2020 r2tmc Arta Handbook

REGION II TRAUMA AND MEDICAL CENTER
CITIZEN’S CHARTER
2020 (1st Edition)
REGION II TRAUMA AND MEDICAL CENTER
CITIZEN’S CHARTER
2020 (1st Edition)
ii
I. Mandate:
The hospital was established and formerly known as Veterans Regional

Hospital with an authorized 200 bed capacity through
through the pledge of
Presidential Decree
ecree 376.
With the increasing healthcare demands in 2018, Republic Act 11081 was
passed increasing the bed capacity to 500 and renaming the hospital to
Region II Trauma and Medical Center.
As a tertiary hospital, it is mandated to provide a better quality and cost

effective healthcare services.
II. Vision:
Region II Trauma and Medical Center is in the forefront of trauma care in

Region II.
III. Mission:
To provide accessible, equitable, and excellent health care services in Region

II through people-centered
people centered innovations by empowered and competent
employees.
IV. Service Pledge:

We, the employees of the Region II Trauma and Medical Center, pledge and
commit to deliver quality public service to all our clients, we will:
Serve with integrity;

Be prompt and timely;
Be polite and courteous;
Be available
vailable during office hours;
Wear proper uniform and identification;
Demonstrate sensitivity and appropriate behavior and professionalism;
Display procedures, fees and charges;
Provide a comfortable waiting area;
Provide adequate and accurate information;
Provide feedback mechanism;
Respond to complaints;
Be consistent in applying policies;
Treat everyone equally.
All these we pledge for the Love of God and our fellowmen.
iii
LIST OF SERVICES
Out-Patient Department 1
Out-Patient
Patient Department Triage 2
Out-Patient
Patient Department (OPD) Consultation 4
Rehabilitation Medicine Section 6

Provision of Rehabilitation Medicine Services 7
Complementary and Alternative Health Care Section 9

Provision of Complementary and Alternative Health Care Service 10
Dental Section 13
Dental Services 14
Emergency Medicine Department 17

Emergency Consultation 18
Admitting Section 20
Admission of Patients 21
Employee’s Medical Services and Wellness Clinic 23

Pre-employment Assessment 24
Periodic Health Examination/Annual Physical Examination 25
Consultation 27
Health Information Management Department (Main) 29

Issuance of Birth Certificate Clearance Form 30
Issuance of Certificate of Death 33
Issuance of Medical Certificate/Medico-Legal
Certificate/Medico Certificate 34
Issuance of Clinical Abstract and Filling up of Insurance Forms 37
Issuance of Certificate of Confinement 40
Issuance of Certified True Copies of Medical Records 41
Health Information Management Department (Out-Patient)

(Out 43
Issuance of Patient’s Hospital ID 44
Issuance of Medical Certificate/Medico-Legal
Certificate/Medico Certificate/ 45
Certified True Copy
Issuance of Medical Abstract/Insurance Claims/Medical 48
Test Request
Pathology Department 51
Laboratory Tests 52
Microbiology 53
Histopathology 54
Drug Testing 55
iv
Blood Requisition 56
Walk-In Blood Donation 58
Radiology Department 60
Radiologic Imaging Services 61
Pharmacy Section (Out-Patient)

Patient) 71
Dispensing of Drugs and Medicines 72
Pharmacy Section (In-Patient)

Patient) 73
Dispensing of Drugs and Medicines to In-Patients
In 74
Nutrition and Dietetics Department (Out-Patient)

(Out 76
Nutrition and Dietary Counselling for Out-Patients
Out 77
Nutrition and Dietetics Department (In-Patient)

(In 78
Preparation of Meals for the Patient 79
Nutrition and Dietary Counselling for In-Patients
In 80
Medical Social Work (Malasakit Center) 81

Medical Assistance 82
Medical Social Work 84

Availment of Point of Service--Philhealth 85
Billing and Claims Section 87

Issuance of Computed Statement of Accounts (SOA) 88
Issuance of Itemized/Certified True Copy of SOA, Certified 89
True Copy of Promissory Note and Quotation Letter
Issuance of Eligible to Avail Philhealth Benefit Slip 90
Finance Division-Accounting
Accounting Section, Cash Operations Section 91
and Financial and Management Office
Processing of Disbursements 92
Collection Section 96
Issuance of Official Receipt of Acknowledgement Receipt 97
Human Resource
ource Management Office 99
Issuance of Certificate of Employment (COE), Service Records and 100
Other Human Resource Documents Internal Services
Employment Verification (Online/via Electronic Mail) 102
Filing of Application forr Job Vacancies Published 103
Engineering and Facilities Management Office 105

Request for Repair (RFR) for Management
Manageme of Facilities, Utilities 106
v
and Equipment
Vehicle Transport-Ambulance
Ambulance 107
Vehicle Transport-Office
Office Vehicle 108
Request for Billing and Issuance
ance of Report for Payment 109
Assessment of Medical Equipment for Condemnation 110
Materials Management
ement Section (External) 111
Receipt of Goods/Supplies/Equipment
plies/Equipment Purchased 112
Materials Management
ement Section (Internal) 114
Issuance of Goods/Supplies
ods/Supplies to End-User
End 115
Procurement Section 116

Procurement of Goods/Supplies/Equipment 117
Conduct Public Bidding 119
Professional Education and Training Unit Office 123

Provision of Learning and Development Interventions (LDIs) 124
Submission of Training Reports 125
Application for Affiliates/OJT 126
Legal Office 127

Notarization 128
Review and d Drafting of Agreement 129
Response to External Feedback 130
Management Information Section 131

Management Information
ormation System Services 132
vi
Out-Patient
Patient Department (OPD)
External Service
1
1. OUT-PATIENT DEPARTMENT (OPD) TRIAGE
The triage is a part of the out--patient
patient department which evaluates patients to what clinic
they will be consulted and managed.
Office or Division: Out-Patient

Patient Department (New Normal)
Classification: Simple
Type of Transaction: G2C - Government to Citizen
Who may avail: All clients availing Out-Patient
Patient Department services.
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
1. Face mask Client
2. Face shield Client
FEES
AGENCY TO PROCESSING PERSON
CLIENT STEPS
ACTIONS BE TIME RESPONSIBLE
PAID
1. Wear face mask 1.1 Assess for body None 30 seconds Security Guard
and face shield temperature. Out-Patient
properly Department
1.2 Instruct and
assist the client to
the Triage Waiting
Area.
2. Proceed to the 2.1 Interview and None 3 Minutes Triage Nurse

Triage assess client. Out-Patient
assessment area Department
once called. 2.2 Provide duly
accomplished
COVID
COVID-19
assessment form.
2.3 Instruct to
proceed to Non-
Non
Respiratory Triage
for non-respiratory
non
patient.
2.4 Proceed to
Severe Acute
Respiratory
Infection (SARI)
Clinic for suspected
respiratory patient.
2
3. For non- 3. Interview and None 3 Minutes Triage Nurse
respiratory, assess client. Out-Patient
proceed to the Department
triage area once 3.1. Issue
called and queuing
present duly number.
accomplished
COVID-19 3.2. Instruct to
assessment proceed to
form. designated
clinic.
TOTAL None 6 minutes and 30 seconds
3
1. OUT-PATIENT
PATIENT DEPARTMENT (OPD) CONSULTATION
The out-patient department provides diagnosis, curative, preventive & rehabilitative care
on ambulatory basis. Further, provides follow up care after discharge. OPD also
promotes health and prevents diseases through health education.
Office or Division: Out-Patient Department

Who may avail: All clients availing Out-Patient
Patient Department services.
Queue Number Triage Area
PERSON
AGENCY FEES TO PROCESSIN
CLIENT STEPS RESPONSIBL
ACTIONS BE PAID G TIME
E
1. Present 1.1 Receive and None 1 Minute Clinic Staff
queue check the Out-Patient
number requirements. Department
1.2 Assist the client

to the Waiting
Area.
2. Proceed to 2.1 Interview and None 3 Minutes Clinic Nurse
the assess client (vital Out-Patient
Assessment signs). Department
Area once
name is 2.2 Assist the
called. patient to the
Waiting Area.
3. Proceed to 3. Evaluates None 15 minutes Physician
consultation patient and Out-Patient
room when provides Department
called. management
and
instructions.
4. Proceed to 4. Provide Refer to Please refer Medical
the following required procedures to their Technologist
area/s if laboratory/radiol / drugs and respective
instructed: ogy/ other medicine Citizen’s Radiologic
request and Technologist
Price List Charter
a. Laboratory instruct the Pharmacist
Posted
b. Radiology client
c. Pharmacy
d. Emergency
Room
e. Other clinics
4
5.1 Patient return 5.1 Nurse notify None 15 minutes Physician
to clinic and physician Out-Patient
present Department
diagnostic 5.2 Re-evaluates
evaluates
results. patient and
provides
management and
instructions.
5.3 Provide
disposition
(Treated and Sent
Home or for
admission)
5.4 Provide health

education
TOTAL None 28 minutes excluding diagnostic
tests
5
Rehabilitation Medicine Section
External Services
6
1. PROVISION OF REHABILITATION MEDICINE SERVICES
New or referred patient is assessed to determine rehabilitative needs. The

Physical Therapist/Occupational Therapist performs an extensive PT/OT
Evaluation to determine plan of care and design a specific therapy program
addressing the patient’s problem. After
After patient has been assessed, the PT/OT in
in-
charge will administer treatment modalities and therapeutic exercises. In
addition, the patient and family members are instructed on home exercise
program to hasten recovery.
The patient returns to the Rehab Clinic Clinic to continue Physical

Therapy/Occupational Therapist treatment in order to improve his/her condition.
The Physical Therapist evaluates on going PT/OT program to assess the quality
of patient care and modify treatment as appropriate to the condition of patient.
The Physical Therapist/Occupational Therapist may adjust treatment at various
stages to achieve maximum benefit.
Office or Division: Rehabilitation Medicine Section

Type of G2C-Government
Government to Citizen
Transaction: G2G-Government
Government to Government
Who may avail: Patients Referred for PT/OT for treatment
1. Duly Accomplished COVID-19
COVID
Triage
assessment form
2. Referral Notes Consulting Physician
3. Schedule of Treatment Rehab
4. Charge Slips PT/OT Staff
FEES
AGENCY PROCESSING PERSON
CLIENT STEPS TO BE
ACTIONS TIME RESPONSIBLE
PAID
NEW PATIENT 1.1 Verify and None 1 hour Physical Therapist
1. Present Duly check Occupational
Accomplished presented Therapist
COVID-19 documents Rehabilitation
assessment form Medicine Section
and Referral 1.2 Interview
Notes and assess
patient
1.3 Provide
schedule of
treatment and
instructions
7
FOLLOW UP 1.1 Verify and Physical Therapist
PATIENT check Occupational
1. Present Duly presented Therapist
Accomplished documents Rehabilitation
COVID-19 Medicine Section
assessment form and 1.2 Assist
Schedule of patient to
Treatment. treatment room
and start
treatment
2. After PHP200 1 Minute Physical Therapist
treatment, Occupational
issue Therapist
charge slip Rehabilitation
for payment Medicine Section
at cashier
3. Return charge slip 3. Provide None 5 minutes Physical Therapist
and present health Occupational
official receipt. instruction Therapist
Rehabilitation
Medicine Section
TOTAL PHP200 1 hour and 6 minutes
8
Complementary and Alternative Health Care
(CAHC) Section
External Services
9
1. PROVISION OF COMPLEMENTARY AND ALTERNATIVE HEALTH
CARE (CAHC)
CAHC) SERVICES
The R2TMC - CAHC Section renders holistic health care management to inpatient and
outpatient clients through an integrated approach between Conventional Medicine and
traditional, alternative and preventive; and curable health care practices that has been
proven safe and effective consistent with government standards on medical practice.
Our current major services are Acupuncture (including Scalp Acupuncture, Body
Acupuncture, Facial Acupuncture, and NADA Protocol Ear Acupuncture Detoxification)
and Massage (including Tui Na and DOH Wellness Massage). We also offer other
procedures like Ventosa
entosa or Cupping Techniques, Electro-
Electro Acupuncture, Infrared Lamp
Heat Therapy and Yoga Asana/ Posture classes.
Office or Division: Complementary and Alternative Health Care (CAHC)

(CAHC) Section
G2G
G2G-Government to Government
Who may avail: All clients availing Complementary and Alternative Health
Care services
1. Duly accomplished COVID-19
COVID Triage Area
Assessment Form
2. Queue Number Triage Area
3. Charge Slip CAHC Section
4. Official Receipt Collection Office
FEES
PROCESSING PERSON
CLIENT STEPS AGENCY ACTIONS TO BE
TIME RESPONSIBLE
PAID
1. Present 1.1 Receive and None 1 Minute CAHC
queue check he Staff
number and requirements. CAHC Section
Duly
accomplished 1.2 Assist the client
COVID-19 to the Waiting Area.
Assessment
Form at the
Reception
Area.
2. Proceed to 2. Assess and None a. New/ CAHC
the examine the Referred Staff
Assessment client. Client from CAHC Section
Area once Medical
name is Clinics: 45
called. minutes
b. Follow up
10
Client: 30
Minutes
3. Proceed to 3.1 Conducts Refer to CAHC

the Treatment appropriate CAHC CAHC Staff
Area. service/s: Section CAHC Section
Fees
a. Acupuncture and a. 1 Hour &
b. Ventosa/ Charges. 30 Minutes
Cupping b. 25 Minutes
Therapy c. 1 Hour &
c. Whole Body 10 Minutes
Massage d. 40 Minutes
d. Sectional Body e. 40 Minutes
Massage f. 1 Hour &
e. Infrared Lamp 30 Minutes
Heat Therapy
f. Yoga Asana/
Posture class
3.2 Issuance of 3.2 1 minute

Charge Slip for
payment to
Collection Office
4. Present the 4.1 Check the None 3 Minutes CAHC
Official Official Receipt and Staff
Receipt and collect the issued CAHC Section
submit Charge Slip.
Charge Slip
to the CAHC 4.2 Render health
Section. teaching.
4.3 Schedule client

for follow-up,
up, if
necessary.
TOTAL Refer to NEW PATIENT:
NEW PATIENT CAHC a. 2 hours and 19 minutes
a. Acupuncture Section b. 1 hour and 14 minutes
b. Ventosa/ Cupping Fees c. 1 hour and 59 minutes
Therapy and d. 1 hour and 29 minutes
c. Whole Body Massage Charges. e. 1 hour and 29 minutes
d. Sectional Body Massage f. 2 hours and 19 minutes
e. Infrared Lamp Heat
Therapy FOLLOW-UPUP PATIENT
f. Yoga Asana/ Posture a. 2 hours and 4 minutes
class b. 59 minutes
11
c. 1 hour and 54 minutes
FOLLOW-UP PATIENT d. 1 hour and 14 minutes
a. Acupuncture e. 1 hour and 14 minutes
b. Ventosa/ Cupping f. 2 hours and 4 minutes
Therapy
c. Whole Body Massage
d. Sectional Body Massage
e. Infrared Lamp Heat
Therapy
f. Yoga Asana/ Posture
class
TYPE OF SERVICES PRICE

