CONSUMO DE OXIG

Del 01/08/20
OXIGENO LIQUIDO M

Paciente Cta.Cte N°H.C. Convenio

ALFARO PE¥A JOVER JUNIOR 2306482 14807 SEGURO INTEGRAL DE SALUD

AMADOR REMIGIO JANETH 2307386 18879 SEGURO INTEGRAL DE SALUD

BAUTISTA SAMAME FILOMENA 2307428 35854 SEGURO INTEGRAL DE SALUD
BERNAL REGALADO ALAN STEVEN 2307630 226540 SEGURO INTEGRAL DE SALUD
BRAVO VENAVENTE KATHERINE MAYRA 2307549 385342 SEGURO INTEGRAL DE SALUD
CALDAS MEJIA OSCAR JUAN 2305880 265186 SEGURO INTEGRAL DE SALUD

CALDERON GRADOS MARCOS EUSEBIO 2307421 297734 SEGURO INTEGRAL DE SALUD

CALLAS ALBUJAR CRISTHIAM BENJAMIN 2306170 248258 SEGURO INTEGRAL DE SALUD
CARLOS MIRABAL LEANDRA 2305168 359695 SEGURO INTEGRAL DE SALUD
CARRANZA GUERRERO LIZZI LUANA 2307442 505010 SEGURO INTEGRAL DE SALUD
CARRANZA PACHECO KAREN YOMARA 2307338 284116 SEGURO INTEGRAL DE SALUD
CHANGANA QUICHE LUCIO 2307329 495130 SEGURO INTEGRAL DE SALUD

CHAVEZ MU¥OZ JEAN FRANCO 2307649 155202 SEGURO INTEGRAL DE SALUD

CHINGA RAMOS JESUS AGUSTIN 2307491 86403 SEGURO INTEGRAL DE SALUD
CHUMBES MUNDO CATALEYA MURIEL 2307541 509850 SEGURO INTEGRAL DE SALUD
CLAROS CLAROS JEANETH ABIGAIL 2307331 391205 SEGURO INTEGRAL DE SALUD
COSSIO TENA FRANK ALEJANDRO 2307470 313984 SEGURO INTEGRAL DE SALUD
CRUZ LAVERIANO YADIEL ALEXANDER 2307537 498926 SEGURO INTEGRAL DE SALUD

DIAZ JARA ELVA VIOLETA 2307495 247104 SEGURO INTEGRAL DE SALUD

DIEGO DIEGO MARIA ESMERALDA 2307529 213990 SEGURO INTEGRAL DE SALUD
DURAND NICHO JEANFRANCO ALFONSO 2307217 202536 SEGURO INTEGRAL DE SALUD
ESPINOZA VDA DE SALVO MARGARITA 2306849 106988 SEGURO INTEGRAL DE SALUD
GAVINO BARRERA MARILYN MERLY 2307511 171758 SEGURO INTEGRAL DE SALUD
GIRALDO ORTIZ MARIBEL MAGNOLIA 2307321 63631 SEGURO INTEGRAL DE SALUD
GUERRA ANDRADE VANIA AILYN 2307380 18840 SEGURO INTEGRAL DE SALUD

GUERRERO RIVERA ELVIRA 2307228 234051 SEGURO INTEGRAL DE SALUD

HOCES LINO MARINA AURORA 2302813 115471 SEGURO INTEGRAL DE SALUD

HOSTOS NAVARRO ALISSON JOHANA 2307629 258807 SEGURO INTEGRAL DE SALUD

ISIDRO GUTIERREZ HEYDEN ANGEL 2307611 409439 SEGURO INTEGRAL DE SALUD
LANDA CHUMBES LUIS GUILLERMO 2307353 6314 AFOCAT NUESTRA SE¥OR
LUNA NERY LUIS ALBERTO 2307597 23705 SEGURO INTEGRAL DE SALUD
MELGAREJO SANCHEZ BRITANY AMAYRA 2307271 18271 SEGURO INTEGRAL DE SALUD
MENDOZA VILLANUEVA ALVARO EUGENIO 2307624 459262 SEGURO INTEGRAL DE SALUD
MEZA INGA GABRIEL IGNACIO 2307269 454491 SEGURO INTEGRAL DE SALUD
MONTOYA LARRAIN JUANA RUTH 2307293 94132 SEGURO INTEGRAL DE SALUD
MORENO CHANGANAQUI BENIGNA ROSA 2305547 70276 SEGURO INTEGRAL DE SALUD

NIEVES TORRES PERCY JOHN 2307564 142548 AFOCAT NUESTRA SE¥OR

OYOLA REGALADO JUAN JESUS 2307150 474010 SEGURO INTEGRAL DE SALUD

PACHECO CONDEZO JOSEPH ABRAHAM 2307389 256798 SEGURO INTEGRAL DE SALUD

PACORA NICHO HEMELY JHASSELIX 2307619 299518 SEGURO INTEGRAL DE SALUD
PACORA QUIROZ JESSICA VIVIANA 2307244 93083 SEGURO INTEGRAL DE SALUD
PADILLA DOROTEO JENNYFER STEFANNY 2307620 243582 SEGURO INTEGRAL DE SALUD
PALHUA GENEBROZO VALERIA 2307387 256065 SEGURO INTEGRAL DE SALUD
PALMA BARRON WENDOLYN MISHELLE 2307593 201467 SEGURO INTEGRAL DE SALUD
PAREDES VASQUEZ ESTEFANY MILAGROS 2307137 17679 LA POSITIVA SEGUROS Y

PAUCAR ESPINOZA CANDY KARINA 2307330 254207 SEGURO INTEGRAL DE SALUD

PIMENTEL BETETA JESUS YRENE 2307385 239902 SEGURO INTEGRAL DE SALUD
POMA MELGAREJO LIAM MATHIAS 2307581 460310 SEGURO INTEGRAL DE SALUD
QUICHIZ MEDINA CARMELITA 2307384 78588 SEGURO INTEGRAL DE SALUD
QUINTEROS BUSTAMANTE FORTUNATA 2307333 256004 SEGURO INTEGRAL DE SALUD
RACACHA ENCARNACION MIHA JOHANA 2307319 328407 SEGURO INTEGRAL DE SALUD
RAMIREZ VILLAVICENCIO LUIS FRANCO MARTIN 2307383 201668 SEGURO INTEGRAL DE SALUD
REYES CARRION JULIO ANTONIO 2307503 310668 SEGURO INTEGRAL DE SALUD
ROBLES PALHUA JUAN VICTOR 2305934 338698 SEGURO INTEGRAL DE SALUD

