NITA Polyclinic & Diagnostic Center

Important notice to appointment seekers.

The form below is only a requisition for appointment. Kindly await an email/telephonic response from us to confirm the status of your request.

Please plan/schedule your visit to Nita Polyclinic & Diagnostic Center only on our confirmation of your date/time of your appointment.

For more information on appointment please call 01-4003006/4003007, 9801831095/6(8am - 6pm), +9779801036380(WhatsApp)

First Name *

Last Name *

Patient's Age *

Age In:

Gender *

Mobile Number *

Address

Department *

Doctor *

Appointment Date

* The time slot provided is for booking purposes. The doctor will allocate appointment times according to patients' needs.

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* Thank you. Your appointment has been booked. * Please be in clinic with your appointment id.
* We will send you confirmation SMS and Email soon.

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