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This document is a list from the PCSO-Charity Assistance Department in Negros Occidental providing financial assistance for dialysis treatments. It details 14 patients who will receive funding paid to the Silay Kidney Dialysis Center Corporation for dialysis injections between July 2023. The total number of cases and amount of funding is not specified.
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0% found this document useful (0 votes)
20 views

SKDC Template

This document is a list from the PCSO-Charity Assistance Department in Negros Occidental providing financial assistance for dialysis treatments. It details 14 patients who will receive funding paid to the Silay Kidney Dialysis Center Corporation for dialysis injections between July 2023. The total number of cases and amount of funding is not specified.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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PURPOSE

PCSO-CHARITY ASSISTANCE DEPARTMENT


PCSO- NEGROS OCCIDENTAL CHEMO
JULY 2023

NAME OF PATIENT
No GL NO DATE APPLIED REQ. NO. (Last Name, First Name, PAYABLE TO HOSPITAL / DIALYSIS CENTER
Middle Name)

SILAY KIDNEY DIALYSIS CENTER SILAY KIDNEY DIALYSIS


1 CORPORATION CENTER CORPORATION

SILAY KIDNEY DIALYSIS CENTER SILAY KIDNEY DIALYSIS


2 CORPORATION CENTER CORPORATION

SILAY KIDNEY DIALYSIS CENTER SILAY KIDNEY DIALYSIS


3 CORPORATION CENTER CORPORATION

SILAY KIDNEY DIALYSIS CENTER SILAY KIDNEY DIALYSIS


4 CORPORATION CENTER CORPORATION

SILAY KIDNEY DIALYSIS CENTER SILAY KIDNEY DIALYSIS


5 CORPORATION CENTER CORPORATION

SILAY KIDNEY DIALYSIS CENTER SILAY KIDNEY DIALYSIS


6 CORPORATION CENTER CORPORATION

SILAY KIDNEY DIALYSIS CENTER SILAY KIDNEY DIALYSIS


7 CORPORATION CENTER CORPORATION

SILAY KIDNEY DIALYSIS CENTER SILAY KIDNEY DIALYSIS


8 CORPORATION CENTER CORPORATION

SILAY KIDNEY DIALYSIS CENTER SILAY KIDNEY DIALYSIS


9 CORPORATION CENTER CORPORATION

SILAY KIDNEY DIALYSIS CENTER SILAY KIDNEY DIALYSIS


10 CORPORATION CENTER CORPORATION

SILAY KIDNEY DIALYSIS CENTER SILAY KIDNEY DIALYSIS


11 CORPORATION CENTER CORPORATION

SILAY KIDNEY DIALYSIS CENTER SILAY KIDNEY DIALYSIS


12 CORPORATION CENTER CORPORATION

SILAY KIDNEY DIALYSIS CENTER SILAY KIDNEY DIALYSIS


13 CORPORATION CENTER CORPORATION
SILAY KIDNEY DIALYSIS CENTER SILAY KIDNEY DIALYSIS
14 CORPORATION CENTER CORPORATION
AMOUNT
Total # of cases:

Total amount

DIAGNOSIS AMOUNT PURPOSE

DIALYSIS INJECTION

DIALYSIS INJECTION

DIALYSIS INJECTION

DIALYSIS INJECTION

DIALYSIS INJECTION

DIALYSIS INJECTION

DIALYSIS INJECTION

DIALYSIS INJECTION

DIALYSIS INJECTION

DIALYSIS INJECTION

DIALYSIS INJECTION

DIALYSIS INJECTION

DIALYSIS INJECTION
DIALYSIS INJECTION

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