Chung-Ang University Gwang Myeong Hospital

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Patient Information

Patient Information
*First Name
*Last Name
Phone Number
*Email
*Password	Use 8-20 characters with at least three character categories - uppercase characters, lowercase characters, numbers, and special characters (~!@#$%^&*).
*Confirm Password
*Gender	MALE FEMALE
*Date of Birth
Alien Registration No.
Passport No.
*Nationality
Language
Country of residence
*Korean National Health lnsurance	YES NO
*
Using Chung-Ang University Hospital before?	YES NO

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