Htar-mrec-mr-004 2026

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  1. Click ‘Get Form’ to open the htar-mrec-mr-004 in the editor.
  2. Begin by filling out the 'MAKLUMAT PEMOHON' section. Enter your name, identification number (No. K.P @ Pasport), relationship to the patient, and contact details including address and phone numbers.
  3. Next, complete the 'MAKLUMAT PESAKIT' section. Provide the patient's name, identification number, age, gender, clinic/ward information, and treatment dates.
  4. Indicate if there are any outstanding debts at the hospital by selecting 'Ada' or 'Tiada'.
  5. In the 'LAPORAN YANG DIPOHON' section, check the appropriate box for the type of medical report requested.
  6. Fill in the 'KEIZINAN DARIPADA PESAKIT' section with signatures and names as required.
  7. Finally, review all entered information for accuracy before submitting your form through our platform.

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