[ppt]slide 1 parents program.ppt · web viewbenefits manual 1st april 2016 – 31st march 2017...

Benefits Manual

1st April 2016 31st March 2017

Vidal Health TPA Pvt Ltd.

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What are the Exclusions in the Mediclaim Program ?

Summary

Section I-

Policy Benefits

Section II-

Processes

Section III-

Forms & Formats

03 - 08

09-13

15

What are cashless and Reimbursement procedures?

Whom can I contact in case of claim related support ?

Page No


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Vidal Health TPA Pvt. Ltd.

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Section I

Policy Benefits

Section II

Processes

Section III

Forms & Formats

Voluntary Mediclaim Policy For Parents :Comparison


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WHAT DOES YOUR MEDICLAIM POLICY COVER?

Section I

Policy Benefits

Section II

Processes

Section III

Forms & Formats

What Is Covered Under Voluntary Parents Policy?


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POLICY DETAILSDESCRIPTIONPolicy HolderMEDITAB SPL PVT LTDPolicy Start & End Date 1st April 2016 to 31st March 2017InsurerThe New India Assurance Co. Ltd.Third Party Administrator (TPA)Vidal Health TPA Pvt LtdSum Insured (Floater)

The mentioned Sum Insured is for 2 parents or single parent as per enrollment Members CoveredEmployees joined before 31st March16 will be eligible to add any 2 parents or parents in law with the single floater premium deductionEmployee joining after 31st March 16 will get the option to add 2 sets of parents & parents in law with the payment of twice the premiumEntry Age limitParents upto the age of 100 years can be covered under the policyCo PaymentNo Co-pay on any claimsPre Existing DiseasesCovered from day 1


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Section I

Policy Benefits

Section II

Processes

Section III

Forms & Formats

What Is Covered Under Voluntary Parents Policy?


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30 Days Waiting Period for New JoinersWaived offCataract EligibilityRoom RentPre & Post Hospitalization Cover30 days pre & 60 days post hospitalization expenses covered.Ambulance ChargesCovered upto Rs. 2,000 in case of emergency only

S. NoSum InsuredEligibility1200,000INR 23,0002300,000INR 23,000


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Section I

Policy Benefits

Section II

Processes

Section III

Forms & Formats

Parents Premium Chart


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Note :

The premium mentioned is for 2 parents/parents-in law excluisve of service tax. If the age of parents is less than equal to 50 yrs a discount of 5% will be there on the mentioned premium whereas if the age of both the parents is less than 50 yrs then a discount of 10% will be given.Employees shall not have the option to replace parents with in laws or in laws with parents. An exception shall be for female employees who would be permitted to replace their parents with parents in law (only after marriage). But this option can be exercised only at the time of the enrolment year following the year of marriage, and not thereafterPremium will be deducted from salary in three equal monthly installments.Only one time option will be given for parents enrollment, employees who will miss the enrollment during the window period will not be eligible to cover the dependents in the current year or in the subsequent years New recruits can opt to cover their parents at the time of recruitment (during the stipulated window period), or at the time of enrolment year immediately following the year of their recruitment

PARENTSSUM INSUREDPREMIUM (SINGLE PARENT)PREMIUM (BOTH PARENTS)200,00078008300300,0009,00012900


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Section I

Policy Benefits

Section II

Processes

Section III

Forms & Formats

Parents Policy Comparison :


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Waiting period of 3 4 yrs for all Pre-existing Diseases.Need for Pre enrollment medical check beyond the age of 45 yrsAilment wise capping applicableMaximum Entry Age for Parents 65 yrsAge limit for coverage 80 yrs30 days, 1st & 2nd Year Exclusions Applicable

Retail Policy Available Outside

Our Value Proposition

Coverage for Pre-Existing Diseases from day one No waiting periodNo need of Pre enrollment medical checkNo ailment wise cappingMaximum Entry Age 100 yrsAge limit for coverage 100 yrs30 days, 1st & 2nd Year exclusions Waived off


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Section I

Policy Benefits

Section II

Processes

Section III

Forms & Formats

Tax Benefit


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Tax Benefits

The policy offers Tax Benefit under Sec 80 D. Tax benefit will be applicable only towards premium paid towards coverage only of dependent parents and not for payment made towards coverage of Parent In Laws

Will I be eligible for Tax Benefit for contribution made towards covering my dependent parents in this policy?

The policy offers Tax Benefit under Sec 80 D of the IT Act for premium contributed towards covering your parents in this policy. No Tax benefit will be available for premium payment made towards coverage of Parent In Laws. Tax Benefit norms will be as per applicable & prevailing Income Tax norms. You may seek advice from your tax consultant in this regards.


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Section I

Policy Benefits

Section II

Processes

Section III

Forms & Formats

Condition Of Membership


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The Insurance cover will be extended to:

Enrolled Parents and Parents in Law (Not exceeding four)

Definition of Parent = Biological or Legal Parents

Definition of Parents-in-law = Parents of Legally Married Spouse

What if employee leaves?:

In an event of separation, policy certificate will be given to the employee. He/she will be eligible to claim under the policy for the entire duration of the coverage period.


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Group Mediclaim Policy

Identify Network Hospital via mobile app / website / helpline

Pay for Non Medical Expenses if any

At the time of discharge Hospital will send final request to Vidal Health TPA for approval

(Provided within 2 hrs)

On successful approval admission happens & treatment starts

Visit hospital Insurance Help desk & fill the pre- authorization form

Hospital will seek approval from Vidal Health TPA

(Provided within 2 hrs)

Emergency Hospitalization

Planned Hospitalization

In case of Planned Hospitalization, authorization should be taken prior, which will be valid for 15 days to avoid delay /inconvenience .

You will receive SMS confirmation


Section I

Policy Benefits

Section II

Processes

Section III-

Forms & Formats

Network Hospitalisation - Cashless


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Check for the nearest network hospital for availing the Cashless hospital.

Pre-authorization form is mandatory to be sent to Vidal Health TPA by network hospital.

Inform the Vidal Health TPA call center immediately about the hospitalization & seek pre-

authorization.

Vidal Health TPA will send pre-authorization letter for the Initial amount to the hospital.

In case of denial, the same will be communicated to the Hospital with proper reasoning.

The bill will be sent by Hospital to Vidal Health TPA

After hospitalization has been pre-authorized you/your dependents can proceed with discharge by paying for Non Medical Expenses .

Before Admission :

During Admission :

During Discharge :

Section I

Policy Benefits

Section II

Processes

Section III-

Forms & Formats

Network Hospitalisation - Cashless


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Intimate Vidal Health TPA regarding claim on the day of Hospitalization or within 7 Days from the date of Discharge.

Vidal Health TPA will process the claim and send the reimbursement by ECS, along with the settlement letter

Deficiency Documents are sent

Reason of Rejection will be communicated.

Documents to be handed over to your Local HR who will courier same to Vantage Mumbai office

Vidal Health TPA will ask for the additional/missing documents

Vidal Health TPA will check for the eligibility and admissibility of the claim as per policy terms.

Is Claim payable ?

No

Yes

Submit Claim documents within 30 days from the date of discharge.


Documents incomplete

Claim not permissible

Reminder mails sent every 15 days

Activity done by employee

Activity done by Vidal Health TPA

Section I

Policy Benefits

Section II

Processes

Section III-

Forms & Formats

Non Network Hospitalisation - Reimbursement


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Claim intimation to be give on [email protected] within 7 days of hospitalization. Email should contain :Corporate Name,Vidal Card No.Unique Employee ID No.Name of employeeName of patientDate of AdmissionName of hospital & LocationApproximately claim amount etc.

This intimation can be given through various modes like email/call centre/mobile app or may be via letter or any other suitable mode. For claim intimation you may inform Vidal Health TPA as below.

CONTACT POINTS FOR CLAIMS - Vidal Health TPA Customer Care Details

Email id for claim intimation [email protected] x 7 Help line for cashless and Reimbursement intimation 1800-222-878 press 4 for insurance

ESCALATION POINT:

1. Centralized helpdesk : 1800222878 press4 for insurance (9am to 6pm) email id [email protected]

2. Name Nirzara Salvi (Ast Manger) & Sudesh Patankar (Sr. Manager)

Email ID [email protected] & [email protected]

Phone No: 9967006205 & 7738085808

2. Reimbursement claim documents should be submitted within 15 days to Vidal Health.

Section I

Policy Benefits

Section II

Processes

Section III

Forms & Formats

Contact Details

Vialealth TPA Pvt Ltd.

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Vialealth TPA Pvt Ltd.

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Section I

Policy Benefits

Section II

Processes

Section III

Forms & Formats

Helpdesk Assistance: ([email protected])


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To understand Enrollment Procedure To understand Claim Procedure Assistance during cashless claims Assistance for Submitting Reimbursement claims Knowing your Claim Status


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Section I

Policy Benefits

Section II

Processes

Section III

Forms & Formats

Escalation Matrix


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Any Assistance ? (Claim /Enrollment)

Call the Toll Free No : 1800-222-878 press 4 for insurance

Query Resolved

Query Unresolved

Write to : [email protected]

Query Resolved

Query Unresolved

Write to :

Location HR and Ms Nirzara Salvi [email protected]


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Pre-Authorization Form for Cashless claim :

Claim Form for Reimbursement claim :

Hospital List for Cashless Hospitalizations :

(The hospital list is dynamic will be updated on monthly basis also available on our website


Section I

Policy Benefits

Section II

Processes

Section III

Forms & Formats

This form is filled by the Hospital Authorities. The Employee/ members accompanying the patient has to sign the Authorization letter.

Please note that all the forms are also available with the Local HR.

Forms

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6521.pdf

CLAIM FORM - PART ATO BE FILLED BY THE INSURED

The issue of this Form is not to be taken as an admission of liablity

DETAILS OF PRIMARY INSURED:

a) Policy No.:

(To be Filled in block letters)S

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b) Sl. No/ Certificate no.

c) Company/ TPA ID No:

e) Address:

DETAILS OF INSURANCE HISTORY:

a) Currently covered by any other Mediclaim / Health Insurance: b) Date of commencement of first Insurance without break:

c) If yes, company name: Policy No.

Sum insured (Rs.) d) Have you been hospitalized in the last four years since inception of the contract?

Diagnosis: e) Previously covered by any other Mediclaim /Health insurance : :

Date: M M

Y

Y

Y

Y

f) If yes, company name:

DETAILS OF INSURED PERSON HOSPITALIZED: :

DETAILS OF HOSPITALIZATION: :

DETAILS OF CLAIM:

DETAILS OF BILLS ENCLOSED:

Sl. No. Bill No. Date Issued by Towards Amount (Rs)

DETAILS OF PRIMARY INSUREDS BANK ACCOUNT::

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D YMD YM1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

D YMD YM

D YMD YM

D YMD YM

D YMD YM

D YMD YM

D YMD YM

D YMD YM

D YMD YM

D YMD YM

City: State:

Pin Code Phone No: Email ID:

City: State:

Pin Code Phone No: Email ID:

D D

D D

M M

M M

Y Y

Y Y

Yes No

Yes No

Yes No

d) Name: S U R N A M E F I R S T N A M E M I D D L E N A M E

a) Name: S U R N A M E F I R S T N A M E M I D D L E N A M E

b) Gender Male Female c) Age years M M Y Y Y YMonths d) Date of Birth

e) Relationship to Primary insured: Self Spouse Child Father Mother Other (Please Specify)

(Please Specify)OtherRetiredStudentHome MakerSelf EmployedServicef) Occupation

g) Address (if diffrent from above) :

a) Name of Hospital where Admited:

b) Room Category occupied: Day care

D D M M Y Y H H H HM H M H

D D M M Y Y Y Y

D D M M Y Y

Single occupancy Twin sharing 3 or more beds per room

c) Hospitalization due to: Injury Illness Maternity d) Date of injury / Date Disease first detected /Date of Delivery:

e) Date of Admission: f) Time g) Date of Discharge: h) Time: :

NoYesI) If Medico legal

j) System of Medicine:

Substance Abuse / Alcohol ConsumptionI) If injury give cause: Self inflicted Road Traffic Accident

iii. MLC Report & Police FIR attachedii) Reported to Police NoYes

a) Details of the Treatment expenses claimed

I. Pre -hospitalization expenses

iii. Post-hospitalization expenses

v. Ambulance Charges:

Rs.

