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EPINK VIDEO CALL
Caller Name
CONNECTING
Total Price: RM
Order Data
Patient Information
Doctor Information
Prescribed Medication
Order Data
Patient Information
Purchase
Once you set this order as prepared our rider will come and pick it up and deliver to the patient
Account Setup
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Health Service Provider Type
IC Front
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IC Back
The back part photo of your IC
University / College
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Degree / Diploma Ceterficate (PDF)
Your degree / diploma issued by your university / college (PDF)
Number
Your number provided by to you
Number assign to you by
Ceterficate (PNG/JPG)
Ceterficiate issued by
Ceterficate
Ceterficiate issued by (PDF)
Organization name
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Organization Address
Organization City
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Profile Picture
Manage Your Signate
Signature
Organization name
Designation
Organization Address
Organization City
Organization State
Organization Postcode
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Organization Phone Number (Optional)
Organization Fax Number (Optional)
Organization registeration number (Optional)
Address
Landmark / House NO / Block / Building
settings Actions
Status:
Provider:
settings Actions
Status:
Date
The exact date you want our service provider to comeTime
The exact time you want our service provider to comePatient Detail
Name
IC Number
Height
Weight
Known Illnesses
Address
Landmark, House number, Floors
Price: RM
Test Type:
Sample Collection Date:
Collection Address:
Lab Review:
Files:
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Session Detail
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Reason:
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Session Action
Prescribed Medication
Payment Detail
Consultation Fee: RM0.00
Medication Fee: RM0.00
Delivery Address: Click to set
Delivery Fee: RM
Total Price: RM
Medical Leave Cert
Refer to
Session Detail
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Reason:
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Session Action
Patient Diagnose
Write down your diagnose toward the patients
Clinical Note
Proceed to prescribe medication to patient
2. Prescribe Medice add
3. MC(Optional) add
4. Refer to (Optional) add
Prescribe and end session with patient
Prescribed Medication
Refer to:
Medical Leave Certificate :
Welcome to your dashboard
Good evening DR.
You have active session with patient.
Care Request
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DR. JOHN DOE
General Practice
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ABOUT ME
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Pick Up
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Distance: 0KM Price: RM0.00
Current balance
Bank Information
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Bank Name
Account Number
My balance
Your balance will be transfered to your bank account on
Recent transaction
My wallet balance
Select Kit
Price: RM5.00
Enter Address
Your self test kit will be delivered to the address you provided
Confirm Order
Price: RM0.00
Finalize Order
Verification Fee: RM15.00
Delivery Price: RM
Total Price: RM
Delivery Address:
Landmark
(House number, floor number, hotel Room Number, ect)Your kit will arrive with in 1-3 hour
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Purchase history
RM100.00
This product require prescription
RM100.00
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Price
Total Price: RM 5% fees
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