REPORT OF COLLECTIONS AND DEPOSITS

BINDOY DISTRICT HOSPITAL

October 17 - 23, 2019

Date
A. COLLECTIONS:
Official receipts/ 20401010-903-4H 20401010-900-4H 40202200-4H
Date Tickets PAYOR Financial Professional Lab.,Meds., AMOUNT
Serial No. Assistance Fees etc., Hosp.
(From/To) Fees
17 3483152 Ontal, Rainfredo 1,344.00 1,344.00
3483153 Acojedo, Jesus 120.00 120.00
3483154 Flores, Oscar 875.00 875.00
3483155 Verano, Maria Jamaikah 50.00 50.00
3483156 Devero, Arnel 145.00 145.00
3483157 Deguit, Khen 500.00 500.00
3483158 Abella, Zacarias 4,896.00 4,896.00
3483159 Manaba, Bb. Girl 50.00 50.00
3483160 Plecer, Shanaiah 210.00 210.00
3483161 Devero, Arnel 50.00 50.00
3483162 Oro, Dahilita 450.00 450.00
3483163 Patient I 40.00 40.00
3483164 Arias, CJ 430.00 430.00
3483165 Quilope, Redilyn 200.00 200.00
3483166 Villacorta, S. 250.00 250.00
3483167 Dael, R. 50.00 50.00
3483168 Romano, Simplicio 172.00 172.00
3483169 Jardin, J. 365.00 365.00
3483170 Romano, S. 12.00 12.00
3483171 Olpos, Ara 40.00 40.00
3483172 Echica, Teodora 50.00 50.00
3483173 Bromo, Julito 2,946.00 2,946.00
3483174 Catacutan, Fernando 6,836.00 6,836.00
3483175 Nungay, John Vincent 940.00 940.00
3483176 Cadiz, Rena Flor 40.00 40.00
3483177 Grapa, JG 320.00 320.00
18 3483178 Andoy, Fe 430.00 430.00
3483179 Jumawan, Resilda 285.00 285.00
3483180 Andoy, Fe 305.00 305.00
3483181 Jumawan, Resilda 80.00 80.00
3483182 Lagunero, Elena 1,852.00 1,852.00
3483183 Wapili, Hermosa 480.00 480.00
3483184 Cadiz, Rena Flor 80.00 80.00
3483185 Jainar, Renato 230.00 230.00
3483186 Amparado, Liza 350.00 350.00
3483187 Amparado, Liza 710.00 710.00
3483188 Anfone, Henriquita 215.00 215.00
3483189 Rozon, Shenna 210.00 210.00
3483190 Endona, Renato 220.00 220.00
3483191 Montero, Segundino 176.00 176.00
3483192 Tepacia, Charlita 100.00 100.00
3483193 Deimos, Jemvil 110.00 110.00
3483194 Tanilon, Addie 388.00 388.00
3483195 Bb. Boy 100.00 100.00
3483196 Adorna, Flabiano 1,000.00 1,000.00
3483197 Cadiz, Rena 50.00 50.00
 3483198 Quillope, Redilyn 230.00 230.00
3483199 Libosada, Julap 500.00 500.00
3483200 Aranas, Ronrick 100.00 100.00
3483201 Callao, Elnie 100.00 100.00
3483202 Villanueva, Francis 430.00 430.00
3483203 Pastidio, Azucena 290.00 290.00
3483204 Aranas, Ronrick 50.00 50.00
3483205 Albopera, Merian 100.00 100.00
3483206 Cadeliña, Genery 30.00 30.00
3483207 Gargoles, Jhunarie 120.00 120.00
3483208 Cadeliña, Genery 50.00 50.00
3483209 Pastor, Jade 120.00 120.00
3483210 Sequihod, Delsa 125.00 125.00
3483211 Soloriano, Alecsis Klio 640.00 640.00
3483212 Enardecido, Realer 20.00 20.00
3483213 Enardecido, Realer 170.00 170.00
3483214 Clarita, King Dave/Chineth 250.00 250.00
3483215 Real, Jenny Rose 100.00 100.00
3483216 Amparad, Jason 50.00 50.00
3483217 Ledama, Emelia 50.00 50.00
3483218 Gargoles, Jhunarie 50.00 50.00
3483219 Cadalso, Ebcel 100.00 100.00
3483220 Pastor, Jack Andrie 50.00 50.00
19 3483221 Casido, John Eric 635.00 635.00
3483222 Vailoces, Imella 120.00 120.00
3483223 Cadiz, Rewa 30.00 30.00
3483224 Cabmuero, Agustina 520.00 520.00
3483225 Domocol, Damian Jr. 220.00 220.00
3483226 Tubio, Jesus 265.00 265.00
3483227 Montecino, Arnaldo Jr. 260.00 260.00
3483228 Ogido, Nita 105.00 105.00
3483229 Rubio, Maria Yza Fel 1,840.00 1,840.00
3483230 Sergio, Arkie 50.00 50.00
3483231 Baja, Alexander Jr. 50.00 50.00
3483232 Rubio, Maria 85.00 85.00
3483233 Sabanal, Arisyaterle 805.00 805.00
3483234 Habel, Jun 10.00 10.00
3483235 De Chavez, Niño Gabriel 1,805.00 1,805.00
3483236 Balansag, Jarim Blue 4,125.00 4,125.00
21 3483237 Saguban, Aries 215.00 215.00
3483238 Deguit, Jelebeth 280.00 280.00
3483239 Lebita, Lucina 550.00 550.00
3483240 Palumar, Gilbert 365.00 365.00
