BOOK APPOINTMENT



* Enter Civil ID :
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RadDatePicker
RadDatePicker
Open the calendar popup.
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* Enter Address :
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* Test Type :
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* Result Time :

* Mobile Number:

Email:

 

* Civil ID Copy
Front Image
Back Image







1. Do you have / had any of the following symptoms in the last 14 days?
2. If Yes, Choose ONE or MORE of the following:
3. Did you travel within the last 14 days?
4. If YES, Select country/s you were in or arrived from within the last 14 days
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5. Date of arrival:
RadDatePicker
RadDatePicker
Open the calendar popup.
6. Do you work in a Healthcare facility?
7. If Yes
8. Facility Name








1. Have you been tested for COVID-19 before?









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