POINT TO POINT TRANSPO DETAILS June 18,2018

RESULT/s
COVERED/NOT
STARTING POINT/ORIGIN NAME OF MD/DRUGSTORE/HOSPITAL VISITED COVERED KIND OF TRASPORTATION FARE
house Termina 10
Terminal La castellana 30
La castella terminal EREC pharmacy Dr.Jorge Loot 10
Dr Loot ADAHs Pharmacy 10
ADAHs Pharmacy Valladolid 40
Valladolid terminal Gleans Pharmacy 10
Valladolid La Carlota 30
La Carlota termina Dr leah Jalando-on 10
Dr.Leah Dr Rex Jalando-on
Dr. Rex Dr Rosemarie Tagat 10
Dr.Tagat Gemelyns pharmacy 10
Gemelyns Pharmacy March Pharmacy 10
March pharmacy Terminal la granja 10
Terminal House 10

TOTAL: 200

PMR's SIGNATURE
Note: Please attach tickets if available likes Bus, Boat/Ferry, Taxi , etc..

DM's SIGNATURE
Tricycle
Jeep
Tricycle
Tricycle
Bus
Tricycle
Bus
Tricycle
Tricycle
Tricycle
Tricycle
Tricycle
Tricycle
Tricycle
 POINT TO POINT TRANSPO DETAILS June 19,2018
NAME OF RESULT/s
MD/DRUGSTORE/HOSPIT COVERED/NOT
STARTING POINT/ORIGIN AL VISITED COVERED KIND OF TRASPORTATION
house Termina
Terminal La Carlota
La carlota Bangga patyo
Bangga patyo Kabankalan
Kabankalan terminal LBJ/Kabankalan D/S
LBJ Earth Drugstore
Earth D/S HMOM hospital
Hmom hospital Mayas D/S
Mayas Kabankalan Terminal
Kabankalan Binalbagan
Binalbagan termina Binalbagan infirmary
Infirmacy Gbx pharmacy
Gbx Binalbagan terminal
Binalbagan terminal Bangga patyo
Bangga patyo La carlota
La carlota La granja
La granja House

TOTAL:

PMR's SIGNATURE

Note: Please attach tickets if available likes Bus, Boat/Ferry, Taxi , etc..

DM's SIGNATURE
18

FARE Tricycle
10 Jeep
20 Bus
20 Bus
102 Bus
10 Tricycle
10 Tricycle
20 Tricycle
20 Tricycle
20 Tricycle
36 Bus
10 Tricycle
10 Tricycle
10 Tricycle
80 Bus
20 Bus
20 Bus
10 Tricycle

428
 POINT TO POINT TRANSPO DETAILS June 20,2018
RESULT/s
COVERED/NOT
STARTING POINT/ORIGIN NAME OF MD/DRUGSTORE/HOSPITAL VISITED COVERED
house
Terminal
La Carlota terminal
Bacolod terminal
Lacson Negros grace pharmacy
Negros grace Sincere drugs
Sincere Rx trade taculing
Lacson
Terminal
La Carlota terminal
La granja

Note: Please attach tickets if available likes Bus, Boat/Ferry, Taxi , etc..
une 20,2018

KIND OF TRASPORTATION FARE

Terminal 10 Tricycle
La Carlota 20 Bus
Bacolod 55 Bus
Lacson st. 20 Jeep
10 Jeep
10 Jeep
14 Jeep
Terminal 10 Jeep
La Carlota 55 Bus
La granja 20 Bus
House 10 Tricycle

TOTAL: 234

PMR's SIGNATURE

DM's SIGNATURE
 POINT TO POINT TRANSPO DETAILS June 20,2018
NAME OF RESULT/s
MD/DRUGSTORE/HOS COVERED/NOT
STARTING POINT/OR PITAL VISITED COVERED KIND OF TRASPORTATION
house Terminal
Terminal La Carlota
La Carlota terminal Bacolod
Bacolod terminal Lacson st.
Lacson Negros grace pharmacy
Negros grace Sincere drugs
Sincere Rx trade lacson
Lacson Shopping
Shoping N and m pharma
N and m Caro Pharmacy
Lacson Terminal
Terminal La Carlota
La Carlota terminal La granja
La granja House

TOTAL:

PMR's SIGNATURE

Note: Please attach tickets if available likes Bus, Boat/Ferry, Taxi , etc..

