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新症網上預約
Online Reservation for New Case
請填妥以下求診者的資料:
Please complete the following information of the patient:

姓 / Last Name * 名 / First Name * 年齡 / Age * 身份證明文件號碼(字母及首4 個數字) /
Identification Document No.(Prefix and first 4 digits) * 聯絡電話 (只限本地號碼) / Phone number (limited to local call) * 轉介信 / Referral letter *