Republic of the Philippines

Province of Davao Oriental

DAVAO ORIENTAL PROVINCIAL MEDICAL CENTER
City of Mati, Davao Oriental
E-mail: njmpasiamati@gmail.com
Tel. No.:(087)306-9041

Date: Monday, 08 January 2024

QUATATION

NAME: DADUNG, SHARIFA MUJINA Age/Sex:28F

Contact No: Birthdate:06/12/1995

ROOM PROCEDURE PROFESSIONAL FEE MACHINE USE TOTAL

OPD 2D ECHO 1,000 1,000 2,000.00
Room No: OPD
Requesting Physician: DR.CHUA
Reason for study/Diagnosis:
HYPERTHYRODISM

Prepared by:

RIVA VIE C. ORITO

Cardiovascular Sonographer