Born
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Born
ian
Home
About
Client Testimonies
Book Appointment
Home
Booking
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Personal Information
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First Name
Last Name
Email address
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Phone Number
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Select Gender
Male
Female
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Age
Medical Information
Select symptoms you frequently experience
Fever
Chest Pain
Shortness of Breath
Severe Headache
Abdominal Pain
Dizziness or Fainting
Persistent Cough
Nausea or Vomiting
Unexplained Weight Loss
Rash
Select Duration of symptoms
Less than 24hrs - 2 days
Between 3 to 5 Days
A week or Over
Other medical conditions,
please specify:
Appointment Booking
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Select your prefered physician
General Practitioner
Cardiologist
Neurologist
Gynecologist
Oncologist
Dermatologist
Choose a Date
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