register.marinamedicalhmo.ng
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169.255.57.61
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Submitted URL: https://169.255.57.61/
Effective URL: https://register.marinamedicalhmo.ng/
Submission: On October 20 via api from CH — Scanned from DE
Effective URL: https://register.marinamedicalhmo.ng/
Submission: On October 20 via api from CH — Scanned from DE
Form analysis 1 forms found in the DOM
<form data-auto-scroll="" data-no-message-redirect="" data-thousand="" data-decimal="." data-delay="" data-id="1"
class="fc-form fc-form-1 align- dont-submit-hidden- remove-asterisk- icons-hide- disable-enter- label-placeholder field-border-visible frame-visible save-form-true field-alignment-left align-left"
style="width: 1090px; color: #666666; font-size: 90%; background: white">
<div class="form-page form-page-0 active" data-index="0">
<div class="form-page-content ">
<div data-identifier="field3" data-index="0" style="width: 33%" class=" form-element form-element-field3 options-false index-false form-element-0 default-false form-element-type-oneLineText is-required-false odd -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>Company Name</span></span><span class="sub-label"><span>Company Name</span></span></span>
<div><span class="error"></span><input type="text" placeholder="Company Name" make-read-only="false" data-field-id="field3" name="field3[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="false"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field5" data-index="1" style="width: 33%" class=" even form-element form-element-field5 options-false index-false form-element-1 default-false form-element-type-dropdown is-required-true -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Plan Type</span></span><span class="sub-label"><span>pick one!</span></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field5" name="field5" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="Select A Plan Type" class=" ">Select A Plan Type</option>
<option value="ECOBANK Plan" class=" ">ECOBANK Plan</option>
<option value="Basic Plan" class=" ">Basic Plan</option>
<option value="Advanced Basic Plan" class=" ">Advanced Basic Plan</option>
<option value="Basic Plus Plan" class=" ">Basic Plus Plan</option>
<option value="Advanced Basic plus Plan" class=" ">Advanced Basic plus Plan</option>
<option value="Premiun Plan" class=" ">Premiun Plan</option>
<option value="Ultimate" class=" ">Ultimate</option>
<option value="Others" class=" ">Others</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field9" data-index="2" style="width: 33%" class=" form-element form-element-field9 options-false index-false form-element-2 default-false form-element-type-dropdown is-required-true odd -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Gender*</span></span><span class="sub-label"><span>Gender!</span></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field9" name="field9" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Select Gender</option>
<option value="Male" class=" ">Male</option>
<option value="Female" class=" ">Female</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field6" data-index="3" style="width: 33%" class=" even form-element form-element-field6 options-false index-false form-element-3 default-false form-element-type-oneLineText is-required-false -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>Employee Number*</span></span><span class="sub-label"><span>your full name</span></span></span>
<div><span class="error"></span><input type="text" placeholder="Employee Number*" make-read-only="false" data-field-id="field6" name="field6[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="false"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field7" data-index="4" style="width: 33%" class=" form-element form-element-field7 options-false index-false form-element-4 default-false form-element-type-oneLineText is-required-true odd -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>Surname</span></span><span class="sub-label"><span>your full name</span></span></span>
<div><span class="error"></span><input type="text" placeholder="Surname" make-read-only="false" data-field-id="field7" name="field7[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="true"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field98" data-index="5" style="width: 33%" class=" even form-element form-element-field98 options-false index-false form-element-5 default-false form-element-type-oneLineText is-required-true -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>First Name</span></span><span class="sub-label"><span>your full name</span></span></span>
