BGHMC Citizens Charter 2020

BAGUIO GENERAL HOSPITAL AND
MEDICAL CENTER
CITIZEN’S CHARTER
2020 EDITION
0
BAGUIO GENERAL HOSPITAL AND
MEDICAL CENTER
CITIZEN’S CHARTER
1
I. Mandate:
The Department of Health (DOH) is mandated to be the over-all technical authority on

health. The major mandate of DOH is to provide national policy direction and develop
national plans, technical standards and guidelines on health. It is also a regulator of all
health services and products; and provider of special or tertiary health care services and of
technical assistance to other health providers especially to Local Government Units (LGU).
With other health providers and stakeholders, the DOH shall pursue and assure the
following:
 Promotion of the health and well-being for every Filipino;
 Prevention and control of diseases among population at risk;
 Protection of individuals, families and communities exposed to health hazards & risks;
 Treatment, management and rehabilitation of individuals affected by diseases and
disability.
II. Vision:
BGHMC is the premier referral center of Northern Luzon offering leading edge specialty
services.
III. Mission:
We continuously innovate our services, offer comprehensive training programs and

engage in research for better health outcomes of the clients that we serve.
IV. Service Pledge:
We, at the Baguio General Hospital and Medical Center commit to:
-Deliver quality healthcare to our clients;
-Engage in ethical corporate practices to enhance quality standards of healthcare in
compliance to statutory and regulatory requirements;
-Implement a quality management system and continually improve its effectiveness
through sound and responsive managerial leadership;
-Enhance human resource capability and adapt institutional best practices;
-Implement a functional Integrated Hospital Operation and Management Program
(IHOMP);
-Practice a culture of transparency and accountability;
- Attend to applicants or requesting parties who are within the premises of the office or
agency concerned prior to the end of official working hours and during lunch break.
2
List of Services
Office of the Medical Center Chief

External Service 13
Receiving of Medical Assistance/Guarantee Letters 14
Legal Department
External Service 15
Preparation and Review of Legal Documents 16
Public Health Unit

External Service 17
Issuance of Health Pass 18
Finance
Accounting 19
Internal Service
Receipt of Disbursement Voucher/Payroll and Purchase Orders for Audit 20
Follow-up on Disbursement Voucher/Payroll and Purchase Order 43
Receipt of Reports from Other Offices 44
Billing
External Service 47
Settlement of Promissory Note 48
Preparation of Statement of Account 50
Internal Service 53
Preparation of Monthly Reports 54
3
Billing and Claims
External Service 55
Processing and Collection of Other Hospital Claims 56
Processing and Submission of PhilHealth Claims 58
Internal Service 61
Preparation and Submission of Unit’s Monthly Report 62
Budget
External Service 64
Processing of Disbursement Vouchers for Funding 65
Processing of Purchase Orders for Funding 67
Internal Service 69
Receipt of Disbursement Vouchers and Purchase Orders 70
Cash Operations
External Service 71
Issuance of BGHMC’s Official Receipt/s to Paying Client for Cost of
Hospital Charges Inclusive of Professional Fees of Authorized Practitioners 72
Issuance of Checks or Authority to Debit Accounts (ADA) or List of
Due and Demandable Accounts Payables-Advice to Debit Accounts
(LDDAP-ADA) with the Corresponding Summary of LDDAP-ADAs
Issued and Invalidated ADA Entries (SLIIE) to Pay Obligations to
External Creditors or Suppliers 77
Internal Service 80
Issuance of Checks or Authority to Debit Accounts (ADA)or List of Due
and Demandable Accounts Payables-Advice to Debit Accounts
(LDDAP-ADA) with the corresponding Summary of LDDAP-ADAs
Issued and Invalidated ADA Entries (SLIIE) to Pay Obligations to Internal
Creditors 81
4
Financial and Management Office
External Service 84
Issuance of Certificate of Acceptance of Guarantee Letter from
the Philippine Charity Sweepstakes Office (PCSO) 85
Hospital Operations & Patient Support System

Bids and Awards
External Service 86
Securing of payment Order for the payment of Bidding Documents 87
Securing of Bidding Documents 89
Chief Administrative Office

Internal Service 90
Request for Service Vehicle 91
Request for Accommodation (Guest House, Venue Hall, Function Hall,
Use of Sound System) 93
Preparation of Hospital Issuances 95
Central Communication and Records Unit

Internal Service 97
Transmittal of Documents for Mailing 98
Endorsement of Medical Assistance Program 100
Endorsement of Hospital Issuances 102
Document Request 103
Engineering & Facilities Management Office

External Service 104
Scheduled Meeting/Appointment with the Project Management Team 105
Submission of Documents and Sample of Construction Materials 106
5
Internal Service
107
Project Proposal for Infrastructure Projects 108
Request for Ambulance Service 110
Request for Service Vehicle 113
Request for Maintenance Job Order 117
Request for Repair of Medical Equipment 119
General Services Office

Internal Service 121
Requisition of Ready- Made Linen Requirements 122
Requisition of Linen Requirements for Fabrication 124
Distribution of Clean Linens 126
Receiving of Soiled Linens 128
Service Request Step by Step for Venues 130
Service Request for Disinfecting/Hauling/Housekeeping 131
Service Request for Venues Procedure 133
Service Request for Accommodation Procedure 134
Clean Linens Step by Step Procedure 142
Human Resource Management Office

Recruitment and Selection 136
Issuance of Certificate of Employment and/or Updated Service Record 148
Filing of Application for Leave 151
Issuance of Authority to Travel Abroad 154
Procurement Management Office

Internal service 156
Acceptance of Approved Purchase Request for Shopping 157
6
Acceptance Approved Purchase Request for Public Bidding,
Direct Contracting, Agency to Agency, Repeat Order, Emergency Case 160
Security Office
Request for CCTV Footage Review 164
Request for Storage (Release of Cadever) 167
Screening of Outgoing Patients/Watchers, Visitors 168
Screening of Incoming Patients/Watchers, Visitors and Employees 169
Medical Service
Anesthesia
Anesthesia for Emergency Procedures 172
Cancer Center
Cancer Center Subspecialty Consultation 174
Cancer Treatment – Chemotherapy and Infusion Therapy 176
Blood Transfusion 179
Bone Marrow Aspiration and Biopsy 182
Center for Diagnostic and Therapeutic Nuclear Medicine

Nuclear Imaging Procedure 187
Radioimmunoassay 188
7
Dental Department
Patient Consultation 190
Family and Community Medicine

Animal Bite Treatment Center (ABTC) 196
Industrial Clinic Pre-Employment Medical Certificate 208
Internal Service 220
Employee’s Health Clinic 221
HIV/AIDS Core Team (HACT)

HIV/AIDS Counselling and Testing 227
HIV/AIDS Clinical Management 230
Neuroscience
Electromyogram (EMG) 233
Electroencephalogram (EEG) 235
Obstetrics and Gynecology

Teleconsultation 238
Out-patient RT-PCR Test for COVID 19 Patients scheduled for
Elective Gynecologic Procedures 241
Out-patient RT-PCR Test for COVID 19 Patients for pregnant

patients in the Peripartum Period 243
Out-patient Face to Face Consultation for Ob-Gyn Patients 244
8
Ophthalmology
OPD-ER Out-patient Face to Face Consultation for Ophthalmology Patients 249
Otorhinolaryngology- Head and Neck Surgery

Hearing Screening Test : Use of Autoacoustic Emission Machine to Screen
Newborn for Hearing Loss at Birth 253
Hearing Screening Test: Pure Tone Audiometry to test for Hearing Loss 255
Tympanometry Used to Test for the Condition of the middle Ear
and the Mobility of the Ear Drum 257
Flexible Nasopharyngolaryngoscopy : An Endoscopic Procedure to

Visualize the Nasal Cavity up to the Laryngeal Complex 259
Outpatient Department
Patient Consultation 262
Pathology
Anatomic Pathology Procedures 268
Service under Special Condition (Autopsy) 275
Blood Bank Procedure 277
Blood Collection from Donors 282

Procedure for ER Laboratory 284
Procedure for Laboratory Services 289
Procedure of Laboratory Services under Special Condition – PCR Testing
for SARS-COV-2 for Patients who are not classified in the Risk Sub-
Group A to F 299
Service under Special Condition – PCR Testing for SARS-COV-2 for 303
Patients classified in the Risk Sub-Group A to F
9
Psychiatry
Neuropsychiatric Evaluation Report Process during the COVID 19 Pandemic 306
Psychiatric Outpatient Consultation 309
Radiation Oncology
External Beam Radiation Therapy and Brachytherapy 313
Radiology
X-ray Procedure at the Triage Area (24/7 operation) 317
Mammography 320
Performing MRI Procedure at the Flavier Building (24/7 Operation) 323
Performing of X-RAY Procedure at the Out Patient Department (24/7 Operation) 326
CT Scan Covid 329
CT Scan Procedure 331
X-ray Procedure at the Flavier Building (24/7 operation) 334
Ultrasound Procedure 338
Rehabilitation Medicine
Physical Therapy/Occupational Therapy – Out-patient 351
Physical Therapy/Occupational Therapy – In-patient 353
Under Five Clinic

Outpatient consultation at the Under Five Clinic (UFC) 355
10
Women and Children Protection Unit
Psychological Evaluation 359
Securing Medico-Legal Certificate 363
Providing Teleconsultation and Tele-counselling for Victims of Abuse 368
Nursing Service
Issuance of Medical Supplies to In-Patient 371
Issuance of Medical Supplies to OPD Sales 372
Issuance of Medical Supplies to Out of Patient Sales to Senior Citizens &
With Person with Disability 373
Issuance of Medical Supplies to OPD Patients with Financial Assistance

And Philhealth Entitlement 375
Professional and Allied Health Service

Health Information Management Department
Admitting Unit Service 409
Releasing of Requested to availing clients
for use in Claims Insurances, Reimbursements, Court Proceedings,
Medical Assistance, etc. 411
Transcription and Release of Death Certificates 413

Request for Replacement Copies for Death Certificates
(due to loss/unregistered) 415
Transcription of Birth Certificates and Providing Photocopies

for Submission to the Billing and Claims – for Single and Married Parents 417
Transcription of birth certificates and providing photocopies for

submission to the Billing and Claims - for Admission of Paternity
with Authority to use the Surname of the Father (AUSF) 418
Transcription of Birth Certificates and Providing Photocopies

for Submission to the Billing and Claims – for Admission
of Paternity without Authority to use the Surname of the Father (AUSF) 420
11
Medical Social Work Department
Eligibility and Navigation-Psychosocial Assessment for Admission 423
Philhealth Enrollment under point of Service (POS) Program 426
Case Management (ER/ OPD/IN-PATIENT) 428
Eligibility and Navigation (Malasakit Center) 430
Philhealth Services 434
PCSO –At Source and Processing Desk 435
DSWD- CAR Services 436
Medical Social Work Department- DOH Medical Assistance
to Indigent Patients (MAIP) Program 437
Medical Social Work Department- Socio – Civic projects Fund (SCPF) 438
Budget Office (Receiving of Guarantee Letters) 440
BGHMC Advisory Board Services 441
Nutrition & Dietetics

Therapeutic and Tubefeeding In-patients 443
Therapeutic and Tubefeeding Out-patients 445
Pharmacy
Dispensing of Medicines to Out-patients/Walk-in Patients (24/7 operation) 448
Dispensing of Medicines and Medical Supplies to Admitted
Patients (24/7 operation) 452
Dispensing of Chemotherapeutic Medicines to Out-patients

(7:00am to 3:00pm operations) 453
Dispensing of Chemotherapeutic Medicines to Admitted Patients 458
12
Office of The Medical Center Chief
External Service
13
Office of The Medical Center Chief
1.Receiving of Medical Assistance /Guarantee Letters
The Office of the Medical Center Chief receives the Medical Assistance / Guarantee Letter
from Indigent Patients to avail Medical Services, Diagnostics and to purchase medications
and medical supplies.
Office or
Office of the Medical Center Chief
Division:
Classification: Simple
Type of
G2C- Government to Transacting Public
Transaction:
Admitted patient for discharge and patient who underwent treatment
Who may avail:
availing of Financial Assistance through MAIP
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
Original and Photocopy of the Guarantee Office of the City Social Welfare and
Letter or Medical Assistance Development Office, Mayor’s Office, Office of
Congressman Go, Office of Hon. Eric Yap, etc.
FEES
PROCESSING PERSON
CLIENT STEPS AGENCY ACTIONS TO BE
TIME RESPONSIBLE
PAID
1. Presents both 1. Receives the None 30 seconds Administrative
the Original Copy Original Copy and Assistant I/
and Photocopy of Photocopy of the Administrative Officer
the Medical Medical IV
Assistance / Assistance /
Guarantee Letter. Guarantee Letter
and puts a stamp
indicating the date
and time of
receipt.
2. Gets back the 2. 1 Returns the None 1 Minute Administrative
stamped stamped photocopy Assistant I/
Photocopy of the of the Medical Administrative Officer
Medical Assistance / IV
Assistance / Guarantee Letter to
Guarantee Letter the Patient/ watcher.
and brings to the 2.2. Forwards the
Malasakit Center Original copy of the
located at the 1st Medical Assistance /
floor OPD Guarantee Letter to
Building for the Medical Social
evaluation. Service after the
MCC affix his
signature.
TOTAL: None 1Minute 30
Seconds
END OF TRANSACTION
14
Legal Department
External Service
15
Legal Department
1. Preparation and Review of Legal Documents
The Legal Office caters to all legal matters brought before it. These legal matters refer to
the preparation and/or review of documents which may consist of Affidavits, Contracts,
Memorandum of Agreement and the like which documents are needed in official
transactions and other legal purposes.
Office Legal Office

Classification Simple
Type of Transaction G2C, G2B, G2G
All persons having official transactions with
Who may avail
BGHMC
1. Valid Government issued Identification BIR, DFA, LTO, Postal Office, SSS, GSIS,
Card of Affiant or contracting parties as PAGIBIG
proof of their identity.
2. Personal Appearance at the legal office
FEES
PROCESSING PERSON
TIME RESPONSIBLE
PAID
1. Personal Office assistant None 2 minutes Administrative
appearance by the interviews the client Assistant /
client at the Legal as to what is Legal Assistant
Office. needed.
2. Presentation of Preparation and / or None 10 minutes Legal Assistant /
proof of identity review of legal Attorney IV
document/s.
3. Receipt of the Release of the legal None 2 minutes Administrative
legal document documents Assistant /
reviewed / prepared. reviewed Legal Assistant
4. Fill out the Final disposition None 2 minutes Administrative
monitoring logbook. given Assistant /
Legal Assistant
TOTAL: None 16 minutes
END OF TRANSACTION
16
Public Health Unit
External Service
17
1. Issuance of Health Pass
Distribution of Health Pass to eligible patients at the Public Health Unit.
Office or Division PUBLIC HEALTH UNIT

Type of
G2C- Government to Citizen
Transaction
Who may avail Cancer Patients Requiring Chemotherapy, Dialysis Patients, High
Risk Pregnant Women
Master list of Eligible Patients for a Health Concerned Department
Pass
CLIENT AGENCY ACTIONS FEES TO PROCESS PERSON
STEPS BE PAID ING TIME RESPONSIBLE
1.All eligible 1.1 The Triage Officer of the None 5 minutes Triage Officer of
patients Day will assist eligible the Day
should patients in filling out the
proceed first Health Declaration Form.
to the BOOM
Triage before 1.2 After filling out the Health
entering the Declaration Form the
hospital Triage officer will direct
premises. eligible patients to the
concerned Department
2.All eligible 2.1 The physician on duty of None 5-7minutes Physician on Duty
patients may that day of the concerned of the Concerned
now proceed department will gather Department
to the patient basic information
Concerned and perform assessment
Department to the patient.
for
assessment
and
information
gathering.
3.Proceed to 3.1The PHU Staff will verify None 2-3 PHU Staff
the Public the eligible patients based minutes
Health Unit on the list forwarded by
for the the concerned
Issuance of department.
Health Pass.
3.2The PHU Staff will encode
the patient information,
assign control number of
the Health pass and
printing of the health pass.
END OF TRANSACTION
18
Accounting
Internal Service
19
Accounting
1.Receipt of Disbursement Voucher/Payroll and Purchase Orders for
Audit
All disbursement vouchers (DVs) / payrolls and purchase orders from other
sections/offices of the hospital for audit/processing of payments in the accounting office
shall be received by the incoming/outgoing clerk. This service is available 8;00-5:00 pm
only, Monday to Friday, except holidays at the Accounting Office, Administration Building,
BGHMC.
Office or Division: Accounting
Type of
G2G-Government to Government
Transaction:
Who may avail: BGHMC Employees
Disbursement Vouchers – Procurement of
Goods (Through Public Bidding)
Materials and Management Office/ End-
Disbursement Vouchers (4 original)
User
Invoice / Statement of Account Supplier
(1 original)
Inspection and Acceptance Report Materials and Management Office
(1 original)
Inventory Custodian Slip, for items amounting Materials and Management Office
less than Php15,000.00
(1 original)
Property Acknowledgement Report, for Materials and Management Office
equipment amounting Php15,000.00 and
above (1 original)
Stock Position Sheets for consumable items End user
(1original)
Purchase Order (1original) Procurement Management Office
Approved Purchase Request indicating APP Procurement Management Office
page number of the item (1original)
Schedule of Delivery Procurement Management Office
(1original - 1 payment ; 1 photocopy –
st
succeeding payments)
Obligation Request and Status/Budget Budget Office
Utilization Request and Status
(2 original)
Approved Contract (1 original) Procurement Management Office
Notice of Award (1 original) Procurement Management Office
Performance Security (1 original) Supplier
Print out of posting of Advertisement Procurement Management Office
(1photocopy)
Print out of posting of NOA, NTP, and Procurement Management Office
Contract (1 photocopy)
Notice to Proceed (1 original) Procurement Management Office
20
BAC Form B (1 original) Procurement Management Office
Post-Qualification Evaluation Report Procurement Management Office
(1 original)
Bid Evaluation Report (1 original) Procurement Management Office
BAC Resolution (award of contract) Bids and Awards Committee
(1 original)
Evidence of Invitation of three observers in all Procurement Management Office
stages of the procurement process (1
original)
For drugs and medicines- certificate of Supplier
product registration; certificate of good
manufacturing practice; batch release
certificate; authority of dealer, if not the dealer
(1 photocopy)
Minutes of Pre-procurement Conference for Procurement Management Office
projects costing above ₱5.0 million for
infrastructure, ₱2.0 million and above for
goods, and ₱1.0 million and above for
consulting services (1 original)
Legal documents to establish existence of Supplier
new suppliers:
- DTI Registration Certificate
(1 photocopy)
- Permit to Engage in Business
(1 photocopy)
- BIR FORM 2303 (1 photocopy)
Warranty/Guarantee Certificate, Supplier
if applicable (1 original)
Training Certificates/Attendance, Supplier
if needed (1 photocopy)
Such other documents peculiar to the
contract and/or to the mode of procurement
and considered necessary in the auditorial
review and in the technical evaluation thereof
Disbursement Vouchers – Procurement of
Goods (Through Alternative Mode of
Procurement)
Disbursement Vouchers (4 original) Accounting Office
Invoice / Statement of Account Supplier
(1 original)
Inspection and Acceptance Report Materials Management Office
(1 original)
Inventory Custodian Slip, for items amounting Materials Management Office
less than Php15,000.00
(1 original)
Property Acknowledgement Report, for Materials Management Office
equipment amounting Php15,000.00 and
above (1 original)
21
Stock Position Sheet, for consumables End user
(1 original)
Purchase Order (1 original) Procurement Management Office
page number of the item (1 original)
Obligation Request and Status/Budget and Budget
Utilization Request Status
(1 original, 1 duplicate copy)
BAC Reso-Approval of AMP (1 original) Bids and Awards Committee
(1 photocopy)
For imported items- Consular Invoice, Home Supplier
consumption value; importation expense
breakdown (1photocopy)
Statement of the prospective bidder that it is Supplier
not blacklisted or barred from bidding by the
Government or any agencies, offices,
corporations or LGUs (1 certified true copy)
Sworn affidavit of the bidder that it is not Supplier
related to the HOPE by consanguinity or
affinity up to the third civil degree
(1 certified true copy)
Order of Termination (if necessary) Materials Management Office
Samples of brochures/photographs, Supplier
if applicable (1 photocopy)
Certificate of Exclusive Distributorship, Supplier
if applicable (1 photocopy)
Result of test analysis, if applicable Supplier
(1 photocopy)
new suppliers
- DTI Registration Certificate
(1 photocopy)
- Permit to Engage in Business
(1 photocopy)
- Tax Status whether VAT/Non-Vat
Registered/VAT Exempt
(1 photocopy)
22
Additional Requirements for Goods
Procured through Shopping
Stock Position Sheet (for consumables) End user
(1 original)
Service Report ( for replacement) MIS/BIOMED
Abstract of Quotation (1 original) Procurement Management Office
Request for Quotations (at least 3) (original) Supplier
Performance Securities if necessary Supplier
(1 original)
Proof of posting of RFQ (1 photocopy) Procurement Management Office
Warranty / Guarantee Certificate, Supplier
if necessary (1 original)
Proof that common supplies are not available Procurement Management Office
from PS (1 original)
Procured through Direct Contracting
Price Quotation (1 photocopy) Supplier
Certificate of Exclusive Distributorship issued Supplier
by the Principal under oath and authenticated
by the embassy/consulate nearest the place
of the principal, in case of foreign suppliers
(1 photocopy)
Certification from the agency authorized Supplier
official that there are no sub-dealers selling at
lower prices and for which no suitable
substitute can be obtained at more
advantageous terms to the government
(1 original)
Procured through Repeat Order
Copy of the Original Contract used as basis Procurement Management Office
for repeat order indicating that the original
contract was awarded through public bidding
Certification from the Purchasing Office that Procurement Management Office
the supplier has complied with all the
requirements under the original contract
(1 original)
Procured through Negotiated Procurement
Price Quotation/bids (1 original) Supplier
Agency's offer for negotiations with selected Procurement Management Office
suppliers, contractors or consultants (two
23
failed biddings)
(1 original)
Certification of BAC on the failure of Bids and Awards Committee
competitive bidding for the second time (two
failed biddings) (1 original)
Evidence of invitation of observers in all Procurement Management Office
stages of the negotiation (two failed biddings)
(1 original)
Eligibility documents in case of infrastructure Supplier
projects
(two failed biddings)
Approved justification as to the necessity of End User
purchase (emergency cases)
(1 original)
Copy of terminated contract Procurement Management Office
take-over contracts) (1 certified true copy)
Reasons for the termination Procurement Management Office
(take-over contracts) (1 original)
Negotiation documents with the second Procurement Management Office
lowest calculated bidder or the third lowest
calculated bidder in case of failure of
negotiation with the second lowest bidder. If
negotiation still fails, invitation to at least three
eligible contractors (take-over contracts)
(1 original)
Approval by the HOPE to negotiate contracts Procurement Management Office
for projects under exceptional cases
Proof of Posting of RFQs Procurement Management Office
(Small Value Procurement) (1 original)
Proof of posting of invitation Procurement Management Office
(Small Value Procurement) (1 photocopy)
Copy of Approved Work and Financial Plan End User
(Small Value Procurement)
Service Report (For repair) – MIS/BIOMED
Original Contract and any document Procurement Management Office
indicating that the same resulted from
competitive bidding (adjacent or contiguous
projects) (1 original)
Scope of work which should be related or Procurement Management Office
similar to the scope of work of the original
contract (adjacent or contiguous projects)
(1 original)
Latest Accomplishment Report of the original Procurement Management Office
contract showing that there was no negative
slippage/delay (adjacent or contiguous
24
Disbursement Vouchers-Procurement of
General Support Services (Janitorial and
Security Services)
Obligation Request and Status / Budget Budget Office
Utilization Request and Status (2 original)
Disbursement Voucher (4 original) End- user
Contract (1 original) Legal office
Invoices / Billing Statement (1 original) Supplier
Appropriate approved documents indicating Bids and Awards Committee
the number of personnel involved and their
corresponding rates/salary and schedule of
work and places of assignment or station
(1 original)
Daily Time Records (DTRs) (1 original) Supplier
Summary of DTRs (1 original) Supplier
General Payroll (1 original) Supplier
Proof of remittances from SSS, PhilHealth, Supplier
Pag-IBIG (1 copy)
Affidavit of Payment (1 original) Supplier
(1 original)
Materials Issue Slip (1 original) Supplier
Certification of Rendered Services from General Services
Agency Representative (1 original)
General Support Services (Maintenance)
Disbursement Voucher (4 original) End-
Contract Legal office
Invoices / Billing Statement (duly Supplier
recommended for payment by authorized end
user/representative of procuring entity) (1
original)
Service Report (1 original) Supplier
General Support Services (Garbage
Collection/Disposal/Hauling)
25
Disbursement Voucher (4 original) End User
Contract (1 copy) Legal office
Invoices / Billing Statement (1 original) Supplier
Service Report (1 original) Supplier
Disbursement Vouchers-Advertising
Expenses
Invoices / Billing Statement (duly Supplier
recommended for payment by authorized end
user/representative of procuring entity)
(1 original)
Copy of newspaper clippings evidencing End User
publication and/or CD in case of TV/Radio
commercial (1 original)
Disbursement Vouchers- Training -
Registration Fees
Hospital Order/Department Order (1 original) CAO/CCRU/DOH
Invitation reflecting registration fee (1 copy) Service Provider
Copy of Registration Form, if applicable End User
(1 copy)
Disbursement Vouchers-Accreditation
Fees
Disbursement Voucher (4 original) Accounting Office
Approved Request Letter (1 original) End User
Basis of Accreditation Fee / Statement of Service Provider
Account / Billing Statement (1 original)
Copy of Previous Certificate (1 copy) End User
Disbursement Voucher-Honoraria
(Lecturer / Resource Person / Coordinator
/ Facilitator)
Hospital Order, if necessary (1 original) CAO/CCRU
Approved request letter to invite resource End User
person/speaker (1- original)
26
Curriculum Vitae (CV)/Resume (1 original) Lecturer / Resource Person / Coordinator /
Facilitator
Coordinator's report on lecturer's schedule End User
and topics (indicate the actual no. of hours)
(1 original)
Course syllabus/Program of Lectures End User
(1 original)
Work and Financial Plan (1 copy) End User
Income Payee's Sworn Declaration of Gross Lecturer / Resource Person / Coordinator /
Receipts/Sales (1 original) Facilitator
Certification of Monthly Basic Salary issued End User
by the employer of the resource speaker or in
the absence thereof, justification of the
amount to be given but in no case to exceed
the amount equivalent to the rate of salary
grade 29 step 1 as provided in DBM Budget
Circular No. 2007-1 (1 original)
Disbursement Voucher-Replenishment of
Petty Cash Fund
Purchase Request with Certificate of Petty Cash Custodian
Emergency Purchase, if necessary
(1 original)
Inspection and Acceptance Report (1 original) Materials Management Office
Bills/receipts/invoices (1 original) Supplier
Petty Cash Vouchers duly accomplished and Petty Cash Custodian
signed (1 original)
Summary of Petty Cash Vouchers (1 original) Petty Cash Custodian
Report on Paid Petty Cash Vouchers Petty Cash Custodian
(1 original)
Canvass from at least three suppliers for
purchases involving ₱1,000 and above, Procurement Management Office
except for purchases made while on official
travel (1 original)
Report of Waste Materials in case of Management Information Service / Materials
replacement/repair (1 original) Management Office
Approved trip ticket, for gasoline expenses Petty Cash Custodian
(1 original)
Toll receipts, if applicable (1 original) Supplier
Stock Position Sheets (for consumable items) Materials Management Office
(1 original)
Inventory Custodian Slip (for semi- Materials Management Office
expendable items) (1 original)
Property Acknowledgment Receipt Materials Management Office
(for repair) (1 copy)
27
Minutes of the meeting or Notice/Invitation to End User
bid or Attendance Sheet, if applicable
(1 copy)
Prescriptions, if applicable (1 original) Medical
Laboratory Request Forms, if applicable Laboratory
(1 copy)
Charge slips, if applicable (1 original) Cost Centers
Billing Report of Send-out Laboratories, Billing
Such other supporting documents that may
be required and/or required under the
company policy depending on the nature of
expenses
Disbursement Voucher-Grant of Petty
Cash Fund
Approved estimates of petty expenses for one Petty Cash Custodian
month (1 original)
Hospital Order (1 original) Chief Administrative Office
Note: Petty Cash Custodian should be
bonded
FIDELITY BOND:
SALN (Statement of Assets, Liabilities, and Petty Cash Custodian
Net Worth) (1 original)
Certification that applicant for renewal has no Petty Cash Custodian
pending administrative and criminal case
(1 original)
57A (Request of Bonding of Bond and Cash Operation
Application for Bond of Accountable Official)
(1 original)
Disbursement Voucher-Utility Services
(Water)
Obligation Request and Status/Budget Budget
Billing Statement (1 original) Supplier
Copy of Billing Statements recommended for Engineering
approval (1 original)
Schedule of Water Consumption (2 original) Accounting Office
BIR Form 2306 (4 original) Accounting Office
(Electricity)
28
Copy of Billing Statements recommended for Engineering
approval (1 original)
Schedule of Electric Consumption (2 original) Accounting Office
BIR Form 2307 (4 original) Accounting Office
(PLDT)
Schedule of official telephone expenses-trunk Accounting Office
line and other independent lines
(for official calls only) (2 original)
Schedule of official and personal telephone Accounting Office
expenses-trunk line and other independent
lines (for official and personal calls)
(2 original)
Summary of Personal Calls (2 original) Accounting Office
Certification of Official or Personal Calls End User
(1 original)
(Globe)
Certification of Official Calls (1 original) Accounting Office
(Cable)
Disbursement Voucher- Traveling and
Training Expenses
Duly signed Obligation Request and Budget
Status/Budget Utilization Request and Status
(2 original)
Approved Hospital/Department Personnel HOPSS
Order (1 original)
Duly accomplished Itinerary of Travel End User
(1 original)
Duly accomplished Certificate of Travel End User
Completed (1 original).3
Certificate of Attendance/Appearance Facilitator

(1 photocopy)
29
Duly accomplished Narrative Report End User
(1 original)
Official Receipts (Registration fee, Service Provider
transportation, and other allowable expenses)
(1 original)
Certification of Expenses Not Requiring Accounting Office
Receipts (1 original)
Electronic Ticket (air transport) (1 original) Service Provider
Boarding Pass (air transport) (1 original) Service Provider
Drivers Trip Ticket (use of gov't vehicle) Engineering - Motorpool
(1 original)
Invitation Letter (1 original) Facilitator
Duly signed Daily Time Record, if necessary HRMO/ End User
(1 photocopy)
Disbursement Voucher-Cash Advance
Status/Budget Utilization Request and Status
(2 original)
Approved Hospital/Department Personnel HOPSS
Order (1 original)
Certification from the accountant that the Accounting Office
previous cash advance has been liquidated
and accounted for in the books (1 original)
Approved application for bond or fidelity bond Cashier
for the year for cash accountability of P2,000
or more (1 photocopy)
Additional Requirements for Local Travel
Duly accomplished Itinerary of Travel End User
(1 original)
Additional Requirements for Foreign
Travel
Letter of invitation of host/sponsoring Sponsor/Agency
country/agency/organization (1 photocopy)
Copy of the United Nations Development
Programme (UNDP) rate for the daily UNDP Website
subsistence allowance (DSA) for the country
of destination (1 copy)
Document to show the dollar to peso BSP Website
exchange rate at the date of grant of cash
advance (1 original)
Additional Requirement for Field/Activity
Current Operating Expenses
Approved Work and Financial Plan End User
30
Approved Budget Estimates (1 original) End User
Disbursement Voucher-Refund of Patients
Disbursement Voucher Accounting Office
Budget Utilization Request and Status / Budget
Obligation Request and Status
Original Official Receipt / Invoice Patient / Cashier
Statement of Account Billing and Claims
Photocopy of ID (Claimant) Patient
Special Power of Attorney (SPA), if claimant Patient
is not the patient
Marriage Contract, if claimant is the spouse Patient
Birth Certificate of Patient, if patient is 17 Patient
years of age and below
Death Certificate of Patient Patient
OR Techniques (Implants of NBB) OR/ HIMO
OR Sheet OR/ HIMO
Disbursement Voucher-Consignment
Consignment Request (1 Original/Photocopy) Pharmacy
Consignment Order Form Procurement and Management Office
(1 Original/Photocopy)
Budget Utilization Request and Status Budget
(2 Original)
Inspection and Acceptance Report Pharmacy
(1 Original)
Report on Consigned Goods Dispensed to Pharmacy
Patient (1 Original)
Charge Slips (1 Original) Pharmacy
Disbursement Voucher (4 Original) Pharmacy
List of Patients with Consignment (1 Original) Billing
Sales Invoice (1 Original/Photocopy) Supplier
Delivery Receipt (1 Original/Photocopy) Supplier
Certificate of Product Registration Supplier
Contract Agreement (1 Original) Pharmacy
Disbursement Voucher-Tie Ups
(ABG Procedure)
Budget Utilization Request Status (3 Original) Budget Office
Abstract of Payment (2 Original) Accounting Office
JEV with Details (1 Printed Copy) Accounting Office
Details of Collection per Account Code Cashier
(for over the counter transaction only)
(1 Printed Copy)
Printed Official Receipts from EAZY Cashier
Collection ( for wrong posted collection only)
(1 Printed Copy)
List of In-Patients with ABG Utilization Billing and Claims Unit
(1 Photocopy)
Service Provider Report (1 Photocopy) Service Provider
31
BGHMC Charge Slip (1 Original/Photocopy) Pulmonary Unit
Service Provider Charge Slip Service Provider
Pulmonary Section Request Form Service Provider
Photocopy of Endorsement Letter Budget Office
( for MAIP Transaction Only) (1 Photocopy)
(Respicare Procedure)
Abstract of Payment (2 Original) Accounting Office
Details of Collection per Account Code Cashier
(for over the counter transaction only)
JEV with Details (1 Printed Copy) Accounting Office
List of In-Patients with Mechanical Ventilator Billing and Claims Unit
(Respicare) Utilization (1 Photocopy)
Service Provider Report with Invoice Service Provider
(1 Photocopy)
BGHMC Charge Slip (1 Original/Photocopy) Pulmonary Unit
Service Provider Charge Slip Service Provider
Printed Official Receipts from EAZY Cashier
Collection ( for wrong posted collection only)
(1 Printed Copy)
Photocopy of Endorsement Letter Budget Office
(for MAIP Transaction Only) (1 Photocopy)
Disbursement Voucher-Tie Ups (Notre
Dame de Chartres Hospital Procedure)
Working Paper (2 Original) Accounting Office
Statement of Account (BGHMC) (1 Original) Billing and Claims Unit
Transmittal/Statement of Account Service Provider
(Notre)/Patient Details Charges (1 Original)
Referral Form/Radiology Request Form Radiology Department
(1 Original/ Photocopy)
(SLU Procedure)
Working Paper (2 Original) Accounting Office
List of In-patients with Send Out Laboratories Service Provider
(1 Photocopy)
SLU Charge Slips (1 Original) Service Provider
BGHMC Charge Slip, Clinical Pathology Laboratory
Request Form (1 Original)
Referral Letter (1 Photocopy) Laboratory
(Hemodialysis Procedure)
Summary Report Of Hemodialysis Treatment- Billing and Claims
32
Billing Report(1 original)
Charge Slips (1 original,) Billing and Claims
Budget Utilization Request and Status / Budget
Obligation Request and Status (4)
Sales Invoice (1 original) Service Provider
Details of Collection (1) Easy Collection System
Abstract of Payment (1 original, per category Accounting
the treatment was charged)
Special Journal Entry Voucher (3 copies) Accounting
List of In-Patient with Set-Up (1 copy) Accounting
Disbursement Voucher (4) Accounting
Subsidiary Ledger of Hemodialysis Accounting
Tie-ups (1)
Schedule of Payables (1 original) Accounting
Collection Letter (1 original) Accounting
Tax Certificate - 2307 and 2306 (4 copies) Accounting
Water Analysis - OR, DV, Result (1 original) Accounting
Laundered Linen Report ( 1 original) General Services
Electric and Water Report (1 original) Accounting
Guarantee Letter (1 photocopy) Budget
Summary of Changes to MAIP (1 original) Budget
List of Hemodialysis of Patients Under Budget
MAP/Summary of Bills Rendered Charged to
MAIP (1 original)
Disbursement Voucher-Fund Transfer
(MAIP)
BURS/ORS (2 Original) Budget Office
List of Patient w/ certified available funds Budget Office
(if no attached Endorsement Letter)
Endorsement Letter (Original) Budget Office
Statement of Account of Patients Billing and Claims Unit
List/ Details of Utilization Report Budget Office
Summary of Utilization Report Budget Office
Payroll-Plantilla (Salaries)
Obligation Request and Status (2 original) Budget Office
General Payroll / Disbursement Voucher Human Resource Management Office
(1 original, 1 duplicate)
Prooflist (2 original) Human Resource Management Office
Computation of Salary (1 original) Human Resource Management Office
Daily Time Record (DTR) (1 certified true Human Resource Management Office
copy)
Appointment (1 certified true copy) Human Resource Management Office
Assumption to Duty (1 certified true copy) Human Resource Management Office
33
Oath of Office (1 certified true copy) Human Resource Management Office
SALN (1 original) Employee
Journal Entry Voucher (1 original) Accounting Office
Summary of Payroll - Employee Benefits Accounting Office
(2 original)
Payroll-Contract of Service/Job Order
(Salaries)
Daily Time Record Human Resource Management Office
(1 original/certified true copy)
General Payroll / Disbursement Vouchers Human Resource Management Office
Proof list (2 original) Chief Administrative Office
Obligation / Budget Utilization Request and Budget Office
Status (2 original)
JEV with Details (1 original) Accounting Office
Summary of Payroll (2 original) Accounting Office
SSS Remittance (2 original) Human Resource Management Office
SWORN Declaration (1 original) Employee
Computation of Salary Human Resource Management Office
Payroll-(Salary Differential)
General Payroll / Disbursement Voucher Human Resource Management Office
Proof list (2 original) Human Resource Management Office
Computation of Salary (1 original) Human Resource Management Office
Daily Time Record (1 certified true copy) Human Resource Management Office
Appointment (1 certified true copy) Human Resource Management Office
Assumption to Duty (1 certified true copy) Human Resource Management Office
Oath of Office (1 certified true copy) Human Resource Management Office
Notice of Salary Adjustment (1 certified true Human Resource Management Office
copy)
Payroll-Longevity Pay
General Payroll (1 original, 1 duplicate) Human Resource Management Office
Proof list (2 original) Human Resource Management Office
Notice of Longevity Pay (1 certified rue copy) Human Resource Management Office
Certification of Non-conviction of Any Legal Office
Administrative or Criminal Case (1original)
Certification of Satisfactory Rating for at least Human Resource Management Office
5 Years (1 original)
Working Paper for Adjustments (1 original) Human Resource Management Office
Longevity Working Paper (1 original) Human Resource Management Office
(1 original)
Journal Entry Vouchers Accounting Office
(1 original)
Payroll - Night Shift Differential
34
General Payroll (1 original, 1 duplicate) HRMO
Proof list (2 original) HRMO
NSD Working Paper (1 original) HRMO
Summary of Payroll - Employee Benefits
Accounting Office
(1 original)
Journal Entry Vouchers (1 original) Accounting Office
Payroll-PHIC Sharing/Case Rate Claims
Budget Utilization Request and Status Budget Office
(2 original)
Computation of 50-50 (1 original) HRMO
Computation of Case rate (1 original) HRMO
Inventory of Dormitory and Flavier Occupants General Service / HRMO
(1 original)
Summary of PF for PHIC Sharing (1 original) Accounting Office
(1 original)
BIR Form 2307 / 2306 Accounting Office
Summary of Bills (1 original) Billing and Claims
Journal Entry Vouchers (1 original) Accounting Office
List of Dormitory and Flavier Occupants HRMO
(1 original)
Payroll-BAC Honorarium
(2 original)
General Payroll (1 original, 1 duplicate) Bids and Awards Committee
Summary of Deductions Before Tax on BAC Bids and Awards Committee
Honorarium Based on the Attendance
(1 original)
Summary of BAC Members and BAC Bids and Awards Committee
Secretariat Attendance per Project
(1 original)
Summary of BAC TWG Attendance per Bids and Awards Committee
Project (1 original)
Summary of Proceeds of Sale of Bidding Bids and Awards Committee
Documents (1 original)
BAC Accomplishment Reports (1 original) Bids and Awards Committee
Basis for Payment of the BAC Bids and Awards Committee
Members/Alternate BAC Members Honoraria
per Project (1 original)
Basis for Payment of the BAC Secretariat Bids and Awards Committee
Honoraria per Project (1 original)
Basis for Payment of the BAC TWG Bids and Awards Committee
Honoraria per Project (1 original)
35
Notice of Award (1 photocopy) Bids and Awards Committee
Pre-procurement Conference Attendance Bids and Awards Committee
Sheet per Project (1 photocopy)
Pre-Bid Conference Bids and Awards Committee
BAC/TWG/Observers/Concerned Officials
Attendance Sheet (1 photocopy)
Bid Opening Conference Bids and Awards Committee
BAC/TWG/Observers/Concerned Officials
Attendance Sheet (1 photocopy)
Bid Evaluation Attendance Sheet Bids and Awards Committee
(1 photocopy)
Post Qualification Evaluation Bids and Awards Committee
BAC/TWG/Observers/End Users/Concerned
Officials Attendance Sheet (1 photocopy)
Hospital Orders for the Composition of Bids Bids and Awards Committee
and Awards Committee (1 photocopy)
Payroll-BEMONC Honorarium
(2 copies)
General Payroll (1 original, 1 duplicate) BEMONC
Memorandum of Agreement (1 photocopy) BEMONC
Programme/ Computation (1 photocopy) BEMONC
Attendance Sheet (1 photocopy) BEMONC
Payroll-Hazard Pay
(1 original)
Circulars (1 printed copy) INTERNET
Disbursement Voucher-Terminal Leave
Benefits
Disbursement Voucher (4 original) HRMO
Certification (1 original) HRMO
Approved Application Leave Form (1 original) HRMO
Employee Leave Ledger (1 original) HRMO
Notice of Salary Adjustment HRMO
Updated Service Record (1 original) HRMO
Letter of Application for HRMO
Retirement/Resignation (1 original)
Letter of Acceptance/Endorsement HRMO
36
(1 original)
Certificate of Training Ended (1 original) HRMO
Payroll-Bonuses
Computation (1 original) HRMO
Circulars (1 printed copy) INTERNET
(1 original)
Payroll-RATA and Mobile Phone
Allowance
General Payroll (1 original, 1 duplicate) CAO
Daily Time Record (1 certified true copy) HRMO
Certification of RATA (1 original) Employees/officials
Journal Entry Voucher (1 original) Accounting
Payroll-Cash Incentives (Job
Order/Contract of Service)
Proof list (2 original) CAO
Budget Utilization Request and Status Budget
(2 original)
JEV with Details (1 original) Accounting Office
Summary of Payroll (1 original) Accounting Office
List of Job Orders (1 original) HRMO
Computation of PHIC Sharing (Job Order) HRMO
(1 photocopy)
Inventory List of Dormitory Occupants HRMO
(1 photocopy)
Payroll-Mobile Phone Allowance
Payroll (4 original) HOPSS
JEV (1 original) Accounting Office
Purchase Order-Procurement of Goods
through Public Bidding
Status/Budget and Utilization Request Status
(2 original)
Approved Contract (1original) Procurement Management Office
37
Notice of Award (1 original) Procurement Management Office
Performance Security (1 original) Supplier
Print out of posting of Advertisement (1 copy) Procurement Management Office
Print out of posting of NOA, NTP, and Procurement Management Office
Contract (1 copy)
Notice to Proceed(1 original) Procurement Management Office
BAC Form B (1 original) Procurement Management Office
Post-Qualification Evaluation Report Procurement Management Office
(1 original)
Bid Evaluation Report (1 original) Procurement Management Office
BAC Resolution (award of contract) Bids and Awards Committee
(1 original)
Evidence of Invitation of three observers in all Procurement Management Office
stages of the procurement process
(1 original)
(1 copy)
new suppliers:
- DTI Registration Certificate (1 copy)
- Permit to Engage in Business (1 copy)
- BIR FORM 2303/Certificate of Registration
(1 copy)
Stock Position Sheets (for consumable items) End User
(1 original)
Warranty/Guarantee Certificate, if applicable Supplier
(1 original)
Purchase Order- Procurement of Goods
through Alternative Mode of Procurement
Obligation Request and Status/Budget and Budget
Utilization Request Status (2 original)
BAC Reso-Approval of AMP (1 original) Bids and Awards Committee
38
(1 copy)
For imported items- Consular Invoice, Home Supplier
consumption value; importation expense
breakdown (1 copy)
Statement of the prospective bidder that it is Supplier
not blacklisted or barred from bidding by the
Government or any agencies, offices,
corporations or LGUs (1 original)
Sworn affidavit of the bidder that it is not Supplier
related to the HOPE by consanguinity or
affinity up to the third civil degree (1 original)
Order of Termination (if necessary) Materials Management Office
(1 photocopy)
Samples of brochures/photographs, Supplier
Certificate of Exclusive Distributorship, Supplier
if applicable (1 copy)
Result of test analysis, if applicable (1 copy) Supplier
new suppliers
- DTI Registration Certificate (1 copy)
- Permit to Engage in Business (1 copy)
- BIR FORM 2303/Certificate of Registration
(1 copy)
through Alternative Mode of Procurement-
Procured through Shopping
Stock Position Sheet (for consumables) End User
(1 original)
Service Report (for replacement) MIS/BIOMED
(1 photocopy)
Request for Quotations (at least 3) Supplier
(1 original)
Performance Securities if necessary Supplier
39
(1 original)
Proof of posting of RFQ (1 copy) Procurement Management Office
Warranty / Guarantee Certificate Supplier
(if necessary) (1 original)
Proof that common supplies are not available Procurement Management Office
from PS (1 original)
Procured through Direct Contracting
Price Quotation (1 original) Supplier
Certificate of Exclusive Distributorship issued Supplier
by the Principal under oath and authenticated
by the embassy/consulate nearest the place
of the principal, in case of foreign suppliers
(1 copy)
Certification from the agency authorized End User
official that there are no sub-dealers selling at
lower prices and for which no suitable
substitute can be obtained at more
advantageous terms to the government
(1 original)
Procured through Repeat Order
Copy of the Original Contract used as basis Procurement Management Office
for repeat order indicating that the original
contract was awarded through public bidding
(1 copy)
Certification from the Purchasing Office that Procurement Management Office
the supplier has complied with all the
requirements under the original contract
(1 original)
Procured through Negotiated Procurement
Price Quotation/bids (1 original) Supplier
Agency's offer for negotiations with selected Procurement Management Office
suppliers, contractors or consultants (two
Certification of BAC on the failure of Bids and Awards Committee
competitive bidding for the second time (two
Evidence of invitation of observers in all Procurement Management Office
stages of the negotiation (two failed biddings)
40
(1 original)
Eligibility documents in case of infrastructure Supplier
projects (two failed biddings) (1 copy)
Approved justification as to the necessity of End User
purchase (emergency cases) (1 original)
Copy of terminated contract (take-over Procurement Management Office
contracts) (1 copy)
Reasons for the termination (take-over Procurement Management Office
contracts) (1 original)
Negotiation documents with the second Procurement Management Office
lowest calculated bidder or the third lowest
calculated bidder in case of failure of
negotiation with the second lowest bidder. If
negotiation still fails, invitation to at least three
eligible contractors (take-over contracts)
(1 original)
Approval by the HOPE to negotiate contracts Procurement Management Office
for projects under exceptional cases
Proof of Posting of RFQs Procurement Management Office
Proof of posting of invitation (Small Value Procurement Management Office
Procurement) (1 copy)
Copy of Approved Work and Financial Plan End User
(Small Value Procurement)
Service Report (For repair) – MIS/BIOMED
(Small Value Procurement) (1 copy)
Original Contract and any document Procurement Management Office
indicating that the same resulted from
competitive bidding (adjacent or contiguous
Scope of work which should be related or Procurement Management Office
similar to the scope of work of the original
contract (adjacent or contiguous projects)
(1 original)
Latest Accomplishment Report of the original Procurement Management Office
contract showing that there was no negative
slippage/delay (adjacent or contiguous
41
FEES
PROCESSING PERSON
TIME RESPONSIBLE
PAID
1. Submit the 1. Receives None Thirty (30) Philip Paul L.
disbursement disbursement voucher seconds per Fianza
voucher and/or the and/or the Purchase DV/payroll
Purchase Order Order together with the Receiving clerk
together with the supporting document
supporting
document to the
receiving clerk
2. Wait for the 2. Receiving Clerk None One (1) minute Philip Paul L.
receiving copy/ log checks the documents per DV/payroll Fianza
book and signature as
received in the Receiving clerk
receiving copy/ log
book
3. Receive the 3. Release the None Ten (10) Philip Paul L.
receiving copy/ log receiving copy/ log seconds Fianza
book book to the client
Receiving clerk
TOTAL: None
One (1) minute
and forty (40)
seconds
END OF TRANSACTION
42
2. Follow Up on Disbursement Voucher/Payroll and Purchase
Order
Suppliers and/or BGHMC employees can follow up on the status of any DV and payroll for
audit/process in the accounting office by following the steps below. This service is
available 8:00-5:00 pm only, Monday to Fridays, except holidays at the Accounting Office,
Administration Building, BGHMC.

Type of G2G-Government to Government
Transaction: G2C-Government to Citizen
Who may avail: All
Purchase Order (PO) Number Procurement Management Office
Invoice Number Supplier/ Materials Management Office
FEES
PROCESSING PERSON
CLIENT STEPS AGENCY ACTIONS TO BE RESPONSIBLE
TIME
PAID
1. Inquire the status 1. Ask for the None Thirty (30) Philip Paul L.
of the DV/PO reference document seconds per Fianza
number (PO or transaction
Invoice No.) Receiving clerk
2. Wait for the update 2. Search in the None Two (2) Philip Paul L.
/status of the electronic log book minutes per Fianza
transaction of Disbursement transaction
Voucher and Receiving clerk
Purchase Order the
status of the
document and relay
it to the client
Two (2)
TOTAL: None minutes and
thirty (30)
seconds
END OF TRANSACTION
43
3.Receipt of Reports from Other Offices
All monthly reports for recording in the agency books shall be submitted to the Accounting
Office the following month after the transactions. This service is available 8:00-5:00 pm
only, Monday to Friday, except holidays at the Accounting Office, Administration Building,
BGHMC.

Type of G2G-Government to Government
Transaction:
General Summary Report of Collection per Cashier
Bank Account (Collection and Deposit)
(1 original)
Individual Summary Report of Collection Cashier
per Bank Account(Collection and Deposit)
(1 original)
General Summary Report of Cancelled Cashier
Official Receipts per Bank Account
(1 original)
Individual Report of Cancelled Official Cashier
Receipts per Bank Account (1 original)
Details of Individual Report of Cancelled Cashier
Official Receipts (1 original)
Summary Report of Deposits per day per Cashier
Accountable Officer (Report vs Actual
Deposit) (1 original)
Summary Report of Deposits per day Cashier
(1 original)
Report of Discrepancies (1 original) Cashier
Monthly Summary Report of Accountability Cashier
- Cash Ticket (1 original)
Compilation of various Deposit Slips as Cashier
validated by bank(1 original)
Bank Statement (1 original) LBP and DBP
RCI (1 original) Cashier
Summary of Inspection and Acceptance Materials Management Office
Report (1 original)
(1 original)
Report of Supplies and Materials Issued Materials Management Office
(1 original)
Requisition and Issue Slip (1 original) Materials Management Office
Consumption Report - Central Supply Central Supply
Room (1 original)
Summary of Hospital Bills of In-Patients at Billing and Claims
the Service Wards and Excess of PHIC
44
Charity Patients (1 original)
Consumption Report - Main Pharmacy Main Pharmacy
(1 original)
Consumption Report - OR Satellite OR Satellite Pharmacy
(1 original)
Consumption Report - OPD Pharmacy OPD Pharmacy
(1 original)
Consumption Report – Pathology Department of Pathology
(1 original)
List of Acquired Property, Plant and Materials Management Office
Equipment (1 original)
Summary of PHIC Bills Rendered - In Billing and Claims
Patient (1 original)
Summary of PHIC Bills Rendered - Out Billing and Claims
Patient (1 original)
Summary of PHIC Bills Rendered - Z Billing and Claims
Package (1 original)
Patient (TB-Dots) (1 original)
Patient (Animal Bite) (1 original)
Summary of Bills Rendered - Due from Billing and Claims
PCSO (PCSO-ASAP) (In Patient)
(1 original)
Summary of Utilized PCSO Fund on Medical Social Service
Hemodialysis and Medicine (1 original)
Summary of Promissory Notes (1 original) Billing and Claims
Summary of Bills Rendered from DSWD Billing and Claims
(1 original)
OPD Summary of Utilization - TB DOTS Billing and Claims
(1 original)
Summary of Bills Rendered - HMO/MOA Billing and Claims
(1 original)
Summary of Bills Rendered - Due from Billing and Claims
NGAs (1 original)
Summary of Bills Rendered – PVAO Billing and Claims
(1 original)
Official Receipts - HMO/MOA (1 original) Cash Operations
Official Receipts – NGAs (1 original) Cash Operations
Summary of Collection – PVAO (1 original) Cash Operations
Transmittal of Official Receipt for PHIC Cash Operations
Paid Claims Under the PHIC Auto Credit
System (1 original)
PCSO Collection (1 original) Cash Operations
Official Receipts/Order of Payment - Cash Operations
Promissory Notes (1 original)
Summary of Payments of Promissory Billing and Claims
Notes with Balances (1 original)
45
Summary of Payments of Promissory Billing and Claims
Notes with Balances (1 original)
Summary of PHIC Bills Rendered with Billing and Claims
Adjustment (1 original)
Letters of Cancellation of PHIC Bills Billing and Claims
Rendered (1 original)
Summary of Denied Claims and Return to Billing and Claims
Hospital Claims (1 original)
Summary of Patients (for X-ray and Radiology Department
Ultrasound Procedures) with Charge Slips
and Request Form (1 original)
Summary of Patients (for 2D Echo Cardiovascular Unit
Procedures) with Charge Slips and MRI Unit
Request Form (1 original)
Summary of Patients (for MRI Procedures) MRI Unit
with Charge Slips and Request Form
(1 original)
Summary of Patients (for CT Scan) with CT Scan
Charge Slips and Request Form (1 original)
FEES
PROCESSING PERSON
CLIENT STEPS AGENCY ACTIONS TO BE RESPONSIBLE
TIME
PAID
1. Submit report to 1. Receives the None Thirty (30) Philip Paul L. Fianza
the receiving clerk report seconds per Receiving clerk
transaction
2. Wait for the 2. Receiving clerk None One (1) minute Philip Paul L. Fianza
receiving checks the per transaction Receiving clerk
copy/logbook documents and
signature as
received in the
receiving
copy/logbook
3.Receive the Release the None Ten (10) Philip Paul L. Fianza
receiving/logbook receiving seconds Receiving clerk
copy/logbook to the
client
One (1) minute
TOTAL: Noneand forty (40)
seconds
END OF TRANSACTION
46
Billing
External Service
47
1.Settlement of Promissory Note
This service is intended for patients with Promissory Note as settlement of Hospital Bill. This
service is available 8:00-4:00 p.m., Monday to Sunday, including holidays at the Billing Unit,
Main Building, BGHMC.
Office or Division: Billing Unit – Finance Division

Type of
Transaction:
Who may avail: Patient with Promissory Note in the Hospital Bill
Statement of Accounts Billing Unit Hospital Main Building
Collection Letter or Demand Letter (Sent Through Courier)
Guarantee Letter Other government agencies granting medical
assistance, Malasakit Center – BGHMC OPD
Building
FEES
PROCESSING PERSON
TIME RESPONSIBLE
PAID
1. Present copy of 1.1 Receive copy None 15 minutes *Administrative
promissory note from patient and pull Officer II /
and/or demand out file copy of the **Administrative
letter previously promissory note in Assistant III
received the file
For settlement 1.2 For Cash

other than cash: Payment: Prepare
Present Order of Payment
Guarantee Letter and advice
issued from patient/representativ
PSCO, DSWD or e to pay at the
Malasakit Center Cashier then
proceed to step 2.1
For payment other

than cash:
Enter the applicable
medical assistance
fund in the patient’s
account in the
Hospital
Management
Information System
then proceed to step
4.1
48
2. Proceed to Cashier 2.1 Await for the None *Administrative
for payment with the return Officer II /
Order of Payment **Administrative
Assistant III
3. Present Official 3.1 Copy the Official None 7 minutes *Administrative

Receipt to the Billing Receipt number and Officer II /
Staff complete the data **Administrative
needed in the Oder Assistant III
of Payment
Logbook
4. Receive updated 4.1 Run final bill of None 8 minutes *Administrative
Statement of Account patient in the Officer II /
Hospital **Administrative
Management Assistant III
Information System
and print the
updated Statement
of Account.
4.2 Issue the

updated copy of the
Statement of
Account
END OF TRANSACTION
49
2.Preparation of Statement of Accounts
This service is intended for transparency and information to patients/watchers regarding their
Hospital Bill showing discounts and other deductions including Professional Fees for paying
patients. Only this office issues the official Statement of Account to the transacting public.
This service is available 8:00-4:00 p.m., Monday to Sunday, including holidays at the Billing
Unit, Main Building, BGHMC for admitted patients and 7:00-3:00 p.m., Monday to Friday,
except holidays at the OPD Building- Billing for OPD Patients.
Office or Division: Billing Unit – Finance Division

Type of
Transaction:
Admitted patient for discharge and OPD Philhealth patient with minor
Who may avail:
procedures availing of PhilHealth Benefit.
1 set of Clearance Form BGHMC-ward/unit admitted or treated
Patient’s Record- chart and/or operative BGHMC-ward/unit admitted or treated
record
Philhealth Benefit Eligibility Form (PBEF), BGHMC- Admitting Unit or Billing Unit located
Requirements for Philhealth Availment at the Main Building, OPD Building or Medical
Evaluation Checklist Social Service Office – PHIC Desk
FEES
PROCESSING PERSON
TIME RESPONSIBLE
PAID
1. Accomplish 1.1 Assess None 15 minutes *Administrative
Requirements for documents and Officer II
Philhealth requirements Billing Unit
Availment submitted by client.
Evaluation
Checklist and
submit any required
attachment/s as
indicated in the
checklist to Billing
Unit located at the
hospital main
building before
discharge or at the
OPD Building
before the minor
procedure.
2. For OPD Patients: 2.1. Receive None 5 minutes **Administrative
submit Clearance Clearance Form Assistant III
Form and/ or patient’s Billing Unit
For admitted record from
patient: wait for ward/patient.
the doctor’s order 2.2. Review
**Administrative
of discharge. completeness of 15 minutes Assistant III
50
patient’s record Billing Unit
received from ward
and the PhilHealth
benefit that can be
availed by the
patient.
2.3..Prepare **Administrative
Statement of 40 minutes Assistant III
Account (SOA) and Billing Unit
forms required in
the availment of
PhilHealth benefit
3. Acknowledge 3.1 Release of None 5 minutes **Administrative
prepared Statement prepared Statement Assistant III
of Account and of Account and Billing Unit
necessary forms in forms in the
the availment of availment of
PhilHealth benefit at PhilHealth benefit
Billing Unit located for
at the main building acknowledgement
or OPD building of the
*Only nearest kin of member/patient or
the member/patient representative.
or duly authorized
representative shall
be allowed to sign
the Statement of
Account and
necessary forms.
Authorization letter
from the member
shall be submitted
together with valid
ID cards.
4. Sign Statement of 4.1.Await for the None **Administrative
Account and forms. return Assistant III
*Make sure that all Billing Unit
are completely
signed and required
signatures are the
same.
5. Return the signed 5.1. Look for the None 10 minutes **Administrative
Statement of completeness of Assistant III
Account and the documents and Billing Unit
necessary forms to signatures of the
Billing Unit located member/patient in
at the main the returned
building/OPD Statement of
51
building. Account and forms.
6. Receive patient’s 6.1 Issue patient’s None 3 minutes **Administrative
copy of Statement copy of Statement Assistant III
of Account and of Account and Billing Unit
clearance form and clearance form.
proceed to cashier 6.2 Instruct client to
or back to the ward proceed to cashier
admitted/ treated. for the payment of
any excess of
hospital bill.
TOTAL: 1 Hour 33
None
Minutes
END OF TRANSACTION
52
Billing
Internal Service
53
Billing
1.Preparation of Monthly Reports
This internal service is intended for the different wards and cost centers of the hospital
charging the cost of all services rendered to patients for the preparation of monthly reports for
submission to Accounting Office, Commission on Audit and Claims Unit. This service is
available 8:00-5:00 pm only, Monday to Sunday, including holidays at the Billing Unit, Main
Building, BGHMC.
Office or Division: Billing and Claims Office – Finance Division

Classification: G2G- Government to Government
Type of Transaction: Highly Technical
Who may avail: Cost Centers and different wards of the hospital
Charge Slips Cost Centers, BGHMC
FEES TO PROCESSIN PERSON
CLIENT STEPS AGENCY ACTIONS
BE PAID G TIME RESPONSIBLE
1.1.Bills Rendered to 1.1.a. Prepare None 40 minutes *Administrative
admitted patients: Statement of Accounts Assistant III (a)
Different wards and upon discharge of
cost centers will patients
charge the correct within 30 days
**Administrative
and accurate costs 1.1.b. Prepare Monthly Assistant III (b)
of all the services Summary of Bills
rendered to the Rendered
patients
1.2.Charges due from 1.2.a. Receive copy of *Administrative

Health Maintenance charge slip - Assistant III (a)
Organization (HMO)
and National 1.2.b. Prepare within 5 days
Government Agency Statement of Account **Administrative
Assistant III (b)
(NGAs) and other and submit to Claims
hospital tie-ups: Unit for the preparation
Submit charge slips of collection letter
to Billing Unit at the
Hospital Main 1.2.c. Prepare Monthly within 30 days **Administrative
Building Summary of Bills Assistant III (b)
Rendered due from
HMOs and NGAs
1.3. Submit monthly within the 5th **Administrative

reports to Accounting day of the Assistant III (b)
Office and Commission following
on Audit Office month
TOTAL: None 35 days and
40 minutes
END OF TRANSACTION
54
Billing and Claims
External Service
55
Billing and Claims
1.Processing and Collection of other Hospital Claims
This service is made to facilitate the collection of other hospital claims from Health
Maintenance Organizations (HMOs), National Government Agencies (NGAs) following
existing memorandum of agreement (MOA) or clients who settled through promissory note
on supplies and or services utilized during confinement or treatment. The unit processes
and collects said claims within the prescribed period as per MOA or due date of
Promissory Note.
This service is available 8:00 am - 5:00 pm, Monday to Friday, except holidays at the
Billing and Claims Office, Main Building of Baguio General Hospital and Medical Center
(BGHMC).

Classification: HIGHLY TECHNICAL
Type of Transaction: G2C - Government to Transacting Public
G2B - Government to Business Entity
G2G- Government to Government
Who may avail: Patients who are qualified members/dependents of NGAs,
endorsed by HMOs or who settled through promissory note during
confinement or treatment in the Hospital.
Statement of Account
Promissory Note
Received copy of Guarantee Letter/LOA/MOA BGHMC-Billing Unit
Summary of Payments of Promissory Note
with Balances for the Month
Summary of Bills Rendered due from HMOs
and NGAs
FEES TO PROCESSIN PERSON
CLIENT STEPS AGENCY ACTIONS BE PAID G TIME RESPONSIBLE
1. Submit summary of 1.1 Receive and None 20 minutes *Administrative
Payments of check Officer II
Promissory Note completeness of Claims Unit
with Balances for the documents
the Month & Bills submitted as well
Rendered due from as the
HMOs and NGAs, consistency of
Statement of data.
Account,
Promissory Note 1.2 Prepare 15 days
and copy of Collection Letters
Guarantee in two (2) copies
Letter/LOA/MOA - one (1) copy for
whichever is the hospital and
applicable. one (1) copy for
the receiving
56
agency/organizati
on.
For Promissory
Note, Collection
Letter is prepared
within 15 days
from the due date
and will be
forwarded to the
Central
Communications
Unit (CCU) for
mailing.
Note: Collection
Letters must be
duly signed by
the Head of
Agency.
1.3 Send Collection

Letters to
concerned HMO
or NGA and
secure receiving
copy.
TOTAL: None 15 Days,20

Minutes
END OF TRANSACTION
57
2. Processing and Submission of Philhealth Claims
This service is created to facilitate the reimbursement of patient’s claim from Philhealth
(PHIC) availing of the maximum benefits of members or qualified dependents in
accordance to the condition/s subject to the applicable National Insurance guidelines. As
such, this unit is responsible for the processing and submission of the claims within the
prescribed period of 60 days.
(BGHMC).
Office or Billing and Claims Office
Division:
Classification: Highly Technical-MULTISTAGE
Type of G2C - Government to Transacting Public
Transaction: G2G- Government to Government
Who may avail: Patients who availed of their PhilHealth benefit during
confinement/treatment or eligible patient/s who did not avail but
intend/s to file directly to PhilHealth for reimbursement.
Official Receipt BGHMC – Cash Operations Office
Patient’s Record/s* BGHMC-Hospital Information and
(Please refer to the Claim Reimbursement Management Department
Checklist)
Statement of Account BGHMC-Billing Unit
PhilHealth Forms*  BGHMC-Billing Unit
(Please refer to the Claim Reimbursement  Hospital Departments
Checklist)
Proof of PhilHealth Eligibility**  BGHMC-Billing Unit – PHIC
(Please refer to the Requirements for Philhealth Certification
Availment Evaluation Checklist at the Billing Unit)  PCARES – PhilHealth Desk
 Medical Social Worker Office
FEES PERSON
PROCESSIN
CLIENT STEPS AGENCY ACTIONS TO BE RESPONSI
G TIME
PAID BLE
1. Submit PHIC 1.1 Check the completeness None 20 minutes Administra-
Claims of of Philhealth Claims tive
discharged according to the attached Assistant III
patient summary of discharged Claims Unit
comprising of patients.
the PHIC forms * If client is opting to
and documents direct file, check the
applicable. complete applicable
requirements and
proceed to1.4
58
 Refer to the 1.2 Generate CF4 XML 2 days
Claim (if applicable), Print Hard
Reimbursement Copy and Make List for
Checklist for the Claims requiring CF3/CF4
complete list. (if applicable).
 The PHIC 1.3 Follow up, Request and

Forms and Monitor for Patient’s 10 days
documents must Records from the HIMD.
be complete and
with consistent
data. 1.4 Detach PHIC Forms for 15 days
completion (CSF/CF2).
*Note: Distribute PHIC Forms or
For client/s List of incomplete PHIC
opting to direct Forms to respective
file, submit proof Departments for
of eligibility & completion.
other applicable
Requirements. *(For the client who opted
to direct file– CF2 will be
generated and will be
advised to secure
signature of attending
physician on PHIC Forms
and Waiver then proceed
to step 2)
2. Submit 2.1 Check the completeness None 7 days Administrat
Completed PHIC of PHIC Forms and ive
Forms or Patient’s Record/s. Assistant III
Patient’s Claims Unit
Record/s 2.2 Acknowledge the receipt
of PHIC Forms and
*(For the client Patient’s Records through
who opted to logbook or email
direct file, s/he whichever is applicable.
shall secure
Signature of *(For clients who opted to
Attending direct file, s/he will be
Physician on informed that a notice will
applicable be sent via text or call if
PHIC Forms the claim was processed
(CF2 & Waiver) and ready for submission
before within 3-7 days after the
submission to receipt of Completed
the Claims Unit. PHIC Forms/Patient’s
Records.
2.3 Insert PHIC Forms and
59
Patient’s Record/s to the
respective PHIC Claims.
3. Endorse 3.1 Review and check for the None 26 days

completed PHIC consistency, correctness and Administrat
Claims for Review completeness of all forms ive Officer
and Submission. and documents. II
Claims Unit
3.2 Submit to PHIC-CAR
TOTAL: None 60 days, 20
mins
END OF TRANSACTION
60
Billing and Claims
Internal Service
61
Billing and Claims
1.Preparation and Submission of Unit’s Monthly Reports
This internal service provides users with reports on Submitted Philhealth Claims, received
and refiled Returned to Hospital (RTH) and Denied Claims.
(BGHMC).

