Republic of the Philippines

Department of Health
TREATMENT AND REHABILITATION CENTER-BATAAN
Bry. Liyang, Pilar, Bataan

HOSPITAL FEES
for the month of SEPTEMBER 2020

Case No. Name Date of Admission Date of Send Off Classification Amount

940 LARION, MARK 8/16/2019 C4 240.00

945 ESTRELLA,ROMAN D. 8/26/2019 C4 240.00
967 NOVENCIDO, REYNALDO C. 10/8/2019 C4 800.00
1002 DELA CRUZ, ROUIE L. 12/6/2019 A 8,000.00
1008 AQUINO, JERAMIL M. 1/2/2020 A 8,000.00
1019 AZURIN JOSEPH J. 1/24/2020 C4 800.00
1022 PAMULAGAN, JERICO S. 1/28/2020 C2 4,000.00
1028 CONCEPCION,JEFFER D. 2/12/2020 C2 4,000.00
1043 MALIBIRAN, LOUIZ ANGELO C. 7/24/2020 C1 6,000.00
1045 BANZON, MYRON GLEN 8/14/2020 A 8,000.00
Total Hospital fees billed for the month 40,080.00

LEGEND:

PATIENT'S CLASIFICATION DISCOUNT HF RATE/MONTH

A 0% 8,000.00
C1 25% 6,000.00
C2 50% 4,000.00
C3 75% 2,000.00
C4 90% 800.00
D 100% -

Prepared by: Certified Correct:

JAIME P. ROBLES VIRGINIA B. MATIC

Aministrative Assistant II Administrative Officer III
 Republic of the Philippines
Department of Health
TREATMENT AND REHABILITATION CENTER-BATAAN
Bry. Liyang, Pilar, Bataan

HOSPITAL FEES
for the month of OCTOBER 2020

Case No. Name Date of Admission Date of Send Off Classification Amount

967 NOVENCIDO, REYNALDO C. 10/8/2019 C4 800.00

1002 DELA CRUZ, ROUIE L. 12/6/2019 A 8,000.00
1008 AQUINO, JERAMIL M. 1/2/2020 A 8,000.00
1019 AZURIN JOSEPH J. 1/24/2020 C4 800.00
1022 PAMULAGAN, JERICO S. 1/28/2020 C2 4,000.00
1028 CONCEPCION,JEFFER D. 2/12/2020 C2 4,000.00
1043 MALIBIRAN, LOUIZ ANGELO C. 7/24/2020 C1 6,000.00
1045 BANZON, MYRON GLEN 8/14/2020 A 8,000.00
1049 CRUZ, JOHN JHON CRUZ 10/8/2020 C2 2,967.74
1050 BALUYOT, JYHM RAY 10/13/2020 C3 1,161.29
1051 MAYOS, LUISITO IGNACIO 10/20/2020 A 2,838.71

Total Hospital fees billed for the month 46,567.74

LEGEND:

PATIENT'S CLASIFICATION DISCOUNT HF RATE/MONTH

A 0% 8,000.00
C1 25% 6,000.00
C2 50% 4,000.00
C3 75% 2,000.00
C4 90% 800.00
D 100% -

Prepared by: Certified Correct:

JAIME P. ROBLES JELA MARIE D. PIZARRO

Aministrative Assistant II OIC-AO III ( BILLING)
 Republic of the Philippines
Department of Health
TREATMENT AND REHABILITATION CENTER-BATAAN
Bry. Liyang, Pilar, Bataan

HOSPITAL FEES
for the month of NOVEMBER 2020

Case No. Name Date of Admission Date of Send Off Classification Amount

898-A CARL ANGELO PASCUA 11/24/2020 C4 160.00

967 NOVENCIDO, REYNALDO C. 10/8/2019 C4 800.00
1002 DELA CRUZ, ROUIE L. 12/6/2019 A 8,000.00
1008 AQUINO, JERAMIL M. 1/2/2020 A 8,000.00
1019 AZURIN JOSEPH J. 1/24/2020 C4 800.00
1022 PAMULAGAN, JERICO S. 1/28/2020 C2 4,000.00
1028 CONCEPCION,JEFFER D. 2/12/2020 C2 4,000.00
1043 MALIBIRAN, LOUIZ ANGELO C. 7/24/2020 C1 6,000.00
1045 BANZON, MYRON GLEN 8/14/2020 A 8,000.00
1049 CRUZ, JOHN JHON CRUZ 10/8/2020 C2 4,000.00
1051 MAYOR, LUISITO IGNACIO 10/20/2020 A 8,000.00
1054 FLORENTINO, JOHN KARL 11/6/2020 C3 1,600.00

Total Hospital fees billed for the month 53,360.00

LEGEND:

PATIENT'S CLASIFICATION DISCOUNT HF RATE/MONTH

A 0% 8,000.00
C1 25% 6,000.00
C2 50% 4,000.00
C3 75% 2,000.00
C4 90% 800.00
D 100% -

Prepared by: Certified Correct:

JAIME P. ROBLES JELA MARIE D. PIZARRO

Aministrative Assistant II OIC-AO III ( BILLING)
 Republic of the Philippines
Department of Health
TREATMENT AND REHABILITATION CENTER-BATAAN
Bry. Liyang, Pilar, Bataan

HOSPITAL FEES
for the month of DECEMBER 2020

Case No. Name Date of Admission Date of Send Off Classification Amount

898-A CARL ANGELO PASCUA 11/24/2020 C4 800.00

967 NOVENCIDO, REYNALDO C. 10/8/2019 12/16/2020 C4 412.90
1002 DELA CRUZ, ROUIE L. 12/6/2019 12/18/2020 A 4,645.16
1008 AQUINO, JERAMIL M. 1/2/2020 A 8,000.00
1019 AZURIN JOSEPH J. 1/24/2020 12/18/2020 C4 464.52
1022 PAMULAGAN, JERICO S. 1/28/2020 C2 4,000.00
1028 CONCEPCION,JEFFER D. 2/12/2020 C2 4,000.00
1043 MALIBIRAN, LOUIZ ANGELO C. 7/24/2020 C1 6,000.00
1045 BANZON, MYRON GLEN 8/14/2020 A 8,000.00
1049 CRUZ, JOHN JHON CRUZ 10/8/2020 C2 4,000.00
1051 MAYOR, LUISITO IGNACIO 10/20/2020 A 8,000.00
1054 FLORENTINO, JOHN KARL 11/6/2020 C3 2,000.00
1059 HERBERT MANRIQUE 12/3/2020 A 7,225.81
1064 REGGIE SANCHEZ 12/18/2020 C3 838.71

