Request Details	Reference No.	Request Date
Type: Cash Charge TPL PHIC PAY CHARITY CMV PROJECT DSWD EKONSULTA EP FOR MAIFIP FOR MAP LINGAP LPM/PCSO MAIFIP MAP MISSION NSC-M OP OVP PCSO PHS APPROVED POPCOM SCPF SCPF-OP SCPF-PF SPMC-OP WALK-IN (DSWD) WALK-IN (LINGAP) WALK-IN (MAIFIP) WALK-IN (MAP) WALK-IN (OVP) WALK-IN (SCPF-OP) WALK-IN (SCPF-PF) WALK-IN (SPMC-OP) To pay later Name: Address: Patient type: WALK-IN HRN: Location: WALK-IN PHIC no: None Category:		April 8, 2026 6:34pm
	Discounts	Request options
	Classification: None Senior citizen	Priority Routine Stat Notes

PHIC Coverage:

	Item No.	Item Description	Area	Consigned	Quantity	Dosage	Frequency	Route	Price(Orig)	Price(Adj)	Total
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