Book Appointment - Dr. Gaurav Jain

Indore Clinics

Bhopal - Rainbow Children Hospital

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👨‍⚕️ Patient Details

📅 Appointment Summary

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Date-

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👤 Patient Name*

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🎂 Age*

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⏳ Unit*

⚧️ Sex*

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🏠 Address*

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📱 Mobile Number*

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✉️ Email Address*

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📋 Chief Complaints*

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👥 Referred By

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✅ Appointment Confirmed!

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ℹ️ Appointment Details

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Patient Name-

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Mobile-

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Date-

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Time-

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💳 Payment Information

Regular Fee: ₹800

Pay Only ₹500

🎁 40% OFF

ℹ️ Platform fees of ₹25 will be added by CashFree payment gateway

⏰ Payment Link Expires: 15 minutes before your appointment time. Please complete payment early to confirm your booking.

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❓ Important Information

✅ Please arrive 10 minutes before your scheduled time
✅ Bring any previous medical reports, X-rays, or prescriptions
✅ Confirmation email has been sent to your registered email
✅ You can reschedule by replying to the confirmation email
✅ Payment receipt will be provided during your visit

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