SEQ ADMISSION ROOM

05/23/2019 07:00:00 211 - A

05/25/2019 10:50:00 ICU 1
05/27/2019 07:15:00 208 1
06/03/2019 01:00:00 228
06/03/2019 04:00:00 201 2
06/04/2019 01:30:00 202 1
06/05/2019 08:20:00 210 1
06/06/2019 01:15:00 245
06/06/2019 05:30:00 244
06/06/2019 09:30:00 ICU 2
06/07/2019 07:00:00 209 3
06/07/2019 10:25:15 230
06/07/2019 10:30:00 205
06/07/2019 11:00:00 204 - B
06/08/2019 01:30:00 246
06/08/2019 02:15:00 209 4
06/08/2019 06:40:00 218 3
06/08/2019 09:20:00 231
06/08/2019 10:45:00 210 3
06/09/2019 01:03:54 210 4
06/09/2019 03:00:06 233
06/09/2019 07:00:00 201 1
06/09/2019 08:00:42 234
06/09/2019 08:30:00 247 1
06/09/2019 08:30:00 232
06/09/2019 09:15:00 223
06/09/2019 11:11:29 241
06/10/2019 01:22:25 204 - B
06/10/2019 06:36:17 247 3
06/10/2019 07:45:00 247 2
06/10/2019 08:15:00 206
06/10/2019 08:45:00 217 1
06/10/2019 09:42:31 217 2
06/10/2019 11:00:00 211
06/10/2019 11:06:20 209 1
06/10/2019 12:00:00 225 A
06/10/2019 12:45:00 225 A
06/11/2019 01:50:00 243
06/11/2019 03:40:00 209 2
06/11/2019 04:00:00 220 1
06/11/2019 07:00:00 247 4
06/11/2019 07:30:00 220 2
06/11/2019 08:30:00 217 3
06/11/2019 11:00:00 211 - A
06/11/2019 12:15:00 239
06/12/2019 02:00:00 201 3
06/12/2019 04:30:00 240
06/12/2019 05:17:34 209 5
06/12/2019 07:23:18 242

Page 1 of 5
PATIENT
LUAGUE, CRISTOPHER, ALCAZAR
TAYLOR, CHRISTOPHER, STANLEY
MALANGLE, MIAS, FLORIDA
LEGASPI, SMYRNA, MATEO
DEL ROSARIO, EULALIA, LARA
CAMANZO, BENJAMIN SR., ELUMER
MALABAGO, ADRIAN, MIGRASO
TELOD, JOSEPHINE, SALADA
CARPIO, DOMINADOR, ORTIZ
SANTOS, REX, GENELSA
TORREMUCHA, KYLIE FATE, TAPANG
CARDEÑO, ROCCO CALEB, COMPRA
JALANDONI, MARIFE, MAGDALERA
PORRAS, CELIA CHLOE, NAVA
MARABULAS, IGIE, CRUZ
CACHO, FELIX LEVI, CAMALLERE
CEJUELA, DANILO, TAMPUS
VALDEZ, FYODOR LANCE, RUFINO
TOGA, MARCELINO, ANGI
PALOMA, JOSEPH, CHUA
MARQUEZ, MARY AUDREY CELICA, .
ZABATE, TEOFILA, GONZALES
MENSAVILLA, JAIME, RUIZ
GALOLO, CONCEPCION, BUDLONG
MANGAHAS, ZOEY SEPHIA, PORTICOS
SHOUKRY MAHMOUD, MARIAM, MOHAMED
SELNES, EDGAR, ASMOD
MANLIGUEZ, SOCORRO, SERRANO
JUMO, IRENE, SEDO
GELBOLINGO, MILA, PAGENTE
HONGAYO, HENRY, LOPENA
BELANDRES, JENNYFER, ANCHETA
MAGALSO, REBECCA, GILAGA
ZACARIAS, VIRGINIA, APEROCHO
GOZON, ALFRED LOURENCE, AGUILO
MANLULU, SEBASTIAN DOMINICK, SOMOGOD
GEONZON, CHRISTENSE, LABBAO
DOMABOC, ALEIZAH MARIE CARLA, FUENTES
SERRANO, YESHUA JAEL, EAMIGUEL
TROCIO, KENT, NAMO
NAPATOTAN, NELLY, SIGUA
SONGCAYAUON, MYKIE, SAMBADE
YAMANAKA, CARMEN, PARRAS
CORPUZ, JULIE CRIS, SAUBAN
SOURIBIO, HERMINIO, SALVALOSA
PASCO, MARCELINA, RAMADA
JUSA, BENJAMIN, VILLA
PATRIARCA, JONATHAN, ABALAYON
MIRANDA, NELIDA, DESCALTOSA

