Online Consultation



Online Consultation

Kindly mention your query in the following prescribed format

Patient Name *:
Age *:
Sex *:
UHID No. /File No

(Only for existing patients)

Phone No.: *

(Mobile / Landline)

Email *:
Date of last visit at Fortis C-DOC :

(Only for existing patients)

Diagnosis: *

(as per prescription)

Current Medicines

(with Dosage and Time)

Medicine Name
Dosage and Time

Your Query * :
Please enter the letters displayed in the picture below into the box for "Security Code"
Security Code * :

Note :
* marked fields are manadatory
Kindly attach the scan copies of latest prescription and report.
Your query will be answered as soon as possible, but it may take up to 24-48 hours