New digital toolkit aims to transform care for millions with multiple chronic diseases
NCT ID NCT07582380
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study is for adults aged 40 and older who have two or more chronic conditions like high blood pressure, diabetes, or depression. Researchers are testing a program that includes a digital decision-support system for doctors, telemedicine for specialist advice, and a mobile app for patients. The goal is to improve quality of life and make care more coordinated and easier to access.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 3,600 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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May 2026
An estimate. Start dates often move.
- Expected to finish
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Aug 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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40 to 100 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adults aged 40 years or above * Attending the Primary Health Centre (PHC) during the enrollment period * Diagnosed with two or more of the following chronic conditions: 1. Hypertension 2. Diabetes mellitus 3. Depression 4. Anxiety 5. Chronic obstructive pulmonary disease (COPD) 6. Asthma 7. Vision impairment 8. Hearing impairment 9. Osteoarthritis 10. Chronic back pain Exclusion Criteria: * Age \< 40 years * Presence of only one or none of the listed chronic conditions * Pregnant or breastfeeding women * Severe cognitive impairment or dementia that prevents informed consent or or reliable participation * Bedridden or terminally ill individuals with a life expectancy \< 6 month * Current participation in another clinical or interventional research study may interfere with study outcomes * Severe psychiatric illness (e.g., psychosis or bipolar disorder) other than depression or anxiety * Unable or unwilling to provide written informed consent * Severe communication barriers that prevent participation in interviews or questionnaires, even with assistance
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
120 sites in 2 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Show contact details
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Locations
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Ahulana, Rural primary health care centre
Sonīpat, Haryana, 131101, India
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Artiya kalla, Primary Health Care Center
Phalodi, Jodupur, 342801, India
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Atchuthapuram Primary Health Care Center, Narsīpatnam, Anakapalli 531115
Visakhapatnam, Andhra Pradesh, 530001, India
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Badegau PHC
Lalitpur, Bagmati, 45206, Nepal
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Badkhalsa, Rural primary health care centre
Sonīpat, Haryana, 131101, India
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Bakaiya Municipal Hospital
Bharatpur, Bagmati, 45206, Nepal
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Bala, Primary Health Care Center
Phalodi, Jodupur, 342801, India
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Banepa Municipal hospital
Kavre, Bagmati, 45206, Nepal
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Banwasa, Rural primary health care centre
Sonīpat, Haryana, 131101, India
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Baroda Mor, Rural primary health care centre
Sonīpat, Haryana, 131101, India
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Bega, Rural primary health care centre
Sonīpat, Haryana, 131101, India
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Bhandara Hospital
Bharatpur, Bagmati, 44200, Nepal
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Bhatgaon, Rural primary health care centre
Sonīpat, Haryana, 131101, India
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Bhatinda, Primary Health Care Center
Phalodi, Jodupur, 342801, India
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Bhavi, Primary Health Care Center
Phalodi, Jodupur, 342801, India
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Bhimphedi PHC
Bharatpur, Bagmati, 45206, Nepal
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Bhumlu Basic Hospital
Kavre, Bagmati, 45206, Nepal
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Bidhlana, Rural primary health care centre
Sonīpat, Haryana, 131101, India
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Bidhlana, Rural primary health care centre
Sonīpat, Haryana, 131101, India
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Binawas, Primary Health Care Center
Phalodi, Jodupur, 342801, India
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Binjwariya, Primary Health Care Center
Phalodi, Jodupur, 342801, India
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Bisalpur
Phalodi, Jodupur, 342801, India
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Bishnudevi hospital
Kathmandu, Bagmati, 1244600, Nepal
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Buchhayyapeta Primary Health Care Center, Narsīpatnam, Anakapalli 531115
Visakhapatnam, Andhra Pradesh, 530001, India
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Burugupalem Primary Health Care Center, Narsīpatnam, Anakapalli 531115
Visakhapatnam, Andhra Pradesh, 530001, India
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Butana, Rural primary health care centre
Sonīpat, Haryana, 131101, India
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Butana-zafrabad, Rural primary health care centre
Sonīpat, Haryana, 131101, India
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Butchimpeta Primary Health Care Center, Narsīpatnam, Anakapalli 531115
Visakhapatnam, Andhra Pradesh, 530001, India
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Cheedikada Primary Health Care Center, Narsīpatnam, Anakapalli 531115
Visakhapatnam, Andhra Pradesh, 530001, India
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Chowduwada Primary Health Care Center, Narsīpatnam, Anakapalli 531115
