Customer Profile
Name:
Gender Male  Female
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Nationality:
Trade Association Case No.:
Telephone:
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Mailing Address:
 
Appointment Date: ,
 
   
Service Content
  Examination Package (Choose 1 of 3, no extra expense)
 
Multi-slice Lung Cancer Low-dose Screening &
Tumor Marking Examination
→ Content Description
Advanced Health Examination Package A → Content Description
Advanced Health Examination Package B → Content Description
     
  Additional Services (Need extra expense)
 
Gastroscope Examination → Content Description
Colonoscopy Examination → Content Description
Multi-slice Coronary Artery Calcification Examination → Content Description
Screening for Tumor in Head, Neck, Abdomen, Pelvic Cavity, and Spine (3.0T MRI) → Content Description
CVA and Headache Screening (3.0T MRI) → Content Description
Breast Cancer Screening (Breast MRI) → Content Description
Complete PET/CT Scan → Content Description
     
Additional Notes
If you have any questions, or need to change your appointment time, please leave a message, and we will reply to you as soon as possible. Thank you!
 


 
 
Consultation Service Line: +886-4-26583899
E-mail:ttmhh@ms.sltung.com.tw
Fax Number:+886-4-26583311