International Patient Department

Please complete and return admission form and patient history to Laleh hospital.




Reason for this admission and history or preseating illness.

Medical Surgical History: List the medical condition / operations performed and date


Current Medications:

Please list all medications including complementary medications and bring these to hospital in their original containers.

fill by this format: Drug Name - Dose - Frequency / Time

آمار بازدید

امروز
751
دیروز
691
ماه جاری
34062
ماه گذشته
33990
امسال
126454

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