Rs.

Rs.

ii. Hospitalization expenses Rs.

iv. Health-Check up cost:

vi. Others (code):

Rs.

Rs.

Rs.Total

vii. Pre -hospitalization period: days viii. Post -hospitalization period: days

b) Claim for Domiciliary Hospitalization: NoYes (If yes, provide details in annexure)

c) Details of Lump sum / cash benefit claimed:

i. Hospital Daily cash: Rs.

Rs.

Rs.

iii. Critical Illness benefit:

v. Pre/Post hospitalization Lump sum benefit:

ii. Surgical Cash:

iv. Convalescence:

vi. Others:

Rs.

Rs.

Rs.

Rs.Total

Claim Documents Submitted - Check List:

Claim form duly signed

Copy of the claim intimation, if any

Hospital Main Bill

Hospital Break-up Bill

Hospital Bill Payment Receipt

Hospital Discharge Summary

Pharmacy Bill

Operation Theater Notes

ECG

Doctors request for investigation

Investigation Reports (Including CT/ MRI / USG / HPE)Doctors Prescriptions

Others

Hospital main Bill

Pharmacy Bills

Post-hospitalization Bills: Nos

Pre-hospitalization Bills: Nos

a) PAN:

c) Bank Name and Branch:

d) Cheque / DD Payable details:

b) Account Number:

e) IFSC Code:

(IMPORTANT: PLEASE TURN OVER)

DECLARATION BY THE INSURED:

I hereby declare that the information furnished in the claim form is true & correct to the best of my knowledge and belief. If I have made any false or untrue statement, suppressionor concealent of any material fact with respect to questions asked in relation to this claim, my right to claim reimbrusement shall be forfeited, I also consent & authorize TPA /insurance Company, to seek necessary medical information / documents from any hospital / Medical Practitioner who has attended on the person against whom this claim is made.I hereby declare that I have included all the bills / receipts for the purpose of this claim & that I will not be making any supplementary claim except the pre/post-hospitalizationclaim, if any.

Date Y YD D M M Y Y Place: Signature of the Insured

GUIDANCE FOR FILLING CLAIM FORM - PART A (To be filled in by the insured)

DATA ELEMENT DESCRIPTION FORMAT

SECTION A - DETAILS OF PRIMARY INSURED

a) Policy No. Enter the policy number As allotted by the Insurance Company

b) Sl. No/ Certificate No.Enter the social Insurance number or the certificate number of

As allotted by the oraganizationsocial health insurance scheme

c) Company TPA ID No. Enter the TPA ID No.Licence number as allotted by IRDA and printedin TPA documents.

d) Name Enter the full name of the policyholder Surname, First name, Middle name

Include Street, City and Pin codeEnter the full postal addresse) Address

SECTION B -DETAILS OF INSURANCE HISTORY

a) Currently covered by any other Mediclaim / Health Insurance?

Indicate whether currently covered by another Mediclaim /Health Insurance

Tick Yes or No

b) Date of commencement of first Insurance without break Enter the date of commencement of first Insurance Use dd-mm-yy-forrmat

c) Company Name Enter the full name of the Insurance Company Name of the organization in full

Policy No. Enter the policy number As allotted by the Insurance Company

In rupeesEnter the total sum insured as per the policySum insured

d) Have you been Hospitalized in the last four years since Inception of the contract?

Indicate whether hospitalized in the last four years Tick Yes or No

Date Enter the date of Hospitalization Use mm-yy format

Diagnosis Enter the diagnosis details Open Text

Tick Yes or Noe) Previously covered by any other Mediclaim / Health Insurance?

Indicate whether previously covered by another mediclaim / Health Insurance

f) Company Name Enter the full name of the Insurance Company Name of the organization in full

SECTION C -DETAILS OF INSURED PERSON HOSPITALIZED

a) Name Enter the full name of the patient Surname, First name, Middle name

b) Gender Indicate Gender of the patient Tick Male or Female

c) Age Enter age of the patient Number of years and months

d) Date of Birth Enter Date of Birth of patient Use dd-mm-yy format

e) Relationship to primary Insured Indicate relationship of patient with policyholder Tick the right option, if others, please specify

f) Occupation indicate occupation of patient Tick the right option. If others, please specify.

g) Address Enter the full postal address Include Street, City and Pin code

Include STD code with telephone number

Complete e-mail address

h) Phone No

1) E-mail ID

Enter the phone number of patient

Enter e-mail address of patient

SECTION D - DETAILS OF HOSPITALIZATION

a) Name of Hospital where admited Enter the name of hospital Name of hospital in full

Tick the right option


Use dd-mm-yy format

Use dd-mm-yy format

Use hh-mm- format

Use dd-mm-yy format

Use hh-mm- format


Tick Yes or No

Tick Yes or No

Tick Yes or No

Open Text

b) Room category occupied

c) Hospitalization due to

d) Date of injury/Date Disease first detected / Date of Delivery

e) Date of admission

f) Time

g) Date of discharge

h) Time

I) If injury give cause

If Medico legal

Reported to Police

MLC Report & Police FIR attached

j) System of Medicene

indicate the room category occupied

indicate reason of hospitalization

Enter the relevant date

Enter date of admission

Enter time of admission

Enter date of discharge

Enter time of discharge

indicate cause of injury

indicate whether injury is medico legal

indicate whether police report was filed

indicate whether MLC report and Police FIR attached

Enter the system of medicine followed in treating the patient

SECTION E - DETAILS OF CLAIM

a) Details of Treatment Expences

b) Claim for Domiciliary Hospitalization

c) Details of Lump sum/ Cash benifit claimed

d) Claim documents Submitted-Check List

Enter the amount claimed as treatment expences

indicate whether claim is for domiciliary hospitalization

Enter the amount claimed as lump sum / cash benefit

indicate which supporting documents are submitted

Tick Yes or No


In rupees (Do not enter paise values)


SECTION F - DETAILS OF BILLS ENCLOSED

Indicate which bills are enclosed with the amount in rupees

SECTION G - DETAILS OF PRIMARY INSUREDs BANK ACCOUNT

a) PAN

b) Account Number

c) Bank Name and Branch

c) Cheque/ DD payable details

c) IFSC Code

Enter the permanent account number

Enter the Bank account number

Enter the Bank name along with the branch

Enter the name of the beneficiary the cheque / DD should bemade out to

Enter the IFSC code of the Bank branch

As allotted by the Income Tax Department

As allotted by the Bank

Name of the Bank in full

Name of the individual / organization in full

IFSC code of the Bank branch in full

SECTION H - DECLARATION BY THE INSURED

Read declaration carefully and mention date (in dd:mm:yy format), place (open text) and sign.

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6522.pdf

CLAIM FORM - PART BTO BE FILLED IN BY THE HOSPITAL

The issue of this Form is not to be taken as an admission of liabilityPlease include the original preauthorization request from in lieu of PART A

(To be Filled in block letters)

DETAILS OF HOSPITAL

a) Name of the hospital:

a) Hospital ID:

c) Name of the treating doctor:

e) Qualification:

DETAILS OF THE PATIENT ADMITTED

c) Type of Hospital: Network : Non Network : (if non network fill section E)

f) Registration No. with State Code: g) Phone No.

a) Name of the Patient:

b) IP Registration Number: c) Gender: Male Female d) Age: Years Months e) Date of birth:

ii) Gravida Status: :

m) Total claimed amount

h) Date of Discharge:

I) Date of Delivery: k) If MaternityMaternityDay CarePlannedEmergency

f) Date of Admission:

j) Type of Admission:

I) Status at time of discharge: Discharge to home Discharge to another hospital Deceased

DETAILS OF AILMENT DIAGNOSED (PRIMARY)

a) ICD 10 Codes

I. Primary Diagnosis

ii. Additional Diagnosis:

iii. Co-morbidities:

iv. Co-morbidities:

vi. If not reported to police give reason:

Description b)

I. Procedure 1:

ii. Procedure 2::

iii. Procedure 3::

iv. Details of Procedure:

ICD 10 PCS Description

c) Pre-authorization obtained: Yes

Yes

Yes Yes

No

No

No No

d) Pre-authorization Number:

e) If authorization by network hospital not obtained, give reason:

f) Hospitalization due to injury: I. If Yes, give cause Self-inflicted Road Traffic Accident Substance abuse / alcohol consumption

iv. Reported to Policeiii. If Medico legal:(If Yes, attach reports)ii) If injury due to substance abuse / alcohol consumption, Test conducted to establish this:

v. FIR No.

CLAIM DOCUMENTS SUBMITTED - CHECK LIST

Claim Form duly signed

Original Pre-authorization request

Copy of the Pre-authorization approval letter

Copy of Photo ID Card of patient Verified by hospital

Hospital Discharge summary

Operation Theatre Notes

Hospital main bill

Hospital break-up bill

Investigation reports

CT/MR/USG/HPE investigation reports

Doctors reference slip for investigation

ECG

Pharmacy bills

MLC reports & Police FIR

Original death summary from hospital where applicable

Any other, please specify

DETAILS IN CASE OF NON NETWORK HOSPITAL (ONLY FILL IN CASE OF NON-NETWORK HOSPITAL)

(PLEASE READ VERY CAREFULLY)

a) Address of the Hospital

d) Hospital PAN:

iii. Others:

DECLARATION BY THE HOSPITAL

We hereby declare that the information furnished in this Claim Form is true & correct to the best of our knowledge and belief. If we have made any false or untrue statement, suppression or concealment of any material fact,our right to claim under this claim shall be forfeited.

Date:

Place: Signature and Seal of the Hospital Authority:

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Yes No

Yes No

City: State:

Pin Code: b) Phone No. c) Registration No. with State Code:

e) Number of inpatient beds f) Facilities available in the hospital i. OT ii. ICU Yes No

S U R N A M E F I R S T N A M E M I D D L E N A M E


D D M M Y Y H H M M

Y Y M M

M M

M M

D D

D D

H MH MY

Y

D D M M Y Y

D D M M Y Y

Y

Y

g) Time:

GUIDANCE FOR FILLING CLAIM FORM - PART B (To be filled in by the hospital)

DATA ELEMENT DESCRIPTION FORMAT

a) Name of the hospital:

b) Hospital ID

c) Type of Hospital

c) Name of treating doctor

SECTION A - DETAILS OF HOSPITAL

e) Qualification

f) Registration No. with State Code

g) Phone No.

Enter the name of hospital

Enter ID number of hospital

Indicate whether in network or non network hospital

Enter the name of the treating doctor

Enter the qualification of the treating doctor

Enter the registration number of the doctor along with the state code

Enter the phone number of doctor

SECTION B - DETAILS OF THE PATIENT ADMITTED

a) Name of Patient

b) IP registration Number

c) Gender

d) Age

e) Date of Birth

f) Date of Admission

g) Time

h) Date of Discharge

i) Time

j) Type of Admission

k) If Maternity

Date of Delivery

Gravida Status

l) Status at time of discharge

M) Total claimed amount

Enter the name of patient

Enter insurance provider registration number

Indicate Gender of the patient

Enter age of the patient

Enter date of birth

Enter date of admission

Enter Time of admission

Enter date of Discharge

Enter time of Discharge

Indicate type of admission of patient

Enter Date of Delivery if maternity

Enter Gravida status if maternity

Indicate status of patient at time of discharge

Indicate the total claimed amount

SECTION C - DETAILS OF AILMENT DIAGNOSED (PRIMARY)

a) ICD 10 Code

Primary Diagnosis

Additional Diagnosis

Co-morbidities

b) ICD 10 PCS

Procedure 1

Procedure 2

Procedure 3

Details of Procedure

c) Pre-authorization obtained

d) Pre-authorization Number

e) If authorization by network hospital not obtained, give reason

f) Hospitalization due to injury

Cause

If injury due to substance abuse/alcohol consumption test conducted to establish this

Medico Legal

Reported to Police

FIR No.

