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    Detailed Statement of Account: Piddig District Hospital

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    LA ZY RO
    The document is a detailed statement of account from Piddig District Hospital in Ilocos Norte, Philippines. It lists medical items provided including medicines, x-rays, laboratory tests, and medical supplies. The statement provides the item name, quantity, unit price, actual charges, and any benefits covered by PhilHealth for each item.

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    Detailed Statement of Account: Piddig District Hospital

    Uploaded by

    LA ZY RO
    12 views1 page
    The document is a detailed statement of account from Piddig District Hospital in Ilocos Norte, Philippines. It lists medical items provided including medicines, x-rays, laboratory tests, and medical supplies. The statement provides the item name, quantity, unit price, actual charges, and any benefits covered by PhilHealth for each item.

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    summary

    Original Title

    DSOA

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    The document is a detailed statement of account from Piddig District Hospital in Ilocos Norte, Philippines. It lists medical items provided including medicines, x-rays, laboratory tests, and medical supplies. The statement provides the item name, quantity, unit price, actual charges, and any benefits covered by PhilHealth for each item.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    12 views1 page

    Detailed Statement of Account: Piddig District Hospital

    Uploaded by

    LA ZY RO
    The document is a detailed statement of account from Piddig District Hospital in Ilocos Norte, Philippines. It lists medical items provided including medicines, x-rays, laboratory tests, and medical supplies. The statement provides the item name, quantity, unit price, actual charges, and any benefits covered by PhilHealth for each item.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    Republic of the Philippines

    Province of Ilocos Norte


    PIDDIG DISTRICT HOSPITAL
    Piddig, Ilocos Norte

    DETAILED STATEMENT OF ACCOUNT

    MEDICINE Actual PHILHEALTH


    Preparation
    Generic/Brand Name (Amp/Cap/Syrup/Injectable/tab with mL/mg/gm content) Qty. Unit Price Charges Benefits

    TOTAL
    X-RAY, LABORATORIES, SUPPLIES AND OTHERS
    Actual PHILHEALTH
    Particulars Qty. Unit Price Charges Benefits
    A. X-ray (Imaging)

    B. Laboratories/Diagnostics
    CBC
    Urinalysis
    Fecalysis
    Platelet Count
    Blood Typing
    Hgb./Hct. Determination
    ECG
    NBS

    TOTAL
    C. Supplies and Othes
    Syringe
    Cotton
    Plaster
    Gauze
    Gloves
    Cutgut
    Cord clamp
    Macroset
    Microset
    Abbocatheter
    Used of Nebulizer
    Lidocaine
    TOTAL

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