Disease Reporting Unit : Ospital ng Makati

No. Name of Investigator Date of Interview

Last Name

1 DR. FRANCIS BAY 7/4/2020 VARGAS

2 DR. FRANCIS BAY 7/4/2020 PASCO
3 DR. FRANCIS BAY 8/4/2020 GALARCE
4 DR. FRANCIS BAY 8/4/2020 FRANCISCO
5 BAILON
6 DR. FRANCIS BAY 7/4/2020 ORTIZ
7 DR. FRANCIS BAY 7/4/2020 BAYRANTE
8 DR. FRANCIS BAY 7/4/2020 ALCANTARA
9 DR. FRANCIS BAY 7/4/2020 ASUNCION
10 DR. RUSTIN JOAQUIN 6/4/2020 DACILLO
11 DR. CHARLES ODELL 3/4/2020 MOLINA
12 DR. FRANCIS BAY 7/4/2020 MONTOJO
13 DR. FRANCIS BAY 7/4/2020 SANTOS
14 DR. FRANCIS BAY 7/4/2020 REGLA
16DR. FATIMA MOHAMAD- SALI 2/4/2020 ATIENZA
17DR. FATIMA MOHAMAD- SALI 2/4/2020 MONTERO
18DR. FATIMA MOHAMAD- SALI 2/4/2020 SARMIENTO
19 DR. NOEL S. PENAFUERTE 1/4/2020 JAMINOLA
20 DR. NOEL S. PENAFUERTE 1/4/2020 MAGALONA
21 DR. NOEL S. PENAFUERTE 1/4/2020 VALES
22 DR. ANJELYN DEL ROSARIO 1/4/2020 ARCIAGA
23 DR. AHMAD MUHAMMAD 1/4/2020 ESPIRITU
24 DR. ANJELYN DEL ROSARIO 1/4/2020 OLIVA
25 DR. ANJELYN DEL ROSARIO 1/4/2020 RACEDA
26 DR. ANA MORENO 1/4/2020 DEYTO
27 DR. AHMAD MUHAMMAD 1/4/2020 NECESITO
28 DR. ANJELYN DEL ROSARIO 1/4/2020 YOUNG
29 DR. JOED TORRES 1/4/2020 URMATAN
 30 DR. NOEL S. PENAFUERTE 2/4/2020 FAVORITO
31 DR. FRANCIS BAY 03/30/20 NAMA
DR.
32MARIA KATRINA DIMACULANGAN 3/30/2020 BAUTISTA
33 DR. NAGAL 3/30/2020 JAMON
34 DR. NAGAL 3/30/2020 DE LEON
35 DR. JOEMLYN CATELA 3/30/2020 LACEDA
36 DR. JOEMLYN CATELA 3/30/2020 DE VILLA
37 DR. JOED TORRES 3/30/2020 BASA
38 DR. FRANCIS BAY 3/30/2020 PAREDES
39 DR. KARLA JEAN G. KIM 1/4/2020 TABAGAN
40 DR. KARLA JEAN G. KIM 3/31/2020 LABIDES
41 1/4/2020 GUEVARRA
42 DR. KARLA JEAN G. KIM 3/31/2020 ZRIVIEGA
43 DR. KARLA JEAN G. KIM 3/31/2020 DE JESUS
44 CARBAY
45 DR. FRANCIS VINCENT BAY 5/4/2020 CAVAL
46 DR. FRANCIS VINCENT BAY 5/4/2020 CABANTING
47 DR. KATHERINE FERNANDEZ 04/15/2020 CLOMA
48DR. FATIMA MOHAMAD- SALI 4/26/2020 CISNEROS
49 DR. ANJELYN DEL ROSARIO 04/16/2020 CELESTINO
50 DR. KINGSLEY SHI 3/27/2020 CARIAS
51 DR. CLARIDAD 6/4/2020 CUVIN
DR.
52 MA. KATRINA DI MACULANGAN 3/27/2020 CANALITA
53 DR. RON MATTHEW FLORES 3/25/2020 CHANYONGCO
54DR. FATIMA MOHAMAD- SALI 3/31/2020 CORDERO
55 DR. ROSAMINA 1/4/2020 CALULU
56 DR. ROSAMINA 3/31/2020 CUARTERO
57DR. FATIMA MOHAMAD- SALI 3/27/2020 CALIWAG
58DR. FATIMA MOHAMAD- SALI 4/26/2020 CABICO SR.
59 DR. FRANCIS VINCENT BAY 4/27/2020 CLARETE
60DR. FATIMA MOHAMAD- SALI 4/23/2020 CALUYA
61 DR. RON MATTHEW FLORES 4/24/2020 CORDOVA
62 DR. JOED TORRES 4/25/2020 CALMA
 63DR. FATIMA MOHAMAD- SALI 4/26/2020 CAROLINO
64 DR. ALYSSA JAMIE GAW 4/25/2020 CONCEPCION
DR.
65 JHEAN ANDREA POLIAS DORADO 4/19/2020 CANDIDO
66 DR.NATHALYN TAN QUAN 3/21/2020 CALULOT
67 DR. JULIAN PAOLO PARAISO 3/21/2020 CARUMAY
68 DR. TIMOTHY BUGAYONG 4/23/2020 CAIMOY
69
DR.EDELINE ANNE L DONDONILLA 6/4/2020 CASELA
70
DR.EDELINE ANNE L DONDONILLA 4/18/2020 CUMMAH
71 DR. KATHERINE FERNANDEZ 4/22/2020 CORTEZ
72 DR.LUALHATI MACALINTAL 4/16/2020 CUENCA
73 DR. ANJELYN DEL ROSARIO 4/22/2020 CEREDON
74 DR. CAROLINA PASCUAL 4/22/20 CARAMPIL
75DR. RYAN JOSEPH MAGTIBAY 4/20/2020 CALUNSAG
76 DR. ANJELYN DEL ROSARIO 4/16/2020 CLEMENTE
77 DR. KATHERINE FERNANDEZ 4/15/2020 CAÑA
78DR. FATIMA MOHAMAD- SALI 4/18/2020 CAUNTE
79 DR. NIKITA GONZALES 4/18/2020 CUERDO
DR.
80IVAN LEO DOMAGAS MAGPANTAY 3/27/2020 CHAN
DR.
81IVAN LEO DOMAGAS MAGPANTAY 3/27/2020 CALUPIG
82 DR. JOENILYN CASELA 4/14/2020 CASA
DR.
83 JAMES PATRICK RAMOS DE VERA 3/18/2020 CARLOS
84DR. ROSA FIDES GOÑO MINA 3/21/2020 CALUYA
85DR. ROSA FIDES GOÑO MINA 3/25/2020 CHANYONGCO
86 DR. NICCOLO ALAMPAY 3/23/2020 CARPIO
87 DR. R. JOAQUIN 3/25/2020 CAPARAS
JULIUS
88 JUSTINE ORSOLINO BERGONIA 3/25/2020 CASTILLO
DR. 89
JULIUS JUSTINE ORSOLINO BERGONIA 3/24/2020 CABAMONGAN
90 DR. FRANCIS VINCENT BAY 3/24/2020 CABANGON
91DR. ALYSSA JAMIE WONG GAW 3/23/2020 CAYABYAB
92
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 PATIENT PROFILE

