Sikkim Empanelment Application

Eligible patients from Sikkim, as recognized by the government, can apply here to access healthcare benefits. Please ensure all submitted documents are valid and up to date.

Empanelment Application Form

Full Name

Email ID

Mobile No

Select Department CardiologyCritical Care / ICUDermatologyE.N.TGeneral & Laparoscopic SurgeryGeneral MedicineGynecology & ObstetricsNeuro Surgery / Spine SurgeryOrthopedics & Trauma SurgeryPathologyPediatrics / Neonatology / Pediatric SurgeryPlastic Surgery / Burn ManagementPsychiatryPulmonologyRadiologyUrology

Appointment Date

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Document Uploads

Upload Medical Report

(PDF/JPG/PNG, max 2MB, not older than 30 days)

Upload Referral Letter

(PDF/JPG/PNG, max 2MB)

Enter Captcha

Submit Application

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