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Hospital Information Management System ( HIMS )

  Full Name Of Hospital :

  Address:

  Type Of Hospital :
  No. of Beds:

  Website ( If Any ):

  Daily OPD Turnover:

  Do You Have An Existing Hospital
  Information Management System?		 Yes    No
  Departments Where
  Automation Is Sought:

  Name Of Contact Person(s):

  Designation of concerned person:

  E-mail Address

  Would You Like Us To Visit You &
  Assess Your Needs?		 Yes     No
  Your Queries and Suggestions