<div><span class="error"></span><input type="text" placeholder="First Name" make-read-only="false" data-field-id="field98" name="field98[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="true"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field10" data-index="6" style="width: 33%" class=" form-element form-element-field10 options-false index-false form-element-6 default-false form-element-type-fileupload is-required-false odd -handle">
<div class="form-element-html">
<div><label class="wide- fileupload-cover field-cover"><span class="sub-label-"><span class="main-label"><span>Upload Passport</span></span><span class="sub-label"><span>upload</span></span></span>
<div><span class="error"></span>
<div class="button button-file fileupload-button" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true" data-original-title="">
<i class="icon-upload-cloud formcraft-icon">cloud_upload</i><span>Upload Principal Passport Photograph</span><input type="file" data-name-list="field10" name="files" multiple="multiple" data-allow-extensions="jpg,png"
data-min-files="" data-max-files="" data-max-size=""></div>
</div>
</label></div>
</div>
</div>
<div data-identifier="field12" data-index="7" style="width: 33%" class=" even form-element form-element-field12 options-false index-false form-element-7 default-false form-element-type-dropdown is-required-false -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Marital Status</span></span><span class="sub-label"><span>Marital Status!</span></span></span>
<div><span class="error"></span><select data-is-required="false" class="validation-lenient" data-field-id="field12" name="field12" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Select Marital Status</option>
<option value="Single" class=" ">Single</option>
<option value="Married" class=" ">Married</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field11" data-index="8" style="width: 33%" class=" form-element form-element-field11 options-false index-false form-element-8 default-false form-element-type-datepicker is-required-true odd -handle">
<div class="form-element-html">
<div><label class="datepicker-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>Date of Birth*</span></span><span class="sub-label"><span>Date of Birth</span></span></span>
<div><span class="error"></span><input autocomplete="off" data-field-id="field11" placeholder="Date of Birth*" type="text" class="validation-lenient hasDatepicker" data-is-required="true" datepicker="" data-date-min-range=""
data-date-format="dd/mm/yy" data-date-days="{"0":true,"1":true,"2":true,"3":true,"4":true,"5":true,"6":true}" data-date-min="" data-date-min-alt=""
data-date-max-alt="" data-date-max="" data-date-lang="en" name="field11" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-original-title=""
id="dp1634721563826"><i class="formcraft-icon">date_range</i></div>
</label></div>
</div>
</div>
<div data-identifier="field13" data-index="9" style="width: 33%" class=" even form-element form-element-field13 options-false index-false form-element-9 default-false form-element-type-dropdown is-required-true -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type-false has-input"><span class="sub-label-true"><span class="main-label"><span>Nationality</span></span><span class="sub-label"><span>Nationality!</span></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field13" name="field13" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Select Nationality</option>
<option value="Afghan" class=" ">Afghan</option>
<option value="Albanian" class=" ">Albanian</option>
<option value="Algerian" class=" ">Algerian</option>
<option value="American" class=" ">American</option>
<option value="Andorran" class=" ">Andorran</option>
<option value="Angolan" class=" ">Angolan</option>
<option value="Antiguans" class=" ">Antiguans</option>
<option value="Argentinean" class=" ">Argentinean</option>
<option value="Armenian" class=" ">Armenian</option>
<option value="Australian" class=" ">Australian</option>
<option value="Austrian" class=" ">Austrian</option>
<option value="Azerbaijani" class=" ">Azerbaijani</option>
<option value="Bahamian" class=" ">Bahamian</option>
<option value="Bahraini" class=" ">Bahraini</option>
<option value="Bangladeshi" class=" ">Bangladeshi</option>
<option value="Barbadian" class=" ">Barbadian</option>
<option value="Barbudans" class=" ">Barbudans</option>
<option value="Batswana" class=" ">Batswana</option>
<option value="Belarusian" class=" ">Belarusian</option>
<option value="Belgian" class=" ">Belgian</option>
<option value="Belizean" class=" ">Belizean</option>
<option value="Beninese" class=" ">Beninese</option>
<option value="Bhutanese" class=" ">Bhutanese</option>
<option value="Bolivian" class=" ">Bolivian</option>
<option value="Bosnian" class=" ">Bosnian</option>
<option value="Brazilian" class=" ">Brazilian</option>
<option value="British" class=" ">British</option>