First Name Middle Name Birthday Age/Sex

ESMERALDA FERRER 8/8/1952 67/F

RIA ADERIZ 1/29/1983 37/F
LUZVIMINDA ILACAD 5/1/1956 64/F
ROLANDO MORANTE 11/22/69 56/M
MARVIN HONRUBIA 02/20/1992 28/M
RAYMUNDO RIBO 3/5/1963 56/M
PROSPERO BRIONES 6/20/40 79/M
REGINA LABARES 12/15/88 31/F
BEATRIZ AGAS 4/22/47 72/F
RACHELE GRUTUAMON 8/9/1990 29/F
MANUEL MALASMAS 4/6/1965 54/M
CATHERINE LAPAZ 11/25/75 44/F
DOMINGA ROSALES 5/7/1951 61/F
HENRY ROLLAN 12/6/1956 63/F
MARCELO 4/9/1952 67/M
JAN DOMDOM 11/8/1964 65/M
ZENAIDA FRANCO 3/16/1939 81/F
CARMELITA REYES 7/30/1969 50/F
NEDDIE MAGSIPOC 11/26/1976 43/F
JOMARK VELORZA 8/20/1989 30/M
ADELAIDA SORIANO 5/11/1955 64/F
HERMOGERES DOMINGO 4/26/1960 59/M
BELLA CERVANO 8/20/1957 62/F
HILARIO JR. ROSELLO 2/22/1954 66/M
LIGAYA LADEMO 1/1/1948 72/F
JIMMY ESPARAGOSA 11/30/1955 64/M
EUGENIA CRISTOBAL 8/1/1932 88/F
VIRGILIO FRONDA 11/16/1949 70/M
 GLORICA JOYLE CASTRO 5/28/1996 23/F
MEMELYN BAGAPORO 5/30/1966 53/F
MARIE SUBAAN 3/22/79 41/F
BB BOY (JENNYFER) N/A 11/7/2018 1/M
KING JHIAN PORIODO 4/21/17 2/M
ROSALYN N/A 6/20/79 40/F
CATHERINE 5/6/1978 41/F
LORNA DANOS 3/3/1960 60/F
REYNALDO 9/9/1988 31/M
JELIAN NARDO 6/27/1999 20/F
JEANNETE GABISON 2/18/1982 38/F
MA. ELENA DUMANDAL 8/6/1990 29/F
CHITO C 6/29/62 58/M
JADESON AMANTE 7/7/1993 26/M
WILFREDO P 6/8/1981 38/M
GERARDO PASAYLO 1/30/1932 88/M
JENNIFER LAZO 3/19/1970 50/F
LORNA MONTERIO 12/2/1963 57/F
NILA N/A 4/4/1995 25/F
JOSEPHINE DEL PILAR 07/19/1969 50/F
SALVACION SALIMAO 10/7/1952 67/F
MICHELLE CARANDANG 8/5/1978 41/F
EFREN BARCOMA 12/2/1972 48/M
SIMPLICIA QUITORIANO 10/15/1948 71/F
JEREMY AZARCON 3/4/1985 35/M
MICHAEL DAVE TIMON 10/5/1978 41/M
PACIFICO COLIBAO 9/28/1941 78/M
JEANETTE BAUTISTA 12/2/1976 44/F
HILARIO REASONDA 03/16/1948 72/M
GENARO BALANON 6/8/1960 59/M
LENY ONATE 05/24/1972 48/F
OSCAR OSCAR 9/1/1947 73/M
ESTEBAN DIMAYUGA 06/20/48 71/M
 ERNESTO NAVARES 4/6/1972 47/M
NEREO BRINGAS 5/5/1970 50/M
ROMEO JR. ULEP 03/15/2020 30/M
PERFECTO JR. ARANDA 1/17/1949 71/M
SONIA PACIO 12/19/1955 64/F
DANICA MAGLINAS 7/28/2020 18/F
CHRISTIAN ESGUERRA 12/18/1982 37/M
CECILE GRACE EVANGELISTA 12/5/1994 26/F
CHRISTINE SALAZAR 9/17/1988 31/F
FONTINI CHRISTI CARBON 03/30/1982 38/F
JACKSON REDENA 5/10/1981 38/M
ESTEBAN CAGBAT 12/8/1966 53/M
AURELIA SEVILLO 01/19/1956 64/M
HERMOGENES BRACEROS 4/19/1930 90/M
MIGUEL ALFONSO 5/3/2020 62/M
MANOLITO CASTILLO 2/15/1973 47/M
JANICA ALELOJO 9/13/1994 25/F
JERNIEL ANTHONY BORROMEO 7/9/1985 34/M
GERIEL CORTEZ 09/28/2000 19/F
EVELYN LAUREL 2/28/1950 70/F
CARMEN CABALLA 11/13/1947 72/F
JOLLYBETH MACERES 12/19/1962 57/F
SIMPLICIA QUITORIANO 10/15/1948 71/F
DARYL BAYOG 9/4/1967 52/F
JUANITO MENDOZA 8/29/1956 63/M
RACHELLE BILARO 11/27/1979 40/F
JENNY CUENCA 8/4/2004 15/F
JESSIE MABALLO 4/9/1959 60/M
JENNYLYN CASTAÑEDA 12/17/1993 26/F
Occupation Civil Status Nationality Passport No. (if any)

N/A WIDOW FILIPINO N/A

N/A SINGLE FILIPINO N/A
N/A MARRIED FILIPINO N/A
N/A SINGLE FILIPINO N/A
N/A SINGLE FILIPINO N/A
N/A MARRIED FILIPINO N/A
N/A WIDOW FILIPINO N/A
N/A MARRIED FILIPINO N/A
N/A MARRIED FILIPINO N/A
PHYSICIAN SINGLE FILIPINO N/A
N/A MARRIED FILIPINO N/A
N/A MARRIED FILIPINO N/A
N/A MARRIED FILIPINO N/A
N/A MARRIED FILIPINO N/A
N/A MARRIED FILIPINO N/A
N/A MARRIED FILIPINO N/A
N/A FILIPINO N/A
NURSE MARRIED FILIPINO N/A
HOUSEWIFE MARRIED FILIPINO N/A
RADTECH SINGLE FILIPINO N/A
N/A MARRIED FILIPINO N/A
NONE MARRIED FILIPINO N/A
NONE MARRIED FILIPINO N/A
NONE MARRIED FILIPINO N/A
NONE MARRIED FILIPINO N/A
NONE MARRIED FILIPINO N/A
NONE WIDOW FILIPINO N/A
NONE FILIPINO N/A
 SINGLE FILIPINO N/A
NONE SINGLE FILIPINO N/A
N/A MARRIED FILIPINO N/A
N/A CHILD FILIPINO N/A
N/A CHILD FILIPINO N/A
N/A SINGLE FILIPINO N/A
N/A SINGLE FILIPINO N/A
N/A N/A FILIPINO N/A
N/A SINGLE FILIPINO N/A
FOOD ATTENDANT SINGLE FILIPINO N/A
OFFICE STAFF/ CONGRESS MARRIED N/A
BPO SINGLE FILIPINO N/A
CHURCH WORKER MARRIED FILIPINO N/A
SECURITY GUARD SINGLE FILIPINO N/A
SECURITY GUARD SINGLE FILIPINO N/A
RETIRED MARRIED FILIPINO N/A
UNEMPLOYED MARRIED FILIPINO N/A
N/A MARRIED FILIPINO N/A
N/A SINGLE FILIPINO N/A
HOUSEWIFE MARRIED FILIPINO N/A
N/A SINGLE FILIPINO N/A
PHYSICIAN MARRIED FILIPINO N/A
N/A MARRIED FILIPINO N/A
N/A WIDOW FILIPINO N/A
PHYSICIAN SINGLE FILIPINO N/A
N/A MARRIED FILIPINO N/A
N/A MARRIED FILIPINO N/A
N/A MARRIED FILIPINO N/A
N/A MARRIED FILIPINO N/A
UNEMPLOYED MARRIED FILIPINO N/A
HOUSE KEEPER SINGLE FILIPINO N/A
N/A MARRIED FILIPINO N/A
UNEMPLOYED MARRIED FILIPINO N/A
 N/A MARRIED FILIPINO N/A
N/A WIDOW FILIPINO N/A
GOVT. EMPLOYEE MARRIED FILIPINO N/A
RETIRED EMPLOYEE MARRIED FILIPINO N/A
N/A MARRIED FILIPINO N/A
STUDENT SINGLE FILIPINO N/A
N/A SINGLE FILIPINO N/A
SALES PROMOTER SINGLE FILIPINO N/A
PHYSICIAN SINGLE FILIPINO N/A
MD MARRIED FILIPINO N/A
NONE MARRIED FILIPINO N/A
UNEMPLOYED MARRIED FILIPINO N/A
N/A SINGLE FILIPINO N/A
NONE MARRIED FILIPINO N/A
N/A MARRIED FILIPINO N/A
PHYSICIAN MARRIED FILIPINO N/A
UNEMPLOYED SINGLE FILIPINO N/A
BPO PROFESSIONAL SINGLE FILIPINO N/A
STUDENT SINGLE FILIPINO N/A
N/A WIDOW FILIPINO N/A
N/A MARRIED FILIPINO N/A
NONE SINGLE FILIPINO N/A
N/A WIDOW FILIPINO N/A
CONSTRUCTION WORKER MARRIED FILIPINO N/A
N/A MARRIED FILIPINO N/A
HS TEACHER MARRIED FILIPINO N/A
N/A SINGLE FILIPINO N/A
UNEMPLOYED MARRIED FILIPINO N/A
PSD AUXILIARY SINGLE FILIPINO N/A
 Philippine Residence