ROJAS CHAMORRO JOSUE DAVID 2307413 401289 SEGURO INTEGRAL DE SALUD

ROJAS SANDON CINTHYA MELIS 2307298 374313 SEGURO INTEGRAL DE SALUD
ROMERO RAMOS LUIS ALBERTO 2306924 151242 SEGURO INTEGRAL DE SALUD
ROSALES HUAMAN JAHAIRA ALEXANDRA 2307594 246496 SEGURO INTEGRAL DE SALUD
SACRAMENTO CARRERA ERICA YANINA 2307322 187064 SEGURO INTEGRAL DE SALUD
SALAZAR MORALES SAMIR SANTIAGO 2307232 408176 SEGURO INTEGRAL DE SALUD

SAMAME ACEVEDO ALEJANDRO 2307155 306095 SEGURO INTEGRAL DE SALUD

SANCHEZ JAUREGUI RONALDINO 2306978 16827 SEGURO INTEGRAL DE SALUD

SANTOS DE LA CRUZ ZENOBIA 2307459 204759 SEGURO INTEGRAL DE SALUD

SILVA ANGELES GLADYS MARGOT 2306197 505768 SEGURO INTEGRAL DE SALUD

SIRA MENDOZA JESUS 2307445 19279 PUBLICO GENERAL

SMITH BISSO ALEJANDRO SAMUEL 2307595 12354 SEGURO INTEGRAL DE SALUD
SOLIS CALVO EDILBERTO 2307284 53871 SEGURO INTEGRAL DE SALUD

TAMAYO ESPINOZA MARIA MAGDALENA 2307035 216197 SEGURO INTEGRAL DE SALUD

TAPIA RAMIREZ NELSON ALBERTO 2307238 302648 SEGURO INTEGRAL DE SALUD
TENORIO LARA ASHLEY AITANA 2307461 19449 SEGURO INTEGRAL DE SALUD

TORRES LEON YEDER EDI¥O 2307441 19247 SEGURO INTEGRAL DE SALUD

TORRES ORDINOLA ARTURO ORLANDO 2307430 32778 SEGURO INTEGRAL DE SALUD

URETA ROJAS RAUL OVER 2307369 212695 SEGURO INTEGRAL DE SALUD

VALENZUELA LEON ELISEO RAYMUNDO 2307299 277875 SEGURO INTEGRAL DE SALUD
VARGAS VENTOCILLA JHONATAN ESMITH 2307013 249282 SEGURO INTEGRAL DE SALUD
VASQUEZ BAZAN MARYORITH CARLA 2307465 281923 SEGURO INTEGRAL DE SALUD
VELASQUEZ PACORA JOSE RICARDO 2307089 355420 SEGURO INTEGRAL DE SALUD
VILCHEZ MONTERO SILVIA ELSA 2307278 226252 SEGURO INTEGRAL DE SALUD
VILLEGAS RUMICHE WILSON AUGUSTO 2307424 370493 SEGURO INTEGRAL DE SALUD
CONSUMO DE OXIGENO HOSPITALIZADOS
Del 01/08/2023 al 16/08/2023
OXIGENO LIQUIDO MEDICINAL CRIOGENICO

