Customer Profile
Name:
Gender
:
Male
Female
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Identification No.:
Nationality:
Trade Association Case No.:
Telephone:
Cell Phone:
Mailing Address:
Appointment Date:
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
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Year
2008
2009
2010
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