PET/CT REQUEST FORM | CENTRE FOR DIAGNOSTIC NUCLEAR IMAGING
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PET/CT REQUEST FORM

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PET/CT REQUEST FORM

 

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Please complete the form before send to us. We will not proceed the appointment date if the form uncompleted.

Please call us 03-97691644 for help.

Updated:: 02/01/2024 [norkamalia]

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SEE ALSO
MRI REQUEST FORM
PET/CT REQUEST FORM
CT REQUEST FORM
ULTRASOUND REQUEST FORM
CENTRE FOR DIAGNOSTIC NUCLEAR IMAGING
Universiti Putra Malaysia
43400 UPM Serdang
Selangor Darul Ehsan
0397691644
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ppdn@upm.edu.my
S, (10:20:46am-10:25:46am, 28 Feb 2026)   [*LIVETIMESTAMP*]