,400.00802 Doriano Cresencio Baguio City, Benguet November 20, 2014 Hemodialysis 4,400.00 - 4,400.00803 Amor Orpilla Baguio City, Benguet November 20, 2014 Medicince 510.00 510.00 -

804 Amor Orpilla Baguio City, Benguet November 20, 2014 Hemodialysis 2,200.00 - 2,200.00805 Isiais Abcas Baguio City, Benguet November 20, 2014 Hospitalization 4,579.50 4,579.50 -806 Sheila Cesneros Baguio City, Benguet November 20, 2014 Hospitalization 3,263.75 3,263.75 -807 Clarrisa Ann Ocado Baguio City, Benguet November 20, 2014 Hospitalization 2,970.37 2,970.37 -808 Joana Marie Pacleb Baguio City, Benguet November 21, 2014 Ultrasound 700.00 - 700.00809 Petra Colalong Baguio City, Benguet November 21, 2014 Hemodialysis 6,600.00 - 6,600.00810 Leonardo Nalos Baguio City, Benguet November 21, 2014 Medicince 2,721.25 2,678.75 42.50811 Victor Dizon Baguio City, Benguet November 21, 2014 Hemodialysis 19,800.00 - 19,800.00812 Fernando Isilen Baguio City, Benguet November 21, 2014 Hemodialysis 4,400.00 - 4,400.00813 Belen San Diego Padua Baguio City, Benguet November 21, 2014 Hospitalization 3,890.69 3,890.69 -814 Jonalyn Torres Baguio City, Benguet November 21, 2014 Hospitalization 2,090.37 2,090.37 -815 Francis Ron Macalintal Baguio City, Benguet November 21, 2014 Hospitalization 3,571.94 3,571.94 -816 Joseph Calaoa Jr Baguio City, Benguet November 21, 2014 Medicince 3,000.00 2,980.25 19.75817 Violeta Apolto Baguio City, Benguet November 21, 2014 Hospitalization 3,382.87 3,382.87 -818 Xyra Garrido Baguio City, Benguet November 21, 2014 Hospitalization 2,697.49 2,697.49 -819 Angelina Santiago Baguio City, Benguet November 21, 2014 Hospitalization 9,718.05 9,718.05 -820 Evald Umayat Oting Baguio City, Benguet November 21, 2014 Hospitalization 10,380.99 10,380.99 -821 Belen San Diego Padua Baguio City, Benguet November 21, 2014 Hospitalization 1,419.50 1,419.50 -822 Calix Pocdihon Baguio City, Benguet November 21, 2014 Hospitalization 40,995.33 40,995.33 -823 Christina Madio Baguio City, Benguet November 24, 2014 Lab and meds 5,337.50 2,337.50 3,000.00824 Throne Kianni Rodriguez Baguio City, Benguet November 24, 2014 Hospitalization 14,643.70 14,643.70 -825 Nida Oakes Baguio City, Benguet November 24, 2014 Lab and meds 10,290.00 150.00 10,140.00826 Herminio Cacay Baguio City, Benguet November 24, 2014 Hemodialysis 4,400.00 - 4,400.00827 Althea Cabaliw Ayangdao Baguio City, Benguet November 24, 2014 Hospitalization 9,935.00 9,935.00 -828 Erly Dumansi Baguio City, Benguet November 24, 2014 Hospitalization 4,400.00 - 4,400.00829 Avelino Ocampo Baguio City, Benguet November 24, 2014 Medicince 337.50 - 337.50830 Fely Galon Baguio City, Benguet November 24, 2014 Hemodialysis 4,400.00 - 4,400.00831 Yzabel Francesca Cosme Baguio City, Benguet November 24, 2014 Hospitalization 3,282.00 - 3,282.00832 Jennica Wead-as Baguio City, Benguet November 24, 2014 Hospitalization 11,041.76 - 11,041.76833 Noreen Amante Almodal Baguio City, Benguet November 24, 2014 Hospitalization 2,241.74 - 2,241.74834 Hilda Pugong Baguio City, Benguet November 25, 2014 Hospitalization 2,079.74 - 2,079.74835 Gemma Laigo Baguio City, Benguet November 25, 2014 Hospitalization 2,000.00 - 2,000.00836 Mary Grace Binay-an Baguio City, Benguet November 25, 2014 Hemodialysis 4,400.00 - 4,400.00837 Oliver Montemayor Baguio City, Benguet November 25, 2014 Hemodialysis 4,400.00 - 4,400.00838 Baby Boy Torres Baguio City, Benguet November 25, 2014 Hospitalization 1,577.25 - 1,577.25839 Regine Ramos Baguio City, Benguet November 25, 2014 Hospitalization 4,938.67 - 4,938.67840 Dennis De Guzman Baguio City, Benguet November 25, 2014 Medicince 2,500.00 1,850.00 650.00841 Quakelyn Lisayen Baguio City, Benguet November 25, 2014 Medicince 2,400.00 2,400.00 -842 Rene Richmond Carino Baguio City, Benguet November 26, 2014 Hemodialysis 4,400.00 - 4,400.00843 Victor Mayocyoc Baguio City, Benguet November 26, 2014 Medicince 1,015.50 1,007.75 7.75844 Edna Tanglao Baguio City, Benguet November 26, 2014 Hemodialysis 4,400.00 - 4,400.00845 Josephine Loyosen Baguio City, Benguet November 26, 2014 Vent Usage HMC 9,000.00 6,600.00 2,400.00846 Arsenio Teliaken Baguio City, Benguet November 26, 2014 Hospitalization 17,418.40 - 17,418.40847 Gentry Behis Baguio City, Benguet November 26, 2014 Hemodialysis 4,400.00 - 4,400.00848 Cornelia Aluyen Baguio City, Benguet November 26, 2014 Hospitalization 12,167.25 - 12,167.25849 Lea Orca Baguio City, Benguet November 26, 2014 Hospitalization 1,620.39 - 1,620.39850 Jennylyn Garay Baguio City, Benguet November 26, 2014 Hospitalization 2,084.86 - 2,084.86851 Felicitas Sotero Baguio City, Benguet November 26, 2014 Hospitalization 24,046.35 - 24,046.35852 Janice Manuel Baguio City, Benguet November 26, 2014 Hospitalization 2,592.00 - 2,592.00853 April Sakiwat Baguio City, Benguet November 26, 2014 Hemodialysis 4,400.00 - 4,400.00854 April Sakiwat Baguio City, Benguet November 26, 2014 Medicince 3,715.00 3,545.00 170.00855 Rolando Domingo Baguio City, Benguet November 26, 2014 Medicince 4,400.00 2,082.50 2,317.50856 Rolando Domingo Baguio City, Benguet November 26, 2014 Medicince 2,781.00 - 2,781.00857 Linda Gatudan Baguio City, Benguet November 27, 2014 Hemodialysis 6,600.00 - 6,600.00858 Rowena Valdez Baguio City, Benguet November 27, 2014 Hemodialysis 4,400.00 - 4,400.00859 Doriano Cresencio Baguio City, Benguet November 27, 2014 Hemodialysis 4,400.00 - 4,400.00860 Nancy Ayson Baguio City, Benguet November 27, 2014 Hemodialysis 4,400.00 - 4,400.00861 Melordino Armada Baguio City, Benguet November 27, 2014 Medicince 2,910.00 2,573.25 336.75862 Angela Signey Baguio City, Benguet November 27, 2014 Hospitalization 2,776.87 - 2,776.87863 Alicia Lee Baguio City, Benguet November 27, 2014 Medicince 2,400.00 - 2,400.00864 Dawadao Gaspar Baguio City, Benguet November 27, 2014 Hemodialysis 4,400.00 - 4,400.00865 Julita Dumo Baguio City, Benguet November 27, 2014 Hospitalization 26,924.84 - 26,924.84866 Julie Ann Falingchan Baguio City, Benguet November 27, 2014 Hemodialysis 6,600.00 - 6,600.00867 Maribeth Estepa Baguio City, Benguet November 27, 2014 Hospitalization 2,671.43 - 2,671.43868 Leonardo Ognayon Baguio City, Benguet November 27, 2014 Hemodialysis 6,600.00 - 6,600.00869 Jhin Schyller Fang-asan Baguio City, Benguet November 27, 2014 Hospitalization 4,853.23 - 4,853.23870 Benjamin Sampang Baguio City, Benguet November 28, 2014 Lab and meds 1,920.00 1,920.00 -871 Teresa Rullan Baguio City, Benguet November 28, 2014 Hemodialysis 6,600.00 - 6,600.00

872 Eudencia Canlas Baguio City, Benguet November 28, 2014 Hemodialysis 6,600.00 - 6,600.00873 Roel Cruz Baguio City, Benguet November 28, 2014 Hemodialysis 4,400.00 - 4,400.00874 Roel Cruz Baguio City, Benguet November 28, 2014 Medicince 5,025.00 788.91 4,236.09875 Mark Anthony Galao-ey Baguio City, Benguet November 28, 2014 Hemodialysis 4,400.00 - 4,400.00876 Maricel Viray Baguio City, Benguet November 28, 2014 Hospitalization 2,477.99 - 2,477.99877 Maurice Malanes Baguio City, Benguet November 28, 2014 Hospitalization 93,505.50 - 93,505.50878 Galina Ladiocan Baguio City, Benguet November 28, 2014 Hospitalization 20,000.00 - 20,000.00879 Cesar Bolla Baguio City, Benguet November 28, 2014 Hemodialysis 6,600.00 - 6,600.00880 Ronelio Agbuya Baguio City, Benguet November 28, 2014 Hospitalization 15,531.37 - 15,531.37881 Fritxie Guadana Baguio City, Benguet November 28, 2014 Hospitalization 37,478.50 - 37,478.50882 Arabella Jem Estada Maranes Baguio City, Benguet December 1, 2014 Hospitalization 18,598.25 - 18,598.25883 John Nakihid Baguio City, Benguet December 1, 2014 Hemodialysis 6,600.00 - 6,600.00884 Leonardo Abaya Baguio City, Benguet December 1, 2014 Hemodialysis 13,200.00 - 13,200.00885 Jasmine Lomboy Baguio City, Benguet December 1, 2014 Hospitalization 1,150.00 - 1,150.00886 Diana Rose Lomboy Baguio City, Benguet December 1, 2014 Hospitalization 3,178.74 - 3,178.74887 Oliver Montemayor Baguio City, Benguet December 1, 2014 Hemodialysis 4,400.00 - 4,400.00888 Rele Gabriel Alcantara Baguio City, Benguet December 1, 2014 Hospitalization 3,588.12 - 3,588.12889 Doriano Cresencio Baguio City, Benguet December 1, 2014 Hemodialysis 4,400.00 - 4,400.00890 Juliet Pascual Baguio City, Benguet December 1, 2014 Hospitalization 6,600.00 - 6,600.00891 Christopher Lapas Baguio City, Benguet December 1, 2014 Hemodialysis 4,400.00 - 4,400.00892 Grace D. Bango Baguio City, Benguet December 1, 2014 Hemodialysis 8,800.00 - 8,800.00893 Nena Polo Baguio City, Benguet December 1, 2014 Hemodialysis 4,400.00 - 4,400.00894 Caroline Gameng Baguio City, Benguet December 1, 2014 Hemodialysis 4,400.00 - 4,400.00895 Dennis De Guzman Baguio City, Benguet December 1, 2014 Medicince 1,200.00 - 1,200.00896 Jinky Lamsis Baguio City, Benguet December 1, 2014 Hospitalization 2,357.24 - 2,357.24897 Monico Herman Baguio City, Benguet December 1, 2014 Hemodialysis 4,400.00 - 4,400.00898 Robert Tomas Baguio City, Benguet December 2, 2014 Hemodialysis 4,400.00 - 4,400.00899 David Ferrer Baguio City, Benguet December 2, 2014 Chemotherapy 5,570.00 5,570.00 -900 Adela Enrade Baguio City, Benguet December 2, 2014 Medicince 2,400.00 - 2,400.00901 Emilda Bustarde Baguio City, Benguet December 2, 2014 Medicince 2,400.00 - 2,400.00902 Eduardo Ico Bandong Baguio City, Benguet December 2, 2014 Vent Usage HMC 4,500.00 1,800.00 2,700.00903 Fe Rimando Baguio City, Benguet December 2, 2014 EEG 3,000.00 2,000.00 1,000.00904 Matso Quinio Baguio City, Benguet December 2, 2014 Hemodialysis 4,400.00 - 4,400.00905 Eduardo Fianitog Baguio City, Benguet December 3, 2014 Lab and meds 2,410.00 - 2,410.00906 Juanito Jacinto Baguio City, Benguet December 3, 2014 Hospitalization 24,062.75 - 24,062.75907 Alex Khayad Wagsey Baguio City, Benguet December 3, 2014 Hospitalization 4,400.00 - 4,400.00908 Michelle Araza Baguio City, Benguet December 3, 2014 Hospitalization 2,349.11 - 2,349.11909 Edna Tanglao Baguio City, Benguet December 3, 2014 Hemodialysis 4,400.00 - 4,400.00910 Rosemary Agustin Baguio City, Benguet December 3, 2014 Medicince 2,917.50 - 2,917.50911 Annabelle Santos Baguio City, Benguet December 3, 2014 Hospitalization 2,810.61 - 2,810.61912 Gentry Behis Baguio City, Benguet December 3, 2014 Hemodialysis 4,400.00 - 4,400.00913 Navarro Salvador Baguio City, Benguet December 3, 2014 Hospitalization 12,831.99 - 12,831.99914 Delfin Mangusan Baguio City, Benguet December 3, 2014 Hospitalization 13,200.00 - 13,200.00915 Edwin Bagano Baguio City, Benguet December 15, 2014 Medicince 4,800.00 - 4,800.00916 Herminio Cacay Baguio City, Benguet December 4, 2014 Hemodialysis 4,400.00 - 4,400.00917 Amor Orpilla Baguio City, Benguet December 4, 2014 Lab and meds 10,000.00 - 10,000.00918 Jerry De Jesus Baguio City, Benguet December 4, 2014 Hospitalization 2,957.12 - 2,957.12919 Rowen Del a Cruz Baguio City, Benguet December 5, 2014 Medicince 3,765.90 - 3,765.90920 Janice Enisang Baguio City, Benguet December 5, 2014 Lab and meds 1,315.00 - 1,315.00921 Johnsen Ventura Baguio City, Benguet December 5, 2014 Hospitalization 2,604.37 - 2,604.37922 Margie Busongan Bao-an Baguio City, Benguet December 5, 2014 Hospitalization 5,014.74 - 5,014.74923 Julian Fayog Baguio City, Benguet December 5, 2014 Hospitalization 3,602.86 - 3,602.86924 Kenneth James Quirante Baguio City, Benguet December 5, 2014 Hospitalization 1,629.00 - 1,629.00925 Frederick Oller Baguio City, Benguet December 5, 2014 Hemodialysis 4,400.00 - 4,400.00926 Roel Cruz Baguio City, Benguet December 5, 2014 Hemodialysis 6,600.00 - 6,600.00927 Roel Cruz Baguio City, Benguet December 5, 2014 Medicince 3,600.00 - 3,600.00928 Leandro Tandoc Baguio City, Benguet December 8, 2014 Hemodialysis 4,400.00 - 4,400.00929 Josephine Loyosen Baguio City, Benguet December 8, 2014 Vent Usage HMC 9,000.00 9,000.00 -930 Juanito Jacinto Baguio City, Benguet December 8, 2014 Chemotherapy 52,936.00 52,936.00 -931 Eduardo Ico Bandong Baguio City, Benguet December 9, 2014 Vent Usage HMC 9,000.00 9,000.00 -932 Patricia Antoinette Pined Baguio City, Benguet December 9, 2014 Hospitalization 7,300.50 - 7,300.50933 Catherine De Leon Baguio City, Benguet December 9, 2014 Hospitalization 3,952.98 - 3,952.98934 Rose Saculles Baguio City, Benguet December 9, 2014 Hemodialysis 4,400.00 - 4,400.00935 Cesar Bolla Baguio City, Benguet December 9, 2014 Hemodialysis 4,400.00 - 4,400.00936 Ferlyn Bantasan Baguio City, Benguet December 9, 2014 Hospitalization 3,052.06 - 3,052.06937 Marilou Odasco Baguio City, Benguet December 9, 2014 Hospitalization 2,307.11 - 2,307.11938 Jonathan Cario Seguin Baguio City, Benguet December 9, 2014 Hospitalization 39,420.47 - 39,420.47939 Ramina Zabala Baguio City, Benguet December 9, 2014 Hospitalization 2,187.00 - 2,187.00

