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ADDRESS: B28 L38 VILLA PALAO,

BANLIC CALAMBA LAGUNA


BIRTHDAY: 12-07-1988
BLOOD TYPE: O

CONTACT PERSON IN CASE OF


EMERGENCY
NAME: DERICK F. LAWAS
CHA PHONE: 09055466055
EXECUTIVE ADMIN SSS : 12-123456-12
ASSISTANT
TIN : 123-456-12
PHIC : 1-123456789-1
NAME : RACHELLE V. CONSISTA PAG IBIG : 1234-1234567-1234
DEPT : ADMIN DEPARTMENT
PHONE : 0917097780
ID NO. : 004 If found, please
message us through:
SIGNATURE www.facebook.com/hrdclinic

HRD SPECIALTY CLINIC AND “Patient’s satisfaction is what


DIAGNOSTIC SERVICES, INC. WE ASPIRE”
Main Branch: Satellite Clinic:
Mamatid Cabuyao Pala-pala, Dasmariñas
Laguna City, Cavite
ID VALIDITY: 12 | 31 | 2023

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