{"id":4232,"date":"2020-03-02T14:51:48","date_gmt":"2020-03-02T07:51:48","guid":{"rendered":"https:\/\/repoffice.rafflesmedical.com.kh\/%e1%9e%80%e1%9e%b6%e1%9e%9a%e1%9e%8e%e1%9e%b6%e1%9e%8f%e1%9f%8b%e1%9e%87%e1%9e%bd%e1%9e%94-2\/"},"modified":"2023-07-04T16:16:58","modified_gmt":"2023-07-04T09:16:58","slug":"make-appointment","status":"publish","type":"page","link":"https:\/\/repoffice.rafflesmedical.com.kh\/kh\/make-appointment\/","title":{"rendered":"\u1780\u17b6\u179a\u178e\u17b6\u178f\u17cb\u1787\u17bd\u1794"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"4232\" class=\"elementor elementor-4232 elementor-787\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a0039b4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a0039b4\" data-element_type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[{&quot;jet_parallax_layout_image&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;_id&quot;:&quot;23d8f38&quot;,&quot;jet_parallax_layout_image_tablet&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_image_mobile&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_speed&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:50,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_type&quot;:&quot;scroll&quot;,&quot;jet_parallax_layout_z_index&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x&quot;:50,&quot;jet_parallax_layout_bg_y&quot;:50,&quot;jet_parallax_layout_bg_size&quot;:&quot;auto&quot;,&quot;jet_parallax_layout_animation_prop&quot;:&quot;transform&quot;,&quot;jet_parallax_layout_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;],&quot;jet_parallax_layout_direction&quot;:null,&quot;jet_parallax_layout_fx_direction&quot;:null,&quot;jet_parallax_layout_bg_x_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size_mobile&quot;:&quot;&quot;}]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f203c57\" data-id=\"f203c57\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4ff4d43 elementor-widget elementor-widget-image\" data-id=\"4ff4d43\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/repoffice.rafflesmedical.com.kh\/wp-content\/uploads\/elementor\/thumbs\/doctor-diagnose-cure-disease-patient-heart-stethoscope-medical-health-check-up-healt-q5jf6nxt82tyu7ihizgpzvbd2cqtisibnwdidavxu8.jpg\" title=\"Doctor diagnose to cure disease on patient. Heart and stethoscop\" alt=\"Doctor diagnose to cure disease on patient. Heart and stethoscope for medical health check-up. Healthcare concept.\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-18721a4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"18721a4\" data-element_type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[{&quot;jet_parallax_layout_image&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;_id&quot;:&quot;cd81aee&quot;,&quot;jet_parallax_layout_image_tablet&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_image_mobile&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_speed&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:50,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_type&quot;:&quot;scroll&quot;,&quot;jet_parallax_layout_z_index&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x&quot;:50,&quot;jet_parallax_layout_bg_y&quot;:50,&quot;jet_parallax_layout_bg_size&quot;:&quot;auto&quot;,&quot;jet_parallax_layout_animation_prop&quot;:&quot;transform&quot;,&quot;jet_parallax_layout_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;],&quot;jet_parallax_layout_direction&quot;:null,&quot;jet_parallax_layout_fx_direction&quot;:null,&quot;jet_parallax_layout_bg_x_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size_mobile&quot;:&quot;&quot;}]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c122322\" data-id=\"c122322\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-319f327 elementor-widget elementor-widget-text-editor\" data-id=\"319f327\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h5><strong><span style=\"color: #187f6b;\">1. \u1780\u17b6\u179a\u1791\u17b6\u1780\u17cb\u1791\u1784\u178f\u17b6\u1798\u1791\u17bc\u179a\u179f\u17d0\u1796\u17d2\u1791<\/span><\/strong><\/h5><p>\u178a\u17be\u1798\u17d2\u1794\u17b8\u178e\u17b6\u178f\u17cb\u1787\u17bd\u1794\u1793\u17c5\u1782\u17d2\u179b\u17b8\u1793\u17b7\u1780\u179a\u17c9\u17b6\u17a0\u17d2\u179c\u179b\u1798\u17c1\u178c\u17b8\u1781\u179b\u1793\u17c5\u1797\u17d2\u1793\u17c6\u1796\u17c1\u1789 \u17a2\u178f\u17b7\u1790\u17b7\u1787\u1793\u17a2\u17b6\u1785\u1792\u17d2\u179c\u17be\u1780\u17b6\u179a\u1791\u17c6\u1793\u17b6\u1780\u17cb\u1791\u17c6\u1793\u1784\u178f\u17b6\u1798\u1791\u17bc\u179a\u179f\u17d0\u1796\u17d2\u1791\u178a\u17c4\u1799\u1795\u17d2\u1791\u17b6\u179b\u17cb\u1798\u1780\u1780\u17b6\u1793\u17cb\u179b\u17c1\u1781 012 816 911 \u178a\u17be\u1798\u17d2\u1794\u17b8\u1787\u17bd\u1794\u1797\u17d2\u1793\u17b6\u1780\u17cb\u1784\u17b6\u179a\u1794\u1798\u17d2\u179a\u17be\u1780\u17b6\u179a\u179f\u17c1\u179c\u17b6\u1780\u1798\u17d2\u1798\u1787\u17bc\u1793\u17a2\u178f\u17b7\u1790\u17b7\u1787\u1793\u17d4<\/p><p>\u1785\u17c6\u1796\u17c4\u17c7\u1798\u17c9\u17c4\u1784\u178e\u17b6\u178f\u17cb\u1787\u17bd\u1794 \u179f\u17bc\u1798\u1795\u17d2\u1789\u17be\u179f\u17b6\u179a\u178f\u17b6\u1798 \u17a2\u17bb\u17b8\u1798\u17c9\u17c2\u179b\u1798\u1780\u1780\u17b6\u1793\u17cb<\/p><p><a href=\"mailto:enquiries_phnompenh@rafflesmedical.com\">enquiries_phnompenh@rafflesmedical.com\u00a0<\/a><\/p><h5>\u00a0<\/h5><h5><strong><span style=\"color: #187f6b;\">2. \u1780\u17b6\u179a\u178e\u17b6\u178f\u17cb\u1787\u17bd\u1794\u178f\u17b6\u1798\u1794\u17d2\u179a\u1796\u17d0\u1793\u17d2\u1792\u17a2\u17bb\u17b7\u1793\u1792\u17ba\u178e\u17c2\u178f<\/span><\/strong><\/h5><p>\u17a2\u178f\u17b7\u1790\u17b7\u1787\u1793\u17a2\u17b6\u1785\u178e\u17b6\u178f\u17cb\u1787\u17bd\u1794\u178a\u17c4\u1799\u1782\u17d2\u179a\u17b6\u1793\u17cb\u178f\u17c2\u1794\u17c6\u1796\u17c1\u1789\u179a\u17b6\u179b\u17cb\u1796\u178f\u17cc\u1798\u17b6\u1793\u178f\u17b6\u1798\u1782\u17c6\u179a\u17bc\u178f\u1798\u17d2\u179a\u17bc\u179c\u1780\u17b6\u179a\u1793\u17c3\u1780\u17b6\u179a\u178e\u17b6\u178f\u17cb\u1787\u17bd\u1794\u179a\u1794\u179f\u17cb\u1796\u17bd\u1780\u1781\u17d2\u1789\u17bb\u17c6\u1793\u17c5\u1791\u17b8\u1793\u17c1\u17c7\u17d4 \u1797\u17d2\u1793\u17b6\u1780\u17cb\u1784\u17b6\u179a\u1794\u1798\u17d2\u179a\u17be\u1780\u17b6\u179a\u179f\u17c1\u179c\u17b6\u1780\u1798\u17d2\u1798\u17a2\u178f\u17b7\u1790\u17b7\u1787\u1793\u179a\u1794\u179f\u17cb\u179a\u17c9\u17b6\u17a0\u17d2\u179c\u179b\u1798\u17c1\u178c\u17b8\u1781\u179b\u1793\u17b9\u1784\u1792\u17d2\u179c\u17be\u1780\u17b6\u179a\u1791\u17b6\u1780\u17cb\u1791\u1784\u1787\u17b6\u1798\u17bd\u1799 \u17a2\u178f\u17b7\u1790\u17b7\u1787\u1793\u179c\u17b7\u1789 \u1780\u17d2\u1793\u17bb\u1784\u179a\u1799\u17c8\u1796\u17c1\u179b 24 \u1798\u17c9\u17c4\u1784\u1792\u17d2\u179c\u17be\u1780\u17b6\u179a \u178a\u17be\u1798\u17d2\u1794\u17b8\u1794\u1789\u17d2\u1787\u17b6\u1780\u17cb\u1796\u17b8\u1780\u17b6\u179a\u178e\u17b6\u178f\u17cb\u1787\u17bd\u1794\u17d4<\/p><p><strong>\u179f\u17bc\u1798\u1785\u17c6\u178e\u17b6\u17c6 :<\/strong><\/p><ul><li>\u17a2\u178f\u17b7\u1790\u17b7\u1787\u1793\u179f\u17bc\u1798\u1798\u17c1\u178f\u17d2\u178f\u17b6\u1795\u17d2\u178f\u179b\u17cb\u1796\u178f\u17cc\u1798\u17b6\u1793\u1782\u17d2\u179a\u1794\u17cb\u1782\u17d2\u179a\u17b6\u1793\u17cb(*).<\/li><li>\u179f\u17bc\u1798\u1798\u17c1\u178f\u17d2\u178f\u17b6\u1780\u17c6\u178e\u178f\u17cb\u1780\u17b6\u179a\u178e\u17b6\u178f\u17cb\u1787\u17bd\u1794\u1798\u17bb\u1793\u1796\u17c1\u179b\u1798\u1780\u1796\u17b7\u1793\u17b7\u178f\u17d2\u1799 \u1799\u17c9\u17b6\u1784\u178f\u17b7\u1785\u1794\u17c6\u1795\u17bb\u178f\u1782\u17ba 24 \u1798\u17c9\u17c4\u1784 \u17d4 \u1785\u17c6\u1796\u17c4\u17c7\u179a\u17b6\u179b\u17cb\u178f\u1798\u17d2\u179a\u17bc\u179c\u1780\u17b6\u179a\u1796\u17b7\u1793\u17b7\u178f\u17d2\u1799\u1780\u17d2\u1793\u17bb\u1784\u1790\u17d2\u1784\u17c3\u178a\u178a\u17c2\u179b \u179f\u17bc\u1798\u1798\u17c1\u178f\u17d2\u178f\u17b6\u1791\u17c6\u1793\u17b6\u1780\u17cb\u1791\u1784\u178a\u17c4\u1799\u1795\u17d2\u1791\u17b6\u179b\u17cb<\/li><li>\u1780\u179a\u178e\u17b8\u1796\u17b7\u1793\u17b7\u178f\u17d2\u1799\u179f\u1784\u17d2\u1782\u17d2\u179a\u17c4\u17c7\u1794\u1793\u17d2\u1791\u17b6\u1793\u17cb \u179f\u17bc\u1798\u1798\u17c1\u178f\u17d2\u178f\u17b6\u1791\u17c6\u1793\u17b6\u1780\u1791\u17c6\u1793\u1784\u178f\u17b6\u1798\u179b\u17c1\u1781\u1791\u17bc\u179a\u179f\u17d0\u1796\u17d2\u1791 <a href=\"tel:012 816 911\"><strong>+855 12 816 911 <\/strong><\/a>\u17ac\u1798\u1780\u178a\u179b\u17cb\u1782\u17d2\u179b\u17b8\u1793\u17b7\u1780\/ 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disabled<\/div><\/div><div\nclass=\"ui-widget-content ui-corner-bottom\"><p>Javascript is disabled on your browser. Please enable it in order to use this form.<\/p><\/div><\/div>\n<\/noscript><style type=\"text\/css\">.ipt_uif_ajax_loader,\n\t\t\t.ipt_uif_ajax_loader *,\n\t\t\tipt_uif_ajax_loader *::before,\n\t\t\tipt_uif_ajax_loader *::after {\n\t\t\t\tbox-sizing: border-box;\n\t\t\t}<\/style><div\nclass=\"ipt_uif_init_loader ipt-eform-preloader-inline ipt_uif_ajax_loader\"><div\nclass=\"ipt-eform-preloader-inner\"><div\nclass=\"ipt-eform-preloader-circle\"><div\nclass=\"preloader-wrapper active\"><div\nclass=\"spinner-layer spinner-blue\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-red\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-yellow\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-green\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><\/div><\/div><div\nclass=\"ipt-eform-preloader-text\"><div\nclass=\"ipt-eform-preloader-text-inner ipt_uif_ajax_loader_text\">Loading<\/div><\/div><div\nclass=\"clear\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude