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Republic of The Philippines Province of Ilocos Sur Ilocos Sur Provincial Hospital-Gabriela Silang Vigan City
Republic of The Philippines Province of Ilocos Sur Ilocos Sur Provincial Hospital-Gabriela Silang Vigan City
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_____________
NUR 038-0