<option value="Bruneian" class=" ">Bruneian</option>
<option value="Bulgarian" class=" ">Bulgarian</option>
<option value="Burkinabe" class=" ">Burkinabe</option>
<option value="Burmese" class=" ">Burmese</option>
<option value="Burundian" class=" ">Burundian</option>
<option value="Cambodian" class=" ">Cambodian</option>
<option value="Cameroonian" class=" ">Cameroonian</option>
<option value="Canadian" class=" ">Canadian</option>
<option value="Cape Verdean" class=" ">Cape Verdean</option>
<option value="Central African" class=" ">Central African</option>
<option value="Chadian" class=" ">Chadian</option>
<option value="Chilean" class=" ">Chilean</option>
<option value="Chinese" class=" ">Chinese</option>
<option value="Colombian" class=" ">Colombian</option>
<option value="Comoran" class=" ">Comoran</option>
<option value="Congolese" class=" ">Congolese</option>
<option value="Congolese" class=" ">Congolese</option>
<option value="Costa Rican" class=" ">Costa Rican</option>
<option value="Croatian" class=" ">Croatian</option>
<option value="Cuban" class=" ">Cuban</option>
<option value="Cypriot" class=" ">Cypriot</option>
<option value="Czech" class=" ">Czech</option>
<option value="Danish" class=" ">Danish</option>
<option value="Djibouti" class=" ">Djibouti</option>
<option value="Dominican" class=" ">Dominican</option>
<option value="Dominican" class=" ">Dominican</option>
<option value="Dutch" class=" ">Dutch</option>
<option value="Dutchman" class=" ">Dutchman</option>
<option value="Dutchwoman" class=" ">Dutchwoman</option>
<option value="East Timorese" class=" ">East Timorese</option>
<option value="Ecuadorean" class=" ">Ecuadorean</option>
<option value="Egyptian" class=" ">Egyptian</option>
<option value="Emirian" class=" ">Emirian</option>
<option value="Equatorial Guinean" class=" ">Equatorial Guinean</option>
<option value="Eritrean" class=" ">Eritrean</option>
<option value="Estonian" class=" ">Estonian</option>
<option value="Ethiopian" class=" ">Ethiopian</option>
<option value="Fijian" class=" ">Fijian</option>
<option value="Filipino" class=" ">Filipino</option>
<option value="Finnish" class=" ">Finnish</option>
<option value="French" class=" ">French</option>
<option value="Gabonese" class=" ">Gabonese</option>
<option value="Gambian" class=" ">Gambian</option>
<option value="Georgian" class=" ">Georgian</option>
<option value="German" class=" ">German</option>
<option value="Ghanaian" class=" ">Ghanaian</option>
<option value="Greek" class=" ">Greek</option>
<option value="Grenadian" class=" ">Grenadian</option>
<option value="Guatemalan" class=" ">Guatemalan</option>
<option value="Guinea-Bissauan" class=" ">Guinea-Bissauan</option>
<option value="Guinean" class=" ">Guinean</option>
<option value="Guyanese" class=" ">Guyanese</option>
<option value="Haitian" class=" ">Haitian</option>
<option value="Herzegovinian" class=" ">Herzegovinian</option>
<option value="Honduran" class=" ">Honduran</option>
<option value="Hungarian" class=" ">Hungarian</option>
<option value="I-Kiribati" class=" ">I-Kiribati</option>
<option value="Icelander" class=" ">Icelander</option>
<option value="Indian" class=" ">Indian</option>
<option value="Indonesian" class=" ">Indonesian</option>
<option value="Iranian" class=" ">Iranian</option>
<option value="Iraqi" class=" ">Iraqi</option>
<option value="Irish" class=" ">Irish</option>
<option value="Irish" class=" ">Irish</option>
<option value="Israeli" class=" ">Israeli</option>
<option value="Italian" class=" ">Italian</option>
<option value="Ivorian" class=" ">Ivorian</option>
<option value="Jamaican" class=" ">Jamaican</option>
<option value="Japanese" class=" ">Japanese</option>
<option value="Jordanian" class=" ">Jordanian</option>
<option value="Kazakhstani" class=" ">Kazakhstani</option>
<option value="Kenyan" class=" ">Kenyan</option>
<option value="Kittian and Nevisian" class=" ">Kittian and Nevisian</option>
<option value="Kuwaiti" class=" ">Kuwaiti</option>
<option value="Kyrgyz" class=" ">Kyrgyz</option>
<option value="Laotian" class=" ">Laotian</option>
<option value="Latvian" class=" ">Latvian</option>
<option value="Lebanese" class=" ">Lebanese</option>
<option value="Liberian" class=" ">Liberian</option>
<option value="Libyan" class=" ">Libyan</option>
<option value="Liechtensteiner" class=" ">Liechtensteiner</option>
<option value="Lithuanian" class=" ">Lithuanian</option>
<option value="Luxembourger" class=" ">Luxembourger</option>
<option value="Macedonian" class=" ">Macedonian</option>
<option value="Malagasy" class=" ">Malagasy</option>
<option value="Malawian" class=" ">Malawian</option>
<option value="Malaysian" class=" ">Malaysian</option>
<option value="Maldivan" class=" ">Maldivan</option>
<option value="Malian" class=" ">Malian</option>
<option value="Maltese" class=" ">Maltese</option>