MASSAGE
WHOLE BODY TUINA MASSAGE PHP350
SECTIONAL TUINA MASSAGE PHP150
DOH WELLNESS MASSAGE PHP350
KAWAYAN (BAMBOO) MASSAGE PHP600
ACUPUNCTURE
BODY ACUPUNCTURE PHP300
EAR ACUPUNCTURE DETOXIFICATION PHP250
ELECTRO-ACUPUNCTURE PHP375
ACUPUNCTURE NEEDLE PHP5
VENTOSA / CUPPING THERAPY
BLEEDING VENTOSA PHP100
FIRE CUPPING PHP75
MANUAL CUPPING PHP75
INFRARED HEATING LAMP THERAPY PHP75
YOGA CLASS
WELLNESS YOGA CLASS PHP300
WELLNESS YOGA 10 SESSIONS PACKAGE PHP2,500
PRIVATE YOGA CLASS PHP1,000
12
Dental Section
External Services
13
1. DENTAL SERVICES
The hospital Dental services is situated at the 3rd floor of the OPD building room 309.
We are catering to all in-patients
patients who are referred to us by the medical departments. An
average of 25 patients a day including out-patients
out patients referred by municipal health office
clinics and nearby hospitals are being served.
served. Our services include the following: filling,
gum treatment, periapical x--ray, panoramic x-ray,ray, oral prophylaxis, tooth extraction,
minor oral-surgical interventions.
Office or DENTAL MEDICINE

Division:
Government to Patients
Who may avail: All Patients With Oral Health Complaints/Diseases
1. Queue Number Triage
2. Charge Slip Dental
3. Official Receipt Cashier
4. Philhealth Eligibility, if applicable Philhealth Desk
FEES PERSON
PROCESSIN
CLIENT STEPS AGENCY ACTIONS TO BE RESPONSIB
G TIME
PAID LE
OLD & NEW PATIENT
1. Present the 1.1 Interview and None 2 Minutes Admin
queue number evaluate the patient’s Assistant I
once the complaints and create Dentist
patient’s name patient chart. Dental
is called. Section
1.2 Take vital signs.
1.3 Refer to the Dentist

for evaluation and
management to be
performed and
discussed to the
patient/guardian.
1.4 Issue charge slip for

payment to the
Collection Office.
14
2. Present Official 2. Perform the Dentist
receipt and return procedures. Dental Aide
charge slip Dental
a. Tooth Extraction a. PHP a. 15 Section
b. Filling 100/t minutes/
c. Oral prophylaxis ooth tooth
(OP) b. PHP b. 30
i. With 275/t minutes/
nicotine/momma ooth tooth
stains c. i. c. 30
ii. Regular OP PHP minutes
d. Gum treatment 500 d. 1 minute
e. Periapical x-ray
x ii. e. 10
f. Panoramic x-ray x PHP minutes
g. Minor oral-surgical
oral 275 f. 2 minutes
interventions d. PHP g. 2 hours
i. Odontectomy and 250 and 30
Operculectomy e. PHP minutes
ii. Alveolectomy 200
f. PHP
1,00
2.2 Provide instruction 0
for oral healthcare. g. i.
PHP
8,02
0
ii.
PHP
8,26
0
TOTAL
a. Tooth Extraction
b. Filling
c. Oral prophylaxis (OP) a. PHP a. 17 minutes/ tooth
i. With nicotine/momma stains 100/t b. 32 minutes/ tooth
ii. Regular OP ooth c. 32 minutes
d. Gum treatment b. PHP d. 3 minute
e. Periapical x-ray 275/t e. 12 minutes
f. Panoramic x-ray ooth f. 4 minutes
g. Minor oral-surgical
surgical interventions c. i. g. 2 hours and 32 minutes
i. Odontectomy and PHP
Operculectomy 500
ii. Alveolectomy ii.
PHP
15
275
d. PHP
250
e. PHP
200
f. PHP
1,00
0
g. i.
PHP
8,02
0
ii.
PHP
8,26
0
16
Emergency Medicine Department
External Services
17
1. EMERGENCY CONSULTATION
The Emergency Department caters to all patients arriving at the Emergency Room
needing immediate medical or surgical care. They are being triaged as to the urgency of
their cases and are managed accordingly.
Office or Division: Department of Emergency Medicine

Me
Transaction:
Who may avail: All patients
1. Referral letter, if applicable From previous hospital or local health unit
AGENCY FEES TO BE PROCESSING PERSON
CLIENT STEPS
ACTIONS PAID TIME RESPONSIBLE
1. Proceed to 1.1 Interview None 2 minutes Physician
Triaging/Information and assess Nurses
area the patient. Emergency
Department
1.2 Classify
the patient
accordingly.
2. Proceed to 2. Evaluation, None 3 hours Physician,
Emergency intervention Nurses and/or
Department and Nursing
treatment area. disposition. Attendant
This includes Emergency
Department
diagnostic
tests,
procedures
and other
necessary
intervention.
3.1 For admissible 1.1 Nurses Refer to fees 53 minutes Physician,
patients, to be carry out and charges Nurses and/or
brought to the physician’ from the Nursing
ward/ICU. s orders following: Attendant
Watcher to and
proceed to patients a. Pharmacy
Admitting are b. Laboratory
Section for brought at c. Radiology
registration and the d. CSSU
classification of designate
patient. d ward
3.2 For non- thereafter.
18
admissible
patient, the 1.2 Issue
watcher should Order of
return the Payment
replacement for non-
non
medicines admissibl
and/or supplies e patient.
to ER nurse
station. 3.3 Instruct
watcher to
3.3 Proceed to proceed
Nurses’ Station to
for discharged Collection
instructions. for
payment.
3.4 Instruct
truct
client for
discharge
instruction
s.
TOTAL None 4 hours
19
Admitting Section
External Services
20
1. ADMISSION
DMISSION OF PATIENTS
The Admitting Section focuses in dealing with patient registration, admission,

classification, direction and other related activities. We are also responsible in
collecting, recording, and distributing patient demographic information
information through hospital
information management systems, clinical coding and medical insurance portal
verification.
Office or Division: Admitting Section
Type of G2C–Government
Government to Client
Transaction:
Who may avail: All patients for admission or their respective watchers.
None Not Applicable
CLIENT STEPS AGENCY FEES PROCESSING PERSON
ACTIONS TO TIME RESPONSIBLE
BE
PAID
1. Proceed to 1.1Interview
1Interview patient None 15 minutes Admitting staff
Admitting Section or patient’s Admitting Section
window. watcher verify and
watcher,
encode all
necessary data to
the hospital
system.
1.2 Provide
instruction on
relevant hospital
policies and inform
Patient’s Rights.
2. Sign 2. Secure signature None 2 minutes Admitting staff
Patient’sRights and provide copy of Admitting Section
Form. Patient’s Rights
Form to watcher.
3. Present 3.1 Proceed to None 7 minutes Admitting staff
Philhealth ID or initial assessment Admitting Section
Member Data through Philhealth
Record (MDR) if Portal Verification.
Ver
available. 3.2 Print and
countersign the
Clinical Cover
Sheet
4.1 Receive and 4. Check and None 5 Minutes Admitting staff
sign the verified verifies relationship Admitting Section
21
data in Clinical off informant to the
Cover Sheet and patient.
Watcher’s Logbook.
5. Receive verified 5.1 Attach Routine None 5 Minutes Admitting staff
Philhealth Portal Slips and provides Admitting Section
Verification results specific instructions
and sign Portal on how to properly
Verification logbook. facilitate routine
slips.
5.2 Checks if Portal
Verification
Logbook has been
properly
roperly
accomplished by
watcher
5.3 Instruct
watcher to proceed
to Collection/
Cashiers office for
issuance of
watcher’s ID.
TOTAL None 34 minutes
22
Employee’s Medical Services and Wellness
Clinic
Internal Services
23
1. PRE-EMPLOYMENT
EMPLOYMENT ASSESSMENT
All newly-hired
hired and promoted personnel are required to undergo pre-employment
pre employment
assessment.
Office or Division: R2TMC Employee’s Medical Services and Wellness

Clinic
Classification: G2G – Government to Government
Type of Transaction: Simple
Who may avail: Newly – hired and promoted personnel of R2TMC
1. Queue Number OPD Triage
COVID OPD Triage
Assessment Form
3. List of Requirements for Pre-
Pre Human Resource Office
Employment Assessment and Civil
Service Medical Form
FEES
CLIENT STEPS
PAID
1. Present queue 1.1 Receive and None 2 Minutes Nurse
number, duly check the Employee’s
accomplished requirements. Medical Services
COVID-19 and Wellness
Assessment Form 1.2 Interview and Clinic
and diagnostic assess client.
results at the
Reception Area 1.3 Assist the
patient to the
Waiting Area.
2. Proceed to 2.1 Evaluate None 10 minutes Physician
consultation room employee’s Employee’s
when name is health status and Medical Services
called. issue signed and Wellness
medical Clinic
certificate.
2.2 Instruct
permanent or
temporary
employee to
submit medical
certificate to
HRMO.
24
2.3 Instruct
permanent or
temporary
employee to
submit medical
certificate to
HRMO.
2. PERIODIC HEALTH EXAMINATION/ANNUAL PHYSICAL

EXAMINATION
Periodic Health Examination or Annual Physical Examination of all employees

(Permanent and Contract of Service) will be scheduled on their birth month.
Office or Division: R2TMC Employee’s Medical Services and Wellness

Clinic
Classification: G2G – Government to Government
Type of Transaction: Simple
Who may avail: All Employees (Permanent
Permanent and Contract of Service)
of R2TMC
2. Employee ID Client
COVID OPD Triage
Assessment Form
FEES
CLIENT STEPS
PAID
1. Present queue 1.1 Receive and None 2 Minutes Nurse
number, duly check the Employee’s
accomplished requirements. Medical Services
COVID-19 and Wellness
Assessment Form 1.2 Interview Clinic
and diagnostic and assess
results at the client.
Reception Area
1.3 Assist the
patient to the
Waiting Area.
2. Proceed to 2.1 Evaluate None 10 minutes Physician
consultation room employee’s Employee’s
when name is health status Medical Services
25
called. and Wellness
2.2 Instruct Clinic
employee to HIM
for the issuance
of medical
certificate if
necessary.
26
4. CONSULTATION
The clinic caters only to non-emergent

non emergent medical health cases of employees of
R2TMC.
Office or R2TMC Employee’s Medical Services and Wellness Clinic

Division:
Classification: G2B – Government to Government
Type of Simple
Transaction:
Who may All Employees of R2TMC with non-emergent
non emergent medical health
avail: cases/complaints
2. Duly accomplished COVID--19 OPD Triage
Assessment Form
CLIENT AGENCY FEES TO BE PROCESSING PERSON
STEPS ACTIONS PAID TIME RESPONSIBLE
1. Present 1.1 Receive None 1 Minute Nursing
queue number and check the Attendant
requirements. Employee’s
Medical Services
1.2 Assist the and Wellness
Clinic
client to the
Waiting Area.
2. Proceed to 2. Interview None 3 Minutes Nursing
the and assess Attendant
Assessment client (vital Employee’s
Area once signs). Medical Services
name is called. and Wellness
Clinic
3. Proceed to 3. Evaluates None 15 minutes Physician
the patient and Employee’s
examination provides Medical Services
room once management and Wellness
name is called. and Clinic
instructions.
4. Proceed to 4. Provide Refer to Please refer to Medical
the following required procedures/drugs their respective Technologist
area/s if laboratory/ and medicine Citizen’s Radiologic
instructed: radiology/ Price List Posted Charter Technologist
other Pharmacist
a. Laboratory request
b. Radiology and
c. Pharmacy instruct
27
d. Emergency the client
Room
e. Other
clinics
5. Patient with 5.1 Nurse None 15 minutes Physician

diagnostic notify Employee’s
requests done. physician Medical Services
and Wellness
5.1 Return 5.2 Re- Clinic
to clinic and evaluates
present patient and
diagnostic provides
results management
and
instructions.
5.3 Provide
disposition
(Treated and
Sent Home or
for
admission).
5.4 Provide
health
education.
TOTAL Refer to 34 minutes
procedures/drugs
and medicine
Price List Posted
28
Health Information Management Department
(Main)
External Services
29
1. ISSUANCE OF BIRTH CERTIFICATE CLEARANCE FORM
This Clearance is issued to secure Certificate of Live Birth (COLB) from the Local
Civil Registrar Office. The certificate of live birth is a permanent legal record which
contains important information and data on the circumstances surrounding the birth
of an individual.
In compliance with Department of Health Circular No. 2020-0002 2020 0002 which reiterates
the strict monitoring of filing of birth certificates by birthing homes and hospitals, it is
the policy of R2TMC that no mother who gives birth shall be disch discharged without
processing the COLB of her child. The OB discharging nurse shall implement such
policy.
Office or Division: Health Information Management Department

Type of Transaction: G2C–Government to Citizen
G2G–Government to Government
Who may avail: Parents, Nearest of kin of legal age
CHECKLIST OF REQUIRMENTS WHERE TO SECURE
1. Request Form HIM Department
2. Birth Information Sheet Neonatal Intensive Care Unit (NICU)
3. Marriage Contract (if applicable) Client
4. Valid government-issued
issued ID. Issuing Government Agency
(Present 1 of ANY of the following): a. Land Transportation Office
a. Driver’s License b. Social Security System
b. SSS UMID Card c. Department of Foreign Affairs
c. Passport d. Professional Regulatory Commission
d. PRC License e. Local Government Unit – Office for Senior
e. Senior Citizen ID Citizen Affairs
f. PhilHealth ID f. Philippine Health Insurance Corporation
g. Voter’s ID (PhilHealth)
h. Postal ID g. Commission on Election (COMELEC)
h. Philippine Postal
stal Corporation (PhlPost)
5. Charge slip HIM Department
6. Official Receipt Collection
AGENCY FEES TO PROCESSING PERSON
CLIENT STEPS
ACTIONS BE PAID TIME RESPONSIBLE
1.Get a queue 1. Call for the None 1 minute Administrative
number and request queue number. Officer
form to be filled-out. HIM Department
30
2. Present the 2.1 Interview None 10 minutes Administrative
queue number, and verify the Officer
accomplished information on HIM Departme
Department
request form, Birth BIS.
Information Sheet
(BIS) and valid ID 2.2 Encode
Birth
Certificate on
official form.
2.3 Print 1st

copy for client
review.
For legitimate: 3.1 Print the None 10 minutes Administrative
complete set of Officer
3.1 Confirm the Birth HIM Departme
Department
correctness of Certificate.
printed information.
3.2 Receive
3.2 Affix signature and verify the
on all copies of the signed Birth
Birth Certificate Certificate.
(BC).
3.3 Issue Birth
3.3 Receive the Certificate
Birth Certificate Clearance
Clearance Form. Form.
3.4 Instruct
client to claim
the Birth
Certificate at
the Local Civil
Registrar
rar
Office.
For illegitimate: 3.1 Print the PHP50 15 minutes Administrative
complete set of Officer
3.1 Confirm the Birth HIM Departme
Department
correctness of Certificate.
printed information.
3.2 Receive
3.2 Affix signature and verify the
on all copies of the signed Birth
Birth Certificate Certificate.
(BC).
3.3 Prepare
31
3.3 AUSF for and print
signature of mother Affidavit to Use
and notarization of the Surname
lawyer. of the Father
(AUSF).
3.4 Submit duly
notarized AUSF and 3.4 Instruct
Birth Certificate. client to let the
mother sign
3.5 Present the the complete
Official Receipt and set of BC and
return the charge AUSF.
slip to HIM
Department. 3.5 Issue
charge slip.
3.6 Instruct
client to
proceed to
Collection for
payment.
3.7 Receive
and verify
verif the
Birth
Certificate and
AUSF.
3.8 Issue Birth

Certificate
Clearance
Form and
provide
additional
instructions.
TOTAL Legitimate: Legitimate: 21 minutes
None Illegitimate: 26 minutes
Illegitimate:
PHP50
32
2. ISSUANCE OF CERTIFICATE OF DEATH
Section 4 of the Implementing Rules and Regulations on the Disposal of Dead Persons
of the Code on Sanitation (PD 856) states that, no remains shall be buried or cremated
without a death certificate issued by the attending physician.
Issued to the nearest of kin of the deceased, the certificate of death is a permanent
legal record which contains an individual’s death information. It provides important
information and data on the circumstances surrounding thethe death. The information from
the death certificate has various uses, it is used for settlement of claims, inheritance,
insurance benefits as well as proof of death. The certificate is likewise provided to the
family members since it is a requirement for burial
b arrangement.
FETAL DEATH is death prior to the expulsion or extraction from its mother of a product
of conception, irrespective of the duration of pregnancy; the death is indicated by the
fact that after such separation, the fetus does not breathe or
or show any other evidence of
life such as beating of the heart, pulsation of the umbilical cord, or definite movement of
voluntary muscles.

