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eINSTRUCTIONS
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TEMPLATE FOR INVENTORY OF LICENSES, PERMITS, CERTIFICATIONS, AUTHORIZATIONS, CLEARANCES TAGGED AS BACKLOGTotal number of received applications for the covered period1. The total number of applications received for the specified period in the corresponding month.
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Total number of pending transactions for the covered period2. Pending transactions refer to services or requests that have not yet been fully processed, completed, or served. This can also refer to services that have exceeded the processing time stated in the Citizen’s Charter
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Matrix of Services and Plan of Action1. This must be completed annually.
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2. It should reflect the average number of applications, requests, licenses, permits, clearances, etc., that are received, processed, and issued daily.
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3. If any applications are not processed and issued within the same day, your unit must provide a corresponding plan of action to address the gap.
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Means of Verification (MOV)Click the under the column "Means of Verification (MOV): Folder Link" according to your department/unit listed. Once redirected to a Google folder, upload the signed PDF/Excel file of your MOV. This is requested for verification purposes of the data encoded and can be done quarterly or monthly. Please name your file as follows, for quarterly uploading: Q#_MOV_Unit/Department_Date (ex. Q3_MOV_Accounting_18March2025) or for monthly uploading: Month_MOV_Unit/Department_Date (ex. August_MOV_Accounting_18March2025)
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ZERO BACKLOG PROGRAM TARGET
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Indicator 4 (e): 100% of all documents/ requests processed within the prescribed timeline of office services in compliance with the Citizen's Charter
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RESPONSIBLE UNIT/DEPARTMENT/DIVISIONSERVICE TITLE (as Specified in the Citizens Charter)LINK (Click the link to to access the corresponding Google Sheet.)Means of Verification (MOV): Folder Link
(Click to be redirected to the Google folder)
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1ACCOUNTING DEPARTMENTPAGREQUEST NG TAX CERTIFICATES NG MGA SUPPLIERShttps://docs.google.com/spreadsheets/d/1Mmw5JI7c0mG1Wslyp2dSkGf3AelCM0foRSE_unzPgno/edit?usp=drive_linkhttps://drive.google.com/drive/folders/1E5gOV6VzMLLgW5oUPCQv_IR9HlFoddjy?usp=drive_link
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2BASIC COMPREHENSIVE CENTER FOR CANCER CARE PARAAN NG PAGPAPA-CHEMOTHERAPYhttps://docs.google.com/spreadsheets/d/15JF-khrsk8uwLjiv804DueLnimZ_80lpHg1H5Ywayg0/edit?usp=drive_linkhttps://drive.google.com/drive/folders/1wU1eVJbVhqrozOPUsTYEyNsV5KJDoyOh?usp=drive_link
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PARAAN NG ADMISYON PARA SA MGA MANGANGAILANGAN NG CHEMOTHERAPY
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PARAAN NG PAGPAPA BLOOD TRANSFUSION SA CANCER CENTER
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PARAAN NG PAGKONSULTA SA CANCER CARE CENTER
