Triple Care Blood Screening

1Please make payment and fill up the application form with proof of payment.
2Please check your email for registration confirmation. Payment will be verified and the Benefit Card will be sent within 24 hours upon purchase.
3Please book your blood screening appointment by WhatsApp to our Admin +6016 221 5252.
4Please present your Benefit Card and IC at your appointment.
5This package is designed for blood tests only and does not cover individuals with pre-existing medical conditions requiring specialist evaluation and medication. If you have known health issues or symptoms, please consult a medical professional before purchasing.

Application Form

Name as per IC *

IC Number *

Mobile Phone Number *

E-mail Address *

Date of Birth *

Triple Care Blood Profile Benefit Card Package
Price: RM48.00

You will be redirected to our authorised payment gateway operated by Billplz for the payment for the Triple Care Blood Profile Benefit Card Package.

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Mahkota Medical Centre Sdn Bhd (Mahkota) recognises the importance of protecting your personal information and is committed to the compliance of the Personal Data Protection Act 2010 (PDPA). Visit our privacy policy to view Mahkota Personal Data Protection Notice, which sets out, among others, the types of personal information Mahkota collect, how Mahkota process your personal information and Mahkota contact details if you have any queries. In submitting this form, I hereby consent to Mahkota for collecting and processing my personal data as per set out in the PDPA Notice. *

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Triple Care Blood Screening

Application Form