POC-MED-REH-RMP-FR-042

Philippine Orthopedic Center

Department of Rehabilitation Medicine
Ma. Clara St., Quezon City, Philippines
IN PATIENT MONTHLY CENSUS
PAY AND OTHER WARDS
FOR THE MONTH OF JUNE 2021

Disease Category P4 P4 Pay FSW Male Male MTW NEW CW OU ER

West East 3rd I & II A B

A. Traumatic
1. Pelvis 0 0 0 0 0 0 0 0 0 0 0
2. Proximal Femur 0 0 0 0 0 0 0 0 0 0 0
3. Femoral Shaft 0 0 0 0 0 0 0 0 0 0 0
4. Patella 0 0 0 0 0 0 0 0 0 0 0
5. Tibia-Fibula 0 0 0 0 0 0 0 0 0 0 0
6. Ankle/foot 0 0 0 0 6 0 0 0 0 0 0
7. Shoulder Girdle 0 0 0 0 0 0 0 0 0 0 0
8. Humerus 0 0 0 0 0 0 0 0 0 0 0
9. Radius-Ulna 0 0 0 0 0 0 0 0 0 0 0
10. Wrist/Hand 0 0 0 0 0 0 0 0 0 0 0
11. Spinal Cord Injury 0 0 0 0 0 0 0 0 0 0 0
12. Sternum/ribs 0 0 0 0 0 0 0 0 0 0 0
13. Head Injury 0 0 0 0 0 0 0 0 0 0 0
14. Hip Dysplasia 0 0 0 0 0 0 0 0 0 0 0

B. Infections
1. Upper extremity 0 0 0 0 0 0 0 0 0 0 0
2. Lower extremity 0 0 0 0 0 0 0 0 0 0 0
3. Spine 0 0 0 0 0 0 0 0 0 0 0
3.1 Pott’s Disease 0 0 0 0 0 0 0 0 0 0 0
3.2 Others 0 0 0 0 0 0 0 0 0 0 0
4. CNS 0 0 0 0 0 0 0 0 0 0 0

C. Neoplastic
1. CNS 0 0 0 0 0 0 0 0 0 0 0
2. Spine 0 0 0 0 0 0 0 0 0 0 0
3. Extremities 0 0 0 0 0 0 0 0 0 0 0

D. Diseases of Joints
1. Ankylo. Spond. 0 0 0 0 0 0 0 0 0 0 0
2. Rheumatoid Arth. 0 0 0 0 0 0 0 0 0 0 0
3. Osteoarthritis 0 0 0 0 0 0 0 0 0 0 0
 POC-MED-REH-RMP-FR-042

Philippine Orthopedic Center

Department of Rehabilitation Medicine
Ma. Clara St., Quezon City, Philippines
4. Others 0 0 0 0 0 0 0 0 0 0 0

Disease P4 P4 Pay FSW Male Male MTW NEW CO OU ER

Category West East 3rd I & II A B

E. Diseases of Nerves
And Muscles
1. Dystrophies 0 0 0 0 0 0 0 0 0 0 0
2. Peri.Nerve Injuries 1 0 0 0 0 0 0 0 0 0 0
3. Poliomyelitis 0 0 0 0 0 0 0 0 0 0 0
4. Others 0 0 0 0 0 0 0 0 0 0 0

F. Disorders of the
Spine
1. Herniated Disc 0 0 0 0 0 0 0 0 0 0 0
2. Scoliosis 0 0 0 0 0 0 0 0 0 0 0
3. Spina Bifida 0 0 0 0 0 0 0 0 0 0 0
4. Spinal Stenosis 0 0 0 0 0 0 0 0 0 0 0
5. Spondylolisthesis 0 0 0 0 0 0 0 0 0 0 0

G. Miscellaneous
1. Amputations 0 0 0 0 0 0 0 0 0 0 0
2. Avascular Necrosis 0 0 0 0 0 0 0 0 0 0 0
3. Buerger’s Disease 0 0 0 0 0 0 0 0 0 0 0
4. Burns 0 0 0 0 0 0 0 0 0 0 0
5. Cerebral Palsy 0 0 0 0 0 0 0 0 0 0 0
6. Chondromalacia 0 0 0 0 0 0 0 0 0 0 0
7. Congenital 0 0 0 0 0 0 0 0 0 0 0
Anomalies
8. CVA 0 0 0 0 0 0 0 0 0 0 0
9. Diabetes 0 0 0 0 0 0 0 0 0 0 0
10. Others 0 0 0 0 0 0 0 0 0 0 0

Total No. of 0 0 0 0 0 0 0 0 0 0 0
Referrals

Prepared by: Noted by:

MARA STEFANIE DE LEON, MD RAUL MICHAEL J. CEMBRANO, MD

Chief Resident Chief, Dept. of Rehabilitation Medicine