If not reported to police, give reason

Indicate which supporting documents are submitted

SECTION D - CLAIM DOCUMENTS SUBMITTED-CHECK LIST

SECTION E - DETAILS IN CASE OF NON NETWORK HOSPITAL

a) Address

b) Phone No.

c) Registration No. with State Code

d) Hospital PAN

e) Number of Inpatient beds

f) Facilities available in the hospital

Read declaration carefully and mention date (in dd:mm:yy format), place (open text) and sign. and stamp

Enter the ICD 10 Code and description of the primary diagnosis

Enter the ICD 10 Code and description of the additional diagnosis

Enter the ICD 10 Code and description of the Co-morbidities

Enter the ICD 10 Code and description of the first procedure

Enter the ICD 10 Code and description of the second procedure

Enter the ICD 10 Code and description of the third procedure

Enter the details of the procedure

Enter pre-authorization number

Indicate whether pre-authorization obtained

Enter reason for not obtaining pre-authorization number

Indicate if hospitalization is due to injury

Indicate cause of injury

Indicate whether test conducted

Indicate whether injury is medico legal

Indicate whether police report was filed

Enter first information report number

Enter reason for not reporting to police

Enter the full postal address

Enter the phone number of hospital

Enter the permanent account number

Enter the number of inpatient beds

Indicate facilities available in the hospital

SECTION F - DECLARATION BY THE HOSPITAL

Name of the hospital in full

As allocated by the TPA


Name of doctor in full

Abbreviations of educational qualifications

As allocated by the Medical Council of India


Name of patient in full

As allotted by the insurance provider

Tick Male or Female

Number of years and months

Use dd-mm-yy format

Use dd-mm-yy format

Use hh:mm format

Use dd-mm-yy format

Use hh:mm format


Use dd-mm-yy format

Use standard format



Include Street, City and Pin Code


As allocated by the City Corporation / Municipality

As allocated by the Income Tax Department

Digits

Tick the right option. If others, please specify

Standard Format and Open text






Open text

Tick Yes or No

As allotted by TPA

Open text

Tick Yes or No

Tick Yes or No


Tick Yes or No

Tick Yes or No

As issued by police authrities

Open text

Enter the registration number of the Hospital obtained from local bodylike City Corporation / Municipality

Page 1

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6523.pdf

PLEASE FAX / SCAN PAGE 1 ONLYREQUEST FOR CASHLESS HOSPITALISATION FOR MEDICAL INSURANCE POLICY

DETAILS OF THIRD PARTY ADMINISTRATOR

TO BE FILLED BY THE INSURED / PATIENT

(To be Filled in block letters)

a) Name of TPA / Insurance company:

b) Toll Free Phone Number:

c) Toll Free Fax:

a) Name of the Patient: S U R N A M E F I R S T N A M E M I D D L E N A M E


b) Gender: Male Female c) Age: . Years Months d) Date of birth

e) Contact number:

Y Y M M

Y YM M

Y

Y

M

M

MH

Y

Y

M

M

MH

M

M

M

M

Y YM M

Y YM M

Y YM M

Y YM M

Y YM M

Y YM M

Y YM M

Y YM M

D D M M Y YY Y

f) Insured Card ID Number:

g) Policy number / Name of corporate:

h) Currently do you have any other Mediclaim / Health Insurance: Company Name

h) Employee ID:

Yes No

Yes No

Yes No

Yes No

Give details:

i) Do you have a family physician j) Name of the family physician

(PLEASE COMPLETE DECLARATION ON THE REVERSE SIDE OF THIS FORM)k) Contact number, if any:

TO BE FILLED BY THE TREATING DOCTOR / HOSPITAL

a) Name of the treating doctor:

c) Name of ILLNESS / Disease with presenting complaints

b) Contact Number:

d) Relevant clinical findings:

e) Duration of the present ailment:

f) Provisional diagnosis:

Days I) Date of first consultation ii. Past history of present ailment if any:

iii. ICD 10 Code:

Investigation Non allopathic treatmentIntensive careSurgical ManagementMedical Managementg) Proposed line of treatment:

h) If investigation & / or Medical Management provide details:

i.Route of drug administration:

i) If Surgical, name of surgery:

j) If other treatments provide details:

i. ICD 10 PCS Code:

l) In case of accident: I. Is it RTA: ii. Date of injury: iii. Reported to Police iv. FIR No.

v. Injury / Disease caused due to substance abuse / alcohol consumption: vi. Test conducted to establish this:

m) In case of Maternity: Date of Delivery:

(If Yes attach reports)

Mandatory: Past History of any chronic illness If yes, since (Month / year)

Y

Y

Y

Y

Y

Y

D

D

D

D

D D

G P L A

Yes No

Yes No

k) How did injury occur:

Details of the patient admited

a) Date of admission:

Emergencyc) Is this an emergency / a planned hospitalization event?: Planned

b) Time

e) Room TypeDaysd) Expected no. of days stay in hospital:

f) Per Day Room Rent + Nursing & Service charges + Patients Diet:

g) Expected cost for investigation + diagnostics:

h) ICU Charges:

i) OT Charges:

j) Professional fees Surgeon + Anesthetist Fees + Consultation Charges:

k) Medicines + Consumables _ Cost of Implants (if applicable please specify). Other hospital expenses if any:

I) All inclusive package charges if any applicable:

m) Sum Total expected cost of hospitalization

Rs.

Rs.

Rs.

Rs.

Rs.

Rs.

Rs.

Rs.

Diabetes

Heart Disease

Hypertension

Hyperlipidemias

Osteoarthritis

Asthma / COPD / Bronchitis

Cancer

Alcohol or drug abuse

Any HIV or STD / Related ailments

Any other Ailment give details:

(PLEASE READ VERY CAREFULLY)

DECLARATION

We confirm having read understood and agreed to the Declaration on the reverse of this form

a) Name of the treating doctor:

b) Qualification: c) Registration No. with State Code:

VIDAL HEALTH TPA PRIVATE LIMITED (Formerly TTK HEALTHCARE TPA PVT. LTD.)

Name of the Hospital

Hospital Location Hospital ID

Hospital Fax No. Hospital Phone No

PAGE 2 : NOT TO BE FAXED/SCANNED

DECLARATION BY THE PATIENT / REPRESENTATIVE

1. I agree to allow the hospital to submit all original documents pertaining to hospitalization to the Insurer/TPA after the discharge. I agree to sign on the Final Bill & the Discharge Summary, before my discharge.

2. Payment to hospital is governed by the terms and conditions of the policy. In case the Insurer / TPA is not liable to settle the hospital bill, I undertake to settle the bill as per the terms and conditions of the policy.

3. All non-medical expenses and expenses not relevant to current hospitalization and the amount over & above the limit authorized by the Insurer/T.P.A. not governed by the terms and conditions of the policy will be paid by me.

4. I hereby declare to abide by the terms and conditions of the policy and if at any facts disclosed by me are found to be false or incorrect I forfeit my claim and agree to indemnify the insurer / T.P.A.

5. I agree and understand that T.P.A. is in no way warranting the service of the hospital & that the Insurer / TPA is no way guaranteeing that the services provided by the hospital will be of a particular quality or standard.

6. I hereby warrant the truth of the forgoing particulars in every respect and I agree that if I have made or shall make any false or untrue statement, Suppression or concealment with respect to the claim, my right to claim reimbursement of the said expenses shall be absolutely forfeited.

7. I agree to indemnify the hospital against all expenses incurred on my behalf, which are not reimbursed by the insurer / TPA.

a) Patients / Insureds Name:____________________________________________________________________________________________________________________________________

b) Contact Number:________________________________________________ c) Patients / Insureds Signature:________________________________________________________

HOSPITAL DECLARATION

DOCUMENTS TO BE PROVIDED BY THE HOSPITAL IN SUPPORT OF THE CLAIM

1. We have no objection to any authorized TPA / Insurance Company official verifying documents pertaing to hospitalization

2. All valid original documents duly countersigned by the insured / patient as per the checklist below will be sent TPA / Insurance Company within 7 days of the patients discharge.

2. All non medical expenses, OR expenses not relevant to hospitalization or illness, OR expenses disallowed in the Authorization Letter of the TPA / Insurance Co. OR arising out of incorrect information in the pre-authorisation form will be collected from the patient.

4. WE AGREE THAT TPA / INSURANCE COMPANY WILL NOT BE LIABLE TO MAKE THE PAYMENT IN THE EVENT OF ANY DISCREPANCY BETWEEN THE FACTS IN THIS FORM AND DISCHARGE SUMMARY or other documents.

5. The patient declaration has been signed by the patient or by his represent in our presence.

6. We agree provide clarification for the queries raised regarding this hospitalization and we take the sole responsibility for any delay in offering clarifications.

7. We will abide by the terms and conditions agreed in the MOU.

Hospital Seal Doctors Signature

1. Detailed Discharge Summary and all Bills from the hospital.

2. Cash Memos from the Hospitals / Chemists supported by proper prescription.

3. Receipts and Pathological Test Reports from Pathologists, Supported by note from the attending Medical Practitioner / Surgeon recommending such pathological Tests.

4. Surgeons Certificate stating nature of Operation performed and Surgeons Bill and Receipt.

VIDAL NETWORK LIST

StateCityHospital IdHospital NameAddressPin CodePhONE NOMobileFaxContactperson- (Desig)EmailLATITUDELONGITUDE

PunjabAmritsarHOS-DEL-510Nayyar Hospital3-Dasondha Sigh Road1430010183-2220041NA0183-2210041NANA31.6340274.87234

Andhra PradeshVisakhapatnamHOS-VIZ-1288A.N. Beach Hospital15-9-13/24, Krishna Nagar, Near Beach Road, Visakhapatnam5300020891-2525617NA0891-6671283NANA17.71140783.312562

AssamDibrugarhHOS-KOL-1868Aditya Diagnostics & Hospitals (A Unit Of Dr. N. Sahewalla & Co Pvt. Ltd)Amc Road, Bordoloi, Avenue,7860050373-2302219NA0373-2302227NANA27.49197994.931184

HaryanaFaridabadHOS-DEL-1527Aastha Eye Centre5-R/5 N.I.T, Near Neelam Petrol Pump1210010129 - 2423378NA0129-2425555NANA28.38177377.297567

KarnatakaMangaloreHOS-BLR-278A.J. Hospital & Research CentreKuntikan, Dakshina Kannada-, Opp. Ksrtc Depot.Kuntikana5750040824-2229125NA0824-2225541NANA12.90317874.845365

KeralaMalappuramHOS-KOC-42Al Shifa Hospital Pvt LtdPb No. 26, Ooty Road Perintalmannaooty Road67932204933-225293NA04933-229818NANA10.98481276.223825

TamilnaduSalemHOS-CHE-1150A.C. Hospital201, 2Nd Agraharam6360010427-2267957NA0427-2260577NANA11.71409978.167725

Andhra PradeshVisakhapatnamHOS-HYD-490Abhaya Critical Care18-1-34, Opp. K.G.H. Gatemaharanipeta5300020891-2703444NA0891-2733233NANA17.68724483.218471

delhiGuwahatiHOS-KOL-2415North Eastern Medical Research Institute LimitedA.M. Road, Rehabari7810080361-260688NA0361-2608262NANA26.17223291.748475

GujaratDamanHOS-DEL-1422Hansa Clinic & HospitalMain Road, Dabhel, Nani3961150260-2242179NA0260-2242373NANA20.47333572.891129

HaryanaKurukshetraHOS-DEL-685Agarwal Nursing HomeSalarpur Road13611801744-290355NA01744-290355NANA29.98051376.877466

KarnatakaMysoreHOS-BLR-283Aadithya Adhikari Hospital#417, Contour Road, 3Rd Stage Gokulaum5700020821-2512532NA0821-22513772NANA12.33597776.626695

TamilnaduCoimbatoreHOS-COM-2275A.G. Hospital34, Kpn Colony 3Rd Street, Tirupur6416010421-2202444NA0421-2221133NANA11.22824577.349243

TelanganaHyderabadHOS-HYD-3Aditya Hospital#4-1-16, Boggulakunta, Tilak Road, Adids, Hyderbad, Abids500001040-39111333NA040-24754117NANA17.39032478.481155

GoaPanajiHOS-MUM-1315Dr. Bhandare HospitalFontainhas Panaji North4030010832-2224966NA0832-2225602NANA15.50794273.828022

HaryanaAmbalaHOS-DEL-1547Aneja Hospital & Nursing Home# 48, Mahesh Nagar Opp Water Tank1330010171-3290977NA0171-2661901NANA30.34302876.862484

