ন্যাশনাল ইন্সটিটিউট অব কিডনী ডিজিজেস এন্ড ইউরলজী
ই-টিকেট
ডিপার্টমেন্ট (Department):
*
Department of Paediatric Nephrology
Department of Paediatric Urology
Department of Renal Transplant
Department of Adult Nephrology
Department of Adult Urology
তারিখ (Date):
আইডি (Patient ID/Track):
নাম (Name):
*
*
বয়স (Age):
জন্ম তারিখ (Birth Date):
লিঙ্গ (Gender):
Male
Female
Other
মোবাইল নং (Mobile):
*
ঠিকানা (Address):
জেলা (District):
*
Bagerhat
Bandarban
Barguna
Barisal
Barishal
Bhola
Bogra
Brahmanbaria
Chandpur
Chittagong
Chuadanga
Comilla
Coxs Bazar
Dhaka
Dinajpur
Faridpur
Feni
Gaibandha
Gazipur
Gopalganj
Habiganj
Jamalpur
Jessore
Jhalokati
Jhenaida
Joypurhat
Khagrachhari
Khulna
Kishoreganj
Kurigram
Kushtia
Lakshmipur
Lalmonirhat
Madaripur
Magura
Manikganj
Meherpur
Moulvibazar
Munshiganj
Mymensingh
Naogaon
Narail
Narail
Narayanganj
Narsingdi
Natore
Nawabganj
Netrokona
Nilphamari
Noakhali
Pabna
Panchagarh
Patuakhali
Pirojpur
Rajbari
Rajshahi
Rangamati
Rangpur
Satkhira
Shariatpur
Sherpur
Sirajganj
Sunamganj
Sylhet
Tangail
Thakurgaon
থানা (Police Station):
জাতীয় পরিচয়পত্র (NID):
ইমেল (Email):
শব্দটি লিখুন (Word Verification):
Type the characters you see in the picture above.
*
Powered By Mazedatech Ltd.