                                                                                                                                  Fortis Hospital
Fortis
                                                                                                                                  A Block, Shalimar Bagh,
                                                                                                                                  New Delhi . 110088
 HOSPITAL                                                                                                                        Tel            +91 11 4530 2222
                                                                                                                                  FAX           +91 11 4530 2211
    Shalimar Bagh                                                                                                                               +91 11 4788 AYER
          Dr.Pradeep Jain/ Dr.Pankaj/ Dr. Vivek/ Dr. Ashish/ Dr. Sourabh                                              Department : Lap GI, G
                                                                                                                                 E-mail                     with care.com
          Onco, Bariatric & MIS Surgery                                                                                           Webrute www.lon healthcare com




               Doctor Reg No. :

               OPD Timings :

                                                        Mrs. Santosh Goel               UHID : 12272652
                Patient Name :
                                                                                        Old UHID :
                 Father/Husband Name : Shyam Lal
                                                         R Z 656 B South West           Date : 03-May-2023 09:53 AM
                  Address :
                                                         Delhi PALAM COLONY

                                                          Sex : Female
                    Age : 54 YEAR(S)

                                                         FORTIS YOUR CARING HOSPITAL



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                                                                          FORTIS HEALTHCARE LIMITED
                                                       Regd. Office: Fortes Hospital, Sector 62, Phase VIII, Mohali - 160062. Punjab
                                                      Tel: +91 11 2682 5000, Fax: +91 11 4162 8435 CIN: L85110DL1996PLC076704
                                                                         12 Fortis SPECIALITY Hospital

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