EMPLOYEES' COMPENSATION COMMISSION JANUARY

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

2018 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 SANTOS, EDUARDO2981 F. Manalo St. Punta, Sta. Ana,

Manila33-4956550-4 49 M Plant Mechanic

Amputation of right middle

finger

Philippine General

HospitalReferred and Approved PT

2 MONTEMAYORES, GREG135 Freedom Park 5 Batasan Hills,

Quezon City33-9131018-9 31 M Factory Worker

Fractured right hand; upper

elbow

Philippine General


3 GOROSPE, FERNANDO206 Area 6 Luzon Avenue, Diliman,

Quezon City03-7199678-8 65 M Company Driver

Amputation of left middle

finger

Philippine General


4 DAYANDANTE, JONATHANB26 L15 Molino Homes 3, Salitran III,

Dasmarinas, Cavite33-9773774-0 34 M Machine Operator

Amputation of right index,

thumb and middle fingers

Philippine General


5 PACIA, NICO777 Bagong Pook, Balayhangin, Calauan,

Laguna04-3518044-3 22 M Machine Operator Fracture of right femur

Cmmunity Gen. Hospital of

San Pablo CityReferred and Approved PT

6 RIVERA, RANDY Purok 7 Tuburan, Ligao City 05-0951497-4 37 M Cook Traumatic amputation Estevez Memorial


7 SEMPUEGO, DANILODona Conchita Subd., Del Rosario, Naga

City05-1042559-5 62 M Lineman Paralyzed both legs NICC Doctors Hospital Referred and Approved Consultation

8 RICAFRENTE, RICO Zone 3 Bell Magarao, Camarines Sur 33-1064475-5 49 M Lineman Fracture lumbar vertebra NICC Doctors Hospital Referred and Approved PT

9 PEDROSA, DIONESIOB10 L11 A. del Mundo Ave., Del Mundo

Village, Llano, Caloocan City03-6914420-0 57 M Able Seaman

Fracture, Dislocation

cervical spine

Philippine General

HospitalReferred and Approved

10 CASTILLO, JERLYB34 L4 Hingkong Village, Banay-banay,

Cabuyao, Laguna04-1429451-2 40 M

Personal Cleansing

CareFracture left arm Calamba Medical Center Referred and Approved PT

11 PILAPIL, JILLY MEL IVB119 L87 Phase 7 VDC La Mesa,

Calamba, Laguna33-9686758-5 33 M Messman Frature right arm Calamba Medical Center Referred and Approved PT and EMG

12 RASONABE, ADELOB19 L18 San Isidro Height Phase 2,

Banlic, Cabuyao, Laguna04-3489740-7 44 M Bosun

Wrist wound laceration, joint

dislocation-right handCalamba Medical Center Referred and Approved PT

13 ARCENAL, JENISSAB8 L31 Isabella Homes, Purok Matatag, Brgy.

San Isidro, Gen. Santos City09-1713397-6 41 F HR Manager

Fracture, both arms &

shoulderSt. Elizabeth Hospital Referred and Approved PT

14 LAPIDO, MELYN Poblacion Norala, South Cotobato 63060101843 54 F Teacher III Cerebrovascular accidentDr. Arturo P. Pingoy

Medical CenterReferred and Approved PT


APPROVED

SERVICE

PROVIDED

15 LAO, JOY 015 1st St. Guingona Subd., Butuan City 08-1484873-3 35 F ManagerFracture, middle 3rd

humerus, right

Manuel J. Santos


16 ABAINZA, RICHARD5111 San Antonio St., Pio del Pilar,

Makati City34-0571735-1 31 M Seaman Elbow injury, left

Philippine General


17 INAO, RONALD Brgy. Pamumbongan, Milibili, Roxas City 33-8364344-0 40 M AirCon Technician Fracture leg, rightSt. Anthony College


18 PIMENTIL, MIEZEL Cudian, Ivisan, Capiz 07-3196938-4 43 F Principal Fracture leg, leftSt. Anthony College


19 TORRES, VON CARLO Barotac Nuevo, Iloilo AFP 02003602358 30 M Army-Sergeant Spinal injurySt. Anthony College


20 TABLIGA, APOLINARIO JR. Valley View Village, Talisay City, Cebu 06-2390240-4 44 M Back Hoe Operator Fracture arm, left Sacred Heart Hospital Referred and Approved PT

21 JASPE, ZACARIAS JR.Juez MO, Echavez St., Sudlon, Maguikay,

Mandaue City06-2592028-0 32 M Welder Fracture leg, left Sacred Heart Hospital Referred and Approved PT

FEBRUARY

22 GARCIA, JOSELITOSitio Gitna, Brgy. Magdapio, Pagsanjan,

Laguna03-6403954-2 58 M Chef Lower back pain

Laguna Holy Family


23 FERNANDEZ, ALLAN 73 Central 2 Gatid, Sta. Cruz, Laguna 04-0706429-6 52 M Chief Butcher Lower back painLaguna Holy Family


24 OSABEL, ROGERBrgy. Labrador, Sta. Catalina Norte,

Candelaria, Quezon04-1788649-3 35 M Utility Fracture left foot

Lucena United Doctors

Hospital and Medical

Center

Referred and Approved PT

25 CAOILE, MIRIAMPurok 2B, Brgy. Milagrosa, Calamba,

Laguna04-2265205-2 25 F Sub-leader Fracture radius ulna, left Calamba Medical Center Referred and Approved PT

26 BERMUNDO, ERNESTO 163 Uwisan, Calamba, Laguna 03-6428779-2 54 M Bosun Disc bulge (spinal injury) Calamba Medical Center Referred and Approved PT

27 PULIDO, RUDYPhase 1 Blk 24 Lot 13 Caingin, Sta. Rosa,

Laguna04-1720078-1 55 M Carpenter Spinal cord injury Calamba Medical Center Referred and Approved PT

28 TAN, EDUARDOBll 6 Lot 11 Leo St., Camella Homes 3,

Tunasan, Muntinlupa City03-5905236-9 56 M Painter

Fracture dislocation of

lumbar spine

Philippine General


29 ABEJUELA, JASON1724 A. Matindi St., CAA Compound, BF

International Village, Las Pinas City37 M Machine Operator Fracture right knee patella

Philippine General


30 CELESTE, DANILOBlk 7 Lot 3 Rancho del Rio Subd.,

Sinunuc, Zamboanga City10-0436106-1 48 M Seaman Disc bulge (spinal injury)

West Metro Medical

CenterReferred and Approved PT


APPROVED

SERVICE

PROVIDED

31 ANGUAY, ROBERT Purok 2 Brgy. Ladol Alabel, Sarangani 09-2380441-9 46 M Leadman Cevical and Lumbar Spasm St. Elizabeth Hospital Referred and Approved PT

