Toll Free number :
1800-11-55-33


Phone : 011-43191000-30

Email : park@parkmediclaim.co.in



Intimate Your Claim

Claim Intimation

Patient Name

:

Patient Park Card No.

:

Hospital Name

:

Hospital City

:

Hospital State

:

Date Of Admission

:

Reason For Hospitalization

:

Patient Phone No.

:

Email

:

Remarks

:

Inform By

:

Relation With Patient

: