EMPLOYEES' COMPENSATION COMMISSION 4TH & 5TH Flr., ECC

EMPLOYEES' COMPENSATION COMMISSION4TH & 5TH Flr., ECC Bldg., 355 Sen. Gil J. Puyat Avenue, Makati City

2019 LIST OF BENEFICIARIES OF PT/OT/OTHER PHYSICAL REHABILITATION SERVICES/ CONSULTATION SERVICES

NO. NAME ADDRESS GSIS/SSS ID # AGE SEX OCCUPATION NATURE OF INJURY HOSPITALREFERRED AND

APPROVED

SERVICE

PROVIDED

JANUARY

1 LAPORTEZA, JOSEPH MORA 16 Evelasting Olandes, Marikina City, Ncr 28 M Rider/ Delivery Man Right arm injury Philippine General Hospital Referred & Approved PT

2 CAROCHE, TEODOLO JR. Road 23 Nagtinig, Sitio Siwang floodway, Brgy

San Juan, Tgaytay, Rzal33-3479204-9 51 M Chief Cook L4 L5 S Philippine General Hospital Referred & Approved PT

3 LAUSA, VENGIE SAGUBANRoyale St. Brgy. Calzado, Taguig City,

Metro Manila08-2573477-7 27 M Incharge food handle

Compession fracture L9,

L10Philippine General Hospital Referred & Approved PT

4 VILLAMIN, ELVIN OBISPO49 D. M. A. Roxas St. Calumpang,

Marikina City33-5171586-3 40 M Chief Cook

Cervical radicolopathy sec

to stenosis C5, C6: S/P

ACDF C5-C6

Philippine General Hospital Referred & Approved PT

5 BILLAN, JEFFREY VILLAROSABLK. 2 Lot 23, Topsuille Village, Las

Pinas City, Metro Manila01-1599529-1 33 M BUZ Production

Amputation right ring hand,

index fingerPhilippine General Hospital Referred & Approved PT

6 PACHO, RAUL G.BLK. 11 Lot 3. Sta. Barbara 2, Silangan,

San Mateo, Rizal33-3688941-3 47 M 2nd Mate

Superior Labrum Anterior

Posterioe Tear ( Type V)

right shoulder


7TANJUECO, EDUARDO DE

GUZMAN179 Velasco Ext. Brgy 7. Caloocan City 03-4555515-5 58 M Electrician Fracture legaments Philippine General Hospital Referred & Approved PT

8 INTONG, SANNY2210 Zapiro St. San Andres Bukid,

Manila06-1405215-6 45 M Chief Officer Lumbar, back pain Philippine General Hospital Referred & Approved PT

9 PELIYAS, MELCHOR E.1726 Road 3 Bagong Sikat Punta Sta.

Ana Manila03-7159300-0 55 M Bus Driver

Amputation of left index

fingerPhilippine General Hospital Referred & Approved PT

10SALAZAR, RAMIL

CHRISTOPHERCavite, Cavite 34-9052074-1 30 M Gllery Utility Injury right arm/ Shoulder St. Dominic Medical Center Referred & Approved PT

11 CATAD, VITO MARAAT Spring Valley i, Bago Gallera, Davao City 09-2526308-7 34 M Janitor

Fracture closed complete

displaced transverse distal

third tibia fibula right

Mindanao Orthopedic Sport

& Rehabilitation Center,

Inc.

Referred & Approved PT

12 BALBOA, HORACIO M. Timpas, Panitan, Capiz 07-0749217-3 59 M Security GuardHypertansive cardicascular

disease, infarct

St. Anthony College

HospitalReferred & Approved PT

13 LISTANA, ALVIN R. 543 6th St. GHQ Brgy. Katuparan Taguig City 33-2421481-2 41 M CookS/P anthroscopic medial

minimal Philippine General Hospital Referred & Approved PT

14 REYES, RONALD F.BLK. 54 Lot 5. B, Violago Homes,

Parkwood Hills Payatas, Quezon City01-0803962-7 52 M Chief Cook

Subscapularis tendou tear,

right shoulderPhilippine General Hospital Referred & Approved PT

15 UBALDE, GINA B.3465 Lim Compound San Dionisio 1700

Paranaque City, Manila05-0887898-3 39 F Junior Bar Steward

Hypertension, Carpal tunnel

syndrome, bilateralPhilippine General Hospital Referred & Approved PT

16 MALACURA, JOVELITO J.#12 M.L. Quezon St. Brgy. Wawa City of

Taguig06-1288509-5 47 M Able bodied seaman

Infected lacerated wound.

Left lower legPhilippine General Hospital Referred & Approved PT


APPROVED

SERVICE

PROVIDED

17 PAZ, JAYSON 2633 Munoz St. Malate Manila 33-8197460-3 38 M OSCervical radiculopathy. Left

upper extrenityPhilippine General Hospital Referred & Approved PT

18 QUERIJERO, NERISA U.No. 55A Lucia St., 12th Ave. West Grace

Park Caloocan33-903480-2 32 M

Purchasing Associate/

Company Nurse

Comminuted fracture proximal

to the left tibia & fibulaPhilippine General Hospital Referred & Approved PT

19 GARDE, ANDREW M. 166C Taliba St.,Bacut Tondo Manila 34-4603066-0 32 M Operator Index & middle finger Philippine General Hospital Referred & Approved PT

20 ABANCE, ANGELITO Palew, Caponga, Tublay, Benguet 01-2635334-3 28 M LinemanBurn injury on right leg and

foot

St. Louis University

Hospital of the Sacred

Heart


FEBRUARY

21 SEVILLA, ERICKSON166 M.H. Del Pilar St. Pinagbuhayan,

Pasig City33-4750218-7 43 M Ordinary Seaman Sprain pain a shoulder Philippine General Hospital Referred & Approved PT

22 DELOS ANGELES, DANTE11-Gregorio Roxas St., Brgy. San Jose

Quezon City33-0759210-8 60 M Messenger Fracture right patella Philippine General Hospital Referred & Approved PT

23 FLORES, CHRISTOPHERUrban Ville, Sitio Tapuko, Pit-os, Cebu

City06-2434088-7 32 M Machine Operator

Traumatic amputation of

thumb index, middle finger,

left hand

Southwestern University

Medical CenterReferred & Approved PT

24 ROSAROSO, ALEX Umapad, Mandaue City 06-2291516-2 36 M Production worker Fracture closed lateral Southwestern University


25 PAHIMUTANG, ARNOLDS. Osmena St., Gunob, Lapu-lapu City,

Cebu06-1251455-7 49 M Construction Helper

Below elbow amputation,

right and left


Medical CenterReferred & Approved OT

26 GANEZO, ALEXPurok 5A Evacon, Tubod, Carmen,

Davao del Norte09-1669848-3 50 M Machine Operator Frature left hand Panabo Polymedic Hospital Referred & Approved PT

27 SON, JOSEPH067 Purok Caimito, Brgy. Mankilam,

Tagum City09-2090063-3 38 M Fitter/Repairman Fracture right middle finger Panabo Polymedic Hospital Referred & Approved PT

28 RILLERA, ROGER SR.Gomez St., Mamat-ing, Naguilian, La

Union01-0663653-0 54 M Operator/Electrical Lower back Lorma Medical Center Referred & Approved PT

29 MANTES, PEDRO 150 Purok 2, Layon Ligao City 03-7063112-5 56 M Bosun Spinal cord injuryEstevez Memorial Hospital,

Inc.Referred & Approved PT

30 LUCILO, RYAN Z1 Concepcion, Grande, Naga City

Camarines Sur05-0909300-0 39 M Machine Operator Right Arm

Naga Imaging Center

Cooperative Doctors

Hospitals


31 PORTILLO, LAMBERTO145 Livelihood St., Area C. Talanay,

Batasan Hills, Quezon City04-0505016-3 55 M Janitor Fracture peluis right Philippine General Hospital Referred & Approved PT

32 TORRES, MARLON248 Cleofer St., Brgy. 162, Sta Quiteria,

Caloocan City34-0548152-2 29 M Warehouseman

Amputation right lumbar

above the anklePhilippine General Hospital Referred & Approved PT

33 SEMACIO, MARK RICHARD Purok 1E, Brgy., Bit-os Butuan City 08-1546803-1 32 M Ordinary Seaman Dics protrusion, L5, -S1 Manuel J. Santos Hospital Referred & Approved PT

34SUMAGAYSAY, JOSE

ELIZALDE

2104 St., Benedict St., Admin Site, Tala.

Caloocan City07-1420873-2 47 M Motorman Cerebrovascular infarction Philippine General Hospital Referred & Approved PT


APPROVED

SERVICE

PROVIDED

35 MORADO, ARMEL26 C Kaimito St., Green park Village

Cainta Rizal03-7809190-3 53 M Bosun SUP disc/ L3, L4 Philippine General Hospital Referred & Approved PT

36 FLORES, WILLIAM MCLL Highway, Putik Zamboanga City 10-1112592-8 41 M TruckmanDisarticulation of 4th digit of

right handWest Metro Medical Center Referred & Approved PT

37 CONSTANTINO, ALFREDO Tumaga, Zamboanga City 10-1289659-9 25 M Driver T/C West Metro Medical Center Referred & Approved PT

38 MAGALONA, ROLLY Mercedes, Zamboanga City 40 M Technical Sergeant 7c SCI L2 West Metro Medical Center Referred & Approved PT

39 LACAR, ANGELOUnit 5 Purok Brgy., Lawa Calamba City

Laguna04-2443544-2 25 M Production/Helper Injury right hand Calamba Medical Center Referred & Approved PT

