ID Card Number(Foreigners: Passport Number or Resident Certificate ID Number) Birth Date (YYYMMDD)(Please convert Western years into Republic of China years. Subtract 1911 from the Western year. e.g., 1998 would be 1998-1911 = the 87th year，※1998/01/21=0870121) Validation Code Enter Validation Code Identity： Applicant Agent Category of Medical Records： OPD Chinese Medicine
ID Card Number(Foreigners: Passport Number or Resident Certificate ID Number)
Birth Date (YYYMMDD)(Please convert Western years into Republic of China years. Subtract 1911 from the Western year. e.g., 1998 would be 1998-1911 = the 87th year，※1998/01/21=0870121)
Validation Code
Identity： Applicant Agent Category of Medical Records： OPD Chinese Medicine
Identity： Applicant Agent
Category of Medical Records： OPD Chinese Medicine
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