3483241 Vilando, Bb. Boy 160.00 160.00
3483242 Tiongco, Elbert 395.00 395.00
3483243 Antonio, Rodrigo 275.00 275.00
3483244 Pastor, Merly 410.00 410.00
3483245 Torres, Jasper 1,540.00 1,540.00
3483246 Plecer, Sharalan 30.00 30.00
3483247 Anfrea, Lana Fe 620.00 620.00
3483248 Taganile, Mark 220.00 220.00
3483249 Tiongco, KC 40.00 40.00
3483250 Tugdang, Janice 190.00 190.00
3483251 Alfonso, Patrick 220.00 220.00
3483252 Pastor, Merly 100.00 100.00
3483253 Luiso, Letecia 40.00 40.00
3483254 Aspacio, Jessie 100.00 100.00
3483255 Taganile, Mark Andrei 48.00 48.00
 3483256 Anadon, Luzminda 100.00 100.00
3483257 Quillano, Maria Mae 100.00 100.00
3483258 Cabrera, Enrique 410.00 410.00
3483259 Baltazar, Joey 40.00 40.00
3483260 Eslao, Frelyn 550.00 550.00
3483261 Pastor, Azhea 715.00 715.00
3483262 Enmacino, Floramie 100.00 100.00
3483263 Amparado, Dionaldo 328.00 328.00
3483264 Abella, Milaflor 300.00 300.00
3483265 Pastor, Reto 40.00 40.00
3483266 Baldomar, Manolito 1,140.00 1,140.00
3483267 Saguban, Aries 500.00 500.00
3483268 Cabio, Jasper James 70.00 70.00
3483269 Doronio, Gloria 200.00 200.00
3483270 Verano, Niño 410.00 410.00
3483271 Amarante, Marieta 190.00 190.00
3483272 Soria, Michelle and Bb. Boy 3,235.00 3,235.00
3483273 Torres, Leona 215.00 215.00
3483274 Kho, Rogelio 650.00 650.00
3483275 Callao, Eumell 2,055.00 2,055.00
3483276 Taub, Maxino 150.00 150.00
3483277 Callet, Bb. Boy 1,100.00 1,100.00
3483278 Callet, Bb. Boy 425.00 425.00
3483279 Velonta, Geraldin 1,745.00 1,745.00
3483280 Romo, Leni 50.00 50.00
3483281 De Baguio, Justine 145.00 145.00
3483282 Tugdang, Concordia 600.00 600.00
3483283 Lebita, Lucena 10.00 10.00
3483284 Tugdang, Jayvie 825.00 825.00
22 3483285 Posadas, Jainus 140.00 140.00
3483286 Fausto, Romelyn 300.00 300.00
3483287 Baldado, Godred 120.00 120.00
3483288 Carollo, Judy 760.00 760.00
3483289 Auguba, Janita 40.00 40.00
3483290 Flaviano Sharlyn 100.00 100.00
3483291 Guillepa, Aeron 100.00 100.00
3483292 Taub, Joejen 455.00 455.00
3483293 Amahit, Gizyl 675.00 675.00
3483294 Gomez, Vicente 100.00 100.00
3483295 Palumar, Angel Mae 100.00 100.00
3483296 Ledama, Emelin 100.00 100.00
3483297 Minguito, Florando 50.00 50.00
3483298 Aguirre, Kheizaya 200.00 200.00
3483299 Indonilla, Josefa 272.00 272.00
3483300 Deguit, Alona 100.00 100.00
3483301 Palumar, Angel Mae 50.00 50.00
3483302 Amparado, Jason 100.00 100.00
3483303 Fausto, Raymund 100.00 100.00
3483304 Amahit, Marivic 35.00 35.00
3483305 Zaora, Jaqueline 50.00 50.00
3483306 Baldomar, Amado 215.00 215.00
3483307 Caluma, Ailyn 100.00 100.00
3483308 Cadimas, Shatelie 215.00 215.00
3483309 Malalay, Mhiannna Shen 140.00 140.00
3483310 Baldomar, Amado 50.00 50.00
3483311 Emperado, Hyacinth 215.00 215.00
3483312 Benlot, Angel 100.00 100.00
3483313 Guillepa, Charmaine 215.00 215.00
 3483314 De Baguio, Justine 125.00 125.00
3483315 Villadares, Cris 215.00 215.00
3483316 Emperado, Hyacinth 50.00 50.00
3483317 Terano, Lolita 125.00 125.00
3483318 Flores, Elezer 215.00 215.00
3483319 Tomas, Rochelle 410.00 410.00
3483320 Pagador, Cierjun 215.00 215.00
3483321 Gasang, June 50.00 50.00
3483322 Pagador, Jocelyn 125.00 125.00
3483323 Saguban, Jison 410.00 410.00
3483324 Cabusog, Ianjo 150.00 150.00
3483325 Cueva, Leonila 100.00 100.00
3483326 Obentia, Mary Jane 265.00 265.00
3483327 Elmaco, Rosalie 40.00 40.00
3483328 Amrante, Kerwin 215.00 215.00
3483329 Romano, Zycn 1,815.00 1,815.00
3483330 Martin, Chasel 125.00 125.00
3483331 Dayday, Enji 215.00 215.00
3483332 Viliya, Angeline and Bb. Boy 4,165.00 4,165.00
3483333 De Gracia, John Gilbert 50.00 50.00
3483334 Abril, Adelina 125.00 125.00
3483335 Acabo, Joebert 125.00 125.00
3483336 Rosales, J-one 190.00 190.00