32 MABUYAO, FORTUNATOBlk 16 Lot 19 Yusa Ville Sinawal, General

Santos City09-0629255-6 55 M Supervisor

Multiple abrasion secondary to

vehicular accidentSt. Elizabeth Hospital Referred and Approved Xray

33 NUÑEZ, DIONYEntirena Compound, Kalilangan,

Bukidnon08-1583851-9 41 M Driver

Electrical Burn and

Amputation of Left Foot

Northern Mindanao


34 SAYAGNAO, JONARD Pagawan, Manticao, Misamis Oriental 08-1704181-2 29 M Factory WorkerAmputation od 2nd digit, left

hand

Northern Mindanao


35 POTENCIANDO, EDMUNDO Buyugan 3 Rosario, Agusan del Sur 08-0585577-7 57 M LinemanIncised wound dorsal hand

left

Manuel J. Santos


36 CHINTEZ, PATRICK Purok 5 Lumbocan, Butuan City 08-1595952-4 28 M Machine Operator Fracture clavicleManuel J. Santos


37 TANTAY, JHOMAR Basak Kagudoy, Lapu-lapu City 06-3230457-2 25 M Machine OperatorAmputation of 1st to 4th

digit, right handSacred Heart Hospital Referred and Approved Consultation

38 RUTA, ROLLY Lumakil, Polomolok, South Cotobato 09-2591100-9 32 MComplaints Dispatch

Operator

Fracture, closed, tibial

plateauSt. Elizabeth Hospital Referred and Approved PT

39 PACHECO, WILSON34 Catleya St., St. Joseph Village, Project

8, Quezon City03-3471620-6 62 M Seaman

Fracture, Dislocation of

cervical spine

Philippine General

HospitalReferred and Approved Xray

40 CHAN, JOSELITO106 PFC St., Soldiers Home, Batasan

Hills, Quezon City33-5660330-7 50 M Messenger Severe dextromity

Philippine General


41 GAGUE, ROLANDOBlk 69 Lot 13-B Catanduanes St., Timog

CAA, Las Pinas City07-2070187-0 38 M Seaman Le fort fracture 1

Philippine General


42 SUAZO, ROMAN 278 Brgy. Talangan, Nagcarlan, Laguna 04-0825524-0 46 M Electrician Dislocation of right armLaguna Holy Family


43 OROLFO, JAN MICHAELBlk 2 Lot 19 Phase 1 Townsville Subd. Brgy.

San Antonio, Sto Tomas, Batangas33-8429805-6 33 M Seaman-Oiler Fracture left arm

Daniel Mercardo Medical


44 RANARA, LEONCIOPurok Maadasigon, Kibungsod, Magsaysay,

Misamis Oriental10-0978219-5 50 M PUB Driver Mangled, right leg

Manuel J. Santos


45 MACO, CHERRYL Purok 3 Osmena Brgy. Banza, Butuan City 08-2598785-8 42 FReveicer (Factory

Worker)Amputation of left fingers

Manuel J. Santos


46 ANOVA, CHOVANLYPurok 7 Ata-atahon, Nasipit, Agusan del

Norte08-1909753-4 28 M Leader Edger Machine

Complete fracture right

clavicle

Manuel J. Santos


47 HERMOSA, ERROL201 interior J. P. Rizal St. Brgy. 6,

Calamba, Laguna04-3315350-8 36 M Delivery Driver Lower back pain Calamba Medical Center Referred and Approved PT


APPROVED

SERVICE

PROVIDED

48 SARMIENTO, ALJHON Sta. Cecilia, Parian, Calamba, Laguna 04-1843973-9 28 M ElectricianFracture, both hands and left

legCalamba Medical Center Referred and Approved PT

49 FERNANDEZ, ALORDEZSt. Peter Compd. Sta. Catalina,

Zamboanga City10-0382916-4 56 M Welder

Multiple injury ( right leg,

right hand)

West Metro Medical


50 GALABAY, ROSTEE IAN Sumaliring Siatan, Negros Oriental 07-2636519-7 31 M Lineman Amputation of right arm Sacred Heart Hospital Referred and Approved Consultation

51 VITAL, MARLITO Santo Rosario Km 12, Sasa, Davao City 09-2633187-9 48 M DriverAmputation of thumb and

index finger

Panabo Polymedic

HospitalReferred and Approved Consultation

52 DEGAMON, FLORA MAEPurok 11 Mahayahay, Tugbok, Davao

City09-3380547-9 21 F Saleslady

Amputation of right ring

finger

Panabo Polymedic


MARCH

53 ARMENTA, ROY Cabangan, Camalig, Albay 05-0477216-4 38 M CollectorFracture of shaft of femur,

right

Estevez Memorial


54 MORGA, LEONILABlk 29 Imperial Rosmont Heights Sbd.,

Estanza, Legazpi City2000031191 66 F Court Stenographer III Fracture of right wrist

Estevez Memorial


55 BALDONAZA, JESSIE Brgy. Banga, Victoria, Tarlac AFP-Phil. Army 27 M Army Leg injury, right Philippine General Hospital Referred and Approved Consultation

56 PERAS, ANECITOPurok 4 Villa Carmelita Zambowood,

Zamboanga City10-0192980-4 59 M Laborer CVA West Metro Medical Center Referred and Approved PT

57 BACANE, DARRELMadre Compound, Recodo, Zamboanga

City10-1061043-4 23 M Bargemen Eye injury West Metro Medical Center Referred and Approved Consultation

58 ATILANO, JOSELITO Don Alfaro St., Tetuan, Zamboanga City 001-0046-4838-6 45 MLabor General

ForemanCVA West Metro Medical Center Referred and Approved PT

59 GALENDEZ, PAUL BENEDICTB11 Lot 5 Bermingham St., Cambridge

Subd., Iponan, Cagayan de Oro City34-5987780-7 26 M Loan Officer Fracture distal fibula left

Northern Mindanao


60 MABAYO, PETER Cogon Gitagum, Misamis Oriental 011-1404-9616-4 41 M Forklift OperatorFracture close tibial plateau

left

Northern Mindanao


61 BAGOTSAY, DENNIS Zone 3 Bugo, Cagayan de Oro City 08-1586541-4 36 M MaintenanceAmputaion of above elbow,

right

Northern Mindanao


62 ROSARIO, HYDIE Newagac, Cattaranm Cagayan 33-7944157-5 37 M Bus Conductor Fracture right armDr. Domingo S. de Leon

General HospitalReferred and Approved PT

63 ARCHES, JR. VICENTE Battung, Tuao West, Cagayan 01-2325591-0 24 M Packaging Crew Fracture right legDr. Domingo S. de Leon



APPROVED

SERVICE

PROVIDED

64 ENATE, JOHN Ibo, Toledo, Cebu 05-3209837-0 38 M Bus DrvierAmputation of right below

the kneeSacred Heart Hospital Referred and Approved Consultation

65 LIM, JR. SAMSON Milan, Buhangin, Davao City 05-1249656-6 43 M CarpenterFracture, closed, M/3rd tibia

fbula (left)

Mindanao Orthopedic

Sports and Rehabilitation

Center


66 PEROLINO, CHARLIE Sitio Manga, Jugan, Consolacio, Cebu 06-0950596-4 55 M Safety EngineerAmputation of right

forefingerSacred Heart Hospital Referred and Approved OT

67 DUGASAN, HATTA Lampaki, Inoaran, Sulu AFP-Phil. Army 50 M Army Mixed hearing loss UERMMMCI Referred and Approved Consultation

68 MAGSUCANG, ALYASEEN4243 Diamond ST., Hillside Ville, Phase

4, Ugong, Valenzuela City03-9736402-2 58 M Seaman Shoulder injury

Philippine General


69 ANDRADA, REYMARK 48 Victory Hills, Fortune, Marikina City 34-2558692-8 25 M MaintenanceAmputation of left below

knee

Philippine General


70 CASPE, JOEMARIE51 Int. Herrera St., Brgy. Ibaba, Malabon

City34-4161073-9 47 M Chief Maintenance Spinal injury

Philippine General


71 LATORRE, ANSELMOB16 lot 67 Phase III, Brgy. 12, Padas

Alley, Dagat-dagatan, Caloocan City33-6881563-3 36 M Machine Operator

Amputation of right thumb

finger

Philippine General


72 BAYORAN, JUDANB37 L59 St. Therese Ph Deca Homes,

Luna de Gato, Marilao, Bulacan07-2032746-1 40 M Security Guard Fracture hip joint

