Suwasevana Hospital - Kandy
Dr. D.G.S.ALAHAKOON
Physician
Special Notes:
PLEASE NOTE THAT THE CONSULTATION FEES WILL BE COLLECTED AT THE HOSPITAL.
September 27, 2021
Mon 10:00 am
Patient No.
01
Holiday
COMPLETE WITHIN
Nationality
Local
Foreign
Country
Sri Lanka
Maldives
Other
India
Dubai
Malaysia
China
England
Australia
Brazil
France
Japan
Pakistan
Bangladesh
USA
Canada
Indonesia
Italy
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
*
Please note that the foreign numbers do not receive any SMS notification.
NIC
Passport
E-mail
*
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Address
Home
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