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Home > Health Services > TeleMed > Payment confirmation

Use this form below to submit your payment confirmation for Online Video Consultation with our Doctor.

Reservation Data

Input your reservation data accordingly to confirm your payment. Please input the number of your online video consultation reservation according to your email notification.

Payment Data

Attach your payment screenshot/receipt using file uploader below


  • Payment confirmation

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    Abdi Waluyo Hospital
    Jl. HOS Cokroaminoto No. 31
    Jakarta Pusat - Indonesia
    Telephone 021-3144989; 021-3140524; 021-3146621
    Fax 021-31930866

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