Address (including House No. / Lot No./ Street/

Cellphone No.
Barangay/ City/ Province/ Region

2081 GEN. MALVAR ST. SOUTH CEMBO MAKATI CITY MANILA NCR 9083254114

SITIO MAGALOLON, LAGUNA REGION IV-A 9177085590

B-84 L-7 IVORY ST. RIZAL MAKATI CITY MANILA NCR 9617279345
207 SUNRISE ST. SINGKAMAS MAKATI CITY MANILA NCR N/A
99 MAYON ST., GRP. 2 POST PROPER SOUTHSIDE MAKATI PHILIPPINES 9190087550
972 SULU ST. PITOGO MAKATI CITY MANILA NCR N/A
55-C MALVAR ST. WEST REMBO MAKATI CITY MANILA NCR 9206723816
1059 FOX ST. POST PROPER SOUTHSIDE MAKATI CITY MANILA NCR 9165481029
151-T 18TH AVENUE EAST REMBO MAKATI CITY MANILA NCR N/A
BLK 19 L-5 BOUGANVILLA ST. PEMBO MAKATI CITY MANILA NCR 9176851108
41-F MABINI ST. WEST REMBO MAKATI CITY MANILA NCR N/A
207 SUNRISE ST. SINGKAMAS MAKATI CITY MANILA NCR 9977526115
4417 DALLAS ST. PIO DEL PILAR MAKATI CITY MANILA NC 9993409646
B-70 L-19 AMARILLO ST. RIZAL MAKATI CITY MANILA NCR 9184750992
3178 JP RIZAL ST. SOUTH CEMBO MAKATI CITY MANILA NCR 9209139424
4016 KALAYAAN AVE. SINGKAMAS MAKATI CITY MANILA NCR 906821640
113-N 8TH AVE. EAST REMBO MAKATI CITY MANILA NCR 9613201713
BLG.17 RM 307 CENTENNIAL VILL. TAGUIG CITY MANILA NCR 9088903645
179 24TH AVE. EAST REMBO MAKATI CITY MANILA NCR 9984575270
323 KAMIAS ST. CEMBO MAKATI CITY MANILA NCR 9338274643
5514 BOYLE ST. PALANAN MAKATI CITY MANILA NCR N/A
4 NUIESTRA SENIORA DE GUADALUPE GUADALUPE NUEVO MAKATI CITY MANILA
9561543607
NCR
BLK 58 L 6 SAN FRANCISCO ST. RIZAL MAKATI CITY MANILA NCR 9986264779
NIT 83 CITYLAND PASONG TAMO TOWER PIO DEL PILAR MAKATI CITY MANILA 9959479284
NCR
57 SAMPALOC ST. PEMBO MAKATI CITY MANILA NCR 9396747144
BLK 49 L10 BAYABAS ST. RIZAL MAKATI CITY MANILA NCR 9611506886
5632-D AMPERE ST. PALANAN MAKATI CITY MANILA NCR 9175000221
472 APITONG ST. COMEMBO MAKATI CITY MANILA NCR 929459623
 ILAYA MAKATI CITY MANILA NCR 9178031501
54 A MABINI ST. WEST REMBO MAKATI CITY 9429874777
9641 KALAYAAN AVE. GUADALUPE NUEVO MAKATI CITY MANILA NCR 9258806183
7819 J.B ROXAS ST. OLYMPIA ST. MAKATI CITY MANILA NCR 9359310828
505 B YAKAL ST. COMEMBO MAKATI CITY MANILA NCR N/A
1395 APOLINARIO ST. BANGKAL MAKATI CITY MANILA NCR 9485193461
L-46A B330 SAN PEDRO ST. PEMBO MAKATI CITY MANILA NCR 9175082289
B-166 L-11 CALACHUCHI ST. PEMBO MAKATI CITY MANILA NCR 9771655853
222 NEGROS ST. PITOGO MAKATI CITY MANILA NCR 9503186907
04 BLUEBERRY EXT. RIZAL MAKATI CITY MANILA NCR 9474132008
BLK 345 L1 SHAMROCK ST. PEMBO MAKATI CITY MANILA NCR
09275445243/09955642454
5102 BLISS DAVILA ST. MAKATI CITY MANILA NCR 9215613980
NO RECORD NO RECORD
PUROK 4 SAN MATEO RIZAL 9389533010
BLK 113 L16 A. BONIFACIO ST. RIZAL MAKATI CITY MANILA NCR 9196569245
2971 BALABAC ST. PINAGKAISAHAN MAKATI CITY 9612180345
229 JASMIN ST. CEMBO MAKATI CITY 9367339636
443 BANABA ST. CEMBO MAKATI CITY 9508294371
6953-B WASHINGTON ST. PIO DEL PILAR MAKATI CITY 09105671627/09105671627
246 JP RIZAL ST. TEJEROS MAKATI CITY 9517881185
B-7 L-1 GUMAMELA ST. PEMBO MAKATI CITY 9668160368
BANK 3 CALIFORNIA GARDEN SQUARE D GUEVARRA ST OTHERS / NON-RESIDENT
9209068981
MANDALUYONG
2787 ENSUEÑO ST., PINAGKAISAHAN MAKATI 9953360450
8935880/
6604 E. RAMOS ST., PIO DEL PILAR MAKATI 09996602622
B-9 L-16 KAMPUPOT ST., PEMBO MAKATI CITY 9179963382
1076 FIREFLY ST. GRP 4 POST PROPER SOUTHSIDE MAKATI N/A
4 A UPPER PLAZA WEST REMBO MAKATI 7917038
758-0096/
4917 NOVALICHES ST., OLYMPIA MAKATI 09206416193
05-K F. BALAGTAS ST., WEST REMBO MAKATI 9996629752
183-M 25TH AVE., EAST REMBO MAKATI 8850 6517
7168 SAN BERNARDINO ST., OLYMPIA MAKATI 947460702
B-52 L-22 CHICO ST. RIZAL MAKATI 09462125395/09085165654
316 DAPITAN ST., GUADALUPE NUEVO MAKATI 8881-1372
 147-B 17TH AVE., EAST REMBO MAKATI 9475980651
73 SANTOL ST. PEMBO MAKATI 9324797911
BLK 6 LOT 9 ESCARLATA ST., PEMBO MAKATI 09303633734/0925304248
B 97 L 34 JUAN LUNA RIZAL MAKATI 9366874088
410 BERRET ST. ARMOR VILL. POST PROPER SOUTHSIDE N/A
203 GUIHO ST. CEMBO MAKATI N/A
BLK 25 LOT 3 SAMPAGUITA ST., PEMBO MAKATI 9196784
5F BALAGTAS ST. WEST REMBO MAKATI 9672787685
UNIT 104 RGMD APARTMENT ILANG-ILANG ST. MAKATI CITY 9175278949
15B VICENTE PACIS LAS PINAS 9165759014
B-219 L-1 WATERLILY ST., PEMBO MAKATI 9084551917
B-17 L-6 CADENA DE AMOR ST., PEMBO MAKATI 9215099595
185-V 27TH AVE., EAST REMBO MAKATI 9102205255
6591254/807-2224
7086 LANGKA ST., COMEMBO MAKATI 09771677413
242 JASMIN ST. CEMBO MAKATI 9456804696
BLK56 LOT8 DUHAT RIZAL MAKATI 9255004522
259 ILANG -ILANG ST., CEMBO MAKATI 9479517604
9150B PATEROS ST. OLYMPIA MAKATI 9555381200
179 Z6 24TH EAST REMBO MAKATI 9360829505
189-A 28TH AVE., EAST REMBO MAKATI 9228576512
3349678/
2448 OSMEÑA ST. POBLACION MAKATI 09976726000
14 UPPER PLAZA ST. WEST REMBO MAKATI 9394442562
6604 E. RAMOS ST., PIO DEL PILAR MAKATI 9205079466
BLK 261 LOT 15 CHARLIE STGRP 6 ZONE 13 PEMBO MAKATI 9101806324
9048 HORMIGA ST., OLYMPIA MAKATI 9260381485
518 TALISAY ST., COMEMBO MAKATI 9234645142
307 BLK 8 SUHA ST., WEST REMBO MAKATI 9153891977
1166 RODRIGUEZ AVE. BANGKAL MAKATI 94852721716
37 LAWTON AVE. POST PROPER NORTHSIDE 9197249298
ilippine Residence