3483337 Abugan, Devaughn 2,875.00 2,875.00
3483338 Plagata, Grant Nathan 215.00 215.00
3483339 Ferolino, Morie 50.00 50.00
3483340 Bendaño, Genevieve 1,827.00 1,827.00
23 3483341 Conge, Alcher 215.00 215.00
3483342 Quillano, Eva Mae 50.00 50.00
3483343 Imus, Ezequile 230.00 230.00
3483344 Tanilon, Willa 440.00 440.00
3483345 Emperado, Rocsan 645.00 645.00
3483346 Muga, Rosela 10.00 10.00
3483347 Mi-ot, Glaiza 20.00 20.00
3483348 Darole, Rodrigo 145.00 145.00
3483349 Balansag, Marilyn 100.00 100.00
3483350 Balansag, Marilyn 100.00 100.00
3483351 Gonzales, Sara 100.00 100.00
3483352 Dejedo, Shamaika 1,555.00 1,555.00
3483353 Sandalo, Ebar 260.00 260.00
3483354 Imus, Ezequile 40.00 40.00
3483355 Taub, Frances 215.00 215.00
3483356 Garsales, Jhon Felio 215.00 215.00
3483357 Sonquipal, Quilie Ann 465.00 465.00
3483358 Acojedo, Jesus 150.00 150.00
3483359 Pacia, Delia 40.00 40.00
3483360 Silvestre, Richard Jr. 6,885.00 6,885.00
3483361 Dagonton, Arisal 1,490.00 1,490.00
3483362 Baldivino, Loldy 10.00 10.00
3483363 Acojedo, Jesus 50.00 50.00
3483364 Gabotero, Stela Jane 50.00 50.00
3483365 Pagao, Francine Keziah 580.00 580.00
3483366 Sabanal, Emie 240.00 240.00
3483367 Palumar, A. 40.00 40.00
3483368 Gomera, Emmanuel 215.00 215.00
3483369 Mi-ot, Glaiza 215.00 215.00
3483370 Baldado, F. 50.00 50.00
3483371 Cabcaban, Elsie 100.00 100.00
3483372 Zerna, Mart John Peter 2,245.00 2,245.00
3483373 Emperado, Felipa 592.00 592.00
3483374 Balbon. 220.00 220.00
3483375 Perino, G. 175.00 175.00
3483376 Baldivino, C. 245.60 245.60
3483377 -
3483378 -
3483379 -
3483380 -
3483381 -
3483382 -
3483383 -
3483384 -
3483385 -
3483386 -
3483387 -
3483388 -
3483389 -
3483390 -
3483391 -
3483392 -
3483393 -
3483394 -
3483395 -
3483396 -
3483397 -
3483398 -
3483399 -
3483400 -
3483401 -
3483402 -
3483403 -
3483404 -
3483405 -
3483406 -
3483407 -
3483408 -
3483409 -
3483410 -
3483411 -
3483412 -
3483413 -
3483414 -
3483415 -
3483416 -
3483417 -
3483418 -
3483419 -
3483420 -
3483421 -
3483422 -
3483423 -
3483424 -
3483425 -
3483426 -
3483427 -
3483428 -
3483429 -
3483430 -
3483431 -
3483432 -
3483433 -
3483434 -
3483435 -
3483436 -
3483437 -
3483438 -
3483439 -
3483440 -
3483441 -
3483442 -
3483443 -
3483444 -
3483445 -
3483446 -
3483447 -
3483448 -
3483449 -
3483450 -
3483451 -
3483452 -
3483453 -
3483454 -
3483455 -
3483456 -
3483457 -
3483458 -
3483459 -
3483460 -
3483461 -
3483462 -
3483463 -
3483464 -
3483465 -
3483466 -
3483467 -
3483468 -
3483469 -
3483470 -
3483471 -
3483472 -
3483473 -
3483474 -
3483475 -
3483476 -
3483477 -
3483478 -
3483479 -
3483480 -
3483481 -
3483482 -
3483483 -
3483484 -
3483485 -
3483486 -
3483487 -
3483488 -
3483489 -
3483490 -
3483491 -
3483492 -
3483493 -
3483494 -
3483495 -
3483496 -
3483497 -
3483498 -
3483499 -
3483500 -
3483501 -
3483502 -
3483503 -
3483504 -
3483505 -
3483506 -
3483507 -
3483508 -
3483509 -
3483510 -
3483511 -
3483512 -
3483513 -
3483514 -
3483515 -
3483516 -
3483517 -
3483518 -
3483519 -
3483520 -
3483521 -
3483522 -
3483523 -
3483524 -
3483525 -
3483526 -
3483527 -
3483528 -
3483529 -
3483530 -
3483531 -
3483532 -
3483533 -
3483534 -
3483535 -
3483536 -
3483537 -
3483538 -
3483539 -
3483540 -
3483541 -
3483542 -
3483543 -
3483544 -
3483545 -
3483546 -
3483547 -
3413863 -
3413864 -
3413865 -
3413866 -
3413867 -
3413868 -
3413869 -
3413870 -
3413871 -
3413872 -
3413873 -
3413874 -
3413875 -
3413876 -
3413877 -
3413878 -
3413879 -
3413880 -
3413881 -
3413882 -
3413883 -
3413884 -
3413885 -
3413886 -
3413887 -
3413888 -
3413889 -
3413890 -
3413891 -
3413892 -
3413893 -
3413894 -
3413895 -
3413896 -
3413897 -
3413898 -
3413899 -
3413900 -
3413901
3413902
3413903
3413904
3413905
3413906

