Online

Teleconsultation

Request form

note

step 1

Appointment Details

personal

step 2

Personal Details

insurance

step 3

Insurance Details

A Speciality

B Doctor

C Clinic

D Preferred Time

morning

Morning

evening

Evening

E Type Of Visit

follow

FOLLOWUP

first-time

FIRST TIME

*The timings will be depending on the availability

A Name & Nationality

full Name

Nationality

B Date of Birth

C Gender

male

Male

female

Female

D Height & Weight

cm

KG

E Contact

E-MAIL

PHONE NO

F Visa Type

VISITOR

RESIDENT

A Insurance

B Network

C Chief Complaint

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