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Please enter the following information
Clinic Information
For those who visit Travel medicine clinic, please bring the passport (or copy), alien residence certificate (ARC), NHI card and the yellow vaccination card.
Date
06/14 (Friday) Afternoon
Clinics
Travel Medicine Clinic
Doctor
醫師
Place
Health Examination Room no:249
Primary data
ID No.
Patient No.
Resident ID No.
Passport No.
Student ID
Other
Telephone number：
Explanation:
For firsit-visit patients, the fields of your phone must be filled.
First time patients can only reserve one time.
Inpatients using health insurance can not see outpatient clinic with health insurance identity.
You are about to Register for Travel Medicine Clinic. This specific clinic is combined with the general clinic of the same doctor. Please see the suggest arrival time to short your waiting time.