Fatima University


73 LIPIO, BRYAN1102 A. Luna St., Bambang, Bocaue,

Laguna34-1040530-2 28 M Production Worker

Amputation of right small

finger

Fatima University

Medical CenterReferred and Approved Consultation

74 REAS, ROBERTO224 Rasheen Subd., Burol II, Balagtas,

Bulacan33-2086938-4 57 M Seaman Elbow injury, left

Fatima University


APRIL

75 REVADEO, CRISTINALot 2 Blk 4 Our Lady's Village Brgy. 58,

Buraguis, Legazpi City33-1439724-4 48 F Area Manager Cerebrovascular Disease

Estevez Memorial


76 BALUBAL, FELICIDAD Libag Norte, Tuguegarao City 2002289795 62 F Clerk Processor B Rheumatic Heart DiseaseDr. Domingo S. de Leon


77 BARBOSA, GABRIEL5792 F. Dulalia, St. Linguran, Valenzuela

Metro Manila39-268179-7 49 M Driver Flail right shoulder

Philippine General


78 PEREZ, KRISTIAN# 65 Mulawiran Rd. , Tawag Bato

Valenzuela City22-193539-4 32 M Factory Worker

Amputation Left ring and mid

index finger

Philippine General


79 APOLONIO, ALBERTBLK. 46 flot 14 phase III, E- 2 lungos,

Malabon City34-4512874-8 26 M Factory Worker

Amputation right below

elbow

Philippine General



APPROVED

SERVICE

PROVIDED

80 RIVERO, JERRY63 -1 Ml. Quezon St. , Purok 5, New

Lower Bicutan, Taguig City373079577 57 M Welder

Fracture dislocation cervical

spine

Philippine General


81 DELAMIDE, RAQUEL 04752 Zabala St., Surigao City 33-3391896-3 49 M Roughing Tender Amputation of right legManuel J. Santos


82 GALOPE, LUWIL p-1 Ibuan las Nieves, Agusan del Norte 08-2656590-7 26 M Chainsaw OperatorOpen fracture left clavicle

distal 3rd

Manuel J. Santos


83 FELIPE, WILSON 1001 Kamia St., Old Sta. Mesa, Manila 03-9773981-9 48 M SeamanSevere degenerative joint

disease, left hip

Philippine General

HospitalReferred and Approved Xrya

84 TUMBAGA, LUZVIMINDAB27 L8 Celestines Homes, Marinig,

Cabuyao, Laguna03-8092535-5 54 F Inspector

Contusion of other and

unspecified parts of foot, leftCalamba Medical Center Referred and Approved PT and Xray

85 DELIARTE, RUDOLFO IIISardiuz St., Dona Slaud Subd., Km 10

Saja, Davai City33-7755066-2 37 M Able Seaman Both calceneus axial

Southern Mindanao

Rehab Care CenterReferred and Approved PT

86 MEERA, CEEJAY MEDWINPurok 6 Maunong, Makiling, Calamba,

Laguna04-3779827-3 19 M Production Operator Amputation of right hand Calamba Medical Center Referred and Approved Consultation

87 PERPETUA, ERICKSON2528 J, Posadas St., Punta, Sta. Ana,

Manila33-9576635-7 32 M Factory Worker

Amputation of left below

knee

Philippine General


88 MACION, MARK JOSEPHB29 L9 Harmony Hills II, Loma de Gato,

Marilao, Bulacan01-6267353-6 26 M Warehouse Man Fracture left hip joint

Philippine General

HospitalReferred and Approved Xray

MAY

89 GALLINERO, JERWINNational High way, Daniangas North

General Santos Cirty09-3295323-8 32 M Driver / Technician

Mangled Limb- Upper

Extremity Left Secondary to

Crushing Injury


90 RIMAS, CRESENCIOPurok Uno, Sevilla, City of San Fernando,

La Union02-1941593-6 49 M Carpenter Right Foot Lorma Medical Center Referred and Approved PT

91 CAOILE, RODRIGO JR. Parapas Rosario, La Union 01-2639109-1 30 M Security GuardRight Foot BiMallular

FractureLorma Medical Center Referred and Approved PT

92 APRECIO, JESSIENarra Deste, San Fernando City, La

Union01-1040182-9 40 M 6G Welder

Bucket Handle tear medial

meniscus of the knee horizontal

tear posterior horn of the medial

meniscus of the knee

Lorma Medical Center Referred and Approved MRI

93 LOZADA JEFFREY Purok 3 Talisayan, Zamboanga City 09-2601147-4 39 M OIC- TrackingWest Metro Medical

CenterReferred and Approved PT / Xray

94 EMOY, ONESIMO Catumbas St., Cabaluay, Zamboanga City 10-07352478-8 41 M Security GuardHC Supt tissue, HC

meniscus low

West Metro Medical

CenterReferred and Approved PT / Xray

95 VILLANUEVA MARISSA 138 Atoki Train, Baguio City, Benguet 01-0770652-4 49 F EmbroidererRib Fracture 3rd and 4th rib;

multiple soft tissue contusion

Saint Louis University

Hospital of the Sacred

Heart



APPROVED

SERVICE

PROVIDED

96 DELA PEÑA, J CRISP-Makiangayon, Aagwan Pequeno,

Butuan City 08-1391801-7 33 M Sale Engineer

Pan facial fractures secondary

to fall; full thickness burns both

posterioir thighs and gluteal

are right anterior chest, right

forearm and left hand sec.

Manuel J. Santos


97 CARINO, MICHAEL 1783 Yakal St., Brgy. 255, Tondo, Manila 02-1954628-7 39 M Sales ClarkFractureleft hip joint, slight

weakness Astrophy

Philippine General


98 MAGLANGIT, FORTUNATO 544 Purok 5, Tanyag, Taguig City 1004819610 51 M carpenterFractured closed complete

displaced patellia, right knee

Philippine General


99 MARTIN, CHRISNIELLE MARIEBlk 3 Lot 9 Cebu St., Southern City Homes

Subd., Tanzang Luna, Imus, Cavite33-2631179-7 40 F inbound sales expert

Multiple torn ligaments,

maniscu tear

Philippine General


100 CARELO, JOVEN499 Palanca Compound Interior A. Incruz St.

Brgy. Mauway, Mandaluyong City33-2171736-7 43 M collector

Amputation right above

knee, right leg amp.

