Medical Appointment Request

Dr. Harshika Bhagat

Obstetrician-Gynecologist, Laparoscopic Surgeon MBBS(Cal), MS, FMAS
Patient Name*

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Address*

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Offline Consultation:	(Mon - Sat)
Tilak Hospital & Research Center, Agra Road	11:00 AM - 12:00 PM
Adamshah Hospital, Ghat Gate	12:00 PM - 03:00 PM
Sitaram Dadich Memorial Hospital, Ramganj	03:30 PM - 05:00 PM
Thyrocare, Adarsh Nagar	06:30 PM - 07:30 PM
Sapphire Hospital & Research Center, Deepak Marg	7:30 PM - 09:00 PM

Online Consultation:	(Sunday Only) 11:00 AM - 01:00 PM

Preferred Appointment Type (Refer Above Table)*

Offline ConsultationOnline Consultation
Preferred Appointment Location*

Tilak Hospital & Research Center, Agra RoadAdamshah Hospital, Ghat GateSitaram Dadich Memorial Hospital, RamganjThyrocare, Adarsh NagarSapphire Hospital & Research Center, Deepak Marg
Preferred Appointment Date and Time (Check above time table before booking the slot)*
Do you have a health insurance?

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Dr. Harshika Bhagat