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Republic of the Philippines

Province of Davao del Sur


-oOo-
PROVINCIAL HEALTH OFFICE
Davao del Sur Provincial Hospital
Lapu-Lapu Street, Digos City
Tel. No. (082)553-2383

July 25, 2017

MR. DENNIS B. ADRE


Regional Vice President
PhilHealth Regional Office XI
Davao City

Dear RVP Adre,

With the mandate of Republic Act 10924, otherwise known as the General
Appropiations Act of Fiscal Year 2017, specifically under Title XXXVI on Budgetary
Support to Government Corporation, Special Provision No. 3 on the Attainment of
Universal Coverage under philHealth, we hereby declare our commitment to participate
and undertake the identification of Poor/Indigent members in our locality to ensure
successful implementation of the said program.

We look forward to a stronger and continue partnership with your cooperation. We are
one with you in ensuring financial risk protection to our intended beneficiaries,
particularly the poor and vulnerable sectors of the population.

Thank you.

Very Truly Yours,

DOUGLAS RA. CAGAS, LLB, MBE, MNSA


Governor
Province of Davao del Sur
Republic of the Philippines
Province of Davao del Sur
-oOo-
PROVINCIAL HEALTH OFFICE
Davao del Sur Provincial Hospital
Lapu-Lapu Street, Digos City
Tel. No. (082)553-2383

July 25, 2017

MR. DENNIS B. ADRE


Regional Vice President
PhilHealth Regional Office XI
Davao City

Dear RVP Adre,

Last June 29, 2017, we received your Philhealth Circular letter regarding the new
sytem,which indicated to stopped all transactions in POC program, and making way for
the new system so called POS to activate, we immediately stopped all the transactions
under the POC program, and waited for your good Office for the new mandated system
to be activated, which we will gladly apply as soon as the system is good to operate.

Formerly The Point of Care Office has a (2) Computer Destktop unit with a 10 mbps
internet capacity,which is exclusively used for ORE and Portal Service.

Thank you.

Very Truly Yours,

ELPIDIO R. MONARCA, M.D., FPSMS


Provincial Health Officer I
Chief of Hospital -Designate
Republic of the Philippines
Province of Davao del Sur
-oOo-
PROVINCIAL HEALTH OFFICE
Davao del Sur Provincial Hospital
Lapu-Lapu Street, Digos City
Tel. No. (082)553-2383

July 25, 2017

ELPIDIO R. MONARCA JR., MD, FPSMS


Chief of Hospital
Davao del Sur Provincial Hospital

Thru: MRS. WILROSE CA. BISMANOS


Administrative Officer V
Davao del Sur Provincial Hospital

Dear Dr. Monarca,

Good day!

This is to inform you that as per Philhealth Circular 2017-0011 with the
subject “Guidelines on the Implementation of Point of Service”, it has
identified specific requirements for government hospitals to partipate which
includes: (1) Medical Social Welfare Development certificate of DOH
training on assessment and classification of patient as indigent and; (2)
MSWD staff trained (with certification) on means test. The aforementioned
requirements has not yet been met thus prevents us from participating in the
Point of Service program. Relative to this matter, I am requesting your good
office for the possibility of scouting Medical Social Workers who can meet
such requisites.

Your immediate response on this request will ensure that we are able to
achieve a healthy and productive people of Davao del Sur.

Sincerely yours,

ROXANNE P. JUNSAY
Health Care Program Coordinator
Republic of the Philippines
Province of Davao del Sur
-oOo-
PROVINCIAL HEALTH OFFICE
Davao del Sur Provincial Hospital
Lapu-Lapu Street, Digos City
Tel. No. (082)553-2383

August 15, 2017

DOUGLAS RA. CAGAS, LLB, MNSA, MBE


Governor
Executive Building, Provincial Capitol
Matti, Digos City

Thru: RAUL D. RAUT


Supervising Administrative Officer
(Human Resource Management Officer IV)

Sir,

Good day!