Total Hospital fees billed for the month 58,387.10

LEGEND:

PATIENT'S CLASIFICATION DISCOUNT HF RATE/MONTH

A 0% 8,000.00
C1 25% 6,000.00
C2 50% 4,000.00
C3 75% 2,000.00
C4 90% 800.00
D 100% -

Prepared by: Certified Correct:

JAIME P. ROBLES JELA MARIE D. PIZARRO

Aministrative Assistant II OIC-AO III ( BILLING)
 Republic of the Philippines
Department of Health
TREATMENT AND REHABILITATION CENTER-BATAAN
Bry. Liyang, Pilar, Bataan

HOSPITAL FEES
for the month of JANUARY 2021

Case No. Name Date of Admission Date of Send Off Classification Amount

898-A CARL ANGELO PASCUA 11/24/2020 C4 800.00

1008 AQUINO, JERAMIL M. 1/2/2020 1/19/2021 A 4,903.23
1022 PAMULAGAN, JERICO S. 1/28/2020 C2 4,000.00
1028 CONCEPCION,JEFFER D. 2/12/2020 C2 4,000.00
1043 MALIBIRAN, LOUIZ ANGELO C. 7/24/2020 C1 6,000.00
1045 BANZON, MYRON GLEN 8/14/2020 12/7/2020 A (6,193.55)
1049 CRUZ, JOHN JHON CRUZ 10/8/2020 C2 4,000.00
1051 MAYOR, LUISITO IGNACIO 10/20/2020 A 8,000.00
1054 FLORENTINO, JOHN KARL 11/6/2020 C3 2,000.00
1059 HERBERT MANRIQUE 12/3/2020 C3 2,000.00
1064 REGGIE SANCHEZ 12/18/2020 C3 2,000.00
1066 SANTIAGO, ACE DUCAY 1/7/2021 C2 3,096.77
Total Hospital fees billed for the month 34,606.45

LEGEND:

PATIENT'S CLASIFICATION DISCOUNT HF RATE/MONTH

A 0% 8,000.00
C1 25% 6,000.00
C2 50% 4,000.00
C3 75% 2,000.00
C4 90% 800.00
D 100% -

Prepared by: Certified Correct:

JAIME P. ROBLES JELA MARIE D. PIZARRO

Aministrative Assistant II OIC-AO III ( BILLING)
 Republic of the Philippines
Department of Health
TREATMENT AND REHABILITATION CENTER-BATAAN
Bry. Liyang, Pilar, Bataan

HOSPITAL FEES
for the month of FEBRUARY 2021

Case No. Name Date of Admission Date of Send Off Classification Amount

898-A CARL ANGELO PASCUA 11/24/2020 C4 800.00

970 JOHN ERWIN REYES 2/4/2021 C4 685.71
1022 PAMULAGAN, JERICO S. 1/28/2020 C2 4,000.00
1028 CONCEPCION,JEFFER D. 2/12/2020 C2 4,000.00
1043 MALIBIRAN, LOUIZ ANGELO C. 7/24/2020 C1 6,000.00
1049 CRUZ, JOHN JHON CRUZ 10/8/2020 C2 4,000.00
1051 MAYOR, LUISITO IGNACIO 10/20/2020 A 8,000.00
1054 FLORENTINO, JOHN KARL 11/6/2020 C3 2,000.00
1059 HERBERT MANRIQUE 12/3/2020 C3 2,000.00
1064 REGGIE SANCHEZ 12/18/2020 C3 2,000.00
1066 SANTIAGO, ACE DUCAY 1/7/2021 C2 4,000.00
1074 SANNY PERFECTO JALMAANI 2/3/2021 C1 5,357.14
1076 GEORGE LORETO CABRERA 2/5/2021 C3 1,642.86
1082 ERRICK ROMAN CABRAL 2/9/2021 C4 542.86
1083 MARIO ALBELDA DELA CRUZ 2/9/2021 C4 542.86
1085 EXEQUIEL GUINTO DAVID 2/19/2021 C4 257.14
1087 MEL IAN MIRANDA FERNANDEZ 2/24/2021 C4 114.29
Total Hospital fees billed for the month 45,942.86

LEGEND:

PATIENT'S CLASIFICATION DISCOUNT HF RATE/MONTH

A 0% 8,000.00
C1 25% 6,000.00
C2 50% 4,000.00
C3 75% 2,000.00
C4 90% 800.00
D 100% -

Prepared by: Certified Correct:

JAIME P. ROBLES JELA MARIE D. PIZARRO

Aministrative Assistant II OIC-AO III ( BILLING)
 Republic of the Philippines
Department of Health
TREATMENT AND REHABILITATION CENTER-BATAAN
Bry. Liyang, Pilar, Bataan 2101

