高層次超音波檢查登記
高層次超音波檢查  【檢查週數為20週~24週】採預約制,
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姓名(Name) *
病歷號碼(Medical record number )
身分證號碼(ID card number) *
出生年月日(Date of birth) *
手機號碼(mobile phone or telephone) *
懷孕週數(Number of weeks of pregnancy) *
懷孕週數(Number of weeks of pregnancy) *
*
產檢醫院(Birth inspection hospital) *
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備註說明(Remarks)
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