Stallion Empowerment Initiative COVID-19 Support Registration
Name of the Hospital *
State *
Hospital Address & Location / City *
Name of the Head of Institution *
Designation of the Head of Institution *
Email id of the Head of Institution *
Phone No. of the Head of Institution *
Name of the Authorised SPOC *
Designation of the Authorised SPOC *
Email id of the Authorised SPOC *
Phone No. of the Authorised SPOC *
The number of Current COVID-19 Patients. *
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