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CHRISTIAN MEDICAL COLLEGE

VELLORE - 632 004, TAMIL NADU, INDIA.


Out Patient Appointment (Date Change)

INTERNATIONAL-PATIENT
Patient ID
2403307433
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SCAN HERE TO VERIFY
BANGLADESH
NATIONALITY - BANGLADESH

Name : MST AJIRUN NESSA


DOB / Age / Gender : 10 December 1957 / 66 - Female
Mobile No : Token No : __________
Email ID : ashfikulislam2325@gmail.com

Passport No : A11866865 Room No : __________


Validity : 22/08/2023 - 21/08/2033
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Visa No :
Visa Expiry Date :

Appointment Date : 10 April 2024


Report Time : Report to MRO at: 2:00 PM

Clinic : ORTHOPAEDICS 3
Location : OPD BUILDING BASEMENT B 30
CHRISTIAN MEDICAL COLLEGE, IDA SCUDDER ROAD,VELLORE - 632004,
TAMIL NADU.
Doctor : Dr. ALFRED JOB DANIEL
Type of Appointment : DATE CHANGE

Invoice No : M4697329
Paid on : 22/03/2024 06:17 PM
Amount : Rs. 370/-
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Address : GAZIPUR, KOROM TOLA HARBAID GAZIPUR SADAR, BANGLADESH,
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 (Date Change)
Attendant Details
Name : MD MASUDUR RAHMAN
Passport No : A02411118
Validity : 07/12/2021 - 06/12/2031
Visa No :
Visa Expiry Date :
2403307433
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. Date change should be done before 24hrs to the appointment date & time.
5.Appointment date change option is available online.
6.Please provide Government Related ID proof along with the appointment slip, when you present yourself at the Entrance/MRO counter.
7.If you are a new patient, after coming to the hospital kindly collect your Hospital Number Card: Main Campus contact – Counter no. 2,3,4 in ISSCC Building,
Ground Floor. Ranipet Campus contact – Counter no. 1,2 in A Block, Ground Floor
8.Demand Drafts will only be accepted at cash counters, Not via post.
9.For any query mail to callcentre@cmcvellore.ac.in ; WhatsApp to : 9385285957
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Printed on 30/03/2024 10:03 PM Page 2 of 2

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