Philippine General

HospitalReferred and Approved PT/ OT

101 SUMAGANG, JE-ARAFP Health Service Command V- luna

Quezon City02-0457900-7 32 M finance department

amputation left arm, below

elbow

Philippine General

HospitalReferred and Approved consultation

102 ALEGRIA, CHRISTOPHER Caelian St. Poblacion, Leon, IloIlo 07-1603563-1 43 M Buffet StewardSpinal Injury Due to Lifting of

Heavy Load

West Visayas State

University Medical CenterReferred and Approved PT

103 ESPULGAR, RUEL Balabago, Jaro, Iloilo City 33-3082340-4 45 M BosonFracture/Injury, Right

Shoulder

West Visayas State


104 VIGO, TITO Dagsaan, Buenavista, Guimaras 07-1186824-3 47 M Motor Man Spinal InjuryWest Visayas State


105 VIGO, PETER Zone 3 Bo. Obrero Capiz Iloilo City 07-1354834-1 45 M Able Seaman Spinal InjuryWest Visayas State


106 MEDINA, MA. MILDRED #300 Purok 3 Libod, Camalig, Albay 510602215 26 F Dining Supervisor

Left ring finger (Fracture

open type 4th Digit left hand

)

Estevez Memorial Hospital Referred and Approved PT

107 SIBAL, JESUS Nattipian East, Solans, Cagayan 01-2685758-0 33 M Steel Man Amputation ® Middle fingerDr. Domingo S. de Leon


108 DELA CRUZ, NORIEL Centro, Amuling Cagayan 20-0217798-9 38 M Administrative Aide III Right ClavicleDr. Domingo S. de Leon


109 SANGKA, WIEWEN Purok-5 San Martin Villanueva 08-2531214-8 25 M Bundler Multiple Fracture Right HandNorthern Mindanao


110 LONGAKIT, EDWINBrgy. Villarica Babak Dist., Garden City of

Samal68-08250171-5 49 M Statistician I

Cerebrovascular accident,

Acute bleed L Basal ganglia

Hypertension

SMRC Referred and Approved PT


APPROVED

SERVICE

PROVIDED

111 BUNHAYAG, JOSHUA Purok 2 Kiotoy, Panabo City 09-3956510-8 33 M Machine Operator Amputation below ElbowPanabo Polymedic


112 LABAYEN, ALDEN2A Geranium St. 199 Z 20 Rivera Village,

NAIA, Pasay City06-1098428-6 54 M Warehouse Supervisor Fracture Left Foot Philippine General Hospital Referred and Approved PT

113 MANALO, YOLANDA11 C Ponciana St. Guldo II Nova, Quezon

City03-5638089-8 55 F Bus Conductress Spondeliothesis L4-L5 Philippine General Hospital Referred and Approved PT

114 FERNANDO, ANGELYN 2048 Tramo St. Brgy. 104, Pasay City 34-3886851-0 24 FQuality Assurance

EngineerAmputation Right Arm Philippine General Hospital Referred and Approved PT / OT

115 PINGUL, EDUARDO JR. 2454 Jose Sygnia St. Sta. Ana, Manila 33-6270221-8 41 M SeamanFracture, Dislocation of

Lumbar SpinePhilippine General Hospital Referred and Approved PT

116 TOLENTINO, BONIFACIOBlk 98 Lot 3 Juan Luna St. Brgy Rizal

Makati City03-674598-8 55 M Seaman

Dislocation of Left Shoulder

And ACL of the right KneePhilippine General Hospital Referred and Approved PT

117 RAMIREZ, DANNY111 A Maginhawa St. FB Harrison, Pasay

City33-2175699-1 42 M House Kepping

CVA with persistent

LemipaiserPhilippine General Hospital Referred and Approved PT

118 PAPAS, ENRIQUE Kamagayan, Perilos, Carcar City, Cebu 06-1437783-1 41 MMechanical / Millwright

welder

Amputation of Limb, above

the knee, rightSacred Heart Hospital Referred and Approved PT

119 BARSOBIA, NOREYEV Cigla Village Mahay, Butuan City 08-1341636-0 37 MTeam Leader Store

(TLS)

Acute Respiratory, Distress

Syndrome; FractureManuel J. Santos Hospital Referred and Approved PT

120 MALITAO, HAROLD JAYBarangay Maguyam Silary Cavite, Anulet

Compound Sitio Ibaba34-3204051-2 23 M Machine Operator

Amputation of 4 Fingers at

the right handPhilippine General Hospital Referred and Approved PT & OT

121 RUSIANA, JUBERN PEDRO12-2 Esmeralda St. Pangilinan C.

Tandang Sora, Q.C.33-2715050-4 43 M Filter

Fracture/ Dislocation of

Lumbar Spine minimalPhilippine General Hospital Referred and Approved PT

122 BAUTISTA, MARILOU208 Spitfire St. JLA Subd. Lanang, Davao

City2004772394 60 F Teacher

Southern Mindanao Rehab

Care CenterReferred and Approved PT & OT

JUNE

123 GARCIA, SATURNINO San Juan San Carlos, Pangasinan 03-5597335-8 59 M Chief Cook Back Area And Left Foot Lorma Medical Center Referred and Approved PT

124 SANDAGON, RICARDO JR.130 Jupiter St. Castillation Homes

Camarin Caloocan City03-7637199-7 57 M Machne Operator

Fracture/Dislocation of

lumbar spinePhilippine General Hospital Referred and Approved PT

125 MACAPIL, JOSEPH11-ph-5a Main St. VDSN Sto Nino

meycauyan City, Bulacan08-064230-98 56 M Able Seaman

Fracture Lumbar Spine L2-

L5-S1Philippine General Hospital Referred and Approved PT

126 PANGAN, DAVID JR. 096 19 DE Junio St. Solis Tondo Manila 33-305503324 40 M Messmanlumbar Spondylosis L2-L3-

L4-L5-S1Philippine General Hospital Referred and Approved CHECK-UP


APPROVED

SERVICE

PROVIDED

127 DEGAMO, MARLON Juano Compound Looc, Mandaue City 06-4062932-0 36 M Machine Operator Amputation of midfoot, right Sacred Heart Hospital Referred and Approved PT

128 GUILLEN, REYNALDO Sagua, Anini-ay, Antique 03-9033671-4 53 M Seaman Lumbar spine injuryWest Visayas State


129 ADRIANO, MICHAEL Zone 3 Brgy. Ticud, La Paz, Iloilo City 03-9938807-7 45 M Engine Mechanic Lumbar spine injury St. Paul's Hospital of Iloilo Referred and Approved PT

130 CEPRIANO, ALBERT Deca Homes, Pavia, Iloilo City 07-2746856-9 27 M Galley Utility Trainee Skin lesions, bilateral hands St. Paul's Hospital of Iloilo Referred and Approved

131 JUANITO ZILABBOLot 58 Phase 5 C6 Road Alrich Napinoan

Taguig City33-8807411-1 34 M Maintenance Amputation Left Above Knee Philippine General Hospital Referred and Approved PT

132 RODRIGUEZ, DENNIS NHA, Buhangin, Davao City 06-3761403-4 26 M LaborerAmputation of finger, (left-

index, middle and little)

Panabo Polymedic


133 PACILAN, PEARL DIA DEMCuradang St. Lanzona Subd., Matina,

Aplaya, Davao City09-3758799-7 25 F Warehouse in-charge Frcture right leg

Mindanao Orthopedic


Center


134 ICHON, JOELLower Maibu-A, Subangdaku, Mandaue

City06-1184933-3 48 M Welder/Mechanic Amputation of right foot Sacred Heart Hospital Referred and Approved PT

135 ARABEJO, DEXIE#14 P. Guevarra St., West Modern Site,

Aurora Hill, Baguio City01-2499872-6 39 F Cook/House Keeper

Fracture, shaft of humerus,

left

Baguio General Hospital

and Medical CenterReferred and Approved PT

136 RAGYA, JR. PERFECTOmajada-in Vista Housing, Canlubang,

Calamba, Laguna05-0743320-6 34 M Forklift Operator Left leg injury Calamba Medical Center Referred and Approved PT

