Sennight Patient Portal - Reservation Deposit

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Reservation Deposit

Reservation No.

Please wait. Downloading vouchers.

One time Registration Charges are :

Reservation deposit charges are :

Total amount to be paid :

Patient Registration

Personal Information

Title:

First Name:*

Mid Name:

Last Name:*

Date of Birth:

Age:*

Marital Status:

Gender:*

Contact Information

Address 1:*

Address 2:

Country:

State:

City:

PINCODE:*

Nationality:*

Telephone (Res):*

Telephone (Work):*

PAN No.*

e-Mail:*

Verify email

(Click on Verify after e-Mail entered)

Mobile:*

Enter OTP

(Click on Get OTP after Mobile No. entered)

Please enter captcha here*

Please remember your temporary User Id is
Choose the mode of Consultation

Physical Consultation with Doctor (Payment can be done at Hospital)

Online Video Consultation with Doctor (Payment must be done through online)

Click Yes to proceed for appointment slot booking and No to abort the transaction.

Please remember your temporary User Id is

Click Yes to proceed for appointment slot booking and No to abort the transaction.