Member copy
HCI: JUSTICE JOSE ABAD SANTOS GENERAL HOSPITAL Date issued: Feb 16, 2024
Accreditation no: H91022802
Philippine Health Insurance Corporation
POINT OF SERVICE Registration Slip
POS-FI Reference no: R24021303000136
Member Name FERRYLYN TORRES FUENTESPINA PhilHealth ID No: 112021390723
Patient/Dependent Date of Admission: FEBRUARY 12, 2024
This is to certify that the above data is true and correct and that the enrollee has been means-tested.
Signature over printed name of
authorized HCI personnel
This document may be presented in National Government Facilities/hospitals for subsequent hospitalization of the registrant or
his/her dependent/s until December 31, 2024. Please obtain your Member Data Record (MDR) from any PhilHealth office.
marlenesantia
Hospital copy
HCI: JUSTICE JOSE ABAD SANTOS GENERAL HOSPITAL Date issued: Feb 16, 2024
Accreditation no: H91022802
Philippine Health Insurance Corporation
POINT OF SERVICE Registration Slip
POS-FI Reference no: R24021303000136
Member Name FERRYLYN TORRES FUENTESPINA PhilHealth ID No: 112021390723
Patient/Dependent Date of Admission: FEBRUARY 12, 2024
This is to certify that the above data is true and correct and that the enrollee has been means-tested.
Signature over printed name of
authorized HCI personnel
This document may be presented in National Government Facilities/hospitals for subsequent hospitalization of the registrant or
his/her dependent/s until December 31, 2024. Please obtain your Member Data Record (MDR) from any PhilHealth office.
marlenesantia
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