Suwasevana Hospital - Kandy
Dr. T.G. AMAL PRIYANTHA
Gastroenterologist
Hepatologist
Special Notes:
PLEASE NOTE THAT THE CONSULTATION FEES WILL BE COLLECTED AT THE HOSPITAL.
September 26, 2021
Sun 01:00 pm
Patient No.
10
Contact Hospital
COMPLETE WITHIN
Nationality
Local
Foreign
Country
Sri Lanka
Maldives
Other
India
Dubai
Malaysia
China
England
Australia
Brazil
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Canada
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New Zealand
Qatar
Russia
Singapore
Thailand
Seychelles
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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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