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PARAAN NG PAGKONSULTA SA ORTHO CLINIC
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3BUDGET SECTIONPAGHINGI NG OBLIGATION REQUEST AND STATUS / BUDGET UTILIZATION REQUEST AND STATUShttps://docs.google.com/spreadsheets/d/1iQskG8cUrr6YvT7U4lJKUEtvlmpdzXI4_RUa-9tJ8Vw/edit?usp=drive_linkhttps://drive.google.com/drive/folders/1lO4_2MBK4-TFI2oD-dIbg3tRyoSlIw8-?usp=drive_link
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PAGPAPA-EARMARK NG PURCHASE REQUEST
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4CARDIOVASCULAR CENTEREEG PARA SA MGA OUTPATIENTShttps://docs.google.com/spreadsheets/d/1LG3yJWO2WH3I-Zo-MANI3SzA_W4SDgOOaMxTMs1gkBU/edit?usp=drive_linkhttps://drive.google.com/drive/folders/1n9laFRknXKkC3S9hUyMvtTjzSxqs57Oi?usp=drive_link
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PARAAN NG PAGPAPA-ECG PARA SA MGA OUTPATIENTS
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PARAAN NG PAGPAPA-2D ECHO PARA SA MGA OUTPATIENTS
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PARAAN NG PAGPAPA-TREADMILL STRESS TEST PARA SA MGA OUTPATIENTS
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PARAAN NG PAGPAPA-AMBULATORY BLOOD PRESSURE MONITORING
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PARAAN NG PAGPAPA-TRANSESOPHAGEAL ECHOCARDIOGRAM
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5CENTRAL SUPPLY ROOMPAGBILI NG MEDICAL SUPPLIES SA CENTRAL SUPPLY ROOM (CSR)https://docs.google.com/spreadsheets/d/1R49bn8GUXPFQk7RK6IKul0eJGyW8NLu5Q7QFhmdUr0s/edit?usp=drive_linkhttps://drive.google.com/drive/folders/1tX4RJIHPTs_h3Ho2SCbyoVmQUXEfyFlN?usp=drive_link
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PAG REPLENISH NG MGA MEDICAL SUPPLIES STOCKS SA WARD
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PAGKUHA NG MEDICAL SUPPLIES SA CENTRAL SUPPLY ROOM PARA SA MGA INPATIENTS
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6COLLECTING UNITPARAAN NG PAGBABAYAD SA MGA BAYARIN SA OSPITALhttps://docs.google.com/spreadsheets/d/1zaYaUzlQ2H95kmJedE8h_oZQLAbBQL32CJ1nIoo3fXo/edit?usp=drive_linkhttps://drive.google.com/drive/folders/1sjMvwVVQtB9SP_az77gfiedTG-pSIv7L?usp=drive_link
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7DENTAL UNITPARAAN NG PAGKUHA NG DENTAL SERVICE PARA SA MGA WALK-IN NA PASYENTEhttps://docs.google.com/spreadsheets/d/1UOcWav9UWXQQhc4W02ESH9ZlDFXslf64IzwWSNdTync/edit?usp=drive_linkhttps://drive.google.com/drive/folders/1GBBkpos1ofZGLaBD3_P_OwBfGF5Dbu2b?usp=drive_link
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PARAAN NG PAGKUHA NG DENTAL SERVICE PARA SA MGA PASYENTENG MAY DENTAL APPOINTMENT
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8DEPARTMENT OF ANESTHESIOLOGYPAGKUHA NG SERBISYO NA ICU CO-MANAGEMENThttps://docs.google.com/spreadsheets/d/1vNs8-GJPKrZp3qCF3laxnqKIaoaM68fGQrIoEFDjbGk/edit?usp=drive_linkhttps://drive.google.com/drive/folders/1ALxgI8BOkBBuzO5hM3U3iqK-4aEdl5qi?usp=drive_link
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PAGKUHA NG SERBISYO NA PAIN MANAGEMENT PARA SA OUT-PATIENT
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PAGKUHA NG SERBISYO NA PAIN MANAGEMENT PARA SA IN-PATIENT
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PAGKUHA NG SERBISYO NA PRE-OPERATIVE EVALUATION