KarnatakaBangaloreHOS-BLR-266Abhaya Hospital (Neuropsychiatry & Critical Care Hospital Pvt Ltd)17, Dr.M.H.Mari Gowda Road, Wilson Garden560027080-26566767NA080-26566767NANA12.94680577.594805

KeralaErnakulamHOS-KOC-1385Anwar Memorial HospitalSanthosh Lane, Ernakulam Dist6831010484-2628927NA0484-2628927NANA10.10847276.350835

TamilnaduMaduraiHOS-CHE-0A.R.Hospital Pvt Ltd609, K.K.Nagar6250200452-2586121NA0452-4391153NANA10.09326278.145752

AssamTinsukiaHOS-KOL-2336City Hospital & Research CentreA.T. Road, Near Timkonia Dukmari, Timsukia7861250374-2333349NA0374-2333345NANA26.65662692.772006

GoaPanajiHOS-MUM-2070Dr. Caeiro Bicholim Polyclinic HospitalSonarpeth, Bicholim, North4035040832-2362025NA0NANA15.61047273.947498

TamilnaduTuticorinHOS-CHE-1181A.V.M. Hospital A.V.M.M. Associates (P) Ltd# 135, Palayamkottai Road6280030461 - 2320733NA0461-2325438NANA8.80522378.143821

Andhra PradeshGunturHOS-HYD-1225Amaravathi Institute Of Medical Sciences Pvt LtdOld Club Road, Kothapeta. Oldclub Road5220010863-2256699NA0863-2256766NANA16.43569480.567741

AssamGuwahatiHOS-KOL-2371Down Town Hospital LtdG.S. Road, Dispur7810050361-2331003NA0361-2331824NANA26.14311191.793923

KarnatakaKundapurHOS-BLR-1693Adarsha Hospital# 274/Vi, N.H. # 17, A, Udapi-Udupi57620108254-231910NA08254-231910NANA13.75272574.689728

RajasthanBharatpurHOS-DEL-3210Arora Hospital(P) Ltd# 42, Krishnanagar32100105644-224667NA05644-221517NANA27.22059477.489662

TamilnaduTirunelveliHOS-CHE-115Aarthi Hospital60, Santhaipettai Street6285020463-9843050346NA0463-2221008NANA9.17666977.86633

AssamGuwahatiHOS-KOL-2489Good Health HospitalG.S Road7810060361-2263407NA0NANA26.1525191.786798

GoaPanajiHOS-MUM-1376Manipal Hospital-GoaDr.E. Borgas Road, Dona Paula4030040832-2453301NA0832 - 3048813NANA15.45963773.811578

KarnatakaBangaloreHOS-BLR-2Agadi Hospital & Research Centre35, H Siddhaiah Road, Wilson Garden560017080-22222925NA080-22241112NANA12.94983777.597637

KeralaKochiHOS-KOC-2443A.M. HospitalN.H. 47, Karunagapally6905180476-2622864NA0476-2632331NANA9.6681576.339653

TamilnaduTiruchirappalliHOS-COM-715Assured Best Care Hospital#1, Annamalai Nagar Main Road Thillai Nagarannamalai Nagar6200180431-2760850NA0431-2760850NANA10.83313778.68434

Andhra PradeshGajuwakaHOS-HYD-68Amrutha Nursing Home Private LimitedD.No.10-7-85, Kailash Nagar5300260891-2517345NA0891-5567736NANA17.68679583.210007

HaryanaGurgaonHOS-DEL-697Aryan Hospital Pvt LtdOld Railway Road1220010124-4372111NA0124-4202173NANA29.44780174.6601

KarnatakaKolarHOS-BLR-1290Akshaya Nursing Home3Dr Cross Gowripet56310108152-222938NA0NANA13.13398278.134398

KeralaThrissurHOS-KOC-2068Amala Cancer Hospital & Research CentreAmalanagar, Trissur6805550487-2304000NA0487-2304073NANA10.55989776.168636

TamilnaduChennaiHOS-CHE-868Abhijay Hospital (P) Ltd.No.22/2, E.S.I Hospital Road, Peravallur600011044-25585322NA044-42789880NANA13.11601380.232878

Andhra PradeshVisakhapatnamHOS-HYD-491Annapoorna Hospital47-9-32, 3Rd Lane, Dwarakanagar, Visakahpatnam5300160891-2755875NA0891-2542938NANA17.73495383.302065

AssamTinsukiaHOS-KOL-2238Jeevan Jyoti Nursing HomeParbatia, Opp. Hindi Girl'S High School7861250374-2339756NA0374-2335334NANA27.60080395.338532

HaryanaFaridabadHOS-DEL-760Ashwani HospitalSector 9, Huda, Market, Opp Comunity Centre1210010129-2289063NA0129-2269371NANA28.37690277.333952

KeralaThiruvananthapuramHOS-KOC-2254Arumana HospitalPerunthanni6950080471-246 8992NA0NANA8.49704176.934694

MaharashtraSilvassaHOS-MUM-1406Smt. Ramaben General Hospital(Shri Shreeji Hospital)1St Floor, Bhumica City Centre, M G Road, Near Jain Templem.G. Road3962300260-2640122NA0260-2643355NANA20.26960572.999833

TamilnaduCoimbatoreHOS-COM-1006Abinand Hospital237-F/7, Pollachi Main Road, Sundarapuram6410240422 - 2673810NA0422-2673831NANA10.97017976.975021

TelanganaHyderabadHOS-HYD-213Anukrushna Hospitals10-191/2, Vasanthapuri Colonymalkajgiri500047040-27057258NA040-27057258NANA17.44732678.538249

AssamJorhatHOS-KOL-2479Medicure Centre (Malpani Hospital & Research Institute)Raja Maidam Road, P.O7850010361-2524768NA03762323357NANA26.76377494.215525

GujaratAhmedabadHOS-GAN-4992Bavishi HospitalOpp Manjulal Municipal Garden, Near Adani Cng Pvmp Station380007079-26574901NA079-26574903NANA23.05651572.597901

KeralaThiruvananthapuramHOS-KOC-2626Ananthapuri Hospital & Research InstituteTc 31/1424, Nh By Pass Road, Chacka , Thirvvananthapuram6950240471-2506565NA0471-2506969NANA8.48373276.929997

TamilnaduChennaiHOS-CHE-601Aditya HospitalNo.7, Barnbay Road, Kilpauk600010044-26411450NA044-26615454NANA13.0807980.248523

Andhra PradeshVisakhapatnamHOS-HYD-357Anupama Surgical & Children Hospital47-9-21, Dwarakanagar, Visakha Patnam5300160891-6662122NA0891-2747287NANA17.7320183.305009

AssamGuwahatiHOS-KOL-2480Nemcare HospitalG.S. Road7810050361-2455906NA0361-2455906NANA26.16493391.768924

GoaGoaHOS-GOA-1Vrundavan Hospital And Research CenterPeddem-Karaswadda, Mapusamapusa4035270832-2500222NA0832-2250305NANA15.63758473.829292

HaryanaGurgaonHOS-DEL-2497Aashirwad HospitalG-121, Oriental Villa, Sushant Lok-Iii, Sector1250010124-2577395NA0124-2577395NANA28.48800577.023567

KarnatakaBangaloreHOS-BLR-413Ananya Hospital Pvt Ltd389/44, 19Th Main, Rajajinagarrajajinagar560010080-23527411NA080-23527400NANA13.00123377.550495

KeralaThiruvananthapuramHOS-KOC-2595A.J. HospitalKazhakuttam, Thiruvananthapuram6955820471-3044658NA0471-2417546NANA8.56824576.872724

TamilnaduChennaiHOS-CHE-1450Adyar P.M. Hospital# 58, L.B. Road, Adyar600020044-24415096NA044-24415096NANA13.00544680.257326

TelanganaHyderabadHOS-HYD-260Apollo Hospitals Enterprise LtdDmrl Cross Road, Santhosh Nagar, Kanchanbag500058040-24342222NA040-24342255NANA17.35063878.507906

AssamDibrugarhHOS-CAL-13Srishti Hospitals & Research Centre (P) LtdPaltan Bazar (Near Namgarh)7860050373-2301300NA0373-2300790NANA27.49654794.928201

GoaPanajiHOS-MUM-2375Vintage Hospital & Medical Research Centre (P) LtdCaculo Enclave, St, Inez4030010832-5644401NA0832-5644406NANA15.53043773.822426

KarnatakaBangaloreHOS-BLR-303Anugraha Nursing HomeNo 2, Vinayaka Circle, Palace Guttahalli Main Road560003080-23562042NA080-23460935NANA13.00041877.578497

KeralaKozhikodeHOS-KOC-929Baby Memorial Hospital LtdIndira Gandhi Road, E.K. Nayanar Flyover6730040495- 2723272NA0495-2723484NANA11.25952575.791748

TamilnaduPollachiHOS-COM-1296Alva Hospital Pvt Ltd74/A2, Meenkarai Road, Coimbatore64201304259-253736NA04259-253736NANA10.63692676.954122

TelanganaHyderabadHOS-HYD-226Apollo Emergency & Clinic16-2-705/5/5Malakpet500036040-24557551NA040-24557549NANA17.37914678.505357

AssamGuwahatiHOS-KOL-2287Sanjevani HospitalA T Road, Maligaon7810110361-2674892NA0361-2654713NANA26.16314291.709391

GujaratGandhinagarHOS-GUJ-36Accident Fracture And Orthopedic HospitalNear Green Park Dunetha Road , Nani Daman38201002764-23223179NA0NANA23.23594472.658032

HaryanaFaridabadHOS-DEL-1454Bhatia Orthopaedic & Maternity Nursing Home# 390-Sector 7B12100605129-2240322NA05129-4065652NANA28.36323377.325247

KarnatakaMandyaHOS-BLR-1251Archana HospitalK.R. Road, Ashok Nagar57140108232-224092NA08232-224092NANA12.52511476.89717

KeralaPalakkadHOS-KOC-1329Balaji Hospital11/787, Brindavan Street, Near Town Hall6780010491-2522809NA0491-2532573NANA10.76838776.655084

TamilnaduChennaiHOS-CHE-879Amma Hospital# 1, Sowrastra Nagar7Th Street600094044-24840441NA0NANA13.06277880.230488

TelanganaHyderabadHOS-HYD-4Apollo Emergency & ClinicOpp Sai Baba Temple, Bhagyanagar Colony, Kukkatpally Housing Board500072040-23160039NA040-23160040NANA17.41829678.412831

AssamGuwahatiHOS-KOL-2276Wintrobe Hospital59, G.N.B. Road Opp Agp Head Office7810010361-2524768NA0NANA26.18902391.756928

GujaratBharuchHOS-MUM-4906Narayan Eye Hospital22-23, Amardeep Complex3920010264-2260366NA0264-2241039NANA21.72657473.001734

HaryanaFaridabadHOS-DEL-2225Ballabgarh Nursing Home64, 65-Mukesh Colony Ballabgarn1210040129-2243872NA0129-2311398NANA28.43971477.298981

KarnatakaBangaloreHOS-BLR-1306Ashok Hospital#65, N.H.C.S. Lay-Out, 3Rd Stage, 4Th Block, Basaveshwar Nagar, Kamalanagar Main Road560079080-23226699NA080-23224052NANA13.1115877.503052

TamilnaduChennaiHOS-CHE-376Ammayi Eye HospitalNEW # 80 7TH AVENUE, ASHOK NAGAR600083044-24896175NA044-24851560NANA13.03327880.21598

TelanganaHyderabadHOS-HYD-5Apollo Emergency & ClinicMehdipatnam, Meeraj Complex500028040-23590677NA040-23608050NANA17.39120778.44092

DelhiDelhiHOS-DEL-725Brahm Shakti HospitalU-1/78, Budh Vihar, Phase-1, Main Kanjhawala Road110086011-27537894NA011-27532092NANA28.72009877.07728

GujaratAhmedabadHOS-GUJ-17Akshardeep Orthopaedic Hospital2Nd Floor, Shubh Complex, Near Rajasthan Hospital, Shahibaugnr. Rajasthan Hospital380004079-2854647NA0NANA23.05829272.593061

