SHIFA INTERNATIONAL HOSPITALS Ltd.





ANNUAL REPORT 2011 \| ANNUAL LEADERSHIP MEETING 2011

providing health care services...

APPOINTMENTS - ONLINE SERVICES

Please fill the form below to send us your appointment query.
Note: ' * ' marked fields are required.

Applicant Name:
Patient Name:
Nic or Medical Record No.:
Date of Birth:
Gender:
Phone or Cell No.:
Fax No.:
Address:
Email:	(E-mail)
Referring Source:
Medical Disciple referred to:
If unsure of medical discipline, Please specify medical Conditions/symptoms:
Preferred Appointment Date From:
Preferred Appointment Date To:
Preferred Day:

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Registration Department
Shifa International Hospitals Ltd.
Sector H-8/4, Islamabad - Pakistan
Email: info@shifa.com.pk
Phone: 051 - 4603666 and Fax: 051 - 4863182