940 Leonard H. Nalos Baguio City, Benguet December 10, 2014 Hemodialysis 4,400.00 - 4,400.00941 Gaspar Toralde Baguio City, Benguet December 10, 2014 2D Echo & Meds 4,902.50 - 4,902.50942 Shaly Cris Bantas Baguio City, Benguet December 10, 2014 Hospitalization 2,029.94 - 2,029.94943 Emilia Bumacas Baguio City, Benguet December 10, 2014 Hospitalization 2,806.49 - 2,806.49944 Niota Bentaden Baguio City, Benguet December 10, 2014 Hemodialysis 4,400.00 - 4,400.00945 Elijah Chase Layug Baguio City, Benguet December 10, 2014 Hospitalization 35,915.25 - 35,915.25946 Maricel Castro Sabana Baguio City, Benguet December 10, 2014 Hospitalization 2,315.87 - 2,315.87947 Doriano Cresencio Baguio City, Benguet December 11, 2014 Hemodialysis 4,400.00 - 4,400.00948 Dominga Baniguen Baguio City, Benguet December 11, 2014 Hemodialysis 4,400.00 - 4,400.00949 Ronnie Foyagao Baguio City, Benguet December 11, 2014 Hemodialysis 4,400.00 - 4,400.00950 Fernando Isilen Baguio City, Benguet December 11, 2014 Hemodialysis 6,600.00 - 6,600.00951 Fernando Isilen Baguio City, Benguet December 11, 2014 Hemodialysis 6,600.00 - 6,600.00952 Jonathan Nadeydey Baguio City, Benguet December 11, 2014 Hospitalization 4,400.00 - 4,400.00953 Sharon V Dalida Baguio City, Benguet December 11, 2014 Hemodialysis 6,600.00 - 6,600.00954 David Ferrer Baguio City, Benguet December 11, 2014 Chemotherapy 11,140.00 - 11,140.00955 Lolita Tenerife Baguio City, Benguet December 11, 2014 Hospitalization 2,932.41 - 2,932.41956 Felipa Parocha Baguio City, Benguet December 11, 2014 Medicince 1,798.00 - 1,798.00957 Ivan Zabala Baguio City, Benguet December 11, 2014 Hospitalization 3,265.00 - 3,265.00958 Iver Zabala Baguio City, Benguet December 11, 2014 Hospitalization 2,864.37 - 2,864.37959 Anotnia Akiapas Baguio City, Benguet December 12, 2014 Lab and meds 800.00 - 800.00960 Eduardo Ico Bandong Baguio City, Benguet December 12, 2014 Vent Usage HMC 4,500.00 3,600.00 900.00961 Pascuala Backeng Baguio City, Benguet December 12, 2014 Hemodialysis 13,200.00 - 13,200.00962 Marco Bumacas Baguio City, Benguet December 12, 2014 Hemodialysis 4,400.00 - 4,400.00963 Catalina Yukdawan Baguio City, Benguet December 12, 2014 Hemodialysis 4,400.00 - 4,400.00964 Jose Arate Faruyan Baguio City, Benguet December 12, 2014 Hemodialysis 4,400.00 - 4,400.00965 Tita Guerrero Baguio City, Benguet December 12, 2014 Hospitalization 12,062.40 12,062.40 -966 Rogelio Mayandoc Baguio City, Benguet December 12, 2014 Medicince 236.80 - 236.80967 Rogelio Mayandoc Baguio City, Benguet December 12, 2014 Medicince 945.00 - 945.00968 Reggie Amistad Baguio City, Benguet December 12, 2014 Hospitalization 28,887.50 - 28,887.50969 Mary Grace Binay-an Baguio City, Benguet December 12, 2014 Hemodialysis 4,400.00 - 4,400.00970 Perla Bagni Baguio City, Benguet December 12, 2014 Hospitalization 14,800.50 - 14,800.50971 Evangeline Fontanilla Baguio City, Benguet December 12, 2014 Hospitalization 1,073.22 - 1,073.22972 Manuel Boaging Baguio City, Benguet December 12, 2014 Medicince 2,400.00 - 2,400.00973 Maximo Sison Baguio City, Benguet December 12, 2014 Hospitalization 6,762.96 - 6,762.96974 Bonifacio Yakengon Baguio City, Benguet December 15, 2014 Hemodialysis 4,400.00 - 4,400.00975 Janice V. Bobila Baguio City, Benguet December 15, 2014 Hemodialysis 6,600.00 - 6,600.00976 Janice V. Bobila Baguio City, Benguet December 15, 2014 Medicince 2,400.00 - 2,400.00977 Eduardo Ico Bandong Baguio City, Benguet December 15, 2014 Hospitalization 56,583.46 - 56,583.46978 Victor Dizon Baguio City, Benguet December 15, 2014 Hemodialysis 19,800.00 - 19,800.00979 Fely Galon Baguio City, Benguet December 15, 2014 Hemodialysis 4,400.00 - 4,400.00980 Eduardo Ico Bandong Baguio City, Benguet December 15, 2014 Hospitalization 6,835.04 - 6,835.04981 Alicia Lee Baguio City, Benguet December 15, 2014 Hemodialysis 4,400.00 - 4,400.00982 Ricardo Dizo Lomasang Baguio City, Benguet December 15, 2014 Hospitalization 36,825.41 - 36,825.41983 Juliet Pascual Baguio City, Benguet December 15, 2014 Hemodialysis 4,400.00 - 4,400.00984 Edna Tanglao Baguio City, Benguet December 15, 2014 Hemodialysis 4,400.00 - 4,400.00985 Rafael P. Montes Baguio City, Benguet December 16, 2014 Hemodialysis 6,600.00 - 6,600.00986 Frederick Oller Baguio City, Benguet December 16, 2014 Hemodialysis 4,400.00 - 4,400.00987 Rhenz Bumanglag Baguio City, Benguet December 16, 2014 Hospitalization 21,192.04 - 21,192.04988 Mary Grace Calma Baguio City, Benguet December 16, 2014 Chemotherapy 47,160.00 47,160.00 -989 David Puguon Baguio City, Benguet December 16, 2014 Hemodialysis 6,600.00 - 6,600.00990 Snang Datumanong Baguio City, Benguet December 16, 2014 Hospitalization 1,290.62 - 1,290.62991 Quakelyn Lisayen Baguio City, Benguet December 16, 2014 Medicince 2,400.00 - 2,400.00992 Deo Amoyen Baguio City, Benguet December 17, 2014 Hospitalization 1,716.49 - 1,716.49993 Flordeliza Mirhan Baguio City, Benguet December 17, 2014 Hemodialysis 4,400.00 - 4,400.00994 Rene Richmond Carino Baguio City, Benguet December 17, 2014 Hemodialysis 6,600.00 - 6,600.00995 Emilda Bustarde Baguio City, Benguet December 17, 2014 Medicince 2,400.00 - 2,400.00996 Robert Diocares Baguio City, Benguet December 17, 2014 Hospitalization 21,277.48 - 21,277.48997 Felimon Baguilat Baguio City, Benguet December 17, 2014 Hospitalization 7,906.82 - 7,906.82998 Lorenzo Leonardo Baguio City, Benguet December 17, 2014 Hospitalization 352.31 - 352.31999 Lyman Patong Baguio City, Benguet December 18, 2014 Hospitalization 15,721.70 - 15,721.70

1000 Wilma Arellano Baguio City, Benguet December 18, 2014 Lab and meds 1,670.00 - 1,670.001001 Jonathan Nadeydey Baguio City, Benguet December 18, 2014 Lab and meds 2,400.00 - 2,400.001002 Rowena Valdez Baguio City, Benguet December 18, 2014 Lab and meds 2,775.00 - 2,775.001003 Dominick Padilla Baguio City, Benguet December 18, 2014 Hospitalization 28,538.63 - 28,538.631004 Eduardo Pasagoy Baguio City, Benguet December 18, 2014 Hospitalization 37,014.00 - 37,014.001005 Alicia Lee Baguio City, Benguet December 18, 2014 Hospitalization 4,900.00 - 4,900.001006 Dinah Marzan Baguio City, Benguet December 18, 2014 Hemodialysis 6,600.00 - 6,600.001007 Christopher Lapas Baguio City, Benguet December 18, 2014 Hemodialysis 4,400.00 - 4,400.00

1008 Jonathan Bulwayan Baguio City, Benguet December 18, 2014 Medicince 2,400.00 - 2,400.001009 Cesar Bolla Baguio City, Benguet December 18, 2014 Medicince 4,800.00 - 4,800.001010 Alma Galao Ganipac Baguio City, Benguet December 18, 2014 Hospitalization 4,248.00 - 4,248.001011 Samuel Espiritu Baguio City, Benguet December 18, 2014 Medicince 2,272.50 - 2,272.501012 Teresa U. Rullan Baguio City, Benguet December 19, 2014 Hemodialysis 4,400.00 - 4,400.001013 Julia Mansona Baguio City, Benguet December 19, 2014 Hospitalization 1,423.87 - 1,423.871014 Carmelita Lamadrid Baguio City, Benguet December 19, 2014 Hemodialysis 4,400.00 - 4,400.001015 Mario Palangeo Jr. Baguio City, Benguet December 19, 2014 Hospitalization 79,271.22 - 79,271.221016 Julian Avery Uy Baguio City, Benguet December 19, 2014 Hospitalization 10,000.00 - 10,000.001017 Samuel Espiritu Baguio City, Benguet December 19, 2014 Hospitalization 2,475.00 - 2,475.001018 Nicasio Casido Baguio City, Benguet December 22, 2014 Hemodialysis 6,800.00 - 6,800.001019 Ma. Cecilia Cabrera Baguio City, Benguet December 22, 2014 Hospitalization 3,233.24 - 3,233.241020 Marcelino Damucay Baguio City, Benguet December 22, 2014 Hospitalization 22,082.74 - 22,082.741021 Angel Frias Baguio City, Benguet December 22, 2014 Hospitalization 3,445.21 - 3,445.211022 Rhenz Bumanglag Baguio City, Benguet December 22, 2014 Hospitalization 18,943.64 - 18,943.641023 Joey Walsiyen Baguio City, Benguet December 22, 2014 Hemodialysis 4,400.00 - 4,400.001024 Petra Colalong Baguio City, Benguet December 22, 2014 Hemodialysis 4,400.00 - 4,400.001025 Segundabae Ali Baniaga Baguio City, Benguet December 22, 2014 Hospitalization 5,685.00 - 5,685.001026 Radialot Dimaopong Baguio City, Benguet December 22, 2014 Hospitalization 5,572.25 - 5,572.251027 Rufino Tacbas Baguio City, Benguet December 22, 2014 Hospitalization 56,841.50 - 56,841.501028 Milagros Tait Baguio City, Benguet December 23, 2014 Hemodialysis 4,400.00 - 4,400.001029 Jose Arate Faruyan Baguio City, Benguet December 23, 2014 Hospitalization 6,600.00 - 6,600.001030 Rex Olban Balangitan Baguio City, Benguet December 23, 2014 Hemodialysis 4,400.00 - 4,400.001031 Frederick Oller Baguio City, Benguet December 23, 2014 Hospitalization 4,613.67 - 4,613.671032 David Puguon Baguio City, Benguet December 23, 2014 Hemodialysis 6,600.00 - 6,600.001033 Oliver Montemayor Baguio City, Benguet December 23, 2014 Hemodialysis 6,600.00 - 6,600.001034 Erlinda Dulnuan Baguio City, Benguet December 23, 2014 Medicince 4,350.00 - 4,350.001035 Rowena Valdez Baguio City, Benguet December 23, 2014 Hemodialysis 4,400.00 - 4,400.001036 Ramon Dacawi Baguio City, Benguet December 23, 2014 Hemodialysis 26,400.00 - 26,400.001037 Julie Ann Falingchan Baguio City, Benguet December 23, 2014 Medicince 4,800.00 - 4,800.001038 Conchita Macopia Baguio City, Benguet December 23, 2014 Hospitalization 4,962.38 - 4,962.381039 Lorry Ann Patricio Baguio City, Benguet December 23, 2014 Hospitalization 3,660.68 - 3,660.681040 Roel Cruz Baguio City, Benguet December 23, 2014 Hospitalization 10,200.00 - 10,200.001041 Fernando Isilen Baguio City, Benguet December 29, 2014 Hemodialysis 6,600.00 - 6,600.001042 Requino Todlem Baguio City, Benguet December 29, 2014 Hemodialysis 11,000.00 - 11,000.001043 John Nakihid Baguio City, Benguet December 29, 2014 Hemodialysis 6,600.00 - 6,600.001044 Adela Enrade Baguio City, Benguet December 29, 2014 Medicince 2,400.00 - 2,400.001045 Herminia Wingin Baguio City, Benguet December 29, 2014 Chemotherapy 72,000.00 72,000.00 -1046 Marcelino Salvador Baguio City, Benguet December 29, 2014 Hemodialysis 4,800.00 - 4,800.001047 Matso Quinio Baguio City, Benguet December 29, 2014 Hemodialysis 4,400.00 - 4,400.001048 Sharon V Dalida Baguio City, Benguet December 29, 2014 Medicince 4,800.00 - 4,800.001049 Lavi Joy Cula-ag Baguio City, Benguet December 29, 2014 Hospitalization 2,390.17 - 2,390.171050 Jocelyn Lopez Baguio City, Benguet December 29, 2014 Medicince 2,462.92 - 2,462.921051 Doriano Cresencio Baguio City, Benguet December 29, 2014 Hemodialysis 4,400.00 - 4,400.001052 Nancy Ayson Baguio City, Benguet December 29, 2014 Hemodialysis 4,400.00 - 4,400.001053 Oliver Montemayor Baguio City, Benguet December 29, 2014 Hemodialysis 4,400.00 - 4,400.001054 Roland Langbis La Trinida (Capaital), BenguetDecember 29, 2014 Hemodialysis 6,600.00 - 6,600.001055 Monico Herman Tuba, Benguet December 29, 2014 Medicince 2,400.00 - 2,400.001056 Michael Tadios Baguio City, Benguet December 29, 2014 Hospitalization 1,046.99 - 1,046.991057 Walter Wangco Baguio City, Benguet December 29, 2014 Medicince 1,250.00 - 1,250.001058 Jonathan Nadeydey Baguio City, Benguet December 29, 2014 Medicince 2,400.00 - 2,400.001059 Fernando Isilen Baguio City, Benguet December 29, 2014 Hemodialysis 4,400.00 - 4,400.001060 Josefina Ladines Baguio City, Benguet December 29, 2014 Hospitalization 2,657.99 - 2,657.991061 Paz, Carmela Idio Adaday, Kabayan, BenguetMay 15, 2014 Hospitalization 5,218.88 5,218.88 -1062 Kiwang, Joseph Moga Virac, Itogon, Benguet May 21, 2014 Lab & meds 10,000.00 705.00 9,295.001063 Balanga, Donald Agudo Tadiangan, Tuba, Benguet May 22, 2014 Hospitalization 30,259.00 30,259.00 -1064 Lapira, Marietta Santos Balili, La Trinidada, BenguetJune 5, 2014 Lab & meds 5,000.00 - 5,000.001065 Lopez, May Anne Enriquez Tuba, Benguet June 20, 2014 Hospitalization 1,415.00 1,415.00 -1066 Solano, Antonio Acusan Balili, La Trinidada, BenguetJune 23, 2014 Hospitalization 20,000.00 19,500.00 500.001067 Dampulay, John Iba Balili, La Trinidada, BenguetJune 24, 2014 Hospitalization 10,000.00 8,800.00 1,200.001068 Bonoy, Edwin Balbal-o Itogon, Benguet June 24, 2014 Hemodialysis 10,000.00 10,000.00 -1069 Tamiongo, Cristina Ferrer Asin, Tuba, Benguet June 25, 2014 Lab & meds 1,030.00 - 1,030.001070 Awacan, Santos Ablaza Lubas, La Trinidad, BenguetJune 25, 2014 Hemodialysis 10,000.00 10,000.00 -1071 Oras, Marco Jose Alapang, La Trinida, BenguetJuly 1, 2014 Hemodialysis 10,000.00 10,000.00 -1072 Mendoza, Julius Cesar Ventura Tuba, Benguet July 2, 2014 Hemodialysis 15,000.00 - 15,000.001073 Remedios B. Gose La Trinidad (Capital), BenguetJuly 7, 2014 Hemodialysis 10,000.00 8,800.00 1,200.001074 Ben Tonged Saguid Sr Bagbuio City, Benguet July 9, 2014 Hemodialysis 15,000.00 13,200.00 1,800.001075 Melody M. Tanggo Itogon, Benguet July 10, 2014 Medicine 20,000.00 1,805.00 18,195.00

