Republic of the Philippines

Province of Masbate
PROVINCIAL HEALTH OFFICE
ADMINISTRATIVE BLDG., PHO COMPOUND, OLD MUNICIPAL ROAD, MASBATE CITY

TRANSMITTAL SHEET
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Sending herewith the Out of Pocket Expenses (OPE) Vouchers as listed below.

DOCUMENT Payroll DETAILS DATE AMOUNT

NAME
Disbursement SABERON, To Payment of (Out-Of- October PHP 75,035.85
Voucher ROLANDO R. & Pocket Expenses) of 2017
CO. Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of October 2017
per supporting papers hereto
attached in the amount of
>>> ₱ 75,035.85
October
Disbursement LUZARES, To Payment of (Out-Of- PHP 33,708.30
2017
Voucher ERICAH Pocket Expenses) of
CHEZZA A. & Masbate Provincial Hospital
(Edna S. Lopez)
CO. PHIC INDIGENT Patient for
the month of October 2017
per supporting papers hereto
attached in the amount of

>>> ₱ 33,708.30
October
Disbursement HARMOL, To Payment of (Out-Of- PHP, 85,488.20
2017
Voucher ERICA MAE E. Pocket Expenses) of
& CO. Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of October 2017
per supporting papers hereto
attached in the amount of
>>> ₱ 85,488.20
 October
Disbursement DANAO, DAISY To Payment of (Out-Of- PHP 124,006.42
2017
Voucher M. & CO. Pocket Expenses) of
Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of October 2017
per supporting papers hereto
attached in the amount of
>>> ₱ 124,006.42
October
Disbursement ALBAO, REBY To Payment of (Out-Of- PHP 51,960.50
2017
Voucher F. & CO. Pocket Expenses) of
Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of October 2017
per supporting papers hereto
attached in the amount of
>>> ₱ 51,960.50
October
Disbursement PRESADO, To Payment of (Out-Of- PHP 80,716.43
2017
Voucher MARIA A. & CO. Pocket Expenses) of
Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of October 2017
per supporting papers hereto
attached in the amount of
>>> ₱ 80,716.43
October
Disbursement CERVANTES, To Payment of (Out-Of- PHP 69,126.80
2017
Voucher MARK IVAN & Pocket Expenses) of
CO. Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of October 2017
per supporting papers hereto
attached in the amount of
>>> ₱ 69,126.80
October
Disbursement FALCUNAYA, To Payment of (Out-Of- PHP 37,916.70
2017
Voucher ANGEL A. & Pocket Expenses) of
CO. Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of October 2017
per supporting papers hereto
attached in the amount of
>>> ₱ 37,916.70
October
Disbursement PATRICIO, To Payment of (Out-Of- PHP 103,911.40
2017
Voucher MARY JANIEL Pocket Expenses) of
M. & CO. Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of October 2017
per supporting papers hereto
attached in the amount of
>>> ₱ 103,911.40
October
Disbursement CABATINGAN, To Payment of (Out-Of- PHP 58,976.30
2017
 Voucher FELIMON G. & Pocket Expenses) of
(Edna S. Lopez) CO. Masbate Provincial Hospital
PHIC INDIGENT Patient for
the month of October 2017
per supporting papers hereto
attached in the amount of
>>> ₱ 85,976.30
October
Disbursement APALIT, MARY To Payment of (Out-Of- PHP 95,180.90
2017
Voucher JANE A. & CO. Pocket Expenses) of
Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of October 2017
per supporting papers hereto
attached in the amount of

>>> ₱ 95,180.90
October
Disbursement ABILONG To Payment of (Out-Of- PHP 40,462.15
2017
Voucher GRACE M. & Pocket Expenses) of
(Edna S. Lopez) CO. Masbate Provincial Hospital
PHIC INDIGENT Patient for
the month of October 2017
per supporting papers hereto
attached in the amount of
>>> ₱ 40,462.15
October
Disbursement BIÑAS, LUZ D. To Payment of (Out-Of- PHP 76,286.20
2017
Voucher & CO. Pocket Expenses) of
Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of October 2017
per supporting papers hereto
attached in the amount of

>>> ₱ 76,286.20

September
Disbursement LEQUIGAN, To Payment of (Out-Of- PHP 75,052.89
2017
Voucher Danica R. & Co. Pocket Expenses) of
Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of September 2017
per supporting papers hereto
attached in the amount of

>>> ₱75,052.89
September
Disbursement REGODON, To Payment of (Out-Of- PHP 17,948.00
2017
Voucher ROFA G. CO & Pocket Expenses) of
CO Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of September 2017
per supporting papers hereto
attached in the amount of
>>> ₱17,948.00
 September
Disbursement HELADO, To Payment of (Out-Of- PHP 61, 645.25
2017
Voucher RONNIE G. & Pocket Expenses) of
CO Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of September 2017
per supporting papers hereto
attached in the amount of

