Full Name *
Contact Number *
Date of Birth *
Nationality *
Gender *
Male
Female
CPR / Passport Number *
Request Date *
Request Reason *
Preferred Appointment Date *
Preferred Appointment Time *
8:00 AM
8:30 AM
9:00 AM
9:30 AM
10:00 AM
10:30 AM
11:00 AM
11:30 AM
12:00 PM
12:30 PM
1:00 PM
1:30 PM
2:00 PM
2:30 PM
3:00 PM
3:30 PM
4:00 PM
4:30 PM
5:00 PM
5:30 PM
6:00 PM
6:30 PM
7:00 PM
7:30 PM
8:00 PM
Service *
PCR Normal - BD12
PCR Super Express - BD22
Test Location *
RBH Salmaniya
Amount *
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