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Republic of the Philippines

Autonomous Region in Muslim Mindanao


Department of Health
DATU ODIN SINSUAT DISTRICT HOSPITAL
Dalican, Datu Odin Sinsuat, Maguindanao, 9601
Email Address: dinaigmunhospital@yahoo.com/dinaigmunhospital@gmail.com
Contact No.: +63 917 622 3894

March 16, 2022

PASAYOD M. BEROWA, MPA


Overseer
Local Health Insurance Office- DOS
Capiton, Datu Odin Sinsuat Maguindanao

Sir:

Greetings!

In compliance with the PHILHEALTH policy, we are respectfully submitting to your good office
the official receipts attached to this letter as well as the transmittal summary for our claims
reimbursement as reflected below.

Reimbursement Summary

OR Number Amount Credit Date


2025977 7,440 January 5, 2022
2025978 15,240 March 2, 2022

Sincerely,

TONENA K. GUINTA
Administrative Assistant II

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