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BSH Online Feedback Form
Name of the Patient: *
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HN Number:
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Mobile Number:
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Email:
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Service Received:
Treatment Received under the Consultant (Name):
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Ambiance:
Customer Care Service:
Doctor's Service:
Nurse's Service:
Patient Care Attendant Service:
Housekeeping Service:
Billing Service:
Cleaning Service:
Food Quality:
Overall Comments:
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