The City Health Office of Cagayan de Oro is committed to providing high-quality health care services to all residents. To achieve this, we have developed this manual of operation to serve as a guide for all health care service providers in the city. The manual outlines the procedures and protocols that need to be followed to ensure the efficient, effective, and quality delivery of health care services. Our goal is to promote accountability and transparency in government processes, ensure universal health care coverage, and create a safe and secure environment for all residents. By following the procedures outlined in this manual, we can achieve these goals and provide the best possible health care services to the people of Cagayan de Oro City. We are committed to investing in the training and development of our health care professionals and creating an environment that is conducive to their growth and development. We believe that this manual will serve as a useful guide for all health care service providers in the city and help us achieve our goal of providing high-quality health care services to all.