Registration Form

Vaidyaratnam P.S Varier Ayurveda College Hospital Online Room booking System

>> Room Tariff : Premium Non Ac 1000/Day , Premium Ac -2000/Day >> The booking will be valid upto 1 year from the date of booking >> The rooms will be alloted as per the availability >> In case of any clarification contact 9188562220 before booking >> Booking Charges : 10000/- for Premium Non Ac & 15000/- Premium Ac >> 25% cancellation fee applicable
Bank Details : BANK OF INDIA Branch : Kottakkal Name : Kerala Ayurvedic Studies And Research Society Kottakkal Ac No : 855910110009847 IFSC : BKID0008559
Room Type :	View Photos
Bank Transaction No :
Transaction date :
Amount Paid :	Advance Booking Amount
UHID:
Patient Name:
Address:
Age:	Sex:
Contact No :
Alternative Nos :
Email :
Dr Name :