KarnatakaDavanagereHOS-BLR-1350Ashraya HospitalNo.1977/1 & 2, Mcc 'A' Block, Shamanur Road, Davanagere57700408192-224679NA08192-224294NANA14.45836975.908955

KeralaErnakulamHOS-KOC-304Bharath Rural Hospital & Training CentreKuriapilly, Moothakunnam6835160484-2482025NA0484-2482863NANA10.18080576.205745

TamilnaduChennaiHOS-CHE-329Anand Hospital201, Kamaraj Salai, Manali, Manali600068044-25942702NA044-25942900NANA13.16695280.250205

TelanganaHyderabadHOS-HYD-6Apollo Emergency Hospital3-5-836 Hyderguda500029040-23242827NA040-23388339NANA17.40060678.480736

BiharPatnaHOS-KOL-2388Abhinandan Hospital0/60, Doctors Colony, Kankar Baga8000200612-2352438NA0612-2352438NANA25.59822685.157898

GujaratGandhinagarHOS-MUM-718Apollo Hospital International LtdPlot No.1A, Gidc Estate-Bhat38242802764-28501843NA0612-2352438NANA23.12646872.622272

HaryanaKurukshetraHOS-DEL-2358Bhola HospitalRailway Road13611801744-290841NA01744-221800NANA29.97136876.842829

KarnatakaChikkamagaluruHOS-BLR-305Ashraya HospitalP B No 77 Naidu Streetchikmagalur57710108262-230574NA0826-2228378NANA13.31696675.770963

KeralaKollamHOS-KOC-33Bishop Benziger HospitalBeach Road6910010474-2768201NA0474-2741762NANA8.88111876.59271

TamilnaduChennaiHOS-CHE-844Andhra Mahila SabhaNo.11 & 12, Dr.Durgabaideshmukh Road, R.A.Puram600028044-2493811NA044-24617611NANA13.03748580.262282

Andhra PradeshVisakhapatnamHOS-HYD-227Apollo HospitalsWaltair Main Road, Vishakapatnam5300170891-2529618NA0891-2560858NANA17.72383483.310991

BiharPatnaHOS-CAL-3Ruban Memorial Hospital (A Unit Of Ruban Patliputra Hospital Pvt. Ltd.)19,Patliputra Golambar,Patna8000130612-2270097NA0NANA25.61076585.158499

DelhiDelhiHOS-DEL-593Sharp Sight Centre (East)Sharp Sight Centre East 81, Degence, Enclave110092011-22461146NA011-22461150NANA28.64359477.292569

GujaratAhmedabadHOS-GUJ-18Amin Maternity And Nursing Home17, Manipushp Society, Opp:Sarathi-2, B/H Goyal Intercitynr. Surdhara Circle380054079-7419677NA0NANA23.04016772.566003

KarnatakaBangaloreHOS-BLR-3756Ashraya Medinova Pvt LtdMagadi Main Road, Sunkadakatte, Srigandadakaval560091080-23583783NA080-23588424NANA13.2506477.486572

KeralaKasaragodHOS-KOC-1021Carewell Hospital & Research CentreNullipady, Kasargod67112104994-2301802NA04994-230771NANA12.51140174.998295

TamilnaduKuzhithuraiHOS-CHE-417Annammal HospitalVilavancode Taluk, Kanyakumari62916304651-660555NA0NANA8.31834477.191401

Andhra PradeshAnanthapurHOS-HYD-228Aasha Hospitals7-201, Court Road51500108854-274194NA08554-274494NANA15.13576477.604126

GujaratAhmedabadHOS-GUJ-19Anand Surgical Hospital Ltd.5, Janta Chambers, Nr, Saijpur Towernr. Saijpur Tower382345079-2815100NA079-2821966NANA23.06488672.639688

HaryanaPanchkulaHOS-DEL-1557Chakravarty Nursing Home# 207, Sector-101341130172-2563505NA0172-2585005NANA30.68885576.850413

KarnatakaBangaloreHOS-BLR-1793Ashwini Hospital#129, Katruguppa, Bsk 3Rd Stg560085080-26723002NA080-26723002NANA12.92838177.551804

KeralaAlappuzhaHOS-KOC-6Century HospitalMulakuzha P.O6895050479-2469469NA0479-2468709NANA9.30374476.63461

TamilnaduChennaiHOS-CHE-257Apollo Hospital ( T.H.Road-Chennai)#645, T.H.Road, Tondiarpet600081044-25911132NA044-25915599NANA13.12194880.284765

TelanganaHyderabadHOS-HYD-8Apollo HospitalsJubilee Hills500033040-23607777NA040-23608050NANA17.41649478.412587

GujaratAhmedabadHOS-MUM-4939Mansarovar Hospital & PolyclinicKheteshwar Medical Educariona Research Centre Kirti Colony380013079-27557022NA079-27557022NANA23.05698972.554728

HaryanaKarnalHOS-DEL-1537Chaudhry Medical & Maternity Hospital# 1543-44, Sector-13, Urban Estate Opp Pani Ki Tanki1320010184-2203226NA0184-2201036NANA29.70072877.030198

KarnatakaBangaloreHOS-BLR-1593Ashwini HospitalB.B.Road, Yelahanka560064080-28563877NA080-42103882NANA13.10000277.59768

HaryanaPanipatHOS-DEL-1531Chhabra Hospital PanipatA-1, Narain Singh Park, Assandh Road1321030180-2651777NA0180-2651777NANA29.39608576.959179

KarnatakaDakshina KannadaHOS-BLR-1447Ashwini HospitalNh-48, Nellyady, Dakshina Kannadadakshina Kannada57422908251-254683NA08251-254683NANA12.83136475.413307

KeralaKochiHOS-KOC-740Chaithanya Eye Hospital & Research InstituteRavipuram Road, Ravipuram, Kochi, Eranakulam6820160484-2357135NA0484-2357098NANA9.96001176.290333

TamilnaduMaduraiHOS-COM-616Apollo Speciality Hospital (Madurai)20, Lake View, Kk Nagar6250200452-2580892NA0452-2589903NANA9.93900878.147726

Andhra PradeshRajahmundryHOS-HYD-199Aravindam Orthopaedic And Physiotherapy CentreD.No-6-18-3, Kokkondavari Street, T Nagar.Rajahundry5331010883-2428488NA0883-2428488NANA17.10929381.731964

GujaratAhmedabadHOS-GUJ-21Arihant Heart & Medical HospitalS-15, Shubh Complex, 2Nd Floor, Nr.Rajasthan Hospital380004079-2869001NA0NANA23.05819372.593018

KeralaThiruvananthapuramHOS-KOC-51Chelsa Medical Care (P) Ltd.Kungallummoodu, Karamanatrivadrum6950020471-2342252NA0471-2344448NANA8.48507276.971955

TamilnaduChennaiHOS-CHE-211Appasamy Medicare Centre Pvt Ltd23-25, Friends Avenue, Arumbakkam, Arumbakkam600106044-30595956NA044-23633206NANA13.07269180.214422

BiharPatnaHOS-CAL-6Magadh Hospital(A Unit Of Magadh Health Print Pvr Ltd)Road No. 2Brajendra Nagar8000160612-2690046NA0612-2690632NANA25.61064985.157812

HaryanaPanipatHOS-DEL-1551D.N. HospitalKhanna Road, Krishanpura1321030180-4002299NA0180-4002299NANA29.38082976.970208

KarnatakaVirajpetHOS-BLR-1108Athreya HospitalGonikoppal Road Opp, Kstrc Bus Stands.Kodagu57121808274- 257483NA08274-257783NANA12.19800975.8054

KeralaPathanamthittaHOS-KOC-288Christian Mission HospitalPandalam6895010473-2452246NA0473-4254989NANA9.21996476.681468

BiharKatiharHOS-CAL-1Manish Nursing HomeR.K.Mission Road85410506452-33081NA0NANA25.67123687.549225

KarnatakaBangaloreHOS-BLR-248Dr.Agarwal Hospitals15, Eagle Street, Langford Townlangford Town560025080-22240736NA080-22221941NANA13.28271977.607422

TamilnaduCoimbatoreHOS-COM-1067Aravind Eye Hospital - CoimbatoreAvanashi Road, Teelametu6410140422-4360400NA0422-2580993NANA11.04116277.04021

GujaratSuratHOS-MUM-2127Adarsh Hospital16-23, Suryakiran Appartments, Ghoddod Road3950070261-2655896NA0261-2666589NANA21.17816972.811018

KarnatakaBangaloreHOS-BLR-2142Aditi HosptialGandhi Square Newpet, Anekal562106080-27830090NA080-27830914NANA12.95596477.600513

KeralaErnakulamHOS-KOC-10Cochin HospitalMg Road6820160484-2378980NA0484-2378985NANA9.96477276.287337

PunjabSangrurHOS-DEL-4924Sibia Healthcare Pvt LtdJind Road, Opp Kissan Gheemill14800101672-200800NA01672-238869NANA30.24633375.842121

TamilnaduTheniHOS-COM-1066Aravind Eye Hospital - Theni371, Periakulam Road, Allinagaram62553104546-252658NA0NANA10.01365177.476788

TelanganaHyderabadHOS-HYD-10Bristlecone Hospitals Private Limited3-4-136/A, Street #6 Barkatpurbarkhatpura Branch500027040-2756365NA040-45999901NANA17.38569978.486668

BiharPatnaHOS-CAL-8Ram Ratan HospitalRampur Road, Near Bazar Samiti8000060612-2686256NA0612-2691862NANA25.31654486.48744

GujaratAhmedabadHOS-MUM-2248Ashish Orthopaedic Hospital24, Himalaya Complex, Nehru Park, Vajtrapur380015079-26731489NA079-40033850NANA23.03921972.527434

HaryanaFaridabadHOS-DEL-1046Deep Medical CenterSite No 1, Sector 16A Mkt Road1210020129-4008357NA0129-4007328NANA28.48136677.035343

KarnatakaBangaloreHOS-BLR-2350A.M. Hospital# 20/1, 2Nd Cross, Widia Layout, Vijayanagar560040080-23392851NA080-23392851NANA12.96102577.531419

KeralaThiruvananthapuramHOS-KOC-661Cosmopolitan Hospitals (P) LtdMaurinanjapalam, Pattom6950040471-2521252NA0471-2449188NANA8.51582576.935756

TamilnaduTirunelveliHOS-COM-1069Aravind Eye Hospital - Tirunelveli# 1. S.N. High Road6270010462-2337103NA0462-2331633NANA8.73214477.713337

TelanganaHyderabadHOS-HYD-1466Asian Institute Of Gastroenterology6-3-661, Somajiguda, Near Red Rose Hotel500082040-23378888NA040-23323434NANA17.42153178.456413

BiharPatnaHOS-CAL-9Sahyog Hospital40, Patliputra Colony8000130612-2262642NA0612-2274690NANA25.63115785.10841

GujaratAhmedabadHOS-MUM-2280Auro Ent HospitalSanjeevani Complex Opp Mehsana Society, New Vadaj Road380013079-27640740NA079-27641025NANA23.06038572.569577

HaryanaJindHOS-DEL-1548Delhi Hospital & Maternity Home# 1151, Urban Estate12610201681-247287NA01681-245750NANA29.31308376.337661

KarnatakaChikkamagaluruHOS-BLR-2368Annapurna HospitalK.M. Road57710108262-230426NA08262-236426NANA13.31253975.770252

KeralaThrissurHOS-KOC-2594Chandramathy Amma Memorial HospitalOlarikkara Pullazhi Post, Thirssur6800120487-2361420NA0487-2364509NANA10.51642976.178464

TamilnaduMaduraiHOS-COM-1065Aravind Eye Hospital- Madhurai1- Anna Nagar6250200452-4356100NA0452-2530984NANA9.92345278.146954

TelanganaHyderabadHOS-HYD-4893Poojitha Hospital#7-2-1799/4A/2, Czech Colony, Sanath Nagar, Ranga Reddy500018040-23711366NA040-23718583NANA17.46660878.443018

BiharPatnaHOS-BLC-580Siddiqui Nursing HomeOpp. B.N.College, Bakerganj8000040612-2300841NA0612-2300089NANA25.61736385.154404

GujaratAhmedabadHOS-MUM-2347Auroma Ent HospitalAgrawal Tower, Bhuyangdev Cross Road, Ghatlodia380061079-27471275NA0NANA23.04010772.566046

