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【Approximate report delivery】 We will send you an email within 3 weeks from the date of your consultation. (If you undergo some tests at a later date, we will prepare it after all the tests are completed.)
*Since there are many traffic troubles in Thailand, we basically ask patients to come directly to our hospital to receive the stool test kit. If it is difficult for you to come to the hospital, we can send it by mail, but please note that the stool test kit may not arrive by the test date.
Yes No *Including general medical treatment
First preferred date 2024 Year - 11 12 1 2 3 4 5 6 7 8 9 10 Month - 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Day Second preferred date 2024 Year - 11 12 1 2 3 4 5 6 7 8 9 10 Month - 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Day Third preferred date 2024 Year - 11 12 1 2 3 4 5 6 7 8 9 10 Month - 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Day
- Male plan A Male plan B Male Plan C Gastroscope Male Plan D Valium Female plan A Female plan B Female Plan C Gastroscope Female Plan D Valium Simple medical checkup Pediatric checkup (0 to 5 years old) Pediatric checkup (6 to 15 years old) Company-specified plan others If you select "Company Designated Plan" or "Others", please let us know the details. Health checkup for work permit/renewal is not available on this booking form. We do not require an appointment, so please come directly to the clinic.
ABO+Rh [+350THB] Check your blood type (ABO and RH) Serum iron [+600THB] Check iron in serum Ferritin [+750THB] Examine ferritin, which regulates iron in the body Rheumatoid factor(RF) [+600THB] Examine the rheumatoid factor that causes rheumatoid arthritis Triglycerides [+300THB] Investigate arteriosclerosis risk factors Amylase [+450THB] Examine digestive enzyme amylase LDH [+620THB] enzyme that converts sugar into energy in the cell CRP [+800THB] Investigate internal inflammation eGFR [+0THB] A value that indicates the current level of renal function HbA1C [+650THB] Average blood sugar level for the last 3 months. Check for possible diabetes TSH [+600THB] check thyroid stimulating hormone Free T3 [+700THB] Examine the thyroid hormone free thyroxine Free T4 [+450THB] examination of thyroid hormone free thyroxine FSH [+800THB] Examine follicle-stimulating hormone Estradiol [+900THB] check estrogen (eltradiol) Testosterone [+800THB] Measures male hormone levels. AFP [+500THB] Examine liver tumor marker (AFP) CEA [+600THB] Examine colon tumor marker (CEA) CA19-9 [+900THB] Examine pancreatic tumor marker (CA19-9) PSA [+900THB] Examine prostate tumor marker (PSA) CYFRA [+2,000THB] Examine lung tumor marker (CYFRA) CA125 [+900THB] Examine ovarian tumor marker (CA125) CA15-3 [+920THB] Examine breast tumor marker (CA15-3) HBsAg [+500THB] Find out if you are currently infected with hepatitis B anti-HCV [+700THB] Check for hepatitis C RPR/VDRL [+150THB] Check for syphilis HIV Antibody [+600THB] Check for HIV antiHAV IgG [+950THB] Check for hepatitis A antibodies HBsAb [+300THB] Check for hepatitis B antibodies Measle IgG [+1,350THB] Check for measles antibodies Rubella IgG [+1,200THB] Check for rubella antibodies Helicobacter Pylori IgG [+1,200THB] Check for H. pylori infection with a blood test Sputum AFB [+350THB] We will collect sputum and check for cell abnormalities, bacterial, viral infections, and allergies. Hearing test [+700THB] Your hearing will be measured with an audiometer. Fundoscopy IOP [+500THB] Fundoscopy examines the blood vessels, retina, and optic nerve of the fundus to check for retinal diseases and glaucoma. In addition, the intraocular pressure test measures the intraocular pressure (intraocular pressure) to check for glaucoma, etc. EKG [+500THB] Electrodes will be attached to the chest and extremities to examine the state of the heart Chest X-ray [+500THB] Take a chest x-ray (one direction) ABI(ankle brachial index) [+1,000THB] Blood pressure in the upper arm and ankle is measured to check for hardening of the arteries and narrowing of the lumen of the arteries. Vascular age can be measured. Whole abd ultrasound [+3,000THB] Examine the entire abdomen (upper and lower abdomen) with ultrasound Upper abd ultrasound [+1,800THB] Examine the upper abdomen (gallbladder, liver, kidney, pancreas, spleen, etc.) with ultrasound Lower abd ultrasound [+1,800THB] Using ultrasound to examine the lower abdomen of men and the ovaries and uterus of women. *This test is performed with urine stored in the bladder. Thyroid ultrasound [+1,800THB] Examine the thyroid with ultrasound Carotid ultrasound [+3,000THB] Using ultrasound to examine the blood vessels in the neck. Thin Prep [+1,650THB] Take cervical cells and perform cytology to assess cervical status HPV [+2,000THB] Check for HPV virus that causes cervical cancer Thin Prep+HPV [+3,000THB] HPV test will also be performed with cells collected from cervical