1076 lencio palengleng Itogon, Benguet July 10, 2014 Hemodialysis 15,000.00 15,000.00 -1077 Henry Molina Benguet July 14, 2014 Hemodialysis 15,000.00 - 15,000.001078 Virgie Comising Sublino Tuba, Benguet July 14, 2014 Lab & meds 10,000.00 1,140.00 8,860.001079 Jardine Kyle Milo Tuba, Benguet July 17, 2014 Hospitalization 20,000.00 20,000.00 -1080 Bertito Bermundo Itogon, Benguet July 21, 2014 Hospitalization 18,825.00 18,825.00 -1081 Agustina Tacay Gayao Baguio City, Benguet July 22, 2014 Hemodialysis 15,000.00 - 15,000.001082 Jardine Kyle Milo Tuba, Benguet July 23, 2014 Hospitalization 25,000.00 22,721.00 2,279.001083 Adela Enrade Tuba, Benguet July 25, 2014 Hemodialysis 10,000.00 - 10,000.001084 Maureen Dasi Itogon, Benguet July 31, 2014 Hospitalization 20,000.00 - 20,000.001085 Rita Abance Tuba, Benguet August 5, 2014 Hospitalization 25,000.00 - 25,000.001086 Marvin K Leo Itogon, Benguet August 6, 2014 Hemodialysis 15,400.00 - 15,400.001087 Marina Luken Atingog La Trinidad (Capital), BenguetAugust 6, 2014 Hospitalization 15,000.00 15,000.00 -1088 Jocelyn Biadno Bokod, Benguet August 6, 2014 Hemodialysis 15,000.00 - 15,000.001089 Jonathan Seguin Baguio City, Benguet August 8, 2014 Hemodialysis 8,800.00 - 8,800.001090 Sharon Dalida La Trinidad (Capital), BenguetAugust 11, 2014 Hemodialysis 11,000.00 - 11,000.001091 Nita Bentadan Baguio City, Benguet August 13, 2014 Hemodialysis 8,800.00 - 8,800.001092 Nila De Vera Baguio City, Benguet August 13, 2014 Hemodialysis 11,000.00 - 11,000.001093 Ghella Dampulas Mankayan, Benguet August 14, 2014 Hospitalization 14,000.00 14,000.00 -1094 Mordayne Gay Naslangan Bugias, Benguet August 14, 2014 Chemotherapy 10,500.00 10,500.00 -1095 Robert Nabus La Trinidad (Capital), BenguetAugust 14, 2014 Hemodialysis 11,000.00 - 11,000.001096 Liezle Binwag Kinakin Itogon, Benguet August 15, 2014 Hemodialysis 11,000.00 - 11,000.001097 Algie Matias La Trinidad (Capital), BenguetAugust 15, 2014 Hospitalization 2,120.00 - 2,120.001098 Haidy Rose Matias La Trinidad (Capital), BenguetAugust 15, 2014 Hospitalization 7,880.00 - 7,880.001099 Cristina Saingan Tuba, Benguet August 18, 2014 Hemodialysis 11,000.00 - 11,000.001100 Berlyn Guzman La Trinidad (Capital), BenguetAugust 18, 2014 Chemotherapy 21,577.00 21,577.00 -1101 Matso Quinio Baguio City, Benguet August 19, 2014 Hemodialysis 20,000.00 - 20,000.001102 Eller-ann Manalo Kapangan, Benguet August 20, 2014 Hospitalization 3,133.44 3,133.44 -1103 Ernalyn Baste La Trinidad (Capital), BenguetAugust 20, 2014 Hospitalization 25,000.00 25,000.00 -1104 Alipio Atinyao Atok, Benguet August 26, 2014 Hemodialysis 15,400.00 - 15,400.001105 Irsie Telino La Trinidad (Capital), BenguetAugust 26, 2014 Medicine 10,000.00 4,554.75 5,445.251106 April Sakiwat Baguio City, Benguet August 28, 2014 Hemodialysis 11,000.00 11,000.00 -1107 Shaly Cris Bantas Baguio City, Benguet August 29, 2014 Hemodialysis 11,000.00 - 11,000.001108 Emelita Polon Sablan, Benguet August 29, 2014 Hemodialysis 11,000.00 - 11,000.001109 Rene Richmond Carino La Trinidad (Capital), BenguetAugust 29, 2014 Hemodialysis 11,000.00 - 11,000.001110 Edwin Bagano Baguio City, Benguet September 2, 2014 Hemodialysis 4,400.00 - 4,400.001111 Awakan Santos La Trinidad (Capital), BenguetSeptember 2, 2014 Hemodialysis 11,000.00 - 11,000.001112 Leandro Tandoc Baguio City, Benguet September 2, 2014 Hemodialysis 11,000.00 - 11,000.001113 Guigeon Tumingeb Baguio City, Benguet September 2, 2014 Hemodialysis 11,000.00 - 11,000.001114 Fryla Dela Pena Kapangan, Benguet September 2, 2014 Hemodialysis 11,000.00 - 11,000.001115 Fernando Balog-as La Trinidad (Capital), BenguetSeptember 4, 2014 Hemodialysis 11,000.00 - 11,000.001116 Pearl Lapena Tuba, Benguet September 8, 2014 Hospitalization 7,613.00 7,613.00 -1117 Caroline Gameng Baguio City, Benguet September 8, 2014 Hemodialysis 15,400.00 - 15,400.001118 Sabado Nabe Kibungan, Benguet September 8, 2014 Hospitalization 20,000.00 20,000.00 -1119 Lalyn Abellera Itogon, Benguet September 9, 2014 Hemodialysis 11,000.00 - 11,000.001120 Lucia Guines Atok, Benguet September 9, 2014 Hemodialysis 11,000.00 - 11,000.001121 Nancy Bugnay La Trinidad (Capital), BenguetSeptember 9, 2014 Hemodialysis 11,000.00 - 11,000.001122 Rhonda Bayeng Kapangan, Benguet September 9, 2014 Hospitalization 5,922.00 5,922.00 -1123 Glory D. Eban Itogon, Benguet September 10, 2014 Hemodialysis 11,000.00 - 11,000.001124 Jerelah Eusebio La Trinidad (Capital), BenguetSeptember 11, 2014 Hemodialysis 20,000.00 - 20,000.001125 Alton Ticgongan Natonin, Mountain ProvinceSeptember 11, 2014 Hospitalization 15,000.00 15,000.00 -1126 Robert Tomas Baguio City, Benguet September 15, 2014 Hemodialysis 11,000.00 - 11,000.001127 Marcelino Salvador Besao Mountain Province September 16, 2014 Hemodialysis 11,000.00 - 11,000.001128 Jun Bugtong Wakit Itogon, Benguet September 17, 2014 Hospitalization 9,834.44 9,834.44 -1129 Alleja Quinanasan Itogon, Benguet September 18, 2014 Hospitalization 20,000.00 20,000.00 -1130 Jerry Taynan Baguio City, Benguet September 22, 2014 Hemodialysis 11,000.00 - 11,000.001131 Lunes Sukil-ap La Trinidad (Capital), BenguetSeptember 22, 2014 Chemotherapy 17,000.00 17,000.00 -1132 Reyshan Latuwed Bugias, Benguet September 23, 2014 Hospitalization 50,000.00 50,000.00 -1133 Faith Bernardo La Trinidad (Capital), BenguetSeptember 23, 2014 Hospitalization 3,174.12 3,174.12 -1134 Tylor Bogawit Itogon, Benguet September 24, 2014 Hospitalization 10,718.25 10,718.25 -1135 Judith Bendaen La Trinidad (Capital), BenguetSeptember 24, 2014 Hospitalization 10,000.00 10,000.00 -1136 Patrick Bayangan La Trinidad (Capital), BenguetSeptember 25, 2014 Hospitalization 20,000.00 20,000.00 -1137 Marco Bumacas Baguio City, Benguet September 26, 2014 Hemodialysis 20,000.00 - 20,000.001138 James Acosta Bokod, Benguet September 26, 2014 Hemodialysis 22,000.00 - 22,000.001139 Nancy Depusoy La Trinidad (Capital), BenguetSeptember 26, 2014 Chemotherapy 25,000.00 - 25,000.001140 Janice Bobila Barlig Mountain Province September 26, 2014 Hemodialysis 11,000.00 - 11,000.001141 Sharon Dalida La Trinidad (Capital), BenguetOctober 8, 2014 Hemodialysis 15,400.00 - 15,400.001142 Mary Rizaldo Liwan Sablan, Benguet October 8, 2014 Hospitalization 7,932.00 7,932.00 -1143 Lesino Bias La Trinidad (Capital), BenguetOctober 8, 2014 Hospitalization 5,236.66 3,736.66 1,500.00

1144 Narceso Awilan Tuba, Benguet October 8, 2014 Hospitalization 12,282.00 12,282.00 -1145 Stella Senajonon Tuba, Benguet October 9, 2014 Hospitalization 4,885.87 - 4,885.871146 Abe Aplasen La Trinidad (Capital), BenguetOctober 9, 2014 Medicine 13,000.00 5,894.75 7,105.251147 Jerick Mag-ili Mankayan, Benguet October 9, 2014 Hospitalization 4,225.75 4,225.75 -1148 Marcelino Salvador Besao Mountain Province October 10, 2014 Hemodialysis 13,200.00 - 13,200.001149 Julio Toctocan Itogon, Benguet October 13, 2014 Hospitalization 11,038.99 11,038.99 -1150 Nena Polo Baguio City, Benguet October 13, 2014 Hemodialysis 22,000.00 - 22,000.001151 Janarah Tampoa La Trinidad (Capital), BenguetOctober 13, 2014 Hospitalization 15,005.00 15,005.00 -1152 April Sakiwat Baguio City, Benguet October 13, 2014 Hemodialysis 13,200.00 - 13,200.001153 Leandro Tandoc Baguio City, Benguet October 13, 2014 Hemodialysis 13,200.00 - 13,200.001154 James Acosta Baguio City, Benguet October 14, 2014 Hemodialysis 13,200.00 - 13,200.001155 Adela Enrade Tuba, Benguet October 14, 2014 Hemodialysis 11,000.00 - 11,000.001156 Severino L. Sin-ot Tublay, Benguet October 14, 2014 Hospitalization 12,792.84 12,792.84 -1157 Rene Richmond Carino La Trinidad (Capital), BenguetOctober 15, 2014 Hemodialysis 22,000.00 - 22,000.001158 Daniel Pontino Tublay, Benguet October 16, 2014 Hemodialysis 22,000.00 - 22,000.001159 Beverliz Molitas La Trinidad (Capital), BenguetOctober 16, 2014 Ct Scan 5,000.00 3,960.00 1,040.001160 Nancy Bugnay La Trinidad (Capital), BenguetOctober 17, 2014 Hemodialysis 13,200.00 - 13,200.001161 Agustina Tacay Gayao Baguio City, Benguet October 20, 2014 Hemodialysis 15,400.00 - 15,400.001162 Balbina Masagan La Trinidad (Capital), BenguetOctober 20, 2014 Hospitalization 3,759.37 3,759.37 -1163 Runa Camti Itogon, Benguet October 20, 2014 Hospitalization 3,634.87 3,634.87 -1164 Miriam Paragas Bugias, Benguet October 20, 2014 Hospitalization 25,000.00 25,000.00 -1165 Alvin Umblas La Trinidad (Capital), BenguetOctober 20, 2014 Hospitalization 4,465.62 4,465.62 -1166 Rosela Camut Tuba, Benguet October 21, 2014 Hemodialysis 15,400.00 - 15,400.001167 Dave Ebes Daguioa Tublay, Benguet October 21, 2014 Hospitalization 34,668.68 34,668.68 -1168 Requino Todlem Baguio City, Benguet October 23, 2014 Hemodialysis 15,000.00 - 15,000.001169 Monico Herman Tuba, Benguet October 24, 2014 Hemodialysis 15,400.00 - 15,400.001170 Maurice Malanes Kibungan, Benguet October 27, 2014 Hospitalization 20,000.00 - 20,000.001171 Yolanda Langbayan Tuba, Benguet October 27, 2014 Hospitalization 5,834.30 5,834.30 -1172 Linda Gatudan Baguio City, Benguet October 27, 2014 Hemodialysis 15,400.00 - 15,400.001173 Viola Luciap Kabayan, Benguet October 27, 2014 Hospitalization 20,000.00 20,000.00 -1174 Mark Anthony Galao-ey Mankayan, Benguet October 31, 2014 Hemodialysis 15,000.00 - 15,000.001175 Marcelo Mangapang La Trinidad (Capital), BenguetNovember 3, 2014 Hemodialysis 15,400.00 - 15,400.001176 Julius Cesar Mendoza Baguio City, Benguet November 4, 2014 Hemodialysis 15,400.00 - 15,400.001177 Fred Moya-en Tuba, Benguet November 5, 2014 Chemotherapy 20,000.00 18,300.00 1,700.001178 Alleja Quinanasan Itogon, Benguet November 6, 2014 Hospitalization 20,000.00 20,000.00 -1179 Joseph Santo Buguis, Benguet November 10, 2014 Chemotherapy 36,000.00 36,000.00 -1180 Robert Nabus La Trinidad (Capital), BenguetNovember 10, 2014 Hemodialysis 15,400.00 - 15,400.001181 Jerry Taynan Baguio City, Benguet November 10, 2014 Hemodialysis 15,400.00 - 15,400.001182 Ronnie Foyagao Baguio City, Benguet November 10, 2014 Hemodialysis 15,400.00 - 15,400.001183 Julian Bantiding Itogon, Benguet November 10, 2014 Hospitalization 15,400.00 - 15,400.001184 Juanita Loguitan Tuba, Benguet November 10, 2014 Hospitalization 20,000.00 20,000.00 -1185 Jobert Macas La Trinidad (Capital), BenguetNovember 10, 2014 Hospitalization 5,274.87 5,274.87 -1186 Fryla Dela Pena Kapangan, Benguet November 11, 2014 Hemodialysis 22,000.00 - 22,000.001187 Rufina Tacdoy La Trinidad (Capital), BenguetNovember 11, 2014 Hospitalization 4,698.00 4,698.00 -1188 Rene Richmond Carino La Trinidad (Capital), BenguetNovember 12, 2014 Hemodialysis 15,400.00 - 15,400.001189 Mario Diano Itogon, Benguet November 12, 2014 Hospitalization 15,000.00 - 15,000.001190 Armando Damasco Siano Kapangan, Benguet November 13, 2014 Hemodialysis 22,000.00 - 22,000.001191 Randy Sagayo La Trinidad (Capital), BenguetNovember 14, 2014 Hemodialysis 15,400.00 - 15,400.001192 Nila De Vera Baguio City, Benguet November 14, 2014 Hemodialysis 15,400.00 - 15,400.001193 Mordayne Gay Naslangan Bauko Mountain Province November 14, 2014 Chemotherapy 21,000.00 21,000.00 -1194 Maribelle Binwihan La Trinidad (Capital), BenguetNovember 17, 2014 Hospitalization 4,704.83 4,704.83 -1195 Erlinda Binay-an Atok, Benguet November 17, 2014 Hemodialysis 4,880.95 4,880.95 -1196 Aaron Longao Itogon, Benguet November 17, 2014 Hospitalization 12,729.62 12,729.62 -1197 Rolly Macalalad Mankayan, Benguet November 18, 2014 Hospitalization 4,036.50 4,036.50 -1198 Lalyn Abellera Itogon, Benguet November 18, 2014 Hemodialysis 22,000.00 - 22,000.001199 Paula Langawan Bakun, Benguet November 19, 2014 Chemotherapy 35,000.00 35,000.00 -1200 Rodelio Arnidoval Jr. Tuba, Benguet November 19, 2014 Hospitalization 10,528.00 - 10,528.001201 Murice Bolislis Malanes Kibungan, Benguet November 20, 2014 Hospitalization 30,000.00 - 30,000.001202 Harry Pagnas Tuba, Benguet November 21, 2014 Hemodialysis 22,000.00 - 22,000.001203 Alicia Lee Baguio City, Benguet November 21, 2014 Hemodialysis 15,000.00 - 15,000.001204 Rafael Montes Buguis, Benguet November 25, 2014 Hemodialysis 11,000.00 - 11,000.001205 Puring S. Pa-ay Buguis, Benguet November 26, 2014 Hospitalization 12,820.20 12,820.20 -1206 Romeo Dugan Atok, Benguet November 26, 2014 Hospitalization 15,000.00 - 15,000.001207 Domina Sison Fabian La Trinidad (Capital), BenguetNovember 27, 2014 Hospitalization 15,216.00 - 15,216.001208 Danilo Ferraro Tuba, Benguet November 27, 2014 Hospitalization 25,000.00 25,000.00 -1209 Jay John Wansi Tublay, Benguet December 1, 2014 Lab and meds 10,000.00 - 10,000.001210 Martha Quinio Bokod, Benguet December 3, 2014 Hospitalization 9,234.00 - 9,234.001211 Daniel Pontino Tublay, Benguet December 9, 2014 Hemodialysis 22,000.00 - 22,000.00

