PhilHealth Annex J.2: Checklist of Mandatory and Other Services – Tranche 2 As of October 202 3
Fill PhilHealth Annex J.2: Checklist of Mandatory and Other Services – Tranche 2 As of October 202 3 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, Follow – up visits for, 1. Date (mm/dd/yyyy), 2. Date (mm/dd/yyyy), 3. Date (mm/dd/yyyy), 4. Date (mm/dd/yyyy), 5. Date (mm/dd/yyyy), 6. Date (mm/dd/yyyy), Conforme by, Date signed (mm/dd/yyyy).
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