Bagan Specialist Centre

Make an appointment

Medical Report

Death Claim Medical Reports

RM100.00

Downloads BSC – Consent for release of information

Please Provide All 3 (in pdf | max 5mb)
  *Consent/ Authorization Form
  *Claim Form
  *Copy Of Patient NRIC

Upload your files

Charges:

* Required,

Attachments:

Charges:

* Required,

Attachments:

Charges:

* Required,

Attachments:

Death Claim Medical Reports

Price: RM100.00

Crop Image