I, the undersigned, declare that the above information provided by me are true to the best of my knowledge and hereby provide my consent to the Manipal Hospital to provide Medical Care, Treatment, Conduct Investigations and Diagnostic Procedures necessary for the above mentioned individual by Medical Staff at Manipal Hospital. I, also understand that Manipal Hospital will not be responsible for any loss, damage or theft of any Personal Property/Belongings of Me/Patient/Visitors within the Hospital Premises. Including Patients rooms and Parking area. I agree to follow all the rules and regulations of Hospital and clear all the expenses incurred for My/Patient treatment on time as per the Terms and Conditions of Manipal Hospital,

I would like to receive Self/Patient reports by Email Yes No

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Manipal Hospital Dwarka - Delhi

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I would like to receive Self/Patient reports by Email Yes No

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Yes No

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I hereby give my consent and authorize Manipal Hospitals to process, store,use,disclose my personal or sensitive information/data collected as per Manipal Privacy Policy

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Dwarka - Delhi

Dr. Sarthak Malik

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Consultant - Gastroenterology and Hepatology

Qualification:

Bachelor of Medicine and Bachelor of Surgery (M.B.B.S) | Doctor of Medicine (M.D. in Internal Medicine) | Doctorate of Medicine (DM), Gastroenterology

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Manipal Hospital Dwarka - Delhi

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I would like to receive Self/Patient reports by Email Yes No

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Yes No

If consent provided on behalf of the patient.

I hereby give my consent and authorize Manipal Hospitals to process, store,use,disclose my personal or sensitive information/data collected as per Manipal Privacy Policy

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Your appointment is confirmed.

The details will be shared via Email & SMS

Note :Temporary visitor restriction, only one attendant is permitted with the patient. Your cooperation is solicited.

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Patient Registration Details

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Declaration

Manipal Hospital Dwarka - Delhi

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Patient Registration Details

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Declaration

Consent and Declaration

I would like to receive Self/Patient reports by Email Yes No

I would like to receive Hospital Info Alerts reports by Email
Yes No

If consent provided on behalf of the patient.

I hereby give my consent and authorize Manipal Hospitals to process, store,use,disclose my personal or sensitive information/data collected as per Manipal Privacy Policy

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Patient Name

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Rs. NA/-

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yB9TUej1l42I9WVM1SxLXHugckDp6lf3

I hereby agree to the REFUND POLICY and TELECONSULTATION POLICY

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Patient Name

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Location

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manipal-hospital-admin

yB9TUej1l42I9WVM1SxLXHugckDp6lf3

I hereby agree to the REFUND POLICY and TELECONSULTATION POLICY

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The Mobile Number entered is not registered with Manipal Hospitals.

To continue, re-enter your Registered Mobile Number or Generate Pre Registration ID and make payment for the Doctor Appointment.

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Dwarka - Delhi

Dt. Vaishali Verma

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Consultant- Nutrition and Dietetics

Qualification:

MSc in Therapeutic Nutritional Sciences | Diabetic Educator

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Doctor Consultation Charges (Video Consultation) - Rs. NA/-

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Doctor Consultation Charges (Prime Consultation) - Rs. NA/-

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Your Appointment will be confirmed after generating Pre Registration ID and making payment for consultation now.

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Declaration

Manipal Hospital Dwarka - Delhi

Note: Please carry your Id card to the hospital.

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Patient Registration Details

Basic Details

Other Details

Declaration

Consent and Declaration

I would like to receive Self/Patient reports by Email Yes No

I would like to receive Hospital Info Alerts reports by Email
Yes No

If consent provided on behalf of the patient.

I hereby give my consent and authorize Manipal Hospitals to process, store,use,disclose my personal or sensitive information/data collected as per Manipal Privacy Policy

Go Back

We have sent you an OTP on

Resend OTP

Did not receive an OTP? You Can Request For Another OTP Click Resend Option

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Your appointment is confirmed.

The details will be shared via Email & SMS

Note :Temporary visitor restriction, only one attendant is permitted with the patient. Your cooperation is solicited.

Patient Details

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Confirm Appointment

Are you new to hospital ? Yes No

Go Back

Your Appointment will be confirmed after generating Pre Registration ID and making payment for consultation now.

Patient Registration Details

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Declaration

Manipal Hospital Dwarka - Delhi

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Patient Registration Details

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Declaration

Manipal Hospital Dwarka - Delhi

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Patient Registration Details

Basic Details

Other Details

Declaration

Consent and Declaration

I would like to receive Self/Patient reports by Email Yes No

I would like to receive Hospital Info Alerts reports by Email
Yes No

If consent provided on behalf of the patient.

I hereby give my consent and authorize Manipal Hospitals to process, store,use,disclose my personal or sensitive information/data collected as per Manipal Privacy Policy

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We have sent you an OTP on

Resend OTP

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ALREADY APPOINTMENT IS AVAILABLE FOR THIS PATIENT

Payment Details

UHID

Patient Name

Doctor Name

Appointment Date & Time

Mode of Consultation

Location

Mobile Number

Email ID

Consultation Charges

Video

Rs. NA/-

manipal-hospital-admin

yB9TUej1l42I9WVM1SxLXHugckDp6lf3

I hereby agree to the REFUND POLICY and TELECONSULTATION POLICY

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Patient Name

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Mode of Consultation

Location

Mobile Number

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manipal-hospital-admin

yB9TUej1l42I9WVM1SxLXHugckDp6lf3

I hereby agree to the REFUND POLICY and TELECONSULTATION POLICY

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The Mobile Number entered is not registered with Manipal Hospitals.

To continue, re-enter your Registered Mobile Number or Generate Pre Registration ID and make payment for the Doctor Appointment.

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