cancer cytology Transvaginal ultrasound [+2,000THB] Insert a device into the vagina to examine the uterus, ovaries, etc. with ultrasound Breast ultrasound [+1,800THB] Using ultrasound images to check for breast abnormalities such as breast cancer Mammogram [+1,800THB] Recommend examination with breast ultrasound. A mammogram alone is not acceptable. X-rays are used to check for breast abnormalities such as calcification. Upper GI X-ray [+3,500THB] Examine the esophagus, stomach and duodenum with barium examination Gastro scopy [+11,000THB] Insert an endoscope through the mouth to observe the esophagus, stomach, and duodenum. Urea breath test [+4,300THB] Take a test medicine and check for Helicobacter pylori infection in the exhaled breath before and after taking it Spirometer [+850THB] Lung function will be evaluated by measuring vital capacity and exhalation force *Please come to the hospital 15 minutes before the appointment time to perform an antigen test Stool Occult Blood [+200THB] Check for fecal occult blood Avaxim 160U [+2,170THB/Times] 2 doses (first → 6-12 months later) are required. Havrix 1440 [+2,390THB/Times] 2 doses (first → 6-12 months later) are required. EngerixB in Adult dose/Heberbiovac-hb [+1,010THB/Times] 3 doses (first time → 1 month later → 6 months later) are required. Twinrix [+2,100THB/Times] 3 doses (first → 1 month later → 6 months later) are required. Adsorbed Td [+780THB/Times] 3 doses (first → 3-8 weeks later → 12-18 months later) are required. Verorab/Speeda [+1,080THB/Times] Two doses (first → 7 days later) are required. IMOJEV [+1,210THB/Times] This is a one-time vaccination. Vaxigrip Tetra/Fluarix Tetra [+900THB/Times] Thailand recommends vaccination once a year. Typhoid vaccine [+1,590THB/dose] It is a one-time vaccination. FreeT3+FreeT4+TSH [+1,500THB] Examine thyroid hormone secretion. Vitamin D deficiency test [+3,000THB] Check for vitamin D deficiency. Electrolyte inspection [+990THB] Check for lack of electrolytes (sodium, potassium, chloride). Ferritin+Serum iron+TIBC [+1,750THB] Check for iron deficiency (ferritin, serum iron, total iron binding capacity) by blood test. STD Blood test plan [+4,800THB] Blood tests for venereal diseases (HIV antigen-antibody, syphilis, hepatitis B antibody and antigen, hepatitis C antibody) STD Urine test plan [+5,250THB] Urinalysis for venereal diseases (chlamydia, gonorrhea, ureaplasma, mycoplasma, trichomonas) STD Blood & Urine total plan [+7,850THB] Urine and blood tests for STDs Thin Prep+HPV [+3,000THB] Check with cervical cancer cytology and breast ultrasound. Breast ultrasound + Mammogram [+3,000THB] Check with breast ultrasound and mammogram. 45 kinds of allergy [+6,000THB] Check for allergy antibodies (IgE level) with a blood test. Food allergy (20 kinds) [+3,500THB] Check for allergy antibodies (IgE level) with a blood test. Inhalant allergy (20 kinds) [+3,500THB] Check for allergy antibodies (IgE level) with a blood test.
Throat anesthesia (partial anesthesia) Sedative (weak general anesthesia) Do not undergo endoscopy (gastroscopy) ※Note※ Throat anesthesia is a local anesthesia by spraying the throat. A sedative is injected into a vein while the patient is asleep.
Are you currently taking any of the following “blood thinning drugs”? If you have any medicines that you are concerned about, we will ask your doctor in advance whether you should stop taking them for a certain period of time before performing a gastroscopy, so please enter them below. don't do Warfarin Aspirin Plavix Clopidogrel Epadel Ethyl icosapentate Pletaal Cliostazol Rivaroxaban
Receipt of the stool test kit (33/1 hospitals, 49 hospitals can receive it) Stool inspection kit mailing request (50B/1 piece shipping fee) No stool test (Click here for simple checkups, Plan A, pediatric checkups, and gynecological checkups) 33/1 hospital, 49 hospitals can be handed over every day (weekdays, Saturdays and Sundays) from 9:00 to 18:00. *Please note that if you would like to make a reservation within a week, it will take time to send the stool test kit, so please note that you will only receive the kit at our clinic.
Home page Introduction from company Free paper Referral from acquaintance In-hospital posters Continued use from last year Others If you selected "Other", please tell us the reason for your visit.
Tokyo Marine Japan Sompo Mitsui insurance AIG Aioi HS Prestage Tokyo Marine Thai Cigna Chubb Zurich au Rakuten not have others If you selected "Other", please tell us the reason for your visit. *Symptoms found during the health checkup may be covered by insurance. Please do not forget to bring it with you on the day of your health checkup just in case.
I agree to the policy.
Consent date＊ Consent name＊ Name of guardian/custodian E-mail address (where to send the medical examination report)＊ E-mail address (where to send HIV and syphilis test results)＊
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