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We are Happy to Serve You

Dear Doctor,


Thank You for showing interest in our services. We are Happy to Serve You.

In order that we make this a seamless process, we request you to let us know the following details about you. Once you have submitted your details, do please allow us 10 days for you to receive the committed service.


Thank You Again.


My Name is Dr. . I practice in(Town/ City) in the(Locality). The Pin Code of the Area is . I can be reached on(Mobile Number) and(email id).
My D.O.B is

Please contact me regarding your following services. (Please Select at Least One Service)