Patient Information
Online Appointment Form (Only for Private Patients)

Medical Record No   (For already registered patients only)
Patient Name *
Gender       Age
Your City   (Only for Pakistan)
Cell/Phone *
Email *
Appointment Location  
Preferred Doctor Name     
Preferred Appt. Date     
Brief Problem Description  

Asterisk (*) shows mandatory fields

Your query will be forwarded to our appointment desk.
Contact: +92-51-5487821-5 Ext 263