class=\"ipt_uif_conditional_logic\" id=\"ipt_uif_conditional_logic_67\" value=\"{&quot;logics&quot;:{&quot;ipt_fsqm_form_67_design_17&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;1&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;See a doctor&quot;,&quot;rel&quot;:&quot;and&quot;}},&quot;type&quot;:&quot;blank_container&quot;,&quot;m_type&quot;:&quot;design&quot;},&quot;ipt_fsqm_form_67_design_12&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;1&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Corporate Health Check&quot;,&quot;rel&quot;:&quot;and&quot;}},&quot;type&quot;:&quot;blank_container&quot;,&quot;m_type&quot;:&quot;design&quot;},&quot;ipt_fsqm_form_67_design_13&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;1&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;School Enrollment Health Check&quot;,&quot;rel&quot;:&quot;and&quot;}},&quot;type&quot;:&quot;blank_container&quot;,&quot;m_type&quot;:&quot;design&quot;},&quot;ipt_fsqm_form_67_design_14&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;1&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Vaccinations&quot;,&quot;rel&quot;:&quot;and&quot;}},&quot;type&quot;:&quot;blank_container&quot;,&quot;m_type&quot;:&quot;design&quot;},&quot;ipt_fsqm_form_67_design_7&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;1&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Australia Visa Check Up&quot;,&quot;rel&quot;:&quot;and&quot;}},&quot;type&quot;:&quot;blank_container&quot;,&quot;m_type&quot;:&quot;design&quot;},&quot;ipt_fsqm_form_67_design_8&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;1&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;neq&quot;,&quot;value&quot;:&quot;Reason for visit&quot;,&quot;rel&quot;:&quot;and&quot;}},&quot;type&quot;:&quot;blank_container&quot;,&quot;m_type&quot;:&quot;design&quot;},&quot;ipt_fsqm_form_67_design_2&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;1&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;See a doctor&quot;,&quot;rel&quot;:&quot;and&quot;}},&quot;type&quot;:&quot;blank_container&quot;,&quot;m_type&quot;:&quot;design&quot;}},&quot;indexes&quot;:{&quot;ipt_fsqm_form_67_mcq_1&quot;:[&quot;ipt_fsqm_form_67_design_17&quot;,&quot;ipt_fsqm_form_67_design_12&quot;,&quot;ipt_fsqm_form_67_design_13&quot;,&quot;ipt_fsqm_form_67_design_14&quot;,&quot;ipt_fsqm_form_67_design_7&quot;,&quot;ipt_fsqm_form_67_design_8&quot;,&quot;ipt_fsqm_form_67_design_2&quot;]},&quot;base&quot;:&quot;67&quot;}\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude class=\"ipt_fsqm_timer_data\" id=\"ipt_fsqm_timer_data_67\" value=\"{&quot;type&quot;:&quot;none&quot;}\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude class=\"ipt_fsqm_epoc_data\" id=\"ipt_fsqm_epoc_data_67\" value=\"{&quot;CURRENTYEAR&quot;:2026,&quot;CURRENTDATE&quot;:1776417865000,&quot;CURRENTDAY&quot;:17,&quot;CURRENTMONTH&quot;:4,&quot;CURRENTHOUR&quot;:9,&quot;CURRENTMINUTE&quot;:24,&quot;CURRENTSECOND&quot;:25,&quot;CURRENTWEEK&quot;:16,&quot;CURRENTEPOC&quot;:20560}\" \/><div\nstyle=\"display: none;\" class=\"ipt_uif_hidden_init\"><form\nmethod=\"post\" action=\"\" class=\"ipt_uif_validate_form ipt_fsqm_main_form\" id=\"ipt_fsqm_form_67\" autocomplete=\"on\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"action\" id=\"action\" value=\"ipt_fsqm_save_form\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_epoc\" class=\"eform-epoc-value\" value=\"1776417865\" \/>\n<input\ntype=\"hidden\" class=\"ipt_fsqm_form_tab_pos\" name=\"fsqm_form67_tab_pos\" value=\"0\" id=\"fsqm_form67_tab_pos\" \/>\n<input\ntype=\"hidden\" id=\"ipt_fsqm_form_data_save\" name=\"ipt_fsqm_form_data_save\" value=\"266e7a0597\" data-sayt-exclude \/>\t\t\t<input\ntype=\"hidden\" name=\"_wp_http_referer\" value=\"\/kh\/wp-json\/wp\/v2\/pages\/4232\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"form_id\" value=\"67\" \/><div\nclass=\"ipt-eform-width-restrain\"><div\nclass=\"ipt-eform-content \"><div\nclass=\"ipt_fsqm_main_pb eform-mainpb-top ipt_uif_progress_bar\" data-start=\"0\" data-decimals=\"2\" id=\"ipt_fsqm_form_67_progressbar\"><div\nclass=\"ipt_uif_progress_value\"><span\nclass=\"eform-progress-value-span\"><\/span><\/div><\/div><div\ndata-settings=\"{&quot;can_previous&quot;:true,&quot;show_progress_bar&quot;:true,&quot;progress_bar_bottom&quot;:false,&quot;block_previous&quot;:false,&quot;any_tab&quot;:false,&quot;type&quot;:&quot;2&quot;,&quot;scroll&quot;:true,&quot;decimal_point&quot;:2,&quot;auto_progress&quot;:false,&quot;auto_progress_delay&quot;:&quot;1500&quot;,&quot;auto_submit&quot;:false,&quot;hidden_buttons&quot;:false,&quot;scroll_on_error&quot;:true}\" class=\"ipt_fsqm_main_tab ipt_uif_tabs horizontal\"><div\nclass=\"ipt-eform-tab-nav-wrap\"><ul><li\nid=\"ipt_fsqm_form_67_tab_0_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_67_tab_0\"><span\nclass=\"eform-tab-labels\">Raffles Medical Phnom Penh <\/span><\/a><\/li><li\nid=\"ipt_fsqm_form_67_tab_1_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_67_tab_1\"><span\nclass=\"eform-tab-labels\"> <\/span><\/a><\/li><\/ul>\n<i\nclass=\"eform-tab-nav eform-tab-nav-right ipt-icomoon-angle-right disabled eform-ripple\"><\/i>\n<i\nclass=\"eform-tab-nav eform-tab-nav-left ipt-icomoon-angle-left disabled eform-ripple\"><\/i>\n<span\nclass=\"eform-tab-passive-notifier\"><\/span>\n<span\nclass=\"eform-tab-active-notifier\"><\/span><\/div><div\nid=\"ipt_fsqm_form_67_tab_0\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_67_layout_0_inner\" class=\"ipt-eform-layout-wrapper\"><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_main_heading_column\"><div\nclass=\"ipt_uif_column_inner\"><h3 class=\"ipt_fsqm_main_heading ipt_uif_heading ipt_uif_divider ipt_uif_align_left ipt_uif_divider_no_icon ipt_uif_divider_icon_no_bg\">\n<span\nclass=\"ipt_uif_divider_text\">\n<span\nclass=\"ipt_uif_divider_text_inner\">\nRaffles Medical Phnom Penh<span\nclass=\"subtitle\"><\/span>\t\t\t\t<\/span>\n<\/span><\/h3><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[mcq][1][m_type]\" id=\"ipt_fsqm_form_67_mcq_1_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[mcq][1][type]\" id=\"ipt_fsqm_form_67_mcq_1_type\" value=\"select\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_select\" id=\"ipt_fsqm_form_67_mcq_1\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\">\n<select\nclass=\" check_me validate[required] ipt_uif_select\" name=\"ipt_fsqm_form_67[mcq][1][options][]\" id=\"ipt_fsqm_form_67_mcq_1_options_\" data-placeholder=\"Reason for visit\" data-allow-clear=\"true\" data-theme=\"eform-material\"><option\nvalue=\"\">Reason for visit<\/option><option\nvalue=\"3\" data-num=\"\">Reason for visit<\/option><option\nvalue=\"0\" data-num=\"\">See a Doctor<\/option><option\nvalue=\"1\" data-num=\"\">Australia Visa Check Up<\/option><option\nvalue=\"4\" data-num=\"\">Others Visa Check Up<\/option><option\nvalue=\"5\" data-num=\"\">Corporate Health Check<\/option><option\nvalue=\"6\" data-num=\"\">OGUK Health Check<\/option><option\nvalue=\"9\" data-num=\"\">School Enrollment Health Check<\/option><option\nvalue=\"7\" data-num=\"\">Annual Health Check<\/option><option\nvalue=\"8\" data-num=\"\">Vaccinations<\/option>\n<\/select><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][2][m_type]\" id=\"ipt_fsqm_form_67_design_2_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][2][type]\" id=\"ipt_fsqm_form_67_design_2_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_67_design_2\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[mcq][3][m_type]\" id=\"ipt_fsqm_form_67_mcq_3_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[mcq][3][type]\" id=\"ipt_fsqm_form_67_mcq_3_type\" value=\"select\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_select\" id=\"ipt_fsqm_form_67_mcq_3\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\">\n<select\nclass=\" check_me validate[required] ipt_uif_select\" name=\"ipt_fsqm_form_67[mcq][3][options][]\" id=\"ipt_fsqm_form_67_mcq_3_options_\" data-placeholder=\"Preferred specialist\" data-allow-clear=\"true\" data-theme=\"eform-material\"><option\nvalue=\"\">Preferred specialist<\/option><option\nvalue=\"0\" data-num=\"\">Paediatrician<\/option><option\nvalue=\"1\" data-num=\"\">General Practitioner<\/option><option\nvalue=\"2\" data-num=\"\">ENT Doctor<\/option><option\nvalue=\"4\" data-num=\"\">Dermatologist<\/option><option\nvalue=\"5\" data-num=\"\">Obstetrician & Gynaecologist<\/option><option\nvalue=\"6\" data-num=\"\">Endocrinologist<\/option>\n<\/select><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][17][m_type]\" id=\"ipt_fsqm_form_67_design_17_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][17][type]\" id=\"ipt_fsqm_form_67_design_17_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_67_design_17\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[freetype][4][m_type]\" id=\"ipt_fsqm_form_67_freetype_4_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[freetype][4][type]\" id=\"ipt_fsqm_form_67_freetype_4_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_67_freetype_4\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_67_freetype_4_value\">Enter a doctor name (not required)<\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field\">\n<input\nclass=\" check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_67[freetype][4][value]\"\nid=\"ipt_fsqm_form_67_freetype_4_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<label\nfor=\"ipt_fsqm_form_67_freetype_4_value\"> Write a doctor name here <\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][12][m_type]\" id=\"ipt_fsqm_form_67_design_12_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][12][type]\" id=\"ipt_fsqm_form_67_design_12_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_67_design_12\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[freetype][1][m_type]\" id=\"ipt_fsqm_form_67_freetype_1_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[freetype][1][type]\" id=\"ipt_fsqm_form_67_freetype_1_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_67_freetype_1\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_67[freetype][1][value]\"\nid=\"ipt_fsqm_form_67_freetype_1_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xf0f7;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_67_freetype_1_value\">Company Name<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][13][m_type]\" id=\"ipt_fsqm_form_67_design_13_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][13][type]\" id=\"ipt_fsqm_form_67_design_13_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_67_design_13\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[freetype][2][m_type]\" id=\"ipt_fsqm_form_67_freetype_2_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[freetype][2][type]\" id=\"ipt_fsqm_form_67_freetype_2_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_67_freetype_2\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_67[freetype][2][value]\"\nid=\"ipt_fsqm_form_67_freetype_2_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe80c;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_67_freetype_2_value\">School Name<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][14][m_type]\" id=\"ipt_fsqm_form_67_design_14_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][14][type]\" id=\"ipt_fsqm_form_67_design_14_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_67_design_14\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[freetype][3][m_type]\" id=\"ipt_fsqm_form_67_freetype_3_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[freetype][3][type]\" id=\"ipt_fsqm_form_67_freetype_3_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_67_freetype_3\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_67[freetype][3][value]\"\nid=\"ipt_fsqm_form_67_freetype_3_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe118;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_67_freetype_3_value\">Requested Vaccines<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][7][m_type]\" id=\"ipt_fsqm_form_67_design_7_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][7][type]\" id=\"ipt_fsqm_form_67_design_7_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_67_design_7\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[freetype][0][m_type]\" id=\"ipt_fsqm_form_67_freetype_0_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[freetype][0][type]\" id=\"ipt_fsqm_form_67_freetype_0_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_67_freetype_0\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me validate[required] ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_67[freetype][0][value]\"\nid=\"ipt_fsqm_form_67_freetype_0_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xf0f0;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_67_freetype_0_value\">HAP ID Number For Visa Health Check only *<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][8][m_type]\" id=\"ipt_fsqm_form_67_design_8_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][8][type]\" id=\"ipt_fsqm_form_67_design_8_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_67_design_8\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][9][m_type]\" id=\"ipt_fsqm_form_67_design_9_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][9][type]\" id=\"ipt_fsqm_form_67_design_9_type\" value=\"col_half\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_half ipt_uif_conditional ipt_uif_column_custom ipt_fsqm_container_col_half\" id=\"ipt_fsqm_form_67_design_9\"><div\nclass=\"ipt_uif_column_inner\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[pinfo][6][m_type]\" id=\"ipt_fsqm_form_67_pinfo_6_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[pinfo][6][type]\" id=\"ipt_fsqm_form_67_pinfo_6_type\" value=\"datetime\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_datetime\" id=\"ipt_fsqm_form_67_pinfo_6\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field eform-dp-input-field has-icon\">\n<input\nclass=\"datepicker ipt_uif_datepicker  check_me validate[required,future[2026-04-17]] is-empty ipt_uif_text\"\ndata-dateFormat=\"yy-mm-dd\" data-timeFormat=\"HH:mm:ss\" data-future=\"2026-04-17\" data-year_range=\"50\"\t\ttype=\"text\"\nreadonly=\"readonly\"\nname=\"ipt_fsqm_form_67[pinfo][6][value]\"\nid=\"ipt_fsqm_form_67_pinfo_6_value\"\nmaxlength=\"524288\"\nvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipt-icomoon-calendar ipticm prefix\"><\/i>\n<label\nfor=\"ipt_fsqm_form_67_pinfo_6_value\">Select Date (Off on