F. Ingreso F. Alta Días Condición Cie1 Cie2 Fecha Boleta

09/07/2023 05/08/2023 27 Fallecido K913 01/08/2023 29911
02/08/2023 20236
03/08/2023 7200.00
03/08/2023 20877
04/08/2023 21186
07/08/2023 09/08/2023 2 Alta Z549 07/08/2023 22014
08/08/2023 / / 0 08/08/2023 22396
15/08/2023 / / 0 15/08/2023 76339
12/08/2023 15/08/2023 3 Alta 44950 12/08/2023 23918
21/06/2023 15/08/2023 55 Alta I10X N185 01/08/2023 73876
02/08/2023 74056
08/08/2023 10/08/2023 2 Alta K409 E059 09/08/2023 75329
30/06/2023 01/08/2023 1 Fallecido 49000 01/08/2023 29914
31/05/2023 05/08/2023 66 Fallecido 04/08/2023 74387
09/08/2023 13/08/2023 4 Alta J219 10/08/2023 75356
05/08/2023 06/08/2023 1 Alta Z540 05/08/2023 74562
05/08/2023 / / 0 06/08/2023 74692
07/08/2023 74846
08/08/2023 75062
09/08/2023 75286
10/08/2023 75431
11/08/2023 75607
12/08/2023 75772
14/08/2023 76103
15/08/2023 76301
16/08/2023 / / 0 16/08/2023 25107
11/08/2023 13/08/2023 2 Alta K409 E660 11/08/2023 75553
12/08/2023 / / 0 13/08/2023 75863
05/08/2023 07/08/2023 2 Alta Z549 05/08/2023 21364
10/08/2023 / / 0 10/08/2023 23180
12/08/2023 15/08/2023 0 Traslado T302 12/08/2023 23817
14/08/2023 24507
11/08/2023 15/08/2023 4 Alta Z3921 11/08/2023 75642
12/08/2023 / / 0 12/08/2023 75762
01/08/2023 02/08/2023 1 Alta K37X 01/08/2023 73907
20/07/2023 / / 0 03/08/2023 74081
11/08/2023 / / 0 11/08/2023 23571
05/08/2023 09/08/2023 4 Alta Z549 05/08/2023 74415
07/08/2023 15/08/2023 8 Traslado J960 J051 07/08/2023 22136
08/08/2023 22342
09/08/2023 22604
09/08/2023 22929
11/08/2023 23295
11/08/2023 23486
13/08/2023 24106
14/08/2023 24290
14/08/2023 24461
01/08/2023 / / 0 03/08/2023 20666
 04/08/2023 20924
04/08/2023 21011
05/08/2023 21211
05/08/2023 21317
06/08/2023 21518
06/08/2023 21729
07/08/2023 22209
08/08/2023 22596
08/08/2023 22603
09/08/2023 22787
10/08/2023 22986
11/08/2023 23297
12/08/2023 23619
12/08/2023 23763
13/08/2023 23971
13/08/2023 24070
13/08/2023 24248
22/03/2023 / / 0 04/08/2023 74388
07/08/2023 74854
08/08/2023 75049
15/08/2023 / / 0 15/08/2023 76196
14/08/2023 / / 0 15/08/2023 24689
06/08/2023 09/08/2023 3 Alta S323 06/08/2023 69621
14/08/2023 / / 0 15/08/2023 76302
03/08/2023 08/08/2023 5 Alta 11042 04/08/2023 74339
15/08/2023 / / 0 15/08/2023 76160
02/08/2023 07/08/2023 5 Alta J188 J981 03/08/2023 74141
03/08/2023 04/08/2023 1 Alta O034 04/08/2023 74257
10/06/2023 / / 0 01/08/2023 20036
02/08/2023 20239
03/08/2023 20603
03/08/2023 20690
04/08/2023 21182
07/08/2023 21833
08/08/2023 22222
08/08/2023 22556
09/08/2023 22763
10/08/2023 23132
11/08/2023 23303
12/08/2023 23626
13/08/2023 / / 0 13/08/2023 69907
14/08/2023 69935
15/08/2023 60021
29/07/2023 / / 16 M725 07/08/2023 22169
08/08/2023 22506
09/08/2023 22703
09/08/2023 22907
11/08/2023 23301
11/08/2023 23376
13/08/2023 24249
14/08/2023 24446
15/08/2023 76337
07/08/2023 09/08/2023 2 Alta K811 07/08/2023 74822
15/08/2023 / / 0 15/08/2023 24811
02/08/2023 03/08/2023 1 Alta O034 02/08/2023 20517
15/08/2023 / / 0 15/08/2023 24812
07/08/2023 09/08/2023 2 Alta K828 07/08/2023 74734
14/08/2023 / / 0 14/08/2023 75975
29/07/2023 15/08/2023 17 Alta 03/08/2023 69510
04/08/2023 69543
04/08/2023 69555
05/08/2023 06/08/2023 1 Alta K37X 05/08/2023 21373
07/08/2023 10/08/2023 3 Alta K802 I10X 07/08/2023 74726
13/08/2023 / / 0 15/08/2023 76267
07/08/2023 09/08/2023 2 Alta K811 07/08/2023 74712
05/08/2023 12/08/2023 7 Alta L500 10/08/2023 75430
05/08/2023 08/08/2023 3 Alta Z549 05/08/2023 74402
07/08/2023 09/08/2023 2 Alta K811 07/08/2023 74714
11/08/2023 13/08/2023 2 Alta K811 K811 11/08/2023 75629
22/06/2023 11/08/2023 74 Fallecido J969 J960 01/08/2023 29913
02/08/2023 20234
03/08/2023 20692
03/08/2023 20878
04/08/2023 21188
05/08/2023 21278
06/08/2023 21510
06/08/2023 21609
07/08/2023 21835
07/08/2023 22093
07/08/2023 22210
08/08/2023 22442
08/08/2023 22600
09/08/2023 22793
10/08/2023 22985
11/08/2023 23300
08/08/2023 / / 0 08/08/2023 22276
04/08/2023 04/08/2023 1 Alta O034 04/08/2023 20959
22/07/2023 11/08/2023 20 Alta K37X K660 03/08/2023 74070
14/08/2023 / / 0 14/08/2023 75971
05/08/2023 10/08/2023 5 Alta Z540 05/08/2023 74406
02/08/2023 / / 0 02/08/2023 73990
03/08/2023 74115
04/08/2023 74255
05/08/2023 74431
06/08/2023 74629
07/08/2023 74800
09/08/2023 75239
10/08/2023 75355
11/08/2023 75581
12/08/2023 75730
13/08/2023 75855
14/08/2023 76058
15/08/2023 76269
30/07/2023 / / 0 04/08/2023 74375
05/08/2023 74523
06/08/2023 74693
 10/08/2023 75450
11/08/2023 75606
12/08/2023 75773
24/07/2023 03/08/2023 10 Fallecido S062 01/08/2023 20163
02/08/2023
09/08/2023 / / 0 10/08/2023 23011
11/08/2023 23299
12/08/2023 23625
30/06/2023 / / 26 K450 01/08/2023 29912
02/08/2023 20246
02/08/2023 20346
03/08/2023 20599
03/08/2023 20682
03/08/2023 20879
04/08/2023 21017
04/08/2023 21184
06/08/2023 21511
07/08/2023 21834
07/08/2023 22092
08/08/2023 22221
08/08/2023 22555
09/08/2023 22761
09/08/2023 22903
11/08/2023 23302
12/08/2023 23618
13/08/2023 23955
13/08/2023 24171
13/08/2023 24275
14/08/2023 24440
15/08/2023 24686
