PHC-5th Iloilo-Myrna Babe Villaluz

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Republic of the Philippines

Department of Health
Medical Assistance Program

________________________________________________________________________________
PHC-180726-119224295AD
INDORSEMENT
July 26, 2018

Respectfully referred to , , PHILIPPINE HEART CENTER, the herein attached approved request of
Myrna Babe Villaluz 66y/o , from PAVIA ILOILO, for the assistance stated below:

Type of Assistance Amount


Hospital bills. 20,000.00

Total Amount P 20,000.00

Amount in Words: Twenty Thousand Pesos Only

50% maximum applicable for PF


Non-Convertible to cash
Valid with attached hospital bill

Code:PHC-180726-119224295AD
Created by: jttillo26

Building 1, San Lazaro Compound, Rizal Avenue Sta. Cruz, Manila, Philippines (632) 651-78-00 local 1110, 743-17-86
www.doh.gov.ph; email: map.doh@gmail.com
Republic of the Philippines
Department of Health
Medical Assistance Program

________________________________________________________________________________
PHC-180726-119224295AD
INDORSEMENT
July 26, 2018

Respectfully referred to , , PHILIPPINE HEART CENTER, the herein attached approved request of
Myrna Babe Villaluz 66y/o , from PAVIA ILOILO, for the assistance stated below:

Type of Assistance Amount


Hospital bills. 20,000.00

Total Amount P 20,000.00

Amount in Words: Twenty Thousand Pesos Only

50% maximum applicable for PF


Non-Convertible to cash
Valid with attached hospital bill

Code:PHC-180726-119224295AD
Created by: jttillo26

Building 1, San Lazaro Compound, Rizal Avenue Sta. Cruz, Manila, Philippines (632) 651-78-00 local 1110, 743-17-86
www.doh.gov.ph; email: map.doh@gmail.com

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