Feedback Form for PatientParul_Hospital2021-04-17T18:20:39+00:00 Date Birth Date Room No. Your Name Surgery Address Contact No. Services Experience Complain Rate the Services ( 1 to 5 Rating ) 1 - Fair2 - Average3 - Good4 - Very Good5 - Excellent Rate the Services ( Good to Excellent Rating ) Doctor :GoodVery GoodExcellent Staff : GoodVery GoodExcellent Cleanliness : GoodVery GoodExcellent Canteen Service : GoodVery GoodExcellent