Place Of Origin Barangay Employers Name

MANILA SOUTH CEMBO N/A

LAGUNA REGION IV-A LAGUNA REGION IV-A N/A
RIZAL RIZAL N/A
SAMAR SINGKAMAS N/A
SORSOGON POST PROPER SOUTHSIDE N/A
MAKATI CITY PITOGO N/A
BAAO, CAMARINES SUR WEST REMBO N/A
MAKATI CITY POST PROPER SOUTHSIDE N/A
PASAY EAST REMBO N/A
MANILA PEMBO N/A
MAKATI CITY WEST REMBO N/A
BACOLOD CITY SINGKAMAS N/A
LEYTE PIO DEL PILAR N/A
ROMBLON RIZAL N/A
MINDORO SOUTH CEMBO N/A
CEBU SINGKAMAS N/A
BACOLOD EAST REMBO N/A
MANILA CENTENNIAL VILL. N/A
OCC MINDORO EAST REMBO N/A
PANGASINAN CEMBO N/A
MANILA PALANAN N/A
MAKATI CITY GUADALUPE NUEVO N/A
CAGAYAN VALLEY RIZAL N/A
N/A PIO DEL PILAR N/A
CAMARINES SUR PEMBO N/A
COTABATO RIZAL N/A
BULACAN PALANAN N/A
NUEVA ECIJA COMEMBO N/A
 BANGUED, ABRA N/A N/A
AKLAN WEST REMBO N/A
CALOOCAN GUADALUPE NUEVO N/A
OSPITAL NG MAKATI OLYMPIA N/A
PATEROS COMEMBO N/A
MANILA BANGKAL N/A
NONE PEMBO N/A
QUEZON CITY PEMBO N/A
MANILA PITOGO N/A
CAMARINES SUR RIZAL N/A
LEYTE PEMBO N/A
BULACAN N/A N/A
NO RECORD
MASBATE SAN MATEO RIZAL N/A
MAKATI CITY RIZAL N/A
MAKATI CITY PINAGKAISAHAN N/A
PANGASINAN CEMBO N/A
ILOILO CEMBO N/A
ILOILO PIO DEL PILAR N/A
MANILA TEJEROS N/A
NEGROS OCCIDENTAL PEMBO N/A
LIMAY BATAAN HIGHWAY HILLS N/A
POLAGUI, ALBAY PINAGKAISAHAN N/A
BOHOL PIO DEL PILAR N/A
MANILA PEMBO N/A
ZAMBOANGA CITY POST PROPER SOUTHSIDE N/A
LEYTE WEST REMBO N/A
MAKATI CITY OLYMPIA N/A
PANGASINAN WEST REMBO N/A
LANAO DEL SUR EAST REMBO N/A
LAOG, ILOCOS NORTE OLYMPIA N/A
QUEZON PROVINCE RIZAL N/A
MAKATI CITY GUADALUPE NUEVO N/A
 MANILA EAST REMBO N/A
BULACAN PEMBO N/A
MAKATI CITY PEMBO N/A
NUEVA VIZCAYA RIZAL N/A
NEGROS OCCIDENTAL POST PROPER SOUTHSIDE N/A
SURIGAO DEL NORTE CEMBO N/A
MAKATI PEMBO N/A
PASAY CITY WEST REMBO N/A
LAS PINAS N/A N/A
N/A N/A N/A
ILOCOS NORTE PEMBO N/A
MANILA PEMBO N/A
ZAMBONGA DEL SUR EAST REMBO N/A
BATAC, ILOCOS NORTE COMEMBO N/A
SORSOGON CEMBO N/A
N/A RIZAL N/A
MAKATI CEMBO N/A
LIGAO ALBAY OLYMPIA N/A
LAGUNA EAST REMBO N/A
NEGROS OCC. EAST REMBO N/A
MAKATI POBLACION N/A
ALBAY WEST REMBO N/A
BOHOL PIO DEL PILAR N/A
PARAÑAQUE CITY PEMBO N/A
MAKATI CITY OLYMPIA N/A
PASAY CITY COMEMBO N/A
PASIG CITY WEST REMBO N/A
MANILA BANGKAL N/A
MAKATI CITY POST PROPER NORTHSIDE N/A
 Address outside the Philippines

Address (including House No. / Lot No./

Occupation Place of Work Country
Street/ Barangay/ City/ Province/ Region

N/A N/A N/A N/A

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N/A N/A N/A N/A
 Travel History

History of Travel / visit / work

Port (Country) of Airline/Sea Flight/Vessel
Office Phone No. in other countries with a
exit vessel Number
known COVID-19 (Yes / No)

N/A N/A N/A N/A N/A

N/A N/A N/A N/A N/A
N/A N/A N/A N/A N/A
N/A N/A N/A N/A N/A
N/A NO N/A N/A N/A
N/A N/A N/A N/A N/A
N/A N/A N/A N/A N/A
N/A N/A N/A N/A N/A
N/A N/A N/A N/A N/A
N/A NO N/A N/A N/A
N/A N/A N/A N/A N/A
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N/A N/A N/A N/A N/A
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N/A NO N/A N/A N/A
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N/A NO N/A N/A N/A
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N/A NO N/A N/A N/A
N/A NO N/A N/A N/A
N/A NO N/A N/A N/A
N/A NO N/A N/A N/A
N/A NO N/A N/A N/A
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N/A NO N/A N/A N/A
N/A NO N/A N/A N/A
N/A NO N/A N/A N/A

N/A NO N/A N/A N/A

N/A NO N/A N/A N/A
N/A NO N/A N/A N/A
N/A NO N/A N/A N/A
N/A NO N/A N/A N/A
N/A NO N/A N/A N/A
N/A UNKNOWN N/A N/A N/A
N/A N/A N/A N/A N/A
N/A NO N/A N/A N/A
N/A NO N/A N/A N/A
N/A NO N/A N/A N/A
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N/A NO N/A N/A N/A
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N/A NO N/A N/A N/A
N/A NO N/A N/A N/A
N/A NO N/A N/A N/A
N/A NO N/A N/A N/A
N/A NO N/A N/A N/A
N/A NO N/A N/A N/A
N/A NO N/A N/A N/A
 Exosure History

Date of Arrival in the History of Exposure to Date of onset of

Date of Departure Known COVID-19 Disposition at the time
Philippines Illness
(mm/dd/yyyy) transmission (Yes / of report
(mm/dd/yyyy) (mm/dd/yyyy)
No)

