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Identification Card
Driver Lisence
Requested Service
Package Test
RM120.00
Description
Package test
Appointment Date & Time
Set this session as complete
Complete this session and set date and time for the next session
Clincal Note
Write down clinical note for this session
Next Session Appointment
Setup the next session appointment date and time
Date
Time
Requested Service
RM
Description
Requested By
call
Appointment Date
Session Management System
This request require you to complete all the session before ending it.
Please briefly explain your problem / health condition
Time slot
Please select your prefered time slot for your session
Date
Please select your prefered date your session
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Total Price: RM
Order Data
Patient Information
Doctor Information
Prescribed Medication
Order Data
Patient Information
Purchase
Once you set this order as prepared our rider will come and pick it up and deliver to the patient
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Reason
Before you can proceed serving our client we need your to set up your account.
Health Service Provider Type
IC Front
A photo infront of your IC
IC Back
The back part photo of your IC
University / College
Name of your university / college
Degree / Diploma Ceterficate (PNG/JPG)
A photo of your degree / diploma issued by your university / college
Degree / Diploma Ceterficate (PDF)
Your degree / diploma issued by your university / college (PDF)
Number
Your membership id provided by to you
Membership ID assign to you by
Ceterficate (PNG/JPG)
Ceterficiate issued by
Ceterficate
Ceterficiate issued by (PDF)
Organization name
Designation
Organization Address
Organization City
Organization State
Organization Postcode
Organization Country
Organization Phone Number (Optional)
Organization Fax Number (Optional)
Organization registeration number (Optional)
Complete the form and submit
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Pin Number (Minimum 8 number)
Signature
A photo of your signature on a clear white-background
Manage your profile
Profile Picture
Manage Your Signate
Signature
Organization name
Designation
Organization Address
Organization City
Organization State
Organization Postcode
Organization Country
Organization Phone Number (Optional)
Organization Fax Number (Optional)
Organization registeration number (Optional)
Service Name
Service Description
Sessions
This package has sessions
Service Name
Service Description
Walk in center address
Appointment Date
Appointment Time
Service Provider
Requested Service
Requester Information
Apointment Time
Address
Landmark / House NO / Block / Building
Sessions
This package has sessions
settings Actions
Status:
Provider:
settings Actions
Status:
Date
The exact date you want our service provider to comeTime
The exact time you want our service provider to comePatient Detail
Name
IC Number
Height
Weight
Known Illnesses
Select Option
Address
Landmark, House number, Floors
Price: RM
Select Walkin Center
Please select walk in center
Please make sure our walk in center is reach able by you.
Medicine Detail
Dosage
tablet mL mg PessaryRoute
Frequency
Before or after meal
Time
Remarks
Test Type:
Sample Collection Date:
Collection Address:
Lab Review:
Files:
Before you can proceed to serve patient in our platform we need to verify your credibility. Please complete the form
Please update this app at https://epink.health/download/
Session Detail
Booking detail
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Booking Date: Loading session date...
Reason:
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Clinical Note
Medical Leave Cert
Refer to
Prescribed Medication
Self Pick Up
Pick up your medication
Delivery
Request a delivery service
Payment Detail
Consultation Fee: RM0.00
Medication Fee: RM0.00
Delivery Address: Click to set
Delivery Fee: RM
Total Price: RM
Patient Assessment
Refer toReferral for futher investigation
This session has been ended by the service provider
Leave a review
Rate this user
Review
Patient Detail
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Height: Weight:
Heart Rate: Not set
Blood Preasure: Not set
Booking Date: Loading session date...
Reason: Loading reason
Patient Diagnose
Write down your diagnose toward the patients
Clinical Note
Subjective (underlying diseases, chief complaints)
Objective (General, vital signs, clinical findings, fluid balance, investigations)
Assessment
Plan (Futher treatment, investigation)
Proceed to prescribe medication to patient
Clinical Note
Subjective (underlying diseases, chief complaints)
Objective (General, vital signs, clinical findings, fluid balance, investigations)
Assessment
Plan (Futher treatment, investigation)
Refer to (Doctor, specialist, clinic, hospital)
End this session with the user
Prescribe Medicineadd
MC (Optional) add
Refer to (Optional) add
End session with this patient
Referal letter:
MC:
Prescribed Medication
Clinical note issued by you to the customer
Refer toYou have refered the customer to
This session has been ended by you.
Welcome to your dashboard
Good evening DR.
You have active session with patient.
Care Request
Hold on we are search for the nearest doctor to accomodate your request
DR. JOHN DOE
EDUCATION
...
SPECIALITY (Verified)
NONE
COUNTRY OF PRACTICE
...
LANGUAGE
...
ABOUT ME
PATIENTS ATTENDED
REVIEWS SEE ALL
Hourly Rate
RM10.00Wallet
RM10.00Pick Up
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Drop Off
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Distance: 0KM Price: RM0.00
Current balance
Bank Information
In order transfer your wallet balance into your bank account we need you to fill in your bank account information.
Bank Name
Account Number
My balance
Your balance will be transfered to your bank account on
Recent transaction
Wallet balance
Please set top up ammount.
Minimum top up amount is RM10.00
| Amount | Date | Status |
|---|
Select Kit
Price: RM5.00
Enter Address
Your self test kit will be delivered to the address you provided
Confirm Order
Price: RM0.00
Finalize Order
Verification Fee: RM15.00
Delivery Price: RM
Total Price: RM
Delivery Address:
Landmark
(House number, floor number, hotel Room Number, ect)Your kit will arrive with in 1-3 hour
CONSULTANCY
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PHARMACY
Buy medication or medical tools or equipment
CARE
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E-LAB
Get tested
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Care
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ePink Swab
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Management
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Job History
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Purchase history
RM100.00
This product require prescription
RM100.00
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IC / Passport Verification
Please take a photo of you holding your identification card / passport
Gender
Phone Number
Password
Password (Re-type)
Referer code
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My referral code
Use this code to earn referral benefits
Product Picture
Product information
Category
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Sub Category
Product Name
Description
Stock
About
Precautions
Side Effects
Quick Tips
Overview
What If You Forget To Take
FAQS
Required Prescription?
Price
Total Price: RM 5% fees
PRODUCTS
SPECIALITY
Speciality registered on National Specialist Register
NSR NO
Valid NSR Number issued by National Specialist Register
NSR E-CERTIFICATE
A PDF copy of E certificate issued by National Specialist Register
Version
Version
Account Information
Profile Picture