Who may avail: Nearest of kin, individuals given authorization
1. Official Receipt and/or Cashiering
Statement of Account Billing and Claims
issued ID. (Present 1 Issuing Government Agency
of ANY of the following): a. Land Transportation Office
d. PRC License e. Local Government Unit – Office for
e. Senior Citizen ID Senior
f. PhilHealth ID Citizen Affairs
g. Voter’s ID f. Philippine Health Insurance Corporation
h. Postal ID (PhilHealth)
g. Commission on Election (COMELEC)
h. Philippine Postal Corporation (PhlPost)
FEES
CLIENT STEPS TO BE
PAID
33
1. Get a queue number 1. Call for the None 1 minute Administrative
and request form to be queue number. Officer
filled-out. HIM Department
2. Present the queue 2.1 Interview None 20 minutes Administrative

number, accomplished and verify the Officer
request form, information on HIM Department
OR/Statement of Death
Account (SOA) and Certificate (DC)
valid ID. draft.
2.2 Encode
Death
Certificate.
2.3 Print 1st

copy for client
review.
3. Confirm the 3. Instruct client None 2 minutes Administrative
correctness of printed for Death Officer
information. Certificate HIM Department
registration.
4. Receive and affix 4. Issue Death None 2 minutes Administrative

signature on complete Certificate. Officer
set of Death Certificate. HIM Department
3. ISSUANCE OF MEDICAL CERTIFICATE/MEDICO-LEGAL

CERTIFICATE/MEDICO LEGAL
CERTIFICATE
Issued at the Health Information Management office, the Medical Certificate is a written
statement from a physician which attests to the result of a medical examination of a
patient. It can serve as a documentation or evidence of patient’s health condition.
A Medico-Legal
Legal Certificate is prepared for patients whose cause of confinement or
consultation is of medico-legal
legal in nature based on the history written on the health
record (e.g. vehicular accident, mauling, sexual abuse etc.). Signed by the attending
physician that certifies to the injuries incurred by the patient.
pati
Office or Health Information Management

Division:
34
Classification: G2C–Government
G2G–Government
Type of Simple, Complex
Transaction:
Who may Patient, Nearest of kin, individuals/agencies given authorization
avail:
1. Authorization letter Authorized agency/individual
issued ID. Issuing Government Agency
f. PhilHealth ID f.. Philippine Health Insurance Corporation
CLIENT FEES TO PROCESSING PERSON
AGENCY ACTIONS
STEPS BE PAID TIME RESPONSIBLE
1. Get a queue 1. Call for the queue None 1 minute Administrative
number and number. Officer
request form to HIM Department
be filled-out.
2. Present the 2.1 Interview and None 7 minutes Administrative

queue number, verify the information. Officer
accomplished HIM Department
request form 2.2 Provide additional
and valid ID. instruction and
reminders.
2.3 Inform client for

the issuance of the
request after: Medical
Certificate: 3
a. 3 days for Medical days
Certificate
b. 7 days for Medico-Legal
Medico-Legal
Legal Certificate: 7
Certificate days
35
2.5 Process done:
a. Retrieval of
health record.
b. Encoding and
printing of
Medical or
Medico
Medico-Legal
Certificate.
c. Forwarding
MC/ML to
concerned
department for
signature of
attending
physician.
4.1 Present 4.1 Issue charge slip. Medical 4 minutes Administrative
valid ID Certificate: Officer
4.2 Instruct client to PHP50 HIM Department
proceed to Collection
for payment. Medico-
Legal
4.3 Retrieve the Certificate:
requested document. PHP100
7.1 Present the 7.1 Check the official None 3 minutes Administrative
official receipt receipt. Officer
and return the HIM Department
charge slip. 7.2 Release the
requested document.
8. Affix 8. Verify if properly None 1 minute Administrative

signature and received. Officer
receive the HIM Department
document.
Medical Certificate: 3 days and
Medical Certificate: PHP50 15 minutes
TOTAL
Medico-Legal
Legal Certificate: PHP100 Medico-Legal
Legal Certificate: 7 days
and 15 minutes
36
4. ISSUANCE OF CLINICAL ABSTRACT AND FILLING UP OF
INSURANCE FORMS
Clinical abstract is a detailed summary of the hospitalization of a patient. Issued for

different purposes as needed by the patient. It may be a requirement for financial
assistance, requirement for insurance claims etc.
Various insurance forms to be filled

filled out by physicians are used for compensation/death
claim of an insured individual who was treated and/or confined at R2TMC.

Classification: Complex
Type of Transaction: G2C-Government to Citizen
Who may avail: Patient / Nearest of kin of legal age
issued ID. (Present 1 Issuing Government Agency
of ANY of the following): a. Land Transportation Office
2. Death certificate, if applicable Client
3. Authorization letter, if applicable Client
6. Claim Stub HIM Department
FEES
PROCESSING PERSON
TIME RESPONSIBLE
PAID
1. Get a queue 1. Call for the queue None 1 minute Administrative
number and number. Officer
request form to be HIM Department
filled-out.
37
2. Present the 2.1 Interview and None 7 minutes Administrative
queue number, verify the information. Assistant
accomplished Administrative
request form and 2.2 Provide additional Officer
valid ID instruction and HIM Department
reminders.
2.3 Inform client to

return after 7 days.
2.4 Process done:
a. Retrieve 7 days
health record.
b. Forward
document
requested to
concerned
department for
signature of
attending
physician.
3. Present valid 3.1 Issue charge slip. PHP50 4 minutes Administrative
ID. Officer
3.2 Instruct client to HIM Department
for payment.
3.3 Retrieve the

requested document.
4. Present the 4.1 Check the official None 3 minutes Administrative
official receipt and receipt. Officer
return the charge HIM Department
slip. 4.2 Release the
requested document.
5. Affix the 5. Verify if properly None 1 minute Administrative

signature and received. Officer
receive the HIM Department
requested
document.
TOTAL PHP50 7 days and 16 minutes
38
39
5. ISSUANCE OF CERTIFICATE OF CONFINEMENT
The confinement certificate is issued by the Health Information Department to patients

currently being treated at Region II Trauma and Medical Center and has not been
discharged yet. It serves as an information that the patient is still in the hospital for
further management. The certificate is used to secure financial assistance or merely for
information purposes.

Who may avail: Patient, Nearest of kin of legal age
issued ID. (Present Issuing Government Agency
1 of ANY of the following): a. Land Transportation Office
FEES
CLIENT STEPS TO BE
PAID
1. Get a queue 1. Call for the None 1 minute Administrative
2. Present the queue 2.1 Interview None 7 minutes Administrative

number, accomplished and verify the Officer
request form, Official information. Supervising
Receipt and valid ID Administrative
2.2 Print the Officer
HIM Department
Certificate of
Confinement.
2.3 Release the
40
signed
Certificate of
Confinement.
3. Receive the 3. Verify if None 1 minute Administrative

Certificate of properly Officer
Confinement received. HIM Department
6. ISSUANCE OF CERTIFIED TRUE COPIES OF MEDICAL RECORDS
Certified true copies of Clinical Abstract, Discharge Summary, Surgical Memorandum,

Laboratory result, Radiologic result are released to patients for various purposes.

Who may avail: Patient, Nearest of kin of legal age
3. Charge Slip HIM Department
5. Authorization letter, if applicable Client
FEES
CLIENT STEPS TO BE
PAID
41
1. Get a queue 1. Call for the None 1 minute Administrative
2. Present the queue 2.1 Interview PHP20/ 15 minutes Administrative

number, and verify the page Assistant
accomplished request information. Administrative
form, valid ID and Officer
authorization letter if 2.2 Issue Supervising
Administrative
applicable. charge slip.
Officer
HIM Department
2.3 Instruct
client to proceed
to Collection for
payment.
2.4 Process
done:
a. Retrieval of
health
record.
b. Photocopy
required
documents
c. HIM Head to
authenticate
the
documents.
3. Return charge slip 3. Release the None 2 minutes Administrative
and present Official requested Officer
Receipt. document. HIM Department
4. Affix signature and 4. Verify if None 1 minute Administrative
receive requested properly Officer
document. received. HIM Department
TOTAL PHP20 18 minutes
42
Health Information Management Department
(Out-Patient)
External Services
43
1. ISSUANCE OF PATIENT’S HOSPITAL ID
The patient’s hospital ID is usually issued to every patient coming to R2TMC which will
be used to transact for consultation and other patient’s need in the hospital.
Office or Division: OPD-HIMHIM

Transaction:
Who may avail: Patient, Nearest Kin
f. PhilHealth ID f. Philippine Health Insurance Corporation
a. Person with Disability ID h. Philippine Postal Corporation (PhlPost)
i. Local Government Unit – Social Welfare
and Development Office
FEES
CLIENT STEPS TO BE
PAID
1. Present valid ID. 1.1
1 Receive the PHP 50 5 minutes Administrative
valid ID. Officer
Senior OPD-HIM Staff
1.2 Verify the Citizen
Patient and
Information in PWD:
the system. None
1.3 Instruct the

patient to
proceed to
Collection for
payment of
Hospital ID.
1.4 Print the

Hospital ID.
44
2.1 Present the 2.1 Verify the None 2 minutes Administrative
Official Receipt. Official Receipt. Officer
OPD-HIM Staff
2.2 Affix signature 2.2 Release the
in the releasing log Hospital ID.
sheet and receive
the Hospital ID.
TOTAL PHP 50 7 minutes
Senior
Citizen
and
PWD:
None
45
2. ISSUANCE OF MEDICAL CERTIFICATE (MC)/MEDICO LEGAL
CERTIFICATE (ML)/CERTIFIED TRUE COPY
The Medical Certificate/Medico Legal Certificate is issued to patient’s who seek proof
of their consultation for personal needs, financial/medical assistance and for legal
purpose for the medico legal. Certified true copy for both certificates may also be
issued to patient who seek for it.
Office or OPD-HEALTH
HEALTH INFORMATION MANAGEMENT
MANAGEMENT DEPARTMENT
Division:
Classification: Simple, Complex
Transaction:
Who may avail: Patient, Person authorized by the patient
2. Charge Slip Clinic Nurse/OPD Him Staff
3. Request Checklist OPD HIM Department
4. Present the following if request is done
other than patient:
a. Authorization letter/ID of the patient a. Patient
b. Valid ID of patient’s representative b. Patient’s Representative
FEES
PROCESSING PERSON
CLIENT STEPS AGENCY ACTION TO BE
TIME RESPONSIBLE
PAID
1. Present the 1.1 Receive the 16 minutes Administrative
filled-out request request checklist. Assistant
checklist and Verify the Administrative
authorization authorization letter Officer
letter or valid ID, and valid ID, if Health Information
Management
if applicable. applicable.
Department
Department-OPD
return after:
a. 30 minutes for
present
consultation
b. 5 days for
previous
consultation:
1.3 Instruct the client

to secure Charge Slip:
46
a. If Present
Consultation
Consultation-
Health Care
Provider/ Clinic
Nurse
b. If Previous
Consultation
Consultation-HIM
(OPD) Staff

to proceed to
Collection for
payment:
a. Medical/
Medico Legal a. PHP a. Present
Certificate: 50 consultation
b. Certified True : 30
Copy: b. PHP minutes
20 b. Previous
1.5 Process done: Consultatio
a. Retrieve the n: 5 days
Health Record
b. Prepare the
requested
document
(Medical/
Medico
Medico-Legal/
Certified True Copy)
c. Forward the
requested
document
(Medical/
Medico
Medico-Legal/
Certified True
Copy) to
concerned
department for
signature of
attending
physician.
2.1 Present the 2.1 Verify the Official None 2 minutes Administrative
Official Receipt. Receipt. Officer
Health Information
2.2 Affix 2.2 Release the Management
Department
Department-OPD
47
signature on the requested document.
releasing log
sheet and
receive the
requested
document.
TOTAL
a. Medical/Medico Legal Certificate a. PHP Present consultation: 48 minutes
b. Certified True Copy 50 Previous Consultation: 5 days and
b. PHP 18 minutes
20
3. ISSUANCE OF CLINICAL ABSTRACT/INSURANCE CLAIMS/

MEDICAL TEST REQUEST
Clinical Abstract is issued to patient seeking for an abstract of their hospital visits
attested by their physician. An Insurance Claims of patient is a request form from
insurance companies to be filled up by the attending physician as a proof that the
patient has been medically attended. Medical Test Request-are
Request are those Medical Test
done to a patient such
uch as laboratory, X-Ray,
X Ray, CT scan, ultrasound and some other test.
These are issued to patient upon their request.
Office or OPD-HEALTH
HEALTH INFORMATION MANAGEMENT DEPARTMENT
Division:
Transaction:
Who may avail: Patient, Person authorized by the patient
2. Charge Slip Clinic Nurse/OPD Him Staff
3. Request Checklist OPD HIM Department
48
4. Present the following if request is
done other than patient:
a. Authorization letter/ID of the patient a. Patient
b. Valid ID of patient’s representative b. Patient’s Representative
FEES
PROCESSING PERSON
TIME RESPONSIBLE
PAID
1. Present the 1.1 Receive the 16 minutes Administrative
filled-out request request checklist. Assistant
checklist and Verify the Administrative
authorization authorization letter Officer
letter or valid ID, and valid ID, if Health Information
Management
if applicable. applicable.
Department
Department-OPD
return after:
c. 30 minutes for
present
consultation:
d. 5 days for
previous
consultation:

to secure Charge
Slip:
c. If Present
Consultation
Consultation-
Health Care
Provider/ Clinic
Nurse
d. If Previous
Consultation
Consultation-HIM
(OPD) Staff

to proceed to
Collection for
payment:
a. Medical/
Medico Legal
Certificate a. PHP a. Present
49
b. Certified True 50 consultation
Copy: b. PHP : 30
20 minutes
1.5 Process done: b. Previous
Consultatio
a. Retrieve the n: 5 days
Health Record.
b. Prepare the
requested
document
(Medical/ Medico-
Medico
Legal/
Certified True
Copy)
c. Forward the
requested
document
(Medical/ Medico-
Legal/ Certified
True Copy) to
concerned
department for
signature of
attending
physician.
2.1 Present the 2.1 Verify the Official None 2 minutes Administrative
Official Receipt. Receipt. Officer
Health Information
2.2 Affix 2.2 Release the Management
signature on the requested document. Department
Department-OPD
releasing log
sheet and
receive the
requested
document.
TOTAL Present consultation: 48 minutes
a. Medical/ Medico Legal Certificate a. PHP Previous Consultation: 5 days and
b. Certified True Copy 50 18 minutes
b. PHP
20
50
Pathology Department
External Services
51
1. LABORATORY TESTS
Department of Pathology, Anatomic and Clinical Laboratory offers laboratory tests such as
blood tests and other body fluids.
Office or Division: Department of Pathology, Anatomic and Clinical Laboratory Section

Type of Transaction: Government to Citizen
Who may avail: All out patient with duly accomplished laboratory request
1. Duly accomplished laboratory request Attending Physician
form
3. Charge Slip Anatomic and Clinical Laboratory Section
4. Claim stub Anatomic and Clinical Laboratory Section
FEES
PROCESSING PERSON
TIME RESPONSIBLE
PAID
1. Present duly 1.1 Receives and Refer to Refer to posted Laboratory Staff
accomplished validates request for fees processing time Medical
laboratory completeness of posted for clinical Technologist
request form data. laboratory Anatomic and
Clinical
1.2 Instruct and Laboratory
provide collection a. Complete Section
specimen bottle for Blood Count
stool, urine and etc. (CBC) – 4
hours
1.3 For blood b. Blood
specimen assist and Chemistry –
instruct client to 1 day
proceed tot c. Serologic
extraction area Tests – 1
day
1.4 Issue charge slip d. Clinical
for payment at the Microscopy
cashier (Urinalysis,
Fecalysis) –
1.5 Instruct to return 4 hours
on date and time e. Other Tests
indicated in the – 1 day
claim stub.
1.6 Conduct
Laboratory
procedure / testing
52
2. Return charge 2.1 Check and None 20 minutes Laboratory Staff
slip and or claim validate presented Anatomic and
stub and claim documents Clinical
the laboratory Laboratory
report 2.2 Retrieve and Section
issue report
2.3 Log patient to

releasing log sheet
TOTAL Refer to 1 day and 20 minutes

fees
posted
2. MICROBIOLOGY
Culture and Antimicrobial Susceptibility Tests for blood, body fluids and other discharges.

