Sistem Informasi Pendaftaran MCU

MCU Registration Information System

Please fill in the registration data according to your Identity.

1 MCU Region * Wilayah MCU

2 Planned MCU Date * Real-time Queue Check

Form Fields are Currently Locked

Please select MCU Region and Planned MCU Date above first. A queue notification pop-up will appear, then click Continue to unlock all other form fields.

Identity Type & Identity Number

Full Name

Date of Birth *

Age

Gender

Group

FILLING GUIDELINES:
General/Pre-Employment MCU Patients: fill with -

Department *

FILLING GUIDELINES:
General/Pre-Employment MCU Patients: fill with -
Corporate Annual MCU Patients: fill with your department/division

WhatsApp Number

Email (Optional)

Company

FILLING GUIDELINES:
General patients should choose UMUM
If your company name is not listed, please contact our registration team.

Examination Package

Payment Method

FILLING GUIDELINES:
If the patient pays directly, choose CASH/QRIS/TRANSFER
If the bill is paid by the company, choose COMPANY PAID / COMPANY INVOICE

Upload ID/Passport Photo

Choose a file from your device or use the camera directly. The system will compress automatically.