FEEDBACK

Feedback Form

Dear Valued Patient, we welcome your sincere opinion. Please take a little time to fill out the form below. Feel free to give us comments on Compliments, Criticisms, Complaints or Suggestions. Kelina Hospital Management welcomes your feedback.

In-patient form
Out-patient form

In-patient form

This form is to be filled by patients on admission

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Out-patient form

This form is to be filled by walk-in patients

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