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9DEPARTMENT OF EMERGENCY MEDICINEPARAAN NG PAGPAPATINGIN SA EMERGENCY DEPARTMENThttps://docs.google.com/spreadsheets/d/16XpwZhrtyUYAvw6O-3W5dkYbs0V6P00XsskHNdMGsxU/edit?usp=drive_linkhttps://drive.google.com/drive/folders/1J8xfih7C4OQFVpteISfvHhppjL_IwqYy?usp=drive_link
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10DEPARTMENT OF OBSTETRICS AND GYNECOLOGYPAGPAPATINGIN PARA SA MGA OB-GYNE EMERGENCYhttps://docs.google.com/spreadsheets/d/1CBh4SfpUM23FPD8NlW-Dyg_qN6DJade3je6IzNw52IE/edit?usp=drive_linkhttps://drive.google.com/drive/folders/1zkJ5cmhnecrQvfG8bOqttU26LJ6t5r2t?usp=drive_link
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11DEPARTMENT OF OPHTHALMOLOGYPARAAN NG PAGPAPA GAMUTANG LASER SA MATA (OPHTHALMIC LASER
TREATMENT)		https://docs.google.com/spreadsheets/d/1gfaXcYYiXlNN9M1DU1pS7mutu6TivD3ZLyHzeR0IRB8/edit?usp=drive_linkhttps://drive.google.com/drive/folders/1hM_dSqgcPAWwXfu-X_tmcDpYrUZUqIzx?usp=drive_link
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PARAAN NG PAGSASAGAWA NG MGA OPERASYON SA MATA
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PARAAN NG PAGSASAGAWA NG MGA DIAGNOSTIC NA EKSAMINASYON SA
MATA GAMIT ANG IBA’T-IBANG PASILIDAD (AUTOMATED REFRACTION/ KERATOMETRY, AUTOMATED VISUAL
PERIMETRY, B-SCAN ULTRASONOGRAPOPHY, BIOMETRY, CORNEAL TOPOGRAPHY, PACHYMETRY, O
SPECULAR MICROSCOPY)
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12DEPARTMENT OF OTORHINOLARYNGOLOGY - HEAD AND NECK SURGERYPAGKONSULTA AT PAGPAPADIAGNOSTIC EXAMINATION SA EARS, NOSE,
THROAT – HEAD AND NECK SURGERY COMPLEX		https://docs.google.com/spreadsheets/d/1eCWXtntEt6yhNg9zUkENupc-Gfunb4q2O8vMtL-wgcg/edit?usp=drive_linkhttps://drive.google.com/drive/folders/1W_8gw0nHxgOjejebGI7zEUYJpPWULMaP?usp=drive_link
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PAGKONSULTA AT PAGPAPADIAGNOSTIC EXAMINATION SA EARS, NOSE,
THROAT – HEAD AND NECK SURGERY SA EMERGENCY ROOM
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13DEPARTMENT OF PATHOLOGY, LABORATORIES AND BLOOD
TRANSFUSION SERVICES		Pagrequest Ng Dugo Para Sa Mga Outpatienthttps://docs.google.com/spreadsheets/d/1FvK3l-6AjnUoC2Z2Al6cmdAxCpp3Lq23ghPlh8aysAQ/edit?usp=drive_linkhttps://drive.google.com/drive/folders/10osj209tEfNz3_bcafWOcGj8d5B8-HO7?usp=drive_link
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PARA SA MGA MAGDODONATE NG DUGO (BLOOD DONORS)
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PARAAN NG PAGPAPA DRUG TESTING (INITIAL DRUG TEST SCREENING FOR
METH/THC)
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PARAAN NG PAGTANGGAP NG SPECIMEN SA HISTOPATH PARA SA OUT
PATIENT (OPD)
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PARAAN NG PAGKUHA NG RESULTA SA HISTOPATH
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PARAAN NG PAGKUHA NG SERBISYO NG LABORATORYO PARA SA MGA
OUTPATIENT NA ANG REQUEST AY GALING SA IBANG OSPITAL O CLINIC
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PARAAN NG PAGKUHA NG SERBISYO NG LABORATORYO PARA SA MGA
PASYENTE NG OPD WELLNESS BUILDING
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PARAAN NG PAGKUHA NG SERBISYO NG LABORATORYO SURVEILLANCE
TESTING (VACCINE PREVENTABLE DISEASES, INTEGRATED INFLUENZA A, INFLUENZA B, RSV, SARS-Cov-2,
