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Patient's Name
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Patient email ID
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Consulting Doctor
Date of Consultation
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In which department did the patient seek consultation?
Behavioural Medicine
Behavioural Medicine
Cardiology
Clinical Nutrition and Dietetics
Community Medicine
Critical Care
Dental Sciences & Maxillofacial Surgery
Dermatology
Diabetic Speciality Centre
Emergency Medicine
Endocrinology
ENT
Facial Cosmetic Surgery
Family Medicine
Gastroenterology
General Medicine
General Surgery
Neonatology
Nephrology
Neurology
Neurosurgery
Obstetrics & Gynaecology
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