<option value="Marshallese" class=" ">Marshallese</option>
<option value="Mauritanian" class=" ">Mauritanian</option>
<option value="Mauritian" class=" ">Mauritian</option>
<option value="Mexican" class=" ">Mexican</option>
<option value="Micronesian" class=" ">Micronesian</option>
<option value="Moldovan" class=" ">Moldovan</option>
<option value="Monacan" class=" ">Monacan</option>
<option value="Mongolian" class=" ">Mongolian</option>
<option value="Moroccan" class=" ">Moroccan</option>
<option value="Mosotho" class=" ">Mosotho</option>
<option value="Motswana" class=" ">Motswana</option>
<option value="Mozambican" class=" ">Mozambican</option>
<option value="Namibian" class=" ">Namibian</option>
<option value="Nauruan" class=" ">Nauruan</option>
<option value="Nepalese" class=" ">Nepalese</option>
<option value="Netherlander" class=" ">Netherlander</option>
<option value="New Zealander" class=" ">New Zealander</option>
<option value="Ni-Vanuatu" class=" ">Ni-Vanuatu</option>
<option value="Nicaraguan" class=" ">Nicaraguan</option>
<option value="Nigerian" class=" ">Nigerian</option>
<option value="Nigerien" class=" ">Nigerien</option>
<option value="North Korean" class=" ">North Korean</option>
<option value="Northern Irish" class=" ">Northern Irish</option>
<option value="Norwegian" class=" ">Norwegian</option>
<option value="Omani" class=" ">Omani</option>
<option value="Pakistani" class=" ">Pakistani</option>
<option value="Palauan" class=" ">Palauan</option>
<option value="Panamanian" class=" ">Panamanian</option>
<option value="Papua New Guinean" class=" ">Papua New Guinean</option>
<option value="Paraguayan" class=" ">Paraguayan</option>
<option value="Peruvian" class=" ">Peruvian</option>
<option value="Polish" class=" ">Polish</option>
<option value="Portuguese" class=" ">Portuguese</option>
<option value="Qatari" class=" ">Qatari</option>
<option value="Romanian" class=" ">Romanian</option>
<option value="Russian" class=" ">Russian</option>
<option value="Rwandan" class=" ">Rwandan</option>
<option value="Saint Lucian" class=" ">Saint Lucian</option>
<option value="Salvadoran" class=" ">Salvadoran</option>
<option value="Samoan" class=" ">Samoan</option>
<option value="San Marinese" class=" ">San Marinese</option>
<option value="Sao Tomean" class=" ">Sao Tomean</option>
<option value="Saudi" class=" ">Saudi</option>
<option value="Scottish" class=" ">Scottish</option>
<option value="Senegalese" class=" ">Senegalese</option>
<option value="Serbian" class=" ">Serbian</option>
<option value="Seychellois" class=" ">Seychellois</option>
<option value="Sierra Leonean" class=" ">Sierra Leonean</option>
<option value="Singaporean" class=" ">Singaporean</option>
<option value="Slovakian" class=" ">Slovakian</option>
<option value="Slovenian" class=" ">Slovenian</option>
<option value="Solomon Islander" class=" ">Solomon Islander</option>
<option value="Somali" class=" ">Somali</option>
<option value="South African" class=" ">South African</option>
<option value="South Korean" class=" ">South Korean</option>
<option value="Spanish" class=" ">Spanish</option>
<option value="Sri Lankan" class=" ">Sri Lankan</option>
<option value="Sudanese" class=" ">Sudanese</option>
<option value="Surinamer" class=" ">Surinamer</option>
<option value="Swazi" class=" ">Swazi</option>
<option value="Swedish" class=" ">Swedish</option>
<option value="Swiss" class=" ">Swiss</option>
<option value="Syrian" class=" ">Syrian</option>
<option value="Taiwanese" class=" ">Taiwanese</option>
<option value="Tajik" class=" ">Tajik</option>
<option value="Tanzanian" class=" ">Tanzanian</option>
<option value="Thai" class=" ">Thai</option>
<option value="Togolese" class=" ">Togolese</option>
<option value="Tongan" class=" ">Tongan</option>
<option value="Trinidadian or Tobagonian" class=" ">Trinidadian or Tobagonian</option>
<option value="Tunisian" class=" ">Tunisian</option>
<option value="Turkish" class=" ">Turkish</option>
<option value="Tuvaluan" class=" ">Tuvaluan</option>
<option value="Ugandan" class=" ">Ugandan</option>
<option value="Ukrainian" class=" ">Ukrainian</option>
<option value="Uruguayan" class=" ">Uruguayan</option>
<option value="Uzbekistani" class=" ">Uzbekistani</option>
<option value="Venezuelan" class=" ">Venezuelan</option>
<option value="Vietnamese" class=" ">Vietnamese</option>
<option value="Welsh" class=" ">Welsh</option>
<option value="Welsh" class=" ">Welsh</option>
<option value="Yemenite" class=" ">Yemenite</option>
<option value="Zambian" class=" ">Zambian</option>
<option value="Zimbabwean" class=" ">Zimbabwean</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field31" data-index="10" style="width: 50%" class=" form-element form-element-field31 options-false index-false form-element-10 default-false form-element-type-oneLineText is-required-true odd -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>Address</span></span><span class="sub-label"><span>Address</span></span></span>
