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Hospital Empanelment Form

"Stronger healthcare through trusted partnerships."

1

General Info

2

Contact Details

3

Hospital Overview

4

Work Info

Udyog Aadhar

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GST Certificate

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Upload PAN Card

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POC - Point of Contact

Hospital Profile

ADD MORE CREDENTIALS

Laboratory Services

Is Pharmacy available (In-House)?

YES

No

Is Blood Bank available (In-House)?

YES

No

Is Ambulance available (In-House)?

YES

No

Are you Willing to Collaborate with sms24hrs ?

YES

No