137 BERZABAL, INGEMAR II#0017 Upper Summit Ville, Putatan

Muntinlupa City 34-3852682-3 24 M Installer of Elevator Lock nail left femur Philippine General Hospital Referred and Approved PT

138 REYES, CARLOS3rd St. Sitio Halang, San Isidro Cainta

Rizal03-9195841-8 51 M AB Seaman

Anterio cruciate legament

rigth kneePhilippine General Hospital Referred and Approved PT

139 SALVOSA, ARNOLD Brgy. Sibulan Polillo, Quezon City 00-023979-3 37 M Police Officer-PNPTraumatic amputation, Ist

digit left handPhilippine General Hospital Referred and Approved PT

140 SISON, DANTE98 C. Urbano Velasco Ave. Pinagbuhatan

Pasig City03-780900-1 54 M Steelman

Cerebro vascular blood right

multiple knee fracture

secondary

Philippine General Hospital Referred and Approved PT

141 BABAGAY, BRYLLE Pinamopoan, Capoocan, Leyte 2004743010 25 M Teacher I Disc herniation Divine Word Hospital Referred and Approved PT

142 MAKILANG, JESSIEPrk 5 Sto. Nino, Brgy., Apopong, General

Santos City09-2418597-5 36 M Recorder/Checker Fracture right arm St. Elizabeth Hospital Referred and Approved PT

143 IGNACIO, GIRLIE Purok 6, Tausayan, Zamboanga City 10-0486916-5 41 M Factory WorkerSoft tissue contusion right

ankle, ligament strainWest Metro Medical Center Referred and Approved PT


APPROVED

SERVICE

PROVIDED

144 SININING, JUNEKEY Purok 8 New Visayas, Panabo City 09-2835531-6 34 M MaintenanceAmputationf of middle finger,

left

Panabo Polymedic


145 ALBELDA, JEFFREY Purok Leo Lasang, Davao City 09-2902979-3 29 M Machine OperatorMangled hand right secondary

to industrial injury

Panabo Polymedic

HospitalReferred and Approved

Consultation and

Xray

146 NOPRADA, JOJO#20 Brgy. Altura South, Tanauan City,

Batangas33-6858792-9 36 M Forklift Operator

Disc bulge; left shoulde pain

and spinal injuryTanuan Medical Center Referred and Approved PT

JULY

147 TAGULAO, RODERICK Brgy. Lokeb Sur, Malasiqui, Pangasinan 02-1814887-7 38 M MechanicFracture foot, metatarsal left;

amputation of left fingers


and Medical CenterReferred and Approved Consultation

148 VALMONTE, RICHARD Brgy. Balidbid, Salcedo, Ilocos Sur 33-8078181-3 34 M Bus ConductorMangled right foot; lacerated

wound left foorLorma Medical Center Referred and Approved PT

149 VERBO, VERNON Gusing Norte, Naguillian, La Union 01-2158573-4 39 M Mason Fracture both legs Lorma Medical Center Referred and Approved PT

150 PADUA, MARCELINO JR.#89 Alley 6 Kalayaan B. Batasan Hills,

Quezon City33-8218719-8 43 M Crane Operator Fracture right hip Philippine General Hospital Referred and Approved PT

151 PAZ, LERLEY2626 B4 Sulu, Brgy. 380 District III, Sta.

Cruz, Manila33-8414692-0 41 M Fireman

Dislocation/fracture of


152 BAUTISTA, STEPHANIE69A, 13th Avenue, Brgy. Socorro, Cubao,

Quezon City34-4738449-6 21 F Feeder

Above elbow amputation,

rightPhilippine General Hospital Referred and Approved PT and OT

153 PACUDAN, VIRGILIO 1817 San Marcelino St., Malate, Manila 03-6548929-8 54 M 3rd Engineer Spinal injury L4, L5-S1 Philippine General Hospital Referred and Approved PT and Xray

154 BUCU, MATER314B Gerodias St., San Vicente, San

Pedro, Laguna33-1283567-2 49 F Material Controller Fracture right leg Calamba Medical Center Referred and Approved PT and Xray

155 ABIADO, PHILIPP GERICO 1169 San Pedro St., Janiuay, Iloilo 07-2340255-0 28 M collectorFracture right foot and

fracture left clavicleSt. Paul's Hospital of Iloilo Referred and Approved PT

156 DELGADO, CARLOS JR. Ungka II, Pavia, Iloilo 09-2696185-4 35 M Security Guard Fracture arm, leftWest Visayas State


157 VILLACERAN, GIDEONSitio Alliance Two Hearts, Basak,

Mandaue City04-2404493-0 31 M Production Crew Left hand injury

South Western University


158 SAAVEDRA, JOSELITO Silway, San Juan, Gen. Santos City 09-1316744-1 53 M Security Guard Injured left arm St. Elizabeth Hospital Referred and Approved PT

159 DULATRE, CECILIA69 Purok Pidawan, Loakan prope, Baguio

City01-0663443-5 55 F Machine Operator

Fracture, close complete,

undispalced base of 5th

metatarsal (R)



Heart



APPROVED

SERVICE

PROVIDED

160 BASTAWANG, MARKLD-53A Lubas Proper, La Trinidad,

Benguet01-0453969-7 63 M

Electrician Helper/Shift

Supervisor

Degenerative Cervical

Sponydlosis



Heart


161 GUIRAL, DIOMAR214 Guingona Subd. Jose St., Butuan

CityPNP 31 M Police Officer-PNP

Popen III A complete displaced

commuted distalManuel J. Santos Hospital Referred and Approved PT

162 GARCIA, WILFREDO Brgy. Rizal, Prieto Diaz, Sorsogon 08-0584057-5 56 M Leadman/Foreman Lumbosacral spine injury

Sorsogon Medical Mission

Group Hospital & Health

Services Cooperative


163 CORVERA, MARCELO Casili, Consolacion, Cebu 06-2328627-2 37 M Security GuardTransverse fracture, distal

third, distal phalange, first digitSacred Heart Hospital Referred and Approved Consultation

164 DUMAS, JR. ERNESTOPagan Grande, Marilog District, Davao

City09-4139095-0 29 M Production Crew Below the amputation, right

Panabo Polymedic


165 MAGAPE, RENANTE Jerome St., Agdao, Davao City 09-4118265-0 23 M Machine OperatorAmputation of thumb, ring,

litle fingers, left

Panabo Polymedic


166 PIODOS, DOMINGO 06-1019437-7 50 M Office Employee Fractured right leg Philippine General Hospital Referred and Approved PT

167 CALIGUIRAN, EDMUND0125 Gonzales St., Nagkaisang Nayon,

Novaliches, Quezon City34-1233305-8 30 M

Asst. Machine

Operator

Amputation of left hand

(wrist)Philippine General Hospital Referred and Approved OT

168 MARCO, JR. MEYNARDOB3 L19 Platinum St., Queensland 2 Subdivision,

Damong Maliit, Brgy. Nagkaisang Nayon,

Novaliches, Quezon City

03-9230320-8 49 M Seaman Rotator cuff tear Philippine General Hospital Referred and Approved PT

