The most modern format of medicine of the Digital World
Order the Digital Medicine for your patients
Hospital's Name.
Hospital's Department Name.
Hospital's in charge Doctor Name.
Hospital's Affiliate ID.
Patient's Name.
Patient's registered Usename. If you have now registered until now, First register, Remember your username and password properly, as you will need it later for login to get benefited from Digital Medicine. Click here to register.
Patients registered email id.
Patient's Whatsapp mobile number on which he will get benefited by the Digital Medicine.
Digital Medicine to Order:
For First medicine: Menu Section name - Alphabet (if any) - serial number of Digital Medicine - Digital Medicine name /
For Second medicine, same way. Menu Section name - Alphabet (if any) - serial number of Digital Medicine - Digital Medicine name /
And so on.
You can pay / submit / send the amount by any method
Bank name: Union bank of India
Bank branch: Dhule
Branch IFSC number: UBIN0532401
Account name: Manish Atmaram Patil
Account number: 324002010167661
or
Google pay (GPay) to mobile number 7020404018
Total amount paid for the medicine.
Transaction id of the amount paid
Also attach the screen shot of the payment done.
Your login key will be send to this same Whatsapp mobile number by which you are submitting this form.