HOSPITAL FEES
for the month of MARCH 2021

Case No. Name Date of Admission Date of Send Off Classification Amount

898-A CARL ANGELO PASCUA 11/24/2020 C4 800.00

970-A JOHN ERWIN REYES 2/4/2021 C4 800.00
1022 PAMULAGAN, JERICO S. 1/28/2020 C2 4,000.00
1028 CONCEPCION,JEFFER D. 2/12/2020 3/8/2021 C2 1,032.26
1043 MALIBIRAN, LOUIZ ANGELO C. 7/24/2020 C1 6,000.00
1049 CRUZ, JOHN JHON CRUZ 10/8/2020 C2 4,000.00
1051 MAYOR, LUISITO IGNACIO 10/20/2020 A 8,000.00
1054 FLORENTINO, JOHN KARL 11/6/2020 C3 2,000.00
1059 HERBERT MANRIQUE 12/3/2020 C3 2,000.00
1064 REGGIE SANCHEZ 12/18/2020 C3 2,000.00
1066 SANTIAGO, ACE DUCAY 1/7/2021 C2 4,000.00
1074 SANNY PERFECTO JALMAANI 2/3/2021 C1 6,000.00
1076 GEORGE LORETO CABRERA 2/5/2021 C3 2,000.00
1082 ERRICK ROMAN CABRAL 2/9/2021 C4 800.00
1083 MARIO ALBELDA DELA CRUZ 2/9/2021 C4 800.00
1085 EXEQUIEL GUINTO DAVID 2/19/2021 C4 800.00
1087 MEL IAN MIRANDA FERNANDEZ 2/24/2021 C4 800.00
1092 JOSE ALLAN DELA VEGA 3/3/2021 C2 3,612.90
1103 ALEXANDER CAYANAN 3/24/2021 C3 451.61
Total Hospital fees billed for the month 49,896.77

LEGEND:

PATIENT'S CLASIFICATION DISCOUNT HF RATE/MONTH

A 0% 8,000.00
C1 25% 6,000.00
C2 50% 4,000.00
C3 75% 2,000.00
C4 90% 800.00
D 100% -

Prepared by: Certified Correct:

JAIME P. ROBLES JELA MARIE D. PIZARRO

Aministrative Assistant II ADMN. OFFICER III

TRCB-BIL -04-15-00
 Republic of the Philippines
Department of Health
TREATMENT AND REHABILITATION CENTER-BATAAN
Bry. Liyang, Pilar, Bataan 2101

HOSPITAL FEES
for the month of APRIL 2021

Case No. Name Date of Admission Date of Send Off Classification Amount

898-A CARL ANGELO PASCUA 11/24/2020 C4 800.00

970-A JOHN ERWIN REYES 2/4/2021 RE-CLASSIFY I -
1022 PAMULAGAN, JERICO S. 1/28/2020 C2 4,000.00
1043 MALIBIRAN, LOUIZ ANGELO C. 7/24/2020 C1 6,000.00
1049 CRUZ, JOHN JHON CRUZ 10/8/2020 C2 4,000.00
1051 MAYOR, LUISITO IGNACIO 10/20/2020 A 8,000.00
1054 FLORENTINO, JOHN KARL 11/6/2020 C3 2,000.00
1059 HERBERT MANRIQUE 12/3/2020 C3 2,000.00
1064 REGGIE SANCHEZ 12/18/2020 C3 2,000.00
1066 SANTIAGO, ACE DUCAY 1/7/2021 C2 4,000.00
1074 SANNY PERFECTO JALMAANI 2/3/2021 C1 6,000.00
1076 GEORGE LORETO CABRERA 2/5/2021 C3 2,000.00
1082 ERRICK ROMAN CABRAL 2/9/2021 C4 800.00
1083 MARIO ALBELDA DELA CRUZ 2/9/2021 C4 800.00
1085 EXEQUIEL GUINTO DAVID 2/19/2021 C4 800.00
1087 MEL IAN MIRANDA FERNANDEZ 2/24/2021 C4 800.00
1092 JOSE ALLAN DELA VEGA 3/3/2021 C2 4,000.00
1103 ALEXANDER CAYANAN 3/24/2021 C3 2,000.00
Total Hospital fees billed for the month 50,000.00

LEGEND:

PATIENT'S CLASIFICATION DISCOUNT HF RATE/MONTH

A 0% 8,000.00
C1 25% 6,000.00
C2 50% 4,000.00
C3 75% 2,000.00
C4 90% 800.00
D 100% -

Prepared by: Certified Correct:

JAIME P. ROBLES JELA MARIE D. PIZARRO

Aministrative Assistant II ADMN. OFFICER III

TRCB-BILL-04-05-00
 Republic of the Philippines
Department of Health
TREATMENT AND REHABILITATION CENTER-BATAAN
Bry. Liyang, Pilar, Bataan 2101

HOSPITAL FEES
for the month of MAY 2021

Case No. Name Date of Admission Date of Send Off Classification Amount

898-A CARL ANGELO PASCUA 11/24/2020 C4 800.00

1022 PAMULAGAN, JERICO S. 1/28/2020 C2 4,000.00
1043 MALIBIRAN, LOUIZ ANGELO C. 7/24/2020 C1 6,000.00
1049 CRUZ, JOHN JHON CRUZ 10/8/2020 C2 4,000.00
1051 MAYOR, LUISITO IGNACIO 10/20/2020 A 8,000.00
1054 FLORENTINO, JOHN KARL 11/6/2020 C3 2,000.00
1059 HERBERT MANRIQUE 12/3/2020 C3 2,000.00
1064 REGGIE SANCHEZ 12/18/2020 C3 2,000.00
1066 SANTIAGO, ACE DUCAY 1/7/2021 C2 4,000.00
1074 SANNY PERFECTO JALMAANI 2/3/2021 C1 6,000.00
1076 GEORGE LORETO CABRERA 2/5/2021 C3 2,000.00
1082 ERRICK ROMAN CABRAL 2/9/2021 C4 800.00
1083 MARIO ALBELDA DELA CRUZ 2/9/2021 C4 800.00
1085 EXEQUIEL GUINTO DAVID 2/19/2021 C4 800.00
1087 MEL IAN MIRANDA FERNANDEZ 2/24/2021 C4 800.00
1092 JOSE ALLAN DELA VEGA 3/3/2021 C2 4,000.00
1103 ALEXANDER CAYANAN 3/24/2021 C3 2,000.00
1109 ANGELO BADJAOCRUZ 4/19/2021 RE-CLASSIFY-MAY.2021 C4 800.00
1112 NORMAN GUILA 5/5/2021 C3 1,677.42
Total Hospital fees billed for the month 52,477.42

LEGEND:

