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1
Butiran Janji Temu*
Sila Pilih Hospital *
Sila Pilih Kepakaran *
(Nyatakan ‘N/A’ jika tidak berkenaan)
2
Tarikh Temujanji*
Sila Pilih Tarikh * *
3
Slot Masa Pilihan*
Sila pilih Slot Masa Pilihan *
4
Butiran Pesakit
*Dengan menyerahkan borang ini, saya mengakui bahawa data yang diberikan adalah tertakluk kepada Notis Perlindungan Data Peribadi IHH MY
Sila nyatakan pilihan anda. *
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.
Serahkan