DM's SIGNATURE
20,2018

FARE
10 Tricycle
20 Bus
55 Bus
20 Jeep
10 Jeep
10 Jeep
10 Jeep
10 Jeep
10 Jeep
10 Jeep
10 Jeep
55 Bus
20 Bus
10 Tricycle

260
 POINT TO POINT TRANSPO DETAILS June 22,2018
NAME OF RESULT/s
MD/DRUGSTORE/HOS COVERED/NOT
STARTING POINT/O PITAL VISITED COVERED KIND OF TRASPORTATION
house Terminal
Terminal La Carlota
La Carlota terminal Bacolod
Bacolod terminal Medical plaza
Medical plaza Dr. Malapitan
Dr.Malapitan Dr.Alojado
Dr.Alojado Dr. fernandes
Dr. fernandeZ Dr.Bautista
Dr Bautista Dr.Yasay
Dr.yasay Terminal
Terminal Lopez jaena
Libertad La Carlota
Bacolod terminal La granja
La granja House

TOTAL:

PMR's SIGNATURE

Note: Please attach tickets if available likes Bus, Boat/Ferry, Taxi , etc..

DM's SIGNATURE
une 22,2018

FARE
10 Tricycle
20 Bus
55 Bus
10 Jeep
10 Jeep
10 Jeep
10 Jeep
10 Jeep
10 Jeep
10 Jeep
13 Tricycle
55 Bus
20 Bus
10 Tricycle

253
 POINT TO POINT TRANSPO DETAILS June 26,2018
NAME OF
MD/DRUGSTORE/HO RESULT/s COVERED/NOT
STARTING POINT/OR SPITAL VISITED COVERED KIND OF TRASPORTATION FARE
house Terminal 10
Terminal La Carlota 20
La Carlota terminal Bacolod 55
Bacolod terminal Lacson st. 20
Lacson Negros grace pharmacy 10
Negros grace Sincere drugs 10
Sincere Medilink pharma 16
Shoping Rx trade 20
Lacson Terminal 10
Terminal La Carlota 55
La Carlota terminal La granja 20
La granja House 10

TOTAL: 256

PMR's SIGNATURE

Note: Please attach tickets if available likes Bus, Boat/Ferry, Taxi , etc..

DM's SIGNATURE
Tricycle
Bus
Bus
Jeep
Jeep
Jeep
Jeep
Jeep
Jeep
Bus
Bus
Tricycle
 POINT TO POINT TRANSPO DETAILS June 27,2018
RESULT/s
COVERED/NOT
STARTING POINT/ORIGIN NAME OF MD/DRUGSTORE/HOSPITAL VISITED COVERED
house
Terminal
La castellana ADAHs Pharmacy
ADAHs Pharmacy
Valladolid terminal Gleans Pharmacy
Valladolid
Bangga patyo
Terminal la carlota Gemelyns pharmacy
Gemelyns Pharmacy March Pharmacy
March pharmacy
Terminal

Note: Please attach tickets if available likes Bus, Boat/Ferry, Taxi , etc..
une 27,2018

KIND OF TRASPORTATION FARE

Termina 10 Tricycle
La castellana 30 Jeep
10 Tricycle
Valladolid 40 Bus
10 Tricycle
Bangga patyo 40 Bus
La carlota 20 Bus
10 Tricycle
10 Tricycle
Terminal la granja 10 Tricycle
House 10 Tricycle

TOTAL: 200

PMR's SIGNATURE

DM's SIGNATURE
 POINT TO POINT TRANSPO DETAILS
RESULT/s
COVERED/NOT
STARTING POINT/ORIGIN NAME OF MD/DRUGSTORE/HOSPITAL VISITED COVERED

Note: Please attach tickets if available likes Bus, Boat/Ferry, Taxi , etc..
 KIND OF TRASPORTATION FARE

TOTAL:

PMR's SIGNATURE

DM's SIGNATURE
 POINT TO POINT TRANSPO DETAILS June 29
NAME OF RESULT/s
MD/DRUGSTORE/HOSPI COVERED/NOT
STARTING POINT/ORIG TAL VISITED COVERED KIND OF TRASPORTATION
house Terminal
Terminal La Carlota
La Carlota terminal Bacolod
Bacolod terminal Lacson st.
Lacson North terminal
Terminal Silay
Silay Dr.tampos
Dr tampus Dr. Suelo
Dr suelo Dr losanes
Dr losanes Dr trinidad
Trinidad Hiniloan pharmacy
Hiniloaan pharmacy Blessed pharmacy
Blessed Negros grace
Negros grace Sincere
Silay Bacolod
Lacson Terminal
Terminal La Carlota
La Carlota terminal La granja
La granja House

TOTAL:

PMR's SIGNATURE

Note: Please attach tickets if available likes Bus, Boat/Ferry, Taxi , etc..

DM's SIGNATURE
ne 29

FARE
10 Tricycle
20 Bus
55 Bus
10 Jeep
10 Jeep
45 Bus
7 Sikad
7 Sikad
7 Sikad
7 Sikad

45 Bus
10 Jeep
55 Bus
20 Bus
10 Tricycle

315