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Name Age Mobile Number Email Address Select Telemedicine Appointment Date Select Telemedicine Appointment Time ---10:15 AM10:45 AM11:15 AM11:45 AM12:15 PM12:45 PM06:15 PM06:45 PM07:15 PM07:45 PM08:15 PM08:45 PM Select Type ---General HealthSkinENTCardiacSurgicalPaediatricOrthopedic Yes, I consent to avail medical consultation via telemedicine.
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