Electronic Official Receipt (eOR)

Professional Regulation Commission

P. Paredes St. cor. N. Reyes St., Sampaloc , Manila
Philippines 1008

11/09/2021 10:42 AM
Date & Time:_____________ E2021-11-00146695
eOR Number:_____________
002
Location code:_______________

PONTILAR, GRETCHEL CONDINO

Name of Payor: ___________________________________________

MEDICAL TECHNOLOGIST
Profession: ______________________________________________

Nature of Collection Amount

Professional ID Renewal

Annual Fee 450.00

Surcharge 0.00

Total: 450.00
Amount in words:
FOUR HUNDRED FIFTY PESOS

Payment Channel: PAYMAYA ___________

Mode of Payment: PAYMAYA - MASTERCARD

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