40 LIMAS, JIMMY Purok 2, Sayasa, Balilihan, Bohol 33-913729-6 34 M LaborS/P amputation of right

thumb 2c to electrocution



41 OBAOB, MAURO Eskalante City, Negros Occidental 06-2878669-6 30 M Driver Fracture leg, leftSouthwestern University


42 OCHIA, JOEL Sambog Tuyam, City of Naga 06-3889487-4 26 M PainterFracture closed, distal mid

tibia fibia left with extension



43 GARCIA, KARLO 128 Up Rizal St., Ibaba, Samal, Bataan 02-2463093-9 31 M Able Seaman Cervical spine bulge dics Philippine General Hospital Referred & Approved PT

44 GUZMAN, ALFREDOPurok 4, Buntong Palay Brgy., Silangan

San Mateo Rizal10-0402228-7 50 M Able Seaman Tendon rupture, flexor Philippine General Hospital Referred & Approved PT

45 DAMASO, ALEXANDERBrgy. 175 cor. Santan St. 1896 Phase

3B, Camarin, Caloocan City03-6211912-1 55 M Security Guard Fracture right leg Philippine General Hospital Referred & Approved PT

46 PATAYON, JACKYVENSt. Cruz Sugbongcogon, Misamis

Oriental08-2597861-8 25 M Driver

Above elbow amputation left

arm, below elbow

amputation right arm

Northern Mindanao Medical

CenterReferred & Approved PT

47 PAGARAN, ARIEL JOHNZ-7 Malasag Cugman Cagayan de oro

city08-1641842-0 30 M Merchandiser

Fracture open II, tibia-fibula

left



48 CAPILOS, REY MARK Sitio Ibaba 2, Dulumbayan Teresa Rizal 34-5494908-6 25 M Laborer Amputation right thumb Philippine General Hospital Referred & Approved PT

49 PONDO, GLENN 33-6937140-6 42 M Supervisor ataxia slight Philippine General Hospital Referred & Approved PT

50 DE VERA, REY10-C 8TH Avenue, Murphy Brgy. Socorro

Quezon City03-7691531-1 52 M HR Delivery Spine lower back Philippine General Hospital Referred & Approved PT

51 BERNALES, RENEBrgy., 179, P-II Catmon, St., Amparo

Subd. Caloocan City03-9546941-1 51 M Pipe Fitter

Fracture dislocation of

Cervical spinePhilippine General Hospital Referred & Approved PT

MARCH

52 LAGMAN, WILLIAM220 D. May Flower St., Marisol Vill

Angeles City03-881457-3 52 M

Housekeeping

Supervisor

Spirl injury and both

shoulders S/P fail on boaul Philippine General Hospital Referred & Approved PT


APPROVED

SERVICE

PROVIDED

53 PARCO, GEOFFREY66 Magnolia St., Pingkian 3 Zone 3 Brgy.,

Paong Tamo Quezon City33-0505527-8 48 M Laundry

S/P arthroscopic

debridement of SLAP and

rotator cuff decpmpression,


54 DE LOYOLA, RITCHEL

Blk. 5 lot 21 Sec. 10 Sunny Broore 1

Subd. Brgy. San Francisco Gen. Trias,

Cavite

33-2899858-7 41 M Security Guard Left Arm Fracture Philippine General Hospital Referred & Approved PT

55 VERGARA, NOELITO

Road 55 Block 41 Damayan Sitio

Lumang Ilog Brgy. San Juan, Taytay

Rizal

33-7180149-8 37 M Safety Officer

Traumatic amputation of

thumb index, middle finger,

left hand


56 PONDOC, OSCARELY BRYANLot 59 Blk 3 Ph 3 Mary homes Subd.

Camia St., Molino IV Bacoor Cavite33-6707961-6 39 M Able bodied seaman

S/P Arthroscopic medial

meniscectomy,

synovectomy. Right knee

Tanauan Medical Center Referred & Approved PT

57 TOLOSA, BENJAMIN San Isidro, North Hibao-an Mandunriao,

Iloilo City07-1214838-6 52 M 2nd Officer Spinal Injury St. Paul's Hospital of Iloilo Referred & Approved PT

58 DOROMPILI, EDITHA#45 A Block 8 Purok I Mayanan

Muntilupa City03-78836219-5 52 F Operator (FVI) Left wrist injury

UPH-Dr. Jose G. Tamayo

Medical University

Foundation


59 EVANGELISTA, MARIANOPurok 17, Lanzona Village Calinan,

Davao City09-3160776-3 32 M Laborer

Mulitiple Tranverse process

fracture S1, S2, Left L3, L5,

Hypovolemic shoch



Inc.


60 DEL FIERRO, JOSEPHUSLabangon Salvador, Shangri-La II Subd.,

Cebu City34-4667494-5 28 M Able bodied seaman

S/P Amputation of left II, III,

IV, distal phalanges



61 MANAYAN, WINSTON Ma. Theresa Yumang St., General

Santos City09-3436945-1 32 M Driver

Closed fracture, distal tibia

and fibula rightSt. Elizabeth Hospital, Inc. Referred & Approved PT

62 RUCIO, CALIXTO La Paz Naga, Zamboanga Sibugay 10-0232963-6 56 MRubber Milling

OperatorAmputation of 4th -5th digits West Metro Medical Center Referred & Approved PT

63 CANDADO, ALBERTO Sangat, San Fernando Cebu 33-1876636-3 51 M Seaman

l4-l5 Spondylolisthesis, L3,

L4 &L5, S1 Mild dislocation

bulge, S/P



64 ELLOPO, CRISTIAN Rancel Vega St., Consolacion Cagayan

De Oro Misamis Oriental08-1635503-3 29 M Coordinator Bone fracture



65 MEDEL, RENO Tablon Zone # 6 Cagayan De Oro City 08-0262343-6 65 M Unloader

Fracture distal,

multifragmentary left arm

multiple complication



66 LADORES, EDCEL Sonala, Jasaan Misamis Oriental 08-1526559-3 32 M Riant OperatorAmoutation 1st, 2nd, 3rd,

4th digit left hand



67 SEVILLE, EBOR JR.Purok 5, Mangaical Carmen Davao Del

Norte09-2285764-5 40 M Helper

Infected non-union ulna left

S/P Orif plating

Osteomyelitis ukna left

Panabo Polymedic Hospital Referred & Approved PT

68 ORIBELLO, CESAR Tay-ac Rosario, La Union 33-3196294-0 48 M LaborerFracture shaft of humerus

right (Upper Arm)

Saint Louis University


Heart


69 MALASA, JAYSON Blk 31, lot 23 TAMARID St., Rainbow 5,

phase 2, Caloocan City34-0931707-4 31 M Chief Cook Philippine General Hospital Referred & Approved PT

70 GOMINTONG, CIANOPurok Saranay, Blocon Magsaysay

Davao Del Sur33-1674778-2 47 M Oiler

Compression fracture B

Verteba; comminuted

fracture right calcanerus S/P



Inc.



APPROVED

SERVICE

PROVIDED

71 EBEN, ALFRED Ilihan Toledo City Cebu 06-3309450-6 25 M Laborer

S/P Bilateral amputation of

lower extremities, below the

knee



72 TUMULAK, CHERRY MAE Gun-ob Caratay, Lapu-lapu City 06-19458166-6 35 M Quality ControlFracture distal phalanges,

3rd- 4th digit right hand



73 GATUMBATO, MARIOGlen Valley Subd. Brgy. 15 San Miguel

Street San Miguel, Iloilo03-6431663-4 59 M 2nd Engineer Spinal Injury

West Visayas State

University Medical CenterReferred & Approved PT

74 TULING, REYGIE Brgy. Malusgod, Pototan, Iloilo 33-6890571-8 40 M Able bodied seaman Right leg multiple fracture St, Paul's Hospital of Iloilo Referred & Approved PT

75 AGUISON, EINNORECC Villas, Brgy. Alijis, Bacolod City

Negros Occidental07-2759902-7 22 M Ordinary Seaman Fx wrist (L)

Riverside Medical Center


76 CARGASON, RANNIENCH-031 Purok Manidaeton Central

Lopez Brgy., Paraiso07-3440109-8 40 M Welder Amputitation, left foot

Riverside Medical Center


77 LOZANES, CLAIR Guzman Mandurriao, Iloilo City MWest Visayas State


78 OLANGA, JOSEPH135 Governor Ortega St., Catbangen San

Fernando City, La Union33-886951-3 34 M Hotel Steward Back pain thoraculumbal Lorma Medical Center Referred & Approved PT

79 DIAZ, EUGENE Damortis Rosario, La Union 02-3001736-8 31 M CrewTraumatic Amputation distal

phalanx, index fingerLorma Medical Center Referred & Approved PT

80 COLOMA, MARLON Magallanes, Luna La Union 01-1251012-9 39 M Able Seafarer deck

Trauma to the dorsum of the

right index finger 2 to

machine ralated injury

Lorma Medical Center Referred & Approved PT

81 OLMOGUEZ, LORENZO120 A, Luna St., Salapan, San Juan City

Metro Manila03-9469778-9 49 M Driver Fracture right arm Philippine General Hospital Referred & Approved PT

82 BAJALAN, RAYMUNDO JR.Brgy Olaes Slta Tierra Phase 2A blk 24

lot 43 GMA Cavite33-7545279-1 36 M Security guard Fracture right wrist/ right leg Philippine General Hospital Referred & Approved PT

83 FRAN, BETHOVEN2024 MAKATA St., Brgy. 354 Sta. Cruz

Manila33-8478448-7 35 M Visual Marchandizer Flabual acetabulum fracture Philippine General Hospital Referred & Approved PT

