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Essential Information
Full Name*
ID Type*
Malaysian IC
Passport
IC Number*
Nationality*
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Afghanistan
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Zimbabwe
MRN*
Contact Number*
Malaysia (+60)
Indonesia (+62)
Philippines (+63)
Singapore (+65)
Thailand (+66)
East Timor (+670)
Brunei (+673)
Cambodia (+855)
Laos (+856)
Myanmar (+95)
Other
Enter phone number without country code
Primary Consultant*
Select Primary Consultant
Dr. Ahmad bin Ismail (Head of Department)
Dr. Lakshmi a/p Selvam (Consultant)
Dr. Lee Siew Mei (Senior Consultant)
Dr. Muhammad Hafiz bin Hassan (Head of Department)
Dr. Priya a/p Suresh (Senior Consultant)
Dr. Raj Kumar a/l Subramaniam (Consultant)
Dr. TAI TZYY JIUN (Consultant)
Diagnosis*
Demographic Information
Optional fields
Gender
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Male
Female
Other
Age
Race
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Malay
Chinese
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Other
Religion
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Other
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