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Telemedicine Appointment Details

Please provide enough information for the doctor to decide whether telemedicine is suitable for your concern.

Important: submitting this form does not automatically confirm your appointment. Our team will contact you by phone or WhatsApp to confirm availability, timing, charges, and any additional details.
Please enter your full name.
Please enter your date of birth.
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Please enter your phone number.
Please enter your WhatsApp number.
Please enter your country or time zone.
Please select a consultation method.
Please select a date.
Please select a time.
Please describe your main medical concern.

If you have reports, prescriptions, photos, or videos, please send them by WhatsApp after submitting the appointment request.

Telemedicine may not be suitable if physical examination or urgent treatment is needed. In such situations, the doctor may advise an OPD visit, home visit, or emergency care.

You must confirm your WhatsApp number.
You must agree before submitting.

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