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Hospital Empanelment & Revision of MOU:

 

a. New Empanelment Form:

  • Empanelment Form
  • Utilization form and Proposed rates Form: Eye Hospital
  • Utilization form and Proposed rates Form: Others

b. Revision of MOU/Rate Revision:

  • Utilization Form (Procedure wise Footfalls)
  • Note: Please submit last 2 years SOC’s (Schedule of charges)

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