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    Matet Deang
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    The document is a medical report summarizing services for a period. It shows breakdowns of numbers of employees, social security recipients, beneficiaries and amounts. All categories have zeros, indicating no patients or services provided in the period. The report was prepared by Aura Joyce D. Buan.

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    The document is a medical report summarizing services for a period. It shows breakdowns of numbers of employees, social security recipients, beneficiaries and amounts. All categories have zeros, indicating no patients or services provided in the period. The report was prepared by Aura Joyce D. Buan.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
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    Download as xlsx, pdf, or txt
    14 views21 pages

    BLANK

    Uploaded by

    Matet Deang
    The document is a medical report summarizing services for a period. It shows breakdowns of numbers of employees, social security recipients, beneficiaries and amounts. All categories have zeros, indicating no patients or services provided in the period. The report was prepared by Aura Joyce D. Buan.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 21

    SMALL TOWN LOTTERY

    GENERAL MEDICAL SERVICES


    REPORT OF
    FOR THE PERIOD OF

    BREAKDOWN SUMMARY REPORT

    NR. PROVINCE EMP SS SR BEN AMOUNT


    0 0 0 0 -
    0 0 0 0 -
    0 0 0 0 -
    0 0 0 0 -
    0 0 0 0 -
    0 0 0 0 -
    0 0 0 0 -
    0 0 0 0 -
    0 0 0 0 -
    0 0 0 0 -

    OVER ALL TOTAL NO. OF PATIENT / STATION


    0 0 0 0 0

    OVER ALL TOTAL AMOUNT -

    PREPARED BY: NOTED BY:

    AURA JOYCE D. BUAN


    SMALL TOWN LOTTERY
    GENERAL MEDICAL SERVICES
    REPORT OF
    FOR THE PERIOD OF

    BREAKDOWN SUMMARY REPORT


    NR. PROVINCE EMP SS SR BEN TOTAL
    0 0 0 0 0
    0 0 0 0 0
    0 0 0 0 0
    0 0 0 0 0
    0 0 0 0 0
    0 0 0 0 0
    0 0 0 0 0
    0 0 0 0 0
    0 0 0 0 0
    0 0 0 0 0

    TOTAL OF PATIENTS / STATION 0 0 0 0

    OVER ALL TOTAL OF PERSON 0

    PREPARED BY: NOTED BY:

    AURA JOYCE D. BUAN


    SMALL TOWN LOTTERY
    GENERAL MEDICAL SERVICES
    REPORT OF
    FOR THE PERIOD OF

    NAME CATEGORY POSITION ID #


    NR AGE ADDRESS STATION
    PATIENT EMP SS SR BEN RELATIONSHIP
    TOTAL NO. OF PATIENTS 0 0 0 0
    SUB TOTAL

    NAME CATEGORY ID #
    NR PATIENT EMP SS SR BEN POSITION RELATIONSHIP AGE ADDRESS STATION
    TOTAL NO. OF PATIENTS 0 0 0 0
    SUB TOTAL

    NAME CATEGORY ID #
    NR PATIENT EMP SS SR BEN POSITION RELATIONSHIP AGE ADDRESS STATION

    TOTAL NO. OF PATIENTS 0 0 0 0


    SUB TOTAL
    NAME CATEGORY ID #
    NR PATIENT EMP SS SR BEN POSITION RELATIONSHIP AGE ADDRESS STATION

    TOTAL NO. OF PATIENTS 0 0 0 0


    SUB TOTAL

    NAME CATEGORY OTHERS ID #


    NR ADDRESS STATION
    PATIENT EMP SS SR BEN RELATIONSHIP AGE
    TOTAL NO. OF PATIENTS 0 0 0 0
    SUB TOTAL

    NAME CATEGORY OTHERS ID #


    NR ADDRESS STATION
    PATIENT EMP SS SR BEN RELATIONSHIP AGE

    TOTAL NO. OF PATIENTS 0 0 0 0


    SUB TOTAL
    NAME CATEGORY OTHERS ID #
    NR ADDRESS STATION
    PATIENT EMP SS SR BEN RELATIONSHIP AGE

    TOTAL NO. OF PATIENTS 0 0 0 0


    SUB TOTAL

    NAME CATEGORY OTHERS ID #


    NR ADDRESS STATION
    PATIENT EMP SS SR BEN RELATIONSHIP AGE
    TOTAL NO. OF PATIENTS 0 0 0 0
    SUB TOTAL

    NAME CATEGORY OTHERS ID #


    NR ADDRESS STATION
    PATIENT EMP SS SR BEN RELATIONSHIP AGE

    TOTAL NO. OF PATIENTS 0 0 0 0


    SUB TOTAL

    NAME CATEGORY ID #
    NR OTHERS ADDRESS STATION
    AGE
    NR OTHERS ADDRESS STATION
    PATIENT EMP SS SR BEN RELATIONSHIP AGE

    TOTAL NO. OF PATIENTS 0 0 0 0


    SUB TOTAL

    GRAND TOTAL NO. OF PATIENTS 0 0 0 0 TOTAL


    DIAGNOSIS / PLAN
    TOTAL
    PROCEDURE
    -

    DIAGNOSIS / PLAN

    PROCEDURE TOTAL
    -

    DIAGNOSIS / PLAN

    PROCEDURE TOTAL

    -
    DIAGNOSIS / PLAN

    PROCEDURE TOTAL

    DIAGNOSIS / PLAN
    TOTAL
    PROCEDURE
    -

    DIAGNOSIS / PLAN
    TOTAL
    PROCEDURE

    -
    DIAGNOSIS / PLAN
    TOTAL
    PROCEDURE

    DIAGNOSIS / PLAN
    TOTAL
    PROCEDURE
    -

    DIAGNOSIS / PLAN
    TOTAL
    PROCEDURE

    DIAGNOSIS / PLAN
    TOTAL
    TOTAL
    PROCEDURE

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