sri lanka ayruveda hospitals

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Nugegoda Auyrveda Hospital for Reproductive Medicine

19, C Pagoda Road,
Nugegoda
Tell. +94 (0)77 307 3621

Dear Patient,

Our office is located at 19,C Pagoda Road Nugegoda SriLanka and You are encouraged to
bring your wife or partner with you although her presence is not mandatory.

Please be sure to complete the above form, referring physician form, before
arriving for your appointment. You must obtain a copy of all your test results including

Semen analyses
Blood hormone levels
Operative report (if applicable)
Testicular Scan (if applicable)
Biopsy Reports (if applicable).

Keep one copy for your records and bring one copy at the time of your appointment .

Ayruvedic Hospital Sri Lanka