Durdans Hospital - Colombo 03
Dr. BANDULA WIJESIRIWARDANA
Physician
Special Notes:
Receipt valid only for day of appointment no refund no cancellation and no reschedule Wear mask is mandatory
May 3, 2024
Fri 11:00 am
Patient No.
10
#10
-
1:15 PM
Session Full
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
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NIC
Passport
E-mail
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Address
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