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Patient Feedback -OPD
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1. Patient Name
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Your answer
2. Mobile No
*
Your answer
3 .OPD
*
Eg . Orthopedics ,Gynecology ,General Medical etc
Your answer
4.Name of doctor /Consultant
*
Your answer
5.Date of OPD Visit
*
MM
/
DD
/
YYYY
Please rate your experience with the following service
*
Excellent
Good
Satisfactory
Poor
Reception/Inquiry
Registration
Attendant Attitude & Quality Care
Consultant Quality & Professional Care
Services Staff Helpfulness and Availability
Utility Services -Toilet , Telephone ,Electricity
Pharmacy Services
Security Services
Overall Department Assessment
Excellent
Good
Satisfactory
Poor
Reception/Inquiry
Registration
Attendant Attitude & Quality Care
Consultant Quality & Professional Care
Services Staff Helpfulness and Availability
Utility Services -Toilet , Telephone ,Electricity
Pharmacy Services
Security Services
Overall Department Assessment
Please rate your experience with the following service
*
High
Reasonable
Low
Overall hospital Charges
High
Reasonable
Low
Overall hospital Charges
Please click on the link rate us on Google
https://g.page/holy-spirit-hospital-mumbai/review?rc
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Feedback and Sugesstions
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