Online Payment Portal
Choose Reason for Payment :
In Patient Payment
Out Patient Payment
Patient Details
UHID/Bed Number
*
Patient Name
*
Relation to the Patient
*
Mobile Number
*
Your Details
Same As Above
Full Name
*
Email Address
*
Address Line 1
Address Line 2
City
State
Please Select Country
INDIA
PAKISTAN
BANGLADESH
Australia
Bangladesh
Belgium
Brazil
Bulgaria
Cambodia
Cameroon
Canada
Chile
China
Colombia
Cook Islands
Costa Rica
Cuba
Cyprus
Denmark
East Timor
Egypt
Fiji Islands
Finland
France
Germany
Ghana
Gibraltar
Greece
Guadeloupe
Hungary
Iceland
Indonesia
Iran
Iraq
Israel
Italy
Jamaica
Japan
Kenya
Kuwait
Lebanon
Libya
Malaysia
Mali
Malta
Mauritius
Mexico
Monaco
Mongolia
Namibia
Nepal
Netherlands
New Zealand
Nigeria
Norway
Pakistan
Peru
Philippines
Poland
Portugal
Puerto Rico
Romania
Russia
Saudi Arabia
Singapore
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Thailand
Turkey
United Arab Emirates
United Kingdom
United States of America
Uruguay
Vatican City
Venezuela
Vietnam
Virgin Islands (US)
Yugoslavia
Zimbabwe
Zambia
DUBAI
MASCAT
OMAN
YEMEN
ENGLAND
TANZANIA
OTHERS
HONGKONG
SIERRA LEONE
Taiwan
Congo
UGANDA
REPUBLIC OF CONGO
KOREA
Country
Bill Detail
Amount
*
Re-enter Amount
*
Enter Amount is not matched
Transaction Remarks
Payment Detail
Indian/Internationally issued credit card
Indian/Internationally issued debit card
UPI And Netbanking
I Agree to the Terms And Condition Stated
Here
transaction request
Order Id
Merchant Id
Encryption Key
Currency Name
Transaction Type
Recurring Period
Recurring Day
No.Of Recurring
Response Url
Additional Field 1
Additional Field 2
Additional Field 3
Additional Field 4
Additional Field 5
Additional Field 6
Additional Field 7
Additional Field 8
Additional Field 9