84 PABIA, ALLEN Sitio 4, balay pare, maycawayan Bulacan 34-3393768-2 31 M Mold setterAmputation right below

elbowPhilippine General Hospital Referred & Approved PT

85 LLAMELO, NOELBlk 39 D lot 34 phase 2, area 2,

kaunlaran Vill Novotas Manila03-955452-0 58 M Chief mate Philippine General Hospital Referred & Approved PT

86 VILORIA, IGNACIO JR.#GP. Armenia St., Middle Quezon Hill,

Baguio City01-0491487-2 63 M

Mill shift

superintendent

Lumbar and other

intervertebral dislocation

with Radiculopathy


87 BELLONES, DANILOBlk 23 lot boston heights, tuklong kawit

Cavite10-1114211-8 47 M 3rd Master Fracture distal fibula right Philippine General Hospital Referred & Approved PT

APRIL

88 TOLEN, ALVIN Caloocan City 33-5404824-9 44 M GYPSUM Installer Fracture complet Philippine General Hospital Referred & Approved PT


APPROVED

SERVICE

PROVIDED

89 GASIT, JOENALL151 Unit C. Cora St., Marick Subd. Stp.,

Domingo, Cainta Rizal33-2917195-0 43 M Messman

Carpal tunnel syndrome,

dislocation degeneration,

straigthening


90 ZAPATA, DULLRICH #62 St., John Maricaban, Pasay City 33-5035990-3 38 M Delivery Rider Fracture right arm Philippine General Hospital Referred & Approved PT

91 PRUDENCIADO, FELIX 2434 Bonifacio St., Tondo Manila 03-6988475-0 56 M Janitor Syndrome left shoulder Philippine General Hospital Referred & Approved PT

92 CLAUDIO, RULEN MAR Katipunan, Zamboanga Del Norte 848449 37 M Team LeaderPeripheral nerve injury

sciatic right 2 GSWWest Metro Medical Center Referred & Approved PT

93 JOAQUIN, SHERYLBlock 3, lot 16,, narra St., Divisoria Valley

Subdivision 02-00400459-8 45 M Labor Inspector West Metro Medical Center Referred & Approved PT

94 JALOS, QUINCY288 St. Martin Ave. Bagumbayan, Taguig

City33-9720621-3 31 M Warehouseman Fracture left elbow Philippine General Hospital Referred & Approved PT

95 CRUZ, RAYDEN #19 Calamba St., Laloma Quezon City 33-7577572-4 35 MProduct Specialist (LG

Products )

Burts fracture T9

Compression T5 & T6Philippine General Hospital Referred & Approved PT

96 DE LUNA, ROLAND121 Rosario Village Brgy. Sta Lucia Pasig

City03-8994243-6 51 M

Fev down with his right

hand elbowPhilippine General Hospital Referred & Approved PT

97 DELA CRUZ, RODOLFOB26 L11 Pelican St., Rosewood Village

Niyog II, Bacoor City, Cavite03-4553149-6 58 M Seafarer/ Bosun Right Arm St. Dominic Medical Center Referred & Approved PT

98 CABAHUG, ENRIQUEBlk 44 Lot 31 Diamond St., Holiday

homes, Bicutan Gen. Trias Cavite03-3615076-3 64 M Sateroom steward St. Dominic Medical Center Referred & Approved PT

99 ARGENIO, ROBERT 144 Dr. Puno Road Sto. Rita Tala Brgy.

188 Caloocan City34-2486192-9 28 M Housekeeping

Fracture comminuted

displaced calcaneous

bilateral


100 MARIANO, PATRICK 156 A Libas Talisay Caloocan City 34-3658448-5 57 M Helper Tromatic amputaton of arm Philippine General Hospital Referred & Approved PT

101 WONG, CHRISTIAN HARVENLandbank Davao Lending Center, RDL

Bldg. F. Torres St., Davao City8-009150074-8 38 M Account Officer

Diffuse dislocation bulge L4,

L5



Inc.


102 GARDUQUE, OLIVER SR Capissayan Norte, Gattaran, Cagayan 01-0622797-8 56 M Crane OperatorFrontal lobe and right

shoulder and arm fracture

Dr. Domingo S, De Leon

General HospitalReferred & Approved PT

103 BULAN, ROGELIO Lingaling, Santa Maria, Isabela 33-2394082-8 49 M Sales ClerkDr. Domingo S, De Leon


104 VISPO, TEODORO 139 Brgy. Bunggo, Calamba City Laguna 04-561058-4 57 M Warehouseman O.I.CFracture of lateral malleolus,

rightCalamba Medical Center Referred & Approved PT

105 SUPREMO, LOVELY 395 Kinsville Subd. Brgy. 3 Calamba City 33-8569916-2 33 F Operator Carpal tunnel syndrome Calamba Medical Center Referred & Approved PT

106 BAYETA, GINA#31 Purok Banatin, La mesa, Calamba

Laguna33-7945457-5 38 F Management trainee Fracture right arm Calamba Medical Center Referred & Approved PT


APPROVED

SERVICE

PROVIDED

107 LAURENTE, IRISH MAYLeuterio St., Zone III, Pinamalayan

Oriental Mindoro2004237193 31 F EGT-III

Fracture, closed

commminuted middle 3rd

femur right


108 BUSTRILLOS, JAYSON174 Lerte Road, Gozon Comd. Malabon

City34-8191588-9 30 M Helper

Mangled upper extremity left

s/p below elbow amputation

left


109 VEROY, NILO Brgy. Wilfredo Aquino, Marang St.,

Bajada Davao City09-2067643-3 45 M Land checker

Amputation of right leg

(below knee)



Inc.


110 ANDOY, PETER DARIUS Km. 17 Purok 2-A NSV Ilang, Davao City 09-3734971-1 24 M Machine Operator Amputation of right thumb



Inc.


111 SALMORO, ALNOR P-E Kinamon, Sto. Tomas Davao Del Sur 09-3280874-9 31 MProcessing quility

assurance inspector

Fracture closed comminuted

distal 3rd w/ intra-articular

expension radius left

Panabo Polymedic Hospital Referred & Approved PT

112 SUYOM, PROCOPIO Brgy, Cahumayhumayab, Tanauan, leyte 34-6531154-8 56 M Helper

Fracture is noted in the

distal 3rd of the left radial

bone

Divine Word Hospital Referred & Approved PT

MAY

113 RICALDE, MARK EDWIN #304 Purok 3, Pawa Tabaco City 05-1442555-3 26 MCredit & Collecting

Officer

Fx open comminuted tibla

fibula leg

Estevez Memorial Hospital,


114 RICO,CESAR 374 Brgy. Magdalo, Putol Kawit, Cavite 06-0533508-6 49 M FitterScaphponate ligament tear-

right wristPhilippine General Hospital Referred & Approved PT

115 PINO, DIONISIO137 Mt., Pinatubo St., Armor Village

Makati City34-0497206-1 42 M Leadman Fracture amputation thumb Philippine General Hospital Referred & Approved PT

116 ARTUGUE, JESUSANBlk 31 lot 37 phase 3, Laoas St., Holiday

Homes Biclatan Gen. Trias Cavite33-9328941-2 33 F Manufacturing crew

Complete transection distal

3rd of distal phalanx arcci

middle finger


117 PERALTA, DANILO Mambog III, Bacoor Cavite 03-7067025-4 54 M Laundry Spinal cored injury Philippine General Hospital Referred & Approved PT

118 TEODORO, SEVERINO 1268 A San Isidro Sr. Hag Bulacan 33-5123483-6 40 M LinemanFracture hip joint right slight

weaknessPhilippine General Hospital Referred & Approved PT

119 CABUG, DANTESitio Manggahan A, lot 7, Llano,

Caloocan City10-0328778-0 52 M Maintenance welder

Traumatic amputation 3rd

digit, left handPhilippine General Hospital Referred & Approved PT

120 AMIS, DIOMEDES Purok 2, San Lucas, Lipa City, Batangas 34-7088159-7 20 M Machine OperatorAmputation left 2nd, 5th

digit sec to traumaPhilippine General Hospital Referred & Approved PT

121 REGACHUELO, NOUEBlk 19, lot 31 sugartown subd. Batasan

Hills Quezon City33-1802016-4 46 M Pumpman

Herniated nacleus pulposus

L4 L5Philippine General Hospital Referred & Approved PT

122 TEELO, CERIACO JR.P- Manguimbuhaton, Agusan Pequeno,

Butuan City08-0827566-8 50 M Hotpress operator Amputation of right hand Manuel J. Santos Hospital Referred & Approved PT

123 DELA FUERTA, JHONEP-4 Manapa, Buenavista, Agusan Del

Norte08-2746137-2 36 M Boiler Crew Burn, Injury left foot Manuel J. Santos Hospital Referred & Approved PT

124 HERMOGENO, ROLAND #37 La Burisiala Tinambac Cam Sur 38 M Police OfficerMultiple retained foregn

body sharpnels lower

Naga Imaging Center

Cooperative Doctors

Hospitals



APPROVED

SERVICE

PROVIDED

125 MAQUILING, MATT HARVEYPurok 3D Capungagab, Kapalong Davao

Del Norte2004459791 29 M Jail Officer Amputation above knee left Panabo Polymedic Hospital Referred & Approved PT

126 CORDOVA, ANNAVIC Kilo 7, Pasonanca Zamboanga City 82010400437 37 M Senior Leo A/C Dislocation leg West Metro Medical Center Referred & Approved PT

127 GADOR, ARNOLD 202 G. Don Alfaro St., Alvarez Drive

Tetuan Zamboanga City10-1124912-1 41 M Ordely West Metro Medical Center Referred & Approved PT