1. Duly accomplished laboratory request
Attending Physician
form
FEES
PROCESSING PERSON
TIME RESPONSIBLE
PAID
1. Presents duly 1.1 Receives and Refer to Laboratory Staff
accomplished validates request for fees Medical
laboratory completeness of posted Technologist
request form data. Anatomic and
Clinical
1.2 Instruct and 7 days Laboratory
provide collection Section
specimen bottle for
stool, urine and etc.
1.3 For blood

specimen assist and
instruct client to
proceed to
extraction area
53
1.4 Issue charge slip
sli
for payment at the
Collection
1.5 Instruct to return

on date and time
indicated in the
claim stub.
1.6 Conduct
Laboratory
procedure / testing
2. Return charge slip 2.1 Check and None 20 minutes Laboratory Staff
and or claim stub and validate presented Anatomic and
claim the laboratory documents Clinical
report Laboratory
2.2 Retrieve and Section
issue report
2.3 Log patient to

releasing log sheet
TOTAL Refer to 7 days and 20 minutes

fees
posted
3. HISTOPATHOLOGY
This caters tissue whole specimen, biopsy and cell cytology.
1. Duly accomplished laboratory request
Attending Physician
form
FEES
PROCESSING PERSON
TIME RESPONSIBLE
PAID
54
1. Submit duly 1.1 Receive Refer to 15 days Laboratory Staff
accomplished specimen and fees Medical
laboratory request validates request for posted Technologist
form and specimen completeness of Anatomic and
data. Clinical
Laboratory
1.2 Issue charge slip Section
for payment at the
Collection
1.3 Instruct to return

on date and time
indicated in the
claim stub.
1.4 Conduct
Laboratory
procedure / testing
2. Return charge slip 2.1 Check and None 20 minutes Laboratory Staff
and or claim stub and validate presented Anatomic and
claim the laboratory documents Clinical
report Laboratory
2.2 Retrieve and Section
issue report
2.3 Log patient to

releasing log sheet
TOTAL Refer to 15 days and 20 minutes

fees
posted
4. DRUG TESTING
This provides drug screening tests.
Office or DEPARTMENT OF PATHOLOGY, Drug Testing

Division:
Classification: SIMPLE
Type of Government to Citizen
Transaction: Government to Government
Who may avail: ALL client with request for drug testing
1. Drug testing request Requesting Agency
2. Charge slip Laboratory Section
55
FEES TO PROCESSING PERSON

CLIENT STEPS AGENCY ACTIONS
BE PAID TIME RESPONSIBLE
1. Present drug 1.1 Check drug 10 minutes Medical

testing request testing request and Technologist
verify thru IDTOMIS Department of
(Integrated Drug Test Pathology
Operations
Management System)
1.2 Issue Charge Slip

and instruct Client to PHP250
go to the Collection
for payment
2. Return charge 2.1 Provide specimen None 5 minutes Medical

slip and present bottle and instruct Technologist
official receipt client to collect urine Department of
specimen at the Pathology
designated collection
area.
3. Submit 3.1 Check and label None 1 hour Medical
collected submitted specimen Technologist
specimen Department of
3.2 Process submitted Pathology
specimen and instruct
client to return after 1
hour
4. Present official 4. Release drug testing None 2 minutes Medical
receipt result Technologist
Department of
Pathology
TOTAL PHP250 1 hour and 17 minutes
56
6.. BLOOD REQUISITION
This section issues requested blood components.
Office or Division: DEPARTMENT OF PATHOLOGY, Blood Bank Section

Type of G2C - Government to citizen
Transaction:
Who may avail: All clients with duly accomplished blood request form
1. Blood Request Form Physician
2. Authorization Letter Blood Bank Partner
4. Transport Box Client
FEES
TO PROCESSING PERSON
CLIENT STEPS AGENCY ACTION
BE TIME RESPONSIBLE
PAID
1. Present the 1.1 Receive blood Refer to 3 minutes
blood request form request form (and blood
(and authorization authorization letter) and bank
letter from blood verify for completeness rates
bank partners, of data Blood bank staff
where applicable) Department of
1.2 Issue charge slip Pathology
and instruct client to go
to the Collection for
payment
2. Present official 2.1 Verify the official None 40 minutes
receipt and return receipt, and instruct
charge slip client to secure transport
box for out-patient
out
2.2 Inform medical

technologist on duty for Blood bank staff
processing of blood Department of
products requested Pathology
2.3 Proceed with the

processing
ng of blood
products requested
57
3. Present transport 3.1 Pack blood products None 10 minutes
box
3.2 Issue blood product Blood bank staff
and instruct client to sign Department of
in the dispense logbook Pathology
4. Sign in the 4. Instruct client on None 1 minute

Dispense Logbook proper transport protocol
and receive the
blood unit Blood bank staff
Refer to
blood
TOTAL 54 minutes
bank
rates
8. WALK-IN
IN BLOOD DONATION
This service collects blood from screened blood donors.
Office or DEPARTMENT OF PATHOLOGY, Blood Bank Section
Division:
Type of Government to citizens
Transaction:
Who may avail: All clients with duly accomplished blood request form
i. Any other identification card with g. Commission on Election (COMELEC)
picture h. Philippine Postal Corporation (PhlPost)
2. Duly accomplished blood donor Blood Bank Section

history questionnaire
58
FEES
CLIENT STEPS AGENCY ACTION RESPONSIBLE
BE TIME
PAID
1. Submit duly 1. Verify completed None 2 minutes Blood bank staff
accomplished blood donor history Department of
blood donor questionnaire form Pathology
history
questionnaire
form
2. Proceed to 2. Conduct interview None 20 minutes Trained Blood
interview area and physical Bank Staff
examination of Department of
donor Pathology
3. Proceed to 3. Collect and None 15 minutes Blood bank staff

extraction area screen blood Department of
sample Pathology
4. If fit to donate, 4.1 Conduct None 40 minutes Blood bank staff

proceed to phlebotomy and Department of
phlebotomy area instruct donor to rest Pathology
after phlebotomy
4.2 Conducts post

donation counselling
TOTAL None 1 hour and 17 minutes
59
Radiology Department
External Services
60
1. RADIOLOGIC IMAGING SERVICES
The Department of Radiology caters to various Imaging Services such as X

X-ray,
Ultrasound, Computed Tomography (CT) and Magnetic Resonance Imaging to all
clients.
Office or Department of Radiology

Division:
Transaction:
Who may All Clients
avail:
1. Radiology Request Form Attending Physician
2. Creatinine Result - for Contrast Any Accredited Laboratories
Studies only
FEES
CLIENT STEPS TO BE
PAID
1. Submit 1.1 Receive the None 8 minutes Clerk
request form. required Radiology
document. Department
1.2 Start
processing the
request.
1.3 Issue charge

slip for payment at
the Collection.
2.1 Return 2.1 Receive the Refer to 2 minutes Clerk
charge slip to Official Receipt. posted Radiology
Radiology schedule Department
Department and 2.2 Record the of fees
present Official patient’s details. and
Receipt. charges.
3. Proceed to 3.1 Perform None a. ROUTINE X- Radiologic
designated requested ray: 15 minutes Technologist
examination procedure. b. SPECIAL X-ray Radiologist
room. Procedure: 1 Radiology
3.2 After hour Department
procedure is done, c. CT (Plain): 20
instruct the client minutes
to return on the d. CT (Special): 1
61
following hour and 30
schedule: minutes
e. ULTRASOUND:
a. ULTRASOUND: 45 minutes
2 hours f. MRI (Plain): 1
b. ROUTINE X- X hour and 30
ray: 1 day minutes
c. SPECIAL X-ray
X g. MRI (Special): 2
Procedure: 1 hours and 30
day minutes
d. CT (Cranial): 2
days
e. CT (Special): 3
day
f. MRI: 3 days
3.3 Process done:

Interpret Radiologist
radiographic Radiology
images and write Department
official result.
4. Present 4.1 Release None 5 minutes Clerk
Official Receipt. official result. Radiology
Department
4.2 Secure
receiver’s name
and signature.
TOTAL Refer to a. ULTRASOUND:
posted 2 hours
schedule b. ROUTINE X-ray:
of fees 1 day
and c. SPECIAL X-ray
charges. Procedure: 1
day
d. CT (Cranial): 2
days
e. CT (Special): 3
day
f. MRI: 3 days
62
RATES OF RADIOLOGIC EXAMINATIONS
1. GENERAL RADIOGRAPHY/FLUOROSCOPY
PROCEDURE
FEE PROFESSIONAL TOTAL
EXAMINATION
(EXCLUSIVE FEE
OF PF)
1.HEAD
SKULL APL PHP200 PHP130 PHP330
MASTOIDS (R/L) PHP250 PHP150 PHP400
OPTIC FORAMEN (R/L) PHP300 PHP130 PHP430
PNS LAT/WATERS PHP330 PHP130 PHP460
ORBIT (2 VIEWS) PHP200 PHP130 PHP330
MAXILLA (2 VIEWS) PHP280 PHP160 PHP440
NASAL BONES
PHP200 PHP130 PHP330
(WATERS/STL)
SOFT TISSUE LATERAL (STL) PHP120 PHP80 PHP200
TEMPORO-MANDIBULAR
BONE (OPEN, CLOSE, BILAT)
ZYGOMA (SMV) PHP180 PHP130 PHP310
MANDIBLE (3 VIEWS) PHP320 PHP180 PHP500
WATERS PHP150 PHP80 PHP230
2.THORACIC
CHEST ADULT PHP180 PHP80 PHP260
CHEST DECUBITUS (RIGHT) PHP180 PHP80 PHP260
CHEST DECUBITUS (LEFT) PHP180 PHP80 PHP260
CHEST APL ADULT(2 VIEWS) PHP300 PHP160 PHP460
CHEST APL PEDIA (2 VIEWS) PHP210 PHP130 PHP340
APICOGRAM (LORDOTIC
PHP120 PHP80 PHP200
VIEW)
3.VERTEBRAL COLUMN
CERVICAL APL VIEWS PHP210 PHP130 PHP340
THORACIC AP PHP180 PHP80 PHP260
THORACIC APL PHP300 PHP160 PHP460
LUMBOSACRAL APL PHP300 PHP160 PHP460
THORACO-LUMBAR APL PHP380 PHP160 PHP540
SACRUM/COCCYX (2 VIEWS) PHP210 PHP130 PHP340
THORACO-LUMBOSACRAL
LUMBOSACRAL
APL
4. ABDOMEN
ABDOMEN SUPINE PHP180 PHP80 PHP260
ABDOMEN DECUBITUS
PHP180 PHP80 PHP260
(RIGHT)
63
ABDOMEN DECUBITUS
PHP180 PHP80 PHP260
(LEFT)
PLAIN ABDOMEN
(SUPINE/UPRIGHT)
ABDOMEN AP,
TRANSLATERAL (PEDIA)
5. SKELETAL
RIGHT SHOULDER JOINT AP PHP120 PHP80 PHP200
LEFT SHOULDER JOINT AP PHP120 PHP80 PHP200
RIGHT CLAVICLE AP PHP120 PHP80 PHP200
LEFT CLAVICLE AP PHP120 PHP80 PHP200
RIGHT SCAPULA AP PHP120 PHP80 PHP200
LEFT SCAPULA AP PHP120 PHP80 PHP200
RIGHT SCAPULAR Y PHP170 PHP80 PHP250
LEFT SCAPULAR Y PHP170 PHP80 PHP250
RIGHT HUMERUS APL PHP200 PHP80 PHP280
LEFT HUMERUS APL PHP200 PHP80 PHP280
RIGHT ELBOW JOINT APL PHP120 PHP80 PHP200
LEFT ELBOW JOINT APL PHP120 PHP80 PHP200
RIGHT FOREARM APL PHP200 PHP80 PHP280
LEFT FOREARM APL PHP200 PHP80 PHP280
RIGHT WRIST APL PHP120 PHP80 PHP200
LEFT WRIST APL PHP120 PHP80 PHP200
RIGHT HAND APO PHP120 PHP80 PHP200
LEFT HAND APO PHP120 PHP80 PHP200
PELVIS AP PHP180 PHP80 PHP260
RIGHT HIP JOINT PHP150 PHP80 PHP230
LEFT HIP JOINT PHP150 PHP80 PHP230
RIGHT FEMUR APL PHP200 PHP80 PHP280
LEFT FEMUR APL PHP200 PHP80 PHP280
RIGHT KNEE JOINT APL PHP150 PHP80 PHP230
LEFT KNEE JOINT APL PHP150 PHP80 PHP230
RIGHT LEG APL PHP200 PHP80 PHP280
LEFT LEG APL PHP200 PHP80 PHP280
RIGHT ANKLE JOINT APL PHP120 PHP80 PHP200
LEFT ANKLE JOINT APL PHP120 PHP80 PHP200
RIGHT ANKLE MORTISE PHP120 PHP80 PHP200
LEFT ANKLE MORTISE PHP120 PHP80 PHP200
RIGHT OSCALSIS APL PHP120 PHP80 PHP200
LEFT OSCALSIS APL PHP120 PHP80 PHP200
RIGHT FOOT APO PHP120 PHP80 PHP200
LEFT FOOT APO PHP120 PHP80 PHP200
6. SPECIAL PROCEDURES
KUB IVP PHP1000 PHP500 PHP1500
64
BARIUM ENEMA PHP1000 PHP500 PHP1500
UPPER GI SERIES PHP1000 PHP500 PHP1500
SMALL INTESTINAL SERIES PHP1000 PHP500 PHP1500
BARIUM SWALLOW PHP500 PHP500 PHP1000
RETROGRADE
PYELOGRAPHY
CHOLANGIOGRAM PHP600 PHP500 PHP1100
CYSTOGRAM PHP600 PHP500 PHP1100
DISTAL COLONOGRAM PHP500 PHP500 PHP1000
FISTULOGRAM PHP500 PHP500 PHP1000
HYSTEROSALPINGOGRAPHY PHP800 PHP500 PHP1300
BABYGRAM PHP500 PHP300 PHP800
7. OTHER PROCEDURES
C-ARM:
PHP850
CHARITY
PHP1200
PHILHEALTH/PAY
MOBILE X-RAY:
RAY: 1 OR 2 VIEWS
PROCEDURE + PHP150
CHARITY
PROCEDURE + PHP200
PHILHEALTH/PAY
MOBILE X-RAY:
RAY: MORE THAN 2 VIEWS
PROCEDURE + PHP300
CHARITY
PROCEDURE + PHP350
PHILHEALTH/PAY
2. ULTRASOUND
EXAMINATION PROCEDURE FEE PROFESSIONAL TOTAL

