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

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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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Sarjapur Road - Bengaluru

Dr. Lohith U

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Consultant - Surgical Gastroenterology Bariatric and GI oncology

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

I would like to receive Hospital Info Alerts reports by Email
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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 Name

Doctor Name

Appointment Date & Time

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Rs. NA/-

manipal-hospital-admin

yB9TUej1l42I9WVM1SxLXHugckDp6lf3

I hereby agree to the REFUND POLICY and TELECONSULTATION POLICY

Select Payment Mode

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manipal-hospital-admin

yB9TUej1l42I9WVM1SxLXHugckDp6lf3

I hereby agree to the REFUND POLICY and TELECONSULTATION POLICY

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.

Our Bariatric Surgery Experts

Best Bariatric Surgeons in Sarjapur Road, Bangalore

Dr. G. Moinoddin

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