Classification: Highly Technical
Type of Transaction: G2G- Government to Government
Who may avail:
Transmittal Summary/Transmittal Letter Claims Unit
Validation Report Philhealth-CAR
PERSON
AGENCY FEES TO PROCESSIN
CLIENT STEPS RESPONSIBL
ACTIONS BE PAID G TIME
E
1. Submit Validation 1.1. Receive None 60 minutes *Administrative
Reports for Return Validation Assistant III
to Hospital (RTH) Report by
Claims or Denied stamping
Claims “RECEIVED,”
date of receipt
and name of
receiver. 1 day
1.2. Verify Status in
the eClaims
System.
1.3. Document the
details of the
RTH or Denied
Claims from
each Validation
Report in the
WEB
HOMIS/BGHM
C INTRANET
2. Endorse Validation 2.1 Extract daily the None 35 days **Administrative

Report or Transmittal Officer V
Transmittal Summary,
Summary or Letter Transmittal ***Accountant III
to the personnel in Letter from
charge for the Philhealth and
62
Preparation of the list of RTH
Report and Denied
Claims in excel
format.
2.2 Prepare soft copy

summary of the
report with the
details needed.
Note:
RTH and Denied
Claims must be
grouped
according to the
reason.
Submitted PHIC
Claims must be
verified with the
reports on Bills
Rendered.
2.3 Print three(3)

copies for the
Summary of
PHIC Claims
Submitted and
two(2) copies
each for the
Summary of
RTH Claims and
Summary of
Denied Claims
2.4 Submit reports

to Accounting
Office and
Commission on
Audit Office.
TOTAL: None 36 Days, 60
Minutes
END OF TRANSACTION
63
Budget
External Service
64
1.Processing of Disbursement Vouchers (DV) for funding
Disbursement Vouchers received were funded as to availability of fund and validity of
request. Clients can check the DV status in the Budget Office.
Office or Division: Budget Office
Type of G2G - Government to Government
Transaction: G2C – Transacting Public
Who may avail: BGHMC Employees, Suppliers, Other Government Agencies
1. Obligation Request/Budget Utilization Budget Office
Request (3 copies)
2. Disbursement Voucher (3 copies) Accounting Office
3. Basic Requirements: Accounting Office
For Travelling Expenses (Cash Advance or
Reimbursement) (1 copy each)
a. Itinerary of Travel
b. Certificate of Travel Completed
(Reimbursement)
c. Certificate of Appearance/Attendance
(Reimbursement)
d. Official Receipts (Bus, Taxi, other
expenses incurred) (Reimbursement)
e. Hospital Personnel Order/Department
Personnel Order
f. Trip Ticket (Government Vehicle)
(Reimbursement)
g. Invitation Letter (if applicable)
h. Flight Itinerary w/ Plane Fare
For Utilities/Insurance/Taxes and Licenses (1

copy each)
a. Billing Statement
b. Approved Letter of Request by MCC (if
applicable)
For Replenishment, Reimbursement and

Refund (1 copy each)
a. Official Receipts
b. Summary of Expenses per code
c. Statement of Account (refund of
patients)
Approved Letter of Request by MCC for
Reimbursement
65
FEES
PROCESSING PERSON
TIME RESPONSIBLE
PAID
1.Follow up 1.Checks the receipt None 3 minutes Administrative
of DV from the Assistant II
Logbook (Receiving and
Processing
Clerk)/
Budget Office
2.Waits for action 2.Provides status of None 2 minutes Administrative
DV Assistant II
2.1 Funded - (Receiving and
Provides date of Processing
Clerk)/
receipt and date
Budget Office
of release to
Accounting Office
2.2 Unfunded -
Provides date of
receipt and
possible date of
release to
Accounting Office
(simple- 3 days
processing time)
2.3 Returned to
end-user for
completion of
documents or
other
requirements
END OF TRANSACTION
66
2.Processing of Purchase Orders (PO) for Funding
Purchase Orders received were funded as to availability of fund and validity of request.
Clients can check the PO status in the Budget Office.
Office or Division: Budget Office
Type of G2G - Government to Government
Transaction: G2C – Transacting Public
Who may avail: BGHMC Employees, Suppliers, Other Government Agencies
Request (3 copies)
2. Purchase Order (4 copies) Procurement & Management Office
3. Purchase Request (1 copy) Procurement & Management Office
4. Stock position sheet (SPS) (1 copy) Procurement & Management Office
5. Price Quotation (other modes of Procurement & Management Office
procurement) (1 copy)
6. Abstract of Quotation (other modes of Procurement & Management Office
7. Philgeps posting (other modes of Procurement & Management Office
8. End-users evaluation (other modes of Procurement & Management Office
9. Tie-breaking (if applicable) (1 copy) Procurement & Management Office
10. Product exclusivity (Direct Contracting) Procurement & Management Office
(1 copy)
FEES PERSON
PROCESSING
CLIENT STEPS AGENCY ACTIONS TO BE RESPONSIBL
TIME
PAID E
1.Follow up 1.Checks the receipt of None 3 minutes Administrative
PO from the Logbook Assistant II
(Receiving and
Processing
Clerk)/
Budget Office
2.Waits for action 2.Provides status of None 2 minutes Administrative
PO Assistant II
2.1. Funded - (Receiving and
Provides date of Processing
receipt and date of Clerk)/
Budget Office
release to
Accounting Office
2.2. Unfunded -
Provides date of
receipt and
possible date of
release to
Accounting Office
(simple- 3 days;
67
complex - 7 days
processing time)
2.3. Returned- date

returned to end-
user for completion
of documents or
other requirements
END OF TRANSACTION
68
Budget
Internal Service
69
Budget
1. Receipt of Disbursement Vouchers (DV) and Purchase Orders (PO)
The Budget Office receives Disbursement Vouchers and Purchase Orders for funding.
The DV is a form used to pay an obligation to employees/individuals/agencies/creditors
for goods purchased or services rendered. It shall be prepared by the Requesting
Office/Unit. The PO is a form/document used by the agency/entity, addressed to a
supplier, to deliver specific quantities of supplies/goods/property subject to the terms and
conditions contained in the PO.
Office or Division: Budget Office/Finance Division

Type of Transaction: G2G – Government to Government
Request (3 copies)
2. Disbursement Voucher (3 copies) Accounting Office
3. Purchase Order (4 copies) Procurement & Management Office
FEES
PROCESSING PERSON
TIME RESPONSIBLE
PAID
1.Forwards DV to 1. Checks for None 3 minutes Administrative
Budget completeness of Assistant II
signatures (Receiving and
Processing
Clerk)/
Budget Office
2.Waits for action 2.Receipt of DV/s None 1 minute Administrative
with complete Assistant II
signatures (Receiving and
Processing
Clerk)/
Budget Office
END OF TRANSACTION
70
Cash Operations
External Service
71
Cash Operations
1.Issuance of BGHMC’s Official Receipt/s to Paying Client for Cost of
Hospital Charges Inclusive of Professional fees of Authorized
Practitioners
One of the mandate of Cash Operations is to collect hospital fees, sales of

pharmacy items as well as Central Supply goods, professional fees of
authorized practicing physicians charged and billed through Charge Slips,
Statement of Accounts, Order Slips, Professional Fees Slips and the like.
BGHMC has as of July 7, 2020 four (4) collection centers with the following
Business hours:
LOCATION Days Open Business hours

Main Cashier, Main Bldg. 7:00 a.m. to 6:30 p.m.
Out Patient Dept. 24 hours
Cancer Center Monday to Sunday 7:00 a.m. to 6:30 p.m.
Pharmacy Building 24 hours
Office or Division: Cash Operations, Finance Service Division

Type of Transaction: Government-to-Citizen
Government-to-Business
Government-to-Government
Who may avail: Patients or their representatives, employees, government
agencies, Health Maintenance Organizations, affiliated schools,
donors in cash
Document 1. Charge Slip (CS), original copy Document 1. Cost Center (where service was
or rendered such as E. R.,
Pharmacy, Central Supply,
Laboratory, Radiology
and the like.
Document 2. Professional Fee Slip (PFS), Document 2. Attending physician authorized
original copy to
collect professional fee
Document 3. Clearance Form (CF), 2 copies Document 3. Ward where admitted
Document 4. Statement of Account (SOA), Document 4. Where the summary of bills
3 copies (for patient, for billing were consolidated like Billing and
and for Cashier) or Claims Section or Emergency
Room
Document 5. Order of Payment (OP) issued Document 5a.Accounting Section (for booked
By Billing Center (for Billing Receivables, or Billing Section
Section or HRMO or (for
Accounting Section or Nursing payment of Promissory Notes,
Office or BAC Office and or Nursing Services (for affiliation
Cashier copy) 2 fees) or
copies or Document 5b. BAC for bid forms, bid
72
/performance
bonds or
Document 5c. HRMO, for collection of
disallowances of benefits
erroneously paid
Document 6. Transmittal Payment Form Document 6. Paying Health Maintenance
(TPF), original copy or Organizations/NGAs/GOCCs
Document 7. Transmittal Letter (TL)from Document 7. Paying Debtor Institution per
paying institution such as Memorandum of Agreement
affiliated schools, the like,
original or
Document 8. Letter of Donation indicating Document 8. Donor individual or company
purpose/use of donation
Document 9. Senior Document 9. Office of Senior Citizens Affairs
Citizen(SC)Identification (OSCA)
Card Document 10.Dept. of Social Welfare and
Document 10. Person With Disability(PWD) Development (DSWD) Silungan
Identification Card Center
FEES
PROCESSING PERSON
TIME RESPONSIBLE
PAID
1. Present 1.1 Accepts and None 1 minute Collecting Officer
documents to verifies
Collecting Officer documents
as basis or
reference for 1.2 Verify status of
payment. paying patient for
discounts : Senior
Citizen, PWD,
with medical
assistance and
effect necessary
discounts
2.Tender payment ( 2.1 Count the None 2.1 Bills Collecting Officer
in cash or in check money 1.1 tendered
form tendered 1.2 not more
1.3 than 100
1.4 pieces
1.5 = 3 Minutes
1.6
2.2. Bills
tendered
is more
than
100 pieces
= 7 Minutes
73
3.1 If payment is 3.1. 1 minute
through check,
Collecting
Officer
scrutinizes the
check if valid as
collection item.
Only Cashier’s
& Manager’s
checks are
accepted.
3.2 Encoding of
items
collected in
the collection
systems
2. Wait for 3.2.1 one CS or one Depends 3.2.1 Collecting Officer

action SOA with less on the 3 minutes
than 10 items amount
stated in
3.2.2 one CS with the 3.2.2
more than 10 reference 8 minutes
items listed or document
more than 2
CS
3.3 Print Official

Receipts (ORs)
3.3.1 one CS or 3.3.1

SOA with less 1 minute
than 10 items;
no docu-ment
to photo-copy
3.3.2 one CS with 3.3.2

more than 3 minutes
10 items
listed or
more than
2 CS; with
docu-ments
to photo-
copy
74
3.4 collector 3.4.
affixes 1 minute
signature
to signify
clearance
confirmation (if
final bill) on the
clearance
form.
3.5. If there is not 3.5.

enough copies 5 minutes
of documents,
collecting
officer informs
payor to extend
waiting time to
photocopy
documents
presented
for BGHMC’s
reference file.
4 Receive original 4.1 Issue out the None 1 minute Collecting Officer
Official Receipt printed original
and Change (if Official Receipt,
any) with the other client’s
accomplished document/s, give
clearance form if change (if any)
applicable with and instruct the
other necessary payee with the
documents next step to
follow.
TOTAL:Depends 34 Minutes
on the
amount
stated in
the
reference
document
END OF TRANSACTION
Total Minutes To Serve Regular Collection Transaction:

Payor Count- Chec Enco Print Signa Photo Giving Total
Verifi- ing k -ding -ing -ture Copy of OR time
Criteria cation Verifi- of docu- (mi-
catio OR ment nutes)
( #1) (#2) n (#3.2 (#3.3 (#3.4) s (#4.1)
) ) (#3.5)
75
(#3.1)
1. <, = 10 collection items:
1.1 <, =100 1 3 3 1 1 1 10
bills/pcs
1.2 >100 1 7 3 1 1 1 14
bills/pcs
1.3 check 1 1 1 3 1 1 5 1 14
2.>10 collection items
2.1 <, =100 1 3 8 3 1 1 17
bills/pcs
2.2 >100 1 7 8 3 1 1 21
bills/pcs
2.3 check 1 1 1 8 3 1 5 1 21
NOTATION:
Collecting Officers are rotated in the different collection areas (4 areas) following the template
of shifts. As of July 17, 2020 the following Administrative Officers (AO I) take turns to collect:
Daisy S. Calderon, Oshin C. Manguhan, Mary Rose DG. Diazen, Aurora S. Lumague,
Katherine R. Gundran, Irene B. Buliyat, Aprilyn Rose Belgica, Ma. Luisa R. Bustamante, Mary
Jane M. Domondon, Eugene K. Malanta, Agnes C. Ducusin, Theresa B. Rendora, Kate
Dhareen V. Eugenio, Mary Joy B. Matulay, Marissa L. Pedrito, Sheena D. Quitola, Eldric Jay
F. Viernes.
76
2. Issuance of Checks or Authority to Debit Accounts (ADA)
or List of Due and Demandable Accounts Payables-Advice to
Debit Accounts (LDDAP-ADA) with the corresponding Summary of
LDDAP-ADAs Issued and Invalidated ADA Entries (SLIIE) to Pay
Obligations to External Creditors or Suppliers.
Another mandate of Cash Operations is to pay external creditors or suppliers based on the
funded, processed and approved Disbursement Vouchers through the issuance of funded
checks or Authority to Debit Advice (ADA) system ensuring that BGHMC’s payments are
duly acknowledged by mentioned creditors through their issuance of valid Official or
Collection Receipts whichever is appropriate. Cash Operations also shall ensure that such
payments have been acknowledged on the Disbursement Vouchers. Further, the
corresponding Certificates of Creditable Tax Withheld at Source (BIR form 2306) and the
Certificates of Final Tax Withheld at Source (BIR form 2307 for VAT registered suppliers)
shall also be acknowledged by them. Business operation at Main Cashier starts from
Monday to Friday except holidays. Business hours starts at 8:00 in the morning to 5:00 in
the afternoon.

Type of Transaction: Government-to-Citizen
Who may avail: External Creditors or Suppliers of BGHMC
Document 1. Valid Identification Card of Document 1. Company affiliation or, LTO or,
Claimant with picture, signature PRC or, GSIS or, SSS, or
and address of OSCA, or OWWA
claimant(original) whichever is applicable
Document 2. For company representative: Document 2. Legitimate payee company
Authorization Letter using the The authorizing person of the
company stationary company
(original)
Photocopy of valid ID of
authorizing person with
signature as shown in the ID
for comparison purposes
(1 copy) or
Document 3. Special Power of Attorney Document 3. Notary public
(original copy) OR
Document 4. Extrajudicial Settlement of Document 4. Lawyer or judicial court
estate where name of representative- whichever is appropriate
claimant is included or Affidavit of Self-
Adjudication whichever is applicable.
(original copy)
Document 5. Proof of ownership if claimant Document 5. Department of Trade and
is single proprietor Industry, BIR
Document 6. Supplier’s Valid Official or Document 6. BIR authorized printing
77
Collection Receipt company
FEES
AGENCY PROCESSING PERSON
CLIENT STEPS TO BE
ACTIONS TIME RESPONSIBLE
PAID
1.Present documents to 1.3 Verify None 2 minutes Disbursing Clerk
identify payee-claimant documents
or payee representative presented.
1.4 If
identificati
on is
appropriat
e, log out
document
to be
issued out
in the
Monitoring
Tool:
Disbursem
ent
Vouchers
for
Receiving/
Releasing/
Acknow -
ledgement
2.Sign in the Monitoring 2.1 Wait for None 1 minute Disbursing Clerk
Tool to acknowledge the action
disbursement until
document/s as reference monitoring
in the issuance of Official tool for
Receipt acknowled
gement
has been
returned
ready for
use of the
next
collector
3. Issue Official or 5.1 Wait for None 5 minutes Authorized
Collection Receipt and the process Collector
acknowledge BIR of collector
forms 2306 and 2307
Authorized
4. Affix signature in Box 6.1 1Wait for None 1 minute
the process Collector
D of the Disbursement
Voucher and indicate of collector
78
the Official Receipt
Number and Date of
issue
5. Supplier-collector 7.1Disbursing None 1 minute Disbursing Clerk
returns the hospital Clerk
documents to inspects
Disbursing Clerk documents
Complete-
ness and
propriety of
acknowled
ge-ments
done
TOTAL: None 10 Minutes
Notation:
The Cash Operations has three (3) Disbursing Clerks who attend to collectors/payees. They
are Lorna C. Arcilla, Marie de Guzman and Katherine M. Munar.
79
Cash Operations
Internal Service
80
1. Issuance of Checks or Authority to Debit Accounts (ADA)
or List of Due and Demandable Accounts Payables-Advice to
Debit Accounts (LDDAP-ADA) with the corresponding Summary of
LDDAP-ADAs Issued and Invalidated ADA Entries (SLIIE) to Pay
Obligations to Internal Creditors
Second mandate of Cash Operations is to pay internal creditors or hospital personnel

based on the funded, processed and approved Payroll or Disbursement Vouchers through
the issuance of funded checks or Authority to Debit Advice (ADA) system ensuring that
BGHMC’s payments are duly acknowledged by mentioned creditors. Payment to internal
creditors accrue for the following reasons: payment of regular salary and incentives,
reimbursement of traveling expenses and per diems, initial salaries and payment of
professional fees of medical practitioners by virtue of the pay patient-attending doctor’s
agreement. In the payment of initial salaries, incentives and per diems, acknowledgement
on the face of the Disbursement Vouchers is sufficient evidence of receipt. For authorized
medical practitioners attending to pay patients, they are by law mandated to issue official
receipts for the pay services they render to BGHMC pay patients. Further, the
corresponding Certificates of Final Tax Withheld at Source (BIR form 2307) and/or
Certificates of Creditable Tax Withheld at Source (BIR form 2306) shall also be
acknowledged by the authorized medical practitioners. Business operation at Main Cashier
is from Monday to Friday except holidays. Business hours starts at 8:00 in the morning to
5:00 in the afternoon.

Type of Government-to-Citizen
Transaction:
Who may avail: Hospital personnel, visiting consultants
Document 1. Valid Identification Card of Document 1. Company affiliation or, LTO or,
Claimant (original copy) PRC or, GSIS or, SSS, or OSCA, or OWWA
whichever is applicable
Document 2. Authorization Letter from the Document 2. Legitimate payee
legal payee if claimant is a
representative (original
copy)
Document 3. Photocopy of valid ID of Document 3. Legitimate payee
authorizing person with
signature as shown in the ID
indicating certification that
said photocopy has been
authorized.
81
This shall be used as
reference in signature
verification. (one photocopy)
Document 4. Special Power of Attorney (if Document 4. Notary public
applicable) (original copy)
Document 5. Extrajudicial Settlement of
estate where name of Document 5. Lawyer or judicial court whichever
representative-claimant is is appropriate
included or Affidavit of Self-
Adjudication whichever is
applicable. (original copy)
Document 6. Medical practitioner’s valid

Official Receipt (original) Document 6. BIR authorized printing company
AGENCY FEES TO PROCESSING PERSON

CLIENT STEPS
ACTIONS BE PAID TIME RESPONSIBLE
1.Present documents 1.1Verify None 2 minutes Disbursing Clerk

to identify payee- documents
claimant or payee
representative 1.2If identification
is appropriate,
log out
document to be
issued out in
the Monitoring
Tool:
Disbursement
Vouchers for
Receiving/Rele
asing/Acknow –
ledgement
2.Sign in the 2.1Wait for action None 1 minute Disbursing Clerk
Monitoring Tool to until
acknowledge the monitoring
disbursement tool for
document/s acknowledge-
ment has
been returned
ready for use
of the next
collector.
3.Acknowledge-ment
of payment by payee:
3.1 If payment is 3.1Wait for the None 1 minute
82
for individual process of Authorized
personnel benefits, collector/payee Collector/payee
employee
acknowledges
payment in the
voucher by affixing
signature in box D
of Disbursement
Voucher or in the
working paper of
Accounting
Section.
None 5 minutes
3.2 If payment is 3.2wait for the Authorized
for professional fee process of the Collector/payee
of attending
medical
physician, an
Official Receipt practitioner
shall be issued to
acknowledge
payment. Also
BIR forms
2307and/or 2306
are acknowledged
on the fourth copy
of said forms.
4.Payee/collector 4.Disbursing None 1 minute Disbursing Clerk
returns the hospital Clerk inspects
documents to documents’
Disbursing Clerk completeness
and propriety of
acknowledge-
ments done
END OF TRANSACTION
Total minutes to serve one pay transaction to one recipient
1.1 if payment is for other personnel benefit = 5 minutes
1.2 if payment is for professional fee = 9 minutes
Notation:
The Cash Operations has three (3) Disbursing Clerks who attend to collectors/payees. They
are Lorna C.Arcilla, Marie de Guzman and Katherine M. Munar.
83
External Service
84
1.Issuance of Certificate of Acceptance of Guarantee Letter from The
Philippine Charity Sweepstakes Office (PCSO)
The Financial and Management Office prepares and issues Certificate of Acceptance of
Guarantee Letter as a requirement for the grant of Medical/ Financial Assistance from the
Philippine Charity Sweepstakes Office (PCSO). This service is available from 8:00-5:00 pm
only, Monday to Friday, except holidays at the Financial and Management Office,
Administration Building, BGHMC.
Office of the Financial and Management Officer/ Finance

Office or Division:
Service
Type of Transaction: G2C- Government to Transacting Public
Patients availing of Financial Assistance from the Philippine
Who may avail:
Charity Sweepstakes Office.
1 Photocopy of Clinical Abstract OR BGHMC Concerned Department/ Ward
Medical Certificate BGHMC Health Information and
Management Office
PERSON
AGENCY FEES TO PROCESSIN
CLIENT STEPS RESPONSIBL
ACTIONS BE PAID G TIME
E
1.Submit Clinical Abstract or 1. Review None 2 Minutes Jezreel Mitzi C.
Medical Certificate of patient’s Hongitan,
patient to Financial and record and Administrative
Management Office Prepare Assistant II/
Certificate Evangeline L.
Talliad,
of Administrative
Acceptance Assistant III
2. Wait for the release of 1. Signs the None 3 Minutes Edward C.
the Certificate of Certificate Pudlao, CPA,
Acceptance of MBA
Acceptanc Financial and
Management
e
Officer II
2. Fill out the receiving/ 3. Release None 3 Minutes Jezreel Mitzi C.
monitoring logbook. the Hongitan,
Certificate Administrative
of Assistant II/
Acceptance Evangeline L.
Talliad,
Administrative
Assistant III
END OF TRANSACTION
85
Hospital Operations and Patient Support
System
Bids and Awards

External Service
86
1. Securing of Payment Order Form for the Payment of Bidding
Documents
Payment for the Bidding Documents for Bidders who wants to secure the Bidding Documents
and join projects through Competitive Bidding from the Bids and Awards Committee
Secretariat at the Procurement Management Office from 8:00 AM to 5:00 PM, Monday to
Friday.
Office or Division: Procurement Management Office under Hospital Operations and

Patients Support Service
Classification: G2B
Type of Transaction: Simple
Who may avail: All Bidders who wants to join the Competitive Bidding undertaking
of the BGHMC (External Client)
Payment Order Form Procurement Management Office
(Bids and Awards Committee Secretariat)
AGENCY FEES TO BE PROCESSING PERSON
CLIENTS STEPS
ACTION PAID TIME RESPONSIBLE
1) Secure a Payment 1) Issuance of Approved 10 minutes Bids and Awards
Order Form from Payment Budget for Committee
the Procurement Order Form the Contract Secretariat
Management with the
Office – BAC needed data Maximum
Secretariat. Fill out for the Cost of
the required data. correspondin Bidding
g project.
Documents
(in Philippine
Peso)
500,000 and
below -
500.00
More than
2) Verify the
2) Pay the Official 500,000 up to
corresponding Receipt to 1 Million -
amount at the correspond 1,000.00
BGHMC Cashier with the
and secure Official More than 1
needed
Receipt. Million up to 5
amount.
Million -
87
5,000.00
More than 5
Million up to
10 Million -
10,000.00
More than 10
Million up to
50 Million -
25,000.00
More than 50
Million up to
500 Million -
50,000.00
More than
500 Million -
75,000.00
END OF TRANSACTION
88
2. Securing of Bidding Documents.
Securing of Bidding Documents from the Bids and Awards Committee Secretariat at the
Procurement Management Office from 8:00 AM to 5:00 PM, Monday to Friday.

Classification: G2B
Type of Simple
Transaction:
Who may avail: All Bidders who wants to join the Competitive Bidding undertaking of
the BGHMC (External Client)
Payment Order Form Procurement Management Office
(Bids and Awards Committee Secretariat)
FEES
PROCESSING PERSON
CLIENTS STEPS AGENCY ACTION TO BE
TIME RESPONSIBLE
PAID
1. Present 1. Issuance of None 10 minutes Bids and
Official Bidding Awards
Receipt to Documents for Committee
the BAC the Secretariat
Secretariat corresponding
to secure project applied
the Bidding for.
Documents.
END OF TRANSACTION
89
System
Chief Administrative Officer

Internal Service
90
1.Request for Service Vehicle
Some hospital personnel may request for a service vehicle to facilitate his/her official
transaction within and outside the hospital, and nearby provinces and cities.
Office or Division: Hospital Operation and Patients Support Service/ Office of the Chief
Administrative Officer (OCAO)
Type of Transaction: G2G
Who may avail: All Hospital Personnel
Request for Travel Form (Short Trip) Engineering and Facilities Management Office
and Letter of Request (EFMO), Motorpool Unit
FEES
CLIENT STEPS TO BE
PAID
1. SHORT TRIP
1.1. Request
1.1 Coordinate None 2 mins Juliet C. Santiago,
through
phone call with the Administrative Officer I,
or letter of Motorpool OCAO &
request Unit Head
or Secretary Ma. Teresita C. Cornel,
of EFMO
Administrative Officer II,
OCAO,
Unit Head or Secretary of
EFMO
1.2. Accomplish 1.2 Receive 1 min. Juliet C. Santiago,

Request accomplish Administrative Officer I,
Form for ed Form OCAO &
Travel Ma. Teresita C. Cornel,
OCAO
2. LONG TRIP
2.1. Request
2.1 Coordinate None 2 mins. Juliet C. Santiago,
through
with Administrative Officer I,
letter of
OCAO &
request the
Ma. Teresita C. Cornel,
91
Motorpool Administrative Officer II,
OCAO,
Unit Head
or Unit Head or Secretary of
EFMO
Secretary
of
EFMO
2.2. Accomplish 2.2 Receive the 1 min. Juliet C. Santiago,
Request Administrative Officer I,
Form for OCAO &
Travel accomplished
Form Administrative Officer II,
OCAO
2.3 Recommen 1 min. Juliet C. Santiago,

d for Administrative Officer I,
approval of OCAO &
Medical
Center
Chief
OCAO
(MCC)
MCC
2.4 Prepare 5 mins. Juliet C. Santiago,

approved Administrative Officer I,
request for OCAO &
Hospital
Personnel
Order Administrative Officer II,
(HPO) OCAO
2.5 Release 1 min. Juliet C. Santiago,

signed HPO Administrative Officer I,
for filing and OCAO &
distribution
by Central
Communica Administrative Officer II,
tion & OCAO
Records
Unit
(CCRU) CCRU
TOTAL None 13 Minutes
END OF TRANSACTION
92
2.Request for Accommodation (Guest House) , Venue/Function Hall, Use of
Sound System
This process concerns the request of accommodation at the Guest House or Secretary’s
Cottage, Venue / Function Hall, Use of Sound System for hospital activities and events.
Type of
G2G
Transaction:
Request Form and Responsibility Engineering and Facilities Management Office
Agreement Form (EFMO) through the assigned Driver
CLIENT STEPS
1. Letter of request 1. Approve None 2 mins. Ms. Priscilla P. Galiste
request by the
Chief Administrative
Chief
Officer
Administrative
Officer
2. Accomplish 2. Coordinate None 5 mins. Juliet C. Santiago,
Request Form with General Administrative Officer
Services Office I, OCAO &
(GSO) and
Ma. Teresita
Biomed with
C.Cornel,
regards to:
- Schedule Administrative
- Venue
Officer II,
- Room
arrangeme OCAO
nt
- Sound
sytem GSO
- Use of LED
Wall Biomed
93
3. Sign 3. Receive signed None 1 min. Juliet C. Santiago,
Responsibility form Administrative
Agreement Form
Officer I,
OCAO &
Ma. Teresita C.
Cornel,
Administrative Officer
II, OCAO
Juliet C. Santiago,
4. Release signed I, OCAO &
Form to General
Service Office Ma. Teresita C.
(GSO) or Cornel,
Biomed Administrative Officer
II, OCAO
GSO
Biomed
END OF TRANSACTION
94
3.Preparation of Hospital Issuances
This process involves the preparation of Hospital Issuances (Hospital Personnel Order,
Hospital Order, Hospital Memorandum, Hospital Personnel Memorandum, Office Orders,
Hospital Notice, Hospital Advisory) of officials and employees
Type of G2G
Transaction:
Letter of Request, Invitation or Travel Requesting Party/Agency, official, employee
Request
AGENCY FEES TO PROCESSIN PERSON
CLIENT STEPS
ACTIONS BE PAID G TIME RESPONSIBLE
1.Secretary of 1 .Receive the None 1 minute Secretary of MCC
Medical Center approved
Chief (MCC) will request
transmit approved /invitation Juliet C. Santiago,
letter / invitation Administrative Officer I,
OCAO &
Ma. Teresita C.Cornel,
OCAO
2.Secretary of MCC 2.Prepare the 5 minute. Ms. Priscilla P. Galiste

will release signed Order for initial
Chief Administrative
Order to CAO for
Officer
distribution
3.Forward the 1 minute Juliet C. Santiago,
Order to MCC Administrative Officer I,
for his signature OCAO &
OCAO
MCC
4.Receive signed 1 minute Juliet C. Santiago,

Order for release Administrative Officer I,
95
to Central OCAO &
Communication
& Records Unit
(CCRU) Administrative Officer II,
OCAO
CCRU
END OF TRANSACTION
96
System
Central Communication and Records Unit
Internal Services
97
1. Transmittal of Documents for Mailing
Transmits official documents for mailing through Philpost and Private Courier.
Office or Division: Hospital Operation and Patient Support Service/Central

Communication & Records Unit (CCRU)
Who may avail: Employees of BGHMC (Internal Client)
CHEKLIST OF REQUIREMENTS WHERE TO SECURE
2 Copies of Endorsement Letter (if documents are
Sender of the Mail (Internal Client)
more than 5)
Complete Name, Address, Contact Number of the recipient of the Official Mail, Parcels,
recipient Documents.
FEES PERSON
PROCESSIN
CLIENT STEPS AGENCY ACTION TO BE RESPONSI
G TIME
PAID BLE
1.1. Submit all the 1.1 Receive Official
information required documents for mailing. Sender of
None 20 seconds
for Mailing and wait for the Mail
the endorsement of
Control Number of the 1.2 Identify whether the Mr. Ceasar
transmitted documents for mailing are Damasco
documents, for Philpost or Private None 30 seconds Administrati
Courier. ve Aide III,
CCRU
1.2.a For Philpost: Affixes Mr. Ceasar
the correct stamp value in Damasco
the upper rightmost corner None 5 minutes Administrati
of the envelope. ve Aide III,
CCRU
1.2.b For Private Courier:
Makes cash advance to Cash
C/O
Cashier for the payment. 20 minutes Operations
Cashier Office
1.3 Record it in the Outgoing Mr. Ceasar

Logbook. Damasco
None 1 minute Administrati
ve Aide III,
CCRU
1.4. Request for service Ms. Juliet
vehicle Santiago
None 1 minute Administrati
ce Officer I,
OCAO
98
1.4 Transmits the
documents to Philpost or PhilPost/Priv
None 30 minutes
Private Courier ate Courier
1.5.Endorse to sending unit Mr. Ceasar

the file copy of the mailed Damasco
documents. None 15 minutes Administrati
ve Aide III,
CCRU
1.5.a For Private Courier:
Liquidate the cash
advance and endorses
the original copy of
official receipt and Cash
tracking number None 15 minutes Operations
Office
together with the copy of
transmittal letter to the
Cashier.
1 hour, 27
TOTAL: None minutes, 50
seconds
END OF TRANSACTION
99
2. Endorsement of Medical Assistance Program
This process pertains to CCRU Management of Incoming Documents for Medical Assistance
Program.
Hospital Operation and Patient Support Service/Central

Office or Division:
Who may avail: Finance Management Office and Budget Office of BGHMC
Medical Assistance Program/Guarantee Finance Management Office and Budget
Letter Office
FEES TO PROCESSING PERSON
CLIENT STEPS AGENCY ACTION
BE PAID TIME RESPONSIBLE
1. Submit Medical 1.1 Receives None 1 minute Budget Office and
Assistance Program Medical Finance Mgmt
copies and wait for Assistance Office
the scanned copy. Program copies
1.2 Scan each None 30 minutes Mr. Antonio Dela
document. Pena,
Administrative
Aide III, CCRU
1.3 Stamp the date None 10 minutes Mr. Antonio Dela
and time received Pena,
on each document Administrative
Aide III, CCRU
1.4 Determine what None 20 minutes Mr. Antonio Dela
type of document Pena,
is being received. Administrative
Aide III, CCRU
1.4.a. If document is None Billing Office
medical
assistance for
dialysis, Billing
Office will receive
the original copy
and e-copy sent
through email.
100
1.4.b If document is None Budget and
medical assistance Billing Office
for Hospitalization/
Ultrasound/
Chemotherapy/ CT
scan/ Laboratory
Procedures, Budget
Office will get
scanned copy sent
through email and
Billing Office will
get the Original
Copy and scanned
copy.
1.4.c If document is None Accounting and
medical assistance Billing Office
for PCSO
guarantee letters,
accounting office
will get a scanned
copy and Billing
Office will get the
original copy and
scanned copy.
1.5 Enter the details None 1 hour Mr. Antonio Dela
of the Medical Pena,
Assistance Administrative
Program in the Aide III, CCRU
Logbook and
emails the e-copies
to the Accounting,
Billing and Budget
Office.
1.6 Endorse the None 10 minutes All concerned
document to the Office.
offices concerned.
2 hours and 11
TOTAL: None
minutes
END OF TRANSACTION
101
3. Endorsement of Hospital Issuance
This process pertains to the Hospital Issuances that are forwarded from the Office of the Chief
Administrative Officer that will be endorsed to all concerned Personnel and Offices.

Office or Division:
Hospital Issuances
1. Hospital Personnel Order
2. Hospital Order
3. Hospital Memorandum
4. Hospital Personnel Memorandum Chief Administrative Office
5. Notices/Advisories
6. Office Orders
7. Division Orders
CLIENT STEPS AGENCY ACTION
1. Forward to office 1.1 Receives the None 30 seconds Ms. Katrina Dy
the Hospital Issuance Hospital Issuances Administrative
that need to endorse 1.2 Scan the Assistant II,
None 1 minute CCRU & Mr.
Document Ceasar Damasco
1.3 Upload to None 1 minute Administrative
BGHMC Intranet and Aide III, CCRU
post it to CCRU
Announcement
1.4 Produce a copy None 1 minute
for the concerned
Personnel.
1.5 Endorse it to the None 10 minutes
concerned Personnel
None 13 minutes
TOTAL: and 30
seconds
END OF TRANSACTION
102
4.Document Request
All documents that are endorsed and filed in the office can be requested for official use only.

Office or Division:
1. Complete details of Requested Copy (e.g.
Hospital Issuance Number, Subject, Date,
None
Venue or Memorandum Of Agreement,
Licenses,and Contracts)
FEES
PROCESSING PERSON
CLIENT STEPS AGENCY ACTION TO BE
TIME RESPONSIBLE
PAID
1. Request a document 1.1 Receives the
None 30 seconds
through a phonecall and call.
wait for the scanned file 1.2 Look for the file
that will be sent through in the
None 1 minute
e-mail Masterlist of
Records
1.3 Retrieve the
Document at
None 5 minutes
the File Ms. Katrina Dy
Location Administrative
1.4 Scan the Assistant II, CCRU
Document None 1 minute
1.5 Send the
requested file None 1 minute
through e-mail
1.6 Record the File
being requested None 1 minute
at the Logbook.
END OF TRANSACTION
103
System
Engineering & Facilities Management

Office External Services
External Service
104
1.Scheduled Meeting/Appointment with the Project Management
Team
This procedure pertains to client steps on confirmed appointment with the Project
Management Team. This service is available from Monday to Friday, 8:00 am to 5:00 PM
except holidays at the Engineering and Facilities Management Office.
Hospital Operation and Patient Support Service/Engineering & Facilities

Office or Division:
Management Office (EFMO)
Type of G2B
Transaction:
Who may avail: Contractors of BGHMC (External Client)
Invitation from the Project Management Team Technical Staff In-Charge of the Project at
Confirmation of requested appointment Engineering & Facilities Management Office
(text message, email or personal agreement) (EFMO)
1A. If within 1.1 1A. Verify None 1 minute Admin Staff
*BLISTT Area, appointment to the Secretary
confirm appointment person in-charge of
to the admin staff the project
present
1B. If coming 1.2 1B. Reschedule None 15 minutes Admin Staff
outside the *BLISTT appointment/meetin Secretary
area, proceed at g through text
Triage, Garden for message, call or
Medical Clearance email
2. Disinfect hands 2.1 Assist client in None 1 minute Admin Staff
and shoes using the disinfecting Secretary
alcohol and foot rug
provided before
entering the office
3. Register name at 3.1 Check if all needed None 1 minute Admin Staff
the logbook data were completed Secretary
provided for contact
tracing purposes
4. Proceed at the 4.1 Proceed to the None 45 minutes Technical Staff
designated area for discussion/meeting1 In-Charge
the appointment/
meeting
TOTAL: 48 minutes
END OF TRANSACTION
105
2.Submission of Documents and Sample of Construction
Materials
All transactions regarding the on-going projects (submission of billing requests, billing
attachments, accomplishment reports, time extension/suspension requests and approval
of construction materials to be used). This service is available from Monday to Friday, 8:00
am to 5:00 PM except holidays at the Engineering and Facilities Management Office.

Office or Division:
Type of G2B
Transaction:
Documents to be submitted: To be Provided by the Contractor/Client of
- Billing Requests, Contractor’s Baguio General Hospital from their Main Office
Affidavit, Actual Site Photos,
Accomplishment Reports, Time
Extension/Suspension Requests
Sample of Materials for Approval

1. Disinfect hands 1.1 Assist client in None 1 minute Admin Staff
and shoes using the disinfecting Secretary
alcohol and foot rug
provided before
entering the office
2. Register name at 2.1 Check if all None 1 minute Admin Staff
the logbook needed data were Secretary
provided for contact completed
tracing purposes
3. Proceed at the 3.1 Check and None 5 minutes Technical Staff

technical personnel receive documents; In-Charge
concerned Sign approved
sample/s for
implementation
TOTAL: 7 minutes
END OF TRANSACTION
106
Engineering & Facilities Management
Office External Services
Internal Service
107
Engineering & Facilities Management Office External Services
1.Project Proposal for Infrastructure Projects

This procedure pertains to the whole process of completing necessary documents needed
prior to the procurement process. This service is available from Monday to Friday, 8:00 am
to 5:00 PM except holidays at the Engineering and Facilities Management Office.

Office or Division:
Type of G2B
Transaction:
Approval of Proposed Infrastructure Project Medical Center Chief Office
Requirements/Details of Proposed Concerned Department In-Charge
Infrastructure Project:
- Room requirements
- Size standards
- Materials Required by DOH
Areas needed as per required by the licensing
agency
1. Submit all the 1.1 Validation of None 1 day EFMO Office
information or Proposed Infra
requirements Project
needed to be
incorporated to the
1.2 Preparation of EFMO Office
proposed project None 5 days
Schematic Plans
1.3 Submit Schematic EFMO Office

None 1 day
Plans to Client for
Approval or
Further Revision
1.4 A. If Approved, None 1 day EFMO Office

Apply for Permit to
Construct for all
New Construction
and Major
None 2 days EFMO Office
B. If Disapproved,
Redesign Another
Set of Scheme
108
1.5 Preparation of None 7 months EFMO Office
Detailed *based on
Architectural and Historical Data
Engineering
Design (DAED)
and Program of
Works (POW) Engineer IV
1.6 Review/Check None 7 days
DAED and POW
A. If with None 1 day EFMO Office
corrections,
edit and reprint
corrected
DAED and
POW
Chief
B. If Approved, None 1 day
Administrative
Submit DAED Officer
and POW to
the Chief
Administrative
Office for
Recommendin
g Approval
1.7 Submit DAED and None 1 day Medical Center
POW to the Chief Office
Medical Center
Chief Office for
Approval
TOTAL: 7 months and
20 days
END OF TRANSACTION
109
2.Request for Ambulance Service
Requesting for ambulance for local trip travel (within Baguio City) and long trip travel
(outside Baguio City)

Office or Division:
Management Office (EFMO)- Motorpool
Approved request for travel Medical Center Chief Office
1. Submit all the 1.1 Receive approved None 3 minutes EFMO Office
information request for travel
required for Mailing 1.2 A. Verifies and None 10 minutes Engineer III in
and wait for the queues request charged
endorsement of for use of an
Control Number of ambulance on
the transmitted Long Trip
documents, (outside Baguio
City) while
waiting for the
availability of
driver and
ambulance
B. Verifies and None Security Guard on
queues request Duty/
for use of an Maintenance
ambulance on Foreman
local trip (inside (designated
Baguio City) while ambulance
waiting for the dispatcher)
availability of
driver and
ambulance
1..3 A. Assign
ambulance
and driver on a None 10 minutes Engineer III in
long trip. charged
B. Assign
ambulance and
driver on a local None Security Guard on
trip. Duty/
Maintenance
Foreman
1.4 A. Inform and (designated
issue a copy of ambulance
dispatcher)
110
the approved
(by the Chief None Security Guard on
Administrative Duty/
Officer or Maintenance
Authorized Foreman
Representative) (designated
driver's trip ambulance
ticket for local dispatcher)
trip travel
B. Inform and issue a
copy of the
approved (by the
Medical Center None 10 minutes Engineer III in
Chief) driver's trip charged
ticket and hospital
personnel order for
long trip travel
1.5 Fill up the petty cash
voucher if petty cash
is needed
1.6 Check and inspect
the ambulance
before any long trip None 5 minutes Engineer III
travel and short trip
travel, and certified
that the motor vehicle
is duly checked and None 30 minutes Mechanic/ Driver
declared
mechanically fit for
travel with affixed
signature on the
driver's ticket
1.7 A. Conducts
passenger to
their
destination for
long trip travel
(outside Baguio
City)
B. Conducts None **Varies Driver
passenger to their
destination for
local trip travel
(within Baguio
City)
1.8 Upon return,
have the trip None 30 minutes Driver
ticket signed by
the passenger
111
1.9 A. Endorse the
ambulance to
the Motorpool
upon return None 2 minutes Driver
from the long
trip travel
together with
the travel
documents None 20 minutes Driver
B. For a local trip
travel, endorse
the ambulance
together with the
completed
Driver's trip Ticket
to the Regular
Security Guard/ None
Maintenance
Foreman
(designated
ambulance
dispatcher) for
filling, which will
be collected by
the Engineer 3 or
the Engineering
Clerk to the
Motorpool Office
2 hours
**long trip travel
TOTAL: None time depends
on the
destination and
number of days
the requesting
personnel will
stay on the area
END OF TRANSACTION
112
3.Request for Service Vehicle
Requesting for vehicle for local trip travel (within Baguio City) and long trip travel (outside
Baguio City)

Office or Division:
Management Office (EFMO)- Motorpool
Type of G2G
Transaction:
Approved request for travel Medical Center Chief Office
1. Submit all the 1.1 Receive approved None 3 minutes EFMO Office
information request for travel,
required for (the Medical
Mailing and wait Center Chief
for the approves ticket for
endorsement of destinations
Control Number of outside Baguio
the transmitted City (Long Trip
documents, Travel), the Chief
Administrative
Officer or
Authorized
Representative
approve trip ticket
within Baguio City
(Local Trip
Travel))
1.2 Verifies if the trip None 10 minutes EFMO Office

is for official
business
a. If the trip is for
official
business,
allow the use
of available
vehicle and
driver
b. If trip is not on
official None
business,
disallow
request.
1.3 a. Queue None 1 hour EFMO Office
113
requests and
wait for the
availability of
driver and / or
vehicle in case
of multiple
requests
b. Informs the None 3 minutes EFMO Office
requesting party
immediately if
request can be
already
accommodated
1.4 In case of non- None
availability of EFMO Office
motor vehicle
and driver to
dispatch,
schedules and
whereabouts of
the motor
vehicles on
transit must be
monitored
1.5 Assigns vehicle None 5 minutes EFMO Office
and driver
1.6 Fill up the petty None 5 minutes EFMO Office
cash voucher if
petty cash is
needed
1.7 a. Inform the
passenger None 10 minutes Mechanic or
and issue a Driver
copy of
approved trip
ticket to the
driver
assigned
b. For long trip None EFMO Office
travel, an
approved
hospital
personnel
order is given
to the driver
side from the
given driver's
ticket
1.8 Provide petty None 5 minutes Engineer III in
114
cash to the driver charged
for fuel expenses
and other related
expenses
1.9 Check and 30 minutes Mechanic/ Driver
inspect the
ambulance
before any long
trip travel and
short trip travel,
and certified that
the motor vehicle
is duly checked
and declared
mechanically fit
for travel with
affixed signature
on the driver's
ticket
1.10 a. Conducts None **Varies Driver
passenger to
their
destination for
long trip travel
(outside
Baguio City)
b. Conducts None 30 minutes Driver
passenger to
their
destination for
local trip travel
(within Baguio
City)
1.11 Upon return, None 2 minutes Driver
have the trip ticket
signed by the
passenger
1.12 Endorse the
vehicle to the None 2 minutes Driver
Motorpool and/or
at the designated
parking area
1.13 Endorse travel None 10 minutes Driver
documents t the
Engineer III in
charge,
Engineering
Clerk or
3 hours
115
**long trip travel
TOTAL: None time depends on
the destination
and number of
days the
requesting
personnel will
stay on the area
END OF TRANSACTION
116
4.Request for Maintenance Job Order
This procedure pertains to the whole process for requesting and processing of maintenance job
orders.
Hospital Operation and Patient Support Service/Engineering and

Office or Division:
Facilities Management Office
Type of G2G
Transaction:
Filled-up Online e-Job Order Form e-Job Order System (Login through HRMIS)
1. Fill-up Online Job 1.1 Check e-Job None 5 minutes Engineering
Order Request Order System and Office
Form through e-Job Print Job Order
Order system Request
1.2a Initial Evaluation None 10 minutes Engineering
of Job Order Office
Request/ Check
availability of
materials to be used:
For Repair cost of
material below
₱1,000.00
1.2b Initial Evaluation None 1 day Engineering
of Job Order Office/ Foreman
Request/ Check
availability of
materials to be used:
For Repair cost of
material ₱1,000.00
and above
1.3 Approve Job None 10 minutes Head,
Order Engineering
Office
1.4a Update Job None 5 minutes Engineering
Order Request Office
through e-Job Order
system
1.4b For unavailable None 30 minutes or Engineering
materials: Prepare c/o End-user Office/ End User
and Submit Purchase
Request
1.5. If materials are
available: Endorse 1
copy of approved Job None 10 minutes Engineering
Order Form to Office
117
Foreman
1.6.a Schedule Work None 1 day Foreman/

of Maintenance Maintenance
Personnel: For Personnel
Repair cost of
material below
₱1,000.00
1.6.b Schedule Work None 15 days Foreman/
Repair cost of
material ₱1,000.00 to
₱20,000.00
1.6.c Schedule Work None 30 days Foreman/
Repair cost of
material ₱20,000.00
and above
2. Acknowledge 2.1 Endorse Finished None 5 minutes Foreman/
Finished Output and Output to End User Maintenance
Sign Job Order Personnel
Form
TOTAL: 47 days, 1 hour
and 15 minutes
**Actual
Work/Repair
time depends
on the scope of
project and
availability of
materials to be
used
END OF TRANSACTION
118
5.Request for Repair of Medical Equipment
This procedure pertains to the whole process for the repair control procedure of medical
equipment. This service is available from Monday to Friday, 8:00 am to 5:00 PM except
holidays at the Engineering and Facilities Management Office.
Hospital Operation and Patient Support Service/Engineering and Facilities

Office or Division:
Management Office
Classification: Highly technical
Type of G2G
Transaction:
Filled-up Online e-Job Order Form e-Job Order System (Login through HRMIS)
1. Fill-up Online Job 1.1 Check e-Job Order None 5 minutes Engineering Office
Order Request Form System and Print Job
through e-Job Order Order Request
system 1.2. Initial Evaluation of Job None 10 minutes Engineering Office
Order Request
1.3 Approve Job Order None 10 minutes Head, Engineering
Office
1.4. Update Job Order None 5 minutes Engineering Office
Request through e-Job
Order system
1.5. Endorse 1 copy of None 10 minutes Engineering Office
approved Job Order Form
to Medical Equipment
Technician
1.6a Check and verify the None 1 day Head, Medical
problem of the medical Equipment
equipment and record in Technician
Biomedical Service Report
1.6bb For further None 1 hour Head, Medical
assessment: Medical Equipment
Equipment Technician shall Technician
coordinate with the end
user to Pull-out and bring
the equipment for repair to
the Biomedical Shop
1.6.c If spare part is not None 1 day Head, Medical
available and costs Equipment
₱1,000.00 and below: Technician
Request for cash advance
from Petty Cash Custodian
and purchase the spare
part
119
1.6.d If spare part is not None 30 minutes Head, Medical
available and costs above Equipment
₱1,000.00 : Prepare and Technician
Submit Purchase Request
1.6.e If equipment is under None 30 minutes Head, Medical

warranty: Endorse to Equipment
Materials Management Technician
Office (MMO)
1.7a Assign repair to None 1 week Head, Medical

Technician-in-Charge Equipment
Technician/
Technician-in-
charge
1.7.b If equipment is under Supplier / Head,

warranty: Supervise repair None c/o Supplier Medical Equipment
done by Supplier Technician
1.8 Prepare Service Report Head, Medical

containing spare parts Equipment
replaced, activities done, None 1 day Technician/
etc. Technician-in-
charge
2. Acknowledge 2.1 Endorse Repaired None 5 minutes Head, Medical

Repaired Equipment Equipment to End User Equipment
and Sign in the Technician/
Biomedical Service Technician-in-
charge
Report
TOTAL: 10 days, 2
hours and 35
minutes
**Actual
Work/Repair
time depends
on the scope of
repair and
availability of
replacement
parts
END OF TRANSACTION
120
System
General Services Office

Internal Service
121
1. Linen Unit
1.1 Requisition of Ready- Made Linen Requirements
Office or Division: HOPSS/GSO-Linen

Type of Transaction: G2G-Government to Government
Who may avail: All Departments, Offices and Other Special Units
1. Requisition and Issue Slip Form 1. General Services Office-Linen Unit
(RIS) 2. General Services Office-Linen Unit
2. Linen Custodian Slip (LCS)
CLIENTS STEPS AGENCY FEES PROCESSING PERSON
ACTIONS TO BE TIME RESPONSIBLE
PAID
1. Secure a RIS >Issue an RIS Slip None 10 seconds >Seamstress (all
Slip form (all form person responsible
requesting shall wear mask
and practice social
officer/end-
distancing at all
user shall times)
wear face
mask, no
mask, no
transaction, if
possible bring
their own
ballpen)
2. Accomplish >Receive and check None 3 minutes >Seamstress
RIS Slip form RIS Slip form if >Head, Linen Unit
properly filled out;
checks stock card/s if
request are available
to be submitted for
approval
122
3. Receive > Seamstress None 2 days >Seamstress
issuance of prepares requested
request within linens for marking
2 days upon and shall prepare
approval two (2) copies of
LCS (Linen
Custodian Slip;
informs/calls
client/s for pick up
4. Client/s to >Seamstress None 5 minutes >Seamstress

pick-up issues requested
requested linens with the
linens upon accomplished LCS
receipt of
call/s, client/s
must double
check items
requested
5. Signature >Copy furnished None 30 seconds >Seamstress (all
over printed the accountable person responsible
name by officer/client and shall properly wash
remaining copy hands or apply
Accountable
alcohol every after
Officer on the shall be the Unit’s
transaction)
LCS file
TOTAL: None 2 Days

END OF TRANSACTION
123
1.2. Requisition of Linen Requirements for Fabrication
Office or Division: HOPSS/GSO-Linen

Who may avail: All Departments, Offices and Other Special Units
1. Requisition and Issue Slip Form 1. General Services Office-Linen
(RIS) Unit
2. Linen Custodian Slip (LCS) 2. General Services Office-Linen
Unit
CLIENTS STEPS AGENCY FEES PROCESSIN PERSON
ACTIONS TO BE G TIME RESPONSIBLE
PAID
1. Secure a RIS >Issue an RIS Slip None 10 seconds >Seamstress (all
Slip form (all form person
requesting responsible shall
wear mask and
officer shall wear practice social
face mask, no distancing at all
mask, no times)
transaction, if
possible bring
their own
ballpen)
2. Accomplish RIS >Receive RIS Slip None 1 minute >Seamstress
Slip form form to be >Head, Linen
submitted for Unit
approval
3. Receive > Seamstress None 15 days >Seamstress

issuance of fabricates
request upon requested linens
fabrication of with available
requested linens materials and shall
prepare two (2)
copies of LCS;
informs/calls
client/s
124
4. Client/s to pick-up >Seamstress None 5 minutes >Seamstress
requested issues requested
(fabricated) linens linens with the
upon receipt of accomplished LCS
call/s, client/s
must double
check items
requested
5. Signature over >Copy furnished None 30 seconds >Seamstress (all

printed name by the accountable person
Accountable officer/client and responsible shall
remaining copy properly wash
Officer on the
hands or apply
LCS shall be the Unit’s
alcohol every
file
after transaction)
TOTAL: None 2 Days

END OF TRANSACTION
125
2. Laundry Unit
2.1 . Distribution of Clean Linens
Office or Division: HOPSS/GSO-Laundry

Classification: Simple Technical Service
Who may avail: All departments, offices and other special units
1. Endorsement Slip Form 2. Laundry Releasing Area- Flavier
Bldg. Basement
PAID
1. Secure a >Roll call the None 1 minute >Laundry Worker
number and wait number; secure the II (all person
for his/her number presented Issuance time: responsible shall
8:30-10:00am wear face mask
number to be and practice
called and 1:00-3:00pm
social distancing
present the at all times)
number (all
recipient of
clean linens
shall wear face
mask and
practice social
distancing at all
times)
2. Present >Issue clean linens None 5 minutes >Laundry Worker
Endorsement Slip based on the II
to LW II on duty endorsement slip
presented by the
client/s as against
their records
3. Double check all >Double check all None 3 minutes >Laundry Worker
linens issued linens being issued II
(quantity per to clients (quantity
category per per category per
label/area) label/area
126
4. Tally records with >Tally record of None 1 minute >Laundry Worker
the staff on duty clients as against II
their records
5. Sign over printed Sign/Initial on the None 30 seconds >Laundry Worker

name on the endorsement slip II
endorsement slip copy of both
copy of laundry laundry and client/s

and 30
Seconds
END OF TRANSACTION
127
2.2 Receiving of Soiled Linens


1. Checklist – List of Soiled Linens 1.Soiling Area- Flavier Bldg. Basement
2. Endorsement Slip Form
re
PAID
1. Secure a number Roll call the None 2 minutes >Laundry Worker
and wait for his/her number; secure II (all person
number to be called the number responsible shall
presented wear complete
and present the
proper PPE:
number (clients shall gown/bunny suit,
wear proper and face mask, face
complete PPE and shield, cap,
practice social gloves, closed
distancing at all shoes/shoe
cover)
times)
2. Conduct physical Record the None 5 minutes >Nursing
counting per quantity, item Attendant/Client
item/per kind description and >Laundry Worker
area on the II
Checklist form
3. Tally record with LW Tally record with None 2 minutes >Nursing
II as against the client as against Attendant/Client
recorded soiled the recorded >Laundry Worker
soiled linens II
linens (bring their
own ballpen)
4. Remove the used Double check the None 5 minutes >Nursing

gown and gloves record and affix Attendant/Client
and wash hands or signature on the >Laundry Worker
endorsement slip II
apply/use
sterilium/alcohol form of the client
then transfer
checklist records on
the Endorsement
128
Slip Form. Affix
signature over
printed name on the
Endorsement Slip
Form.
END OF TRANSACTION
129
3. Housekeeping
3.1 Service Request Step by Step for Venues

Service Request Form General Services Office
CLIENTS STEPS AGENCY FEES TO PROCESSING PERSON
1. Call GSO for Blocking >Advance None 1 minute >Housekeeping
of venues and dates blocking Personnel
2. Collect and schedule >Log in the None 10 minutes >Housekeeping
request form logbook and Personnel
block the date in
the Reservation
Calendar
3. Housekeeping >Assigned CBII None 2 Hours >Housekeeping

Supervisor shall Supervisors and Supervisors/
assign personnel to Building Outsourced
attendant shall Agency
carry out the service Supervisors and
request conduct general
Building
cleaning and
Attendants (all on
disinfect every call personnel for
after activity with disinfecting shall
1:10 dilution of wear complete
Sodium PPEs in the
Hypochlorite (all COVID area)
assigned
personnel must
wear face
mask/shield).
Prepare the
venue and
coordinate with
the requesting
client regarding
the details of the
request.
TOTAL: None 2 hours &11
Minutes
END OF TRANSACTION
130
3.2. Service Request for
Disinfecting/Hauling/Housekeeping


1. Service Request Form 1. General Services Office

PAID
1. Client shall fill out >schedule None 1 minute >Housekeeping
Service Request service request Personnel
Form (client must
wear face mask and
apply available
alcohol in the area
at all times)
>log in the None 3 minutes >Housekeeping
logbook and Supervisor
include in the List
of Scheduled
Activities
2. Secure approved >Housekeeping None 2 minutes >Housekeeping
service request Supervisor shall Supervisor and
assign personnel Building
to carry out the Attendant
service request
as scheduled
3. Inform/Call Housekeeping None 1 minute >Housekeeping
Housekeeping supervisor shall Supervisor
Supervisor if the accomplish the
scheduled activity service request
requested has been for report
accomplished purposes
END OF TRANSACTION
131
4. Conference Hall / Training Hall / Secretary’s Cottage
4.1. Service Request for Venue Procedure


1. Service Request form from CAO 1. CAO Office
PAID
1. Inform GSO booking >Book request/ None 1 minute CAO Secretary/
of venues. Request reservation date Hospital
for reservation. of activities Housekeeper
based on the
request if
available
2. Indicate in the >Prepare the None 20 minutes Building
approved request venue/conferenc Attendant
the purpose, date, e hall
time, arrangement,
and number of
occupants
3. Inform Client the >Assist the None 5 minutes Building
Responsibilities/Rul client/occupant Attendant
es and for the
Regulation/Policies maintenance of
of the use of the cleanliness and
venues (all clients/ disposal of
occupants must wastes after use
wear face mask and
use available
alcohol in the area
at all times
4. Affix printed name Implement Rules None 2 minutes CAO Secretary
over signature in the and
Memorandum of Regulations/Polic
Agreement (MOA) ies

END OF TRANSACTION
132
4.2 Service Request for Accommodation Procedure

1. Letter of Request 1. General Services Office
2. Registration Form
3. Statement of account
4. Checklist form
5. CSAT FORM
CLIENTS STEPS AGENCY FEES TO PROCESSI PERSON
ACTIONS BE PAID NG TIME RESPONSIBLE
1. Submit Letter of Schedule for None 2 minutes Hospital

Request for Booking/ booking Housekeeper/
Reservation Building
Attendant
2. Approved Request Prepare None 2 minutes Hospital
reservation Housekeeper/
Building
Attendant
3. Visitor/s/ Occupant/s Assist the None 2 minutes Hospital
shall fill out the visitor/s/ Housekeeper/
occupant/s to Building
Registration Form (all
their room/s Attendant
visitors/ occupants
must wear face mask assignment
and practice social (must wear face
distancing at all mask and
practice social
times)
distancing)
4. Visitor/s/ Occupant/s Assist the None 5 minutes Hospital
to receive the visitor/s/ Housekeeper/
materials/ supplies, occupant/s to Building
their Attendant
etc. using the
Checklist Form needs/requests
during their stay
5. Visitor/s/ Occupant/s Assist client to None 2 minutes Hospital
to settle Statement of accomplish the Housekeeper/
Account in the Cash CSAT Form and Building
Operating Office to drop it at the Attendant
(COO) drop box
END OF TRANSACTION
133
5. Linen Unit Clean Linens
5.1 Service Request Step by Step Procedure

Service Request Form General Services Office
CLIENTS STEPS AGENCY ACTIONS FEES PROCESSING PERSON
TO BE TIME RESPONSIBLE
PAID
1. BGHMC Gives out request None 30 seconds Housekeeping
Personnel form Supervisors
2. BGHMC Fills out Request None 1 min. BGHMC Personnel

Personnel Form
3. BGHMC Collects and None 10 min. Housekeeping

Personnel Schedule Request Supervisors
for Services such
as:
>Hauling/Transport
>General Cleaning
>Assist in 5’S
Office/ward
>Pest Control
>Preparation of
Venue
4.BGHMC Assign Personnel to None 10 min. Housekeeping
Personnel carry out the Personnel/CBII
Service Request Supervisors and CBII
Building Attendants
5.BGHMC Assign Personnel to None One day Housekeeping
Personnel prepare the Service before the Personnel/CBII
Request On or event Supervisors and CBII
before the event Building Attendants
6.BGHMC After the event -- None 20 minute after Housekeeping
Personnel after care will follow the event. Personnel/CBII
Supervisors and CBII
Building Attendants
TOTAL: None
1 Day 1 Hour
10 Minutes
END OF TRANSACTION
134
System

External Service
135
1. Recruitment and Selection
This transaction involves the recruitment and selection process of qualified Filipino applicants
conducted by the Human Resource Management Office, starting from posting of vacancy
and submission of application, selection from among applicants until processing of
appointment of appointee, including oath of office and assumption to duty. This service is
available from Monday to Friday, except for holidays, from 8:00 AM to 5:00 PM.
Hospital Operation and Patient Support Service/Human Resource

Office or Division:
Management Office
Classification: Multi-Stage
Type of Transaction: G2C- Citizen; G2G- Government
Who may avail: All qualified Filipino citizen applicants
FOR APPLICATION:
Application letter addressed to: Applicant
RICARDO B. RUNEZ JR., MD, FPCP,
MHA CSEE
Medical Center Chief
(1 copy)
Updated Personal Data Sheet (PDS) or Downloadable at http://csc.gov.ph (CSC
CSC Form 212, rev. 2017 website)
-with attached detailed Job Description of

Work Experience/s
-with recent I.D. passport size picture

taken within the last 6 months, with full
and handwritten nametag and signature
over printed name
(1 original copy)
Diploma Registrar’s Office of issuing school
Proof of Highest Educational Attainment: Registrar’s Office of issuing school
-For College Graduate or with Higher
Educational Attainment: Transcript of
Records
-For College Undergraduate: Transcript of

Records or Certificate of Units earned
-For High School or Elementary

Graduate/Undergraduate: Form 137
Proof of Eligibility: -Professional Regulations Commission (PRC) or

Supreme Court (SC) License Issuing Office
-For Practice of Profession: Valid
136
Professional Regulations Commission
(PRC) or Supreme Court (SC) License
-For positions requiring Civil Service (CS)

Eligibility: -CS Eligibility: Civil Service Commission –
Region where eligibility was obtained;
-For Second Level position:
Professional CS Eligibility or -PRC License: PRC Office – CAR
Valid Professional
Regulations Commission -SC License – Supreme Court Office – Manila
(PRC) or Supreme Court
(SC) License, or National -NAPOLCOM Eligibility – National Police
Police Commission Commission Issuing Office
(NAPOLCOM) eligibility
-For First Level position:

Sub-Professional or
Professional CS Eligibility or
Valid Professional
Regulations Commission
(SC) License or National
Police Commission
-For positions requiring other

license: -Department of Transportation- Land
Transportation Office Issuing Office
-Driver – Professional
Driver’s License
-CS Eligibility pursuant to: -CS Eligibility: Civil Service Commission –

CS MC No. 11, s. 1996, for Region where eligibility was obtained;
skilled workers like plumber,
carpenter etc., if any
(1 photocopy)
Recent Performance Evaluation- * Must Issuing company/agency
be at least Very Satisfactory (But not
required for promotion from 1st to 2 nd level
entry positions)
-For private or government applicants

from other agencies
-For BGHMC employees, no need to

submit
(1 photocopy)
137
Certificate of Employment and/or Service Issuing company/agency
Record – for applicants with previous
work experience
-For BGHMC employees, no need to

submit
(1 copy- original or photocopy)
Certificate/s of Trainings/Seminars Issuing company/agency
relevant to the position applied for (past
10 years)
(1 copy- original or photocopy)
Awards received- professional or civic Applicant
related (past 10 years for national or
regional; past 5 years for local -
office/hospital based)
(1 photocopy or picture)
* For Nurses: Proof of membership in Philippine Nursing Association (PNA)- Nurse I
society or professional organization/s, if Association of Nursing Service Administrator of
any the Philippines (ANSAP) – Nurse II & up
(1 photocopy) National League of Government Nurses (NLGN)
– Nurse II & up
* For Dual Citizen: Philippine passport or -Passsport: Department of Foreign Affairs
any proof of Filipino Citizenship (DFA), or
Birth Certificate: Philippine Statistics Authority
(PSA)
(1 photocopy)
For MO III/Residency Training Applicants: BGHMC Psychiatry Department
Neuropsych exam results
Personal email address and contact Email and telephone service providers
number
FOR UNDERGOING QUALIFYING
EXAM/ ACTUAL PERFORMANCE
EVALUATION/INTERVIEW:
Confirmation of attendance before Reply to email of BGHMC
deadline
If Baguio Resident: Proof of residence Issuing office, or Barangay Office/Center
(example: ID containing information of
residence, Barangay Certificate etc. )
If non-Baguio resident: boom tag (bring -BGHMC Triage, driveway entrance of hospital
medical clearance, if you have) by the garden.
Medical clearance: from origin/place of
residence
FOR APPOINTMENT:
FOR ALL APPOINTEES (Original,
Promotion, Transfer, Reemployment,
Renewal)
Updated Personal Data Sheet (PDS) or Downloadable at http://csc.gov.ph (CSC
138
CSC Form 212, rev. 2017 website)
-To indicate
new position
under Work
Experience
-With attached
detailed Job
Description of
Work
Experience/s
-With recent
I.D. passport
size picture
taken within
the last 6
months, with
full and
handwritten
nametag and
signature over
printed name
(2 original copies)
Proof of Eligibility:
-For Practice of Profession: Valid -Professional Regulations Commission (PRC) or

Professional Regulations Commission Supreme Court (SC) License: Issuing Office
(PRC) or Supreme Court (SC)
License/I.D. card
-For positions requiring Civil Service (CS)

Eligibility:
-For Second Level position: -CS Eligibility: Civil Service Commission –

Professional CS Eligibility or Region where eligibility was obtained;
Valid Professional
Regulations Commission -PRC License: PRC Office – CAR
(SC) License, or National -SC License – Supreme Court Office – Manila
Police Commission
(NAPOLCOM) eligibility NAPOLCOM Eligibility – National Police
Commission Issuing Office
-For First Level position:
Sub-Professional or
Professional CS Eligibility or
Valid Professional
Regulations Commission
139
(SC) License or National
Police Commission
-For positions requiring other

license:
-Driver – Professional -Department of Transportation- Land

Driver’s License Transportation Office Issuing Office
-CS Eligibility pursuant to: -CS Eligibility: Civil Service Commission –

CS MC No. 11, s. 1996, for Region where eligibility was obtained;
skilled workers like plumber,
carpenter etc., if applicant
has
(2 original authenticated copy)
NBI Clearance National Bureau of Investigation (NBI) Issuing
(1 original copy) Office
ADDITIONAL REQUIREMENTS:
If
ORIGINAL/REEMPLOYMENT/TRANSF
ER
Statement of Assets, Liabilities and Downloadable at http://csc.gov.ph (CSC
Networth (SALN) rev. 2015 website)
(2 original copies)
Medical Certificate or CSC Form 211, rev, Downloadable at http://csc.gov.ph (CSC
2018 website)
(1 original)
>Request forms for laboratory and other >BGHMC Out Patient Building – Department of
tests Family Medicine, Employees’ Health Services
Unit
If physician: S2 license Philippine Drug Enforcement Authority (PDEA)
Issuing Office
If single: Birth Certificate Philippine Statistics Authority (PSA)- CAR
(1 original)
If married, annulled or widowed/widower: Philippine Statistics Authority (PSA)- CAR
Marriage Certificate
(1 original)
If annulled: Annulment or Declaration of Issuing Court of Justice
Nullity of the same
(1 authenticated copy of the court order)
Plastic envelope – Flamingo #322 (blue) Any bookstore or general merchandize store
For holder of professional license: PRC PRC Office – CAR
Board Rating,
(2 certified photocopy)
NBI Clearance National Bureau of Investigation (NBI) Issuing
(1 original copy) Office
IF ORIGINAL/NEW APPOINTEES:
140
Probationary Letter BGHMC- Human Resource Management Office
(1 original copy) (HMRO), Admin. Building
Job Description Form from BGHMC-HRMO, to be filled out by
(2 original copies) appointee’s supervisor
IF TRANSFER:
Job Description Form from BGHMC-HRMO, to be filled out by
(2 original copies) appointee’s supervisor
Clearance of money, property and legal Previous agency
accountabilities
Pre-audited disbursement voucher of last Previous agency
salary received and/or certification of
chief accountant duly signed by the
assigned auditor thereat
BIR Form 2316 Accounting Office of previous agency
(1 photocopy)
Certificate of Available leave HR Office of previous agency
Credits/payment of leave credits from
previous employer
(1 original copy)
IF REEMPLOYMENT:
Service Record HR Office of previous agency
(1 original copy)
Clearance of money, property and legal Previous agency
accountabilities
Appointment Paper of previous position HR Office of previous agency
Last Performance Evaluation- for HR Office of previous agency
government applicants from other
agencies
(1 photocopy)
141
FEES
CLIENT STEPS TO BE
PAID
3. Checks posted Posts Notice of None 10 days Cesar Angelo Sancio
Notice of Vacancy Vacancy in Civil Admin. Asst. II
and checks if meets Service
the qualifications Commission , in
and if job 3 conspicuous
description can be places in the
performed hospital
premises and in
FB account:
BGHMC Human
Resource
4. Submits on or 2.a. None 2.a. 1 day 2.a. Kevin Jan Castillo
before deadline the Acknowledges Admin. Officer II
application receipt of
requirements in application
http://forms.gle/5Jt
Wd3Ry7RH5jDes8
2.b. Sub-PSB
or using this QR Secretariat***
code: 2.b. Reviews 2.b. 20* days
completeness of from deadline
application of acceptance
requirements of application
received and
conducts initial
• Must be credentials
scanned and review if
sent in a single applicant meets
(1) PDF file with qualification
subject format
“Position
Applying for-
Last Name”
5. Checks email 3. a. Sends None 3.a. 2 days Kevin Jan Castillo

regularly for update regrets letter to Admin. Officer II
on status of applicants who:
application and > did not submit
acknowledges complete
confirmation of requirements
attendance, if > did not meet
required minimum
qualification
> submitted
beyond deadline
3.b. 5 days
3.b. Sends letter
142
of schedule of
qualifying exam
6. Undergoes 4.a. Administers None 4.a. 4 hours Maria Irma Nimo

qualifying exam exams after Admin. Officer IV, or
Clarisse Anne Blanche
(must be in exam instructions Admin. Officer II
area 15 minutes
before exam)
> if not from BGHMC,
submits self for triage
clearance & gets
tagged (boom tag)
> if BGHMC employee,
proceed to venue 4.b. Checks and 4.b. 7* days
interprets
results
7. Checks email 5. a. Sends None 2 days Kevin Jan Castillo
regularly for update regrets letter to Admin. Officer II
on status of applicants who:
application and > did not attend
acknowledges exams
confirmation of > did not pass
attendance, if the exams
required
5.b. Sends letter 2 days
of schedule of
Actual
Performance
Evaluation for .
applicants not
from BGHMC or
not working in
area of vacancy
*Instruction
includes to bring
hard copy of
requirements
during Actual
Performance
6.a. Applicant submits 6.a.Verifies None 6.a. 10* days 6. a. sub-PSB
hard copy of all authenticated secretariat*** and if
necessary Head of
application copies of Office/Unit/
requirement to HRMO submitted Division or assigned
of BGHMC credentials and personnel in the area of
conducts vacancy
143
scoring of same
6.b. Head of
Office/Unit/Division or
assigned personnel in
6.b. Instructs the area of vacancy
6.b. Undergoes Actual applicant of the 6.b.
Performance tasks to be done - 5** days/
Evaluation in assigned and evaluates applicant
area the applicant’s (for non-MO III
> if not from BGHMC, performance applicants)
submits self for 6.c Sub-PSB secretariat
inspection for triage • 30** days ***
clearance & gets (for MO III
tagged (boom tag) applicants)
> if BGHMC employee,
proceed to venue 6.c. Collects
*Applicant who work in Actual
the area of vacancy Performance
will not undergo Actual Ratings/IPCR
Performance; their ratings and
IPCR will instead be collates scores
used for evaluation
7. Provide contact Conducts None 10* days Sub-PSB secretariat***
details of Psycho-Social
Character Background
Reference for check
Psycho-Social
Background
Check, if asked for
further or
additional
information
8. Checks email Sends letter of None 2 day Kevin Jan Castillo
Admin. Officer II
regularly for update schedule of
on status of Interview
application and
acknowledges
confirmation of
attendance, if
required
9.a. Submits self for 9.a. Conducts None 1 day 9.a. Human Resource
interview interview of Merit and Promotion
Selection Board
applicants (HRMPSB or Special
HRMPSB)
Chair:
. Dr. Ray Suanding-
Medical, Professional
Allied Health Services
and Offices under the
MCC
Ms. Priscilla Galiste-
144
Nursing, HOPSS and
Finance
9.b. sub-PSB
secretariat***
9.b. Retrieves 9.b. Returns

application application
requirements requirements to
submitted applicant
10. Checks email 10. a. Collates None 3 days 10.a. sub-PSB
all scores secretariat***
regularly for
update on status derived from all
of application, steps
and undergone and
acknowledges prepares the
confirmation of Comparative
attendance if Assessment
required Report (CAR)
and routes the 5 days 10.b. Human Resource
CAR for signing Merit and Promotion
Selection Board
(HRMPSB or Special
10.b. HRMPSB HRMPSB) Chair and
chair and members
members sign
the CAR 10.c. Dr. Ricardo B.
Runez, Jr.
Medical Center Chief II
10.c. Decides 60* days 10.d. Kevin Jan Castillo

who the Admin. Officer II
appointee/s
is/are
10.d. Sends: 2 days

- Congratulatory
letter for being
considered for
the position
-Letter of
Shortlist/pool –
for applicants
who passed but
not considered
for appointment
- Regrets for not
being
considered for
the job
145
11. (for appointees) Provides the None 1 hour Cristeta Tudlong
Admin. Asst. III
Visits HRMO office checklist of or
to get the requirements Vanessa Sibayan
Checklist of and forms and Admin. Officer II
Requirements and explains how to or
forms accomplish Kevin Jan Castillo
some of the Admin. Officer II
or
forms Francis Jane Toyao
Dental Aide- with detail
order in HRMO
12. Accomplishes the Accepts None 45* days Cristeta Tudlong
submissions Admin. Asst. III
requirements and or
submit to HRMO and checks its Vanessa Sibayan
completeness Admin. Officer II
and correctness
13. Signs Appointment None
13.a. Signs the 3.a. Human Resource
Paper Merit and Promotion
Appointment 3.a. 5 days Selection Board
Paper (HRMPSB or Special
HRMPSB)
Chair:
Dr. Ray Suanding-
Medical, Professional
Allied Health Services
and Offices under the
MCC
Ms. Priscilla Galiste-
Nursing, HOPSS and
Finance
Vilma Moltio
Supervising
Administrative Officer -
HRMO
Ricardo B. Runez, Jr.

