Medical Testing Online Payment Form

Welcome to UniPharma’s Medical Testing Online Payment System. Here, you can conveniently complete payments for your medical testing services. Upon successful payment, you will receive a confirmation via email and SMS containing the transaction details.
If you have any questions or concerns, please feel free to contact us using the information below. We are committed to providing you service.

*We won’t ask you to operate an ATM or online banking service via phone. If you encounter any suspicious activity, please call our customer service immediately for verification.

Service Hotline: +886-2-2658-2577 #241
Service Hours: Monday to Friday, 9:30 AM – 5:00 PM
You may also contact us via our official LINE service: https://lin.ee/vqMQDXM

View Payment Records

"*" indicates required fields

訂單編號

Hospital Name*

Select Hospital*

基隆*

台北*

新北*

桃園*

Hsinchu County/City*

苗栗*

台中*

彰化*

南投*

雲林*

嘉義*

台南*

高雄*

屏東*

宜蘭*

台東*

花蓮*

其它*

Attending Physician

Patient Name*

Payer Name*

Payer Mobile Number*

Email*

Mailing Address*

*Paper reports and invoices will be mailed to this address.

Total Payment Amount*

Please confirm the payment amount with hospital staff.

Payment Method*

線上刷卡/ATM付款/WebATM/超商付款

Invoice*

Paper Invoice

Digital Carrier

如有申請保險需求請注意：
根據財政部令台財資字第1020002795號「電子發票實施作業要點」，由於系統限制，使用電子發票載具碼無法提供紙本發票副本，請自行下載列印。

電子發票載具碼*

是否需要請領保險*

是

否

Invoice Copies

發票抬頭／統編

如有申請保險需求請注意，發票不可打抬頭、統編

發票格式

二聯式發票

三聯式發票

Medical Testing Online Payment Form

Medical Testing Online Payment Form