>>> ₱61,645.25
September
Disbursement REYES, To Payment of (Out-Of- PHP 90, 357.77
2017
Voucher REGIELYN A. & Pocket Expenses) of
CO. Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of September 2017
per supporting papers hereto
attached in the amount of
>>> ₱90,357.77
September
Disbursement FERNANDEZ, To Payment of (Out-Of- PHP 53,887.70
2017
Voucher APRIL JOY & Pocket Expenses) of
CO Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of September 2017
per supporting papers hereto
attached in the amount of

>>> ₱53,887.70
September
Disbursement SIA, DINALYN To Payment of (Out-Of- PHP 113,808.83
2017
Voucher D. & CO. Pocket Expenses) of
Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of September 2017
per supporting papers hereto
attached in the amount of
>>> ₱113,808.83
September
Disbursement CALIMUTAN, To Payment of (Out-Of- PHP 50,745.10
2017
Voucher HERDY A. CO. Pocket Expenses) of
Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of September 2017
per supporting papers hereto
attached in the amount of

>>> ₱50,745.10

October
Disbursement ABARICO, To Payment of (Out-Of- PHP 27,556.35
2017
Voucher TIRSO G. & CO. Pocket Expenses) of
Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of October 2017
per supporting papers hereto
attached in the amount of
 >>> ₱27,556.35
October
Disbursement NACOBOAN, To Payment of (Out-Of- PHP 125,947.76
2017
Voucher JERRY A. & Pocket Expenses) of
CO. Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of October 2017
per supporting papers hereto
attached in the amount of

>>> ₱125,947.76
October
Disbursement SISON, ELSIE & To Payment of (Out-Of- PHP 97,828.55
2017
Voucher CO. Pocket Expenses) of
Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of October 2017
per supporting papers hereto
attached in the amount of
>>> ₱97,828.55
October
Disbursement RODA, To Payment of (Out-Of- PHP 97,742.05
2017
Voucher ANALIZA A. & Pocket Expenses) of
CO. Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of October 2017
per supporting papers hereto
attached in the amount of

>>> ₱97,742.05
October
Disbursement PACHECO, To Payment of (Out-Of- PHP 85,454.36
2017
Voucher DIEGENES B. & Pocket Expenses) of
CO. Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of October 2017
per supporting papers hereto
attached in the amount of
>>> ₱85,454.36
October
Disbursement VALENZUELA, To Payment of (Out-Of- PHP 73,761.30
2017
Voucher JOHN MICHAEL Pocket Expenses) of
D. & CO. Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of October 2017
per supporting papers hereto
attached in the amount of

>>> ₱76,761.30
October
Disbursement PEREZ, To Payment of (Out-Of- PHP 28,194.54
2017
Voucher CAROLINA E. & Pocket Expenses) of
CO. Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of October 2017
per supporting papers hereto
attached in the amount of
 >>> ₱28,194.54
October
Disbursement LABAJATA, To Payment of (Out-Of- PHP 98,116.40
2017
Voucher RODOLFO G. & Pocket Expenses) of
CO. Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of October 2017
per supporting papers hereto
attached in the amount of

>>> ₱98,116.40

December
Disbursement MENDOZA, To Payment of (Out-Of- PHP 74,204.78
2017
Voucher GEMAR L. & Pocket Expenses) of
CO. Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of December 2017
per supporting papers hereto
attached in the amount of

>>> ₱74,204.78
December
Disbursement IRENE A. To Payment of (Out-Of- PHP 98,790.75
2017
Voucher ARTHUR C. & Pocket Expenses) of
CO. Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of December 2017
per supporting papers hereto
attached in the amount of
>>> ₱98,790.75
December
Disbursement RAMOS, ALEXA To Payment of (Out-Of- PHP 126,393.08
2017
Voucher O. & CO. Pocket Expenses) of
Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of December 2017
per supporting papers hereto
attached in the amount of

>>> ₱126,393.00
December
Disbursement BALATUCAN, To Payment of (Out-Of- PHP 131,267.20
2017
Voucher JONAR JR. V. & Pocket Expenses) of
CO. Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of December 2017
per supporting papers hereto
attached in the amount of
>>> ₱131,267.20
December
Disbursement DALANON, To Payment of (Out-Of- PHP 105,185.16
2017
Voucher DANTE A. Pocket Expenses) of
Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of December 2017
per supporting papers hereto
 attached in the amount of

>>> ₱105,185.16
December
Disbursement PARABAS, To Payment of (Out-Of- PHP 125,779.40
2017
Voucher MARWIN O. & Pocket Expenses) of
CO.. Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of December 2017
per supporting papers hereto
attached in the amount of
>>> ₱125,779.40
December
Disbursement DELOSO, To Payment of (Out-Of- PHP 80,872.95
2017
Voucher RHIANA D. & Pocket Expenses) of
CO. Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of December 2017
per supporting papers hereto
attached in the amount of

