Book an Appointment

Patient Details

Patient Name *

Age

For newborns, months or days is fine.

Gender

Parent or Attendant Name

City / Town

Has the patient consulted us before?

No — this is a new patient

Yes — existing patient

Contact Details

Mobile Number *

+91

Email Address

Appointment Details

Speciality *

Preferred Doctor

Preferred Appointment Date

Preferred Time

Brief Reason for Consultation

Please do not include full medical records here — bring them to the consultation.

I agree that the hospital may contact me by phone, SMS or email regarding this appointment request. *

Fields marked * are required. Submitting this form sends a request only — appointment timings are confirmed by our hospital team.

Prefer to call?

Our team can book your appointment over the phone during hospital hours.

0863-222-3181

What happens next

You submit this request with a reference number.
Our team reviews the speciality and doctor requested.
We call you to confirm the date and time.
You attend the consultation with your reports.

Bring your records

Previous prescriptions, laboratory reports, scan images, antenatal reports, discharge summaries and a list of current medicines help the doctor understand the condition and avoid repeating investigations.

Medical emergency?

Do not use this form for emergencies. Call the hospital directly on 0863-222-3181 or attend the nearest emergency facility.

Prefer to call?

What happens next

Bring your records

Medical emergency?

Need a Consultation?