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你的旅程
1. 试管婴儿前期检查
如何在体外受精前准备
Pregnable 培孕宝
2. 体外受精过程
试管婴儿流程指南
试管部门医生&实验室
试管婴儿部门费用
3. 前往泰国
在線預訂
BNH服务
BOOCS健康疗法
儿科
保育室
網上商店
泰国 BNH 医院
联系我们
Pregnancy supplement Questionnaire
Preg1
Please fill the form for purchase supplement
Name Surname
*
Email
*
Have you registered with our hospital?
*
No
Yes
Hospital Number
*
Do you have any supplements allergy?
*
No
Yes
Do you have any allergies to supplements in this list?
*
Vitamin B1 (Thiamine Hydrochloride)
Vitamin B12 (Cyanocobalamin)
Vitamin B2 (Riboflabin-5-Phosphate)
Vitamin B3 (Niacinamide)
Vitamin B6 (Pyridoxine Hydrochloride)
Vitamin B9 (Folic Acid)
Vitamin C (Ascorbic Acid)
Ginger extract
Cinnamon extract
Iodine (Potassium Iodide)
Other
Other
Are you currently taking any vitamins?
*
No
Yes
Please type vitamins name
*
Are you currently taking any medicines?
*
No
Yes
Please type medicines name
*
Do you have any drugs/food or substances allergies?
*
No
Yes
Please type drugs/food or substances name which you allergy
*
Do you have any chronic diseases?
*
No
Yes
Please type chronic diseases name
*
Which stage of pregnancy are you in?
*
1 - 14 week
14 - 28 week
28 - 40 week
Are you now having any uncomfortable feelings?
*
No
Yes
Please describe feelings
*
Please check terms and conditions
*
I hereby certify that the above information is correct.
Please sign your signature
*
Clear
Submit
你的旅程
1. 试管婴儿前期检查
如何在体外受精前准备
Pregnable 培孕宝
2. 体外受精过程
试管婴儿流程指南
试管部门医生&实验室
试管婴儿部门费用
3. 前往泰国
在線預訂
BNH服务
BOOCS健康疗法
儿科
保育室
網上商店
泰国 BNH 医院
联系我们
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