Republic of the Philippines

PHILIPPINE HEALTH INSURANCE CORPORATION

Citystate Centre, 709 Shaw Boulevard, Pasig City
Call Center: (02) 441-7442 Healthline: (02) 441-7444
www.philhealth.gov.ph

Electronic PhilHealth Acknowledgem ent Receipt (ePAR)

This is to acknowledge receipt of payment of premium contributions for PEN: 007000021343.

ePAR No. : ZIP230000826184
ePAR D ate : 11/21/2023
Payor Nam e : FAYE AND SAM GEN MDSE
SPA No. : SPA100036658111
Applicable Period : 08-2023 to 08-2023
Actual Am ount Paid : Php720.00
Accredited Collecting Agent : IPAY / IPAY002
Transaction Confirm ation No. : 4BYT92PIGH
Transaction D ate : 11/21/2023

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