N/A N/A N/A Sent Home 7/4/2020

N/A N/A NO FOR ADMISSION N/A
N/A N/A NO ADMITTED 8/4/2020
N/A N/A NO SENT HOME 7/4/2020
N/A N/A NO SENT HOME N/A
N/A N/A N/A SENT HOME 6/4/2020
N/A N/A NO SENT HOME 1/4/2020
N/A N/A NO  SENT HOME 1/4/2020
N/A N/A N/A INPATIENT 7/4/2020
N/A N/A UNKNOWN SENT HOME 1/4/2020
N/A N/A NO SENT HOME 3/4/2020
N/A N/A NO  SENT HOME 6/4/2020
N/A N/A NO SENT HOME 7/4/2020
N/A N/A NO SENT HOME 7/4/2020
N/A N/A NO SENT HOME 1/4/2020
N/A N/A N0 SENT HOME 1/4/2020
N/A N/A NO SENT HOME 3/30/20
N/A N/A UNKNOWN SENT HOME 3/3/2020
N/A N/A NO SENT HOME 1/4/2020
N/A N/A YES SENT HOME 3/28/20
N/A N/A NO SENT HOME 3/23/20
N/A N/A N/A FOR ADMISSION 1/3/2020
N/A N/A N/A SENT HOME 1/4/2020
N/A N/A N/A NO RECORD 3/27/20
N/A N/A N/A SENT HOME 3/26/20
N/A N/A NO SENT HOME 3/25/20
N/A N/A NO SENT HOME 1/3/2020
N/A N/A UNKNOWN SENT HOME 3/24/20
N/A N/A YES SENT HOME 3/29/20
N/A N/A NO SENT HOME 3/29/20
N/A N/A NO THOC 3/27/20
N/A N/A NO FOR ADMISSION
N/A N/A NO SENT HOME 03/30/2020
N/A N/A NO SENT HOME
N/A N/A NO SENT HOME 3/29/2020
N/A N/A NO SENT HOME 03/28/2020
N/A N/A NO FOR ADMISSION 12/3/2020
N/A N/A NO SENT HOME 3/25/2020
N/A N/A NO THOC 3/27/2020
N/A N/A UNKNOWN SENT HOME 3/28/2020
OUTPATIENT 3/31/2020
N/A N/A NO SENT HOME 3/31/2020
N/A N/A NO OUTPATIENT N/A
N/A N/A NO FOR ADMISSION 5/2/2020
N/A N/A UNKNOWN FOR ADMISSION 5/2/2020
N/A N/A NO FOR ADMISSION 04/13/2020
N/A N/A NO SENT HOME 04/26/2020
N/A N/A UNKNOWN EXPIRED 2 MONTHS COUGH
N/A N/A N/A FOR ADMISSION
N/A N/A UNKNOWN OUTPATIENT 03/14/2020
N/A N/A NO SENT HOME
N/A N/A NO SENT HOME 2/25/2020
N/A N/A NO SENT HOME
N/A N/A NO SENT HOME 3/31/2020
N/A N/A NO SENT HOME 3/31/2020
N/A N/A NO SENT HOME1 MONTH AND 2 WEEKS PTC
N/A N/A NO SENT HOME 03/28/2020
N/A N/A NO SENT HOME 04/26/2020
N/A N/A UNKNOWN HAMA 4/16/2020
N/A N/A NO FOR ADMISSION N/A
N/A N/A NO FOR ADMISSION 04/20/2020
N/A N/A NO FOR ADMISSION 03/26/2020
N/A N/A NO SENT HOME 04/24/2020
N/A N/A YES SENT HOME 5/4/2020
N/A N/A NO SENT HOME N/A
N/A N/A NO SENT HOME 3/19/2020
N/A N/A NO SENT HOME N/A
N/A N/A NO SENT HOME 4/4/2020
N/A N/A NO SENT HOME 4/13/2020
N/A N/A YES (4/22/2020) SENT HOME 4/13/2020
N/A N/A YES (4/6/2020) SENT HOME 9/4/2020
N/A N/A UNKNOWN FOR ADMISSION 4/22/2020
N/A N/A NO SENT HOME N/A
N/A N/A UNKNOWN SENT HOME 6/4/2020
N/A N/A UNKNOWN FOR ADMISSION 1 WEEK PTC
N/A N/A UNKNOWN SENT HOME 4/13/2020
N/A N/A UNKNOWN SENT HOME N/A
N/A N/A NO SENT HOME 4/17/2020
N/A N/A UNKNOWN SENT HOME 2/20/2020
N/A N/A NO SENT HOME 3/26/2020
N/A N/A NO SENT HOME 11/4/2020
N/A N/A UNKNOWN SENT HOME 3 DAYS
N/A N/A NO SENT HOME 3/21/2020
N/A N/A NO SENT HOME N/A
N/A N/A NO SENT HOME 3/20/2020
N/A N/A NO SENT HOME 3/24/2020
N/A N/A NO SENT HOME N/A
N/A N/A NO SENT HOME 3/17/2020
N/A N/A NO SENT HOME 1 MONTH PTC
N/A N/A NO SENT HOME 3/23/2020
 Clincial Information

Date of Symptoms
Admission /
Consultation
(mm/dd/yyyy)
Fever (_ °C) Cough Sore throat Colds SOB DOB Others
7/4/2020 N/A YES N/A N/A N/A
2020-05-04  N/A YES N/A N/A YES
8/4/2020 N/A YES N/A N/A YES
8/4/2020 N/A YES N/A N/A N/A
N/A N/A N/A N/A N/A N/A
7/4/2020 N/A YES N/A N/A YES
7/4/2020 N/A YES N/A N/A YES
7/4/2020 N/A YES N/A N/A N/A
7/4/2020 N/A YES N/A N/A YES
6/4/2020 N/A N/A YES YES N/A
3/4/2020 YES YES N/A N/A YES
5/4/2020 YES YES N/A N/A YES
7/4/2020 N/A YES N/A N/A YES
7/4/2020 N/A YES N/A N/A YES
2/4/2020 38 NO NO NO NO
2/4/2020 37.9 NO NO NO NO
2/4/2020 YES NO NO NO NO
1/4/2020 38 YES YES YES NO
1/4/2020 N/A N/A N/A N/A YES
1/4/2020 36.6 YES YES YES N/A
N/A YES YES N/A
N/A YES NO NO YES
N/A YES NO NO YES
N/A YES N/A N/A N/A
N/A YES NO NO NO
YES YES NO NO YES
N/A YES NO NO YES
YES YES NO NO YES
 2/4/2020 36.4 N/A MILD NO YES
YES NO NO NO NO VOMITTING,
3/30/2020 NO NO NO NO NO ABDOMINAL PAIN
YES
N/A N/A N/A YES N/A
NO NO NO NO YES
3/30/2020 36.1 YES N/A N/A N/A
3/30/2020 36.8 YES NO YES NO
3/30/2020 36.6 YES NO YES YES
1/4/2020 N/A YES YES
3/31/2020 36.7 STOMACH ACHE (RIGHT)
38 YES

