Online Consultation

Full Name *

Email *

Gender *

Mobile *

D.O.B *

Address *

City *

State *

Country *

What is the type of cancer? *

Clinical Diagnosis *

What is the patient’s general condition?: *

Weight *

Height *

Please list your currently planned treatment *

Select treatment(s) received so far *

Chemotherapy

Surgery

Radiation

Others

Treatment not yet started

Please list any questions for our panel of cancer experts *

Select Consultation type : *

Online Consultation - Rs 800

Phone Consultation- Rs 2000

Video Consultation - Rs 2500

Please select one of the mode that you want to consult with Dr Priya Tiwari. You will get a Confirmation call within a day.