TNOS - Hospital Form
Name of the hospital *
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Address line1 *
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Address line2
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City *
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State *
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Telephone Landline No. 1 *
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Telephone Landline No. 2
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Cell number
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Hospital fax number
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Name of the hospital director *
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Cell no / contact no *
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E-mail Id1 *
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E-mail Id2
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Hospital website address
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Is your transplant registration licence active?
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Date of expiry of licence
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Certificate number
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Name of the transplantation coordinator *
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Cell number
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Name of contact consultants1 *
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Cell Number of contact consultants1 *
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Name of contact consultants2 *
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Cell Number of contact consultants2 *
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Name of contact consultants3 *
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Cell Number of contact consultants3 *
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Name of contact consultants4 *
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Cell Number of contact consultants4 *
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Contact Us :-
Cadaver Transplant Program,
165 A, Tower Block I, 6th Floor, [Next to Bone Bank], Government General Hospital Chennai – 600 003.