15/08/2023 24937
15/08/2023 25037
09/08/2023 / / 0 14/08/2023 69985
14/08/2023 / / 0 14/08/2023 76045
03/08/2023 11/08/2023 8 Alta E859 I110 06/08/2023 74691
07/08/2023 74845
10/08/2023 75432
26/07/2023 07/08/2023 12 Alta K810 02/08/2023 73916
02/08/2023 / / 0 02/08/2023 74012
09/08/2023 14/08/2023 5 Alta J459 J189 10/08/2023 75357
12/08/2023 75729
08/08/2023 / / 0 09/08/2023 22641
09/08/2023 22931
11/08/2023 23485
13/08/2023 24112
14/08/2023 24460
16/08/2023 25105
08/08/2023 / / 0 15/08/2023 24935
15/08/2023 76138
06/08/2023 09/08/2023 3 Alta S682 06/08/2023 21754
04/08/2023 06/08/2023 2 Alta K37X 04/08/2023 21043
25/07/2023 06/08/2023 12 Alta S621 03/08/2023 74065
09/08/2023 11/08/2023 2 Alta 59812 10/08/2023 23045
27/07/2023 / / 0 03/08/2023 74203
03/08/2023 04/08/2023 1 Alta N850 04/08/2023 74249
08/08/2023 11/08/2023 3 Alta K402 09/08/2023 75308
TOTAL
Cant. Monto Total
7920.00 60.19 0.00
9240.00 70.22 0.00
54.72 0.00
7200.00 54.72 0.00
2160.00 16.42 256.27
20369.00 11.40 11.40
1500.00 11.40 11.40
1500.00 11.40 11.40
1200.00 9.12 9.12
17280.00 131.33 0.00
1440.00 10.94 142.27
1500.00 11.40 11.40
10800.00 82.08 82.08
14400.00 109.44 109.44
2880.00 21.89 21.89
200.00 1.52 1.52
4320.00 32.83 0.00
2880.00 21.89 0.00
5760.00 43.78 0.00
5760.00 43.78 0.00
4320.00 32.83 0.00
7200.00 54.72 0.00
5760.00 43.78 0.00
4320.00 32.83 0.00
7200.00 54.72 361.16
1500.00 11.40 11.40
1500.00 11.40 11.40
800.00 6.08 6.08
1500.00 11.40 11.40
3600.00 27.36 27.36
1500.00 11.40 0.00
1800.00 13.68 25.08
1500.00 11.40 11.40
1200.00 9.12 9.12
1500.00 11.40 11.40
1200.00 9.12 9.12
1500.00 11.40 11.40
1.00 0.01 0.01
3600.00 27.36 0.00
3600.00 27.36 0.00
3600.00 27.36 0.00
6480.00 49.25 0.00
10080.00 76.61 0.00
6800.00 51.68 0.00
8640.00 65.66 0.00
2880.00 21.89 0.00
6480.00 49.25 396.42
5760.00 43.78 0.00
 8640.00 65.66 0.00
4320.00 32.83 0.00
7200.00 54.72 0.00
5040.00 38.30 0.00
5760.00 43.78 0.00
5760.00 43.78 0.00
5760.00 43.78 0.00
5760.00 43.78 0.00
5760.00 43.78 0.00
7200.00 54.72 0.00
7920.00 60.19 0.00
6480.00 49.25 0.00
5760.00 43.78 0.00
5760.00 43.78 0.00
4320.00 32.83 0.00
4320.00 32.83 0.00
4320.00 32.83 804.40
144.00 1.09 0.00
1440.00 10.94 0.00
1440.00 10.94 22.97
1500.00 11.40 11.40
1500.00 11.40 11.40
1500.00 11.40 11.40
5760.00 43.78 43.78
1200.00 9.12 9.12
1500.00 11.40 11.40
2880.00 21.89 21.89
200.00 1.52 1.52
2160.00 16.42 0.00
1440.00 10.94 0.00
2160.00 16.42 0.00
2160.00 16.42 0.00
2160.00 16.42 0.00
4320.00 32.83 0.00
4320.00 32.83 0.00
2160.00 16.42 0.00
2160.00 16.42 0.00
2160.00 16.42 0.00
2160.00 16.42 0.00
2800.00 21.28 229.24
1500.00 11.40 0.00
4080.00 31.01 0.00
4320.00 32.83 75.24
1500.00 11.40 0.00
3600.00 27.36 0.00
1500.00 11.40 0.00
3600.00 27.36 0.00
10800.00 82.08 0.00
1500.00 11.40 0.00
2160.00 16.42 0.00
600.00 4.56 0.00
1500.00 11.40 203.38
1500.00 11.40 11.40
 200.00 1.52 1.52
200.00 1.52 1.52
200.00 1.52 1.52
1500.00 11.40 11.40
1500.00 11.40 11.40
720.00 5.47 0.00
4320.00 32.83 0.00
720.00 5.47 43.77
1500.00 11.40 11.40
1500.00 11.40 11.40
1440.00 10.94 10.94
1500.00 11.40 11.40
21600.00 164.16 164.16
1500.00 11.40 11.40
1500.00 11.40 11.40
1500.00 11.40 11.40
5760.00 43.78 0.00
10080.00 76.61 0.00
7800.00 59.28 0.00
6480.00 49.25 0.00
7200.00 54.72 0.00
5760.00 43.78 0.00
6800.00 51.68 0.00
6480.00 49.25 0.00
5040.00 38.30 0.00
5040.00 38.30 0.00
5760.00 43.78 0.00
5040.00 38.30 0.00
7920.00 60.19 0.00
8160.00 62.02 0.00
9360.00 71.14 0.00
8640.00 65.66 846.04
1500.00 11.40 11.40
200.00 1.52 1.52
1500.00 11.40 11.40
1500.00 11.40 11.40
1500.00 11.40 11.40
720.00 5.47 0.00
720.00 5.47 0.00
1440.00 10.94 0.00
1440.00 10.94 0.00
1440.00 10.94 0.00
720.00 5.47 0.00
720.00 5.47 0.00
1440.00 10.94 0.00
1490.00 11.32 0.00
720.00 5.47 0.00
800.00 6.08 0.00
720.00 5.47 0.00
720.00 5.47 99.45
7200.00 54.72 0.00
2880.00 21.89 0.00
2880.00 21.89 0.00
 5760.00 43.78 0.00
7200.00 54.72 0.00
5760.00 43.78 240.78
3600.00 27.36 0.00
3600.00 27.36 54.72
3600.00 27.36 0.00
1440.00 10.94 0.00
3600.00 27.36 65.66
10800.00 82.08 0.00
10800.00 82.08 0.00
10800.00 82.08 0.00
10800.00 82.08 0.00
10800.00 82.08 0.00
10800.00 82.08 0.00
10800.00 82.08 0.00
10800.00 82.08 0.00
10080.00 76.61 0.00
10080.00 76.61 0.00
10800.00 82.08 0.00
10800.00 82.08 0.00
8640.00 65.66 0.00
7920.00 60.19 0.00
7920.00 60.19 0.00
10080.00 76.61 0.00
8640.00 65.66 0.00
8640.00 65.66 0.00
8640.00 65.66 0.00
8640.00 65.66 0.00
7920.00 60.19 0.00
7920.00 60.19 0.00
6430.00 48.87 0.00
6480.00 49.25 1717.81
1500.00 11.40 11.40
1500.00 11.40 11.40
4320.00 32.83 0.00
2880.00 21.89 0.00
2880.00 21.89 76.61
1500.00 11.40 11.40
1500.00 11.40 11.40
1440.00 10.94 0.00
720.00 5.47 16.41
2700.00 20.52 0.00
2160.00 16.42 0.00
6800.00 51.68 0.00
7200.00 54.72 0.00
2160.00 16.42 0.00
2160.00 16.42 176.18
10800.00 82.08 0.00
1500.00 11.40 93.48
1500.00 11.40 11.40
1200.00 9.12 9.12
1200.00 9.12 9.12
200.00 1.52 1.52
 17280.00 131.33 0.00
200.00 1.52 1.52
1800.00 13.68 13.68
922585.00 6880.33
 CONSUMO DE OXIG
Del 01/08/20
OXIGENO MEDICIN

