PhilHealth Annex I.3A: Checklist of Essential Health Services for PD Catheter Insertion and
Fill PhilHealth Annex I.3A: Checklist of Essential Health Services for PD Catheter Insertion and 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, 1. Last Name, First Name, Suffix, Middle Name, 2. PhilHealth ID Number, Same as patient, Complete Blood Count (CBC), Creatinine, Sodium, Potassium, Calcium, Albumin, Phosphorous, Protime.
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