3.b. Cristeta Tudlong

Admin. Asst. III
or
Vanessa Sibayan
Admin. Officer II
3.b Assists 3.b. 1 hour

applicant in the
signing of
Appointment
Paper
146
14. Facilitates UNone 1 hour Cristeta Tudlong
Conduct and/or Admin. Asst. III
ndergoes Oath of
Office Signing of Oath Or
of Office Vanessa Sibayan
Admin. Officer II
15. Assumes Office Facilitates None 1 hour Cristeta Tudlong

signing of Admin. Asst. III
or
Assumption to Vanessa Sibayan
Duty Admin. Officer II
TOTAL: None
10 Months and
3 days
END OF TRANSACTION
Multi –Stage Process under:
CSC Memorandum Circular 24, s. 2017 or the Omnibus Rules on Appointment and Other
Human Resource Actions (ORAOHRA) [ Rule VII, Section 29]
DOH Department Order No. 2019-0278 or the Revised Implementing Guidelines of the Merit
Selection Plan (MSP) in the Department of Health (DOH), its Offices and Attached Agencies
[Part IV.A.2-2.6]
= publication of a …vacant position shall be valid until filled but not to extend beyond nine (9)
months reckoned from the date the vacant position was published. (9 months = 270 days)
* Dependent on the number of applicants
** Dependent on area of assignment
*** sub-PSB Secretariat:
Medical: Glorilyn Saballa, AO II or Melody Carrera, AO II
Nursing: Clarisse Anne Blanche, AO II or John Darryl Enrico, AA II
Office of the Medical Center Chief: Clarisse Anne Blanche, AO II, Glorilyn Saballa, AO
II, or Francis Jane Toyao, Dental Aide- with detail order in HRMO
HOPSS and Finance: Harry Valdez, AO II
147
2. Issuance of Certificate of Employment and/or Updated
Service Record
This transaction involves issuance of Certificate of Employment and Updated Service

Record to all, current or previous, employees of Baguio General Hospital and Medical
Center. This service is available from Monday to Fridays, except on holidays, 8:00 am to
5:00pm.

Office or Division:
Management Office
Type of Transaction: G2C- Citizen G2G – Government to Government
Who may avail: All currently and previously plantilla employees
Principal Owner (Currently Employed)
Human Resource Management Human Resource Management Office, BGHMC
Information System (HRMIS Account)
Duly Accomplished Electronic Request HRMIS (local IP Address 10.1.2.171 – can only
Form be accessed within the local area network of
BGHMC))
Employee ID Office of the Chief Administrative Officer
Principal Owner (Previously
Employed)
Duly Accomplished Request Form (1 Human Resource Management Office, BGHMC
original copy)
Valid I.D Any authorized issuing agency
Representative
Duly Accomplished Request Form (1 Human Resource Management Office, BGHMC
original copy)
Authorization Letter Principal Owner
Photocopy of Valid I.D. of the Principal Principal Owner
Owner Bearing his/her signature
Valid I.D. of authorized representative Any authorized issuing agency
FEES
CLIENT STEPS TO BE
PAID
1. None 5 minutes Francis Jane B.
1.a. If previously Toyao
employed or if 1a. Issues Dental Aide – with
requesting as a Request Form detail order at the
HRM Office)
representative,
or
secures request form. Vanessa C. Sibayan
II
148
b. If currently 1b. Provides Robert R. Obligado
employed, logs in to HRMIS Account Computer
HRMIS account. Maintenance
Technologist II
2. Fills out and submits None 4 hours Francis Jane B.

request form Toyao
Dental Aide – with
2a.1. If previously 2.1. Prepares detail order at the
HRM Office
employed or if a the Certificate of
or
representative, fills out Employment Vanessa C. Sibayan
the printed request (COE) and/or Administrative Officer
form Service Record II)
(SR) or
2b.1. If currently 2.2. Endorses Glorelyn D. Saballa

employed, fills out the COE and/or SR Administrative Officer
electronic request form to the head of II
from the HRMIS the Human
Resource
Management
Office (HRMO)
and Chief
Administrative
Office (CAO) for
initial and/or
signature
2.3. Affixes 2 days Vilma O. Moltio, MPA

initial and/or Supervising
signature on the Administrative Officer,
COE and SR HRMO
and
Priscilla P. Galiste,
MPA Chief
2b.2. Checks status of 2b. Updates 5 minutes Francis Jane B.

electronic request at status of Toyao
the HRMIS electronic Dental Aide – with
requests at the detail order at the
HRMIS HRM Office
or
Vanessa C. Sibayan
II
or
Glorelyn D. Saballa
II
149
3. Returns after 2 to 3 3. Ensures that None 5 minutes Francis Jane B.
working days to claim request have Toyao
request been processed Dental Aide – with
within 2 to 3 detail order at the
working days HRM Office
or
Vanessa C. Sibayan
II
or
Glorelyn D. Saballa
II
4. Presents 4. Checks None 5 minutes Francis Jane B.
requirements stated validity and Toyao
above authenticity of Dental Aide – with
presented detail order at the
documents. HRM Office
or
Vanessa C. Sibayan
II
or
Glorelyn D. Saballa
II
5a. If previously 5.1. Releases None 5 minutes Francis Jane B.
employed of if claiming document/s as Toyao
as a representative, per request. Dental Aide – with
signs the receipt detail order at the
portion of the Request 5.2a. Updates HRM Office
or
Form as status of
acknowledgement of request at the Vanessa C. Sibayan
receipt. HRMIS. Administrative Officer
II
b. If currently or
employed, receives 5.2b. Files
COE and/or Service receiving copies Glorelyn D. Saballa
Record. and Administrative Officer
attachments. II
TOTAL: None 2 Days, 4

Hours, 25
Minutes
END OF TRANSACTION
150
3. Filing of Application for Leave
This transaction involves filing of application of leave as embodied on the Omnibus Rules
on Leave of the Civil Service Commission. This can be availed by regular plantilla
employees of Baguio General Hospital and Medical Center, and can be availed only within
the hospital’s Local Area Network (LAN) connection.

Office or Division:
Management Office
Classification: Complex
Who may avail: All active plantilla employees
GENERAL REQUIREMENTS (For All
Types of Leaves)
Human Resource Management Human Resource Management Office, BGHMC
Information System (HRMIS Account)
Application for Leave (2 original copies) HRMIS (local IP Address 10.1.2.171 – can only
be accessed within the local area network of
BGHMC))
ADDITIONAL REQUIREMENTS
For Vacation Leave (VL) and Sick
Leave (SL) of 30 calendar days or
more.
Certificate of Clearance (1 original copy) Human Resource Management Office, BGHMC
For Sick Leave
Medical Certificate (1 original copy) Attending Physician to be Certified Family and
Community Medicine Department
For Rehabilitation Leave
Letter of Application (1 original copy) Principal Applicant
Police Report (1 original copy) Police Station assigned at the area of incidence
Incident Report Applicant
For Maternity Leave
30 days Prior Notice For Maternity Leave Human Resource Management Office, BGHMC
From
Certificate of Clearance (1 original copy) Human Resource Management Office, BGHMC
Philippine Civil Service Medical Human Resource Management Office, BGHMC
Certificate (C.S. Form 41 with
Documentary stamp) (3 original copies)
For Paternity Leave
Child’s Birth Certificate (1 photocopy) Issuing Office of the Philippine Statistics Office
Marriage Certificate (photocopy) Issuing Office of the Philippine Statistics Office
For Pregnant Woman’s
Spouse/Partner/Carer: Allocation of
Maternity Leave
*Partner- father of infant but not married
to mother
151
*Carer is one who will take care of mother
& infant; must be living with the mother &
infant (may be grandmother of infant,
aunt/uncle etc.)
a. If the Pregnant Woman is
employed in any government
institution other than BGHMC
Letter request for the allocation of Applicant
Maternity Leave
Copy of Pregnant Woman’s maternity Applicant’s Partner/Wife’s Agency

leave application (1 photocopy)
Child’s Birth Certificate (1 photocopy) Issuing Office of the Philippine Statistics Office
b. If Pregnant Woman is BGHMC
employee
Approved 30-days’ Notice Form and Human Resource Management Office, BGHMC.
photocopy of maternity leave application
of wife/partner
Copy of Pregnant Woman’s’s maternity Human Resource Management Office, BGHMC

Child’s Birth Certificate Issuing Office of the Philippine Statistics Office

c. If Pregnant Woman is employed
in the Private Sector
Letter request for the allocation of Applicant

Maternity Leave
Copy of Pregnant Woman’s maternity Applicant’s Pregnant Woman’s Employer

SSS certification of Maternity Leave Pregnant Woman’s Employer
Child’s Birth Certificate Issuing Office of the Philippine Statistics Office

Special Leave Benefit
For Solo Parent Leave
Valid Solo Parent I.D. (1 photocopy) Issuing Office of the Department of Social
Welfare and Development
If Leave is Not Recommended
Cancellation for Leave Form Human Resource Management Office, BGHMC
152
FEES
CLIENT STEPS TO BE
PAID
1. Files and print outs 1.1. None 2 days Immediate Supervisor
application for leave Recommends of the Requesting
through HRMIS and appropriate Employee
attaches all necessary action
requirements
depending on the type 1.2. Endorses
of leave applied for, leave
and submits to application with
Immediate supervisor attachments to
the office of the
Division Chief
2a. If approved, 2.1. Acts on the 2 days Division Head of the
secures a copy of the application for requesting employee
acted leave application leave
Division Head
Secretary/requesting
2b. If disapproved, 2.2. Provides
employee
secures one copy of one copy of the
the acted leave then acted
files Cancellation of application for
Leave at the HRMO leave to
staff/applicant
2.3. Forwards Juliet P. Aqui

acted leave Administrative Officer
application to II
the HRMO or
Vanessa C. Sibayan
(Administrative Officer
2.4. Updates II)
employee’s
leave ledger
base on the
acted
application of
leave
Step 3. Attaches the 3. Consolidates 1 day Rogelio Sambolledo
copy of leave on the and Files for Administrative Officer
DTR to be submitted submission to II
not later than the 5th Commission on
day of the following Audit
month
TOTAL: None 5 Days
END OF TRANSACTION
153
4. Issuance of Authority to Travel Abroad
This transaction involves requests for Issuance of Travel Authority from Department of Health
– CAR. This service is available from Monday to Friday, except on holidays, from 8:00 AM to
5:00 PM
Office or Division:
Management Office
Who may avail: All active plantilla employees
Human Resource Management Information Human Resource Management Office, BGHMC
System (HRMIS Account)
Application for Leave (2 original copies) HRMIS (local IP Address 10.1.2.171 – can only
be accessed within the local area network of
BGHMC))
Letter of Request for Authority to Travel (1 Employee
original copy)
Travel Authority Forms (2 original copies) Human Resource Management Office, BGHMC
Sponsorship Form (1 original copy) Human Resource Management Office, BGHMC
Additional Requirement if leave is more
than 30 days
Certificate of Clearance (1 original) Human Resource Management Office, BGHMC
FEES
PROCESSING PERSON
TIME RESPONSIBLE
PAID
Step 1. Submits Letter 1.1. Recommends None 2 days Immediate Supervisor
of Request for Authority appropriate action of the requesting
to Travel with all the on the request for employee
necessary attachments leave and travel
(Application for Leave abroad
Forms, Travel Authority
Division Head of the
Forms, Sponsorship 1.2. Acts on the 2 days requesting employee
Form, and Certificate of request and or
Clearance (if endorses it to the Dr. Ricardo B. Runez,
applicable)) HRM Office Jr.
**Application and – for Division Chief/
request should be than Head of Offices/ Unit/
at least 30 days prior to Department
date of travel
1.3. 2 days Juliet P. Aqui
Administrative Officer II
1.3.a Reviews
or
correctness and Vanessa C. Sibayan
completeness of the Administrative Officer II
application for leave Vilma O. Moltio, MPA
and all necessary Supervising
attachments Administrative Officer,
HRMO
154
1.3.b. Acts on the Dr. Ricardo B. Runez,
request and Jr.
endorses it to the Medical Center Chief II
Office of the Medical
Center Chief II
Juliet P. Aqui
1.4. Recommends 2 days Administrative Officer II
appropriate action to or
the Request for Vanessa C. Sibayan
Authority to Travel, Administrative Officer II
and returns to
HRMO
1.5.a. If the MCC

recommends
approval, forwards
request to DOH-
CAR for final action
1.5. b. If the MCC 1 day

recommends
disapproval, inform
concerned
employee (Proceed
to Step 3b).
1.6. Follows up and 10 days

retrieves the acted
on Authority to
Travel from DOH-
CAR
Step 2a. If approved, 2a. Provides copy of None 5 minutes Juliet P. Aqui
secures copy of the the approved Administrative Officer II
Request for Issuance of Request for or
Travel Authority. Issuance of Travel Vanessa C. Sibayan
Administrative Officer II
Authority
Step 2b. If disapproved, 2b. Provides copy of

secures copy of leave disapproved leave
and applies for leave and reflects
cancellation. necessary
adjustments on the
employee’s leave
ledger
TOTAL: None
19 Days, 5
Minutes
END OF TRANSACTION
155
System
Procurement Management Office

Internal Service
156
1. Acceptance of Approved Purchase Request for Shopping and
Small Value Procurement Modality of Procurement
Acceptance of Approved Purchase Request to be procured through Small Value

Procurement and Shopping modality of procurement with complete documentary
requirements until the release of Approved Purchase Order to the Materials Management
Office.
Office or Procurement Management Office under Hospital Operations and Patients

Division: Support Service
Classification: G2G Government to Government
Type of
HIGHLY TECHNICAL -multistage
Transaction:
Procurement Management Information
Purchase Request
System (PMIS) and Procurement
Management Office
Required attachment/s for the Purchase
Request according to classification of
procurement: a. Procurement Management Office
a. Consumables - Stock Position Sheet b. Biomed Unit / MIS Management
b. Repairs/Maintenance/Calibration - Information System Office.
Biomedical Report for Machines &
Equipment/ Management Information c. End User Unit Copy.
System Report for IT Equipment. d. To be prepared by the End User Unit.
c. Approved PPMP
d. If not included in the PPMP, prepare
justification letter and Supplemental
PPMP. Affix signature of the Unit/Section
Head and submit to the Division Head for
Recommendatory Approval.
FEES
TO PROCESSING PERSON
CLIENTS STEPS AGENCY ACTION
BE TIME RESPONSIBLE
PAID
1. Submit the 1. Receive the Approved None 1. 10 minutes Fatima Mae Zarate
Approved Purchase Request Administrative
Purchase and acknowledge the Officer I
Request with receipt.
complete
documentary 2. Prepare Request for 2. 15 minutes Fatima Mae Zarate
requirements Quotation. Administrative
to Procurement Officer I
Management
Office. 3. Approval of the RFQ 3. 1 working Joy Kingat
by the BAC. day Administrative
Officer I
157
4. Canvassing of Prices 4. 9 working Eduardson Galimba
for the RFQ. days Administrative
Assistant I
Luis Bernabe Jr.

Administrative
Assistant I
5. Opening of the 5. 1 working Joy Kingat

Canvass of Prices, day Administrative
Evaluation and Officer I
Awarding of Bids.
6. Preparation of 6. 20 Minutes Deborah Ocyaden

Abstract of Quotation. Administrative
Officer III
7. Endorsement and
Approval of Abstract 7. 1 working Joy Kingat
of Quotation. day Administrative
Officer I
Felicidad Atos, MPA

Supervising
Administrative
Officer
8. Prepare and check 8. 20 Minutes *BAC Members

entry on the Purchase **BAC Chairpersons
Order
Frenzel Ray Tomas
Administrative
Officer III
Greg Labinio, MBA
Administrative
Officer III
9. Release of Purchase 9. 15 Minutes Felicidad Atos, MPA

Order to Division Supervising
Head Office. Administrative
Officer
10. Division Heads 10. 1 working Joy Kingat

Signature certifying day Administrative
charges to Officer I
appropriation
11. Budget Office for 11. 3 working ***Division Heads

Obligation Request days
and Status
158
12. Accounting Office for 12. 3 working Edna L. Mogamog,
availability of Funds days CPA,MBA
SAO, Budget
Section
13. Financial
Management Officer 13. 4 hours Cecilia J. Pugong,
for recommending CPA
approval Head, Accounting
Office
14. Approval of the 14. 1 working Edward C. Pudlao,

Purchase Order day CPA, MBA
Financial
Management Officer
II
15. Receipt of Approved 15. 10 minutes Dr. Ricardo B.

Purchase Order Runez Jr.
Medical Center
Chief II
16. Serve the Approved 16. 1 working Fatima Mae Zarate

Purchase to the day Administrative
Suppliers Officer I
Frenzel Ray Tomas

Administrative
Officer III
Eduardson Galimba
Administrative
Assistant I
17. Release Approved 17. 4 hours Luis Bernabe Jr.

Purchase Order to Administrative
Materials Assistant I
Management Office
Joy Kingat
Administrative
Officer I
21 working
TOTAL: None days 9 hour 30
minutes
END OF TRANSACTION
159
2.Acceptance of Approved Purchase Request for Public
Bidding, Direct Contracting, Agency to Agency, Repeat Order,
Emergency Case
Acceptance of Approved Purchase Request to be procured through Public Bidding, Direct

Contracting, Agency to Agency, Repeat Order and Emergency Case modality of procurement
with complete documentary requirements until the release of Approved Purchase Order to
the Materials Management Office.

Classification: G2G Government to Government
Type of
Highly technical
Transaction:
Procurement Management Information
Purchase Request
System (PMIS) and Procurement
Stock Position Sheet
Management Office
Required attachment/s for the Purchase
Request according to classification of
procurement: a. Procurement Management Office
a. Consumables - Stock Position Sheet b. Biomed Unit / MIS Management
b. Repairs/Maintenance/Calibration - Information System Office.
Biomedical Report for Machines &
Equipment/ Management Information
System Report for IT Equipment. c. End User Unit Copy.
c. Approved PPMP d. To be prepared by the End User Unit.
d. If not included in the PPMP, prepare
justification letter and Supplemental
PPMP. Affix signature of the
Unit/Section Head and submit to the
Division Head for Recommendatory e. End User shall request from the
Approval. Supplier the Price Quotation and
e. For Direct Contracting Mode of Certificate of Exclusivity. The End User
Procurement: Certificate of No suitable unit then shall prepare Certificate of No-
Substitute, Certificate of Exclusivity Suitable Substitute based on the
and Price Quotation. submittals.
FEES
TO PROCESSING PERSON
CLIENTS STEPS AGENCY ACTION
BE TIME RESPONSIBLE
PAID
1) Submit the 1) Receive the None 1) 10 minutes
Approved Approved Purchase Fatima Mae
Purchase Request and Zarate
Request with acknowledge the Administrative
complete receipt. Officer I
documentary
160
requirements
to
Procurement
Management
Office.
2) Prepare Purchase 2) 20 Minutes
Order. Frenzel Ray
Tomas
Administrative
Officer III
Frenzel Ray
Tomas
Administrative
Officer III
Greg Labinio,
MBA
Administrative
Officer III
Felicidad Atos,
MPA
3) Release of 3) 15 Minutes Supervising
Purchase Order to Administrative
Division Head Officer
Office.
4) Division Heads 4) 1 working Joy Kingat

Signature certifying day Administrative
charges to Officer I
appropriation
5) Budget Office for 5) 3 working *Division Heads

Obligation Request days
and Status
6) Accounting Office 6) 3 working Edna L.

for availability of days Mogamog, CPA,
Funds MBA
SAO, Budget
Section
Cecilia J. Pugong,
7) Financial CPA
Management 7) 4 hours Head, Accounting
Officer for Office
recommending
approval
161
8) Approval of the Edward C.
Purchase Order 8) 1 working Pudlao, CPA,
day MBA
Financial
Management
9) Receipt of Officer II
Approved Purchase 9) 10 minutes
Order Dr. Ricardo B.
Runez Jr.
10) Serve the Medical Center
Approved Purchase 10) 1 working Chief II
to the Suppliers day
Fatima Mae
Zarate
Administrative
Officer I
Frenzel Ray
Tomas
Administrative
Officer III
11) Release Approved
Purchase Order to 11) 4 hours Eduardson
Materials Galimba
Management Office Administrative
Assistant I
Luis Bernabe Jr.

Administrative
Assistant I
Joy Kingat
Administrative
Officer I
9 working days
TOTAL: None 8 hours 55
minutes
END OF TRANSACTION
162
System
Security Office
External Service
163
1. Request for CCTV Footage Review
This procedure covers the client requesting to review the CCTV footage.
Office or Division: Security

Type of Transaction: G2C, G2G
Who may avail: All
Data Privacy Act (DPA) Request Form Security Guard’s Post
FEES
PROCESSING PERSON
TIME RESPONSIBLE
PAID
A) Patient/Relative of
Patient Request for:
1. Review of closed- 1.Issue Data None 30 seconds Mar R. Francia,
circuit television Privacy OIC-Head,
Act (DPA) Security Service
Request Form.
2. Accomplish Data 2.Receive the None 30 seconds Mar R. Francia,
Privacy Act (DPA) Form Accomplished OIC-Head,
DPA Form Security Service
2.1 Bring the None 5 minutes Mar R. Francia,

accomplished OIC-Head,
DPA request Security Service
form for approval
DPO
of the Data Privacy
Officer (DPO) and
CAO
Chief
Administrative
Officer (CAO)
2.2 If approved - None 3 minutes Mar R. Francia,
proceed to OIC-Head,
CCTV Security Service
Monitoring Room
for review
2.3 Call the MIS None 10 minutes Mar R. Francia,
Staff for assistance OIC-Head,
to copy the CCTV Security Service
footage
MIS
164
2.4 Advise the None 3 minutes Mar R. Francia,
client to sign the OIC-Head,
Non-Disclosure Security Service
Agreement at the
back of the DPA
Form inclusive of
contact number
and address
2.5 Release the None 30 seconds Mar R. Francia,
copy of CCTV OIC-Head,
Footage, Security Service
correspondingly
the Security Guard
signs at the back
of the DPA
Request Form.
2.6 If Disapproved
-no review of
CCTV footage
Total 22 minutes
and 30
seconds
B) Police Officer/ Judge
1. Request for review of 1. Issue DPA None 30 seconds Mar R. Francia,
CCTV; Request Form. OIC-Head,
Security Service
2.Accomplish DPA 2. Receive the None 30 seconds Mar R. Francia,

Request Form accomplished DPA OIC-Head,
Form Security Service
2.1 Bring the None 5 minutes Mar R. Francia,

Accomplished OIC-Head,
Request Form for Security Service
approval of Data
Privacy Officer and
Chief
Administrative
Officer.
2.2. Proceed to None 3 minutes Mar R. Francia,
closed-circuit OIC-Head,
television (CCTV) Security Service
Monitoring Room.
2.3. Call the MIS Mar R. Francia,
Staff for OIC-Head,
Assistance to copy Security Service
None 10 minutes
the closed-circuit
MIS
165
television (CCTV)
footage.
2.4 Advise client to None 3 minutes Mar R. Francia,

sign the Non- OIC-Head,
Disclosure Security Service
Agreement at the
back of the DPA
Request Form
inclusive of contact
number and
address.
2.5 Release copy None 30 seconds Mar R. Francia,
of CCTV Footage, OIC-Head,
correspondingly Security Service
the Security Guard
signs at the back
of the DPA
Request Form.
TOTAL : None 22 mins, 30
seconds
END OF TRANSACTION
166
2. Request for Storage /Release of Cadaver
This pertains to the process of receiving and releasing of cadaver stored at the hospital’s
morgue.
Office or Division: Security Office

Who may avail: Nursing Attendant
None Not Applicable
FEES
AGENCY TO PROCESSIN PERSON
CLIENT STEPS
ACTION BE G TIME RESPONSIBLE
PAID
1. Nursing Attendant 1.1 To open and None 1 minute
request to open the close the
Morgue for the Morgue in Security Guard on
temporary storage coordination with duty at the Morgue
and release of the Nursing
cadaver Attendant
1.2 Record the

details in the None 1 minute
Logbook
END OF TRANSACTION
167
3.Screening of Outgoing Patients/Watchers, Visitors
This procedure involves the monitoring of outgoing patients/watchers, visitors of the hospital

Type of Transaction: G2C
Who may avail: External and Internal Client
Discharge Slip Nurse Station
FEES
AGENCY TO PROCESSIN PERSON
CLIENT STEPS
ACTION BE G TIME RESPONSIBLE
PAID
A. Patients/Watchers: 1. 1.1 Accept None 30 seconds Security Guard on
Submit Discharge Slip Discharge Slip duty at the exit
and record in the access:
Logbook -Main Building
-Flavier Building
1.2 Check 30 seconds
-PR Suites
Luggage -Cancer Center
1.3 Release ID 30 seconds -OPD
(if submitted) -Pathology
and sign on the
logbook.
B. Visitors 2.1 Release ID None 30 seconds
( if
submitted) and
let them sign in
the Logbook
END OF TRANSACTION
168
4.Screening of Incoming Patients/Watchers, Visitors and Employees
All documents that are endorsed and filed in the office can be requested for official use only.

Who may avail: External and Internal Client
1. Identification Card None
2. Proof of Appointment None
FEES PERSON
AGENCY PROCESSING
CLIENT STEPS TO BE RESPON
ACTION TIME
PAID SIBLE
A. Patients/ Watchers and
Visitors:
1. Inform the Security Guard at 1.1 Inquire the Security
the entrance what office or ward following: Guard on
to visit 1.1.a Purpose of duty at the
entrance
visit None access:
1.1.b Confirm -Main
appointment from Building
the physician/ -Flavier
health pass 1 minute Building
1.1.b.1 If yes, call -PR Suites
the physician -Cancer
through the Center
intercom or check None -OPD
the cellphone for -Pathology
text message of
confirmation
1.1.b.2 If none
request the
information clerk 1 minute
None Security
to verify the Guard on
availability of the duty at the
physician entrance
1.2 Check access:
stamped mark of None 30 seconds -Main
the Triage Building
1.3 Get the -Flavier
temperature using Building
the thermo -PR Suites
-Cancer
scan and advise None 30 seconds
Center
the visitor to leave
his/her ID if
available
169
1.3.1 with fever,
advise to
proceed to the None 30 seconds
Triage at the
Garden
1.4 Direct the
patients/watchers
& visitors to None 30 seconds
register at the
logbook
TOTAL: None 4 mins
B. Employees
2. Show Hospital Identification 2. Check
Card temperature & Security
Hospital ID Guard on
duty at the
2.1. With fever entrance
None access:
advise to proceed 1 minute
to Triage at the -Main
Building
Garden
-Flavier
2.2 Without fever, Building
proceed to -PR Suites
respective office. -Cancer
Center
-OPD
TOTAL: None 1 minute -Pathology
END OF TRANSACTION
170
Medical Service
Anesthesia
External Service
171
Medical Service
1.Anesthesia for Emergency Procedures
Description of the Service: This refers to a procedure done at the Operating Room
whereby combination of medications will cause insensitivity to pain, artificially-induced by
the administration of gases or the injection of drugs before surgical operations.
Office or Division: Medical – Department of Anesthesiology

Who may avail: All
Request and Schedule for Surgery Attending Physician
Pertinent Laboratory results (as necessary) Laboratory
IDS Evaluation and Cardio-Pulmonary Risk Comanaging Physician
Stratification as applied
Preoperative Evaluation reflecting NPO Anesthesiologist-in-charge
status and patient consent
Intraoperative monitoring form Anesthesiologist-in-charge
PACU discharge form PACU nurse
CLIENT STEPS
Step 1. Confirm request Accept referral None 5 minutes Operating room
for surgery from for emergency staff
Attending Physician surgery
Step 2. Wait for schedule Confirm None 5 minutes Operating room

confirmation schedule and staff
make facilities
available
Step 3. Sign Consent for Pre-op/ Pre None 5 minutes Anesthesiologist-
Anesthesia induction on-duty
evaluation to
be done
Step 4. Wait for Carry out (refer to 5 minutes Anesthesiologist-
Anesthesia procedure to Anesthesia Surgery on-duty
be done plan fee list,
usually
40% of
surgeon’s
fee)
Step 5. Wait for reversal Reverse Anesthesiologist-
None 90 minutes
of anesthesia anesthesia on-duty
TOTAL 1 Hour 50
None
Minutes
END OF TRANSACTION
172
Medical Service
Cancer Center
External Service
173
Medical Service
1. Cancer Center Subspecialty Consultation
Also referred to as a medical consultation, a subspecialty consultation is a meeting
between a specialized physician and a patient, specifically, in this case, for cancer.
Objectives are to work-up cancer and hematologic patients referred from other
departments, follow-up of patients undergoing cancer or hematologic treatments, and
cancer surveillance.
Office or Division: Cancer Center Adult And Pediatric Hematology And Oncology
Unit
Who may avail: All
Hospital Case Number Card Registration Area
Referral Letter Referring Physician From OPD Or Other
Clinics
Histopathology Report Pathology Department
Previous Imaging Results Imaging Department
Latest Laboratory Results Laboratory Department
FEES
CLIENT STEPS TO BE
PAID
1. QUEUEING 1.1 Issues queue None 1 Minute Security Guard
Gets registration number for
number from registration to
security guard and client
waits for number
to be called 1.2 Instructs client
to wait for number
to be called
2. TRIAGING, 2.1 Identifies the None 2 Minutes Triage Staff /
REGISTRATION, reason for visit Registration
AND QUEUEING and determines Officer
FOR the clinical area of
ASSESSMENT assignment
States the reason
for visit
Provides personal 2.2 Registers

information to the client in the
registration officer HOMIS
Receives queue
number for
assessment 2.3 Issues queue
number to client
for assessment
174
3. PSYCHOSOCIAL Interviews and None 15 minutes Medical Social
ASSESSMENT classifies client Worker
Submits self for
interview
4. VITAL SIGNS 4.1 Obtains the None 2 minutes Triage Staff
TAKING client’s vital signs
Submits self for 4.2 Instructs client
taking of vital to proceed to the
signs like subspecialty clinic
temperature,
blood pressure,
cardiac rate, and
respiratory rate
5. CONSULTATION 5.1 Calls the None 15 minutes Physician-in-
PROPER queue number Charge
States chief
complaint to the 5.2 Assesses
doctor and manages client’s
submits self for complaint
assessment
END OF TRANSACTION
175
2.Cancer Treatment – Chemotherapy and Infusion Therapy
Chemotherapy is a type of cancer treatment that uses one or more anti-cancer drugs as
part of a standardized chemotherapy regimen. Chemotherapy may be given with a
curative intent, or it may aim to prolong life or to reduce symptoms. Infusion therapy
involves administering medication directly into the bloodstream to change or alter the
immune system.
Office or Division: Cancer Center Adult And Pediatric Hematology And Oncology Unit
Type of Transaction: G2C – Transacting Public
Who may avail: All
Referral Letter Referring Doctor
Member Data Record Phic
Consent / Assent Form Medical Oncology And Hematology Unit
Discharge Instructions And Documents Medical Oncology And Hematology Unit
Form
Professional Fee Slip Medical Oncology And Hematology Unit

CLIENT STEPS
number from registration to
security guard and client
waits for number
to be called 1.2 Instructs
client to wait for
number to be
called
REGISTRATION, reason for visit Registration Officer
AND QUEUEING and determines
FOR the clinical area
ASSESSMENT of assignment
States the reason
for visit
Provides personal 2.2 Registers

information to the client in the
registration officer HOMIS
Receives queue
number for
assessment 2.3 Issues queue
number to client
for assessment
176
Submits self for
interview
TAKING client’s vital
Submits self for signs, height, and
taking of vital weight
signs like
temperature, 4.2 Instructs
blood pressure, client to proceed
cardiac rate, and to the infusion
respiratory rate unit
5. DOCUMENT 5.1 Calls the None 7 Minutes Oncology Nurse
SUBMISSION queue number
AND and confirms the
VERIFICATION client’s schedule
Waits for number for cancer
to be called by the treatment
oncology nurse
Submits
laboratory results 5.2 Receives
and verifies
laboratory results
from client
5.3 Creates a
chart for new
clients or takes
out the old chart
for old clients
6. ASSESSMENT 6.1 Instructs to None 17 Minutes Physician-on-Duty
Proceeds to the proceed to
consultation area and consultation area
waits for number to be
called by the doctor
Submits self for 6.2 Assesses

assessment client
Reads and signs the

Informed Consent for 6.3 Explains
Procedure / Treatment procedure and
secures consent /
assent for
procedure and
treatment
6.3 Endorses
177
order to assigned
oncology nurse
6.4 Accomplishes
discharge
instructions and
Enters the infusion documents
room
6.5 Instructs
client to enter the
infusion room
7. CANCER 7.1 Verifies P1064.00 6 hours Oncology Nurse
THERAPY physician’s order
Receives cancer P 60.00
therapy 7.2 Carries out (ward
physician’s order procedure)
to provide cancer
therapy
8. BILLING 8.1 Gives c/o Billing 5 Minutes Oncology Nurse
Receives discharge discharge Billing Clerk
clearance and clearance and
professional fee slip professional fee
for pay patients slip for pay
patients to client
Proceeds to billing for
computation and 8.2 Instructs
settling of bills client to proceed
to billing section
9. CLEARANCE 9.1 Checks None 2 Minutes Oncology Nurse
Shows duly signed clearance form if
clearance form from duly signed
billing
9.2 Affixes
signature to the
clearance form
10. DISCHARGE 10.1 Discusses None 5 Minutes Oncology Nurse
Receives discharge discharge
instructions from nurse instructions to
client
TOTAL: P 1,124.00 1 hour and 2
minutes
END OF TRANSACTION
178
3.Blood Transfusion
Blood transfusion is generally the process of receiving blood or blood products
intravenously. Transfusions are used for various medical conditions to replace lost
components of the blood.
Type of
G2C – Transacting Public
Transaction:
Who may avail: All
Referral Letter/ Doctors Order Referring Doctor/ Physician On Duty
Member Data Record Phic
Blood Request Slip Medical Oncology And Hematology Unit
Discharge Instructions And Documents Medical Oncology And Hematology Unit
Form
Professional Fee Slip Medical Oncology And Hematology Unit
FEES
PROCESSING PERSON
TIME RESPONSIBLE
PAID
number from registration to client
security guard
and waits for 1.2 Instructs client to
number to be wait for number to
called be called
REGISTRATIO reason for visit and Registration
N, AND determines Officer
QUEUEING the clinical area of
FOR assignment
ASSESSMENT
States the
reason for visit
Provides 2.2 Registers client

personal in the HOMIS
information to
the registration
officer
Receives queue 2.3 Issues queue

number for number to client for
assessment assessment
3. PSYCHOSO- Interviews and None 15 minutes Medical Social
CIAL classifies client Worker
179
ASSESSMEN
Submits self for
interview
TAKING client’s vital signs,
Submits self for height, and weight
taking of vital
signs like 4.2 Instructs client to
temperature, proceed to the
blood pressure, infusion unit
cardiac rate, and
respiratory rate
5. ASSESSMENT 5.1 Instructs to None 17 Minutes Physician-on-
Proceeds to the proceed to Duty
consultation consultation area
area and waits
for number to be
called by the
doctor
Submits self for 5.2 Assesses client

assessment
Reads and signs 5.3 Explains

the Informed procedure and
Consent for secures consent /
Procedure / assent for procedure
Treatment and treatment
5.4 Endorses order

to assigned
oncology nurse
5.5 Accomplishes
discharge
instructions and
documents
Enters the 5.6 Instructs client to

infusion room enter the infusion
room
6. BLOOD 6.1 Provides None 5 Minute Physician-On-Duty
PROCURE- Release of Blood
MENT Unit/s Authorization
Receives Blood Form to client,
Unit from Blood client’s watcher or
Bank nurse attendant
6.2Instructs to
180
receive blood
product from blood
bank
7. BLOOD 7.1 Checks the label PHP 4 Hours Nurse-On-Duty
TRANSFUSION of the blood unit 750.00
Receives blood including serial
transfusion number, tubing PHP
number, expiration 40.00
date, and blood type. (ward
procedu
7.2 Transfuses blood re)
component
7.3 Monitors for any

adverse reactions.
8. BILLING 8.1 Gives discharge c/o 5 Minutes Nurse-On-Duty

Receives clearance and Billing Billing Clerk
discharge professional fee slip
clearance and for pay patients to
professional fee client
slip for pay
patients
Proceeds to 8.2 Instructs client to

billing for proceed to billing
computation and section
settling of bills
9. CLEARANCE 9.1 Checks None 2 Minutes Nurse-On-Duty
Shows duly clearance form if
signed duly signed
clearance form
from billing
9.2 Affixes signature
to the clearance
form
10. DISCHARGE 10.1 Discusses None 5 Minutes Nurse-On-Duty
Receives discharge
discharge instructions to client
instructions from
nurse
TOTAL: PHP 58 minutes
790.00
END OF TRANSACTION
181
4.Bone Marrow Aspiration and Biopsy
Bone marrow biopsy and bone marrow aspiration are procedures to collect and examine
bone marrow inside of large bones. Bone marrow has a fluid portion and a more solid
portion. In bone marrow biopsy, your doctor uses a needle to withdraw a sample of the
solid portion. In bone marrow aspiration, a needle is used to withdraw a sample of the fluid
portion.
Type of Transaction: G2C – Government To Citizen
Who may avail: All
Doctor’s Order Attending Physician
Laboratory Results Requested Laboratory Of Choice
Operative Technique Form Medical Oncology And Hematology Unit
Client’s Watcher Client
Discharge Clearance Form Medical Oncology And Hematology Unit
FEES
PROCESSING PERSON
TIME RESPONSIBLE
PAID
number from registration to client
security guard and
waits for number
to be called 1.2 Instructs client to
wait for number to
be called
REGISTRATION, reason for visit and Registration
AND QUEUEING determines Officer
FOR the clinical area of
ASSESSMENT assignment
States the reason
for visit
Provides personal 2.2 Registers client

information to the in the HOMIS
registration officer
Receives queue
number for 2.3 Issues queue
assessment number to client for
assessment
Submits self for
interview
182
TAKING client’s vital signs,
Submits self for height, and weight
taking of vital
signs like 4.2 Instructs client to
temperature, proceed to the
blood pressure, treatment unit
cardiac rate, and
respiratory rate
6. DOCUMENT 6.1 Calls the queue None 7 Minutes Nurse-On-Duty
SUBMISSION number and
AND confirms the client’s
VERIFICATION schedule for cancer
Waits for number treatment
to be called by the
oncology nurse
Submits
laboratory results 6.2 Receives
and verifies
laboratory results
from client
6.3 Create a chart

for new clients or
takes out the old
chart for old clients
7. ASSESSMENT 7.1 Instructs to None 17 Minutes Physician-on-
Proceeds to the proceed to Duty
consultation area consultation area
and waits for
number to be
called by the
doctor
Submits self for 7.2 Assesses client

assessment
Reads and signs 7.3 Explains

the Informed procedure and
Consent for secures consent /
Procedure / assent for procedure
Treatment and treatment
7.4 Endorses order

to assigned
oncology nurse
7.5 Accomplishes
183
discharge
instructions and
documents
7.6 Instructs client to

enter the treatment
Enters the room
treatment room
8. BONE MARROW 8.1 Ushers patient to PHP 5 minutes Nurse-On-Duty

BIOPSY / the treatment area 2,187.00
ASPIRATION and positions client
PROCEDURE on bed for the
Submits self for procedure
bone marrow
aspiration / biopsy 8.2 Performs Bone 45 minutes Physician-on-duty
Marrow Aspiration
and/or Biopsy
Physician-on-duty
8.3 Accomplishes 5 minutes
Operative Technique
form for BMA and/or
Biopsy
9. SUBMISSION OF Instructs watcher to None 3 minutes Nurse-On-Duty
BONE MARROW submit specimen to
SPECIMEN TO the laboratory
ANATOMIC
PATHOLOGY
LAB
Submits specimen
to laboratory
11. BILLING 11.1 Gives c/o 5 Minutes Nurse-On-Duty
Receives discharge clearance Billing Billing Clerk
discharge and professional fee
clearance and slip for pay patients
professional fee to client
slip for pay
patients
11.2 Instructs client
Proceeds to billing to proceed to billing
for computation section
and settling of bills
12. CLEARANCE 12.1 Checks None 2 Minutes Nurse-On-Duty
Shows duly clearance form if
signed clearance duly signed
form from billing
12.2 Affixes
184
signature to the
clearance form
13. DISCHARGE 13.1 Discusses None 5 Minutes Nurse-On-Duty
Receives discharge
discharge instructions to client
instructions from
nurse
TOTAL: PHP 1 Hour and 54
2,187.00 Minutes
END OF TRANSACTION
185
Medical Service
Center for Diagnostic and Therapeutic
Nuclear Medicine
External Service
186
Center for Diagnostic and Therapeutic Nuclear Medicine
External Service
1.Nuclear Imaging Procedures
Process in availing nuclear medicine diagnostic procedures.
Office or Division: Medical

Type of Transaction: G2C- Transacting Public
Who may avail: All
Client’s Valid Identification Card GSIS, DFA,LTO, PRC
Client’s Request for Nuclear Medicine Requesting Physician Clinic
Procedures
Client Data Form Nuclear Medicine Unit
Consent for Radionuclide Imaging Procedure Nuclear Medicine Unit
STEP 1: Submit your Client scheduling on None 15 minutes Nuclear Medicine
laboratory request form available date and Receptionist
time
STEP 2: Arrive on your Receive laboratory None 20 minutes Nuclear Medicine
scheduled date and request form, Receptionist
time. Present your interview client.
laboratory request and Direct client to the
schedule form. cashier.
STEP 3: Pay fees Receive payment Please 15 minutes for Cashier
and issue official refer to outpatients
receipt the 10 minutes for
attached in-patients
fee list
STEP 4: Submission of Perform nuclear None 4 hours Nuclear Medicine
official receipt imaging procedure Technologist
STEP 5: Wait for results Reading and None 48 hours Nuclear Medicine
processing of Physician,
images Nuclear Medicine
Technologist
STEP 6: Present your Release of official None 15 minutes Nuclear Medicine
official receipt and valid results Receptionist
ID
TOTAL: Please 2 Days 5
refer to hours 5 min
the
attached
fee list
END OF TRANSACTION
187
2.Radioimmunoassay
Process in availing nuclear medicine diagnostic procedures.

Type of
G2C- Transacting Public
Transaction:
Who may avail: All
Client’s Valid Identification Card DFA, GSIS, UMID, PRC, LTO
Client’s Request for Nuclear Medicine Requesting Physician Clinic
Procedures
STEP 1: Submit Receive specimen None 10 minutes Nuclear Medicine
your specimen and/or laboratory Receptionist
and/or laboratory request form and
request form direct client to the
cashier
STEP 2: Pay fees Receive payment and Please 15 minutes for Cashier
issue official receipt refer to the outpatients
attached 10 minutes for
fee list in-patients
STEP 3: Sample collection None 20 minutes Medical
Submission of Technologist
official receipt for
outpatients
STEP 4: Wait for Checking-in through None 10 minutes for Nuclear Medicine
results LIS, performance of check-in of Receptionist,
the test and printing samples, Medical
of results 5 hours for Technologist
performance of
RIA/IRMA
10 minutes for
printing of
results
STEP 5: Present Release of official None 10 minutes Nuclear Medicine
your official receipt results Receptionist
and valid ID
TOTAL: Please 6 hours 25
refer to the minutes
attached
fee list
END OF TRANSACTION
188
Medical Service
Dental
External Service
189
1. Patient Consultation
Process in securing outpatient consultation of patient seeking consultation.

Who may avail: All Patients
Consent for Collection of Personal OPD Entrance Triage
Information
Masters Patient Index Form OPD Entrance Triage
Dental Certificate OPD HIMD Registration
Laboratory request form/Imaging request Consultation Cubicle
form/ Radiology request form
Prescription form Consultation Cubicle
Referral Forms Consultation Cubicle
Admitting orders if for admission Consultation Cubicle
FEES
PROCESSING PERSON
TIME RESPONSIBLE
PAID
STEP 1. GET
APPOINTMENT FOR
FACE TO FACE
CONSULTATION None 5 minutes Triage Nurse in
1.1 Call 1.1 The OPD Triage Charge
Officer shall
answer the call
and appoint
patient for face
to face
1.2Teleconsultation 1.2 The Dental None 5 minutes Teleconsultation

BGHMC FB Dentist
Page Admin shall
answer the
teleconsultation
inquiry of Patient
and appoint
patient for Face
to Face
190
STEP 2. QUEUEING
for Face to Face
Consult 2.1 The NA shall None One (1) minute OPD Personnel
2.1 New Patient instruct patient to NA
The new patient get the MPI and
shall fill out MPI Consent at the
Form and Consent designated area and
Prior to the gives the queuing
Collection of number for
Personal registration
Information
2.2 Old Patient 2.2 The NA shall None One (1) Minute
The old patient give the queuing OPD Personnel
shall proceed to number and instruct NA
Kiosk Area the Old patient to
the Kiosk Area for
Triage (proceed to
Step 4)
2.3 For Old Patient 2.3 The NA shall PHP One (1) Minute
who lost their instruct patient to 20.00
hospital case get the MPI at
number designated area and
gives the queuing
The patient shall number for
be instructed to fill registration
out the MPI and
gets queuing
number for
registration
STEP3. 3.1The Registration None Three (3) Administrative
REGISTRATION clerk shall verify minutes Assistant/Officer
3.1 New Patient shall entries in the MPI, Registration Area
give MPI and registers the patient
consent to and generates
registration clerk charge slip for
registration fee
3.2Pay registration PHP Five (5) Cashier

at the cashier 100.00 minutes
STEP 4.
Go to Triage Kiosk 4.1 Triage Officer None Three (3) Nurse
4.1 Patient shall give determines through minutes Triage Section
the reason for questions about
consult and answer chief complaint and
questions pertaining history present
to it illness and print
191
Clinical Queue
Number and
instruct patient to
proceed and wait at
the designated
consultation area
STEP 5.
Consultation at
designated room
assignment 5.1. Dentist None
5.1 The patient shall conducts
proceed to the consultation
designated room 5.2 The Dentist shall
of assignment for determine the
consultation and condition and
cooperate with the the type of
Dental Practitioner procedure
as to inquiries needed
regarding their
condition 5.2.1 if the Dentist PHP
identify the type 3,500.00
of procedure for Non
needed to be PHIC
done like oral Member
prophylaxis, Charge to
restoration, PHIC for
extraction and PHIC
surgery, the Member
Dentist shall
require the
patient to
undergo PCR
Test prior to the
procedure
5.2.2 The Dentist

shall requires Refer to
the official Pricelist
negative result Below
of PCR Test of
the patient prior
to the conduct
of the dental
procedure
needed.
192
STEP 6.
Disposition 6.1 For Discharge None Fifteen Dentist
6.1The Patient shall The Dentist gives (15)
be discharge by the instructions to minutes
health practitioner patient for
discharged
6.2 For Procedures – 6.2.1 The Dentist Refer to

The patient shall shall instruct Pricelist
proceed to the cost patient to proceed Below
center for charging to cost/diagnostic
centers for the
procedures
6.2.2 The
Cost/Diagnostic
centers to
generate charge
slip
6.2.3 Pay at the

Cashier and get
Official receipt
6.2.4 Present
Official receipt to
Cost/Diagnostic
Centers for the
Procedure
6.3 For Malasakit 6.3.1 The Charge
The patient shall be slip shall be
advised accordingly presented to
Malasakit, medical
certificate and the
request form
6.3.2 Malasakit shall

assess and
evaluate eligibility
of the patient to
qualify for the
Malasakit Program
6.3.2.1 For patient

with counterpart
proceed to the
cashier for
payment, get
Official receipt and
193
present it at the
cost/diagnostic
centers for the
procedure
6.3.2.2 For patient

eligible proceed to
cost/diagnostic
centers for the
procedure
For referral,
proceed to step 4
For admission,
refer to admission
process
TOTAL: Refer 39 Minutes
Pricelist
Below for
Fees to
be Paid
END OF TRANSACTION
Pricelist
Simple Light Cure Filling Php 400.00
Complex Light Cure Filling Php 600.00
Tooth Extraction (simple) Php 200/tooth
Tooth Extraction (complex) Php 1,400.00/tooth
Oral Prophylaxis Php 550.00
Impaction (Simple) Php 3,850.00
Impaction Complex Php 6,000.00
Alveolectomy Php 5,000.00
Alveoplasty Php 5,000.00
Gingevectomy Php 1000.00
Operculectomy Php 1,500.00
194
Medical Service
External Service
195
1. Animal Bite Treatment Center(ABTC) -Patient Consultation
Process in the management of all animal bite clients regardless of location of residency
and categorization of wound, located in the Out-Patient Department of Baguio General
Hospital and Medical Center, available from Mondays to Fridays (except holidays), 8am-
3pm.
Medical Service: Department of Family and Community Medicine –

Office or Division:
Animal Bite Treatment Center – Out-Patient Department
Type of G2C- Transacting Public
Transaction:
All clients requiring medical management for animal bites, regardless
Who may avail:
of location of residency and categorization of wound
Queuing number for Face to Face OPD Registration Area of the Baguio General
Consultation Hospital and Medical Center or Facebook
Messenger Page (BGHMC Family and
Community Medicine)
Filled-out registration forms (for new patients) Nurse on Duty and Patient
Vaccination schedule or discharge Nurse on Duty and Patient
instructions from Emergency Room (for old
patients for follow-up)
Philhealth card/number (for Category III bite Patient
patients)
FEES
PROCESSING PERSON
TIME RESPONSIBLE
PAID
STEP 1: QUEUEING
for Face to Face
Consult
Fills out the Master

Index Patient (MPI)
and gets queuing
number for
registration
1.1. New Patient or 1.1. Instructs patient None 1 minute Outpatient

Old Patient who lost to get the Master Department
his/her hospital Index Patient (MPI) Personnel/
case number and consent at the Nursing attendant
The patient fills out designated area
Master Index and gives the
Patient form and queuing number for
Consent form prior registration
to the collection of
Personal
196
Information
1.2. Old Patient 1.2. Gives the None 1 minute Outpatient

Department
The patient queuing number Personnel/
proceeds to Kiosk and instruct the Nursing attendant
area for queuing patient to the Kiosk
area for Triage 
proceed to Step 4
Outpatient
1.3 For Old Patient 1.3 The Nurse PHP 3 minutes Department
Personnel/
who lost their Attendant shall 20.00
Nursing attendant
hospital case instruct patient to
number. The get the Master
patient shall be Index Patient at
instructed to fill out designated area
the Master Index and gives the
Patient and gets queuing number for
queuing number registration
for registration
STEP 2:
REGISTRATION
1.1. New Patient 2.1. The Registration None 5 minutes Administrative
gives Master Index Clerk shall verify Assistant/ Officer
Patient and entries in the Registration Area
Consent form to Master Index
Registration Clerk Patient and register
the patient. Then
generate charge
slip for registration
fee.
2.2 The Patient shall 2.2. The Cashier on PHP Cashier

proceed and pay at duty shall receive 100.00
the Cashier and get charge slip and
official receipt payment and give
official receipt
STEP 3:
3.1 Goes to Triage 3.1. Triage Officer None 3 minutes Nurse: Triage
Kiosk and gives determines clinical Section
reason for consult assignment
and answer through questions
questions pertaining about chief
to it complaint and
history of present
illness
3.2 Gets queue 3.2. Prints Clinical None
197
number Queue Number
and instruct patient
to proceed to the
designated
consultation area
and wait for their
number to be
called
STEP 4: Proceeds to Takes patient’s vital None 2 minutes ABTC Nurse on
Animal Bite signs Duty
Treatment Center
then submits self for
checking of vital signs
STEP 5: Submits self Administers wound None 10 minutes Nurse on Duty/
for wound care, in care to patient and Physician on Duty
cases of active teaches patient
bleeding and no about wound care
wound care done
prior to consult 5.1 Suture removal: if
patient is for Day 7
of Anti Rabies
Vaccine or ARV
(for Category III
patients who
underwent wound
suturing during Day
0 of ARV)
STEP 6: Enters the 6.1. Consultation and None 10 minutes Physician on Duty
examination area, categorization of
answers pertinent the wound
questions by the
Physician on duty 6.1.1 For
regarding the biting Category I bites,
incident and presents proceed to Step
record of previous 16, and so on
anti-rabies and anti-
tetanus vaccinations 6.1.2. For
Category II bites
and “new”
patients,
proceed to Steps
7, 8, 9, 10
(optional), 12,
and so on
6.1.3. For
Category II bites
198
and for follow-up
only, proceed to
Steps 8, 9, 10
(optional), 12,
and so on;
except step 15
6.1.4. For
Category III bites
and “new”
patients,
proceed to Step
6, and so on
6.1.5 For
Category III bites
and for follow-up
only, proceed to
Step 8, 9, 10
(optional), 11 (if
with Philhealth),
12, and so on;
except Step 15
6.2 Start
documentation into
Electronic Medical
Record (EMR)
while interviewing
patient
6.3 Accomplishes
ARV Dose
Schedule form and
Appointment
Logbook
STEP 7: Patient Checks the None 2 minutes Nurse on Duty
presents his/her Philhealth portal
Philhealth whether patient is
number/ID/MDR eligible for benefits
(for Category III
patients only)
STEP 8: Waits for the Prepares appropriate 35 minutes Nurse on Duty
preparation, dilution of skin test
administration and solution (ATS and/or
interpretation of skin ERIG) for skin test
test and performs skin
test subject for
8.1. If there is no interpretation after 30
199
stock of ATS (Anti- minutes.
tetanus Serum)
and/or ERIG at
ABTC, patient
proceeds to step 9
first then goes back
to ABTC for the skin
test.
8.1.1 After 30
minutes and
patient has
negative skin
test/s, patient
proceeds to Step
9 again then to
Step 14
8.2. If negative skin

test, proceed to
Step 14
8.3. If positive skin

test, perform
another skin test
using sterile water
for injection (control
testing)
8.3.1. If positive
control test,
proceed to Step
14
8.3.2. If negative
control test,
patient
proceeds to
step 14 but is
not given the
vaccine that
he/she is
allergic to.
STEP 9: Receives Enters the None 3 minutes Nurse on Duty
charge slip and corresponding
prescription forms charges of the
and Animal Bite patient in the
Treatment Record Universal Charging
system (HOMIS) of
BGHMC and inputs
the patient’s hospital
200
number, name and
charge number on a
paper to be given to
the patient or his/her
watcher
9.1 If patient asks for

financial
assistance,
accomplish a
medical certificate
through the
patient’s EMR, and
instruct patient to
proceed to the
pharmacy for the
charge slip (Step 9)
then to the
Malasakit center
(Step 10)
9.2. If patient is for

last dose of ARV
with Philhealth
coverage, give
Animal Bite
Treatment Record,
Prescription forms
and Charge Slip
then instruct
him/her to proceed
to Billing after
coming from the
Pharmacy
STEP 10: Presents Pharmacy staff 30 minutes Pharmacy Staff
prescription form to receives the charge
the pharmacy then slip from ABTC and
receives charge slip prescription form and
for vaccines and /or gives charge slip to
additional patient
medications (anti-
inflammatory,
antibiotics)
10.1 If will not avail

financial
assistance (out-of-
pocket expenses),
proceed to Step
201
12
10.2 If patient is for

last dose of ARV
with Philhealth
Coverage, Proceed
to Step 11
STEP 11: Presents Malasakit Center 4 hours Malasakit Center
ID’s and charge slip Staff receives Staff
to Malasakit Center requirements for
Staff (if will avail financial assistance,
financial assistance) prints Medical
Certificate from the
EMR and processes
the proof of
assistance then
gives it to patient
STEP 12: Presents Billing Staff receives 30 minutes Billing Staff
Animal Bite document
Treatment Record, requirements and
prescription forms, processes Philhealth
Philhealth ID and ABTC Package
MDR coverage
12.1. If patient’s Bill

exceeds 3,000 Php
(ABTC Package)
and patient wants to
avail additional
financial assistance
thru the Malasakit,
Proceed to Step 10
then Step 12.
Step 13: Proceeds to Cashier Staff
the cashier and receives Charge
presents charge slips slips from ABTC and
from ABTC and pharmacy and Billing
pharmacy for the Statement
payment of the
following (as
applicable)
13.1. ABTC supplies PHP

50.00
13.2. Tetanus PHP

toxoid** (TT) 42.00
**Note: not per vial
applicable for
202
(a) patients with
complete
primary doses
of anti-tetanus
prophylaxis, (b)
<7 y/o with
complete
vaccinations as
per EPI, and (c)
>7 y/o and with
tetanus toxoid
booster given
within the last 5
years
13.3. Anti-Rabies
vaccine (ARV) 13.3.
-1st ARV dose is PHP
given free-of- 1,641.00
charge as per per vial
availability of
supply from DOH 13.1.1
PHP
1,641.00
if patient
pays for 1
vial
13.1.2.
PHP
820.50 if
1 vial is
divided by
2persons;
13.1.3.
PHP
547.00
if 1 vial is
divided by
3 persons
13.4. ERIG Vaccine

13.4.
PHP
1,654.00
per vial
(depen-
203
ding on
the
patient’s
body
weight
13.5. HRIG 13.5.

-Applicable for Approxim
Category III ation:
without PHP
PrEP/PEP/Boost 8,000.00
er doses and is /vial
allergic to ERIG (depen-
ding on
the
patient’s
body
weight)
13.6.
Prices
may vary
depen-
ding on
the stock
of vaccine
available
STEP 14: Proceeds Accepts and double 2 minutes Nurse on Duty
back to ABTC and checks receipt and
Presents official vaccines from the
receipt and handover patient
of vaccines
STEP 15: Allows Injection of ARV, 15 Minutes Nurse on Duty
injection of ARV, ARV, ERIG/HRIG, and Physician on
ERIG/HRIG, ATS ATS and/ or TT + 2 hours Duty
and/ or TT whichever whichever is/are waiting time
is/are applicable applicable based on before referral
skin test and to Emergency
physician Room (ER)
assessment Surgery/Ophth
almology/
15.1 ERIG: given for ENT/Orthopedi
Category III bites c Department
without pre- for further
exposure wound
prophylaxis (PrEP) management
and previous Post-
exposure + 2 hours at
204
prophylaxis (PEP) ER (waiting
15.1.1 If allergic to time, consult,
ERIG, HRIG is procedure,
given (from discharge)
Outside Pharmacy)
15.2 If patient’s
wound
necessitates
further surgical
management, refer
to ER after 2 hours
from injection of
ERIG/HRIG and
instruct patient to
come back after
wound
management for
discharge
instructions
STEP 16. Reports Subjects patient for 45 minutes Physician on Duty
adverse reaction/s to observation (holding
the vaccine given (i.e. period) + 2 hours
pruritus, difficulty of waiting time at
breathing dizziness, 16.1. If patient ER (waiting
etc) presents with time, consult,
adverse reaction/s procedure,
to the vaccine/s, discharge, if
refer patient to the not to be
Emergency Room admitted)
for appropriate
management and
instruct to return to
ABTC once
discharged by ER
for final disposition
16.1.1.
Accomplishment of
Adverse Drug
Reaction Form
STEP 17: Listens to Performs patient 5 minutes Nurse/Physician
lecture and receives education and on Duty
copy of educational informs him/her or
materials, schedule of the watcher
subsequent doses regarding schedule
and additional for succeeding doses
prescription (anti- (for Category II and
inflammatory/analgesi III bites)
c, antibiotic); clarifies
205
instructions given
STEP 18: Confirms 18.1. Additional 5 minutes Physician on Duty

accuracy of Medical details of the
Record entries consult logged into
the patient’s
Electronic Medical
Record
18.2. Schedule of
next dose (if
applicable) entered
to the Appointment
module of EMR
and tagged as
Face-to-Face
Consult
STEP 19: Exit from Patient Discharge 1 minute Physician on
ABTC duty/Nurse on
Duty
TOTAL: Refer to 11 Hours 28

Table Minutes
Below for
Total
Fees to
be Paid
Notes:
HRIG not
available
at the
BGHMC
Pharmacy
END OF TRANSACTION
206
PRICELIST
Category I
1.New Patient Php 100.00
2.Old Patient who lost their Hospital Card Php 120.00
Category II or III
1. New Patient (if patient is to be given ATS, TT, PVRV and

ERIG) PHP 2513.00
Php 2413.00
2. Old Patient w/ hospital card (if patient is to be given ATS, TT,
PVRV and ERIG)
3. Old Patient who lost their Hospital Card (if patient is to be given
ATS, TT, PVRV and ERIG) Php 2533.00
4. New Patient: (if patient is to be given ATS, TT, PVRV and

HRIG) Php 8,859.00
5. Old Patient w/ hospital card (if patient is to be given ATS, TT,

PVRV and HRIG) Php 8,759.00
6. Old Patient who lost their Hospital Card: (if patient is to be

given ATS, TT, PVRV and HRIG) Php 8,879.00
207
2.Industrial Clinic Pre- Employment Medical Certificate
Process in securing Medical Certificate for Pre-employment (Except for those in the Food
and Beverage Industry; “Health certificate” to be procured at the Baguio Health
Department) at the Baguio General Hospital and Medical Center Outpatient Department
(OPD) Building, 5th floor, room 501. Open from 8 am to 4pm (3 pm cut off for accepting
clients) Mondays to Fridays, except Holidays. Both for domestic and international
application (if authorized by that country- some countries have designated clinics/
hospitals for their medical clearance).
Medical Service: Department of Family and Community Medicine-

Office or Division:
Industrial Clinic
G2C- Transacting Public; G2G– for services whose client is another
Type of Transaction:
government agency, government employee or official
All Adult clients requiring medical clearance for employment, local or
Who may avail:
international, except those involving the food and beverage industry
Valid Government Issued Identification Card Department of Foreign Affairs (DFA) regional
or Company Card office,Land Transportation Office, Philippine
Health Regional offices,Bureau of Internal
Revenue (BIR) office, Philippine Postal Office,
Commission on Elections (COMELEC),
Professional Regulation Commission,Office
for Senior Citizens Affairs, Previous/Current
Company where he/she is employed
Slip with queue number with the department Triage Kiosk at the Baguio General Hospital
and Medical Center Outpatient Building Lobby
List of Required Laboratory Tests From Agency/ Company/ Embassy of the
country being applied to
For those applying for government positions- From their Agency or may be downloaded via
CSC form 211 the internet
STEP 1: Get
Appointment for Face to
face Consultation
1.1 Call or Text: 2.1. The OPD None 5 Minutes Triage Nurse in
1.1.a. Call ONLY: Triage Officer Charge
Globe/TM: shall answer the
09772440030 call and appoint
Smart/TnT/SunCell: Patient for face
09214638410 to face Teleconsultation
Nurse in Charge
1.1.b. Text ONLY:
Globe/TM:
09154302869
Smart/TnT/SunCell:
09984274342
208
Teleconsultation
1.2.Teleconsultation 1.2. The Baguio None Nurse in Charge
General Hospital
and Medical
Center
Facebook page
administrator
shall answer the
teleconsultation
inquiry of patient
and appoint
patient for Face
to Face consult
STEP 2: QUEUING for
Face to Face Consult
2.1. New patient 2.1. The Nursing 1 minute OPD Personnel
The patient shall fill Attendant shall (Nursing
out Master Patient instruct patient Attendant)
Index form and to get the Master
Consent prior to the Patient Index
collection of and consent at
Personal the designated
Information area and gives
the queuing
number for
registration
2.2. Old Patient 2.2. The Nursing 1 minute

The patient shall Attendant shall
proceed to Kiosk give the queuing
area number and
instruct the
patient to the
Kiosk area for
Triage
(proceed to Step 4)
2.3. For old Patient who 2.3. The Nursing PHP

lost their hospital Attendant shall 20.00
case number instruct patient
to get the Master
The patient shall be Patient Index at
instructed to fill out the designated area
MPI and gets queuing and gives the
number for registration queuing number
for registration
209
STEP 3:
REGISTRATION 3.1. The PHP 3 Minutes Administrative
3.1. New Patient shall Registration 100.00 Assistant/ Officer
give Master Patient Clerk shall verify Registration Area
Index and Consent entries in the
to Registration Clerk Master Patient
Index and
register the
patient. Cashier
Then generate 5 Minutes

charge slip for
registration fee.
STEP 4: Go to Triage
Kiosk 4.1. Triage Officer None 3 Minutes Nurse: Triage
4.1. Patient shall give determines Section
reason for consult and clinical
answer questions assignment
pertaining to it through
questions about
chief complaint
and history of
present illness
and print Clinical
Queue Number
and instruct
patient to
proceed and
wait at the
designated
consultation
area.
STEP 5: Patients inquire
about the requirements
for Pre-employment
Medical Certificate
5.1. via online (through Register Patient None 10 Minutes Nurse on Duty
“BGHMC Industrial Details via
Clinic” or Electronic
https://www.facebook Medical Record
.com/bghmcofficialba (EMR)
guio/)
5.2. walk in basis
210
STEP 6: Ask the Patient,
6.1. Patient answers 6.1. Type of
pertinent questions Employment None 10 minutes Nurse on Duty
regarding his pre- (eg. Local or
employment International,
requirements. company, etc
6.2. Patient verbally 6.2.a. Required None 15 minutes

states or gives a list laboratories by
of required laboratory their companies/
tests for pre- agencies then
employment give laboratory
requests, state
patient
preparation prior
to the sample
extraction (for
blood) or
passing of other
specimen/s.
then instructs
patient to
proceed to the
diagnostic/s
center/s for
generation of
charge slips.
*If the patient
prefers to have
the diagnostic
procedure/s
done at Baguio
General Hospital
and Medical
Center
Diagnostic
Center/s.
6.2.b. If there are None 15 minutes

no specific
requirements-
inform the
patient the
minimum
laboratory
required and
give the
laboratory test
request forms or
211
electronically (if
the patient
prefers these to
be done at the
insitution’s
laboratory-
Complete Blood
Count, Chest X-
Ray, Urinalysis,
Electrocardiogra
m (dependent
on age, location
and type of
work, and
patient’s present
and past
medical history)
6.3. Receive the *Variable-

laboratory test requests Depends on
then goes to the types of
diagnostic/s center/s for laboratory
generation of charge requests to be
slips. done
STEP 7:
7.1. Receive charge 7.1. The None 5 Minutes Laboratory/
slips and proceed to respective Radiology/
the cashier for departments Ultrasonography/
payment. staff on duty will Psychiatry Staff
give the charge on Duty
slip/s to the
patient then
instruct the
patient to
proceed to the
cashier for
payment.
7.2 Cashier on duty Variable- 30 Minutes

Cashier
7.2.Pay at the cashier receives the depends on
and get Official charge slip and the
Receipt payment and procedure
gives official requested
receipt.
212
STEP 8: Patient 8.Instruct Patient Amount
undergoes laboratory for preparation Varies to
tests as required by their prior to sample the kind of
employer as follows: collection/ procedure
testing, then Required
8.1. Patient prefers to instruct them to by their
have required go to the Employer.
laboratories done at Diagnostic
the Baguio General Centers
Hospital and Medical
Center
8.1.1. Blood Tests

8.1.1 Blood
8.1.1.a. Not needing (Processes vary *Basic Tests
fasting/ dependent on Laboratory
preparation (Main the type of Tests 8.1.1.a.
laboratory Diagnostic usually 24 Hours
located at the Procedure requested
ground floor of Requested.) on
the Cancer Table 1.
Center)- proceed
to the main
laboratory and
have blood
extracted)
8.1.1.b. Needing Additional 8.1.1.b.

Fasting/ Tests 48 Hours
preparation (Do required
the advised refer to
preparation then Laboratory/
proceed to the Radiology
Main laboratory Price List
located at the
ground floor of
the Cancer
Center as
instructed)
8.1.1.c. Others 8.1.1.c.

(those not Dependent
available at the on laboratory
laboratory- to be of choice
done at
laboratory of
choice)
213
8.1.2. Urinalysis, 8.1.2.
Urine - based Drug 24 Hours
Test, Urine Beta
HCG Test:
Proceed to the
Main laboratory
located at the
ground floor of the
Cancer Center as
instructed,
8.1.3. Stool Exam/ 8.1.3.

