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Welcome,
REGISTRATION INFORMATION
*
PATIENT TYPE
IP
OP
C. NO
IPNO
*
REGISTRATION TYPE
INSURANCE
CREDIT COMPANY
APPLICATION DETAILS
SEL
SR.
C.NO
REG. DATE
REG. TYPE
IP NO.
PAT. NO.
NAME
TPA NAME
INS. NAME
** CREDIT COMPANY APPLICATIONS / WALKIN PATIENTS ARE NOT ALLOWED **