APPLICATION FOR LICENSE TO OPERATE A HOSPITAL

Name of Hospital : :BINDOY DISTRICT HOSPITAL

:Bindoy, Negros Oriental
Complete Address : No. & Street :Tinaogan
City/Municipality :Bindoy
Region :VII
Telephone and/or nFax Number :(035) - 400-5409
Name of Owner :Province of Negros Oriental
Chief of Hospital/Medical Director :Dr. Trifony D. Luchana
Chairman of the Board (if Corporation) :none

Authorized Bed Capacity : 25 beds

Classification:
Ownership: Function: Service Capability:
( x ) Government ( x ) General ( ) Level 1
( ) Private ( ) Special ( x) Level 2
( ) Level 3
( ) Level 4

Ancillary and Other Clinical Services:

( x ) Clinical Laboratory ( x ) Diagnostic X-ray Services
( ) Primary ( x ) Level 1
( x ) Secondary ( ) Level 2
( ) Blood Bank ( ) Specialized Diagnostic X-ray Services
( ) Blood Collection Unit ( ) Computed Tomography
( ) Blood Station ( ) Mammography
( ) HIV Testing Laboratory ( ) Interventional Radiography
( ) Laboratory for Drinking Water Analysis ( ) Lithothripsy
( ) Drug Testing Laboratory ( ) Bone Densitometry
( ) Screening ( ) Tumor Localization and Simulation
( ) Confirmatory ( x ) Dental
(x ) Pharmacy ( ) Panoramic
No. of satellite, specify ( ) Cephalometric
( ) Radiation Oncology