Visakhapatnam, Andhra Pradesh, 530001, India
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Chuchukonda Primary Health Care Center, Narsīpatnam, Anakapalli 531115
Visakhapatnam, Andhra Pradesh, 530001, India
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Dakshinkali Nagar Hospital
Kathmandu, Bagmati, 1244600, Nepal
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Dangiyawas, Primary Health Care Center
Phalodi, Jodupur, 342801, India
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Danwara Primary Health Care Center
Phalodi, Jodupur, 342801, India
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Deurali PHC
Nuwākot, Bagmati, 45206, Nepal
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Devarapalli Primary Health Care Center, Narsīpatnam, Anakapalli 531115
Visakhapatnam, Andhra Pradesh, 530001, India
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Dhadhniya Bhayla, Primary Health Care Center
Phalodi, Jodupur, 342801, India
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Dhanari Kalla, Primary Health Care Center
Phalodi, Jodupur, 342801, India
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Dhatoli, Rural primary health care centre
Sonīpat, Haryana, 131101, India
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Dhulikhel PHC
Kavre, Bagmati, 45206, Nepal
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Dhuseni Siwalaya Primary Hospital
Kavre, Bagmati, 45206, Nepal
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Dimili Primary Health Care Center, Narsīpatnam, Anakapalli 531115
Visakhapatnam, Andhra Pradesh, 530001, India
Contact Email: •••••@•••••
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Dubeta, Rural primary health care centre
Sonīpat, Haryana, 131101, India
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Farmana, Rural primary health care centre
Sonīpat, Haryana, 131101, India
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Ferozpur-banger , Rural primary health care centre
Sonīpat, Haryana, 131101, India
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Ganaur, Rural primary health care centre
Sonīpat, Haryana, 131101, India
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Gangani, Primary Health Care Center
Phalodi, Jodupur, 342801, India
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Gavaravaram Primary Health Care Center, Narsīpatnam, Anakapalli 531115
Visakhapatnam, Andhra Pradesh, 530001, India
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Golugonda Primary Health Care Center, Narsīpatnam, Anakapalli 531115
Visakhapatnam, Andhra Pradesh, 530001, India
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Guda vishnoiya, Primary Health Care Center
Phalodi, Jodupur, 342801, India
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Gullepalli Primary Health Care Center, Narsīpatnam, Anakapalli 531115
Visakhapatnam, Andhra Pradesh, 530001, India
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Gunupudi Primary Health Care Center, Narsīpatnam, Anakapalli 531115
Visakhapatnam, Andhra Pradesh, 530001, India
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Haripalem Primary Health Care Center, Narsīpatnam, Anakapalli 531115
Visakhapatnam, Andhra Pradesh, 530001, India
Contact Email: •••••@•••••
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Hariyadhana, Primary Health Care Center
Phalodi, Jodupur, 342801, India
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Ichchhakamana Basic Hospital
Bharatpur, Bagmati, 44200, Nepal
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Jagsi, Rural primary health care centre
Sonīpat, Haryana, 131101, India
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Jakhauli, Rural primary health care centre
Sonīpat, Haryana, 131101, India
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Jalupura, Primary Health Care Center
Phalodi, Jodupur, 342801, India
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Jhalamand, Primary Health Care Center
Phalodi, Jodupur, 342801, India
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Juan, Rural primary health care centre
Sonīpat, Haryana, 131101, India
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K D Peta Primary Health Care Center, Narsīpatnam, Anakapalli 531115
Visakhapatnam, Andhra Pradesh, 530001, India
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KJ Puram Primary Health Care Center, Narsīpatnam, Anakapalli 531115
Visakhapatnam, Andhra Pradesh, 531115, India
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Kakani PHC
Nuwākot, Bagmati, 45206, Nepal
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Kalika Municipal Hospital
Bharatpur, Bagmati, 44200, Nepal
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Kasimkota Primary Health Care Center, Narsīpatnam, Anakapalli 531115
Visakhapatnam, Andhra Pradesh, 530001, India
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Khairahani Municipal Hospital
Bharatpur, Bagmati, 44200, Nepal
Contact Email: •••••@•••••
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Khanda, Rural primary health care centre
Sonīpat, Haryana, 131101, India
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Khangta, Primary Health Care Center
Phalodi, Jodupur, 342801, India
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Khanpur- kalan , Rural primary health care centre
Sonīpat, Haryana, 131101, India
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Kharanitar PHC
Nuwākot, Bagmati, 45206, Nepal
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Kharkhoda, Rural primary health care centre
Sonīpat, Haryana, 131101, India
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Khawaspura, Primary Health Care Center
Phalodi, Jodupur, 342801, India
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Kherapa, Primary Health Care Center
Phalodi, Jodupur, 342801, India
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Koshana, Primary Health Care Center
Phalodi, Jodupur, 342801, India
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Kundli, Rural primary health care centre