I am respectfully resquesting for JOB ORDER appointment to be charged to Provincial


Health Care Program LGDF General Fund CY 2017, to be assign at Point Of Care Office
(POC).

The following personalities, to wit:

PARDILLO, WINSTON A. JUNE 1 to SEPTEMBER 30, 2017 RENEWAL


BONGABONG, RILYZEL V. JULY 1 to SEPTEMBER 30, 2017 NEW
SOSMEÑA, NOEL A. JULY 1 to SEPTEMBER 30, 2017 RENEWAL
MOLINA, EDNA T. SEPTEMBER 1 to 30, 2017 RENEWAL

It is our most humble prayer that this request merits your most sympathetic attention and
kindest action.

Very respectfully,

WILROSE CA. BISMANOS


Administrative Officer V
Republic of the Philippines
Province of Davao del Sur
-oOo-
PROVINCIAL HEALTH OFFICE
Davao del Sur Provincial Hospital
Lapu-Lapu Street, Digos City
Tel. No. (082)553-2383

August 17, 2017,

MR. DENNIS B. ADRE


Regional Vice President
PhilHealth Regional Office XI
Davao City

Dear RVP Adre,

Greetings!

This is to signify our intent to participate in the Point of Service Program of Philippine
Health Insurance Corporation in its implementation at Davao del Sur Provincial
Hospital. Relative to this, we are submitting the documents requisite to the participation
in such program. Moreover, we are also requesting that we be allowed to participate
pending the compliance of (1) Certificate of Training for MSWD on classification and
assessment of indigent patients and (2) MSWD staff trained on membership verification
as these trainings are still to be conducted by DOH by this month of August 2017.

Your approval on this matter will ensure that financial-risk protection is awaited by the
Filipino people.

Thank You and God Bless!

Very Truly Yours,

ROXANNE P. JUNSAY
Health Care Program Coordinator
Republic of the Philippines
Province of Davao del Sur
-oOo-
PROVINCIAL HEALTH OFFICE
Davao del Sur Provincial Hospital
Lapu-Lapu Street, Digos City
Tel. No. (082)553-2383

CERTIFICATE OF EMPLOYMENT

This is to certify that MIKHAIL LOUIS C. VILLAHERMOSA has been employed


at the Davao del Sur Provincial Hospital, a tertiary hospital with 150-bed capacity
with ongoing upgrade to 300-bed capacity. Inclusive herein is the summary of
service record.

Inclusive Date Designate Area

January 2017 – up to present Clerk Staf Point of Care Office

This certification is being issued upon the request of the above-named


person for whatever legal purpose.

Done this 14th day of November 2017 at Lapu-Lapu Street, Digos City,
Davao del Sur, Philippines.

Certified by:

ELPIDIO R. MONARCA, JR., MD, FPSMS


Chief of Hospital
Republic of the Philippines
Province of Davao del Sur
-oOo-
PROVINCIAL HEALTH OFFICE
Davao del Sur Provincial Hospital
Lapu-Lapu Street, Digos City
Tel. No. (082)553-2383

THE DIRECTOR GENERAL


Philippine Drug Enforcement Agency
National Government Center, Diliman
Quezon City

ATTENTION: THE DIRECTOR, COMPLIANCE SERVICE

Subject: Late submission of Semi-Annual Report

Sir/Madam:

We would like to inform your good office for the late submission of our Semi_Annual Report,
January – June 2017. The pharmacist in charge forget the scheduled date of submission since
only diazepam ampule is available.

We deeply apologize for the late submission and we promise to comply the necessary
documents on time.

Hoping for your kind consideration and more power to your office.

Sincerely yours,

JULIET C. MONTEBON, RPH


Pharmacist II

SUBSCRIBED AND SWORN to before me this 13th day of September, 2017 at Digos City.
Republic of the Philippines
Province of Davao del Sur
-oOo-
PROVINCIAL HEALTH OFFICE
Davao del Sur Provincial Hospital
Lapu-Lapu Street, Digos City
Tel. No. (082)553-2383

September 13, 2017

Mr. DENNIS B. ADRE


Regional Vice-President
PhilHealth Regional Office XI
Davao City

Thru: MARY GRACE SOCORRO S. GONZALO


Chief Social Insurance Officer
PhilHealth Digos

Dear Sir/Madam,

Greetings!

