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PATIENT DETAILS
Title
Mr.
Ms.
Mrs.
Miss.
Mx.
Dr.
S/o
Ms
Kumari
Master
Baby.
Name
Date of birth
Sex
Male
Female
Email
Phone Number
New Patient
Existing User
Type
Select consultation type
Normal(In Person)
Online Video/Tele Consultation
Priority Consultation
Preferred Language of Communication
Preferred Language of Communication
English
Kannada
Malayalam
Tamil
Marathi
I consent to avail consultation via telemedicine
Consultation Fee :
₹0
,
Appointment Time
5:30AM
Appointment Date
Thursday, 01 January 1970
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