Sonīpat, Haryana, 131101, India
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L V Palem Primary Health Care Center, Narsīpatnam, Anakapalli 531115
Visakhapatnam, Andhra Pradesh, 530001, India
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Lele PHC
Lalitpur, Bagmati, 45206, Nepal
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Lubhu PHC
Lalitpur, Bagmati, 45206, Nepal
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Mahra, Rural primary health care centre
Sonīpat, Haryana, 131101, India
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Manahari Municipal Hospital
Bharatpur, Bagmati, 45206, Nepal
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Mandandeupur Basic Hospital
Kavre, Bagmati, 45206, Nepal
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Mangavaram Primary Health Care Center, Narsīpatnam, Anakapalli 531115
Visakhapatnam, Andhra Pradesh, 530001, India
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Mohana, Rural primary health care centre
Sonīpat, Haryana, 131101, India
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Mundlana, Rural primary health care centre
Sonīpat, Haryana, 131101, India
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Murthal, Rural primary health care centre
Sonīpat, Haryana, 131101, India
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Nagarjung Municipal hospital
Kathmandu, Bagmati, 1244600, Nepal
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Nahari, Rural primary health care centre
Sonīpat, Haryana, 131101, India
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Narwa, Primary Health Care Center
Phalodi, Jodupur, 342801, India
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Nuwakot
Nuwākot, Bagmati, 45206, Nepal
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Padampokhari Municipal Hospital
Bharatpur, Bagmati, 45206, Nepal
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Palung PHC
Bharatpur, Bagmati, 45206, Nepal
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Panauti Municipal Hospital
Kavre, Bagmati, 45206, Nepal
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Panchkhal Municipal Hospital
Kavre, Bagmati, 45206, Nepal
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Pandit Ji Ki Dhani , Primary Health Care Center
Phalodi, Jodupur, 342801, India
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Pedagogada Primary Health Care Center, Narsīpatnam, Anakapalli 531115
Visakhapatnam, Andhra Pradesh, 530001, India
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Penugollu Primary Health Care Center, Narsīpatnam, Anakapalli 531115
Visakhapatnam, Andhra Pradesh, 530001, India
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Pooniyo Ki Pyau, Primary Health Care Center
Phalodi, Jodupur, 342801, India
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Purkhas, Rural primary health care centre
Sonīpat, Haryana, 131101, India
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Ravikamatham Primary Health Care Center, Narsīpatnam, Anakapalli 531115
Visakhapatnam, Andhra Pradesh, 530001, India
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Rukhi, Rural primary health care centre
Sonīpat, Haryana, 131101, India
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Sabbavaram Primary Health Care Center, Narsīpatnam, Anakapalli 531115
Visakhapatnam, Andhra Pradesh, 530001, India
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Salwa Kallan, Primary Health Care Center
Phalodi, Jodupur, 342801, India
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Salwa Khurad, Primary Health Care Center
Phalodi, Jodupur, 342801, India
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Sangla PHC
Kathmandu, Bagmati, 1244600, Nepal
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Sargathal Shamri, Rural primary health care centre
Sonīpat, Haryana, 131101, India
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Satlana, Primary Health Care Center
Phalodi, Jodupur, 342801, India
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Shivnagar PHC
Bharatpur, Bagmati, 44200, Nepal
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Sisana, Rural primary health care centre
Sonīpat, Haryana, 131101, India
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Sointra, Primary Health Care Center
Phalodi, Jodupur, 342801, India
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Soyla, Primary Health Care Center
Phalodi, Jodupur, 342801, India
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Sunthan PHC
Kavre, Bagmati, 45206, Nepal
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THAGARAMPUDI Primary Health Care Center, Narsīpatnam, Anakapalli 531115
Visakhapatnam, Andhra Pradesh, 530001, India
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Thallapalem Primary Health Care Center, Narsīpatnam, Anakapalli 531115
Visakhapatnam, Andhra Pradesh, 530001, India
Contact Email: •••••@•••••
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Thansingtar Hospital
Lalitpur, Bagmati, 45206, Nepal
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Thurakalapudi Primary Health Care Center, Narsīpatnam, Anakapalli 531115
Visakhapatnam, Andhra Pradesh, 530001, India
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Tilwasani, Primary Health Care Center
Phalodi, Jodupur, 342801, India
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Vada Cheepurupalli Primary Health Care Center, Narsīpatnam, Anakapalli 531115
Visakhapatnam, Andhra Pradesh, 530001, India
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Vaddadi Primary Health Care Center, Narsīpatnam, Anakapalli 531115
Visakhapatnam, Andhra Pradesh, 530001, India
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Vechalam Primary Health Care Center, Narsīpatnam, Anakapalli 531115
Visakhapatnam, Andhra Pradesh, 530001, India
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Vemulapudi Primary Health Care Center, Narsīpatnam, Anakapalli 531115
Visakhapatnam, Andhra Pradesh, 530001, India
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