Fecalysis: Proceed 24 Hours
to the Main
laboratory located
at the ground floor
of the Cancer
Center as
instructed,
8.2.a.
8.2. Imaging Tests 1. Weekdays-
8.2.a. Chest X Ray- 24 Hours
proceed to the 8.2.a.1.
Outpatient Weekends- 48
Department Lobby Hours
for scheduling, * Except
(Dependent on the Holidays
available schedule
to be asked at the
Department of
Radiology)
8.2.b. Sonography- 8.2.b.

proceed to the 1. Weekdays-
Outpatient 24 Hours
Department Lobby
for scheduling; and *No ultrasound
instruction for the test done on
preparation, if Sundays, and
required) Saturdays- until
11 am.
8.2.c. Others- those 8.2.c.

imaging tests not 8.2.c. Fees Dependent on
available at our dependent laboratory of
institution on the choice
laboratory
of choice.
214
8.3. Electrocardiogram 8.3.Electroc 8.3. 48 Hours
(ECG)- proceed at ardiogram-
the Outpatient PHP
(OPD) 3rd floor 300.00
8.4. Neuropsychiatric 8.4. 8.4. 72 hours

clearance- proceed Neuropsyc
at the Baguio hiatric
General Hospital clearance
and Medical Center PHP
Psychiatry 600.00
Department for
scheduling.
8.5.Others (specific 8.5. Dependent

requirements of on type of
agencies/ companies additional test
not included above) requested
8.6. Laboratories
outside of Baguio
General Hospital and
Medical Center
STEP 9: Check if official

laboratory
results are
complete and
viable:
9.1. If laboratories done 9.1 If complete: None 9.1. Nurse on Duty

at Baguio General schedule for 45 Minutes
Hospital and Medical consult/ instruct
Center: Patient goes patient for
to the following areas consult
to retrieve the official
results:
*ECG- OPD 3rd floor
*Neuropsychiatric
clearance-Psychiatry
Building, Outpatient
Department
* Chest X ray,
Ultrasound- 1st Floor
Outpatient
215
Department Building
Blood Tests,
Urinalysis, Urine drug
test, Beta Human
Chorionic
Gonadotropin (B-
HCG) Test Stool
Exam results to be
printed from the
Emergency Medical
Record of the patient.
* In cases of
problems with the
internet or power
consumption, and
other office problems
which results in the
inability to print
results, patient may
be asked to retrieve
official results from
the designated area.
9.2. Depends
9.2. If laboratory tests 9.2. If incomplete, on what test is
required done at Go to not yet done
other laboratories- to STEP 6.2
obtain the official
results and submit at
the Industrial
clinic.(Should be
complete and still
valid). If incomplete,
go to STEP 6.2.
**The following
laboratory test results
are valid for a given
time period, given that
there are no
symptoms, risk factors,
or exposure to
possible disease
processes that may
affect the result. The
physician reserves the
right to have the test
repeated if the date of
the test result exceeds
216
the given period.
Complete blood count,

Urinalysis, Fecalysis/
Stool exam,
Electrocardiogram: 1
week
Chest X-ray: 1 Year
Drug Test: 6 months
Neuropsychiatric
Clearance: 1 year
Hepatitis B surface
Antigen Test:1 year
STEP 10: Wait for the Retrieval/ None 10 Minutes Nurse on Duty
retrieval/construction of Construction of
the chart chart
STEP 11: Filling out of Answer inquiries None 15 Minutes Nurse on Duty
Forms on how to and Patient
11.1. For Old Patients accomplish the
form
11.2. For New Patients
Check that the
information is
complete
STEP 12: Let the Nurse Vital Signs Taking None 5 Minutes Nurse on Duty
on Duty take Vital Signs
STEP 13: Wait for Call patients via None 45 Minutes Nurse on Duty
number to be called corresponding
number
STEP 14: Enter the Consultation- None 30 minutes Physician on

clinic area and answer physician Duty
pertinent questions, and interviews the Variable-
have self physically patient, does Determined by
examined. pertinent condition-
physical History of
examination, Present Illness
gives and the length
prescription, of examination
additional needed.
diagnostic
procedure
requests, or
referrals to other
217
specialties, as
needed.
* The physician
reserves the
right to request
for additional
laboratories
needed
dependent on
the history,
physical
examination,
and to refer the
patient to other
specialties for
clearance
needed.
STEP 16: Pay at the Cashier on duty PHP Cashier on Duty
cashier then return to receives 300.00
the Industrial Clinic payment and (Profes-
gives official sional Fee)
receipt.
STEP 17: Present Nurse on Duty None 5 Minutes Nurse on Duty
official receipt to the copies Official
Nurse on Duty Receipt Number
at the logbook
STEP 18: Listen to the 11.1. Give None 10 minutes Nurse on Duty
Discharge Instruction laboratory results
either from the Physician and instruct
or Nurse on Duty, patients prior to
receive the official discharge, as
laboratory results seen, applicable.
then go to the
Registration Area to 11.2. Instruct patient
receive the official to go to the
Medical Certificate with registration area to
Dry Seal. get printed
Medical Certificate
with dry seal.
11.3. If specialty
clearance needed,
referral letter to be
given
TOTAL: 1. New 9 Days, 4
Patient: hours, 25
PHP Seconds
218
400.00
( plus
basic
diagnostic
tests
usually
requested:
PHP
865.00)
2. Old
Patient with
Hospital
Card:
PHP
300.00
( plus basic
diagnostic
tests
usually
requested:
Php:865.00
)
3. Old
Patient with
lost
Hospital
Card:
PHP
420.00
( plus basic
diagnostic
tests
usually
requested:
Php:865.00
)
* Variable-
dependent
on
diagnostic
Test
required by
the
Employer)
END OF TRANSACTION
219
Medical Service
Internal Service
220
1.Family and Community Medicine- Employee’s Health Clinic
Patient Consultation
This process covers Securing and Submission of Laboratory Request; Scheduling of

Appointment and Consultation for Annual Physical Examination and Pre-Employment;
Refill of Prescribed Medications located at the Out Patient Department 5 th floor room 502,
Monday to Friday (except Holidays) 8am to 4pm
Medical Service: Department of Family and Community Medicine-

Office or Division:
Employee’s Health Clinic
All BGHMC employees and their dependents and newly hired
Who may avail:
employees of BGH-MC
Required / basic laboratory requirements Secure laboratory request form at
a. Pre-employment: Employee’s Health Clinic
a.1. complete blood count with blood Out Patient Department 5th floor room 502,
typing then, proceed to:
a.2. urinalysis a. Laboratory (CBC, Urinalysis, drug
a.3.fecalysis with occult blood test, fecalysis, hepa b test, blood
a.4.hepa B test chem): Cancer center building, 1 st
a.5. drug test floor
a.6. chest x-ray b. Radiologic department (x-ray,
a.7.neuropsychological test ultrasound): Outpatient department,
1st floor
b. Annual physical examination c. Neuropsychological building
b.1. complete blood count with blood (neuropsychological test): 1st floor
typing d. ECG: Out Patient Department 3rd
b.2. urinalysis floor
b.3.fecalysis with occult blood
b.4. blood chemistry (FBS, lipid profile,
crea,etc, if necessary)
b.4.hepa B test/anti-HBs
b.5. drug test
b.6. chest x-ray
b.7.neuropsychological test
b.8. ECG (if needed)
b.9 Ultrasound (if needed)
CSC form 211 for pre-employment Downloaded from the internet or can be
secured from Human Resource office,
Administrative building
Physical examination Record form Employee’s Health Clinic, Out Patient
Department 5th floor room 502
Medication card for those requesting for Employee’s Health Clinic, Out Patient
medication refill Department 5th floor room 502
221
STEP 1: Proceed at Instructs patient to log None 5 minutes Nurse on Duty
Employee’s Health in the patient’s Specific name
Service (EHS) clinic attendance logbook and position
STEP 2: Inquiry
/securing laboratory
requirements/Consult/
Refill of medications
Nurse/Physician
2.1: For pre- 2.1.a. Answers query None 10 minutes
on Duty
employment: and Instructs patient to
Inquire and secure undergo laboratory
necessary work-up such as
laboratory complete blood count
requirements for with blood typing,
pre-employment urinalysis, fecalysis
then proceed to the with occult blood,
specific area/ Hepatitis B Surface
department for Antigen test, drug test,
completion of the chest x-ray and
requirements neuropsychiatric
indicated*** clearance test,
2.1.b. Give necessary

laboratory request form
signed by the physician
on duty and to instruct
patient to proceed to
diagnostic center/s
pertinent to the
requests.
2.1.c. Advise patient to

come back for
scheduling of physical
examination and
interpretation of
laboratory results after
completion of the
required laboratory
tests,
222
2.2.For Annual 2.2.a Instructs patient
Physical to proceed to
Examination: Secure diagnostic/s center for
necessary laboratory laboratory work-up
requirements for such as complete
annual physical blood count with blood
examination then typing, urinalysis,
proceed to the fecalizes with occult
specific area/ blood, blood chemistry
department for (Fasting Blood Sugar,
completion of the lipid profile,
requirements creatinine,etc, if
indicated*** necessary)
Hepatitis B Surface
Antigen test/Hepatitis B
Antibody test, drug
test, chest x-ray,
neuropsychological
test, ECG (if needed),
Ultrasound (if needed)
2.2.b Give necessary

signed by the physician
on duty, and to instruct
patient to proceed to
diagnostic center/s
pertinent to the
requests.
2.1.c. Advise patient to

come back for
scheduling of physical
examination and
interpretation of
laboratory results after
completion of the
required laboratory
tests,
2.3 ask the patient to

fill-up necessary data
in the consultation form
2.4. prescription form is

fill-up by the physician
on duty and give to
patient
223
2.3 For Consultation:
tell the
nurse/physician the
reason for consult
2.4 For refill of

prescribed
medication: present
medication card
STEP 3: Submission of
laboratory
requirements/
accomplished
consultation form None 2 minutes Nurse/physician
3.1 For pre- 3.1Check for the on Duty
employment and completeness of the
annual physical laboratory
examination: requirements
After completion of
all laboratory
requirements,
laboratory results are
submitted at the EHS
clinic
3.2. For consultation: 3.2. If incomplete, ask

submit accomplished the patient to complete
consultation form to the first the requirements
nurse/physician on
duty 3.3. If another test is
required to confirm the
diagnosis (e.g.
apicogram), ask the
patient to go to
diagnostic center with
request form, and
secure official result,
before scheduling for
physical examination
3.4. Check the

completeness of the
consultation form
STEP 4:
4.1. For pre- 4.1. Schedule the None 5 minutes Nurse on Duty
employment and patient for physical
annual physical examination once all
examination: laboratory
Secure schedule and requirements are
224
instruction once all complete.
requirements are 4.2 Retrieve the chart
completed. of the patient
4.2: For consultation:
wait for name to be
called
4.2.1: Old patient 4.3 Make a chart for
4.2.2. New the new patient
patient
STEP 5: Vital signs Once chart is available, None 10 minutes Nurse/Physician

taking take vital signs and on duty
record in the
consultation form
STEP 6: Wait for Call patients after the None 5 minutes Physician on Duty
name/number to be consultation of the
called for consultation previous patient is
done
STEP 7: Proceed to Consultation process None 35 minutes Physician on Duty

the consultation area 7.1. History and
once your Physical Examination
name/number is called; 7.2 Diagnosis
undergoes consultation 7.3 Plan
7.4 Prescription/
is given to patient if
necessary
7.5 Discharged
instruction
7.6 Medical certificate
given if requested
STEP 8: Proceed to Photocopy the medical None 5 minutes Nurse on Duty
the nurse’s area for certificate if any and
further instruction, if advise patient to have
any, and for photocopy it sealed at the
of medical certificate, registration area
if needed located at the first floor
where
TOTAL: None 1 Hour and 17
Minutes
END OF TRANSACTION
225
External Service
226
1. HIV/AIDS Counselling and Testing
This service caters clients who will undergo HIV counseling and testing. Monday to Friday
8am-5pm (except Holidays).
Office or Division: HIV/AIDS CORE TEAM - MEDICAL

Type of
G2C
Transaction:
Who may avail: All
1.One (1)Original Identification Card 1.Corresponding government
2.One (1) original Request for HIV 2.Requesting Physician
Counselling and Testing
3.One (1) copy of Inter-Departmental or Inter- 3.Referring agency or department
Agency Referral
FEES
PROCESSING PERSON
TIME RESPONSIBLE
PAID
HIV Counseling and Testing
1. Voluntarily receives patient None 1 minute Marylou Faye L.
goes to the unit for Alabanza, RN
HIV counselling and HACT Office,
testing brings request BGHMC
from a physician
Jorene Faith N.
Cuntig, RMT
HACT Office,
BGHMC
Marites T.
Lardizabal
HACT Office,
BGHMC
2. Undergoes Pre- Provide pre-test None 20 minutes Marylou Faye L.
test counselling counseling Alabanza, RN
HACT Office,
BGHMC
Jorene Faith N.
Cuntig, RMT
HACT Office,
BGHMC
Marites T.
Lardizabal
HACT Office,
BGHMC
227
3. Secures and 3.1 Provides/issues None 2 minutes Marylou Faye L.
accomplishes consent form Alabanza, RN
consent form HACT Office,
3.2 Check the BGHMC
completeness of the
Jorene Faith N.
filled-out form
Cuntig, RMT
HACT Office,
3.3 Prepares BGHMC
Laboratory Request
for HIV Testing Marites T.
Lardizabal
HACT Office,
BGHMC
4.Submits self for Withdraws/collects None 1 minute Marylou Faye L.
specimen collection blood sample from Alabanza, RN
patient HACT Office,
BGHMC
Jorene Faith N.
Cuntig, RMT
HACT Office,
BGHMC
5. Processing HIV 5.1 Brings specimen None 10 minutes Marylou Faye L.

Test in the Laboratory and Laboratory Alabanza, RN
Request to the HACT Office,
laboratory BGHMC
Jorene Faith N.
Cuntig, RMT
HACT Office,
BGHMC
Marites T.
5.2 Laboratory 5 hours and 25 Lardizabal
performs Test/s minutes HACT Office,
BGHMC
Medical
Technologist-on
Duty
Serology Section,
Clinical Pathology,
BGHMC
6. Claims result Validates ID and None 2 minutes Marylou Faye L.

Note: Present ID issues results Alabanza, RN
forverification HACT Office,
BGHMC
Jorene Faith N.
Cuntig, RMT
228
HACT Office,
BGHMC
Marites T.
Lardizabal
HACT Office,
BGHMC
7. Undergoes Post- Post-test counseling None 20 minutes Marylou Faye L.
test counseling and explains test Alabanza, RN
results HACT Office,
BGHMC
Jorene Faith N.
Cuntig, RMT
HACT Office,
BGHMC
Marites T.
Lardizabal
HACT Office,
BGHMC
TOTAL: None 6 Hours 35
minutes
END OF TRANSACTION
229
2.HIV/AIDS Clinical Management
Covers medical, nursing, laboratory and administrative staff involved in the counselling,
treatment, care and support for PLHIVs. Monday to Friday 8am-5pm (except Holidays).
Office or Division: HIV/AIDS Core Team - Medical

Type of
G2C
Transaction:
Who may avail: All
1.One (1)Original Identification Card 1.Any government issuing office or school
2.HACT-issued Health Regimen Booklet 2.HACT office
3.Physician’s request for HIV Counseling and 3.Requesting physician
Testing
4.Inter-Departmental or Inter-Agency Referral 4.Referring agency or department
FEES
PROCESSING PERSON
TIME RESPONSIBLE
PAID
Medical Management
1.Presents follow-up Collection of follow- None 1 minute Marylou Faye L.
slip up slip Alabanza, RN
HACT Office,
BGHMC
Jorene Faith N.
Cuntig, RMT
HACT Office,
BGHMC
Marites T.
Lardizabal
HACT Office,
BGHMC
2. Wait for chart Verifies px code and None 1 minute Marylou Faye L.
pulls out chart Alabanza, RN
HACT Office,
BGHMC
Jorene Faith N.
Cuntig, RMT
HACT Office,
BGHMC
Marites T.
Lardizabal
HACT Office,
BGHMC
3.Complete ff up slip Identifies purpose of None 1 minute Marylou Faye L.
3.1 Discusses ART visit Alabanza, RN
HACT Office,
230
adherence BGHMC
Does ART
adherence Jorene Faith N.
counseling Cuntig, RMT
HACT Office,
BGHMC
3.2. Consults for any Identifies client’s
medical concern chief complaints and Marites T.
coordinates client’s None 30 minutes Lardizabal
referral, as needed HACT Office,
BGHMC
3.3. ARV refill 3.3.1. Identifies ART

regimen of client
based on records;
a. dispensing of None 30 minutes
ARV;
b. dispensing via None 5 minutes
courier service for
patients living
outside Baguio Courier 3 hours (HACT
City Fee to Courier
(PHP Service, vice
200) versa)
shoul-
dered
by the
patient
3.4 Present/submits Collects/asks None 5 minutes

Philhealth proof of Philhealth proof of
payment payment;
Assist client in
filling out
Philhealth
200.00forms when
necessary.
3.5. Asks for a new None 1 minute
follow-up slip for next Fills out and
visit issues follow up
slip for the client’s
next visit
TOTAL: PHP 4 hours and 14
200.00 Minutes
END OF TRANSACTION
231
Medical Service
Neuroscience
External Service
232
1. ELECTROMYOGRAM (EMG)
It is a diagnostic procedure to assess the health of muscles and the nerve cells that control
them (motor neurons). EMG results can reveal nerve dysfunction, muscle dysfunction or
problems with nerve-to-muscle signal transmission.

Type of G2C - Transacting Public
Transaction:
Who may avail: All patients
EMG-NCV request filled up by registered From the physician
physician
Consent form EMG Office
Official receipt Cashier
One valid ID for claiming results Patient/Guardian
FEES TO BE PROCESSING PERSON
PAID TIME RESPONSIBLE
1.1Submit Request Request forms are None 1 minute EMG-NCV
Form At The EMG evaluated and priced technician
Office
1. Outpatient client is
instructed to pay EMG
fee at the cashier.
2. For indigent clients,

they are directed to the
MSS office for
classification.
3. For in-patients, they

are automatically under
universal charging.
1.2.Pay Fee At The Client pays at cashier 1.1 EMG- NCV
Cashier protocol (upper
& lower) - PHP
4,550.00
(readers fee
included)
1.2 EMG-NCV
upper (or
lower)
extremities
only- PHP
2,600.00
(reader’s fee
included)
233
1.3 BAER/
VEP
- PHP
1,450.00
(reader’s fee
included)
2. Wait For Schedule Client is given None 1 minute EMG-NCV
To Be Given schedule of procedure technician
3. Give Consent To Procedure is explained None 2 minutes Physician
Procedure to the patient and
consent is secured.
4. During Scheduled EMG-NCV Technician None 180 minutes EMG-NCV
Emg-Ncv will: technician
Procedure: 4.1 Connect necessary
leads on client’s
Patient Lies On The extremities.
Bed And Follows
Instructions While 4.2 Instruct clients to
The Technician Does relax and do proper
The Procedure breathing exercise
before procedure.
4.3 Technician on duty

monitor and save NCV
results.
5. Wait For The 5.1 Initial reading by None 5 working days EMG-NCV
Results To Be EMG-NCV rotator technician/EMG-
Released (resident) within 24 NCV rotator
hours.
5.2 Final reading by

consultant.
5.3 Official result

printed by the
technician and signed
by the consultant.
TOTAL: PHP 5 Days
8,600.00
END OF TRANSACTION
234
2. ELECTROENCEPHALOGRAM (EEG)
It is a test used to evaluate the electrical activity in the brain. Brain cells communicate with
each other through electrical impulses. An EEG tracks and records brain wave patterns.
Small flat metal discs called electrodes are attached to the scalp with wires.
Type of G2C - Transacting Public
Transaction:
Who may avail: All patients
EMG-NCV request filled up by registered From the physician
physician
Consent form EEG Office
Official receipt Cashier
One valid ID for claiming results Patient/Guardian
FEES
PROCESSING PERSON
TIME RESPONSIBLE
PAID
1.1 Submit Request Request forms are None 1 minute EEG technician
Form at EEG evaluated and priced
Office 1. Outpatient client is
instructed to pay
EEG fee at the
cashier
2. For indigent
clients, they are
directed to the MSS
office for
classification.
3. For in-patients,
they are
automatically under
universal charging.
1.2 Pay Fee At The Client pays at 1.1 EEG 5 minutes Cashier
Cashier cashier fee PHP
1,300.00
1.2
Reader’s
fee –
PHP
500.00
235
2. Wait For Schedule Client is given None 1 minute EEG technician
Of Procedure To Be schedule of
Given procedure
3. Give Written Procedure is None 2 minutes Physician

Consent To explained to the
Procedure patient and consent
is secured
4. During Scheduled EEG Technician will: None 60 minutes EEG technician

Eeg Procedure:
4.1 Connect 21
Patient Lies On The channel leads on
Bed And Follows clients head
Instructions While
The Technician Does 4.2 Let client sleep
The Procedure and monitor client’s
brain activity using
the digital EEG
system.
4.3 Technician on
duty monitor and
save EEG results.
5. Wait For Release 5.1 Initial reading by None 5 working days EEG technician/
Of Results EEG rotator EEG rotator
(resident) within 24
hours.
5.2 Final reading by

consultant.
5.3 Official result

printed by the
technician and
signed by the
consultant.
TOTAL: PHP 5 Days
1,800.00
END OF TRANSACTION
236
Medical Service
Obstetrics and Gynecology
External Service
237
1. Teleconsultation (Obstetrics and Gynecology)
This provides patients with the opportunity for initial and follow up consultations with the
department of Obstetrics and Gynecology through telemedicine. This requires internet
connection and a device able to access Facebook (computer or smartphone).

Type of
G2C-Transacting Public
Transaction:
Who may avail: All
Computer/mobile device Home
Internet connection Internet provider
1.Open BGHMC FB Internet connection None 5 minutes Patient
page
1.1 Click Send
Message
1.2 Choose
CONSULT
1.3 Fill up Data
Privacy
Act (DPA)
Form
1.4 Click
SUBMIT
once done
Click
m.me/bghmcofficial
baguio
2. Wait to be 2.1 OPD registration None 30 minutes OPD registration
redirected to the clerk provides FB clerk
BGHMC link of the *30-minute
Messenger department allowable period
concerned to the of extension if
patient OPD staff are
2.2 Provides/ retrieves receiving
Electronic Medical numerous
Record (EMR) and patients for
queue patient to teleconsultation
the department
concerned
3. Once the FB link 3.1 Physician None 5 minutes
of the concerned accommodates
department has patient’s reason
been provided, for consult
click SEND
238
MESSEAGE and
wait for a reply
4. History taking 4.1 Detailed history of None 15 minutes Physician
the condition is
obtained through
interview of the
patient and/or
inquiring party
4.2 Inclusion of a
complete Obstetric
and Gynecologic
history
5. Clinical 5.1 An initial None 5 minutes Physician
assessment and impression is
Consultation made based on a
complete history
5.2 Review of
diagnostic
test/examination
results (if
available)
5.3 Assessment/evalu
ation/
management of
the condition
6. Diagnostic 6.1 Prepare request None 5 minutes Physician
Examination for appropriate
diagnostic
tests/examinations
, as applicable.
6.2 The resident
accomplishes the
laboratory request,
takes a photo of
the request and
sends it to the
patient. Requests
for blood and urine
tests sent through
chat are honored
at the BGHMC
laboratory.
6.3 Photographic
requests for
radiologic
procedures (x-ray
or ultrasound) are
printed by the
patient.
239
7. Treatment and 7.1 Preparation of a None 5 minutes Physician
Counselling properly
accomplished and
legible prescription
of appropriate
medicines
7.2 Advise patients on
safe health
practices
8. Final disposition 8.1 Discharged with None 5 minutes Physician
instructions for
follow-up either at
the OPD or local
health center
or
8.2 Endorsed for
admission
or
8.3 Advised face to
face consult
or
8.4 Referred to
another
department for
evaluation and
management of
other concerns
TOTAL: None 1 Hour and 25
Minutes
END OF TRANSACTION
240
2.Out-patient RT-PCR test for COVID 19 for patients
scheduled for Elective Gynecologic Procedures
A negative RT-PCR is required for all patients scheduled for elective Gynecologic
procedures. This service is free for patients who will be needing procedures which have a
high risk of transmission of the COVID-19 (use of high-energy devices such as cautery
machines and possible conversion to General Endotracheal Anesthesia).
Type of Transaction: G2C-Transacting Public
Who may avail: All
PHIC ID PhilHealth Office
CLIENT STEPS
1. Patient obtains request OPD resident None 5 minutes Physician
for SARS-CoV2 RT-PCR prepares the
test from the resident CIF to include
risk subgroup
classification
and indication
(if applicable),
PHIC ID
number and
contact
number
2.1 For patients who will 2.1 Laboratory 2.1 No fee 30 minutes Medical
undergo procedures with personnel for technologist
high risk of transmission, performs the patients
proceed to swabbing nasopharynge who will
area at the main al and/or undergo
laboratory oropharyngeal proce-
swab dures with
high risk
of
transmissi
on
2.2 For patients who will 2.2 Cashier 2.2 PHP 30 minutes Cashier
undergo procedures that charges and 3, 409 for
are low risk of collects fee for patients *30-minute
transmission, proceed to swab who will allowable
the BGHMC cashier undergo period of
proce- extension if
dures with numerous
low risk of patients are
transmis- lined up at the
sion cashier
241
3. For patients who will Laboratory None 30 minutes Medical
undergo procedures that personnel technologist
are low risk for performs the
transmission, the receipt nasopharynge
is brought to the al and/or
swabbing area at the oropharyngeal
laboratory swab
4. Patient claims the result Laboratory None 3 days Medical
staff releases technologist
the result to
the patient
TOTAL: PHP 3 Days

3, 409.00
END OF TRANSACTION
242
3.Out-patient RT-PCR Test for COVID 19 for Pregnant Patients
in the Peripartum Period
All pregnant patients seen at the outpatient department (face-to-face and teleconsult), will
be advised to undergo an RT-PCR swab during the peripartum period (37 weeks age of
gestation onwards).
Type of Transaction: G2C-Transacting Public
Who may avail: All Pregnant Patients in the Peripartum Period

1.Patient obtains OPD resident None 5 minutes Physician
request for SARS- prepares the CIF to
CoV2 RT-PCR test include risk subgroup
from the resident classification and
indication (if
applicable), PHIC ID
number and contact
number
2.1 Patient with 2.1 Laboratory 2.1 30 minutes Medical
Philhealth personnel performs Patients with technologist
coverage proceeds the nasopharyngeal Phil
to the designated and/or health cove-
swabbing area at oropharyngeal rage: No
the main laboratory swab payment
2.2 Patient without 2.2 Cashier receives 2.2 Patients

Philhealth the payment and with NO Phil
coverage proceeds issues a receipt; health cove-
to the cashier to Laboratory personnel rage:
pay for the swab, performs the
obtains a receipt, nasopharyngeal 2.2.1 Service
and is then and/or oropharyngeal patients:
directed to the swab PHP 901.00
designated
swabbing area at 2.2.2 Private
the main laboratory patients:
PHP
3,409.00
3.Patient is advised to Laboratory staff will None 3 days Medical
claim results after three release the results to Technologist
days the patient
4,310.00
END OF TRANSACTION
243
4. Out-patient Face to Face Consultation for OB GYN patients
Patients seen are those seeking antenatal care and patients with Gynecologic complaints.
Specialty clinics are available for High-risk pregnancies, Gynecologic Oncology,
Reproductive Endocrinology and Infertility and Infectious Diseases. Patients are seen and
examined by the OB-Gyn residents on duty. They are then managed accordingly.
Interventions include the issuance of advice, prescriptions, requests for laboratory and
ancillary procedures, referral to other departments and referral to the emergency room for
those needing inpatient management. Clinic schedule are as follows:
General OB-GYN clinic: Monday to Friday 8:00AM to 4:00PM;

Saturdays 8:00AM to 12:00 PM
Infectious Diseases clinic: Monday to Friday 8:00AM to 4:00PM;
Saturdays 8:00AM to 12:00 PM
High-risk Pregnancy clinic: Monday and Thursday 10:00AM to 12:00 PM
Teen Parent clinic: Tuesday 10:00AM to 12:00PM
Gynecologic Oncology clinic: Wednesday 10:00AM to 12:00 PM
Reproductive Endocrinology and Infertility clinic: Friday 10:00AM to 12:00 PM
Type of G2C-Transacting Public
Transaction:
Who may avail: All
Number from triage OPD Triage
Patient’s chart OPD
Laboratory request form/Imaging request OPD
form
Prescription form OPD
Admitting orders if for admission OPD
FEES
PROCESSING PERSON
TIME RESPONSIBLE
PAID
1. Entry of Patient Patient’s number is None 1 minute Physician
called
2.Baseline Monitoring Taking of vital signs None 5 minutes Physician

(BP, heart rate, 3 minutes
respiratory rate,
temperature, SPO2), * If BP is
height, weight, and elevated,
BMI patient is
allowed to rest
for 15-20
minutes before
re-checking of
BP
244
*If BP is
persistently
elevated,
patient is
immediately
referred to the
emergency
room
3.History taking 3.1. Detailed history None First prenatal Physician
of the condition is visit:
obtained through Pregnant
interview of the patient: 15
patient and/or minutes
inquiring party Gynecology
patients: 15
minutes
3.2 Inclusion of a None Subsequent

complete Visits:
Obstetric and Pregnant
Gynecologic patient: 5
history minutes
Gynecology
patients: 5
minutes
4.1 Physical 4.1 Complete Depend 4.1 5 minutes 4.1 Physician
Examination physical ent on
examination is the
performed. supplies
needed
(e.g.
sterile
gloves,
lubricatin
g gel,
pap
smear
kit)
4.2 Consent for 4.2 For those 4.2 1 minute 4.2 Physician
speculum and/or requiring
internal pelvic speculum and/or
examination internal pelvic
examination an
expressed verbal
consent is
obtained from the
patient.
245
4.3 Physician fills out 4.3 OPD
4.3 Patient/watcher prescription for 4.3 30 minutes Pharmacy and
purchases supplies needed Cashier personnel
supplies from the
OPD Pharmacy
and pays at the
OPD cashier
4.4 Physician
4.4 Patient/watcher receives the 4.4 20 minutes 4.5 Physician
returns to the OB- supplies and
GYN OPD clinic performs the
with supplies examination
needed
5. Clinical 5.1 An initial None 5 minutes Physician

assessment impression is
and made based on a
Consultation complete history
5.2 Review of
diagnostic
test/examination
results (if
available)
5.3 Assessment/evalu
ation/
management of
the condition
6. Diagnostic Prepare request for None 5 minutes Physician
Examination appropriate
diagnostic
tests/examinations,
as applicable.
7. Treatment and Preparation of None 10 minutes Physician
Counselling prescription of
appropriate
medicines
Advise patients on
safe health practices
8. Final Discharged with None 5 minutes Physician
disposition instructions for
follow-up
or
Endorsed for
admission
or
Referred to another
department for
246
evaluation and
management of other
concerns
TOTAL: Depend 1 Hour 45

ent on Minutes
the
supplies
needed
(e.g.
sterile
gloves,
lubricatin
g gel,
pap
smear
kit)
END OF TRANSACTION
247
Medical Service
Ophthalmology
External Service
248
1. OPD-ER Out-patient Face to Face Consultation for
Ophthalmology Patients
Patients seen are those needing eye disease consult and management. General
ophthalmology, emergency, trauma, Specialty clinics are available for External disease
and cornea, neuro-ophthalmology, retina and uveitis, orbit and oculoplastics, glaucoma,
refractive and cataract, pediatric ophthalmology. Patients are seen and examined by the
ophthalmology residents on duty. They are then managed and referred accordingly to
subspecialty service consultant/s accordingly. Interventions include the issuance of advice,
prescriptions, requests for laboratory and ancillary procedures, referral to other
departments and referral to the emergency room for those needing inpatient management.
Clinic schedule are as follows:
General Ophthalmology clinic: Monday to Friday 8:00am to 4pm, Saturday 8:00 am to

12:00 pm
Emergency and Trauma: Monday to Sunday 24 hours/day
External disease and Cornea clinic: Monday 10:00am to 12:00pm
Neuro-ophthalmology clinic: Monday 1:00pm to 3:00pm
Retina and Uveitis clinic: Teusday 10am to 12:00 pm
Orbit and Oculoplastics Clinic: Wednesday 10:00 am to 12:00 pm
Glaucoma Clinic: Thursday 10:00 am to 12:00 pm
Refractive and Cataract: Friday 10:00 am to 12:00pm
Pediatric- ophthalmology clinic: Saturday 10:00 am to 12:00 pm
Office or Division: Medical- (OPD- ER room 401)

Type of G2C-Transacting Public
Transaction:
Who may avail: All
Number from triage OPD Triage- OPD-ER 1st floor / ER triage -
OPD – ER 3rd Floor
Patient’s chart OPD/ ER 4th floor room 401
Laboratory request form/Imaging request OPD/ER 4th floor room 401
form
Prescription form OPD/ER 4th floor room 401
Admitting orders if for admission OPD/ER 4th floor room 401
249
1.Entry of Patient Patient’s number is None 1 minute Nurse on duty

called
2.Baseline Monitoring Taking of vital None 5 minutes3 Nurse on duty

signs (BP, heart minutes
rate, respiratory
rate, temperature, * If BP is
SPO2), height, elevated, patient
weight, and BMI is allowed to
rest for 15-20
minutes before
re-checking of
BP
*If BP is
persistently
elevated, patient
is immediately
referred to the
emergency
room
3.History taking 3.1Detailed history of 3.1 None 3.1. Physician
the condition is 7.5 minutes
obtained through
interview of the
patient and/or
inquiring party
3.2 Inclusion of a 3.2 None 3.2

complete medical 7.5 minutes
and ophthalmologic
history
4.1Physical 4.1Complete physical Depen 4.1 20 minutes 4.1 Physician
Examination and ophthalmologic dent on
examination is the 4.2 Physician
performed. supplies 4.2 60 minutes
needed
4.2.Consent for 4.2For those requiring (e.g.
pharmacologic pharmacologic topical
preparation of the eye preparation of the eye, mydriatics,
(e.g. pupillary a verbal consent is miotics,
dilation, miosis) taken anesthe-
sia,
lubricating
gel, etc)
250
4.3 Patient/watcher 4.3Physician fills out 4.3 4.3 OPD
purchases supplies prescription for 5 minutes Pharmacy and
from the OPD-ER supplies needed Cashier
Pharmacy and pays personnel
at the OPD-ER
cashier
4.5 Physician
4.4.
4.4Patient/watcher 4.4Physician receives 20 minutes
returns to the the supplies and
ophthalmology OPD- performs the
ER clinic with examination
supplies needed
5.Clinical assessment 5.1An initial None 10 minutes Physician
and Consultation impression is made
based on a complete
history
5.2Review of
diagnostic
test/examination
results (if available)
5.3Assessment/evalua
tion/ management of
the condition
6.Diagnostic Prepare request for None 5 minutes Physician
Examination appropriate diagnostic
test as applicable.
7.Treatment and Preparation of None 10 minutes Physician
Counselling prescription of
appropriate medicines
Advise patients on
safe health practices
8.Final disposition Discharged with None 5 minutes Physician
instructions for follow-
up
or
Endorsed for
admission
or
Referred to another
department for
evaluation and
management of other
concerns
TOTAL None 2 Hours 36
Minutes
END OF TRANSACTION
251
Medical Service
Otorhinolaryngology-
Head and Neck Surgery
External Service
252
1.Hearing screening test: Use of Autoacoustic Emission
Machine to Screen Newborn for Hearing Loss at Birth
Office or Division: Medical – Department of Otorhinolaryngology- Head and Neck Surgery

Who may avail: All newborns
Referral Letter For OPD Patients Referring Doctor

Receipt Of Payment Cashier
Patient’s Chart For In-Patients
Step 1. In patients: Screener calls for None 5 Minutes Nurse screener

Patient from in-patients to come
Pediatric for screening
Department
scheduled for
Newborn Hearing
Screening 24 hours
after birth
Patient comes with

Out patients: Attending
Patients referred referral letter from physician
from other attending physician
institutions or from
the Out Patient
Department
Step 2. Patients Nurse screener will None 5 minutes Nurse screener
present themselves receive the patient
to the newborn
hearing testing
section
For OPD patients:

the nurse screener
will instruct the
patients/ watcher for
the payment of the
253
test at the Cashier
Section
Step 3. OPD patient Cashier will receive 200.00 10 Minutes Cashier staff on
pays at the cashier payment and issue php duty
a receipt
For in patients: fee

for the hearing
screening will be
covered by
Philhealth benefits
Step 4. Patient will Nurse instructs the None 10 Minutes Nurse screener
be brought inside watcher, positions
the audio room the patient and
attaches the ear
probes with rubber
tips. Otoacoustic
emission test will be
done on both ears
one at a time
Step 5. Result is For in-patients: None 5 Minutes
released after the Nurse screener
procedure attaches the result
to the patient’s chart
after the procedure
For OPD patients:

result is given to the
watcher after the
procedure
TOTAL PHP 35minutes
250.00
END OF TRANSACTION
254
2. Hearing Screening Test: Pure Tone Audiometry to test for
Hearing Loss.

Who may avail: All
AGENCY FEES TO BE PROCESSING PERSON
CLIENT STEPS
ACTIONS PAID TIME RESPONSIBLE
Step 1. Patient from Attending None 5 Minutes Attending

OPD for Pure Tone physician physician
Audiometry (PTA) is schedules the
scheduled for the patient for Pure
procedure Tone
Audiometry
Schedule is on
MONDAY,
WEDNESDAY,
FRIDAY at
2:00 PM TO
4:00 PM except
holidays
Maximum of 5 -
6 patients per
day
Attending
physician issues
a referral letter
and instructs
patient to
proceed to
cashier section
Step 2. Patient will go Cashier 500.00 php 10 Minutes Cashier staff on
to the Cashier receives duty
Section for payment payment and
issues a receipt
255
Step 3. Patient will go Patient is None 5 Minutes Nurse on duty
to ENT ward received by the
nurse on duty
and informs the
resident in
charge
Step 4. Patient is Patient is None 7 Minutes Second year
brought to the received by the residents
audiometry room assigned
resident,
interviews the
patient and
instruction will
be given prior to
the procedure
Step 5. Patient will go The resident None 20 Minutes Second year
inside the audiometry attaches the residents
booth headphones
and start testing
both ears one at
a time
Step 6. Patient is told The assigned None 8 Minutes Second year

to wait for the result resident residents and
interprets the consultant in
result and have charge
it checked by
the consultant in
charge
Step 7. Releasing of Assigned None 5 Minutes Second year
official result within resident issues resident
the official result
the same day
TOTAL PHP 60minutes

500.00
END OF TRANSACTION
256
3.Tympanometry Used to Test for the Condition of the Middle
Ear and the Mobility of the Ear Drum.
Who may avail: All

Step 1. Patient from Attending None 5 Minutes Attending

OPD for physician physician
Tympanometry is schedules the
scheduled for the patient for
procedure Tympanometry
Schedule is on
MONDAY,
WEDNESDAY,
FRIDAY at
2:00 PM TO 4:00
PM except
holidays
Maximum of 5 -6
patients per day
Attending
physician issues a
referral letter and
instructs patient to
proceed to cashier
section
Step 2. Patient will Cashier receives 500.00 10 Minutes Cashier staff on
go to the Cashier payment and php duty
Section for payment issues a receipt
Step 3. Patient will Patient is received None 5 Minutes Nurse on duty
go to ENT ward by the nurse on
duty and informs
the resident in
257
charge
Step 4. Patient is Patient is received None 5 Minutes Second year

brought to the by the assigned residents
audiometry room resident,
interviews the
patient and
instruction will be
given prior to the
procedure
Step 5. Patient will The resident None 5 Minutes Second year
go inside the attaches the probe residents
audiometry booth and start testing
both ears one at a
time
Step 6. Patient is The assigned None 5 Minutes Second year
told to wait for the resident interprets residents and
result the result and consultant in
have it checked by charge
the consultant in
charge
Step 7. Releasing of Assigned resident None 5 Minutes
official result within issues the official
result
the same day
TOTAL PHP 40minutes

500.00
END OF TRANSACTION
258
4.Flexible Nasopharyngolaryngoscopy: An endoscopic Procedure to
Visualize the Nasal Cavity up to the Laryngeal Complex.
Who may avail: All
Request/Referral Letter Referring Doctor

Receipt Of Payment/Philhealth Eligibility Cashier/Philhealth/Billing Unit
Form
Patient’s Opd Record
Step 1. Patient is Request for NPL is None 5 Minutes Attending

recommended to filled up by the physician
undergo attending physician
Nasopharyngo and advised to go to
the minor operating
laryngoscopy
room
Step 2. Patient Nurse schedules the None 5 minutes Minor operating
goes to the minor patient and issues room nurse
operating room the MOR schedule
form. Patient is
instructed to procure
eligibility form from
the PHIC/billing
section
Step 3. Patient Philhealth/billing None 10 minutes Philhealth/Billing
goes to personnel checks personnel
Philhealth/billing Philhealth eligibility
unit of patient
Step 4. Patient Nurse instructs None 5 minutes Minor operating
goes back to MOR Philhealth eligible room nurse
and presents patients to wait and
Philhealth eligibility informs resident in
charge
259
Patients who are not
Philhealth eligible
are directed to pay
at the cashier
section
Step 5. Patient Cashier receives 2,500 10 minutes Cashier
pays at the cashier payment and issues php
section a receipt
Fee for
Philhealth
eligible
patients
will be
reimburs
ed by
Philhealth
Step 6. Patient Patient is instructed None 5 minutes Minor operating
goes back to MOR and resident in room nurse
unit and presents charge is informed
the receipt
Step 7. Patient is Resident in charge None 10 minutes Resident in
brought inside the does the procedure charge
Minor operating
room
Step 8. Results are Resident in charge None 10 minutes Resident in
released issues the result and charge
accomplishes MOR
and Philhealth forms
Total PHP 60 minutes
2,500.00
260
Medical Service
Out Patient Department
External Service
261
1. Out Patient Department Patient Consultation
Process in securing outpatient consultation of patient seeking consultation

Transaction:
Who may avail: All Patients
Consent for Collection of Personal OPD Entrance Triage
Information
Masters Patient Index Form OPD Entrance Triage
Medical Certificate OPD HIMD Registration
Laboratory request form/Imaging request Consultation Cubicle
form/ Radiology request form
Prescription form Consultation Cubicle
Referral Forms Consultation Cubicle
Admitting orders if for admission Consultation Cubicle
STEP 1: GET
APPOINTMEN
T FOR FACE
TO FACE
CONSULTA-
TION
1.1 Call / Text 1.1The OPD None Triage Nurse in

Triage Officer Charge
shall answer the
call and appoint
patient for face to
face
1.2Teleconsultatio n None Teleconsultation
1.2 The BGHMC
FB Page Admin Nurse in
Charge
shall answer the
teleconsultation
inquiry of Patient
and appoint
patient for Face to
Face
STEP 2:
QUEUEING for
Face to Face
Consult
2.1 The NA shall
262
2.1 New Patient instruct patient to One (1) minute OPD Personnel
The patient get the MPI and NA
shall fill out Consent at the
MPI Form and designated area
Consent Prior and gives the
to the queuing number
Collection of for registration
Personal
Information
2.2 The NA shall One (1) Minute OPD Personnel
2.2 Old Patient give the queuing NA
The patient number and
shall proceed instruct the
to Kiosk Area patient to the
Kiosk Area for
Triage (proceed
to Step 4)
Administrati
Three (3) ve
2.3 The NA shall Assistant/Of
2.3 For Old Patient instruct patient to minutes ficer
who lost their get the MPI at Registration
hospital case designated area Area
number. The and gives the
patient shall be queuing number
instructed to fill for registration
out the MPI
and gets
queuing
number for
registration
STEP3: 3.1The Registration 100.00Php Cashier
Five (5) minutes
REGISTRATION clerk shall verify
3.1 New Patient entries in the MPI
shall give MPI and and register the
consent to patient. Then
registration clerk. generate charge
slip for registration
fee
STEP 4:Go to Triage Three (3) Nurse Triage
Kiosk minutes Section
4.1 Patient shall give 4.1 Triage Officer
reason for consult determines clinical
and answer assignment
questions pertaining through questions
to it about chief
complaint and
history present
illness and print
Clinical Queue
263
Number and
instruct patient to
proceed and wait
at the designated
consultation area
STEP 5
Consultation at
designated room
Thirty (30) Doctor/ Nurse/
assignment None
5.1 Health minutes Midwife
5.1 The patient
shall proceed to Practitioner
the designated conducts
room of consultation
assignment for procedure /
consultation and intervention etc.
cooperate with
Medical Doctor/
Health
Practitioner- as to
queries regarding
his condition.
STEP 6
Disposition
6.1The Patient 6.1 For Discharge None Fifteen (15) Doctor/ Health
shall listen to the The Health Amount minutes practitioner
health practitioner Practitioner gives varies to the
instructions to kind of
patient for procedure
discharged
6.2 For 6.2.1 The

Procedures – The Health
patient shall practitioner
proceed to the shall instruct
cost center for patient to
charging proceed to
cost/diagnosti
c center’s for
the
Procedures
6.2.2 The
Cost/Diagnostic
center’s to
generate charge
slip
6.2.3 Pay at
the Cashier
264
and get
Official
receipt
6.2.4 Present
Official receipt to
Cost/Diagnostic
Centers for the
Procedure
6.3.1 The Charge

6.3 For Malasakit slip shall be
The patient shall presented to
be advised Malasakit,
accordingly medical certificate
and the request
form
6.3.2 Malasakit
shall assess and
evaluate
eligibility of the
patient to qualify
for the Malasakit
Program
6.3.2.1 For
patient with
counterpart
proceed to the
cashier for
payment, get
Official receipt
and present it at
the
cost/diagnostic
centers for the
procedure
6.3.2.2 For patient

eligible proceed to
cost/diagnostic
centers for the
procedure
For referral,
proceed to step 4
For admission,
refer to admission
265
process

100.00
END OF TRANSACTION
266
Medical Service
Pathology
External Service
267
1. Anatomic Pathology Procedures
This service covers from receiving to releasing of results of the following: Routine Tissue
Biopsy, Fine Needle Aspirate Biopsy (FNAB), PAP Smear, Cytology,
Immunohistochemistry (IHC). These services are available during daily, from 7AM to 7PM.
Office or Division: Department of Pathology (Anatomic) - Medical

Type of Transaction: G2C, G2G, G2B
Who may avail: All
1. One (1) Laboratory Request Form
2. One (1) Original Identification Card -
Government
issued ID’s, Company ID with picture 1. Physician-in-Charge
3. For Indigent/NBB: 2. Corresponding government
a. One (1) Original and one(1) photocopy each office, Company/Employer
of 3. Malasakit Center/Medical Social
Endorsement Letter, Medical Assistance Service(MSS), 1st Flr OPD Bldg,
Program/PhilHealth Availment Form BGHMC
b. One (1) Charge Slip signed by Medical
Social
Service(MSS)
4. If patient is unable to claim Result: 4. From patient, SPA - from Lawyer
a. One (1) Original Authorization Letter or
Special
Power of Attorney (SPA),
b. One (1) Original Identification Card of
patient
c. One (1) original identification card of the
authorized person.
CLIENT STEPS AGENCY ACTION FEES TO PROCESSING PERSON

1.Submits Specimen and Accepts and None 15 minutes Medical
Laboratory Request Form assesses Technologist/
- specimen and Receptionist-on-
Reception Area Anatomic laboratory request Duty
Pathology form
Anatomic
Pathology
2.Waits for Charge Slip 2.1 Classifies None 15 minutes Medical
and instructions from Specimen Technologist /
laboratory staff according to size Receptionist-on-
- Reception Area and type of Duty
Anatomic Pathology surgery/procedure
Anatomic
and charges Pathology
laboratory fee/s.
268
2.2 Directs patient
/ watcher to pay
laboratory test
For Out Patients: fee/s to the
Pays Laboratory Cashier
Test Fee/s
Cashier-on-Duty
submits Official Depends 30 minutes Finance Division
Receipt (OR) on the
specimen
Cashier submitted
BGHMC
Refer to
Service
Menu for
Laboratory
Fees
3. Patient/Watcher returns 3.1 Copies OR None 5 minutes Medical
OR number in the Technologist /
– laboratory request Receptionist-on-
Reception Area Anatomic form and returns Duty
Pathology OR to patient / Anatomic
Pathology
watcher
3.2 Advises
watcher when to
claim laboratory
result
4.Leaves the laboratory Performs None Histopathology, Medical
and laboratory test/s CT Guided Technologist -on-
waits for the laboratory and prepares Biospy and Duty,
test/s results result/s: Cytopathology - Pathology
10 days Resident/Consultan
t-in-Charge
Refer to Work
Instructions on the Immunohistoch Anatomic
performance of emistry Stain/s Pathology
test/s (IHC) - 5 days Department of
Pathology
5.Returns to the 5.1 Checks None 30 minutes Medical
laboratory, show OR, requirements for Technologist /
claims and receives claiming of Receptionist-on
Result/s laboratory result/s. Duty
–
Reception Area Anatomic 5.2 Retrieval of Anatomic
Pathology laboratory result/s Pathology
5.1 For patients from file Department of
personally claiming their Pathology
laboratory result/s: 5.3 Request/s
269
A. Present a valid Patient/Watcher
Identification card /Authorized
B. Present OR of Representative or
payment/Medical Physician-in-
Assistance Charge to print
Program (MAP) name and affixes
Endorsement signature in the
Letter Release Logbook
5.2 For relatives and or and then releases
other person authorized result/s.
by the patient:
A. Present a valid
Identification
card/document of the
authorized person
B. Present an
Identification card
of the patient with
signature
C. Submit a written
Authorization Letter
duly signed by the
patient
D. Present OR of
Payment/MAP
Endorsement
Letter
( In compliance with Data
Privacy Act 2012)
TOTAL: See posted Histopathology,

Service Cytology and
Menu for CT Guided
fees Biopsy -10
days,1 hour, 35
minutes
Immunohistoch
emistry Stain/s
IHC) – 5 days
END OF TRANSACTION
Note
1. Allow a period of extension of 30 minutes or more depending on the number of
requested test/s, number of patients, functionality of machines and computer
set/printer, MIS downtime and or power interruption.
270
SERVICE MENU
ANATOMIC PATHOLOGY
PRICE Turn-around Time (TAT): From

TESTS (Php) checking-in of specimen to result
validation
1. Rush Frozen Section (RFS) 1500 10 days
2. Autopsy 60 days
3. Adequacy for CT Guided Biopsies 800 10 days
(minimum of 4 Slides)
4. Fine Needle Aspiration Biopsy ( FNAB) 450 10 days
a. 1 Small 2 Medium 1750 10 days
b. 1 Small 2 Large 3350 10 days
c. FNAB 6 Slides 475 10 days
d. FNAB 7 Slides 500 10 days
e. FNAB 8 Slides 525 10 days
f. FNAB 9 Slides 550 10 days
g. FNAB 10 Slides 572 10 days
h. FNAB 11 Slides 600 10 days
i. FNAB 12 Slides 625 10 days
j. FNAB 5 + Cell Block 800 10 days
k. FNAB 6 + Cell Block 825 10 days
l. FNAB 7 + Cell Block 850 10 days
m. FNAB 8 + Cell Block 875 10 days
n. FNAB 9 + Cell Block 900 10 days
o. FNAB 10 + Cell Block 925 10 days
5. Cytopathology
I. Gynecologic ( Pap Smear ) 150 10 days
II. Non-Gynecologic (Ex. Pleural Fluid
etc..)
a. Bone Marrow Smear – 1 slide 150 10 days
b. Bone Marrow Smear – 2 slides 300 10 days
6. Routine Histopathology including Slide
Review
a. 1 Small Specimen 350 10 days
b. 2 Small Specimens 700 10 days
c. 3 Small Specimens 1050 10 days
d. 4 Small Specimens 1400 10 days
e. 5 Small Specimens 1750 10 days
f. 6 Small Specimens 2100 10 days
g. 7 Small Specimens 2450 10 days
h. 8 Small Specimens 2800 10 days
i. 9 Small Specimens 3150 10 days
j. 10 Small Specimens 3500 10 days
k. 1 Small + 1 Medium 1050 10 days
l. 1 Small + 1 Large 1850 10 days
271
m. 1 Medium Specimen 700 10 days
n. 2 Medium Specimens 1400 10 days
o. 1 Large Specimen 1500 10 days
p. 2 Large Specimens 3000 10 days
q. 1 Large +2 Medium +1 Small 2250 10 days
r. 2 Large +1 Small 3350 10 days
s. 1 Small +1 Medium +1 Large 2550 10 days
t. 1 Medium +2 Large 3700 10 days
u. 2 Large + 1 Medium +1 Small 4050 10 days
v. 1 Large +1 Medium +2 Small 3600 10 days
w. 2 Medium +1 Large 2900 10 days
x. 2 Medium +1 Large +1 Small 3250 10 days
7. Immunohistochemistry (IHC)
a. AFP 1600 5 days
b. Ber-EP 4 1600 5 days
c. CA-125 1600 5 days
d. Calretinin 1600 5 days
e. CD-117 1600 5 days
f. CD-138 1600 5 days
g. CDX-2 1600 5 days
h. Chromogranin A 1600 5 days
i. CK (Pan-Keratin ) 1600 5 days
j. CK-7 1600 5 days
k. CK-20 1600 5 days
l. Cytokeratin 1600 5 days
m. Desmin 1600 5 days
n. HBME-1 1600 5 days
o. HMB-45 1600 5 days
p. LCA 1600 5 days
q. P63 1600 5 days
r. PAX-5 1600 5 days
s. S-100 1600 5 days
t. SMA 1600 5 days
u. SMMS 1600 5 days
v. Synaptophysin 1600 5 days
w. Thyroglobulin 1600 5 days
x. TTF-1 1600 5 days
y. ER 1926 5 days
aa. PR 1926 5 days
bb. ER/PR 3965.9 5 days
cc. HER 2/Neu 3165.9 5 days
dd. ER/PR, HER 2/Neu 7000 5 days
272
MINIMUM PROFESSIONAL FEE/S IN ANATOMIC PATHOLOGY
FOR PAY PATIENT/S
Minimum
A. Surgical Specimens Specimen Category Professional Fee
( Php )
1. Small (up to 3.0 cm. in greatest diameter) 800
2. Medium (3.1 cm to 7.0 cm in greatest diameter) 1400
3. Large (more than 7.1 cm in greatest diameter) 2600
4. Radical (Large specimen that requiring nodal dissection, blood 3800
vessel dissection, and/or involves more than one type of tissue )
5. Biopsy (eg. Endoscopic biopsies, core needle, punch biopsies, 1500
etc)
B. For Other Anatomic Pathology Specimens Cytology
1. Gynecology ( Pap’s smear ) 250

2. Non-gynecology without cell block (max of 4 slides). Additional 800
Slides in excess of 4 shall be charged Php 150 per slide )
3. Fine Needle Aspiration Biopsy (FNAB)
a. Ultrasound guided, CT-Scan guided
- Assessment for adequacy 1,000
- Reader’s fee 2,500
b. Performed by the Pathologist including Reader’s Fee 4,000
4. Frozen Section – fee for waiting time and cancellation shall be 5,000
mutually arranged and agreed upon by the Pathologist and
Hospital Management
5. For IMMUNOHISTOCHEMISTRY STAINS:
a. Ber-EP 4 600
b. CA-125 600
c. Calretinin 600
d. CD117 600
e. CDX- 2 600
f. Chromogranin A 600
g. CK (Cytokeratin) 600
h. CK- 7 600
i. CK-20 600
j. Confirm Anti-Vimentin (V9) 600
k. Desmin 600
l. HBME-1 600
m. HMB-45 600
n. KI-67 600
o. LCA 600
p. P63 600
q. PAX-5 600
r. S 100 600
s. SMA 600
t. SMMS 600
u. Synaptophysin 600
273
v. Thyroglobulin 600
w. TTF-1 600
x. ER 600
y. PR 600
z. ER/PR 1,100
aa. HER 2/Neu 600
bb. ER/PR, HER 2 /Neu 1,500
274
2. Service Under Special Condition (Autopsy)
This covers the receipt of cases for admitted patient’s medical autopsy up to the releasing
of results. This service is available anytime.
Office or Division: Department of Pathology (Anatomic) – Medical

Type of
G2C,G2G
Transaction:
Who may avail: Relative of Deceased
1. One (1) Original Consent for Autopsy 1. Anatomic Pathology Reception area
2. One (1) Original Medical Abstract 2. Attending Physician
3. One (1) Photocopy of Death 3. Medical Records Office
Certificate
4. Proof of relationship to the deceased 4. National Statistics Office, if Marriage Contract;
Identification Card bearing name of the deceased
5. One (1) Original Identification Card –
Government issued ID’s, Company
ID
with picture of the relative of the
deceased
ACTION TO BE TIME RESPONSIBLE
PAID
1. Coordinates with Evaluates None 1 hour Physician-in-Charge,
the Pathology autopsy Pathology
Resident-on-Duty request. Resident/Consultant-on-
- Duty,
Anatomic Pathology Medical Technologist-
on-Duty
Reception Area
Anatomic Pathology
Department of
Pathology
2. Accomplishes Receives and None 4 hours

autopsy consent form checks Physician-in-Charge,
and submits the completeness Pathology
following: of pertinent Resident/Consultant-on-
Duty,
documents
Medical Technologist -
2.1 Medical Abstract
on-Duty
2.2 Copy of the death
Certificate Anatomic Pathology
- Department of
Anatomic Pathology Pathology
Reception Area
3.Waits until autopsy Performs None 6 hours Physician-in-Charge,

is done autopsy Pathology
Resident/Consultant-on-
275
Duty, Medical
Technologist -on-Duty
Anatomic Pathology
Department of
Pathology
4.Coordinates with Explains to the None 2 hours Physician-in-Charge,
the Physician and Attending Pathology
Pathology Physician and Resident/Consultant-on-
Resident/Consultant relative of the Duty,
who performed the deceased the Medical Technologist -
on-Duty
autopsy initial/gross
autopsy Anatomic Pathology
findings Department of
Pathology
5.Waits for the final Processes the None 60 days Physician-in-Charge,
autopsy report specimen, Pathology
interprets and Resident/Consultant-on-
prepares final Duty,
autopsy report Medical Technologist -
on-Duty
Anatomic Pathology
Department of
Pathology
7.Returns to the 7.1 Checks None 30 minutes Medical Technologist/
laboratory, claims requirements Receptionist- on-Duty
and receives autopsy for claiming of
report autopsy report Anatomic Pathology
– Department of
Pathology
Reception Area 7.2 Retrieval of
Anatomic Pathology autopsy report
from file
7.1 Relative and or
Physician presents 7.3 Requests
valid identification relative and or
card/document Physician to
print name and
( In compliance with affix signature
Data Privacy in the Release
Act2012) Logbook then
releases
autopsy report.
TOTAL: None 60 days
13hours and 45
minutes
END OF TRANSACTION
276
3.Blood Bank Procedure
This involves storage of blood units, requisition, compatibility testing, antibody screening,
testing for transfusion transmissible infections and releasing of blood units to admitted and
out patients. This service is available anytime from Mondays to Sundays.
Office or Division: Department of Pathology (Blood Bank) - Medical

Type of Transaction: G2G, G2C, G2B
Who may avail: Patients who need blood transfusion
1. One (1) Blood Request Form
2. One (1) Original Identification Card -
Government
issued ID’s, Company ID with picture
1. Physician-in-Charge
3. For Indigent/NBB:
2. Corresponding government
a. One (1) Original and one (1) photocopy each
office, Company/Employer
of
3. Malasakit Center/Medical Social
Endorsement Letter and Medical Assistance
Service(MSS), 1st Flr OPD Bldg,
Program/ PhilHealth Availment Form
BGHMC
Social
Service(MSS)
4. Physician-in Charge/Hospital where
4. One (1) Copy of Blood Typing results, for out
patient is admitted
patient
5. Authorization Letter, if Nursing Attendant/
Physician
of Dialysis Patient/s is unable to get blood for
transfusion

1. Submits
Blood Request 1.1 Accepts and None 5 minutes Medical
Form and other assesses Technologist-on-
forms completeness of Duty
depending on Blood Request
the case of the Form
patient 1.2 Verifies blood Blood Bank
type through the Section
- LIS Department of
Blood Bank Pathology
Section
For Out Patient:

Attach
277
photocopy of
blood typing
result.
2. Waits for the 2.1 Assigns and None 10 minutes Medical

verification and reserves blood Technologist-in-
reservation of unit/s; and Charge
blood units ; records in the
signs Borrower’s
Blood Bank
Borrower’s Logbook
Section
Logbook
Department of
– 2.2 Asks patient/ Pathology
Blood Bank watcher to
Section sign Borrower’s
Logbook
(For Out Patient
who will not
undergo blood
transfusion in
the hospital,
proceed to Step
6)
3. Secures Issues blood None 30 minutes Medical
Crossmatching Crossmatching Technologist-in-
Request Request Form and Charge
Form and waits for patient’s
requests ward blood for
Blood Bank
personnel to crossmatching Section
collect blood for Department of
crossmatching Pathology
of units
reserved
–
Blood Bank
Section
4. Submits Checks for the None 5 minutes Medical
blood sample viability of blood Technologist-in-
and completely sample and Charge
filled out completeness of the
Crossmatching Crossmatching Form
Blood Bank
Form
Section
– Department of
Blood Bank Pathology
Section
5. Waits for the Performs None 2 hours
availability of Crossmatching and 30minutes: Medical
crossmatched or Antibody Crossmatching Technologist-in-
and/or antibody screening. /Antibody Charge
screened blood Screening
278
– Refer to Work Blood Bank
In the Instruction/s for the 6 hours: Section
ward/room performance of Plateletpheresis Department of
where patient is test/s. and Therapeutic Pathology
admitted Plasma Exchange
(TPE)
6. Waits for 6.1 For Out Patients: Refer to 30 minutes Medical
Charge Slip, A. Prints and issues Service Technologist-in-
pays laboratory charge slip; directs Menu for Charge
fee and returns patient/watcher to Laboratory
to Blood Bank pay laboratory test Fees.
Blood Bank
– fee/s to the Cashier Section
Blood Bank Department of
Section B. Waits and copies Pathology
official receipt (OR)
number in the
Laboratory Request
Form, returns OR to Cashier
patient/watcher. Finance Division
Cashier 6.2 For In-Patient:

BGHMC Charges laboratory
fees through MIS
7.Receives Issues blood None Packed RBC and Medical
Blood Whole Blood: 10 Technologist-in-
– minutes Charge
Blood Bank Refer to Work
Section Instruction on Platelet: 15 Blood Bank
Section
Release/Issuance of minutes
Department of
For Blood Blood Pathology
Transfusion in
the hospital, FFP and
Patient/Watcher Cryoprecipitate: 1
authorized to hour (ward Department
receive blood notifies blood where patient is
shall present bank 1 hour prior admitted
and submit to release to give
Authorization time for thawing)
Letter
TOTAL: Refer to PRBC and Whole
Service Blood: 4hrs
Menu for
Laboratory Platelet : 1 hour
Fees. and 35 minutes
FFP and
Cryoprecipitate: 2
hours and 35
minutes
279
Plateletpheresis
and Therapeutic
Plasma
Exchange: 6
hours and 35
minutes
END OF TRANSACTION
Note:
1. Allow a period of extension of 30 minutes or more depending on the number of
requested test/s, number of patients, functionality of machines and computer
set/printer, MIS downtime and or power interruption.
2. If no blood typing is done on patient, the patient/watcher shall be sent back to
Requesting Physician who shall facilitate request for blood typing.
3. If no blood unit is available, the patient/watcher/ward is notified. For non-NBB
patients, patient/watcher is advised to secure blood from other blood service
facilities with available blood unit or wait for 24 hours for availability of blood unit
from voluntary blood donors at the donor center. For NBB patients, blood bank staff
coordinates with other blood service facilities with available blood and procures the
blood unit for the patient.
4. For in-patient emergency blood needs: physician submits justification for
Emergency Release of Blood Consent Form (Waiver Form) duly signed by the
physician and patient’s next kin of legal age.
5. Crossmatching may be waived for the first unit if there is time, provided that the
Emergency Release Waiver Form is accomplished and signed by the requesting
physician and the patient’s next kin of legal age. Crossmatching shall proceed with
the released blood unit and all the rest of the blood units requested. Crossmatching
results shall be released to the attending physician when necessary.
280
SERVICE MENU: BLOOD BANK

(Php) checking-in of specimen to result
validation
TESTS
1. Antibody Screening (Patient) 550 4 hours
2. Antibody Screening (Donors) 250 4 hours
3. Aliquotting 1000 4 hours
4. Blood Typing and Hemoglobin - Donors 110 30 mins
5. Blood Processing Fee - Whole Blood 1800 4 hours
6. Blood Processing Fee – PRBC 1500 4 hours
7. Blood Processing Fee – FFP 1000 4 hours
8. Blood Processing Fee - Platelet 1000 4 hours
9. Blood Processing Fee -Cryosupernate 1000 4 hours
10. Blood Processing Fee - Cryoprecipitate 1000 4 hours
11. Crossmatching, Column Agglutination 675 4 hours
12. Crossmatching, Manual 350 4 hours
13. Plateletpheresis 20000 6 hours
14. Therapeutic Plasma Exchange 25000 6 hours
281
4.Blood Collection from Donor
This involves the screening, selection and collection of blood units from voluntary blood
donors. This service is available from Monday to Sunday, 8AM to 5PM
Office or Division: Department of Pathology (Blood Bank Donors Center) -

Medical
Classification: G2C, G2G, G2B
Type of Transaction: Simple
Who may avail: Qualified Blood Donors
1. One (1) original Valid ID or one (1) Original copy 1. Company, School, Government
Barangay Clearance (with ID picture). Agency, LGUS, Private Institution
CLIENT FEES TO PROCESSING PERSON

AGENCY ACTIONS
STEPS BE PAID TIME RESPONSIBLE
1. Present Verify the authenticity None 10 minutes Donor Recruitment
donor's valid of the ID's presented, Officer/ Nurse-on-
ID and signs gives/explains Duty
Consent Form Consent Form prior
Donors Center
prior to Donor to Donor processing
2nd Flr. Cancer
processing and give queuing
Institute, BGHMC
- number.
Donors Center
2. Undergoes 2.1 Assists donor in None 30 minutes Donor Recruitment
Registration, filling out and verifies Officer/ Nurse-on
Interview and filled out Blood Donor Duty
Medical History
Donors Center
History taking Questionnaire (DHQ)
2nd Flr Cancer
- & Consent Form
Institute, BGHMC
Donors Center
2.2 Conducts pre-
donation counselling,
physical assessment
and interview client
for medical history.
3. Submits self 3.1 Obtains vital None 30 minutes Donor Recruitment
for vital signs signs and collects Officer/ Nurse-on
taking and blood specimen for Duty
specimen hemoglobin, blood
collection and typing and/or others
proceeds to tests
waiting area, if
qualified to
donate
- 3.2 For None 2 hours Donors Center
282
Donors Center Plateletpheresis: 2nd Flr Cancer
Performs Transfusion Institute, BGHMC
Transmissible
Infections (TTIs)
testing.
4. Proceeds to Performs phlebotomy Donor Recruitment
the Blood and asks donor to Officer/ Nurse-on
Collection Unit sign donor history Duty
for collection questionnaire for
and signs TTIs testing.
donor history
questionnaire 4.1 For Whole blood None 30 minutes Donors Center
for Transfusion donation 2nd Flr Cancer
Transmissible Institute, BGHMC
Infections
(TTIs) testing 4.2 For 2 hours
- Plateletpheresis
Donors Center
5. Undergoes Conducts post- None 10 minutes Donor Recruitment

post-donation donation counselling. Officer/ Nurse-on
counselling Duty
-
Donors Center Donors Center
2nd Flr Cancer
Institute, BGHMC
Whole blood
donation: 1 hour,
50 minutes
TOTAL: None
Plateletpheresis:
4 hours, 50
minutes
END OF TRANSACTION
283
5. Procedure for ER Laboratory
This procedure covers receipt of laboratory request/s and or specimen, collection of
specimen/s, charging of fees, barcoding, processing and releasing of laboratory result/s for
Emergency Room patients only. ER Laboratory services is available 24 hours from
Mondays to Sundays.
Office or Division: Department of Pathology (Clinical) - Medical

Type of Transaction: G2C, G2G, G2B
Who may avail: All
2. One (1 ) Original Identification Card -
Government
issued ID’s, Company ID with picture
2. Corresponding government
office, Company/Employer
a. One (1) Original and one(1) photocopy each
3. Malasakit Center/Medical Social
of
Service(MSS), 1st Flr OPD Bldg,
Endorsement Letter, Medical Assistance
BGHMC
Program/PhilHealth Availment Form
Social
Service(MSS)
4. From patient, SPA - from Lawyer
4. If patient is unable to claim Result:
Special
Power of Attorney (SPA),
patient
CLIENT AGENCY ACTION FEES TO PROCESSING PERSON

STEPS BE PAID TIME RESPONSIBLE
1.Submits Accepts and checks None 2 minutes Medical
Specimen and specimen label and Technologist-in-
/or Laboratory suitability and Charge
Request Form completeness of
– Laboratory Request
ER Satellite
ER Satellite Form. Laboratory
Laboratory Department of
RM 14, ER Pathology
Department
BGHMC
2.Waits and Collects Specimen/s. None 5 minutes Medical
cooperates Technologist-in-
during Charge
specimen
ER Satellite
284
collection Laboratory
– Department of
ER Satellite Pathology
Laboratory
ER
Department
BGHMC
3.Ambulatory Gives instruction on Refer to 2 minutes Medical
Patients, when to claim Laboratory Technologist-in-
listens to laboratory results Service Charge
instructions 3.1 Charges Menu.
when to claim laboratory ER Satellite
Laboratory
result/s and fee/s through Payment
Department of
returns to ER Management shall be Pathology
while Information System collected
specimen/s is (MIS) upon
charged and discharge at
barcoded 3.2 Checks –in and ER or
– prints bar code and added to
attaches it to the hospital bills
ER specimen/s if patient is
Department admitted.
BGHMC
4.Allows Processes None 30 minutes- Medical
specimen to specimen/s and Hematology, Technologists-in-
be process prints laboratory Microscopy/ Charge
and waits for results Parasitology tests
the availability Pathology
Resident or
of Laboratory Refer to Work 40 minutes-
Consultant-in-
Results Instruction/s of Clinical Charge
- laboratory test/s Chemistry,
ER requested Column ER Satellite
Department Agglutination Laboratory
BGHMC ABO/Rh Typing Department of
and Rapid Pathology
Serological tests
5.Claims and 5.1 Checks None 1 minute Medical
receives requirement for Technologist-in-
Laboratory Claiming of Charge
Result – Laboratory
ER Satellite
Result/s.
Laboratory
ER Satellite
Department of
Laboratory 5.2 Releases Pathology
RM 14, ER laboratory
Department result/s.
BGHMC
5.3 Records Patient's
5.1 For name,
patients examinations
285
personally done, date and
claiming time of release in
their laboratory the Release
results: Logbook before
A. Present a the patient/
valid watcher/ ER
identification Nurse/Physician-
in-Charge affixes
card/document signature and
5.2 For receives
relatives or laboratory
other person result/s.
authorized by
the patient:
A. Present an
identification
card of the
patient with
signature.
B. Submit a
written
Authorization
letter duly
signed by the
patient.
(In
Compliance
with Data
Privacy Act of
2012)
C. For
admitted
patients,
whose
results were
not
claimed:
Physician-in
charge views
and prints
laboratory
results/s in the
ward and
attaches it to
286
patient’s chart
TOTAL: Refer to Hematology,

Laboratory Microscopy and
Service Parasitology test:
Menu. 40 minutes
Blood Chemistry
and Column
Agglutination
ABO/Rh Typing: 1
hour, 10 minutes
END OF TRANSACTION
Note :
1. Allow a period of extension of 30 minutes for difficult extraction, uncooperative
patient or patients not in their ER bed due to procedures like UTZ/X-ray, MIS
Downtime and or power interruption.
2. Unacceptable specimen/s shall be rejected and recollected. For incompletely filled
out Laboratory request/s Form/s, asks data from patient/relative and fill out request.
For data which cannot be provided by patient/relative, laboratory request shall be
sent back to Requesting Physician for completion.
287
SERVICE MENU: ER LABORATORY
Price Turn-around Time (TAT):

From checking-in of
(Php) specimen to result validation
Hematology 1. ABO/Rh Typing - Column Agglutination 410 1 hour
2. CTBT, slide 100 30 mins
3. CBC, automated -15 parameters 195 30 mins
4. ESR 150 30 mins
5. Reticulocyte Count 195 30 mins.
6. RBC Indices 195 30 mins.
7. WBC Differential Count 195 30 mins.
Serology 8. Dengue Dot 550 1 hour
9. Dengue NS1 Ag 1200 1 hour
10. Serologic Test for Syphilis 250 1 hour
11. Test for Typhoid Fever (Tubex) 605 30 mins.
Chemistry 12. Troponin I, qualitative 350 30 mins
13. Troponin I, quantitative 600 30 mins
14. Albumin 150 1 hour
15. Amylase 200 1 hour
16. Bilirubin Levels (Direct, Indirect and 300 1 hour
Total)
17. BUN 110 1 hour
18. BUA 150 1 hour
19. Calcium, total 200 30 mins
20. Calcium, Ionized 675 30 mins
21. Creatinine, serum 175 1 hour
22. FBS/RBS/2-Hr PPBS 150 1 hour
23. G6PD Confirmatory 400 5:00 PM onward of Running day (Tue)
24. Lipase 350 1 hour

25. Lithium 500 1 hour
26. Magnesium, serum 300 1 hour
27. Phosphorus 250 1 hour
28. Serum Electrolytes (Na/K/Cl) 450 30 mins
29. SGOT/AST 150 1 hour
30. SGPT/ALT 150 1 hour
Microscopy/
Parasitology 31. Fecalysis, routine 90 30 mins.
32. Fecal Occult Blood Test (FOBT) 100 30 mins.
33. Parasite Identification 150 30 mins.
34. Pregnancy test 120 30 mins.
35. Urinalysis, automated – 14 170 30 mins.
parameters
36. Urine pH 170 30 mins.
37. Urine Specific Gravity 170 30 mins.
38. Urine RBC Morphology 170 30 mins.
39. Urine ketones 170 30 mins.
288
6.Procedure of Laboratory Services
This procedure covers receipt of laboratory request and or specimen, charging of fees,
collection of specimen/s, checking –in, barcoding, processing and releasing of result/s.
Laboratory services are available 24 hours from Mondays to Sundays for admitted
patient/s and OPD/Walk-in patient/s who passed through the Triage or those with request
form from their Physician. This procedure is applicable to simple transactions only.
Office or Division: Department of Pathology (Clinical) - Medical

