Registration form for Tele-Consultation

All fields are mandatory

Name:

Email:

Phone:
Department:
Date:
Time:

STEP 1 : Registration form for Tele-Consultation

Please fill the form and then make a payment of Rs. 200 for tele-consultation appointment booking.

Note: If you are viewing this site on mobile, after filling up the form please make the payment of Rs 200 to our UPI ID at 8875806777@okbizaxis

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