Important notice for appointment
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Please send all medical reports for doctors consultation &cost estimate different hospital. Email: info.doctorlinkbd@gmail.com
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For more information on appointment please call +8801886655200 ( WhatsApp )or email(24/7).
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The form below is only a requisition for appointment.
PATIENT NAME :
PASSPORT NO :
ATTENDED NAME :
PASSPORT NO :
HOSPITAL NAME :
HOSPITAL LOCATION :
DEPARTMENT :
DOCTOR NAME : If any
EXPECTED DATE OF APPOINTMENT :
APPLY FROM :
Patient Mobile Number ( mandatory ) :