Type of Transaction: G2C, G2B, G2G
Who may avail: All
2. One (1 ) Original Identification Card –
Government issued ID’s, Company ID 1. Physician-in-Charge
with 2. Corresponding government
picture office, Company/Employer
a. One (1) Original and one(1) photocopy 3. Malasakit Center/Medical Social
each Service(MSS), 1st Flr OPD Bldg,
of Endorsement Letter, Medical BGHMC
Assistance
Program/PhilHealth availment Form
Social Service(MSS) 4. From patient, SPA - from Lawyer
4. If patient is unable to claim Result:
Special Power of Attorney (SPA),
the patient

1.Submits laboratory Accepts and None 10 minutes Receptionist/
request form and or checks specimen Medical
specimen, label and viability Technologist-in-
completes/provides and Charge
data needed in the completeness of
laboratory request Laboratory
form Request Form.
-
Main Reception Area MAIN Laboratory
Department of
Pathology
For admitted Charges laboratory Refer to 30 minutes Cashier-on-Duty
patient/s: next step is fee/s; Laborator
No.5 2.1 Out Patient/s: y Service Finance Division
289
Prints and issues Menu. Receptionist/
2. Waits charge slip and Medical
for Charge Slip and asks Technologist-in-
pays laboratory fee/s patient/watcher to Charge
pay laboratory
- fee/s
MAIN Laboratory
Main Reception Area Department of
2.2 Admitted Pathology
Patient/s:
Laboratory fees
are added to the
hospital bills.
3.For OPD patients: 3.1 Checks and None 30 minutes Receptionist/

Submits Official copies OR Medical
Receipt (OR), number/Guarantee Technologist-in-
collected Letter and Charge
urine/stool/sputum releases
specimen, and or queuing number
MAIN
proceed to Collection for Specimen RECEPTION
Area for Collection/Blood Department of
Specimen/Blood Extraction Pathology
Collection
3.2 Phlebotomy/
– Specimen
Main Reception Collection.
Area
3.3 Checks-in and
bar codes
specimen
4. Allows specimen Process specimen. None 2 Hours Medical

to be processed and Microscopy and Technologist-on-
waits for the Refer to Work Parasitology, Duty
availability of Instruction/s of Clinical
Pathologist,
Laboratory Results laboratory test/s Chemistry ,
Resident /
requested. Rapid Consultant-in-
- Serological tests, Charge
Main Laboratory Coagulation
Department of test/s
Pathology
3 Hours: Main Laboratory
Hematology Department of
Tests- CBC, Pathology
Column
Agglutination
ABO/Rh Typing,
290
4 Hours:
Seminal Fluid
Analysis, Gram
Stain, KOH,
Sperm
Identification,
Quantitative
Serological Tests
(HIV, CD4,
Hepatitis Profile),
Acid Fast
Staining of other
body fluid except
sputum
Examinations
requiring longer
processing time :
a. LE Prep: 8
hours
b. Mixing
Studies- 6 hours
c. PBS and
Malarial Smear –
24 hours
d. Sputum AFS-3
days,
e. Culture and
Sensitivity: initial
-24 hours; Final
– 5 days
5. Releases None For Out Patients: Receptionist/
Claims and receives Laboratory 15 minutes Medical
Laboratory Result/s Result/s: Technologist-in-
– For admitted Charge
5.1 For Out- patients:
MAIN Laboratory patient: Physician-in-
Main Laboratory
Department of 5.1.1 Checks Charge views Department of
Pathology requirements result/s in the Pathology
5.1 For patients on ward through the
personally claiming Releasing of LIS
their laboratory Laboratory
result/s: Result/s.
A. Present a valid
identification 5.1.2 Records
card/ Patient's
document. name,
B. Present OR of examinations
payment/MAP done, date
291
Endorsement and
Letter time of release
5.2 For relatives and in
or other person the Release
authorized by the Logbook
patient: before
A. Must have the patient/
undergone watcher, prints
Triage System. their name,
B. Present a valid affixes
Identification signature
card/ and receives
document laboratory
C. Present an results
identification
card of the 5.2 For admitted
patient with patient/s:
signature Physician-in-
D. Submit a written charge views and
authorization prints laboratory
letter duly results/s in the
signed by the ward and attaches
patient it to patient’s chart
E. Present OR of
Payment /MAP
Endorsement
Letter
( In compliance
with Data Privacy
Act 2012)
TOTAL Refer to 3 Hours, 25

Labora- minutes
tory Microscopy and
Service Parasitology,
Menu. Clinical
Chemistry, Rapid
Serological tests,
Coagulation
test/s
4 Hours, 25
minutes:
Hematology
Tests- CBC,
Column
Agglutination
292
ABO/Rh Typing,
5 Hours 25
minutes:
Seminal Fluid
Analysis, Gram
Stain, KOH,
Sperm
Identification,
Quantitative
Serological Tests
(HIV, CD4,
Hepatitis Profile),
Acid Fast
Staining of other
body fluid except
sputum
Examinations
requiring longer
processing time:
a. LE Prep: 9
hours, 25
minutes
b. PBS and
Malarial Smear –
1 day, 1 hour, 25
minutes
c. Sputum AFS-3
days, 1 hour and
25 minutes
d. Culture and
Sensitivity: initial
- 24 hours, 1
hour, 25
minutes; Final
– 5 days, 1hour,
25 minutes
END OF TRANSACTION
Note :
1. Allow a period of extension of 30 minutes for difficult extraction, uncooperative
patient, MIS Downtime and or power interruption.
out Laboratory request/s Form/s, asks data from patient/relative and fill out request.
For data which cannot be provided by patient/watcher, laboratory request shall be
sent back to Physician-in-Charge for completion.
293
SERVICE MENU: HEMATOLOGY SECTION
validation
1. ABO+ Rh -Column Agglutination 410 3 hours

2. APTT/ Activated Partial Thromboplastin 350 2 hours
Time
3. Bleeding Time, Ivy Method 50 2 hours
4. Bone Marrow Staining 70 3 hours
5. CTBT, slide 100 2 hours
6. CBC platelet (automated) 195 3 hours
7. ESR 150 2 hours
8. L.E Preparation, manual 140 8 hours
9. Malarial Smear 100 24 hours
10. PBS 200 24 hours
11. PT/Prothrombin Time 350 2 hours
12. Reticulocyte Count 195 2 hours
13. D-Dimer 900 3 hours
14. Fibrinogen 800 3 hours
15. Mixing Studies 1200 6 hours
SERVICE MENU: MICROBIOLOGY SECTION
validation
3 working days from submission of 2 nd
1. Acid Fast Stain (AFS), Sputum free sample
2. Acid Fast Stain (AFS), other body fluids 100 4 hours
3. Culture and Sensitivity – Blood 1920 5 days
4. Culture and Sensitivity – CSF/Transudate 1020 5 days
5. Culture and Sensitivity - Respiratory 1020 5 days
6. Culture and Sensitivity – Urine 1020 5 days
7. Culture and Sensitivity – Stool/Rectal 1020 5 days
Swab
8. Culture and Sensitivity – Exudates 1020 5 days
9. Culture and Sensitivity - Miscellaneous 1020 5 days
10. Gram Stain 100 4 hours
11. KOH - for common specimen 100 4 hours
For nail, hair and hard specimen 100 24 hours
12. Sperm Identification 100 2 hours
13.TB Culture: a. Xpert MTB/RIF free within 3 working days
b. Solid Culture for TB free within 8 weeks
growth
14. Molecular Biology Laboratory :PCR Test Private - 48 hours
for COVID-19 3409
Charity -
901
15. Culture Bottle (per bottle)- New 300
294
SERVICE MENU: SEROLOGY SECTION
checking-in of specimen to result
TESTS (Php) validation
1. Anti-HBs, quantitative 600 4 hours
2. Anti-HCV, quantitative 720 4 hours
3. Anti-HBe, quantitative 600 4 hours
4. Anti-HBc IgM, quantitative 600 4 hours
5. Anti HBc Total 600 4 hours
6. Anti-HAV IgM, quantitative 720 4 hours
7. Anti-HIV1/2 300 4 hours
8. Direct Coomb’s test 250 2 hours
9. Dengue Dot 550 2 hours
10. Dengue NS1 Ag 1200 2 hours
11. HBsAg, qualitative 190 4 hours
12. HBsAg, quantitative 600 4 hours
13. HBeAg, quantitative 600 4 hours
14. HBsAg Confirmatory test 1000 4 hours
15. Serologic test for Syphilis 250 4 hours
16. Test for Typhoid Fever (Tubex) 605 2 hours
17. Chikungunya 700 2 hours
18. Dengue NS1 Ag (Quantitative) 1200 2 hours
19. Dengue Dot (Quantitative) 750 2 hours
Test requisition for the following: c/o
HACT
20. CD4 Absolute 1500 4 hours
21. CD4 Percent 1500 4 hours
22. CD4 Absolute and Percent 3000 4 hours
SERVICE MENU: CLINICAL MICROSCOPY AND PARASITOLOGY SECTION

1. APT’s test 150 2 hours
2. Cell/Diff Count of CSF and other Body 100 4 hours
Fluids
3. Fecalysis, routine 90 2 hours
4. Fecalysis with Occult Blood test 140 2 hours
5. Fecalysis with Stool Concentration 140 2 hours
6. Fecal Immunochemical Occult Blood 100 2 hours
Test
7. Fecal pH 150 2 hours
8. Parasite Identification 150 2 hours
9. Pregnancy test 120 2 hours
10 Seminal Fluid Analysis 200 4 hours
11. Stool Concentration 200 2 hours
12. Scotch tape Method 150 2 hours
295
13. Sperm ID in Urine 150 2hours
14. Trichomonas ID, Wet Mount 100 2 hours
15. Urinalysis, 14 parameters including 170 2 hours
microalbumin
16. Urine Specific Gravity 170 2 hours
17. Urinalysis with Pregnancy test 160 2 hours
18. Urine RBC Morphology 170 2 hours
SERVICE MENU: CLINICAL CHEMISTRY SECTIO

Immunochemistry:
validation
1. AFP 700 2 hours
2. ACTH 1500 2 hours
3. CA 19-9 800 2 hours
4. CA 125 800 2 hours
5. CA 153 800 2 hours
6. CEA 700 2 hours
7. Complement Component 3 (C3) 500 2 hours
8. Complement Component 4 (C4) 500 2 hours
9. Free FT3 500 2 hours
10. Free FT4 500 2 hours
11. Free PSA 750 2 hours
12. Follicle Stimulating Hormone (FSH) 650 2 hours
13. Intact PTH 1100 2 hours
14. Luteinizing Hormone (LH) 650 2 hours
15. Procalcitonin 600 2 hours
16. Pro-BNP/ BNP 3000 2 hours
17. Serum Beta HCG 600 2 hours
18. Serum Ferritin 900 2 hours
19. TSH 550 2 hours
20. Total T3 450 2 hours
21. Total T4 450 2 hours
22. Total PSA 900 2 hours
23. Troponin I, quantitative 600 2 hours
24. Troponin I, qualitative 350 2 hours
25. Thyroglobin, serum 1200 2 hours
296
Routine Blood Chemistry
1. Albumin 150 2 hours
2. ACP 250 2 hours
3. ALP 150 2 hours
4. Ammonia , serum 400 2 hours
5. Amylase 200 2 hours
6. ASTO, Quantitative 500 2 hours
7. Bicarbonate, serum 300 2 hours
8. Bilirubin Levels (Direct, Indirect and 300 2 hours
Total)
9. BUN 110 2 hours
10. BUA 150 2 hours
11. Calcium, total 200 2 hours
12. Calcium, Ionized 675 2 hours
13. CPK/CK, Total 250 2 hours
14. CKMB 450 2 hours
15. Cortisol 550 2 hours
16. Creatinine, serum/urine 175 2 hours
17. Creatinine, 24-hr urine 250 2 hours
18. Creatinine Clearance Test (CCT) 300 2 hours
19. C-Reactive Protein (CRP), 550 2 hours
quantitative
20. CSF Glucose 130 2 hours
21. CSF Protein 130 2 hours
22. FBS/RBS/2-Hr PPBS 150 2 hours
23. GGT 400 2 hours
24. G6PD Confirmatory 400 5:00 PM onward of Running Day
(Tue)
25. HBA1c 800 2 hours
26. HDL Cholesterol, Direct Measure 200 2 hours
27. HDL/LDL 400 2 hours
28. Insulin 750 2 hours
29. LDL Cholesterol, Direct Measure 200 2 hours
30. Lactate, serum 650 2 hours
31. LDH 250 2 hours
32. Lipid Profile (TC TG HDL LDL) 700 2 hours
33. Lipase 350 2 hours
34. Lithium 500 2 hours
35. Magnesium, serum 300 2 hours
36. OGTT, 75 gms Glucose Solution 200
37. OGTT including 75gms Glucose 600 4 hours
Solution
38. Phosphorus 250 2 hours
39. Rheumatoid Factor, quantitative 500 2 hours
40. Electrolytes (Na/K/Cl), serum/urine 450 2 hours
297
41. Potassium, serum/urine 150 2 hours
42. Sodium, serum/urine 150 2 hours
43. Chloride, serum/urine 150 2 hours
44. Serum Iron 300 2 hours
45. SGOT/AST 150 2 hours
46. SGPT/ALT 150 2 hours
47. Tests for other Body Fluids
(Amniotic, Ascitic, Peritoneal,
Pleural, Synovial)
a. Albumin 150 2 hours
b. Amylase 200 2 hours
c. Cholesterol, total 150 2 hours
d. Creatinine 175 2 hours
e. Glucose 150 2 hours
f. LDH 250 2 hours
g. Lipase 350 2 hours
h. Total Protein 150 2 hours
i. Triglyceride 150 2 hours
j. Urea Nitrogen 110 2 hours
48. TIBC (Total Iron Binding Capacity) 300 2 hours
49. Triglyceride 150 2 hours
50. Total Cholesterol 150 2 hours
51. Total Protein, serum 150 2 hours
51. TPAG (Total Protein, Albumin, A/G 250 2 hours
Ratio)
53. 24-Urine Albumin 200 2 hours
54. Urine Protein, 24 Hours 150 2 hours
298
7.Service Under Special Condition – Pcr Testing For Sars-
Cov- 2 For Patients Not Classified In The Risk Sub-Group A
To F.
This procedure covers receipt of laboratory request, collection of specimen, charging of

fees, processing and releasing of results of PCR Testing for Sars-Cov-2 for Out/Walk-in
patient/s who are not included in the Risk Sub-Group Classification A-F based on the DM
2020-258. Collection of specimen is from 8:00AM to 12:00 NN Monday to Friday.
Releasing of results is after 48 hours, anytime of the day.
Office or Division: Department of Pathology (Molecular Biology Laboratory) - Medical

Type of
G2C, G2G
Transaction:
Patient/s who are not included in the Risk Sub-Group
Who may avail: Classification A-F (DM 2020-0258: DOH Interim Guidelines on
Expanded Testing for Covid-19).
1. One (1) Laboratory Request Form and
Case Investigation Form (CIF)
2. One (1) Original Identification Card –
Government issued ID’s, Company ID 1. Physician-in-Charge
with
picture 2. Corresponding Government
3. For Indigent/NBB: office, Company/Employer
a. One (1) Original and one (1) photocopy
each 3. Malasakit Center/Medical Social
of Endorsement Letter, Medical Service(MSS), 1st Flr OPD Bldg,
Assistance BGHMC
Program/PhilHealth Availment Form
Social Service(MSS)
4. If patient is unable to claim Result: 4. Authorization Letter - From patient; SPA -
a. One (1) Original Authorization Letter or from Lawyer
Special Power of Attorney (SPA),
patient
c. One (1) Original Identification Card of
authorized person who will claim the
result.

1.Submits Accepts and checks None 10 minutes Receptionist/
Laboratory completeness of Medical
Request form Laboratory Request Technologist-in-
or Form Charge
completes/provi
299
des data MAIN
needed in the Laboratory
Laboratory Department of
Request Form Pathology
-
Main Reception
Area
-
For Admitted Proceeds to the For Admitted
patients: patient’s ward, patients:
Ward Nurse accepts and checks Surveillance
calls completeness of nurse-on-duty
Surveillance Laboratory Request
Nurse-on-duty Form
2. Charges laboratory Pay Patient: 30 minutes Receptionist/

Waits for fee/s; Php Medical
Charge Slip and 2.1 For Out Patient/s: 3,409.00 Technologist-in-
Pays laboratory Prints and issues Charge
fee/s charge slip and asks Service
patient/watcher to Patient: MAIN
- pay laboratory fee/s Php 901.00 Laboratory
Main Reception Department of
Area 2.2 For Admitted Pathology
Patient/s: Laboratory
- fees are added to the
Cashier hospital bills. Cashier-on-Duty
Finance
Division
3. 3.1 Checks and None 30 minutes Receptionist/
For OPD copies OR Medical
patients: number/Guarantee Technologist-in-
Submits Official Letter and instruct Charge
Receipt (OR) patient to proceed to
and or proceed Swabbing Area MAIN
to Swabbing for Specimen RECEPTION
Area for Collection Department of
Specimen Pathology
Collection
–
Main Reception
Area
- 3.2 Checks Molecular
Swabbing Area completeness of CIF Laboratory
for Sars-Cov-2 3.3 Collects Medical
specimen Technologist-on
duty
For Admitted
300
patients: For Admitted
Collection of patients:
specimen in the Surveillance
patient’s respective nurse-on-duty
ward.
4. 4.1 Checks-in None 2 days Medical

Allows specimen Technologist-
specimen to be on-Duty
processed and 4.2 Process
waits for the specimen. Pathologist,
availability of Resident /
Laboratory Consultant-in-
Result Charge
- Refer to Work Molecular

Molecular Instruction/s of Laboratory,
Laboratory, laboratory test Department of
Department of requested. Pathology
Pathology
5. Releases Laboratory None For Out Patients: Receptionist/
Claims and Result: 15 minutes Medical
receives Technologist-in-
Laboratory 5.1 For Out-patient: Charge
Result 5.1.1 Checks
– requirements on
MAIN Releasing of Main Laboratory
Laboratory Laboratory Department of
Department of Result/s. Pathology
Pathology
5.1 For patients 5.1.2 Records
personally Patient's name,
claiming their examinations
laboratory done, date and
result/s: time of release in
A. Present a the Release
valid Logbook before
identificatio the patient/
n watcher, prints
card/ their name,
document. affixes signature
B. Present OR and receives
of payment/ laboratory
MAP result
Endorsement
Letter For admitted For Admitted
patient/s: prints patients:
5.2 For relatives laboratory results Surveillance
and or other and attaches it to Nurse-on-duty
301
person patient chart
authorized by
the
patient:
A. Present a
valid
Identificati
on
card/
document
B. Present an
identification
card of the
patient with
signature
C. Submit a
written
authorization
letter duly
signed by
the patient
D. Present OR
of Payment
/MAP
Endorsement
Letter
(In compliance
with Data
Privacy Act
2012)
TOTAL: PHP 2 days,1 hour,
3,409.00 25 minutes
PHP
901.00
END OF TRANSACTION
Note:
1. Allows a period of extension of 30 minutes for uncooperative patient, MIS Downtime
and or power interruption.
out Laboratory Request/s Form/s, asks data from patient/relative and fill out
request. For data which cannot be provided by patient/watcher, Laboratory
Request shall be sent back to Physician-in-Charge for completion.
3. Specimen collection of patients for Sars-Cov-2 testing classified under the Risk
Sub-Group A to F based on the DM 2020-258 are done by the Surveillance Nurses
of the Hospital.
302
8.Service: Service Under Special Condition – PCR Testing for
Sars-Cov- 2 for Patients Classified in the Risk Sub
Group A to F.
This procedure covers receipt of laboratory request, collection of specimen, charging of

fees, processing and releasing of results of PCR Testing for Sars-Cov-2 for Out/Walk-in
and admitted patient/s who are included in the Risk Sub-Group Classification A-F based
on DOH Memorandum Circular 2020-258. Collection of specimen and releasing of results
are8:00AM to 5:00 PM Monday to Sunday.
Hospital Epidemiological Surveillance Unit (HESU) and

Office or Division:
Department of Pathology (Molecular Biology Laboratory)
Patient/s who are included in the Risk Sub-Group Classification
Who may avail: A-F (DM 2020-0258: DOH Interim Guidelines on Expanded
Testing for Covid-19)
A. UPON AVAILMENT OF TEST:
1. One (1) Laboratory Request Form 1&2. From a Physician upon consultation
2. Case Investigation Form (CIF) duly
accomplished/filled out
3. Philhealth Identification Number or 3. Philhealth Office/ PCARES office in a
Philhealth Availment Form if not yet Hospital, if there is
enrolled in Philhealth
4. One (1) Original Identification Card 4. Corresponding government
– office, Company/Employer
Government or Company issued IDs
with
picture
5. Patient
B. UPON CLAIMING OF RESULT:
5. One(1) Original Identification Card
6 Authorization letter - From patient
If Patient is unable to claim result: SPA - from Lawyer
6. One (1) Original Authorization Letter 7.Authorized Claimer
or
Special Power of Attorney (SPA) if
7. One (1) Original Identification Card
of
authorized person who will claim the
result
303
CLIENT STEPS AGENCY FEES TO PROCESSING PERSON
ACTION BE PAID TIME RESPONSIBLE
1. Accepts and None 10 minutes Surveillance
Submits checks validity of Nurse-on-Duty
requirements documents
a. For outpatients,
proceed to
swabbing area at
Molecular Biology
Laboratory
b. For in-patients,
the ward Nurse-
on-Duty
inform/call
surveillance
Nurse-on-Duty
2. Submits Collects specimen None 5 minutes Surveillance
himself/herself for and submits to Nurse-on-Duty
specimen Molecular Biology
collection Laboratory
3. Wait for results a. Processes the None Within 48 hours Medical
specimen from receipt of Technologist-on-
b. Prepares specimen Duty
official
result Pathology
Resident /
Consultant-in-
Charge
4.Claim Results Releases Result None 5 minutes Surveillance

Nurse-on-Duty
*For in patients,
results shall be
forwarded to
respective wards
TOTAL: None 2 days,20
minutes
END OF TRANSACTION
Note: Patients belonging to the Subgroup F who cannot go to the swabbing area in front of
the Molecular Biology Laboratory may be accommodated in the swabbing area in front of
the Main Laboratory.
304
Medical Service
Psychiatry
External Service
305
1.Neuropsychiatric Evaluation Report Process during the
COVID19 Pandemic
This refers to the process of determining the presence or absence of a mental disorder in
a client for a purpose other than treatment during the COVID19 pandemic. This excludes
evaluations for nullity of marriage and adoption purposes.
Office Or Medical – Psychiatry
Division:
Type Of
G2C
Transaction:
Who May Avail All who request for psychiatric evaluation report
CHECKLIST OF REQUIREMENT WHERE TO SECURE
Court order for forensic cases Referring court
Referral form/checklist/letter from Referring agency
requesting agency (to include reason/s for
referral)
Interview/s with collateral informant/s (as Client
necessary)
BOOM Triage stamp of approval BOOM Triage Nurse
Results of ancillary procedures, evaluation Service provider
from other services (as necessary)
Information Blotter
Consent/assent for: Psychiatry department
- Psychiatric Evaluation*
- Prior to the Collection of Personal
Information
Waiver of confidentiality*
Psychiatric History, PE and MSE
Follow-Up Consultation/s
Psychiatry OPD Triage Form
Psychological Test Results
CLIENT STEPS AGENCY FEES PROCESSING TIME PERSON
ACTION TO BE RESPONSIBLE
PAID
Step 1: Issues schedule None 15 minutes Administrative
Set Appointment of Psychological Clerk
For Testing testing for
appointment to
client personally
or via FB
messenger or
hotline
Step 2: None 10 minutes BOOM Triage

Go To Boom Approves client Nurse-on-duty
Triage For entry to hospital
Approval Of Entry premises upon
verification of
306
appointment
Step 3: Assesses None 15 minutes Psychiatry

Proceed To patient’s resident-on-duty
Psychiatry COVID19 status
Covid19 Triage and issues
For Clearance And Psychiatry OPD
Secure Charging Triage Form and
Slip charging slip
Step 4: - Client is PhP 30 minutes Cashier
Pay Fees At The directed to 300.00
Cashier the cashier for
psychol
ogical
testing
PhP
300.00
for
psychia
try
consult
ant
evalua-
tion
Step 5: - Provides None 15 minutes Psychologist
Proceed To instructions,
Psychiatry Opd Consent form
For Processing Of Prior to the
Required Collection of
Documents Personal
Information,
waiver of
confidentiality,
and charge
slip
Step 4: - Client is None 8 hours Psychologist
Accomplish administered
Psychological pencil and
Tests paper
psychological
tests
Step 5: None 72 hours Psychologist
Release Of
Psychological Test
Results
Step 6: - Client is 16 days Psychiatry
Proceed For scheduled for consultant/
Psychiatric psychiatric Resident-on-duty
307
Interview interview and
release of
neuropsychiat
ric evaluation
results
TOTAL: PHP 19 Days 9 Hours 25
600.00 Minutes
END OF TRANSACTION
308
2.Psychiatric Outpatient Consultation
The process of assessment and treatment of clients with behavioral disturbance at the
outpatient section of the department of Psychiatry during the COVID19 pandemic.
Office Or Division: Medical – Psychiatry
Type Of
G2C
Transaction:
Who May Avail: All who request for psychiatric consultation
CHECKLIST OF REQUIREMENT WHERE TO SECURE
Legal Guardian (as necessary) c/o client
collateral informant (as necessary)
Referral form/checklist/letter from requesting Referring Agency
agency (as necessary)
BOOM triage stamp of approval BOOM triage nurse
Results of Ancillary Procedures (as necessary) Service Provider/s
Information Blotter
Consent/assent for Outpatient Consultation
Psychiatric History, PE and MSE

Follow-Up Consultation (as necessary)
Prescription (as necessary)
Discharge Instruction (as necessary) Psychiatry Department
Results of Referral to other service/s (as
necessary)
Physician’s Order for depot Antipsychotic
Drugs (as necessary)
Psychiatry OPD Triage Form
CLIENT STEPS AGENCY FEES TO PROCESSING PERSON
ACTION BE PAID TIME RESPONSIBLE
Step 1: Issues None 10 minutes Administrative
Set Schedule For schedule for Clerks
Appointment appointment
(face-to-face or
virtual consult)
through FB
messenger or
hotline
Step 2: Approves None 10 minutes BOOM triage
Go To Boom client entry to nurse
Triage For hospital
Approval Of Entry premises upon
verification of
appointment
Step 3: Assesses None 15 minutes Resident
Proceed To patient’s physician
Psychiatry COVID19
Covid19 Triage status and
issues
309
Psychiatry OPD
Triage Form
Step 4: Register New 15 minutes Administrative
Proceed To patients in the patients: Clerk
Registration At Information Php. 50.00
Psychiatry Triage Blotter Form for issuance
Area and HOMIS of OPD card.
Provide Follow-up
Consent/Assent with OPD
Forms for Card: None
Outpatient
Consultation Lost OPD
and Card: Php.
20.00
(replacement
fee)
Step 5: Psychiatric None 45 minutes Resident
Consult With History, Physician
Psychiatry Physical
Resident At Examination
Psychiatry Opd and MSE
Pertinent
Findings
Physical
Examination
Assessment
Plan
Step 6: Issuance of None 30 mins. Resident

Wait For Prescription/s, Physician
Disposition
Discharge
Instruction
Medical
Certificate and/
abstract (as
requested)
Plan
*For admission
or referral to
ER/ other
310
services:
transfer to
needed service
provider
TOTAL: PHP 2 Hours and 5

70.00 Minutes
END OF TRANSACTION
311
Medical Service
Radiation Oncology
External Service
312
1. Radiation Therapy: External Beam Radiation Therapy and
Brachytherapy
Radiation therapy is a type of cancer treatment that uses beams of intense energy to kill
cancer cells.
Office or Division: Medical – Radiation Oncology

Type of G2C – Transacting Public
Transaction:
Who may avail: All
REFERRAL LETTER REFERRING DOCTOR CLINIC
HISTOPATHOLOGY REPORT PATHOLOGY DEPARTMENT
PREVIOUS IMAGING RESULTS IMAGING DEPARTMENT
LATEST LABORATORY RESULTS LABORATORY DEPARTMENT
MEMBER DATA RECORD PHIC
Gets number for
registration registration to
number from client
security guard 1.2 Instructs client to
and waits for wait for number to
number to be be called
called
2. TRIAGING, 2.1 Assesses for None 2 Minutes Triage Staff /
REGISTRATIO COVID-19 Registration
N, AND symptoms and for Officer
QUEUEING travel history. If
FOR with symptoms,
ASSESSMENT instructs to
- States proceed to the
presence of garden triage area
COVID-19 2.2 Identifies the
symptoms reason for visit
and travel and determines
history the clinical area of
- States the assignment
reason for 2.3 Registers client in
visit the HOMIS
- Provides 2.4 Issues queue
personal number to client
information for assessment
to the
313
registration
officer
- Receives
queue
number for
assessment
3. PSYCHOSOCIA 3.1 Interviews and None 15 minutes Medical Social
L ASSESSMENT classifies client Worker
- Submits self
for interview
TAKING client’s vital signs
- Submits self
for taking of
vital signs
like
temperature,
blood
pressure,
cardiac rate,
and
respiratory
rate
5. Evaluation and 5.1 Receive and None 1 Hour Medical Officer III
Scheduling of review referral / Staff
Consultation letter and other
documents
6. Consultation and 6.1 Procedure is None 1 Hour Radiation
Scheduling of CT explained to Oncologist
Simulation/ patient Nurse
Brachytherapy 6.2 Educate the
patient about
radiation therapy
6.3 Accomplish
required
clearances and
schedule CT
Simulation
7. PHIC Evaluation 7.1 Forward schedule None 1 hour Billing CLERK
and Clearance to billing for
eligibility
8. CT Simulation/ 8.1 IV insertion CT Plain - 2 Hours Radiologic
Brachytherapy 8.2 CT Scan Php13,500 Technologist
8.3 Clearance CT with Nurse
8.4 History of the Contrast – Medical Officer III
patient Php15,345 Administrative
Aide
Brachy
initial –
Php
314
11,445
9. Planning 9.1 Target volume None 15 days Radiation

contouring Oncologist
9.2 Design and Health Physicist
calculation of
radiation therapy
treatment plan
10. Treatment Set 10.1 Patient is Php9,600 2 Hours Radiation
Up positioned in Oncologist
relation to the Health Physicist
approved Radiologic
treatment plan for Technologist
target localization
11. Treatment 11.1 Patient is 2D/3D – 2D/3D – 15mins Radiation
positioned based Php2,200 IMRT- 30mins Oncologist
on the treatment daily Health Physicist
set-up then daily IMRT – Brachytherapy – Radiologic
prescribed Php4,000 90 mins Technologist
Nurse
treatment dose be daily Administrative
administered Brachyther Aide
apy-
Php9,600
per fraction
12. Billing 12.1 Patient is NONE 5 MINUTES Billing CLERK
given a discharge
clearance
summary and
charge slip and
submits it to Billing
TOTAL: 15 DAYS 8
HOURS 5 MIN
END OF TRANSACTION
315
Medical Service
Radiology
External Service
316
1.X-RAY- TRIAGE
Performing of X-RAY Procedure at the Triage Area (24/7 Operation)
Office or Division: RADIOLOGY

Transaction:
Who may avail: All
Patient Request/Radiology Patient Request Attending Physician
Referral Forms Attending Physician
Charge Slip Radiologic Technologist
Official Receipt Cashier Personnel
Social Service action Social Service Personnel
Letter of Authorization Patient
X-ray Registration Form Radiologic Technologist
X-ray Result Radiologic Technologist/ Clerk/Ward Assistant
Consent Form Radiologic Technologist/ Attending Physician
1. Present request 1.3 Receive request None 15 minutes Laboratory Staff
to Laboratory and charge on Duty
Staff on Duty accordingly.
1.4 Instruct patient to
pay at the Cashier
and proceed to
Flavier emergency
x-ray room.
2. Proceed to 2.1 Cashier shall See Price 15 minutes Cashier clerk on
cashier and receive the charge List/ Duty
present the slip and payment, Charge
charge slip and and issue official Slip
give payment, receipt and
and received change if
Official Receipt any.(Refer to
and change if Cashier’s Office
any. Citizens Charter)
3. After payment 3.1 Receive and See Price 5 minutes Radiologic
,proceed to evaluate request List/ Technologist
Flavier form. Charge
emergency X-ray Slip
room, present 3.2 Inform the patient
request with that regarding
official receipt to releasing of results
RT STAFF on are as follows:
duty
Mon-Fri:
317
8:00 AM-12:00 PM:
2:00 – 4:00 PM only
12:01 PM onwards:
The following working
day (10:00AM-
12:00PM only).
Sat: Patients x-rayed
on this day
The following working
day (10:00AM-
12:00PM only).
Sundays and
Holidays:
No release of X-ray
results for OPD
3.3 Log patients name

and examination in
the X-RAY
registration Form.
4. Proceed to X- 4.1 Prepare the CT- None 30 minutes Radiologic

RAY TRIAGE SCAN Room. Technologist
ROOM for the 4.2 Call the patient.
examination. 4.3 Instruct the patient
to wear gown and
remove
unnecessary body
accessories.
4.4 Perform the CT-
SCAN procedure.
4.5 After the
Procedure instruct
the patient in the
waiting area.
5. Proceed to 5.1 Process or None 10 minutes Radiologic
waiting area generate x-ray Technologist
further images thru
instructions. computerized
radiography
system images.
5.2 Evaluation of x-ray
images (quality
assurance), send
to picture archiving
and
communication
system
5.3 Inform patient to
318
come back for the
Result.
1. Request Forms are None 4 hours Radiology
sent to the Reading Resident/
Room for the Radiologist
following: Consultant
-x-ray images reading
-interpretation and
proof reading
2. Type or Encode X-
RAY result
6. Present Official 6.1 Receive Official None 10 minutes Radiologic

Receipt to RT Receipt and verify Technologist
Staff on patient /clerk
Duty/Ward identification.
assistant on Duty 6.2 Let the patient
sign the receiving
Note: for patient result and Result
who are unable to Logbook.
come personally for 6.3 Release Official
the result, Result to Patient
Present and return the
Authorization Letter official receipt.
of the patient with ID
and ID of the bearer
TOTAL: 5 hours, 35
minutes
END OF TRANSACTION
319
2. MAMMOGRAPHY
Performing of Mammography Procedures At The Flavier Building

Transaction:
Who may avail: All
Mammography Registration Form Radiologic Technologist
Mammography Result Radiology Resident Mammo Rotator ,Radiologic
Technologist/ Clerk/Ward Assistant
1. Present request 1.1 Receive and None 20 minutes Radiologic
to RT Staff on evaluate request Technologist on
Duty form. Duty
1.2 Return in
complete request
form.
1.3 Inform the patient
that regarding
releasing of
results are as
follows:
-Results will be
released after 24
hours
-No release of X-
ray results for
OPD during week
end and holidays.
1.4 Charge procedure
to patients
account.
1.5 Print and issue
charge Slip/s to
patient.
1.6 Logged patients
name and
examination in the
320
X-RAY registration
Form.
6.4
2. After payment, 2.1 Receive and See Price 5 minutes Radiologic

return to check Official List/ Technologist
mammography Receipt. Charge
section and 2.2 Log Official Slip
Present Official Receipt Number
Receipt to RT in the Registration
STAFF on duty Form then return
the Official
Receipt.
3. Proceed to Cashier shall receive See Price 15 minutes Cashier clerk on
cashier and the charge slip and List/ Duty
present the payment, and issue Charge
charge slip and official receipt and Slip
give payment , change if any. (Refer
and received to Cashier’s Office
Official Receipt Citizens Charter)
and change if
any.
4. Proceed to 4.1 Prepare the None 30 minutes Radiologic
mammography Radiographic Technologist
waiting area and Room.
wait for name to 4.2 Call the patient in
be called the the
mammographic mammography
Room. waiting area.
4.3 Instruct the patient
to wear gown and
remove
unnecessary body
accessories.
4.4 Perform the
mammography
procedure.
4.5 After the
Procedure Instruct
the patient to wait
in the waiting
area.

waiting area and generate x-ray Technologist
wait for further images thru
321
radiography
system images.
5.2 Evaluation of x-
ray images
(quality
assurance), send
to picture
archiving and
communication
system
come back for the
Result.
NOTE:
Images requiring
additional views client
STEP 4 is repeated.
1. Request Forms are None 24 hours Radiologist (Breast

sent to the Reading Specialist)
Radiology Resident
Room for the Mammo Rotator
following:
-x-ray images reading
-interpretation and
proof reading
2. Type or Encode
mammography result
TOTAL: 1 day, 1 hour,

20 minutes
END OF TRANSACTION
322
3. Performing MRI Procedure at the Flavier Building (24/7)
Magnetic Resonance Imaging (MRI)
Performing MRI Procedure at The Flavier Building (24/7 Operation).

Transaction:
Who may avail: All
MRI Registration Form Radiologic Technologist
MRI Result Radiologic Technologist
Laboratory Results Laboratory
1. Present request 1.1 Receive and Please see 30 minutes Radiologic
to RT Staff on evaluate request MRI Technologist/
Duty form. pricelist Radiology
1.2 Return incomplete Resident MRI
request form. Rotator
regarding
releasing of results
are as follows:
Mon-Fri: 8:00 AM-
5PM
Saturdays,
Sundays and
Holidays:
No release of MRI
results for OPD
to patients
account.
1.5 Print and issue
charge Slip/s to
patient.
1.6 Log patients name
and examination in
the MRI
registration Form.
323
give payment, receipt and
and receive change if any
Official Receipt (Refer to Cashier’s
and change if Office Citizens
any. Charter)
3. After payment, 3.1 Receive and See Price 5 minutes Radiologic

return to MRI check Official List/ Technologist
section and Receipt. Charge
Present Official 3.2 Log Official Slip
Receipt to RT Receipt Number in
STAFF on duty the Registration
Form then return
the Official
Receipt.
4. Proceed to MRI 4.1 Prepare the MRI None 2 hours Radiologic

waiting area and Room. Technologist
wait for name to 4.2 Call the patient in
be called. the MRI waiting
area.
to wear gown and
remove
unnecessary body
accessories.
4.4 Perform the MRI
procedure.
4.5 After the
Procedure instruct
the patient to the
waiting area.
waiting area for generate MRI Technologist
further images thru
radiography
system images.
5.2 Evaluation of MRI
images (quality
assurance), send to
picture archiving
and communication
system
324
come back for the
Result.
1. Request Forms None 5 working days Radiology

are sent to the Resident/
Reading Room for Radiologist
the following: Consultant
- MRI images
reading
- Interpretation
and proof
reading
2. Type or Encode
MRI result
6. Present Official 6.1 Receive Official None 10 minutes Radiologic

Receipt to RT Receipt and verify Technologist
Staff on Duty patient
identification.
Note: For patient 6.2 Let the patient
who are unable to sign the duplicate
come personally for result and Result
the result, Present Logbook.
Authorization Letter 6.3 Release Official
of the patient with ID Result to Patient
and ID of the bearer and return the
official receipt.
TOTAL: 5 days 3 hours

10 minutes
END OF TRANSACTION
325
4. Performing X-RAYProcedure at the Out Patient Department
(24/7 Operaion)
Performing of X-RAY Procedure at the Out Patient Department (24/7 Operation)

Transaction:
Who may avail: All
X-ray Result Radiologic Technologist/ Clerk/Ward Assistant
1. Present request 1.1 Receive and None 20 minutes Radiologic
to RT Staff on evaluate request Technologist on
Duty/Ward form. Duty
assistant on Duty 1.2 Return in complete
request form.
that regarding
are as follows:
Mon-Fri:
8:00 AM-12:00
PM: 2:00 – 4:00
PM only
12:01 PM
onwards: The
following working
day (10:00AM-
12:00PM only).
Sat: Patients x-
rayed on this day
The following
working day
(10:00AM-
12:00PM only).
Sundays and
Holidays:
326
No release of X-
ray results for
OPD
to patients
account.
1.5 Print and issue
charge Slip/s to
patient.
1.6 Logged patients
name and
examination in the
X-RAY registration
Form.
give payment , receipt and
and received change if
Official Receipt any.(Refer to
and change if Cashier’s Office
any. Citizens Charter)
3. After payment , 3.1 Receive and See Price 5 minutes Radiologic
return to X-Ray check Official List/ Technologist
section and Receipt. Charge
Present Official 3.2 Log Official Slip
Receipt to RT Receipt Number in
STAFF on duty/ the Registration
Ward Assistant Form then return
the Official
Receipt.
4. Proceed to X- 4.1 Prepare the None 30 minutes Radiologic
RAY ROOM for Radiographic Technologist/
the examination. Room. Resident
4.2 Call the patient in Radiologist/
the X-RAY waiting Radiologist
Consultant
area.
to wear gown and
remove
unnecessary body
accessories.
4.4 Perform the X-
RAY procedure.
4.5 After the
Procedure instruct
the patient to the
waiting area.
327
waiting area for generate x-ray Technologist
further images thru
radiography
system images.
5.2 Evaluation of x-ray
images (quality
assurance), send
to picture archiving
and
communication
system
come back for the
Result.
1. Request Forms None 4 hours Radiology

are sent to the Resident/
Reading Room for Radiologist
the following: Consultant
- X-ray images
reading
- Interpretation
and proof
reading
2. Type or Encode X-
RAY result
TOTAL: 5 hours, 30
minutes
END OF TRANSACTION
328
5. CT SCAN- COVID
PERFORMING OF COVID PROCEDURES IN THE CT-SCAN SECTION

Transaction:
Who may avail: All
CT-SCAN Registration Form Radiologic Technologist
CT SCAN Result Radiology Resident CT-Scan Rotator
,Radiologic Technologist/ Clerk/Ward Assistant
Consent Form Radiologic Technologist
Laboratory Result Laboratory
1. The Requesting 1.1 Request forms None 1 hour Radiologic
Physician shall evaluate and Technologist
coordinate the price/charge.
requested 1.2 Secure informed Radiology
Resident CT
procedure with consent (for AI
Scan Rotator
request form (2 and special
copies) to the procedure).
Radiology 1.3 The request form
Resident on duty. are logged on the
day of the
procedure
PERFORM THE CT 2hours Radiologic

None
SCAN PROCEDURE Technologist
IMAGES ARE
Radiologic
EVALUATED AND None 10 minutes Technologist
PROCESSED
PROCESS OR
GENERATE
CT SCAN IMAGES
Radiologic
THRU None 30 minutes
Technologist
COMPUTERIZED
RADIOGRAPHY
SYSTEM IMAGES
329
SENT TO PICTURE
ARCHIVING AND
COMMUNICATION
SYSTEM
CT IMAGES None 48 hours Radiologist CT
READING/ Scan Consultant;
INTERPRETATION Radiology
AND PROOF Resident CT
READING Scan Rotator
None 20 minutes Radiologist CT
Scan Consultant;
ENCODE/ SAVE TO
Radiology
FILES Resident CT
Scan Rotator
None 10 minutes Radiologic
RELEASING OF
Technologist/
RESULT clerk
TOTAL: None 6 hours, 10
minutes
END OF TRANSACTION
330
6. CT SCAN PROCEDURE
PERFORMING OF COVID PROCEDURES IN THE CT-SCAN SECTION

Transaction:
Who may avail: All
CT-SCAN Registration Form Radiologic Technologist
CT SCAN Result Radiology Resident CT-Scan Rotator
,Radiologic Technologist/ Clerk/Ward Assistant

1. Present request 1.1 Receive and Please see 30 minutes Radiologic
to RT Staff on evaluate request CT-SCAN Technologist/
Duty on Duty form. Pricelist Radiology
1.2 Incomplete Resident CT
Scan Rotator
request form shall
be asked to be
completely filled in
by the requesting
physician.
about the
schedule that are
as follows:
Simple: 48 hours
Moderate: 3
working hours
Hard: 5 working
days
Note: No releasing
of results on
Sundays and
Holidays.
***For patients that
are financially
incapable,
331
procedure shall be
charged and
patient/watcher
shall be advised to
proceed to the
SOCIAL SERVICE
for appropriate
action.
***Print and issue
charge Slip to
patient.
SCHEDULING OF None 1 hour Radiologic
PROCEDURE Technologist
2. Proceed to 2.1 WATCHER / None 1 hour Cashier/Social
cashier and PATIENT TO worker
present the PAY AT
charge slip with CASHIER on
the payment, and scheduled date
wait for the of procedure.
Official Receipt ***For patients
and change if that are
there is any. financially
incapable, check
SOCIAL
SERVICE action.
2a: FOR Pharmacist

CONTRAST
Proceed to the
Pharmacy
present the
Charge Slip and
Official receipt
or SOCIAL
SERVICE
Endorsement
(MALASAKIT/D
SWD/ PCSO
etc.), get the
required
CONTRAST
MEDIA
3. Proceed to CT 3.1 The request form None 10 minutes Radiologic
SCAN is logged on the Technologist/
information, day of the Radiology
present the procedure secure Resident CT-
SCAN Rotator
Official Receipt informed consent
and/or (special
332
CONTRAST procedure)
MEDIA, proceed
to waiting area
for further
instruction.
4. Proceed to CT 4.1 Perform the CT None 2 hours Radiologic
SCAN room for scan procedure Technologist
the procedure. 4.2 After procedure
instruct patient to
waiting area.
1. Images are None 30 minutes Radiologic
evaluated, and Technologist
processed.
2. Processed or
generated
CT scan images
thru computerized
radiography
system images are
sent to picture
archiving and
communication
system.
3. Inform patient to
come back for the
Result.
CT images reading/ None Simple: Radiologist CT
interpretation and 48 hours Scan Consultant;
proof reading Moderate: Radiology
3 working days Resident CT
Encode/ save to files Hard: Scan Rotator
5 working days
20 minutes
TOTAL: None 5 working days

5 hours and 50
minutes
END OF TRANSACTION
333
7. Performing of X-Ray procedure at the Flavier Building
(24/7 operation).
Office or Division: Radiology

Who may avail: All
Patient Request/Radiology Patient Attending Physician
Request
X-ray Result Radiologic Technologist/ Clerk/Ward
Assistant
CLIENT STEPS
STEP 1: CASH BASIS 1. Receive and None 20 minutes Radiologic

Present request to RT evaluate Technologist on
Staff on Duty/Ward request form. Duty
assistant on Duty 2. Return in
complete
request form.
3. Inform the
patient that
regarding
releasing of
results are as
follows:
Mon-Fri:
8:00 AM-12:00
PM: 2:00 – 4:00
PM only
12:01 PM
onwards: The
following
working day
(10:00AM-
12:00PM only).
Sat: Patients x-
334
rayed on this
day
The following
working day
(10:00AM-
12:00PM only).
Sundays and
Holidays:
No release of X-
ray results for
OPD
4.Charge
procedure to
patients
account.
5. Print and
issue charge
Slip/s to patient.
6. Logged
patients name
and
examination in
the X-RAY
registration
Form.
***For patients
that are
financially
incapable,
procedure shall
be charged and
patient/watcher
shall be advised
to proceed to
the SOCIAL
SERVICE for
appropriate
action.
***Print and
issue charge
Slip to patient.
STEP 2: Cashier shall See Price 15 minutes Cashier clerk on
Proceed to cashier and receive the List/ Duty
present the charge slip charge slip and Charge
and give payment , payment, and Slip
and received Official issue official
Receipt and change if receipt and
any. change if
335
any.(Refer to
Cashier’s Office
Citizens
Charter)
STEP 3: 1. Receive and See Price 5 minutes Radiologic

After payment , return check Official List/ Technologist
to X-Ray section and Receipt. Charge
Present Official 2. Log Official Slip
Receipt to RT STAFF Receipt Number
on duty/ Ward in the
Assistant Registration
Form then
return the
Official Receipt.
STEP 4: 1. Prepare the None 30 minutes Radiologic
Proceed to X-RAY Radiographic Technologist/
waiting area and wait Room. Resident
for name to be called 2. Call the Radiologist/
Radiologist
the Radiographic patient in the X-
Consultant
Room. RAY waiting
area.
3. Instruct the
patient to wear
gown and
remove
unnecessary
body
accessories.
4. Perform the
X-RAY
procedure.
5. After the
Procedure
Instruct the
patient to
proceed to
waiting area.
STEP 5: 1. Process or None 10 minutes Radiologic
Proceed to waiting generate Technologist
area for further x-ray images
instructions. thru
computerized
radiography
system images.
2. Evaluation of
x-ray images
(quality
336
assurance),
send to picture
archiving and
communication
system
3. Inform patient
to come back
for the Result.
1. Request
Forms are sent
to the Reading
Room for the
following:
-x-ray images
reading
-interpretation
and proof
reading
2. Type or
Encode X-RAY
result
STEP 6: 1.Receive None 10 minutes Radiologic

-Present Official Official Receipt Technologist
Receipt to RT Staff on and verify /clerk
Duty/Ward assistant patient
on Duty identification.
2. Let the
Note: for patient who patient sign the
are unable to come receiving result
personally for the and Result
result, Logbook.
Present Authorization 3. Release
Letter of the patient Official Result
with ID and ID of the to Patient and
bearer return the
official receipt.
TOTAL: See Price 5 Hours 30

List/ Minutes
Charge
Slip
END OF TRANSACTION
337
8. Performing of Ultrasound Procedure at The Flavier Building
Office or Division: Radiology

Who may avail: All
Patient Request/Radiology Patient Attending Physician
Request
Ultrasound Registration Form Radiologic Technologist
Ultrasound Result Radiology Resident Ultrasound Rotator
,Radiologic Technologist/ Clerk/Ward
Assistant
CLIENT STEPS
STEP 1: 1. Receive None 10 minutes Radiology

Present request to RT and evaluate Resident
Staff on Duty request form. Ultrasound
2. Return in Rotator
/Radiologic
complete
Technologist
request form.
3. Inform the
patient that
results will be
released
30minutes
after the
procedure.
4.Charge
procedure to
patients
account.
5. Print and
issue charge
Slip/s to
patient.
6. Log patients
name and
examination in
the X-RAY
338
registration
Form.
STEP 2: Cashier shall See Price 15 minutes Radiologic

Proceed to cashier and receive the List/ Technologist
present the charge slip charge slip Charge
and give payment , and and payment, Slip
receive Official Receipt and issue
and change if any. official receipt
and change if
any.(Refer to
Cashier’s
Office Citizens
Charter)
STEP 3: 1. Receive See Price 10 minutes Cashier
After payment , return to and check List/
Ultrasound section and Official Charge
Present Official Receipt to Receipt. Slip
RT STAFF on duty/ Ward 2. Log Official
Assistant Receipt
Number in the
Registration
Form then
return the
Official
Receipt.
STEP 4: 1. Prepare the None 30 minutes Radiologic
Proceed to Ultrasound Ultrasound Technologist
Room for the Room. Radiology
Examination. 2. Call the Resident
Ultrasound
patient in the
Rotator
ultrasound
waiting area.
3. Instruct the
patient to wear
gown and
remove
unnecessary
body
accessories.
4. Perform the
ultrasound
procedure.
5. After the
Procedure
instruct the
339
patient to the
waiting area.
STEP 5: 1. Process or None 5 minutes Radiology

Proceed to waiting area generate Resident
for further instructions. Ultrasound Ultrasound
images and Rotator
Send to
Radiologic
picture Technologist
archiving and
communicatio
n system
2. Inform
patient to
come back for
the Result.
STEP 6: 1.Receive None 1 hour Radiologic

-Present Official Receipt Official Technologist
to RT Staff on Duty/Ward Receipt and
assistant on Duty verify patient
identification.
Note: for patient who are 2. Let the
unable to come patient signed
personally for the result, the receiving
Present Authorization result and
Letter of the patient with Result
ID and ID of the bearer Logbook.
3. Release
Official Result
to Patient and
return the
official receipt.
TOTAL See Price 2 Hours 10

List/ Minutes
Charge
Slip
END OF TRANSACTION
340
PRICELIST
X-RAY
CHARGE CODE PROCEDURE PRICELIST
RADIO00001 Abdomen ADULT(upright-supine) 450
RADIO00002 Abdomen PEDIA (upright-supine-lateral) 600
RADIO00003 Abdomen ADULT (up-sup-lat) 700
RADIO00004 Apicogram 200
RADIO00005 Cervical/Neck (AP-L) 300
RADIO00006 Cervical/Neck (AP-L-Open Mouth) 450
RADIO00007 Cervical COMPLETE (AP-L-O) 600
RADIO00008 Chest ADULT (PA / AP) 200
RADIO00009 Chest ADULT (PA-Lat) 400
RADIO00011 Chest Bucky/Ribs (AP) 200
RADIO00012 Chest Decubitus (Lateral) 200
RADIO00013 CTLSV (AP-L) 1100
RADIO00014 CTLSV COMPLETE (AP-L-O) 1950
RADIO00015 KUB Plain (AP) 250
RADIO00016 LSV (AP-L) 400
RADIO00017 LSV COMPLETE (AP-L-O) 700
RADIO00018 Mandible (AP-L&R oblique) 400
RADIO00019 Maxilla (Water's view) 200
RADIO00020 Mastoid Series (Townes-L&R Schuller's lat) 500
RADIO00021 STNL (L&R nasolateral) 300
RADIO00022 Orbit (Water's/Caldwell) 200
RADIO00024 PNS (Water's) 200
RADIO00026 PNS COMPLETE (Water's-Caldwell-L/R LAT) 450
RADIO00027 Sacro-iliac (AP-L) 300
RADIO00028 Scoliotic Series (AP-L&R AP bending) 1000
RADIO00029 Skull (AP-L) 300
RADIO00031 Skull (3 views) 400
RADIO00032 TMJ series (Townes-R&L LAT open&close mouth) 600
RADIO00035 Thoracic (AP-L) 400
RADIO00036 Towne's Schuller 300
RADIO00039 Zygoma (Water's-SMV) 300
RADIO00043 Arm/Humerus bilateral (AP-L) 400
RADIO00044 Arm/Humerus unilateral (AP-L) 200
RADIO00049 Clavicle unilateral (AP) 200
RADIO00050 Clavicle bilateral (AP) 400
RADIO00051 Elbow unilateral (AP-L) 200
RADIO00052 Elbow bilateral (AP-L) 375
RADIO00053 Forearm unilateral (AP-L) 200
RADIO00054 Forearm bilateral (AP-L) 400
341
RADIO00055 Hand unilateral (DP-O/Lat) 200
RADIO00056 Hand bilateral (DP-O/Lat) 375
RADIO00058 Scapula (Scapular "Y") 200
RADIO00059 Shoulder unilateral (AP) 200
RADIO00062 Shoulder bilateral (AP) 400
RADIO00063 Wrist unilateral (AP-L) 200
RADIO00064 Wrist bilateral (AP-L) 375
RADIO00065 Wrist unilateral (Special View) 200
RADIO00066 Wrist bilateral (Special View) 375
RADIO00070 Ankle bilateral (AP-L) 300
RADIO00071 Ankle unilateral (AP-L) 200
RADIO00080 Ankle Mortise (bilateral) 400
RADIO00081 Ankle Mortise (unilateral) 200
RADIO00091 Ankle AP-L-Mortise (bilateral) 740
RADIO00092 Ankle AP-L-Mortise (unilateral) 440
RADIO00093 Femur/Thigh unilateral (AP-L) 200
RADIO00094 Femur/Thigh bilateral (AP-L) 400
RADIO00095 Foot unilateral (DP-O) 200
RADIO00096 Foot bilateral (DP-O) 400
RADIO00097 Foot unilateral (DP-O-LAT) 250
RADIO00100 Foot bilateral (DP-O-LAT) 500
RADIO00109 Hip/Pelvis (AP) 250
RADIO00110 Hip/Pelvis (Crosstable) 200
RADIO00111 Knee unilateral (AP-L/) 250
RADIO00112 Knee bilateral (AP-L) 450
RADIO00113 Knee unilateral (sunrise view) 200
RADIO00114 Knee bilateral (sunrise view) 400
RADIO00115 Leg unilateral (AP-L) 200
RADIO00639 Leg bilateral (AP-L) 400
RADIO00640 Angiogram Study w/ IOPAMIDOL 2500
RADIO00641 Barium Enema - w/ 1 IOPAMIDOL 2500
RADIO00642 Barium Swallow - w/ 1 IOPAMIDOL 2500
RADIO00643 Cardiac Catheterization 5000
RADIO00644 Chole-GI Series - w/ 1 IOHEXOL 1700
RADIO00645 Distal Colonogram - w/ 1 IOPAMIDOL 1700
RADIO00647 Distal Urethrogram- w/ 1 IOHEXOL 700
RADIO00649 ERCP Flouro Guided Procedure ONLY 2500
RADIO00650 Fistulogram - w/ 1 IOHEXOL 2500
RADIO00651 Flouro Guided ORTHO CASES 500
RADIO00652 Flouro Guided BIOPSY 2500
RADIO00653 Flouro Guided Cholangiogram- w/ 1 IOHEXOL 2000
RADIO00654 Hysterosalpingogram- w/ 1 IOHEXOL 1500
342
RADIO00655 Intra-op URO CASE PROCEDURE ONLY 850
RADIO00656 Intra-op Cholangiogram- w/ 1 IOHEXOL 1800
RADIO00658 KUB-IVP - w/ 1 IOHEXOL 2500
RADIO00659 Fetogram 250
RADIO00660 Retrograde Urethrogram- w/ IOHEXOL 2500
RADIO00661 Retrograde Pyelography- w/ 1 IOHEXOL 2500
RADIO00662 Skeletal Survey 3000
RADIO00663 Sialogram unilateral - w/ 1 IOHEXOL 1500
RADIO00664 Sialogram bilateral- w/ 1 IOHEXOL 2000
RADIO00665 SIS- w/ 1 IOPAMIDOL 2000
RADIO00666 T-Tube cholangiogram - w/ 1 IOHEXOL 2000
RADIO00667 T-Tube cholecystogram- w/ 1 IOHEXOL 2000
RADIO00668 UGIS- w/ 1 IOPAMIDOL 2150
RADIO00669 Voiding Cystogram - w/ 1 IOHEXOL 2000
RADIO00670 High Towne's/ Townes 200
RADIO00671 Thoracic COMPLETE (AP-L-O) 650
RADIO00672 Chest PEDIA (AP-L) 300
RADIO00673 VCUG OR - w/ 1 Contrast Media IOHEXOL 2500
RADIO00674 TLSV AP-L 800
RADIO00675 Shoulder Axillary View Unilateral 200
RADIO00676 CD BURN 50
RADIO00677 Intra-op ANORECTOPLASTY and VAGINOSCOPY 2500
RADIO00678 Babygram 250
RADIO00679 Hip (Special View) 200
RADIO00680 Cervical OPEN MOUTH only 200
RADIO00681 UGIS(Procedure Only) 2150
RADIO00683 Babygram 1000
RADIO00684 Calcaneus (UNILATERAL) 200
RADIO00685 Calcaneus (BILATERAL) 400
RADIO00687 Chest Lateral 200
RADIO00688 Hips FROGLEG 300
RADIO00689 Flouro Guided Nephrostomy Insertion 3500
RADIO00768 Laparotomy Pack 2667
RADIO00771 Barium Sulfate (Oral) 650
RADIO00772 Barium Enema Kit 1300
RADIO00773 Scaphoid Series 500
HAM FLOURO GUIDED w/ 1 IOPAMIDOL (Hemodialysis
RADIO00789 Access Management) 3500
RADIO00790 HAM FLOURO GUIDED (Hemodialysis Access Management) 2500
RADIO00791 C-ARM Operating Room Procedures 1000
RADIO00792 Flouro Guided Fistulogram w/ IOPAMIDOL 3500
RADIO00810 Mammography 1050
343
ULTRASOUND
CHARGE
PROCEDURE PRICELIST
CODE
ULTRA00001 BPPS ULTRASOUND 650
ULTRA00008 Chest Pericardial ULTRASOUND 850
ULTRA00009 Cranial ULTRASOUND 700
ULTRA00011 Thyroid ULTRASOUND 800
ULTRA00012 Partial ABDOMEN ULTRASOUND 750
ULTRA00013 Partial BPPS ULTRASOUND 400
ULTRA00014 Partial CRANIAL ULTRASOUND 450
ULTRA00017 Partial KUB ULTRASOUND 350
ULTRA00018 Partial PUS / PELVIC ULTRASOUND 350
ULTRA00019 Partial TVS ULTRASOUND 250
ULTRA00020 HBT ULTRASOUND 600
ULTRA00021 KUB ULTRASOUND 600
ULTRA00023 Inguinal Area ULTRASOUND 700
ULTRA00024 KUB + Adrenals ULTRASOUND 950
ULTRA00025 Parotid ULTRASOUND 600
ULTRA00029 Prostate ULTRASOUND 500
ULTRA00031 Pelvic/PUS ULTRASOUND 600
ULTRA00034 Scrotal only ULTRASOUND 600
ULTRA00038 Neck ULTRASOUND 1000
ULTRA00039 TVS ULTRASOUND 500
ULTRA00044 Abdomen ULTRASOUND 1000
ULTRA00051 Intra-Op ULTRASOUND Guided 2500
ULTRA00052 Tube Nephrostomy ULTRASOUND 1000
ULTRA00053 ULTRASOUND use of machine/Portable 1000
ULTRA00054 FAST ULTRASOUND 300
ULTRA00055 Soft Tissue ULTRASOUND 650
ULTRA00056 Partial CHEST ULTRASOUND 600
ULTRA00077 Transrectal ULTRASOUND 500
ULTRA00078 Inguinoscrotal ULTRASOUND 700
ULTRA00080 Sassone Scoring ULTRASOUND 500
ULTRA00081 Doppler ULTRASOUND study 2500
ULTRA00082 ULTRASOUND GUIDED BIOPSY 5500
ULTRA00083 Duplicate Copy (RESULT) 50
ULTRA00085 Interventional Procedures Only ULTRASOUND 1000
ULTRA00086 SISH 2000
ULTRA00087 Breast Ultrasound 1000
344
CT SCAN
CHARGE
CODE PROCEDURE PRICE
CTSCN00001 HEAD PLAIN CT SCAN 4200
CTSCN00002 HEAD PLAIN and CONTRAST CT SCAN 5300
CTSCN00003 ORBIT PLAIN CT SCAN 4700
CTSCN00004 ORBIT PLAIN and CONTRAST CT SCAN 6000
CTSCN00005 IOPAMIDOL 3 VIALS 0
CTSCN00006 IOHEXOL 3 VIALS 0
CTSCN00007 PARANASAL PLAIN CT SCAN 2913
PARANASAL PLAIN and CONTRAST CT
CTSCN00008 SCAN 5500
CTSCN00009 CHEST/THORACIC PLAIN CT SCAN 6000
CHEST/THORACIC PLAIN and CONTRAST
CTSCN00010 CT SCAN 8000
CTSCN00011 ABDOMEN PLAIN CT SCAN 6000
ABDOMEN PLAIN and CONTRAST child CT
CTSCN00013 STONOGRAM CT SCAN 5000
NECK/NASOPHARYNX/OROPHARYNX
CTSCN00014 PLAIN CT SCAN 4500
NECK / NASOPHARYNX/OROPHARYNX
CTSCN00015 PLAIN and CONTRAST CT SCAN 6000
CTSCN00017 IOPAMIDOL 1 VIAL 0
CTSCN00018 LUMBAR PLAIN CT SCAN 5000
CTSCN00019 LUMBAR PLAIN and CONTRAST CT SCAN 8000
CTSCN00020 PELVIS/HIP PLAIN CT SCAN 4500
PELVIS/HIP PLAIN and CONTRAST CT
CTSCN00022 EXTREMITIES PLAIN CT SCAN 5000
EXTREMITIES PLAIN and CONTRAST CT
CT GUIDED BIOPSY w/ previous scan CT
CTSCN00025 IOHEXOL 1 VIAL 0
CTSCN00026 IOHEXOL 2 VIALS 0
CTSCN00027 3D FACIAL and HEAD CT SCAN 4500
VISIPAQUE c/o PT. HEAD PLAIN &
CTSCN00028 CONTRAST CT SCAN 4700
VISIPAQUE c/o PT. ANGIOGRAM STUDY CT
VISIPAQUE c/o PT. CHEST PLAIN &
345
CTSCN00031 MANDIBLE/PAROTID/ORAL PLAIN CT SCAN 4700
MANDIBLE/PAROTID/ORAL PLAIN and
VISIPAQUE c/o PT. ABDOMEN child PLAIN &
CTSCN00034 IODIXANOL 3 VIALS 0
CTSCN00035 VISIPAQUE c/o PT. UROGRAM CT SCAN 7225
HEAD AND NECK/CERVICAL PLAIN CT
HEAD AND NECK/CERVICAL PLAIN and
CTSCN00038 UROGRAM CT SCAN 8000
CTSCN00039 PERIPHERAL ANGIOGRAM CT SCAN 18500
HEAD w/ ORBITS/PNS/TEMPORAL PLAIN
CTSCN00040 and CONTRAST CT SCAN 10000
HEAD w/ ORBITS/PNS/TEMPORAL PLAIN
VISIPAQUE c/o PT. NECK/CERVICAL PLAIN
CTSCN00044 and CONTRAST CT SCAN 5100
CTSCN00049 MASTOID/TEMPORAL PLAIN CT SCAN 4700
MASTOID/TEMPORAL PLAIN and
VISIPAQUE c/o PT. PERIPERAL
CTSCN00051 ANGIOGRAM CT SCAN 15500
LOWER ABDOMEN PLAIN and CONTRAST
UPPER ABDOMEN PLAIN and CONTRAST
CT GUIDED BIOPSY w/o previous scan CT
CTSCN00055 THORACIC AORTOGRAM CT SCAN 9500
VISIPAQUE c/o PT. ABDOMEN PANCREATIC
CTSCN00056 PROTOCOL CT SCAN 12000
VISIPAQUE c/o PT. ABDOMEN PLAIN and
CTSCN00057 CONTRAST adult CT SCAN 8600
VISIPAQUE c/o PT. THORACOABDOMEN
CTSCN00058 AORTOGRAM 15000
ABDOMEN PANCREATIC PROTOCOL CT
CTSCN00068 LOWER ABDOMEN PLAIN CT SCAN 4500
CTSCN00069 UPPER ABDOMEN PLAIN CT SCAN 4500
CTSCN00071 TRIPHASIC ABDOMEN CT SCAN 15000
CTSCN00072 ABDOMEN AORTOGRAM CT SCAN 9500
ABDOMEN PLAIN and CONTRAST adult CT
346
THORACOABDOMINAL AORTOGRAM CT
ANGIOGRAM / VENOGRAM STUDY CT
CTSCN0072 TRIPHASIC LIVER CT SCAN 11000
MRI
CHARGE
PROCEDURE PRICELIST
CODE
MRIPR00001 Ankle Plain (Bilateral) 12500
MRIPR00002 Ankle Plain (Unilateral) 7000
MRIPR00003 Ankle with Contrast (Bilateral) 15000
MRIPR00004 Ankle with Contrast (Unilateral) 11700
MRIPR00005 Brachial Plexus Plain 7500
MRIPR00006 Brain (Stroke Protocol with TOF) 8000
MRIPR00007 Brain (Stroke Protocol) 6000
MRIPR00008 Brain and Cervical Plain 13000
MRIPR00009 Brain and Cervical with Contrast 16000
MRIPR00010 Brain Plain 6200
MRIPR00011 Brain Plain (Seizure Protocol) 7900
MRIPR00012 Brain Plain (CPA/IAC) 7000
MRIPR00013 Brain Plain (Orbit Protocol) 6600
MRIPR00014 Brain with Contrast 11000
MRIPR00015 Brain with Contrast (Angiogram/MRA or MRV) 15000
MRIPR00016 Brain with Contrast (CPA/IAC) 11500
MRIPR00017 Brain with Contrast (Dynamic Pituitary/Sella) 16200
MRIPR00018 Brain with Contrast (MRV) 15000
MRIPR00019 Brain with Contrast (Orbit Protocol) 18000
MRIPR00020 Brain with Contrast (Seizure Protocol) 12600
MRIPR00021 Brain with Contrast with Spectroscopy 15000
MRIPR00022 Brain with TOF 8000
MRIPR00023 Breast with Contrast 12000
MRIPR00024 Chest Plain 6000
MRIPR00025 Chest with Contrast 10200
MRIPR00026 Complete MRA (Brain & Neck) 25000
MRIPR00027 Elbow Plain (Bilateral) 11000
MRIPR00028 Elbow Plain (Unilateral) 6500
MRIPR00029 Elbow with Contrast (Bilateral) 17000
MRIPR00030 Elbow with Contrast (Unilateral) 11000
MRIPR00031 Femur Plain (Bilateral) 11000
MRIPR00032 Femur Plain (Unilateral) 7000
347
MRIPR00033 Femur with Contrast (Bilateral) 17000
MRIPR00034 Femur with Contrast (Unilateral) 11000
MRIPR00035 Foot Plain (Bilateral) 11000
MRIPR00036 Foot Plain (Unilateral) 7000
MRIPR00037 Foot with Contrast (Bilateral) 17000
MRIPR00038 Foot with Contrast (Unilateral) 11000
MRIPR00039 Forearm Plain (Bilateral) 10000
MRIPR00040 Forearm Plain (Unilateral) 6000
MRIPR00041 Forearm with Contrast (Bilateral) 17000
MRIPR00042 Forearm with Contrast (Unilateral) 10700
MRIPR00043 Hand Plain (Bilateral) 13500
MRIPR00044 Hand Plain (Unilateral) 7500
MRIPR00045 Hand with Contrast (Bilateral) 17000
MRIPR00046 Hand with Contrast (Unilateral) 10000
MRIPR00047 Hip Plain (Bilateral) 10000
MRIPR00048 Hip Plain (Unilateral) 7600
MRIPR00049 Hip with Contrast (Bilateral) 15000
MRIPR00050 Hip with Contrast (Unilateral) 12000
MRIPR00051 Humerus Plain (Bilateral) 10000
MRIPR00052 Humerus Plain (Unilateral) 6000
MRIPR00053 Humerus with Contrast (Bilateral) 19000
MRIPR00054 Humerus with Contrast (Unilateral) 11000
MRIPR00055 Knee Plain (Bilateral) 13000
MRIPR00056 Knee Plain (Unilateral) 7500
MRIPR00057 Knee with Contrast (Bilateral) 15000
MRIPR00058 Knee with Contrast (Unilateral) 12500
MRIPR00059 Leg Plain (Bilateral) 8500
MRIPR00060 Leg Plain (Unilateral) 6000
MRIPR00061 Leg with Contrast (Bilateral) 18800
MRIPR00062 Leg with Contrast (Unilateral) 10500
MRIPR00063 Neck Plain 5500
MRIPR00064 Neck with Contrast 10000
MRIPR00065 Pelvis Plain 6500
MRIPR00066 Pelvis Plain (Uterus/Cervix) 7000
MRIPR00067 Pelvis with Contrast 11000
MRIPR00068 Pelvis with Contrast (Fistula) 9500
MRIPR00069 Pelvis with Contrast (Prostate Dynamic) 8500
MRIPR00070 Pelvis with Contrast (Rectal) 12000
MRIPR00071 Pelvis with Contrast (Soft Tissue) 11500
MRIPR00072 Pelvis with Contrast (Uterus/Cervix) 11500
MRIPR00073 PNS with Contrast 12000
MRIPR00074 PNS/Facial Plain 6500
348
MRIPR00075 Shoulder Plain (Bilateral) 13500
MRIPR00076 Shoulder Plain (Unilateral) 7500
MRIPR00077 Shoulder with Contrast (Bilateral) 17000
MRIPR00078 Shoulder with Contrast (Unilateral) 11500
MRIPR00079 Spine Plain (1 Spine) 6000
MRIPR00082 Spine with Contrast (1 Spine) 10600
MRIPR00085 Temporal/Mastoids (Plain) 7000
MRIPR00086 Upper Abdomen with Contrast (Dynamic Study Liver) 13600
MRIPR00087 Upper Abdomen with MRCP Plain 10000
MRIPR00088 Upper Abdomen with MRCP with Contrast 16000
MRIPR00089 Whole Abdomen Plain 13500
MRIPR00090 Whole Abdomen with Contrast 16000
MRIPR00091 Wrist Plain (Bilateral) 12000
MRIPR00092 Wrist Plain (Unilateral) 7000
MRIPR00093 Wrist with Contrast (Bilateral) 17000
MRIPR00094 Wrist with Contrast (Unilateral) 11500
MRIPR00095 Contrast Gadobutrol (Gadovist) 3500
MRIPR00096 Contrast Gadobutrol(Gadovist)(Inclusive) 0
349
Medical Service
Rehabilitation Medicine
External Service
350
1. Physical Therapy/ Occupational Therapy - Out-Patient
Process for physical therapy or occupational therapy service which includes assessment and
intervention of clients with actual or potential impairments, activity limitations, participation
restrictions or abilities/ disabilities. This service can be availed in the PT/OT Clinic, BGH OPD
Building from Mondays to Fridays from 8:00 AM to 3:00 PM and Saturdays from 8:00 AM to
11:00 PM.
Office or Division: Medical Service/ Department of Rehabilitation Medicine

Classification: simple
Type of G2C - transacting public
Transaction:
All who has referral for Physical/ Occupational Therapy from a
Who may avail:
Rehabilitation Medicine Doctor or Orthopedic Doctor.
Physical Therapy/ Occupational Therapy Orthopedic Clinic at BGHMC OPD Building
Prescription Form Rehabilitation Medicine Clinic at BGHMC OPD
Building
Scheduled appointment Physical Therapy Clinic
BGHMC Rehabilitation Medicine FB page for
online booking
For phone booking call/text 09563783889

1. Go to the kiosk to 1.1 Nurse on duty to None 30 minutes Nurse on duty
get queue register patient to
number OPD kiosk and
give queue
number
2. Present queue 2.1 Screen for COVID None 10 minutes *PT/OT staff on
number to the related symptoms duty
PT/OT triage and travel history
area staff 2.2 Take vital signs
2.3 Verify schedule of
PT/OT treatment
(if not scheduled,
then will be given
a schedule/
appointment on
available time slot)
2.4 Issue charge slip PT Registration
Staff
(*Control Officer)
3. Present charge 3.1 Receive charge Php 50.00 15 minutes Cashier on duty
slip and pay at slip and payment;
the cashier and issue receipt
and change, if any
351
4. PT/OT treatment 4.1 PT treatment None 2 hours *PT/OT staff on
and/or and/or duty
assessment assessment
4.2 Home instructions
4.3 Disposition/
Documentation in
EMR
TOTAL: Php 50.00 2 hours, 55
minutes
END OF TRANSACTION
352
2.Physical Therapy/Occupational Therapy – In-patient
Process for physical therapy or occupational therapy service which includes assessment
and intervention of patient/s admitted in the ward with actual or potential impairments,
activity limitations, participation restrictions or abilities/ disabilities. This service is available
from Mondays to Saturdays from 8:00 AM to 5:00 PM.
Office or Medical
Division:
Classification: simple
Type of G2C - transacting public
Transaction:
Who may avail: Admitted patients who are referred for physical therapy/occupational therapy
Referral Form - accomplished by Referring ward
Resident-in-charge
Or
PT Prescription Form- accomplished by
Physiatrist-on-duty
1. Undergoes 1.1 Log and drop None 5 minutes Resident-in-charge
check- referral letter at the
up/confinement PT/OT OPD clinic
*PT/OT staff on duty
1.2 Receive referral
1.3 Forward to Staff-

in-charge
2. Evaluation/ 2. Physiatrist/PT/OT None 24 hours *Physiatrist/ PT/OT on

Assessment evaluation/ duty
assessment
3. Treatment/ 3.1. PT/OT Ward- Php 1 hour *Therapist /
Intervention assessment/ 35.00 Occupational
treatment Payward- Therapist on duty
Php 75.00
3.2. Documentation SPR – Php
at the medical chart 100.00
PR – Php
3.3. Charging of 125.00
treatment via
HOMIS X number of
treatment
sessions
TOTAL: 1 day 1 hour 5
minutes
END OF TRANSACTION
353
Medical Service
Under Five Clinic
External Unit
354
1. Underfive Clinic
Process in securing outpatient consultation at the Under Five Clinic (UFC) from
appointment through teleconsultation, growth monitoring and clinical assessment,
administration of needed vaccines and nutritional consultation of patients 0 to 5 years old
only. The service is available from Monday to Friday 8Am to 4PM, Saturday *AM to 12NN
except holidays. The unit accepts registration up to 3 PM on weekdays and 11AM on
Saturdays.
Office or UNDERFIVE CLINIC - Medical

Division:
Type of Government to Citizen (G2C)
Transaction:
Who may avail: All patients aged 0 – 5 years old
1. New Patient:
a. One (1) copy of Newborn Discharge a. Pediatric Neonatal Care Unit of Baguio
Summary and Instruction (original or General Hospital and Medical Center; Nursery
photocopy) of newborn babies. of Private and other Government hospitals in
b. One (1) copy of Mother and Child and outside of Baguio City
Booklet or White Growth Chart or b. Barangay, Rural and Municipal Health Units
Immunization Card (original or
photocopy).
2. One copy of Discharge Summary and Pediatric Ward, BGHMC
Instruction (original or photocopy)
1. Teleconsultation Listing patient’s name none 5 min Pediatric
for appointment Resident
schedule
2.Go to 2.1 Classify patient none 3 minutes Nurse –on-Duty

KIOSK/TRIAGE 2.1 Issues queuing at the
number KIOSK/TRIAGE
2.2 Gets temperature Area, 1st Floor
OPD, BGHMC
of patient
3.Fill up Issues Information Administrative

Information Sheet Sheet for new patient. Assistant/Job
at the Order-on-Duty,
REGISTRATION 3.1 Fill up information 10 minutes for Registration Area,
sheet new patient 1st Floor OPD
355
3.2 Interview/record
patient’s data in the
yellow growth chart 5 minutes for
(YGC) old patient
3.3 Encode data in the
EMR (computer)
3.4 Prepare charge slip
for registration & YGC
fees
3.5 Parent/guardian
sign the disclaimer
section of the YGC
3.6 Educate on YGC
care & use
4.Undergoes 4.1 Take none 8 minutes Midwife-on-Duty,
GROWTH anthropometric Growth
MONITORING & measurement Monitoring Area,
ASSESSMENT 4.2 Plot & record in the Rm 202 OPD
YGC
4.3 Relay growth
assessment to
parents/guardians
5. Undergoes 5.1 Review of the YGC none 10 min Nurse/Midwife on

CLINICAL 5.2 History taking and Duty,
ASSESSMENT physical examination Rm 202 OPD
5.3 Educate/counsel
parents on health
concerns of the patient
5.4 Prepare forms for
diagnostic exam
5.5 Prepare
prescription for routine
micronutrient
supplementation,
deworming and other
medication
7. Undergoes 7.1 Assess nutritional 10 minutes Nutritionist/Mid

NUTRITION status of patient wife on Duty,
CONSULTATION 7.2 Teach mothers on Rm 203
proper breastfeeding
and how to sustain
breastfeeding.
7.3 Encourage mother
on continuous
breastfeeding and
proper nutrition
356
7.4 Counsel parents on
Lactation Amenorrhea
and Responsible
parenthood
7.5 Assess and
manage CMAMI, MAM,
SAM, Stunted patients
by Encouraging
continuous
breastfeeding,
RUSF/RUTF/Multivita
mins
7.6 Provide routine
micronutrient
supplementation
(Vitamin A, Ferrous
Sulfate, Zinc Sulfate)
and Deworming
8. Undergoes 8.1 Prepare charge slip Php 18.00 10 minutes Nurse on Duty,
IMMUNIZATION 8.2 Let parent/guardian per shot Rm 202,OPD
sign consent form
8.3 Educate
parents/guardian on
possible adverse
reaction
8.4 Administer
assigned vaccine/s to
the patient
8.5 Countersign
administered vaccine/s
TOTAL: Reg. Fee = Total: 1 hr 6 min

Php 50.00
YGC =
Php 50.00
Medical
Certificate
= Php
50,00
Vacc.
Fee= Php
18/shot
END OF TRANSACTION
357
Medical Service
Women Child Protection Unit
External Unit
358
Women Child Protection Unit
1. WCPU Process on securing Psychological Evaluation
WCPU provides psychological assessment to some victims of abuse. It is done to help a
psychologist better understand an individual and provide valuable insights into the
individual’s behavior, skills, thoughts and personality. Psychological testing commonly
includes intelligence testing, personality testing, and skills testing, among other areas.
Scheduling of patient, testing and releasing of psychological report is during weekdays
except holidays and when psychologist is on leave.

