*Not applicable for TPA Patients.

Delivery Packages
Date:

Patient Name
Mobile No
Address
Treating Doctor
EDD
TPA/INS
Amount Received, if any
Additional Details, if any

Room Type Package

Pearl Sharing INR 50,000/-
Twin Sharing INR 70,000/-
Deluxe INR 85,000/-
Signature INR 1,00,000/-
Suite INR 1,60,000/-

Package Inclusions
1. Bed charges for 2 days (for Normal) & 3 days (for cesarean delivery). Check out time 12 noon.
2. Surgeon fee, Nursing Charge
3. Anesthesia Charges
4. Gynaecologist visit charges up to the packages
5. OT charges/LDR charges
6. Dietician and Lactation consultation
7. 24x7 availability of Gynecologist & Pediatrician.
8. Nursery stays up to 4-6 hrs (excluding NICU, if required).
9. Well Baby care including nursing care & doctor’s visit (excluding NICU, if required).
10. Initial vaccination BCG, Hep. B, Vit K, OPV
11. Hearing (OAE) test.
12. Pre-Anesthesia check up
13. NST*
14. Postnatal physiotherapy for Deluxe & above room categories.

Motherland Hospital, NH-01, Sector - 119, Noida - 201305, UP

Website - www.motherlandhospital.com | Contact - 0120- 4154949, 9953777444
*After Admission
Package Exclusions
1. MCI (Medicines, Consumables & Investigations) for Mother & Baby
a. Medicine & Consumable for Mother
b. Medicine & Consumable for Baby
c. Lab and Radiology services
2. Epidural anesthesia charge Rs.7,500/-
3. NICU admission charge will be extra, if required
4. Blood reservation charges.
5. Any other surgery during delivery, if required
6. Equipment charges in case of addtional surgery/procedure
7. Assistant surgeon fee, if required.
8. Elective LSCS on public holidays, Sundays or desired time & date (Mahurat) - 25% extra of the
package.
9. High risk delivery charges will be 25% extra, if required.
10. Additional stay will be as per actual
11. Additional charges for multiple deliveries - 15k.
12. Other specialty visit charges
13. Ambulance Services 24*7. (Contact @ 0120-4154949)
14. Covid Test Sample will be sent in case of emergency admission.

Note: Only one attendant allow and no visitors allow in patient room due to Covid-19

*Complimentary Services *(depends on covid situation)

Deluxe 1 Framed Photograph, 1 Foot Cast (2D) , Baby Hamper
Signature 1 Framed Photograph, Both Foot Cast (2D), Baby Hamper , Car Decoration, Cake
Suite Cutting
1 Framed Photograph, Both Foot Cast with frame (2D), Baby Hamper , Car Decoration,
Cake Cutting

Privilege Card Offer*

1. 10% discount on lab test(till JUNE 2022 month on OPD basis)
2. 10% discount on radiology Services (till JUNE 2022 month on OPD basis)
*Pre-booking required

Packages explained By: Signature of Patient/Attendant

*Delivery Package Form Ends Here

Motherland Hospital, NH-01, Sector - 119, Noida - 201305, UP

Website - www.motherlandhospital.com | Contact - 0120- 4154949, 9953777444