ID
Temukan Dokter
Minta Janji Temu
Pasien Internasional
Kontak Darurat
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1
Detail Janji Temu
Diperlukan
Diperlukan
Diperlukan
(Tuliskan N/A bila tidak bisa diterapkan)
Diperlukan
2
Tanggal janji temu pilihan*
Diperlukan
3
Slot waktu yang dipilih*
Silakan pilih slot waktu yang dipilih
4
Detail Pasien
Diperlukan
Diperlukan
Diperlukan
Diperlukan
Diperlukan
Diperlukan
*Dengan menyerahkan formulir ini, saya menyetujui bahwa data yang saya berikan tunduk pada Pemberitahuan Perlindungan Data Pribadi IHH MY
Please indicate your selection above
Kindly note this is not a confirmed appointment.
Our Gleneagles Customer Service team will contact you to finalize your appointment date & time based on doctor's availability.
Our Gleneagles Customer Service team will contact you to finalize your appointment date & time based on doctor's availability.
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