Paciente Cta.Cte N°H.C. Convenio

VELASQUEZ PACORA JOSE RICARDO 2307089 355420 SEGURO INTEGRAL DE SALUD
CONSUMO DE OXIGENO HOSPITALIZADOS
Del 01/08/2023 al 16/08/2023
OXIGENO MEDICINAL GAS COMPRIMIDO

F. Ingreso F. Alta Días Condición Cie1 Cie2 Fecha Boleta

27/07/2023 / / 0 01/08/2023 73879
02/08/2023 74055
03/08/2023 74206
TOTAL
Cant. Monto Total
5760.00 42.05 0.00
4320.00 31.54 0.00
7200.00 52.56 257.48
17280.00 257.48
 CONSUMO DE OXIG

Paciente Cta.Cte N°H.C. Convenio

CONSUMO DE OXIGENO HOSPITALIZADOS

F. Ingreso F. Alta Días Condición Cie1 Cie2 Fecha Boleta

Cant. Monto Total
 CONSUMO DE OXIG

Paciente Cta.Cte N°H.C. Convenio

CONSUMO DE OXIGENO HOSPITALIZADOS

F. Ingreso F. Alta Días Condición Cie1 Cie2 Fecha Boleta

Cant. Monto Total
 CONSUMO DE OXIG
Del 01/08/20
TODOS LOS OXIGE

Paciente Cta.Cte N°H.C. Convenio

VELASQUEZ PACORA JOSE RICARDO 2307089 355420 SEGURO INTEGRAL DE SALUD

ALFARO PE¥A JOVER JUNIOR 2306482 14807 SEGURO INTEGRAL DE SALUD

AMADOR REMIGIO JANETH 2307386 18879 SEGURO INTEGRAL DE SALUD

BAUTISTA SAMAME FILOMENA 2307428 35854 SEGURO INTEGRAL DE SALUD
BERNAL REGALADO ALAN STEVEN 2307630 226540 SEGURO INTEGRAL DE SALUD
BRAVO VENAVENTE KATHERINE MAYRA 2307549 385342 SEGURO INTEGRAL DE SALUD
CALDAS MEJIA OSCAR JUAN 2305880 265186 SEGURO INTEGRAL DE SALUD

CALDERON GRADOS MARCOS EUSEBIO 2307421 297734 SEGURO INTEGRAL DE SALUD

CALLAS ALBUJAR CRISTHIAM BENJAMIN 2306170 248258 SEGURO INTEGRAL DE SALUD
CARLOS MIRABAL LEANDRA 2305168 359695 SEGURO INTEGRAL DE SALUD
CARRANZA GUERRERO LIZZI LUANA 2307442 505010 SEGURO INTEGRAL DE SALUD
CARRANZA PACHECO KAREN YOMARA 2307338 284116 SEGURO INTEGRAL DE SALUD
CHANGANA QUICHE LUCIO 2307329 495130 SEGURO INTEGRAL DE SALUD

CHAVEZ MU¥OZ JEAN FRANCO 2307649 155202 SEGURO INTEGRAL DE SALUD

CHINGA RAMOS JESUS AGUSTIN 2307491 86403 SEGURO INTEGRAL DE SALUD
CHUMBES MUNDO CATALEYA MURIEL 2307541 509850 SEGURO INTEGRAL DE SALUD
CLAROS CLAROS JEANETH ABIGAIL 2307331 391205 SEGURO INTEGRAL DE SALUD
COSSIO TENA FRANK ALEJANDRO 2307470 313984 SEGURO INTEGRAL DE SALUD
CRUZ LAVERIANO YADIEL ALEXANDER 2307537 498926 SEGURO INTEGRAL DE SALUD

DIAZ JARA ELVA VIOLETA 2307495 247104 SEGURO INTEGRAL DE SALUD

DIEGO DIEGO MARIA ESMERALDA 2307529 213990 SEGURO INTEGRAL DE SALUD
DURAND NICHO JEANFRANCO ALFONSO 2307217 202536 SEGURO INTEGRAL DE SALUD
ESPINOZA VDA DE SALVO MARGARITA 2306849 106988 SEGURO INTEGRAL DE SALUD
GAVINO BARRERA MARILYN MERLY 2307511 171758 SEGURO INTEGRAL DE SALUD
GIRALDO ORTIZ MARIBEL MAGNOLIA 2307321 63631 SEGURO INTEGRAL DE SALUD
GUERRA ANDRADE VANIA AILYN 2307380 18840 SEGURO INTEGRAL DE SALUD
GUERRERO RIVERA ELVIRA 2307228 234051 SEGURO INTEGRAL DE SALUD

HOCES LINO MARINA AURORA 2302813 115471 SEGURO INTEGRAL DE SALUD

HOSTOS NAVARRO ALISSON JOHANA 2307629 258807 SEGURO INTEGRAL DE SALUD

ISIDRO GUTIERREZ HEYDEN ANGEL 2307611 409439 SEGURO INTEGRAL DE SALUD
LANDA CHUMBES LUIS GUILLERMO 2307353 6314 AFOCAT NUESTRA SE¥OR
LUNA NERY LUIS ALBERTO 2307597 23705 SEGURO INTEGRAL DE SALUD
MELGAREJO SANCHEZ BRITANY AMAYRA 2307271 18271 SEGURO INTEGRAL DE SALUD
MENDOZA VILLANUEVA ALVARO EUGENIO 2307624 459262 SEGURO INTEGRAL DE SALUD
MEZA INGA GABRIEL IGNACIO 2307269 454491 SEGURO INTEGRAL DE SALUD
MONTOYA LARRAIN JUANA RUTH 2307293 94132 SEGURO INTEGRAL DE SALUD
MORENO CHANGANAQUI BENIGNA ROSA 2305547 70276 SEGURO INTEGRAL DE SALUD

NIEVES TORRES PERCY JOHN 2307564 142548 AFOCAT NUESTRA SE¥OR

OYOLA REGALADO JUAN JESUS 2307150 474010 SEGURO INTEGRAL DE SALUD

PACHECO CONDEZO JOSEPH ABRAHAM 2307389 256798 SEGURO INTEGRAL DE SALUD
PACORA NICHO HEMELY JHASSELIX 2307619 299518 SEGURO INTEGRAL DE SALUD
PACORA QUIROZ JESSICA VIVIANA 2307244 93083 SEGURO INTEGRAL DE SALUD
PADILLA DOROTEO JENNYFER STEFANNY 2307620 243582 SEGURO INTEGRAL DE SALUD
PALHUA GENEBROZO VALERIA 2307387 256065 SEGURO INTEGRAL DE SALUD
PALMA BARRON WENDOLYN MISHELLE 2307593 201467 SEGURO INTEGRAL DE SALUD
PAREDES VASQUEZ ESTEFANY MILAGROS 2307137 17679 LA POSITIVA SEGUROS Y