MONKEYPOS, PERTUSSIS, DENGUE, MTB/RIF, XDR-TB)
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PARAAN NG PAGKUHA NG MULTIPLEX PCR (SYNDROMIC) PANEL TESTING
(RESPIRATORY PANEL, PNEUMONIA PANEL, AT MENINGITIS PANEL)
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PARAAN NG PAGKUHA NG SERBISYO NG LABORATORYO PARA SA MGA
INPATIENT AT ER PATIENTS
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PAGREQUEST NG DUGO PARA SA MGA IN-PATIENT
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14DEPARTMENT OF PSYCHIATRY AND BEHAVIORAL MEDICINEPARAAN NG PAGSASAGAWA NG ADMISYON NG PASYENTE SA ACUTE
CRISIS INTERVENTION SERVICE		https://docs.google.com/spreadsheets/d/1Wllgv00eKlHTnPQhorxfPYhXtTzJpj4KEVtUSMeHYpU/edit?usp=drive_linkhttps://drive.google.com/drive/folders/1AaToxYKOrZs27FHWH9hvj4mq4S-PkJkS?usp=drive_link
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PARAAN NG PAGKONSULTA SA MENTAL HEALTH UNIT (MHU) SA OUTPATIENT
DEPARTMENT
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PARAAN NG PAGKUHA NG SERBISYO NG MENTAL HEALTH UNIT –
PSYCHOLOGICAL SERVICES PARA SA MGA PASYENTENG MAY SCHEDULE NA
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15DEPARTMENT OF RADIATION ONCOLOGYPARAAN NG PAGKUHA NG SERBISYO SA RADIATION ONCOLOGYhttps://docs.google.com/spreadsheets/d/1oaOI2CTjGgYQ8pdLrmYoNOIwBwXR_yf8Fi2ViWHabZo/edit?usp=drive_linkhttps://drive.google.com/drive/folders/1_zDQya-d6SkZMkXcbOfosg-hhEHZO6hU?usp=drive_link
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16DEPARTMENT OF RADIOLOGYPARAAN NG PAGPAPA-X-RAY NG MGA PASYENTE SA MEDICINE, PEDIA AT
OB BUILDING		RADIOLOGY-ZERO BACKLOG 2026https://drive.google.com/drive/folders/1NhsKjH-VRI386iBwhZaAWeIKsHWbTW4f?usp=drive_link
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PARAAN NG PAGPAPA-CT SCAN NG MGA PASYENTE SA EMERGENCY ROOM
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PARAAN NG PAGPAPA CT-SCAN NG MGA PASYENTE SA OPD
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PARAAN NG PAGPAPA- CT SCAN NG MGA PASYENTE NA NAKA ADMIT/IN
PATIENT
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PARAAN NG PAGPAPA- CT SCAN NG MGA PASYENTE SA EMERGENCY ROOM
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PARAAN NG PAGPAPA MRI NG MGA PASYENTE SA OPD
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PARAAN NG PAGPAPA ULTRASOUND NG MGA PASYENTE SA OPD
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PARAAN NG PAGPAPA X-RAY NG MGA PASYENTE SA OPD
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PAGPAPA-MAMMOGRAPHY NG MGA PASYENTE SA OPD
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PARAAN NG PAGPAPA-MRI NG MGA PASYENTE SA ER OR IN-PATIENT
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PARAAN NG PAGPAPA ULTRASOUND NG MGA PASYENTE NG ER O
INPATIENT
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17DEPARTMENT OF SURGERYPARAAN NG PAGPAPA-SCHEDULE NG ENDOSCOPY/ COLONOSCOPY/ ERCP
(SURGERY)		https://docs.google.com/spreadsheets/d/1vzhF6AbWrgwsKvT78h4sIcOlldGvBgC1YFdLYGOzMrE/edit?usp=drive_linkhttps://drive.google.com/drive/folders/1NDEGAhebMVLUK87JRFCa3ratrNUX0376?usp=drive_link
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18DOCUMENT INFORMATION CONTROL CENTERPARAAN NG PAGPROSESO AT PAG-UPLOAD NG DEPARTAMENTO/YUNIT NG