- 103,679.60 103,679.60
B. REMITTANCES/DEPOSITS
Accountable Officer/Bank Reference Amount
LAND BANK of the PHILIPPINES - BAIS BRANCH P103,679.60

C. ACCOUNTABILITY FOR ACCOUNTABLE FORMS

Name of Beginning Balance Receipt Issued Ending Balance
Forms & Inclusive Serial Nos. Inclusive Serial Nos. Inclusive Serial Nos. Inclusive Serial Nos.
No. Qty. From To Qty. From To Qty. From To Qty. From
Accountable 2999 3483152 3486150 225 3483152 3483376 2774 3483377
Form 51

D. SUMMARY OF COLLECTIONS & REMITTANCES/DEPOSITS

Beginning Balance , 2019 P -0-

ADD: Collections October 17 - 23 , 2019 P 103,679.60
LESS: Remittance - LBP - Bais Branch October 24/19 Cash P 103,679.60
LBP - Bais Branch -do- Checks P -0-
BALANCE P -0-

CERTIFICATION VERIFICATION & ACKNOWLEDGEMENT

I hereby certify that the foregoing report of Collections and I hereby certify that the foregoing report of collection
Deposits and accountability for accountable forms is true and has been verified and acknowledge the receipt of ONE HUNDRED THREE
correct. THOUSAND SIX HUNDRED SEVENTY NINE PESOS AND SIXTY
CENTAVOS ONLY.
( P103,679.60 )

BEA CAMILLE P. SINDA October 23/19 ROWINA C. TAN

Name & Signature Date Name & Signature Date
Accountable Officer Accountable Officer
mount
,679.60

Balance
Serial Nos.
To
3486150

0
0

ED THREE
D SIXTY
 JOURNAL ENTRY VOUCHER No.

PROVINCE OF NEGROS ORIENTAL Date: OCTOBER 17 - 23, 2019

LGU

X Collection ___ Check Disbursement ___ Cash Disbursement ___ Others

Responsibility ACCOUNTING ENTRIES

Center
Accounts/Explanation Account Amount
Code PR Debit Credit

4421-4 Collections of the BINDOY

DISTRICT HOSPITAL from
OCTOBER 17 - 23, 2019 103,679.60

MEDICAL, DENTAL, LAB. FEES, MEDS 40202200-4H 103,679.60

HOSP. FEES/SERVICES

Prepared by: Approved by:

BEA CAMILLE P. SINDA DAHLIA G. TAN-CUAL

Pharmacist II Accountant IV
OIC - Provincial Accountant