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FACILITY FEE REPORT

Price: 550.00
PAYMENT FOR NEPHROLOGIST (PHILHEALTH)
NUMBER OF GROSS AMOUNT OF
DATE TREATMENT FACILITY FEE Dr. Atanacio Dr. Cabatbat
Patient Amount Patient Amount
October 1, 2022 - - -
October 2, 2022 - - -
October 3, 2022 - - -
October 4, 2022 - - -
October 5, 2022 - - -
October 6, 2022 - - -
October 7, 2022 - - -
October 8, 2022 - - -
October 9, 2022 - - -
October 10, 2022 - - -
October 11, 2022 - - -
October 12, 2022 - - -
October 13, 2022 - - -
October 14, 2022 - - -
October 15, 2022 - - -
October 16, 2022 - - -
October 17, 2022 - - -
October 18, 2022 - - -
October 19, 2022 - - -
October 20, 2022 - - -
October 21, 2022 - - -
October 22, 2022 - - -
October 23, 2022 - - -
October 24, 2022 - - -
October 25, 2022 - - -
October 26, 2022 - - -
October 27, 2022 - - -
October 28, 2022 - - -
October 29, 2022 - - -
October 30, 2022 - - -
October 31, 2022 - - -

- - - -
Not Deducted For
Monitoring Purpose
Only

OLOGIST (PHILHEALTH)
Total Amount of Physician on Duty NET AMOUNT OF
Dr. Dacayanan-Nisperos Deductions FREE FACILITY FEE FACILITY FEE
Patient Amount Name of Doctor
- - -
- - -
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- - -
- - -
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- - - -
FACILITY FEE INCOME STATEMENT
FOR THE MONTH OF OCTOBER 2022

GROSS SALES OF FACILITY FEE -


Less: Free facility Fee - -
Less: Deductions for Doctors -
NET SALES OF FACILITY FEE -

Less Expenses and replenishments

INCOME/ LOSS: -
FACILITY FEE REPORT
Price: 550.00
PAYMENT FOR NEPHROLOGIST (PHILHEALTH)
NUMBER OF GROSS AMOUNT OF
DATE TREATMENT FACILITY FEE Dr. Atanacio Dr. Cabatbat
Patient Amount Patient Amount
November 1, 2022 - - -
November 2, 2022 - - -
November 3, 2022 - - -
November 4, 2022 - - -
November 5, 2022 - - -
November 6, 2022 - - -
November 7, 2022 - - -
November 8, 2022 - - -
November 9, 2022 - - -
November 10, 2022 - - -
November 11, 2022 - - -
November 12, 2022 - - -
November 13, 2022 - - -
November 14, 2022 - - -
November 15, 2022 - - -
November 16, 2022 - - -
November 17, 2022 - - -
November 18, 2022 - - -
November 19, 2022 - - -
November 20, 2022 - - -
November 21, 2022 - - -
November 22, 2022 - - -
November 23, 2022 - - -
November 24, 2022 - - -
November 25, 2022 - - -
November 26, 2022 - - -
November 27, 2022 - - -
November 28, 2022 - - -
November 29, 2022 - - -
November 30, 2022 - - -
December 1, 2022 - - -

- - - -
Not Deducted For
Monitoring Purpose
Only

OLOGIST (PHILHEALTH)
Total Amount of Physician on Duty NET AMOUNT OF
Dr. Dacayanan-Nisperos Deductions FREE FACILITY FEE FACILITY FEE
Patient Amount Name of Doctor
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
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- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -

- - -
FACILITY FEE INCOME STATEMENT
FOR THE MONTH OF OCTOBER 2022
`
GROSS SALES OF FACILITY FEE -
Less: Free facility Fee - -
Less: Deductions for Doctors -
NET SALES OF FACILITY FEE -

Less Expenses and replenishments

INCOME/ LOSS: -
FACILITY FEE REPORT
Price: 550.00
PAYMENT FOR NEPHROLOGIST (PHILHEALTH)
NUMBER OF GROSS AMOUNT OF
DATE TREATMENT FACILITY FEE Dr. Atanacio Dr. Cabatbat
Patient Amount Patient Amount
December 1, 2022 - - -
December 2, 2022 - - -
December 3, 2022 - - -
December 4, 2022 - - -
December 5, 2022 - - -
December 6, 2022 - - -
December 7, 2022 - - -
December 8, 2022 - - -
December 9, 2022 - - -
December 10, 2022 - - -
December 11, 2022 - - -
December 12, 2022 - - -
December 13, 2022 - - -
December 14, 2022 - - -
December 15, 2022 - - -
December 16, 2022 - - -
December 17, 2022 - - -
December 18, 2022 - - -
December 19, 2022 - - -
December 20, 2022 - - -
December 21, 2022 - - -
December 22, 2022 - - -
December 23, 2022 - - -
December 24, 2022 - - -
December 25, 2022 - - -
December 26, 2022 - - -
December 27, 2022 - - -
December 28, 2022 - - -
December 29, 2022 - - -
December 30, 2022 - - -
December 31, 2022 - - -

- - - -
Not Deducted For
Monitoring Purpose
Only

OLOGIST (PHILHEALTH)
Total Amount of Physician on Duty NET AMOUNT OF
Dr. Dacayanan-Nisperos Deductions FREE FACILITY FEE FACILITY FEE
Patient Amount Name of Doctor
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
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- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -

- - -
FACILITY FEE INCOME STATEMENT
FOR THE MONTH OF OCTOBER 2022

GROSS SALES OF FACILITY FEE -


Less: Free facility Fee - -
Less: Deductions for Doctors -
NET SALES OF FACILITY FEE -

Less Expenses and replenishments

INCOME/ LOSS: -

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