Chưa có sản phẩm trong giỏ hàng.
1. Họ và tên (氏名)
1.1 Vui lòng dán link Facebook của bạn vào đây.Facebookのリンクを追加してください
2.Ngày tháng năm sinh(誕生日)
3.Gới tính (性別を教えて下さい。) —以下から選択してください—男性(Nam)女性(Nữ)
4.Địa chỉ gmail của bạn(メールアドレス。)
—以下から選択してください—YESNO
YESNOVẫn chưa được 6 tháng まだ6カ月たっていない
—以下から選択してください—10:00~10:1510:15~10:3010:30~10:4510:45~11:0011:00~11:1511:15~11:3011:30~11:4511:45~12:0012:00~12:1512:15~12:3012:30~12:4512:45~13:0013:00~13:1513:15~13:3013:30~13:4513:45~14:0015:00~15:1515:15~15:3015:30~15:4515:45~16:0017:00~17:1517:15~17:3017:30~17:4517:45~18:0018:00~18:1518:15~18:3018:30~18:4518:45~19:0019:00~19:1519:15~19:3019:30~19:4519:45~20:0020:00~20:1520:15~20:3020:30~20:4520:45~21:00—以下から選択してください—10:00~10:1510:15~10:3010:30~10:4510:45~11:0011:00~11:1511:15~11:3011:30~11:4511:45~12:0012:00~12:1512:15~12:3012:30~12:4512:45~13:0013:00~13:1513:15~13:3013:30~13:4513:45~14:0015:00~15:1515:15~15:3015:30~15:4515:45~16:0017:00~17:1517:15~17:3017:30~17:4517:45~18:0018:00~18:1518:15~18:3018:30~18:4518:45~19:0019:00~19:1519:15~19:3019:30~19:4519:45~20:0020:00~20:1520:15~20:3020:30~20:4520:45~21:00—以下から選択してください—10:00~10:1510:15~10:3010:30~10:4510:45~11:0011:00~11:1511:15~11:3011:30~11:4511:45~12:0012:00~12:1512:15~12:3012:30~12:4512:45~13:0013:00~13:1513:15~13:3013:30~13:4513:45~14:0015:00~15:1515:15~15:3015:30~15:4515:45~16:0017:00~17:1517:15~17:3017:30~17:4517:45~18:0018:00~18:1518:15~18:3018:30~18:4518:45~19:0019:00~19:1519:15~19:3019:30~19:4519:45~20:0020:00~20:1520:15~20:3020:30~20:4520:45~21:00
—以下から選択してください—10:00~10:1510:15~10:3010:30~10:4510:45~11:0011:00~11:1511:15~11:3011:30~11:4511:45~12:0012:00~12:1512:15~12:3012:30~12:4512:45~13:0013:00~13:1513:15~13:3013:30~13:4513:45~14:0015:00~15:1515:15~15:3015:30~15:4515:45~16:0017:00~17:1517:15~17:3017:30~17:4517:45~18:0018:00~18:1518:15~18:3018:30~18:4518:45~19:0019:00~19:1519:15~19:3019:30~19:4519:45~20:0020:00~20:1520:15~20:3020:30~20:4520:45~21:00—以下から選択してください—10:00~10:1510:15~10:3010:30~10:4510:45~11:0011:00~11:1511:15~11:3011:30~11:4511:45~12:0012:00~12:1512:15~12:3012:30~12:4512:45~13:0013:00~13:1513:15~13:3013:30~13:4513:45~14:0015:00~15:1515:15~15:3015:30~15:4515:45~16:0017:00~17:1517:15~17:3017:30~17:4517:45~18:0018:00~18:1518:15~18:3018:30~18:4518:45~19:0019:00~19:1519:15~19:3019:30~19:4519:45~20:0020:00~20:1520:15~20:3020:30~20:4520:45~21:00—以下から選択してください—10:00~10:1510:15~10:3010:30~10:4510:45~11:0011:00~11:1511:15~11:3011:30~11:4511:45~12:0012:00~12:1512:15~12:3012:30~12:4512:45~13:0013:00~13:1513:15~13:3013:30~13:4513:45~14:0015:00~15:1515:15~15:3015:30~15:4515:45~16:0017:00~17:1517:15~17:3017:30~17:4517:45~18:0018:00~18:1518:15~18:3018:30~18:4518:45~19:0019:00~19:1519:15~19:3019:30~19:4519:45~20:0020:00~20:1520:15~20:3020:30~20:4520:45~21:00 .