>>> ₱80,872.95
December
Disbursement CALOLET, To Payment of (Out-Of- PHP 67,910.45
2017
Voucher EDWARD A. & Pocket Expenses) of
CO. Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of December 2017
per supporting papers hereto
attached in the amount of
>>> ₱67,910.45
December
Disbursement BERGADO, To Payment of (Out-Of- PHP 59,555.04
2017
Voucher VIRGINIA C. & Pocket Expenses) of
CO. Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of December 2017
per supporting papers hereto
attached in the amount of

>>> ₱59,555.04
December
Disbursement CERVANTES, To Payment of (Out-Of- PHP 103,726.47
2017
Voucher GERLIE L. & Pocket Expenses) of
CO Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of December 2017
per supporting papers hereto
attached in the amount of
>>> ₱103,726.47
December
Disbursement ALIÑO, MARK & To Payment of (Out-Of- PHP 59,631,95
2017
Voucher CO. Pocket Expenses) of
Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of December 2017
per supporting papers hereto
 attached in the amount of

>>> ₱59,631.95
December
Disbursement MAGLENTE, To Payment of (Out-Of- PHP 118,261.80
2017
Voucher EDILEZA T. & Pocket Expenses) of
CO. Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of December 2017
per supporting papers hereto
attached in the amount of
>>> ₱118,261.80

January
Disbursement CASINILLO, To Payment of (Out-Of- PHP 86,328.70
2018
Voucher ENRIQUETA S. Pocket Expenses) of
& CO Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of January 2018
per supporting papers hereto
attached in the amount of
>>> ₱ 86,328.70
January
Disbursement ARTOCILLO, To Payment of (Out-Of- PHP 91,592.01
2018
Voucher MICAH Y. & CO Pocket Expenses) of
Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of January 2018
per supporting papers hereto
attached in the amount of

>>> ₱ 91,592.01
January
Disbursement GOMEZ, To Payment of (Out-Of- PHP 126,828.37
2018
Voucher PRODENCIO B. Pocket Expenses) of
& CO. Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of January 2018
per supporting papers hereto
attached in the amount of
>>> ₱ 126,828.37
January
Disbursement PALACIO, To Payment of (Out-Of- PHP 83,721.94
2018
Voucher JOSEFINA T. & Pocket Expenses) of
CO. Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of January 2018
per supporting papers hereto
attached in the amount of

>>> ₱83,721.94
January
Disbursement BARRUN, To Payment of (Out-Of- PHP 135,334.12
2018
Voucher ADENITA C. & Pocket Expenses) of
CO. Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
 the month of January 2018
per supporting papers hereto
attached in the amount of

>>> ₱135,334.12
January
Disbursement JACA, ROCKY To Payment of (Out-Of- PHP 75,674.05
2018
Voucher E. & CO. Pocket Expenses) of
Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of January 2018
per supporting papers hereto
attached in the amount of
>>> ₱75,674.05
January
Disbursement AMOR, EDITHA To Payment of (Out-Of- PHP 84,784.30
2018
Voucher S. & CO. Pocket Expenses) of
Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of January 2018
per supporting papers hereto
attached in the amount of

>>> ₱84,784.30
January
Disbursement DELA FUENTE, To Payment of (Out-Of- PHP 127,518.94
2018
Voucher DAISY V. & CO. Pocket Expenses) of
Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of January 2018
per supporting papers hereto
attached in the amount of
>>> ₱127,518.94
January
Disbursement AGAO, To Payment of (Out-Of- PHP 101,575.97
2018
Voucher CRISILDA C. & Pocket Expenses) of
CO. Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of January 2018
per supporting papers hereto
attached in the amount of

>>> ₱101,575.97
January
Disbursement LERIT, To Payment of (Out-Of- PHP 74,502.98
2018
Voucher JHOBERT A. & Pocket Expenses) of
CO. Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of January 2018
per supporting papers hereto
attached in the amount of
>>> ₱74,502.98
January
Disbursement BONGABONG, To Payment of (Out-Of- PHP 101,016.65
2018
Voucher RUBELYN A. & Pocket Expenses) of
CO. Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
 the month of January 2018
per supporting papers hereto
attached in the amount of

>>> ₱101,016.65
January
Disbursement LOYOCA, To Payment of (Out-Of- PHP 72,591.00
2018
Voucher ANNA MARIE P. Pocket Expenses) of
& CO Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of January 2018
per supporting papers hereto
attached in the amount of
>>> ₱72,591.00
January
Disbursement ABAN, CHONA To Payment of (Out-Of- PHP 91,819.60
2018
Voucher A. & CO. Pocket Expenses) of
Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of January 2018
per supporting papers hereto
attached in the amount of

>>> ₱91,819.60
January
Disbursement PALACIO, To Payment of (Out-Of- PHP 83,721.94
2018
Voucher JOSEFINA T. & Pocket Expenses) of
CO. Masbate Provincial Hospital
(Edna S. Lopez)
PHIC INDIGENT Patient for
the month of January 2018
per supporting papers hereto
attached in the amount of
>>> ₱83,721.94

Unknown
- - With 1 Box of Scattered -
Vouchers

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