Type of G2C- Government to Citizen/ Transacting Public
Transaction:
Adult victims of abuse as per
RA 9262- An act defining violence against women and their children by
husband, live-in male partner, boyfriend or former male partner
providing for protective measures for victims, prescribing penalties
therefore, and for other purposes
RA 8353- An act expanding the definition of the crime of rape,
reclassifying the same as a crime against persons by any person
amending for the purpose Act No. 3815, as amended otherwise known
as the Revised Penal Code, and for other purposes
RA 8505- An act providing assistance and protection for rape victims,
Who may avail:
establishing for the purpose a rape crisis center in the every province
and city, authorizing the appropriation of funds therefor, and for other
purposes
RA 7877- An act declaring sexual harassment unlawful in the
employment, education or training environment, and for other purposes
RA 9208- An act to institute policies to eliminate trafficking in persons
especially women and children, establishing the necessary institutional
mechanisms for the protection and support of trafficked persons,
providing penalties for its violations, and other purposes *

Referral Letter, if available Referring Agencies
BGHMC Referral Form, if seen by other Concerned Department
departments
1. Undergoes quick 2.1 Ask the chief None 2 minutes Ms. Janice
patient check complaint/purpos Katrina O.
e of the visit Castelo
Reception area- 2.2 Identify urgency Psychologist
WCPU of the condition
Dr. Elizabeth J.
of the Batino
patient,age,type Physicians
359
of abuse, timing
of incident Dr. Nora
Genevieve M.
Recolizado
Dr. Leanne C.
Acosta (On
Training)
Dr. Mary Jane P.
Carrido
Social Workers
Ms. April Lippi A.
Sudango
Ms. Haydee V.
Yaco
Ms. Edith P.
Madongit
2a. Answers 1.1 Explain consent None 10 minutes Ms. Janice
questions for and data privacy Katrina O.
registration form, ask to sign Castelo
2b. Signs consent 1.2 Log in to HOMIS Psychologist
forms portal and get
Dr. Elizabeth J.
2c. Provides general case number
Batino
data information 1.3 Record general Dr. Nora
data and family Genevieve M.
assessment Recolizado
Dr. Leanne C.
Acosta (On
Training)
Dr. Mary Jane P.
Carrido
Physicians
Ms. April Lippi A.

Sudango
Ms. Haydee V.
Yaco
Ms. Edith P.
Madongit
Social Workers
3. Undergoes Patient 3.1 Assess for None 30 minutes Ms. April Lippi A.
Safety and Risk presence of (May vary Sudango
Assessment further threats depending on Ms. Haydee V.
the participation Yaco
of the patient, Ms. Edith P.
Madongit
family, relatives Social Workers
and other
agencies
involved)
360
4a. Undergoes 4.1 Administer None 4.1. 8 hours Ms. Janice
Psychological battery of depending on Katrina O.
testing psychological the participation Castelo
tests and pace of the Psychologist
4b. Undergoes patient
comprehensive
interview 4.2 Gather relevant
information from 4.2. 3 hours per
4c. Provides names the patient informant
and contact depending on
details of the number of
informant/s informants, their
participation,
availability and
pace of the
interview
4.3 Provide schedule
for the interview 10 minutes
4.4 Gather relevant

information from 2 hours
significant
individuals
4.4.1 Interview
with 2 hours
immediate
family
member
(parents/si
blings)
4.4.2 Interview
with 2 hours
friends
4.4.3 Interview
with co- 2 hours
workers (if
applicable)
4.4.4 Interview
with other 2 hours
significant
individuals
Note: Psychologist
may require
presence of several
people
knowledgeable
about the patient’s
case
361
5. Waits for the result 5.1 Interpret and None 5 working days Ms. Janice
analyze the Katrina O.
results of the Castelo
tests based on Psychologist
the test manual 14 working days
and data
collected
5.1 Prepare the
comprehensive
report
6a. Receive the 6.1 Release the None 6.1 5 minutes Ms. Janice
psychological original report Katrina O.
report (Only 1 6.2 Explain the 6.2. 30 minutes Castelo
original report will results and (May vary Psychologist
be released, for recommendations depending
representative, to the patient on the
provide an number of
authorization queries of
letter and the patient)
identification)
6b. Receive feedback 6.3 Refer patients to 6.3. 5 minutes

from the other
psychologist professionals for
further
6c. Understand the management (if
recommendations needed)
based from the 6.4 Conduct 6.4. 1 hour,
report counselling to 30 minutes
patients (if
needed)
TOTAL: None 20 days

END OF TRANSACTION
362
2. WCPU Process on Securing Medico-Legal Certificate
The Women and Children Protection Unit is a specialized unit near the Emergency Room
that operates 24/7. It caters to all types of abuse from within and outside of the hospital by
providing medical, social and psychological services and subsequently obtains the medico-
legal certificate. WCPU Staff is not on duty during Sundays and Holidays but resident
physicians shall see the patients and refer cases to WCPU consultants. WCPU shall cater
to abuse incidents that happen in Baguio City.

Type of
Transaction:
All victims of abuse as per

RA 7610- An act providing for stronger deterrence and special protection
against child abuse, exploitation and discrimination, and for other
purposes
RA 9262-An act defining violence against women and their children by
Who may avail: establishing for the purpose a rape crisis center in every province and
city, authorizing the appropriation of funds therefor, and for other
purposes
providing penalties for its violations, and other purposes
RA 10627- An act requiring all elementary and secondary schools to
adopt policies to prevent and address the acts of bullying in their
institutions
RA 9775- An act defining the crime of child pornography, prescribing
penalties therefore, and for other purposes

Referral Letter if available Referring Agency
Concerned department
BGHMC Referral Form if seen by other
department
363
1. Undergoes quick 1.1. Ask the chief None 2 minutes Ms. Janice
patient check complaint/purpos Katrina O.
e of the visit Castelo
Psychologist
Reception area- 1.2. Identify urgency 5 minutes Dr. Elizabeth J.
Batino
WCPU of the condition of
Dr. Nora
the patient, age, Genevieve M.
type of abuse, Recolizado
timing of incident, Dr. Leanne C.
availability of the Acosta (On
guardian Training)
5 minutes Dr. Mary Jane P.
1.3. For child victims, Carrido
call *legal Physicians
guardian if not Ms. April Lippi A.
Sudango
present call the
Ms. Haydee V.
**ROD 5 minutes Yaco
Ms. Edith P.
Madongit
Social Workers
2a. Answers 2.1Log in to HOMIS None 10 minutes Ms. Janice

questions for portal and get Katrina O.
registration case number Castelo
2b. Signs consent 2.2Explain WCPU Psychologist
forms consent and data
Provides general privacy form, ask
Dr. Elizabeth J.
data information to sign Batino
2.3 Record general Dr. Nora
data and family Genevieve M.
assessment to Recolizado
WCPU Intake Dr. Leanne C.
Form Acosta (On
Training)
Dr. Mary Jane P.
Carrido
Physicians
Ms. April Lippi A.

Sudango
Ms. Haydee
V. Yaco
Ms. Edith P.
Madongit
Social Workers
364
3 Undergoes 3.1 History/Forensic None 40 minutes ROD
consultation with Interview (May vary
the physician according to WCPU
the Consultants
cooperation Dr. Elizabeth J.
Batino
of the
Dr. Nora
patient and Genevieve M.
the Recolizado
language Dr. Leanne C.
barrier) Acosta (On
Training)
3.2 Photo- 3.2. 5 minutes Dr. Mary Jane P.
documentation Carrido
3.3 Physical 3.3 30 minutes
examination (May vary
according to
the
cooperation
of the
patient)
3.4 Collection of 3.4 30 minutes

specimen for (May vary
diagnostic tests according to
and DNA the timing of
identification incident)
3.5 ROD consults 3.5. 15 minutes

WCPU consultant
on duty
3.6 Prepare, explain 3.6. 20

findings, release minutes(May
of medico-legal vary according
certificate to accuracy of
data)
4a Understands the 4.1. Explain the 15 minutes ROD
results of the medications, if
consultation and any Dr. Elizabeth J.
next plans to be Batino
conducted 4.2. Releases the Dr. Nora
Genevieve M.
4b Undergoes prescribed Recolizado
medical medications from Dr. Leanne C.
treatment if the pharmacy if Acosta (On
needed needed Training)
4c Undergoes Dr. Mary Jane P.
further laboratory 4.3. Provide Carrido
examinations*** instructions for WCPU
4d Undergoes follow-up on Consultants
365
psychological either of the
evaluation, if following:
needed 4.3.1 Evaluate
initial Ms. April Lippi A.
interventions Sudango
Ms. Haydee V.
Yaco
4.3.2. Secure Ms. Edith P.
laboratory results Madongit
Social Workers
4.3.3. Undergo
medical
treatment if
needed
4.3.4. Undergo
further laboratory
examinations***
4.3.5. Undergo
psychological
evaluation
4.3.6. Referral to
other
departments
4.3.7. Provide
customer
satisfaction rating
form
4.3.8 Refer to
other
departments if
needed
OR
• Endorsed for
admission
OR
• Endorsed to
other agencies
366
5 Go through 5.1. Assess for None 30 minutes Ms. April Lippi A.
Safety and Risk presence of further (May vary Sudango
Assessment threats depending on Ms. Haydee V.
the participation Yaco
5.2. Formulate safety of the patient, Ms. Edith P.
Madongit
plan (presence of family, relatives
Social Workers
threats) and other
5.2.1. Identify agencies
available relatives involved)
5.2.2. If there are
no relatives available,
refer to residential
facilities
5.3. Refer to other

agencies for
further
management, if
needed
TOTAL: None 3 hours, 30
minutes
END OF TRANSACTION
367
3. WCPU Process on Providing teleconsultation and Tele
Counselling for Victims of Abuse
The Women and Children Protection Unit started to provide online- services to victims of
abuse during the community quarantine to address the issues of the victims.

Transaction:
All victims of abuse as per
RA 7610- An act providing for stronger deterrence and special
protection against child abuse, exploitation and discrimination, and for
other purposes
RA 9262-An act defining violence against women and their children by
establishing for the purpose a rape crisis center in the every province
Who may avail:
and city, authorizing the appropriation of funds therefor, and for other
purposes
providing penalties for its violations, and other purposes
RA 10627- An act requiring all elementary and secondary schools to
adopt policies to prevent and address the acts of bullying in their
institutions
RA 9775- An act defining the crime of child pornography, prescribing
penalties therefore, and for other purposes

Referral Letter if available Referring Agency
Referral Forms if seen by other Concerned department
departments
368
1. Patient visits 1.1 Open WCPU None 12 minutes Ms. Janice
WCPU FB Page BGHMC Katrina O.
Facebook Page. Castelo
1.2 Click send Psychologist
Message tab Dr. Elizabeth J.
Batino
1.3 Click Get Physicians
Started Dr. Nora
1.4 Choose Inquiry Genevieve M.
or Consult Recolizado
1.4.1 For Inquiry Dr. Leanne C.
type Acosta (On
message and Training)
wait for reply Dr. Mary Jane P.
depending on Carrido
the inquiries Social Workers
Ms. April Lippi A.
1.4.2 For Consult:
Sudango
a. Click DPA 60 minutes
Ms. Haydee V.
b. Click Agree Yaco
(DPA) then Ms. Edith P.
fill up the Madongit
intake sheet
(google form)
c. Wait for reply
from WCPU
staff
1.4.3 For
Counselling:
a. Psychologist
explains
telecounselin
g process. If
patient
agrees, a
zoom/ google
meet link will
be sent to the
patient
1.4.4 Telecounseli
ng proper
TOTAL: None 1hour, 12
minutes
END OF TRANSACTION
369
Nursing Service
Central Supply Room
Internal
370
1.Central Supply Room (Main Building)
Central Supply Room is a unit in the hospital which issues and dispense sterile medical
supplies and instruments needed in the care of the in/out patients.
1. Dispensing of Medical Supplies
1.1 Issuance of Medical Supplies to In-Patient
Office or Division Central Supply Room
Type of Government – to –Citizen (G2C) – Transacting Public
Transaction:
Who May avail ALL
Prescription/s Pad - Physician
Issue Slip
- Nurse

Step 1.
Present prescription 1. Receives the None 1 minute Central Supply
Pad or Issue Slip prescription or issue Room Staff on
slip and ascertain duty
validity and
completeness
Step 2
Waits for the 1.Checks None 1 minutes Central Supply
confirmation of the availability of item Room Staff on
availability of the on the iHOMIS duty
item/supply (integrated Hospital
Operation
Management
Information System)
and charge to
patient’s account
Step 3
Receives the 1. Prepares and None 2 minutes Central Supply
items/s and signs at dispense the Room Staff on
the lower portion of duty
correct item
the prescription or
issue slip
END OF TRANSACTION
371
2.1 Issuance of Medical Supplies to Out- Patient Sales

Type of Transaction: Government – to –Citizen (G2C) – Transacting Public
Who May avail ALL
Prescription Pad Physician
Charge Slip CSR Staff
Official Receipt Cashier
Step 1
Present completely 1.Receives completely None 1 minute Central Supply
filled prescription filled prescription Room Staff on
duty
Step 2
Waits for the 1.Checks availability None 1 minute Central Supply
confirmation of the of item on the iHOMIS Room Staff on
availability of the (Integrated Hospital duty
item/supply Operation
Management
Information System) None 1 Minutes
Central Supply
2.Charge the item Room Staff on
indicating the name of duty
the client
Step 3
Receives the 1.Prepares items None 1 minute Central Supply
charge slip and indicated in the Room Staff on
proceed to Cashier prescription duty
for payment
Step 4.
Presents the Copy the Official Depends 1 minute Central Supply
Official Receipt Receipt Number to the on the price Room Staff on
and charge slip Charge slip for filing of item duty
Step 5
Receives the item/s Dispense the correct None 30 seconds Central Supply
and Official Receipt item/s Room Staff on
duty
TOTAL: Depends 5 minutes & 30
on the price second
of item
END OF TRANSACTION
372
3.1 Issuance of Medical Supplies to Out- Patient Sales to Senior Citizen and Person
with Disability
Type of Transaction : Government – to –Citizen (G2C) – Transacting Public
Who May avail Senior Citizen and PWD
Prescription Pad Physician

Senior Citizens (SC) ID
Senior Citizens – Office of the Senior Citizens
Persons with Disability (PWD) ID Affairs (OSCA)
PWD – Local Social/Health Office
Step 1
Present the following: 1.Receives None 1 minute Central Supply
completely filled Room Staff on
a. Prescription; prescription and duty
b. SC & PWD ID
SC/PWD ID
Step 2
Waits for the 1.Checks availability None 1 minute Central Supply
confirmation of the of item on the Room Staff on
availability of the iHOMIS (Integrated duty
item/supply Hospital Operation None 1 Minutes
Central Supply
Management
System ) Room Staff on
duty
2.Charge the item
indicating the name
of the client
3. Instruct Client to
pay at the Cashier
Step 3
Receives the charge 1.Prepares items None 1 minute Central Supply
slip and proceeds to indicated in the Room Staff on
Cashier for payment prescription duty
373
Step 4.
Presents the Official Copy the Official Depends on 2 minute Central Supply
Receipt and charge slip Receipt Number to the price of Room Staff on
the Charge slip for item duty
filing
Step 5
Receives the item/s Dispense the correct None 30 second Central Supply
and Official Receipt item Room Staff on
duty
TOTAL: Depends on 6 minutes &
the price of 30 seconds
item
END OF TRANSACTION
374
4. Dispensing of Medical Supplies to OPD Patients with Financial
Assistance and Phil Health Entitlement
4.1 Issuance of Medical Supplies to OPD patient with Financial Assistance and Phil-
Health Entitlement
Office or Division CENTRAL SUPPLY ROOM
Type of Transaction Government – to –Citizen (G2C) – Transacting Public
:
Who May avail ALL
A.Prescription - Physician
B.Guarantee Letter for Medical Assistance with - Malasakit Center

updated monitoring Form
- Billing
C.Philhealth Availment Form
CLIENT STEPS AGENCY ACTION FEES PROCESSING PERSON

PAID
Step 1.
Present 1.Receive and check for None 1 minute Central Supply
Guarantee Letter / the completeness and Room Staff on
PHIC Availment updated Guarantee Letter/ duty
Form together with PHIC Availment Form and
Prescription and monitoring Sheet
Updated
Monitoring Sheet
Step 2
Waits for the 1.Check availability of None 2 minutes Central Supply
confirmation of the item on the iHOMIS Room Staff on
availability of the (Integrated Hospital duty
item/supply Operation Management
Information System)
2. Charge the available
medical supplies (2 copies
of Charge Slips) and
attach to the guarantee
letter/ PHIC availment
form
Step 3
375
Receives the item Prepares and dispense 3 minutes Central Supply
and the guarantee the correct item/ medical Room Staff on
letter with the supplies and returns duty
monitoring patient’s Guarantee
sheet/PHIC letter/PHIC availment
availment form form, monitoring sheet
and charge slip and a copy of the charge
slip
Another copy of charge
slip to be attached to
prescription for filing
purposes
END OF TRANSACTION
376
PRICE LIST
(Medical Supplies)
Selling
Description Unit Unit Cost
Price
Acalasia balloon Dilator; Used to endoscopically

dilate strictures in esophagus; Inflated balloon
diameter at least 35mm/36-40.5-45 FR; 8cm balloon
length; 2-4-6 or 30-60-90 atm/psi pressure (EGD) Piece 40,000.00 53,333.33
Admission kit with the ff:
(1) medicine cup graduated clear plastic, 5ml to
30ml;
(1) cup graduated clear plastic, 250-300ml, non
sterile,
(1) Thermometer, digital with battery,
(1) alcohol 70% 60ml,
(1) Face towel, soft texture, small,
(1) toot piece 153.00 204.00
Adult Trache mask, pliable plastic with tie
Piece 110.00 146.67
Airway- Oral Size 40 mm, guedel
Piece 22.00 29.33
Piece 20.00 26.67
Piece 20.00 26.67
Piece 23.89 31.85
Piece 20.00 26.67
Piece 29.15 38.87
Airway- Oral, Size 100 mm, guedel
Piece 19.40 25.87
ALCOHOL PREP PADS, MEDIUM, 2 PLY,
SATURATED WITH 70% ISOPROPYL/ETHYL
ALCOHOL Piece 0.58 0.77
Alcohol, 70% isopropyl , 500 ml
Bottle 48.00 64.00
Alcohol, 70% isopropyl , 60 ml
Bottle 12.22 16.29
aneurysm clip 3mm, mini, straight, permanent Piece 15,999.00 21,332.00
aneurysm Clip 5mm, mini straight, Permanent Piece 15,998.00 21,330.67
377
aneurysm Clip 7mm, mini, slightly Curved,
Permanent Piece 15,998.00 21,330.67
aneurysm Clip 9mm, standard, slightly curved,
permanent Piece 15,998.00 21,330.67
aneurysm Clip 9mm, standard, straight, permanent Piece 15,998.00 21,330.67
aneurysm Clip 9mm, standard, straight, temporary Piece 18,888.18 25,184.24

Applicator Stick, plastic stem, 3" sterile , double
end, 10 piece per Pack pack 7.00 9.33
Applicator Stick, plastic stem, 6" sterile , single end,
100 piece per Pack Piece 1.13 1.51
Arm Sling, Large size, with adjustable shoulder
strap pad and foam Piece 99.00 132.00
Arm Sling, Medium size, with adjustable shoulder
Arm Sling, Small size, with adjustable shoulder
Baerveldt Tube Glaucoma Drainage Device
Piece 10,500.00 14,000.00
Bag Valve Mask-Adult
piece 1,333.10 1,777.47
Bag Valve Mask-Neonate
piece 995.00 1,326.67
Bag Valve Mask-Pedia
piece 1,000.00 1,333.33
Bag, COLOSTOMY w/ 32mm - 40mm base plate
hydrocolloid adhesive skin protector & locking
system, leak proof, with closed drainable integrated
laminar filter bag, Sterile piece 404.00 538.67
Bag, COLOSTOMY w/ wafer & lock clip, adult, 56-
57mm, Sterile, closed and drainable.
Piece 404.00 538.67
Bag, COLOSTOMY w/wafer & lock clip 45mm,
sterile close and drainable Piece 404.00 538.67
Balloon Dilator
10-11-12 mm/Fr 30-33-36
Balloon Length: 5.5 cm
Catheter: Fr 7 x 240 cm
Pressure: 2-4-6 atm/30-60-90 psi
Wire Guide: 300 cm
Minimum Accessory Channel: 2.8 mm
Rapid deflation, 2 radiopaque bands, glow-in-the-
dark size and info on packaging a piece 19,500.00 26,000.00
378
Balloon Dilator
10-12-15 mm/Fr 30-33-36
Balloon Length: 5.5 cm
Catheter: Fr 7 x 240 cm
Pressure: 2-4-6 atm/30-60-90 psi
Wire Guide: 300 cm
Rapid deflation, 2 radiopaque bands, glow-in-the-
dark size and info on packaging a piece 19,500.00 26,000.00
Basket extractor; 6 wire basket; 20mm and 30mm

basket diameter; 42 to 61mm basket length; 1.9mm
outer sheath diameter; 45 degrees injection port
(ERCP/DUODENOSCOPY) piece 23,450.00 31,266.67
Blade, Surgical No.10, sharpened along the inside
edge of the curve Piece 2.80 3.73
Blade, Surgical No.11, Ultrasharp DOUBLE SIDED
CUTTING POINTED TIP Optha use piece 18.95 25.27
Blade, Surgical No.11,Unsharpened back edge
Piece 2.80 3.73
Blade, Surgical No.12, pointed, crescent shaped
blade sharpened Piece 2.39 3.19
Blade, Surgical No.15, Ultrasharp, SHOULD CUT
SCLERA smoothly with one stroke Piece 18.95 25.27
Blade, Surgical No.15, Unsharpened back edge piece
3.50 4.67
Blade, Surgical No.20, with a curved cutting edge
and a flat, unsharpened back edge piece 2.80 3.73
Breathing Bag for Anesthesia Machine, 1 L
Piece 469.50 626.00
Breathing Bag for Anesthesia Machine, 2.0 L
Piece 469.50 626.00
Breathing Bag for Anesthesia Machine, 3.0 L
Piece 469.50 626.00
Breathing Circuits Single Limb 40" (Pedia) w/
Breathing Bag Piece 1,300.00 1,733.33
Breathing Circuits Single Limb 72" w/ Breathing
Bag, Adult Piece 1,300.00 1,733.33
BUBBLE CPAP CANNULA SIZE 0
Piece 640.00 853.33
BUBBLE CPAP CANNULA SIZE 1
Piece 640.00 853.33
BUBBLE CPAP CANNULA SIZE L
Piece 350.00 466.67
Bulb, laryngoscope halogen, 3.5 volts
379
Piece 2,500.00 3,333.33
Cadaver Bag with zipper- Adult
Piece 600.00 800.00
Cadaver Bag with zipper- Pedia
Piece 700.00 933.33
Calibrated cup, clear plastic 200ml - 300ml
Piece 15.45 20.60
Cap Surgical, bouffant
Piece 4.30 5.73
Catheter Embolectomy FR. 5
Piece 4,800.00 6,400.00
Catheter Internal Jugular Vein,dual lumen 11 - 13 F,
3.8mm x 12.5-16 cm Piece 2,800.00 3,733.33
Catheter Internal Jugular Vein,dual lumen 8 F,
3.8mm x 12.5-16 cm Piece 3,800.00 5,066.67
Catheter, Ball tip; 1.8mm in length; Pre-Curved with
color graduation and metal tips; removable nitinol
stylet, steril packed; compatible with 0.035 or 0.21
guide wire (ERCP/DUODENOSCOPY)
Piece 7,410.00 9,880.00
Catheter, Central Venous, 2 way lumen, 4 Fr x 8cm
Piece 2,088.00 2,784.00
Catheter, Central venous, 3 way lumen, 5 Fr. X 8
cm. Piece 2,650.00 3,533.33
Catheter, Embolectomy, Fr.3
Piece 4,800.00 6,400.00
Catheter, Indwelling foley french 10 silicone-
elastomer-coated,coude tip, 2 way foley, 7 - 10 cc
ballon, sterile. Piece 34.33 45.77
Catheter, Indwelling foley french 12, silicone-
elastomer-coated, coude tip,2 way Foley, 7 - 10cc
balloon. Sterile Piece 30.00 40.00
elastomer-coated,coude tip,curve 2 way foley, 7-10
cc ballon, sterile. Piece 25.00 33.33
380
Catheter, Intravenous, gauge 18, sterile , tamper-

resistant, transparent needle shield that fully
encases the needle. notched needle for rapid
visualization of blood return along the catheter shaft,
retracts with push of a button.
Piece 43.00 57.33

encases the needle, notched needle for rapid
visualization of blood return along the catheter shaft.
Piece 43.00 57.33

Piece 43.00 57.33

Piece 43.00 57.33
Catheter, rubber, straight Size 12, with tapered
seamless catheter tip is designed to pass smoothly
through the urethra and into the bladder
Piece 12.88 17.17
Catheter, rubber, straight Size 14, with tapered
seamless catheter tip is designed to pass smoothly
through the urethra and into the bladder
piece 27.00 36.00
Catheter, silicone-coated, straight Size 14, with
tapered seamless catheter tip is designed to pass
smoothly through the urethra and into the bladder,
Sterile Piece 27.00 36.00
381
Catheter, silicone-coated, straight Size 8, with
Catheter, silicone-coated, straight, Size 10, with
Catheter, silicone-coated, straight, Size 16, with
sterile Piece 27.00 36.00
Catheter, Standard tip; 1.8mm in length; Pre-Curved
graduation and metal tips; removable nitinol stylet,
sterile packed; compatible with 0.035 or 0.25 guide
wire (ERCP) Piece 7,410.00 9,880.00
Catheter, Suction Fr 10, Silicon, Flexible, long,

smooth, clear, and kink-resistant. Has a clear plastic
sleeve that envelopes a plastic suction catheter.
With large opening of the distal tip for easy and
efficient removal of secretions.
Piece 4.92 6.56
Piece 5.48 7.31

Piece 4.92 6.56

Piece 5.22 6.96
Piece 5.48 7.31
382
Catheter, Umbilical catheter, radio opaque or
transparent PVC, with distance markings every
centimeter, open and smooth distal tip, fr 5
Piece 315.00 420.00
Catheter,tenckhoff Swan neck peritoneal catheter,
(Pedia) Piece 4,850.00 6,466.67
Catheter,tenckhoff Swan neck peritoneal catheter, 2
cuff,62 cm (Adult) Piece 4,500.00 6,000.00
CERVICAL COLLAR LARGE, SOFT
Piece 273.00 364.00
CERVICAL COLLAR MEDIUM SOFT
Piece 273.00 364.00
CERVICAL COLLAR SMALL SOFT
Piece 379.95 506.60
CERVICAL COLLAR(PHILADELPHIA) Large
Piece 1,480.00 1,973.33
CERVICAL COLLAR(PHILADELPHIA) Medium
Piece 1,390.00 1,853.33
CERVICAL COLLAR(PHILADELPHIA) smaLL
Piece 1,270.00 1,693.33
Chlorhexidine degluconate 0.02 - 1% Preparation
minimum 100ml bottle Bottle 230.00 306.67
Colonoscopy injector, G21 or G23, lower (230-240
cm) Piece 5,000.00 6,666.67
Condom Catheter, Silicone material is stretchy,

breathable, and allows for the perfect fit
•Secure adhesive is both reliable and skin friendly
•Anti-leak bellows ensure maximum security
•Unique, discreet, and recyclable packaging
•Double grip strip ensures an easy roll-out for secure
application
•latex-free
Piece 21.25 28.33
Continous peripheral nerve block catheter set. .fully

coated 20 degrees facet bevel with micro dot
electrodes, with side port adapter catheter through -
the - needle system, Gauge 18-22, 50-150mm
Piece 2,374.43 3,165.91
Cord clamp, umbilical, plastic, sterile, disposable
Piece 3.25 4.33
Cotton Balls, sterile, 5's/pk, highly absorbent, 100%
bleached, will not come apart when saturated
pack 4.65 6.20
383
Coverall with hood, disposable/ single use, Full-body
protective against particulates (Type 5) or light liquid
splashes (Type 6), fluid resistant, Medium piece 345.00 460.00
Cyanocrylate (Histoacryl) glue 5s/box
Piece 1,495.00 1,993.33
Cyto brush for Pap Smear
Piece 19.50 26.00
Dial Flow Regulator Type with 46 Microns Safety
Filter and Y-Site, Non DEHP Tubing Piece 128.00 170.67
Dial Flow Regulator Y-Site Needleless Type with 46

microns Safety Filter, Non DEHP Tubing Piece 128.00 170.67
Diaper, adult, large, individually wrapped
piece 22.20 29.60
Diaper, Medium
piece 22.70 30.27
Diaper, newborn, individually wrapped
piece 15.00 20.00
Dilation Catheter (ERCP/Duodenoscopy)
Fr 10-6 x 200 cm, .035, 3 cm tapered tip
Minimum Accessory Channel: 2.8 mm Piece 6,500.00 8,666.67
Fr 8.5-5 x 200 cm, .035, 3 cm tapered tip
Disinfectant - Bleach 5.25% Soduim Hypochlorite
gallon 155.80 207.73
Disinfectant antiseptic 2- propanol + benzalkonium
chloride 50 Ml spray Bottle 496.00 661.33
Disinfectant- Hand rub: 2-Propanol, 1- Propanol,

Mecetronium ethylsulfate, Glycerol, Tetradecan-1-
ol,fragrances, patent blue V, 85% purified water
(Classic Hand Rub)1 Liter/ Bottle- Sterillium
Bottle 1,800.00 2,400.00
Disinfectant Wipes for Ultrasound Probe, sheets,
100's/cannister sheet 8.99 11.99
384
Disinfectant wipes, Surface EPA-registered,
bactericidal, virucidal, tuberculocidal, for blood spills
and contaminated equipment, compatible with
hospital-grade surfaces, stainless steel, porcelain,
glass, plastic, glazed ceramic, not easily torn, absorb
80 sheet 19.65 26.20
Disinfectant, skin, IsoPropanol Benzalkonium
Chloride, at least 0.5 Liter to 1 Liter with Spray-
Cutasept Bottle 1,750.00 2,333.33
Disinfectnt spray
piece 405.00 540.00
Distilled Water 6.6 Liters
Bottle 79.50 106.00
Distilled Water, 50cc vial
vial 30.00 40.00
Drainable Pouch standard opaque, transparent size

57mm must be same brand with #24 piece 80.00 106.67
Drainable Pouch standard opaque, transparent size

45 mm must be same brand with #23 piece 80.00 106.67
Dressing Pad 10cm X 12 cm, transparent & window
frame Piece 57.18 76.24
Dressing pad, 9 x 20 cm, transparent w/ absorbent
pad & window frame 112.50 150.00
Dressing Transparent film with notch and frame
delivery, reinforce with soft cloth tape and with
precut sterile tape strips 7 cm x 8.5 cm.
Piece 38.81 51.75
Dressing, hydrocolloid adhesive 10 x 10 x 0.2 cm, 10
pcs per box Piece 400.00 533.33
Dressing, Hydrocolloid controlled gel formula 8 x 8
inch (20 x 20xcm) Piece 704.00 938.67
Dressing, hydrocolloid controlled gel formula
dressing extra thin 4 x 4 inch (10 x 10 cm) Piece 115.00 153.33
Dressing, Hydrofiber pad Dressing hydrofiber
dressing impregnated with ionic silver for infected
soft tissues 10x10 cms Piece 729.00 972.00
Dressing, Hydrofiber pad Dressing hydrofiber
dressing impregnated with ionic silver for infected
soft tissues 15x15 cms Piece 1,000.00 1,333.33
Dressing, IV transparent film with nothches frame &
label size 5cm x 5.7cm Piece 42.88 57.17
385
Dressing, Surgical cover dressing adhesive
hydrocolloid fiber pad with silver, post surgical
wound use 9x15cm; will last for entire postop wound
care, water resistant Piece 1,000.00 1,333.33
Dressing, Surgical cover dressing adhesive
hydrocolloid fiber pad with silver, post surgical
wound use 9x25 cm; will last for entire postop woud
care, water resistant Piece 1,100.00 1,466.67
Dressing, Wound Care, hydrofiber, foam adhesive

foam with hydrofiber, specific for chronic wounds,
bedsores 21x21cm, without ionic silver. Piece 800.00 1,066.67
Dressing, wound post operative (Soft cloth dressing)
9x20, 25's Piece 75.56 100.75
ECG Electrodes (ADULT)
Piece 3.43 4.57
ECG Electrodes (PEDIA)
Piece 3.37 4.49
ECG Paper, Z FOLD
pack 170.00 226.67
ECG thermal paper, compatible for schiller machine
AT-1 roll 527.00 702.67
ECG thermal Paper, compatible with welch allyn
ECG machine roll 650.00 866.67
EGD injector G21 or G23, upper (180-200cm)
piece 3,500.00 4,666.67
Elastometric Infusion Pump, Disposable, 100 - 400cc
volume capacity 2-10cc/hr flow rate Piece 1,245.00 1,660.00
Endotracheal Intubation Tray, Size 4.0
Piece 680.00 906.67
Endotracheal Intubation Tray, Size 7
Piece 680.00 906.67
Endotracheal Intubation Tray, Size 7.5
Piece 680.00 906.67
Endotracheal Tube size 2.0 mm, uncuffed
Piece 27.88 37.17
Endotracheal Tube size 2.5mm uncuffed, free stylet
Piece 33.00 44.00
Endotracheal Tube, Double Lumen, Left Sided, size
35 Piece 4,333.00 5,777.33
Endotracheal Tube, Double Lumen, Left Sided, size
37 Piece 4,333.00 5,777.33
386
Endotracheal Tube, sterile, single used, with
inflatable cuff, one way valve spring-loaded pilot
balloon, with easy to read tube insertion markings,
with color coded lines, with a posterior lumen with a
subglottic evacuation opening above the cuff, with an
integrated suction lumen with cap, smooth cuff-to-
tube weld, left-facing bevel tip size 7.0mm Piece 460.00 613.33
Endotracheal Tube, sterile, single used, with

inflatable cuff, one way valve spring-loaded pilot
balloon, with easy to read tube insertion markings,
with color coded lines, with a posterior lumen with a
subglottic evacuation opening above the cuff, with an
integrated suction lumen with cap, smooth cuff-to-
tube weld, left-facing bevel tip size 7.5mm Piece 460.00 613.33
Endotracheal Tube, uncuffed, size 3.0mm
Piece 22.98 30.64
Endotracheal Tube, uncuffed, size 3.5 mm
Piece 22.98 30.64
Endotracheal Tube, with inflatable cuff, size 4.0mm
Piece 32.00 42.67
Piece 27.88 37.17
Piece 32.00 42.67
Piece 32.00 42.67
Piece 30.50 40.67
Piece 30.50 40.67
Piece 30.50 40.67
Piece 27.88 37.17
Piece 24.88 33.17
Enteral Feeding Tube- made of medical grade

DEHP-fre polypropylene, calibrated plastic
container,with string dependable hanging ring, with
large top opening safety lock cap, bottom exit port, Piece
135cm-136cm long (53-56 inches), clear tubing roller
clamp, clear and flexible drip chamber,
410.00 546.67
387
ERCP Catheter Piece
Fr 6 x 200 cm, DomeTip, angled
Wire Guide Diameter: .035 inch
Minimum Accessory Channel: 2.8 mm 6,830.00 9,106.67
Esophageal Varices Rubber Band Ligator, at least 6
bands/set
Endoscope Outer Diameter: 9.5-13 mm
Trigger Cord Length: 122 cm
piece
Extraction Balloon (ERCP/Duodenoscopy)
Fr 6.6 x 200 cm, multiple size (4 sizes) and extra
large (12-15-18-20 mm)
Injection Port: above
Piece
Extraction Balloon (ERCP/DUODENOSCOPY)
Fr 7.5 x 200 cm, multiple size (3 sizes)
Balloon Diameter: 8.5-12-15 mm
Injection Port: above
piece
Extraction Basket (ERCP/DUODENOSCOPY)
3 x 6 cm basket size, lithotripsy compatible
Compatible with Conquest TTC and Soehendra
Lithotriptor Handle
Sheath: Fr 7 x 220 cm
piece
Extraction Basket (ERCP/DUODENOSCOPY)2 x 4
cm basket size, lithotripsy compatibleCompatible
with Conquest TTC and Soehendra Lithotriptor
HandleSheath: Fr 7 x 220 cmMinimum Accessory
Channel: 2.8 mm
15,600.00 20,800.00
Eyepad (sterile Oval eye pad)4.1 x 6.7 cm 3.50 4.67
Femoral Introducer Sheath, Fr 5 Piece 1,300.00 1,733.33

Femoral Introducer Sheath, Fr 5
950.00 1,266.67
Femoral Introducer Sheath, Fr 6 Piece 1,300.00 1,733.33

Gauze Bandage Rolled (3 x 10), 12 pcs
Roll 158.00 210.67
388
Gauze pad, 4 x 8 x 8 ply, 28 x 24 mesh, sterile,
pack of 5 pack 26.25 35.00
Gauze sterile, 4 x 4 x 8 ply, 24 x 28 mesh, sterile,
pack of 5 pack 13.75 18.33
Gauze sterile, 2 x 2 x 8 ply, 24 x 28 mesh sterile,
pack of 5 pack 7.84 10.45
Gauze Sterile, 2x2, 24 x 28 mesh, sterile, pack of 2
pack 10.00 13.33
Gauze Sterile, 4 x 16, 24 x 28 mesh, sterile, pack of
2 pack 45.00 60.00
Gauze Sterile, 4x8, 24 x 28 mesh, sterile, pack of 2
pack 25.00 33.33
Gauze Sterile, 8 x 16, 24 x 28 mesh, sterile, pack of
2 pack 60.00 80.00
Gloves, sterile, S. 6.5, beaded cuff, 290mm length,

0.20-0.24mm finger thickness, lightly powdered with
FDA approved USP cornstarch packed in water
resistant non-fibre peel packaging, Ward use
pair 11.50 15.33

pair 11.50 15.33

pair 11.50 15.33
Gloves, Clean Medium Size, natural rubber latex,
smooth surface, beaded cuff, high strength and
elasticity,100/Box pair 3.30 4.40
Gloves, Nitrile Examination, large, disposable,
powder free, ambidextrous, Powder Free, non
sterile, 100pcs/box pair 3.60 4.80
Gloves, Nitrile Examination, Medium/Box
pair 3.60 4.80
Gloves, Nitrile Examination, small, disposable,
powder free, ambidextrous, Powder Free, non
sterile, 100pcs/box pair 3.49 4.65
389
Gloves,chemo, non-latex, powder free, palm
thickness 0.13 - 0.15mm, straight cuff with sticky
band, highly elastic, tear free, external surface: micro
textured chlorinated and siliconized, internal surface:
polyurethane coated and siliconized. Size: 6.5
pair 52.00 69.33

pair 52.00 69.33

pair 53.00 70.67

pair 52.00 69.33
Goggles, Chemical
Piece 250.00 333.33
Gown, Disposable, sterile, individually packed, fluid
resistant, non-woven piece 250.00 333.33
Gown, non-sterile, long sleeved, fluid resistant,
disposable piece 75.00 100.00
Guide Wire, adult, 4.7mmØ - 5.0mmØ x 380-450mm
stylette piece 90.00 120.00
Guide Wire, neonate, 2.0mmØ x 255mm - 302mm,
stylette piece 88.00 117.33
Guide Wire, pediatric, 3.3mmØ x 380mm, stylette
piece 88.00 117.33
GUIDEWIRE 0.035, 150cm,J tip
1,300.00 1,733.33
Guidewire; 0.025" diameter; Hydrophilically; Soft tip;

Teflon coated nitinol wire; Two color and a 5mm
tapered radiopaque tip; at least 450cm length; Single
use; Sterile packed (ERCP/DUODENOSCOPY) piece 11,000.00 14,666.67
Hand soap , liquid with moisturizer
gallon 300.00 400.00
390
Heat Moisture Exchanger
Piece 205.00 273.33
Hemoclip for Colon: Rotatable clips design, offering
a precise placement.
Repeated opening and closing clips prior to
deploymeny for precise positioning
Innovational design of handle lock system and
atraumatic tip, avoid damage to scope after
releasing c Piece 8,000.00 10,666.67
Hydrogen Peroxide, 3 % Solution (120ml/bottle)
Bottle 11.95 15.93
IBP TRANSDUCER KIT A-LINE, single disposable
size: adult and pedia Piece 2,300.00 3,066.67
Ice bag, 100 % leak free, with resealable cap
piece 65.00 86.67
Incentive spirometer, triflow
Piece 276.00 368.00
Inflation device for Endoscopic procedures Piece 11,700.00 15,600.00

Integrated and closed IV catheter system, needle
free dual ports, split septum type port, kink resistant
cannula, locking stylet, G.18X0.56 - 1.25 inch
Piece 258.88 345.17
cannula, locking stylet, G.20X0.56 - 1 inch
Piece 258.88 345.17
cannula, locking stylet, G.22X0.56 - 1 inch
Piece 258.88 345.17

cannula, locking stylet, G.24X0.56 inch Piece 258.88 345.17
INTRAOSSEOUS ADULT NEEDLES g 25
piece 4,800.00 6,400.00
INTRAOSSEOUS PEDIA NEEDLES g. 15
Piece 4,800.00 6,400.00
IV Infusion connecting tube 100CM
Piece 28.00 37.33
391
IV Starter kit. Contents: Latex Free tourniquet, Iodine
soaked Que-tip in tapered packaging for easy tear,
alcohol swab, sterile gauze, name tag sticker, film
dressing, quarter roll transparent plaster, powder
free gloves, Sterile packaging Piece 121.88 162.51
Jackson Reese System 1000ml, Complete set
set 850.00 1,133.33
Jackson Reese System 250 ml, Complete set set 421.43 561.91
Jackson Reese System 500ml, Complete set
set 1,498.00 1,997.33
Kelly pad, heavy duty, rubberized,
• 50cm - 60cm x 100cm - 120cm
• inflatable rubber, horseshoe shape
• light weight
• lying-in rubber pad piece 485.00 646.67
Kidney Basin, plastic
piece 10.00 13.33
Kidney basin, stainless
piece 389.00 518.67
KMC 3XL
piece 280.00 373.33
KMC LARGE
piece 280.00 373.33
KMC XL
piece 280.00 373.33
Knee immobilizers, latex free, foam made,
removable & adjustable medial & lateral stays. Hook
& loop straps & posterior stays. Six 3" straps for
compression. Fits left or right. Universal fit. Available Piece 1,179.00
lined (3/8" thick) or unlined (5/16" thck). Sizes:
large 1,572.00
medium 1,572.00
small 1,572.00
392
Lidocaine 2% polyamp, 5ml/amp
amps 8.11 10.81
Lithotripsy basket;□• Soft multifilament 6-wire basket piece
7 fr/220cm sheath with rotatable pin vise handle
basket□• Size: 2 x 4cm 50,000.00 66,666.67
Lithotripsy Cable piece
Fr 14 x 82 cm lithotripsy cable 10,570.00 14,093.33
Lithotripsy handle; soehendra type Stone Crusher piece
set (ERCP/DUODENOSCOPY) 32,500.00 43,333.33
piece
Low Profile Gastrostomy Device
Fr 24 x 3.4 cm, button type, 46 cm universal
extension tube, 60 cc syringe
Included Components: taper tip syringe, right angle
universal tube with bolus adapter or with bolus
adapter male, direct kinect adapter, direct bolus 14,640.00 19,520.00
Lubricating Jelly, 3 g/sachet, Bacteriostatic, latex
free, water soluble, sterile Piece 3.58 4.77
Mask, Flex, Size 1 (Face Mask for Anesthesia Use)
Piece 350.00 466.67
Mask, Flex, Size 2 (Face Mask for Anesthesia Use)
Piece 167.00 222.67
Mask, Flex, Size 3 (Face mask for Anesthesia Use)
Piece 240.00 320.00
Piece 148.00 197.33
Piece 168.00 224.00
Mask, Oxygen with reservoir bag, Adult
Piece 48.00 64.00
Mask, Oxygen with reservoir bag, Pedia
Piece 48.00 64.00
Mask. Laryngeal Mask Airway Size 1
Piece 2,872.00 3,829.33
Mask. Laryngeal Mask Airway Size 1.5
Piece 2,340.00 3,120.00
Piece 2,340.00 3,120.00
Piece 2,340.00 3,120.00
Piece 2,340.00 3,120.00
Piece 2,340.00 3,120.00
MASKS, FACE, EAR LOOP
Piece 18.60 24.80
393
Medicine cup 30ml, plastic, mL calibration Piece 1.80 2.40
MISCELLANEOUS
-
Mouth Guard for EGD (Adult)
Piece 198.00 264.00
Nail polish remover (at least 10ml) Piece 15.00 20.00

Name Tag, soft plastic, at least 2 cm width, not
abrasive, Color code: Blue - for male baby, for
nursery use Piece 2.12 2.83
abrasive, Color code: Orange adult Piece 3.00 4.00
abrasive, Color code: pink - for female baby, for
nursery use Piece 2.95 3.93
abrasive, Color code: Red adult Piece 3.00 4.00
abrasive, Color code: white adult Piece 2.12 2.83
Nasal Prong, small for nasal CPAP
piece 2,400.00 3,200.00
Naso gastric tube french 10, non toxic medical
grade silicone, sterile, xray visualization, clear, soft,
radio opaque line, transparent tube, latex free.,
100cm Piece 25.00 33.33
100cm Piece 8.40 11.20
100cm Piece 7.80 10.40
100cm Piece 178.00 237.33
100cm Piece 178.00 237.33
Naso Gastric Tube, fr. 5, 100 cm, silicon coated
Piece 5.98 7.97
394
Naso Gastric Tube, fr. 5, 40 cm, straight, silicon
Piece 5.98 7.97
Naso Gastric Tube, fr. 8, 100cm silicon
Piece 5.98 7.97
Naso Gastric Tube, fr. 8, 40cm , straight
Piece 4.70 6.27
Nebulizing kit (adult mask) with oxygen tubing, non
toxic PVC, medical grade transparent, 78-85 inches
length Piece 30.00 40.00
Nebulizing kit (pediatric mask) with oxygen tubing,
non toxic PVC, medical grade transparent, 78-85
inches length Piece 30.00 40.00
Nebulizing kit, with oxygen tubing, tee adapter and
mouthpiece sterile, 78-85 inches length
Piece 30.00 40.00
Needle, Biopsy Core, 15mm depht, G. 16
penetration selector with 1.9cm sample notch w/ 2
triger button Piece 2,800.00 3,733.33
Needle, Biopsy Core, 22mm depht, G. 14
penetration selector with 1.9cm sample notch w/ 2
triger button Piece 2,500.00 3,333.33
Needle, Biopsy, Liver, Meninghini G. 17, disposable
Piece 2,500.00 3,333.33
Needle, Butterfly, g 23 , sterile, disposable,
100's/box Piece 35.00 46.67
Needle, Caudal pediatric 0.5mm / G25
Piece 398.00 530.67
Needle, caudal pediatric 0.7mm / G22
Piece 398.00 530.67
Needle, Hypodermic gauge 19 ,1 x 1 - 1.5 “
stainless steel, sterile, disposable Piece 1.08 1.44
Needle, Hypodermic gauge 26,1 x 1 - 1.5 “ stainless
steel, sterile, disposable Piece 1.25 1.67
395
Needle, Hypodermic, gauge 25, 1 inch, for Optha
Use Piece 1.25 1.67
Needle, SPINAL, quincke type, clear hub, Gauge
21,.53mm - .54mm x 87-88 mm x 3.5in
Piece 52.00 69.33
Needle, Stimulating, Single,echogenic with x
pattern, Gauge 20-22 100mm Piece 1,900.00 2,533.33
pattern, Gauge 20-22 150mm Piece 1,950.00 2,600.00
pattern, Gauge 20-22 assorted 50mm Piece 1,900.00 2,533.33
pattern, Gauge 20-22 assorted 80mm Piece 2,000.00 2,666.67
Nephrostomy kit, Fr. 10 - 10.5, 22-30cm length

locking with catheter safety string lock, metal
stiffening cannula, flexible stiffening cannula,
introducer needle, guidewire, dilator, connecting
tube, catheter retention disc, scalpel, stopcok kit 6,500.00 8,666.67
Nephrostomy kit, Fr. 8, 22 - 30 cm length
Piece 6,500.00 8,666.67
Neurosurgery Clip Clip 11mm, standard, straight,
Neurosurgery Clip Clip 5mm, mini right angled,
Neurosurgery Clip Clip 6.6-7mm, mini curved,
Neurosurgery Clip Clip 7mm, mini standard,
straight, Permanent Piece 16,000.00 21,333.33
Neurosurgery Clip Clip 7mm, standard, curved,
Neurosurgery Clip Clip 7mm, standard, straight,
Non - ionic surfactant (wash lotion pH 5.5)
Bottle 844.00 1,125.33
Nuerosurgery Clip, Clip 10.3mm, standard,curve,
permanent Piece 20,900.00 27,866.67
Oral Care pack sterile, tongue depressor, wooden
with gauze tip, sigle end, 10pc/pack pack 50.00 66.67
Piece
Oxygen Bubbler, plastic, re-usable, autoclavable
97.00 129.33
396
Oxygen Cannula, Nasal, with soft nasal prong,
pliable connector and flexible tube, ADULT, Ends of
tubing compatible to existing oxygen outlets without
leak when used, 78-85 inches length
Piece 14.80 19.73
Oxygen cannula, Nasal, with soft nasal prong,

pliable connector and flexible tube, PEDIA, Ends of
tubing compatible to existing oxygen outlets without
leak when used, 78-85 inches length
Piece 11.38 15.17
Oxygen Cannula, Nasal, with soft nasal prong,

pliable connector and flexible tube, NEONATE, Ends
of tubing compatible to existing oxygen outlets
without leak when used, 78-85 inches length
Piece 10.85 14.47
Oxygen connecting tube 2.2
Piece 90.00 120.00
Oxygen Face Mask, NEONATE, transparent with
tubing, sterile Piece 68.00 90.67
Oxygen Face Mask, ADULT, non toxic PCV,
medical grade transparent. Piece 20.79 27.72
Oxygen sensor, disposable for Nellcor pulse
oximeter (pediatric) Piece 750.00 1,000.00
Oxygen, Face Mask, PEDIA, non toxic PCV, medial
grade transparent. Piece 28.88 38.51
Paper, Tissue, 2ply, soft, white, unscented,
12pieces/ bag roll 6.93 9.24
Penrose Drain 1/2 inch x 18 inches soft, latex
rubber, x ray opaque, single use Piece 25.88 34.51
397
Percutaneous Endoscopic Gastronomy kit F20; Kit
includes: 1 fenestrated drape, 1 150cm lood
insertion wire, 260 cm wire guided, 1 cold snare, 1
silicone feeding tube, 5 gauze pad, 1 scissors, 1
hemostat, 1 bolster, 1 tube clamp, 1 universal
adapter, 1 bolus adapter, 1 twist lock, 1 cable tie, 1
bolus feeding adapter, 1 patient care manual, 1 #11
scalpel, 1 trocare needle, 2 water soluble lubricant, 1
22 gauge needle, 1 25 gage needle, 1 chloraprep, 1
povidone ointment, 1 xylocane 1%, 5ml glass vial, 1
syringe; Clear feeding tube - made of flexible high
grade silicone; French 24 feeding tube; 5.5inner tube
diameter; 0.035 insertion wire diameter; 260cm
instertion wire length
Piece 8,970.00 11,960.00
Percutaneous Endoscopic Gastronomy kit F24; Kit

includes: 1 fenestrated drape, 1 150cm lood
insertion wire, 260 cm wire guided, 1 cold snare, 1
silicone feeding tube, 5 gauze pad, 1 scissors, 1
hemostat, 1 bolster, 1 tube clamp, 1 universal
adapter, 1 bolus adapter, 1 twist lock, 1 cable tie, 1
bolus feeding adapter, 1 patient care manual, 1 #11
scalpel, 1 trocare needle, 2 water soluble lubricant, 1
22 gauge needle, 1 25 gage needle, 1 chloraprep, 1
povidone ointment, 1 xylocane 1%, 5ml glass vial, 1
syringe; Clear feeding tube - made of flexible high
grade silicone; French 24 feeding tube; 5.5inner tube
diameter; 0.035 insertion wire diameter; 260cm
instertion wire length
Piece 9,500.00 12,666.67
Percutaneous Endoscopic Gastrostomy Peg
Replacement kit (balloon type) fr 24
• one (1) Standard balloon replacement with straight
bolster
• two (2) 4" x 4" gauze pads
• one(1) lubircating jelly Piece 6,000.00 8,000.00
Photo Therapy Eye Shield
piece 25.00 33.33
Plaster 1 inch/roll, silk acetate type, hypoallegenic,
12 pieces/box roll 125.00 166.67
Plaster 2 inch/roll, silk acetate type, hypoallegenic, 6
pieces/box roll 249.81 333.08
398
Plaster, 1/2", hypoallergenic, plastic, transparent (24
pcs per box) ROLL 29.09 38.79
Plaster, adhesive, sterile, Hypoallergenic, 2",
12's/Box PAPER TAPE ROLL 43.74 58.32
Plaster, hypoallergenic (plastic & transparent), 1''

can still adhere on damp skin, water resistant, high
strength and adhesive. ROLL 51.18 68.24
Plastic Stent
10 x 7, pigtail
Plastic Stent
10 x 12, ductal flaps
Plastic Stent
10 x 12, pigtail
Plastic Stent
Plastic Stent
10 x 15, pigtail
Plastic Stent
Plastic Stent
10 x 5, pigtail flaps
Plastic Stent
Plastic Stent
399
Plastic Stent
10 x 9, pigtail
Plastic Stent
Plastic Stent
Plastic Stent
7 x 15, pigtail
Plastic Stent
7 x 5, ductal flaps
Plastic Stent
7 x 5, pigtail
Plastic Stent
7 x 7, pigtail
Plastic Stent
7 x 9, ductal flaps
Plastic Stent
7 x 9, pigtail
Povidone iodine 10 % antiseptic, gallon
gallon 548.70 731.60
Povidone iodine 10 % antiseptic, 30 ml bottle
Bottle 25.00 33.33
Povidone iodine 10 % antiseptic, 60 ml bottle
Bottle 27.90 37.20
Povidone iodone Pledget, 3pc/pack
piece 38.00 50.67
400
Presept Disinfectant tablets 2.5g
Specifications: Format=Tablet Packaging Quantity=
100 Pack
Product Type=Disinfectant Tablet
Size=2.5g jar 1,865.00 2,486.67
Probe Cover or non lubricated condom transvaginal -
For Ultrasound Piece 5.55 7.40
PROBE DISINFECTANT SPRAY - compatible with

the cardiac ultrasound machine probes, EPA
approved, does not discolor probes and cables,
inhibits growth of molds, mildew and odor, safe to
use even without gloves, will not damage equipment,
will not cause tran bottlr 1214.29 1,619.05
Radial Introducer Sheath, Fr 5, 7 - 11cm Piece 1,785.00 2,380.00
Radial Introducer Sheath, Fr 6, 7 - 11cm Piece 1,785.00 2,380.00

Rae Tube oral with cuff size 3.5
Piece 444.00 592.00
Rae Tube oral with cuff size 4
Piece 416.30 555.07
Piece 416.30 555.07
Piece 416.30 555.07
Piece 453.75 605.00
Rae Tube oral with cuff size 6
Piece 416.30 555.07
Piece 416.30 555.07
Piece 416.30 555.07
Piece 453.75 605.00
Piece 388.90 518.53
Piece 416.30 555.07
Rae Tube oral without cuff size 4.5
Piece 416.30 555.07
Piece 416.30 555.07
Piece 416.30 555.07
Rothnet, lower (Colonoscopy)
401
Piece 9,286.00 12,381.33
Rothnet, Upper (EGD)
Piece 9,286.00 12,381.33
Rubber Band Ligation (RBL) Device
Piece 9,150.00 12,200.00
Sanitary Napkin, 8's per pack
pack 23.00 30.67
Sharp/needle container,plastic, disposable, puncture

resistant, cleare tops with visible fill level indicator,
temporary and final closure features, double wall
handles, dual opening hinge top, 1.4qt
Piece 158.18 210.91
Sharp/needle container,plastic, disposable, puncture
resistant, cleare tops with visible fill level indicator,
temporary and final closure features, double wall
handles, dual opening hinge top, with warning label
for precautionary measures,5.4 qt(2.0x8.0)
Piece 230.00 306.67
Shaver, disposable
Piece 6.50 8.67
Snare for endoscopic polypectomy, sheath size F7
mini, oval, 240 cm Piece 2,500.00 3,333.33
Snare
• Colo sheath sizeF7 3x6cm snare, jumbo, oval
Piece 3,500.00 4,666.67
Snare; Used with an electrosurgical unit for

endoscopic polypectomy; Standard oval snare;
Braided loop; 2.5 x 5.5 cm; Fr 7 240cm (EGD). Piece 2,500.00 3,333.33
Soaking Solution, (Sterilant, high Level Disinfectant

for soaking Bactericidal, virucidal and
myobactericidal)
Highly effective and suitable for endoscopes, None
aldehyde, none glutheraldehyde, Non corosive for
scopes. Can last up to 28 days from dilution time.
None Hazardous for medical staff, concentrated,
dilutable and Odorless.
gallon 5,600.00 7,466.67
Soap, detergent, 1kilo per pack
pack 45.00 60.00
Soap, for hand use, at least 90mg
piece 45.00 60.00
Soap, hypoallegenic for babies piece 45.00 60.00
402
Specimen Bottle for Urine and Stool with the
following specifications: Clear, disposable,
transparent plastic ; Wide mouth; Screw-capped;
With area for labelling of name, date and time of
collection and type of specimen; 60 mL capacity;
Leak-Proof; Ste Piece 5.00 6.67
Sphincterotome (ERCP/Duodenoscopy)
Fr 7 x 200 cm, DomeTip
Cutting Wire Length: 25 mm
Cutting Wire Type: Monofilament
Precurved DomeTip
with 3D forming wire Piece 11,330.00 15,106.67
piece
Stent Introduction System

Pushing Catheter: Fr 8.5 x 170 cm
Guiding Catheter: Fr 5 x 195 cm
IDE technology, ability placing multiple stents,
repositioning a stent, and fully removing the ste 10,570.00 14,093.33
Stent Introduction SystemPushing Catheter: Fr 8.5 x piece
170 cmGuiding Catheter: Fr 5 x 195 cmWire Guide
Diameter: .035 inchMinimum Accessory Channel:
4.2 mmIDE technology, ability placing multiple
stents, repositioning a stent, and fully removing the
ste 10,570.00 14,093.33
Stent, Biliary
• Fr 10,11; length 7 to 20cm, compatible with f0.025
to 0.035 guidewire Piece 3,500.00 4,666.67
Stent, Biliary
• Fr 5,7,8; length 5 to 15cm, compatible with f0.025
to 0.035 guidewire Piece 3,500.00 4,666.67
Stent, Open ended, Endopyelotomy stent w/ SL-6
piece
Hydrophilic coating 7/10F x 28cm 2,500.00 3,333.33
piece
Stone Extraction Balloon; Triple lumen; Latex free
balloon; Radiopaque marking at the distal and
proximal end of the balloon; One centimeter marking
on the catheter; Long nitinol stylet; Flexible diameter
adjustment from 8.5 - 9mm to 16mm in one balloon; 13,000.00 17,333.33
403
STOP COCK , 3 way with two female luer lock ports
and 1 male luer slip connectors with port covers,
Piece 10.75 14.33
Strip, sterile, 0.5-1" x 2-4", latex free, hypoallergenic,
with bilateral nylon filaments, easily adheres to the
skin Piece 98.88 131.84
Suction connecting tube 210cm with Universal
Connector, fits female & male connecting tube
95.00 126.67
Suction set, frazier tip
Piece 345.00 460.00
Suction Set, Poole Drain Tip
Piece 63.50 84.67
Suction Set, Yankauer
Piece 58.00 77.33
Suction silicon toothbrush - with 210 F/F universal
connecting tube - Ultra soft bristles/ridges 100% with
universal connector Piece 335.00 446.67
Surgical Incision Drape, pouch incise film
antimicrobial , (56-60 cm x 45-50 cm)
Piece 698.18 930.91
Surgical Incision drape, pouch incise film,
antimicrobial, (33-38cm x 33-38cm) Piece 489.89 653.19
Surgical incision drape, pouch incise film,
antimicrobial, 30-40" W; 30-40" Large Piece 1488.88 1,985.17
Suture, Polyglactin, 2-0, Taper/Cutting Double Arm
Needle, Undyed, Braided Synthetic, Fastest
Absorbable, 36-37mm 1/2 Round and 36-37mm 1/2
Cutting, 140cm Piece 235.00 313.33
Syringe, 1 cc
Piece 1.19 1.59
Syringe, 10 cc with needle gauge 21 x 1 1/4 inch,
sterile and disposable Piece 3.50 4.67
Syringe, 20 cc, luer lock tip, sterile For Ophtha Use
Piece 4.90 6.53
Syringe, 3 cc
Piece 2.98 3.97
Syringe, 30 cc, luer lock tip, sterile
Piece 8.00 10.67
Syringe, 5 cc disposable
Piece 1.60 2.13
Syringe, 50 cc with g19 needle, leur lock tip
Piece 28.00 37.33
Syringe, Asepto Bulb 60cc, sterile,
Piece 17.38 23.17
Syringe, insulin 1/2cc G-31, short needle
404
Piece 8.44 11.25
Syringe, pre-filled, sterile, contains sodium chloride

0.9%,3cc in 10ml barrel diameter, eco friendly
Piece 39.98 53.31
Syringe, pre-filled, sterile, contains sodium chloride
0.9%,5cc in 10ml barrel diameter, eco friendly
Piece 40.88 54.51
Piece
T-Drainage Tube, Latex Fr. 14
150.00 200.00
Thoracostomy bottle plastic, sterile 2000ml capacity
bot 1,250.00 1,666.67
Tiger Catheter Fr. 5 100cm
Piece 1,500.00 2,000.00
Tongue depressor, inidvidually packed, wooden,
sterile, unflavored Piece 1.08 1.44
T-piece, Venturi set up, with flow meter adaptor, 500
mL Piece 490.00 653.33
Tracheostomy tube size 8, fenestrated, distal, with

cuff : inner diameter 8.0mm, outer diameter 13.3mm,
total length 105mm, proximal length 15.0 mm, radial
length 40.0 mm, distal length 50.0mm, Piece 6,000.00 8,000.00
Tracheostomy tube size 6, fenestrated, distal, with

cuff: inner diameter 6.0mm, outer diameter 11.0mm,
total length 95mm, proximal length 8.0mm, radial
length 38.0mm, distal length 49.0mm Piece 6,000.00 8,000.00
Tracheostomy tube size 6, fenestratred, proximal,

with cuff: inner diameter 6.0mm, outer diameter
11.0mm, total length 95mm,proximal diameter length
23.0mm, radial length 38.0mm distal length 34.0mm Piece 6,000.00 8,000.00
Tracheostomy tube size 8, fenestrated, proximal,

with cuff: inner diameter 8.0 mm, outer diameter 13.
3mm, total length 105 mm, proximal length 30.0mm ,
radial length 40.0mm, distal length 35.0mm Piece 6,000.00 8,000.00
TRIPLE LUMEN CENTRAL VENOUS
CATHETERIZATION SET, FRENCH 7, 15CM - 20
CM WITH VALVE NEEDLE, J TIP GUIDEWIRE
WITH ECG LEAD Piece 4,500.00 6,000.00
Tri-port extention set, needleless port, latex free non
pyrogenic Piece 298.00 397.33
Piece
T-tube latex fr. 18
167.88 223.84
405
Piece
T-tube latex fr16, ch 5.3-6mm
167.88 223.84
Tube, thoracostomy, Chest thoracostomy tube for
neonate f. 12 piece 450.00 600.00
Tube, Thorascostomy G.28, with adaptor
Piece 545.00 726.67
Tube, Thorascostomy G.32, with adaptor
Piece 545.00 726.67
Tube, tracheostomy, Adult, cuffed, with inner
cannula, fenestrated, ID 6.4.mm, O.D. 10.8 mm,
length 76 mm, size 6 Piece 2,975.00 3,966.67
Tube, tracheostomy, neonatal, uncuffed, ID
3.0mm, O.D. 4.5 mm, length 30 mm, size 3.0 Piece 3,000.00 4,000.00
Tube, tracheostomy, pediatric, uncuffed, ID
5.0mm, O.D. 7.1 mm, length 44 mm, size 5.0 Piece 3,000.00 4,000.00
Tube, tracheostomy,Adult, cuffed, w/inner cannula,
fenestrated size 8 Piece 2,985.00 3,980.00
Tube, tracheostomy,multiple fenestration w/ inner
cannula, low pressure, size 7 Piece 4,280.00 5,706.67
Tubings for ADULT mechanical ventilator, double

limb, with elbow, water trap, nebulizing kit and heat
moisture exchange (HME), Latex free with catheter
mount comportable to all endotracheal tubes,
Comportable with existing 1 Event, 100 Puritan 7200
& 3 Achevia ventilators
Piece 800.00 1,066.67
Tubings for enteral feeding compatible with #314

(Lot with 314)
extension catheter
- safety lock cap and bottom exit port Piece
- 135 to 138 cm long clear tubing with roller clamp
- with clear and flexible drip chamber
- minimum of 500 mL New item 93.00 124.00
Tubings for mechanical ventilator, NEONATAL,

double limb, water trap, 70 inches, Latex free with
catheter mount comportable to all endotracheal
tubes, Compatible w2ith existing 2 Event, & 2
Newport ventilators
Piece 750.00 1,000.00
406
Tubings for mechanical ventilator, PEDIATRIC,
double limb, water trap, 70 inches, Latex free with
catheter mount comportable to all endotracheal
tubes, Compatible w2ith existing 2 Event, & 2
Newport ventilators
Piece 700.00 933.33
Under Pad, disposable, absorbent fluff, polymer,
organic cotton, size 60x90, pack of 15"s
piece 14.67 19.56
Ureteral Catheter Stent Open Ended Tip Fr. 6
Piece 2,250.00 3,000.00
Ureteral Double J Fr. 22-32 cm (Multi Length)
Piece 5,000.00 6,666.67
Urine Bag, adult, w/ drain pipe, Capacity of 2000ml
with connecting tubing 90-100cm (with outlet) with
anchoring mechanism, with drainage
Piece 44.00 58.67
Urine Collector, Pediatric 100ml capacity Piece 3.43 4.57

Vaginal pack, rolled sterile gauze strips, 5 pcs/pack
pack 60.00 80.00
Venturi mask ADULT
Piece 700.00 933.33
VP Shunt, Flat Bottom small contoured high
pressure. Piece 16,000.00 21,333.33
VP Shunt, Flat Bottom small contoured low
pressure. Piece 16,000.00 21,333.33
VP Shunt, Flat Bottom small contoured medium
pressure. Piece 14,000.00 18,666.67
407
Professional & Allied Health Service
Health Information Management Department
External Service
408
1. Admitting Unit Services
Admitting Unit shall process the admission of patients including Philhealth and E claims
verification.
Office or Division Health Information Management Department

Transaction :
Who May avail Patient, authorized representative, relative
Admission slip Emergency Room
Patient Commitment form (for Pay Patients) Physician
Client Steps Agency Action Fees to be Processing Person
Paid Time Responsible
1.Submit Receive admission None 2 minutes Administrative
admission slip to slip, patient Officer
the Admitting commitment form (for III/Administrative
Unit staff. Private patients) and Officer
Affix signature determine type of . II/Administrative
patient accommodation Assistant
commitment whether private or
form (for private service.
patients)
2.Affix signature Disseminate hospital None 3 minutes Administrative

in the policies and Officer
authorization for procedures. Require III/Administrative
medical service the Officer
and surgical patient/representative II/Administrative
treatment form to sign authorization Assistant
for medical service
and surgical
treatment form.
3.Provide 3.1 Inquire data

information as required in the
required and accomplishment
affix signature in of the PHIC
the utilization Utilization Form
form and instruct
patient/authorized
representative to
sign
3.2 Logs on in the None 2 minutes Administrative
HOMIS and Officer
search name of III/Administrative
patient, check Officer
accuracy and II/Administrative
completeness of Assistant
409
data
3.3 Process None 8 minutes Administrative
Philhealth Officer
verification and E III/Administrative
claims Officer
Note: PMRF and CF1 II/Administrative
forms shall be Assistant
given to the
patient/authorized
representative for
any discrepancies
in the processing
of the PBEF.
3.4 Print and affix the None 1 minute Administrative
applicable stamps Officer
in the clinical III/Administrative
cover sheet Officer
II/Administrative
Assistant
3.5 Attach clinical None 1 minute Administrative
cover sheet with Officer
the authorization III/Administrative
for medical Officer
treatment, II/Administrative
admission slip Assistant
and PHIC
Utilization form
and submit it to
the Medical Social
Work Department.
3.6 Issue watchers ID None 2 minutes Administrative
Officer
III/Administrative
Officer
II/Administrative
Assistant
4.Proceed to the Instruct patient to None 1 minute Administrative
Medical Social proceed to the Officer
Work on duty Medical Social III/Administrative
Worker on duty for Officer
classification and II/Administrative
possible enrollment Assistant
TOTAL None 20 minutes
END OF TRANSACTION
410
2.Frontline Services
Releasing of requested documents (photocopies of records, original copy of medical

certificate, clinical abstract, and certification) to availing clients for use in claims
insurances, reimbursements, court proceedings, medical assistance, etc.
Office or Division: Health Information Management Department

Type of
Government – to –Citizen (G2C) – Transacting Public
Transaction:
Who may avail: Patient or his/her authorized representative only
For Patients: - GSIS/SSS
One (1) Valid Government issued - LTO
Identification: - PhilHealth Corp.
UMID, SSS, PhilHealth, Voter’s ID, Driver’s - Comelec
License, Postal ID, Passport) - Postal Office
- DFA
For Authorized Representative:  Patient
 One (1) Authorization Letter  SIS/SSS, LTO, PhilHealth Corp..
 One (1) Valid Government issued Comelec, Postal Office
Identification (UMID, SSS, PhilHealth,
Voter’s ID, Driver’s License, Postal ID,
Passport) for both the patient and
authorized representative
FEES
PROCESSING PERSON
TIME RESPONSIBLE
PAID
1. Secure a number Receive the number None 1 minute Administrative
card from the service card and issue Assistant I
counter and wait for request form. /Administrative
your turn to flash in officer III -
the queuing monitor. Frontline Service
Unit
2. Fill out the patient 2.1 Receive the form None 3 minutes Administrative
request form and and ascertain Assistant I
return to service validity of request /Administrative
counter. thru short officer III -
Frontline Service
interview,
Unit
presentation of
valid identification
and/or
authorization
letter. Issue
Release number.
2.2 Retrieve
Requested Health None Digitized Health
Administrative
411
Records/ Records - 3 Assistant I,
Documents minutes Administrative
Officer I -
Scanning, Filing,
2.3Printing of health and Retrieval Unit
record/documents None 5 minutes
Administrative
Assistant I,
Administrative
Officer I -
Scanning, Filing,
and Retrieval Unit
2.4 Certification of
documents None 2 minutes Supervising
Administrative
Officer, Officer in
Charge –
HIM Department
2.5 Issuance of
charge slip None 1 minute Administrative
Assistant I
/Administrative
officer III –
Frontline Service
Unit
3. Pay amount at the Instruct the patient to PHP 2 minutes Administrative
Cashier pay at the Cashier 50.00 – Assistant I
/Administrative
Operation Office. certifica- officer III -
tion Frontline
2.00/per Service Unit
page
(photo-
copy)
4. Receive Log official receipt None 3 minutes Administrative
documents and affix number and Assistant I
/Administrative
name and signature documents officer III -
in the releasing requested in the Frontline
registry releasing registry. Service Unit
Release documents
to client.
50.00 +
(2.00 x
no. of
pages)
END OF TRANSACTION
412
3.Transcription and Release of Death Certificates
The Hospital shall release the death certificate to the authorized claimant upon request
and presentation of a clearance form.