(EXCLUSIVE OF PF) FEE
BPS PHP520 PHP230 PHP750
CRANIAL PHP450 PHP200 PHP650
CHEST PHP380 PHP170 PHP550
FETAL AGING PHP450 PHP200 PHP650
FAST PHP480 PHP210 PHP690
HBT (Liver, Gallbladder,
Pancreas and Biliary Tree)
KUB and PROSTATE PHP420 PHP200 PHP620
KUB (Kidneys and Urinary
Bladder)
PELVIC PHP420 PHP180 PHP600
SCROTAL PHP490 PHP210 PHP700
SINGLE ORGAN PHP280 PHP120 PHP400
THYROID PHP490 PHP210 PHP700
65
TRANSRECTAL PHP490 PHP210 PHP700
TRANSVAGINAL PHP490 PHP210 PHP700
UPPER ABDOMEN PHP560 PHP240 PHP800
LOWER ABDOMEN PHP560 PHP240 PHP800
WHOLE ABDOMEN PHP650 PHP300 PHP950
1 BREAST PHP380 PHP170 PHP550
2 BREASTS PHP550 PHP250 PHP800
ULTRASOUND GUIDED
(PAY)
ULTRASOUND GUIDED
(OPD)
3. CT-SCAN
SCAN (PLAIN AND CONTRAST STUDIES)
ADDITIONAL
PROCEDUR COSTS (IF
E FEE PROFESSION APPLICABLE)
EXAMINATION TOTAL
(EXCLUSIV AL FEE (PF) *Contrast *Power
E OF PF) Injector
Syringe
ANGIOGRAPH
PHP4571. PHP192 PHP15491.
Y/ PHP7000 PHP2000
42 0 42
VENOGRAPHY
CERVICAL
PHP2285. PHP7085.7
SPINE/NECK PHP3700 PHP1100
71 1
(CONTRAST)
CERVICAL
SPINE/NECK PHP3100 PHP900 PHP4000
(PLAIN)
CHEST (HIGH
RESOLUTION)
CHEST
PHP3375 PHP1000 PHP4375
(ROUTINE)
CRANIAL PHP2442. PHP6817.8
PHP3375 PHP1000
(PLAIN) 86 6
CRANIAL
(CONTRAST)
CT GUIDED PHP2285. PHP5535.7
PHP2500 PHP750
BIOPSY 71 1
LOWER/UPPE
PHP6000 PHP1800 PHP7800
R ABDOMEN
66
(ROUTINE)
LUMBAR PHP2442. PHP6667.8
PHP3225 PHP1000
SPINE (PLAIN) 86 6
LUMBAR
SPINE PHP3700 PHP1000 PHP4700
(CONTRAST)
NASOPHARYN
X/
OSOPHARYNX PHP2442. PHP7142.8
PHP3700 PHP1000
(CORONAL 86 6
AND AXIAL
CUTS)
ORBIT SCAN PHP2442. PHP7442.8
PHP4000 PHP1000
86 6
PARANASAL
SINUSES
PHP2285. PHP7285.7
(CORONAL PHP4000 PHP1000
71 1
AND AXIAL
CUTS)
PELVIS PHP2285. PHP7285.7
PHP4000 PHP1000
71 1
PITUITARY
FOSSA PHP3700 PHP1100 PHP4800
(PLAIN)
SELLA
TURCICA W/ PHP2775 PHP1100 PHP3875
CONTRAST
STONOGRAM PHP2285. PHP5910.7
PHP2775 PHP850
71 1
TEMPORAL
PHP4700 PHP1200 PHP5900
BONE (PLAIN)
TEMPORAL
BONE PHP4050 PHP1200 PHP5250
(CONTRAST)
TEMPORO
PHP2285. PHP7535.7
MANDIBULAR PHP4050 PHP1200
71 1
JOINT (PLAIN)
THORACIC
SPINE (PLAIN)
THORACIC
SPINE PHP3900 PHP1150 PHP5050
(CONTRAST)
67
FACIAL CT PHP2442. PHP7492.8
PHP3900 PHP1150
86 6
UPPER/LOWE
R PHP4700 PHP1200 PHP5900
EXTREMITIES
TRIPLE
PHASE
CONTRAST PHP3700 PHP1100 PHP4800
STUDY FOR
LIVER
WHOLE PHP2442. PHP10902.
ABDOMEN 86 86
UROGRAM PHP2285. PHP8810.7
PHP5025 PHP1500
71 1
*The indicated prices of contrast and power injector syringe may vary depending on the
supplier.
68
1. MAGNETIC RESONANCE IMAGING MRI
EXAMINATION
FEE READER’S TOTAL
EXAMINATION
(EXCLUSIVE FEE
OF PF)
ANKLE PLAIN (UNILAT) PHP5000 PHP1600 PHP6600
BRACHIAL PLEXUS PLAIN PHP4500 PHP1600 PHP6100
BRAIN (STROKE PROTOCOL
PHP5500 PHP2000 PHP7500
W/ TOF)
BRAIN (STROKE PROTOCOL) PHP4500 PHP1600 PHP6100
BRAIN PLAIN PHP4500 PHP1600 PHP6100
BRAIN WITH CONTRAST PHP8500 PHP2000 PHP10500
BRAIN PLAIN (SEIZURE
PHP6000 PHP1600 PHP7600
PROTOCOL)
BRAIN WITH CONTRAST
PHP8500 PHP2400 PHP10900
(SEIZURE PROTOCOL)
BRAIN PLAIN (IAC/CPA) PHP5000 PHP1600 PHP6600
BRAIN PLAIN (ORBIT
PHP4500 PHP1600 PHP6100
PROTOCOL)
BRAIN WITH CONTRAST
PHP12000 PHP3000 PHP15000
(ANGRIOGRAM/MRA)
BRAIN WITH CONTRAST
PHP8000 PHP1600 PHP9600
(DYNAMIC SELLA/PITUITARY)
BREAST WITH CONTRAST PHP9000 PHP2400 PHP11400
CHEST PLAIN PHP6000 PHP2000 PHP8000
CHEST WITH CONTRAST PHP9000 PHP2800 PHP11800
COMPLETE MRA (BRAIN AND
PHP21000 PHP4000 PHP25000
NECK)
ELBOW PLAIN PHP5000 PHP1700 PHP6700
FEMUR PLAIN PHP5000 PHP1700 PHP6700
FOOT PLAIN PHP5000 PHP2250 PHP7250
FOREARM PLAIN PHP5000 PHP2250 PHP7250
HAND PLAIN PHP5000 PHP2250 PHP7250
HIP PLAIN PHP5000 PHP2250 PHP7250
HUMERUS PLAIN PHP5000 PHP2125 PHP7125
KNEE PLAIN PHP6000 PHP1600 PHP7600
LEG PLAIN PHP5000 PHP2125 PHP7125
NECK PLAIN PHP4500 PHP1660 PHP6160
PELVIS PLAIN PHP6000 PHP1700 PHP7700
PNS PLAIN PHP5000 PHP1600 PHP6600
SHOULDER PLAIN PHP5000 PHP1700 PHP6700
SPINE PLAIN (1 SPINE) PHP4500 PHP1700 PHP6200
SPINE PLAIN (2 SPINE) PHP7000 PHP3200 PHP10200
TEMPORAL/MASTOIDS PLAIN PHP5000 PHP1600 PHP6600
69
UPPER ABDOMEN WITH
PHP7000 PHP2400 PHP9400
MRCP PLAIN
UPPER ABDOMEN WITH
PHP12500 PHP2800 PHP15300
MRCP; WITH CONTRAST
UPPER ABDOMEN WITH
CONTRAST (DYNAMIC STUDY PHP12500 PHP2800 PHP15300
LIVER)
WHOLE ABDOMEN PLAIN PHP10000 PHP3300 PHP13300
WHOLE ABDOMEN WITH
PHP12000 PHP3800 PHP15800
CONTRAST
WHOLE ABDOMEN PLAIN
PHP16000 PHP6250 PHP22250
(+MRCP)
WHOLE ABDOMEN WITH
PHP18000 PHP6750 PHP24750
CONTRAST (+MRCP)
WRIST PLAIN (UNILAT) PHP5000 PHP1700 PHP6700
For other Contrast Studies:
EXAMINATION READER’S
TOTAL
FEE FEE
Plain Study Fee + Plain Study Fee Total Cost of Plain

PHP1600 + PHP400 + PHP2000
*Price of contrast agent and other materials are not included in the price above.
70
Pharmacy Section
(Out-Patient)
External Services
71
1. DISPENSING OF DRUGS AND MEDICINES
Out Patient Pharmacy caters to dispensing of drugs and medicines. It also provides
patient counselling of medications to Out Patients who visited R2TMC out patients
Clinics.
Office or Division: Pharmacy Section – OPD
Type of G2C--Government to Citizen
Transaction: G2G--Government to Government
Who may avail: All clients with valid prescription
1. Prescription Consulting Physician
1. Present Duly 1. Verify and None 3 minutes Pharmacist
Accomplished check Pharmacy
Prescription presented Section
documents
1.1. Check for

the
availability
of the
drugs &
medicines
1.2. Issue
charge slip
for
payment at
the
Collection
2. Return charge slip 2. Dispense None 5 minutes Pharmacist
and present official prescribe Pharmacy
receipt. drugs and Section
medicines and
provide
instructions
72
Pharmacy Section
(In-Patient)
Internal Services
73
1.. DISPENSING OF DRUGS AND MEDICINES TO WARDS
In-Patient
Patient Pharmacy caters to dispensing, Unit Dosing of drugs and medicines to
admitted patients in R2TMC.
Office or Pharmacy/Allied Ancillary Division

Division:
Government Citizen
Transaction:
Who may avail: In- Patients,ER,Staff
1. Prescription Clinics
2. Charge Slips Pharmacy
3. Official Receipts Collection
FEES
CLIENT STEPS AGENCY ACTIONS RESPONSIBLE
BE TIME
PAID
1. Present 1.1 Pharmacy Staff None Pharmacist
PharmacistPharmacy
Prescriptio validate and check Section
n at the availability of drugs
Pharmacy and medicines.
Administrative
Assistant Pharmacy
1.2 Clerk processes 3 Minutes
Section
charges and prints
charge slip
Pharmacist
1.3 Pharmacist Pharmacy Section
issues Charge slip 2 Minutes
to the patient/nurse Nurse Ward
1.4 Patients/Nurse
signs Charge slips
Pharmacist
Pharmacy Section
1.5 Pharmacist 5 Minutes
dispenses drugs
and medicines
2. Submits Unit 2.1 Pharmacy Staff None Pharmacist
Dose validates and Pharmacy Section
prescriptions of checks availability of
patients to drugs and
Pharmacy medicines.
2.2 Clerk processes Administrative
74
charges and prints 3 Minutes Assistant
charge slips. Pharmacy Section
2.3 Pharmacy Staff

prepares the drugs
and med for Unit
Dose Distribution 30 Minutes
2.4 Pharmacist
delivers drugs and Nurse Ward
medicines to wards
30 minutes
2.5 Nurse on duty
signs charge slip
and receives Drugs
and medicines
75
Nutrition and Dietetics Department
(Out-Patient)
External Services
76
1. NUTRITION AND DIETARY COUNSELLING FOR OUT-PATIENTS
OUT PATIENTS
Nutrition and dietary consultation for the nutritionally at risk out-patients

out patients are referred to
the hospital nutritionist dieticians for counselling.
Office or Division: Nutrition and Dietetics Service

Transaction:
Who may avail: Out-patients
patients
1. Patient Referral Form Physician
CLIENT STEPS
1. Present the 1.1 Verify the None 55 minutes Nutritionist Dietitian
referral form. information Nutrition and
from the Dietetics Service
referral form.
1.2 Provide
diet
counselling
and diet
guides.
2. Sign the Diet 2. Instruct the None 5 minutes Nutritionist Dietitian
Counselling client to sign in Nutrition and
Logbook. the logbook. Dietetics Service
Total None 1 hour
77
Nutrition and Dietetics Department
(In-Patient)
Internal Services
78
1. PREPARATION OF MEALS FOR THE PATIENT
The Nutrition and Dietetics Service prepares menu and provides meals to all in
in-patients
according to their dietary needs.

Transaction:
Who may avail: All patients
None Not applicable
CLIENT STEPS
1.1 Receive meal. 1. Give meal None 2 minutes Administrative Aide
to patient III (Food Service
based on the Worker)
diet list Nutrition and
according to Dietetics Service
the following
meal
schedule:
Breakfast:
7:00am to
8:00am
Lunch:
11:30am to
12:30pm
Dinner:
5:00pm to
6:00pm
2.Return food tray 2. Collect food None 2 minutes Administrative Aide
to the Food Service trays at the III (Food Service
Worker after meal. wards. Worker)
Nutrition and
Dietetics Service
79
2. NUTRITION AND DIETARY COUNSELLING FOR IN-PATIENTS
PATIENTS
Nutrition and dietary consultation are provided for in-patient

in patient who needs counselling to
prevent further diet related illnesses.

Transaction:
Who may avail: In-patients
patients
None Not Applicable
CLIENT STEPS
1. Listen to the 1.1 Assess, None 1 hour Nutritionist Dietitian
Nutritionist Dietitian diagnose, 45 minutes Nutrition and
for the bedside provide Dietetics Service
counselling. intervention,
monitoring and
evaluation.
1.2 Provide
diet
counselling
and diet
guides.
2. Sign the Diet 2. Instruct the None 5 minutes Nutritionist Dietitian
Counselling client to sign in Nutrition and
Logbook. the logbook. Dietetics Service
Total None 1 hour and 50 minutes
80
Medical Social Work
(Malasakit Center)
External Services
81
1. MEDICAL ASSISTANCE
Medical assistance refers to assistance provided to indigent patients and financially
incapacitated patients for out of pocket expenses or any other form that has monetary
value, given directly to recipients or beneficiaries indicative of assistance on drugs,
medicines, medical supplies, or otherother medically related needs prescribed by the
physician for in- and out patients, ER and walk in patients.
Office or Division: Malasakit Center

Type of Transaction: G2C-
G2C Government to transacting public
Who may avail: Out and In Patients and ER and Walk-in
in Patients
1. Charge Slip
Laboratory Section
Radiology Department
Central Supply & Sterile Unit Pharmacy
Out-Patient
Patient Department Clinics
2. Hospital Bill Billing and Claims
MSWDO or Barangay Local Government
3. Certificate of Indigency
Unit
1. Register on 1. Assist the None 3 minutes Medical Social
the log sheet client/patient in filling Worker
WorkerMalasakit
provided. out the registration log Center
sheet.
2. Present the 2. Conduct interview None 15 minutes Medical Social

charge for assessment of Worker
WorkerMalasakit
slips/hospital client. Center
bills to the
Medical Social 2.1 Referral of client
Worker. to legislator/s by
providing the number
of the contact person.
3. Present 3. Stamp the charge None 1 hour Medical Social
guarantee letter slips/hospital bills of Worker
WorkerMalasakit
the patient with the Center
corresponding name
and signature of the
Medical Social
Worker, including the
date of the
transaction.
82
3.1 Explain the
services acquired by
the client.
3.2 Instruct client to

return the charge slips
to the designated
section/unit.
3.3 For Hospital Bills,

instruct client to give
the bill to the
Collection and then
return to respective
ward for clearance.
3.4 Write the following

information of the
client on the
designated
Logbook for SW
reference:
 Complete
name
 Address
 Birthday
 Age
 Point of Entry
 Contact
Number if any
 Description
 Reference
No./Statement
of Account No.
 Total Amount
 Actual Charge
TOTAL None 1 hour and & 18 minutes
83
Medical Social Work
Internal Services
84
1. AVAILMENT OF POINT OF SERVICE-PHILHEALTH
SERVICE
Point of Service refers to the program provided by the government to admitted patients
that are Non-PHIC
PHIC Members and PHIC Members with expired validity and Non Non-
Compliant to monthly contribution provided; they are verified through the Institutional
Health Care Provider (IHCP) Portal and assessed by the Medical Social Workers as
financially incapable to pay their Philhealth Membership contribution.
Office or Division: Medical Social Work Section

