Nomination Form Rashtriya Chikitsa Sewa Awards We would love to help. Feel free to reach out! Nomination Type: Example – Name of the Hospital/Individual Establishment Year (If applying for hospital) : Website URL (If any):- Previous Award (If any):- Nominee Name:- Director's Mobile Number Your Designation:- Hospital Name:- Email Address:- City:- State:- State:- Mobile No. :- Alternate No. :- How many years have you been working in the medical field? - If you have served in COVID-19 Pandemic, please describe your work & share the photos with us. SUBMIT