‫ﺑﻄﺎﻗﺔ ﻣﻮﻋﺪ‬

Appointment Slip

: ‫ب‬.‫ﺻﺺ‬٣٣٥٤ ‫ اﻟﺮﻳﺎض‬١١٢١١ :‫ ﻫﺎﺗﻒ‬.‫ اﻟﻤﻤﻠﻜﺔ اﻟﻌﺮﺑﻴﺔ اﻟﺴﻌﻮدﻳﺔ‬٠٠٩٦٦١١٤٦٤٧٢٧٢ :‫ ﻓﺎﻛﺲ‬.٠٠٩٦٦١١٤٤١٤٨٣٩

P.O. Box: 3354 Riyadh 11211, Kingdom of Saudi Arabia. Tel: +96611 4414839 Fax: +96611 4414839

www.kfshrc.edu.sa
 Mohammed Eidhah Mohammed
Name ‫ﻣﺤﻤﺪ ﻋﻴﻀﻪ ﻣﺤﻤﺪ اﻟﻤﺎﻟﻜﻲ‬ ‫اﻹﺳﻢ‬
Almalki

Medical Record
5421680 5421680 ‫رﻗﻢ اﻟﻤﻠﻒ‬
Number

Ref Source Clinic ( Return visit ) ‫اﻟﻌﻴﺎدة‬ ‫ﻣﺤﻮل ﻣﻦ‬

Visit Type J Endoscopy Visit ‫ﻣﺮاﺟﻌﻪ‬ ‫ﻧﻮع اﻟﻤﻮﻋﺪ‬

Prov. Name Visit J Endoscopy ‫وﺣﺪة اﻟﻤﻨﺎﻇﻴﺮ‬ ‫ﻟﻤﺮاﺟﻌﺔ‬

Specialty MED-Endoscopy ‫ اﻟﻤﻨﺎﻇﻴﺮ‬- ‫ﻗﺴﻢ اﻟﺒﺎﻃﻨﻴﺔ‬ ‫اﻻﺧﺘﺼﺎص‬

Visit Place Endoscopy - East Wing ‫ اﻟﺪور اﻟﺜﺎﻧﻲ‬- ‫وﺣﺪة اﻟﻤﻨﺎﻇﻴﺮ‬ ‫ﻣﻜﺎن اﻟﻤﻮﻋﺪ‬

Building Main Building ‫اﻟﻤﺒﻨﻰ اﻟﺮﺋﻴﺴﻲ‬ ‫اﻟﻤﺒﻨﻰ‬

‫ﻣﺴﺘﺸﻔﻰ اﻟﻤﻠﻚ ﻓﻴﺼﻞ اﻟﺘﺨﺼﺼﻲ وﻣﺮﻛﺰ‬

Facility KFSH&RC Jeddah ‫اﻟﻤﺴﺘﺸﻔﻰ‬
‫ ﺟﺪة‬-‫اﻷﺑﺤﺎث‬

Visit Day Tuesday ‫اﻟﺜﻼﺛﺎء‬ ‫ﻳﻮم اﻟﻤﻮﻋﺪ‬

Visit Time 07:30 AM 07:30 ‫ﺻﺒﺎﺣﺎﹰ‬ ‫وﻗﺖ اﻟﻤﻮﻋﺪ‬

Visit Date H 03 Shaban 1445 1445 ‫ ﺷﻌﺒﺎن‬03 ‫ﺗﺎرﻳﺦ اﻟﻤﻮﻋﺪ‬

Visit Date G 13 February 2024 2024 ‫ ﻓﺒﺮاﻳﺮ‬13 ‫اﻟﻤﻮاﻓﻖ‬

Tel. No 0126698000 0126698000 ‫ﻫﺎﺗﻒ اﻟﻤﻮاﻋﻴﺪ‬

Order Name ENDO - Colonoscopy (Adult GI)

Reason for Exam

Comment

Comment

: ‫ب‬.‫ﺻﺺ‬٣٣٥٤ ‫ اﻟﺮﻳﺎض‬١١٢١١ :‫ ﻫﺎﺗﻒ‬.‫ اﻟﻤﻤﻠﻜﺔ اﻟﻌﺮﺑﻴﺔ اﻟﺴﻌﻮدﻳﺔ‬٠٠٩٦٦١١٤٦٤٧٢٧٢ :‫ ﻓﺎﻛﺲ‬.٠٠٩٦٦١١٤٤١٤٨٣٩

