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Please Enter Data Correctly & Responsibly
Patient Referral
Date
DD dash MM dash YYYY
Hospital From
A.O Hospital Pvt.Ltd
Al-Mumtaz Medical Hospital
Altamash General Hospital
Asghar Hospital
Ashfaq Memorial Hospital
Atia General Hospital
Children's Hospital
Creek General Hospital/UMDC
Dr. Essa Laboratory & Diagnostic Centre
Hashim Medical City
Hashmani's
Imam Clinic
Indus Medical College Hospital
Karachi Psychiatric Hospital
Life Line Hospital
Mamji Hospital
Memon Charitable Hospital, Maternity Home Centre
Rafah E Aam Medical Centre
Remedial Hospital
Sambros Hospital
Sindh Lab Pvt.Ltd
South City Hospital
Tahir Medical Centre
United Hospital
Hospital To
A.O Hospital Pvt.Ltd
Al-Mumtaz Medical Hospital
Altamash General Hospital
Asghar Hospital
Ashfaq Memorial Hospital
Atia General Hospital
Children's Hospital
Creek General Hospital/UMDC
Dr. Essa Laboratory & Diagnostic Centre
Hashim Medical City
Hashmani's
Imam Clinic
Indus Medical College Hospital
Karachi Psychiatric Hospital
Life Line Hospital
Mamji Hospital
Memon Charitable Hospital, Maternity Home Centre
Rafah E Aam Medical Centre
Remedial Hospital
Sambros Hospital
Sindh Lab Pvt.Ltd
South City Hospital
Tahir Medical Centre
United Hospital
Doctor/ Physician Name
Purpose of Referral
(Required)
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