木 —以下から選択してください—10:00~10:1510:15~10:3010:30~10:4510:45~11:0011:00~11:1511:15~11:3011:30~11:4511:45~12:0012:00~12:1512:15~12:3012:30~12:4512:45~13:0013:00~13:1513:15~13:3013:30~13:4513:45~14:0015:00~15:1515:15~15:3015:30~15:4515:45~16:0017:00~17:1517:15~17:3017:30~17:4517:45~18:0018:00~18:1518:15~18:3018:30~18:4518:45~19:0019:00~19:1519:15~19:3019:30~19:4519:45~20:0020:00~20:1520:15~20:3020:30~20:4520:45~21:00 —以下から選択してください—10:00~10:1510:15~10:3010:30~10:4510:45~11:0011:00~11:1511:15~11:3011:30~11:4511:45~12:0012:00~12:1512:15~12:3012:30~12:4512:45~13:0013:00~13:1513:15~13:3013:30~13:4513:45~14:0015:00~15:1515:15~15:3015:30~15:4515:45~16:0017:00~17:1517:15~17:3017:30~17:4517:45~18:0018:00~18:1518:15~18:3018:30~18:4518:45~19:0019:00~19:1519:15~19:3019:30~19:4519:45~20:0020:00~20:1520:15~20:3020:30~20:4520:45~21:00 —以下から選択してください—10:00~10:1510:15~10:3010:30~10:4510:45~11:0011:00~11:1511:15~11:3011:30~11:4511:45~12:0012:00~12:1512:15~12:3012:30~12:4512:45~13:0013:00~13:1513:15~13:3013:30~13:4513:45~14:0015:00~15:1515:15~15:3015:30~15:4515:45~16:0017:00~17:1517:15~17:3017:30~17:4517:45~18:0018:00~18:1518:15~18:3018:30~18:4518:45~19:0019:00~19:1519:15~19:3019:30~19:4519:45~20:0020:00~20:1520:15~20:3020:30~20:4520:45~21:00 .金 —以下から選択してください—10:00~10:1510:15~10:3010:30~10:4510:45~11:0011:00~11:1511:15~11:3011:30~11:4511:45~12:0012:00~12:1512:15~12:3012:30~12:4512:45~13:0013:00~13:1513:15~13:3013:30~13:4513:45~14:0015:00~15:1515:15~15:3015:30~15:4515:45~16:0017:00~17:1517:15~17:3017:30~17:4517:45~18:0018:00~18:1518:15~18:3018:30~18:4518:45~19:0019:00~19:1519:15~19:3019:30~19:4519:45~20:0020:00~20:1520:15~20:3020:30~20:4520:45~21:00 —以下から選択してください—10:00~10:1510:15~10:3010:30~10:4510:45~11:0011:00~11:1511:15~11:3011:30~11:4511:45~12:0012:00~12:1512:15~12:3012:30~12:4512:45~13:0013:00~13:1513:15~13:3013:30~13:4513:45~14:0015:00~15:1515:15~15:3015:30~15:4515:45~16:0017:00~17:1517:15~17:3017:30~17:4517:45~18:0018:00~18:1518:15~18:3018:30~18:4518:45~19:0019:00~19:1519:15~19:3019:30~19:4519:45~20:0020:00~20:1520:15~20:3020:30~20:4520:45~21:00 —以下から選択してください—10:00~10:1510:15~10:3010:30~10:4510:45~11:0011:00~11:1511:15~11:3011:30~11:4511:45~12:0012:00~12:1512:15~12:3012:30~12:4512:45~13:0013:00~13:1513:15~13:3013:30~13:4513:45~14:0015:00~15:1515:15~15:3015:30~15:4515:45~16:0017:00~17:1517:15~17:3017:30~17:4517:45~18:0018:00~18:1518:15~18:3018:30~18:4518:45~19:0019:00~19:1519:15~19:3019:30~19:4519:45~20:0020:00~20:1520:15~20:3020:30~20:4520:45~21:00 .