General Scan Appointment Ultrasound (General Scan) First Name Last Name Phone No Identification Card No Date / Time Perkhidmatan – Pilih –Thyroid and Neck Scan RM130Male Reproductive System / Scrotum Scan RM130Kidney, Ureter, and Bladder Scan RM130Hepatobiliary System Scan RM130Female Pelvis Scan RM130Upper Abdomen Scan RM150Breast Scan RM150Abdomen + Female Pelvis Scan RM180 Submit Form