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MDR Philhealth

The document is a Member Data Record for Hannah Leah Panaligan, a member of the Philippine Health Insurance Corporation. It includes her personal information such as PhilHealth Identification Number, contact details, and civil status. There are no dependents listed, and it emphasizes the importance of reviewing the information for accuracy and providing a copy for hospital benefits.

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criseldamanguardia1968
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5 views2 pages

MDR Philhealth

The document is a Member Data Record for Hannah Leah Panaligan, a member of the Philippine Health Insurance Corporation. It includes her personal information such as PhilHealth Identification Number, contact details, and civil status. There are no dependents listed, and it emphasizes the importance of reviewing the information for accuracy and providing a copy for hospital benefits.

Uploaded by

criseldamanguardia1968
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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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) : 01-050517766-0 PhilSys Number :

Member Category : FORMAL ECONOMY - SELF


EARNING INDIVIDUAL - : N/A
Sub-Category NHTS Coverage
INDIVIDUAL : N/A - N/A
Validity Period

TOLA, HANNAH LEAH PANALIGAN


AQUARIUS ST RJ VILLE IBABANG DUPAY, LUCENA CITY QUEZON

Foreign Address : N/A Sex : FEMALE


Date of Birth : 12/19/1994
Place of Birth : LUCENA CITY, QUEZON
Contact No. (Foreign) : N/A Civil Status : MARRIED
(Local) : +639294820035 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 ***

DANILO M. REYNES, MD, MPA


REGIONAL VICE PRESIDENT
PRO IV-A Lucena 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.
Nov 21, 2023 01:59 PM

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