RADxAppt
Radiology Appointments
RADxAppt
Radiology Appointments
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Admin
Radiology Appointment Form
Patient Information
Patient Name
NRIC/Passport
Address
D.O.B
WhatsApp No.
Call Only No.
Gender
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Male
Female
Ethnicity
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Malay
Indian
Chinese
Others
Patient Status
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Outpatient
Inpatient
Ref. Physician
Discipline
Body Weight (kg)
Allergic
Pregnant
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Yes
No
Citizen
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Malaysian
Non-Malaysian
Civil Servant
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Yes
No
Renal Function (last 3 months)
Next TCA Clinic
Imaging Service
Imaging Modality
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MRI
CT Scan
Ultrasound
Fluoroscopy
Mammogram
Appointment Status
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Normal
Semi-Urgent
Urgent
Examination Area
Type modality abbreviation for quick search:
CT
[CT Scan],
MR
[MRI],
US
[Ultrasound],
MMG
[Mammogram],
FL
[Fluoroscopy]
Clinical Summary
Indication Of Examination
Clinical Data
Applicant Information
Consultant
Medical Officer
Department/Clinic
Contact No.
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