128 ABONALLA, ROMEOWest Rembo 21st St., Pembo , Makati

City33-7351943-2 35 M Security Officer Mild L4,L5

St. Anthony College


129 FACTON, CARLOS JR. Brgy. Cabugan Sur, Pavia Iloilo 33-5368559-3 40 M Back injury lumbar L4, L5 St. Paul's Hospital of Iloilo Referred & Approved PT

130 BASILAN, DARIO Paguntalan St., Brgy. Bolho Miagao Iloilo 07-215618-5 35 M Motorman Stroke St. Paul's Hospital of Iloilo Referred & Approved PT

131 ANBENASA, MANUEL Blk 2 Lot 9. Gardenia St., Pacific Villa 1

Subd. Pajac, Lapu-lapu City, Cebu06-0881098-0 64 M Chief Engineer

Comminuted fracture , distal

end of left radius S/P open

Reduction & Internal



132FAJARDO, RICHARD

ANDERSONBahak Lilo-an Cebu 06-3562185-4 30 M Maintenance worker

Eye injury to work-related

accident



133 SENERPIDA, AIRISH Bankal, Lapu-lapu City Cebu 06-3353783-0 27 F Machine OperatorNeurosis stump of 3rd 4th

digit



134 SAJUL, RANDY 590-D Pahok St., Sampaloc, Manila 33-6149983-6 40 M AB Seaman

Implant Prominence,

malaniar calcaneous left

fracture, calcaneous both


135 ENRIQUEZ, ELPIDIO JRPhase 1, Package 4, Blk 48 Lot 3 Bagong

Silang Caloocan City33-6398592-4 39 M Delivery Salesman

Fracture ginto type II, L

distal femur tibia fibulaPhilippine General Hospital Referred & Approved PT

136 BUCAYANI, KENRIC JANE 1340 San Diego St., Sampaloc Manila 34-3051136-0 31 M OilerAmputation right index

fingerPhilippine General Hospital Referred & Approved OT

137 CASINAO, JOHN ALBERT Taguig Maharlika 06-4065585-7 24 M Helper Left hand fracture Philippine General Hospital Referred & Approved OT

138 CRISTINO, HENRY# 17 Damong Maria St., Palanas-A Brgy

Vasra Quezon City33-3490069-5 50 M Tinsmith helper

Rotator cuff tenderapathy

backPhilippine General Hospital Referred & Approved X-ray

139 MEDRANO, LIZA B- Morada Ave. Lipa City Batangas 04-1453429-8 32 M Production operator Right arm injuryMary Mediatrix Medical

Center, Lipa City BatangasReferred & Approved OT

140 OBE, VICTOR 159 Palingon, Calamba Cioty, Laguna 04-3046103-1 42 M Forklift operator Left side weakness Calamba Medical Center Referred & Approved OT

141 ABEJUELA, RONALD #1 EB Paez ville, Dampalit Malabon City 34-0787068-1 41 M DriverSpine/ lumbar radialopathy

secondary to HNPPhilippine General Hospital Referred & Approved PT

142 REALIZA, JOENARD Villanueva, Misamis Oriental 08-1210108-7 40 M Mechanical technicianFracture of upper end

radius, proximal end, right




APPROVED

SERVICE

PROVIDED

143 LAPAS, BOYET Purok 4, Gusa Cagayan de Oro 08-1547518-0 35 M Delivery man Left armNorthern Mindanao Medical


144 HAGUPIT, JULITO Agusan zone 4, Cagayan De Oro 08-1190475-1 29 M Welder Fireman Right thumbNorthern Mindanao Medical


145 GANZAN, ROSAL Jasaan, Misamis Oriental 08-1606342-5 28 M FeederContusion hematona

formation, lowback



146 LOZADA, BRYAN Singapore Balulang Cagayan De Oro 08-1065330-4 41 M Cook Terrible triadNorthern Mindanao Medical


147 DAVID, FRANCISCO122 University Avenue Potero, Malabon

City52 M Cabin steward Fracture right knee patella Philippine General Hospital Referred & Approved PT

148 HAZ, JOCELYN29 Quezon st., 6th Ave. Gracepark,

Caloocan City34-6662490-4 32 F Machine Operator

Amputation right lumbar

above the wristPhilippine General Hospital Referred & Approved PT

149 JUNATAS, JAY P-8 Poblacion Trento Agusan Del Sur 33-8560250-2 39 M AB SeamanL4, L5 partial rapture of left

supraspinous musclesManuel J. Santos Hospital Referred & Approved PT

150 MAYBUENA, CHRISTIAN Dakit Pinamungajan Cebu 06-1822410-0 38 M Electrician

Total amputation of the

three finges (middle finger,

ring finger, small finger) at



151 VILLAFLOR, HERACLEO 437 Daanlungsod, Toledo City 06-0976504-7 55 M Feed checherPermanent amputation of

right foot



152 COLLADO, WILLIAM#106 JP Rizal St., Bagong Silang.

Quezon City00-33167791-0 54 M Buson Philippine General Hospital Referred & Approved PT

153 FERNANDEZ, BERNARD 627 Santa Rita Guiguinto Bulacan 33-0685349-5 45 M Laborer Fracture right arm Philippine General Hospital Referred & Approved PT

154 TRUMATA, KRISTONE MHAR Ipil, Zamboanga Sibugay 10-0698781-2 32 M Junior sales manDislocation 3rd digit right

kneeWest Metro Medical Center Referred & Approved PT

155 BACATANO, JONATHAN114 Zone 4 Catanusan, Minalabac,

Camarines Sur05-0696075-4 35 M Stockroom Custodian

Frcature closed complete

minimally displaced

proximal tibia right

Naga Imaging Center

Cooperative Doctors

Hospitals


156 SITCHON, DIMIE0078 Sapang Mahaba St., Panasahan,

Malolos Bulacan33-9329340-8 34 M Welder Philippine General Hospital Referred & Approved PT

157 BALUYOT, ROGELIO17 Rd. I Don Premitivo Ext. Brgy. Holy

spirit Quezon City33-7718679-3 44 M Sales Man Fracture right hip joint Philippine General Hospital Referred & Approved PT

158 MONDIDO, BENJIE 0007 Lot Blk 1st Dominator Asis 10-1061484-1 31 M Operator Machaine Amputation Right Arm Philippine General Hospital Referred & Approved PT

159 ESTIGOY, JON CHRISTIANBlk 13, Leticia Homes, Maligaya Park

Nova, Coloocan City34-1030114-7 30 M Third Officer

Amputation both leg upper

kneePhilippine General Hospital Referred & Approved PT

160 DE GUZMAN, WILLIAM17 Oval St., Square Ville Subd. Sta. Lucia

Novaliches Quezon City03-8446207-6 53 M Oiler

Second degree burn left &

right handPhilippine General Hospital Referred & Approved PT

JUNE


APPROVED

SERVICE

PROVIDED

161 ESTEBAN, CAYTOR Siko Calinao, Carreta, Cebu City 09-1686699-8 56 M Machine OperatorS/P amputation II, III, IV

digit left



162 CONCEPCION, JERICO 337 Bunsuran 1st Pandi Bulacan 34-275057-4 26 M Ordinary SeamanExtensor tendor rupture 4th

digit left handPhilippine General Hospital Referred & Approved PT

163 GALLEGO, BERNARDO Calumpang, General Santos City 09-1081085-6 54 M Head painterClosed comminuted fracture

distal radius right forearmSt. Elizabeth Hospital, Inc. Referred & Approved PT

164 APOSTOL, REY1637 P. Jacinto St., Sitio Malinis

Bagobayan Valenzuela Metro Manila02-2774431-4 28 M Machine operator

Amputation left middle &

small fingersPhilippine General Hospital Referred & Approved PT

165 ROSAL, JUMAR1022 Ilang-ilang St., Alangan Limay,

Bataan02-3342742-1 26 M Scafolder

Amputation both below


166 DUMIO, ERWIN6 Nazarino St., Gulod Novaliches

Quezon City34-3518959-3 40 M Machine Operator

Amputation 3rd & 4th digit

left handPhilippine General Hospital Referred & Approved PT

167 AYAGAN, SHERWIN Silangan 2 Rosario Cavite 34-2696782-1 26 M OperatorAmputation left small, ring,

middle, index, thumb fingersSt. Dominic Medical Center Referred & Approved PT

168 CADELINA, JEROME043 Zone 3 Bugo, Cagayan De Oro City,

Misamis Oriental08-1337379-1 36 M Factory Worker

Open fracture middle

phalanx with bone loss and

extensor tendor transection,


169 NOBLE, JC ALVIN8990 Dela homes 3, lot 01 blk 07 phase 2

EP3 Pavia Iloilo07-2224116-3 33 M AB Seaman

Lumbar strain L5,

Spondylysis

West Visayas State


170 SUAL, ROSTEL P-7 Silad Mahogany Butuan City 08-1914922-0 25 M Pay Loader Operator 2nd degree burn Manuel J. Santos Hospital Referred & Approved PT

171 LEGO, RAMIL San Isidro, Santiago Agusan Del Norte 08-2737444-3 31 M Carpenter/ Masson

Fracture open IIIB,

segmental comminuted,

tibia (left)

Manuel J. Santos Hospital Referred & Approved PT

172 GARDOSE, MICHAELP-2 San Vicente, prosperidad, Agusan

Del Sur08-2389407-9 24 M Palay Scaler

Amputation right below the

kneeManuel J. Santos Hospital Referred & Approved PT

173 VILLASPIN, LEON III Centro Sur Alcala Cagayan 01-2357110-2 26 M LinemanRight leg/near traumatic

amputation



174 APON, SEBASTIAN JR.

K-9 Company SSBN, Naval Station

Romulo Esoldon, calapian Zamboanga

City

43 M Radio man Lower back pain West Metro Medical Center Referred & Approved PT

175 GONZALES, EUGENESouthcom Village, San Roque

Zamboanga City26 M Riffleman Fx. Open left clavicle West Metro Medical Center Referred & Approved PT

176 SIERRA, MARITES 1300 Ligtasan St., San Roque Antipolo 33-5682398-3 45 M Cabin stewardLabrium Subscapular left

shoulder grade 10-3Philippine General Hospital Referred & Approved PT

177 DIOSOGAN, MARIANITO8 Purok 3, Brgy. New Lower, Bicutan

Taguig City34-0645138-6 30 F Butcher Amputation left forearm Philippine General Hospital Referred & Approved PT

178 ESCRIBAL, SONNY7A Sitio Ilaga, Alabang Muntinlupa City

Metro Manila34-4259116-1 43 M Carpenter/ Masson Amputation tip middle finger Philippine General Hospital Referred & Approved PT


APPROVED

SERVICE

PROVIDED

179 MOJICA, ROMEL Purok 3 Lizada Vill Beach Club, Lanang

Davao City09-16253268-8 49 M Security Guard

Fracture Closed complete

undisplaced distal raduis left

sec to fall



Inc.


