Asiri Hospital - Kandy
Dr. RANGA PERERA
Dental Surgeon
Special Notes:
Need to do a rapid antigen test before dental procedure***
April 30, 2024
Tue 06:00 pm
Patient No.
01
6:00 PM
Closed
COMPLETE WITHIN
Nationality
Local
Foreign
Country
Sri Lanka
Maldives
Other
India
Dubai
Malaysia
China
England
Australia
Brazil
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Japan
Pakistan
Bangladesh
USA
Canada
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New Zealand
Qatar
Russia
Singapore
Thailand
Seychelles
Kuwait
Madagascar
Lebanon
Nepal
Mauritius
Myanmar
Oman
UAE
Patient's Name
Mr.
Mrs.
Mast.
Miss.
Dr.
Dr (Ms.)
Dr (Mrs.)
Prof.
Prof (Ms.)
Prof (Mrs.)
Rev.
Baby
Sis.
Ms.
Hon.
Rev. Sr.
Ven.
Rev. Fr.
Phone
+94
Other
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NIC
Passport
E-mail
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Address
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