Teleconsultation

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Eden Medical Centre Teleconsultation

Your Full Name*
First Last
Your Age (in Years)*
Your Gender*
- Male
- Female
- Others
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Permanent Address
Street Address City State / Province / Region ZIP / Postal Code Country
Whatsapp Mobile Number*
Email
Department*
- CHEST MEDICINE
- DENTISTRY & ORAL MAXILLOFACIAL SURGERY
- PEDIATRIC
- FAMILY MEDICINE / GERIATRIC MEDICINE / PAIN & PALLIATIVE CARE
CHEST MEDICINE*
- Dr. Macietuonuo Rutsa
DENTISTRY & ORAL MAXILLOFACIAL SURGERY*
- Dr. Ankit Jain
FAMILY MEDICINE / GERIATRIC MEDICINE / PAIN & PALLIATIVE CARE*
- Dr. Nepuni Athikho
- Dr. Asang Longchar
PEDIATRIC*
- Dr. Bendangienla Jamir
Nature of complaint*
Preferred Language*
- Nagamese
- English
- Hindi
Teleconsultation Fee*
- Fee (Rs. 200)
Consent*
I provide my CONSENT FOR TREATMENT through TELECONSULTATION

For queries please contact +919362161627