Online Treatment Form

Online Treatments

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Vaidyaratnam nursing home is always looking to make things easier to you.


Our aim is to provide our patients with best medical facilities, constant care and reliable support.


If you would like to get in touch with a doctor for specific department,would like specific information about the services we provide or for any query. Please fill the form and we will get back to you.

Name *
Age *
Gender * Male   Female  
Address *
Telephone Number*
Email *
Your Present complaints/ Diagnosis *

Do you have any investigation reports / MRI/ Other

tests which you can share with us:

(File Format: doc/docx/pdf/jpg)
Any other details you want to share
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