39.5

5/2/2020 NO NO NO NO YES YES

5/4/2020 NO YES NO NO NO NO
NO YES NO NO YES YES
04/26/2020 NO YES NO NO YES YES SEIZURE
4/16/2020 NO YES NO NO YES YES
3/27/2020 YES YES YES NO NO NO EPIGASTRIC PAIN
6/4/2020 YES YES YES YES NO NO
3/27/2020 NO NO NO NO NO NO
3/25/2020 UNDOCUMENTED YES NO NO NO NO
YES YES NO NO NO NOCHILLS, VOMITING
3/31/2020 NO NO NO NO NO NO
3/31/2020 NO YES NO NO YES YES
3/27/2020 NO YES NO NO YES YES BACK PAIN
04/26/2020 NO NO NO NO YES YES BIPEDAL EDEMA
04/26/2020 NO YES NO NO YES YES SEIZURE
4/23/2020 NO YES NO NO YES HEMOPTYSIS,
YES LOOSE WATERY STOOL
4/24/2020 NO NO NO NO NO NO
04/25/2020 NO YES NO NO YES ABDOMINAL
YES ENLARGEMENT
04/26/2020 NO NO NO NO LOW
NO BACK PAIN,
NO GENERALIZED BODY WEAKNESS
04/25/2020 NO YES NO NO YES YES
04/19/2020 NO YES NO YES NO NO
N/A NO YES NO NO NO NO
03/21/2020 NO YES NO NO NO NO
N/A NO NO NO NO YES YES
6/4/2020 UNDOCUMENTED YES NO NO NO NO
4/18/2020 NO YES YES NO NO NO
4/22/2020 NO YES NO NO NO NO
4/16/2020 NO NO YES YES NO NO
4/22/2020 NO YES NO NO YES YES SCROTAL PAIN
N/A 36.5 NO NO NO NO NO
4/19/2020 NO YES NO NO YES YES
4/16/2020 NO YES NO NO YES GENERALIZED
YES BODY WEAKNESS
4/15/2020 38.5C YES NO NO NO NO
4/18/2020 NO YES NO NO NO NO
4/18/2020 NO NO NO NO NO NO
3/27/2020 NO YES NO NO NO NO
3/27/2020 NO NO NO YES NO NO
4/14/2020 UNDOCUMENTED NO NO NO NO NO
3/17/2020 NO NO NO NO NO NO
3/21/2020 NO NO NO NO NO NO PALPITATION
3/25/2020 UNDOCUMENTED YES NO NO NO NO
3/22/2020 36.3 NO NO NO NO NO
3/25/2020 39.1 NO YES NO NO GENERALIZED
NO BODY WEAKNESS
N/A NO YES NO NO YES YES
3/24/2020 NO NO NO NO YES YES
3/24/2020 YES YES NO NO YES YES
3/23/2020 NO YES YES NO NO NO
Clincial Information

History of Chest X-ray Ches X-ray results:

other illness If yes, specify done? (Yes / If yes, when? Pneumonia (Yes / Laboratory
(Yes / No) No) No / Pending)
CBC
Portable CXR
For suturing
N/A N/A YES PENDING For For
BUN ABG
Crea
swabbing
Procacitonin,
CBCK
Na
N/A N/A YES YES Ferritin,
CXR ABG LDH, CRP
portable
CXR: Minimal
pleuralTrop I
effusion
N/A N/A YES YES Refer toABG
IM Service
right, concomitant
N/A N/A YES PENDING pneumonia
Awaiting
For 1. CBC
CBC
swabbing cannot
other
be ruled
laboratories
2. ABG
Trop I out;
N/A N/A N/A N/A Atheromatous
Hepatitis
Na,K,Mg,Cl,BUN,Cr
3. BUN panel
CXRCrea
Aorta,
4. ea
Trop
Na K I
N/A N/A YES PENDING 3.Degenerative
Awaiting
CXR IM
ECG
CBC
Portable CXR
osseus
Chest BUN,Xraychanges
disposition
CBC
CBC -please
CREA
N/A N/A YES NO BUN, ABG
Na, CREA
facilitate
K
12
CXR
OPS/NPS L ECG:
Monitor Sinus
KVS
(portable)
Na,for q1
covid-
N/A N/A YES PENDING tachycardia,
Maintain
Na,K,Cl,BUN, 19on NPO
CBC
ABG U
Crea
- CBGwaves V3-V4
monitoring
UA Procalcitonin,
LDH, with
D-Dimer Ketones
N/A N/A YES YES every - hour,
Na K CRP
Procalcitonin
Ferritin, refer if
Cl
CBG:
<-80
BUN 97
CBC >mg/dL
or Crea
Ferritin 200
YES MVP YES 6/4/2020 N/A BUN,mg/dL
-CRPCrea
CXR
CBG:
CBC
-WOF
Repeat 167
Na,CBGKmg/dL
13.3/0.42/
difficulty of
afer
N/A N/A YES YES 16.8
portable(93)/25
breathing,
one hour CXR
CBCdecrease
11.3/0.36/7.3
CBC Na Kin
N/A N/A YES PENDING (78)/229
BUNsensorium
9.30
NPOCrea 75
ABG
Repeat BP after
I&O qshift
N/A N/A YES PENDING Na15mins
143
137
Refer K 4.9
4.4
VSQ1
N/A N/A YES PENDING ABG Trop CBC
I 0.07
(@2PM,RA)
Refer
BUN Crea
7.44/28/89/19/97
YES YES 2/4/2020 N/A ABG (@2PM,Na% K RA)
ABG
7.45/29/87/20.2/9
N/A N/A YES 2/4/2020 N/A Portable 7%CXR PA
N/A N/A N/A N/A For swabbing
YES ASTHMA NO NO Chest
N/Axray
CBC
YES ASTHMA NO NO Na,
N/AK
BUN,CBC Crea
NO N/A NO NO BC I Crea
Na, K,Trop
BUN,
N/A
Na,
portable
repeat KCXRECG
12 lead
N/A N/A YES N/A BUN,
after 1Crea
ABG hour
12 L Trop I
ECG done
YES CHF HYPERTENSION DM TYPE 2 YES N/A Portable
CBG -chest
187 x-
CBC
ray
NO N/A YES YES ABOCBC
Repeat reprint
12 L ECG
Na,Chest
K,PT,
BUN, xray
PTT Crea,
N/A N/A YES N/A CRP,
BUN,
NO ABG LDH,
CREA
RECORD
CBCK
Procalcitonin,
Na,
N/A N/A YES NO Na, K
CXRFerritin
portable
BUN,CBC
portable Crea
CXR
N/A N/A YES N/A Na, K,Trop
BUN,I Crea
ABG
repeatTrop I ECG
12 lead
YES HASCVD 1 VESSEL CAD YES YES portable
after 1 hourCXR
ABG
N/A N/A N/A 12 L ECG done
 CBC
BUN Crea
NA K
UA
FA
NO NO N/A Portable
N/A CXR
VOMITTING, YES 3/30/2020 N/A not for swabbing
CBC with PC
YES CKD 5 YES YES UA with PT
YES YES N/A
CBC
N/A NO N/A BUN, Crea
N/A
Na, K
YES LYMPHOMA NO N/A CBC
CXR FOR
N/A
BUN Crea
CBC
SWABBING
YES CERVICAL/CA ST. 3 B YES 3/30/20 N/A BUNNaCrea
PCCTK
CXR Na
portable
K
YES YES 3/30/20 NO CXR
Blood type B+
for swabbing
YES YES 3/30/2020 N/A
PT 13.3
for BUN,72.6% INR
Crea (not
YES UTI N/A N/A 1.12 PTT 38.2
available)
N/A
CXR
NO NO BUN 2.2GS/CS
Urine Crea 59

