Call Details Record / سجل تفاصيل المكالمة

Agent Name*

Call Date*

MR Number or Mobile*

Interacted Language

Channel Mode*

Call Type*

Location*

Department*

Doctor*

Needs a follow-up?*

YesNo

Notes on the call

How did you hear about us? كيف سمعتم عن مركز ماربل الطبي*