1212 Rosela Camut Tuba, Benguet December 9, 2014 Hemodialysis 15,400.00 - 15,400.001213 Michael V. Albert Sr La Trinidad (Capital), BenguetDecember 12, 2014 Hospitalization 43,258.42 - 43,258.421214 Ktishna Baguioen Bakun, Benguet December 15, 2014 Hospitalization 2,900.00 - 2,900.001215 Robert Nabus La Trinidad (Capital), BenguetDecember 15, 2014 Hemodialysis 22,000.00 - 22,000.001216 Joseph Santo Buguis, Benguet December 15, 2014 Lab and meds 5,000.00 - 5,000.001217 Avelino Agayao Tadian. MT. Province December 15, 2014 Hemodialysis 22,000.00 - 22,000.001218 Ledilyn Bulasao Itogon, Benguet December 15, 2014 Hospitalization 13,180.00 - 13,180.001219 Lim B. Ngipit La Trinidad (Capital), BenguetDecember 16, 2014 Hospitalization 6,849.25 3,000.00 3,849.251220 Janice Bobila Barlig Mountain Province December 16, 2014 Hemodialysis 22,000.00 - 22,000.001221 Saldy Paciteng Mankayan, Benguet December 16, 2014 Titanium Set 25,000.00 25,000.00 -1222 Lucia B. Sitoy Buguis, Benguet December 16, 2014 MRI W/Contrast 20,000.00 - 20,000.001223 Marco Bumacas La Trinidad (Capital), BenguetDecember 16, 2014 Hemodialysis 22,000.00 - 22,000.001224 Nita Bentadan Baguio City, Benguet December 16, 2014 Medicine 9,600.00 - 9,600.001225 Brylyn Kezia Miguel Benguet December 16, 2014 Chemotherapy 7,000.00 7,000.00 -1226 Rene Richmond Carino La Trinidad (Capital), BenguetDecember 17, 2014 Hemodialysis 22,000.00 - 22,000.001227 Racaela Chloe Pa-ay Itogon, Benguet December 17, 2014 Chemotherapy 30,000.00 - 30,000.001228 Flordeliza Antero Itogon, Benguet December 17, 2014 Chemotherapy 30,000.00 - 30,000.001229 Emelita Polon Sablan, Benguet December 17, 2014 Hemodialysis 22,000.00 - 22,000.001230 Conchita Caluminga La Trinidad (Capital), BenguetDecember 18, 2014 Chemotherapy 34,500.00 - 34,500.001231 Nilda Catalino Kibungan, Benguet December 19, 2014 Hemodialysis 22,000.00 - 22,000.001232 Benita Tabon Itogon, Benguet December 22, 2014 Chemotherapy 26,630.00 - 26,630.001233 Alleja Quinanasan Itogon, Benguet December 23, 2014 Hospitalization 9,364.73 - 9,364.731234 Vicente L. Ekwey Tuba, Benguet December 23, 2014 Hemodialysis 11,000.00 - 11,000.001235 Gregorio Capones La Trinidad (Capital), BenguetDecember 29, 2014 Hemodialysis 22,000.00 - 22,000.001236 Eco Olao Itogon, Benguet December 29, 2014 Chemotherapy 9,000.00 - 9,000.001237 Dumalsin, Michelle Paccay Lubuagan, Kalinga August 8, 2014 Hospitalization 6,138.09 6,138.09 -1238 Naganag, Juan Valdez Bulanao, Tabuk, Kalinga May 13, 2014 Hospitalization 3,070.05 3,070.05 -1239 Biddong, Leonard Andomang Pinulpok, Kalinga June 23, 2014 Hospitalization 6,000.00 6,000.00 -1240 Saking, Cristina Kitoyen Tabuk, Kalinga July 1, 2014 Hospitalization 15,000.00 13,596.85 1,403.151241 Jonathan Bulwayan Tanudan, Kalinga July 11, 2014 Hemodialysis 20,000.00 - 20,000.001242 Endolyn B. Amador La Trinida (Capital) July 21, 2014 Hospitalization 8,000.00 8,000.00 -1243 Jonathan Bulwayan Tanudan, Kalinga August 8, 2014 Hemodialysis 20,000.00 - 20,000.001244 Marissa Dacnes Baguio City, Benguet August 11, 2014 Hospitalization 15,000.00 - 15,000.001245 Pollard Langbawan Balbalan, Kalinga August 19, 2014 Lab and meds 12,000.00 517.50 11,482.501246 Ivy G. Diawan Baguio City, Benguet August 26, 2014 Hospitalization 3,923.75 3,923.75 -1247 Michelle Peralta Tabuk, Kalinga September 22, 2014 Hospitalization 10,000.00 2,221.50 7,778.501248 Crisanto Bulaay Balbalan, Kalinga September 25, 2014 Chemotherapy 10,000.00 10,000.00 -1249 Diego B. Wanson Tabuk, Kalinga October 9, 2014 Hospitalization 20,000.00 - 20,000.001250 Irene Patinglag Madeo Rizal(Liwan) Kalinga October 9, 2014 Hospitalization 25,000.00 25,000.00 -1251 Jovin B. Maling Tabuk, Kalinga October 16, 2014 Hospitalization 10,000.00 10,000.00 -1252 Jonathan Bulwayan Tanudan, Kalinga October 27, 2014 Hemodialysis 40,000.00 - 40,000.001253 Henry Tumalding Pasil, Kalinga November 4, 2014 Hospitalization 25,000.00 - 25,000.001254 Jamaica Mae Tayawan Tabuk, Kalinga November 7, 2014 Hospitalization 15,000.00 - 15,000.001255 Frenalyn Mewag Pinulpok, Kalinga November 18, 2014 Hospitalization 20,000.00 - 20,000.001256 Aldrich Agadier Tabuk (Capital), Kalinga November 20, 2014 Hospitalization 26,000.00 26,000.00 -1257 Aldrich Agadier Tabuk (Capital), Kalinga November 20, 2014 Hospitalization 4,000.00 4,000.00 -1258 Warlito A. Minor Tabuk (Capital), Kalinga November 24, 2014 Hospitalization 20,000.00 - 20,000.001259 Beverly B. Daligdig Balbalan, Kalinga December 8, 2014 Lab and meds 10,000.00 - 10,000.001260 Jonathan Bulwayan Tanudan, Kalinga December 11, 2014 Hemodialysis 40,000.00 - 40,000.001261 Michael Tiguiling Tabuk (Capital), Kalinga December 16, 2014 Chemotherapy 40,000.00 40,000.00 -1262 Balag-ey, Den Mark Manengyao Sadanga, MT. Province May 6, 2014 Hospitalization 15,717.87 15,717.87 -1263 Solang, Joseph Bagni Bontoc, Mt. Province May 6, 2014 Hospitalization 25,000.00 25,000.00 -1264 Justo, Richard Awingan Sadanga, MT. Province May 6, 2014 Hemodialysis 17,600.00 17,600.00 -1265 Langtiwan, Leon Dayangadang Bauko, Mt. Province May 6, 2014 Hemodialysis 17,600.00 17,600.00 -1266 Ayugat, Mauricia Emong Sabangan, Mt. Province May 7, 2014 Hemodialysis 17,600.00 17,600.00 -1267 Recile, Rocky Comila Bauko, Mt. Province May 7, 2014 Hemodialysis 17,600.00 17,600.00 -1268 Bagano, Edwin Annatil Jr Tadian, Mt. Province May 8, 2014 Hemodialysis 17,600.00 17,600.00 -1269 Boaging, Manuel Nanam Bauko, Mt. Province May 8, 2014 Hemodialysis 17,600.00 17,600.00 -1270 Todlem, Requino Francisco Bontoc, Mt. Province May 9, 2014 Hemodialysis 17,800.00 17,600.00 200.001271 Lud-ayen, Jose Bawingan Abatan, Bauko, Mt. ProvinceMay 13, 2014 Hemodialysis 17,600.00 17,600.00 -1272 Bangcawayan, Angel Guisdan Bila, Bauko, Mt. Province May 13, 2014 Hemodialysis 17,600.00 17,600.00 -1273 Tandoc, Leandro Simeon Otucan, Bauko, Mt. ProvinceMay 15, 2014 Hemodialysis 17,600.00 17,600.00 -1274 Payacda, Virginia Otucan, Bauko, Mt. ProvinceMay 15, 2014 Hemodialysis 17,600.00 17,600.00 -1275 Tumingeb, Guigeon Falingchan Tucucan, Bontoc, Mt. ProvinceMay 16, 2015 Hemodialysis 17,600.00 17,600.00 -1276 Linmayog, Lucia Bengtayen Tetep-an, Sagada, Mt. ProvinceMay 20, 2014 Hemodialysis 17,600.00 17,600.00 -1277 Tuzon, Ferdinand Calaustro Besao, Mt. Province May 20, 2014 Hemodialysis 17,600.00 17,600.00 -1278 Sakiwat, April Vicente Bauko, Mt. Province May 21, 2014 Hemodialysis 17,600.00 17,600.00 -1279 Tomas, Robert Sakiwat Bauko, Mt. Province May 21, 2014 Hemodialysis 17,600.00 17,600.00 -

1280 Battateng, Manuela Petlongay Bauko, Mt. Province May 22, 2014 Hemodialysis 17,600.00 17,600.00 -1281 Baniqued, Dolores Samdao Bauko, Mt. Province May 28, 2014 Hospitalization 10,000.00 10,000.00 -1282 Ollay, Ruben Dam-alan Bayyo, Bontoc, Mt, ProvinceJune 6, 2014 Hospitalization 11,979.75 11,979.75 -1283 Nalos, Leonard Hernandez Besao, Mt. Province June 6, 2014 Hemodialysis 17,600.00 17,600.00 -1284 Bantas, Shaly Cris Degay Besao, Mt. Province June 6, 2014 Hemodialysis 17,000.00 17,000.00 -1285 Pediten, Josephine Marrero Tadian, Mt. Province June 6, 2014 Hemodialysis 17,600.00 17,600.00 -1286 Agayao, Avelino Diosdado Tadian, Mt. Province June 9, 2014 Hemodialysis 7,600.00 6,600.00 1,000.001287 Ayeona, Dario Natonin, Mt. Province June 9, 2014 Hemodialysis 17,600.00 17,600.00 -1288 Abuan, Melchor Manapeng Sagada, Mt. Province June 11, 2014 Hemodialysis 2,877.00 2,877.00 -1289 Balisongen, Ben Besao, Mt. Province June 16, 2014 Hospitalization 25,000.00 25,000.00 -1290 Naslangan, Mordayne Gay PangwaoBauko, Mt. Province June 16, 2014 Chemotherapy 15,000.00 15,000.00 -1291 Mangusan, Delfin Gomari Sagada, Mt. Province June 17, 2014 Hemodialysis 17,600.00 17,600.00 -1292 Balangitan, Rex Olban Bauko, Mt. Province June 17, 2014 Hemodialysis 17,600.00 17,600.00 -1293 Dakiwag, Noli Dang-ay Paracelis, Mt. Province June 18, 2014 Hospitalization 5,107.75 5,107.75 -1294 Aanonuevo, Rodel Jr Chamkas Bontoc, Mt. Province June 19, 2014 Hospitalization 11,468.00 11,468.00 -1295 Aspilan, Mathew Lomino Sagada, Mt. Province June 20, 2014 Chemotherapy 15,000.00 15,000.00 -1296 Astudillo, Pio Obanan Bauko, Mt. Province June 23, 2014 Hospitalization 20,000.00 19,533.00 467.001297 Cawayan, John Pacio Besao, Mt. Province June 23, 2014 Hemodialysis 17,600.00 - 17,600.001298 Bantas, Shaly Cris Degay Besao, Mt. Province June 23, 2014 Hemodialysis 600.00 600.00 -1299 Salvador, Marcelino Sadyoc Besao, Mt. Province June 24, 2014 Hemodialysis 17,600.00 17,600.00 -1300 Codod, Nardo Sr. Atiwag Bontoc, Mt. Province June 24, 2014 Hemodialysis 17,600.00 17,600.00 -1301 Marcelo, Smile Martin Sabangan, Mt. Province June 26, 2014 Hospitalization 15,000.00 15,000.00 -1302 Ana-ao, Peter Cherwaken Bontoc, Mt. Province July 1, 2014 Hemodialysis 7,600.00 7,600.00 -1303 Dacwag Diawen Sicwaten Sagada, Mt. Province July 7, 2014 Hospitalization 20,000.00 20,000.00 -1304 Salvador, Todlem Tadian, Mt. Province July 7, 2014 Hemodialysis 17,600.00 - 17,600.001305 Julie Ann Pinos-an Falingchan Baguio City, Benguet July 9, 2014 Hemodialysis 17,600.00 17,600.00 -1306 Ferdinand Isilen Baguio City, Benguet July 10, 2014 Hemodialysis 17,600.00 17,600.00 -1307 Cristina L Baguilat Natonin, Mt. Province July 11, 2014 Vent usage 20,000.00 - 20,000.001308 Ernesto B. Nacnas Bauko, Mt. Province July 11, 2014 Chemotherapy 25,000.00 25,000.00 -1309 Janice V Bobila Barlig, Mountain Province July 14, 2014 Hemodialysis 17,600.00 - 17,600.001310 Sisa Retuta Barlig, Mountain Province July 21, 2014 Chemotherapy 20,000.00 - 20,000.001311 John Ganga Pag-a Barlig, Mountain Province July 30, 2014 Hospitalization 12,827.00 12,827.00 -1312 Agustin B. Lagadan Tadian, Mt. Province August 7, 2014 Hospitalization 19,000.00 19,000.00 -1313 Estefania Antonio Bauko, Mt. Province August 29, 2014 Hospitalization 30,000.00 30,000.00 -1314 Karen S. Peckley Bontoc, Mt. Province August 8, 2014 medicines 2,000.00 651.00 1,349.001315 Ernesto B. Nacnas Bauko, Mt. Province August 11, 2014 Hemodialysis 25,000.00 25,000.00 -1316 Mona Bagwel Bontoc, Mt. Province August 11, 2014 Hospitalization/chemo 40,000.00 40,000.00 -1317 Sum-ey Wayangen Sadanga, MT. Province August 12, 2014 Hospitalization 30,000.00 2,466.25 27,533.751318 Jorieta P. Pa-ayen Bauko, Mt. Province August 26, 2014 Chemotherapy 16,200.00 16,200.00 -1319 Ezer Anne Onga-ong Bontoc, Mt. Province August 26, 2014 Hospitalization 18,754.31 18,754.31 -1320 Jorieta P. Pa-ayen Bauko, Mt. Province August 26, 2014 Chemotherapy 16,200.00 16,200.00 -1321 Jovelyn Valenciano Tadian, Mt. Province August 28, 2014 Hospitalization 14,127.75 14,127.75 -1322 Marion Bansen Bontoc, Mt. Province August 28, 2014 Hospitalization 30,000.00 - 30,000.001323 Josephine Pediten Tadian, Mt. Province August 29, 2014 Hemodialysis 11,000.00 - 11,000.001324 Jeric Pangog Sabangan, Mt. Province September 8, 2014 Hospitalization 30,000.00 11,439.00 18,561.001325 Orlando Fossing Natonin, Mt. Province September 8, 2014 Hospitalization 30,000.00 30,000.00 -1326 Telesfora Agwilang Bontoc, Mt. Province September 9, 2014 medicines 10,000.00 1,632.50 8,367.501327 Shephere Gent Liis Bauko, Mt. Province September 12, 2014 Hospitalization 35,550.00 35,550.00 -1328 Marieta Aglayen Sabangan, Mt. Province September 12, 2014 Hospitalization 1,927.00 1,927.00 -1329 Andrew Bangcolen Busetan Bauko, Mt. Province September 22, 2014 Hospitalization 7,000.00 171.25 6,828.751330 Precentacion Las-egan Sabangan, Mt. Province September 23, 2014 medicines 5,000.00 4,284.75 715.251331 Daniel De Guzman Mountain Province September 25, 2014 Hospitalization 6,693.00 6,693.00 -1332 Reynaldo Naganag Natonin, Mt. Province October 22, 2014 Hemodialysis 17,600.00 - 17,600.001333 Tanglao Matias Sabangan, Mt. Province October 30, 2014 Hospitalization 30,302.00 30,302.00 -1334 Jerome Soliven Sabangan, Mt. Province October 30, 2014 Hospitalization 5,058.00 5,058.00 -1335 Manuel Boaging Baguio City, Benguet November 12, 2014 Hemodialysis 3,000.00 - 3,000.001336 Julius Mangannay Bontoc, Mt. Province November 14, 2014 Hospitalization 10,759.25 10,759.25 -1337 Julius Mangannay Bontoc, Mt. Province November 14, 2014 Close Redection 34,000.00 34,000.00 -1338 Herry Tumaling Bontoc (Capital), Mt. ProvinceNovember 17, 2014 Hospitalization 600.00 600.00 -1339 Herry Tumaling Bontoc (Capital), Mt. ProvinceNovember 17, 2014 Hospitalization 318.50 318.50 -1340 Eliza Fagkangan Bontoc (Capital), Mt. ProvinceNovember 18, 2014 Hemodialysis 17,600.00 - 17,600.001341 Bagano, Edwin Annatil Jr Baguio City, Benguet November 20, 2014 Hemodialysis 15,000.00 - 15,000.001342 Dario Ayeona Baguio City, Benguet November 21, 2014 Hemodialysis 10,000.00 - 10,000.001343 Madeleine Jane Ngolab Bontoc (Capital), Mt. ProvinceNovember 21, 2014 Hospitalization 17,400.00 17,400.00 -1344 Lucio Tondo Begawan Sabangan, Mt. Province November 26, 2014 Hospitalization 13,967.00 - 13,967.001345 Ambrocio Tawaken Bauko, Mt. Province December 4, 2014 Hospitalization 13,600.00 - 13,600.001346 Abegail Padua Bauko, Mt. Province December 8, 2014 Hospitalization 1,000.00 - 1,000.001347 Jocelyn Padua Maguen Baguio City, Benguet December 15, 2014 Hospitalization 2,017.62 - 2,017.62