180 ROSALES, AGRIPINO JR. P-Dugso, San Pedro, Panabo City 09-1375189-9 51 M Machine OperatorAmputation of index finger

(right)Panabo Polymedic Hospital Referred & Approved PT

181 MENDEZ, JEONELL P8-Gabuyan, kapalong Davao Del Norte 09-2476187-8 34 MPacking plant

associateamputation of right thumb Panabo Polymedic Hospital Referred & Approved PT

182 CHAVEZ, KRISTAL ELIZABETH Brgy. Soledad Maliban Quezon 33-9485516-2 32 F Production Inspector Traumatic brain injury

Lucena United Doctors

Hospital and Medical

Center


183 AQUINO, DEVIE NOELBlk 12 lot 8 phase 1 villa de calapiba la

mesa, Calamba Laguna01-1237019-4 39 M QA Technician Calamba Medical Center Referred & Approved PT

184 PRADO, EDWIN PG San Gabriel District, Poblacion Maco 03-7882668-6 58 M Seaman Amputation of left index

fingerPanabo Polymedic Hospital Referred & Approved PT

185 TARLIT, REMBERTO Baryo Butao, Sta. Baebara Pangasinan 03-3819540-9 60 M Conveyor operatorCervical spindylosis with

multilevel disk dse.

Madeline Physical Therapy

and Rehabilitation CenterReferred & Approved PT

186 BITOS, ARNOLD Zone 5, Sto Domingo, Pait Cagayan 01-1721627-9 38 MSenoir Plant

Elecrrician Nasal bone fracture



187 SUBIDO, JOHN CHRISTOPHER #44 Cypress point, Irisan, Baguio City 01-2149786-4 28 M Driver Fracture of scapula, left



Heart


188 SALINAS, FELIX#48 Luna St., Poblacion, Binmaley,

Pangasinan01-0706082-0 52 M Mine Electrician

Lateral Collateral Ankle

Ligament Strain



Heart


189 LLORET, ANTONIO 857 Leo St., Sampaloc, Manila 34-6312547-7 33 M Watchman Stab wound on left arm Philippine General Hospital Referred & Approved PT

190 ESTEBAN, JUNE0890 Dalig St., Kamalig, Meycauayan,

Bulacan04-2028610-3 32 M Driver/Electrician

Below knee amputation,

rightPhilippine General Hospital Referred & Approved Consultation

191 DIONELA, ENRICPasong Saging, Brgy. Delas Alas, GMA,

Cavite04-1934259-5 31 M Production Helper Philippine General Hospital Referred & Approved PT

192 TORRES, WILLIAMB4 L4 Area H Phase 1 San Rafael III,

San Jose del Monte, Bulacan03-6829622-6 56 M Chef Lumbar Spinal Stenosis Philippine General Hospital Referred & Approved PT

193 QUIJANO, BERNARD 194B San Nicolas I, Bacoor City, Cavite 03-7502238-6 52 M Seafarer-OilerModerate Degenerative

OrthosisPhilippine General Hospital Referred & Approved PT

194 CARBONELL, ROY Gingaroy, Tigaon, Camarines Sur PNP 33 M Police Officer Fracture left leg

Naga Imaging Center

Cooperative Doctors

Hospitals


195 BUENA, RUBYZone 3, San Vicente, Baao, Camarines

SurPNP 25 F Police Officer

Fracture, dislocation of left

hp

Naga Imaging Center

Cooperative Doctors

Hospitals


JULY

196 PANERIO, VICTOR Tramo road, bag-bag 1 Rosario Cavite 34-2589150-3 28 MPress machine

operator

Amputation right small, ring,

middle indez fingersPhilippine General Hospital Referred & Approved PT


APPROVED

SERVICE

PROVIDED

197 AGARAP, VILIE 206 Bliss Daang Amaya II Tanza Cavite 34-3721655-8 40 MPress machine

operator

Amputation right below


198 RAMOS, FLOROZone 4A Mapayapa St., Brgy. Mayamat,

Antipolo City33-6200509-6 44 M Messenger Amputation right arm Philippine General Hospital Referred & Approved PT

199 DUGAY, FELICISIMO10-E Gonzaga ext. Ugac Norte

Tuguegarao City01-2042195-4 33 M Messenger Fracture right leg



200 CALIMAG, VINCENTLuna St., Centro Southeast, Solana,

Cagayan33-9653052-4 45 M Security guard Head injury



201 CATUBAG, ELEONOR GRACE Purok 5, Accusilian Tuao West, Cagayan 006-0040-9869-8 52 F TeacherHypertension, L5, SI

radiculopatay right



202 SIKAT, JOEM CHESTERL5 BS Vermont place Brgy, Looc

Calamba City34-2395885-3 29 M Customer service Dislocated hip joint left Calamba Medical Center Referred & Approved PT

203 ESPINA, JERICB21 L35 Amaia Scapes, Barandaz

Calamba33-7780794-6 37 M Bosun

Lateral epicndylities cervical

carpal tunnerCalamba Medical Center Referred & Approved PT

204 BELEN, VICTORINO JR. Macabbling Sta. Rosa Laguna 04-1323576-3 49 M Machine Operator Right hand injury Calamba Medical Center Referred & Approved PT

205 BERNARDO, VISMINDAAcuna Dr. Tumaga Interior Zamboanga

City58-05300069-8 61 F Agriculturist II West Metro Medical Center Referred & Approved PT

206 OBINGUAR, JAYSONNijaga Extension, Brgy. Rawis Purok 5,

Calbayog Cit, Samar06-2876284-3 35 M Branch manager Fracture clavicle right St. Camillus. Hospital Referred & Approved PT

207 BUCE, MA. PERPETUA#112 Purok Pidawan, Loakan Proper,

Baguio City33-9984182-5 37 F

Customer service

representative

Cervical disorder with

radiculopathy



Heart


208 CASANOVA, JULIAN Sitio. Putol Brgy. Tibig Silang Cavite 33-2288576-4 49 MAll around

maintenance

Brachial Plexus Nerve Root

InjurySt. Dominic Medical Center Referred & Approved PT

209 CENTINO, JYRYL Purok 9 Lumbocan Butuan City 08-1738445-6 28 M Plywood grader

Fracture in the distal end of

the right radius w/

intracticular extension


210 DELOS SANTOS, JOMAR Brangcuag Village Tuao East Cagayan 01-111219608-9 35 M Orderly housekeepingFracture at the right clavicle/

vehicullar accident



211 SERDAN, JOEL Tawid Maasin Sogod Leyte 33-1332543-7 46 M DriverFracture on left ring finger

and thumb

Verano Physical Therapy

and Rehab. CenterReferred & Approved PT

212 DUERIAS, ANTONIO Badiang Maasin City 33-168619-0 44 M Driver Injury/ Fracture left armVerano Physical Therapy


213 JONES, ROY JASONPurok Santolan, Brgy. Icaon, Macrohon

Southern Leyte34-2242972-9 32 M Messman

Falet hypertrophy between

L4,L5

Verano Physical Therapy


214 AGUILAR, NICODEMUS Bryg. San Roque, Malitbog 06-0663081-6 58 M Third Eng. Fracture/ Injury Left kneeVerano Physical Therapy



APPROVED

SERVICE

PROVIDED

215 PEDUCHE, HEHERSON Abgao Malitbog, Southern Leyte 33-5349527-5 42 M Oiler Tenosynuvitis right hand Divine Word Hospital Referred & Approved PT

216 FERNANDEZ, MARJON San Jose, Maasin City 08-1951965-6 29 M Driver/ Mechanic Traumatic Amputation Verano Physical Therapy


217 LUCINO, IGNACIO Bilibol Maasin City, Sogod Leyte 33-3447808-8 48 M Cook CVA w/ persistent

hemiparesisDivine Word Hospital Referred & Approved PT

218 CABLAYAN, ARIEL Sirawan Toril 09-1698358-3 44 M Plant Supervisor Amputation of right arm



Inc.


