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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
If you are human, leave this field blank.
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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