info@susruthaayurveda.com
+91 9656656736
Toggle navigation
Menu
Book An Appointment
Our department & special service
Appointment
Registration
Appointment form
PATIENT ID
*
CENTRE
*
Select Centre
Kattakada
Kowdiar
DEPARTMENT
*
Select department
Rejuvination Package
Low back Pain Care Package
Back Neck & Joints
DOCTOR NAME
*
DATE
*
TOKEN NO
*
01
02
03
...
N
DETAILS
Registration Form
FULL NAME
*
CONTACT NO
*
SEX
*
Male
Female
DATE OF BIRTH
*
BLOOD GROUP
Select Option
A+
A-
B+
B-
O+
O-
AB+
AB-
PHOTO
ADDRESS
*