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SMART MEDICAL ASSISTANT · 24/7
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👤 Patient
📍 Location
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🚨 Emergency — Call for Help
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⚠️ Life-Threatening Emergency?
If someone is in immediate danger,
call 112 or 199 now
while we connect you to our team.
Patient Name
Your Phone / WhatsApp
Emergency Type
Cardiac arrest / Chest pain
Difficulty breathing
Severe bleeding / Trauma
Unconscious / Unresponsive
Stroke (sudden weakness / speech loss)
Severe allergic reaction
Poisoning / Overdose
Seizure / Convulsion
Choking
Severe burn
Childbirth emergency
Other emergency
Exact Location
Number of Patients
1
2
3
4+
🚨 Alert Emergency Team via WhatsApp
🚑 Order Ambulance
✕
Patient Name
Phone / WhatsApp
Pickup Location
Destination Hospital
Nearest Hospital (Auto)
National Hospital Abuja
University of Abuja Teaching Hospital
Wuse General Hospital
Maitama District Hospital
Garki Hospital
Asokoro District Hospital
Other (specify in notes)
Ambulance Type
Basic Life Support (BLS) Ambulance
Advanced Life Support (ALS) Ambulance
Patient Transport (Non-emergency)
Air Ambulance (Critical)
Urgency
🔴 Immediate (ASAP)
🟡 Urgent (30 min)
🟢 Scheduled
Condition Brief
Additional Notes
📲 Request Ambulance via WhatsApp
📅 Book Appointment
✕
Patient Name
Phone / WhatsApp
Age
Hospital / Clinic
National Hospital Abuja
Maitama District Hospital
Wuse General Hospital
Asokoro District Hospital
Garki Hospital
Kubwa General Hospital
University of Abuja Teaching Hospital
Other
Specialty / Department
General Practice (GP)
Cardiology (Heart)
Orthopaedics (Bones/Joints)
Gynaecology / Obstetrics
Paediatrics (Children)
Neurology (Brain/Nerves)
Ophthalmology (Eye)
ENT (Ear, Nose, Throat)
Dermatology (Skin)
Urology
Oncology (Cancer)
Psychiatry / Mental Health
Dentistry
Emergency Medicine
Preferred Date
Preferred Time
Reason for Visit
HMO / Insurance
Self-pay (No HMO)
NHIA (National HMO)
AIICO
Hygeia HMO
AXA Mansard
Leadway Assurance
NNPC/FIRS Health Scheme
Other HMO
📲 Book Appointment via WhatsApp
💊 Order Medications
✕
Your Name
Phone / WhatsApp
Delivery Address
Medications Needed
Prescription Available?
Yes — I have a prescription
No — OTC medications only
I need a prescription first
Delivery Time
Express (2–4 hours)
Standard (Same day)
Next day delivery
Pickup at pharmacy
Payment Method
Bank Transfer
Pay on Delivery
Card Payment
HMO / Insurance
📲 Order Medications via WhatsApp
💳 Pay for Medical Services
✕
Patient Name
Phone / WhatsApp
Hospital / Provider
National Hospital Abuja
Maitama District Hospital
Wuse General Hospital
Asokoro District Hospital
Garki Hospital
Private Clinic / Other
Service / Bill Type
Outpatient Consultation
Laboratory / Diagnostics
Radiology (X-ray, Scan, MRI)
Surgical Procedure
Admission / Inpatient
Pharmacy / Medications
Ambulance Service
Vaccination
Antenatal / Maternity
Other Medical Bill
Amount (₦)
Invoice / Receipt No. (optional)
Payment Method
Bank Transfer
Card Payment (Online)
USSD
HMO / Insurance Claim
NHIA Card
Crypto (USDT)
📲 Process Payment via WhatsApp
📞 Teleconsultation
✕
Patient Name
Age & Gender
Male
Female
Other
Phone / WhatsApp
Specialty Needed
General Practitioner
Cardiologist
Gynaecologist
Paediatrician
Neurologist
Psychiatrist / Therapist
Dermatologist
Nutritionist / Dietitian
Consultation Mode
WhatsApp Video Call
WhatsApp Voice Call
Zoom / Google Meet
Text / Chat only
Preferred Date
Preferred Time
Describe Your Symptoms
📲 Book Teleconsult via WhatsApp
🔬 Lab Tests & Diagnostics
✕
Patient Name
Phone / WhatsApp
Tests Required
Full Blood Count (FBC)
Malaria Parasite Test
Blood Group & Genotype
HIV Test
Hepatitis B & C
Random Blood Sugar
Fasting Blood Sugar
HBA1c (Diabetes)
Lipid Profile
Kidney Function Test (KFT)
Liver Function Test (LFT)
Thyroid Function Test
Pregnancy Test (hCG)
Urinalysis
Stool Analysis
COVID-19 PCR / Antigen
X-Ray
Ultrasound Scan
CT Scan
MRI Scan
ECG (Heart)
Other (specify below)
Additional Tests / Notes
Service Type
Home Sample Collection
Walk-in at Lab/Hospital
Hospital Lab (with referral)
Preferred Date
📲 Request Lab Test via WhatsApp
🧠 Mental Health Support
✕
💙 Your mental health matters. All sessions are
completely confidential
. You are not alone.
Your Name (or Anonymous)
Phone / WhatsApp
What are you experiencing?
Anxiety / Panic attacks
Depression / Sadness
Stress / Burnout
Grief / Bereavement
Relationship issues
Trauma / PTSD
Sleep disorders
Addiction / Substance use
Suicidal thoughts (crisis support)
General wellbeing check
Session Type
WhatsApp Chat (Text)
Voice Call
Video Session
In-person Therapy
Tell us more (optional)
📲 Connect with Therapist via WhatsApp
🆘 Crisis Helpline (Free)
📊 Medical Report / Record
✕
Patient Name
Phone / WhatsApp
Request Type
Medical Summary / History
Lab Result Retrieval
Radiology Report
Discharge Summary
Referral Letter
Insurance Pre-authorization
Death Certificate
Medical Fitness Certificate
Hospital / Provider
Date of Service (approx)
Purpose of Request
📲 Request Report via WhatsApp
⭐ Rate Our Service
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Your Name
Service Reviewed
Rating
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Your Feedback
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