Masihai Smart Clinic - Eligibility Form Masihai Smart Clinic – Check Eligibility Full Name PMDC Number WhatsApp Number Email Address City Clinic Name Specialty Years of Practice Patients per Week Consultation Type Select type In-person Online Both Select Plan Basic Plan – PKR 1,000/month Standard Plan – PKR 3,000/month Premium Plan – PKR 5,000/month Support from Masihai Smart Clinic Program No Support Needed 10% Support Requested 20% Support Requested 30% Support Requested 40% Support Requested 50% Support Requested Custom Support (enter amount) Enter Custom Support Amount (PKR) Additional Notes (Optional) Submit Eligibility Request