169 VICTORIO, JULIO 113 Adante St., Tanong, Malabon City 33-6880289-5 38 M Brine ManAmputation of index finger,

left distal phalanxPhilippine General Hospital Referred and Approved OT

170 VELUZ, MAMERTO JR.Ascoville, Purok 7, Manggahan, Tala,

Caloocan City09-1485583-3 44 M Bus Conductor

Fractured left leg due to

gunshot woundPhilippine General Hospital Referred and Approved Consultation

171 GALLARDO, JONATHAN Sta. Lucia, Aringay, La Union 01-1694965-7 35 M TLC Router Injured left hand (finger) Lorma Medical Center Referred and ApprovedConsultation and

Xray

172 DULLANO, OTTERSONBlk 53 Lot 7 8th 27th St., Villamor

Airbase, Pasay City34-0504834-7 36 M Seaman/Messman

Herniated Pulposus L4-L5,

L5-S1Philippine General Hospital Referred and Approved PT

173 ATIENZA, DANTE291 P. Linco St., Rosario, Rodriguez,

Rizal33-0516130-8 57 M Seaman/Bosun Back pain; L4-L5 Philippine General Hospital Referred and Approved PT

AUGUST

174 DELA CRUZ, ROMELPurok Bovers Lane, Brgy. Masao,

Tungawan, Zamboanga SibugayPNP 49 M Police Officer 3

S/P gunshot wound on left

shoulderWest Metro Medical Center Referred and Approved Consultation

175 RAMIREZ, JOSE RAY Quimpo, Boulevard Ecoland, Davao City 2002975879 57 M Medical Officer IT/C Fracture on left shoulder

and hip

Mindanao Orthopedic


Center



APPROVED

SERVICE

PROVIDED

176 LINGAMEN, GERRY JR.Progress Homes Kaunlaran St., Blk 10 Lot 9

Del Rosario, Canaman, Cam Su05-0876919-9 28 M Sales Collector

Fracture Close completed

displace distal 3rd clavicle,

right

Naga Imaging Center

Cooperative Doctors

Hospital


177 NUEVO, RUELPurok Masipag, Brgy. Sta. Cruz,

Koronadal CityPNP 33 M Police Officer 2

Fracture close comminuted

distal 3rd radius left

Dr. Arturo P. Pingoy


178 LEDESMA, ELMERBegonia St. Lot 9 Blk 10 Phase 1 Elepian

Homes, Bahay Pare, Meycauayan, Bulacan03-6698831-6 57 M Bosun/Seaman

Calcific tendinitis of the

rotator cuffPhilippine General Hospital Referred and Approved PT

179 RELUCIO, AREILZone 4 Brgy. Candato, Libmanan,

Camarines Sur03-7852211-3 52 M Able Seaman Fracture of right thumb

Naga Imaging Center

Cooperative Doctors

Hospital


180 JALINA, RENEE15 Dingle St., Napoco Village, Pasong

Tamo, Tandang Sora, Quezon City2001126525 61 F

Presidential Staff

Officer IV

Amputation of below knee,

rightUERMMMCI Referred and Approved Consultation

181 DEL MUNDO, JASTINE AJ 376 San Vicente, Macabebe, Pampanga 02-3933876-3 25 M Lineman

Disarticulation of left arm and

amputation of below elbow,

right

Mother Teresa of Calcutta


182 CUEVAS, FERDINAND Upper Pasonanca, Zamboanga City 2004878575 39 M Traffic Enforcer Cardiovascular accident West Metro Medical Center Referred and Approved PT

183 RAMOS, VLADIMIR Sta. Maria, Zamboanga City AFP-Phil. Army 29 M Private first class Traumatic brain injury West Metro Medical Center Referred and Approved PT

184 LUMANTA, BENGIEPurok 5-A Kawayanan, Talomo. Sto.

Tomas, Kapalong Davao del Norte09-3172267-7 26 M Utility Man Lacerated wound right arm

Mindanao Orthopedic


Center

Referred and Approved Consultation

185 MARTINEZ, JONATHANLubo Brgy. Zone 1, Sta. Cruz, Davao del

Sur09-2481902-1 35 M Machine Operator Deep laceration

Mindanao Orthopedic


Center


186 PUNA, AIZAMausing Zone 1, Sta. Cruz, Davao del

Sur09-4023223-9 28 F Farer Hand fracture, left

Mindanao Orthopedic


Center


187 ASTROLOGO, ALAN REY Baldoza, La Paz, Iloilo City 34-0477992-1 32 M Machine Operator Amputation of left hand St. Paul's Hospital of Iloilo Referred and Approved Consultation

188 ANORE, FRANCISCO 8001 Brgy. Hanggang Dila, Bay. Laguna 04-2106790-7 47 M Maintenance Crew Fracture left leg Calamba Medical Center Referred and Approved PT

189 DE LEON, DANILO Puerto Bello Merida, Leyte LP-55033102789 63 M Administrative Aide I Broken left clavicleOSPA-Farmers' Medical


190 MISA, EDGARDO Purok 6 Libertad, Isabel, Leyte 06-1736268-1 53 M Checker Injured right index fingerOSPA-Farmers' Medical


SEPTEMBER

191 DURANO, JOSE JR. Salag, Tabogon, CebuLRN-006-0013-

4610-751 M Admin Aide I Fracture right finger

Southwestern University

Medical CenterReferred and Approved OT


APPROVED

SERVICE

PROVIDED

192 FLORES, ROCKIEPurok 9 Sevilla San Fernando City La

Union01-0917046-2 45 M Driver Fracture right wrist Lorma Medical Center Referred and Approved Consultation

193 OPERIO, QUIRINO JR. 387 Dayao St., Balut Tondo Manila 34-0318459-1 34 M Machine OperatorTrumatic Amputation 2nd to

4th finger leftPhilippine General Hospital Referred and Approved OT

194 TABUAN, JEANLYN Lot 1 Blk 8A Ph 1 Coz Rosario, Cavite 33-1788976-2 43 F Production Operator

Trumatic amputation 5th

finger and right finger fx

open p2 lf right

UERM Referred and Approved Consultatuion

195 VALDEZ, FELYCELESTIO Tawi tawi Poro point, CSFW 01-0413044-9 60 M Loader Operartor Stroke Lorma Medical Center Referred and Approved PT

196 CAPE, ALLAN Impalutao, Impasug-ong, Bukidnon 08-1821700-1 33 M Material HandlerMangled Extremity, Hand

right, wrist disarticulation

Northern Mindanao


197 APOLINARIO, ROMMEL Daisy road, Guiwan Zamboanga City 6003-180148-9 58 M Collecting Officer CVA right side West Metro Medical Center Referred and Approved PT

198 DOMINGO, OFELIA Sta. Catalina Zamboanga City 5606-260031-5 62 MRegional Director

(DOLE 9)OA of right finger West Metro Medical Center Referred and Approved PT

199 CAJALNE, ANTONIO 45 Silver road, Pilar Village Las Pinas 03-5143425-7 60 M Crane DriverMild dislocation bulges L1 to

L5 Philippine General Hospital Referred and Approved PT

200 REBENQUE, ANTHONY#121 Sitio Yakal Brgy. Labutin Sta. Cruz

Laguna03-874704-8 48 M 3rd Mate Officer Back injury

Holy Family Health Service

Inc.Referred and Approved PT

201 BANTILAN, JUANPleasant View Subd. Pagsabungan

Sector 2 Mandaue City, Cebu06-1202893-3 53 M Oiler Cervical spinal injury



202 OPINALDO, LAILA111 Honeymoon road., Holy Ghost

Baguio City01-0740653-6 56 F Nursing Aide Orthopedic neck, spine



Heart


203 BURLAOS, DEMOSTHENES Ibabao, Cordova Cebu 06-1449854-5 52 MSeaman/Able

Seaman/Stiring man

Traumatic injury the lumbar

area



204 BALBA, ARIELKayle Rosas St., San Mateo San Pablo

City04-3478055-6 36 M Production Operator Right leg injury

Community General

Hospital of San Pablo

City Inc.


