Contact Us

get in touch

Dr. Sailesh Lodha dearsocietyjpr@gmail.com, saileshlodha@gmail.com

For consultation at clinic -

For consultation at Eternal Heart Care Centre (EHCC)

Name of Patient *

Age *

E-mail

Whatsapp / Contact No *

Registration Number

Height *

Weight *

Blood Presure

Lab Report(s)

Most recent First. Upload only pdf file only.

Presenting Symptoms

Duration of Illness

Previous Treatment

Most recent First. Upload only pdf file

Any Other Information

I agree to be contacted on my mobile number and/or email address which is provided by me!