Thai Travel Clinic
Thai Travel Clinic - Online Appointment System
ระบบนัดหมาย คลินิกเวชศาสตร์ท่องเที่ยวและการเดินทาง
Resource:
Travel Clinic Visit
Services:
Name (First..Middle..Last):
*
Phone:
Email:
*
Age(Yr)
*
Gender
Male
Female
*
Date of Birth (DD/MM/YY)
*
Nationality
*
Passport Number
*
For foreigners; please bring the photocopy of your passport with you
Address
Have you ever visited our clinic?
Yes
No, this will be my first time
No, but I have just registered online
*
Your Hospital Number (HN)
For traveler who has visited our clinic before
Accept Terms of Services
*
You can read our Terms of Services and Privacy Policy by clicking link at the footer
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Date/Time:
Appointment Selection:
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