PhilHealth Annex C.5.2: Checklist of Mandatory and Other Services for Targeted Therapy - Tranche 2
Fill PhilHealth Annex C.5.2: Checklist of Mandatory and Other Services for Targeted Therapy - Tranche 2 online and download the official form as a PDF, ready to print. Every input is mapped to its printed box, so IDs, dates and amounts land digit by digit in the right cells, and a value the form cannot hold is refused with the reason instead of being printed wrong.
What you will need: Case No, Last Name, First Name, Middle Name, Suffix, PhilHealth ID Number, Right, DATE OF PRESCRIPTION, 2D Echo, Date conducted, Granulocyte colony-stimulating factor, Antiemetic, specify, Antimicrobials, specify, Pain relievers, specify, Other medicines, specify.
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