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Republic of the Philippines

Autonomous Region in Muslim Mindanao


Department of Health
DATU ODIN SINSUAT DISTRICT HOSPITAL
Dalican, Datu Odin Sinsuat, Maguindanao, 9601
Email address: Dinaigmunhospital@yahoo.com / Dinaigmunhospital@gmail.com
Contact No: 0917622389

April 29, 2022

PASAYOD M. BEROWA, MPA


Overseer
Local Health Insurance Office- DOS
Capiton, Datu Odin Sinsuat Maguindanao

Sir:

Greetings!

In compliance with the PHILHEALTH policy, we are respectfully submitting to your good office
the official receipt attached to this letter as well as the transmittal summary for our claims
reimbursement as reflected below.

Reimbursement Summary

OR Number Amount Credit Date


2025988 45,636.00 April 27, 2022
2025989 97,505.00 April 27, 2022
2025990 202,655.00 April 27, 2022
2025991 239,740.00 April 27, 2022

Sincerely,

TONENA K. GUINTA
Administrative Assistant II

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