Transaction:
Who may avail: Relative/Nearest kin or authorized representative
For Relative/Nearest kin:  GSIS/SSS, LTO, PhilHealth Corp.,
 One (1) Valid Government issued Comelec, Postal Office, DFA
Identification: UMID, SSS, PhilHealth,
Voter’s ID, Driver’s License, Postal ID,  Billing and Claims Office
Passport)
 Clearance Form
For Authorized Representative:
 One (1) Valid Government issued  GSIS/SSS, LTO, PhilHealth Corp.,
Identification: UMID, SSS, PhilHealth, Comelec, Postal Office, DFA
Passport) for both the Authorized  Billing and Claims Office
representative and nearest kin
 Clearance Form
FEES
PROCESSING PERSON
TIME RESPONSIBLE
PAID
1.Present a clearance Receive a request None 3 minutes Statistician
form, valid from the client and II/Administrative
identification and ascertain validity of Officer IV –
authorization letter request thru proper Statistics and
Research Unit
(if requesting party identification
is not an immediate including a clearance
relative form.
2.Check accuracy of 2.1 Retrieve the None 3 minutes Statistician

entries preform and instruct II/Administrative
client to check Officer IVI –
accuracy of entries Statistics and
Research Unit
2.2 Logs on to the None 5 minutes Statistician
Acrobat Program and II/Administrative
encode required data Officer IVI –
Statistics and
Research Unit
413
3.Check and validate Print one official copy None 3 minutes Statistician
the accuracy of and instruct client to II/Administrative
entries in the official check accuracy of Officer IVI –
form entries Statistics and
Research Unit
4.Affix signature in Instruct client to sign None 1 minute Statistician

the liability release liability release form II/Administrative
form Officer IVI –
Statistics and
Research Unit
Print the other three None 2 minute Statistician
(3) official copies of II/Administrative
the certificate Officer IVI –
Statistics and
Research Unit
5.Receive documents Release three (3) None 3 minutes Statistician
and affix name and official copies and II/Administrative
signature in the instruct the client to Officer IVI –
releasing registry affix his/her signature Statistics and
Research Unit
in the Certificate of
Death Releasing
Logbook. Advise
claimant to register
the certificate to the
Office of the Local
Civil Registrar
immediately.
END OF TRANSACTION
414
4. Request for Replacement copies of Death Certificates
(due to loss/unregistered)
The Hospital shall retrieve, transcribe and release replacement copies of the death
certificate to the authorized claimant upon presentation of the required documents.

Transaction:
Who may avail: Relative/Nearest kin or authorized representative
For Relative/Nearest kin:

Passport)
 Certificate of No Record from the  Philippine Statistics Authority
Philippine Statistics Authority (PSA) Lawyer
 Affidavit of Loss
For Authorized Representative:
Passport) for both the Authorized
representative and nearest kin  Philippine Statistics Authority
 Certificate of No Record from the
Philippine Statistics Authority (PSA)  Lawyer
 Affidavit of Loss  Relative/Nearest kin of the Deceased
 Authorization letter
1. Present a valid 1.1 Instruct claimant to None 2 minutes Statistician
identification fill out a patient II/Administrative
card, Certificate request form and Officer IV–
of No Record submit the Statistics and
from the PSA, following: Research Unit
Affidavit of Loss a. Certificate of No
and Record from the
authorization Philippine
letter (if Statistics
requesting party Authority (PSA)
is not an b. Affidavit of Loss
immediate c. One (1)
relative) Authorization
Letter from the
nearest kin (if
claimant is not a
415
relative)
d. Valid
Identification
Card
Administrative
1.2 Retrieval of death None 20 minutes
Assistant I –
certificate Scanning, Filing,
and Retrieval Unit
1.3 Log on to the
Acrobat Program and Statistician
encode required data None 5 minutes II/Administrative
Officer IV –
Statistics and
Research Unit
2. Check and Print one official copy None 2 minutes Statistician
validate the and instruct client II/Administrative
accuracy of to check accuracy Officer IV –
entries in the of entries Statistics and
Research Unit
official form
3. Affix signature in Instruct client to sign None 1 minutes Statistician
the liability liability release form II/Administrative
release form Officer IV –
Statistics and
Research Unit
4. Pay amount at 4.1 Print the other 2 minutes Statistician
the Cashier three (3) official copies II/Administrative
of the certificate and Officer IV –
instruct patient to pay Statistics and
at the cashier Research Unit
Statistician
4.2 Receive payment PHP 2 minutes II/Administrative
and issue official 100.00 Officer IV –
receipt Statistics and
Research Unit
5. Receive Release three (3) None 3 minutes Statistician
documents and official copies and II/Administrative
affix name and instruct the client to Officer IV –
signature in the affix his/her signature Statistics and
Research Unit
releasing registry in the Certificate of
Death Releasing
Logbook. Advise
claimant to register the
certificate to the Office
of the Civil Registrar
immediately.
100.00
END OF TRANSACTION
416
5. Transcription of birth certificates and providing
photocopies for submission to the Billing and Claims - for Single and
Married Parents.

Type of Transaction : Government – to –Citizen (G2C) – Transacting Public
Who May avail Patient or authorized representative
None None
1. Check Retrieve the preform and None 3 minutes Administrative
accuracy of instruct the mother/father/ Assistant I
preform representative to check the /Administrative
accuracy of recorded data. officer III –
Birth
Transcription
Unit
2. Check and Transcribe the data into the None 5 minutes Administrative
validate the HOMIS birth certificate Assistant I
accuracy of module and prints one /Administrative
entries in the copy. Instruct the officer III –
official form mother/father/ Birth
Transcription
representative to validate Unit
entries in the printed copy
3. Affix signature 1.1 Instruct father/ mother None 1 minute Administrative
in the liability to sign the liability Assistant I
release form release form. /Administrative
officer III –
Birth
Transcription
Unit
3.2 Print the other three (3) None 3 minutes Administrative
official copies of the Assistant I
certificate /Administrative
officer III –
Birth
Transcription
Unit
3.3 Instruct the None 3 minutes Administrative
mother/father/representative Assistant I
to claim the official copy of /Administrative
the certificate at the Local officer III –
Birth
Civil Registrar after 3
Transcription
weeks. Provide the
Unit
mother/father/watcher a
photocopy for submission to
the Billing and Claims.
END OF TRANSACTION
417
6. Transcription of birth certificates and providing
photocopies for submission to the Billing and Claims - for
Admission of Paternity with Authority to use the Surname of the
Father (AUSF)

Transaction :
Who May avail Father/Mother
One (1) Valid Government issued Identification - GSIS/SSS
(UMID, SSS, PhilHealth, Voter’s ID, Driver’s - LTO
License, Postal ID, Passport) for both parents. - PhilHealth
- Comelec
- Postal Office
- DFA
Client Steps Agency Action Fees to Processing Person
be Paid Time Responsible
1. Check 1.1 Retrieve the preform None 6 minutes Administrative
accuracy of and instruct the father Assistant III
preform. to present one (1) /Administrative
valid government ID. officer III – Birth
Transcription
Unit
Fill out all entries
required in the 1.2 Instruct the father to
admission of check the accuracy of
paternity. data and fill out entries
required in the
admission of paternity
in the preform
2. Check and Transcribe the data into None 6 minutes Administrative
validate the the HOMIS birth Assistant I
accuracy of certificate module and /Administrative
entries in the prints one copy. Instruct officer III – Birth
official form the father to validate Transcription
Unit
entries in the printed
copy.
3. Affix signature Instruct father to sign None 1 minute Administrative

in the liability liability release form Assistant I
release form /Administrative
officer III – Birth
Transcription
Unit
418
4. Affix signature Print the other three (3) None 2 minutes Administrative
above printed official copies of the Assistant I
name in the certificate and instruct the /Administrative
admission of father to affix signature officer III – Birth
paternity above his printed name in Transcription
Unit
column at the the admission of paternity
back portion column at the back
of the four (4) portion of the four (4)
printed official printed official copies.
copies
5. Bring the Print four (4) copies of None 5 minutes

affidavit to the AUSF to be signed by the
mother for her mother. Instruct the father
signature to bring the affidavit to the
mother for signature.
6. Have the Instruct the father to: - None 5 minutes
AUSF and Bring the AUSF for (instruction)
official notarization together
certificates with the four (4) copies of
notarized by a the official birth certificate
lawyer. to the lawyer.
- Register the AUSF
with attached
7. Register the photocopy of the birth
AUSF with certificate at the local
attached Civil Registrar to
photocopy at secure a Certificate of
the LCR Registration. The
same shall be
returned to the
hospital for
attachment with the
file.
8. Submit Instruct the father to claim None 5 minutes Administrative
photocopies the official copy of the Assistant I
of the certificate at the LCR after /Administrative
certificate to 3 weeks. Provide the officer III – Birth
the Billing and mother/father/watcher a Transcription
Unit
Claims photocopy for submission
to the Billing and Claims.
END OF TRANSACTION
419
7.Transcription of birth certificates and providing
photocopies for submission to The Billing and Claims - for Admission
of Paternity without Authority to Use the Surname of the Father (AUSF)

Type of Transaction: Government – to –Citizen (G2C) – Transacting Public
Who May avail Patient or authorized representative
One (1) Valid Government issued Identification - GSIS/SSS
(UMID, SSS, PhilHealth, Voter’s ID, Driver’s - LTO
License, Postal ID, Passport) for both parents. - PhilHealth
- Comelec
- Postal Office
- DFA
Client Steps Agency Action Fees to be Processing Person
Paid Time Responsible
1. Check Retrieve the preform None 5 minutes Administrative
accuracy and instruct the father Assistant III
of to present one (1) /Administrative
preform. valid government ID. officer III – Birth
Transcription
Unit
Instruct the father to
2. Fill out all check the accuracy of
entries data and fill out
required in entries required in the
the admission of paternity
admission in the preform
of
paternity.
3. Check and Transcribe the data None 5 minutes Administrative
validate into the HOMIS birth Assistant I
the certificate module /Administrative
accuracy and prints one copy. officer III – Birth
of entries Instruct the father to Transcription
Unit
in the validate entries in the
official printed copy.
form
4. Affix Instruct father to sign None 1 minute Administrative
signature liability release form Assistant I
in the /Administrative
liability officer III – Birth
Transcription
release
Unit
form
5. Affix Print the other three None 2 minutes Administrative
signature (3) official copies of Assistant I
above the certificate and /Administrative
printed instruct the father to officer III – Birth
Transcription
420
name in affix signature above Unit
the his printed name in
admission the admission of
of paternity column at
paternity the back portion of
column at the four (4) printed
the back official copies.
portion of
the four
(4) printed
official
copies
6. Submit Instruct the father to None 2 minutes Administrative

photocopi claim the official copy Assistant I
es of the of the certificate at /Administrative
certificate the LCR after 3 officer III – Birth
to the weeks. Provide the Transcription
Unit
Billing and mother/father/watcher
Claims a photocopy for
submission to the
Billing and Claims.
END OF TRANSACTION
421
External Service
422
1. ELIGIBILITY and NAVIGATION
(MSWD at Emergency Room and/or OPD for Admission)
1.1 Psychosocial Assessment for Admission
Office or Division: Medical Social Work Department

Type of Transaction: G2C – Transacting Public/G2G-Transacting Government
Who may avail: Patients for admission (Patient/Representative)
Admission Documents:
a. Admission Order
b. Admission Slip
ER Admission – Department of Consultation;
c. BGHMC PHIC Verification
Flavier Building and OPD Building
Inquiry
Direct Admission – Admitting Unit & Department of
d. Authorization for Medical and
Consultation
Surgical Treatment
e. Clinical Coversheet
Patient Commitment Form (Pay
Attending Physician – Department of Consultation
Patients)
a. Client Consent Form
b. Contract of Responsibility Form
c. Psychosocial Assessment Tool
d. Service Card
FEES
PROCESSING PERSON
TIME RESPONSIBLE
PAID
1.1 For Charity/Basic
Accommodation
and/or Pay Patient
STEP 1:
The patient for 1.1 Accepts patient None 15 seconds Medical Social
admission admission Worker on Duty
proceeds to documents from
Medical Social Admitting Clerk;
Work Department 1.2 Gives queuing
accompanied by number
the ER/OPD staff (priority/regular)
and instructs
patient to wait
for his/her
number to be
called
STEP 2:
1. Submits queuing 1. Accepts queuing None 2 minutes Medical Social
number when number. Worker on Duty
called for interview
2. Explains Client
423
2. Reads, Consent and
understands and Contract of
signs Client Responsibility.
Consent and
Contract of 3. Orients on
Responsibility hospital policies
STEP 3:
For Charity/Basic
Accommodation
Patient:
1. Responds to 1. Interviews
the questions of patient or
the Medical representative
Social Worker. for psychosocial
assessment
using the
prescribed tool
2. Signs the 2. Explains

Psychosocial assessment
Assessment result
Tool
3. Prints
Psychosocial
Assessment
Tool and let
None 15 minutes Medical Social
patient/ Worker on Duty
representative
sign
4. Accomplishes
Service Card
and explains
importance and
validity
5. For patients
eligible to Point
of Service refer
to MSW POS-in
charge for
enrolment
For Pay Patient:
424
1. Responds to 1. Interviews
the questions of patient or
the Medical representativ
Social Worker e on their
financial
2. Signs the capacity
Commitment
Form 2. Explains the
content of the
Commitment
3. Accomplishes Form and
Pay Patient hospital
Logbook. policies.
STEP 4:
The patient proceeds

to where she is
endorsed to by the
Medical Social
Worker:
The Medical Social Medical Social
Worker gives 2 mins Worker on Duty
For ER patient,
specific instructions
proceed to Emergency
to the patient.
Room.
For Direct Admission,

return to the ER
Admitting
19 minutes
TOTAL: None and 15
seconds
END OF TRANSACTION
425
1.2. PhilHealth Enrollment under Point of Service (POS)
Program
Type of G2C – Transacting Public, G2G Transacting Government
Transaction:
Who may avail: In-Patients and ER Patients with no active PhilHealth with case
compensable to PHIC
PhilHealth Verification Slip/PBEF PCARES on Duty/Admitting Unit
PMRF Medical Social Work Department
CF1 Medical Social Work Department
Birth Certificate/Marriage Certificate Philippine Statistics Authority
(required only if record has
discrepancy)
Government Issued ID (required only if Government Agency Concerned or Issuing Office
record has discrepancy)
Clinical Coversheet Department of Admission
CLIENT STEPS AGENCY ACTIONS FEES TO PROCESSIN PERSON
BE PAID G TIME RESPONSIBLE
STEP 1:
Endorses Patient or None 10 seconds Medical Social
Answers question of Representatives and Worker on Duty
PCARES Clinical Coversheet to
PCARES
STEP 2.
Gives PhilHealth Accepts PhilHealth None 10 seconds Medical Social
Verification Slip Verification Slip and Worker on Duty
Clinical Coversheet
from PCARES and
gives queuing number
STEP 3:
1. Accomplishes 2 1. Provides PMRF None 20 minutes Medical Social

copies of PMRF and CF1 forms. Worker on Duty
and 1 copy of CF 2. Validates
1 and wait for accomplished
the number to be PMRF and CF1
called. forms versus
Clinical Coversheet
2. Submits if with discrepancy:
accomplished a. In Clinical
PhilHealth Form. Coversheet
Patient or
Representatives
is directed to
HIMO staff for
correction.
426
b. In the Philhealth
record instruct
Patient/
Representatives
to PCARES for
correction.
3. Orients patient or
representative on
PhilHealth benefits
of POS enrollment.
4. Certifies PhilHealth
Enrollment on
Clinical Coversheet
or OPD record and
enters it to HOMIS.
5. Instruct Patient or
Representatives to
go back to the
Nurse on duty at
the:
a. ER if ER
Patient
b. OPD if OPD
Patient
c. Ward if already
admitted
and 20
seconds
END OF TRANSACTION
Sdsd
427
2. Case Management (Er/OPD/In-Patient)
Classification: Simple, Complex, Highly Technical
(Complex – patients without watcher, unidentified patients, patients
with complicated family problems)
(Highly Technical - psychotic vagrants without identity, abandoned
and neglected patients, patient with long term medication and
treatment)
Type of Transaction: G2C – Transacting Public, G2G – Transacting Government
Who may avail: In-Patients
ER/OPD/WARD Referral Form ER/OPD/Ward Nurse/Physician/Health Care
Personnel
Form available at Medical Social Work
Department
Referral to Other Agencies Form (as Medical Social Work Department
needed)
Progress Notes Medical Social Work Department
Social Profile
Ecomap
Psychosocial Assessment Tool
CLIENT STEPS AGENCY ACTIONS FEES PROCESSING PERSON
PAID
STEP 1:
1. Acknowledges None 30 minutes Medical Social
Discloses difficult patients or Worker on Duty
situation receives referral
from health care
personnel.
2. Conducts in-
depth interview
and assessment.
3. Provides MSWD
services
depending on the
need of
patient/client,
any of the
following:
a. Therapeutic
Social Work
Services
b. Health
Education
c. Concrete
Services
d. Multi-
disciplinary
428
Team
Coordination
e. Referrals
f. Discharge
Services
g. Rehabilitation
Services
h. PhilHealth
Enrollment
through POS
Program.
i. Refer to
Malasakit
Center for
Medical
Assistance.
4. Accomplishes
patient Progress
Notes and Social
Profile attached
to patient chart
5. Accomplishes
Ecomap and
attach to
Psychosocial
Assessment Tool
for long term,
psychiatry and
patients with
complex needs

END OF TRANSACTION
429
3.Eligibility and Navigation (Malasakit Center)
Type of Transaction: G2C - Transacting Public and G2G – Transacting Public
Who may avail: OPD, ER patients, In-Patients, Referred (Patient/Representative)
PHILHEALTH
Birth Certificate/Marriage Certificate/Death Certificate (for Philippine Statistics Authority
updating)
Government Issued ID or Other Valid ID of Member (for Government Agency Concerned
updating) or Issuing Office/Entity
In the absence of the above, the following can be
submitted:
Religious Affiliation
o Baptismal Certificate
Barangay (resident at least 6
o Barangay Certification (certifying that information of
patient is true and correct) months)
Accomplished ER2 Form Company/PhilHealth
Accomplished CF1 PhilHealth/PCARES at OPD
Building
Certificate of Premium Contribution Company
PCSO- At Source ang Processing (ASAP) Desk

Updated Clinical Abstract Attending Physician/ Hospital
Information Management
Department
Certificate of Acceptance Finance and Management Office
Price Quotation/Costing (for epoetin and dialysis Cost Center (i.e Laboratory,
treatment only) Ultrasound, X-ray, Pharmacy)
Updated PhilHealth Benefit Eligibility Form (for dialysis Hemodialysis Unit – Billing Clerk
treatment only)
Picture of patient with latest newspaper of general Newspaper stalls
circulation (for dialysis patients intended for verification
purposes)
Government Issued ID or Other Valid ID of Patient and Government Agency Concerned
430
Authorized Representative or Issuing Office/Entity
Final and Itemized Hospital Bill (for hospitalization) Billing Section
Police Report for Medico- legal cases (for hospitalization) Police Station in-charge of the
case
Updated Member Data Record (MDR) PhilHealth/PCARES on Duty
DSWD-CAR
Updated Clinical Abstract/Medical Certificate Department of Consultation/
HIMD
(1 original and 2 photocopies)
Updated Final Hospital Bill (for hospitalization; Billing Section
1 original and 2 photocopies)
Government Issued ID or Other Valid ID of Patient or Government Agency Concerned
Authorized Representative (3 photocopies/back to back) or Issuing Office/Entity
Updated Prescription (for Medicines, 3 photocopies) Department of Consultation
Barangay Certificate/Certificate of Indigency Barangay (resident at least 6
months)
(1 original and 2 photocopies)
Procedure Request/ Prescription (3 photocopies) Department of Consultation
Charge Slip/s (3 photocopies) Cost Centers (i.e Laboratory,
Ultrasound, X-ray, Pharmacy)
Malasakit Intake Sheet Malasakit Center DSWD-CAR
Social Worker Representative
MEDICAL SOCIAL WORK DEPARTMENT
A. DOH MAIP Program
Updated Medical Certificate or Clinical Abstract (original Department of Consultation/
or certified true copy) Hospital Information
Management Department
Charge Slip/s Cost Center (i.e Laboratory,
Justification (for pay patients) Malasakit Center to be signed by
Attending Physician
Procedure Request/ Prescription Attending Physician in the
Department of Consultation
Final Hospital Bill (for hospitalization) Billing Section
431
Price Quotations (for implants) Supplier
Inter-agency Referral Form for referred patients (as Referring hospital
needed)
Photocopy of Valid ID of patient (for In-Patients, for Government Agency Concerned
verification purposes) or Issuing Office/Entity
Malasakit Center documents Malasakit Center – Medical
Social Worker
a. Client Consent Form (valid for 6 months)
b. Contract of Responsibility Form (valid for 6 months)
c. Psychosocial Assessment Tool (valid for 6 months)
d. Malasakit Intake Sheet
e. Impormasyon ng Pasyente
f. Application and Acknowledgement Form
g. Certificate of Eligibility/Indigency
h. Social Case Summary (for pay patients)
i. Psychosocial Assessment Tool
j. Guarantee Letter
k. Malasakit Center Referral Form (as needed)
B. SOCIO-CIVIC PROJECTS FUND (SCPF)
Medical Certificate or Clinical Abstract Department of Consultation/
Hospital Information
Management Department
Inter-agency Referral Form for referred patients (as Referring hospital
needed)
Procedure Request/ Prescription Department of Consultation
Price Quotations (for implants) Supplier
Photocopy of Valid ID of patient (for In-Patients, for Government Agency Concerned
verification purposes) or Issuing Office/Entity
Malasakit Center documents Malasakit Center – Medical
Social Worker
a. Client Consent Form (valid for 6 months)
b. Contract of Responsibility Form (valid for 6 months)
c. Psychosocial Assessment Tool (valid for 6 months)
d. Malasakit Center Intake Sheet
e. Recommendation Letter
f. Application and Acknowledgement Form
g. Acknowledgement of Medical Assistance
h. Certificate of Eligibility/Indigency
432
i. Psychosocial Assessment Tool
j. Guarantee Letter
k. Malasakit Center Referral Form (as needed)
BUDGET OFFICE (Receiving of Guarantee Letters)
Guarantee Letters DOH-MAIP, Benefactors,
Proponents
Procedure Request/Prescription Department of Consultation
BGHMC ADVISORY BOARD MEDICINE FUND
Prescription Department of Consultation
Charge Slips Pharmacy
CLIENT STEPS AGENCY ACTIONS FEES PROCESSING PERSON
TO BE TIME ESPONSIBLE
PAID
I. INFORMATION DESK
STEP 1:
1. Determines need of
1. Inquire services the client None 3 minutes Information
in the Malasakit Officer on Duty
2. Provides information
Center and needed by the client
present need 3. If patient has no
2. Receives requirement give
checklist of checklist of
requirements (if requirements to
with incomplete comply
documents)
For Medical Assistance
under MSWD
Check if patient has

Psychosocial
For New patient Assessment Tool
without PAT, (PAT), if no PAT refer to
proceed to OPD OPD MSW in charge
MSW in-charge
If patient has PAT (Old
patient), review
For patient with completeness and
PAT and with correctness of
requirements
433
complete
requirements,
receives 4. Issues queuing
queuing number number based on
need presented
3. Receives and instruct patient
queuing number to wait for number
and wait for to be called
number to be
called
END OF TRANSACTION
II. PHILHEALTH SERVICES
STEP 1:
Submit queuing
number and 1. Calls queuing number
None 10 seconds PhilHealth Officer
required documents 2. Receives queuing on Duty/PCARES
if available number
3. Assess assistance
needed
STEP 2: None 10 minutes PhilHealth Officer
1. Verifies PHIC coverage on Duty/PCARES
Present need or and status, correct
concern information in the
Member Data Record
(MDR) if with
discrepancy
2. Issues MDR and other
related services
3. Provides information
needed by the client
Eligible patients for Enroll patient to None 1 hour PhilHealth Officer

enrolment: PhilHealth system and on Duty/PCARES
wait for approval from
PhilHealth main office
Submits (Payments are made at
PhilHealth Main Office)
accomplished CF1
TOTAL: None 1 hour, 10
minutes and
10 seconds
END OF TRANSACTION
434
I. PCSO – At Source ang Processing Desk
STEP 1: 1. Calls queuing
number
None 15 minutes Medical Social
2. Receives queuing
Worker on Duty
Submits queuing number
number and 3. Reviews
completeness and
complete
correctness of
requirements documents
submitted
4. Interviews patient
using PCSO
Application Form
STEP 2: 1. Scans copy of None 2 hours Medical Social
accomplished Worker on Duty
documents and
Waits for action sends through email
to PCSO-Benguet
Branch for approval
2. Wait for the PCSO-
Benguet branch
approval
STEP 3:
1. Downloads and
1. Gets approved None 3 minutes Medical Social
prints approved
Guarantee Letter Worker on Duty
guarantee letter
2. If assistance is  As per order of
not enough, charging, if
proceed to assistance is not
partner agency enough, accomplish
(DSWD or DOH) referral Form and
at Malasakit refer to DSWD-
Center CAR, DOH-MAIP or
3. If assistance is Socio-Civic Projects
enough, Fund subject to the
proceeds to Cost availability of fund
center /Billing for
 If assistance is
utilization of fund enough, instruct
client to go to cost
center/billing
Section for
utilization of fund
TOTAL: None 2 hours 18
minutes
END OF TRANSACTION
435
IV. DSWD-CAR SERVICES
STEP 1: 1. Calls queuing None 15 minutes DSWD Social
number Worker on Duty
2. Receives queuing
1. Submits queuing number
number, signs 3. Verify assistance
entry logbook, needed and check
and complete name at the DSWD
requirement database system if
2. Presents eligible
problem/ 4. Receives Inter-
concern agency Referral
form (if available)
5. Interviews and
assess patient
using Malasakit
Intake Sheet
6. Provides non-
medical or
protective services,
if needed
STEP 2:
1. If referred to the 1. Refers client to the
regional office, regional offices for DSWD Social
proceeds to the None 1 minute
financial assistance Worker on Duty
DSWD-CAR
office
If assistance is not
For referrals, enough, accomplish
proceed to the Referral Form and
refer patient to DOH-
partner agency
MAIP or Socio-Civic
(DOH) at Projects Fund,
Malasakit Center subject to availability
of fund
END OF TRANSACTION
436
V. MEDICAL SOCIAL WORK DEPARTMENT
A. DOH MEDICAL ASSISTANCE TO INDIGENT PATIENTS (MAIP) PROGRAM
STEP 1:
Submits queuing 1. Calls queuing None 10 seconds Medical Social

number and number Worker on Duty
complete 2. Receives queuing
requirements number
3. Reviews
completeness and
correctness of
documents
submitted
4. Receives Inter-
agency Referral
form (if available)
STEP 2:
Reads and signs
a. Application
Acknowledgem Medical Social
ent Form None 15 minutes
1. Interviews and Worker on Duty
assess patient
b. Contract of using Psychosocial
Responsibility, Assessment Tool
Client Consent (see validity)
Form 2. Accomplish
c. Psychosocial Malasakit Intake
Assessment Sheet
Tool
d. Malasakit
Intake Sheet
STEP 3: 1. Encodes data at the None 10 minutes Medical Social

DOH EWEBPAIS Worker on Duty
and generate the
Acknowledges the guarantee letter or
use
Acknowledgement
437
guarantee letter of Medical
Assistance Form
2. Encodes MAIP
Impormasyon ng
Pasyente and
Certificate of
Eligibility/Indigency
1. Provides other None 10 minutes Medical Social

Social Work Worker on Duty
interventions if
needed
2. Encodes data at the
database system
STEP 4:
If assistance is
1. Get queuing None 1 minute Medical Social
enough, give queuing
number for Worker on Duty
number for Budget
Budget
allocation allocation
If assistance is not
enough, process
assistance through the
Socio-Civic Projects
Fund subject to the
availability of fund

and 10
seconds
END OF TRANSACTION
B. SOCIO-CIVIC PROJECTS FUND (SCPF)
STEP 1:
Submits queuing 1. Calls queuing None 10 seconds Medical Social
number and number Worker on Duty
complete 2. Receives queuing
requirements number
3. Reviews
completeness and
correctness of
documents
submitted
4. Receives Inter-
agency Referral
form (if available)
438
STEP 2:
Reads and signs
a. Application None 15 minutes Medical Social
Acknowledgem 1. Interviews and Worker on Duty
ent Form assess patient
using Psychosocial
b. Contract of Assessment Tool
Responsibility, (see validity)
Client Consent 2. Accomplish
Form Malasakit Intake
c. Psychosocial Sheet and
Assessment Recommendation
Form Letter
d. Malasakit
Intake Sheet
STEP 3: 1. Encodes data at the None 7 minutes Medical Social
database system Worker on Duty
Receives guarantee and generates
letter guarantee letter,
Certificate of
Indigency and
Recommendation
for assistance
STEP 4:
Go to the cost Instructs client to
present guarantee
center/ Billing Medical Social
letter at cost center/ None 10 seconds
Section for Worker on Duty
Billing Section for
utilization of fund utilization of fund
and 20
seconds
END OF TRANSACTION
439
VI. BUDGET OFFICE (Receiving of Guarantee Letters)
For patients with
new guarantee
letter
STEP 1:
Submits queuing 1. Calls queuing number
number and new 2. Receives queuing Receiving and
None 3 seconds
number and Processing Clerk/
guarantee
letter/s requirements Budget Office
STEP 2:
1. Certify in the guarantee
None 10 minutes Receiving and
letter availability of funds
Processing Clerk/
Waits for action 2. Enters data to the
database system/registry Budget Office
3. Scans guarantee letter/s
4. Enters data to the HOMIS
STEP 3:
Presents guarantee Instructs client to present None 10 seconds Receiving and
guarantee letter/s at cost Processing Clerk/
letter at cost center/
center/ Billing Section for
Billing Section for Budget Office
utilization of fund
utilization of fund
and 13
seconds
END OF TRANSACTION
For updating of
guarantee letters
STEP 1: Receiving and

None 3 seconds
1. Calls queuing number Processing Clerk/
Submits queuing
number and 2. Receives queuing Budget Office
presents number and
guarantee letter requirements
3. Receives guarantee
with monitoring
letter/s for updating
sheet for updating
440
STEP 2:
1. Updates guarantee
1. Waits for action letter/s at the HOMIS and
2. Present accomplish monitoring None 5 minutes Receiving and
guarantee letter sheet Processing Clerk/
at cost center/ 2. Instructs client to present
Billing Section for guarantee letter at cost Budget Office
utilization of fund center/ Billing Section for
utilization of fund
STEP 3:
Present guarantee Instructs client to present None 10 seconds Receiving and
guarantee letter/s at cost Processing Clerk/
letter at cost center/
center/ Billing Section for
Billing Section for
utilization of fund Budget Office
utilization of fund
and 13
seconds
END OF TRANSACTION
VII. BGHMC Advisory Board Services

STEP 1:
1. Assess eligibility of
Submits None 15 minutes Medical Social Worker
patient
prescriptions with 2. Provides medicine on Duty
costing assistance to patient
and other social work
interventions if
needed
END OF TRANSACTION
441
Nutrition and Dietetics
External Service
442
1. Referred Bghmc Therapeutic and Tubefeeding
In – Patients
The NDD caters to all referred in – patient for therapeutic nutrition counseling
and for tube feeding patient’s watchers who will need actual food demo and
counseling.
Professional and Allied Health Services – Nutrition and Dietetics

Office or Division:
Department
Type of
Transaction:
Who may avail: Referred In – Patients of BGHMC
Schedule of Sunday to Saturday
Availability of 8:00 am to 4:00 pm
Service
Referral Form Physician’s Clinic / Nurse Station at the wards
Nutritional Assessment Form Clinical Nutritionist Dietitian
Physician / Client / 1.1 Receive referrals None 5 minutes Physician on Duty
Patient register to 1.2 Check /
the referral log book completeness of Nutritionist
the referral Dietitian
1.3 If the data is
incomplete,
interview the client
/ physician
Provide information 2.1 Conduct ward None 10 minutes Clinical
needed for rounds, read Nutritionist
assessment patients Chart. Dietitian
2.2 Verify Diet
prescription
Patient listen and 3.1 Conduct food None 15 minutes Clinical
watch the actual demo on tube feeding Nutritionist
meal preparation Preparation Dietitian
3.2 Conduct
Counseling
3.3 Explain the
prepared meal plan
Patient accepts 1.1 Document the None 2 minutes Clinical
provided meal plan / patients name in Nutritionist
guide. the Dietitian
Sign at the nutrition
counseling log book counseling log
book
443
Accomplish Client 1.1 Checks patient / None 1 minute Clinical
Satisfaction survey client that CSAT Nutritionist
was Dietitian
accomplished and
dropped.
Fill out the Follow up in – None 5 minutes Clinical
counseling logbook patients once needed Nutritionist
or need diet Dietitian
adjustment.
END OF TRANSACTION
444
2.Referred Bghmc Therapeutic and Tubefeeding
Out – Patients
Office or Division: Professional and Allied Health Services – Nutrition and

Dietetics Department
Who may avail: Referred Out – Patients of BGHMC
Schedule of Availability of Monday to Friday
Service 8:00 am to 4:00 pm

Rapid Wellness Tool / Referral Form Physician’s Clinic / Nurse Station at OPD
Nutritional Assessment Form Clinical Nutritionist Dietitian
CLIENT STEPS
1.Client / Patient register to 1.1Receive None 5 minutes Client / Patient

the referral log book referrals / Clinical
Rapid Nutritionist
Wellness Dietitian
Tool
1.2Check
completene
ss of the
referral
1.3Interview
the client /
patient
2.Provide information 2.1Conduct None 5 minutes Clinical
needed for assessment nutritional Nutritionist
assessment Dietitian
3.1 Patient listens to 3.1 Conduct None 10 minutes Clinical

Nutritional counseling Counseling Nutritionist
3.2 Ask questions if in doubt 3.2 Explain Dietitian
/ for inquiry the
prepared
meal plan
4.Patient accepts provided 4.1Document None 2 minutes Clinical
meal plan / guide. the patients Nutritionist
Sign at the counseling log name in the Dietitian
book nutrition
counseling
log book
445
5.Accomplish Client 5.1Checks None 1 minute Clinical
Satisfaction survey patient / Nutritionist
client that Dietitian
CSAT was
accomplish
ed and
dropped.
END OF TRANSACTION
446
Pharmacy
External Service
447
1.Dispensing of Medicines:
Dispensing of Medicines to Out-Patients/Walk-In Patients

(24/7 Operation)
Office or Division: Pharmacy – MAIN, OPD Satellite Pharmacy

Who may avail: ALL
Prescription/s (Rx) Department of Consultation
Senior Citizens (SC)/Persons with Disability (PWD) - Senior Citizens – Office of the
Valid ID Senior Citizens Affairs (OSCA)
Purchase Booklet of Medicines PWD – Local social/health office
Letter of Authorization for representatives of SC or Senior Citizen or PWD who are the
PWD owners of the Rx
Guarantee Letter for Medical Assistance Malasakit Center
Updated Funds Available of Medical Assistance Malasakit Center
Latest Clinical Abstract (Last 3 months) for
HIMO
Hemodialysis Patients
Epoeitin Administration Monitoring Form for
Pharmacy
Hemodialysis Patients
Philhealth Availment Form Billing
Current encounter in HOMIS Department of Consultation
FEES
CLIENT STEPS TO BE
ACTION TIME RESPONSIBLE
PAID
1.1.1 SALES
1. Receive &
check Rx, ID
& Purchase
Booklet or
Step 1:
Letter of
Authorization
Regular Patients:
if applicable
2. Return Rx if
Present Prescription (Rx)
medicine is
not available
Senior Citizens & PWD:
3. If available, None 5 minutes Pharmacist on Duty
prepare
Present the following:
charge slip
a. Prescription (Rx)
and inform
b. Valid ID
total amount
c. Purchase Booklet
to client
d. Letter of
4. Issue
Authorization for
Charge Slip
representatives
and instruct
patient to
pay at the
448
Cashier
5. Return
Prescription,
ID, Purchase
Booklet or
Letter of
Authorization
if applicable
Cashier shall
receive the
Step 2:
charge slip and
payment, and See
Proceed to Cashier and
issue official Price
present the charge slip
receipt and List / 15 minutes Cash Clerk on Duty
and give payment, and
change if any. Charge
received Official Receipt
(Refer to Slips
and change if any.
Cashier’s Office
Citizens’
Charter)
1. Receive and
check Rx,
OR and
Charge Slip;
2. Check
Step 3:
payment
details and
After payment, return to See
copy OR
Pharmacy and present Price 10 minutes
number on
the following: List / Pharmacist on duty
the Charge
1. Prescription (Rx) Charge
Slip then
2. Official Receipt Slips
return the
(OR)
Official
3. Charge Slip (CS)
Receipt
3. Prepare and
dispense the
medicines
with
counselling.
See
Price
List /
TOTAL: 30 minutes
Charge
Slips
END OF TRANSACTION
449
1.1.2 Medical Assistance & Outpatient procedures under Philhealth
Step 1:
Regular Patients:
1. Receive &
Present the following: check
1. Prescription (Rx) validity of
2. Guarantee Letter presented
3. Updated Funds documents;
Available Monitoring
Form 2. Return
4. Purchase booklet for documents if
Senior Citizen or medicine is
PWD not
5. Letter of available;
Authorization for
representatives of 3. Check
SC or PWD updated
patient’s
Hemodialysis patients: encounter in
HOMIS & 5 minutes Pharmacist on duty
Present the following: instruct client
1. Prescription (Rx) to return to
None
2. Guarantee Letter department
3. Updated Funds of
Available Monitoring consultation
Form for
4. Epoeitin registration if
Administration not currently
Monitoring Form entered in
5. Clinical Abstract the system;
(last 3 months)
4. Charge the
medicines to
the patient’s
current OPD
OPD Philhealth (under Account in
case rates): the HOMIS;
Present the following: 5. Print 2

1. Prescription (Rx); copies of
and Charge
2. Philhealth Availment Slips;
Form
Step 2: 1. Have the 2

copies of
None 1 minute Pharmacist on duty
Sign on and return the Charge
Prescription and Charge Slips, and
450
Slips to Pharmacist on the
duty. prescription
signed by
the client;
2. Receive &
check signed
Prescription
and 2 copies
of Charge
Slips
3. Return
patient’s
copy of
documents
Step 3: Prepare and

dispense
4 minutes Pharmacist on duty
Receive medicines medicines with
counselling
Total number of hours/minutes to complete
10 minutes
transaction
END OF TRANSACTION
Note: Maximum quantity of medicines to be issued:

 One (1) month consumption for maintenance medications;
 One (1) prefilled syringe of Epoeitin on schedule of administration;
 One (1) unit or One (1) month use of multi dose medications
**Filled Prescription (Rx) will be kept by the pharmacy while partially filled Prescription (Rx)
will be returned to the client with the date of purchase indicated and the number of units
purchased deducted from the total prescribed quantity.
451
2.Dispensing of Medicines and Medical Supplies to Admitted
Patients (24/7 Operation)
Office or Pharmacy – MAIN, OR SATELLITE PHARMACY & OPD SATELLITE
Division: PHARMACY
Type of
G2G – Government to Government
Transaction:
Who may avail: Nursing Attendants / Nurses
Prescription/s (Rx) Attending physician
Restricted Antibiotic Surveillance Form (RAS) for
Attending physician
restricted antimicrobials
FEES
PROCESSING PERSON
TIME RESPONSIBLE
PAID
Step 1: 1. Receive and None 10 minutes Pharmacist on
check Duty
Present completeness of
Prescription (Rx) Rx and RAS Form
and approved RAS if applicable;
form for restricted 2. Return incomplete
antibiotic Rx & RAS forms
3. Charge Rx to
patient’s account;
4. Print and issue
Charge Slip/s with
Rx to Nursing
Attendant or
Nurse
Step 2: 1. Receive signed None 15 minutes Pharmacist on
prescription (Rx); Duty
1. Receive 2. Dispense
Prescription medicines/medical
(Rx) & Charge supplies;
Slip/s 3. Tally dispensed
2. Validate items with Nursing
Charge Slips Attendant/Nurse
against Rx
3. Sign on the
Receiving
portion of
Charge Slips
4. Return signed
Prescription
END OF TRANSACTION
452
3.Dispensing of Chemotherapeutic Medicines To Out Patients
(7:00 Am To 3:00 Pm Operations)
Office or
Pharmacy - ONCOLOGY
Division:
Type of
G2C – Transacting Public; G2G – Government to Government
Transaction:
Who may avail: Patients for Chemotherapy, Oncology Nurse,
Prescription/s (Rx) Department of Consultation
Chemotherapy Protocol Department of Consultation
Senior Citizens (SC)/Persons with Disability Senior Citizens – Office of the Senior
(PWD) - Valid ID Citizens Affairs (OSCA)
Purchase Booklet of Senior Citizens PWD – Local social/health office
Letter of Authorization for representatives of SC Senior Citizen or PWD who are the
or PWD owners of the Rx
Guarantee Letter for Medical Assistance Malasakit Center
Updated Funds Available of Medical Assistance Malasakit Center
Philhealth Availment Form Billing
Current encounter in HOMIS Department of Consultation
FEES
PROCESSING PERSON
TIME RESPONSIBLE
PAID
1.1.1 SALES
Step 1: 1. Receive & None 3 minutes Pharmacist on
check Rx, Duty
Regular Patients: Chemotherapy
Protocol, ID &
Present Purchase
Prescription (Rx) Booklet or
or e Protocol Letter of
Authorization if
Senior Citizens & applicable;
PWD:
2. Return Rx and
Present the Chemotherapy
following: Protocol if
a. Prescription medicine is not
(Rx) available;
b. Chemotherap
y Protocol 3. If available,
c. Valid ID prepare
d. Purchase charge slips;
Booklet
e. Letter of 4. Issue Charge
Authorization Slips and
for instruct patient
representative to pay at the
s Cashier;
453
5. Return
Prescription,
ID, Purchase
Booklet or
Letter of
Authorization if
applicable
Step 2: Cashier shall See 15 minutes Cash Clerk on

receive the charge Price Duty
Proceed to slip and payment, List /
Cashier and and issue official Charg
present the charge receipt and change e Slips
slip and give if any. (Refer to
payment, and Cashier’s Office
received Official Citizens’ Charter)
Receipt and
change if any.
Step 3: See 30 minutes Pharmacist on

1. Receive and Price duty
After payment, check Rx, OR List/Ch
return to the and Charge arge
Pharmacy and Slip; Slips
present the
following: 2. Check
a. Prescription payment
(Rx) details and
b. Official write OR
Receipt (OR) Number on
c. Charge Slip Prescription
(CS) and return
Official
Receipt;
3. If medicine is
for IV
Admixture
Preparation,
instruct patient
that it will be
released to the
Oncology
Nurse;
4. Prepare
Cytotoxic Drug
label;
454
5. Prepare IV
Admixtures of
injectable
chemotherapy
drugs;
6. Notify
Oncology
Nurse that IV
Admixtures
are ready for
pick up.
Step 4: 1. Receive None 2 minutes Pharmacist on

signed duty
Oral chemotherapy
Chemotherapy protocol;
Drugs:
2. Release oral
Patient or chemotherapy
Authorized drugs to
Representative patient or
signs received authorized
on the representative
Chemotherapy with
Protocol and counselling;
receives
medicines. 3. If IV
Admixtures of
IV Admixtures: Chemotherapy
drugs, release
If IV Admixtures to Attending
of Oncologist,
Chemotherapy Oncology
drugs, wait for Nurse or
the Nursing
administration Attendant.
by Nurse.
TOTAL: See 50 minutes

Price
List/Ch
arge
Slips
END OF TRANSACTION
455
1.1.2 Medical Assistance & Outpatient Chemotherapy Case Rates
Step 1:
Regular Patients:
1. Receive and None 30 minutes Pharmacist on
Present the check duty
following: Chemotherapy
a. Prescription Protocol as to
(Rx); completeness
a. Chemothera and accuracy,
py Protocol; and the validity
b. Guarantee of presented
Letter; and documents;
c. Updated
Funds 2. Return Rx and
Available Chemotherapy
Monitoring Protocol if
Form medicine is not
d. Valid ID available;
e. Purchase
Booklet 3. Charge
f. Letter of medicines and
Authorizatio supplies to
n for patient’s
representati account;
ves
4. Prepare
cytotoxic drug
Outpatient label;
Chemotherapy
case rates: 5. If medicine is
oral, issue with
Present the counselling;
following:
a. Prescript 6. If medicine is
ion (Rx); for IV
b. Chemot Admixture
herapy Preparation,
Protocol; instruct patient
and that it will be
c. Philhealt released to the
h Oncology
Availme Nurse;
nt Form
7. Prepare IV
Admixtures of
injectable
chemotherapy
drugs
456
Step 2: 1. Receive None 2 minutes Pharmacist on
signed duty
Oral 2. chemotherapy
Chemotherapy protocol;
Drugs:
3. Release oral
Patient or chemotherapy
Authorized drugs to
Representative patient or
signs received authorized
on the representative
Chemotherapy with
Protocol and counselling;
receives
medicines. 4. If IV
Admixtures of
IV Admixtures: Chemotherapy
drugs, release
Attending to Attending
Oncologist, Oncologist,
Oncology Oncology
Nurse or Nurse or
Nursing Nursing
Attendant signs Attendant.
received on the
Chemotherapy
Protocol and
receive IV
Admixtures

END OF TRANSACTION
457
4.Dispensing of Chemotherapeutic Medicines to Admitted
Patients:
Office or Division: Pharmacy - ONCOLOGY
Type of
G2G – Government to Government
Transaction:
Who may avail: Attending Oncologist / Oncology Nurse / Nursing Attendant
Chemotherapy Protocol Attending Oncologist
FEES
PROCESSING PERSON
TIME RESPONSIBLE
PAID
Step 1: 1.Receive and check 30 minutes Pharmacist on
Chemotherapy See Duty
Attending Protocol as to price
Oncologist completeness and list/
prepares accuracy; Charge
Chemotherapy Slip
Protocol, endorses 1. Inform Attending
to and notify Oncologist if
Pharmacy; Chemotherapy
Protocol is not
complete or
accurate or if no
stock is available
otherwise print
protocol;
2. Charge medicines
and supplies to
patient’s account;
3. Prepare cytotoxic
drug label;
4. Prepare/Compound
IV admixture and
notify wards if
medicine is ready
for pick up;
Step 2: Receive signed None 2 minutes Pharmacist on

Attending Chemotherapy Protocol duty
Oncologist, and Release IV
Oncology Nurse, or Admixture.
Nursing Attendant
shall proceed to
Pharmacy –
Oncology, signs
458
received on
Chemotherapy
Protocol and
received IV
admixture.
TOTAL: See 32 minutes

price
list/
Charge
Slip
END OF TRANSACTION
459
Note: Some Medicines On Different Pharmacies Sometimes Have Different
Prices For 1 Item Due To Different Purchase Order, Different Supplier &
Different Prices Offered Especially For Canvassed Items
MAIN PHARMACY
PRICE
MEDICINE
ACETYLCYSTEINE ampul/vial 300.00 MG3ML AMP/V NAS P166.00
INHALATION
ACETYLCYSTEINE powder 100.00 MG PDR ORA P12.50
ACETYLCYSTEINE Tablet(s) 600.00 MG TAB ORA P24.75
ACETYLCYSTEINE vial 25.00 MG1 VIAL INJ Hidonac P1924.00
ACICLOVIR Tablet(s) 200.00 MG TAB ORA P4.50

ACICLOVIR vial 250.00 MG/10 VIAL IV P828.50
ADENOSINE vial 3.00 MG/ML VIAL IV P223.00
ALBUMIN, HUMAN vial 20.00 % VIAL INJ PLASBUTEIN P2185.50
ALENDRONATE Tablet(s) 70.00 MG TAB ORA P126.00

ALENDRONATE + CHOLECALCIFEROL (VIT. D3) TABLET 70.00 P318.50
AL TAB49 ORA Resovon
ALLOPURINOL Tablet(s) 100.00 MG TAB ORA P1.50
ALPRAZOLAM Tablet(s) 250.00 MG TAB ORA P6.00
ALPRAZOLAM Tablet(s) 500.00 MCG TAB ORA P21.50
ALTEPLASE vial 50.00 MG VIAL IV P38186.61
ALUMINUM HYDROXIDE + MAGNESIUM HYDROXIDE bottle P71.00
120.00 ML BOT ORA
ALUMINUM HYDROXIDE + MAGNESIUM HYDROXIDE TABLET P2.00
200.00 MG TAB49 ORA
AMIKACIN ampule 100.00 MG AMP INJ P39.50
AMIKACIN ampule 500.00 MG AMP PAR P45.75
AMIKACIN vial 250.00 MG VIAL IV P42.00
AMINO ACID 7% bottle 7.00 % BOT IV P523.00
AMINO ACID SOL'N 8% bottle 500.00 ml BOT IV P1000.00
AMINO ACID/SORBITOL GLYCINE 5/1% 20 ampule 5.00 /1% P186.00
AMP PAR
AMINOPHYLLINE ampule 250.00 MG/10 AMP IV P31.00
AMIODARONE ampule 150.00 MG3ML AMP INJ P263.00
AMIODARONE capsule 200.00 MG CAP ORA P11.00
AMLODIPINE TABLET 10.00 MG TAB49 ORA P1.00
AMLODIPINE Tablet(s) 5.00 MG TAB ORA P1.00
AMOXICILLIN capsule 500.00 MG CAP ORA P2.00
460
AMOXICILLIN Infant Drops bottle 100.00 MG/ML BOT ORA P28.00
AMPHOTERICIN B ampul/vial 50.00 MG AMP/V IV P1240.00

AMPICILLIN vial 1.00 G VIAL IV P15.00
AMPICILLIN vial 500.00 MG VIAL IV P12.00
AMPICILLIN + SULBACTAM vial 750.00 MG VIAL INJ P27.00
AMPICILLIN + SULBACTAM bag 3.00 G BAG IV P2613.50
AMPICILLIN + SULBACTAM vial 1.50 G VIAL IV P84.00
ANASTRAZOLE TABLET 1.00 MG TAB49 ORA P60.00
ANTI-RABIES SERUM (EQUINE) vial 200.00 IUML VIAL PAR P1644.00
ARIPIPRAZOLE Tablet(s) 10.00 MG TAB ORA P262.50

ASCORBIC ACID (VITAMIN C) ampule 500.00 MG/2M AMP IV P6.50
ASCORBIC ACID (VITAMIN C) drops 100.00 MG/ML DR ORA P21.00
ASCORBIC ACID (VITAMIN C) syrup 100.00 MG/5 SYR ORA P38.00
ASPIRIN Tablet(s) 80.00 MG TAB ORA P1.00

ATENOLOL Tablet(s) 50.00 MG TAB ORA P2.50
ATORVASTATIN Tablet(s) 10.00 MG TAB ORA P1.50
ATROPINE EYE DROPS bottle 10.00 MG/ML BOT OPH P356.00
ATROPINE SULFATE ampule 1.00 MG/ML AMP ORA P14.00
AZITHROMYCIN bottle 200.00 MG/5 BOT ORA P167.00

AZITHROMYCIN Tablet(s) 500.00 MG TAB ORA P11.75
AZITHROMYCIN vial 500.00 MG VIAL INJ P327.00
AZTREONAM vial 1.00 GM VIAL INJ P1773.00
BACLOFEN Tablet(s) 10.00 MG TAB ORA P16.25
BERACTANT vial 4.00 ML VIAL IV P13431.00
BETAHISTINE Tablet(s) 8.00 MG TAB ORA P9.25
BETAMETHASONE cream 1.00 M/5g CRM TOP P55.00
BETAMETHASONE OINTMENT 1.00 M/5g OINTX OINTM P56.00
Bicalutamide Tablet(s) 50.00 MG TAB ORA P64.75

BIPHASIC INSULIN 70/30 vial 10.00 ML VIAL INJ P119.00
BISACODYL suppository 10.00 MG SUP REC P27.00
BISACODYL Tablet(s) 5.00 MG TAB ORA P1.00
461
BMMS bottle 1000.00 ML BOT IV P50.00
BMMS 500ml bottle 500.00 ML BOT IV P46.00
BMRS bottle 1000.00 ML BOT IV P54.00
BUDESONIDE nebules 500.00 MCG2M NEB NAS P54.00
BUDESONIDE + FORMOTEROL bottle 160.00 00001 BOT NAS P1118.00
BUTAMIRATE CITRATE tablet/capsule 50.00 MG TABCP ORA P10.50
CALCITRIOL tablet/capsule 0.25 MCG TABCP ORA P31.50

CALCIUM CARBONATE Tablet(s) 500.00 MG TAB ORA P3.00
CALCIUM CARBONATE + VIT. D Tablet(s) 600.00 MG TAB ORA P6.00
CALCIUM FOLINATE vial 50.00 MG VIAL IV P113.50

CALCIUM GLUCONATE vial 10.00 ML VIAL INJ P24.00
CANDESARTAN Tablet(s) 8.00 MG TAB ORA P10.75
CAPECITABINE Tablet(s) 500.00 MG TAB ORA P33.50
CAPTOPRIL Tablet(s) 25.00 MG TAB SUL P1.00
CARBAMAZEPINE Tablet(s) 200.00 MG TAB ORA P2.25
CARBOPLATIN vial 450.00 MG VIAL PAR P2104.00
CARBOPROST ampule 125.00 MCG5M AMP IV P218.00
CARBOPROST vial 250.00 MC/ML VIAL PAR P407.00
CARBOXYMETHYLCELLULOSE bottle 0.50 %,15 BOT OPH P530.00
CARVEDILOL Tablet(s) 6.25 MG TAB ORA carvidol P1.75

CARVEDILOL Tablet(s) 25.00 MG TAB ORA P5.50
CASTOR OIL bottle 120.00 ML BOT ORA P94.00
CEFALEXIN capsule 500.00 MG CAP ORA P5.25
CEFALEXIN drops 100.00 MG DR ORA P20.00
CEFALEXIN suspension 250.00 MG/5 SUSP ORA P51.00
CEFAZOLIN vial 1.00 G VIAL IV P24.00
CEFEPIME vial 1.00 G VIAL IV P187.00
CEFEPIME vial 2.00 G VIAL INJ P2000.00
CEFEPIME vial 500.00 MG VIAL IV P625.00
CEFIXIME bottle 100.00 mgml6 BOT ORA P124.00
CEFIXIME capsule 200.00 MG CAP ORA P7.00
CEFIXIME drops 20.00 MG/ML DR ORA P342.00
CEFOTAXIME vial 1.00 G VIAL IV P42.00
CEFOTAXIME vial 500.00 MG VIAL IV P219.00
CEFOXITIN vial 1.00 GM VIAL INJ P224.00
CEFTAZIDIME vial 500.00 MG VIAL INJ P815.00
CEFTRIAXONE vial 1.00 G VIAL INJ P20.00
CEFTRIAXONE vial 500.00 MG VIAL PAR P360.00
462
CEFUROXIME granules 125.00 MG/5 GRAN ORA P214.00
CEFUROXIME suspension 250.00 MG/5 SUSP ORA P320.00
CEFUROXIME vial 750.00 MG VIAL IV P20.00

CELECOXIB capsule 200.00 MG CAP ORA P4.00
CETIRIZINE bottle 2.50 MG/ML BOT ORA drops 10ml P26.75
CETIRIZINE syrup 5.00 mgml6 SYR ORA P28.00

CETIRIZINE Tablet(s) 10.00 MG TAB ORA P1.00
CHLORAMPHENICOL capsule 500.00 MG CAP ORA P5.00
CHLORAMPHENICOL suspension 125.00 MG/5 SUSP ORA P47.00
CHLORAMPHENICOL vial 1.00 G VIAL INJ P50.00

CHLORHEXIDINE(as gluconate) bottle 0.12 % BOT ORA P134.00
CHLORPROMAZINE Tablet(s) 100.00 MG TAB ORA P2.00
CILOSTAZOL Tablet(s) 50.00 MG TAB ORA P8.00

CINNARIZINE capsule 75.00 MG CAP ORA P87.50
CINNARIZINE TABLET 25.00 MG TAB49 ORA generic P1.00
CINNARIZINE Tablet(s) 25.00 MG TAB ORA P1.25

CIPROFLOXACIN vial 200.00 MG100 VIAL INJ P27.00
CIPROFLOXACIN vial 400.00 mg/ml VIAL IV P1666.00
CISPLATIN vial 10.00 MG VIAL IV P227.00
CISPLATIN vial 50.00 MG VIAL IV P465.00
CLARITHROMYCIN bottle 125.00 MG/5 BOT ORA 25ml P150.00
CLARITHROMYCIN bottle 125.00 MG/5 BOT ORA 70ml P348.00
CLARITHROMYCIN bottle 250.00 MG/5 BOT ORA 70 ml P461.25
CLARITHROMYCIN suspension 125.00 MG/ML SUSP ORA P139.00

50ML,CLARIGET 2
CLARITHROMYCIN Tablet(s) 500.00 MG TAB ORA P12.75
CLINDAMYCIN ampule 600.00 MG4ML AMP INJ P300.00
CLINDAMYCIN capsule 150.00 MG CAP ORA P6.50
CLINDAMYCIN suspension 75.00 MG/5 SUSP ORA P564.00
463
CLOBETASOL tube 0.05 %/5g tub TOP DERMOVATE CREAM P65.00
CLOBETASOL OINTMENT ointment 0.05 % OINT OINTM P65.00

DERMOVATE
CLOMIFENE Tablet(s) 50.00 MG TAB ORA P97.50
CLONAZEPAM Tablet(s) 2.00 MG TAB ORA P4.00
CLONIDINE ampule 150.00 MC/ML AMP IV P116.00
CLOPIDOGREL Tablet(s) 75.00 MG TAB ORA P1.50
CLOTRIMAZOLE drops 1.00 % DR OTI CANDIVA 10 ML P440.00
CLOXACILLIN bottle 125.00 MG/5 BOT ORA P25.00

CLOXACILLIN capsule 500.00 MG CAP ORA P3.00
CLOZAPINE Tablet(s) 100.00 MG TAB ORA P10.00
CO-AMOXICLAV bottle 228.50 MG/5 BOT ORA P152.00
CO-AMOXICLAV bottle 250.00 00003 BOT ORA P205.00
CO-AMOXICLAV Tablet(s) 1.00 G TAB ORA P14.75
CO-AMOXICLAV Tablet(s) 375.00 MG TAB ORA P12.00
COLCHICINE Tablet(s) 500.00 MCG TAB ORA P1.50
CONJUGATED ESTROGENS Tablet(s) 625.00 MCG TAB ORA P44.75
COTRIMOXAZOLE suspension 400.00 00109 SUSP ORA P57.00
COTRIMOXAZOLE Tablet(s) 800.00 00005 TAB ORA P4.25
CYCLOPHOSPHAMIDE vial 500.00 MG VIAL PAR P204.00

CYCLOPHOSPHAMIDE vial 1000.00 MG VIAL IV P300.00
CYTARABINE vial 100.00 MG/ML VIAL PAR P132.00
CYTARABINE vial 500.00 MG VIAL PAR P400.00
D10 WATER bottle 500.00 ML BOT INJ P39.00
D5 0.3% NACL bottle 500.00 ML BOT IV P47.00
D5 0.3% NACL Glass Bottle 1000.00 ML GLASS IV P106.00
D5 0.45% NaCl bottle 500.00 ML BOT IV P66.00
D5 LRS bottle 500.00 ML BOT IV P43.00
D5 NSS bottle 500.00 ML BOT PAR P52.00
D5 NSS bottle 1000.00 ML BOT IV P40.00
D5 NSS bottle 1000.00 ML BOT IV GLASS P159.00
D5 NSS Glass Bottle 500.00 ML GLASS IV P145.00
D5 WATER bottle 250.00 ML BOT IV Ecoflac (non-DEHP) P86.00
D5 WATER bottle 1000.00 ML BOT IV P54.00
464
D5 WATER Ecoflac bot 500.00 ML Ecofl IV P86.75
D5 WATER Glass Bottle 500.00 ML GLASS IV P100.00
DACTINOMYCIN vial 500.00 MG VIAL INJ P500.00
DEFERASIROX TABLET 125.00 MG TAB49 ORA P449.75
DEFERASIROX TABLET 250.00 MG TAB49 ORA P899.50
DEXAMETHASONE Tablet(s) 4.00 MG TAB ORA P38.75
DEXAMETHASONE vial 8.00 MG/2M VIAL INJ P10.00
DIAZEPAM ampule 10.00 MG/2M AMP INJ P99.00
DIAZEPAM Tablet(s) 5.00 MG TAB ORA P12.25
DICLOFENAC SODIUM ampule 75.00 MG3ML AMP INJ P14.00
DICLOFENAC SR Tablet(s) 100.00 MG TAB ORA P18.75

DIGOXIN ampule 0.50 MG/2M AMP INJ P140.00
DIGOXIN bottle 50.00 MC/ML BOT ORA P836.00
DIGOXIN Tablet(s) 0.25 MG TAB ORA P4.50
DILOXANIDE suspension 125.00 MG/5 SUSP ORA P196.00
DILOXANIDE Tablet(s) 500.00 MG TAB ORA P20.00
DILTIAZEM Tablet(s) 30.00 MG TAB ORA P5.50
DIPHENHYDRAMINE bottle 12.50 MG/5 BOT ORA P19.00
DIPHENHYDRAMINE HCL capsule 50.00 MG CAP ORA P1.00
DOBUTAMINE HCL bag 500.00 00004 BAG IV P1061.00

DOCETAXEL vial 20.00 MG VIAL IV P1254.40
DOCETAXEL vial 80.00 MG VIAL IV P3287.00
DOMPERIDONE bottle 5.00 MG/5 BOT ORA P140.00
DOMPERIDONE Tablet(s) 10.00 MG TAB ORA P1.50
DONEPEZIL HCl Tablet(s) 5.00 MG TAB ORA P21.50
DOPAMINE ampule 200.00 MG/5 AMP INJ P46.00
DOPAMINE PREMIXED bottle 400.00 MG250 BOT IV P474.00
DOXORUBICIN vial 10.00 MG VIAL PAR P215.00

DOXORUBICIN vial 50.00 MG VIAL PAR P667.00
DYDROGESTERONE Tablet(s) 10.00 MG TAB ORA P69.25
ENALAPRIL Tablet(s) 5.00 MG TAB ORA P3.00

