For Patients

• Appointments can be taken online by clicking here or calling on 022 67668181/022 45108181
• If patients need to be registered prior to consultation. Please fill in a Registration Form(also available for download below). The registration fee(one time charge) is Rs. 150/. You will be issued an HH card which is valid for all services of the hospital. Your medical record folder will be retained with the hospital.
• If you have been registered previously, kindly quote your P. D. Hinduja Hospital (HH) number when taking an appointment.
• In case you are a non - appointment / walk-in patient, you may have to wait to see the doctor.

Consultations are conducted on a scheduled basis with prior appointment from Monday - Saturday at a nominal fee of Rs.50/- & Registration (one time charge) Rs. 180/-

If you are a new patient wishing to consult any of our specialists for an outpatient, you are required to fill up this registration form. This form is available at our registration counter as well. However, you may choose to download the same form, in alanguage of your choice, fill it up at your convenience and take aprintout and proceed directly to the Registration Counter situated on the ground Floor of our OPD building.

Please note

Individuals who have an HH number,by virtue of being our patient previously at our OPD/Health Check up/Casualty/Emergency are not required to fill this form. Kindly quote your unique HH number directly at the counter for Registration. Please click on the links below to download the form in a language of your choice.

Please enter your details below to download the form in a language of your choice.

Disclaimer

This is a form to help us make the registration process more convenient for you. It does not indicate registration or confirmation of registration at any level. Registration can only be confirmed at the Registration Desk at our hospital.

Name*

Please type in Name

Email*

Please type in Email

Please enter a valid email address. For example fred@domain.com

New OPD Patient Registration Form

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