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    Member Data Record: Philippine Health Insurance Corporation

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    Jonjie Milado
    This document is a Member Data Record (MDR) from the Philippine Health Insurance Corporation (PhilHealth) providing key information about member Ramil Maniscan Laurente. It includes his PhilHealth Identification Number (PIN), member category, sub-category, effectivity period, personal details like name, address, contact information, and indicates he has no declared dependents. The MDR serves to record the member's health insurance coverage and should be kept safely and copies provided when availing benefits.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Member Data Record: Philippine Health Insurance Corporation

    Uploaded by

    Jonjie Milado
    64 views1 page
    This document is a Member Data Record (MDR) from the Philippine Health Insurance Corporation (PhilHealth) providing key information about member Ramil Maniscan Laurente. It includes his PhilHealth Identification Number (PIN), member category, sub-category, effectivity period, personal details like name, address, contact information, and indicates he has no declared dependents. The MDR serves to record the member's health insurance coverage and should be kept safely and copies provided when availing benefits.

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    This document is a Member Data Record (MDR) from the Philippine Health Insurance Corporation (PhilHealth) providing key information about member Ramil Maniscan Laurente. It includes his PhilHealth Identification Number (PIN), member category, sub-category, effectivity period, personal details like name, address, contact information, and indicates he has no declared dependents. The MDR serves to record the member's health insurance coverage and should be kept safely and copies provided when availing benefits.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    64 views1 page

    Member Data Record: Philippine Health Insurance Corporation

    Uploaded by

    Jonjie Milado
    This document is a Member Data Record (MDR) from the Philippine Health Insurance Corporation (PhilHealth) providing key information about member Ramil Maniscan Laurente. It includes his PhilHealth Identification Number (PIN), member category, sub-category, effectivity period, personal details like name, address, contact information, and indicates he has no declared dependents. The MDR serves to record the member's health insurance coverage and should be kept safely and copies provided when availing benefits.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Republic of the Philippines

    PHILIPPINE HEALTH INSURANCE CORPORATION


    2ND AND 3RD FLR N4 BLDG THE CABANAS MALL, LONGOS, CITY OF MALOLOS, BULACAN
    796-1560 local 4402
    www.philhealth.gov.ph MDR
    MEMBER DATA RECORD
    MEMBER INFORMATION

    PhilHealth Identification Number (PIN) : 102028872434


    Member Category : NHTS Coverage : EXISTING
    Sub-Category : Effectivity Period : 1/1/2021 - 12/31/2021

    LAURENTE, RAMIL MANISCAN


    BALIUAG VIEJO, MINALABAC,
    CAMARINES SUR 4414

    Foreign Address : N/A Sex : Male


    Date of Birth : 01/17/1995
    Place of Birth :
    Contact No. (Foreign) : N/A Civil Status : SINGLE
    (Local) : Tax Identification Number :
    EMPLOYER/ORGANIZED GROUP INFORMATION
    Philhealth Number (PEN/POGN) : N/A
    Name of Employer/Organized Group : N/A
    Business Address : N/A

    Telephone Number : N/A


    Tax Identification Number : N/A
    DEPENDENT INFORMATION
    PIN Surname Given Name Middle Name Sex Relation Date of Birth
    *** NO DECLARED DEPENDENT/S ***

    *** NOTHING FOLLOWS ***

    DR. LIZA D. MAGNO


    ACTING BRANCH MANAGER
    PRO - III Branch B

    Paalala : Basahin ang nilalaman ng MDR. Kung may kulang o mali, ibalik agad upang maidagdag o maiwasto. Ingatan ang orihinal na
    kopya at huwag ibigay kahit kanino. Kung sakaling gagamit at makikinabang ng benepisyo, magbigay ng kopya sa (Reminder:
    ospital. Read the
    contents of the MDR. Should there be any data discrepancies, return it back to amend or rectify the error. Take good care of the MDR and do not hand it over to anybody.
    Provide photocopy to hospital in case of confinement and availment of benefits.)

    This is a system generated report. Signature is not required.


    7/21/2021 6:53:05 PM 30623916 55003609 / 20370203 / 3/19/2018 3/22/2018

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