HaryanaFaridabadHOS-DEL-1580Om Premia Hospital ( A Unit Of Soalni Healthcare Pvt. Ltd)56Km Stone, Nh-2, Delhi Mathura Road, Palwal12110201275-240240NA01275-250016NANA28.56884477.283119

KeralaErnakulamHOS-KOC-845Deva Matha HospitalKoothattukulam, Dist6866620485-2252271NA0485-2252571NANA9.86625276.594955

TamilnaduChennaiHOS-CHE-1336Aravind Sai Eye Hospital# 1, Ganesan Street, Pammal Main Road Krishna Nagar600075044-22482045NA044-22482045NANA13.04124580.183976

TelanganaHyderabadHOS-HYD-460Aware Global HospitalsShanthivanam, Nagarjuna Sagar Roadnagarjuna Sagar Road500035040-24031903NA040-24032366NANA17.43582178.543955

BiharPatnaHOS-CAL-10Sri Ram HospitalNc-1-C, Lohia Nagarkannerbagh8000200612-2366642NA0612-2366643NANA25.60060685.154297

GujaratPatanHOS-MUM-2387Ajani HospitalSidharaj Jaysingh Marg, Sidhpur38415102767-220530NA02767-222883NANA23.91604972.371222

HaryanaFaridabadHOS-DEL-1388Dr. M.L.Gupta Memorial CentreB.P. 5E/4, Railway Road, Nit, Nit1210010129-2416566NA0129-4034933NANA28.41374877.303575

KarnatakaAnkolaHOS-BLR-2580Arya Medical CentreDinkar Desai Road58131408388-230570NA0NANA14.6739474.278564

TamilnaduKrishnagiriHOS-COM-368Ark Nursing Home29-A, 4Th Cross, Co Operative Colony Near Employment Officeco-Ops Colony63500104343-23019NA0NANA12.50196678.215876

TelanganaHyderabadHOS-HYD-3851Azam Hospital21-4-189, Azam Hospital, Hussaini Alam, Hyderbad500002040-24573860NA040-24412197NANA17.37029978.477891

GujaratAhmedabadHOS-MUM-2567Aadya Ent HospitalShivam Complex, Janata Chamber, Saijpur Tower380045079-22812715NA0NANA23.04340572.609132

KarnatakaChallakereHOS-BLR-2572Ajay Medical CentreNear Bus Stand57752208195-223501NA0NANA14.4054276.662186

TamilnaduTheniHOS-COM-1957Arun Hospital (Theni)51, Uthamapalayam Road, Bus Stand Bodinayakanur62551304546-283675NA04546-283675NANA10.05675577.34787

GujaratAhmedabadHOS-MUM-2644Aneri Surgical & Neurosurgical Hospital1St Floor, Swami Narayan Complex380007079-26606591NA079-26621984NANA23.01433672.539609

HaryanaFaridabadHOS-DEL-2231Eye Care Centre1368-B, Sector1210070129-2283528NA0129-5008528NANA28.39287377.301858

KeralaThrissurHOS-KOC-46Divine Medical CentreWadakkanchery68059004884-232321NA0NANA10.6633776.248132

TamilnaduCoimbatoreHOS-CHE-36Arunn SurgeryDr.Nanjappa Road6410180422-2236967NA0NANA11.01306676.967039

Andhra PradeshRajahmundryHOS-HYD-2012Apex Hospital75-6-23, Prakash Nagar, East Godavari5331030883-2439191NA0883-2479191NANA17.11052381.818999

GujaratVadodaraHOS-GUJ-39Baroda Heart Institute And Research Centre44, Haribhakti Colony, Race Course3900070265-2322021NA0265-2351091NANA22.3074873.164991

HaryanaGurgaonHOS-DEL-1339Florence Nursing Home# 721, Sector 14, Gurgon1220010124-4081353NA0124-4103334NANA28.47548277.046677

KarnatakaMandyaHOS-BLR-1026B.G.S Vivus Heart CentreBandhi Gowda Extension, Bangalore Mysore Highway57140108232-223220NA0NANA12.52825676.895516

KeralaThiruvananthapuramHOS-KOC-360Divya Prabha Eye HospitalPadinjatil Lane, Kumarapuram, Thiruvunathapuram6950110471-2442050NA0471-2445900NANA8.51173576.927766

TamilnaduNamakkalHOS-COM-1519Arvinth Hospital# 17, Rangar Sannathi Street63700104286-232333NA04286-233508NANA8.17130777.429838

TelanganaHyderabadHOS-HYD-2078Aravind Eye Hospital Private Limited# 12-2-824/A/1, Santosh Nagar Colony, Opp:St.Ann'S Womens College, Mehdipatnam.500028040-23513743NA040-23512344NANA17.37799978.442872

ChattisgarhBilaspurHOS-KOL-2429Bhargava Nursing HomeMagarpara Road49500107752-224364NA0NANA22.08850382.137171

GujaratVadodaraHOS-MUM-1223Bhailal Amin General HospitalBhailal Amin Marg Gorwa3900030265-2285555NA0265-2285099NANA22.32574373.162398

HaryanaPanipatHOS-DEL-1287G.C. Gupta Hospital# 372-373, Huda, Sector 11-12, Phase-11321030180-2697804NA0180-4018061NANA29.38118476.977078

KarnatakaHubliHOS-BLR-1349Banashankari Hospital Pvt LtdChitguppipark, Pinto Road, Dharkiad5800200836-2228334NA0836-2530636NANA15.37159875.125834

TamilnaduErodeHOS-CHE-117Sudha Hospitals181, Perundurai Road, Near Uti Bank6380110424-2256456NA0424-2260370NANA11.33598677.693939

Andhra PradeshRajahmundryHOS-HYD-2218Abhaya Emergency Centre Sri Hospitals79-1-4/1, J.N. Road5331030883-2461640NA0883-2423208NANA17.2037781.758606

GujaratGodhraHOS-GUJ-11Bhavsar Surgical & Maternity HospitalNear Church, Panjera Pole, Above Bombay Cold Drinks Medaopp.Bank Of Baroda38900102672-41026NA0NANA22.76563673.609339

HaryanaFaridabadHOS-DEL-991Ghai HospitalPlot No.29, Sector 91210060129-4083481NA0129-4003208NANA28.68817877.13343

KarnatakaBangaloreHOS-BLR-3Bangalore Baptist HospitalBellary Road, Hebbal, Opp University Of Agricultural Sciences (Near Hebbal Flyower)560024080-23330321NA080-23337817NANA13.03432877.593346

KeralaThiruvananthapuramHOS-KOC-414Dr.Somervell Memorial Csi HospitalKarakonam6955040471-2250233NA0471-2250239NANA8.39135477.173332

Andhra PradeshVisakhapatnamHOS-HYD-2510Apoorva Health Services Pvt Ltd50-17-62, Rajendranagar, Visakhapatnam5300160891-2747436NA0891-2747436NANA17.73691583.308931

ChattisgarhRaipurHOS-KOL-1440Escorts Heart Institute And Research CentreSt. J.N.M. Medical College4920010771-2551388NA0771-2551212NANA21.25260281.639294

GujaratAhmedabadHOS-MUM-2367Bopal Multispeciality Hospital Pvt Ltd1St First Floor, Abhinandan Complex, Opp-Inductotherm, Bopal38005802717-233043NA02717-235300NANA23.05254772.594241

HaryanaPalwalHOS-DEL-263Goyal Nursing Home (Palwal)Near Bus Stand12110201275-253169NA01275-242691NANA28.14753677.335246

KeralaThrissurHOS-KOC-47Elite Mission HospitalP.B No:1414 P.O.Koorkken Cheryp.O. Koorkkenchery6800070487-2445575NA0481-2436167NANA10.50209876.211029

TamilnaduMaduraiHOS-CHE-4929Vasan Eye Care Hospital (Madurai)342, 80 Feet Road,Anna Nagar, Madurai - 625020, Tamilnadu6250200452-3989000NA0452-3983894NANA9.9243478.148713

TelanganaHyderabadHOS-HYD-11Bapuji Maternity & Nursing Home7-44, Bapuji Nagarnacharam500076040-27175567NA040-27158358NANA17.42681378.546212

ChattisgarhRaipurHOS-KOL-1407Life Worth HospitalMain Road, Samta Colony4920010771-40654001NA0771-4065444NANA21.24580281.630453

GujaratAhmedabadHOS-MUM-2492Bavishi Eye Hospital#1,Tapovan Society, S.M. Road, Satellite380015079-26753534NA079-26768186NANA23.0242972.540995

HaryanaFaridabadHOS-DEL-295Gupta Nursing Home160, Sector 16-A1210020129-2288252NA0129-4046211NANA28.40891777.322372

TamilnaduChennaiHOS-CHE-1262Aswene Soundra Hospital & Research Centre# 24, Kasturi Rangan Road, Teynampet600018044-24990525NA044-24661324NANA13.04335980.255814

Andhra PradeshGunturHOS-HYD-1524Ent Nursing Home12-25-191, Kothapet Main Road, Oppsite To Bhagath Singh Statne5220010863-2225729NA0863-2256856NANA16.31750480.429432

ChattisgarhRaipurHOS-CAL-15Vidya Hospital & Kidney CentreShankar Nagar Main Road4920010771-425090NA0NANA23.86072286.426285

GujaratVadodaraHOS-MUM-2537Balaji Hospital ( A Unit Of Shri Vhmrc Pvt Ltd)Opp. Vidya Vikas School, Subhanpura3900230265-2282111NA0265-2282233NANA22.31859773.162827

HaryanaFaridabadHOS-DEL-1810Gupta HospitalMohna Road, Ballabhgarh1210040129-2242002NA0129-2242002NANA28.33764577.324585

KarnatakaMysoreHOS-BLR-49Basappa Memorial Hospital22-B, Vinobha Road5700120821-2511771NA0821-2414471NANA12.3255876.621888

KeralaTiruvallaHOS-KOC-45G.K.HospitalT K Road Tiruvalla6891010473-2630322NA0469-2733691NANA9.3784876.556674

TamilnaduChennaiHOS-CHE-1070Athipathi Hospital And Research CenterPlot No 1, 100 Ft Rd, Tanni Nagar, Velachary600042044-22432464NA044-42022612NANA12.97796280.224872

GujaratAhmedabadHOS-GUJ-1Chitrakut Surgical Hospital734/4888 , Bapunagar , Near Pattelvadi380024079-22972554NA079-22972554NANA23.03343372.628466

HaryanaFaridabadHOS-DEL-1484Handa Medical & Research Centre Pvt LtdN.H. Site #1, Sctor-161210020129-2291847NA0129-2283548NANA28.40480277.315377

KeralaMavelikkaraHOS-KOC-1Gems HospitalNear Court Junction6950040479-302495NA0479-2540491NANA9.23647476.53792

TamilnaduChennaiHOS-CHE-382Avm Medical Ent Research Fundation3, P.S.S. Road, Mylapore600004044-42034567NA044-24671451NANA13.05088480.263367

HaryanaKarnalHOS-DEL-2215Amritdhara Hospital Pvt LtdChaura Bazar, Near City Police Station1320010184-2252740NA0184-2254729NANA29.6831576.988429

JharkhandRanchiHOS-KOL-2534Alam Hospital & Research Centre Pvt. Ltd.Booty Road, Bariatu8340090651-2547253NA0651-2546567NANA23.35785885.297581

KarnatakaMysoreHOS-BLR-2566Bharath Hospital & Institute Of Oncolgy# 438, Outer Ring Road, Hebbal5700170821-2517130NA0821-4280286NANA12.35710676.608155

KeralaKochiHOS-KOC-613Giridhar Eye Institute28/2576-A, Ponneth Temlpe Road6820200484-4000581NA0484-4000584NANA9.9640476.304968

TamilnaduChennaiHOS-CHE-1Aysha Hospital91A Millers Road, Kilpauk600010044-26423786NA044-42175954NANA13.08967880.249977

Andhra PradeshVisakhapatnamHOS-HYD-229Bharathi Hospital14-24-1, Men'S Hostel Road, Maharanipet, Visakhapatnam5300020891-2526500NA0891-2526502NANA17.69145683.218492