Page 2 of 5
HMOCO HOSPBILL HOSPSHAREPF
COCOLIFE HEALTHCARE 213,786.60 140,666.60 73,120.00
PHIC 217,269.25 217,269.25 0.00
PCSO 54,246.30 38,946.30 15,300.00
PHIC 90,223.70 90,223.70 0.00
PHIC 72,429.45 72,429.45 0.00
PHIC 49,067.80 49,067.80 0.00
COCOLIFE HEALTHCARE 43,242.60 43,242.60 0.00
PHIC 31,971.30 31,971.30 0.00
PHIC 75,842.15 75,842.15 0.00
INSULAR HEALTHCARE 76,429.10 76,429.10 0.00
PHIC 15,862.20 15,862.20 0.00
PHIC 15,190.05 15,190.05 0.00
COCOLIFE HEALTHCARE 39,856.85 39,856.85 0.00
PHIC 25,887.80 25,887.80 0.00
PHIC 24,705.55 14,685.55 10,020.00
PHIC 17,253.85 17,253.85 0.00
PHIC 46,377.05 32,577.05 13,800.00
CARITAS 14,866.40 14,866.40 0.00
PHIC 34,231.25 34,231.25 0.00
PHIC 29,586.20 29,586.20 0.00
PHIC 41,313.30 41,313.30 0.00
PHIC 18,640.95 18,640.95 0.00
PHIC 39,825.15 39,825.15 0.00
PHIC 28,357.45 28,357.45 0.00
PHIC 11,834.80 11,834.80 0.00
PHIC 20,031.95 20,031.95 0.00
CARE HEALTH PLUS 26,949.85 26,949.85 0.00
PHIC 9,628.50 9,628.50 0.00
INTELLICARE 86,480.90 86,480.90 0.00
PHIC 18,217.65 18,217.65 0.00
MAXICARE HEALTHCARE CORP. 12,498.85 12,498.85 0.00
MAXICARE HEALTHCARE CORP. 16,534.55 16,534.55 0.00
PHIC 9,604.30 9,604.30 0.00
PHIC 21,481.00 21,481.00 0.00
PHIC 5,141.60 5,141.60 0.00
INTELLICARE 11,922.40 11,922.40 0.00
PHIC 30,186.60 30,186.60 0.00
COCOLIFE HEALTHCARE 3,677.00 3,677.00 0.00
PHIC 8,709.15 8,709.15 0.00
PHIC 11,495.20 11,495.20 0.00
PHIC 5,493.50 5,493.50 0.00
PHIC 5,975.20 5,975.20 0.00
PHIC 38,244.60 38,244.60 0.00
PHIC 4,080.55 4,080.55 0.00
PHIC 13,776.15 13,776.15 0.00
PHIC 9,970.70 9,970.70 0.00
PHIC 14,677.50 14,677.50 0.00
PHIC 3,175.65 3,175.65 0.00
PHIC 5,115.00 5,115.00 0.00

Page 3 of 5
PAYMENT
0.00
140,000.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
5,000.00
0.00
0.00
0.00
3,000.00
3,000.00
0.00
0.00
0.00
0.00
0.00
3,000.00
0.00
0.00
0.00
3,000.00
10,000.00
3,000.00
15,000.00
0.00
0.00
0.00
9,000.00
5,000.00
0.00
0.00
20,000.00
0.00
0.00
0.00
5,000.00
0.00
0.00
3,000.00
3,000.00
0.00
0.00
0.00
0.00

Page 4 of 5
REMARKS
DISCHARGED

DISCHARGED

DISCHARGED

DISCHARGED

Page 5 of 5