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• Title*

   Mr.Mrs.Mas.Miss.Dr.Prof.Ven.

• Name with Initials:*

• Designations

   ProfessorConsultantMedical OfficerMedical NursePhysiotherapistSpecialist

• SLMC/GMC Registration No:

• Specialization:*

  (---)Thoracic SurgeryAcupuncture AnesthesiologyGastroenterology (Bowel)RadiologyOphthalmology (EYE)Dermatology (Skin)Family MedicineGeneral Medical PracticeObstetrics & GynecologyOrthopedic SurgeryOncologyENTPathologyHematologyPediatricsChest / Respiratory MedicineNutritionist RheumatologySurgeryPreventive MedicineAyurvedaGeriatricsPsychiatryCardiologistConsultant PhysicianSports MedicineHaemato - OncologistDentist Laboratory MedicinePsychologist / CounsellingSexual HealthLaboratory ScientistCardiothoracic Surgery DieteticsPhysiotherapyNursing ServiceHomoeopathy Cupping TherapyEmergency Medicine Plastic Surgeon Speech Therapy Prosthetics and Orthotics Embryologist

• Other Specializations:

  (---)Thoracic SurgeryAcupuncture AnesthesiologyGastroenterology (Bowel)RadiologyOphthalmology (EYE)Dermatology (Skin)Family MedicineGeneral Medical PracticeObstetrics & GynecologyOrthopedic SurgeryOncologyENTPathologyHematologyPediatricsChest / Respiratory MedicineNutritionist RheumatologySurgeryPreventive MedicineAyurvedaGeriatricsPsychiatryCardiologistConsultant PhysicianSports MedicineHaemato - OncologistDentist Laboratory MedicinePsychologist / CounsellingSexual HealthLaboratory ScientistCardiothoracic Surgery DieteticsPhysiotherapyNursing ServiceHomoeopathy Cupping TherapyEmergency Medicine Plastic Surgeon Speech Therapy Prosthetics and Orthotics Embryologist

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• Qualifications:

• Visiting Hospitals:

• Expected Fees:

  Free of Charge50010001500200025003000

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• Consultation Languages:
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