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Dr. Nikhil Negalur

CATARACT AND LASIK SURGEON

MD, MS, FRPS FAICO, FICO (UK)

MCI 10-36003

₹ 600/-

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OTP Verification

Mobile Number*

Email ID*

Please enter One-Time Password to verify your account

OTP is sent to your registered mobile number and Email ID.

Personal Details

Full Name

Age

Phone Number

Email Address

Gender: Male Female

Address

Presenting Complaints

Problem Description In Detail

Additional Eye Complaints: Tick more than one if applicable.

Pain Itching Watering/Discharge Burning Headache Pricking

Allergy: None Yes

Family History

Diabetes:

Yes No

Hypertension:

Yes No

Eye Disease:

Yes No

Past Eye Surgery:

Yes No

Upload Your Documents

Upload Photo ID (Pancard/Adhar Card/Passport/Driving Licence/Voter Id) * Mandatory according to BOG-MCI guidelines, maharashtra medical council (MMC)and Indian Medical Council (Professional Conduct, Etiquette and Ethics Regulation, 2002

Upload Previous Prescription (Doctor consultation paper only)

Upload Photos (Minimum 4 photos in different angles and good illumination of the eyes etc for)

Make a Payment Online

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₹ 600 (After Payment)

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Pay Using Any App

₹ 600

CONSENT FOR ONLINE CONSULTATION

I HAVE UNDERSTOOD THAT THIS IS AN ONLINE CONSULTATION WITHOUT A PHYSICAL CHECKUP OF MY SYMPTOMS.THE DOCTOR HENCE RELIES ON MY DESCRIPTION OF THE PROBLEM OR SCANNED REPORTS PROVIDED BY ME. WITH THIS UNDERSTANDING, I HEREBY GIVE MY CONSENT FOR ONLINE CONSULTATION.

YES, I ACCEPT

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Disclaimer
A telemedicine consultation can be considered as a counseling guide for patients in this interim period of lockdown.
A telemedicine consultation is not a replacement for an in-person consultation.
Consultation is done as per the discretion of the qualified medical consultant and you may be required to meet your doctor if deemed necessary.