Republic of the Philippines
AGUSAN DEL NORTE PROVINCIAL HOSPITAL
Village 2 Libertad, Butuan City
Tel/Fax No. (085) 341-5129
Email address: adnphlaboratory@[Link]
PRICE QUOTATION
LABORATORY EXAMINATIONS
Date: JUNE 15, 2025
NAME: CONSIGNA DANILO GILO
AGE: 43/M
ADDRESS:P-7 VILLA KANANGA BUTUAN CITY
REQUESTING PHYSICIAN: DR. CONCHA
TYPE OF EXAMINATIONS PRICELIST
URINALYSIS 65.00
65.00
Prepared by:
KLARISSA MAY C. CASAPAO, RMT
MEDICAL TECHNOLOGIST- JO
Noted by:
Medical Social Worker
Republic of the Philippines
AGUSAN DEL NORTE PROVINCIAL HOSPITAL
Village 2 Libertad, Butuan City
Tel/Fax No. (085) 341-5129
Email address: adnphlaboratory@[Link]
PRICE QUOTATION
LABORATORY EXAMINATIONS
Date: JUNE 25, 2025
NAME: SERDONCILLO, ROLANDO ALBINO
AGE: 52/MALE
ADDRESS: P1A, AMPAYON, BUTUAN CITY
REQUESTING PHYSICIAN: DR. MENDEZ
TYPE OF EXAMINATIONS PRICELIST
BLOOD TYPING 115.00
CBC 235.00
URINALYSIS 65.00
CREATININE 310.00
LIPID PROFILE 780.00
FBS 195.00
SGPT 310.00
NaK 910.00
BUN 310.00
BUA 310.00
TOTAL 3,540.00
Prepared by:
MAURICE JEAN L. ABABON
Admin Aide `
Noted by:
Medical Social Worker
Republic of the Philippines
AGUSAN DEL NORTE PROVINCIAL HOSPITAL
Village 2 Libertad, Butuan City
Tel/Fax No. (085) 341-5129
Email address: adnphlaboratory@[Link]
PRICE QUOTATION
LABORATORY EXAMINATIONS
Date: MAY 20, 2025
NAME: SAGURAN, GEROME JR.
AGE: 11mos./MALE
ADDRESS: P-2 BRGY MAHABA, AGUSAN DEL NORTE
REQUESTING PHYSICIAN: DR. NEIS
TYPE OF EXAMINATIONS PRICELIST
CBC 235.00
URINALYSIS 65.00
TOTAL 300.00
Prepared by:
MAURICE JEAN L. ABABON
JO-Admin Aide
Noted by:
Medical Social Worker
Republic of the Philippines
AGUSAN DEL NORTE PROVINCIAL HOSPITAL
Village 2 Libertad, Butuan City
Tel/Fax No. (085) 341-5129
Email address: adnphlaboratory@[Link]
PRICE QUOTATION
LABORATORY EXAMINATIONS
DATE: JUNE 10,2025
NAME: TARUC, ALEJANDRO
AGE: 70/MALE
ADDRESS: P-7 MAOG, BUTUAN CITY
TYPE OF
PRICELIST
EXAMINATIONS
PSA 2,400.00
TOTAL: 2,400.00
Prepared by:
MAURICE JEAN L. ABABON
ADMIN. AIDE
Noted by:
Medical Social Worker
