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  • List of Itemized Medicine: Name of Medicine Name of Drugstore or Pharmacy No. of Official Receipt Month

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    beatriela
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    This document contains two lists: a list of itemized medicine and a statement of account. The list of itemized medicine details the name, pharmacy, receipt number, and month for various medical purchases including Survanta, IV Globulin, a mechanical vent rental, and various lab tests and supplies. The statement of account matches each medicine to the pharmacy, receipt number, and cost, totaling all expenses to P24,675.74.

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    Med Reimbursement Dapul

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    This document contains two lists: a list of itemized medicine and a statement of account. The list of itemized medicine details the name, pharmacy, receipt number, and month for various medical purchases including Survanta, IV Globulin, a mechanical vent rental, and various lab tests and supplies. The statement of account matches each medicine to the pharmacy, receipt number, and cost, totaling all expenses to P24,675.74.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    5 views3 pages

    List of Itemized Medicine: Name of Medicine Name of Drugstore or Pharmacy No. of Official Receipt Month

    Uploaded by

    beatriela
    This document contains two lists: a list of itemized medicine and a statement of account. The list of itemized medicine details the name, pharmacy, receipt number, and month for various medical purchases including Survanta, IV Globulin, a mechanical vent rental, and various lab tests and supplies. The statement of account matches each medicine to the pharmacy, receipt number, and cost, totaling all expenses to P24,675.74.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 3

    LIST OF ITEMIZED MEDICINE

    NAME OF
    MEDICINE
    NAME OF DRUGSTORE
    OR PHARMACY
    NO. OF OFFICIAL
    RECEIPT
    MONTH
    1040 008 Survanta
    SML
    AB SANDOVAL
    DRUGSTORE, INC.
    2
    nd
    Floor AB Sandoval Bldg.
    Show Boulevard cor Oranbo
    Drive, Pasig City, Metro
    Manila
    OR# 0082531 22 May 2009
    IV Globulin
    10ml(s)
    VIZCARRA
    PHARMACEUTICAL INC.
    Segundina Bldg., 464 UN
    Ave., Ermita, Manila, Phil
    OR# 151310 27 May 2009
    2days rental Mech.
    Vent
    PNEUMOVENT MEDICAL
    ENTERPRISES
    #14 Lopez Jaena St., Galas,
    Quezon City
    OR# 7382 23 May 2009
    Lab 696998
    PF
    Phil Childrens Med Center
    (PCMC)
    Quezon Ave., Quezon City
    OR# 356585 24 May 2009
    Lab 696875
    PF
    Phil Childrens Med Center
    (PCMC)
    Quezon Ave., Quezon City
    OR# 356140 23 May 2009
    Lab 696997
    PF
    Phil Childrens Med Center
    (PCMC)
    Quezon Ave., Quezon City
    OR# 356577 24 May 2009
    Working Gloves
    1box
    MERCURY DRUG CORP.
    V. Luna cor East Ave.,
    Quezon City
    OR# 425566 26 May 2009
    Working Gloves
    1box
    Pampers diaper
    ADCARE DRUG/
    GENERAL
    MERCHANDISE, INC.
    I-E Malapat St., V. Luna
    Road, Quezon City
    OR# 13250 25 May 2009
    Salbutamol
    Nebules #3
    MERCURY DRUG CORP.
    V. Luna cor East Ave.,
    Quezon City
    OR# 320595 27 May 2009













    STATEMENT OF ACCOUNT
    NAME OF
    MEDICINE
    NAME OF DRUGSTORE
    OR PHARMACY
    NO. OF OFFICIAL
    RECEIPT
    AMOUNT OF
    MEDICINE
    1040 008 Survanta
    SML
    AB SANDOVAL
    DRUGSTORE, INC.
    2
    nd
    Floor AB Sandoval Bldg.
    Show Boulevard cor Oranbo
    Drive, Pasig City, Metro
    Manila
    OR# 0082531 P16,441.24
    IV Globulin
    10ml(s)
    VIZCARRA
    PHARMACEUTICAL INC.
    Segundina Bldg., 464 UN
    Ave., Ermita, Manila, Phil
    OR# 151310 3,300.00
    2days rental Mech.
    Vent
    PNEUMOVENT MEDICAL
    ENTERPRISES
    #14 Lopez Jaena St., Galas,
    Quezon City
    OR# 7382 1,300.00
    Lab 696998
    PF
    Phil Childrens Med Center
    (PCMC)
    Quezon Ave., Quezon City
    OR# 356585 524.00
    Lab 696875
    PF
    Phil Childrens Med Center
    (PCMC)
    Quezon Ave., Quezon City
    OR# 356140 543.00
    Lab 696997
    PF
    Phil Childrens Med Center
    (PCMC)
    Quezon Ave., Quezon City
    OR# 356577 543.00
    Working Gloves
    1box
    MERCURY DRUG CORP.
    V. Luna cor East Ave.,
    Quezon City
    OR# 425566 225.00
    Working Gloves
    1box
    Pampers diaper
    ADCARE DRUG/
    GENERAL
    MERCHANDISE, INC.
    I-E Malapat St., V. Luna
    Road, Quezon City
    OR# 13250 275.00
    Salbutamol
    Nebules #3
    MERCURY DRUG CORP.
    V. Luna cor East Ave.,
    Quezon City
    OR# 320595 102.00
    Total Amount P24,675.74

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