205 DOCOT, ERWINB16 Lot 10 St. Joseph Homes 1 Brgy.

Gulod Cabuayao, Laguna05-0830904-1 40 M Company truck driver Right leg amputation Calamba Medical Center Referred and Approved Consultation

206 TOBINO, JAY MARK 253 Gate 20 Parola St., Area Tondo

Manila34-490268-0 25 M Helper

Amputation 1st and 2nd

digits, left handd

Philippine General


207 HOMERES, MELCHOR Brgy. 97 Cabalawan, Tacloban City 06-2982880-9 52 M Mason Below elbow amputation, left Divine Word Hospital Referred and ApprovedXray &

Consultation

OCTOBER


APPROVED

SERVICE

PROVIDED

208 LOPERA, JOVITO286 Purok 4 Rover Subdivision Tugos,

Sorsogon City05-0680441-2 44 M Sheller Injury on right arm

Sorsogon Medical Mission

Group Hospital & Health

Services Cooperative


209 GONZALES, JOSEPH San Juan St. Molo, Iloilo City 07-2824159-4 26 M Deck Trainee Cervical injury St. Paul's Hospital of Iloilo Referred and Approved PT

210 BARRETTO, EDUARDOBlk 6, Lot 3 Prima Homes,Alapan I-C

Imus Cavite33-5472965-2 41 M Able Bodied Seaman

Compression fractured of L1

vertebral bodySt. Dominic Medical Center Referred and Approved PT

211 SIENA, CRISELDABlk 1, Lot 28 Mt. View Palo Alto Calamba

City, Laguna33-1184673-0 50 F Sewer Calamba Medical Center Referred and Approved PT

212 OLIVA, MONICO JR.Purok III Brgy. Puting Lupa Calamba City,

Laguna04-3419677-1 37 M

Mechanica

DepartmentFracture of bone shoulder Calamba Medical Center Referred and Approved PT

213 LEOJA, ANNIEBELLA Villa Sol 1 Labuin Pila Laguna 04-0908933-4 43 FSewing Machine

OperatorTraumatic Abdominal Injury Calamba Medical Center Referred and Approved PT

214 JASO, LUZMINDA035 Sto. Nino St. Mayapa Calamba City,

Laguna03-8480304-6 48 F AGL Cutting Right foot Calamba Medical Center Referred and Approved PT

215 DAMASIG, ROSALINDAB5 L P2 La Mesa Ridge Brgy. La Mesa,

Calamba, Laguna33-1926509-6 46 F Sewer L-12 knees L-12 elbow Calamba Medical Center Referred and Approved Consultation

216 CORTIGUERRA, CHERRY Sitio Bukid Balele Tanuan Batangas 04-1761141-9 30 F Machine Operator Right leg injury Calamba Medical Center Referred and Approved Consultation

217 COSTALES, FERNANDOBlk 12 Lot 52 Ramonita Darasa, Tanauan

City, Batangas04-1786401-7 38 M Technician Left hand injury Tanuan Medical Center Referred and Approved PT

218 ASTILLERO, NILSONCriscon Constreras Apartment 3rd flr. Ph

6 Sirang Lupa, Calamba47 M Production Operator Left index injury Calamba Medical Center Referred and Approved Consultation

219 MANGAMPO, JOEMAR Sitio Bukid Balele Tanuan Batangas 04-1915020-8 35 M Maintenance Right hand injury Calamba Medical Center Referred and Approved Consultation

220 LOBRIGO, PABLO JAN 355I P. Dandan St. Pasay City 33-7732816-6 34 M Galley Utility Trainee Traumatic amputation Philippine General Hospital Referred and Approved Consultation

221 PLATIL, MARLITO 1852 H Oro B. St. Sta Ana Manila 33-2228109-6 40 M AB Fracture fingers on left hand Philippine General Hospital Referred and Approved OT

222 MENDOZA, ELIZA 714 Redaza St., Naval Biliran B56F8ESN028 62 F Midwife III Comminueted left patellaASP Physical Therapy

ClinicReferred and Approved PT

223 PAGAUITAN, AGRIPINOPurok Cadena De Amor, Poblacion,

Tantangan29 M Army Left ankle

Dr. Arturo P. Pingoy


224 ENOLPE, JOSE Talungon, San Roque, Zamboanga City 10-0304981-8 55 M Driver Low back pain West Metro Medical Center Referred and Approved PT


APPROVED

SERVICE

PROVIDED

225 SABALLA, EDWINSan Joaquin St., District 04, Burauen

Leyte06-1769691-7 41 M Branch head Cerebrovascular Disease

OSPA-Farmers' Medical


226 SEVILLA, JUNARD Pasil Bilwang, Isabel Leyte 06-2693526-1 35 M HelperAmputation fingers with

avulsed skin & fracture bone

OSPA-Farmers' Medical


227 HADAP, RONNIEB27 L3 Sto. Nino I, City of Dasmarinas,

Cavite04-1107466-7 39 M Production Operator Herniated nucleus Pulposus St. Dominic Medical Center Referred and Approved PT

228 CATOLOS, ERIC Blk 110 L11 K-57 St., Karangalan Village 04-1071761-1 36 M Machine Helper Amputation Index finger Philippine General Hospital Referred and Approved PT

229 MAHILUM, RENANTE 1216 Kagitingan St., Tondo Manila 33-2540907-9 42 M BosunFracture dislocation of


230 SABAS, NARCISO Liporada St., Pob. Merida, Leyte 06-0763347-2 55 M H.E.O/ Driver Spinal OpertionOSPA-Farmers' Medical


231 GUIAO, BREN37-P Kamias Alley Street Balin Gasa,

Balintawak Quezon City34-3967898-7 23 M Deck boy

Complete fracture/ left big

toe injuryPhilippine General Hospital Referred and Approved PT

232 ABINES, ADOLFO413 Purok 6-B Bagumbayan Daraga,

Albay05-0701314-7 50 M Lineman

Burn of 3rd degree of head

& neck, amputation toeEstevez Memorial Hospital Referred and Approved PT

233 ARANILLA, DENVER Brgy. Mayapa Calamba City, Laguna 04-3350885-2 38 M MaintenanceRight hand injury 2nd, 3rd

digitCalamba Medical Center Referred and Approved Consultation

234 JUNASA, ELMER 604 Kintanar St., Pob. Sibonga, Cebu 33-1644091-1 58 M Bosun Lumbar radiculopathySouthwestern University


235 PUNZALAN, RYAN TED395 Kinsville Subd., Brgy 3 Calamba City,

Laguna04-1541488-3 34 M Welder Rotator cuff syndrome, right Calamba Medical Center Referred and Approved PT

