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Patient Name/ Physician Name
*
Email
*
Contact Number
Quality of Reception & Sample Collection Service
*
Excellent
Good
Average
Poor
Comfort In Laboratory Premises During Visit
*
Excellent
Good
Average
Poor
Counselling Service
*
Excellent
Good
Average
Poor
Quality of Report
*
Excellent
Good
Average
Poor
Delivery of Report
*
Excellent
Good
Average
Poor
Suggestions / Complaint
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