This is with reference with the 2017 Provincial Health Care Program budget allocation for
enrolment under Point Of Care. The subject of our request, to send a representative to conduct
reassessment on the guidelines for the implementation of Point Of Care on September 20, 2017
9:00 o’clock in the morning at the POC Office, Davao del Sur Provincial Hospital, Lapu-lapu St.,
Digos City.

Hoping for your favorable request.

Very truly yours,

ELPIDIO R. MONARCA, JR., MD, FPSMS


Provincial Health Officer I
Chief of Hospital
Republic of the Philippines
Province of Davao del Sur
-oOo-
PROVINCIAL HEALTH OFFICE
Davao del Sur Provincial Hospital
Lapu-Lapu Street, Digos City
Tel. No. (082)553-2383

September 18, 2017

DESSAMIE BUAT –SANCHEZ, CPA


Provincial Budget Officer
Executive Building, Provincial Capitol
Matti, Digos City

Dear Madam,

Greetings!

This is to request for the cancellation of Job Order Contract dated July 01, 2017 to
September 30, 2017 of Mr. JERRYFE V. TAN as he is no longer connected with the
Provincial Health Office. Under the budget of LGDF HEALTH CARE PROGRAM.

Your affirmative action on this matter will support austerity measures.

Thank you.

Very truly yours,

WILROSE CA. BISMANOS


Administrative Officer V
Republic of the Philippines
Province of Davao del Sur
-oOo-
PROVINCIAL HEALTH OFFICE
Davao del Sur Provincial Hospital
Lapu-Lapu Street, Digos City
Tel. No. (082)553-2383

October 19, 2017

DESSAMIE BUAT –SANCHEZ, CPA


Provincial Budget Officer
Executive Building, Provincial Capitol
Matti, Digos City

Dear Madam,

Greetings!

This is to certify that upon preparation of Job Order request, 22 working days were
computed per month for every personnel. In the absence of some personnel, still have a
total of P50,000.00 savings. Attached is the approved Job Order of Ms. Khryzelle
Joyce Macascas, she is a Registered Social Worker and requesting to change the
rate of Ms. Macascas from P350.00 to P450.00.

Thank you.

Very truly yours,

WILROSE CA. BISMANOS


Administrative Officer V
Republic of the Philippines
Province of Davao del Sur
-oOo-
PROVINCIAL HEALTH OFFICE
Davao del Sur Provincial Hospital
Lapu-Lapu Street, Digos City
Tel. No. (082)553-2383

November 06, 2017

DESSAMIE BUAT –SANCHEZ, CPA


Provincial Budget Officer
Executive Building, Provincial Capitol
Matti, Digos City

Dear Madam,

Greetings!

This is to request for the cancellation of Job Order Contract dated September 16, 2017
to December 31, 2017 of Ms. KHRYZELLE JOYCE MACASCAS, as she is no longer
connected with the Provincial Health Office. Under the budget of LGDF HEALTH CARE
PROGRAM.

Your affirmative action on this matter will support austerity measures.

Thank you.

Very truly yours,

ROXANNE P. JUNSAY
Health Care Program Coordinator
Republic of the Philippines
Province of Davao del Sur
-oOo-
PROVINCIAL HEALTH OFFICE
Davao del Sur Provincial Hospital
Lapu-Lapu Street, Digos City
Tel. No. (082)553-2383

November 6, 2017

DOUGLAS RA. CAGAS, LLB, MNSA, MBE


Governor
Executive Building, Provincial Capitol
Matti, Digos City

Thru: RAUL D. RAUT


Supervising Administrative Officer
(Human Resource Management Officer IV)

Sir,

Good day!

I am respectfully resquesting for JOB ORDER appointment to be charged to Provincial


Health Care Program LGDF General Fund CY 2017, to be assign at Point Of Care Office
(POC).

