Patient Grievance

Patient Details

Full Name *

UHID

Mobile Number * OTP will be sent to this number

Grievance Category *

Subcategory *

Describe your grievance *

Attach photos / documents

Choose files

Image, PDF or Word · max 10 MB each · up to 8 files · stored securely (encrypted)

This grievance is being filed in good faith and the information provided is true and correct. The hospital may contact you for investigation.

Your personal details will be used only to resolve this grievance and are stored securely with encrypted document access.

The grievance will be addressed as per the hospital grievance redressal policy.

I accept the Terms & Conditions.

I have read and accept the Hospital Grievance Policy.

OTP verification on WhatsApp is required before submission. Your request is created only after the OTP is verified.

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