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Now Accepting New Patients · OPD Hours: Mon – Sat · 11 AM – 9 PM · 0327 – 3385218
Pakistan Clinicem · Book Your Appointment

Submit Your
Consultation Request

Please complete this form to request an appointment. Our clinical team reviews each request before contacting you for scheduling confirmation.

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Fill Form
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Team Reviews
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Confirmation
Physician-Led Eastern Medicine ◆
In-Clinic Visit - Online Audio/Video ◆
Greco-Arab Practice ◆
DHA Karachi - Phase II ◆
Confidential & Structured Process ◆
Karachi - Pakistan - International ◆
First-Come, First-Served Slots ◆
Physician-Led Eastern Medicine ◆
In-Clinic Visit - Online Audio/Video ◆
Greco-Arab Practice ◆
DHA Karachi - Phase II ◆
Confidential & Structured Process ◆
Karachi - Pakistan - International ◆
First-Come, First-Served Slots ◆

Medical emergency? Do not use this form. Go to the nearest hospital or call 1122, 115, 1020. Safety & legal notes

Patient Information

Fields marked * are required. All information is kept strictly confidential.

Consulting with physician Muhammad Bin Tariq — see their profile before you begin.
Patient Details

Patient Details

Patient name is required.
A valid, active WhatsApp number is required.
Must be active on WhatsApp — all updates about your request are shared there.
Please select your relationship with the patient.
Please select a consultation type.
Please describe your health concern.
For a thorough clinical assessment, your description may include the following aspects:
  1. 1

    Chief Complaints

    Main symptoms you are experiencing — their nature, severity, and how long you've had them.
  2. 2

    Medical History

    When and how these complaints began, any previous diagnoses or treatments you've received.
  3. 3

    Current Medications

    Any ongoing medications, supplements, or herbal remedies you are currently taking.

Consultation Mode *  Select how you'd like to consult

Please select a consultation mode.

Outside Karachi selected. After submitting, you will be automatically redirected to our Online Consultation page for detailed remote appointment instructions.

Immobility

For Karachi patients unable to travel. You'll need to upload proof (medical certificate, disability card, or clinical report) — then continue to our Online Consultation page to pick a call platform and pay.

Proof of Immobility *JPG · PNG · PDF · Max 5MB
Upload
Drag & drop your document here
Medical certificate, disability card, or recent clinical report
Any image format or PDF accepted
Browse File
—✕ Remove
Please upload your proof of immobility to proceed.
Preferred Appointment Date

Preferred Date  Required — please select your preferred visit date

Please select your preferred appointment date.

Plan your date wisely: Choose a date that gives you an easy time period to follow the preparation guidance in our sidebar before your visit.
What to Bring Before Your Visit

Please note: Exact availability on your selected date may vary. Our team will make every effort to provide an appointment slot as close to your stated preference as possible — the confirmed date and time will be shared with you on WhatsApp.

EMD Initial Parameters

EMD Initial Parameters *  Required — See "Before Visit Guidance"

Tongue and urine photographs are classical assessment aids. They do not replace laboratory tests or a physical examination.

Tongue Tongue Photo *
Drag & drop or browse
Morning, before rinsing/eating/drinking · Max 5MB
—✕
Please upload your tongue photo to proceed.
Urine Urine Photo *
Drag & drop or browse
Morning's first complete urine, clear container · Max 5MB
—✕
Please upload your urine photo to proceed.

Payment Method * Choose how you'd like to pay — online now, or at the clinic on arrival

Eastern Medicine OPD Charges: PKR 1,500 for an in-clinic visit. You may pay online in advance below, or simply pay at reception on the day of your visit — whichever is convenient for you.

Please select a payment method.

Pay only to the account details shown on this website. If anyone sends you different account details, call the clinic on 0327 – 3385218 before paying.

Upload or drag & drop your receipt
Bank/wallet transaction screenshot or PDF receipt
Accepted: JPG, PNG, PDF  ·  Max 5MB
—✕ Remove
Please upload your transaction receipt to confirm this payment method.
Please fill in all required fields (*) to proceed.

Appointment Request Submitted!

Your In-Clinic Visit request has been received. Our team will contact you on WhatsApp to confirm your slot — feel free to message us there any time in the meantime.

Message Us on WhatsApp
Mention: "Appointment Request" when messaging us

Legal Disclaimer

  • Submitting this form requests an appointment; it does not guarantee a slot until confirmed by our clinical coordination team.
  • Please provide accurate and complete details about your health concern for an appropriate initial assessment.
  • This form is not for medical emergencies — please seek immediate in-person care at the nearest hospital if needed.
  • Online and phone consultation modes do not replace an in-person clinical examination where one is advisable.
  • Prescribed medicines are currently delivered within Pakistan only (Karachi and nationwide). Patients outside Pakistan can consult online, but medicines cannot be shipped abroad at present.
  • All information submitted is kept strictly confidential in accordance with medical ethics.
  • Bookings are subject to our Service & Sales Terms.

Questions about slots, fees or confirmation? Read the booking FAQs →

We're Ready for You

Have Questions Before Booking?
We're Here to Help.

Not sure which service is right for you? Contact our team directly and we'll guide you to the most appropriate consultation type for your health needs.