GujaratAhmedabadHOS-MUM-2222Chandramani HospitalGirdhar Nagar, Shahibag380004079-22866789NA079-22866539NANA23.04956572.595161

KarnatakaUjireHOS-BLR-331Benaka Health CentreMain Road, Ujire57424008256-236742NA08256-237847NANA12.99598675.328206

KeralaKochiHOS-KOC-12Goutham HospitalFr Mathew Kotakathu Road Ernakulam6820050484-2210512NA0484-2210511NANA9.94701176.256159

Andhra PradeshBhimavaramHOS-HYD-1217Bhimavaram Hospitals LtdJ.P. Road Bhimavaramwest Godavary53420408816-221111NA08816-221100NANA16.81205981.528204

GujaratBharuchHOS-MUM-2288C.F. Sheth Memorial HospitalShalimar Complex, Station Road39200102642-264411NA0NANA21.70336972.984212

HaryanaBahadurgarhHOS-DEL-1536J.J. Institute Of Medical Science Pvt LtdDelhi Rohtak Road, M.I.E., B. Garh, Jahjjar12450701276-267070NA01276-118267167NANA28.69013676.990102

JharkhandJamshedpurHOS-BLC-408Gangotri Homes Pvt LtdNear Bhatiya Park , Kadma831005033-24434567NA01276-118267167NANA22.80401586.156713

KarnatakaMysoreHOS-BLR-48Apollo B.G.S HospitalsAdichunchanagiri Road, Kuvempunagar5700230821-2466018NA0821-2461082NANA12.29639776.632854

KeralaMalappuramHOS-KOC-1743Grace Speciality HospitalEdakkara P.O6793310483-2779111NA0NANA11.35879176.302961

TamilnaduHosurHOS-COM-2140Arogya Seva Hospitals Pvt Ltd#35, Shanthi Nagar, Opp.Csi Chruch, Hosur63510904344-225555NA0NANA12.74249377.824745

TelanganaHyderabadHOS-HYD-12Bibi General Hospital & Cancer Centre16-3-991/1/C Govt Printing Press, Marketgovt. Printing Press Road500024040-24528122NA040-24410792NANA17.37072978.500659

GujaratVadodaraHOS-MUM-2305Chandan Hospital & ICUNavarang Talkies Compound, Raopura3900010265-2430254NA0265-2430253NANA22.30188273.200825

HaryanaFaridabadHOS-DEL-1573Jindal Nursing HomeG.T. Road, Opp Mathura, Chungi Palwal12110201275-253501NA01275-242044NANA28.37829977.28079

KarnatakaBangaloreHOS-BLR-748Bhagwan Mahaveer Jain Netralaya#3, Railway Platform Road, Sheshadripuram, Policestation Opp. Roadsheshadripuram560020080-23462558NA080-23462559NANA12.96692277.573562

TamilnaduNagapattanamHOS-COM-2270Arunpriya Nursing Home3&4, Pattamangalam Street, Nagapattinam60900104364-222331NA04364-242525NANA11.10614779.652252

HaryanaFaridabadHOS-DEL-406Jindal Nursing Home1218/ Sector-19, Near Old Rajiv Gandhi Chowk1210020129-2282875NA01275-242044NANA28.33807977.324346

JharkhandRanchiHOS-KOL-297Hill View Hospital&Research CenterHill View Road Po Bariatu8340090651-2545696NA0651-2540172NANA19.81774485.831864

KeralaErnakulamHOS-KOC-40Hail Mary HospitalPerumpilly Mulamthuruthy6823140484-2740315NA0484-2705248NANA9.91000976.38509

TamilnaduNagapattanamHOS-CHE-2469Dr. A. Ansari Hospital# 20, Naganathar Sannadhi, Nagapattinam61100104365-224527NA04365-220173NANA10.77125479.845543

GujaratRajkotHOS-MUM-1754Darshan Eye Care Clinic (Savjiani Medico (P) Ltd)2Nd Floor, Parishram Plaza, Mangla Main Road3600020281-2465622NA0NANA22.2899770.799748

HaryanaPanchkulaHOS-DEL-18Alchemist Hospitals LtdSector 21, Near Main Market1341120172-2561534NA0172-2561039NANA30.67866876.864617

KarnatakaRaichurHOS-BLR-604M.K.Bhandari HospitalNear Gunj, Goshala Road58410108532-235611NA08532-235046NANA16.21665377.355715

KeralaIdukkiHOS-KOC-668Holy Family HospitalMuthalakodam,Thodupuzha68560504862-222231NA04862-2221061NANA9.91221876.733965

OdishaRourkelaHOS-KOL-2611Khosla Nursing HomeH-15, Civil Town Ship7690040427-2240394NA0486-2221061NANA22.25792284.850367

TamilnaduChennaiHOS-CHE-2B M Hospitals36, 5Th Main Road, Thillai Ganga Nagarcheenai600061044-22341182NA044-22670179NANA12.98979780.190196

TelanganaHyderabadHOS-HYD-541Care HospitalNo.6-3-248/1/1A, Road No.01, Banjara Hills500034040-30418786NA040-30418488NANA17.41311678.45019

GujaratVadodaraHOS-GUJ-40Deep Intensive And Critical CareB/4, Maharani Shool, Near Sursagar, Raopura3900010265-9825025725NA0NANA22.30331173.201033

HaryanaFaridabadHOS-DEL-768Kalra Child Care Centre1485, Sector-15, Near Hdfc Bank1210070129-2282883NA0129-4105894NANA28.39321377.320305

JharkhandDhanbadHOS-KOL-976Namdhari Hospital & Research CenterEverest Building, Naya Bazar8260010326-2209909NA0326-309247NANA23.86072286.426285

KarnatakaBangaloreHOS-BLR-1060Bhanu Nursing Home69/5B, Bommanahalli, Hosur Rd560068080-25732130NA080-25732130NANA12.90836577.627463

TamilnaduChennaiHOS-CHE-832B.M.Orthopaedic HospitalNo.3/157, Mth Road, Ambattur600053044-26570707NA044-26573322NANA13.10556180.17067

Andhra PradeshVisakhapatnamHOS-HYD-514Visakha Hospital And Diagnostics Pvt LimitedA.S.Raja Complex, 10-50-11/5, Waltair Main Road, Ramnagarmaharanipeta5300020891-2714014NA0891-3041416NANA17.7352883.334878

HaryanaKarnalHOS-DEL-1615Karnal Nursing Home#26, Duggal Colony, Opp Pash Pustakalaya1320010184-2254518NA0184-2233733NANA28.5821177.233475

JharkhandJamshedpurHOS-KOL-2155Nu-Life Nursing HomeS-Tyre Chowk, Adityapur, Saralkela Kharsawa831013033-30016172NA0NANA22.78678686.149953

KarnatakaBangaloreHOS-BLR-1655Bharath Nursing Home# 1402, Near Vegitable Market, J.P Nagr 1St Phase, -Kanakapura Main Road560078080-26539923NA080-26535804NANA12.93580577.575665

KeralaKochiHOS-KOC-8Jesus HospitalGovt Hospital Road, Kochi 5, Ernakulam, Karuvelipady6820050484-2225143NA0484-2225143NANA9.9407676.261807

TamilnaduChennaiHOS-CHE-1636B.S. Hospital# 16, 3Rd Main Road, Chitlapakkam600064044-22230464NA044-22230464NANA12.95303780.14595

Andhra PradeshChittoorHOS-HYD-5140Dr.Agarwal'S Eye Hospital Ltd#22-339/2, Kongareddy Palle51700108572-232991NA08572-222255NANA13.21822279.100262

GujaratMehsanaHOS-GUJ-12Doctor HouseJail Road38400202762-5550051NA0NANA23.61228472.3858

HaryanaFaridabadHOS-DEL-1609Krishna Nursing Home# 194, Sector-81210060129-2241093NA0129-2241093NANA28.37116377.328803

JharkhandHazaribaghHOS-KOL-2615National Nursing HomeMain Raod, N.H-33, Ramgarh Cantt82912206553-222322NA06553-222322NANA23.67597185.511295

TamilnaduChennaiHOS-CHE-536Bagdi Nursing Home3Rd Floor, #10, Solaiappan Streett.Nagar600017044-28340120NA044-28340572NANA13.05573480.243797

TelanganaSecunderabadHOS-HYD-62Care HospitalsNear Clocl Tower, Adjacent Laneto Westely Church, Market Stre500003040-7706252NA040-27717738NANA17.44433778.497632

HaryanaGurgaonHOS-DEL-1332Kriti HospitalPlot No.13, Sec. 56, In Fornt Of Kendriya Vihar1220030124-2820127NA0124-2575607NANA28.43020477.098935

JharkhandHazaribaghHOS-KOL-2455Om Health CareJhanda Chowk, Ramgarh Cantt829122033-39898969NA0NANA23.6177185.520257

KarnatakaHassanHOS-BLR-1700Vaatsalya Hospital, Bharathi Healthcare ComplexRace Course Road57320108172-251707NA08172-265033NANA13.01062176.102846

KeralaKochiHOS-KOC-14K.P.M Eye Hospital & Laser Centre40/256257, Hospital Rd, Marine Drive, Ernakulam6820110484-2368798NA0484-2353111NANA9.97195776.283985

TamilnaduChennaiHOS-CHE-33Balagangadhara Varma Nursing Home & Research CenterNo 17, First Main Road, Narayanapuram601302044-22460595NA044-42184653NANA12.94868780.206323

TelanganaHyderabadHOS-HYD-13Care Hospitals (A Unit Of Quality Care India Limited).Exhibition Road , Near Mazam Jahi Market500001040-30417777NA040-24737640NANA17.41301478.45019

GujaratAhmedabadHOS-MUM-1632Dr. Ashish Dave Eye HospitalAakash' Complex, Station Road, Maninagar380008079-25469195NA0NANA22.9965672.606741

HaryanaKurukshetraHOS-DEL-1516Kurukshetra Nursing HomePipli Road13611801744-221397NA01744-221396NANA30.08810876.821075

JharkhandDhanbadHOS-KOL-2613Patliputra Nursing HomeJora Phatak Road, Opposite Gurudwara8260010326-2306848NA0326-2308151NANA23.67597185.511295

KarnatakaBangaloreHOS-BLR-1073Bibi Ayesha Mili Hospital242, Old Mysore- Rd, Mysore5700150821-2493962NA0821-2493962NANA12.64033876.574707

TamilnaduChennaiHOS-CHE-3Sri Balaji Hospital1, Lawyer Jagannathan Streetguindy603001044-22342402NA044-22324570NANA13.01141580.205688

Andhra PradeshEast GodavariHOS-HYD-5172Sanjana Orthopaedic HospitalDanavaipeta D.No 46-18-22, Rajamundry5331030883-2445114NA0NANA17.00869481.78203

GujaratNadiadHOS-MUM-2027Dr. Jayant Shah HospitalSantram Society,B/H.Santram Mandir,Nadiad3870010268-2550132NA0268-2550051NANA22.68880572.862698

HaryanaGurgaonHOS-DEL-2430Kalyani Hospital Pvt LtdMehrauli Road1220010124-2391101NA0124-2331481NANA28.47155877.04539

JharkhandRanchiHOS-CAL-14Raj Hospital & Research CentreMain Road8340010651-2331128NA0651-2330499NANA23.35880485.324796

KarnatakaBangaloreHOS-BLR-5Nu Hospitals Pvt LtdC.A. 6, 15Th Main, 11Th Cross, Padmanabha Nagar, Near Devgowda Petrol Bunk560070080-42489999NA080-26392693NANA12.91903277.555881

KeralaAngamalyHOS-KOC-15K.G. HospitalNh 47, Angamaly6835720484-2452848NA0484-2458155NANA10.19808176.383894

TamilnaduChengalpattuHOS-CHE-444Balaji HospitalNo.14, Varadanar Street, Vedachalanagar, Vedachala Nagar603001044-21428304NA044-27428304NANA12.68841479.982102

Andhra PradeshEast GodavariHOS-HYD-5206Sri Bikkina Nursing HomeD.No. 4-1-37, Opp. Vijaya Mahal, Mandapeta53330808855-233761NA08855-235322NANA16.87976981.929144