<div><span class="error"></span><input type="text" placeholder="Address" make-read-only="false" data-field-id="field31" name="field31[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="true"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field14" data-index="11" style="width: 50%" class=" even form-element form-element-field14 options-false index-false form-element-11 default-false form-element-type-dropdown is-required-true -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>State of Origin</span></span><span class="sub-label"><span>State of Origin</span></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field14" name="field14" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">State of Origin</option>
<option value="Abia" class=" ">Abia</option>
<option value="Adamawa" class=" ">Adamawa</option>
<option value="Akwa Ibom" class=" ">Akwa Ibom</option>
<option value="Anambra" class=" ">Anambra</option>
<option value="Bauchi" class=" ">Bauchi</option>
<option value="Bayelsa" class=" ">Bayelsa</option>
<option value="Benue" class=" ">Benue</option>
<option value="Borno" class=" ">Borno</option>
<option value="Cross River" class=" ">Cross River</option>
<option value="Delta" class=" ">Delta</option>
<option value="Ebonyi" class=" ">Ebonyi</option>
<option value="Edo" class=" ">Edo</option>
<option value="Ekiti" class=" ">Ekiti</option>
<option value="Enugu" class=" ">Enugu</option>
<option value="Federal Capital Territory FC" class=" ">Federal Capital Territory FC</option>
<option value="Gombe" class=" ">Gombe</option>
<option value="Imo" class=" ">Imo</option>
<option value="Jigawa" class=" ">Jigawa</option>
<option value="Kaduna" class=" ">Kaduna</option>
<option value="Kano" class=" ">Kano</option>
<option value="Katsina" class=" ">Katsina</option>
<option value="Kebbi" class=" ">Kebbi</option>
<option value="Kogi" class=" ">Kogi</option>
<option value="Kwara" class=" ">Kwara</option>
<option value="Lagos" class=" ">Lagos</option>
<option value="Nasarawa" class=" ">Nasarawa</option>
<option value="Niger" class=" ">Niger</option>
<option value="Ogun" class=" ">Ogun</option>
<option value="Ondo" class=" ">Ondo</option>
<option value="Osun" class=" ">Osun</option>
<option value="Oyo" class=" ">Oyo</option>
<option value="Plateau" class=" ">Plateau</option>
<option value="Rivers" class=" ">Rivers</option>
<option value="Sokoto" class=" ">Sokoto</option>
<option value="Taraba" class=" ">Taraba</option>
<option value="Yobe" class=" ">Yobe</option>
<option value="Zamfara" class=" ">Zamfara</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field16" data-index="12" style="width: 33%" class=" form-element form-element-field16 options-false index-false form-element-12 default-false form-element-type-oneLineText is-required-true odd -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>Phone Number</span></span><span class="sub-label"><span>Phone Number</span></span></span>
<div><span class="error"></span><input type="text" placeholder="Phone Number" make-read-only="false" data-field-id="field16" name="field16[]" data-min-char="" data-max-char="" data-val-type="numbers" data-regexp=""
data-is-required="true" data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder=""
data-original-title="23400000000000"></div>
</label></div>
</div>
</div>
<div data-identifier="field17" data-index="13" style="width: 33%" class=" even form-element form-element-field17 options-false index-false form-element-13 default-false form-element-type-oneLineText is-required-false -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>Alternative Phone Number</span></span><span class="sub-label"><span>Alternative Phone Number</span></span></span>
<div><span class="error"></span><input type="text" placeholder="Alternative Phone Number" make-read-only="false" data-field-id="field17" name="field17[]" data-min-char="" data-max-char="" data-val-type="numbers" data-regexp=""
data-is-required="false" data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder=""
data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field19" data-index="14" style="width: 33%" class=" form-element form-element-field19 options-false index-false form-element-14 default-false form-element-type-email is-required-true odd -handle">
<div class="form-element-html">
<div><label class="email-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>Email</span></span><span class="sub-label"><span>a valid email</span></span></span>
<div><span class="error"></span><input placeholder="Email" data-field-id="field19" type="text" data-val-type="email" make-read-only="" data-is-required="true" name="field19" class="validation-lenient" data-placement="right"
