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) : 23-001855367-3 PhilSys Number :
Member Category : INDIGENT - NHTS-PR
Sub-Category NHTS Coverage : EXISTING
Validity Period : 01/01/2018 - 12/31/2018

BAYLON, NOEL BACALIA

SAN JOSE PATAG, STA. MARIA BULACAN

Foreign Address : N/A Sex : MALE

Date of Birth : 08/12/1969
Place of Birth :
Contact No. (Foreign) : N/A Civil Status : MARRIED
(Local) : N/A Tax Identification Number :

ENTITY INFORMATION
PhilHealth Number (PEN/POGN) : 40-030000007-5
Name of Employer/Organized Group : DEPARTMENT OF HEALTH - 4PS
hidden text
Business Address : SAN LAZARO COMPOUNDTAYUMAN, BGY 349, SANTA CRUZ NCR, CITY OF MANILA,
hidden text FIRST DISTRICT

Telephone Number : Employment Status : N/A

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

DEPENDENT INFORMATION
PIN Surname Given Name Middle Name Sex Relation Date of Birth
212509296569 BAYLON ROSE MAE GARAY FEMALE DAUGHTER 07/23/2007

*** NOTHING FOLLOWS ***

DATU MASIDING M. ALONTO, JR.

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.
Feb 09, 2021 04:37 PM