1348 Aldrin Dangilan Sabangan, Mt. Province December 18, 2014 Hospitalization 25,000.00 - 25,000.001349 Madeleine Jane Ngolab Bontoc (Capital), Mt. ProvinceDecember 23, 2014 Hospitalization 7,465.70 - 7,465.701350 Medina, Narcisa Aringay, La Union June 30, 2014 Hospitalization 7,500.00 7,500.00 -1351 Tulipas, Ma. Morena Estioco Burgos, La Union July 3, 2014 Hospitalization 19,758.81 19,758.81 -1352 Jonna Mae Rimas Florida Aringay, La Union July 7, 2014 Hospitalization 29,627.31 29,627.31 -1353 Juliet Pascual Burgos, La Union July 21, 2014 Hemodialysis 4,400.00 - 4,400.001354 Flordeliza Mirhan Baguio City August 13, 2014 Hemodialysis 2,200.00 - 2,200.001355 Jocelyn Laigo Burgos, La Union October 22, 2014 Hemodialysis 11,000.00 - 11,000.001356 Juliet Pascual Burgos, La Union October 27, 2014 Hemodialysis 4,400.00 - 4,400.001357 Lolita Flores Ludivico Rosario La Union October 31, 2014 Hospitalization 5,000.00 5,000.00 -1358 Wilma B. Abendano Pugo, La Union November 26, 2014 Hospitalization 2,607.61 - 2,607.611359 Patricia Lozano Pugo, La Union November 29, 2014 Chemotherapy 2,200.00 - 2,200.001360 Juliet Pascual Burgos, La Union December 29, 2014 Hemodialysis 2,200.00 - 2,200.001361 Domingo, Fe De Vera Sison, Pangasinan June 9, 2014 Hemodailysis 20,000.00 - 20,000.001362 Cantorna, Rogelio Emralino Binalonan, Pangasinan June 23, 2014 Hospitalization 15,000.00 15,000.00 -1363 Pepito Cerezo Pozzorobio, Pangasinan July 14, 2014 Hospitalization 19,000.00 19,000.00 -1364 Racchel Ann Naces Pozzorobio, Pangasinan July 21, 2014 Hospitalization 9,000.00 9,000.00 -1365 Mario Pajela Pagaduan City of Urdaneta, PangasinanJuly 21, 2014 Hospitalization 15,000.00 15,000.00 -1366 Rogelio Vergara Sison, Pangasinan August 29, 2014 Hospitalization 15,000.00 10,889.20 4,110.801367 Divina Grace Del Rosario Pozzorobio, Pangasinan September 24, 2014 Hospitalization 15,000.00 15,000.00 -1368 Beatriz C. Padilla City of Urdaneta, PangasinanSeptember 25, 2014 Hospitalization 8,000.00 8,000.00 -1369 Lauro Reginaldo Sr Sison, Pangasinan October 8, 2014 Hospitalization 35,000.00 21,537.80 13,462.201370 Carina Tique Gutierrez Sison, Pangasinan October 13, 2014 Hospitalization 5,000.00 5,000.00 -1371 Annabelle Niduaza Sison, Pangasinan October 15, 2014 Hospitalization 6,000.00 6,000.00 -1372 Fernandez Elpidio San Carlos City PangasinanOctober 15, 2014 Hospitalization 15,000.00 8,759.00 6,241.001373 Laurelio Dilan Sison, Pangasinan October 30, 2014 Hemodailysis 15,000.00 - 15,000.001374 Ricardo Lomasang Sison, Pangasinan December 12, 2014 Hospitalization 20,000.00 - 20,000.001375 Agripa, Renato Orosco San Jose, Nueva Ecija May 19, 2014 Hospitalization 14,559.12 14,559.12 -1376 Santos, Levilyn Beltran San Jose, Nueva Ecija June 17, 2014 Hospitalization 10,000.00 10,000.00 -1377 Perfecto Miguel Dayag San Jose, Nueva Ecija July 7, 2014 Hospitalization 10,000.00 - 10,000.001378 Francisco Apostol San Jose, Nueva Ecija August 12, 2014 Hospitalization 10,000.00 10,000.00 -1379 Olympia Ocampo San Jose, Nueva Ecija September 18, 2014 Laboratory 800.00 800.00 -1380 Ferdinand Salcedo San Jose, Nueva Ecija October 7, 2014 Ct Scan 10,000.00 2,762.50 7,237.501381 Evangeline Lazaga San Jose, Nueva Ecija October 10, 2014 Hospitalization 10,000.00 10,000.00 -1382 Maria Rosario Laguna San Jose, Nueva Ecija October 13, 2014 Hospitalization 10,000.00 10,000.00 -1383 Evangeline Lazaga San Jose, Nueva Ecija October 15, 2014 Ct Scan / Bills 10,000.00 10,000.00 -1384 Eric Galang Espiritu San Jose, Nueva Ecija October 16, 2014 Hospitalization 20,000.00 6,514.50 13,485.501385 John Andreie Flores Carranglan, Nueva Ecija October 20, 2014 Medicines 6,000.00 6,000.00 -1386 Olympia Ocampo San Jose, Nueva Ecija October 23, 2014 Hospitalization 15,000.00 15,000.00 -1387 Brenda Pajares San Jose, Nueva Ecija October 28, 2014 Laboratory 10,000.00 1,050.00 8,950.001388 Daryle Pajares San Jose, Nueva Ecija October 28, 2014 Laboratory 10,000.00 280.00 9,720.001389 Kristhea Mae Dela Cruz Llanera, Nueva Ecija October 29, 2014 Hospitalization 10,000.00 10,000.00 -1390 Rodelia Pastor Nueva Ecija November 3, 2014 Hospitalization 20,897.00 20,897.00 -1391 Evangeline Lazaga San Jose, Nueva Ecija November 4, 2014 Hospitalization 10,000.00 10,000.00 -1392 Divine Hazel Portelo Nueva Ecija November 13, 2014 lab and meds 10,000.00 - 10,000.001393 Generoso Cargamento Nueva Ecija November 17, 2014 Hospitalization 50,000.00 7,000.00 43,000.001394 Laurma Antolin Llanera, Nueva Ecija December 1, 2014 Hospitalization 5,000.00 - 5,000.001395 Francisca Cruz San Jose, Nueva Ecija December 2, 2014 lab and meds 2,500.00 - 2,500.001396 Abe Aplasen La Trinidad, Benguet July 25, 2014 Medicines 3,000.00 3,000.00 -1397 Adela Enrade Tuba, Benguet July 25, 2014 Hemodialysis 3,000.00 2,200.00 800.001398 Danny J. Cadao Itogon, Benguet July 28, 2014 Hemodialysis 3,000.00 - 3,000.001399 Janice Tamiray Baguio City, Benguet August 5, 2014 Hospitalization 3,000.00 3,000.00 -1400 Juliet Dokipen Baguio City, Benguet August 7, 2014 Hospitalization 1,500.00 - 1,500.001401 Joey Walsiyen Baguio City, Benguet August 7, 2014 Hemodialysis 2,500.00 2,200.00 300.001402 Jardine Kyle Milo Tuba, Benguet August 12, 2014 Hospitalization 3,000.00 578.25 2,421.751403 Emilda Bustarde Baguio City, Benguet August 12, 2014 Hemodialysis 2,500.00 2,200.00 300.001404 Almario Benitez Baguio City, Benguet August 14, 2014 Medicines 1,500.00 1,200.00 300.001405 Edwin Bagano Baguio City, Benguet September 3, 2014 Hemodialysis 2,500.00 - 2,500.001406 April Sakiwat Baguio City, Benguet September 3, 2014 Hemodialysis 2,500.00 2,200.00 300.001407 Santos Awacan Baguio City, Benguet September 3, 2014 Hemodialysis 2,500.00 2,200.00 300.001408 Leandro Tandoc Baguio City, Benguet September 3, 2014 Hemodialysis 2,500.00 2,200.00 300.001409 Shaly Cris Bantas Baguio City, Benguet September 5, 2014 Hemodialysis 2,500.00 - 2,500.001410 Marieta Miranda Tayug, Pangasinan September 9, 2014 Hospitalization 2,500.00 2,500.00 -1411 Recy Joy Caluza Baguio City, Benguet September 10, 2014 Hemodialysis 2,500.00 2,200.00 300.001412 Asnor John Gayao Baguio City, Benguet September 11, 2014 Medicines 2,500.00 2,216.00 284.001413 Cresencio Doriano Baguio City, Benguet September 11, 2014 Hemodialysis 2,500.00 - 2,500.001414 Nancy Bugnay Baguio City, Benguet September 12, 2014 Hemodialysis 2,500.00 2,200.00 300.001415 Nancy Calica Ayson Baguio City, Benguet October 3, 2014 Hemodialysis 2,500.00 - 2,500.00

1416 Rene Richemond Carino Baguio City, Benguet October 8, 2014 Hemodialysis 2,500.00 - 2,500.001417 Ralph Pasyalen Baguio City, Benguet October 13, 2014 Hospitalization 2,500.00 2,500.00 -1418 Homobono F. Dulay City of Urdaneta PangasinanNovember 4, 2014 Hospitalization 3,000.00 3,000.00 -1419 Juanitez Lailani Allas Tayug, Pangasinan May 20, 2014 Medicines 5,000.00 2,445.00 2,555.001420 Aboy, Chritian Cerezo San Quintin, Pangasinan May 26, 2014 Hospitalization 8,000.00 8,000.00 -1421 Manuel, Erlinda Orbito Villasis, Pagasinan May 26, 2014 Hospitalization 20,000.00 20,000.00 -1422 Capua, Jaypee Opiniano Sta Barbara, Pangasinan June 3, 2014 Hospitalization 5,000.00 5,000.00 -1423 Caseres, Natchie Charmia MeniadoBalongao, Pangasinan June 5, 2014 Medicines 3,000.00 1,755.00 1,245.001424 Arnaiz, Epifanio Sabadao Outlook Drive, Baguio CiotyJune 9, 2014 Medicines 5,000.00 5,000.00 -1425 Nalos, Leonard Hernandez Dontogan, Baguio City June 9, 2014 Hemodialysis 4,400.00 - 4,400.001426 Redito, Ephraim Sanchez Tayug, Pangasinan June 17, 2014 Hospitalization 2,900.00 2,900.00 -1427 Binuya, Perfecto Sr. Mariane Villasis, Pagasinan June 20, 2014 Hemodialysis 15,000.00 15,000.00 -1428 Juanitez Lailani Allas Celetial Village, Baguio CityJune 23, 2014 Medicines 5,000.00 - 5,000.001429 Esmeralda, Virgilio Gallarin Villasis, Pagasinan June 24, 2014 Hospitalization 10,000.00 10,000.00 -1430 Bustillos, Bryan Matthew Parilla Rosales, Pangasinan June 26, 2014 Medicines 4,000.00 2,445.75 1,554.251431 Mandapat, Merlinda Mina Asingan, Pangasinan July 1, 2014 CT Scan 5,000.00 4,910.00 90.001432 Raguindin, Nolly Gonatice Villasis, Pagasinan July 3, 2014 Medicines 3,000.00 - 3,000.001433 Raguindin, Nolly Gonatice Villasis, Pagasinan July 3, 2014 Hospitalization 5,000.00 - 5,000.001434 Rosario, Lea Nicole San Nicolas, Pangasinan July 10, 2014 chemotherapy 3,000.00 3,000.00 -1435 Valentina Domingo San Nicolas, Pangasinan July 11, 2014 Lab and meds 5,000.00 1,397.50 3,602.501436 Tessie B. Colcol Asingan, Pangasinan July 16, 2014 CT Scan 3,500.00 3,500.00 -1437 Perfecto Binuya Sr. San Nicolas, Pangasinan July 18, 2014 Hemodialysis 4,400.00 4,400.00 -1438 Rowena Valdez Rosales, Pangasinan July 24, 2014 Hemodialysis 6,600.00 6,600.00 -1439 Nenita Ng Barraca, Villasis, PangasinanJuly 24, 2014 Lab and meds 4,000.00 2,328.25 1,671.751440 Joey Q. Walsiyen Sison, Pangasinan July 25, 2014 Hemodialysis 4,400.00 4,400.00 -1441 Regina Padawang Umingan, Pangasinan July 28, 2014 chemotherapy 4,900.00 4,600.00 300.001442 Perfecto Binuya Sr. San Nicolas, Pangasinan July 28, 2014 Hemodialysis 4,400.00 - 4,400.001443 Omar Aggabao Rosales, Pangasinan July 30, 2014 Lab and meds 2,000.00 850.00 1,150.001444 Joshua C Castillo Santa Maria, Pangasina August 4, 2014 Lab and meds 3,000.00 1,717.50 1,282.501445 Josephine Foronda Balungao, Pangasinan August 6, 2014 Hospitalization 5,000.00 5,000.00 -1446 Benigno Lovina San Quintin, Pangasinan August 11, 2014 Hemodialysis 5,000.00 - 5,000.001447 Lailani Juantez Tayug, Pangasinan August 12, 2014 Lab and meds 3,000.00 1,404.00 1,596.001448 Adela Enrade Alcala, Pangasinan August 12, 2014 Hemodialysis 4,400.00 4,400.00 -1449 Marieta Miranda Tayug, Pangasinan August 13, 2014 Hospitalization 5,000.00 5,000.00 -1450 Regina Padawang Umingan, Pangasinan August 14, 2014 chemotherapy 5,000.00 4,600.00 400.001451 Viginia Padillo Asingan, Pangasinan August 14, 2014 Lab and meds 3,000.00 1,520.00 1,480.001452 Eddie Esmeralda Villasis, Pagasinan August 14, 2014 Hospitalization 5,000.00 5,000.00 -1453 Hegesipo Omar Aggabao Rosales, Pangasinan August 15, 2014 Lab and meds 2,000.00 1,620.00 380.001454 Ricardo E. Puno Balungao, Pangasinan August 15, 2014 Lab and meds 5,000.00 1,190.00 3,810.001455 Abe Aplasen Pico, La Trinidad, Benguet August 15, 2014 Medicines 3,500.00 3,500.00 -1456 Marieta Miranda Tayug, Pangasinan August 18, 2014 Hospitalization 5,000.00 5,000.00 -1457 Emilda Bustarde Maria Basa, Pacdal, Baguio CityAugust 19, 2014 Hemodialysis 3,500.00 - 3,500.001458 Almario Benitez Campo Sioco, Baguio City August 19, 2014 Hemodialysis 3,500.00 - 3,500.001459 Edwin Bagano Jr. Irisan, Baguio City August 19, 2014 Hemodialysis 3,500.00 - 3,500.001460 Hannah Louisse Catu Naguilian Rd., Baguio City August 22, 2014 Hospitalization 10,000.00 6,104.25 3,895.751461 Mila Raguindin Pareno Villasis, Pagasinan August 22, 2014 Hospitalization 5,000.00 1,281.00 3,719.001462 German Monterey Rosales, Pangasinan August 26, 2014 Hospitalization 5,000.00 - 5,000.001463 Tandoc Leandro Pinget, Baguio City August 27, 2014 Hemodialysis 3,500.00 - 3,500.001464 April Sakiwat Magsaysay, Baguio City August 27, 2014 Hemodialysis 3,500.00 - 3,500.001465 Roel Cruz Pacdal, Baguio City August 29, 2014 Medicines 3,500.00 - 3,500.001466 Reynaldo Oria Rosales, Pangasinan August 29, 2014 Medicines 5,000.00 2,711.00 2,289.001467 Gayao, Agustin Irisan, Baguio City September 2, 2014 Hemodialysis 3,500.00 - 3,500.001468 Rowena Valdez Rosales, Pangasinan September 2, 2014 Hemodialysis 4,400.00 4,400.00 -1469 Gabriel Doton San Quintin, Pangasinan September 2, 2014 Hemodialysis 4,400.00 4,400.00 -1470 Mikkle Ison Magno Alaminos, Pangasinan September 2, 2014 Hospitalization 5,000.00 5,000.00 -1471 Mikkle Ison Magno Alaminos, Pangasinan September 2, 2014 Hospitalization 5,000.00 5,000.00 -1472 Mikkle Ison Magno Alaminos, Pangasinan September 2, 2014 Hospitalization 5,000.00 5,000.00 -1473 Tomas Robert Magsaysay, Baguio City September 3, 2014 Hemodialysis 3,500.00 2,200.00 1,300.001474 Santos Awacan La Trinidad, Benguet September 3, 2014 Medicines 3,500.00 1,290.00 2,210.001475 Perfecto Binuya Villasis, Pagasinan September 4, 2014 Hemodialysis 6,600.00 6,600.00 -1476 Jerry Taynan Magsaysay, Baguio City September 4, 2014 Hemodialysis 3,500.00 3,500.00 -1477 Mart Jarius Belmonte Asingan, Pangasinan September 8, 2014 Hospitalization 5,000.00 - 5,000.001478 Warlito Orden Umingan, Pangasinan September 8, 2014 Hospitalization 5,000.00 5,000.00 -1479 Felix D. Centino San Fabian, Pangasinan September 8, 2014 Hospitalization 5,000.00 5,000.00 -1480 Eric Soriano Sto. Tomas, Pangasinan September 11, 2014 chemotherapy 3,000.00 3,000.00 -1481 Mart Jairus Belmonte Asingan, Pangasinan September 15, 2014 Hospitalization 5,000.00 - 5,000.001482 Jennifer Gallentes Pozzorubio, Pangasinan September 16, 2014 Hospitalization 1,500.00 1,500.00 -1483 Ezra Martinez Infanta, Pangasinan September 16, 2014 Hospitalization 3,000.00 3,000.00 -