data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-original-title=""><i class="formcraft-icon">email</i></div>
</label></div>
</div>
</div>
<div data-identifier="field18" data-index="15" style="width: 33%" class=" even form-element form-element-field18 options-false index-false form-element-15 default-false form-element-type-oneLineText is-required-false -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>Office Phone Number</span></span><span class="sub-label"><span>Office Phone Number</span></span></span>
<div><span class="error"></span><input type="text" placeholder="Office Phone Number" make-read-only="false" data-field-id="field18" name="field18[]" data-min-char="" data-max-char="" data-val-type="numbers" data-regexp=""
data-is-required="false" data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder=""
data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field79" data-index="16" style="width: 67%; display: none;"
class="form-element form-element-field79 options-false index-false form-element-16 default-true form-element-type-dropdown is-required-false odd -handle state-hidden">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Basic Preferred Hospital Basic Plan</span></span><span class="sub-label"><span>Basic Preferred
Hospital!</span></span></span>
<div><span class="error"></span><select data-is-required="false" class="validation-lenient" data-field-id="field79" name="field79" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Select Preferred Hospital Basic Plan</option>
<option value="AB008" class=" ">CHRISTTHEKINGHOSPITAL,ABA</option>
<option value="AB012SP" class=" ">EKEOMAMEMORIALHOSPITAL</option>
<option value="AB003" class=" ">LIFECARECLINICSLTD</option>
<option value="AB004" class=" ">LIVINGWORDMISSIONHOSPITAL</option>
<option value="AB005" class=" ">NEWERAHOSPITAL,ABA</option>
<option value="TNC074" class=" ">THENAZARETHCLINIC</option>
<option value="AB002" class=" ">FEDERALMEDICALCENTRE,UMUAHIA</option>
<option value="FC022S" class=" ">ALLIANCEHOSPITAL,ABUJA</option>
<option value="FC001" class=" ">DARAMEDICALCENTRE</option>
<option value="FC012" class=" ">FEDERALSTAFFHOSPITAL,GWARINPA</option>
<option value="FC002" class=" ">FEREPRODMEDICALCENTRE</option>
<option value="FC003" class=" ">KINGSCAREHOSPITALLTD,WUSEZONE4</option>
<option value="FC004" class=" ">LIMIHOSPITAL&MATERNITYLTD,ABUJA</option>
<option value="FC008" class=" ">PISIONHOSPITAL</option>
<option value="FC020" class=" ">RUZMEDICALCENTRE</option>
<option value="LPH025" class=" ">LOUISPASTEURHOSPITAL</option>
<option value="SON0079" class=" ">SISTERSOFTHENATIVITYHOSPITAL</option>
<option value="FC009" class=" ">QUEENSCLINICLTD,ABUJA</option>
<option value="FC024" class=" ">EXCELSPECIALISTHOSPITAL</option>
<option value="SS052" class=" ">SOFTSHELLSPECIALISTHOSPITALLTD</option>
<option value="SCH055" class=" ">SPRINGBLOOMCOUNTYHOSPITAL</option>
<option value="JMCCH093" class=" ">JOYLANDMEDICALCENTREANDCHILDREN'SHOSPITAL</option>
<option value="FC023SP" class=" ">FAMILYCAREMULTICLINICSLTD</option>
<option value="FC005" class=" ">LIVINGSTREAMSPECIALISTMEDICALCENTRE</option>
<option value="FC010" class=" ">STMARY'SHOSPITAL,GWAGWALADA</option>
<option value="TMTC078" class=" ">TRAUMA&MULTISPECIALTYCENTER</option>
<option value="FC018" class=" ">KINGSCAREHOSPITALLTD,Kubwa</option>
<option value="ACK077" class=" ">ALLISONCLINICKUJE</option>
<option value="ASMC020" class=" ">ALFADSPECIALISTMEDICALCENTRE</option>
<option value="AD004" class=" ">SAUKIMEDICALCENTRE,YOLA</option>
<option value="AD003" class=" ">PEACEHOSPITAL</option>
<option value="CMC156" class=" ">CALEBMEDICALCENTER</option>
<option value="AK010" class=" ">VEDDYSONHOSPITAL</option>
<option value="AK003" class=" ">IHAFOUNDATIONMEDICALCENTRE</option>
<option value="AK017" class=" ">TOTALCARECLINICANDMATERNITY</option>
<option value="AK014" class=" ">CHRISTVICTORYMEDICALCENTRE</option>
<option value="AK005" class=" ">MOUNTOLIVEMEDICALCENTRE</option>
<option value="AK009" class=" ">UBONGABASISPECIALISTHOSPITAL</option>
<option value="AK015" class=" ">DOMINGOSPECIALISTHOSPITALS</option>
<option value="AN005" class=" ">DIVINEHOSPITALANDMATERNITY,AWKA</option>
<option value="PH0047" class=" ">OURLADYOFLOURDES</option>
<option value="AN012" class=" ">SEFTONSPECIALISTMEDICALCENTRE</option>
<option value="AN014" class=" ">CHIBUZORHOSPITAL&MATERNITY</option>
<option value="AN006" class=" ">FELIXOKOLOMEMORIALHOSPITAL,NNEWI</option>
<option value="AN009" class=" ">LIFESPECIALISTHOSPITAL</option>
<option value="JHM083" class=" ">JESUSISLORDROYALHOSPITALANDMATERNITY</option>
<option value="AN010" class=" ">MERCYSPECIALISTHOSPITAL&MATERNITY,ONITSHA</option>
<option value="KMC084" class=" ">KATAGUMMEDICALCENTER</option>
<option value="BA002" class=" ">NIIMACONSULTANTSHOSPITAL</option>
