Date of Admission Patient Name Total Bill Amount Charged To Fund Sources

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Former rebel admitted last March, 2019 and the Fund Sources for his/her hospital bill:

Date of Amount charged to Fund Sources


Admission Patient Name Total Bill MHAIP LGU PCSO-IMAP
March 20-27, ’19 Mission, Ailene I. P11,073.00 P3,043.00 P2,000.00 P6,000.00

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