Homoeopathic Clinic Srilanka   Homoeopathic Clinic Srilanka
      Homoeopathic Clinic Srilanka

Consultation Form

Use this form if you are contacting us for the first time

Name of The Patient
Date Of Birth
Age Of The Patient
Sex
Current Address
Delivery Address For Sending Medicines
Your Email
Mobile Phone
Work Phone
Home Phone
   

Description Of Your illness

Complaints : -

Please Enter a Detailed Description of Your Symptoms in the box below .

    • Dr. T. C. Peiris - MD ( MS ) , FRCH (UK) Senior Consultant Govt Homoeopathic Hospital Welisara
    • Consultation by appointment only
    • NVP. Liga medicorum Homoeopatica International's ( Switzerland )
    • Specialist in Homoeopathy
    • Dr. Gayana Fernando, DHMS ( PAK )
    • Resident medical Officer,
    • Specially for children & Diseases of woman
    • Homoeopathic Clinic
    • 219, Deans Rd , Colombo 10, Sri Lanka .
    • Tel - 094 1 2671430
    • Mobile - 094 773519606
    • Fax - 2698014
    • Email - hompharm@sltnet.lk / tcpeiris@sltnet.lk
    • Hours : 9.00 - 12.00 / 4.00 - 7.00
    • Authorized Distributors for
    • BM Exports (Pvt) Ltd., Lahore
    • Mehar Impex., Karachchi.
    • Fr. Mulles Pharmacuticals (DIV) IND
Homoeopathic Clinic Srilanka Homoeopathic Clinic Srilanka
Homoeopathic Clinic Srilanka Homoeopathic Clinic Srilanka
  Homoeopathic Clinic Srilanka Homoeopathic Clinic Srilanka Homoeopathic Clinic Srilanka Homoeopathic Clinic Srilanka Homoeopathic Clinic Srilanka Homoeopathic Clinic Srilanka Homoeopathic Clinic Srilanka   Homoeopathic Clinic Srilanka
Homoeopathic Clinic Srilanka
Homoeopathic Clinic Srilanka
Homoeopathic Clinic Srilanka
Homoeopathic Clinic Srilanka
Homoeopathic Clinic Srilanka
Homoeopathic Clinic Srilanka
Homoeopathic Clinic Srilanka
  Homoeopathic Clinic Srilanka
 
Srilanka Web Design Company | @ Home | Clinic | Profile | Pharmacy | Inquiry | Srilanka Classified
  
Homoeopathic Clinic Srilanka Homoeopathic Clinic Srilanka Homoeopathic Clinic Srilanka Homoeopathic Clinic Srilanka Homoeopathic Clinic Srilanka Homoeopathic Clinic Srilanka Homoeopathic Clinic Srilanka Homoeopathic Clinic Srilanka Homoeopathic Clinic Srilanka Homoeopathic Clinic Srilanka