Scribd Logo
Upload

Welcome to Scribd!

  • 38 views

    MDR - 212008167793 (1) - 055751

    Uploaded by

    GeralD kailLe
    This document is a Member Data Record from the Philippine Health Insurance Corporation providing information about member Mary May Abello Cagalingan. It lists her PhilHealth Identification Number, category of indirect contributor, validity period of coverage from January 2022 to December 2022. It also includes her personal details like name, date of birth, address, contact information. The document lists her dependent children Rosel Zean Daille Cagalingan and Rosel Zahra Briella Cagalingan along with their dates of birth. It concludes with a reminder to read the contents carefully and return it if any errors are found.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    MDR - 212008167793 (1) - 055751

    Uploaded by

    GeralD kailLe
    38 views1 page
    This document is a Member Data Record from the Philippine Health Insurance Corporation providing information about member Mary May Abello Cagalingan. It lists her PhilHealth Identification Number, category of indirect contributor, validity period of coverage from January 2022 to December 2022. It also includes her personal details like name, date of birth, address, contact information. The document lists her dependent children Rosel Zean Daille Cagalingan and Rosel Zahra Briella Cagalingan along with their dates of birth. It concludes with a reminder to read the contents carefully and return it if any errors are found.

    Original Title

    MDR_212008167793 (1)_055751

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document is a Member Data Record from the Philippine Health Insurance Corporation providing information about member Mary May Abello Cagalingan. It lists her PhilHealth Identification Number, category of indirect contributor, validity period of coverage from January 2022 to December 2022. It also includes her personal details like name, date of birth, address, contact information. The document lists her dependent children Rosel Zean Daille Cagalingan and Rosel Zahra Briella Cagalingan along with their dates of birth. It concludes with a reminder to read the contents carefully and return it if any errors are found.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    38 views1 page

    MDR - 212008167793 (1) - 055751

    Uploaded by

    GeralD kailLe
    This document is a Member Data Record from the Philippine Health Insurance Corporation providing information about member Mary May Abello Cagalingan. It lists her PhilHealth Identification Number, category of indirect contributor, validity period of coverage from January 2022 to December 2022. It also includes her personal details like name, date of birth, address, contact information. The document lists her dependent children Rosel Zean Daille Cagalingan and Rosel Zahra Briella Cagalingan along with their dates of birth. It concludes with a reminder to read the contents carefully and return it if any errors are found.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Republic of the Philippines

    PHILIPPINE HEALTH INSURANCE CORPORATION


    Corporate Action Center Hotline - (02) 441-7442
    www.philhealth.gov.ph

    MEMBER DATA RECORD


    MEMBER BASIC INFORMATION
    PhilHealth Identification Number (PIN) : 21-200816779-3 PhilSys Number :
    Member Category : INDIRECT CONTRIBUTOR -
    Sub-Category LISTAHANAN NHTS Coverage : EXISTING
    Validity Period : 01/01/2022 - 12/31/2022

    CAGALINGAN, MARY MAY ABELLO


    SAN MARTIN II, CITY OF SAN JOSE DEL MONTE BULACAN

    Foreign Address : N/A Sex : FEMALE


    Date of Birth : 05/27/1990
    Place of Birth : CITY OF SAN JOSE DEL
    MONTE, BULACAN
    Contact No. (Foreign) : N/A Civil Status : SINGLE
    (Local) : 09972608646 Tax Identification Number :

    ENTITY INFORMATION
    PhilHealth Number (PEN/POGN) : 400060003707
    Name of Employer/Organized Group : DEPARTMENT OF HEALTH
    hidden text
    Business Address : SAN LAZARO COMPOUND RIZAL AVENUE, BGY 331, SANTA CRUZ NCR, CITY OF
    hidden text MANILA, FIRST DISTRICT

    Telephone Number : 632 6517800 Employment Status :


    Tax Identification Number : N/A Date : N/A

    DEPENDENT INFORMATION
    PIN Surname Given Name Middle Name Sex Relation Date of Birth
    212538326795 ROSEL ZEAN DAILLE CAGALINGAN MALE SON 10/03/2020

    212540566442 ROSEL ZAHRA BRIELLA CAGALINGAN FEMALE DAUGHTER 08/12/2022

    *** NOTHING FOLLOWS ***

    ARLAN M. GRANALI
    ACTING BRANCH MANAGER
    PRO - III Branch B

    Paalala: Basahin ang nilalaman ng MDR. Kung may kulang o mali, ibalik agad upang maiwasto. Ingatan ang orihinal na kopya at huwag ibigay kahit kanino. Kung
    sakaling gagamit at makikinabang ng benepisyo, magbigay ng kopya sa ospital. (Reminder: Read the contents of the MDR. Should there be any data discrepancies,
    return it back to amend or rectify the error. Take good care of MDR and do not hand it over to anybody. Provide photocopy to hospital in case of confinement and
    availment of benefits.)
    This is a Member Portal System generated report. Signature is not required.
    Oct 18, 2022 09:51 AM

    You might also like