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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,
請留下您的相關資料,將由專人與您聯繫,工作時間約一週(例假除外)
【請務必填寫以下相關資料】,謝謝配合~
填寫一週後(例假除外),如仍無接到電話,請電至03-4618888轉8808
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姓名(Name)
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病歷號碼(Medical record number )
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身分證號碼(ID card number)
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出生年月日(Date of birth)
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手機號碼(mobile phone or telephone)
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懷孕週數(Number of weeks of pregnancy)
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懷孕週數(Number of weeks of pregnancy)
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單胞胎
雙胞胎
產檢醫院(Birth inspection hospital)
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宏其婦幼醫院
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