Inpatient Service Quality Feedback Form

Page 1

Comments and Suggestions

Please let us know more about yourself

Share with us how we have performed well or how can we improve to serve you better.

Name (Patient):

(optional)

NRIC (Patient): I stay in Ward: Your Name (if you are relative/friend):

Contact No. : Email Address:

-

Date of Feedback: day

month

year

Please drop this in the Feedback Box or return to: Khoo Teck Puat Hospital 90 Yishun Central Singapore 768828 Main line: (65) 6555 8000 www.ktph.com.sg

KTPH.IP.GN.01.1017

Inpatient Service Quality

Feedback Form


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Inpatient Service Quality Feedback Form by Yishun Health - Issuu