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AMELLIE DELOS SANTOS MANHAN, MD

UPHDMC-Anesthesia Dept., Alabang Zapote Rd., Las Piñas City


VAT reg. TIN: 241-753-969-000

Patient _________________________________________ Age__________ Sex ________

Address ________________________________________ Date ______________________


DR. ANTONETTE B. DELAS ALAS M.D
4th Flr. Perpetual Help Medical Center, Alabang Zapote Rd. Pamplona Tres, Las Piñas City,
NCR, Fourth District, Philippines 1740 Non-VAT Reg. TIN: 305-748-196-00000

Patient _________________________________________ Age__________ Sex ________

Address ________________________________________ Date ______________________


Emily Espiritu Barza, M.D.
Las Pinas City Med. Chr. 1314 Marcos Alvarez Ave., Talon 5, Las Piñas City Non-VAT Reg TIN:
224-761-289-003

Patient _________________________________________ Age__________ Sex ________

Address ________________________________________ Date ______________________

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