219 POSADAS, JUN FRITS Purok Bliss, Kalawag I, Isulan 09-3169505-0 30 M Line InspectorFrcature right leg secondary

to vehicular accident

Dr. Arturo P. Pingoy


220 CANAPI, DARWIN JAY24M Campos St., Caritan Centro

Tuguegarao City01-2392392-5 25 M Merchandiser Fracture at the right arm



221 BUENAVENTURA, EDWARD25 Golden Gate, Brgy. Bacsa, Quezon

City 33-7221388-1 37 M Cook Dislocation bulge, L4, L5 Philippine General Hospital Referred & Approved PT

222 ARAGON, JOSILITO80 Ma. Dizon St., Gloria Heights Subd,

Antipolo City03-6983481-0 56 M Chief Cook Disc disease L5, S1 Philippine General Hospital Referred & Approved PT

223 RAFALES, ALCRIS 2707 Rizal Ave. Sta. Cruz Manila 34-1811185-0 29 M Delivery helperTraumatic amputation left

legPhilippine General Hospital Referred & Approved PT

224 GAYAS, WILJUUpper Northern Hills, North Diversion

Road, Meycuwayan Bulacan33-5337945-6 40 M Helper Amputation right below knee Philippine General Hospital Referred & Approved PT

225 MOMPER, EDUARDO JR. Brgy. Indag-an Miagao Iloilo City 33-8534465-3 36 M 3rd Officer

Lumbar dislocation

hernation radiculopathy, L4-

L5

West Visayas State


226 VILLEGAS, ALMARKalambuan, Urban poor, Maasin

Zamboanga City55 M Operator West Metro Medical Center Referred & Approved PT

227 SANDALAN, ANGELOLogoy Duitay Drive, Talon-Talon,

Zamboanga City49 M Janitor

Fx closed D/3rd of Tibui-

fabular West Metro Medical Center Referred & Approved PT

228 CLARE, DENNIS 202 Purok 3 Brgy,Lamot I Calavan.

Laguna04-4010239-3 32 M Cook Right hand injury Calamba Medical Center Referred & Approved PT

229 ABALDE, EDWIN1785 Interior F. Narra St., Kahilum I,

Pandacan, Manila34-2584138-8 32 M Injection Operator Amputation of fingers Philippine General Hospital Referred & Approved OT

230 CADIMAS, JERABELBlk 1, Lot 4 Eagle St., Vallejo Place

Pasong Buaya 2 Imis Cavite07-3025812-2 36 M Collector

Right leg, bone fracture,

tibia fibula fracturePhilippine General Hospital Referred & Approved PT

231 RODRIGUEZ, GILBERT Angacagilian, Cabagan Isabela 01-11712575 48 M WelderFracture, closed, calcaneus

right



232 PINTO, ROEL Parang, San Agustin, Isabela 33-7580731-7 37 M Account Officer Fracture right De Vera General Hospital Referred & Approved PT


APPROVED

SERVICE

PROVIDED

233 MARANA, RAYNOLD Purok 4 Bangag, Solana Cagayan 01-1918173-9 33 MConduct Investigation/

SalesMultiple rib fracture left



AUGUST

234 TORDECILLAS, ROBERTLYArellano St., Magsaysay Village Brgy.

105, Tondo Manila34-0478391-7 31 M Machine Operator Aputation right below armpit Philippine General Hospital Referred & Approved PT

235 ARROYO, JAMESONBlk 19, lot 27 Paya St., P.L. Brgy San

Agustin Dama, Cavite Silan Homes Subd.04-3629670-5 26 M Production helper

Traumatic amputation left

2nd, 3rd, 4th digitPhilippine General Hospital Referred & Approved PT

236 GARIN, ALDEON GLENN507 Longost St., Buquing, Dagupan City,

Pangasinan02-3468168-0 25 M Mining ventilation

Fracture dislocation, T12-L1

with complete paraplegia



237 ROSALIN, REYNALDO179 Brgy. Cabanbanan, Manaoang,

Pangasinan33-1628108-6 50 M Product Specialist

Cerebrovascular disease,

hemorrhagic left



238 CAMERO, LAURENCE#94 Paras St., Bonoan Gueset, Dagupan

City, Pangasinan33-1748316-8 47 M Sales agent Coronary



239 EBARLE, PILARDO Tagcatong, Carmen Agusan Del Norte 33-188179-2 55 M Steward

S/P Total knee replacement

with semi contrained

prothesis


240 MEDIDA, HENRY Matina Hills Shrine Davao City 09-1270448-1 53 M Driver Fracture right leg



Inc.


241 MILLARES, MARCO-RONALDOCorner Pasig & Danao Streets, Rivera

Village, Davao City20-0464406-8 39 M Legal Assistance II

Biceps tendon rupture at

right arm



Inc.


242 CAHIMTONG, MAYNARD JOHN Astorga Sta. Cruz Davao Del Sur 09-4415465-6 20 M Utility managementAmputation of left index

finger



Inc.


243 PEREZ, APOLINARIO Relodo, Zamboanga City 53 M Hydrolic mechanic West Metro Medical Center Referred & Approved X-ray

244 EDOC, EDGAR Zone 1, Ayala Zamboanga City 42 M Plumber West Metro Medical Center Referred & Approved X-ray

245 TOLENTINO, JHUN JHUN Malagutay, Zamboanga City 31 M Radio man West Metro Medical Center Referred & Approved PT

246 ABUHAN, JESSON Tudela Misamis Occidental 27 M Tail scout West Metro Medical Center Referred & Approved PT

247 ESTRAO, FELIX JR.Zone 7, Calle San Miguel, Ayala

Zamboanga City24 M Electrician West Metro Medical Center Referred & Approved PT

248 ESPINOSA, EUNICE Purok 8C, Relodo, Zamboanga City 31 M Warehouse man West Metro Medical Center Referred & Approved PT

249CONCEPCION, MA. SARAH

ANTONIA

U-3331 Makati Executive Tower 3

Cityland Square, Sen Gil Puyat Ave. cor.

Medina St., Makati City

CM647715 65 F

Welfare officer in

kuwait/ Medical Officer

IV

Post traumatic

osteoarthritis, both kneesPhilippine General Hospital Referred & Approved PT

250 SALAZAR, BENJAMINInterior 2 Pag-asa St.,Mallacan,

Maycauayan Bulacan38 M Factory Worker

Amputation index finger

rightPhilippine General Hospital Referred & Approved PT


APPROVED

SERVICE

PROVIDED

251 MAGHINAY, HERMINITO163 Caimito St., Brgy Cembo Gaudalupe,

Makati City08-0896062-7 48 M Carpenter

Fracture open II complete

comminuted 3rd tibia, fibula

left


252 PABIANIA, ROMELBlk 48 lot 16B. St., Evergreen Village

bagumbong Caloocan City07-0897054-2 56 M Chiefcook

Supraspiration teas,

complete right shoulderPhilippine General Hospital Referred & Approved PT

253 TANGGAP, MARK LITO Zone II, Las Merced St., Mercedes,

Zamboanga City10-1154536-2 27 M Driver Fx, closed radical head West Metro Medical Center Referred & Approved PT

254 CARAG, MARITES Aurora Pudtol, Apayao 20-0232753-9 52 M Midwife

Fracture, closed complete,

comminuted femur, right

secondary to vehicular

Cagayan Multi Specialty

ClinicReferred & Approved PT

255 BARRIGA, HARRISON Brgy. Tagbaros Maco 09-3285289-2 M MinerTraumatic amputation, left

hand, 3rd and 4th fingerPanabo Polymedic Hospital Referred & Approved PT

256 MOISES, RYANP-17A Hagkol, Poblacion Valencia City,

Bukidnon08-2713538-1 26 M Account counselor Below knee Amputation left



257 CABEZAS, REXCEL JOY F



Inc.


258 DOMINGO, ADRHEYBlk 5, Lot 32 JML III, Tulay bato Binan

Laguna04-273440-4 24 M Production operator Right hand

Dr. Jose G. Tamayo

Medical University

Foundation Inc


259 HERNANI, MONINALot 27 blk 16 SFHC Landayan San Pedro

Laguna03-4880281-8 59 M

Raw material

technician

Fracture, closed, complete,

dispalced posterior rib

avulsed wound left elbow

Dr. Jose G. Tamayo

Medical University

Foundation Inc


260 ROCABELLA, ALBERT Blk 7, Lot 30 St., Joseph 10 Phase 1

Langgam San Pedro Laguna33-7166745-4 36 M Pattern maller Lower body injury

Dr. Jose G. Tamayo

Medical University

Foundation Inc


261 CRUZATA, ERNESTO JR.Blk 16 Lot 12 Apitong St., St. Joseph Village

10 phase 2 Langgam, San Pedro City Laguna03-912684803 52 M Chief Cook Lumbar spondylosis

Dr. Jose G. Tamayo

Medical University

Foundation Inc


262 ABELLANA, JUCELER Olutanga, Zamboanga City 10-1095804-4 32 M RelieverAbove Elbow Amputation,

RightWest Metro Medical Center Referred & Approved Consultation

263 CABILLEZA, JUNNY Zone 1, Zambowood, Zaboanga City 10-0788861-9 42 M SecretaryFracture closed, 2nd digit

rightWest Metro Medical Center Referred & Approved PT

264 GERONA, ALJON Kitcharao, Agusan del Norte 08-2378222-0 26 M Driver Fractured Femur Manuel J. Santos Hospital Referred & Approved PT

265 REYES, GRISLY ADAM 155 Gonzales Brgy. 70 Caloocan City 33-5911915-7 38 M SeamanFracture, Dislocation of

lumbar spinePhilippine General Hospital Referred & Approved PT

266 JAOJAO, ZALDY#31 Sta. Brigida St., Karuhatan,

Valenzuela City34-2912237-5 27 M Helper

Avulsed, 1st digit of right

handPhilippine General Hospital Referred & Approved OT

267 DAIZON, ESTELITOB6 L5 Tanigne St. Samatad Compd.

Caloocan City03-8452268-6 53 M Seaman

Amputation of middle and

index finger, leftPhilippine General Hospital Referred & Approved OT

268 PECASO, FRANKLYN16 Camia St., Buwang, Brgy. Wawa,

Taguig City33-03985081 47 M Mason

Central Cord Syndrome,

Lamenectomy C5-C6Philippine General Hospital Referred & Approved OT

SEPTEMBER


APPROVED

SERVICE

PROVIDED

269 LOAYON, GENEVIVEL16, B2, San Fernando St., Dona

Assuncion Village Pampanga, Davao City09-3156332-8 28 F

Credit and Collection

Analyst

Fracture closed complete

displaced transverse distal

3rd tibia fibula left,



Inc.