PATIENT'S CLASIFICATION DISCOUNT HF RATE/MONTH

A 0% 8,000.00
C1 25% 6,000.00
C2 50% 4,000.00
C3 75% 2,000.00
C4 90% 800.00
D 100% -

Prepared by: Certified Correct:

JAIME P. ROBLES JELA MARIE D. PIZARRO

Aministrative Assistant II ADMN. OFFICER III

TRCB-BILL-04-05-00
 Republic of the Philippines
Department of Health
TREATMENT AND REHABILITATION CENTER-BATAAN
Bry. Liyang, Pilar, Bataan 2101

HOSPITAL FEES
for the month of JUNE 2021

Case No. Name Date of Admission Date of Send Off Classification Amount

898-A CARL ANGELO PASCUA 11/24/2020 C4 800.00

1022 PAMULAGAN, JERICO S. 1/28/2020 C2 4,000.00
1043 MALIBIRAN, LOUIZ ANGELO C. 7/24/2020 C1 6,000.00
1049 CRUZ, JOHN JHON CRUZ 10/8/2020 C2 4,000.00
1051 MAYOR, LUISITO IGNACIO 10/20/2020 A 8,000.00
1054 FLORENTINO, JOHN KARL 11/6/2020 RE-CLASSIFY-JUNE.2021 C3--D -
1059 HERBERT MANRIQUE 12/3/2020 C3 2,000.00
1064 REGGIE SANCHEZ 12/18/2020 C3 2,000.00
1066 SANTIAGO, ACE DUCAY 1/7/2021 C2 4,000.00
1074 SANNY PERFECTO JALMAANI 2/3/2021 C1 6,000.00
1076 GEORGE LORETO CABRERA 2/5/2021 C3 2,000.00
1082 ERRICK ROMAN CABRAL 2/9/2021 C4 800.00
1083 MARIO ALBELDA DELA CRUZ 2/9/2021 C4 800.00
1085 EXEQUIEL GUINTO DAVID 2/19/2021 RE-CLASSIFY-JUNE.2021 C4-D -
1087 MEL IAN MIRANDA FERNANDEZ 2/24/2021 C4 800.00
1092 JOSE ALLAN DELA VEGA 3/3/2021 C2 4,000.00
1103 ALEXANDER CAYANAN 3/24/2021 C3 2,000.00
1109 ANGELO BADJAOCRUZ 4/19/2021 C4 800.00
1112 NORMAN GUILA 5/5/2021 C3 2,000.00
Total Hospital fees billed for the month 50,000.00

LEGEND:

PATIENT'S CLASIFICATION DISCOUNT HF RATE/MONTH

A 0% 8,000.00
C1 25% 6,000.00
C2 50% 4,000.00
C3 75% 2,000.00
C4 90% 800.00
D 100% -

Prepared by: Certified Correct:

JAIME P. ROBLES JELA MARIE D. PIZARRO

Aministrative Assistant II ADMN. OFFICER III

TRCB-BILL-04-05-00
 Republic of the Philippines
Department of Health
TREATMENT AND REHABILITATION CENTER-BATAAN
Bry. Liyang, Pilar, Bataan 2101

HOSPITAL FEES
for the month of JULY 2021

Case No. Name Date of Admission Date of Send Off Classification Amount

898-A CARL ANGELO PASCUA 11/24/2020 C4 800.00

1022 PAMULAGAN, JERICO S. 1/28/2020 C2 4,000.00
1043 MALIBIRAN, LOUIZ ANGELO C. 7/24/2020 C1 6,000.00
1049 CRUZ, JOHN JHON CRUZ 10/8/2020 C2 4,000.00
1051 MAYOR, LUISITO IGNACIO 10/20/2020 A 8,000.00
1059 HERBERT MANRIQUE 12/3/2020 C3 2,000.00
1064 REGGIE SANCHEZ 12/18/2020 C3 2,000.00
1066 SANTIAGO, ACE DUCAY 1/7/2021 C2 4,000.00
1074 SANNY PERFECTO JALMAANI 2/3/2021 C1 6,000.00
1082 ERRICK ROMAN CABRAL 2/9/2021 C4 800.00
1083 MARIO ALBELDA DELA CRUZ 2/9/2021 C4 800.00
1087 MEL IAN MIRANDA FERNANDEZ 2/24/2021 RE-CLASSIFY JULY.2021 D -
1092 JOSE ALLAN DELA VEGA 3/3/2021 C2 4,000.00
1103 ALEXANDER CAYANAN 3/24/2021 C3 2,000.00
1109 ANGELO BADJAOCRUZ 4/19/2021 C4 800.00
1112 NORMAN GUILA 5/5/2021 C3 2,000.00
Total Hospital fees billed for the month 47,200.00

LEGEND:

PATIENT'S CLASIFICATION DISCOUNT HF RATE/MONTH

A 0% 8,000.00
C1 25% 6,000.00
C2 50% 4,000.00
C3 75% 2,000.00
C4 90% 800.00
D 100% -

Prepared by: Certified Correct:

JAIME P. ROBLES JELA MARIE D. PIZARRO

Aministrative Assistant II ADMN. OFFICER III

TRCB-BILL-04-05-00
 Republic of the Philippines
Department of Health
TREATMENT AND REHABILITATION CENTER-BATAAN
Bry. Liyang, Pilar, Bataan 2101

