SMART AIR PURIFIERS

DOCTOR'S ORDERS

BLAST BLAST
DIY SQAIR Mini BLAST SQAIR MINI
(15 (85 hepa hepa AMOUNT TO
sqm) (40 sqm) sqm) (135 sqm) filters filter PAY PAID
UNIT COST 2,350 6,300 22,275 27,500 1,165 5,050
Room No. Doctor's Name

Rm 1011 Ophthalmology AGUSIN,JOSE ALVIN L. 1 1 7,465

503 ATENCIO, FRANKLIN / MALLARI, ALEX CRUZ 1 1 7,465
1118 BONGALA, JANA 2 2 14,930
206/Internal Medicine CANTRE, JENNIFER ANN 1 1 7,465
1117 CHUA, CARLA ESQUIVIAS 1 1 7,465
508 DALMACION, IMELDA 2 2 14,930
1110 DALUPANG, JULIUS 2 2 14,930
401 DEL ROSARIO, M. 1 1 7,465
505 DEL ROSARIO, SHIERLY 2 2 14,930
1102 / ENT HNS Dept of SuDONATO, ENRICO MICAEL 1 1 7,465
1108 / IM ECARMA, RAQUEL VICTORIA 5 1 12 4 87,955
1106 FAJARDO, RONALD 1 1 7,465
1013 FLORES, MA. ESTRELLA 1 1 7,465
510 GARCIA, ROSELYN COLLADA 2 2 14,930
LOGARTA, JORGE 1 1 7,465
LUNA, LILIA 1 1 7,465
MANINANG , NOEL O JR 1 1 7,465
MAX ELGAR 1 1 7,465
305 MENDIOLA, ANGELA PILAR 1 1 7,465
504 NAVARRO, ROSELYN 1 1 7,465
1106 NEPOMUCENO, MARILYN 1 1 7,465
PEREZ, JOHNNY 4 4 29,860
1103 QUIAMBAO, AURORA 1 1 7,465
305 QUIAMBAO, CEZAR 1 1 7,465
309 / Medicine Dept QUIOGUE, VERGEL 1 1 7,465
407/ Medicine REYES, WILFREDO BENJAMIN 1 1 7,465
TAN, VICTORIA 15 15 111,975
SMART AIR PURIFIERS
DOCTOR'S ORDERS

BLAST BLAST
DIY SQAIR Mini BLAST SQAIR MINI
(15 (85 hepa hepa AMOUNT TO
sqm) (40 sqm) sqm) (135 sqm) filters filter PAY PAID
UNIT COST 2,350 6,300 22,275 27,500 1,165 5,050
Room No. Doctor's Name

306 TRIA, MON 1 1 7,465

501 VILLARAZA, ANA 1 1 7,465

TOTAL 0 55 1 0 62 4 461,205

PAYMENT PROCESS: PAY IN CASH OR CHECK TO CASHIER

IF CHECK PLEASE PAY TO 'CAPITOL MEDICAL CENTER, INC.'
DATE OF CHECK - DATED
LAST DAY OF PAYMENT IS ON MAY 7, 2020
ATTACHED PIC for the:

HEPA FILTER PURIFIERS

SQAIR (40 SQM AREA) BLAST MINI (85 SQM AREA)

P 7350.00 P 23,000.00

N95 FACE SHIELD

P 245.00
 BLAST (135 SQM AREA)

P 28,000.00

FACE SHIELD
DIY (12-15 SQM)