PAUCAR ESPINOZA CANDY KARINA 2307330 254207 SEGURO INTEGRAL DE SALUD

PIMENTEL BETETA JESUS YRENE 2307385 239902 SEGURO INTEGRAL DE SALUD
POMA MELGAREJO LIAM MATHIAS 2307581 460310 SEGURO INTEGRAL DE SALUD
QUICHIZ MEDINA CARMELITA 2307384 78588 SEGURO INTEGRAL DE SALUD
QUINTEROS BUSTAMANTE FORTUNATA 2307333 256004 SEGURO INTEGRAL DE SALUD
RACACHA ENCARNACION MIHA JOHANA 2307319 328407 SEGURO INTEGRAL DE SALUD
RAMIREZ VILLAVICENCIO LUIS FRANCO MARTIN 2307383 201668 SEGURO INTEGRAL DE SALUD
REYES CARRION JULIO ANTONIO 2307503 310668 SEGURO INTEGRAL DE SALUD
ROBLES PALHUA JUAN VICTOR 2305934 338698 SEGURO INTEGRAL DE SALUD

ROJAS CHAMORRO JOSUE DAVID 2307413 401289 SEGURO INTEGRAL DE SALUD

ROJAS SANDON CINTHYA MELIS 2307298 374313 SEGURO INTEGRAL DE SALUD
ROMERO RAMOS LUIS ALBERTO 2306924 151242 SEGURO INTEGRAL DE SALUD
ROSALES HUAMAN JAHAIRA ALEXANDRA 2307594 246496 SEGURO INTEGRAL DE SALUD
SACRAMENTO CARRERA ERICA YANINA 2307322 187064 SEGURO INTEGRAL DE SALUD
SALAZAR MORALES SAMIR SANTIAGO 2307232 408176 SEGURO INTEGRAL DE SALUD
SAMAME ACEVEDO ALEJANDRO 2307155 306095 SEGURO INTEGRAL DE SALUD

SANCHEZ JAUREGUI RONALDINO 2306978 16827 SEGURO INTEGRAL DE SALUD

SANTOS DE LA CRUZ ZENOBIA 2307459 204759 SEGURO INTEGRAL DE SALUD

SILVA ANGELES GLADYS MARGOT 2306197 505768 SEGURO INTEGRAL DE SALUD

SIRA MENDOZA JESUS 2307445 19279 PUBLICO GENERAL

SMITH BISSO ALEJANDRO SAMUEL 2307595 12354 SEGURO INTEGRAL DE SALUD
SOLIS CALVO EDILBERTO 2307284 53871 SEGURO INTEGRAL DE SALUD

TAMAYO ESPINOZA MARIA MAGDALENA 2307035 216197 SEGURO INTEGRAL DE SALUD

TAPIA RAMIREZ NELSON ALBERTO 2307238 302648 SEGURO INTEGRAL DE SALUD
TENORIO LARA ASHLEY AITANA 2307461 19449 SEGURO INTEGRAL DE SALUD

TORRES LEON YEDER EDI¥O 2307441 19247 SEGURO INTEGRAL DE SALUD

TORRES ORDINOLA ARTURO ORLANDO 2307430 32778 SEGURO INTEGRAL DE SALUD

URETA ROJAS RAUL OVER 2307369 212695 SEGURO INTEGRAL DE SALUD

VALENZUELA LEON ELISEO RAYMUNDO 2307299 277875 SEGURO INTEGRAL DE SALUD
VARGAS VENTOCILLA JHONATAN ESMITH 2307013 249282 SEGURO INTEGRAL DE SALUD
VASQUEZ BAZAN MARYORITH CARLA 2307465 281923 SEGURO INTEGRAL DE SALUD
VELASQUEZ PACORA JOSE RICARDO 2307089 355420 SEGURO INTEGRAL DE SALUD
VILCHEZ MONTERO SILVIA ELSA 2307278 226252 SEGURO INTEGRAL DE SALUD
VILLEGAS RUMICHE WILSON AUGUSTO 2307424 370493 SEGURO INTEGRAL DE SALUD
CONSUMO DE OXIGENO HOSPITALIZADOS
Del 01/08/2023 al 16/08/2023
TODOS LOS OXIGENOS FARMACIA Y CAJA

