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Republic of the Philippines

PROVINCE OF Ilocos Sur


ILOCOS SUR PROVINCIAL HOSPITAL-GABRIELA SILANG
Vigan City

NOTICE FOR OPERATION

DATE: 01/04/2021

P K
FIRST NAME MIDDLE NAME LAST NAME
WARD _________107____________CLASSIFICATION ____INDIGENT MEMBER__
AGE ____________18_____________ SEX __________MALE_______
NAME OF OPERATION: _____________________APPENDECTOMY_____________

___DRA. ELI TACAD, MD___


SURGEON

NUR 038-0

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