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Do you have any relevant medical History? If yes, Please Specify*

Do you have a family history of illness*

Consultation Date with Time

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Present complaints with duration

Please attach all medical records along with the existing medication list

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Mode of Payment

You can pay in all major currencies equivalent to our rates in Euro. You can pay in cash, travellers cheque or online payment.

When you confirm your bookings, Please send an advance amount to our bank account in India

CURRENT A/C NO : 29 68 20 10 05 108
CANARA BANK
VACHIYOOR BRANCH.

TRIVANDRUM
KERALA
INDIA.

SWIFT CODE : CNRBINBBTDC
IFSE CODE : CNRB0002968

After reconfirming your booking, if you want to cancel before 30 days of the arrival date then, the advance amount will be carried over to the next year (no refund will be done in any case).
Cancellation 72 Hrs prior to date of arrival will cost you 50% of the total amount
Cancellation 24 Hrs prior to date of arrival or on spot cancellation will be charged 100% of the total cost