Dr. Gandhi's Nursing Home Pvt. Ltd.

Appointment Card for Consultation

(Please fill in all the appropriate details. We will get back to you shortly with appointment once the payment is done.)

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Name :

Date of Birth (dd-MMM-yyyy):

Age :

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Appointment Date (dd-MMM-yyyy):

Appointment Time:

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If you wish to pay in advance, Please find below Bank Details : Charges Rs. 1000/-

NEFT

Bank Name: Bank of Baroda
Branch: Prabhadevi, Mumbai
Account Name: Dr. Gandhi's Nursing Home Pvt. Ltd.
Account No: 12530200000258
IFSC Code: BARB0PRABHA
MICR Code: 400012053

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Appointment

If you wish to pay in advance, Please find below Bank Details : Charges Rs. 1000/-

NEFT