HOSPITAL FEES
for the month of AUGUST 2021

Case No. Name Date of Admission Date of Send Off Classification Amount

898-A CARL ANGELO PASCUA 11/24/2020 C4 800.00

1022 PAMULAGAN, JERICO S. 1/28/2020 8/11/2021 C2 1,419.35
1043 MALIBIRAN, LOUIZ ANGELO C. 7/24/2020 8/11/2021 C1 2,129.03
1049 CRUZ, JOHN JHON CRUZ 10/8/2020 C2 4,000.00
1051 MAYOR, LUISITO IGNACIO 10/20/2020 A 8,000.00
1059 HERBERT MANRIQUE 12/3/2020 C3 2,000.00
1064 REGGIE SANCHEZ 12/18/2020 C3 2,000.00
1066 SANTIAGO, ACE DUCAY 1/7/2021 C2 4,000.00
1074 SANNY PERFECTO JALMAANI 2/3/2021 C1 6,000.00
1082 ERRICK ROMAN CABRAL 2/9/2021 C4 800.00
1083 MARIO ALBELDA DELA CRUZ 2/9/2021 C4 800.00
1092 JOSE ALLAN DELA VEGA 3/3/2021 C2 4,000.00
1103 ALEXANDER CAYANAN 3/24/2021 C3 2,000.00
1109 ANGELO BADJAOCRUZ 4/19/2021 C4 800.00
1112 NORMAN GUILA 5/5/2021 C3 2,000.00
Total Hospital fees billed for the month 40,748.38

LEGEND:

PATIENT'S CLASIFICATION DISCOUNT HF RATE/MONTH

A 0% 8,000.00
C1 25% 6,000.00
C2 50% 4,000.00
C3 75% 2,000.00
C4 90% 800.00
D 100% -

Prepared by: Certified Correct:

JAIME P. ROBLES JELA MARIE D. PIZARRO

Aministrative Assistant II ADMN. OFFICER III

TRCB-BILL-04-05-00
 Republic of the Philippines
Department of Health
TREATMENT AND REHABILITATION CENTER-BATAAN
Bry. Liyang, Pilar, Bataan 2101

HOSPITAL FEES
for the month of SEPTEMBER 2021

Case No. Name Date of Admission Date of Send Off Classification Amount

898-A CARL ANGELO PASCUA 11/24/2020 C4 800.00

1049 CRUZ, JOHN JHON CRUZ 10/8/2020 9/27/2021 C2 3,600.00
1051 MAYOR, LUISITO IGNACIO 10/20/2020 A 8,000.00
1059 HERBERT MANRIQUE 12/3/2020 C3 2,000.00
1064 REGGIE SANCHEZ 12/18/2020 C3 2,000.00
1066 SANTIAGO, ACE DUCAY 1/7/2021 C2 4,000.00
1074 SANNY PERFECTO JALMAANI 2/3/2021 C1 6,000.00
1082 ERRICK ROMAN CABRAL 2/9/2021 C4 800.00
1083 MARIO ALBELDA DELA CRUZ 2/9/2021 C4 800.00
1092 JOSE ALLAN DELA VEGA 3/3/2021 C2 4,000.00
1103 ALEXANDER CAYANAN 3/24/2021 C3 2,000.00
1109 ANGELO BADJAOCRUZ 4/19/2021 C4 800.00
1112 NORMAN GUILA 5/5/2021 C3 2,000.00
Total Hospital fees billed for the month 36,800.00

LEGEND:

PATIENT'S CLASIFICATION DISCOUNT HF RATE/MONTH

A 0% 8,000.00
C1 25% 6,000.00
C2 50% 4,000.00
C3 75% 2,000.00
C4 90% 800.00
D 100% -

Prepared by: Certified Correct:

JAIME P. ROBLES JELA MARIE D. PIZARRO

Aministrative Assistant II ADMN. OFFICER III

TRCB-BILL-04-05-00
 Republic of the Philippines
Department of Health
TREATMENT AND REHABILITATION CENTER-BATAAN
Bry. Liyang, Pilar, Bataan 2101

HOSPITAL FEES
for the month of OCTOBER 2021

Case No. Name Date of Admission Date of Send Off Classification Amount

898-A CARL ANGELO PASCUA 11/24/2020 C4 800.00

1051 MAYOR, LUISITO IGNACIO 10/20/2020 A 8,000.00
1059 HERBERT MANRIQUE 12/3/2020 C3 2,000.00
1064 REGGIE SANCHEZ 12/18/2020 C3 2,000.00
1066 SANTIAGO, ACE DUCAY 1/7/2021 C2 4,000.00
1074 SANNY PERFECTO JALMAANI 2/3/2021 C1 6,000.00
1082 ERRICK ROMAN CABRAL 2/9/2021 C4 800.00
1083 MARIO ALBELDA DELA CRUZ 2/9/2021 C4 800.00
1092 JOSE ALLAN DELA VEGA 3/3/2021 C2 4,000.00
1103 ALEXANDER CAYANAN 3/24/2021 C3 2,000.00
1109 ANGELO BADJAOCRUZ 4/19/2021 C4 800.00
1112 NORMAN GUILA 5/5/2021 C3 2,000.00
Total Hospital fees billed for the month 33,200.00

LEGEND:

PATIENT'S CLASIFICATION DISCOUNT HF RATE/MONTH

A 0% 8,000.00
C1 25% 6,000.00
C2 50% 4,000.00
C3 75% 2,000.00
C4 90% 800.00
D 100% -

Prepared by: Certified Correct:

JAIME P. ROBLES JELA MARIE D. PIZARRO

Aministrative Assistant II ADMN. OFFICER III

TRCB-BILL-04-05-00
 Republic of the Philippines
Department of Health
TREATMENT AND REHABILITATION CENTER-BATAAN
Bry. Liyang, Pilar, Bataan 2101

HOSPITAL FEES
for the month of NOVEMBER 2021

Case No. Name Date of Admission Date of Send Off Classification Amount

898-A CARL ANGELO PASCUA 11/24/2020 11/10/2021 C4 266.67

1051 MAYOR, LUISITO IGNACIO 10/20/2020 11/19/2021 A 5,066.67
1059 HERBERT MANRIQUE 12/3/2020 C3 2,000.00
1064 REGGIE SANCHEZ 12/18/2020 11/10/2021 C3 666.67
1066 SANTIAGO, ACE DUCAY 1/7/2021 11/19/2021 C2 2,533.33
1074 SANNY PERFECTO JALMAANI 2/3/2021 RE-CLASSIFY-NOV.2021 C4 800.00
1082 ERRICK ROMAN CABRAL 2/9/2021 C4 800.00
1083 MARIO ALBELDA DELA CRUZ 2/9/2021 C4 800.00
1092 JOSE ALLAN DELA VEGA 3/3/2021 C2 4,000.00
1103 ALEXANDER CAYANAN 3/24/2021 C3 2,000.00
1109 ANGELO BADJAOCRUZ 4/19/2021 C4 800.00
1112 NORMAN GUILA 5/5/2021 C3 2,000.00
1117 ARIES SANTOS ALFONSO 11/12/2021 C2 2,400.00
1123 NINO TORRES SESE 11/23/2021 C3 733.33
1126 REYNALDO PABLO SANCHEZ JR. 11/26/2021 C2 1,066.67
Total Hospital fees billed for the month 25,933.34

