Date: October 14, 2022 REIMBURSEMENT (OPERATION) OR Date Account # Activity Purpose 10/10/2022 6-7250 Site visits Coverage 6-6800 Site visits Coverage Site visits Coverage 10/11/2022 10/11/2022 6-7250 10/11/2022 6-7250 Site visits Coverage 10/12/2022 6-7250 Site visits Coverage 10/12/2022 6-7250 Site visits Coverage 10/12/2022 6-7250 Site visits Coverage 10/13/2022 6-7250 Site visits Coverage Target MD MOLECULAR LABORATORY PERSONNELS MOLECULAR LABORATORY PERSONNELS MOLECULAR LABORATORY PERSONNELS MOLECULAR LABORATORY PERSONNELS MOLECULAR LABORATORY PERSONNELS MOLECULAR LABORATORY PERSONNELS MOLECULAR LABORATORY PERSONNELS MOLECULAR LABORATORY PERSONNELS Hospital Target Product Cost Center Net Vat SLMC GLOBAL CITY PARKING AMOYDX REAGENT 6-7250 ( DLSMC, WORLD CITI MEDICAL CENTER, CGH, UST, PGH, LCP, NKTI, MARIKINA VALLEY, DMDL AMOYDX REAGENT 6-6800 DELOS SANTOS MEDICAL CENTER PARKING AMOYDX REAGENT 6-7250 ( WORLD CITI MEDICAL CENTER PARKING AMOYDX REAGENT CHINESE GENERAL HOSPITAL PARKING Vat 49.10) ( Gross Amount 5.90) ( 55.00) 160.71 ( 1,500.00) 44.64) ( 5.36) ( 50.00) 6-7250 ( 35.71) ( 4.29) ( 40.00) AMOYDX REAGENT 6-7250 ( 44.64) ( 5.36) ( 50.00) UNIVERSITY OF SANTO TOMAS PARKING AMOYDX REAGENT 6-7250 ( 35.71) ( 4.29) ( 40.00) PHILIPPINE GENERAL HOSPITAL (ROBINSONS MALL PARKING) UNTIL CODING AMOYDX REAGENT 6-7250 ( 53.57) ( 6.43) ( 60.00) MARIKINA VALLEY MEDICAL CENTER AMOYDX REAGENT 6-7250 ( 35.71) ( 4.29) ( 40.00) TOTAL AMOUNT ( 1,835.00) 1339.29 Checked by: ACCOUNT NUMBERS -MEDREP (Signature over printed name and date) Recommended for Approval by: (Signature over printed name and date) Approved by: 6-2201 Freight 6-6760 Communications 6-7001 DSWD Expenses 6-6015 Allowances 6-7143 Sponsorship 6-7142 Product Presentation/Inclusion 6-7000 Representation/Entertainment ACCOUNT NUMBERS - OFFICE Ms. Rachel Blaza GJay L. Ordinal, MD 6-6750 Office Supplies 6-6780 Transportation 6-6795 Hotel Accomodation 6-6800 Gasoline Expenses 6-7140 Advertising & Promotions 6-7250 Meal Allowance - Various