TELANGANA STATE ROAD TRANSPORT CORPORATION

DIALYSIS PATIENT PASS ONLINE APPLICATION

Basic Details
WAP No * Photo
Name *
Gender * Female Male Age *
Mobile No * E-mail Id
Current Residential Address
District * Mandal *
Village * Address * [A-Z,a-z,0-9,/,-,# and ,] (Maximum characters: 150)
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Dialysis Center * Dialysis Address
From Place * To Place
Center & Payment Details
Choose Center * Pass Type *
Payment Mode * Pass Delivery Mode *
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