International-Patient: Christian Medical College

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CHRISTIAN MEDICAL COLLEGE

VELLORE - 632 004, TAMIL NADU, INDIA.


Out Patient Appointment (Date Change)

INTERNATIONAL-PATIENT
Patient ID
2403306256
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SCAN HERE TO VERIFY
BANGLADESH
NATIONALITY - BANGLADESH

Name : MST MASUDA BEGUM


DOB / Age / Gender : 18 January 1967 / 57 - Female
Mobile No : 01923258810 Token No : __________
Email ID : ashfikmorol@gmail.com

Passport No : A03727807 Room No : __________


Validity : 16/08/2022 - 15/08/2032
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Visa No :
Visa Expiry Date :

Appointment Date : 08 April 2024


Report Time : Report to MRO at: 2:30 PM

Clinic : HAEMATOLOGY -RANIPET


Location : RANIPET CAMPUS
RANIPET CAMPUS, KILMINNAL VILLAGE, RANIPET DISTRICT - 632517,
TAMIL NADU.
Doctor : Dr. KULKARNI UDAY PRAKASH
Type of Appointment : DATE CHANGE

Invoice No : M4696531
Paid on : 09/03/2024 02:47 PM
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Amount : Rs. 800/-

Address : GAZIPUR, TALOTIA PUBAIL,GAZIP UR SADAR, GAZIPUR, 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 :
2403306256
Name : MD SOFIQUL ISLAM
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Passport No : A14135578
Validity : 11/02/2024 - 10/02/2034
Visa No :
Visa Expiry Date :

General Instructions
1.If the patient requires in-patient admission a female attendant is mandatory.
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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