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Patient Registration Details
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Patient Registration Details
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Other Details
Declaration
Patient Registration Details
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Declaration
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,
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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To continue, re-enter your Registered Mobile Number or Generate Pre Registration ID and make payment for the Doctor Appointment.
To continue, re-enter your Register or Generate Pre Registration ID and make payment for the Doctor Appointment.
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Go BackThe details will be shared via Email & SMS
Note :Temporary visitor restriction, only one attendant is permitted with the patient. Your cooperation is solicited.
Dr. Amit has completed his MBBS, MS (Surgery), FIAGES, FCLS and FNB. He is one of the highly trusted experienced Laparoscopic surgeons in Gurgaon. Dr. Amit is skilled in performing numerous laparoscopic surgeries and bariatric surgery. He is fluent in Hindi and English and understands the importance of truthful two-way communication with patients. Dr. Amit ensures that the patients are provided with a safe space where they can speak about their medical condition freely, this helps him create a personalised treatment plan. He is the Best GI surgeon in Gurgaon.
Dr. Amit has appeared on various media platforms and has shared his articles and views on topics related to laparoscopic surgeries and bariatric surgery. He also actively participates in national and international seminars, events and conferences that discuss the developments in the medical world.
Beyond technical expertise, he possesses a natural empathy and emotional intelligence that allows him to connect deeply with patients, understand their fears and anxieties, and provide compassionate support throughout their journey. This fosters trust and collaboration, leading to more positive outcomes and enhanced patient satisfaction.
Dr. Amit has completed his MBBS, MS (Surgery), FIAGES, FCLS and FNB. He is one of the highly trusted experienced Laparoscopic surgeons in Gurgaon. Dr. Amit is skilled in performing numerous laparoscopic surgeries and bariatric surgery. He is fluent in Hindi and English and understands the importance of truthful two-way communication with patients. Dr. Amit ensures that the patients are provided with a safe space where they can speak about their medical condition freely, this helps him create a personalised treatment plan. He is the Best GI surgeon in Gurgaon.
Dr. Amit has appeared on various media platforms and has shared his articles and views on topics related to laparoscopic surgeries and bariatric surgery. He also actively participates in national and international seminars, events and conferences that discuss the developments in the medical world.
Beyond technical expertise, he possesses a natural empathy and emotional intelligence that allows him to connect deeply with patients, understand their fears and anxieties, and provide compassionate support throughout their journey. This fosters trust and collaboration, leading to more positive outcomes and enhanced patient satisfaction.
Dr. Amit has completed his MBBS, MS (Surgery), FIAGES, FCLS and FNB. He is one of the highly trusted experienced Laparoscopic surgeons in Gurgaon. Dr. Amit is skilled in performing numerous laparoscopic surgeries and bariatric surgery. He is fluent in Hindi and English and understands the importance of truthful two-way communication with patients. Dr. Amit ensures that the patients are provided with a safe space where they can speak about their medical condition freely, this helps him create a personalised treatment plan. He is the Best GI surgeon in Gurgaon.
Dr. Amit has appeared on various media platforms and has shared his articles and views on topics related to laparoscopic surgeries and bariatric surgery. He also actively participates in national and international seminars, events and conferences that discuss the developments in the medical world.
Beyond technical expertise, he possesses a natural empathy and emotional intelligence that allows him to connect deeply with patients, understand their fears and anxieties, and provide compassionate support throughout their journey. This fosters trust and collaboration, leading to more positive outcomes and enhanced patient satisfaction.
Dr. Amit has completed his MBBS, MS (Surgery), FIAGES, FCLS and FNB. He is one of the highly trusted experienced Laparoscopic surgeons in Gurgaon. Dr. Amit is skilled in performing numerous laparoscopic surgeries and bariatric surgery. He is fluent in Hindi and English and understands the importance of truthful two-way communication with patients. Dr. Amit ensures that the patients are provided with a safe space where they can speak about their medical condition freely, this helps him create a personalised treatment plan. He is the Best GI surgeon in Gurgaon.
Dr. Amit has appeared on various media platforms and has shared his articles and views on topics related to laparoscopic surgeries and bariatric surgery. He also actively participates in national and international seminars, events and conferences that discuss the developments in the medical world.
Beyond technical expertise, he possesses a natural empathy and emotional intelligence that allows him to connect deeply with patients, understand their fears and anxieties, and provide compassionate support throughout their journey. This fosters trust and collaboration, leading to more positive outcomes and enhanced patient satisfaction.
Dr. Amit has completed his MBBS, MS (Surgery), FIAGES, FCLS and FNB. He is one of the highly trusted experienced Laparoscopic surgeons in Gurgaon. Dr. Amit is skilled in performing numerous laparoscopic surgeries and bariatric surgery. He is fluent in Hindi and English and understands the importance of truthful two-way communication with patients. Dr. Amit ensures that the patients are provided with a safe space where they can speak about their medical condition freely, this helps him create a personalised treatment plan. He is the Best GI surgeon in Gurgaon.
Dr. Amit has appeared on various media platforms and has shared his articles and views on topics related to laparoscopic surgeries and bariatric surgery. He also actively participates in national and international seminars, events and conferences that discuss the developments in the medical world.
Beyond technical expertise, he possesses a natural empathy and emotional intelligence that allows him to connect deeply with patients, understand their fears and anxieties, and provide compassionate support throughout their journey. This fosters trust and collaboration, leading to more positive outcomes and enhanced patient satisfaction.
1) Up to 4 hrs of appointment time:
Rescheduling of doctor appointment can be done within a week from the date of appointment as per doctor / slot availability.
Cancellation can be done with full refund of the payment.
2) Up to 2 hrs of appointment time:
Rescheduling of doctor appointment can be done within a week from the date of appointment as per doctor / slot availability.
Cancellation of appointment and refund with a cancellation charge of Rs.100/-.
3) Less than 2 hrs of appointment time:
Rescheduling / cancellation of appointment cannot be done, payment non-refundable in this case. However, Units can have the discretion to refund / reschedule in case of exigencies.
Please note : While making the payment online, above mentioned payment terms and conditions should be agreed upon by customers, by clicking in a box ( I agree) and then proceed for payment.
Telemedicine involves the use of electronic communications to enable Hospitals/health care centres to provide healthcare services at different locations through exchange of information and for the purpose of improving patient care. I, confirm that I have received the necessary information to sign this form and I agree to take part in a live telemedicine/teleconsultation session with Manipal Hospitals.