1484 Natchie M. Caseres Balungao, Pangasinan September 18, 2014 Medicines 3,000.00 2,340.00 660.001485 Perfecto Binuya San Nicolas, Pangasinan September 18, 2014 Hemodialysis 6,600.00 - 6,600.001486 Renelyn Wilson Sta. Maria Pangasinan September 19, 2014 chemotherapy 5,000.00 4,600.00 400.001487 Epifanio Arnaiz Outlook Drive, Baguio CiotySeptember 19, 2014 Medicines 5,000.00 1,744.75 3,255.251488 Santos Estillore San Miguel Natividad, PangasinanSeptember 22, 2014 chemotherapy 5,000.00 5,000.00 -1489 Eugenio Iluis Villasis, Pagasinan September 23, 2014 Hospitalization 5,000.00 5,000.00 -1490 Eugenio Iluis Villasis, Pagasinan September 23, 2014 Hospitalization 5,000.00 5,000.00 -1491 Donton Gabriel San Quintin, Pangasinan September 23, 2014 Hemodialysis 4,400.00 - 4,400.001492 Henry Balbin Villasis, Pagasinan September 23, 2014 Hospitalization 5,000.00 5,000.00 -1493 Jingle Ugalde Sual, Pangasinan September 24, 2014 Hospitalization 3,500.00 3,500.00 -1494 Elma Mendoza Pozzorubio, Pangasinan September 25, 2014 Hospitalization 3,000.00 3,000.00 -1495 Anthony Calatan Tuba, Benguet September 25, 2014 Hospitalization 1,411.34 1,411.34 -1496 Bryan Matthew Bustillos Rosales, Pangasinan September 25, 2014 Medicines 4,000.00 - 4,000.001497 Marilyn Socia Asingan, Pangasinan September 26, 2014 Medicines 2,000.00 343.50 1,656.501498 Gio Angelo Samtillan San Fabian, Pangasinan September 29, 2014 Hospitalization 10,000.00 10,000.00 -1499 Marlou Osias Cabanisas Tayug, Pangasinan September 30, 2014 Hemodialysis 4,400.00 - 4,400.001500 Cecille Perez Singh San Manuel, Pangasina September 30, 2014 Hospitalization 5,000.00 5,000.00 -1501 Cecille Perez Singh San Manuel, Pangasina September 30, 2014 Hospitalization 5,000.00 2,340.25 2,659.751502 Renelyn Wilson Sta. Maria Pangasinan October 1, 2014 chemotherapy 5,000.00 5,000.00 -1503 Marlou Osias Cabanisas Tayug, Pangasinan October 7, 2014 Hemodialysis 4,400.00 - 4,400.001504 Santos Estillore Natividad, Pangasinan October 8, 2014 chemotherapy 5,000.00 5,000.00 -1505 Melbert Plastina/Mary Grace PlastinaAsingan, Pangasinan October 8, 2014 Hospitalization 10,000.00 10,000.00 -1506 Loisa Faith Benigno Bantog, Asingan, PangasinanOctober 9, 2014 Hospitalization 8,000.00 8,000.00 -1507 Amy Amor Rabara San Miguel , Pangasinan October 9, 2014 Hospitalization 5,000.00 - 5,000.001508 Virgilio Carino Alaminos, Pangasinan October 9, 2014 Hemodialysis 6,600.00 - 6,600.001509 Abeliene Aquino laoag, Pangasinan October 13, 2014 chemotherapy 4,000.00 4,000.00 -1510 Mabel Vercelles San Jacinto, Pangasinan October 15, 2014 Hospitalization 2,000.00 2,000.00 -1511 Eric Soriano Sto. Tomas, Pangasinan October 16, 2014 chemotherapy 4,000.00 4,000.00 -1512 Zenaida Meguel Natividad, Pangasinan October 17, 2014 Lab and meds 5,000.00 771.25 4,228.751513 Lea Nicole Rosario San Nicolas, Pangasinan October 20, 2014 chemotherapy 5,000.00 5,000.00 -1514 Reianah angel Aquino Umingan, Pangasinan October 20, 2014 chemotherapy 5,000.00 5,000.00 -1515 Judy Tadeo San Luis, Rosales, PangasinanOctober 20, 2014 Hospitalization 5,164.00 5,164.00 -1516 Laurelio Dilan Sison, Pangasinan October 21, 2014 Hemodialysis 6,600.00 - 6,600.001517 Perfecto Binuya San Nicolas, Pangasinan October 21, 2014 Hemodialysis 6,600.00 - 6,600.001518 Jacqueline Rebolledo Sual, Pangasinan October 22, 2014 chemotherapy 5,000.00 5,000.00 -1519 Jacqueline Rebolledo Sual, Pangasinan October 22, 2014 chemotherapy 5,000.00 5,000.00 -1520 Rowena Valdez Rosales, Pangasinan October 23, 2014 Hemodialysis 6,600.00 - 6,600.001521 Gabriel Doton San Quintin, Pangasinan October 23, 2014 Hemodialysis 4,400.00 - 4,400.001522 Tessie B. Colcol Asingan, Pangasinan October 23, 2014 Hospitalization 4,000.00 4,000.00 -1523 Albino Santiago Natividad, Pangasinan October 27, 2014 chemotherapy 5,000.00 5,000.00 -1524 Santos Estillore Natividad, Pangasinan October 27, 2014 chemotherapy 5,000.00 5,000.00 -1525 Maria Christina/Edna Grace BalanagAringay, La Union October 30, 2014 Hospitalization 2,079.62 2,079.62 -1526 Cristina Man Tayug, Pangasinan October 31, 2014 Lab and meds 3,000.00 1,308.00 1,692.001527 Jan Markenn Salinas Villasis, Pagasinan November 3, 2014 Hospitalization 10,000.00 10,000.00 -1528 Jan Markenn Salinas Villasis, Pagasinan November 3, 2014 Hospitalization 5,000.00 5,000.00 -1529 Grace Bango San Crlos Heights, Baguio CityNovember 5, 2014 Hemodialysis 3,500.00 - 3,500.001530 Ayson Nancy Pinget, Baguio City November 6, 2014 Hemodialysis 3,500.00 - 3,500.001531 Doriano Cresencio Lucnab, Baguio City November 6, 2014 Hemodialysis 3,500.00 - 3,500.001532 Andres Daw-as Poliwes, Baguio City November 7, 2014 Hemodialysis 3,500.00 - 3,500.001533 Amor Orpilla DPS Cmp., Baguio City November 7, 2014 Hemodialysis 3,500.00 - 3,500.001534 Gio Angelo Samtillan San Fabian, Pangasinan November 10, 2014 Hospitalization 4,000.00 - 4,000.001535 Gaspar Hilda Balsigan, Baguio City November 11, 2014 Hemodialysis 3,500.00 - 3,500.001536 Quezada Evelyn Magsaysay, Baguio City November 11, 2014 Medicines 3,500.00 - 3,500.001537 Boaging Manuel San Carlos Heights, Baguio CityNovember 12, 2014 Hemodialysis 3,500.00 - 3,500.001538 Cecille Perez Singh San Manuel, Pangasina November 12, 2014 Hospitalization 5,000.00 - 5,000.001539 Lea Nicole Rosario San Nicolas, Pangasinan November 12, 2014 chemotherapy 5,000.00 5,000.00 -1540 Ofelia Domingo Asingan, Pangasinan November 12, 2014 Lab and meds 5,000.00 - 5,000.001541 Rex Balangitan Santo Tomas, Baguio City November 12, 2014 Lab and meds 3,500.00 - 3,500.001542 Recy Joy Caluza Imelda Village, Baguio CityNovember 13, 2014 Medicines 3,500.00 - 3,500.001543 Gemma Arceo Rosales, Pangasinan November 13, 2014 Hospitalization 5,000.00 815.25 4,184.751544 Magin Manipon Tayug, Pangasinan November 14, 2014 Hospitalization 5,000.00 5,000.00 -1545 Marco Bumacas Quirino Hill, Baguio City November 14, 2014 Hemodialysis 3,500.00 - 3,500.001546 Jhannel Limos Pozzorubio, Pangasinan November 14, 2014 chemotherapy 5,000.00 5,000.00 -1547 Adrian Panganiban Sta. Maria Pangasinan November 14, 2014 Hospitalization 5,000.00 5,000.00 -1548 Nolasco Garcia Binalonan, Pangasinan November 18, 2014 Medicines 3,000.00 - 3,000.001549 Santos Estillore Natividad, Pangasinan November 18, 2014 chemotherapy 5,000.00 5,000.00 -1550 Shirley G. Sanchez San Manuel, Pangasinan November 20, 2014 Hospitalization 3,000.00 - 3,000.001551 Lucia Limmayog Balsigan, Baguio City November 21, 2014 Hemodialysis 3,500.00 - 3,500.00

1552 Roland Padsingan San Vicente, Baguio City November 24, 2014 Hemodialysis 3,500.00 - 3,500.001553 Jacqueline Rebolledo Sual, Pangasinan November 27, 2014 chemotherapy 5,000.00 - 5,000.001554 Rowena Valdez Rosales, Pangasinan November 27, 2014 Hemodialysis 6,600.00 - 6,600.001555 Elisa Alunsabe Kita-kita, Balungao December 1, 2014 Hospitalization 10,000.00 - 10,000.001556 Robert Nabus Pico, La Trinidad, Benguet December 1, 2014 Hemodialysis 3,500.00 - 3,500.001557 Perfecto Binuya San Nicolas, Pangasinan December 1, 2014 Hemodialysis 6,600.00 - 6,600.001558 Eudencia Canlas Baguio City, Benguet December 5, 2014 Hemodialysis 2,200.00 - 2,200.001559 Joven Tablason Infanta, Pangasinan December 8, 2014 Lab and meds 5,000.00 - 5,000.001560 Joey Q. Walsiyen Sison, Pangasinan December 8, 2014 Hemodialysis 4,400.00 - 4,400.001561 Lea Nicole Rosario San Nicolas, Pangasinan December 9, 2014 chemotherapy 5,000.00 5,000.00 -1562 Victor Dizon Amparo Heights, Baguio CityDecember 9, 2014 Hemodialysis 3,500.00 - 3,500.001563 Victor Dizon Amparo Heights, Baguio CityDecember 10, 2014 Hemodialysis 3,500.00 - 3,500.001564 Santos c. Estilllore Natividad, Pangasinan December 10, 2014 chemotherapy 5,000.00 5,000.00 -1565 Rowena Valdez Rosales, Pangasinan December 11, 2014 Hemodialysis 4,400.00 - 4,400.001566 Marlo B. Gorospe Umingan, Pangasinan December 11, 2014 Hospitalization 5,000.00 - 5,000.001567 Anabel Padawa Rosales, Pangasinan December 12, 2014 chemotherapy 6,500.00 6,500.00 -1568 Badang Inocencia Brookside, Baguio City December 12, 2014 Medicines 3,500.00 - 3,500.001569 Eric Soriano Sto. Tomas, Pangasinan December 15, 2014 chemotherapy 5,000.00 5,000.00 -1570 Ognayon Leonardo Asin, Irisan, Baguio City December 17, 2014 Medicines 3,500.00 - 3,500.001571 Marcelo Joy Sanchez Jr Rosales, Pangasinan December 17, 2014 Hospitalization 6,000.00 - 6,000.001572 Lorna S. Echavaria Asingan, Pangasinan December 17, 2014 Biopsy 5,000.00 - 5,000.001573 Jocelyn Laigo Irisan, Baguio City December 17, 2014 Hemodialysis 3,500.00 - 3,500.001574 Eudencia Canlas San Carlos Heights, Baguio CityDecember 17, 2014 Hemodialysis 3,500.00 - 3,500.001575 Mary Grace Binay-an Irisan, Baguio City December 17, 2014 Medicines 3,500.00 - 3,500.001576 Flordeliza Tabula Urdaneta, Pangasinan December 18, 2014 chemotherapy 5,000.00 4,600.00 400.001577 Reianah angel Aquino Umingan, Pangasinan December 22, 2014 chemotherapy 3,000.00 - 3,000.001578 Froilan Batoon San Manuel, Pangasinan December 22, 2014 Hospitalization 5,000.00 - 5,000.001579 Amor Orpilla DPS Cmp., Baguio City December 23, 2014 Hemodialysis 3,500.00 - 3,500.001580 Perfecto Binuya San Nicolas, Pangasinan December 23, 2014 Hemodialysis 5,000.00 - 5,000.001581 Castro Derlyn Banares Market, Baguio City June 6, 2014 Hospitalization 2,223.37 2,223.37 -1582 Entuna, Mylene Fernandez Poblacion, Tuba, Benguet June 9, 2014 Hospitalization 2,079.37 - 2,079.371583 Magusan, Delfin Gomari Quirino Hill, Baguio City June 10, 2014 Hemodialysis 2,500.00 - 2,500.001584 Bagano, Edwin Sr. Annatil San Carlos hts., Baguio CityJune 11, 2014 Hemodialysis 2,500.00 2,200.00 300.001585 Tandoc, Leandro Simeon Pinget, Baguio City June 11, 2014 Hemodialysis 2,200.00 2,200.00 -1586 Awacan, Santos Ablaza La Tinidad, Benguet June 11, 2014 Hemodialysis 2,200.00 2,200.00 -1587 Carino, Rene Richmond Ulalan Dominican Hill, Baguio CityJune 11, 2014 Hemodialysis 2,500.00 2,200.00 300.001588 Orpilla, Amor Inacay DPS Cmpd., Baguio City June 11, 2014 Hemodialysis 2,200.00 2,200.00 -1589 Arcilla, Almario Jr. Liwanag Scout Bario, Baguio City June 11, 2014 Hospitalization 4,079.50 4,079.50 -1590 Taynan, Jerry Galayan Magsaysay, Baguio City June 13, 2014 Hemodialysis 2,200.00 2,200.00 -1591 Garcia, Sheryl Almendarez Mabini, Pangasinan June 13, 2014 Hospitalization 3,220.00 3,220.00 -1592 Binay-an, Mary Grace Domullog Irisan, Baguio City June 16, 2014 Hemodialysis 2,200.00 2,200.00 -1593 Lisayen, Quakelyn, Canuteb San Carlos hts., Baguio CityJune 16, 2014 Hemodialysis 2,200.00 2,200.00 -1594 Biadno, Jocelyn Balasbas Bokod, Benguet June 18, 2014 Hemodialysis 2,200.00 2,200.00 -1595 Artos, Jenny Rose Galace Irisan, Baguio City June 18, 2014 Hemodialysis 2,200.00 2,200.00 -1596 Mirhan, Floredeliza Oribello Bakakeng, Baguio City June 18, 2014 Hemodialysis 2,200.00 2,200.00 -1597 Escalante, Joan Sanchez Happy Hallow, Baguio CityJune 18, 2014 Hospitalization 3,115.25 3,115.25 0.001598 Ebbes, Jenny Claire Sabado Sablan, Benguet June 18, 2014 Hospitalization 5,000.00 4,621.75 378.251599 Laigo, Jocelyn Nalbog Burgos, La Union June 18, 2014 Hemodialysis 2,200.00 2,200.00 -1600 Lucas, Rycher Jonet Banto Burgos, La Union June 19, 2014 Hospitalization 1,644.81 1,644.81 -1601 Corrit, Amena Baniaca Itogon, Benguet June 19, 2014 Hospitalization 2,952.12 2,952.12 -1602 Cajigal, Joy Sagasag Phil-Amm, baguio City June 20, 2014 Hospitalization 2,139.25 2,139.25 -1603 Walsiyen, Joey Quiwasen Gibraltar, Baguio City June 23, 2014 Hospitalization 2,200.00 2,200.00 -1604 Polo, Nena Alis Hillside, Baguio City June 24, 2014 Hemodialysis 2,200.00 2,200.00 -1605 Bonoy, Edwin Balbal-o Itogon, Benguet June 24, 2014 Hemodialysis 2,200.00 2,200.00 -1606 Gayao, Agustin Tacay Irisan, Baguio City June 24, 2014 Hemodialysis 2,200.00 2,200.00 -1607 Escara Joshua Allen Vasquez Bakakeng, Baguio City June 25, 2014 Hospitalization 3,000.00 3,000.00 -1608 Ayson, Nancy Calica Pinget, Baguio City June 25, 2014 Hemodialysis 2,200.00 2,200.00 -1609 Cruz, Roel Laguipo Pacdal, Baguio City June 25, 2014 Hemodialysis 2,200.00 2,200.00 -1610 Caluza, Recy Joy Quindara Imelda Village, Baguio CityJune 26, 2014 Hemodialysis 2,200.00 2,200.00 -1611 De Guzman, Diana Gonzales Bakakeng, Baguio City June 27, 2014 Hemodialysis 2,200.00 2,200.00 -1612 Suico, Wella Geosua Trancoville, Baguio City June 27, 2014 Hospitalization 3,000.00 3,000.00 -1613 Alingaongao, Ronie Aledo Alimodian, Iloilo July 1, 2014 Hospitalization 5,000.00 5,000.00 -1614 Tarcenio, Gymberlie Olarte Sison, Pangasinan July 1, 2014 Hospitalization 5,000.00 5,000.00 -1615 Cabanting, Roberto Distor Imelda Village, Baguio CityJuly 2, 2014 Hemodialysis 2,200.00 - 2,200.001616 Delfin, Leonora Moral Kias, Baguio City July 2, 2014 Hospitalization 3,000.00 - 3,000.001617 Doriano, Cresencio Bindo Lucnab, Baguio City July 3, 2014 Hemodialysis 2,200.00 2,200.00 -1618 Alla, Joseph Edgar Agustin Baguio City July 4, 2014 Hospitalization 5,000.00 - 5,000.001619 Dumansi, Erly Walinchan Itogon, Benguet July 4, 2014 Hemodialysis 2,200.00 2,200.00 -

