ManipalHospitals

I, the undersigned, declare that the above information provided by me are true to the best of my knowledge and hereby provide my consent to the Manipal Hospital to provide Medical Care, Treatment, Conduct Investigations and Diagnostic Procedures necessary for the above mentioned individual by Medical Staff at Manipal Hospital. I, also understand that Manipal Hospital will not be responsible for any loss, damage or theft of any Personal Property/Belongings of Me/Patient/Visitors within the Hospital Premises. Including Patients rooms and Parking area. I agree to follow all the rules and regulations of Hospital and clear all the expenses incurred for My/Patient treatment on time as per the Terms and Conditions of Manipal Hospital,

I would like to receive Self/Patient reports by Email Yes No

I would like to receive Hospital Info Alerts reports by Email
Yes No

If consent provided on behalf of the patient.

I hereby give my consent and authorize Manipal Hospitals to process, store,use,disclose my personal or sensitive information/data collected as per Manipal Privacy Policy

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Patient Details

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ALREADY APPOINTMENT IS AVAILABLE FOR THIS PATIENT

We see that your email address is not updated in our system. Hence, we couldn't able to complete this transaction.We request you to call our appointment helpline number: 1800 102 5555 to book an appointment.

Payment Details

UHID

Patient Name

Doctor Name

Appointment Date & Time

Mode of Consultation

Location

Mobile Number

Email ID

Consultation Charges

Video

Rs. NA/-

manipal-hospital-admin

yB9TUej1l42I9WVM1SxLXHugckDp6lf3

I hereby agree to the REFUND POLICY and TELECONSULTATION POLICY

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Visa, Mastercard, Rupay & More
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Paytym & More
UPI

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Payment Details

Pre Registration ID

Patient Name

Doctor Name

Appointment Date & Time

Mode of Consultation

Location

Mobile Number

Email ID

Registration Charges

Consultation Charges

Total Amount Payable

Video

manipal-hospital-admin

yB9TUej1l42I9WVM1SxLXHugckDp6lf3

I hereby agree to the REFUND POLICY and TELECONSULTATION POLICY

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The Mobile Number entered is not registered with Manipal Hospitals.

To continue, re-enter your Registered Mobile Number or Generate Pre Registration ID and make payment for the Doctor Appointment.

The entered UHID Number is not registered with Manipal Hospitals.

To continue, re-enter your Register or Generate Pre Registration ID and make payment for the Doctor Appointment.

Goa

Dr. Mriganka Deuri Barali

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Associate Consultant - Urology

QUALIFICATION

MBBS | DNB (Gen. Surgery) | MCH (UROLOGY)

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Book an appointment for Consultation

Physical Hospital Visit

Video Consultation

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Doctor Consultation Charges (Hospital Visit) - Rs. NA/-

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Doctor Consultation Charges (Video Consultation) - Rs. NA/-

Request for Call-back

After you have submitted the appointment request, we might call to confirm the preferred appointment slot.

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After you have submitted the appointment request, we might call to confirm the preferred appointment slot.

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Doctor Consultation Charges (Prime Consultation) - Rs. NA/-

Confirm Appointment

You will receive an SMS with a verification code on this number.

Are you new to hospital ? Yes No

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We have sent you an OTP on

+91 8745360000

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Did not receive OTP? You can request for another OTP click resend option

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Your appointment is confirmed.

The details will be shared via Email & SMS

Note :Temporary visitor restriction, only one attendant is permitted with the patient. Your cooperation is solicited.

Confirm Appointment

Are you new to hospital ? Yes No

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Your Appointment will be confirmed after generating Pre Registration ID and making payment for consultation now.

Patient Registration Details

Basic Details

Other Details

Declaration

Manipal Hospital Goa

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Patient Registration Details

Basic Details

Other Details

Declaration

Manipal Hospital Goa

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Patient Registration Details

Basic Details

Other Details

Declaration

Consent and Declaration

I would like to receive Self/Patient reports by Email Yes No

I would like to receive Hospital Info Alerts reports by Email
Yes No

If consent provided on behalf of the patient.

I hereby give my consent and authorize Manipal Hospitals to process, store,use,disclose my personal or sensitive information/data collected as per Manipal Privacy Policy

Go Back

We have sent you an OTP on

Resend OTP

Did not receive an OTP? You Can Request For Another OTP Click Resend Option

Go Back

Patient Details

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ALREADY APPOINTMENT IS AVAILABLE FOR THIS PATIENT

Payment Details

UHID

Patient Name

Doctor Name

Appointment Date & Time

Mode of Consultation

Location

Mobile Number

Email ID

Consultation Charges

Video

Rs. NA/-

manipal-hospital-admin

yB9TUej1l42I9WVM1SxLXHugckDp6lf3

I hereby agree to the REFUND POLICY and TELECONSULTATION POLICY

Go Back

Select Payment Mode

Card

Visa, Mastercard, Rupay & More
Netbanking

Visa, Mastercard, Rupay & More
Wallet

Paytym & More
UPI

Google Pay,

Select Payment Method

Proceed

Payment Details

Pre Registration ID

Patient Name

Doctor Name

Appointment Date & Time

Mode of Consultation

Location

Mobile Number

Email ID

Registration Charges

Consultation Charges

Total Amount Payable

Video

manipal-hospital-admin

yB9TUej1l42I9WVM1SxLXHugckDp6lf3

I hereby agree to the REFUND POLICY and TELECONSULTATION POLICY

Go Back

The Mobile Number entered is not registered with Manipal Hospitals.

To continue, re-enter your Registered Mobile Number or Generate Pre Registration ID and make payment for the Doctor Appointment.

The entered UHID Number is not registered with Manipal Hospitals.

To continue, re-enter your Register or Generate Pre Registration ID and make payment for the Doctor Appointment.

Dr. Madhav Sanzgiri

QUALIFICATION

Request for Call-back

Confirm Appointment

+91 8745360000

Your appointment is confirmed.

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Consent and Declaration

Patient Details

Payment Details

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Payment Details

Dr. Mriganka Deuri Barali

QUALIFICATION

Request for Call-back

Confirm Appointment

+91 8745360000

Your appointment is confirmed.

Confirm Appointment

Consent and Declaration

Patient Details

Payment Details

Select Payment Method

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TARIFF

ACCREDITATIONS

Centres of Excellence

Locations

Important Link

SPECIALITIES

DOCTORS

Centre of Excellence

Other Specialities

Manipal Hospitals

Dr. Madhav Sanzgiri

QUALIFICATION

Request for Call-back

Confirm Appointment

+91 8745360000

Your appointment is confirmed.

Confirm Appointment

Consent and Declaration

Patient Details

Payment Details

Payment Details

The Mobile Number entered is not registered with Manipal Hospitals.

The entered UHID Number is not registered with Manipal Hospitals.

Dr. Mriganka Deuri Barali

QUALIFICATION

Request for Call-back

Confirm Appointment

+91 8745360000

Your appointment is confirmed.

Confirm Appointment

Consent and Declaration

Patient Details

Payment Details

Payment Details

The Mobile Number entered is not registered with Manipal Hospitals.

The entered UHID Number is not registered with Manipal Hospitals.

SPECIALITIES

DOCTORS