MAHAJAN EYE CARE HOSPITAL & MATERNITY HOME

111, Shaheed Udham Singh Nagar, Near Rock Garden, Jalandhar

MAHAJAN EYE CARE HOSPITAL & MATERNITY HOME

111, Shaheed Udham Singh Nagar, Near Rock Garden, Jalandhar

INDOOR WING

INDOOR WING

Name:

Date:

Name:

Date:

Please help us in improving our services by indicating your views on our todays performance.

Please help us in improving our services by indicating your views on our todays performance.

Facilities & Cleaniness of: Ward Rooms Bathrooms Behaviour of Doctors Behaviour of Staff Behaviour of Cleaners Medicines & Other Aids provided on time Canteen Services Pharmacy Services

Very Happy Satisfied Happy

Dissatisfied

Facilities & Cleaniness of: Ward Rooms Bathrooms Behaviour of Doctors Behaviour of Staff Behaviour of Cleaners Medicines & Other Aids provided on time Canteen Services Pharmacy Services

Very Happy Satisfied Happy

Any Specific Complaint/ Suggesstions/ Appreciation:

Any Specific Complaint/ Suggesstions/ Appreciation:

Discharging Staff Signature

Patient Attendant Signature

Discharging Staff Signature

Patient Attendant Signature

MAHAJAN EYE CARE HOSPITAL & MATERNITY HOME

111, Shaheed Udham Singh Nagar, Near Rock Garden, Jalandhar

MAHAJAN EYE CARE HOSPITAL & MATERNITY HOME

111, Shaheed Udham Singh Nagar, Near Rock Garden, Jalandhar

INDOOR WING

INDOOR WING

Name:

Date:

Name:

Date:

Please help us in improving our services by indicating your views on our todays performance.

Please help us in improving our services by indicating your views on our todays performance.

Facilities & Cleaniness of: Ward Rooms Bathrooms Behaviour of Doctors Behaviour of Staff Behaviour of Cleaners Medicines & Other Aids provided on time Canteen Services Pharmacy Services

Very Happy Satisfied Happy

Dissatisfied

Facilities & Cleaniness of: Ward Rooms Bathrooms Behaviour of Doctors Behaviour of Staff Behaviour of Cleaners Medicines & Other Aids provided on time Canteen Services Pharmacy Services

Very Happy Satisfied Happy

Any Specific Complaint/ Suggesstions/ Appreciation:

Any Specific Complaint/ Suggesstions/ Appreciation:

Discharging Staff Signature

Patient Attendant Signature

Discharging Staff Signature

Patient Attendant Signature

& MATERNITY HOME

ar Rock Garden, Jalandhar

NG

rvices by indicating ance. Dissatisfied

stions/ Appreciation:

ient Attendant Signature

& MATERNITY HOME

ar Rock Garden, Jalandhar

NG

rvices by indicating ance. Dissatisfied

stions/ Appreciation:

ient Attendant Signature