Request to schedule an appointment with our expert consultants. Columbia Asia Hospitals offers medical services across a wide range of specialities. Fill in your details below to request for an appointment or consultation at one of our hospitals in Indonesia today. Patient Information All the fields marked as * are important information for us Name * IC / Passport * Gender * Male Female Date of Birth * Day12345678910111213141516171819202122232425262728293031 Day MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Year Phone / Mobile Number * *E.g: +62xxxxxxxxx Email * Appointment Details Hospital * - Select -MedanPulomasSemarang Department / Specialty * - Select -CardiologyClinical NutritionDentalDermatologyDigestive SurgeryEar And Nose And ThroatGeneral SurgeryInternal MedicineMedical RehabilitationNeuro surgeryObstetrics And GynecologyOncology - MedicalOncology - SurgeryOpthalmologyOral Maxillofacial SurgeryOral MedicineOrthodontryOrthopedicsPaediatricsPsychiatryPulmonologyTropical MedicineUrologyVascular SurgeryOthers Doctor - Select -Select Doctordrg. Eddy Anwar Ketarendrg. Shaukat Osmanidrg. Afifuddin Appointment Category First visit Follow Up Priority * Next available slot Within next 7 days Within next 15 days Message Send yourself a copy Send yourself a copy Submit Submit