Type of Transaction: G2C Government to transacting public
G2C-
Who may avail: In-Patients
Patients
1. IHCP Portal and Routine Slip Admitting Unit
2. Marriage Certificate/Birth Certificate PSA or Local Civil Registrar
3. Baptismal Certificate Place of Baptism
issued ID. (Present 1
photocopy of ANY of the following): Issuing Government Agency
a. Driver’s License a. Land Transportation Office
b. SSS UMID Card b. Social Security System
c. Passport c. Department of Foreign Affairs
d. PRC License d. Professional Regulatory Commission
e. Local Government Unit – Office for
e. Senior Citizen ID Senior Citizen Affairs
f. Philippine Health Insurance
f. PhilHealth ID Corporation (PhilHealth)
g. Voter’s ID h. Philippine Postal Corporation
(PhlPost)
h. Postal ID
Health Information Management Section
Section-
5. Birth Certificate Clearance of Newborn
R2TMC
6. Philhealth Membership Registration
Philhealth Cares
Form (PMRF)
FEES
PROCESSING PERSON
TIME RESPONSIBLE
PAID
1. Register on the 1. Assist the None 1 minute Medical Social
log sheet client/patient in Worker
provided. filling out the Medical Social
registration log Work Section
sheet.
2. Present IHCP 2.1 Check if the None 15 minutes Medical Social

Portal and routine slip is verified Worker
Routine Slip by the PCARES desk. Medical Social
85
2.2 Conduct Intake Work Section
interview and
assessment
2. Present 3.1 Check and None 45 minutes Medical Social
required evaluate the Worker
documents for documents presented. Medical Social
enrollment. Work Section
3.2 Proceed to POS
Portal for enrollment.
3.3 Print view module

as additional
document attached as
proof of enrollment.
3.4 Instruct client for

signature
3. Sign required 4.1 Check if the None 3 minutes Medical Social

documents attachments are Worker
complete and Medical Social
accurate. PMRF Work Section
properly signed by
members
4.2 Instruct client to

proceed to Billing and
Claims
86
Billing and Claims Section
External Services
87
1. ISSUANCE OF COMPUTED STATEMENT OF ACCOUNTS
(SOA)
The Billing and Claims Section issues computed statement of accounts of patients
based on his/her availed hospital services.
Office or Division: Billing and Claims Section

Type of G2C – Government to Client
Transaction:
Who may avail: Patient/Authorized Representative
1. SOA Claim Slip Ward
FEES
CLIENT STEPS TO BE RESPONSIBLE
ACTIONS TIME
PAID
1. Present SOA 1.1 Verify and NONE 19 minutes Administrative
Claim Slip given by validate client’s Assistant
the Ward Nurse on data record from Billing and Claims
Duty the SOA Claim Section
slip
1.2 Prepare and

Compute
Statement of
Account
1.3 Signify Administrative

correctness of Officer IV
the SOA Billing and Claims
Section
1.4 Release the
Statement of
Account
2. Affix signature 2. Verify if NONE 1 minute Administrative
on the SOA properly Assistant
receiving copy received. Billing and Claims
Section
88
2. ISSUANCE OF ITEMIZED/CERTIFIED TRUE COPY (CTC) OF
STATEMENT OF ACCOUNT, CERTIFIED TRUE COPY OF
PROMISSORY NOTE, AND QUOTATION LETTER
The Billing and Claims Section issues certified true copy of statement of accounts,
promissory note and quotation letter as per request
request of the patient or authorized party.
Office or Billing and Claims Section

Division:
Type of G2C – Government to Citizen
Transaction:
issued ID. (Present 1
of ANY ofthe following): Issuing Government Agency
e. Senior Citizen ID e. Local Government Unit – Office for
f. PhilHealth ID Senior
g. Voter’s ID Citizen Affairs
h. Postal ID f. Philippine Health Insurance
Corporation
(PhilHealth)
h. Philippine Postal Corporation
(PhlPost)
2. Authorization Letter, if not the patient Requesting Party
himself/herself
FEES
BE TIME RESPONSIBLE
PAID
1. Present 1.1 Check and verify PHP 1 hour Administrative
Request Form the completeness of 20 Assistant
information Billing and Claims
Section
1.2 Issue charge slip
for payment to Administrative
Collection Office. Officer IV
Billing and Claims
1.3 Prepare and Section
89
Certify
Itemized/Certified True
Copy of patient
Statement of Account
or Quotation Letter
2. Return to 2.1Check official None 2 minutes Administrative
Billing and Claims Receipt and issue Assistant
Section and Itemized/Certified True Billing and Claims
present Official Copy of patient Section
Receipt Statement
tatement of Account
or Quotation Letter.
3. ISSUANCE OF ELIGIBLE TO AVAIL PHILHEALTH BENEFIT SLIP
The Billing and Claims Section issues slip to confirm patient’s Philhealth eligibility for
submission to their respective wards.
Office or Division: Billing and Claims Section

Transaction:
1. Routing Slip Admitting Section
FEES
CLIENT STEPS TO BE RESPONSIBLE
ACTIONS TIME
PAID
1. Present routing 1.1 Verify, Administrative
slip interview and Assistant
prepare Eligible Billing and Claims
to Avail Section
Philhealth
Benefits Slip None 14 minutes
1.2 Issue Eligible

to Avail
Philhealth
Benefits Slip
2. Receive Eligible 2. Log details of None 1 minute Not Applicable
to Avail Philhealth the client.
Benefit Slip
90
Finance Division
Accounting Section,
ction, Cash Operations Section
and
nd Financial and Management Office
Internal Services
91
1. PROCESSING OF DISBURSEMENTS
This is the process to settle obligations or payables of the hospital. The

concerned offices verify the accuracy and completeness of the voucher for
payment.
Office or Finance Division

Division:
Transaction: G2B – Government to Business
G2G – Government to Government
Who may avail: Employees, Hospital Offices, Suppliers
Supplies Expense
1. Disbursement Voucher Materials Management Office
2. Supplies Availability Inquiry/Request for
Accounting Office
Pre-repair
repair Inspection ( if available)
3. Purchase Request/ Job Request Procurement Office
4. Request for Quotation/ Canvass Form Procurement Office
5. Abstract of Request for Quotation Procurement Office
6. Purchase Order/ Job Order Procurement Office
7. Sales Invoice/ Delivery Receipt Supplier
8. Inspection & Acceptance Report Materials Management Office
9. Accomplished Certificate of Acceptance
Supplier
( if available)
10. Waste Material Report (if any) Materials Management Office
11. Property Acknowledgement Receipt (if
Materials Management Office
any)
12. Inventory Custodian Slip (if any) Materials Management Office
13. Warranty Certificates (if any) Supplier
Travel Expense
1.Approved Hospital Orde/TravelTravel Order per
Medical Center Chief Office
Sec. 3 EO 298 (1 original copy)
2.Duly approved itinerary of travel (1
Requesting Office
original copy)
3.Certification from Accountant (if
Accountant IV
applicable) (1 original copy)
4. Certificate of Appearance/ Attendance (1
Requesting Office
original copy)
5. Paper/ Electronic tickets (1 original copy) Requesting Office
6.. Liquidation Report (if Cash Advance) (1
Requesting Office
original copy)
7.Reimbursement
.Reimbursement Expense Receipt (1 Requesting Office
92
original copy)
8.Certificate
.Certificate of Travel Completed (1
Requesting Office
original copy)
9.. Hotel or Lodging Bills with Official
Receipts, if travel allowances being
Requesting Office
claimed includes hotel room/lodging (1
original copy)
Communication Expense
1. Statement of Account or Bill (1 original
Requesting Office
copy)
2. Invoice or Official Receipts (1 original
Requesting Office
copy)
Utility Expenses
1. Statement of Account or Bill (1 original
Requesting Office
copy)
2. Invoice or Official Receipts (1 original
Requesting Office
copy)
Extraordinary and Miscellaneous
Expenses
1. Official Receipt or other documents
evidencing disbursement Requesting Office
(1 original copy)
2. Certification executed by the official
Official concerned with
concerned (1 original copy)
3. Authority to Reimburse if the payee is
not the official Official concerned with
concerned (1 original copy)
Training and Seminar Expenses
1. Hospital Order to Attend training/seminar
indicating the cost of
Medical Center Chief Office
registration or Travel Authority (1 original
copy)
Requesting Office, ARTA
2. Invitation (1 original copy)
Event Organizer
3. Certificate of Attendance (1 original Requesting Office, ARTA
copy) Event Organizer
Requesting Office, ARTA
4. Official Receipts (1 original copy)
Supplier of Service
5.Duly
.Duly approved itinerary of travel (1
Requesting Office
original copy)
Repairs and Maintenance
1. Billing Statement (1 original copy) Requesting Office
2.Inspection and Acceptance Report (1
Procurement Officer
original copy)
3. Post repair inspection report (1 original
Requesting Office
copy)
93
4. Repair History Report (1 original copy) Requesting Office
5. Report of Waste Material (1 original
Requesting Office
copy)
6. Approved Work Order and all documents Requesting Office
(1 original copy) Procurement Officer
7. WO must be accepted by winning
wi bidder
Requesting Office
(1 original copy)
FEES
BE TIME RESPONSIBLE
PAID
1. Submit 1.1 Receive None 3 days Administrative
complete Disbursement Voucher Officer I
requirements as (DV) with complete Administrative
stated above. requirements Officer IV
Budget Office
1.2 Verify accuracy,
record and attach
Obligation Request and
Status or Budget
Utilization Request and
Status Division Chief of
Requesting
1.3 Forward to Division Party
Party/Authorized
Chief of the requesting Signatory
party for signature Supervising
Administrative
Officer
1.4 Certify that budget is
Budget Office
available and properly
utilized
1.5 Forward to
Accounting Office DV
and complete
requirements with
OBRS/BURS attached
1.1 Receive complete None 3 days
documents and log
necessary details Administrative
Assistant II
1.2 Check and Pre-audit Accountant III
Accounting Office
accuracy of tax
computations, journal
entry and completeness
and proprietary of
supporting documents
94
Accountant IV
1.3 Checks
hecks availability Accounting Office
of cash, certifies DV and
forwards documents for
release
1.4 Forward complete None 10 minutes Administrative
documents to Financial Officer I
and Management Office Administrative
and write necessary Assistant
details on logbook for Financial and
Management
final review of
Officer II
documents Financial and
Management
Office
1.6 Forward complete None 5 minutes
documents to Medical Medical Center
Center Chief Office for Chief II
Payment Approval
1.8 Forward complete None 3 days
Administrative
documents to Cash Officer I
Operations Office and Cash Operations
Prepares checks or List Office
of Due and Demandable
Accounts Supervising
Payable(LDDAP) and Administrative
Advice of Checks Officer
Issued and Cancelled Cash Operations
(ACIC) reports Office
Accountant IV
1.9 Certify Reports and
Accounting Office
signify correctness
1.10 Forwards Reports None 5 minutes
and checks to Medical Medical Center
Center Chief Office for Chief II
signature
1.11 Forward to None 20 minutes Administrative
Landbank of the Officer I
Philippines for Administrative
processing and crediting Officer III
the amount to the Supervising
Administrative
claimant Officer
Landbank of the
Philippines
TOTAL None 6 days and 40 minutes
95
Collection Section
(Collection
Collection of Payment, Issuance of Receipt)
External Services
96
1. ISSUANCE OF OFFICIAL RECEIPT OR ACKNOWLEDGEMENT
RECEIPT
The Cash Operation Section – Collection Office issues official receipts for all payments
made to the hospital, on the other hand, acknowledgement receipts are issued only for
acquiring Watcher’s ID and payment of such is to be refunded on the same office upon
discharge.
Office or Division: Cash Operations Section

Type of Transaction: G2C – Government to Client
G2B – Government to Business
G2G – Government to Government
Who may avail: Patients, Authorized Representative/Patient’s
watcher/Employee/Visitors/Bidders
1. Present any of the following documents
whichever is applicable:
a. Statement of a. Billing and Claims Section
Account(SOA)/Patient’s Bill b. Professional Fee(PF) Clerk at
b. Professional Fee (PF) Form Collection Section
c. Charge Slips c. Requesting Office/Clinic
d. Bidder’s Bond Charge Slip d. BAC Office
e. Watcher’s ID Request Slip e. Admitting Section
f. Acknowledgement Receipt f. Collection Staff on duty
FEES PERSON
AGENCY PROCESSIN
CLIENT STEPS TO BE RESPONSIBL
ACTIONS G TIME
PAID E
1. Present any of 1.1 Collect the As 5 minutes Administrative
the following exact amount as indicat Officer I
documents indicated
indicated. e to the Cash Operations
whichever is charge Section
applicable: 1.2 Issue official slip.
receipt or
a. Statement of Acknowledgemen
Account(SOA)/Pati t Receipt.
Receipt
ent’s Bill
b. Professional Fee
(PF) Form
c. Charge Slips
d. Bidder’s Bond
Charge Slip
e. Watcher’s ID
Request Slip
f. Acknowledgement
Receipt
97
As
indicat
TOTAL e to the 5 minutes
charge
slip.
98
Human Resource Management Office
External Services
99
1. ISSUANCE OF CERTIFICATE OF EMPLOYMENT (COE), SERVICE
RECORD AND OTHER HUMAN RESOURCE DOCUMENTS
HRMO issues COE, Service Record, other Human Resource Documents to all hospital
employees whether active, in active (resigned, retired, terminated and expired) from
service for employment or business/claim purposes.
Office or Division: Human

uman Resource Management
Manageme Office
Classification: Simple and Complex
Type of G2G-Government
Transaction: G2C-Government
Who may avail: Employee – Active employee (currently employed), In active
employee (previously employed) from service
1. Request Form Human Resource Management Office
issued ID. Person being represented
(Present 1 of ANY of the following):
a. Government Institution ID Issuing Government Agency
b. Driver’s License a. Government Institution
c. SSS UMID Card b. Land Transportation Office
d. Passport c. Social Security System
e. PRC License d. Department of Foreign Affairs
f. Senior Citizen ID e. Professional
sional Regulatory Commission
g. PhilHealth ID f. Local Government Unit – Office for Senior
h. Voter’s ID Citizen Affairs
i. Postal ID Government Issued ID g. Philippine Health Insurance Corporation
(PhilHealth)
h. Commission on Election (COMELEC)
i. Philippine Postal Corporation (PhlPost)
3. Authorization Letter Requesting Party
4. Government Issued Identification Issuing Government Agency
Card of the Representative. a. Land Transportation Office
(Present 1 of ANY of the following): b. Social Security System
a. Driver’s License c. Department of Foreign Affairs
b. SSS UMID Card d. Professional Regulatory Commission
c. Passport e. Local Government Unit – Office for Senior
d. PRC License Citizen Affairs
e. Senior Citizen ID f. Philippine Health Insurance Corporation
f. PhilHealth ID (PhilHealth)
g. Voter’s ID g. Commission on Election (COMELEC)
h. Postal ID Government nt Issued ID h. Philippine Postal Corporation (PhlPost)
5. Charge Slip Human Resource Management Office
AGENCY FEES PROCESSING PERSON
CLIENT STEPS
ACTIONS TO BE TIME RESPONSIBLE
100
PAID
1. Sign in the 1. Assist client in None 1 minute Administrative
client/visitor’s the request form Assistant
logbook and get HRMO
a Request Form
at the file rack
labelled as “HR
Request Form”.
2. Submit duly 2.1 Accept and 20 minutes Administrative
accomplished review request Assistant
request form. form for the HRMO
completeness of
If authorized fields.
personnel,
present 2.2 Issue charge
authorization slip for payment PHP 20
letterand any to Collection
government Office.
issued ID of
authorized 2.3 Start
person and processing the
representative request
request.
3. Return to HRMS 3.1 Accept None 1 minute Administrative
and present Official Receipt Assistant II
Official Receipt and instruct HRMO
requesting
person to return
for the release
of documents:
documents
After 1 day for

