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Please enter the following information
Clinic Information
Date
04/30 (Tuesday) Afternoon
Clinics
Pain Management No.1
Doctor
LIN, CHUNG-JEN
Place
Pain Clinic W306, 3rd Floor, Inpatient Building
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.