1620 Manuel Nanam Boaging Baguio City, Benguet July 7, 2014 Hospitalization 2,200.00 2,200.00 -1621 Jinky Mae Salonga Baguio City, Benguet July 8, 2014 Hospitalization 3,000.00 3,000.00 -1622 Jennifer Pedronan Baguio City, Benguet July 9, 2014 Hospitalization 3,000.00 3,000.00 -1623 Jimmy Dela Cruz Dingle Umingan Pangasinan July 14, 2014 Hospitalization 4,263.72 4,263.72 -1624 Ronel Dela Rosa Bello Umingan Pangasinan July 14, 2014 Hospitalization 2,500.00 2,500.00 -1625 Danny J. Cadao Itogon, Benguet 07-28-204 Hemodialysis 2,200.00 2,200.00 -1626 Manuel Mabiasan Baddao Itogon, Benguet August 5, 2014 Hospitalization 3,000.00 - 3,000.001627 Manuel Mabiasan Baddao Itogon, Benguet August 5, 2014 Hospitalization 3,000.00 - 3,000.001628 Manuel Mabiasan Baddao Itogon, Benguet August 5, 2014 Hospitalization 3,000.00 - 3,000.001629 Marieta Miranda Tayug, Pangasinan August 5, 2014 Hospitalization 4,000.00 4,000.00 -1630 Sharon Dalida La Tinidad, Benguet August 8, 2014 Hemodialysis 2,200.00 - 2,200.001631 Francisco Apostol San Jose, Nueva Ecija August 12, 2014 Hospitalization 3,000.00 3,000.00 -1632 Najwah Pangandaman Baguio City, Benguet August 18, 2014 Hospitalization 1,305.50 1,305.50 -1633 Asnor John Gayao Baguio City, Benguet September 9, 2014 Hospitalization 2,500.00 2,500.00 -1634 Vergie Ante Asingan, Pangasinan September 26, 2014 Hospitalization 2,500.00 2,500.00 -1635 Maria Vivian Pendon Sison, Pangasinan October 13, 2014 Hospitalization 2,500.00 2,500.00 -1636 Nancy Ayson Baguio City, Benguet October 16, 2014 Hemodialysis 2,200.00 - 2,200.001637 Mary C. Lida Tuba, Benguet December 1, 2014 Lab and meds 2,500.00 - 2,500.001638 Rosela Camut Tuba, Benguet December 9, 2014 Hemodialysis 2,500.00 - 2,500.001639 Elijah Chase Rimando Baguio City, Benguet December 11, 2014 Hospitalization 5,000.00 - 5,000.001640 Joel Sacyafen Tocanong Bontoc, Mt. Province December 15, 2014 Hospitalization 15,000.00 - 15,000.001641 Mary Garce Binay-an Irisan, Baguio City November 14, 2014 Hemodialysis 2,200.00 - 2,200.001642 Amor Orpilla Dps Comp, Baguio City November 14, 2014 Hemodialysis 2,200.00 - 2,200.001643 John Cawayan Fairview, Baguio City November 17, 2014 Hemodialysis 2,200.00 - 2,200.001644 Julie Ann Falingchan Sunnyside, Baguio City November 17, 2014 Hemodialysis 2,200.00 - 2,200.001645 Milagros Tait Scout Bario, Baguio City November 18, 2014 Hemodialysis 2,200.00 - 2,200.001646 Nena Polo Ambuklao, Benguet November 21, 2014 Hemodialysis 2,200.00 - 2,200.001647 Oliver Montemayor Irisan, Baguio City November 24, 2014 Hemodialysis 2,200.00 - 2,200.001648 Diana De Guzman Bakakeng, Baguio City November 25, 2014 Medicines 2,200.00 - 2,200.001649 Emelita Polon Burgos, La Union November 25, 2014 Hemodialysis 2,200.00 - 2,200.001650 Gregorio Capones Tomay, La Trinidad, BenguetNovember 26, 2014 Hemodialysis 2,200.00 - 2,200.001651 Rex Balangitan Sto. Tomas, Baguio City November 26, 2014 Medicines 2,200.00 - 2,200.001652 Edwin Bagano San Carlos Hts., Baguio CityDecember 1, 2014 Medicines 2,400.00 - 2,400.001653 Baby Lyb Lumbas Mines View, Baguio City December 1, 2014 Hemodialysis 2,200.00 - 2,200.001654 Myrna V. Millares Victoria, Village, Baguio CityDecember 1, 2014 Lab and Meds 1,286.00 - 1,286.001655 April Sakiwat Magsaysay, Baguio City December 1, 2014 Medicines 2,200.00 - 2,200.001656 Loui B. Dacca Green Valley, Baguio City December 1, 2014 Lab and Meds 200.00 - 200.001657 Lucia Limayog Balsigan, Baguio City December 1, 2014 Medicines 2,200.00 - 2,200.001658 Delfin Mangusan Quirino Hill, Baguio City December 2, 2014 Hemodialysis 4,400.00 - 4,400.001659 Avelino Agayao Tadian, Mt. Province December 4, 2014 Hemodialysis 2,200.00 - 2,200.001660 Eudencia Canlas San Carlos Hts., Baguio CityDecember 8, 2014 Hemodialysis 2,200.00 - 2,200.001661 Roel Cruz Pacdal, Baguio City December 8, 2014 Hemodialysis 2,200.00 - 2,200.001662 Samuel Isiah Ahiezer A. Amagen Magsaysay, Baguio City December 8, 2014 Hospitalization 5,000.00 - 5,000.001663 Roy Sagalto Pines Park, LT, Benguet December 9, 2014 Hemodialysis 2,200.00 - 2,200.001664 Ronnie Foyagao Lubas, LT., Benguet December 9, 2014 Hemodialysis 2,200.00 - 2,200.001665 Edna Tanglao Carino St., Baguio City December 10, 2014 Hemodialysis 2,200.00 - 2,200.001666 Cresencio Doriano Lucnab, Baguio City December 11, 2014 Hemodialysis 2,200.00 - 2,200.001667 Alicia Lee Victoria, Village, Baguio CityDecember 15, 2014 Hemodialysis 2,200.00 - 2,200.001668 Ralph Despabeladeras Bakakeng, Baguio City December 16, 2014 Medicines 1,000.00 - 1,000.001669 Severina S. Broncano Bakakeng, Baguio City December 18, 2014 Lab and Meds 1,000.00 - 1,000.001670 Bryan Jake A. Gad Victoria, Village, Baguio CityDecember 22, 2014 Lab and Meds 9,300.00 - 9,300.001671 Arellano, Elisa Magno Gerona, Tarlac May 6, 2014 Hospitalization 10,000.00 9,045.75 954.251672 Enrade, Adela Baldomera Asin, Tuba, Benguet June 3, 2014 Hemodialysis 10,000.00 8,800.00 1,200.001673 Mangusan, Delfin Gomari Quirino Hill, Baguio City June 4, 2014 Hemodialysis 13,200.00 13,200.00 -1674 Sakiwat, April Vicente Magsaysay, Baguio City June 5, 2014 Hemodialysis 10,000.00 10,000.00 -1675 Gayao, Agustin Tacay Irisan, Abguio City June 5, 2014 Hemodialysis 10,000.00 8,800.00 1,200.001676 Boaging, Manuel Nanam San Carlos Hgts, Baguio CityJune 6, 2014 Hemodialysis 10,000.00 10,000.00 -1677 Taynan, Jerry Galacyang Magsaysay, Baguio City June 6, 2014 Hemodialysis 10,000.00 - 10,000.001678 Awacan, Santos Ablaza Lubas, La Trinidad, BenguetJune 16, 2014 Hemodialysis 6,600.00 6,600.00 -1679 Balangitan, Rex Olban Balacbac, Baguio City June 16, 2014 Hemodialysis 6,600.00 6,600.00 -1680 Carino, Rene Richmond Ulalan Buyagan, La Trinidad, BenguetJune 18, 2014 Hemodialysis 6,600.00 6,600.00 -1681 De Guzman, Diana Gonzales Bakakeng, Baguio City June 23, 2014 Hemodialysis 8,000.00 6,600.00 1,400.001682 Daliling, LuzLuciano Itogon, Benguet June 24, 2014 Hospitalization 10,000.00 8,887.75 1,112.251683 Torres, Josepal Dela Cruz City Camp, Baguio City June 25, 2014 lab and meds 10,000.00 - 10,000.001684 Almario Benitez Jr. Baguio City , Benguet July 22, 2014 Hemodialysis 3,000.00 - 3,000.001685 Aplasen Tacdoy Abe La Trinidad (Capital), BenguetJuly 25, 2014 Hemodialysis 2,400.00 - 2,400.001686 Redito, Ephraim Sanchez Tayug, Pangasinan September 2, 2014 Hospitalization 2,900.00 - 2,900.001687 Delfin Gomani Mangusan Sagada, Mountain ProvinceNovember 24, 2014 Hemodialysis 6,000.00 - 6,000.00

1688 Adela Enrade Benguet November 25, 2014 lab and meds 9,000.00 - 9,000.001689 Rex O. Balangitan Bauko, Mountain ProvinceDecember 1, 2014 lab and meds 8,000.00 - 8,000.001690 Diana G. De Guzman Baguio City , Benguet December 2, 2014 lab and meds 8,000.00 - 8,000.001691 Emelita Polon Sablan, Benguet December 8, 2014 Hemodialysis 9,000.00 - 9,000.001692 Rex O. Balangitan Bauko, Mountain ProvinceDecember 23, 2014 Medicines 5,000.00 - 5,000.001693 Bumacas, Marco Valdez Quirino Hill, Baguio City June 18, 2014 Hemodialysis 4,400.00 4,400.00 -1694 Dumansi, Erly Walinchan Pinsao, Baguio City June 18, 2014 Hemodialysis 4,400.00 4,400.00 -1695 Taynan, Jerry Galacyan La Trinidad, Benguet June 18, 2014 Hemodialysis 4,400.00 4,400.00 -1696 Tandoc, Leandro Simeon Pinget, Baguio City June 18, 2014 Hemodialysis 4,400.00 4,400.00 -1697 Sakiwat, April Vicente Tawang, La Trinidada, BenguetJune 18, 2014 Hemodialysis 4,400.00 4,400.00 -1698 Tomas, Robert Sakiwat Buyagan, Baguio City June 18, 2014 Hemodialysis 4,400.00 4,400.00 -1699 Balangitan, Rex Olban Balacbac, Baguio City June 18, 2014 Medicines 4,400.00 500.00 3,900.001700 Bango, Grace Dumingay San Carlos Hghts June 18, 2014 Hemodialysis 4,400.00 4,400.00 -1701 Binay-an, Mary Grace Damullog Irisan, Baguio City June 18, 2014 Hemodialysis 4,400.00 4,400.00 -1702 Dalida, Sharon Valdez Ambiong, LTB June 18, 2014 Hemodialysis 4,400.00 4,400.00 -1703 Lisayan, Qakelyn Canuteb San Carlos Hghts, Baguio CityJune 18, 2014 Hemodialysis 4,400.00 4,400.00 -1704 Orpilla, Amor Inacay DPS CMP., Baguio City June 18, 2014 Hemodialysis 4,400.00 4,400.00 -1705 Clemente, Virgilio Bautista Honeymoon, Baguio City June 19, 2014 Hemodialysis 4,400.00 4,400.00 -1706 Gayao, Agustin Tacay Apugan, Irisan, Baguio CityJune 19, 2014 Hemodialysis 4,400.00 4,400.00 -1707 Guines, Lucia Sacla Cattubao, Atok, Benguet June 19, 2014 Hemodialysis 4,400.00 4,400.00 -1708 Bugtong, alex Kitongan Tuba, Benguet June 19, 2014 Hospitalization 5,000.00 5,000.00 -1709 Tumingeb, Guigeon Falingchan Irisan, Baguio City June 20, 2014 Medicines 4,400.00 - 4,400.001710 Lopez, May Anne Enriquez Tuba, Benguet June 20, 2014 Hospitalization 5,000.00 5,000.00 -1711 Salvador, Marcelino Sadyoc Besao, Mt. Province June 24, 2014 Hemodialysis 4,400.00 4,400.00 -1712 Eban, Glory Dangbis Itogon, Benguet June 24, 2014 Hemodialysis 4,400.00 4,400.00 -1713 Enrade, Adela Baldomero Asin, Tuba, Benguet June 24, 2014 Hemodialysis 4,400.00 4,400.00 -1714 Awacan, Santos Ablaza Lubas, La Trinidad, BenguetJune 25, 2014 Hemodialysis 4,400.00 4,400.00 -1715 Bagano, Edwin Sr. Annatil Alapang, La Trinidad, BenguetJune 26, 2014 Hemodialysis 4,400.00 - 4,400.001716 Marquez, Shirley Rillera Sablan, Benguet June 26, 2014 Hospitalization 5,000.00 5,000.00 -1717 Bucasan, Nora Udan Asin, Road, Baguio City June 26, 2014 Hospitalization 3,000.00 3,000.00 -1718 Artos, Jennyrose Galace Irisan, Baguio City June 26, 2014 Hemodialysis 4,400.00 4,400.00 -1719 De Guman, Diana Gonzales Bakakeng Norte, Baguio CityJune 27, 2014 Hemodialysis 4,400.00 4,400.00 -1720 Polo, Nena Alis Hillside, Baguio City June 27, 2014 Hemodialysis 4,400.00 4,400.00 -1721 Gaspar, Hilda Gigway Balsigan, Baguio City June 27, 2014 Hemodialysis 4,400.00 4,400.00 -1722 Domingo, Rolando Cara Lourdes Subd Ext., Baguio CityJune 30, 2014 Hemodialysis 4,400.00 4,400.00 -1723 Bustarde, Emilda Seguin Maria Basa, Pacdal, Baguio CityJune 30, 2014 Hemodialysis 4,400.00 4,400.00 -1724 Gatudan, Linda Deo-ay Ambion, La Trinidad June 30, 2014 Hemodialysis 4,400.00 4,400.00 -1725 Carino, Rene Richmond Ulalan Buyagan, Baguio City June 30, 2014 Hemodialysis 4,400.00 4,400.00 -1726 Linmayog, Lucia Bengtayen Balsigan, Baguio City July 1, 2014 Hemodialysis 4,400.00 4,400.00 -1727 Benitez, Almario Fernandez Campo Sioco, Baguio City July 1, 2014 Hemodialysis 4,400.00 - 4,400.001728 Nalos, Leonard Hernandez Dontogan, Baguio City July 1, 2014 Hemodialysis 4,400.00 4,400.00 -1729 Bantas, Shalu Cris Degay Irisan, Baguio City July 1, 2014 Hemodialysis 4,400.00 4,400.00 -1730 Recile, Rocky Comila Pinget, Baguio City July 1, 2014 Hemodialysis 4,400.00 - 4,400.001731 Payacda, Virginia Lokingan Irisan, Baguio City July 1, 2014 Hemodialysis 4,400.00 4,400.00 -1732 Ayson, Nancy Calica Pinget, Baguio City July 1, 2014 Hemodialysis 4,400.00 4,400.00 -1733 Bobilla, Janice Vicente Cruz, La Trinidad, Benguet July 1, 2014 Hemodialysis 4,400.00 4,400.00 -1734 Ranches, Rosalinda Deocariza T. Alonzo, Baguio City July 2, 2014 Hemodialysis 4,400.00 4,400.00 -1735 Pediten, Josephine Marrero Kesbeng, Pob. LTB July 2, 2014 Hemodialysis 4,400.00 4,400.00 -1736 Doriano, Cresencio Bindo Lucnab, Baguio City July 3, 2014 Hemodialysis 4,400.00 4,400.00 -1737 Sara, Mary Jane Ogcido La Trinidad, Benguet July 4, 2014 Hospitalization 3,000.00 3,000.00 -1738 Nabus, Robert Mendoza La Trinidad, Benguet July 4, 2014 Hemodialysis 4,400.00 - 4,400.001739 Abellera, Lalyn Pio Itogon, Benguet July 4, 2014 Hemodialysis 3,000.00 3,000.00 -1740 Jushua Allen Escara Baguio City, Benguet July 7, 2014 Lab and Meds 4,000.00 1,932.50 2,067.501741 Roland Langbis La Trinidad, Benguet July 7, 2014 Hemodialysis 3,000.00 3,000.00 -1742 Recy Joy Q. Caluza Baguio City, Benguet July 7, 2014 Hemodialysis 3,000.00 2,200.00 800.001743 Meriam Buenavente Baguio City, Benguet July 7, 2014 Hemodialysis 3,000.00 3,000.00 -1744 Jocelyn Nalbog Laigo Burgos, La Union July 7, 2014 Hemodialysis 3,000.00 2,200.00 800.001745 Jose B. Lud-ayen Bauko, Mountain ProvinceJuly 8, 2014 Hemodialysis 4,400.00 4,400.00 -1746 Roel Cruz Baguio City, Benguet July 8, 2014 Medicines 4,400.00 4,400.00 -1747 Clifford Cortado Camte Bambang, Nueva Viscaya July 8, 2014 Hospitalization 5,000.00 5,000.00 -1748 Ferdinand Tuzon Besao, Mt. Province July 9, 2014 Hemodialysis 3,000.00 3,000.00 -1749 Matso Quinio Baguio City, Benguet July 9, 2014 Hemodialysis 3,000.00 3,000.00 -1750 Ferdinand Isilen Baguio City, Benguet July 10, 2014 Hospitalization 4,400.00 4,400.00 -1751 Edwin Bonoy Baguio City, Benguet July 11, 2014 Hemodialysis 4,400.00 - 4,400.001752 Herminio Cacay Baguio City, Benguet July 17, 2014 Hemodialysis 3,000.00 2,200.00 800.001753 Felicidad o. Isaac Sison Pangasinan July 18, 2014 Hemodialysis 4,400.00 4,400.00 -1754 Agustina Monteclaro Baguio City, Benguet July 18, 2014 Hemodialysis 3,000.00 2,200.00 800.001755 Gemma Monteclaro Baguio City, Benguet July 18, 2014 Hemodialysis 3,000.00 - 3,000.00

