Thank your for submitting request. Your request has been sent to the doctor for review. The doctor will respond as soon as possible. Your video appointment has been successfully booked. You will receive an email with the instruction on how to connect to the video appointment. Your appointment has been successfully booked. You will soon receive a SMS and Email confirmation of the appointment.
Dr. {{doctorInfo.name}} , {{doctorInfo.department}}

Choose:
 Free Consultation  Paid Consultation ( Rs. {{visit.cfb.onlineFeeComponent}})
This is a Free Consultation - Requests will be responded as soon as possible based on doctor's schedule
This is a Paid Consultation - Requests will be processed on priority and responded to within 3 hours for request received between 7 AM to 7 PM.

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(Normal Appointments)
No slots available!

Your request (Time: {{visitDate | date:'dd-MMM-yyyy'}} - {{getSlotStr(slot)}})

Consultation fees:
FREE
Rs. {{visitType.cfb.onlineFeeComponent}}

Please book video consultation only if you have the following environment for video consultation:
  1. Latest Chrome Browser
  2. Laptop with a camera and broadband (> 1Mbps) connection

Since you have already submitted a econsultation earlier, you do not have to provide any details. If you have made any payments, it would be automatically adjusted against the video appointment. Thanks!

If you know your patient ID and registered phone number,you can retrieve your details here ( If you dont have it, you can still complete the form ).

Hospital ID is required.

ID is too short.

Phone number is required.

Number is too short.

Request Form

* Patient Name

Name is required.

Name is too short.
* Contact Number

Number is required.

Number is too short.
* Email ID

Email ID is required.
* Patient Information Age Date Of Birth

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Years

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Months

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Requesting on behalf of the patient?
Visit Type
* Chief Complaint/Main reason for consultation

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* Your question/query

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I accept the terms and conditions ( View)

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