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Common Waitlist for Kidney
THOA Act
THO Rules as Amendment
Orders of TN Govt
Organs utilised in TN (Oct 08 to Dec 11)
Path breaking order for Inquest
Print this form
Add Hospital Details
Name of the hospital *
Address line1 *
Address line2
City *
chennai
Chidambaram
Chingleput
coimbatore
Cuddalore
Dharmapuri
dindigul
Erode
Hosur
Kanchipuram
Kanyakumari
Karaikudi
Karur
Kumbakonam
madurai
Mayiladuthurai
Nagarcoil
Namakkal
Neyveli
Palani
Pollachi
Pudukotai
salem
thanjavur
tirunelveli
tirupur
trichy
Vellore
Add your City if not Listed
State *
Tamil Nadu
Telephone Landline No. 1 *
(Country Code / City Code / Number)
Telephone Landline No. 2
(Country Code / City Code / Number)
Hospital fax number
Name of the hospital director *
Cell no / contact no *
E-mail Id1 *
E-mail Id2
Hospital website address
Is your transplant registration licence active?
Yes
No
Date of expiry of licence
Select Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Select Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Select Year
Certificate number
Name of the transplantation coordinator *
Cell number
Name of contact consultants *
consultant1
cell number
consultant2
cell number
consultant3
cell number
consultant4
cell number
(Please note that two of these numbers should be accessible 24/7)
Note: It is better to provide your cell number.
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