Telha Foundation Appointment Booking
If you have problem in registration please call this number 0345114777
Patient Appointment
Are You New Patient
Select
New Patient
Follow Up
CNIC (13 digits)
Example: 1234512345671
Are You Zakat Eligible
Select
Yes
No
Patient Name
Father/Husband Name
Mobile # (11 digits)
Date of Birth
Email
Emergency Contact
Additional Information
Gender
Select Gender
Male
Female
Marital Status
Select Status
Single
Married
Divorced
Widowed
Family Size (optional)
Monthly Income (optional)
Address (optional)
Medical Information
OPD
Select OPD
Dialysis
Nephrology
Gynae
Ophthalmology
Medical Specialist
Psychology
Laboratory
Appointment Date
Rason for Scheduling
Confidentiality Notice:
All information provided will be kept strictly confidential and used solely for medical purposes. Required fields are marked with an asterisk (*).
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