<option value="DE020S" class=" ">REMEE(RIMI)CLINIC</option>
<option value="BA003" class=" ">NINGICLINIC&MATERNITY</option>
<option value="BY005" class=" ">CRESTCONSULTANTCLINIC</option>
<option value="BY001" class=" ">FEDERALMEDICALCENTRE,YENAGOA</option>
<option value="BY004" class=" ">STPETERSHOSPITAL</option>
<option value="BE001" class=" ">BAKICLINICANDMATERNITY</option>
<option value="BE004" class=" ">NKSTHOSPITAL</option>
<option value="BE011FC" class=" ">FAMILYPRACTICEHOSPITAL</option>
<option value="BE010" class=" ">HOPEHOSPITAL</option>
<option value="BE003" class=" ">MADONNAHOSPITAL</option>
<option value="BE006" class=" ">PAMPASHOSPITAL&MATERNITY</option>
<option value="BE007" class=" ">QUEENSCLINICLTD,MAKURDI</option>
<option value="BE005" class=" ">OTIACLINIC</option>
<option value="BE008" class=" ">STANTHONYHOSPITAL</option>
<option value="BO001" class=" ">ABBOTTCLINIC</option>
<option value="BO002" class=" ">NAKOWASPECIALISTHOSPITAL</option>
<option value="BO003" class=" ">BORNOMEDICALCENTRE</option>
<option value="BO004" class=" ">KANEMHOSPITAL&MATERNITY</option>
<option value="CR015" class=" ">SANTAMARIACLINIC&MATERNITY</option>
<option value="CR001" class=" ">BAKORMEDICALCENTRE</option>
<option value="CR003" class=" ">CITYCLINIC,CALABAR</option>
<option value="CR005" class=" ">FAITHFOUNDATIONSPECIALISTCLINIC</option>
<option value="CR009" class=" ">IKPEMEMEDICALCENTRE</option>
<option value="ASH062" class=" ">ARUBAHSPECIALISTHOSPITAL,CALABAR</option>
<option value="UCTH063" class=" ">UNIVERSITYOFCALABARTEACHINGHOSPITAL</option>
<option value="CWH065" class=" ">CALABARWOMEN&CHILDRENHOSPITAL</option>
<option value="II066" class=" ">IMMANUELINFIRMARYCALABAR</option>
<option value="LMSH008" class=" ">LUCIAMAMEMORIALSPECIALISTHOSPITAL</option>
<option value="CR010" class=" ">MEVOMSPECIALISTCLINIC</option>
<option value="CR048" class=" ">AMADOMEDICALCENTRE</option>
<option value="CR008" class=" ">HOLYFAMILYCATHOLICHOSPITAL,IKOM</option>
<option value="BMCI055" class=" ">BAKORMEDICALCENTRE</option>
<option value="DE003" class=" ">ANIOMAHOSPITAL</option>
<option value="DE008" class=" ">GOODSAMARITANHOSPITALCOMPLEX</option>
<option value="SRSH057" class=" ">ST.REBECCASPECIALISTHOSPITAL</option>
<option value="ECH034" class=" ">EL-COMFORTHOSPITAL</option>
<option value="DELSUTH" class=" ">DELTASTATEUNIVERSITYTEACHINGHOSPITAL</option>
<option value="OLNCO48" class=" ">OURLADYOFNIGERIACATHOLICHOSPITAL</option>
<option value="LH044" class=" ">LANAHOSPITAL</option>
<option value="DE017" class=" ">OBULEMEDICALCENTRE</option>
<option value="DE007" class=" ">CAPITOLHILLCLINIC/HOSPITAL</option>
<option value="DE025" class=" ">VERTIMONMEDICALCENTRE</option>
<option value="FVH013" class=" ">FAIRVIEWHOSPITAL</option>
<option value="DE024" class=" ">B.UCLINIC/HOSPITALLTD</option>
<option value="RC082" class=" ">REGALCLINIC</option>
<option value="DSC083" class=" ">DAYSPRINGCLINIC</option>
<option value="EB003" class=" ">FELIXMEMORIALHOSPITAL,ABAKALIKI</option>
<option value="ED005" class=" ">FATEMEDICALCENTRE</option>
<option value="ED004" class=" ">FAITHMEDICALCENTRE</option>
<option value="ED007" class=" ">MODICMEDICALCENTRE</option>
<option value="ED008" class=" ">MOUNTGILEADHOSPITAL</option>
<option value="ED013" class=" ">STPHILOMENACATHOLICHOSPITAL</option>
<option value="ED014" class=" ">THEROCKHOSPITAL</option>
<option value="ED019" class=" ">EDIINTERNATIONALHOSPITALLTD</option>
<option value="ED041" class=" ">RAHIHOSPITALSLIMITED</option>
<option value="ED022" class=" ">IRRUASPECIALISTTEACHINGHOSPITAL</option>
<option value="EN003" class=" ">CHRISTTHEKING,ENUGU</option>
<option value="MCSH010" class=" ">MOTHEROFCHRISTSPECIALISTHOSPITAL</option>
<option value="EN005" class=" ">PEENOKMEDICALCENTRE</option>
<option value="EN006" class=" ">RISTELLAHOSPITAL</option>
<option value="EN008" class=" ">STMARY'SHOSPITAL&MATERNITY,ENUGU</option>
<option value="EN012" class=" ">LIVINGSTONSPECIALISTHOSPITAL</option>
<option value="EN013" class=" ">STDANIELCONSOLATAHOSPITAL</option>
<option value="EN009" class=" ">UNIVERSITYMEDICALCENTRE</option>
<option value="AMH078" class=" ">AKULUEMEMORIALHOSPITAL</option>
<option value="GO002" class=" ">FEDERALMEDICALCENTRE,GOMBE</option>
<option value="GO003" class=" ">MIYETTIHOSPITAL</option>
<option value="GO004" class=" ">METROCONSULTANTSCLINIC</option>
<option value="ICOO5" class=" ">IVORYCLINIC</option>
<option value="SMCCH004" class=" ">STMARYCHILDRENANDCOMMUNITYUMUOWA,ORLU</option>
<option value="IMUTH006" class=" ">IMOSTATEUNIVERSITYTEACHINGHOSPITAL,ORLU</option>
<option value="IM002" class=" ">EZEMMEDICALCENTRE</option>
<option value="IM011" class=" ">FEDERALMEDICALCENTRE,OWERRI</option>
<option value="FCH0042" class=" ">FIRSTCONCEPTHOSPITAL,OWERRI</option>