The following personalities, to wit:

ABELLA, ANGELI KRISTINE D. OCTOBER 1 to DECEMBER 31, 2017 RENEWAL


PACULANAN, ADRIAN JOSE B. NOVEMBER 6 to DECEMBER 31, 2017 RENEWAL

It is our most humble prayer that this request merits your most sympathetic attention and
kindest action.

Very respectfully,

ROXANNE P. JUNSAY
Health Care Program Coordinator
Republic of the Philippines
Province of Davao del Sur
-oOo-
PROVINCIAL HEALTH OFFICE
Davao del Sur Provincial Hospital
Lapu-Lapu Street, Digos City
Tel. No. (082)553-2383

CERTIFICATION

TO WHOM IT MAY CONCERN:

This is to certify that Mr. WINSTON A. PARDILLO –Encoder Staf II, is a permanent
employee of this Office, with NET TAKE HOME PAY and LEAVE CREDITS BALANCE as of October
2017, state below;

SALARY (BASIC) P 10,865.00


ACA/PERA 2,000.00
HAZARD 2,716.25
SUB/LAUNDRY 1,500.00
TOTAL 17,081.25

Less: Deduction

Tax P 1,500.00
Medicare 237.50
HDMF Premium 398.50
ELA 365.00
HDMF Sal. 380.00
PHO Coop 1,500.00
TOTAL DEDUCTION P 4,431.00

NET TAKE HOME PAY P 12,650.25


========

This is to certify further that Mr. PARDILLO, is still in the active service in this
office, has no pending Administrative or Criminal cases filed against her and has
incurred no Abcences without Official Leave (AWOL) as of this date.

Issued 16th day of November 2017 at Digos City, Province of Davao del Sur,
Philippines.

ROXANNE P. JUNSAY
POC Head
Republic of the Philippines
Province of Davao del Sur
-oOo-
PROVINCIAL HEALTH OFFICE
Davao del Sur Provincial Hospital
Lapu-Lapu Street, Digos City
Tel. No. (082)553-2383

CERTIFICATION

TO WHOM IT MAY CONCERN:

This is to certify that Mr. JERRYRICO L. ASDILLO –Out Patient Department Staf, is a Job
Order Contract employee of this Office, with NET TAKE HOME PAY and LEAVE CREDITS
BALANCE as of October 2017, state below;

SALARY (BASIC) P 12,150.00


ACA/PERA 2,000.00
HAZARD 3,037.50
SUB/LAUNDRY 1,500.00
TOTAL 18,687.50

Less: Deduction

Tax P 1,500.00
Medicare 237.50
HDMF Premium 398.50
ELA 365.00
HDMF Sal. 380.00
PHO Coop 2,500.00
TOTAL DEDUCTION P 5,381.00

NET TAKE HOME PAY P 13,306.50


========

This is to certify further that Mr. ASDILLO, is still in the active service in this
office, has no pending Administrative or Criminal cases filed against her and has
incurred no Abcences without Official Leave (AWOL) as of this date.

Issued 24th day of November 2017 at Digos City, Province of Davao del Sur,
Philippines.

ROXANNE P. JUNSAY
POC Head
Republic of the Philippines
Province of Davao del Sur
-oOo-
PROVINCIAL HEALTH OFFICE
Davao del Sur Provincial Hospital
Lapu-Lapu Street, Digos City
Tel. No. (082)553-2383

CERTIFICATION

TO WHOM IT MAY CONCERN:

This is to certify that Ms. RILYZEL V. BONGABONG –CLERK III, is a permanent employee
of this Office, with NET TAKE HOME PAY and LEAVE CREDITS BALANCE as of October 2017, state
below;

SALARY (BASIC) P 11,155.00


ACA/PERA 2,000.00
HAZARD 2,788.75
SUB/LAUNDRY 1,500.00
TOTAL 17,443.75

Less: Deduction

Tax P 1,250.00
Medicare 237.50
HDMF Premium 398.50
ELA 365.00
HDMF Sal. 380.00
CBDS 2,150.00
TOTAL DEDUCTION P 4,781.00

NET TAKE HOME PAY P 12,662.75


========

This is to certify further that Ms. BONGABONG, is still in the active service in this
office, has no pending Administrative or Criminal cases filed against her and has
incurred no Abcences without Official Leave (AWOL) as of this date.

