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C3 ENDOSCOPY Center SUNG WAS HOSPITAL COLONOSCOPY(SURGERY) Examination Date DDI. D. No.: ___many names: ___Admission Time Chinese Name: ___AM/ PMS ex: ___ Age: ___Important Notes 1. 2. 3. 4. 5. 6.

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Fill out the patient's personal information accurately, including name, date of birth, address, and contact number.

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Specify the reason for the endoscopy procedure and any relevant medical history.

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Individuals who have been recommended to undergo an endoscopy procedure by their healthcare provider.

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C3 Endoscopy Centre Tung is a medical facility specializing in endoscopic procedures.

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