ENOXAPARIN prefilled syr 0.60 MG PFS INJ lomoh-60 P459.00
ENTERAL NUTRITION - MODULAR can 227.00 G CAN ORA P1112.00

BENEPROTEIN
ENTERAL NUTRITION - SEMI-ELEMENTAL can 400.00 G CAN P1370.00
ORA
ENTERAL NUTRITION FOR CANCER PATIENTS can 400.00 G P750.00
CAN ORA BOOST OPTIMUM
465
EPERISONE Tablet(s) 50.00 MG TAB ORA P14.00
EPINEPHRINE ampule 1.00 MG/ML AMP INJ P26.00
EPIRUBICIN vial 50.00 MG VIAL INJ P3559.00
EPOETIN ALFA prefilled syr 4000.00 IU/.4 PFS INJ EPOSIS P548.00
EPOETIN ALFA syringe 2000.00 IU SYRIN INJ P519.00

EPOETIN BETA syringe 5000.00 IU/.3 SYRIN IV P1304.00
EPOETIN BETA syringe 10000.00 uuu SYRIN INJ RECORMON P4268.00
ERTAPENEM vial 1.00 GM VIAL INJ P3519.00

ERYTHROMYCIN suspension 200.00 MG/5 SUSP ORA P46.25
ERYTHROMYCIN suspension 400.00 MG/5 SUSP ORA P585.00
ERYTHROMYCIN Tablet(s) 500.00 MG TAB ORA P5.00

ERYTHROMYCIN tube 3.50 G tub OPH P147.00
ESCITALOPRAM Tablet(s) 10.00 MG TAB ORA P5.75
FAMOTIDINE Tablet(s) 20.00 MG TAB ORA P28.75
FAMOTIDINE vial 20.00 MG VIAL INJ P283.25
FELODIPINE Tablet(s) 5.00 MG TAB ORA P9.50
FENOFIBRATE capsule 200.00 MG CAP ORA P8.50
FENOFIBRATE Tablet(s) 160.00 MG TAB ORA P26.50
FERROUS SALT + FOLIC ACID Tablet(s) 60.00 MG TAB ORA P1.25
FERROUS SULFATE bottle 150.00 MG/5 BOT ORA P35.00

FERROUS SULFATE drops 15.00 00006 DR ORA P25.50
FERROUS SULFATE Tablet(s) 119.00 MG TAB ORA P1.00
FILGRASTIM prefilled syr 300.00 MCG/1 PFS IV P1494.00

FINASTERIDE Tablet(s) 5.00 MG TAB ORA P7.00
FLUCONAZOLE capsule 50.00 MG CAP ORA P106.75
FLUCONAZOLE vial 200.00 MG100 VIAL INJ IV P933.00
FLUOROURACIL vial 50.00 MG/ML VIAL IV P88.00
FLUOXETINE capsule 20.00 MG CAP ORA P6.75
FLUPENTIXOL (depot) ampule 1.00 ML AMP INJ P455.75
FLUTICASONE cream 0.05 00008 CRM TOP P338.00
FLUTICASONE PROPIONATE bottle 0.50 % BOT NAS P613.00
FLUTICASONE PROPIONATE + SALMETEROL bottle 25.00 P239.00

125mc BOT ORA
FLUTICASONE PROPIONATE + SALMETEROL inhaler 25.00 P294.00
25mcg INHAL inh
FOLIC ACID capsule 5.00 MG CAP ORA P1.75
466
FOLIC ACID drops 2.00 MG/5 DR ORA 30 mL bottle P145.00
FOLIC ACID syrup 5.00 MG/5 SYR ORA 60 ml bottle P132.00
FONDAPARINUX SODIUM piece 2.50 MG0.5 PIECE PAR P1494.00
FOSFOMYCIN sachet 3.00 G SAC ORA P586.25

FUROSEMIDE ampule 20.00 MG/2 AMP IV P10.00
FUROSEMIDE Tablet(s) 40.00 MG TAB ORA P1.25
FUSIDATE SODIUM ointment 2.00 00008 OINT TOP P238.00
FUSIDATE SODIUM piece 2.00 % PIECE TDM P138.00

GABAPENTIN capsule 300.00 MG CAP ORA P9.00
GABAPENTIN Tablet(s) 100.00 MG TAB ORA P7.50
GADOBUTROL PFS 1.00 mmol PF INJ GADOVIST P4667.00
GEMCITABINE vial 1.00 G VIAL IV P2380.00
GEMCITABINE vial 200.00 MG VIAL IV P640.00
GENTAMYCIN vial 80.00 MG VIAL INJ P5.00
GLICLAZIDE Tablet(s) 30.00 MG TAB ORA P3.00
GLIPIZIDE Tablet(s) 5.00 MG TAB ORA P13.60
GLYCERIN suppository 2.00 G SUP REC P14.50
HALOPERIDOL ampule 5.00 MG/ML AMP PAR P600.00
HALOPERIDOL Tablet(s) 5.00 MG TAB ORA P4.00
HALOPERIDOL Tablet(s) 20.00 MG TAB ORA P32.00
HEPARIN (UNFRACTIONATED) vial 5000.00 IU VIAL INJ P58.00
HEPATITIS B IMMUNOGLOBULIN (HUMAN) vial 100.00 IU/ VIAL P2387.00

IV
HEPATITIS B VACCINE (RECOMBINANT DNA) ampul/vial 10.00 P165.00
MCG5M AMP/V IV Pedia
HYDRALAZINE ampule 20.00 MG/ML AMP INJ P37.00
HYDROCHLOROTHIAZIDE Tablet(s) 12.50 MG TAB ORA P7.00
HYDROCORTISONE tube 1.00 00008 tub TOP Cream P127.00
HYDROCORTISONE vial 100.00 MG VIAL INJ P26.00

HYDROCORTISONE vial 250.00 MG VIAL IV P60.00
HYDROXYCHLOROQUINE Tablet(s) 200.00 MG TAB ORA P73.50
HYDROXYETHYL STARCH bag 6.00 00101 BAG IV P527.00

HYDROXYUREA capsule 500.00 MG CAP ORA P21.75
HYDROXYZINE HCL Tablet(s) 10.00 MG TAB ORA P11.25
467
HYOSCINE NBB ampule 20.00 MG/ML AMP INJ P23.00
HYOSCINE NBB Tablet(s) 10.00 MG TAB ORA P5.50
HYPROMELLOSE bottle 5.00 MG/ML BOT OPH P255.00
IBUPROFEN suspension 200.00 MG/5 SUSP ORA DOLAN P142.00
IBUPROFEN Tablet(s) 200.00 MG TAB ORA P1.25

IFOSFAMIDE vial 1.00 GM VIAL INJ P1600.00
IFOSFAMIDE vial 2.00 G VIAL INJ P3187.00
IMMUNOGLOBULIN NORMAL, HUMAN (IGIV) vial 2.50 GM VIAL P5866.00
IV
IMMUNOGLOBULIN NORMAL, HUMAN (IGIV) vial 5000.00 P13146.00
MG/ML VIAL IV
INDACATEROL + glycopyrronium powder 110.50 MCG PDR inh P84.00
110mcg / 50mcg powder
INSULIN ISOPHANE vial 1000.00 IU10 VIAL PAR P140.00
INSULIN REGULAR vial 1000.00 IU / VIAL SUC P132.00
IODIXANOL vial 320.00 mgi2 VIAL INJ VISIPAQUE P3677.00
IOHEXOL vial 300.00 mg i VIAL INJ OMNIHEXOL P1318.00
IOPAMIDOL vial 375.00 mgi2 VIAL INJ SCANLUX 370 P1554.00
IPRATROPIUM BROMIDE + SALBUTAMOL INHALATION 100.00 P880.00

mcg/2 INHA1 inh MDI
IRBESARTAN Tablet(s) 150.00 MG TAB ORA P4.25
IRBESARTAN+HYDROCHLOROTHIAZIDE Tablet(s) 150.00 P13.50
MG/12 TAB ORA
IRBESARTAN+HYDROCHLOROTHIAZIDE Tablet(s) 300.00 P13.50
MG/12 TAB ORA
IRINOTECAN vial 100.00 MG/5 VIAL IV P2934.00
IRON SUCROSE ampule 20.00 MG/5 AMP IV P134.00
ISONIAZID bottle 120.00 ML BOT ORA P109.00
ISOSORBIDE DINITRATE ampule 10.00 MG/10 AMP IV P513.50
ISOSORBIDE DINITRATE Tablet(s) 5.00 MG TAB ORA P3.00
ISOSORBIDE-5-MONONITRATE Tablet(s) 30.00 MG TAB ORA P7.75
ISOSORBIDE-5-MONONITRATE Tablet(s) 60.00 MG TAB ORA P9.50
ISOXSUPRINE ampule 10.00 MG/2M AMP INJ P177.00

ISOXSUPRINE Tablet(s) 10.00 MG TAB ORA P7.00
ITRACONAZOLE capsule 100.00 MG CAP ORA P73.50
KETOROLAC ampule 30.00 MG AMP INJ P20.00
LACTULOSE bottle 3.00 G5ML BOT ORA LILAC P79.00
468
LAGUNDI syrup 300.00 MG/5 SYR ORA OFPLEMED P87.00
LAGUNDI Tablet(s) 300.00 MG TAB ORA LAGUNDEX P1.75
LAMIVUDINE Tablet(s) 100.00 MG TAB ORA P272.00

LAMOTRIGINE Tablet(s) 50.00 MG TAB ORA MOTRIGINE P7.25
LAMOTRIGINE Tablet(s) 100.00 MG TAB ORA MOTRIGINE 100 P10.00
LANSOPRAZOLE capsule 30.00 MG CAP ORA LANSOFAR P21.00
LATANOPROST bottle 50.00 MC/ML BOT OPH P1254.00

LEUPRORELINE vial 3.75 mg-2 VIAL IV P5063.00
LEVETIRACETAM bottle 100.00 MG/5 BOT ORA P2052.00
LEVETIRACETAM TABLET 1000.00 MG TAB49 ORA P20.00
LEVETIRACETAM Tablet(s) 500.00 MG TAB ORA LEXLEV P11.50
LEVETIRACETAM vial 500.00 MG/5 VIAL INJ P2400.00

LEVODOPA + CARBIDOPA Tablet(s) 250.00 MG TAB ORA P26.50
LEVOFLOXACIN bottle 5.00 MG/ML BOT OPH OFTAQUIX, P440.00

eyedrops
LEVOFLOXACIN Tablet(s) 500.00 MG TAB ORA VOFLOX P6.00
LEVOFLOXACIN Tablet(s) 750.00 MG TAB ORA P25.50

LEVOTHYROXINE Tablet(s) 50.00 MCG TAB ORA THYDIN P4.00
LEVOTHYROXINE Tablet(s) 100.00 MCG TAB ORA P4.75

LIDOCAINE ampul/vial 2.00 P/20 AMP/V IV EUROCAINE P40.00
LIDOCAINE polyampule 5.00 ML PLAMP INJ P11.00

LIDOCAINE spray 10.00 % SPR NAS XYLOCAINE P8934.00
LIDOCAINE vial 2.00 00100 VIAL INJ P60.00
LINEZOLID bag 2.00 MG/ML BAG IV ZYVOX P4810.00
LINEZOLID TABLET 600.00 MG TAB49 ORA P5134.00
LIPIDS bottle 10.00 00101 BOT ORA P1134.00
LOPERAMIDE capsule 2.00 MG CAP ORA P1.00
LOPINAVIR + RITONAVIR TABLET 200.00 /50 TAB49 ORA P46.75
LORATADINE bottle 5.00 MG/5 BOT ORA P105.00

LORATADINE Tablet(s) 10.00 MG TAB ORA CLARIHIST P2.25
LOSARTAN Tablet(s) 100.00 MG TAB ORA TORLOS-100 P2.75
469
LOSARTAN+HYDROCHLORTHIAZIDE Tablet(s) 50.00 mg+12 P5.50
TAB ORA GETZAR PLUS
LOSARTAN+HYDROCHLORTHIAZIDE Tablet(s) 100.00 MG+25 P8.00
TAB ORA
MAGNESIUM SULFATE vial 250.00 MG/ML VIAL INJ P64.00
MANNITOL bottle 20.00 00101 BOT PAR P91.00
MEBENDAZOLE suspension 100.00 MG/5 SUSP ORA P36.00
MEBENDAZOLE TABLET 500.00 MG TAB49 ORA P5.50

MECOBALAMIN ampule 500.00 MC/ML AMP PAR P99.00
MEFENAMIC ACID capsule 250.00 MG CAP ORA P.75
MEGESTROL TABLET 160.00 MG TAB49 ORA P140.00
MELPHALAN Tablet(s) 2.00 MG TAB ORA P40.00
MEROPENEM vial 1.00 G VIAL INJ P1024.00
MEROPENEM vial 500.00 MG VIAL IV P571.00
MESNA (SODIUM-2-MERCAPTOETHANE SULPHONATE) P196.00
ampule 100.00 MG AMP INJ
METFORMIN capsule 500.00 MG CAP ORA P1.00
METHIMAZOLE (THIAMAZOLE) Tablet(s) 5.00 MG TAB ORA P6.75
METHIMAZOLE (THIAMAZOLE) Tablet(s) 20.00 MG TAB ORA P23.25
METHOTREXATE Tablet(s) 2.50 MG TAB ORA P11.75

METHOTREXATE vial 50.00 MG VIAL IV P271.00
METHOTREXATE vial 500.00 MG VIAL INJ P1731.00
METHYLDOPA Tablet(s) 250.00 MG TAB ORA P7.25
METHYLERGOMETRINE ampule 200.00 MC/ML AMP INJ P16.00
METHYLPREDNISOLONE Tablet(s) 4.00 MG TAB ORA P5.75
METHYLPREDNISOLONE Tablet(s) 16.00 MG TAB ORA P11.50
METHYLPREDNISOLONE vial 1.00 GM VIAL INJ P3334.00

METHYLPREDNISOLONE vial 40.00 MG VIAL INJ P379.00
METHYLPREDNISOLONE vial 40.00 MG VIAL INJ AS P379.00
SUCCINATE
METHYLPREDNISOLONE vial 500.00 MG VIAL IV P3067.00
METOCLOPRAMIDE syrup 5.00 MG/5 SYR ORA P24.00
METOCLOPRAMIDE Tablet(s) 10.00 MG TAB ORA P3.50
METOPROLOL Tablet(s) 50.00 MG TAB ORA P1.00
METRONIDAZOLE suspension 125.00 MG/5 SUSP ORA P22.00
METRONIDAZOLE Tablet(s) 500.00 MG TAB ORA P1.25
470
MICONAZOLE tube 2.00 % tub TOP P357.00
MIDAZOLAM ampule 5.00 MG/ML AMP INJ P82.00
MIDAZOLAM Tablet(s) 15.00 MG TAB ORA P33.00
MONTELUKAST Tablet(s) 4.00 MG TAB ORA P4.00
MULTIVITAMINS bottle 15.00 ML BOT ORA P18.00
MULTIVITAMINS capsule 500.00 MCG CAP ORA P1.00
MULTIVITAMINS + MINERALS + IRON capsule 500.00 MG CAP P2.75
ORA
MUPIROCIN ointment 5.00 grams OINT TOP P61.00
MYCOPHENOLATE MOFETIL Tablet(s) 500.00 MG TAB ORA P82.00
NALBUPHINE HCL ampule 10.00 MG/ML AMP INJ P65.00

NAPROXEN Tablet(s) 500.00 MG TAB ORA P5.00
NEOMYCIN+POLYMYXIN B + FLUOCINOLONE ACETONIDE P234.00

bottle 3.50 MG BOT OTI OTIC DROPS
NICARDIPINE ampul/vial 10.00 MG/10 AMP/V INJ P110.00

NIFEDIPINE Tablet(s) 10.00 MG TAB ORA P3.25
NIFEDIPINE OD Tablet(s) 30.00 MG TAB ORA P55.75
NIMODIPINE Tablet(s) 30.00 MG TAB ORA P44.70
NITROFURANTOIN capsule 100.00 MG CAP ORA P38.50
NOREPINEPHRINE ampule 2.00 MG/2M AMP INJ P106.00
NOREPINEPHRINE ampule 4.00 MG AMP IV P198.00
NOREPINEPHRINE ampule 8.00 MG4ML AMP IV P2090.00
NORFLOXACIN Tablet(s) 400.00 MG TAB ORA P2.00
NORMAL SALINE bottle 100.00 ML BOT IV Ecoflac (non-DEHP) P87.50
NORMAL SALINE bottle 1000.00 ML BOT INJ P34.00

NORMAL SALINE Ecoflac bot 1.00 LITER Ecofl IV (NON-DEHP) P110.00
NORMAL SALINE Ecoflac bot 500.00 ML Ecofl IV P97.00

NORMAL SALINE Glass Bottle 1.00 LITER GLASS IV P94.00
NORMAL SALINE Glass Bottle 500.00 ML GLASS IV P157.00

NSS IRRIGATING SOLUTION bottle 1.00 LITER BOT TOP P44.00
OCTREOTIDE ampule 100.00 MCG AMP IV P720.00

OFLOXACIN drops 0.30 00103 DR OPH EYEDROPS P153.00
OFLOXACIN drops 0.30 00103 DR OTI OTIC P238.00

OFLOXACIN Tablet(s) 200.00 MG TAB ORA P3.00
471
OLANZAPINE Tablet(s) 10.00 MG TAB ORA P5.25
OMEPRAZOLE capsule 20.00 MG CAP ORA P2.00
ONDANSETRON ampule 8.00 mg/4m AMP INJ P98.00
ORAL REHYDRATION SALTS (ORS 75 - REPLACEMENT) sachet P3.50
2.05 G SAC ORA
OXACILLIN vial 500.00 MG VIAL IV P31.00
OXALIPLATIN vial 50.00 MG VIAL IV P1660.00
OXALIPLATIN vial 100.00 MG VIAL INJ P3034.00
OXCARBAZEPINE bottle 60.00 MG/ML BOT ORA P912.50
OXCARBAZEPINE TABLET 600.00 MG TAB49 ORA P30.75
OXCARBAZEPINE Tablet(s) 300.00 MG TAB ORA P17.00
OXYCODONE capsule 10.00 MG CAP ORA Immediate Release P175.39
(Oxynorm)
OXYCODONE Tablet(s) 10.00 MG TAB ORA Controlled Release P175.39
OXYCODONE Tablet(s) 20.00 MG TAB ORA P307.00

OXYTOCIN (SYNTHETIC) ampule 10.00 IU AMP IV P9.00
PACLITAXEL vial 100.00 MG VIAL IV P2000.00
PACLITAXEL vial 260.00 mg/43 VIAL IV P6667.00
PARACETAMOL (ACETAMINOPHEN) Tablet(s) 500.00 MG TAB P1.00
ORA
PARACETAMOL (ACETAMINOPHEN) ampule 300.00 MG/2M P8.00
AMP INJ
PARACETAMOL (ACETAMINOPHEN) bottle 250.00 MG/5 BOT P27.00
ORA
PARACETAMOL (ACETAMINOPHEN) drops 100.00 MG/ML DR P23.00
ORA
PEN G 1 MILLION vial 1.00 1MLUN VIAL INJ P8.00
PENICILLIN, BENZATHINE vial 1.20 IU/ VIAL INJ P63.00
PHENOBARBITAL SODIUM ampule 130.00 MG/ML AMP INJ P613.00
PHENOBARBITAL SODIUM Tablet(s) 30.00 MG TAB ORA P6.75
PHENOBARBITAL SODIUM Tablet(s) 60.00 MG TAB ORA P6.75
PHENYTOIN SODIUM ampule 100.00 MG/ML AMP INJ P125.00
PHENYTOIN SODIUM capsule 100.00 MG CAP ORA P13.25
PHYTOMENADIONE (PHYTONADIIONE, VITAMIN K1) ampule P19.00

10.00 MG/ML AMP INJ PHYTOBAS 2
PILOCARPINE bottle 20.00 MG/ML BOT OPH 2% P338.00
PIPERACILLIN + TAZOBACTAM vial 2.00 g+250 VIAL IV P104.00
472
PIPERACILLIN + TAZOBACTAM vial 4.00 g+500 VIAL IV Tazobak P131.00
1
POLYMIXIN B SO4 vial 500000.00 U VIAL INJ P3584.00
POTASSIUM CHLORIDE Tablet(s) 600.00 MG TAB ORA P15.00
POTASSIUM CHLORIDE Tablet(s) 750.00 MG TAB ORA P14.75
POTASSIUM CHLORIDE vial 40.00 MG/20 VIAL PAR P49.00
PREDNISOLONE drops 1.00 00103 DR OPH P235.00

PREDNISONE syrup 10.00 MG/5 SYR ORA P131.00
PREDNISONE Tablet(s) 5.00 MG TAB ORA P1.00
PROPRANOLOL Tablet(s) 10.00 MG TAB ORA P1.00
PROPYLTHIOURACIL Tablet(s) 50.00 MG TAB ORA P13.75
QUETIAPINE Tablet(s) 25.00 MG TAB ORA P15.00

RABEPRAZOLE SODIUM Tablet(s) 10.00 MG TAB ORA P37.50
RABIES VACCINE VERO CELL syringe 2.50 IU/ SYRIN INJ P1641.00
RANITIDINE ampule 50.00 MG/2 AMP INJ P5.00

RANITIDINE Tablet(s) 150.00 MG TAB ORA P1.00
RIFAXIMIN Tablet(s) 200.00 MG TAB ORA P84.25
RISPERIDONE Tablet(s) 1.00 MG TAB ORA P12.00
RISPERIDONE Tablet(s) 4.00 MG TAB ORA P80.00
RITUXIMAB vial 100.00 MG VIAL INJ P13714.04
RITUXIMAB vial 500.00 MG VIAL IV P66759.55
ROSUVASTATIN Tablet(s) 10.00 MG TAB ORA P5.50
SACUBITRIL/VALSARTAN Tablet(s) 50.00 MG TAB ORA P75.00
SACUBITRIL/VALSARTAN Tablet(s) 100.00 MG TAB ORA P75.00
SALBUTAMOL inhaler 100.00 MCG/D INHAL NAS P106.00

SALBUTAMOL nebules 2.50 MG2.5 NEB NAS pedia P6.00
SALBUTAMOL nebules 5.00 MG2.5 NEB NAS adult P16.00
473
SALBUTAMOL syrup/suspension 2.00 MG SYR/S ORA asmalin P72.00
SAMBONG Tablet(s) 500.00 MG TAB ORA P7.00

SERTRALINE HCL TABLET 50.00 MG TAB49 ORA deperin 2 P8.50
SILVER SULFADIAZINE cream 1.00 %25gm CRM TOP P90.00
SILVER SULFADIAZINE cream 10.00 MGGM CRM TOP P1133.50
SIMVASTATIN TABLET 40.00 MG TAB49 ORA diastatin P4.00
SIMVASTATIN Tablet(s) 10.00 MG TAB ORA P1.00

SODIUM BICARBONATE Tablet(s) 650.00 MG TAB ORA P1.50
SODIUM BICARBONATE vial 50.00 MEQML VIAL INJ P145.00
SODIUM CHLORIDE vial 2.50 MEQML VIAL IV P60.00

SODIUM HYALURONATE bottle 0.10 % BOT OPH IVISC P240.00
eyedrops
SOFOSBUVIR TABLET 400.00 MG TAB49 ORA Myhep P475.00
SOMATOSTATIN ampule 3.00 MG AMP INJ P5685.00

SOMATOSTATIN ampule 250.00 MCG AMP INJ P1064.00
SPIRONOLACTONE (K-SPARER) Tablet(s) 25.00 MG TAB ORA P6.75
SPIRONOLACTONE (K-SPARER) Tablet(s) 50.00 MG TAB ORA P41.75
STREPTOKINASE vial 1.50 1MLIU VIAL IV P8135.00

SUCRALFATE Tablet(s) 1.00 G TAB ORA P44.00
TAMOXIFEN Tablet(s) 20.00 MG TAB ORA P8.25
TAMSULOCIN capsule 400.00 MCG CAP ORA ALFATAM P13.50
TAMSULOCIN Tablet(s) 200.00 MCG TAB ORA P15.00

TELMISARTAN Tablet(s) 40.00 MG TAB ORA TELI 40 P20.00
TELMISARTAN + HYDROCHLOROTHIAZIDE Tablet(s) 40.00 P25.00

mg+12 TAB ORA
TELMISARTAN + HYDROCHLOROTHIAZIDE Tablet(s) 80.00 P44.75
mg+12 TAB ORA
TENOFOVIR DISOPROXIL FUMARATE Tablet(s) 300.00 MG TAB P50.00
ORA TENOFO-B
TERAZOSIN Tablet(s) 2.00 MG TAB ORA P29.50
474
TETANUS IMMUNOGLOBULIN (HUMAN) vial 250.00 IU2ML VIAL P934.00
PAR
TETANUS TOXOID ampule 0.50 ML AMP INJ P42.00
TIMOLOL drops 0.50 00103 DR OPH P386.00
TOBRAMYCIN bottle 0.30 00103 BOT OPH P107.00
TOBRAMYCIN ointment 0.30 % 3.5 OINT OPH P508.00
TOBRAMYCIN + DEXAMETHASONE drops 0.30 %/.1% DR OPH P180.00
TOCILIZUMAB vial 200.00 MG VIAL ORA Actemra P14566.97

TOLVAPTAN TABLET 15.00 MG TAB49 OR P870.50
TOPIRAMATE Tablet(s) 50.00 MG TAB ORA P11.25
TOTAL PARENTERAL NUTRITION (All-In-One Admixtures) bag P2160.00
1920.00 ML BAG IV NUTRIFLEX (1400KCAL)
TRAMADOL ampule 50.00 MG/ML AMP PAR TRAMID P12.00
TRAMADOL capsule 50.00 MG CAP ORA P4.75

TRAMADOL Tablet(s) 100.00 MG TAB ORA TRAMAL P100.25
TRANEXAMIC ACID ampule 500.00 MG/5 AMP INJ TRANMED P19.00
TRANEXAMIC ACID capsule 500.00 MG CAP ORA P6.25

TRASTUZUMAB vial 150.00 MG VIAL INJ HERCEPTIN P16140.00
TRASTUZUMAB vial 600.00 MG/5 VIAL INJ P34667.00

TRIMETHAZIDINE Tablet(s) 35.00 MG TAB ORA VASEREL P5.75
URSODEOXYCHOLIC ACID capsule 250.00 MG CAP ORA P42.75
VALACICLOVIR Tablet(s) 500.00 MG TAB ORA P42.25

VALPROATE DISODIUM / VALPROIC ACID Tablet(s) 250.00 MG P12.00
TAB ORA
VALPROATE DISODIUM / VALPROIC ACID Tablet(s) 500.00 MG P12.75
TAB ORA
VALPROIC ACID bottle 250.00 MG/5 BOT ORA P418.00
VALPROIC ACID vial 500.00 MG VIAL IV DEPACON P2190.50
VALSARTAN Tablet(s) 80.00 MG TAB ORA VALVEX 80 P11.25
VALSARTAN Tablet(s) 160.00 MG TAB ORA VALAZYD 160 P14.50
VALSARTAN + HYDROCHLORTHIAZIDE Tablet(s) 80.00 mg+12 P19.00

TAB ORA TORVAL H
VALSARTAN + HYDROCHLORTHIAZIDE Tablet(s) 160.00 mg+12 P38.00
TAB ORA TORVAL H
475
VANCOMYCIN vial 500.00 0G VIAL IV P438.00
VANCOMYCIN vial 500.00 MG VIAL INJ HOSPIRA P427.00

VERAPAMIL ampule 5.00 MG/2M AMP PAR P169.00
VERAPAMIL Tablet(s) 40.00 MG TAB ORA P19.50
VERAPAMIL Tablet(s) 80.00 MG TAB ORA ISOPTIN P43.75

VINBLASTINE vial 10.00 MG VIAL INJ P1024.00
VINCRISTINE ampul/vial 1.00 MG AMP/V IV P341.50
VINCRISTINE vial 2.00 MG/ML VIAL IV P667.00

VITAMIN B1 B6 B12 ampule 100.00 MG/3M AMP INJ NURAMINE P19.00
FORTE
VORICONAZOLE Tablet(s) 200.00 MG TAB ORA P1985.00
VORICONAZOLE vial 200.00 MG30 VIAL IV P7176.00
WARFARIN Tablet(s) 1.00 MG TAB ORA P22.25
ZINC drops 15.00 ML DR ORA P32.00

ZINC syrup 55.00 MG/5 SYR ORA P42.00
* Prices, Availability Of Medicine And Medical Supplies Are Subject To

Chan
MEDICINE OPD PHARMACY PRICE

ACETYLCYSTEINE ampul/vial 300.00 MG3ML P166.00
AMP/V NAS INHALATION
ACICLOVIR TABLET 200.00 MG TAB49 ORA P5.00
xyclovirax
ADENOSINE vial 3.00 MG/ML VIAL IV P223.00
ALBUMIN, HUMAN vial 20.00 % VIAL INJ P2185.50
ALPRAZOLAM Tablet(s) 250.00 MG TAB ORA P6.00
ALPRAZOLAM Tablet(s) 500.00 MCG TAB ORA P21.50
ALTEPLASE vial 50.00 MG VIAL IV P38186.61
476
AMINO ACID 7% bottle 500.00 ML BOT PAR P523.00
AMOXICILLIN Infant Drops bottle 100.00 MG/ML P28.00
BOT ORA
AMPICILLIN vial 500.00 MG VIAL IV P12.00
ANTI-RABIES SERUM (EQUINE) vial 200.00 IUML P1654.00
VIAL PAR
ANTI-TETANUS SERUM (EQUINE) ampule P67.00
1500.00 IU/ AMP INJ
ASCORBIC ACID (VITAMIN C) ampule 500.00 P6.40
MG/2M AMP IV
ASCORBIC ACID (VITAMIN C) drops 100.00 P21.00
MG/ML DR ORA
ASCORBIC ACID (VITAMIN C) Tablet(s) 500.00 P1.25
MG TAB ORA
ATROPINE EYE DROPS bottle 1.00 00103 BOT P356.00
OPH
ATROPINE SULFATE ampule 1.00 MG/ML AMP P14.00
ORA
AZITHROMYCIN bottle 200.00 MG/5 BOT ORA P167.00
BETAMETHASONE cream 1.00 M/5g CRM TOP P55.00
BETAMETHASONE OINTMENT 1.00 M/5g OINTX P56.00
OINTM
BIPERIDEN Tablet(s) 2.00 MG TAB ORA MAPMH P14.00
477
BUDESONIDE + FORMOTEROL bottle 160.00 P1118.00
00001 BOT NAS
CALCITRIOL tablet/capsule 0.25 MCG TABCP P34.00
ORA
CALCIUM CARBONATE + VIT. D Tablet(s) 600.00 P3.75
MG TAB ORA
CAPTOPRIL Tablet(s) 25.00 MG TAB SUL P1.00
carvidol
CEFALEXIN suspension 250.00 MG/5 SUSP ORA P29.00
CEFIXIME bottle 100.00 mgml6 BOT ORA P124.00
CEFOTAXIME vial 1.00 G VIAL IV P42.00
CEFTRIAXONE vial 1.00 G VIAL IV P23.00
CEFUROXIME granules 125.00 MG/5 GRAN ORA P213.50
CEFUROXIME suspension 250.00 MG/5 SUSP P320.00
ORA
CEFUROXIME Tablet(s) 500.00 MG TAB ORA P10.75
CEFUROXIME vial 1.50 GM VIAL INJ P186.00
CETIRIZINE bottle 2.50 MG/ML BOT ORA drops P152.00
10ml
CETIRIZINE bottle 5.00 mgml3 BOT ORA P122.50
CETIRIZINE syrup 5.00 mgml6 SYR ORA P27.50
CHLORAMPHENICOL capsule 500.00 MG CAP P7.50
ORA
CHLORAMPHENICOL suspension 125.00 MG/5 P44.00
SUSP ORA
CHLORHEXIDINE(as gluconate) bottle 0.12 % BOT P133.50
ORA
CHLORPROMAZINE Tablet(s) 200.00 MG TAB P3.00
ORA
478
CINNARIZINE TABLET 25.00 MG TAB49 ORA P1.25
generic
CIPROFLOXACIN Tablet(s) 500.00 MG TAB ORA P1.75
CLARITHROMYCIN bottle 125.00 MG/5 BOT ORA P348.00
70ml
CLARITHROMYCIN suspension 125.00 MG/ML P195.00
SUSP ORA 50ML,CLARIGET 2
CLARITHROMYCIN Tablet(s) 500.00 MG TAB P12.75
ORA
CLINDAMYCIN suspension 75.00 MG/5 SUSP P564.00
ORA
CLOBETASOL tube 0.05 %/5g tub TOP P65.00
DERMOVATE CREAM
CLOBETASOL OINTMENT ointment 0.05 % OINT P65.00
OINTM DERMOVATE
CLONIDINE Tablet(s) 150.00 MCG TAB ORA P18.00
CLOZAPINE TABLET 100.00 MG TAB49 ORA P10.00
COTRIMOXAZOLE Tablet(s) 800.00 00005 TAB P4.00
ORA
DEXTROSE 50% vial 50.00 ML VIAL IV P33.50
DICLOFENAC SODIUM ampule 75.00 MG3ML P13.50
AMP INJ
479
DIPHENHYDRAMINE HCL capsule 50.00 MG CAP P1.00
ORA
DOBUTAMINE ampul/vial 250.00 MG/5 AMP/V IV P193.00
ENOXAPARIN prefilled syr 0.60 MG PFS INJ P459.00
lomoh-60
ENOXAPARIN syringe 40.00 MG0.4 SYRIN INJ P273.00
ENSURE can 400.00 G CAN ORA P300.00
ENTERAL NUTRITION - for Hyperglycemic P400.00
Patients can 400.00 G CAN ORA
EPOETIN ALFA prefilled syr 4000.00 IU/.4 PFS INJ P548.00
EPOSIS
EPOETIN BETA syringe 5000.00 IU/.3 SYRIN IV P1304.00
ERYTHROMYCIN tube 3.50 G tub OINTM P147.00
erythromycin 2
FERROUS SALT + FOLIC ACID Tablet(s) 60.00 P1.25
MG TAB ORA
FERROUS SULFATE drops 15.00 00006 DR ORA P26.00
FERROUS SULFATE Tablet(s) 119.00 MG TAB P1.25
ORA
FILGRASTIM prefilled syr 300.00 MCG/1 PFS IV P1600.00
FLUTICASONE PROPIONATE bottle 0.50 % BOT P613.00
NAS
FLUTICASONE PROPIONATE + SALMETEROL P294.00
inhaler 25.00 25mcg INHAL inh
480
FUSIDATE SODIUM ointment 2.00 00008 OINT P130.00
TOP
GLYCERYL TRINITRATE ampul/vial 1.00 ml10 P867.00
AMP/V INJ
HEPARIN (UNFRACTIONATED) vial 5000.00 IU P67.00
VIAL INJ
HEPATITIS B VACCINE (RECOMBINANT DNA) P165.00
ampul/vial 10.00 MCG5M AMP/V IV Pedia
HYDROCORTISONE tube 1.00 00008 tub TOP P127.00
Cream
HYDROCORTISONE vial 100.00 MG VIAL INJ P25.50
IBUPROFEN suspension 200.00 MG/5 SUSP ORA P132.50
DOLAN
IMMUNOGLOBULIN NORMAL, HUMAN (IGIV) vial P5866.00
2.50 GM VIAL IV
IRBESARTAN+HYDROCHLOROTHIAZIDE P13.50
Tablet(s) 150.00 MG/12 TAB ORA
ISOSORBIDE DINITRATE Tablet(s) 5.00 MG TAB P8.75
ORA
ISOSORBIDE-5-MONONITRATE Tablet(s) 60.00 P9.50
MG TAB ORA
ITRACONAZOLE capsule 100.00 MG CAP ORA P73.50
KETOROLAC ampule 30.00 MG AMP INJ P20.00
LACTATED RINGER'S SOLUTION bottle 1.00 P42.00
LITER BOT IV
LAGUNDI syrup 300.00 MG/5 SYR ORA P87.00
OFPLEMED
481
LAGUNDI Tablet(s) 300.00 MG TAB ORA P1.75
LAGUNDEX
LAMOTRIGINE Tablet(s) 50.00 MG TAB ORA P7.25
MOTRIGINE
MOTRIGINE 100
LANSOPRAZOLE capsule 30.00 MG CAP ORA P22.00
LANSOFAR
LEVETIRACETAM bottle 100.00 MG/5 BOT ORA P2052.00
LEVETIRACETAM TABLET 1000.00 MG TAB49 P20.00
ORA
LEVETIRACETAM Tablet(s) 500.00 MG TAB ORA P13.25
LEXLEV
LEVOFLOXACIN bottle 5.00 MG/ML BOT OPH P440.00
OFTAQUIX, eyedrops
VOFLOX
THYDIN
LIDOCAINE ampul/vial 2.00 P/20 AMP/V IV P40.00
EUROCAINE
LIDOCAINE polyampule 5.00 ML PLAMP INJ P11.00
LIDOCAINE,, 2%, 1.8 ml, W/ EPINEPHRINE P28.00
carpule 2.00 % CARP IV
LORATADINE Tablet(s) 10.00 MG TAB ORA P2.25
CLARIHIST
LOSARTAN Tablet(s) 100.00 MG TAB ORA P2.75
TORLOS-100
LOSARTAN+HYDROCHLORTHIAZIDE Tablet(s) P7.75
100.00 MG+25 TAB ORA
MAGNESIUM SULFATE vial 250.00 MG/ML VIAL P35.00
INJ
MANNITOL bottle 500.00 ML BOT IV P91.00
MEBENDAZOLE suspension 100.00 MG/5 SUSP P36.00
ORA
482
METHYLPREDNISOLONE Tablet(s) 16.00 MG P11.50
TAB ORA
AS SUCCINATE
METOCLOPRAMIDE Tablet(s) 10.00 MG TAB P3.50
ORA
METRONIDAZOLE suspension 125.00 MG/5 SUSP P22.00
ORA
METRONIDAZOLE vial 500.00 MG100 VIAL PAR P19.00
MULTIVITAMINS drops 15.00 ML DR ORA P66.00
MULTIVITAMINS + MINERALS + IRON capsule P2.75
500.00 MG CAP ORA
MUPIROCIN ointment 2.00 00102 OINT TOP P205.00
NEOMYCIN+POLYMYXIN B + FLUOCINOLONE P234.00
ACETONIDE bottle 3.50 MG BOT OTI OTIC
DROPS
NOREPINEPHRINE ampule 2.00 MG/2M AMP INJ P106.00
NSS IRRIGATING SOLUTION bottle 1.00 LITER P47.00
BOT TOP
OLANZAPINE TABLET 10.00 MG TAB49 ORA P5.25
483
ORAL REHYDRATION SALTS (ORS 75 - P6.75
REPLACEMENT) sachet 2.05 G SAC ORA
OXCARBAZEPINE TABLET 600.00 MG TAB49 P30.75
ORA
OXYTOCIN (SYNTHETIC) ampule 10.00 IU AMP P9.25
IV
PARACETAMOL (ACETAMINOPHEN) ampule P8.00
300.00 MG/2M AMP INJ
PARACETAMOL (ACETAMINOPHEN) bottle P27.00
250.00 MG/5 BOT ORA
PARACETAMOL (ACETAMINOPHEN) drops P23.00
100.00 MG/ML DR ORA
PARACETAMOL (ACETAMINOPHEN) Tablet(s) P1.00
500.00 MG TAB ORA
PENICILLIN, BENZATHINE vial 1.20 IU/ VIAL INJ P63.00
PHENOBARBITAL SODIUM Tablet(s) 30.00 MG P6.75
TAB ORA
PHENOBARBITAL SODIUM Tablet(s) 60.00 MG P6.75
TAB ORA
PHENYTOIN SODIUM ampule 100.00 MG/ML AMP P125.00
INJ
PHENYTOIN SODIUM capsule 100.00 MG CAP P13.25
ORA
PHYTOMENADIONE (PHYTONADIIONE, VITAMIN P19.00
K1) ampule 10.00 MG/ML AMP INJ PHYTOBAS 2
PIPERACILLIN + TAZOBACTAM vial 4.00 g+500 P131.00
VIAL IV Tazobak 1
POTASSIUM CHLORIDE Tablet(s) 600.00 MG TAB P14.75
ORA
ORA
POTASSIUM CHLORIDE vial 40.00 MG/20 VIAL P49.00
PAR
PROPOFOL ampule 10.00 MG/ML AMP IV P82.00
FRESOFOL 200 MG
484
PROPYLTHIOURACIL Tablet(s) 50.00 MG TAB P11.00
ORA
RABEPRAZOLE SODIUM Tablet(s) 10.00 MG TAB P37.50
ORA
RABIES VACCINE VERO CELL syringe 2.50 IU/ P1641.00
SYRIN INJ
RIFAXIMIN Tablet(s) 200.00 MG TAB ORA P84.25
SACUBITRIL/VALSARTAN Tablet(s) 50.00 MG P75.00
TAB ORA
SACUBITRIL/VALSARTAN Tablet(s) 100.00 MG P75.00
TAB ORA
SALBUTAMOL INHALATION 100.00 MG INHA1 P97.50
inh VENTOLAX
SALBUTAMOL nebules 2.50 MG2.5 NEB NAS P5.75
pedia
SALBUTAMOL nebules 5.00 MG2.5 NEB NAS P16.00
adult
SAMBONG TABLET 500.00 MG TAB49 ORA re- P7.00
leaf forte
SILVER SULFADIAZINE cream 1.00 %25gm CRM P90.00
TOP
SILVER SULFADIAZINE cream 10.00 MGGM CRM P1133.50
TOP
SODIUM BICARBONATE Tablet(s) 650.00 MG P1.25
TAB ORA
SODIUM BICARBONATE vial 50.00 MEQML VIAL P145.00
INJ
SODIUM HYALURONATE bottle 0.10 % BOT OPH P224.00
IVISC eyedrops
SOMATOSTATIN ampule 3.00 MG AMP INJ P6395.00
SPIRONOLACTONE (K-SPARER) Tablet(s) 50.00 P41.75
MG TAB ORA
STREPTOKINASE vial 1.50 1MLIU VIAL IV P8135.00
TAMSULOCIN capsule 400.00 MCG CAP ORA P12.75
ALFATAM
485
TELMISARTAN Tablet(s) 40.00 MG TAB ORA TELI P20.00
40
TELMISARTAN Tablet(s) 80.00 MG TAB ORA TELI P34.00
80
TELMISARTAN + HYDROCHLOROTHIAZIDE P25.00
Tablet(s) 40.00 mg+12 TAB ORA
TENOFOVIR DISOPROXIL FUMARATE Tablet(s) P51.50
300.00 MG TAB ORA TENOFO-B
TETANUS IMMUNOGLOBULIN (HUMAN) vial P934.00
250.00 IU2ML VIAL PAR
TOBRAMYCIN + DEXAMETHASONE drops 0.30 P180.00
%/.1% DR OPH
TOPIRAMATE TABLET 50.00 MG TAB49 ORA P11.25
TOPVEX
TRAMADOL ampule 50.00 MG/ML AMP PAR P12.00
TRAMID
TRAMADOL ampule 100.00 MG AMP INJ P10.00
AMBIDOL
TRAMADOL Tablet(s) 100.00 MG TAB ORA P100.25
TRAMAL
TRANEXAMIC ACID ampule 500.00 MG/5 AMP P18.75
INJ TRANMED
TRIMETHAZIDINE Tablet(s) 35.00 MG TAB ORA P5.75
VASEREL
URSODEOXYCHOLIC ACID capsule 250.00 MG P43.75
CAP ORA
VALPROATE DISODIUM / VALPROIC ACID P12.00
Tablet(s) 250.00 MG TAB ORA
VALPROATE DISODIUM / VALPROIC ACID P12.75
Tablet(s) 500.00 MG TAB ORA
VALPROIC ACID bottle 250.00 MG/5 BOT ORA P417.35
VALSARTAN Tablet(s) 80.00 MG TAB ORA P11.25
VALVEX 80
VALAZYD 160
VALSARTAN + HYDROCHLORTHIAZIDE Tablet(s) P19.00
80.00 mg+12 TAB ORA TORVAL H
486
VITAMIN B1 B6 B12 ampule 100.00 MG/3M AMP P19.00
INJ NURAMINE FORTE
ZINC drops 15.00 ML DR ORA P50.75
* Prices, Availability Of Medicine And Medical

Supplies Are Subject To Change Without Prior
Notice
MEDICINE OR PHARMACY
ACETAZOLAMIDE Tablet(s) 250.00 MG TAB ORA P26.75
ACETYLCYSTEINE ampul/vial 300.00 MG3ML AMP/V P183.50

NAS INHALATION
ADENOSINE ampule 3.00 MG/ML AMP INJ P223.25

ALBUMIN, HUMAN vial 20.00 00100 VIAL INJ P2186.00
ALUMINUM HYDROXIDE TABLET 200.00 MG TAB P3.25

AMINO ACID 7% bottle 500.00 ML BOT PAR P523.00
AMINO ACID/SORBITOL GLYCINE 5/1% 20 ampule P194.50
20.00 ML AMP INJ
AMINOPHYLLINE ampule 250.00 MG/10 AMP IV P29.00
487
AMOXICILLIN suspension 250.00 MG/5 SUSP ORA P29.50

AMPICILLIN + SULBACTAM vial 750.00 MG VIAL INJ P27.00

ASCORBIC ACID (VITAMIN C) ampule 500.00 MG/2M P6.40
AMP IV
ASCORBIC ACID (VITAMIN C) syrup 250.00 M/ML P127.00
SYR ORA
ATRACURIUM vial 10.00 mg+2 VIAL IV P100.00
ATROPINE EYE DROPS bottle 10.00 MG/ML BOT P379.00
OPH
ATROPINE SULFATE ampule 1.00 MG/ML AMP INJ P13.50
AZITHROMYCIN Tablet(s) 500.00 MG TAB ORA P11.75

AZTREONAM vial 1.00 GM VIAL INJ P1891.00
BALANCE SALT SOLUTION bottle 500.00 ML BOT IV P660.00

BETAMETHASONE OINTMENT 1.00 M/5g OINTX P56.00
OINTM
Bicalutamide Tablet(s) 50.00 MG TAB ORA P211.00
BIPERIDEN Tablet(s) 2.00 MG TAB ORA MAPMH P15.00

BMMS bottle 1000.00 ML BOT IV P53.00
BRIMONIDINE drops 0.15 00103 DR OPH P965.50
BROMOCRIPTINE Tablet(s) 2.50 MG TAB ORA P280.00
488
BUPIVACAINE 0.5% HEAVY ampule 0.50 % AMP INJ P138.50
BUPIVACAINE 0.5% ISOBARIC ampule 5.00 MG/ML P123.00

AMP IV
BUTAMIRATE CITRATE tablet/capsule 50.00 MG P10.50
TABCP ORA
BUTORPHANOL ampule 2.00 MG/ML AMP INJ P587.00
CALCITRIOL tablet/capsule 0.25 MCG TABCP ORA P33.50
CALCIUM CARBONATE Tablet(s) 500.00 MG TAB P3.00

ORA
CALCIUM CARBONATE + VIT. D Tablet(s) 600.00 MG P3.50
TAB ORA
CAPTOPRIL Tablet(s) 25.00 MG TAB SUL P.50
CARBACHOL vial 0.00 0.1% VIAL OPH P800.00
CARBOPROST ampule 125.00 MCG5M AMP IV P227.00

CARBOPROST vial 250.00 MC/ML VIAL PAR P252.00
CARBOXYMETHYLCELLULOSE bottle 0.50 %,15 BOT P416.00
OPH
CARVEDILOL Tablet(s) 6.25 MG TAB ORA carvidol P2.00

CASTOR OIL bottle 120.00 ML BOT ORA P191.00
CEFADROXIL capsule 500.00 MG CAP ORA P29.50
CEFALEXIN bottle 250.00 MG/5 BOT ORA P30.50
CEFEPIME vial 2.00 G VIAL INJ P2158.00
CEFIXIME caplet 200.00 MG CAPL ORA P9.50
CEFTAZIDIME vial 1.00 G VIAL INJ P451.50
CEFTRIAXONE vial 1.00 G VIAL INJ P20.00
CEFUROXIME powder 125.00 MG/5 PDR ORA P227.00
CEFUROXIME suspension 250.00 MG/5 SUSP ORA P566.00
489
CEFUROXIME Tablet(s) 500.00 MG TAB ORA P11.00
CHLORAMPHENICOL capsule 500.00 MG CAP ORA P5.50
CHLORAMPHENICOL drops 0.50 % DR OTI OTIC P125.00

DROPS
CHLORAMPHENICOL vial 1.00 G VIAL INJ P50.00
CHLORHEXIDINE(as gluconate) bottle 0.12 % BOT P134.00
ORA

CINNARIZINE capsule 75.00 MG CAP ORA P15.00
CINNARIZINE TABLET 25.00 MG TAB49 ORA generic P1.25
CIPROFLOXACIN Tablet(s) 500.00 MG TAB ORA P1.75
CIPROFLOXACIN vial 200.00 MG100 VIAL INJ P27.50

CIPROFLOXACIN vial 400.00 mg/ml VIAL IV P1777.00
CLARITHROMYCIN bottle 250.00 MG/5 BOT ORA 70 P560.00
ml
CLARITHROMYCIN suspension 125.00 MG/5 SUSP P231.50
ORA 50ml

MR
CLINDAMYCIN syrup/suspension 75.00 mg/5m SYR/S P246.75
ORA
CLOBETASOL OINTMENT ointment 0.05 % OINT P65.00
OINTM DERMOVATE
CLONIDINE ampule 150.00 MC/ML AMP IV P116.00
CLOTRIMAZOLE drops 1.00 % DR OTI CANDIVA 10 P440.00
ML
490
CLOTRIMAZOLE tube 1.00 00008 tub TOP P213.75
CANESTEN
CLOXACILLIN capsule 500.00 MG CAP ORA P3.50
CLOXACILLIN suspension 250.00 MG/5 SUSP ORA P48.00

NATRAVOX
COLISTIMETHATE SODIUM vial 2.00 1MLIU VIAL INJ P2800.00
CONJUGATED ESTROGENS Tablet(s) 625.00 MCG P47.75

TAB ORA
COTRIMOXAZOLE Tablet(s) 800.00 00005 TAB ORA P2.50


DEXTROSE 50% vial 50.00 ML VIAL IV P33.50
DICLOFENAC SODIUM ampule 75.00 MG3ML AMP P14.00
INJ
DICLOFENAC SR Tablet(s) 100.00 MG TAB ORA P20.00

DILTIAZEM Tablet(s) 60.00 MG TAB ORAL P33.50
DIPHENHYDRAMINE Tablet(s) 50.00 MG TAB ORA P1.00
DOBUTAMINE ampul/vial 250.00 MG/5 AMP/V IV P206.00
DOBUTAMINE HCL bag 500.00 00004 BAG IV P1131.50

491
DOPAMINE PREMIXED bottle 400.00 MG250 BOT IV P505.50
DOXYCYCLINE capsule 100.00 MG CAP ORA P6.75

DYDROGESTERONE Tablet(s) 10.00 MG TAB ORA P69.25

EPHEDRINE SULFATE ampul/vial 50.00 MG AMP/V P113.00
INJ
ERYTHROMYCIN Tablet(s) 500.00 MG TAB ORA P5.50
ERYTHROMYCIN tube 3.50 G tub OPH P147.00
FENTANYL CITRATE ampule 100.00 MCG AMP INJ P65.00
FERROUS SALT + FOLIC ACID Tablet(s) 60.00 MG P1.00

TAB ORA
FERROUS SULFATE Tablet(s) 119.00 MG TAB ORA P1.00

FLUCONAZOLE vial 200.00 MG100 VIAL INJ IV P1067.00
FLUTICASONE PROPIONATE + SALMETEROL P333.50
inhaler 25.00 25mcg INHAL inh
FONDAPARINUX SODIUM piece 2.50 MG0.5 PIECE P1494.00
PAR

492
GLYCERYL TRINITRATE ampul/vial 1.00 ml10 AMP/V P867.00
INJ
HEPARIN (UNFRACTIONATED) vial 5000.00 IU VIAL P58.00
INJ
HYDRALAZINE ampule 20.00 MG/ML AMP INJ P37.50
HYDROCORTISONE vial 100.00 MG/ML VIAL INJ P25.50

HYDROXYETHYL STARCH bag 6.00 00101 BAG IV P586.00
HYDROXYZINE HCL Tablet(s) 10.00 MG TAB ORA P12.00

HYPROMELLOSE bottle 5.00 MG/ML BOT OPH P227.00

DOLAN
INSULIN REGULAR vial 1000.00 IU10 VIAL PAR P147.00
IPRATROPIUM BROMIDE + SALBUTAMOL nebules P13.50
500.00 00107 NEB NAS
ISOFLURANE bottle 100.00 ML BOT NAS P990.00
ISOSORBIDE DINITRATE ampule 10.00 MG/10 AMP P548.00
IV
ISOSORBIDE DINITRATE Tablet(s) 5.00 MG TAB P3.00
ORA
ISOSORBIDE-5-MONONITRATE Tablet(s) 30.00 MG P8.00
TAB ORA
ISOSORBIDE-5-MONONITRATE Tablet(s) 60.00 MG P8.00
TAB ORA
ISOXSUPRINE ampule 10.00 MG/2M AMP INJ P177.00
493
KETAMINE injectable 1.00 ML INJ IV P64.00
KETAMINE vial 10.00 ML VIAL INJ P638.00
KETOROLAC ampule 30.00 MG AMP IV P19.25
LACTATED RINGER'S SOLUTION bottle 1.00 LITER P42.00
BOT IV
LAGUNDI syrup 300.00 MG/5 SYR ORA OFPLEMED P106.50

MOTRIGINE
MOTRIGINE 100
LANSOPRAZOLE capsule 30.00 MG CAP ORA P22.00
LANSOFAR
LATANOPROST bottle 50.00 MC/ML BOT OPH P934.00
LEVETIRACETAM TABLET 1000.00 MG TAB49 ORA P20.00
LEVETIRACETAM Tablet(s) 500.00 MG TAB ORA P11.50

LEXLEV
LEVODOPA + CARBIDOPA Tablet(s) 250.00 MG TAB P45.00
ORA
LEVOFLOXACIN bottle 5.00 MG/ML BOT OPH P467.00
OFTAQUIX, eyedrops
VOFLOX
THYDIN
LIDOCAINE ampul/vial 2.00 P/20 AMP/V IV P40.00

EUROCAINE
LIDOCAINE spray 10.00 % SPR NAS XYLOCAINE P8934.00

LORATADINE Tablet(s) 10.00 MG TAB ORA P2.25
CLARIHIST
LOSARTAN Tablet(s) 50.00 MG TAB ORA LOSART P2.00
LOSARTAN Tablet(s) 100.00 MG TAB ORA TORLOS- P4.00

100
494
LOSARTAN+HYDROCHLORTHIAZIDE Tablet(s) 50.00 P4.50
mg+12 TAB ORA GETZAR PLUS
LOSARTAN+HYDROCHLORTHIAZIDE Tablet(s) P8.00
100.00 MG+25 TAB ORA
MAGNESIUM SULFATE vial 250.00 MG/ML VIAL INJ P35.00
MANNITOL bottle 20.00 00101 BOT PAR P170.00

MECOBALAMIN Tablet(s) 500.00 MCG TAB ORA P12.00
MEFENAMIC ACID Tablet(s) 500.00 MG TAB ORA P1.00

MEROPENEM vial 500.00 MG VIAL INJ P571.00
METHIMAZOLE (THIAMAZOLE) Tablet(s) 5.00 MG P6.75
TAB ORA
METHIMAZOLE (THIAMAZOLE) Tablet(s) 20.00 MG P23.50
TAB ORA
METHYLERGOMETRINE ampule 200.00 MC/ML AMP P16.00
INJ
METHYLERGOMETRINE Tablet(s) 125.00 MCG TAB P3.50
ORA
METHYLPREDNISOLONE Tablet(s) 4.00 MG TAB P6.75
ORA
METHYLPREDNISOLONE Tablet(s) 16.00 MG TAB P10.50
ORA
METOCLOPRAMIDE Tablet(s) 10.00 MG TAB ORA P1.50

METRONIDAZOLE suspension 125.00 MG/5 SUSP P22.00
ORA
METRONIDAZOLE vial 500.00 MG100 VIAL PAR P19.00
495
MIDAZOLAM ampule 15.00 MG3ML AMP INJ P106.00
DORMIZOL
MILRINONE ampule 20.00 MG AMP IT P3535.00
MONOBASIC/DIBASIC SODIUM PHOSPHATE bottle P291.00
0.00 19g/7 BOT REC FLEET ENEMA
MONOBASIC/DIBASIC SODIUM PHOSPHATE bottle P297.50
45.00 ML BOT ORA PHOSPHOSODA
MORPHINE SULFATE ampule 10.00 MG/ML AMP INJ P92.00

MULTIVITAMINS + MINERALS + IRON capsule 500.00 P2.75

MG CAP ORA
MUPIROCIN ointment 2.00 00102 OINT TOP P205.00
NALOXONE ampule 400.00 MCG AMP INJ P373.50

NAPROXEN Tablet(s) 500.00 MG TAB ORA P5.00
NEOMYCIN+POLYMYXIN B + FLUOCINOLONE P233.50
ACETONIDE bottle 3.50 MG BOT OTI OTIC DROPS
NEOSTIGMINE ampule 500.00 MC/ML AMP INJ P160.00

NEPAFENAC suspension 1.00 mg/ml SUSP OPH P848.75

NIMODIPINE TABLET 30.00 MG TAB49 ORA P44.70
NIMOTOP

NORMAL SALINE bottle 500.00 ML BOT IV P52.00
496
NORMAL SALINE Glass Bottle 500.00 ML GLASS IV P148.00
NSS IRRIGATING SOLUTION bottle 1.00 LITER BOT P47.00

TOP
OFLOXACIN drops 0.30 00103 DR OPH EYEDROPS P162.75
OFLOXACIN drops 0.30 00103 DR OTI OTIC P348.50

OMEPRAZOLE vial 40.00 MG VIAL INJ P32.00
ORAL REHYDRATION SALTS (ORS 75 - P3.50
REPLACEMENT) sachet 2.05 G SAC ORA
OXCARBAZEPINE Tablet(s) 600.00 MG TAB ORA P89.50
OXYCODONE ampule 10.00 MG/ML AMP IV P1360.00

OXYMETAZOLINE bottle 0.05 % BOT NAS P264.00
OXYMETAZOLINE bottle 10.00 ML BOT NASAL P263.00
pediatric nasal drops
OXYTOCIN (SYNTHETIC) ampule 10.00 IU AMP IV P9.00
PARACETAMOL (ACETAMINOPHEN) ampule 300.00 P8.00

MG/2M AMP INJ
PARACETAMOL (ACETAMINOPHEN) bottle 250.00 P27.00
MG/5 BOT ORA
PARACETAMOL (ACETAMINOPHEN) Tablet(s) P1.00
500.00 MG TAB ORA
PARACETAMOL (ACETAMINOPHEN) vial 1.00 G P184.50
VIAL IV
PARACETAMOL (ACETAMINOPHEN) vial 500.00 P333.50
mg/50 VIAL INJ
PHENOXYMETHYL PENICILLIN (PENICILLIN V) P21.00
capsule 500.00 MG CAP ORA
PHENYLEPHRINE ampule 1.00 % 10m AMP INJ P110.00
PHENYTOIN SODIUM ampule 100.00 MG/ML AMP P125.00
INJ
497
PHENYTOIN SODIUM capsule 100.00 MG CAP ORA P13.25
PHYTOMENADIONE (PHYTONADIIONE, VITAMIN P19.00

K1) ampule 10.00 MG/ML AMP INJ
PILOCARPINE bottle 20.00 MG/ML BOT OPH 2% P399.50
PIPERACILLIN + TAZOBACTAM vial 2.00 g+250 VIAL P118.50

IV
PIPERACILLIN + TAZOBACTAM vial 4.00 g+500 VIAL P131.00
IV Tazobak 1
ORA
POTASSIUM CHLORIDE vial 40.00 MG/20 VIAL PAR P49.00
POTASSIUM CITRATE Tablet(s) 10.00 MEQ TAB ORA P8.00

PROPOFOL ampule 10.00 MG/ML AMP IV P82.00
FRESOFOL 200 MG
PROPOFOL vial 10.00 mg/m2 VIAL IV LIPURO 500 P599.00
MG
PROPYLTHIOURACIL Tablet(s) 50.00 MG TAB ORA P13.75
PYRIDOSTIGMINE Tablet(s) 60.00 MG TAB ORA P44.50

REMIFENTANIL HYDROCHLORIDE vial 1.00 MG P2000.00
VIAL IV Sublifen
RISPERIDONE Tablet(s) 2.00 MG TAB ORA MAPMH P8.00
ROCURONIUM vial 50.00 MG/ML VIAL INJ P206.00

ROPIVACAINE HYDROCHLORIDE polyampule 10.00 P512.00
MG/ML PLAMP IV
498
SACUBITRIL/VALSARTAN Tablet(s) 50.00 MG TAB P75.00
ORA
SACUBITRIL/VALSARTAN Tablet(s) 100.00 MG TAB P75.00
ORA
SALBUTAMOL inhaler 100.00 MCG/D INHAL NAS P98.00
SALBUTAMOL nebules 2.50 MG2.5 NEB NAS pedia P6.00
SALBUTAMOL nebules 5.00 MG2.5 NEB NAS adult P16.00
SAMBONG Tablet(s) 500.00 MG TAB ORA P8.50

SERTRALINE HCL Tablet(s) 50.00 MG TAB ORA P9.50
SEVOFLURANE bottle 250.00 ML BOT inh P6013.00

SILDENAFIL CITRATE Tablet(s) 1.00 MG TAB ORA P2.00
SILVER SULFADIAZINE cream 1.00 %25gm CRM P86.50

TOP
SILVER SULFADIAZINE cream 10.00 MGGM CRM P1133.50
TOP
SODIUM BICARBONATE Tablet(s) 650.00 MG TAB P1.25
ORA
SODIUM BICARBONATE vial 50.00 MEQML VIAL INJ P155.00

SODIUM HYALURONATE bottle 0.10 % BOT OPH P224.00
IVISC eyedrops
SPIRONOLACTONE (K-SPARER) Tablet(s) 25.00 MG P9.50
TAB ORA
SPIRONOLACTONE (K-SPARER) Tablet(s) 50.00 MG P42.00
TAB ORA
SUGAMMADEX vial 200.00 2ml10 VIAL INJ P7010.00
SUXAMETHONIUM (SUCCINYLCHOLINE) vial 20.00 P304.00
MG/ML VIAL INJ
TAMSULOCIN capsule 400.00 MCG CAP ORA P12.75
ALFATAM
499

TETRACAINE ampule 20.00 MG AMP INJ P612.00
THIOPENTAL SODIUM vial 500.00 MG VIAL ORA P1280.00
TIMOLOL drops 0.50 00103 DR OPH P386.00

TOBRAMYCIN + DEXAMETHASONE drops 0.30 P184.00
%/.1% DR OPH
TOPIRAMATE Tablet(s) 50.00 MG TAB ORA P12.00
TOTAL PARENTERAL NUTRITION (All-In-One P2160.00
Admixtures) bag 1920.00 ML BAG IV NUTRIFLEX
(1400KCAL)
TRAMADOL ampule 50.00 MG/ML AMP PAR TRAMID P12.00
TRAMADOL ampule 100.00 MG/2M AMP PAR P8.00

DYNATRAM
TRAMADOL Tablet(s) 100.00 MG TAB ORA TRAMAL P100.00
TRANEXAMIC ACID ampule 500.00 MG/5 AMP INJ P18.50

TRANMED
TRIMETHAZIDINE TABLET 35.00 MG TAB49 ORA P5.75

WHILST
TROPICAMIDE + PHENYLEPHRINE HCL bottle 0.00 P887.00
TP1 BOT OPH
URSODEOXYCHOLIC ACID capsule 250.00 MG CAP P42.75
ORA
VALACICLOVIR Tablet(s) 500.00 MG TAB ORA P129.00
VALPROATE DISODIUM / VALPROIC ACID Tablet(s) P12.00
250.00 MG TAB ORA
VALPROATE DISODIUM / VALPROIC ACID Tablet(s) P12.75
500.00 MG TAB ORA
VALPROIC ACID vial 500.00 MG VIAL IV DEPACON P2336.25
VALSARTAN Tablet(s) 80.00 MG TAB ORA VALVEX P11.25

80
500
VALAZYD 160
VANCOMYCIN vial 1.00 GM VIAL IV P934.00
VITAMIN B1 B6 B12 ampule 100.00 MG/3M AMP INJ P19.00
NURAMINE FORTE
VITAMIN B1 B6 B12 Tablet(s) 100.00 MG TAB ORA P1.50
REVITAPLEX
* Prices, Availability Of Medicine And Medical Supplies

Are Subject To Change Without Prior Notice
501
FEEDBACK AND COMPLAINTS MECHANISM
How to Send Feedback Answer the CSAT form & drop it at the designated drop box
of the concerned unit/department.
How to File A Complaint? Complaints can be filed via the following:

A. Telephone:
B. Letter
C. CSAT FORM
D. KAMUSTEXT
E. FB PAGE
F. Personally proceed to PACD office or supervisor on duty
Make sure to provide the following information:
1.Name of person/department being complained
2.Date & time of incident
3.Actual narration of incident
4.Evidence (if any)
5.Contact no of complainant
How Complaints are I. If the complaint is from:
Processed
A. Telephone: it will be received by the Public Assistance and
Information Unit and endorse to PACU, which shall
acknowledge receipt of complaint.
B. Letter or CSAT form: ISO office will collect from the
dropboxes on a daily basis and endorse to PACU, which
shall acknowledge receipt of complaint.
C. KAMUSTEXT: there will be an automated text response of
the acknowledgement of receipt of complaint. The complaint
is also be forwarded to PACU by the ISO.
D. FB Page: The Public Health Unit shall acknowledge the
receipt of complaint and endorse to PACU.
E. Personally proceed to PACU office or Supervisor of
concerned office/unit/department: Any PACU member or
supervisor shall receive the complaint, and provide initial
intervention, if applicable. PACU staff and supervisor shall still
502
document the complaint and other details that transpired.
II. All received complaints shall be forwarded to the
concerned department, and within 72 hours, an appropriate
action must have been submitted to the PACU.
III. PACU shall inform/provide feedback to the complainant
that appropriate action and/or investigation has been done.
* For complaints lodged under Presidential Compliant Center,
CSC Contact Center ng Bayan or Anti-Red Tape Act, the
Legal Officer shall take appropriate and timely action and
feedback on the complaint lodged.
Name Office Contact no

Ricardo B. Runez, JR., MD Baguio General (074) 442-3166
Hospital Medical
Medical Center Chief 651-7910 LOCAL 223
Center
Honorio Pangilinan,Md
Chair, Public Assistance & BGHMC PACU Celno: 09209628535
Complaint Unit (PACU)
Presidential Complaint Center 8888

CSC Contact Center ng Bayan 0908-8816565
Anti Red Tape Authority 478-5093
503
LIST OF OFFICES
Office Contact Information Local

Number
Cancer Center kaycee_md@yahoo.com 838
BGHMC TRUNKLINE bghmc.mcc.gmail.com 661-7910
Budget Office bghmcbudget@gmail.com 250
Chief Administrative Officer (CAO) bghmc_cao@yahoo.com 305/219
Chief Medical professional Services bghmc.mcc.gmail.com 442-3165
(MCC)
Emergency Room boogzmd@yahoo.com 442-5241
Finance Management Office (FMO) BGHMCFINANCE@gmail.com 388
Health Information Management (HIMO) bghmchimo@gmail.com 845/231
rpgflores@yahoo.com
Human Resources Office bghmchrmo@gmail.com 374/375
Legal Office legalofficebghmc@gmail.com 381
Medical Center Chief(CMPS) cmps.bghmc@gmail.com 226
Medical Social Work (MSWO) mssbghmc@yahoo.com 437
Neurology bghmcneurology2600@gmail.com 689
rjrfangonilo@gmail.com
Nuclear Medicine olpindomd@gmail.com 834
Nursing cno.bghmc2014@gmail.com 220
Nutrition and Dietary Office julicalpatura@yahoo.com 241
rachelabuan@yahoo.com
bghmc_ndo@yahoo.com
Operating Room antontactay@gmail.com 244
ORMAT teresaabrenica@gmail.com 397
Outpatient and Drug Treatment and clarette_dy@yahoo.com 397
Rehabilitation Center (ODTRU) trcoutpatientbaguio@yahoo.com.ph
Outpatient Department eulilagdao@gmail.com 357
opd93.bghmc@gmail.com
Pathology rhesamichelle@gmail.com 358/360
bghmcpathology@gmail.com
zarlynrb@yahoo.com
Pharmacy bghmcpharmacy@gmail.com 432
Professional Education Training peto.bghmc@gmail.com
Research (PETRO) 355
Public Health Unit phubghmc@gmail.com 354
Radiation Oncology bghmcradthera@gmail.com 836
Radiology bghmcradio8@gmail.com 454
Rehabilitation Medicine rehabmedbghmc@gmail.com 397
Under Five Clinic ufc.bghmc@gmail.com 356
Women and Children Protection Unit lizjbatino@yahoo.com, 427
(WCPU) bghmc.wcpu@gmail.com
504

BGHMC Citizens Charter 2020

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BGHMC Citizens Charter 2020

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BAGUIO GENERAL HOSPITAL AND

The Department of Health (DOH) is mandated to be the over-all technical authority on

We continuously innovate our services, offer comprehensive training programs and

IV. Service Pledge:

Office of the Medical Center Chief

Public Health Unit

Receipt of Disbursement Vouchers and Purchase Orders 70

Hospital Operations & Patient Support System

Chief Administrative Office

Preparation of Hospital Issuances 95

Central Communication and Records Unit

Engineering & Facilities Management Office

General Services Office

Human Resource Management Office

Procurement Management Office

Center for Diagnostic and Therapeutic Nuclear Medicine

Family and Community Medicine

HIV/AIDS Core Team (HACT)

Obstetrics and Gynecology

Out-patient RT-PCR Test for COVID 19 Patients for pregnant

Out-patient Face to Face Consultation for Ob-Gyn Patients 244

Otorhinolaryngology- Head and Neck Surgery

Flexible Nasopharyngolaryngoscopy : An Endoscopic Procedure to

Anatomic Pathology Procedures 268

Service under Special Condition (Autopsy) 275

Blood Bank Procedure 277

Blood Collection from Donors 282

Under Five Clinic

Issuance of Medical Supplies to OPD Patients with Financial Assistance

Professional and Allied Health Service

Transcription and Release of Death Certificates 413

Transcription of Birth Certificates and Providing Photocopies

Transcription of birth certificates and providing photocopies for

Transcription of Birth Certificates and Providing Photocopies

Nutrition & Dietetics

Dispensing of Chemotherapeutic Medicines to Out-patients

Dispensing of Chemotherapeutic Medicines to Admitted Patients 458

1. Preparation and Review of Legal Documents

Office Legal Office

Distribution of Health Pass to eligible patients at the Public Health Unit.

Office or Division PUBLIC HEALTH UNIT

Certificate of Attendance/Appearance Facilitator

Office or Division: Accounting

Office or Division: Accounting

Office or Division: Billing Unit – Finance Division

For settlement 1.2 For Cash

For payment other

3. Present Official 3.1 Copy the Official None 7 minutes *Administrative

4.2 Issue the

Office or Division: Billing Unit – Finance Division

1.Preparation of Monthly Reports

Office or Division: Billing and Claims Office – Finance Division

1.2.Charges due from 1.2.a. Receive copy of *Administrative

1.3. Submit monthly within the 5th **Administrative

Office or Division: Billing and Claims Office – Finance Division

1.3 Send Collection

TOTAL: None 15 Days,20

 The PHIC 1.3 Follow up, Request and