1756 Fryla Dela Pena Kapangan, Benguet July 18, 2014 Hemodialysis 4,400.00 4,400.00 -1757 Requino Todlem Baguio City, Benguet July 18, 2014 Hemodialysis 3,000.00 2,200.00 800.001758 Delfin Gomari Mangusan Sagada, Mountain ProvinceJuly 18, 2014 Hemodialysis 4,400.00 - 4,400.001759 Marco Jose Ogas La Trinidad, Benguet July 22, 2014 Hemodialysis 4,400.00 4,400.00 -1760 Jonathan Bulwayan Tanudan, Kalinga July 22, 2014 Hemodialysis 4,400.00 - 4,400.001761 Angelo Natividad Baguio City, Benguet July 22, 2014 Hemodialysis 4,400.00 4,400.00 -1762 Abe Aplasen La Trinidad, Benguet July 25, 2014 Hemodialysis 4,400.00 - 4,400.001763 Nancy Bugnay La Trinidad, Benguet July 28, 2014 Hemodialysis 3,000.00 - 3,000.001764 Manuel Nanam Boaging Baguio City, Benguet July 30, 2014 Hemodialysis 4,400.00 - 4,400.001765 Jocelyn Balasbas Biadno Bokod, Benguet July 30, 2014 Hemodialysis 4,400.00 - 4,400.001766 Rowena Valdez Baguio City, Benguet July 30, 2014 Hemodialysis 3,000.00 3,000.00 -1767 Liezle B. Kinakin Lagawe, Ifugao July 30, 2014 Hemodialysis 4,400.00 4,400.00 -1768 Julie Ann Pinos-an Falingchan Baguio City, Benguet July 31, 2014 Hemodialysis 4,400.00 - 4,400.001769 Edna Tanglao Baguio City, Benguet August 1, 2014 Hemodialysis 4,400.00 - 4,400.001770 Bryan Becaca Itogon, Benguet August 5, 2014 Hemodialysis 4,400.00 - 4,400.001771 James Acosta Bokod, Benguet August 5, 2014 Hemodialysis 4,400.00 - 4,400.001772 Joey Quiwase Walsiyen Baguio City, Benguet August 7, 2014 Hemodialysis 3,000.00 - 3,000.001773 Avelino Agayao Tadian, Mountain ProvinceAugust 7, 2014 Hemodialysis 4,400.00 - 4,400.001774 Lencio Palengleng Itogon, Benguet August 7, 2014 Hemodialysis 3,000.00 - 3,000.001775 Basilisa Ang Baguio City, Benguet August 8, 2014 Hemodialysis 4,400.00 2,500.00 1,900.001776 Richard Gusto Baguio City, Benguet August 15, 2014 Hemodialysis 4,400.00 - 4,400.001777 Teresa Rullan Baguio City, Benguet August 15, 2014 Hemodialysis 4,000.00 - 4,000.001778 Flordeliza Mirhan Baguio City, Benguet August 15, 2014 Hemodialysis 4,400.00 - 4,400.001779 Dario Ayeona Baguio City, Benguet August 18, 2014 Hemodialysis 3,000.00 - 3,000.001780 Amparo Gayo La Union August 20, 2014 Hospitalization 2,000.00 2,000.00 -1781 John Cawayan Besao, Mt. Province August 22, 2014 Hemodialysis 4,400.00 - 4,400.001782 John Dampulay Tublay, Benguet August 22, 2014 Hemodialysis 4,400.00 - 4,400.001783 Jennilyn Antonio La Trinidad, Benguet August 27, 2014 Hospitalization 5,000.00 5,000.00 -1784 Angelito Estero Pozzorubio, Pangasinan August 28, 2014 Hospitalization 4,000.00 4,000.00 -1785 Cindy Mamaril Baguio City, Benguet September 5, 2014 Hospitalization 2,000.00 2,000.00 -1786 Roger Alsaen Atok, Benguet September 8, 2014 Hemodialysis 4,400.00 - 4,400.001787 Roy Sagalto Sagada, Mountain ProvinceSeptember 9, 2014 Hemodialysis 4,400.00 - 4,400.001788 Desseri Bumanglag Rosario La Union September 10, 2014 Hospitalization 1,300.00 1,300.00 -1789 Jonalyn Cadiogan Tuba, Benguet September 17, 2014 Hospitalization 3,000.00 3,000.00 -1790 Armando Siano Kapangan, Benguet September 24, 2014 Hospitalization 4,400.00 - 4,400.001791 Caroline Gameng Baguio City, Benguet September 24, 2014 Hemodialysis 4,400.00 - 4,400.001792 Milagros Tait Baguio City, Benguet September 30, 2014 Hemodialysis 4,400.00 - 4,400.001793 Jerelah Eusebio La Trinidad, Benguet October 1, 2014 Hemodialysis 4,400.00 - 4,400.001794 Angelina Songwat Itogon, Benguet October 2, 2014 Hospitalization 3,000.00 3,000.00 -1795 Cherlyn Alcaide City Of Urdanita, PangasinanOctober 10, 2014 Hospitalization 3,500.00 3,500.00 -1796 Jufrey Anayasan Sablan, Benguet October 10, 2014 Lab and Meds 5,000.00 5,000.00 -1797 Patento Dangpas Kayapa, Nueva Vizcaya October 10, 2014 Lab and Meds 5,000.00 2,559.00 2,441.001798 Geraldine B. Aguindang Sablan, Benguet October 10, 2014 Medicines 1,800.00 1,700.00 100.001799 Ahiro Ryuuske Alba Baguio City, Benguet October 14, 2014 Hospitalization 5,000.00 5,000.00 -1800 Jane Bul-oran Tublay, Benguet October 16, 2014 Lab and Meds 5,000.00 285.00 4,715.001801 Noronisa Macabantog Baguio City, Benguet October 16, 2014 Hospitalization 2,000.00 2,000.00 -1802 Cydric Waig Baguio City, Benguet October 17, 2014 Treatment 5,000.00 - 5,000.001803 Ana Rose Domingo La Trinidad, Benguet October 20, 2014 Hospitalization 1,500.00 1,500.00 -1804 Coyopan Ablaza Jr Tublay, Benguet October 22, 2014 Hemodialysis 4,400.00 - 4,400.001805 Marilouy Bantulo Tublay, Benguet October 22, 2014 Hemodialysis 4,400.00 - 4,400.001806 Jufrey Anayasan Sablan, Benguet October 24, 2014 Hospitalization 3,000.00 3,000.00 -1807 Bryan Cuilan Itogon, Benguet October 27, 2014 Hospitalization 5,000.00 5,000.00 -1808 Dash Labi Baguio City, Benguet October 28, 2014 Chemotherapy 15,000.00 15,000.00 -1809 Monico Herman Tuba, Benguet October 28, 2014 Hemodialysis 4,400.00 - 4,400.001810 Vicente Ekwey Tuba, Benguet October 29, 2014 Hemodialysis 4,400.00 - 4,400.001811 Andrew Baccangen Zaragoza, Nueva Ecija October 29, 2014 Hospitalization 4,200.00 4,200.00 -1812 April Guerrero Baguio City, Benguet November 6, 2014 Hospitalization 2,000.00 2,000.00 -1813 Martina Macario La Trinidad, Benguet November 7, 2014 Hemodialysis 4,400.00 - 4,400.001814 Ronnie Foyagao Baguio City, Benguet November 10, 2014 Hemodialysis 4,000.00 - 4,000.001815 Alicia Bayot Lee Baguio City, Benguet November 8, 2014 Hemodialysis 4,000.00 - 4,000.001816 Avelino Ocampo Baguio City, Benguet November 17, 2014 Hemodialysis 4,400.00 - 4,400.001817 Benjamin Anrada Baguio City, Benguet November 17, 2014 Ct Scan 5,000.00 - 5,000.001818 Petra Colalong Baguio City, Benguet November 17, 2014 Hemodialysis 4,400.00 - 4,400.001819 Christopher Candelaria Itogon, Benguet November 20, 2014 Hospitalization 5,000.00 5,000.00 -1820 Harry Pagnas Tuba, Benguet November 21, 2014 Hemodialysis 4,400.00 - 4,400.001821 Rafael Montes Buguias, Benguet November 25, 2014 Hemodialysis 4,400.00 - 4,400.001822 Frederick Oller Baguio City, Benguet November 26, 2014 Hemodialysis 4,400.00 - 4,400.001823 Mary Ann Padua Olais Rosales, Pangasinan December 4, 2014 Hospitalization 5,000.00 - 5,000.00

1824 Robert Nabus La Trinidad, Benguet December 5, 2014 Hemodialysis 4,400.00 - 4,400.001825 Teresa Rullan Baguio City, Benguet December 5, 2014 Hemodialysis 4,400.00 - 4,400.001826 Sharon Dalida La Trinidad, Benguet December 5, 2014 Hemodialysis 4,400.00 - 4,400.001827 Nancy Ayson Baguio City, Benguet December 5, 2014 Hemodialysis 4,400.00 - 4,400.001828 Leandro Tandoc Baguio City, Benguet December 8, 2014 Hemodialysis 4,400.00 - 4,400.001829 Jerry Galacyan Taynan Baguio City, Benguet December 8, 2014 Hemodialysis 4,400.00 - 4,400.001830 April Sakiwat Baguio City, Benguet December 8, 2014 Medicines 4,400.00 - 4,400.001831 Janice Bobila Barlig, Mt. Province December 8, 2014 Hemodialysis 4,400.00 - 4,400.001832 Juliet Pascual Burgos, La Union December 8, 2014 Hemodialysis 4,400.00 - 4,400.001833 Delfin Gomari Mangusan Sagada, Mountain ProvinceDecember 9, 2014 Hemodialysis 4,400.00 - 4,400.001834 Julie Ann Pinos-an Falingchan Baguio City, Benguet December 10, 2014 Hemodialysis 4,400.00 - 4,400.001835 Roy Sagalto Sagada, Mountain ProvinceDecember 11, 2014 Hemodialysis 4,400.00 - 4,400.001836 Cresencio Doriano Baguio City, Benguet December 11, 2014 Hemodialysis 4,400.00 - 4,400.001837 Emilda Bustarde Baguio City, Benguet December 11, 2014 Medicines 4,400.00 - 4,400.001838 Eudencia Canlas Baguio City, Benguet December 12, 2014 Hemodialysis 4,400.00 - 4,400.001839 Edwin Bonoy Baguio City, Benguet December 12, 2014 Hemodialysis 4,400.00 - 4,400.001840 Marco Bumacas Baguio City, Benguet December 12, 2014 Hemodialysis 4,400.00 - 4,400.001841 Roel Cruz Baguio City, Benguet December 12, 2014 Medicines 4,400.00 - 4,400.001842 Benjamin A. Valdez Baguio City, Benguet December 12, 2014 Hospitalization 5,000.00 - 5,000.001843 Maribel Llegado Baguio City, Benguet December 15, 2014 Hospitalization 5,000.00 - 5,000.001844 John P. Cawayan Baguio City, Benguet December 15, 2014 Hemodialysis 4,400.00 - 4,400.001845 Guigeon Tumingeb Baguio City, Benguet December 15, 2014 Medicines 4,400.00 - 4,400.001846 Monico Herman Tuba, Benguet December 15, 2014 Hemodialysis 4,400.00 - 4,400.001847 Almario Benitez Jr Baguio City, Benguet December 16, 2014 Hemodialysis 4,400.00 - 4,400.001848 Rhenz Bumanglag Baguio City, Benguet December 16, 2014 Hospitalization 10,000.00 - 10,000.001849 David Ferrer Baguio City, Benguet December 16, 2014 Chemotherapy 15,000.00 - 15,000.001850 Amor Orpilla Baguio City, Benguet December 16, 2014 Hemodialysis 4,400.00 - 4,400.001851 Jonathan Nadeydey Baguio City, Benguet December 17, 2014 Hemodialysis 4,400.00 - 4,400.001852 Rene Richmond Carino La Trinidad, Benguet December 17, 2014 Hemodialysis 4,400.00 - 4,400.001853 Fely Galon Baguio City, Benguet December 17, 2014 Hemodialysis 4,400.00 - 4,400.001854 Roger C. Alsaen Sr. Atok, Benguet December 17, 2014 Hemodialysis 4,400.00 - 4,400.001855 Lupo V. Masanda Sison Pangasinan December 18, 2014 Hemodialysis 4,400.00 - 4,400.001856 Rebecca Corpuz Anda, Pangasinan December 18, 2014 Hemodialysis 4,400.00 - 4,400.001857 Flordeliza Mirhan Baguio City, Benguet December 18, 2014 Hemodialysis 4,400.00 - 4,400.001858 Nicasio Casido Baguio City, Benguet December 18, 2014 Hemodialysis 4,400.00 - 4,400.001859 Mitchelle Tangdol Maludon Kabugao, Apayao December 19, 2014 Hospitalization 20,000.00 - 20,000.001860 Adela B. Enrade Tuba, Benguet December 19, 2014 Lab and Meds 4,400.00 - 4,400.001861 Nanny Carpio Tuba, Benguet December 22, 2014 Hemodialysis 4,400.00 - 4,400.001862 Jonathan Cario Seguin Baguio City, Benguet December 22, 2014 Hospitalization 4,400.00 - 4,400.001863 Rowena Valdez Rosales, Pangasinan December 23, 2014 Hemodialysis 4,400.00 - 4,400.001864 Erly Dumansi Baguio City, Benguet December 29, 2014 Hemodialysis 4,400.00 - 4,400.001865 Mary Grace D. Binay-an Baguio City, Benguet December 29, 2014 Hemodialysis 4,400.00 - 4,400.001866 Wanhay, Benita Cayat Eheb, Tinoc, Ifugao May 6, 2014 Hospitalization 92,095.75 92,095.75 -1867 Bumohya, Klein Xander Balajo Lagawe, Ifugao May 9, 2014 Hospitalization 23,311.00 15,334.75 7,976.251868 Gulom, Micah Umalco Caba, Lagawe, Ifugao June 2, 2014 Chemotherapy 263,142.00 10,655.00 252,487.001869 Gulom, Micah Umalco Caba, Lagawe, Ifugao June 2, 2014 Hospitalization 50,000.00 - 50,000.001870 Amayna, Jose Sr. Matebla Kiangan, Ifugao June 17, 2014 Chemotherapy 50,000.00 50,000.00 -1871 Dinamling, Jane Atiwon Lagawe, Ifugao June 23, 2014 Hospitalization 100,000.00 23,031.70 76,968.301872 Baguiwong, Wilma Tillay Kiangan, Ifugao June 30, 2014 Hospitalization 50,000.00 27,248.00 22,752.001873 Camara, Alfredo Dizon Lagawe, Ifugao July 2, 2014 Hospitalization 85,419.75 85,419.75 -1874 Jimmy Gano Hingyon Ifugao July 8, 2014 Hospitalization 50,000.00 13,437.50 36,562.501875 Noel Ananayo Kiangan, Ifugao July 9, 2014 Hospitalization 50,000.00 13,163.25 36,836.751876 Micah Flor Gulom Lagawe, Ifugao July 10, 2014 Hospitalization 50,000.00 15,372.50 34,627.501877 Jose Amayna Sr. Kiangan, Ifugao July 21, 2014 Chemotherapy 100,000.00 18,500.00 81,500.001878 Jose Amayna Sr. Kiangan, Ifugao July 21, 2014 Hospitalization 50,000.00 - 50,000.001879 Lito Olsim Tinoc, Ifugao July 30, 2014 Hospitalization 50,000.00 24,724.75 25,275.251880 Aida D. Guinsiman Tinoc, Ifugao August 11, 2014 Hospitalization 100,000.00 - 100,000.001881 Bugan Dayawon Popoc Banaue, Ifugao August 14, 2014 Hospitalization 50,000.00 14,732.40 35,267.601882 Noemi Habbiling Ballogan Baguio City August 14, 2014 Hospitalization 3,000.00 3,000.00 -1883 Dexter Calhi Tumayan Tinoc, Ifugao August 15, 2014 Hospitalization 30,000.00 18,062.00 11,938.001884 Zhianzy Binuhe Ognayon Banaue, Ifugao August 20, 2014 Hospitalization 2,000.00 2,000.00 -1885 Klein Xander Balajo Bumohya Lagawe, Ifugao September 5, 2014 Hospitalization 50,000.00 12,958.50 37,041.501886 Reyward Angel Bautista Alfonso Lista (Potia) IfugaoSeptember 9, 2014 Hospitalization 50,000.00 15,307.75 34,692.251887 Mateo Taccab Ngayaan Banaue, Ifugao September 11, 2014 Hospitalization 4,378.00 4,378.00 -1888 Felisa Tayaban Banaue, Ifugao September 25, 2014 Hospitalization 50,000.00 20,886.24 29,113.761889 Alice Matro Lagawe (Capital), Ifugao September 30, 2014 Hospitalization 15,136.00 15,136.00 -1890 Liezle B. Kinakin Lagawe (Capital), Ifugao October 7, 2014 Hemodialysis 30,000.00 - 30,000.001891 Maria Nadyahan Banaue, Ifugao October 10, 2014 Medicines 33,000.00 - 33,000.00

1892 Jane Belingon Balangui Tinoc, Ifugao October 17, 2014 Medicines 6,000.00 2,280.00 3,720.001893 Gil Galla Tinoc, Ifugao October 24, 2014 Hospitalization 30,000.00 30,000.00 -1894 Nora T. Immatong Banaue, Ifugao November 6, 2014 Hospitalization 86,385.25 20,717.25 65,668.001895 Isabel Nguynguyan Hingyon Ifugao November 7, 2014 Medicines 20,000.00 - 20,000.001896 Jane Balangui Tinoc, Ifugao November 10, 2014 AVF Creation 10,000.00 9,950.00 50.001897 Unard Omarco Hungduan, Ifugao November 12, 2014 Hospitalization 30,000.00 29,982.25 17.751898 Leslie Lou Yeleina S. Oligario Bagabag Nueva Vizcaya November 14, 2014 Hospitalization 70,000.00 - 70,000.001899 Andres Winnan Guinanghan Asipulo, Ifugao December 1, 2014 Hospitalization 21,755.50 - 21,755.501900 Celine Imbalat Hingyon Ifugao December 2, 2014 Hospitalization 22,000.00 - 22,000.001901 Mateo Taccab Ngayaan Banaue, Ifugao December 15, 2014 Hospitalization 7,878.58 - 7,878.581902 Ribel Bosno Lahina Mayoyao, Ifugao December 16, 2014 Hospitalization 1,171.29 - 1,171.291903 Bernabe Belingon Lagawe (Capital), Ifugao December 18, 2014 Hospitalization 40,000.00 - 40,000.001904 Bernabe Belingon Lagawe (Capital), Ifugao December 18, 2014 Hemodialysis 72,000.00 - 72,000.001905 Liezle B. Kinakin Lagawe (Capital), Ifugao December 23, 2014 Hemodialysis 30,000.00 - 30,000.001906 Rovie Richmond Abanes City of Mandaluyong NCR DistrictJuly 25, 2014 Hospitalization 100,000.00 47,584.23 52,415.771907 Abdon Rafael Asingan, Pangasinan September 11, 2014 Hospitalization 8,400.00 8,400.00 -1908 Dominador Caser San Nicolas, Pangasinan October 1, 2014 Hospitalization 6,800.00 6,800.00 -1909 Benjamin Aquijo Pangasinan October 1, 2014 Hospitalization 3,308.37 3,308.37 -1910 Adrian Panganiban Santa Maria Pangasinan November 17, 2014 Hospitalization 10,000.00 10,000.00 -1911 Marlo Balanon Gorospe Umingan, Pangasinan December 12, 2014 Hospitalization 10,000.00 - 10,000.001912 Nancy Calica Ayson Baguio City, Benguet November 18, 2014 Hemodialysis 10,000.00 - 10,000.001913 Adela Enrade Tuba, Benguet October 17, 2014 Medicines 2,000.00 - 2,000.001914 Geraldine Solera Baguio City, Benguet October 24, 2014 Hospitalization 3,000.00 3,000.00 -1915 Estela Trillanes Baguio City, Benguet November 7, 2014 Medicines 2,000.00 - 2,000.001916 Rogelio Gojonera Baguio City, Benguet November 19, 2014 Hospitalization 3,000.00 - 3,000.001917 Arnold Aquino Baguio City, Benguet November 20, 2014 Hospitalization 5,000.00 5,000.00 -1918 Domingo Rimando Baguio City, Benguet November 20, 2014 Medicines 2,000.00 - 2,000.001919 Monico Herman Tuba, Benguet November 20, 2014 Hemodialysis 2,500.00 - 2,500.001920 Carmen Quirimo Baguio City, Benguet December 11, 2014 Hemodialysis 5,000.00 - 5,000.001921 Verando Solis Baguio City, Benguet December 12, 2014 Medicines 2,000.00 - 2,000.001922 Ramil N. Quitola Baguio City, Benguet December 16, 2014 Hospitalization 5,000.00 - 5,000.001923 Nancy Calica Ayson Baguio City, Benguet November 18, 2014 Hemodialysis 10,000.00 - 10,000.00

TOTAL 12,947,416.94 7,037,665.98 5,909,750.96

SUMMARY:

Total Allocation - Total (actual Utilization)27,080,000.00PhP

Prepared by: Certified Correct: Approved by:

EMMANUEL F. ACLUBA, MD, MHAMedical Center Chief II

Head, Budget Section

7,037,665.98PhP 20,042,334.02PhP

ROSELAINE B. MACABADA EDNA L. MOGAMOG, CPASupervising Administrative Officer