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Republic of the Philippines

HOUSE OF REPRESENTATIVES
Quezon City, Metro Manila

Hon. Elizaldy S. Co
Hon. Raul Angelo “Jil” D. Bongalon
Representatives, Ako Bicol Partylist Code Number: GL-637

Date: September 20, 2023

Mrs. Rosario Grageda


Hospital Owner
Jaime B. Berces Memorial Hospital
Tabaco City
09-20-2023
AKB-6670
Dear Mrs. Grageda,

May we respectfully refer this patient who is seeking medical assistance to defray the cost of his/her
hospitalization at Jaime B. Berces Memorial Hospital

Name Kheven Castro Buban


Age 29 years old
Sex Male
Birthdate 6/25/1994
Contact Number 09503803355
Diagnosis CKD STAGE 5 SEC TO CHRONIC
GLOMERULONEPHRTIS
Purpose HEMODIALYSIS
Monthly Household Income 5,000.00
Amount 4,200.00

Issued this 20th day of September, 2023.

Thank you!

Sincerely,

CONGRESSMAN ELIZALDY S. CO

Rm. SW416, House of Representatives, Batasan Hills, Quezon City


Trunkline: (632) 8931-5001 loc. 7978 / Direct line: (632) 8442-4044
Republic of the Philippines
HOUSE OF REPRESENTATIVES
Quezon City, Metro Manila

Hon. Elizaldy S. Co
Hon. Raul Angelo “Jil” D. Bongalon
Representatives, Ako Bicol Partylist Code Number: GL-637
CONGRESSMAN RAUL ANGELO “JIL” D. BONGALON

Rm. SW416, House of Representatives, Batasan Hills, Quezon City


Trunkline: (632) 8931-5001 loc. 7978 / Direct line: (632) 8442-4044

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