OSPITAL SA DOCUMENTED INFORMATION CONTROL SYSTEM (DICS)		https://docs.google.com/spreadsheets/d/1knfImDKgpb_P0X9YHbCN5oKuE80g95JtAUBevCO9arI/edit?usp=drive_linkhttps://drive.google.com/drive/folders/1AeiWFMiE9ae2GYQreuThRnkYRQcvOnb-?usp=drive_link
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19ENGINEERING FACILITIES AND EQUIPMENT MANAGEMENTPARAAN NG PAGREQUEST NG REPAIR O JOB ORDERhttps://docs.google.com/spreadsheets/d/1eOV-0Pf4Re9uAC7Aki6DkiBdFHeFrrdOtFzzdtXRLC4/edit?usp=drive_linkhttps://drive.google.com/drive/folders/1XZZMr6AP_0IpScF7eR3R1uYELNTRjOhC?usp=drive_link
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PARAAN NG PAGREQUEST NG HOSPITAL SERVICE VEHICLE FOR OFFICIAL
TRAVEL (SCHEDULED TRAVEL)
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PARAAN NG PAGREQUEST NG HOSPITAL AMBULANCE
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20ENVIRONMENT, HEALTH AND MANAGEMENT OFFICEPARAAN NG PAGKUHA NG SERBISYO NG EMPLOYEES’ HEALTH AND
WELLNESS CENTER (EHWC)		https://docs.google.com/spreadsheets/d/1opQuu8FC9d8ztQZymy834qtIRcQblUExGoQq6S4J0so/edit?usp=drive_linkhttps://drive.google.com/drive/folders/19KsSIibiYq9IX18CrkSOsEToaqJvDb5U?usp=drive_link
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21BILLING AND CLAIMS UNITPARAAN NG PAGBIBIGAY NG STATEMENT OF ACCOUNT (SOA) O BILL NG
PASYENTE		https://docs.google.com/spreadsheets/d/1ZBZpaKNR7mCDlgJaPLAvO7G3jkpSll-AfheDidyjzOI/edit?usp=drive_linkhttps://drive.google.com/drive/folders/1oHR6556z5TKhoHEwOiU9HphyjXVT7WlN?usp=drive_link
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22HEALTH INFORMATION AND MANAGEMENT SECTIONPAGKUHA NG MEDICAL CERTIFICATE (In-patient & ER-patient), MEDICO-LEGAL
CERTIFICATE, CERTIFICATE OF CONFINEMENT, MEDICAL RECORD (Discharge Summary, Clinical Abstract,
Operating Room Record, Laboratory Results at Radiologic Results) at pagpapafill-up ng INSURANCE CLAIM FORM
(GSIS, SSS AT Iba pang mga Insurance Company)		https://docs.google.com/spreadsheets/d/1-8DiXcrsKVkUD8WhlMWBlq6oBIjTURYImU6OkvEBRlA/edit?usp=drive_linkhttps://drive.google.com/drive/folders/1IEHWBYdcJGx8CBgfAEiXg_W-x4xvk0Ln?usp=drive_link
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PARAAN NG PAGKUHA NG CERTIFICATE OF LIVE BIRTH
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PARAAN NG PAGKUHA NG CERTIFICATE OF DEATH
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PARAAN NG PAG PROSESO NG ACKNOWLEDGEMENT O ADMISSION OF
PATERNITY
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PARAAN NG ADMISYON NG PASYENTE
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PARAAN NG PAGKUHA NG MEDICAL CERTIFICATE/ABSTRACT SA MGA
PASYENTE NG OUT PATIENT DEPARTMENT (OPD)
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23HEALTH RESEARCH DEVELOPMENT UNITPROCESS OF REVIEWING RESEARCH PROPOSALS BY THE HEALTH
RESEARCH DEVELOPMENT UNIT (HRDU) - RESEARCH MANAGEMENT COMMITTEE (RMC) & RESEARCH
ETHICS COMMITTEE (REC)		https://docs.google.com/spreadsheets/d/1qNBs3xX6eEC89NkJUOtv4wTYjpZfnsw4w9wwFvd0WTs/edit?usp=drive_linkhttps://drive.google.com/drive/folders/1-GtL47jpNjg0qoEBaYcVci8AAtBED9cS?usp=drive_link
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24HEMODIALYSIS UNITPARAAN NG PAGPAPA-DIALYSIS NG MGA OUTPATIENTShttps://docs.google.com/spreadsheets/d/1RSP49p9WGg0ZhAdaJ3zCvdxbgmqStWJT9KYmskkgzPw/edit?usp=drive_linkhttps://drive.google.com/drive/folders/13pAsOg2FWH_lJwr18u8-kiMz1C2En5BO?usp=drive_link
