Patient Name (required)
Patient Age (required) Patient Sex (required) ---MaleFemale Patient Address (required) Patient Phone (required) Date of Sample Dropped
Email (required)
Which platform do you want your reports to be delivered? (required) ---EmailViberWhatsAppWeChat
Platform Detail (required)
Are you the patient? (required) ---YesNo
Patient Relation
Name
We will call the patient to re-confirm if this action is requested by them or not. If you have problem submitting please call 014110842
The reports will be delivered between 10 am to 5 pm
Address: Sinamangal, Kathmandu, Nepal
Tel: 014110842 ,014110893
Email: info@nobelhospital.com