Weekends)<\/label>\n<a\nhref=\"javascript:;\" class=\"eform-dp-clear\" title=\"Clear\">&times;<\/a><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][11][m_type]\" id=\"ipt_fsqm_form_67_design_11_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][11][type]\" id=\"ipt_fsqm_form_67_design_11_type\" value=\"embed\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_embed\" id=\"ipt_fsqm_form_67_design_11\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_fsqm_embed\"> <script type=\"text\/javascript\">jQuery(document).on( 'completedUI.eform', function() {\n    jQuery('#ipt_fsqm_form_67_pinfo_6_value').datepicker( 'option', 'beforeShowDay', jQuery.datepicker.noWeekends );\n} );<\/script><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][10][m_type]\" id=\"ipt_fsqm_form_67_design_10_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][10][type]\" id=\"ipt_fsqm_form_67_design_10_type\" value=\"col_half\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_half ipt_uif_conditional ipt_uif_column_custom ipt_fsqm_container_col_half\" id=\"ipt_fsqm_form_67_design_10\"><div\nclass=\"ipt_uif_column_inner\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[mcq][8][m_type]\" id=\"ipt_fsqm_form_67_mcq_8_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[mcq][8][type]\" id=\"ipt_fsqm_form_67_mcq_8_type\" value=\"select\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_select\" id=\"ipt_fsqm_form_67_mcq_8\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\">\n<select\nclass=\" check_me validate[required] ipt_uif_select\" name=\"ipt_fsqm_form_67[mcq][8][options][]\" id=\"ipt_fsqm_form_67_mcq_8_options_\" data-placeholder=\"Choose time\" data-allow-clear=\"true\" data-theme=\"eform-material\"><option\nvalue=\"\">Choose time<\/option><option\nvalue=\"3\" data-num=\"\">Choose time<\/option><option\nvalue=\"0\" data-num=\"\">8:00 - 8:30<\/option><option\nvalue=\"1\" data-num=\"\">8:30 - 9:00<\/option><option\nvalue=\"2\" data-num=\"\">9:30 - 10:00<\/option><option\nvalue=\"5\" data-num=\"\">10:30 - 11:00<\/option><option\nvalue=\"6\" data-num=\"\">11:00 - 11:30<\/option><option\nvalue=\"7\" data-num=\"\">11:30 - 12h:00<\/option><option\nvalue=\"8\" data-num=\"\">12:00 - 12:30<\/option><option\nvalue=\"9\" data-num=\"\">12:30 - 13:00<\/option><option\nvalue=\"10\" data-num=\"\">13:00 - 13:30<\/option><option\nvalue=\"11\" data-num=\"\">13:30 - 14:00<\/option><option\nvalue=\"12\" data-num=\"\">14:00 - 14:30<\/option><option\nvalue=\"13\" data-num=\"\">14:30 - 15:00<\/option><option\nvalue=\"14\" data-num=\"\">15:00 - 15:30<\/option><option\nvalue=\"15\" data-num=\"\">15:30 - 16:00<\/option><option\nvalue=\"16\" data-num=\"\">16:00 - 16:30<\/option><option\nvalue=\"17\" data-num=\"\">16:30 - 17:00<\/option><option\nvalue=\"18\" data-num=\"\">17:00 - 17:30<\/option><option\nvalue=\"19\" data-num=\"\">17:30 - 18:00<\/option><option\nvalue=\"20\" data-num=\"\">18:30 - 19:00<\/option><option\nvalue=\"21\" data-num=\"\">19:00 - 19:30<\/option><option\nvalue=\"22\" data-num=\"\">19:30 - 20:00<\/option>\n<\/select><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><div\nid=\"ipt_fsqm_form_67_tab_1\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_67_layout_1_inner\" class=\"ipt-eform-layout-wrapper\"><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_main_heading_column\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][15][m_type]\" id=\"ipt_fsqm_form_67_design_15_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][15][type]\" id=\"ipt_fsqm_form_67_design_15_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_67_design_15\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[pinfo][10][m_type]\" id=\"ipt_fsqm_form_67_pinfo_10_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[pinfo][10][type]\" id=\"ipt_fsqm_form_67_pinfo_10_type\" value=\"f_name\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_f_name\" id=\"ipt_fsqm_form_67_pinfo_10\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me validate[required,custom[personName]] ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_67[pinfo][10][value]\"\nid=\"ipt_fsqm_form_67_pinfo_10_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xf007;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_67_pinfo_10_value\">First Name<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[pinfo][12][m_type]\" id=\"ipt_fsqm_form_67_pinfo_12_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[pinfo][12][type]\" id=\"ipt_fsqm_form_67_pinfo_12_type\" value=\"email\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_email\" id=\"ipt_fsqm_form_67_pinfo_12\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me validate[required,custom[email]] ipt_uif_text\"\ntype=\"email\"\nname=\"ipt_fsqm_form_67[pinfo][12][value]\"\nid=\"ipt_fsqm_form_67_pinfo_12_value\"\nvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xf0e0;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_67_pinfo_12_value\">Email