BUA N/A 239

HBsAg 0.25
NaAnti
NO 132 HCV 0.03
K 3.5
RECORD Cl
Anti-HBc
104.5 MgCBC IgG
0.8 P0.05
1.1
AST Anti HBs
ALTI1.31
30trop
N/A 12 Alb
22 Trop CXRI 0.02
D-Dimer NaABG
N/A135
444.71
Right
Na, 1. Hemithorax
K,
Ferritin K 2.9
CBC,
Cl, PC Mg,
TCa,
>2000
AUR
YES sec to BPH s/p PTB treatment (2013)
YES 5/4/2020 N/A UTZ, coordinated
2.CRPCl
P, 103
Na, K, Cl
alb
>10
with
rpt 3.12LDr.ECG
TropI
BUN, Centillo,
(-)after
Crea
YES ESRD Secondary to CGN YES 5/4/2020 PENDING please4.
1hourinform
ABG
MROD
Hb 5.8.2,
Chest once
Hct for
0.26,
x-ray
NO YES 04/14/2020 N/A 6.WBC
UA with UTZketones
16.1, PC 63,
Seg [] cbc
91,ABGLym 4,
YES ESRD, INTRACRANIAL MASS YES 04/26/2020 NO CBC bun,Na crea
[] Official
Mono K BUN
5CXR
CreaK
na,
Result
YES PTB Second month TX YES YES iCa Mg
[] COVID-19 tropiPhosSwab
PTUA PTT
N/A N/A N/A AST
portable ALT RBS
1. CBC, PC
CXR
Chest
2. NA,xray K
YES HYPERTENSION YES NO 3. portable
[]N/A
BUN, CBC Crea
4. []UA
[]CXR
BUNABG
with portable
Crea
ketones
YES DM YES 3/27/20 YES []CBC
5. Chest ABG
Na K
x-ray
CXR
[] CBC
[]Oropharyngeal
CXR, AbdPA xray
YES T2DM, HTN, CVI N/A N/A swab []1.Trop
CBC I- for
[]done
UA
sendFor 2.swabbing
[] BUN,
out Na,toCrea
KRITM
NO YES 3/31/2020 N/A []For
3. referral
Na,BUN,K, iCa,Crea to
Mg,
CESU
4.Phos
Troponce I
YES ANEMIA HTN YES 3/31/2020 N/A [] 12Lavailable
ECG-
5. CXRCLBBB
post arrest
YES 3/31/2020 N/A [] NPO for now
CBG 234mg/dl
please
CBG q6facilitate
while on
N/A YES N/A BUN, 1.NPO
CBC
Crea,
- for 2. Alb,NA,AST,K, ALT
SIGMOID ADENOCARCINOMA
YES STAGE IV WITH LIVERYES
METASTASIS04/26/20
HTN PENDING 3. BUN, - forCreatinine
UA
4. CXR PA
BRONCHIAL
YES ASTHMA HYPERTENSION STAGE
YES II 04/27/2020 YES 5. ABG
1.CBC
CBC
YES PRIMARY MYELOFIBROSIS YES 04/23/2020 YES BUN
2.N/A Crea
Na, K
Na3.K ABG iCa Mg
YES
ESRD, HTN, INDIRECT INGUINAL HERNIA
YES 04/24/2020 YES 4. Chest CXRX-ray
ABG
N/A YES 04/25/2020 PENDING Trop I
 CXR
Na, K
BUN, Crea (once
available)
trop I
rpt 12L ECG after 1
S/P CRANIECTOMY
YES FOR LOW GRADE GLIOMA (2014,
YES MMC04/26/2020 PENDING hou
CBC
YES ASTHMA YES 4/25/2020 NO Chest Xray
N/A NO N/A N/A
N/A N/A N/A N/A
ESRD sec to
NO Hypertensive NO NO N/A
nephrosclerosis
YES Hypertension
ANEMIC st. II, N/A N/A N/A
controlled
YES Gouty Arthritis NO N/A N/A
CBC
for swabbing-
N/A YES 4/18/2020 NO coordinated Na,
N/AK with
HASCVD,CSAP, NYHA Med ABG tech
NO II NO N/A CXR portable
> CBC
Scrotal
NO Hypertension St. II - NO N/A Swab,> coordinated
Advised Oropharyngeal BUN,
CBC NaCBC
Crea,
Ultrasound- K BUNNa, K, IPC (currently ra
with
controlled Cl, iCa,Na,
coordinated Mg,
Crea K Phos
with
YES ESRD YES YES BUN,
radioChest>(Dr. Crea
Trop I
xray
Bautista)
CKD St. 3b sec to Chest
> PCCT
portable X-ray
NO HNSS YES 04/22/2020 YES portable
> CXRI
Trop
Nephrolithiasis left ] Plain> cranial
ABG CT
UA
CHF
YESSEC TO ALCOHOLIC CARDIOMYOPATHY
YES 4/20/2020 NO []>Chest
Urinalysis x-ray
s/p PTB Tx (1958) COVID-19[] CBC CBCSuspect
PC
YES s/p CVD (2014) YES Na,
Na,KK
for[]swabbing
BUN,
For Creatinine
Swabbing
[] BUN, crea
DM, HYPERTENSION,
YES CKD IV BPH, OSTEOARTHRITIS
YES 4/15/2020 N/A [] UA with CXRketones
UA
MGH CBC
with PT
post
N/A NO N/A Na,swabbing
Urine K,potassium
Bun, crea
Mg,Bedside
ica, Cl, PT Phos
NO YES 4/18/2020 N/A ABG
[negative]
AST, ALT
N/A N/A N/A Urinalysis
N/A
UrineCBC culture
N/A N/A N/A -[]CBC
ECG
Na K
N/A
[]TropUA I
-CXR
YES IMMUNOCOMPROMISED YES N/A []Na,K,Mg,Cl,BUN,
-ABO
CXR
Serum KCrea q8hrs and
N/A YES N/A [] CBC
[]ECG
NA
1. CBC
[] BUN
[]Chest Crea
Xray
YES ASCVD, SVT YES 3/21/2020 YES []2. NaKK
TFTs
3.[]Abdominal
CXR, Abd xray Xray
N/A YES 3/25/2020 N/A supine[]and UAupright
4. CXR
NO YES 3/22/2020 YES 5. UA
YES ESRD, HYPERTENSION YES N/A N/A
N/A NO NO N/A
N/A NO N/A N/A
YES PTB YES 3/24/2020 N/A N/A
NO NO NO N/A
 Specimen Information

Assessed as Specimen If yes, date

Pregnant Testing facility
LMP High Risk Collected (Serum , collected
(Yes / No) sent
(Yes / No) OPS/NPS, Others) (mm/dd/yyyy)

N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
NO
N/A
N/A
N/A
N/A
N/A
N/A
N/A
NO
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
NO
N/A

N/A
N/A
N/A
N/A
N/A
N/A
N/A
NO
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
 N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
NO
NO
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
NO
N/A
N/A
N/A
N/A
N/A
N/A
NO
NO
N/A
LMP: 2/13/2020
ation Outcome

Swab Results Classification

(Suspect / Date of Discharge
Probable / (mm/dd/yyyy)
Confirmed)
1st 2nd 3rd

SUSPECT 4/7/2020
SUSPECT 4/17/2020
SUSPECT
SUSPECT 4/8/2020
N/A 4/8/2020
SUSPECT 2020-04-08 
SUSPECT 4/13/2020
SUSPECT 2020-05-04 
SUSPECT
CONFIRMED 4/7/2020
SUSPECT 4/5/2020
SUSPECT 2020-05-04 
SUSPECT 4/23/2020
SUSPECT 4/8/2020
SUSPECT 4/5/2020
SUSPECT 4/13/2020
SUSPECT 4/12/2020
PUM 4/1/2020
PUM 4/2/2020
SUSPECT 4/1/2020
SUSPECT 4/2/2020
SUSPECT
SUSPECT 4/2/2020
NO RECORD NO RECORD
4/2/2020
SUSPECT 4/5/2020
SUSPECT 4/15/2020
SUSPECT 4/3/2020
 PUM 4/2/2020
SUSPECT 4/3/2020
SUSPECT 3/30/2020
SUSPECT 3/30/2020
SUSPECT 3/30/2020
SUSPECT 4/3/2020
SUSPECT
SUSPECT 3/31/2020
SUSPECT 4/14/2020
SUSPECT 4/1/2020
SUSPECT 3/31/2020
SUSPECT 4/1/2020
SUSPECT N/A
SUSPECT 3/31/2020

N/A N/A
SUSPECT
SUSPECT
SUSPECT
SUSPECT 4/27/2020
SUSPECT 5/6/2020
SUSPECT
SUSPECT
SUSPECT 4/3/2020
SUSPECT 4/14/2020
SUSPECT 3/31/2020
SUSPECT 4/3/2020
SUSPECT 4/3/2020
SUSPECT 3/27/2020
SUSPECT 5/4/2020
SUSPECT 4/27/2020
SUSPECT 4/30/2020
SUSPECT
SUSPECT 4/27/2020
SUSPECT
SUSPECT 4/27/2020
SUSPECT 4/19/2020
SUSPECT 3/21/2020
N/A 03/21/2020
N/A 4/23/2020
SUSPECT 4/6/2020
PROBABLE 4/18/2020
SUSPECT 4/4/2020
SUSPECT 4/16/2020
SUSPECT
SUSPECT 4/22/2020
SUSPECT 4/23/2020
SUSPECT 4/26/2020
SUSPECT 4/23/2020
SUSPECT 4/18/2020
SUSPECT 4/21/2020
N/A 3/27/2020
N/A 3/27/2020
SUSPECT 4/16/2020
SUSPECT 3/19/2020
SUSPECT 4/11/2020
SUSPECT 4/14/2020
SUSPECT 3/22/2020
SUSPECT 4/30/2020
SUSPECT 3/25/2020
SUSPECT 3/25/2020
SUSPECT 5/8/2020
PROBABLE 3/23/2020
Outcome

Condition of Discharge Name of Informant Relationship Phone No.