P.O. Box: 3354 Riyadh 11211, Kingdom of Saudi Arabia. Tel: +96611 4414839 Fax: +96611 4414839

www.kfshrc.edu.sa
Instructions

1- Please come 15 min before your appointment time. 2- Please bring your medications and start fasting as instructed.
3-If you are late another patient will be seen to maintain the time . 4-To confirm or cancel the appointment please call
0126677777 ext.62579/62576 ,48 hrs before your appointment. 5-Approximate (4-6) hrs waiting time due to patient
prioritization. 6-For patient safety it required to have a sitter and driving is not allowed.
‫ﺗﻌﻠﻴﻤﺎت ﻫﺎﻣﺔ‬

‫ ﻓﻲ ﺣﺎل اﻟﺘﺄﺧﻴﺮ ﻋﻦ اﻟﻤﻮﻋﺪ‬-3 ‫ ﻳﺮﺟﻰ اﺣﻀﺎر اﻷدوﻳﺔ اﻟﺨﺎﺻﺔ ﺑﻚ واﻟﺼﻴﺎم ﺣﺴﺐ اﻟﺘﻌﻠﻴﻤﺎت‬-2 ‫ ﻧﺮﺟﻮ اﻟﺤﻀﻮر ﻗﺒﻞ اﻟﻤﻮﻋﺪ ﺑﺮﺑﻊ ﺳﺎﻋﺔ ﻟﺨﺪﻣﺘﻜﻢ ﺑﺼﻮرة أﻓﻀﻞ‬-1
‫ﺗﻌﺘﻤﺪ ﻓﺘﺮة‬-5 ‫ ﻗﺒﻞ اﻟﻤﻮﻋﺪ ﺑﻴﻮﻣﻴﻦ‬62579-62576 ‫ ﺗﺤﻮﻳﻠﺔ‬0126677777 ‫ ﻟﺘﺄﻛﻴﺪ أواﻟﻐﺎء ﻣﻮﻋﺪك اﻻﺗﺼﺎل ﻋﻠﻰ‬-4 ‫ﺳﻴﺘﻢ ﻗﺒﻮل ﻣﺮﻳﺾ آﺧﺮ ﺣﻔﺎﻇﺎ ﻋﻠﻰ اﻟﻮﻗﺖ‬
‫ ﻟﺴﻼﻣﺘﻜﻢ ﻧﺮﺟﻮ ﻋﺪم اﻟﻘﻴﺎدة ﺑﻌﺪ اﺟﺮاء ﻋﻤﻠﻴﺔ اﻟﻤﻨﻈﺎر واﺣﻀﺎر ﻣﺮاﻓﻖ ﻟﻤﺴﺎﻋﺪﺗﻜﻢ‬-6 ‫( ﺳﺎﻋﺎت‬6-4) ‫اﻻﻧﺘﻈﺎر ﻓﻲ اﻟﻘﺴﻢ ﻋﻠﻰ أوﻟﻮﻳﺔ اﻟﻤﺮﺿﻰ وﺗﺘﺮاوح ﻣﻦ‬

.‫ﺗﻢ إﺻﺪار ﻫﺬا اﻟﺘﻘﺮﻳﺮ ﻣﻦ ﻗﺒﻞ ﻣﺴﺘﺸﻔﻰ اﻟﻤﻠﻚ ﻓﻴﺼﻞ اﻟﺘﺨﺼﺼﻲ وﻣﺮﻛﺰ اﻷﺑﺤﺎث‬

This Report has been issued by King Faisal Specialist Hospital & Research Centre.

Kingdom of Saudi Arabia

: ‫ب‬.‫ﺻﺺ‬٣٣٥٤ ‫ اﻟﺮﻳﺎض‬١١٢١١ :‫ ﻫﺎﺗﻒ‬.‫ اﻟﻤﻤﻠﻜﺔ اﻟﻌﺮﺑﻴﺔ اﻟﺴﻌﻮدﻳﺔ‬٠٠٩٦٦١١٤٦٤٧٢٧٢ :‫ ﻓﺎﻛﺲ‬.٠٠٩٦٦١١٤٤١٤٨٣٩

P.O. Box: 3354 Riyadh 11211, Kingdom of Saudi Arabia. Tel: +96611 4414839 Fax: +96611 4414839

www.kfshrc.edu.sa