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011 4338 8888
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Afternoon
Doctor Consultation Charges (Hospital Visit) - Rs. NA/-
Doctor Consultation Charges (Prime Consultation) - Rs. NA/-
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Patient Registration Details
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Basic Details
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Declaration
Manipal Hospital Dwarka - Delhi
Patient Registration Details
Basic Details
2
Other Details
Declaration
Manipal Hospital Dwarka - Delhi
Patient Registration Details
Basic Details
Other Details
3
Declaration
I, the undersigned, declare that the above information provided by me are true to the best of my knowledge and hereby provide my consent to the Manipal Hospital to provide Medical Care, Treatment, Conduct Investigations and Diagnostic Procedures necessary for the above mentioned individual by Medical Staff at Manipal Hospital. I, also understand that Manipal Hospital will not be responsible for any loss, damage or theft of any Personal Property/Belongings of Me/Patient/Visitors within the Hospital Premises. Including Patients rooms and Parking area. I agree to follow all the rules and regulations of Hospital and clear all the expenses incurred for My/Patient treatment on time as per the Terms and Conditions of Manipal Hospital,
If consent provided on behalf of the patient.
I hereby give my consent and authorize Manipal Hospitals to process, store,use,disclose my personal or sensitive information/data collected as per Manipal Privacy Policy
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To continue, re-enter your Register or Generate Pre Registration ID and make payment for the Doctor Appointment.