Issued 16th day of November 2017 at Digos City, Province of Davao del Sur,
Philippines.

ROXANNE P. JUNSAY
POC Head
Republic of the Philippines
Province of Davao del Sur
-oOo-
PROVINCIAL HEALTH OFFICE
Davao del Sur Provincial Hospital
Lapu-Lapu Street, Digos City
Tel. No. (082)553-2383

CERTIFICATION

TO WHOM IT MAY CONCERN:

This is to certify that WINSTON A. PARDILLO, is a permanent regular job order


employee of the Provincial Health Office, Lapulapu St., Brgy. Zone III, Digos City, Davao
del Sur with the position of Out Patient Department Staff.

This is to certify further that Mr. Pardillo, is still in the active service in this office,
has no pending Administrative or Criminal Case filed against him/her and has not
incurred Absence Without Leave (AWOL) as of this date.

This certification is being issued upon request of the above-named person for
whatever legal intent this may serve.

Done this 17th day of November 2017 at Lapulapu St., Brgy. Zone III, Digos City,
Davao del Sur, Philippines.

ELPIDIO R. MONARCA, JR. M.D.,FPSMS


Provincial Health Officer I
Chief of Hospital
Republic of the Philippines
Province of Davao del Sur
-oOo-
PROVINCIAL HEALTH OFFICE
Davao del Sur Provincial Hospital
Lapu-Lapu Street, Digos City
Tel. No. (082)553-2383

December 5, 2017

DESSAMIE BUAT – SANCHEZ, CPA


Provincial Budget Officer
Executive Building, Provincial Capitol
Matti, Digos City

Dear Mrs. Sanchez,

May I request for the cancellation of obligation request No. 101-1-17-11-4532


dated November 13, 2017 amounting to P8,230.00. Telephone Expenses under
responsibility center 4919 Provincial Health Office (LGDF Gen. Fund CY 2017). For the
reason we don’t have enough to pay for Innove Communications Inc.So we have to split
the amount.

Hoping for your kind consideration.

ROXANNE JUNSAY
Health Care Program Coordinator
Republic of the Philippines
Province of Davao del Sur
-oOo-
PROVINCIAL HEALTH OFFICE
Davao del Sur Provincial Hospital
Lapu-Lapu Street, Digos City
Tel. No. (082)553-2383

NET TAKE HOME PAY

TO WHOM IT MAY CONCERN:

This is to certify that Ms. ROXANNE P. JUNSAY, a permanent employee of this Office,
with NET TAKE HOME PAY and LEAVE CREDITS BALANCE as of November 2017, state below;

SALARY (BASIC) P 14,150.00


ACA/PERA 2,000.00
HAZARD 3,537.50
SUB/LAUNDRY 1,500.00
TOTAL 21,187.50

Less: Deduction

Tax P 1,500.00
Medicare 237.50
HDMF Premium 398.50
ELA 365.00
HDMF Sal. 380.00
PHO Coop 1,500.00
CCB 8,433.00
TOTAL DEDUCTION P 12,814.00

NET TAKE HOME PAY P 8,373.50


========

This is to certify further that Ms. JUNSAY, is still in the active service in this office,
has no pending Administrative or Criminal cases filed against her and has incurred no
Abcences without Official Leave (AWOL) as of this date.

Issued 8th day of December 2017 at Digos City, Province of Davao del Sur,
Philippines.

ELPIDIO R. MONARCA, JR., M.D., FPSMS


Provincial Health Officer I
Chief of Hospital
Republic of the Philippines
Province of Davao del Sur
-oOo-
PROVINCIAL HEALTH OFFICE
Davao del Sur Provincial Hospital
Lapu-Lapu Street, Digos City
Tel. No. (082)553-2383

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