Please note that your appointment can only be taken after a precise indication of the date and time of reservation as well as the reception of the payment by mobile money (MVola or Orange Money). In case of reservation, our team will contact you to inform you about the availability of places in our time slot and the rate for the requested service. If you need to cancel or postpone an appointment, please inform us at least 3 hours in advance via our call center at 032 23 217 17 by typing 3 If you do not show up at the indicated time within 15 minutes, we invite you to renew your request by calling our switchboard 032 23 217 17. Type* -None-Pré-réservationReservation Name* Date of birth* Sex* -None-MaleFemale Weight Address* Contact* Mail Attending physician Contact of attending physician Your physical examination ANALYSISOTHERECGULTRASOUNDENDOSCOPYMAMMOGRAPHYX-RAYSCONSULTATIONEXAMENS SPECIAUXCT-Scan Date et heure demandée 010203040506070809101112 000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 AMPM Etes-vous: Diabetes HTA Seafood allergy Pregnancy Asthma Résultat créatininemie Reason review Current medication (medication) Payment method* -None-MvolaEspèceChèque Health Coverage* -None-FonctionnairePrivéeAutres Upload prescription Max upload limit is 20MoEnter captcha ReloadI agree to the Privacy Policy and Terms of Service.Veuillez accepter ce