(Improved, Recovered,
Transferred, Absconded ,
Died)
IMPROVED
RECOVERED

RECOVERED
 IMPROVED
RECOVERED
 DIED in ER
IMPROVED
ARISTOTLE ASUNCION SON
RECOVERED
RECOVERED
 DIED
DIED
RECOVERED
 DIED in ER
DIED
RECOVERED
IMPROVED
IMPROVED
IMPROVED
RECOVERED

IMPROVED
NO RECORD
RECOVERED
DIED in ER
DIED
DIED in ER
 IMPROVED
RECOVERED
UNIMPROVED
RECOVERED JEFFREY JAMON UNCLE
RECOVERED
DIED in ER

IMPROVED
RECOVERED
RECOVERED
IMPROVED
RECOVERED
N/A
RECOVERED

N/A

ARLENE JOY IBAÑEZ NIECE

DIED

RECOVERED JOANA CAREN CANALITA DAUGHTER

DIED CECILLE TAMAYO DAUGHTER
IMPROVED
DIED in ER
DIED in ER
IMPROVED
DIED in ER BABY LYRA LUCERO DAUGHTER
RECOVERED
RECOVERED

RECOVERED JEFFREY CALMA SON

 IMPROVED
RECOVERED
IMPROVED
IMPROVED
RECOVERED
IMPROVED
RECOVERED
IMPROVED

RECOVERED
DIED in ER
RECOVERED
DIED DOMINGA CAÑA WIFE
IMPROVED
RECOVERED ERIC CUERDO FATHER
RECOVERED
RECOVERED
RECOVERED
IMPROVED
RECOVERED
DIED CECILLE TAMAYO DAUGHTER
IMPROVED
IMPROVED
IMPROVED
IMPROVED
DIED in ER
UNIMPROVED
Status Update for COVID-19 Admissions

Name of Reporting Hospital : Ospital ng Makati

Address: Sampaguita St., Gumamela Sts. Pembo Makati City

Total Number of Admissions: _______________

* No. of Suspect Cases: _______________
* No. of Probable Cases: _______________
* No. of Confirmed Cases: _______________

Remarks
(Intubated, On
Medical Status Ventilator, etc)
If DEATH, fill in the following information Disposition
Update and Current Laboratory
Significant Signs and Status (Discharged, DAMA,
Name of Patient Symptoms (Positive, HAMA, Absconded,
Date and Transferred; if
(Asymptomatic, Mild, Negative List of
Time of Cause of Death transferred, indicate
Severe, Critical, Pending) Comorbidities which facility)
Death) Death
 CORONAVIRUS DISEASE 2019 REPORTING

Date Covered: April 17 (2:30) -18, 2020 (10:36 pm)

Hospital Date of Birth Date Admitted / Suspect Case

Name Age Sex Complete Address Barangay
Number (mm/dd/yyyy) Consulted
SARI ILI

1 153288 Inojales, Julius G. 42 M 3635 Gen. Luna St., Bangkal 07/23/1977 April 17, 2020
2 3861295 Dellosa, Baby Boy 0 M B 4 L 17 Camia St. Pembo 04/13/2020 April 17, 2020
3 34543 Faemalim, Joselito 52 M B 254 L 4 Emerald St., Pembo 07/20/1967 April 17, 2020
4 13461 Abubo, Lolito 74 M 1211 Marisol St. Pembo 11/18/1945 April 17, 2020
5 3836611 Yong, Lawrence 59 M 32 B 67 Daffodil Extension Rizal 11/20/1960 April 17, 2020
6 294286 Lascota, Ma. Carlota 33 F 4376 Montojo Tejeros 10/19/1986 April 17, 2020
7 3861399 Flores, Jetherlyn 20 F 103 JMR BIDE Tejeros 09/17/1999 April 17, 2020
8 154899 Pototanon, Purita 56 F B 115 L 3 M. Roxas St Rizal 06/16/1963 April 17, 2020
9 3776207 Manansala, Christopher 32 M 055 J.P. Rizal Ext. Comembo 10/21/1987 April 17, 2020
10 159284 Jamias, Arvin 27 M 2264 B. Cervera St., La Paz 8/11/1992 April 17, 2020
11 305303 Estre Kian Paul 4 M 515 Gen. Lacuna St., Bangkal 09/22/2015 April 17, 2020
12 199007 Abad, Magellan 73 M 179-Z 12 24th Ave., East Rembo 04/27/1947 April 17, 2020
13 35772 Sanchez, Rodolfo 84 M 1005 Lakandula St., South Cembo 04/29/1936 April 17, 2020
14 124068 Narvas, Reynaldo 81 M 378 Mangga St., Cembo 04/30/1939 April 17, 2020
15 97730 Nangit, Danilo Sr. 72 M 1231 C. Francisco St., Kasilawan 09/18/1947 April 17, 2020
16 374915 Florendo, Rolando 63 M 7725 Jacinto St., Pio del Pilar 09/27/1956 April 17, 2020
17 271047 Paguirigan, Lilibeth 42 F 245 Ilang Ilang St. Cembo 07/19/1977 April 17, 2020
18 88116 Hermoso, Sonny 41 M 7182 M. Ocampo St. Pio del Pilar 11/28/1978 April 18, 2020
19 3861471 Magnaye, Keith 31 M 187 B 27th Ave., East Rembo 2/10/1988 April 18, 2020
20 168483 Cuerdo, Janica 25 F 259 Ilang-ilang St. Cembo 09/13/1994 April 18, 2020
21 3861421 Baluya, Joed 43 M 183 Ilang-ilang St., Pembo 01/18/1977 April 18, 2020
22 3861368 Salde, Bb Boy (Geraldine) 0M 165-T 3 22nd ave., East Rembo 04/16/2020 April 18, 2020
23 154915 Alberto, Marcelo Jr. 72 M 6283 San Pablo St. Poblacion 05/21/1947 April 18, 2020
24 3861426 Taccad, Daylinda 59 F Blk 3 Lot 5, Col. Santos South Cembo 04/07/1960 April 18, 2020
25 Navat, Federico 73 M 6045 Laurel St., South Cembo 01/27/1947 April 18, 2020
 Diagnosis
Suspect Case
Disposition
Individuals with fever or cough or shortness of Probable Case Confirmed Case
breath
Difficulty of breathing For admission
Fever For admission
Cough, Colds, Shortness of breath Strict home quarantine
Colds ER
Shortness of breath ER
Fever, Cough, Colds, Shortness of breath Expired (04/17/2020)
Cough, Difficulty of breathing ER
Fever (38.4), Cough , Shortness of breath Sent Home
Cough, Difficulty of breathing For admission
Cough, Difficulty of breathing ER
Fever (38.4) For admission
Cough ER
Difficulty of breathing, Cough ER
Difficulty of Breathing ER
Cough Sent Home 04/18/2020
Cough, For Admission
Chills, fever For Admission
Cough ER
Cough, Shortness of breath ER
Difficulty of breathing ER
Crackles ER
Fever ER
Cough ER
Dyspnea ER
Fever (38.6) ER