Patient Registration & Care Voucher

1 Patient & Primary Contact Information

Please provide patient details and residence address in Bhubaneswar.

Patient Full Name *

Patient Age & Gender *

Guardian / Family Contact *

WhatsApp / Mobile Number *

Email Address *

Residential Street Address *

Locality in Bhubaneswar *

2 Choose Care Package & Duration

Fixed rate card for patient attendant services in Bhubaneswar.

15 Days 30 Days 60 Days

Tier 1

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Basic Elderly Care Plan

Designed for senior citizens who need regular assistance at home.

₹20,999 / 30 Days

Companionship and supervision
Walking and mobility assistance
Bathing and grooming
Feeding assistance
Toileting and diaper care
Medication reminders

Advanced Patient Care

Ideal for patients recovering after surgery, hospitalization or illness.

₹26,999 / 30 Days

Patient monitoring at home
Medication support as prescribed
Mobility and transfer assistance
Feeding and hygiene support
Oxygen equipment assistance
Recovery routine support

Tier 3

✓

Complete Bedridden Care

Specialized assistance for patients with limited mobility.

₹35,999 / 30 Days

Regular repositioning
Personal hygiene and diaper care
Feeding assistance
Bed sore prevention
Passive movement/exercise as advised
Catheter and feeding-tube care as prescribed

3 Clinical Profile & Shift Selection

Enables our nursing coordinator to deploy the most compatible caregiver.

Mobility Status *

Caregiver Shift Type *

Special Medical Supports Needed (Select all that apply)

Catheter Care Feeding Tube (Ryle's) Oxygen / BiPAP Support Bed Sore Care Sugar / BP Tracking Post-Surgery Care

Expected Service Start Date *

Caregiver Language Preference

Brief Medical History / Doctor Advice

4 Verify Care Voucher & Finalize Booking

Review your booking voucher below. Upon submission, an auto-email and instant WhatsApp voucher link will be generated.

CARE BOOKING VOUCHER • BHUBANESWAR

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Package Tariff

₹26,999

30 Days

Selected Care Plan Advanced Patient Care

Service Shift -

Start Date -

Bhubaneswar Locality -

Contact: - 100% Police Verified Attendants

Instant WhatsApp Confirmation: Clicking "Confirm Voucher & Dispatch" will send dual auto-emails and launch WhatsApp with the voucher prefilled directly to our coordinator at +91 9380748688.