ESI Iages2001 Islsm Islsm 2003 Islsm demo Meditel 2002 Meditel 2004 Meditel 2006 Meditel 2008 Transplant


Home   » Transplant Telemedicine   » Membership for Patients
 
 

MOHAN FOUNDATION
( MULTI ORGAN HARVESTING AID NETWORK )
Medical Record for Transplant / Renal Failure  Patients
 Membership Form For Patients - Step-I

Select your consultant *

Dr.

First Name *

Last Name 

Date of birth 

Sex 

Male      Female
Address For Communication
Address 
City *
State *
Pincode / Zip 

Telephone Number   

(Res.) (Off.)
Email Address *

  

        
                * Fields are Mandatory

Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

© All Rights Reserved 1997 - 2025