Dogri - Health & Medical HTML Template

Appointment

Fill the form and our team will confirm the slot via call/SMS.

Full Name *

Mobile Number *

Preferred Date *

Department / Service *

Department required hai. Doctor preference optional hai.

Preferred Doctor (optional)

Select a department to see doctors.

I agree to be contacted by phone/WhatsApp/SMS for appointment confirmation.

Aap department select karke doctor choose kar sakte ho. Agar sure nahi ho, “No preference” bhi ok hai.

Call us

+91 81888 83159

Clinic

Gomti Nagar, Lucknow