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    MDR 010265045990 PDF

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    Ocir Tenorio
    This document contains a Member Data Record from the Philippine Health Insurance Corporation for Dennis Vicente Calimas. It lists his PhilHealth Identification Number, member category as part of the informal economy in the informal sector, and contact information. It also provides his date of birth, sex, civil status, and address in Santa Ana, Taytay Rizal. The reminder at the bottom advises reading the contents carefully and returning it if there are any errors, and providing a copy if availing benefits from a hospital.

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

    MDR 010265045990 PDF

    Uploaded by

    Ocir Tenorio
    27 views1 page
    This document contains a Member Data Record from the Philippine Health Insurance Corporation for Dennis Vicente Calimas. It lists his PhilHealth Identification Number, member category as part of the informal economy in the informal sector, and contact information. It also provides his date of birth, sex, civil status, and address in Santa Ana, Taytay Rizal. The reminder at the bottom advises reading the contents carefully and returning it if there are any errors, and providing a copy if availing benefits from a hospital.

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    MDR_010265045990.pdf

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    This document contains a Member Data Record from the Philippine Health Insurance Corporation for Dennis Vicente Calimas. It lists his PhilHealth Identification Number, member category as part of the informal economy in the informal sector, and contact information. It also provides his date of birth, sex, civil status, and address in Santa Ana, Taytay Rizal. The reminder at the bottom advises reading the contents carefully and returning it if there are any errors, and providing a copy if availing benefits from a hospital.

    Copyright:

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

    MDR 010265045990 PDF

    Uploaded by

    Ocir Tenorio
    This document contains a Member Data Record from the Philippine Health Insurance Corporation for Dennis Vicente Calimas. It lists his PhilHealth Identification Number, member category as part of the informal economy in the informal sector, and contact information. It also provides his date of birth, sex, civil status, and address in Santa Ana, Taytay Rizal. The reminder at the bottom advises reading the contents carefully and returning it if there are any errors, and providing a copy if availing benefits from a hospital.

    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


    Corporate Action Center Hotline - (02) 441-7442
    www.philhealth.gov.ph

    MEMBER DATA RECORD


    MEMBER BASIC INFORMATION
    PhilHealth Identification Number (PIN) : 01-026504599-0 PhilSys Number :
    Member Category : INFORMAL ECONOMY -
    Sub-Category INFORMAL SECTOR NHTS Coverage : N/A
    Validity Period : N/A - N/A

    CALIMAS, DENNIS VICENTE


    BLK 10 PUROK 2 LUPANG ARENDA SANTA ANA, TAYTAY RIZAL

    Foreign Address : N/A Sex : MALE


    Date of Birth : 07/23/1995
    Place of Birth :
    Contact No. (Foreign) : N/A Civil Status : SINGLE
    (Local) : N/A Tax Identification Number :

    ENTITY INFORMATION
    PhilHealth Number (PEN/POGN) : N/A
    Name of Employer/Organized Group : N/A
    hidden text
    Business Address : N/A
    hidden text
    Telephone Number : N/A Employment Status :
    Tax Identification Number : N/A Date : N/A

    DEPENDENT INFORMATION
    PIN Surname Given Name Middle Name Sex Relation Date of Birth
    *** NOTHING FOLLOWS ***

    ATTY. RECTO M. PANTI


    BRANCH MANAGER
    NCR Central Quezon City

    Paalala: Basahin ang nilalaman ng MDR. Kung may kulang o mali, ibalik agad upang maiwasto. Ingatan ang orihinal na kopya at huwag ibigay kahit kanino. Kung
    sakaling gagamit at makikinabang ng benepisyo, magbigay ng kopya sa ospital. (Reminder: 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 MDR and do not hand it over to anybody. Provide photocopy to hospital in case of confinement and
    availment of benefits.)
    This is a Member Portal System generated report. Signature is not required.
    Mar 06, 2023 02:42 PM

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