WhatsApp:
+60174760866
Tel: +60327870500
e-mail: info@altyortho.com
24 Hours COVID-19 Express test
This form is for booking RT-PCR Express Test which is not available every Saturday afternoon (last slot 12.30pm), Sunday & Public Holiday. Click
here
to book the normal test.
Booking Form
FAQ
Package/Service Option
*
:
Please select one
COVID-19 RT-PCR Test (Express) (RM 330.00)
Appointment date & time
*
:
Check Time Availability
Please select a date and time.
Patient Status
*
:
New
Existing
MR No.:
Name (as per MyKAD/Passport)
*
:
Birth date
*
:
MyKAD/Passport
*
:
Gender
*
:
Male
Female
e-mail Address
*
:
Mobile No.
*
:
Tel No.:
Nationality
*
:
Malaysia
Australia
Bangladesh
China
France
India
Indonesia
Japan
Myanmar
Nepal
New Zealand
Pakistan
Philippines
Singapore
South Korea
Sudan
Thailand
United Kingdom
USA
Vietnam
Others
Address
*
:
Postcode
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:
Occupation
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:
Next-of-kin Name
*
:
Next-of-kin Contact No.
*
:
Remarks:
Upload results, prescription, passport, etc. if any (only PDF, JPG and PNG files are accepted):
I accept the
Terms & Conditions
*
Required information
Clear
