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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)
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—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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