270 TOROBA, HERLINDAPurok 24, Talisay Times Beaca Davao

City09-1157130-1 51 F Head Cashier Fracture of left knee



Inc.


271 TANSIONGCO, AVE 821 A. Valdez St., Sampaloc Manila 33-2202375-9 48 M Office Staff Fracture left hip joint Philippine General Hospital Referred & Approved PT

272 LAURIN, CELMARLot 1 Blk 36, Phase 2B, Pantok

Binangonan Rizal33-9696409-3 36 M Butcher Amputation right arm Philippine General Hospital Referred & Approved PT

273 ABREGANA, CRESENTEBrgy. 105 Sampaguita, Happy land,

Tondo, Manila34-1921425-7 54 M Steward Fracture right hip joint Philippine General Hospital Referred & Approved PT

274 GUNDIO, EZEKIEL8 Gyundai Bldg. 6K Silver height

Caloocan City33-8203167-1 35 M Installation Technician Left foot fracture Philippine General Hospital Referred & Approved PT

275 NAVARRO, RUBEN 106 10TH- 8TH Ave.,Caloocan City 03-9172693-8 M Machine OperatorAmputation left Middle right

& index fimgerPhilippine General Hospital Referred & Approved PT

276 LAUZON, ARTURO 3A 178 Palati St., Balut, Tondo Manila 03-858667-3 55 M Bosun Fracture left foot ankle Philippine General Hospital Referred & Approved PT

277 DUSARAN, KIM Upper Balite, Brgy. Fortune, Marikina City 34-3287652-4 27 M Machine OperatorAmuptation of small, ring &

middle finger, right handPhilippine General Hospital Referred & Approved OT

278 BAUYON, EMMANUELBlk 41 Lot 10 Belmont Homes II, Brgy.

Halang, Naic, Cavite33-3947604-3 44 M

Gondola

Operator/Sealer

Fracture, Pelvic left and

rightPhilippine General Hospital Referred & Approved PT & OT

279 SUSVILLA, RYANLot 12 Blk 48 Phase 2 San Juan St.,

Central Bicutan, Taguig City07-2869749-4 28 M Seaman/Oiler

Fracture, Dislocation of

lumbar spinePhilippine General Hospital Referred & Approved PT

280 TIMOSA, VICTOR Damilag, Bukidnon 10-0344291-0 48 M MaintenanceFracture of shaft of tibia,

right



281 LAURENTE, JEANZone 1 Sto. Nino St. San Felipe, Naga

City05-0516073-3 41 F HR Supervisor Sub flap grafting right

Naga Imaging Center

Cooperative Doctors

Hospitals


282 LOCTORES, RODELBlk 2, Tierra madre, Tumaga,

Zamboanga City10-0980486-6 40 M Ambulance driver

T/C mechanical low back

painWest Metro Medical Center Referred & Approved PT

283 SIA, DONALD RICHIE338 Paredes St., Brgy Zone IV,

Koronadal City, South Cotabato09-3446901-8 43 M Bus conductor

Whiplash injury,

lumbosacral strain

Dr. Arturo P. Pingoy


284 PACAYRA, RICHEL ANNE 53 Magallanes St., Tacloban City, Leyte 77-042000088-7 42 M Fracture on the left foot Divine Word Hospital Referred & Approved PT

285 DOMDOM, ARMENIO San Isidro, Prieto Daz, Sorsogon 33-0664806-6 52 MReblancher/ blancher

utulity

Amputation right arm above

elbow

Sorsogon Medical Group

Hospital & Health Services

Cooperative


286 CELEBRADO, MELVIN Cembo, Makati City 33-4443433-9 41 M Security guard Fractured left thumb Philippine General Hospital Referred & Approved Consultation


APPROVED

SERVICE

PROVIDED

287 DOLORES, BAYLOR 112 A. Lake St., San Juan City 33-5603917-5 39 M Bagger Mild Lumbar Spondylosis Philippine General Hospital Referred & Approved PT

288 BASQUIÑAS, NOLITOB13 L32 Phase 3 St. Louis Talon 3, Las

Pinas City05-0440143-5 52 M Bus conductor Lowback Pain Philippine General Hospital Referred & Approved PT

289 ALABATA, MARIA ELENALot 22 Blk 4 Teachers Village, Catumbal,

Cabaluay, Zamboanga City2002003976 51 F Supervising LEO Adhesive Capsulitis, Left West Metro Medical Center Referred & Approved PT

290 LIGONES, ROMEOB2 L87 San Cristobal Garden Homes,

Calamba City, Laguna06-1545131-6 48 M Seafarer

Cervical disorder with

radiculopathyCalamba Medical Center Referred & Approved PT

291 BAUTISTA, JOHN RONALDBrgy. Majada, Canlubang, Calamba City,

Laguna04-3671441-0 21 M Production helper Fracture finger, left hand Calamba Medical Center Referred & Approved PT

292 PINEDA, ERMELITO#12 M.H. Del Pilar St. Brgy. 4, Calamba

City, Laguna02-1675601-2 40 M Production operator

Traumatc Amputation of 3rd,

4th and 5th Digit, Right HandCalamba Medical Center Referred & Approved PT

293 SOMBRERO, JEROMEManila Cordage CIP 1 Canlubang,

Calamba City, Laguna05-1376407-9 22 M Operator/Helper

Above Elbow Amputation,

Left ArmCalamba Medical Center Referred & Approved PT

294 AMBAS, MARVINLazaro's Compound, Brgy Parian,

Calamba City, Laguna04-4264837-6 21 M Helper

Below Elbow amputation,

left armCalamba Medical Center Referred & Approved Consultation

295 COLAR, JESUS II Zone 1 Joroan, Tiwi, Albay 34-1378869-9 30 M SeafarerHerniated nucleus pulposus

L2-L3, L5-S1

Estevez Memorial Hospital,


296 TESTADO, ROMILkm 6 Tinago Drive, Diversion Rd., Matina

Pangi, Davao City09-2290703-2 43 M Seafarer/Cook Lumbar Spondylosis



Inc.


OCTOBER

297 SAN JUAN, JOSHUA886 Mendoza St., Bulac, Sta. Maria,

Bulacan34-6133616-1 23 M Maintenance Helper

Shoulder Disarticulation

(Left Arm)Philippine General Hospital Referred & Approved Consultation

298 PACUDAN, CARLOSLot 26 Blk 18 UH II-B Brgy. San Luis,

Bagong Nayon II, Antipolo City, Rizal06-1099490-4 56 M Seafarer

Thoracolumbar Scoliosis &

SpondylosisPhilippine General Hospital Referred & Approved PT

299 CLARINO, MARILYNNo. 1 K. Kanlog St. Llamado Subd.

Karuhatan, Valenzuela City33-0712509-6 48 F Machine Operator

Amputation of small, ring &

middle finger, rightPhilippine General Hospital Referred & Approved PT & OT

300 TERCEPONA, RICHER Brgy. Mabini, Buenavista, Guimaras 07-1614757-4 46 M Seafarer Fracture right handWest Visayas State


301 YUMANG, ARWIN Balite Drive, Talomo, Davao City 0006004605832 47 M Ticket Checker Mild Stroke



Inc.


302 ESSOL, JUDIE San Jose, Lamitan City 10-1158889-5 39 M Dumper Brain Injury West Metro Medical Center Referred & Approved PT

303 PORAZO, JOMARBlk 24 Lot 4 Liwayway Homes

Subdivision Anabu I-C, Imus, Cavite33-9441253-4 34 M Line Cook

Distal Radial Fracture with

Open Reduction and Internal

Fixation


304 FORMENTERA, ALVINBlk S4 Brgy. Sta. Cruz Ii, Dasmarinas,

Cavite34-0054717-3 33 M Seafarer Rotator cuff left shoulder Philippine General Hospital Referred & Approved PT


APPROVED

SERVICE

PROVIDED

305 VILLARIN, INOCENTE Brgy. Dona Juana, San Agustin, Romblon 04-2924754-1 49 M Steelman Amputation of thumb, left Philippine General Hospital Referred & Approved OT

306 FLORES, MICHAEL 396 Sawat, Urbiztondo, Pangasinan 34-7631017-2 26 M HelperAbove Elbow Amputation,

Right


and Rehabilitation CenterReferred & Approved Consultation

307 SAN JUAN, CARMEN1059 Primero de Mayo St., Solis, Tondo,

Manila03-6725729-5 60 F Stewardess Low Back Pain Philippine General Hospital Referred & Approved Xray and PT

308 GAYOMALE, JOJIE

Blk 2 Lot 24 Aguilao St. Lesandra Heights

Camella, Daang Hari Molino IV, Bacoor,

Cavite

33-8556574-6 35 M WelderDisc protrusion L4-L5 with

left radiculopathyPhilippine General Hospital Referred & Approved PT

309 BALOLONG, DEXTER 175 Zone 4 Isla, Valenzuela City 34-3659803-1 29 M Machine Operator Amputation of right thumb Philippine General Hospital Referred & Approved Consultation

310 DELA CRUZ, JENNYGENAI, Latero Green Valley, San Nicolas

St., Bacoor, Cavite33-5041827-1 43 M Security guard Fractured right leg Philippine General Hospital Referred & Approved Consultation

311 COMETA, RONALD M283 Poblacion, San Pascual, Batangas 33-0766873-1 54 M Seafarer

Anputation of middle and

ring finger, left hand;

fracture right hand

Mary Mediatrix Medical

Center, Lipa City BatangasReferred & Approved OT

312 ALEÑO, RICOSto. Domingo, Camaligan, Camarines

Sur05-0461809-5 47 M

Electro-Mechanical

Technician

ACL Tear Right Knee,

Arthoscopic ACL

Reconstruction

Naga Imaging Center

Cooperative Doctors

Hospitals


313 BANDO, NILOPurok Durian Wines Baguio Dist., Davao

City09-4441714-4 27 M Laborer

Closed Patella Tendon with

Patello Tibial Wiring Left Knee



Inc.