236 GRAGASIN, MAXIMA216-A Upper Liwanag, Loakan Road,

Baguio City01-0689796-8 54 F Embroiderer

Degenerative lumbar

ostearthritis



Heart


237 MANGOYOB, LUZ #53 Purok 3 Dominican St., Baguio City 03-3692709-3 61 F EmbroidererCervical and Lumbar

radiculopathy



Heart


NOVEMBER

238 BURE, EDUARDO R Zone 4 Jampason Jasaan 08-0784162-4 53 M Head Guard

Mangled foot right

secondary to MVC w/

retained foreign body

Northern Mindanao

Medical CenterReferred and Approved

Xray &

Consultation

239 ETCHON, JORIE P-3 Nicdao Baungon Bukidnon 08-2335310-9 32 M InspectorRight hand transinetatarsal

amputation 2nd, 3rd, 4th, 5th

Northern Mindanao


240 CALDA, REAGAN Brgy. Bunga, Abuyog Leyte 34-1402844-2 32 M Able Bodied SeamanLumbar Iterniation L4-L5

right Divine Word Hospital Referred and Approved PT


APPROVED

SERVICE

PROVIDED

241 NALUGON, JEANNE 282 A.D Curato St. Butuan City 06-3765281-8 25 F Sales Lady

Complete Transection of

anterior tibialis trndon,

secondary to incised wound

Manuel J. Santos Hospital Referred and Approved PT

242 PERA, DONALD #7 St. Joseph St. Payatas Quezon City 06-2337230-6 33 M Able Bodied SeamanFracture right tibia fibula

right legPhilippine General Hospital Referred and Approved PT

243 EBUENGA, JUNIA53 GranitE Rock Alley, Lower Rock

Quarry Baguio City01-0636962-9 60 F Machine Operator

Avulsion Fracture, Greater

Tuberosity right humerus



Heart


244 TELLO, TEODORO Bangad, Ambuclao, Bokod 01-0930512-7 47 M LinemanAmputation of limb at or

above the wrist, right


and Medical CenterReferred and Approved Consultation

245 CASTILLO, NELSON2098 M. Reyes St. Pio del Pilar, Makati

City03-8758188-6 54 M Buson Injury to left road severe Philippine General Hospital Referred and Approved PT

246 RAMOS, JUN6N Cresinte St. BF Homes Phase II,

Caloocan City33-5520713-1 40 M Factory Worker

Weakness of arm, slight

deformity right moderate

atrophy

Philippine General Hospital Referred and Approved Consultation

247 CASTILLO, ADESIEBlk 56, Lotn 1 Brgy. 28 kawal, Purok 3

Dagat Dagatan, Caloocan City33-5272032-3 38 M Purchasing Officer Fractured right hand Philippine General Hospital Referred and Approved OT

248 MAYOR, EDGARKaunlaran, St. Purok 4, Mapulang Lupa,

Valenzuela City48 M Machine Maintenance

Amputation of left above the

wristPhilippine General Hospital Referred and Approved Consultation

249 EDEM, LINABlk 7, Lot 30 Tower Ville Phase 1B, Santo

Cristo, San Jose del Monte03-9088025-7 49 M Janitres

Neurofovaminal stenosis C2,

C4, C6Philippine General Hospital Referred and Approved Consultation

250 RAMO, EMILIE Kalsapahan, Kaong, Silang Cavite 34-751515-0 20 F BAS Left hand injury Perpetual Help Hospital Referred and Approved PT

251 MONSENDO, IMELDA 2399 Villamarzo St. Kidapawan City 09-2309602-3 46 F

Head Admission &

records/college

registrar

Ruptured achilles tendonKidapawan Doctors

Hospitals Inc.Referred and Approved PT

252 ZAMORA, ALBERT La Paz, Iloilo City 07-2216553-7 31 M Machine Operator Fracture, Thumb Left St. Paul's Hospital of Iloilo Referred and Approved PT

253 CALARO, ANNELYN 37A, Tampoy II, Marulas, Valenzuela City 34-196193-0 34 F Injection OperatorAmputation right thumb,

middle ring fingerPhilippine General Hospital Referred and Approved OT

DECEMBER

254 BUCCAT, JOSE #528 Upper Rock Quarry, Baguio City 01-0716232-0 54 M MechanicFracture of other parts of

lower leg, left


and Medical CenterReferred and Approved PT

255 PAYUSAN, RUDYARDPhase 1 Tagbalogo, Naawan, Misamis

Oriental08-1082568-2 51 M Chief Mate

Below Knee Amputation,

Right

Northern Mindanao


256 DEAN, ELMER Brgy. Malajog, Tinamb, Calbayog City 03-5408677-0 58 M Meter Reader Stroke St. Camillus Hospital Referred and Approved PT


APPROVED

SERVICE

PROVIDED

257 NACINOPA, ROMEO Phase 4 Brgy. Hamorawon, Calbayog City 33-0148092-8 47 M Meter Reader Thoracic Blunt Trauma St. Camillus Hospital Referred and Approved PT

258 LASIC, JOSEPH ALLAN255 Libis Gochuico St., Brgy. 23,

Caloocan City50 M Messman Shoulder injury, right Philippine General Hospital Referred and Approved PT

259 BALBARONO, IZIDRO Sitio Gumamela II, Brgy. Sta. Cruz 52 M Die Setter/Operator Philippine General Hospital Referred and Approved PT

260 PORTODO, GEORGE21-D Brgy. Sto. Rosario St., Coldesac

Sunvalley, Paranaque City43 M Fitter Femur left fracture Philippine General Hospital Referred and Approved Consultation

261 PAGADOR, LEONARDO JR.5532 Ilang-ilang St., Dona Marciana

Subd. Ugong, Valenzuela City10-0168655-8 59 M Motor Man

Infected wound on right

thumbPhilippine General Hospital Referred and Approved Consultation

262 BARNIDO, SOSIMOPurok 2B Pinis Village, Linamon, Lanao

del Norte33-7258089-9 39 M Maintenance

Complete transverse fracture,

proximal thirds, 4th MetatarsalMercy Community Hospital Referred and Approved PT

263 RAZON, VICTORTonggo, Buru-un Iligan City/Mercy

Heights Subd. Lanao del Norte08-1213115-4 41 M Maintenance

Injury-inflammed right

scapula secondary to fallMercy Community Hospital Referred and Approved PT

264 CENIZA, JEEMARPurok 6, Poblacion Kolambugan, Lanao

del Norte34-6757092-1 23 M Machine Operator Amputation of right hand Mercy Community Hospital Referred and Approved PT

265 BENIGA, ELVIS 1337 H-Burgos St., Paco, Manila 38 M Seaman Philippine General Hospital Referred and Approved PT

266 NIERE, LORNA San Bartolome, Sto. Tomas, Batangas 04-3453653-5 42 M Sewer Injury on both shoulder Tanauan Medical Center Referred and Approved PT

267 NIDO, ALICIA #61 Bilogbilo, Tanauan City, Batangas 03-9936509-0 51 M Sewer Injury on both shoulder Tanauan Medical Center Referred and Approved PT

268 BENEGAS, PASTORB37 L152 Palm Hill, Palo Alto, Calamba,

Laguna03-9462201-3 49 M Line Maintenance Left leg injury Calamba Medical Center Referred and Approved PT

269 SORIANO, BAYANI Trapiche 3, Tanauan City, Batangas 03-8066304-4 55 M Able Seaman Cervical and lumbosacral Tanauan Medical Center Referred and Approved PT

Prepared by: Submitted by: Noted by:

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

Nurse II Chief, WCPRD Executive Director

EMPLOYEES' COMPENSATION COMMISSION JANUARY

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Transcript of EMPLOYEES' COMPENSATION COMMISSION JANUARY