Active Employee
After 3 days for

inactive
employee from
service(2015-
2019)
After 5 days for

inactive
employee from
service 2015
and below.
TOTAL PHP 20 22 minutes
101
2.EMPLOYMENT
EMPLOYMENT VERIFICATION (ON LINE/VIA ELECTRONIC MAIL)
Employment verification is the process of confirmation of employment provided by the
hospital employee to other private and/or government agencies.
agencies
Office or Division: Human Resource Management Office

Classification: Simple and Complex
G2B-Government
Government to Business
Who may avail: Authorized person/agency
1. Letter of request via email Requesting Person/Agency
2. Scanned copy of Government Issued Person being represented
ID of authorized person
(Present 1 of ANY of the following):
a. Driver’s License Issuing Government Agency
b. SSS UMID Card a. Land Transportation Office
c. Passport b. Social Security System
d. PRC License c. Department of Foreign Affairs
e. Senior Citizen ID d. Professional Regulatory Commission
f. PhilHealth ID e. Local Government Unit – Office for
g. Voter’s ID Senior
h. Postal ID Government Issued ID Citizen Affairs
f. Philippine Health Insurance Corporation
(PhilHealth)
3.Scanned copy of Authorization Letter, Requesting Person/Agency
if not the requesting person/agency
4. Scanned copy of any Government
Issued Identification Card of the
Representative Issuing Government Agency
h. Postal ID Government Issued ID (PhilHealth)
CLIENT STEPS AGENCY FEES PROCESSING PERSON
102
ACTIONS TO BE TIME RESPONSIBLE
PAID
1. Send request 1. Acknowledge None 5 minutes Administrative
letter and/or request and send Assistant
authorization a Freedom of HRMO
letter and any Information (FOI)
government form to be
issued ID of accomplished by
authorized the requesting
person and party.
representative
via email.
2. Send back duly 2.1Review
1Review the None 25 minutes Administrative
accomplished completeness of Assistant
FOI form. the received FOI HRMO
form.
2.2 Start the

processing of the
request.
2.3 Send the

accomplished
employment
verification and
request for an
acknowledgement
upon receipt.
3. Acknowledge 3. Receive the None 1 minute Administrative
receipt of the acknowledgement. Assistant
requested HRMO
Employment
Verification.
TOTAL None 30minutes
3. FILING OF APPLICATION FOR JOB VACANCIES PUBLISHED
Job seekers file application to HR for vacancies posted to our website, bulletin and Civil
Service Commission’s (CSC) website and bulletin.
Office or Division: Human Resource Management Section

Type of G2C–Government
Transaction: G2G–Government
103
Who may avail: Applicants for employment and promotion
1. Letter of Intent/Application Letter Applicant
indicating position applied
2. One (1) copy each of the following Issuing agency:
and duly authenticated/certified: a. School last attended
a. Transcript of Record b. School last attended
b. Diploma c. Civil Service Commission (CSC),
c. Proof of Eligibility Professional Regulatory Commission
d. Certificate of Employment and (PRC)
Performance Evaluation if with d. Company where previously employed
previous employment e. Accredited Training Company
e. Training Certificate
FEES
CLIENT STEPS TO BE
PAID
1. Present 1.1 Enter name None 10 minutes Administrative
application forms of applicant to Assistant
and all the Log Book.
Book HRMO
requirements
indicated in the 1.2.
2. Review and
checklist. accept
submitted
documents
documents.
1.3 Mark the

front page of the
document with
“Received”
“Received”.
1.4 Issue the

receiving copy
to the applicant.
applicant
1.5 Inform
applicant of the
schedule for the
written
examination
and/or interview.
interview
104
Engineering and Facilities Management
Office
Internal Services
105
1. REQUEST FOR REPAIR (RFR) FOR MANAGEMENT OF HOSPITAL
FACILITIES, UTILITIES AND EQUIPMENT
Hospital Facilities, Utilities and Equipment is being manage by the Department of

Engineering and Facilities Management Office thru a written Request for Repair of an
end-user
user specifying their concern.
Office or Division: Engineering and Facilities Management Office

Classification: Simple Complex
Simple,
Type of G2G – Government to Government
Transaction:
Who may avail: All employees
1. Request for Repair (RFR) Engineering and Facilities Management
Office
FEES
CLIENT STEPS
PAID
1.1 For non- 1.1 Receive None 30 minutes Maintenance Staff
emergency RFRForm and Engineering and
requests, present assign it to the Facilities
duly accomplished Maintenance
aintenance Staff Management Office
Request for Repair
(RFR) Form. 1.2 Assess if:
Administrative Aide
Engineering and
a. Parts/supplies Facilities
are available. Management Office
b. Parts/supplies
are not available,
prepare and
submit Purchase
Request to
Procurement
Office.
1.3 Perform repair 5 days

as requested.
1.4 Fill out log 2 minutes

book for the client
acknowledgement
2. Sign the 2. Signify repair None 1 minute Maintenance Staff
Maintenance status. Engineering and
106
logbook for Facilities
acknowledgement Management Office
of Repair
2. VEHICLE TRANSPORT - AMBULANCE
Department of Engineering and Facilities Management Office provides transportation for

in-house
house patients using ambulance to and from the Hospital or vice versa. They also
transport in-house
house patients outside the province provided necessary documents are
being complied.
Office or Engineering and Facilities Management Office

Division:
Transaction:
Who may avail: Patients
Hospital Order Vehicle Request for Medical Center Chief Office
Travel
AGENCY FEES TO BE PROCESSING PERSON
CLIENT STEPS
ACTIONS PAID TIME RESPONSIBLE
1. Client request 1.1 Receive call
ca *included in 5 minutes Ambulance Driver
for ambulance and inform driver the hospital Engineering and
conduction. on duty or bill Facilities
Receive hospital Management
order for driver Office
dispatching
Department of
Engineering and
1.2 Driver on Facilities
duty to request Management
hospital order Head
signed by MCC. Engineering and
Facilities
1.3 Driver to Management
fetch the patient Office
to be
transported.
2.1 Patient to ride 2. Driver to None 5 minutes Ambulance Driver
the ambulance conduct patient Engineering and
accompanied by to his/her Facilities
the relative or requested Management
watcher destination. Office
107
2.2
Patient/Patient’s
watcher sign trip
ticket if conduction
is done
3. VEHICLE
HICLE TRANSPORT - OFFICE VEHICLE
Department of Engineering and Facilities Management Office provides transportation for

in-house
house employees using office vehicle to and from the Hospital or vice versa. They
also transport in-house
house employees outside the province provided necessary
necessary documents
are being complied.

Type of Transaction: G2G – Government to Government
1. Hospital Order Medical Center Chief Office
FEES
CLIENT STEPS
PAID
1.1 Request for 1.1 Receive call
ca None 5 minutes
transportation/vehicle. and inform driver
on duty or Office Driver
Receive hospital Engineering and
order for driver Facilities
Management
dispatching
Office
1.2 Driver on duty Department of
to request Engineering and
hospital order Facilities
signed by MCC. Management Head
Engineering and
1.3 Driver to fetch Facilities
the employee to Management
be transported Office
2.1 Employee 2. Driver to 5 minutes Not applicable

sign trip ticket if transport
transport is done employee to None
his/her requested
destination.
108
4. REQUEST FOR BILLING ANDISSUANCE
ANDISSUANCE OF REPORT FOR
PAYMENT
Contractors/Suppliers are being paid thru inspection and accomplishment of necessary

supporting documents such as inspection reports, statement of work accomplished,
statement of time elapsed and monthly certificate of payment.

Who may avail: Contractors
Request for billing Contractor
FEES
CLIENT STEPS
PAID
1. Submit request 1.1 Receive
for billing letter to Request Letters
the Medical Center from the MCC Engineer
Chief (MCC) Office Office Engineering and
Facilities
Management Office
1.2 Accomplish
the following:
a.) Inspection
report
b.) Statement of
None 2 days
Work
accomplished
c.) Time elapsed
d.) Monthly
Certificate of
Payment
1.3 Forward
orwards
documents to
Finance Division
TOTAL None 2 days
5. ASSESSMENT OF MEDICAL EQUIPMENT FOR CONDEMNATION

Medical Equipment are being sent to Medical Equipment Technicians for assessment of
functionality.. If can be repaired, but beyond economical-repair
economical repair and with a lifespan of
109
above three (3) years, Medical equipment technician recommends to condemn the
medical equipment.

Request for billing Contractor
FEES
CLIENT STEPS
PAID
1. Forward the 1.1 Receive and
Equipment to the asses the Medical
Maintenance Office Equipment if it is Engineer
None 1 day Engineering and
still repairable or
beyond Facilities
Management Office
economical repair.
2. Sign log book of 2. Issue
Medical Equipment assessment. None 1 minute Not Applicable
Technician
TOTAL None 1 day and 1 minute
110
Materials Management Section
External Services
111
1. RECEIPT OF GOODS/SUPPLIES/EQUIPMENT PURCHASED
Materials Management Office receives goods/supplies/equipment purchased or donated

for the hospital needs. The office also made sure that goods received are in good
condition with necessary documents.
docum
Office or Division: Materials Management Office

Transaction: G2C – Government to Client
G2B – Government to Business
Who may avail: Suppliers, Private and Public Entities, Government and Non-
Government Organizations, Private Individuals
1. Purchase Order Procurement Office
2. Letter of Donation Donor
FEES
CLIENT STEPS
PAID
1. Present 1.1 Receive, None 1 day Administrative
documents and check and verify Officer
goods/supplies/ documents. Materials
equipment for Management Office
delivery. 1.2 Check if there
Administrative
is an existing
Assistant
For Goods approved Materials
Purchased Purchase Order. Management Office
1.3 Call end-

end End User
user/Inspector of
the Day/Medical Inspector of the day
Equipment
Technician in Medical Equipment
charge (if needed) Technician
Technician-in-
charge
(if needed)
1.4 Accept goods/
supplies/
equipment if
compliant as to
specifications.
1.5 Return goods

if not compliant as
112
to specifications
For Goods Donated 1.2 Receive, None 1 day Administrative
check and verify Officer
documents. Materials
Management Office
1.2 Check if there
Administrative
is an approved
Assistant
Letter of Donation. Materials
Management Office
1.3 Call end-
end
user/Inspector of End User
the Day/Medical
Equipment Inspector of the day
Technician in
charge (if needed) Medical Equipment
Technician
Technician-in-
1.4 Accept goods/ charge
(if needed)
supplies/
equipment if
compliant as to
specifications.
TOTAL None 1 day
113
Material Management Section
Internal Services
114
1.. ISSUANCE OF GOODS/SUPPLIES TO END-USER
END
Materials Management Office stores goods/supplies needed in the hospital and issues
them upon request of the end users.
Office or Division: Materials Management Office
Transaction:
Who may avail: All employees, Government Agencies
Approved Requisition Issuance Slip Requesting party
(RIS)
FEES
CLIENT STEPS
PAID
1. Submit approved 1.1 Receive None 4 hours Warehouseman III
RIS. document and Materials
check availability Management Office
of requested item.
Administrative
Assistant I
1.2 Issue items
Materials
requested. Management Office
1.3 Sign the
documents.
2. Inspect and 2. Verify if None 5 minutes Warehouseman III
receive the goods properly received. Materials
requested Management Office
TOTAL None 4 hours and 5 minutes
115
Procurement Section
External Services
116
1. PROCUREMENT OF GOODS/SUPPLIES/EQUIPMENT
Procurement Section facilitates the timely procurement of goods/services and
infrastructure projects needed by the hospital in accordance with RA9184 and the
prescribed accounting and auditing rules and regulations. The office canvasses
goods/supplies/equipment for the consumption
consum and use of the agency.
Office or Division: PROCUREMENT SECTION

Type of Transaction: G2B--Government to Business
Who may avail: Suppliers/Bidders
Note: the following list of documents is required depending on the items being procured
as indicated in the Request for Quotation Form.
1. Mayor’s Permit (1 photocopy) 1. Mayor’s Office where the Office is
located
2. Income/Business Tax Return (1 2. Bureau of Internal Revenue (BIR)
photocopy)
3. PCAB License (for infra) – (1 3. Philippine Contractors Accreditation
photocopy) Board (PCAB)
4. Philgeps Certificate/Philgeps 4. Government Procurement Policy Board
Registration No. (GPPB)
5. Notarized Omnibus Sworn Statement 5. Company of the Bidder
(1 original)
6. Certified True Copy of valid and 6. Food and Drugs Administration (FDA)
current Certificate of Product
Registration (CPR) or Certificate of
Listing of Identical Drug product
(CLIDP) (1 certified photocopy)
7. License to Operate (LTO) (1 7. Food and Drugss Administration (FDA)
photocopy)
8. Certificate of Innovator Drug or local 8. Manufacturing Company
Bioequivalence (1 photocopy)
9. Certificate of Clinical Experience 9. R2TMC/Any Tertiary Hospitals
within the last five (5) years (1
photocopy)
10. Proof of deliveries for new bidders
bi like 10. Secondary/Tertiary/Private/Government
purchase order, sales invoice and Hospitals
delivery receipts (1 photocopy)
11. Certificate of Drug Analysis (1 11. Any accredited Testing Centers
photocopy)
Agency Fees to Processing Person
Client Steps
Actions be Paid Time Responsible
117
1. Secure Request for 1. Issue RFQ to None 5 minutes Administrative
Quotation (RFQ) Form interested Assistant I & III
to Procurement Staff. Supplier/Bidder. Procurement
Office
2. Submit in a sealed 2.1 Receive the None 2 days Administrative
envelope the price accomplished Assistant I & III
proposal using the RFQ and all Procurement
RFQ form, and all documentary Office
documentary requirements
requirements. enclosed in an
envelope.
2.2 Open the

sealed envelope
containing the
RFQ/Proposal
2.3 Prepare
Abstract of
Quotation and
submit
mit to end
user and BAC.
2.4 Receive the

Abstract of
Quotation which
contains the
winning
bidder/supplier.
2.5 Prepare the

NOA/NTP/PO
and send to the
winning
bidder/supplier.
3. Authorized 3. Receive the None 5 minutes Administrative
representative shall signed conforme Assistant I & III
sign in the conforme portion of the Procurement
portion of the Notice of Notice of Award Office
Award (NOA) & Notice (NOA) & Notice
to Proceed (NTP) -if to Proceed
applicable and (NTP) -if
Purchase Order (PO) applicable and
Purchase Order
(PO)
118
2.. CONDUCT PUBLIC BIDDING
Bids and Awards Committee is responsible for the conduct of public bidding of all drugs
and medicines, laboratory, medical and surgical supplies, medical equipment,
infrastructure and all other projects of the hospital. BAC 1 for goods and services, BAC
2 for infrastructure projects. Governed by RA 9184 and its revised IRR.
Office or BIDS AND AWARDS COMMITTEE

