Basic Information

Bank Details

Basic Information

Hospital Rohini Id *

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GSTN Details *

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Year of Incorporation *

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Directors/Owners Name *

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Directors/Owners Number *

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Directors/Owners Aadhar Card No  *

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Directors/Owners Pan Card No *

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Ownership

Hospital Name *

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Hospital Address *

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Accreditattion

POC

Admin Name

Admin Contact

Admin Email

Auth signatory Name

Auth signatory Contact

Auth signatory Email