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You have spent your valuable time in the hospital in connection with your / relative’s/ friend’s treatment. You are requested to share your opinion about the quality of services, which you experienced, while visiting the hospital. The information provided by you would be kept confidential and would only be used for improving the services

    A. PROMPTNESS AND COURTEOUS BEHAVIOR OF THE BILLING/RECEPTION COUNTER. *

    The Ranking to be given as follows :

    B. PLEASE RATE YOUR EXPERIENCE WITH THE CONSULTANT/DOCTOR. *

    The Ranking to be given as follows :

    C. COURTESY OF THE DOCTOR AND THE NURSING STAFF. *

    The Ranking to be given as follows :

    D. TIMELY AVAILABILITY OF THE INVESTIGATION REPORT *

    The Ranking to be given as follows :

    E. CLEANLINESS OF THE TOILETS. *

    The Ranking to be given as follows :

    F. CAFETERIA/F&B SERVICES AT THE HOSPITAL. *

    The Ranking to be given as follows :

    G. WOULD YOU CONSIDER AIMS FOR FUTURE MEDICAL NEEDS? *

    The Ranking to be given as follows :

    name*

    email*

    mobile number*

    Country

    City

    PATIENT/ATTENDANT'S NAME

    UHID NO.*

    Treated For

    COMMENTS/SUGGESTIONS

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