Address<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[pinfo][13][m_type]\" id=\"ipt_fsqm_form_67_pinfo_13_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[pinfo][13][type]\" id=\"ipt_fsqm_form_67_pinfo_13_type\" value=\"phone\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_phone\" id=\"ipt_fsqm_form_67_pinfo_13\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me validate[required,custom[phone]] ipt_uif_text\"\ntype=\"tel\"\nname=\"ipt_fsqm_form_67[pinfo][13][value]\"\nid=\"ipt_fsqm_form_67_pinfo_13_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe08c;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_67_pinfo_13_value\">Phone<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[pinfo][14][m_type]\" id=\"ipt_fsqm_form_67_pinfo_14_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[pinfo][14][type]\" id=\"ipt_fsqm_form_67_pinfo_14_type\" value=\"datetime\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_datetime\" id=\"ipt_fsqm_form_67_pinfo_14\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field eform-dp-input-field has-icon\">\n<input\nclass=\"datepicker ipt_uif_datepicker  check_me validate[required,past[2026-04-17]] is-empty ipt_uif_text\"\ndata-dateFormat=\"yy-mm-dd\" data-timeFormat=\"HH:mm:ss\" data-past=\"2026-04-17\" data-year_range=\"50\"\t\ttype=\"text\"\nreadonly=\"readonly\"\nname=\"ipt_fsqm_form_67[pinfo][14][value]\"\nid=\"ipt_fsqm_form_67_pinfo_14_value\"\nmaxlength=\"524288\"\nvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipt-icomoon-calendar ipticm prefix\"><\/i>\n<label\nfor=\"ipt_fsqm_form_67_pinfo_14_value\">Select Birthday<\/label>\n<a\nhref=\"javascript:;\" class=\"eform-dp-clear\" title=\"Clear\">&times;<\/a><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[pinfo][15][m_type]\" id=\"ipt_fsqm_form_67_pinfo_15_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[pinfo][15][type]\" id=\"ipt_fsqm_form_67_pinfo_15_type\" value=\"s_checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_s_checkbox\" id=\"ipt_fsqm_form_67_pinfo_15\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_label_column column_1\">\n<input\ntype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in  ipt_uif_s_checkbox\"\nname=\"ipt_fsqm_form_67[pinfo][15][value]\" id=\"ipt_fsqm_form_67_pinfo_15_value_1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_67_pinfo_15_value_1\" data-labelcon=\"&#xe18e;\">\nI agree with the Terms and Conditions of Use\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[pinfo][16][m_type]\" id=\"ipt_fsqm_form_67_pinfo_16_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[pinfo][16][type]\" id=\"ipt_fsqm_form_67_pinfo_16_type\" value=\"s_checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_s_checkbox\" id=\"ipt_fsqm_form_67_pinfo_16\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_label_column column_1\">\n<input\ntype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in  ipt_uif_s_checkbox\"\nname=\"ipt_fsqm_form_67[pinfo][16][value]\" id=\"ipt_fsqm_form_67_pinfo_16_value_1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_67_pinfo_16_value_1\" data-labelcon=\"&#xe18e;\">\nI agree that Raffles Medical Phnom Penh may collect, use and disclose my personal data to contact me in accordance with RM\u2019s data protection policy.\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][16][m_type]\" id=\"ipt_fsqm_form_67_design_16_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_67[design][16][type]\" id=\"ipt_fsqm_form_67_design_16_type\" value=\"iconbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_iconbox\" id=\"ipt_fsqm_form_67_design_16\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt-eform-material-button-container align-center size-medium ipt_fsqm_form_button_container--flat eform-material-rounded-pb\"><div\nclass=\"eform-button-container-inner\">\n<a\nhref=\"#eform-submit\"  class=\"ipt_uif_button eform-material-button eform-ripple eform-manual-nav-button-submit\">\n<i\nclass=\"ipticm\" data-ipt-icomoon=\"&#xe0d7;\"><\/i>\t\tSubmit\t<\/a><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear\"><\/div><div\nclass=\"ipt_fsqm_terms_wrap ui-widget-content\"><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_label_column column_1\">\n<input\ntype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in  ipt_uif_s_checkbox\"\nname=\"ipt_fsqm_terms_67\" id=\"ipt_fsqm_terms_67_1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_terms_67_1\" data-labelcon=\"&#xe18e;\">\nBy submitting this form, you hereby agree to accept our <a\nhref=\"https:\/\/repoffice.rafflesmedical.com.kh\/kh\/make-appointment\/\" target=\"_blank\">Terms & Conditions<\/a>. 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If all other sites open fine, then please contact the administrator of this website with the following information.