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Video Consultation

If you want a video consultation with a doctor, Please make sure to fill out the questionnaire below first.
The operator will proceed with the reservation and contact the contact information you filled out in the form below.

Basic Information (All required information must be entered)

Name

E-mail

Gender

Birth

Nationality

Contact number

Choose the desired date for medical consultation.

Inquiry Detail (*Display information is mandatory.)

Diagnosis

Request hospital

Consultation fee

Deposit