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Inpatient Treatment Reservation Form


Previous Clinical details & other information which you think might be helpful(Please mention separately in case of more than one person)

I understand that : Any feed-back / opinion(s) expressed in response to e-mail/online/telephone queries shall not be treated as medical advice. Until and unless the physical examination of the patient is carried out by doctors no treatment shall be initiated. This enquiry or reply to this enquiry is not a substitute for my/our medical advice. Advance reservation according to room availability is necessary for confirmation of booking for inpatient treatments. Estimated charges or rates quoted in response to this online enquiry are subject to change without notice.