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No Sick Went To See Doctor

I went to polyclinic to get a referral letter from a doctor and pay a consultation fee of S$S9.50, just a piece of paper! But till had to wait for the call for the appointment to be confirmed. Ten years ago need not to pay and went straight forward directly to IMH without any appointment. I wonder if I didn’t pay the consultation fee since they didn’t ask just walk away. What will happen? Created another loophole for the public, fine is it!
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