Division:
Type of G2B
Transaction:
Who may avail: Suppliers/Bidders
Note: the above list of documents is required depending on the items being
procured as indicated in the Request for Quotation Form
1. Eligibility, Technical and Financial 1. Company of the Bidder
Requirements indicated in the Bidding
Documents (1 original and 2
photocopies)
2. Certified True Copy of valid and 2. Food and Drugs Administration (FDA)
current Certificate of Product
Registration (CPR) or Certificate of
Listing of Identical Drug product
(CLIDP) (1 certified photocopy)
3. License to Operate (LTO) (1 3. Food and Drugs Administration (FDA)
photocopy)
4. Certificate of Innovator Drug or local 4. Manufacturing Company
Bioequivalence (1 photocopy)
5. Certificate of Clinical Experience within 5. R2TMC/Any Tertiary Hospitals
the last five (5) years (1 photocopy)
6. Proof of deliveries for new bidders like 6. Secondary/Tertiary/Private/Government
purchase order, sales invoice and Hospitals
delivery receipts (1 photocopy)
7. Certificate of Drug Analysis (1 7. Any accredited Testing Centers
photocopy)
8. Order of Payment Slip 8. BAC
9. Official Receipt 9. Collection
Fees to
Processing Person
Client Steps Agency Actions be
Time Responsible
Paid
119
None 1.1 Receive approved None 3 days BAC/TWG/ BAC
PPMP and APP for Secretariats
public bidding. Bids and Awards
Committee
1.2 BAC meet for
scheduling of pre-
pre
procurement and
secure Certificate of
Availability of Fund.
1.3 Conduct pre-

pre
procurement and
schedule of the
procurement activities.
1.4 Advertise
ertise and Post
in the PhilGeps,
hospital website and
bulletins. (Day 1)
1. Purchase 1.1 Issue order of None 5 minutes BAC Secretariat
Bidding payment for Bidding Bids and Awards
Documents to Documents. Committee
BAC Secretariat.
1.2 Issue Order of
Payment Slip.
1.3 Instruct
supplier/bidder to
for the following
payment:
a. ABC of
PHP500,000 and
below: PHP500
b. PHP500,000 to
PHP1,000,000:
PHP1,000
c. PHP1,000,000 to
PHP5,000,000:
PHP5,000
d. PHP5,000,000 to
PHP10,000,000:
PHP10,000
e. PHP10,000,000
P10,000,000 to
PHP50,000,000:
120
PHP25,000
f. PHP50,000,000 to
PHP500,000,000:
PHP50,000
g. PHP500,000,000:
PHP75,000
2. Present the 2. Photocopy the None 5 minutes Administrative
Official Receipt. official receipt, record Assistant I
the sale and issue
complete set of
Bidding Documents to
the participating
bidder/supplier
3. Attend the 3. Conduct of Pre-Bid

Pre None 6 hours BAC/TWG/ BAC
Pre-Bid Conference. (Day 7) Secretariats
Conference Bids and Awards
(optional to the Committee
bidder).
4.1 Submit 4. Stamp “received” None 5 minutes Administrative

Bidding the bid offer and signs Assistant I
Documents. the same as to date Administrative
and time received. Officer III
4.2 Affix Bids and Awards
Committee
signature on the
bidder’s logbook
manifesting its
submission of
their bid offer.
5. Attend the 5.1 Conduct opening of None 6 hours BAC/TWG/BAC
opening of Bids. the Bid Proposals and Secretariats
all documentary Bids and Awards
requirements (Day 21) Committee
5.2 Bid evaluation and

Post evaluation of the 1 day
lowest calculated bid
and send notice to the
winning bidder. (Day 7 days
28)
6. Receipt of 6. Resolution for None 1 hour Administrative
Notice of Post- issuance of notice of Assistant I
qualification award. (Day 29) Administrative
Officer III
121
Letter Bids and Awards
Committee
7. Authorized 7. Issuance of the None 5 minutes Administrative
representative Notice of Award (NOA) Assistant I
shall sign in the (Day 30) Administrative
conforme portion Officer III
of the Notice of Bids and Awards
Committee
Award (NOA)
8.Posting of 8.1 Received the None 1 day Administrative
Performance Performance Security. Assistant I
Security Administrative
8.2 Preparation and Officer III
issuance of the Bids and Awards
Committee
Contract Agreement &
Notice to Proceed.
(Day 31)
9. Affix signature 9. Release a copy of None 5 minutes Administrative
on the Contract the Contract Assistant I
Agreement and Agreement and NTO to Administrative
Notice to Winning Bidder (Day Officer III
Proceed (NTP) 34) Bids and Awards
Committee
TOTAL a. ABC of PHP500,000 and 13 days, 5 hours and 25 minutes
below: PHP500
b. PHP500,000 to
PHP1,000,000: PHP1,000
c. PHP1,000,000 to
PHP5,000,000: PHP5,000
d. PHP5,000,000 to
PHP10,000,000: PHP10,000
e. PHP10,000,000 to
PHP50,000,000: PHP25,000
f. PHP50,000,000 to
PHP500,000,000: PHP50,000
PHP500,000,000: PHP75,000
122
Professional Education and Training Unit Office
Internal Services
123
1. PROVISION OF LEARNING AND DEVELOPMENT INTERVENTIONS
(LDIS)
All hospital employees are mandated to undergo LDIs for capacity development in order
to effectively deliver hospital services.
Office or Division: PROFESSIONAL EDUCATION TRAINING UNIT

Classification: G2G-Government
Type of Simple
Transaction:
Who may avail: All Hospital Employees
1. Interoffice Communication Requesting person/department
2. Invitation and/or Program of Program manager
Activities
CLIENT STEPS
1. Submit 1. Receive the None 1 hour Training Assistant II
Interoffice document. Chief Training
Communication Officer
with Invitation 1.1 Review Professional
and/or Program and verification Education and
of OB and OT. Training Unit
1.2
Recommend to
the MCC for
approval.
TOTAL None 1 hour
2. SUBMISSION OF TRAINING REPORTS SUCH AS:

ACTION PLANS, LDP, IDP, TRAINING & RETOOLING, TRAINING
CALENDAR, IN-HOUSE
HOUSE TRAINING REPORT, ETC.
Training Reports are periodically submitted for monitoring and evaluation of

accomplishments based on the identified plans.
Office or Division: PROFESSIONAL EDUCATION TRAINING UNIT

Type of SIMPLE
Transaction:
Who may avail: Training Officer or Assigned Personnel
Submit one (1) copy of the following Department/Section Training Officer
Training Report whichever is
124
applicable:
a. Action Plans
b. Learning and Development
Plan
c. Individual Development Plan
d. Training & Retooling Plan
e. Training Calendar
f. In-House
House Training Report
g. Certificate of Appearance/
Training/Attendance
FEES
CLIENT STEPS TO BE
PAID
1. Submit the 1. Receive the
Training Assistant II
training report document.
Training Specialist
with receiving IV
copy. 1.1 Affix 5 minutes Professional
signature on Education and
the receiving Training Unit
copy.
3. APPLICATION FOR AFFILIATES/OJT
The agency offers teaching-learning

teaching learning activities to different private and government
institutions bound by the Memorandum of Agreement signed by both parties. Period of
exposure would depend on the required minimum hours prescribed by the institution.
Office or Division: PROFESSIONAL EDUCATION AND TRAINING UNIT

Application for Affiliates/OJT
G2B-Government
Government to Business
Type of SIMPLE
Transaction:
Who may avail: All interested parties
1. Memorandum of Agreement University
2. Endorsement Letter University
FEES
CLIENT STEPS TO BE
PAID
1. Submit the 1. Receive the None 30 minutes Training Assistant II
Memorandum document. Training Specialist
of Agreement 1.1 Review IV
and and validate Chief Training
Officer
125
endorsement Professional
letter. 1.2 Endorse Education and
to the Training Unit
concerned
department
126
Legal Office
Internal Services
127
1.NOTARIZATION
The legal office notarizes documents like the Personal Data Sheet (PDS), Statement of
Accounts, Liabilities and Net Worth (SALN), Affidavit S2, and other documents required
by law to be notarized.
Office or Legal Office

Division:
Who may avail: Employees (Contract of Service and/or Permanent), New
Applicants
issued ID.
(Present 1 of ANY of the following): Issuing Government Agency
e. Senior Citizen ID e. Local Government Unit – Office for Senior
2. Personal Appearance Client
3. Two (2) or more copies of the Client
documents to be notarized.
CLIENT STEPS
1. Presents filled- 1.1 Received by None 5 minutes per Legal Secretary
up documents. the Secretary and document
check the
1.1 PDS/SALN completeness of
checked by the the documents
Human Resource
Management 1.2 Notarizes the 10 minutes Attorney IV
Office document/s (per document) Legal Office
presented. One
1.2 S2 and/or (1) copy of the
documents to be document will be
notarized. retained to the
office. 5 minutes
1.3 Return the Legal Secretary
128
documents to the
person concerned
TOTAL None 20 minutes per document
2. REVIEW AND DRAFTING OF AGREEMENT (MOA, CONTRACTS)

The legal office notarizes Draft Agreement (MOA, Contracts).

Division:
Government to Employee
Who may Contracting Agency/ Employee
avail:
1. One (1) copy of the document to be Contracting party
reviewed.
CLIENT FEES TO PROCESSING PERSON
AGENCY ACTIONS
STEPS BE PAID TIME RESPONSIBLE
1. Present draft 1.1 Received by the None 5 minutes Legal secretary
agreement legal secretary.
(MOA,
Contracts). 1.2 Endorse to the
Legal officer for
Attorney IV
review, opinion and 5 days
Legal Office
recommendations.
1.3 Return the 5 minutes

documents to the
requesting person
129
3. RESPONSE TO EXTERNAL FEEDBACK
The legal office review complaints.
Division:
Who may avail: Employees, Concerned Citizen
1. One (1) copy of the document to be reviewed. Employees, Concerned Citizen
FEES
CLIENT STEPS TO BE
PAID
1. Endorsement 1.1 Received by the None 5 minutes Legal secretary
from the MCC. legal secretary.
1.2 Endorse to the

Legal officer for
Attorney IV
review and drafting 5 days
Legal Office
of response,
opinion and
recommendations.
5 minutes
1.3 Submission of
the
Recommendations,
opinion to the MCC
for appropriate
action
130
Management Information Section (MIS)
Internal Services
131
1. MANAGEMENT INFORMATION SYSTEM SERVICES
Management Information System Section provides services related to information

system planning, research and development including corporate database design,
systems analysis, integration and maintenance. Moreover, the section also develop
systems audit andnd control and systems security for the agency. Lastly, the section
provides Information and Communications Technology (ICT) support and services
including training and education and, development and implementation of standards
related to systems.
Office or Division: Management Information System

Transaction:
Who may avail: All hospital employees
1. MIS Support Request Form MIS Office
FEES
CLIENT STEPS TO BE
PAID
1. Fill out and affix 1.1 Evaluate the None 1 day Computer
signature on the request of client Maintainance
Management to determine Technologist III
Information System priority and Computer
(MIS) Section scope of work. Maintainan
Maintainance
Technologist II
Support Request
MIS Staff
Form (MSRF) 1.2 Perform Management
provided by MIS necessary Information System
Section. actions based (MIS) Section
on client’s
request.
1.3 Fill out

MSRF’s
description of
work and date of
completion.
1.4 Delivery of
service
requested.
Total None 1 day
132
FEEDBACK AND COMPLAINTS MECHANISM
How to send feedback You can send us your concerns on
delivery of our services and issues through
our Public Assistance and Complaint Desk
(PACD), or through our drop boxes found
within the premises of the hospital and via
email. To file a complaint, kindly fill out
the Complaint Form, which can be
accessed from our PACD or prepare a
complaint letter with the following details:
1. Complete name, address, email

and contact number of complainant
and respondent
2. Narration of facts
3. Demand/Required Action
How feedbacks are processed All complaints and feedback received

through PACD will be collected every
week. If it requires immediate action, once
received it will be submitted to the
MANCOM or concerned person/office for
deliberations and appropriate action
respectively.
How to file a complaint Complaints maybe submitted with the
accomplished Complaint Form or
complaint letter to our PACD or via our
emails; opdpad@gmail.com or
mainlobbypad@gmail.com.
How
ow complaints are processed All complaints and feedback received
through PACD will be collected every
week. If it requires immediate action, once
received it will be submitted to the
MANCOM or concerned person/office for
deliberations and appropriate actio action
respectively.
For complaints required for filing of formal
complaints it will be resolved in
accordance with DOH and CSC rules and
procedures for filing administrative
complaints.
Contact Information of CCB, PCC, Telephone Hotline:

ARTA (078) 805 3561
133
(078) 805 3562
(078) 805 3563
(078) 805 3564
Cellphone Number:
09563009505
Email address:
opdpad@gmail.com
mainlobbypad@gmail.com
134

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REGION II TRAUMA AND MEDICAL CENTER

The hospital was established and formerly known as Veterans Regional

As a tertiary hospital, it is mandated to provide a better quality and cost

Region II Trauma and Medical Center is in the forefront of trauma care in

To provide accessible, equitable, and excellent health care services in Region

IV. Service Pledge:

Serve with integrity;

Rehabilitation Medicine Section 6

Complementary and Alternative Health Care Section 9

Emergency Medicine Department 17

Employee’s Medical Services and Wellness Clinic 23

Health Information Management Department (Main) 29

Health Information Management Department (Out-Patient)

Pharmacy Section (Out-Patient)

Pharmacy Section (In-Patient)

Nutrition and Dietetics Department (Out-Patient)

Nutrition and Dietetics Department (In-Patient)

Medical Social Work (Malasakit Center) 81

Medical Social Work 84

Billing and Claims Section 87

Engineering and Facilities Management Office 105

Procurement Section 116

Professional Education and Training Unit Office 123

Legal Office 127

Management Information Section 131

Office or Division: Out-Patient

2. Proceed to the 2.1 Interview and None 3 Minutes Triage Nurse

TOTAL None 6 minutes and 30 seconds

Office or Division: Out-Patient Department

1.2 Assist the client

5.4 Provide health

New or referred patient is assessed to determine rehabilitative needs. The

The patient returns to the Rehab Clinic Clinic to continue Physical

Office or Division: Rehabilitation Medicine Section

Office or Division: Complementary and Alternative Health Care (CAHC)

3. Proceed to 3.1 Conducts Refer to CAHC

3.2 Issuance of 3.2 1 minute

4.3 Schedule client

TYPE OF SERVICES PRICE

Office or DENTAL MEDICINE

1.3 Refer to the Dentist

1.4 Issue charge slip for

Office or Division: Department of Emergency Medicine

The Admitting Section focuses in dealing with patient registration, admission,

Office or Division: R2TMC Employee’s Medical Services and Wellness

2. PERIODIC HEALTH EXAMINATION/ANNUAL PHYSICAL

Periodic Health Examination or Annual Physical Examination of all employees

Office or Division: R2TMC Employee’s Medical Services and Wellness

The clinic caters only to non-emergent

Office or R2TMC Employee’s Medical Services and Wellness Clinic

5. Patient with 5.1 Nurse None 15 minutes Physician

Office or Division: Health Information Management Department

2.3 Print 1st

3.8 Issue Birth

Office or Division: Health Information Management Department

2. Present the queue 2.1 Interview None 20 minutes Administrative

2.3 Print 1st

4. Receive and affix 4. Issue Death None 2 minutes Administrative

3. ISSUANCE OF MEDICAL CERTIFICATE/MEDICO-LEGAL

Office or Health Information Management

2. Present the 2.1 Interview and None 7 minutes Administrative

2.3 Inform client for

8. Affix 8. Verify if properly None 1 minute Administrative