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Verified Production Template

Hospital Multi-Specialty OPD & Doctor Appointment Template

Book hospital outpatient department (OPD) queue tokens and specialist doctor consultations with live token tracking.

Takes ~3 min to fill9 questions included100% Free to publish
No credit card required Instant clone to builder
Hospital Multi-Specialty OPD & Doctor Appointment template preview
Health & Wellness

Hospital Multi-Specialty OPD & Doctor Appointment

Patient Full NameFull Name
Phone NumberPhone Number
Email AddressEmail

Questions & Fields Included

Every field is 100% editable — reorder, add conditional logic, or customize options.

  1. 1
    Patient Full Name*Full Name
  2. 2
    Phone Number*Phone Number
  3. 3
    Email Address*Email
  4. 4
    Patient Age*Number
  5. 5
    Patient Gender*Dropdown
  6. 6
    Specialty Department*Dropdown
  7. 7
    Hospital UHID / Registration Number (if existing patient)Short Text
  8. 8
    Chief Complaint & Symptoms*Short Text
  9. 9
    Upload Recent Medical History / Prescriptions (PDF/Image)File Upload

Included Ticket & Registration Tiers

  • General Medicine OPD Consultation Token · ₹300
  • Specialist Doctor OPD (Cardiology / Ortho / Neuro / Pedia) · ₹700
  • Super-Specialist & Department Head Review · ₹1,200

Make It Yours with No Code

You have full control over the visual theme, questions, and automated workflows.

  • Add, reorder, or delete questions in seconds
  • Set up smart conditional branching rules
  • Brand with your logo, colors, and header imagery
  • Paid tickets, verified QR admission & certificates
  • Automated WhatsApp & Email confirmation alerts
  • Live submissions dashboard with CSV & Excel export

Frequently Asked Questions

Is the Hospital Multi-Specialty OPD & Doctor Appointment template free?
Yes. Templates are completely free to customize and publish with zero recurring monthly subscription.
Can I customize the questions, logic, and theme?
Everything is editable: add or reorder questions, configure conditional show/hide rules, and adjust colors, logos, and custom branding.
Can I sell tickets and issue QR passes?
Yes. Attendees can pay via UPI, cards or net banking and instantly receive verified QR admission passes on WhatsApp & Email.
Where do form responses go?
Responses stream in real-time to your dashboard with search, filtering, email notifications, and 1-click CSV/Excel export.

Hospital Multi-Specialty OPD & Doctor Appointment

Free • 9 questions