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PARAAN NG PAGDIALYSIS PARA SA MGA INPATIENTS
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25HOUSEKEEPING, LINEN AND LAUNDRYPARAAN NG PAGKUHA NG LINENhttps://docs.google.com/spreadsheets/d/1iCzfHyQWtM-4Palvc02tdaEdwyq7RJuC1xxhIcA4jpQ/edit?usp=drive_linkhttps://drive.google.com/drive/folders/1CcWgwkL3aZ1Hkv0NzSniNtdclOzPUkwg?usp=drive_link
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PARAAN NG PAGREQUEST NG PATAHE AT UPHOLSTERY
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26HUMAN MILK BANKPARAAN NG PAGKUHA NG PASTEURIZED BREAST MILK (In-Patient)https://docs.google.com/spreadsheets/d/1FvlYtoZhUXGWtARntOscQxqa2bhFdEHjhRKsSAHXVg0/edit?usp=drive_linkhttps://drive.google.com/drive/folders/1eQ_GNTakdmYMS5mAhW6kJXpH89X7WzZI?usp=drive_link
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27HUMAN RESOURCE MANAGEMENT OFFICEPARAAN NG PAG-APPLY NG TRABAHO SA JBLMGH (PLANTILLA)HRMO-ZERO BACKLOG 2026https://drive.google.com/drive/folders/17VqZr_95AisXa4HS9-UP0m9kAy4a-1E9?usp=drive_link
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PARAAN NG PAG-APPLY NG TRABAHO SA JBLMGH (CONTRACT OF SERVICE
AT TALENT POOLING)
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PARAAN NG PAGFILE NG LEAVE OF ABSENCE
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PARAAN NG PAGREQUEST NG SERVICE RECORD, CERTIFICATE OF
EMPLOYMENT, PAY SLIP AT CERTIFIED TRUE COPY NG EMPLOYMENT DOCUMENTS
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28INTEGRATED HOSPITAL OPERATIONS MANAGEMENT SECTIONPARAAN NG PAGREQUEST NG COMPUTER/SYSTEM REQUESThttps://docs.google.com/spreadsheets/d/1zlerbMTsuCEQpivm71quZrXucpERNRwBKuw6CbuSsog/edit?usp=drive_linkhttps://drive.google.com/drive/folders/16_RHyc3DlHs_euY6EZE-lB5__W3hw2dC?usp=drive_link
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PARAAN NG PAGKUHA NG SERBISYO SA IHOMS TICKETING SYSTEM –
LEVEL I (MGA SIMPLENG KATANUNGAN O SYSTEM SUPPORT), LEVEL II (MGA KATANUNGNAN O GWAIN
NA MEDYO KUMPLIKADO), AT LEVEL III (MGA KOMPLIKADONG GAWAIN)
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29PHU-LINGAP-BAGAPARAAN NG PAGKONSULTA SA LINGAP BAGAhttps://docs.google.com/spreadsheets/d/1JH6-BPlklbGzXOyjmC1i-FKKzBPj9utkO8PMHfAg9Pg/edit?usp=drive_linkhttps://drive.google.com/drive/folders/13EE3Tq4drF9mIXVjs2D5DF9eFLDDtJs1?usp=drive_link
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30MEDICAL SOCIAL WORK DEPARTMENTPARAAN NG PAGKUHA NG SERBISYO SA WOMEN AND CHILDREN
PROTECTION UNIT		https://docs.google.com/spreadsheets/d/1H-6K2u21vd-MN6q3ZS9W59mMSsv1ONcpVFB1t8SCNcQ/edit?usp=drive_linkhttps://drive.google.com/drive/folders/1Wy_trDZrlWiFclwy40li3ThVmEKNiBbE?usp=drive_link
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PAGKUHA NG SERBISYO NG MEDICAL SOCIAL WORK DEPARTMENT
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31NEWBORN SCREENING UNITPARAAN NG PAGPAPA NEWBORN SCREENING (NBS) TEST PARA SA MGA
BAGONG SILANG NA SANGGOL		https://docs.google.com/spreadsheets/d/1s1pr93JXfqWwtEYaH3wjJPIebbDRKNyQskcBeXjgxHo/edit?usp=drive_linkhttps://drive.google.com/drive/folders/1k_njL-X94un1XIFEBUTwU2HIeln7TPgH?usp=drive_link
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PARAAN NG PAGPAPA HEARING TEST PARA SA MGA BAGONG SILANG NA
SANGGOL