土 —以下から選択してください—10:00~10:1510:15~10:3010:30~10:4510:45~11:0011:00~11:1511:15~11:3011:30~11:4511:45~12:0012:00~12:1512:15~12:3012:30~12:4512:45~13:0013:00~13:1513:15~13:3013:30~13:4513:45~14:0015:00~15:1515:15~15:3015:30~15:4515:45~16:0017:00~17:1517:15~17:3017:30~17:4517:45~18:0018:00~18:1518:15~18:3018:30~18:4518:45~19:0019:00~19:1519:15~19:3019:30~19:4519:45~20:0020:00~20:1520:15~20:3020:30~20:4520:45~21:00 —以下から選択してください—10:00~10:1510:15~10:3010:30~10:4510:45~11:0011:00~11:1511:15~11:3011:30~11:4511:45~12:0012:00~12:1512:15~12:3012:30~12:4512:45~13:0013:00~13:1513:15~13:3013:30~13:4513:45~14:0015:00~15:1515:15~15:3015:30~15:4515:45~16:0017:00~17:1517:15~17:3017:30~17:4517:45~18:0018:00~18:1518:15~18:3018:30~18:4518:45~19:0019:00~19:1519:15~19:3019:30~19:4519:45~20:0020:00~20:1520:15~20:3020:30~20:4520:45~21:00 —以下から選択してください—10:00~10:1510:15~10:3010:30~10:4510:45~11:0011:00~11:1511:15~11:3011:30~11:4511:45~12:0012:00~12:1512:15~12:3012:30~12:4512:45~13:0013:00~13:1513:15~13:3013:30~13:4513:45~14:0015:00~15:1515:15~15:3015:30~15:4515:45~16:0017:00~17:1517:15~17:3017:30~17:4517:45~18:0018:00~18:1518:15~18:3018:30~18:4518:45~19:00 .日 —以下から選択してください—10:00~10:1510:15~10:3010:30~10:4510:45~11:0011:00~11:1511:15~11:3011:30~11:4511:45~12:0012:00~12:1512:15~12:3012:30~12:4512:45~13:0013:00~13:1513:15~13:3013:30~13:4513:45~14:0015:00~15:1515:15~15:3015:30~15:4515:45~16:0017:00~17:1517:15~17:3017:30~17:4517:45~18:0018:00~18:1518:15~18:3018:30~18:4518:45~19:0019:00~19:1519:15~19:3019:30~19:4519:45~20:0020:00~20:1520:15~20:3020:30~20:4520:45~21:00 —以下から選択してください—10:00~10:1510:15~10:3010:30~10:4510:45~11:0011:00~11:1511:15~11:3011:30~11:4511:45~12:0012:00~12:1512:15~12:3012:30~12:4512:45~13:0013:00~13:1513:15~13:3013:30~13:4513:45~14:0015:00~15:1515:15~15:3015:30~15:4515:45~16:0017:00~17:1517:15~17:3017:30~17:4517:45~18:0018:00~18:1518:15~18:3018:30~18:4518:45~19:0019:00~19:1519:15~19:3019:30~19:4519:45~20:0020:00~20:1520:15~20:3020:30~20:4520:45~21:00 —以下から選択してください—10:00~10:1510:15~10:3010:30~10:4510:45~11:0011:00~11:1511:15~11:3011:30~11:4511:45~12:0012:00~12:1512:15~12:3012:30~12:4512:45~13:0013:00~13:1513:15~13:3013:30~13:4513:45~14:0015:00~15:1515:15~15:3015:30~15:4515:45~16:0017:00~17:1517:15~17:3017:30~17:4517:45~18:0018:00~18:1518:15~18:3018:30~18:4518:45~19:00 15. Đối với bệnh nhân muốn tiếp tục dùng thuốc, lần này bạn muốn dùng bao nhiêu tháng 薬の継続を希望する方。今回は何ヶ月分を希望しますか? —以下から選択してください—1ヶ月2ヶ月3ヶ月6ヶ月 16. Chấp nhận điều khoản và bắt đầu dịch vụ.(利用規約に同意): Chấp nhận điều khoản và bắt đầu dịch vụ.(利用規約に同意) 利用規約. Vì file có đính kèm hình ảnh , bạn vui lòng chờ trong vài giây nhé ! 問診表の送付に時間がかかりますが、送付完了と出るまでお待ち下さい。
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