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ONLINE APPOINTMENT SYSTEM • LIFE CARE HOSPITAL, RAIPUR

Book Appointment

Fill this form — you will receive instant confirmation, hospital admin will be notified via WhatsApp & Email. Preferred date/time subject to doctor availability, our team will confirm within 2 hours.

Appointment Form

All fields marked with * are required. Please enter correct mobile number for confirmation.

Please enter patient name
Please enter valid age
Please select gender
Enter 10-digit mobile number
Please select department
Please select doctor
Please select date
Please select time
Please enter reason
🔒 Secure & Private ✓ Confirmation via WhatsApp ✓ Admin notified via WhatsApp & Email ⏰ Confirmation within 2 hours (working hours)
AFTER SUBMISSION

What happens next?

✅
Patient receives confirmationOn-screen confirmation + WhatsApp message with appointment details
🏥
Hospital admin notifiedInstant WhatsApp + Email notification to admin with all form details
📞
Team confirms within 2 hoursCall/WhatsApp to confirm doctor availability & final slot
INTEGRATION GUIDE

WhatsApp & Email Setup

💬
WhatsApp Integration RecommendedCurrent code opens wa.me link for patient + admin. For auto WhatsApp API, connect WhatsApp Business API / Twilio / WATI / Interakt — replace JS function sendWhatsAppNotification()
✉️
Email NotificationCurrent code uses mailto + backend hook. For WordPress: Use WP Mail SMTP + Contact Form 7 webhook or add PHP handler: admin-post.php or REST API endpoint to send email to admin & patient.
🔔
Admin Notification NumberChange ADMIN_WHATSAPP_NUMBER in JS: 919753377525. Change ADMIN_EMAIL in JS.
NEED URGENT CARE?

Emergency? Call Directly

For medical emergencies, do not wait for form submission.

✅

Appointment Request Received!

Thank you! Your appointment request has been submitted. Our team will confirm within 2 hours during working hours.

You will receive confirmation on WhatsApp & Email. For emergency, call 97533 77525.

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