Patient Information

Patient Pre-Registration

  • Save your time by pre-register yourself as PPUM patient below
  • Walkin to the registration counter and get your confirmation by giving your ic/passport
  • Your pre registration details will be retrieved immediately
  • Patient Registration Number (RN) will be created


  • Fill up Your Details Here

     
    Title * :      
    Name * :   Religion :
    mykad/MyKid * :  
      * IC:800202141234
      Ethnic :
    DOB *

    :

      Spoken Language :
    Country Of Birth :   Occupation :
    Gender :   Marital Status :
    Nationality :   Patient Category * :
             

    Mailing Address

     
    Address :   Contact No (H) :
      :   Contact No (M) :
      :   Email Address :
      :  
    Postcode :    
    City :    
    State :    
    Country :    

     

     

    ALAMAT

    • Pusat Perubatan Universiti Malaya,
      Lembah Pantai, 59100,
      Kuala Lumpur, MALAYSIA

    EMEL

    • Emel : ummc@ummc.edu.my

    TEL

    • No Tel : 03-79494422
      Faks : 03-79492030

    LAMAN WEB

    • LAMAN WEB : www.ummc.edu.my