LEGEND:

PATIENT'S CLASIFICATION DISCOUNT HF RATE/MONTH

A 0% 8,000.00
C1 25% 6,000.00
C2 50% 4,000.00
C3 75% 2,000.00
C4 90% 800.00
D 100% -

Prepared by: Certified Correct:

JAIME P. ROBLES JELA MARIE D. PIZARRO

Aministrative Assistant II ADMN. OFFICER III

TRCB-BILL-04-05-00
 Republic of the Philippines
Department of Health
TREATMENT AND REHABILITATION CENTER-BATAAN
Bry. Liyang, Pilar, Bataan 2101

HOSPITAL FEES
for the month of DECEMBER 2021

Case No. Name Date of Admission Date of Send Off Classification Amount

1059 HERBERT MANRIQUE 12/3/2020 C3 2,000.00

1074 SANNY PERFECTO JALMAANI 2/3/2021 12/22/2021 C4 567.74
1082 ERRICK ROMAN CABRAL 2/9/2021 12/22/2021 C4 567.74
1083 MARIO ALBELDA DELA CRUZ 2/9/2021 12/22/2021 C4 567.74
1092 JOSE ALLAN DELA VEGA 3/3/2021 C2 4,000.00
1103 ALEXANDER CAYANAN 3/24/2021 C3 2,000.00
1109 ANGELO BADJAOCRUZ 4/19/2021 C4 800.00
1112 NORMAN GUILA 5/5/2021 C3 2,000.00
1117 ARIES SANTOS ALFONSO 11/12/2021 C2 4,000.00
1123 NINO TORRES SESE 11/23/2021 C3 2,000.00
1126 REYNALDO PABLO SANCHEZ JR. 11/26/2021 C2 4,000.00
1127 VAL CAGUMBAY 12/13/2021 C3 1,161.29
Total Hospital fees billed for the month 23,664.51

LEGEND:

PATIENT'S CLASIFICATION DISCOUNT HF RATE/MONTH

A 0% 8,000.00
C1 25% 6,000.00
C2 50% 4,000.00
C3 75% 2,000.00
C4 90% 800.00
D 100% -

Prepared by: Certified Correct:

JAIME P. ROBLES JELA MARIE D. PIZARRO

Aministrative Assistant II ADMN. OFFICER III

TRCB-BILL-04-05-00
 Republic of the Philippines
Department of Health
TREATMENT AND REHABILITATION CENTER-BATAAN
Bry. Liyang, Pilar, Bataan 2101

HOSPITAL FEES
for the month of JANUARY 2022

Case No. Name Date of Admission Date of Send Off Classification Amount

1059 HERBERT MANRIQUE 12/3/2020 C3 2,000.00

1092 JOSE ALLAN DELA VEGA 3/3/2021 C2 4,000.00
1103 ALEXANDER CAYANAN 3/24/2021 C3 2,000.00
1109 ANGELO BADJAOCRUZ 4/19/2021 C4 800.00
1112 NORMAN GUILA 5/5/2021 C3 2,000.00
1117 ARIES SANTOS ALFONSO 11/12/2021 C2 4,000.00
1123 NINO TORRES SESE 11/23/2021 C3 2,000.00
1126 REYNALDO PABLO SANCHEZ JR. 11/26/2021 C2 4,000.00
1127 VAL CAGUMBAY 12/13/2021 C3 2,000.00
1131 ALBERT MARERO 1/3/2022 C4 722.58
Total Hospital fees billed for the month 23,522.58

LEGEND:

PATIENT'S CLASIFICATION DISCOUNT HF RATE/MONTH

A 0% 8,000.00
C1 25% 6,000.00
C2 50% 4,000.00
C3 75% 2,000.00
C4 90% 800.00
D 100% -

Prepared by: Certified Correct:

JAIME P. ROBLES JELA MARIE D. PIZARRO

Aministrative Assistant II ADMN. OFFICER III

TRCB-BILL-04-05-00
 Republic of the Philippines
Department of Health
TREATMENT AND REHABILITATION CENTER-BATAAN
Bry. Liyang, Pilar, Bataan 2101

HOSPITAL FEES
for the month of FEBRUARY 2022

Case No. Name Date of Admission Date of Send Off Classification Amount

1059 HERBERT MANRIQUE 12/3/2020 C3 2,000.00

1092 JOSE ALLAN DELA VEGA 3/3/2021 C2 4,000.00
1103 ALEXANDER CAYANAN 3/24/2021 C3 2,000.00
1109 ANGELO BADJAOCRUZ 4/19/2021 C4 800.00
1112 NORMAN GUILA 5/5/2021 C3 2,000.00
1117 ARIES SANTOS ALFONSO 11/12/2021 C2 4,000.00
1123 NINO TORRES SESE 11/23/2021 C3 2,000.00
1126 REYNALDO PABLO SANCHEZ JR. 11/26/2021 C2 4,000.00
1127 VAL CAGUMBAY 12/13/2021 C3 2,000.00
1131 ALBERT MARERO 1/3/2022 C4 800.00
1133 DANQUE MARK EDWARD NOLASCA 2/22/2022 C4 171.43
Total Hospital fees billed for the month 23,771.43

LEGEND:

PATIENT'S CLASIFICATION DISCOUNT HF RATE/MONTH

A 0% 8,000.00
C1 25% 6,000.00
C2 50% 4,000.00
C3 75% 2,000.00
C4 90% 800.00
D 100% -

Prepared by: Certified Correct:

JAIME P. ROBLES JELA MARIE D. PIZARRO

Aministrative Assistant II ADMN. OFFICER III

TRCB-BILL-04-05-00
 Republic of the Philippines
Department of Health
TREATMENT AND REHABILITATION CENTER-BATAAN
Bry. Liyang, Pilar, Bataan 2101

HOSPITAL FEES
for the month of MARCH 2022

Case No. Name Date of Admission Date of Send Off Classification Amount

40 CHARLON ALBA CABANTOG 3/16/2022 C3 967.74

1059 HERBERT MANRIQUE 12/3/2020 C3 2,000.00
1092 JOSE ALLAN DELA VEGA 3/3/2021 C2 4,000.00
1103 ALEXANDER CAYANAN 3/24/2021 C3 2,000.00
1109 ANGELO BADJAOCRUZ 4/19/2021 C4 800.00
1112 NORMAN GUILA 5/5/2021 C3 2,000.00
1117 ARIES SANTOS ALFONSO 11/12/2021 C2 4,000.00
1123 NINO TORRES SESE 11/23/2021 C3 2,000.00
1126 REYNALDO PABLO SANCHEZ JR. 11/26/2021 C2 4,000.00
1127 VAL CAGUMBAY 12/13/2021 C3 2,000.00
1131 ALBERT MARERO 1/3/2022 C4 800.00
1133 DANQUE MARK EDWARD NOLASCA 2/22/2022 C4 800.00
1140 CHARLON SINGCA PERELONIA 3/8/2022 C2 2,967.74
1143 EDWIN SALAZAR CARA 3/8/2022 A 5,935.48
1144 JUAN MIGUEL SIOSON 3/11/2022 C3 1,290.32

Total Hospital fees billed for the month 35,561.28

LEGEND:

PATIENT'S CLASIFICATION DISCOUNT HF RATE/MONTH

A 0% 8,000.00
C1 25% 6,000.00
C2 50% 4,000.00
C3 75% 2,000.00
C4 90% 800.00
D 100% -

Prepared by: Certified Correct:

JAIME P. ROBLES JELA MARIE D. PIZARRO

Aministrative Assistant II ADMN. OFFICER III

TRCB-BILL-04-05-00
 Republic of the Philippines
Department of Health
TREATMENT AND REHABILITATION CENTER-BATAAN
Bry. Liyang, Pilar, Bataan 2101

HOSPITAL FEES
for the month of APR. 2022

Case No. Name Date of Admission Date of Send Off Classification Amount

40 CHARLON ALBA CABANTOG 3/16/2022 C3 2,000.00

919 MARK ANTHONY DELA CRUZ 4/18/2022 C4 320.00
1059 HERBERT MANRIQUE 12/3/2020 C3 2,000.00
1092 JOSE ALLAN DELA VEGA 3/3/2021 C2 4,000.00
1103 ALEXANDER CAYANAN 3/24/2021 4/17/2022 C3 1,133.33
1109 ANGELO BADJAOCRUZ 4/19/2021 4/17/2022 C4 453.33
1112 NORMAN GUILA 5/5/2021 4/17/2022 C3 1,133.33
1117 ARIES SANTOS ALFONSO 11/12/2021 C2 4,000.00
1123 NINO TORRES SESE 11/23/2021 4/26/2022 C3 1,733.33
1126 REYNALDO PABLO SANCHEZ JR. 11/26/2021 C2 4,000.00
1127 VAL CAGUMBAY 12/13/2021 C3 2,000.00
1131 ALBERT MARERO 1/3/2022 C4 800.00
1133 DANQUE MARK EDWARD NOLASCA 2/22/2022 C4 800.00
1140 CHARLON SINGCA PERELONIA 3/8/2022 C2 4,000.00
1143 EDWIN SALAZAR CARA 3/8/2022 A 8,000.00
1144 JUAN MIGUEL SIOSON 3/11/2022 C3 2,000.00

Total Hospital fees billed for the month 38,373.32

LEGEND:

PATIENT'S CLASIFICATION DISCOUNT HF RATE/MONTH

A 0% 8,000.00
C1 25% 6,000.00
C2 50% 4,000.00
C3 75% 2,000.00
C4 90% 800.00
D 100% -

Prepared by: Certified Correct:

JAIME P. ROBLES JELA MARIE D. PIZARRO

Aministrative Assistant II ADMN. OFFICER III

TRCB-BILL-04-05-00
 Republic of the Philippines
Department of Health
TREATMENT AND REHABILITATION CENTER-BATAAN
Bry. Liyang, Pilar, Bataan 2101

HOSPITAL FEES
for the month of MAY. 2022

Case No. Name Date of Admission Date of Send Off Classification Amount

40 CHARLON ALBA CABANTOG 3/16/2022 RE-CLASSIFY MAY.2022 C3-C4 800.00

919 MARK ANTHONY DELA CRUZ 4/18/2022 C4 800.00
1059 HERBERT MANRIQUE 12/3/2020 5/11/2022 C3 709.68
1092 JOSE ALLAN DELA VEGA 3/3/2021 5/11/2022 C2 1,419.35
1117 ARIES SANTOS ALFONSO 11/12/2021 C2 4,000.00
1126 REYNALDO PABLO SANCHEZ JR. 11/26/2021 C2 4,000.00
1127 VAL CAGUMBAY 12/13/2021 C3 2,000.00
1131 ALBERT MARERO 1/3/2022 C4 800.00
1133 DANQUE MARK EDWARD NOLASCA 2/22/2022 C4 800.00
1140 CHARLON SINGCA PERELONIA 3/8/2022 C2 4,000.00
1143 EDWIN SALAZAR CARA 3/8/2022 A 8,000.00
1144 JUAN MIGUEL SIOSON 3/11/2022 C3 2,000.00
1175 MARK LAWRENCE CALIMBAS 5/19/2022 C2 1,548.39
Total Hospital fees billed for the month 30,877.42

LEGEND:

PATIENT'S CLASIFICATION DISCOUNT HF RATE/MONTH

A 0% 8,000.00
C1 25% 6,000.00
C2 50% 4,000.00
C3 75% 2,000.00
C4 90% 800.00
D 100% -

Prepared by: Certified Correct:

JAIME P. ROBLES JELA MARIE D. PIZARRO

Aministrative Assistant II ADMN. OFFICER III

TRCB-BILL-04-05-00
 Republic of the Philippines
Department of Health
TREATMENT AND REHABILITATION CENTER-BATAAN
Bry. Liyang, Pilar, Bataan 2101

HOSPITAL FEES
for the month of JUNE. 2022

Case No. Name Date of Admission Date of Send Off Classification Amount

40 CHARLON ALBA CABANTOG 3/16/2022 C4 800.00

919 MARK ANTHONY DELA CRUZ 4/18/2022 C4 800.00
1117 ARIES SANTOS ALFONSO 11/12/2021 C2 4,000.00
1126 REYNALDO PABLO SANCHEZ JR. 11/26/2021 C2 4,000.00
1127 VAL CAGUMBAY 12/13/2021 C3 2,000.00
1131 ALBERT MARERO 1/3/2022 C4 800.00
1133 DANQUE MARK EDWARD NOLASCA 2/22/2022 C4 800.00
1140 CHARLON SINGCA PERELONIA 3/8/2022 C2 4,000.00
1143 EDWIN SALAZAR CARA 3/8/2022 A 8,000.00
1144 JUAN MIGUEL SIOSON 3/11/2022 C3 2,000.00
1175 MARK LAWRENCE CALIMBAS 5/19/2022 C2 4,000.00
1185 TERRENCE BITUIN 6/1/2022 A 7,733.33
Total Hospital fees billed for the month 38,933.33

LEGEND:

PATIENT'S CLASIFICATION DISCOUNT HF RATE/MONTH

A 0% 8,000.00
C1 25% 6,000.00
C2 50% 4,000.00
C3 75% 2,000.00
C4 90% 800.00
D 100% -

Prepared by: Certified Correct:

JAIME P. ROBLES JELA MARIE D. PIZARRO

Aministrative Assistant II ADMN. OFFICER III

TRCB-BILL-04-05-00
 Republic of the Philippines
Department of Health
TREATMENT AND REHABILITATION CENTER-BATAAN
Bry. Liyang, Pilar, Bataan 2101

HOSPITAL FEES
for the month of JULY. 2022

Case No. Name Date of Admission Date of Send Off Classification Amount

40 CHARLON ALBA CABANTOG 3/16/2022 7/6/2022 C4 154.84

919 MARK ANTHONY DELA CRUZ 4/18/2022 C4 800.00
1117 ARIES SANTOS ALFONSO 11/12/2021 C2 4,000.00
1126 REYNALDO PABLO SANCHEZ JR. 11/26/2021 C2 4,000.00
1127 VAL CAGUMBAY 12/13/2021 C3 2,000.00
1131 ALBERT MARERO 1/3/2022 C4 800.00
1133 DANQUE MARK EDWARD NOLASCA 2/22/2022 C4 800.00
1140 CHARLON SINGCA PERELONIA 3/8/2022 C2 4,000.00
1143 EDWIN SALAZAR CARA 3/8/2022 A 8,000.00
1144 JUAN MIGUEL SIOSON 3/11/2022 C3 2,000.00
1175 MARK LAWRENCE CALIMBAS 5/19/2022 C2 4,000.00
1185 TERENCE BITUIN 6/1/2022 A 8,000.00
1218 CARLO F. GLORIA 7/15/2022 A 4,129.03
1219 JAKE AGUILAR 7/22/2022 C3 580.65
Total Hospital fees billed for the month 43,264.52

LEGEND:

PATIENT'S CLASIFICATION DISCOUNT HF RATE/MONTH

A 0% 8,000.00
C1 25% 6,000.00
C2 50% 4,000.00
C3 75% 2,000.00
C4 90% 800.00
D 100% -

Prepared by: Certified Correct:

JAIME P. ROBLES JELA MARIE D. PIZARRO

Aministrative Assistant II ADMN. OFFICER III

TRCB-BILL-04-05-00
 Republic of the Philippines
Department of Health
TREATMENT AND REHABILITATION CENTER-BATAAN
Bry. Liyang, Pilar, Bataan 2101

HOSPITAL FEES
for the month of AUGUST. 2022

Case No. Name Date of Admission Date of Send Off Classification Amount

919 MARK ANTHONY DELA CRUZ 4/18/2022 C4 800.00

1117 ARIES SANTOS ALFONSO 11/12/2021 C2 4,000.00
1126 REYNALDO PABLO SANCHEZ JR. 11/26/2021 C2 4,000.00
1127 VAL CAGUMBAY 12/13/2021 C3 2,000.00
1131 ALBERT MARERO 1/3/2022 C4 800.00
1133 DANQUE MARK EDWARD NOLASCA 2/22/2022 C4 800.00
1140 CHARLON SINGCA PERELONIA 3/8/2022 C2 4,000.00
1143 EDWIN SALAZAR CARA 3/8/2022 A 8,000.00
1144 JUAN MIGUEL SIOSON 3/11/2022 C3 2,000.00
1175 MARK LAWRENCE CALIMBAS 5/19/2022 C2 4,000.00
1185 TERENCE BITUIN 6/1/2022 A 8,000.00
1218 CARLO F. GLORIA 7/15/2022 A 8,000.00
1219 JAKE AGUILAR 7/22/2022 C3 2,000.00
Total Hospital fees billed for the month 48,400.00

LEGEND:

PATIENT'S CLASIFICATION DISCOUNT HF RATE/MONTH

A 0% 8,000.00
C1 25% 6,000.00
C2 50% 4,000.00
C3 75% 2,000.00
C4 90% 800.00
D 100% -

Prepared by: Certified Correct:

JAIME P. ROBLES JELA MARIE D. PIZARRO

Aministrative Assistant II ADMN. OFFICER III

TRCB-BILL-04-05-00