<\/p><p\nclass=\"jqXHR\">\n<strong>TextStatus: <\/strong><span\nclass=\"textStatus\">undefined<\/span><br\n\/>\n<strong>HTTP Error: <\/strong><span\nclass=\"errorThrown\">undefined<\/span><\/p><\/div><\/div><div\nstyle=\"display: none\" class=\"ipt_uif_widget_box ipt_fsqm_form_message_process\"><div\nclass=\"ui-widget ui-widget-header ui-corner-all\"><style type=\"text\/css\">.ipt_uif_ajax_loader,\n\t\t\t.ipt_uif_ajax_loader *,\n\t\t\tipt_uif_ajax_loader *::before,\n\t\t\tipt_uif_ajax_loader *::after {\n\t\t\t\tbox-sizing: border-box;\n\t\t\t}<\/style><div\nclass=\"ipt-eform-preloader-inline ipt_uif_ajax_loader\"><div\nclass=\"ipt-eform-preloader-inner\"><div\nclass=\"ipt-eform-preloader-circle\"><div\nclass=\"preloader-wrapper active\"><div\nclass=\"spinner-layer spinner-blue\"><div\nclass=\"circle-clipper 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right\"><div\nclass=\"circle\"><\/div><\/div><\/div><\/div><\/div><div\nclass=\"ipt-eform-preloader-text\"><div\nclass=\"ipt-eform-preloader-text-inner ipt_uif_ajax_loader_text\">Processing your request<\/div><\/div><div\nclass=\"clear\"><\/div><\/div><\/div><\/div><\/div><div\nstyle=\"display: none;\" class=\"ipt_fsqm_form_validation_error ui-widget ui-widget-content ui-corner-all ipt_uif_widget_box\"><div\nclass=\"ui-helper-reset ui-helper-clearfix ui-widget-header ui-corner-all\"><div><i\ntitle=\"\" class=\" ipt-icomoon-warning2 ipticm prefix\"><\/i>\n<span\nclass=\"fsqm_ve_text\">Error<\/span><\/div><\/div><div\nclass=\"ui-widget-content ui-corner-all\"><p\nclass=\"fsqm_ve_msg\">Some error has occured.<\/p><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>1. \u1780\u17b6\u179a\u1791\u17b6\u1780\u17cb\u1791\u1784\u178f\u17b6\u1798\u1791\u17bc\u179a\u179f\u17d0\u1796\u17d2\u1791 \u178a\u17be\u1798\u17d2\u1794\u17b8\u178e\u17b6\u178f\u17cb\u1787\u17bd\u1794\u1793\u17c5\u1782\u17d2\u179b\u17b8\u1793\u17b7\u1780\u179a\u17c9\u17b6\u17a0\u17d2\u179c\u179b\u1798\u17c1\u178c\u17b8\u1781\u179b\u1793\u17c5\u1797\u17d2\u1793\u17c6\u1796\u17c1\u1789 \u17a2\u178f\u17b7\u1790\u17b7\u1787\u1793\u17a2\u17b6\u1785\u1792\u17d2\u179c\u17be\u1780\u17b6\u179a\u1791\u17c6\u1793\u17b6\u1780\u17cb\u1791\u17c6\u1793\u1784\u178f\u17b6\u1798\u1791\u17bc\u179a\u179f\u17d0\u1796\u17d2\u1791\u178a\u17c4\u1799\u1795\u17d2\u1791\u17b6\u179b\u17cb\u1798\u1780\u1780\u17b6\u1793\u17cb\u179b\u17c1\u1781 012 816 911 \u178a\u17be\u1798\u17d2\u1794\u17b8\u1787\u17bd\u1794\u1797\u17d2\u1793\u17b6\u1780\u17cb\u1784\u17b6\u179a\u1794\u1798\u17d2\u179a\u17be\u1780\u17b6\u179a\u179f\u17c1\u179c\u17b6\u1780\u1798\u17d2\u1798\u1787\u17bc\u1793\u17a2\u178f\u17b7\u1790\u17b7\u1787\u1793\u17d4 \u1785\u17c6\u1796\u17c4\u17c7\u1798\u17c9\u17c4\u1784\u178e\u17b6\u178f\u17cb\u1787\u17bd\u1794 \u179f\u17bc\u1798\u1795\u17d2\u1789\u17be\u179f\u17b6\u179a\u178f\u17b6\u1798 \u17a2\u17bb\u17b8\u1798\u17c9\u17c2\u179b\u1798\u1780\u1780\u17b6\u1793\u17cb enquiries_phnompenh@rafflesmedical.com\u00a0 \u00a0 2. \u1780\u17b6\u179a\u178e\u17b6\u178f\u17cb\u1787\u17bd\u1794\u178f\u17b6\u1798\u1794\u17d2\u179a\u1796\u17d0\u1793\u17d2\u1792\u17a2\u17bb\u17b7\u1793\u1792\u17ba\u178e\u17c2\u178f 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\u17a2\u178f\u17b7\u1790\u17b7\u1787\u1793\u179c\u17b7\u1789 \u1780\u17d2\u1793\u17bb\u1784\u179a\u1799\u17c8\u1796\u17c1\u179b 24 \u1798\u17c9\u17c4\u1784\u1792\u17d2\u179c\u17be\u1780\u17b6\u179a \u178a\u17be\u1798\u17d2\u1794\u17b8\u1794\u1789\u17d2\u1787\u17b6\u1780\u17cb\u1796\u17b8\u1780\u17b6\u179a\u178e\u17b6\u178f\u17cb\u1787\u17bd\u1794\u17d4 \u179f\u17bc\u1798\u1785\u17c6\u178e\u17b6\u17c6 : \u17a2\u178f\u17b7\u1790\u17b7\u1787\u1793\u179f\u17bc\u1798\u1798\u17c1\u178f\u17d2\u178f\u17b6\u1795\u17d2\u178f\u179b\u17cb\u1796\u178f\u17cc\u1798\u17b6\u1793\u1782\u17d2\u179a\u1794\u17cb\u1782\u17d2\u179a\u17b6\u1793\u17cb(*). \u179f\u17bc\u1798\u1798\u17c1\u178f\u17d2\u178f\u17b6\u1780\u17c6\u178e\u178f\u17cb\u1780\u17b6\u179a\u178e\u17b6\u178f\u17cb\u1787\u17bd\u1794\u1798\u17bb\u1793\u1796\u17c1\u179b\u1798\u1780\u1796\u17b7\u1793\u17b7\u178f\u17d2\u1799 \u1799\u17c9\u17b6\u1784\u178f\u17b7\u1785\u1794\u17c6\u1795\u17bb\u178f\u1782\u17ba 24 \u1798\u17c9\u17c4\u1784 \u17d4 \u1785\u17c6\u1796\u17c4\u17c7\u179a\u17b6\u179b\u17cb\u178f\u1798\u17d2\u179a\u17bc\u179c\u1780\u17b6\u179a\u1796\u17b7\u1793\u17b7\u178f\u17d2\u1799\u1780\u17d2\u1793\u17bb\u1784\u1790\u17d2\u1784\u17c3\u178a\u178a\u17c2\u179b \u179f\u17bc\u1798\u1798\u17c1\u178f\u17d2\u178f\u17b6\u1791\u17c6\u1793\u17b6\u1780\u17cb\u1791\u1784\u178a\u17c4\u1799\u1795\u17d2\u1791\u17b6\u179b\u17cb \u1780\u179a\u178e\u17b8\u1796\u17b7\u1793\u17b7\u178f\u17d2\u1799\u179f\u1784\u17d2\u1782\u17d2\u179a\u17c4\u17c7\u1794\u1793\u17d2\u1791\u17b6\u1793\u17cb \u179f\u17bc\u1798\u1798\u17c1\u178f\u17d2\u178f\u17b6\u1791\u17c6\u1793\u17b6\u1780\u1791\u17c6\u1793\u1784\u178f\u17b6\u1798\u179b\u17c1\u1781\u1791\u17bc\u179a\u179f\u17d0\u1796\u17d2\u1791 +855 12 816 911 \u17ac\u1798\u1780\u178a\u179b\u17cb\u1782\u17d2\u179b\u17b8\u1793\u17b7\u1780\/ 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