SURVEY FORM - UMW CORPORATION SDN BHD
Breast Ultrasound & Pap Smear Onsite
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Date : 4th November 2022
Location : UMW Corporation Sdn Bhd, Menara UMW, Jalan Puncak, Off, Jalan P. Ramlee, Kuala Lumpur, 50250 Kuala Lumpur
Time : 9:00am-5:00pm
Breast Ultrasound : RM 30/person
Pap Smear : RM 30/person
Full Name
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Full Name
IC Number
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Email
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Phone
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Please answer questions below.
I would like to do Breast Ultrasound onsite*
Breast Ultrasound Onsite RM30.00/person
No, thank you.
I would like to do Pap Smear onsite
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Pap Smear Onsite RM30.00/person
Yes, I would like to do Pap Smear onsite.
No, thank you.
Note :
a) We recommend not to conduct Pap Smear if you are experiencing heavy flow period
b) We may able to conduct Pap Smear if you are 5th or 6th day period
c) We shall not conduct Pap Smear if you are virgin
Payment Method
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Via QR code pay onsite on 4 November 2022
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