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Lista de Pruebas
Lista completa de pruebas
COVID–19
Servicios
Registro de Pacientes
Acerca de BCW Labs
Noticia
Contacto
Resultados
About BCW
Registro de Pacientes
Hogar
Lista de Pruebas
Lista completa de pruebas
COVID–19
Servicios
Registro de Pacientes
Acerca de BCW Labs
Noticia
Contacto
Resultados
First Name / Nombre del Paciente
Initial / Inicial
Last Name / Apellido Paterno
Mother's Last Name / Apellido Materno
Date of Birth / Fecha de Nacimiento
Day
01
02
03
04
05
06
07
08
09
10
11
12
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31
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
Gender / Sexo
Select...
Femenino
Masculino
Address Line 1 / Dirección Linea 1
Address Line 2 / Dirección Linea 2
City / Ciudad
State / Estado
Country / País
Select...
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos [Keeling] Islands
Colombia
Comoros
Congo [DRC]
Congo [Republic]
Cook Islands
Costa Rica
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Ivory Coast
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar [Burma]
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territories
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
São Tomé and Príncipe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
U.S. Minor Outlying Islands
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Zip Code / Código Postal
Phone Number / Número de Teléfono
Email Address / Dirección de Email
Retype Email Address / Reescriba Dirección de Email
Medical Plan / Plan Médico
Select...
COSVI 660231517
Humana (Advantage) 61101
Humana Health Insurance (Commerc.) 0499441430000
International Medical Card 660537624
International Medical Card(REFORMA) GHP660537624
Mapfre Life 4600012
MCS Classicare 660396197P
Medical Card System 660396197
Medicare 00973
MMM Healthcare 660588600
MMM Healthcare(REFORMA) 660653763
Pacientes Privados PP
PALIC 72-0281240
Preferred Medicare Choice 660592131
PROSSAM (AMPR) 660194027
Triple-S Advantage, Inc.(AHM) 660650587
Triple-S Salud (Advantage) 973MA
Triple-S Salud (No Advantage) 973
Date of Visit / Fecha de Visita
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2025
2026
Time of Visit / Hora de Visita
Select...
Photo of Patient ID Card
Foto de tarjeta de identificación del paciente (ID)
Preview
No file choosen
Insurance Card (Front Photo)
Tarjeta de seguro (imagen frontal)
Preview
No file choosen
Photo Medical Order
Foto de orden médica
Preview
No file choosen
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