PhilHealth Annex I.3B: Checklist of Essential Health Services for Outpatient Treatment of PD
Fill PhilHealth Annex I.3B: Checklist of Essential Health Services for Outpatient Treatment of PD 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, Creatinine, Sodium, Potassium, Calcium, Albumin, Scout film of abdomen, Dialysate effluent cell count, Consultation.
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