E-Consultation Case Update For Continued Care

Submit updates related to your ongoing treatment for email responses.

For setting up a video-consultation appointment please select video consultation and submit this form.

    Patient's Name*

    Case Number*

    Email*

    Gender    

    Date of Birth*

    Country*

    State*

    City*

    Address*

    Pin Code*

    Contact Number*

    Disease Details


    Please describe your complaints    Maximum 2000 characters

    What is the purpose of this interaction?

    Preferred mode of delivery of medicine

    Medicines will be shipped to the address mentioned above

    Select preferred pickup locationDELHI: I - 1691, Chittaranjan Park, New Delhi - 110019, INDIA. Timing: 09:00am to 1:00pm and 4:30pm to 8:00pm. Closed on Thursdays.NOIDA: 264, Block 1, First Floor, Ganga Shopping Complex, Sector 29, Noida. Timing: 10:00am to 01:30pm and 2:00pm to 7:00pm. Closed on Thursdays.GURUGRAM: 2nd Floor, Q 5/13, DLF Phase 2, Gurugram, Haryana 122022. Timing: 10:00am to 1:30pm and 2:00pm to 7:00pm. Closed on Thursdays.

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