Name of Facility St.

Philomene Birthing Clinic

Address Baybayog, Alcala, Cagayan
Contact Number Cp no. :09175019237/ Land line: (078)-373-0069

Date

To NEWBORN SCREENING CENTER NORTHERN LUZON

Mariano Marcos Memorial Hospital and Medical Center
4F/5F MMMHMC Laboratory Bldg., -Brgy. 6 – San Julian
Batac, Ilocos Norte, 2906

To whom it may concern;

Here are the list of transmittal due today

Filter Card Number Initial (I) or Repeat (R) Date of collection Remarks (eg. Courier)
Unable to pick up by
courier
Unable to pick up by
courier
Unable to pick up by
courier
Unable to pick up by
courier

Very truly yours,

___________________
Carmen N. Pasion
NBS Coordinator