PhilHealth Annex J.3: Checklist of Mandatory and Other Services – Tranche 1 As of October 202 3

Fill PhilHealth Annex J.3: Checklist of Mandatory and Other Services – Tranche 1 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, Assessment, Diagnostics, Complete Blood Count (CBC) w/ platelet, Urinalysis, Fasting Blood Glucose, Lipid Profile, Creatinine, Sodium (Na), Pregnancy Test (For Female).

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