CHRISTIAN MEDICAL COLLEGE

VELLORE - 632 004, TAMIL NADU, INDIA.

Out Patient Appointment

INTERNATIONAL-PATIENT
Patient ID
2211281036
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SCAN HERE TO VERIFY
BANGLADESH
NATIONALITY - BANGLADESH

Name : JUWAIIRIYA HASAN

DOB / Age / Gender : 11 July 2018 / 4 - Female
Mobile No : NA Token No : __________
Email ID : hepit79786@sunetoa.com

Passport No : A01977596 Room No : __________

Validity : 10/NOV/2021 - 09/OCT/2026
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Visa No : VK0257474
Visa Expiry Date : 12/JUL/2023

Appointment Date : 16 December 2022

Report Time : Report to MRO at: 9:30 AM

Clinic : MEDICAL GENETICS

Location : OPD BUILDING SECOND FLOOR 250
Doctor : Dr. SUMITA DANDA
Mode of Payment : CREDIT / DEBIT CARD (HDFC)

Invoice No : W4482980
Bill No : A003731557
Receipt No : WEBAPU432170
Paid on : 28/11/2022 06:18 PM
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Amount : Rs. 900/-

Address : 27 SHAMOLI, SHAMOLI, 1205, DHAKA, DHAKA, BANGLADESH.

Before reporting to MEDICAL RECORDS OFFICER, Please contact IRO (900B) to complete the formalities.

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 CHRISTIAN MEDICAL COLLEGE
VELLORE - 632 004, TAMIL NADU, INDIA.
Out Patient Appointment
Attendant Details
Name : MD KAMRUL HASAN SOHAG
Passport No : E00137120
Validity : 10/NOV/2021 - 09/NOV/2026
Visa No : VK258744
Visa Expiry Date :
2211281036 12/JUL/2023

General Instructions
1. If the patient requires in-patient admission a female attendant is mandatory.
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2. Appointment booked online will Not be refunded.
3. Change of Department/Unit Not allowed.
4. Change In appointment Date will be allowed only once, upto one day prior To the appointment Date.
5. Please provide atleast Government Related ID proof When you present yourself at the Entrance / MRO counter.
6. Please contact Counter No: 2, 3, 4 (General) OR 402 (Private) in ISSCC Building Ground Floor to collect your Hospital Number Card.
7. Request for appointments via post / phone will Not be accepted.
8. Demand Drafts will only be accepted at cash counters, Not via post.
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