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Shiv Shakti Hospital welcomes you. You can put your query here. We will call you back to answer it.
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Your name please / आपका नाम  *
your email id
Your contact no (for us to call you) /  आपका फोन नंबर (जिसमें हम कॉल करेंगे) *
Your locality / village / area / city / आप कहां रहते हैं  *
What do you want to know about / आप हमसे किस बारे में जानकारी चाहते हैं *
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