F. Ingreso F. Alta Días Condición Cie1 Cie2 Fecha Boleta

27/07/2023 / / 0 01/08/2023 73879
02/08/2023 74055
03/08/2023 74206
09/07/2023 05/08/2023 27 Fallecido K913 01/08/2023 29911
02/08/2023 20236
03/08/2023 20676
03/08/2023 20877
04/08/2023 21186
07/08/2023 09/08/2023 2 Alta Z549 07/08/2023 22014
08/08/2023 / / 0 08/08/2023 22396
15/08/2023 / / 0 15/08/2023 76339
12/08/2023 15/08/2023 3 Alta 44950 12/08/2023 23918
21/06/2023 15/08/2023 55 Alta I10X N185 01/08/2023 73876
02/08/2023 74056
08/08/2023 10/08/2023 2 Alta K409 E059 09/08/2023 75329
30/06/2023 01/08/2023 1 Fallecido 49000 01/08/2023 29914
31/05/2023 05/08/2023 66 Fallecido 04/08/2023 74387
09/08/2023 13/08/2023 4 Alta J219 10/08/2023 75356
05/08/2023 06/08/2023 1 Alta Z540 05/08/2023 74562
05/08/2023 / / 0 06/08/2023 74692
07/08/2023 74846
08/08/2023 75062
09/08/2023 75286
10/08/2023 75431
11/08/2023 75607
12/08/2023 75772
14/08/2023 76103
15/08/2023 76301
16/08/2023 / / 0 16/08/2023 25107
11/08/2023 13/08/2023 2 Alta K409 E660 11/08/2023 75553
12/08/2023 / / 0 13/08/2023 75863
05/08/2023 07/08/2023 2 Alta Z549 05/08/2023 21364
10/08/2023 / / 0 10/08/2023 23180
12/08/2023 15/08/2023 0 Traslado T302 12/08/2023 23817
14/08/2023 24507
11/08/2023 15/08/2023 4 Alta Z3921 11/08/2023 75642
12/08/2023 / / 0 12/08/2023 75762
01/08/2023 02/08/2023 1 Alta K37X 01/08/2023 73907
20/07/2023 / / 0 03/08/2023 74081
11/08/2023 / / 0 11/08/2023 23571
05/08/2023 09/08/2023 4 Alta Z549 05/08/2023 74415
07/08/2023 15/08/2023 8 Traslado J960 J051 07/08/2023 22136
08/08/2023 22342
09/08/2023 22604
09/08/2023 22929
11/08/2023 23295
11/08/2023 23486
13/08/2023 24106
 14/08/2023 24290
14/08/2023 24461
01/08/2023 / / 0 03/08/2023 20666
04/08/2023 20924
04/08/2023 21011
05/08/2023 21211
05/08/2023 21317
06/08/2023 21518
06/08/2023 21729
07/08/2023 22209
08/08/2023 22596
08/08/2023 22603
09/08/2023 22787
10/08/2023 22986
11/08/2023 23297
12/08/2023 23619
12/08/2023 23763
13/08/2023 23971
13/08/2023 24070
13/08/2023 24248
22/03/2023 / / 0 04/08/2023 74388
07/08/2023 74854
08/08/2023 75049
15/08/2023 / / 0 15/08/2023 76196
14/08/2023 / / 0 15/08/2023 24689
06/08/2023 09/08/2023 3 Alta S323 06/08/2023 69621
14/08/2023 / / 0 15/08/2023 76302
03/08/2023 08/08/2023 5 Alta 11042 04/08/2023 74339
15/08/2023 / / 0 15/08/2023 76160
02/08/2023 07/08/2023 5 Alta J188 J981 03/08/2023 74141
03/08/2023 04/08/2023 1 Alta O034 04/08/2023 74257
10/06/2023 / / 0 01/08/2023 20036
02/08/2023 20239
03/08/2023 20603
03/08/2023 20690
04/08/2023 21182
07/08/2023 21833
08/08/2023 22222
08/08/2023 22556
09/08/2023 22763
10/08/2023 23132
11/08/2023 23303
12/08/2023 23626
13/08/2023 / / 0 13/08/2023 69907
14/08/2023 69935
15/08/2023 60021
29/07/2023 / / 16 M725 07/08/2023 22169
08/08/2023 22506
09/08/2023 22703
09/08/2023 22907
11/08/2023 23301
11/08/2023 23376
13/08/2023 24249
 14/08/2023 24446
15/08/2023 76337
07/08/2023 09/08/2023 2 Alta K811 07/08/2023 74822
15/08/2023 / / 0 15/08/2023 24811
02/08/2023 03/08/2023 1 Alta O034 02/08/2023 20517
15/08/2023 / / 0 15/08/2023 24812
07/08/2023 09/08/2023 2 Alta K828 07/08/2023 74734
14/08/2023 / / 0 14/08/2023 75975
29/07/2023 15/08/2023 17 Alta 03/08/2023 69510
04/08/2023 69543
04/08/2023 69555
05/08/2023 06/08/2023 1 Alta K37X 05/08/2023 21373
07/08/2023 10/08/2023 3 Alta K802 I10X 07/08/2023 74726
13/08/2023 / / 0 15/08/2023 76267
07/08/2023 09/08/2023 2 Alta K811 07/08/2023 74712
05/08/2023 12/08/2023 7 Alta L500 10/08/2023 75430
05/08/2023 08/08/2023 3 Alta Z549 05/08/2023 74402
07/08/2023 09/08/2023 2 Alta K811 07/08/2023 74714
11/08/2023 13/08/2023 2 Alta K811 K811 11/08/2023 75629
22/06/2023 11/08/2023 74 Fallecido J969 J960 01/08/2023 29913
02/08/2023 20234
03/08/2023 20692
03/08/2023 20878
04/08/2023 21188
05/08/2023 21278
06/08/2023 21510
06/08/2023 21609
07/08/2023 21835
07/08/2023 22093
07/08/2023 22210
08/08/2023 22442
08/08/2023 22600
09/08/2023 22793
10/08/2023 22985
11/08/2023 23300
08/08/2023 / / 0 08/08/2023 22276
04/08/2023 04/08/2023 1 Alta O034 04/08/2023 20959
22/07/2023 11/08/2023 20 Alta K37X K660 03/08/2023 74070
14/08/2023 / / 0 14/08/2023 75971
05/08/2023 10/08/2023 5 Alta Z540 05/08/2023 74406
02/08/2023 / / 0 02/08/2023 73990
03/08/2023 74115
04/08/2023 74255
05/08/2023 74431
06/08/2023 74629
07/08/2023 74800
09/08/2023 75239
10/08/2023 75355
11/08/2023 75581
12/08/2023 75730
13/08/2023 75855
14/08/2023 76058
15/08/2023 76269
30/07/2023 / / 0 04/08/2023 74375
05/08/2023 74523
06/08/2023 74693
10/08/2023 75450
11/08/2023 75606
12/08/2023 75773
24/07/2023 03/08/2023 10 Fallecido S062 01/08/2023 20163
02/08/2023 20369
09/08/2023 / / 0 10/08/2023 23011
11/08/2023 23299
12/08/2023 23625
30/06/2023 / / 26 K450 01/08/2023 29912
02/08/2023 20246
02/08/2023 20346
03/08/2023 20599
03/08/2023 20682
03/08/2023 20879
04/08/2023 21017
04/08/2023 21184
06/08/2023 21511
07/08/2023 21834
07/08/2023 22092
08/08/2023 22221
08/08/2023 22555
09/08/2023 22761
09/08/2023 22903
11/08/2023 23302
12/08/2023 23618
13/08/2023 23955
13/08/2023 24171
13/08/2023 24275
14/08/2023 24440
