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CASE REGISTRATION FORM

 


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Please provide the following contact information:

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Please provide the following payment information:

You can make the Payment of Consultation including Medicine Charges at my State Bank of India Branch Parbhani Account No: 11183371225. Or You can make Payment by National/International DD in favor of 'Dr. Pawan S. Chandak' payable at Parbhani.

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Please contact me as soon as possible regarding this matter.


If You have any problem in sending above information then please send above detail by email at pavanchandak498@gmail.com we will contact you very soon.
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Copyright 2001 [Dr. Pawan S. Chandak]. All rights reserved.
Revised: 09/27/07.
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