NAME *

PHONE *

SELECT HOSPITAL
—Please choose an option—Orion HospitalLifepoint Multispecialty Hospital

MEDICAL HISTORY

EMAIL ADDRESS *

PREFERRED DATE *

Mon, Tue, Wed, Fri, Sat: 10am-1am, 6pm-9pm

PREFERRED TIME
10:00am10:15am10:30am10:45am11:00am11:15am11:30am11:45am12:00pm12:15pm12:30pm12:45pm01:00pm06:00pm06:15pm06:30pm06:45pm07:00pm07:15pm07:30pm07:45pm08:00pm08:15pm08:30pm08:45pm09:00pm

Chat starts within 15mins (Subject to availability)

AGE *

SEX
—Please choose an option—MaleFemale

ONLINE PAYMENT *
GpayPaytm

Online consulting charges ₹.500/-

[group gpay]

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[group paytm]

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REFERENCE

COMPLAINTS

We will send you Video Call link on your email id.