15/08/2023 24686
15/08/2023 24937
15/08/2023 25037
09/08/2023 / / 0 14/08/2023 69985
14/08/2023 / / 0 14/08/2023 76045
03/08/2023 11/08/2023 8 Alta E859 I110 06/08/2023 74691
07/08/2023 74845
10/08/2023 75432
26/07/2023 07/08/2023 12 Alta K810 02/08/2023 73916
02/08/2023 / / 0 02/08/2023 74012
09/08/2023 14/08/2023 5 Alta J459 J189 10/08/2023 75357
12/08/2023 75729
08/08/2023 / / 0 09/08/2023 22641
09/08/2023 22931
11/08/2023 23485
13/08/2023 24112
14/08/2023 24460
16/08/2023 25105
08/08/2023 / / 0 15/08/2023 24935
15/08/2023 76138
06/08/2023 09/08/2023 3 Alta S682 06/08/2023 21754
04/08/2023 06/08/2023 2 Alta K37X 04/08/2023 21043
25/07/2023 06/08/2023 12 Alta S621 03/08/2023 74065
09/08/2023 11/08/2023 2 Alta 59812 10/08/2023 23045
27/07/2023 / / 0 03/08/2023 74203
03/08/2023 04/08/2023 1 Alta N850 04/08/2023 74249
08/08/2023 11/08/2023 3 Alta K402 09/08/2023 75308
TOTAL
Cant. Monto Total
5760.00 42.05 0.00
4320.00 31.54 0.00
7200.00 52.56 257.48
7920.00 60.19 0.00
9240.00 70.22 0.00
7200.00 54.72 0.00
7200.00 54.72 0.00
2160.00 16.42 256.27
1500.00 11.40 11.40
1500.00 11.40 11.40
1500.00 11.40 11.40
1200.00 9.12 9.12
17280.00 131.33 0.00
1440.00 10.94 142.27
1500.00 11.40 11.40
10800.00 82.08 82.08
14400.00 109.44 109.44
2880.00 21.89 21.89
200.00 1.52 1.52
4320.00 32.83 0.00
2880.00 21.89 0.00
5760.00 43.78 0.00
5760.00 43.78 0.00
4320.00 32.83 0.00
7200.00 54.72 0.00
5760.00 43.78 0.00
4320.00 32.83 0.00
7200.00 54.72 361.16
1500.00 11.40 11.40
1500.00 11.40 11.40
800.00 6.08 6.08
1500.00 11.40 11.40
3600.00 27.36 27.36
1500.00 11.40 0.00
1800.00 13.68 25.08
1500.00 11.40 11.40
1200.00 9.12 9.12
1500.00 11.40 11.40
1200.00 9.12 9.12
1500.00 11.40 11.40
1.00 0.01 0.01
3600.00 27.36 0.00
3600.00 27.36 0.00
3600.00 27.36 0.00
6480.00 49.25 0.00
10080.00 76.61 0.00
6800.00 51.68 0.00
8640.00 65.66 0.00
 2880.00 21.89 0.00
6480.00 49.25 396.42
5760.00 43.78 0.00
8640.00 65.66 0.00
4320.00 32.83 0.00
7200.00 54.72 0.00
5040.00 38.30 0.00
5760.00 43.78 0.00
5760.00 43.78 0.00
5760.00 43.78 0.00
5760.00 43.78 0.00
5760.00 43.78 0.00
7200.00 54.72 0.00
7920.00 60.19 0.00
6480.00 49.25 0.00
5760.00 43.78 0.00
5760.00 43.78 0.00
4320.00 32.83 0.00
4320.00 32.83 0.00
4320.00 32.83 804.40
144.00 1.09 0.00
1440.00 10.94 0.00
1440.00 10.94 22.97
1500.00 11.40 11.40
1500.00 11.40 11.40
1500.00 11.40 11.40
5760.00 43.78 43.78
1200.00 9.12 9.12
1500.00 11.40 11.40
2880.00 21.89 21.89
200.00 1.52 1.52
2160.00 16.42 0.00
1440.00 10.94 0.00
2160.00 16.42 0.00
2160.00 16.42 0.00
2160.00 16.42 0.00
4320.00 32.83 0.00
4320.00 32.83 0.00
2160.00 16.42 0.00
2160.00 16.42 0.00
2160.00 16.42 0.00
2160.00 16.42 0.00
2800.00 21.28 229.24
1500.00 11.40 0.00
4080.00 31.01 0.00
4320.00 32.83 75.24
1500.00 11.40 0.00
3600.00 27.36 0.00
1500.00 11.40 0.00
3600.00 27.36 0.00
10800.00 82.08 0.00
1500.00 11.40 0.00
2160.00 16.42 0.00
 600.00 4.56 0.00
1500.00 11.40 203.38
1500.00 11.40 11.40
200.00 1.52 1.52
200.00 1.52 1.52
200.00 1.52 1.52
1500.00 11.40 11.40
1500.00 11.40 11.40
720.00 5.47 0.00
4320.00 32.83 0.00
720.00 5.47 43.77
1500.00 11.40 11.40
1500.00 11.40 11.40
1440.00 10.94 10.94
1500.00 11.40 11.40
21600.00 164.16 164.16
1500.00 11.40 11.40
1500.00 11.40 11.40
1500.00 11.40 11.40
5760.00 43.78 0.00
10080.00 76.61 0.00
7800.00 59.28 0.00
6480.00 49.25 0.00
7200.00 54.72 0.00
5760.00 43.78 0.00
6800.00 51.68 0.00
6480.00 49.25 0.00
5040.00 38.30 0.00
5040.00 38.30 0.00
5760.00 43.78 0.00
5040.00 38.30 0.00
7920.00 60.19 0.00
8160.00 62.02 0.00
9360.00 71.14 0.00
8640.00 65.66 846.04
1500.00 11.40 11.40
200.00 1.52 1.52
1500.00 11.40 11.40
1500.00 11.40 11.40
1500.00 11.40 11.40
720.00 5.47 0.00
720.00 5.47 0.00
1440.00 10.94 0.00
1440.00 10.94 0.00
1440.00 10.94 0.00
720.00 5.47 0.00
720.00 5.47 0.00
1440.00 10.94 0.00
1490.00 11.32 0.00
720.00 5.47 0.00
800.00 6.08 0.00
720.00 5.47 0.00
720.00 5.47 99.45
 7200.00 54.72 0.00
2880.00 21.89 0.00
2880.00 21.89 0.00
5760.00 43.78 0.00
7200.00 54.72 0.00
5760.00 43.78 240.78
3600.00 27.36 0.00
3600.00 27.36 54.72
3600.00 27.36 0.00
1440.00 10.94 0.00
3600.00 27.36 65.66
10800.00 82.08 0.00
10800.00 82.08 0.00
10800.00 82.08 0.00
10800.00 82.08 0.00
10800.00 82.08 0.00
10800.00 82.08 0.00
10800.00 82.08 0.00
10800.00 82.08 0.00
10080.00 76.61 0.00
10080.00 76.61 0.00
10800.00 82.08 0.00
10800.00 82.08 0.00
8640.00 65.66 0.00
7920.00 60.19 0.00
7920.00 60.19 0.00
10080.00 76.61 0.00
8640.00 65.66 0.00
8640.00 65.66 0.00
8640.00 65.66 0.00
8640.00 65.66 0.00
7920.00 60.19 0.00
7920.00 60.19 0.00
6430.00 48.87 0.00
6480.00 49.25 1717.81
1500.00 11.40 11.40
1500.00 11.40 11.40
4320.00 32.83 0.00
2880.00 21.89 0.00
2880.00 21.89 76.61
1500.00 11.40 11.40
1500.00 11.40 11.40
1440.00 10.94 0.00
720.00 5.47 16.41
2700.00 20.52 0.00
2160.00 16.42 0.00
6800.00 51.68 0.00
7200.00 54.72 0.00
2160.00 16.42 0.00
2160.00 16.42 176.18
10800.00 82.08 0.00
1500.00 11.40 93.48
1500.00 11.40 11.40
 1200.00 9.12 9.12
1200.00 9.12 9.12
200.00 1.52 1.52
17280.00 131.33 0.00
200.00 1.52 1.52
1800.00 13.68 13.68
939865.00 7137.81