Orchard Imaging Centre

“The best images interpreted by the best minds resulting in the best treatments.”

ORCHARD IMAGING CENTRE

MAKE AN APPOINTMENT

Personal Particulars and Appointment Information
(bold - mandatory field)

Name

NRIC

Gender

MaleFemale

Patient Ref. No.

(if any)

Contact No.

(home)
(mobile)
(Office)

E-Mail

Preferred Date

(dd/mm/yyyy)

Preferred Time

(hh:mm am/pm)

Alternate Date

(dd/mm/yyyy)

Alternate Time

(hh:mm am/pm)

Select

X-ray
Mammogram
MRI
Ultrasound
Bone Densitometry
Review/Follow up
Others