GujaratAhmedabadHOS-MUM-2077Dr. Atul Shah Eye Hospital3Rd Floor, Narottam Complex, Bhuyangdev Cross Road3800610792-7450148NA0792-7450148NANA23.0645772.536004

HaryanaFaridabadHOS-DEL-2442Kiran Nursing HomeBlock-H, House #130, Sector-10, Dlf1210060129-2290024NA0129-4017605NANA28.37841277.325112

JharkhandJamshedpurHOS-BLC-407Steel City Clinic & Research Centre201 2Nnd Floor Yash Kamal Complex, Bistupur8310010657-6572026NA0657-2435152NANA22.86225686.184586

KeralaErnakulamHOS-KOC-27K.M.K.HospitalN. Parur6835130484-2442344NA0484-2447505NANA10.14505376.227535

TamilnaduChennaiHOS-CHE-1229Balakrishna Eye Hospital & Eye Research Centre11, Sastri First Cross Street600015044-24359514NA044-24359757NANA13.03014780.221481

TelanganaHyderabadHOS-HYD-5173Ambaa Hospitals#9-1-29/23, Opp To Pratap Theatre, Lunger House500008040-32977343NA040-23512939NANA17.3814478.406969

GujaratAhmedabadHOS-MUM-2145Dr. Ashit Shah Eye Hospital# 202, Shaival Complex, Opp:Chandanbala Tower, Paldipaldi380007079-26650830NA079-26462295NANA23.0140272.558333

HaryanaFaridabadHOS-DEL-1709Lal Nursing HomeH.No. 98, Sector-18A1210020129-2296551NA0129-2291582NANA28.4280977.323297

JharkhandBokaroHOS-KOL-2119Shanti Health Care Hospital# 157 Co-Operative Colony, Steel City8270010674-2516666NA0674-6542259621NANA23.64645186.135767

KarnatakaBangaloreHOS-BLR-452The Bangalore Kidney Stones Hospital10 Vokkaligara Bhavana Hudson Circle560027080-22242080NA080-22226534NANA12.96811477.589376

KeralaKasaragodHOS-KOC-1117Kasaragod Institute Of Medical SciencesAshwini Nagar67112104994-219400NA04994-219412NANA12.5064774.99335

TelanganaSecunderabadHOS-HYD-57Poulomi HospitalA2 & B17, Rukminipuri Colony500062040-27145555NA040-27141079NANA17.48723978.425165

GujaratAhmedabadHOS-MUM-2180Dev Hospital Dev Seva TrustKesariyaji Bus Stop, Vasna Jivraj Mehta Hosp. Road, Vasna380007079-26614646NA079-26614646NANA23.00896472.546647

HaryanaPanipatHOS-DEL-1581Lala Harbhgwan Dass Memorial & Dr.Prem HospitalDr.Prem Hospital Bishan Sarup, Colony1321030180-2697191NA0180-2633191NANA29.39924476.966178

KarnatakaBangaloreHOS-BLR-1879Balaji Hospital40/1, J.J.R. Nagar Main Road, K.H. Ranganath Colony560018080-28916038NA0NANA13.0955377.596436

KeralaThiruvananthapuramHOS-KOC-1058Kolath Medical Center Pvt LtdPearl Nagar, Peroorkada6950050471-2433327NA0471-2433327NANA8.52933276.957548

GujaratRajkotHOS-MUM-2251Dr. Mahesh Rathod Hospital1, Sardarnagar, Nr. Astran Chowk3600010281-2480470NA0NANA22.29306770.788075

KarnatakaBangaloreHOS-BLR-2148Bacc Health Care Private LimitedNo 6/7, Kumara Krupa Road, High Grounds560001080-41138255NA080-22250465NANA12.98753977.579012

GujaratRajkotHOS-MUM-2243Dhruva Eye Hospital & Laser CentreRashtriya Shala Main Road3600020281-2464611NA0281-2464611NANA22.28959370.796002

HaryanaGurgaonHOS-DEL-1459Lifeaid Medical Centre1097Sector Near Unitech Cyber Park122001012-44212342NA0124-4212345NANA28.44846877.056535

KarnatakaBangaloreHOS-BLR-2190Basavangudi Medical Centre84/1, R.V. Road, Basavanagudi560004080-26571638NA080-26571638NANA13.06877777.546997

KeralaKochiHOS-KOC-16Krishna Hospital40/940, Chittoor Road6820110484- 368230NA0484-2355613NANA9.97510976.284942

OdishaCuttackHOS-CAL-19Cuttack Nursing HomeMarkamal Patna, Mangalabag75300108742-230864NA0484-2355613NANA20.47013985.886325

GujaratAhmedabadHOS-MUM-2307Dr. Sunil Shah Eye Hospital2Nd Floor, Mahavir Chambers, Ramnagar Chowk, Sabarmati380005079-27505094NA079-27505094NANA23.08383872.590421

HaryanaAmbalaHOS-DEL-686Loomba HospitalAlexandria Rd, Supply Chowk1330010171-2634291NA0171-2643243NANA30.34436276.843093

KarnatakaMysoreHOS-BLR-1256Cauvery Hospital# 756, New Kantharaje Urs Roadsaraswathipuram5700090821-2341900NA0821-2342113NANA12.30897676.695359

OdishaJagatsinghapurHOS-KOL-2213Cure-Well Nursing HomeTown Hall Road7541030821-2511771NA0NANA22.52488688.363442

TamilnaduChennaiHOS-CHE-5Billroth Hospital Limited#43, Lakshmi Takis Rd, Shenay Nagarshenoy Nagar600030044-42921777NA044-26646999NANA13.07688780.227361

GujaratAhmedabadHOS-MUM-4371Dr.Sunil Shah Eye Hospital#2, Mohali Apartment, Opp Jalaram Plazza Jawahar Choek, Maninagar380008079-25462847NA079-27505094NANA23.00359272.599519

HaryanaAmbalaHOS-DEL-1549M.K. Datta HospitalCross Road, No.1, Cantt1330010171-2642745NA0171-2600745NANA30.34084376.841291

KarnatakaBangaloreHOS-BLR-1541Chaitanya HospitalNo.80, 3Rd Cross, P&T Colony,R.T.Nagar560032080-23333581NA080-23432633NANA13.02446177.59444

OdishaBhubaneswarHOS-CAL-21Deepak Nursing HomePlot No 84, (Dc)Saheed Nagar75100701662-237476NA0484-2620682NANA22.97767688.444649

TamilnaduChennaiHOS-CHE-6Brs Hospital Pvt.LtdNo.28. Cathedral Garden Roadcathedral Gardens Road600034044-28259222NA044-28221947NANA13.05243180.245428

TelanganaHyderabadHOS-HYD-5115Dolphin Children Hospital17-87, Road #1, Kamalanagar, Chaitanyapuri, Dilsukhnagar500060040-24062040NA040-24062020NANA17.37136478.521163

GujaratAhmedabadHOS-MUM-2544Dr. Saurabh Shah Ortho Hospital3/B, Hasmukh Colony, Near Vijaynagar Petrol Pump, Vijaynagar Road, N.Pura380013079-27437225NA079-27437225NANA23.059272.559706

KarnatakaChannapatnaHOS-BLR-2230B.J. Lingegowda HospitalBangalore-Mysore Road571501080-27253583NA0NANA12.65541377.200486

KeralaKochiHOS-KOC-764Laxmi Hospital1447-Panaypilly, Near Sui Theatre6820050484-2226758NA0484-4112433NANA9.94978276.255886

OdishaBhubaneswarHOS-KOL-1130Durga Nursing Home & Research CentreVivekanand Marg, Chidiapola, Balasor75600106782-260607NA06782-260607NANA21.47032383.97466

TamilnaduChennaiHOS-CHE-2491Babus Maternity Hosptial# 7, Doraisamy Reddy Street, Tabaram600045044-22262423NA044-22262423NANA12.92283880.128098

Andhra PradeshVijayawadaHOS-HYD-1521Chaitanya Eye HospitalTikkle Road Mogalrajpuram5200100866-2475153NA0866-2486198NANA16.50473180.647585

GujaratAhmedabadHOS-MUM-2645Dipa Children Hospital&MicuBhagwati Complex, Mahalaxmi Paladi380007079-26606524NA079-26634620NANA23.02981972.556355

HaryanaFaridabadHOS-DEL-304Metro Heart InstituteSector 16A, Opp Gurdawara1210010129-2263590NA0129-4277788NANA28.41042677.31849

OdishaCuttackHOS-CAL-17General Nursing HomeMangalabag7530010674-2614195NA0NANA20.47096385.885874

TamilnaduErodeHOS-CHE-1147C.K. Hospital# 41, Balasubbarayalu Street6380010424-2269635NA0424-2262646NANA11.39657277.722778

GujaratValsadHOS-MUM-2653Fracture Orthopaedic HospitalNear Avabai High School39600102632-244335NA0NANA20.61246172.926031

HaryanaFaridabadHOS-DEL-1591Moga Nursing Home# 279, Sector 10, House Board Colony1210060129-2286959NA0129-5616958NANA28.46548577.006389

KarnatakaChannarayapatnaHOS-BLR-2591Bharathi HospitalDr.Bharathi Ravindranath Bajab Soaw Room57311608176-256245NA08176-256245NANA12.90627476.391617

KeralaMalappuramHOS-KOC-1756Mar Thoma Mission HospitalChungathara P.O., Nilambur, Malappuram Dist67933404931-230509NA0NANA8.51855776.931387

OdishaCuttackHOS-CAL-18Health CareMahtab Road7530120671-2310917NA0671-2332140NANA22.60767288.200783

TamilnaduVelloreHOS-CHE-118Christian Medical College - VelloreCare Section, Ida Scudder Road, Vellore6320040416-2222102NA0416-2232035NANA12.9249379.136055

Andhra PradeshVijayawadaHOS-HYD-64Charithasri Hospitals LtdRamachandra Rao Road, 29/6/8-1, .Ramachandrarao Road5200020866-2432350NA0866-2439476NANA16.51283680.631746

GujaratBhavnagarHOS-GUJ-10Fracture And Orthopaedic HospitalHaridarshan Complex, Opp.Vithalwadi Petrol Pump3640020278-413479NA0NANA21.76649572.13052

KarnatakaBangaloreHOS-BLR-2635Basavanagudi E.N.T. Care Centre44/1, H.B. Samaja Road, Basavanagudi560004080-26604569NA080-26609977NANA12.94644977.576866

KeralaKottayamHOS-KOC-943Margeevarghese Dionysius Memorial HospitalDevagiri P.O. Kangazha, Dist.6865310481-2495044NA0481-2496250NANA9.5354176.672159

OdishaCuttackHOS-CAL-16Ideal ClinicBuxi Bazar7530010671-2620011NA0NANA22.60323588.262735

TamilnaduErodeHOS-COM-4912P.K.Hospital2, -Sathy Road, Krishnapuram63845504256-240311NA04256-240649NANA11.43005777.5597

Andhra PradeshVijayawadaHOS-HYD-65Dr. Ramesh Cardiac And Multispeciality Hospital (P) Ltd.Near I.T.I College, Ring Road5200080866-2484800NA0866-2473554NANA16.50715880.659683

GujaratMehsanaHOS-GUJ-13G.K.Orthopaedic HospitalKrishna Society, Jailroad38400202762-5282459NA02762-252585NANA23.61023972.387173

HaryanaGurgaonHOS-DEL-2451M. Goel HospitalNew Railway Road1220010124-2333072NA0124-3091772NANA28.46650377.028616

KarnatakaKarwarHOS-BLR-2630Brahma Nursing HomeNadangadda58130408382-225317NA0NANA14.82135374.133287

KeralaWayanadHOS-KOC-755Mayo HospitalMeenangadiwaynand Dist67359104936-248096NA0NANA11.63292876.08972

OdishaBhubaneswarHOS-KOL-1131Jyothi HospitalKuruda, Balasore75605606782-256296NA06782-256154NANA21.47251983.983673

TelanganaKhammamHOS-HYD-50Cure Emergency Hospital11-2-91/A, Balajinagar, N.S.T Road50700108742-234077NA08742-243177NANA17.28377580.151924

HaryanaFaridabadHOS-DEL-899Nagpal Maternity & Orthopaedic Hospital1-C-62, N.H.N.I.T.1210010129-3293066NA0129-24