314 DIMAANO, PASTOR JR. Purok 4 Brgy. Bucal, Calamba City 04-1894622-2 30 M Security guard Fracture of shaft femur, right Calamba Medical Center Referred & Approved PT, MRI and Xray

315 MORETO, ALEXISB58 L1 Phase 6 Executive Mabuhay,

Mamatid, Cabuyao, Laguna33-3799745-8 49 M Seafarer-Cook Intervertebral Disc Disorder Calamba Medical Center Referred & Approved PT and MRI

316 MORTIGA, AMOR2064-C Jose Abad Santos St., Sta. Mesa,

Manila33-8447759-2 38 M Buyer

Fracture, open complete,

displaced middle 3rd radius

ulna, left


317 PAGLINAWAN, ROBERTOMango St., Mariano Village, Magsaysay

Avenue, Naga City03-4854717-3 58 M Seafarer-Chief Cook

Anterior Superior Labral Tear,

Right; Arthroscopic Labral

Debridement right

Naga Imaging Center

Cooperative Doctors

Hospitals


318 PAMA, EDWIN Brgy. Arac, Passi City, Iloilo 07-2099686-3 44 M Seafarer/OilerTraumatic Amputation, 1st

Digit Left Hand

West Visayas State


319 MALAPIT, DANIEL

Blk 5 Lot 11&12 Mulawin St. Fairview

Subd. Brgy.Tungkong Mangga SJDM,

Bulacan

34-1105879-0 30 M MerchandiserRight Arm Upper

AmputationPhilippine General Hospital Referred & Approved Consultation

320 QUINTOS, JOHN PAULInterior Sanciangco, Catmon, Malabon

City02-3962176-8 24 M Machine Operator

Amputation ring & middle

left fingerPhilippine General Hospital Referred & Approved OT

321 UNTAL, VICTOR Brgy. 21-C Piapi, Davao City 09-3165028-6 29 M Butcher Injury on left 5th digit finger



Inc.


NOVEMBER

322 MARTINEZ, RENISON Marcos Drive, Putik, Zamboanga City 79011400618 40 M Electrician Foreman 17C Machine LBP West Metro Medical Center Referred & Approved PT


APPROVED

SERVICE

PROVIDED

323 AN, JUNSampaguita St. Progressive Village 3,

Bayanan, Bacoor, Cavite04-3487499-6 38 M Janitor Fracture Left Leg Philippine General Hospital Referred & Approved PT

324 CAMBARIHAN, ROSWELL 111 P. Manahan, Pasay City 09-1845757-0 42 M Fitter

Posterior Disc Bulge with Disc

Desiccation, Spondylosis &

Bilateral Neural Foraminal

Stenosis at L4-5 Level


325 NACU, MANUEL JR.Blk 222 L6 PHZ Mabuhay City Subd.

Paliparan 3, Damariñas, Cavite03-7266396-8 57 M Crane Driver

Left Knee ruptured baker's Cyst;

Left knee mild osteoarthritis with

left leg varicose vein


326 GUETTAP, KENNEDYBlk 21 L11 CasimiroTownhomes, Brgy.

Queensrow East, Bacoor, Cavite03-8158087-0 55 M Security Guard

Chronic Venous

InsufficiencyPhilippine General Hospital Referred & Approved PT

327 APOSTOL, JOSE Blk 17 L1 Mt view Dream Homes II, Palo

Alto, Calamba City, Laguna04-3043047-3 45 M Operator C5-C6 Disc Protrusion Calamba Medical Center Referred & Approved PT

328 SABROSO, RALPH Malagutay, Zamboanga City 23 M RifflemanT/C Soft tissue Contusion

probablyWest Metro Medical Center Referred & Approved PT

329 ARANETA, DELIA Morning Glory, Putik, Zamboanga City 56020201555 63 F Market Supervisor II S/P CUA West Metro Medical Center Referred & Approved PT

330 ABEL, ROLITO Recodo, Zamboanga City 10-1202436-1 22 M Hotpress helperFx- open 2nd digit PIP 2°

trauma S/P West Metro Medical Center Referred & Approved PT

331 LEGASPI, CEZARGolf Village, Upper Calarian, Zamboanga

City10-0364786-7 54 M Bobcat Operator Adhesive Capsulitis, Right West Metro Medical Center Referred & Approved PT

332 BALLENER, NESTOR Blk 21 Arenda, Taytay, Rizal 33-4839651-2 M MotormanAmputation of right index

fingerPhilippine General Hospital Referred & Approved OT

333 GOROSPE, RODELUPS4 Sampaguita St. Brgy. Marcelo

Green, Parañaque City33-7972083- 0 35 M Aircraft Cleaner Fracture closed distal radius Philippine General Hospital Referred & Approved OT

334 REBUYON, JUNIEFERPurok 6 Ext. Upper Jasaan, Jasaan,

Misamis Oriental08-1565638-0 37 M Scrap Yard Cutter

Fracture of upper

proximalend of tibia, left

Nothern Mindanao Medical


335 CUSIT, ANALIZA Alae Manolo Fortich Bukidnon 06-3168384-1 30 F Bagger

Mangled limd right upper

proximity secondary to

crushing injury

Nothern Mindanao Medical


336 FAUNE, JOSE ENEDICTO253 Bongainvilla St. Joseph Villa,

Kanagan, Butuan City64110202405 55 M

Assistant Vice-

PresidentLumbar



Inc.


337 VALLERA, ANTHONY Brgy. Quiot, Basak Pardo, Cebu City 08-1964122-3 26 M Welder FabricatorPartially Avulsed Wound

Left Thumb



338 NAMOCATCAT, JAYRALD KIM P-I Aclan Nasipit, Agusan Del Norte 08-1979772-4 25 M Electrician

First degree burns

secondary to low voltage

electrical injury


339 SALVILLA, JOECARISLot 1 Blk 18 Las Villas Subd. Brgy. City

Heights, General Santos City07-1623368-2 47 M Able Seaman L4-L5 Slipped Disc. St. Elizabeth Hospital, Inc. Referred & Approved PT

340 DELA CRUZ, JANETTE Sandawa Phase 2, Kidapawan City 74022400812 45 F School Teacher

Fractured closed

comminuted middle third

humerus right

Kidapawan Doctors

Hospital, Inc.Referred & Approved PT


APPROVED

SERVICE

PROVIDED

341 SION, ANTHONY JUSTINEBlk 4 Lt38 Rosal St. Mother Earth Subd.

Talon Dos, Las Piñas City34-3421059-9 26 M Ordinary Seaman Lower back injury Philippine General Hospital Referred & Approved PT

342 CAPUTOLAN, MICHAELBlk 5 Lot 15 Deca Homes Catalunan

Grande Davao City06-2597292-4 36 M Able Seaman Left Middle Finger Fractured



Inc.

Referred & Approved PT/OT

343 NARVATO, KIM JOHNZone 6, Rock Ave., San Rafael, Tigaon,

Camarines Sur05-1199355-7 26 M Treasury Specialist

Upper Humerous Fracture /

Brachial Plexus Injury

Naga Imaging Center

Cooperative Doctors

Hospitals


344 SOLANA, CHRISTIANPurok Matatag Balabat Subd. Polomolok

South Cotabato09-1607163-1 43 M Chief Cook Mild Lumbar Spondylosis

General Santos Doctors


DECEMBER

345 FARE, MELQUIADES San Jose, Daliao, Toril, Davao City 09-1071223-9 55 M Operator Right Hand Fracture



Inc.

Referred & Approved PT/OT

346 CAGAS, HERCULANOBlk 5 Lot 12-D Capricorn St. Pamplona

Dos, Las Piñas City09-0841970-6 58 M Third Eng.

Herniated nucleus pulposus

L3-L4Philippine General Hospital Referred & Approved PT

347 SAN JUAN, CATALINO 1201 Lardizabal St., Sampaloc, Manila 03-4398224-1 62 M Fitter Partial ACL Tear, Left Knee Philippine General Hospital Referred & Approved PT

348 TOLEDO, ELMER 124A Calibuyo, Tanza, Cavite 33-6645848-7 38 M Machine Operator Ankle injury (right)

UPH-Dr. Jose G. Tamayo

Medical University

Foundation


349 SANCHEZ, JETTPurok 5 Brgy. 20, Baan Riverside,

Buytuan City08-1451709-3 33 M Repsaw Assistant Amputation of right hand Manuel J. Santos Hospital Referred & Approved Consultation

350 CAUSING, PHEBEB37 L12 Sulu St., Kassel City, Abucay,

Tacloban2001749554 48 F Forest Ranger

Chondormalacia Patellofemoral Joint

Lateral Tibial Plateau Joint and

Synovitis, Right Knee

OSPA-Farmers' Medical


Prepared by: Submitted by: Noted by:

ANICETA MISA (SGD.) DR. MELBA Y. SACRO (SGD.) STELLA Z. BANAWIS (SGD.)

Nurse II Chief, WCPRD Executive Director

Documents

EMPLOYEES' COMPENSATION COMMISSION 4TH & 5TH Flr., ECC