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MRO Concurrent Report
MRO Concurrent Report
MRO Concurrent Report
5/10/2013
No. of Inpatients: 4
Pt NAME
Sasis, Margarita
Imballa, Estrella
Flores, Anthony
PEDIATRICS
Mem #
66860-00
79275-00
73465-00
83180-01
Plan Type
CNMI CW
Guam
Premier
Premier
Guam
Premier
DOB
10/17/52
9/10/53
9/15/71
2/2/68
Age
60
59
41
45
PA#
130408074
130408072
130509021
130408005
Hospital
SLMC QC
SLMC QC
SLMC GC
SLMC GC
VEIOVIS
Discharged: 0
Prepared by:
Rey Emmanuel S. Lu, MD, Physician Coordinator, TakeCare Insurance Medical Referral Office Philippines
Hosp. PIN
1301188803
1208059985
1211074914
1305007218
Attending MD
De Guzman, Roselle
Serrano, Genueno
Sinamban, Reynaldo
Admit
06-Apr-13
08-May-13
09-May-13
09-May-13
LOS (days)
34
Ward
Onco 2
DLU
South
South
Room
450
3006
959
Admitting Diagnosis
Plan