Electronic Official Receipt (eOR) Professional Regulation Commission

You might also like

Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

Electronic Official Receipt (eOR)

Professional Regulation Commission


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

12/13/2023 12:44 PM
Date & Time:_____________ E2023-12-06808788
eOR Number:_____________
002
Location code:_______________

LORENZO, SANIELLE KARLA GARCIA


Name of Payor: ___________________________________________

PHYSICIAN
Profession: ______________________________________________

Nature of Collection Amount


Initial Registration

Registration Fee 600.00


Annual Fee 450.00

Total: 1050.00
Amount in words:
ONE THOUSAND FIFTY PESOS

Payment Channel: PAYMAYA ___________

Mode of Payment: PAYMAYA - WALLET ___________

You might also like