BMS Medical Laboratory Secure patient intake

Patient Self-Registration

Complete your information using your phone. This registers you as a patient but does not create a staff login or provide access to the internal system.

Register only once. If you have visited BMS before, please ask the front desk to locate your existing record.

Personal information

Last name *

First name *

Middle name

Date of birth *

Age Calculated automatically from birthdate.

Biological sex *

Civil status *

Address and contact

Province / Region *

Municipality / City *

Barangay *

Street / House No.

Province / Region *

Municipality / City *

Barangay *

Street / House No.

Mobile number Optional. Use 11 digits starting with 09.