<option value="IM010" class=" ">IKENEGBUHOSPITAL,MATERNITY&LABORATORY</option>
<option value="IM003" class=" ">INTERNATIONALCHRISTIANHOSPITAL</option>
<option value="IM007" class=" ">LIFESPRINGSPECIALISTHOSPITAL</option>
<option value="IM005" class=" ">SALVATIONHOSPITAL&MATERNITY</option>
<option value="SEHM0043" class=" ">ST.ELIZABETHHOSPITALANDMATERNITY</option>
<option value="WHM001" class=" ">WINNIESHOSPITALANDMATERNITY</option>
<option value="A0077" class=" ">ALBARKACLINIC</option>
<option value="HHLO23" class=" ">HARMONYHOSPITALLIMITED</option>
<option value="KA001" class=" ">ALBARKAHOSPITAL&MATERNITY</option>
<option value="KA003" class=" ">AMINAHOSPITAL</option>
<option value="KA004" class=" ">CHASELHOSPITAL</option>
<option value="KA005" class=" ">GIWAHOSPITALLTD</option>
<option value="KA006" class=" ">ISHAKUHOSPITAL</option>
<option value="KA008" class=" ">JOWAKOHOSPITAL</option>
<option value="KA010" class=" ">MANEKSHOSPITAL</option>
<option value="KA012" class=" ">MENDSSPECIALISTHOSPITAL</option>
<option value="KA021S" class=" ">MULTICLINICSPECIALISTHOSPITAL</option>
<option value="KA013" class=" ">SEFAHOSPITAL</option>
<option value="KA014" class=" ">TIMUNITYSPECIALISTHOSPITAL</option>
<option value="SMC003" class=" ">SALEMMEDICALCENTRE</option>
<option value="KA002" class=" ">ALMADINACLINIC</option>
<option value="KA007" class=" ">JAMA'AHOSPITAL</option>
<option value="KA009" class=" ">LIMIHOSPITAL&MATERNITYLTD,ZARIA</option>
<option value="KA011" class=" ">MAYFAIRCLINICSNIGLTD</option>
<option value="KA016" class=" ">ST.LOUISHOSPITAL</option>
<option value="KN002" class=" ">IDEALHOSPITAL&MATERNITYLTD</option>
<option value="KN003" class=" ">INTERNATIONALCLINICS&HOSPITALS</option>
<option value="KN004" class=" ">PREMIERCLINIC,KANO</option>
<option value="KT003" class=" ">BISTITHOSPITALLTD</option>
<option value="KT007" class=" ">KHADIJAHMEDIPHARMCO.LTD</option>
<option value="KT009" class=" ">AMFANICLINICANDMATERNITY</option>
<option value="KT006" class=" ">KATSINANURSINGHOMELTD</option>
<option value="KMSH099" class=" ">KEBBIMULTI-SPECIALISTHOSPITAL</option>
<option value="EHL208" class=" ">EQUITYHOSPITALLIMITED</option>
<option value="DD094" class=" ">DDGMEDICALCENTRE</option>
<option value="KG001" class=" ">DUROSOLEYEHOSPITAL</option>
<option value="KG006" class=" ">TOWNSHIPCLINIC</option>
<option value="KG009" class=" ">MARIAGORETTIHOSPITAL</option>
<option value="KG010" class=" ">NEIGHBOURMULTICAREHOSPITAL&WOMENWELLFARECENTRELTD.</option>
<option value="KG002" class=" ">ECWAHOSPITAL</option>
<option value="KG007" class=" ">ODOMACLINICS</option>
<option value="KG008" class=" ">ST.JOHN'SCATHOLICHOSPITAL</option>
<option value="KG004" class=" ">NIGERHOSPITAL</option>
<option value="KG005" class=" ">POLYCLINICHOSPITAL&MATERNITY</option>
<option value="CSHFC203" class=" ">CARECRESTSPECIALISTHOSPITAL&FERTILITYCENTRE</option>
<option value="KW011S" class=" ">OGO-OLUWAHOSPITAL</option>
<option value="KW002" class=" ">ANCHORMEDHOSPITAL</option>
<option value="KW012" class=" ">BALMHOSPITALLTD</option>
<option value="KW185D" class=" ">DELNIKHOSPITAL</option>
<option value="KW182K" class=" ">KIDDIZMEDICALCENTRE</option>
<option value="KW003" class=" ">OLAOLUHOSPITAL</option>
<option value="KW004" class=" ">OLANREWAJUHOSPITALLTD</option>
<option value="KW005" class=" ">OMOLOLAHOSPITAL</option>
<option value="KW184M" class=" ">SADIKUHOSPITAL</option>
<option value="KW183M" class=" ">SURULEREMEDICALCENTRE</option>
<option value="KW007" class=" ">ROLAKIMCLINIC&MATERNITY</option>
<option value="DMC098" class=" ">DANDYMEDICALCENTRE</option>
<option value="SLCH018" class=" ">STANDARDLIFECAREHOSPITAL</option>
<option value="PGMC049" class=" ">P&GMEDICALCENTRE</option>
<option value="LA076" class=" ">ROPHEHOSPITAL</option>
<option value="LA006" class=" ">ALLSOULSINFIRMARY,AGEGE</option>
<option value="LA200" class=" ">BETTAHOSPITAL</option>
<option value="PMC084" class=" ">PROMISEMEDICALCENTRE</option>
<option value="BUDO1" class=" ">BUDOSPECIALISTHOSPITAL</option>
<option value="LA021SP" class=" ">DORENSPECIALISTHOSPITAL</option>
<option value="LA045SP" class=" ">J-RAPHACLINICS&HOSPITAL,AJAH</option>
<option value="LA233S" class=" ">STEDWARDSPECIALISTHOSPITAL&CARDIACCENTRE</option>
<option value="DHHS088" class=" ">DOVEHOSPITAL&HEALTHCARESERVICESLTD.</option>
<option value="LH055" class=" ">LENNOXHOSPITAL</option>
<option value="LA036SP" class=" ">HEALINGFIELDHOSPITAL</option>
<option value="HH024" class=" ">HEDAHOSPITAL</option>
<option value="RSH059" class=" ">RIVETSPECIALISTHOSPITAL</option>
<option value="ICH028" class=" ">ILOGBOCENTRALHOSPITAL</option>
<option value="LA005" class=" ">ALLSOULSCLINICS,AJEGUNLE</option>
<option value="KAAFM" class=" ">KAAFMATERNITYANDCHILDCARECENTRE</option>
<option value="LA135" class=" ">BEEHESSHOSPITAL</option>
<option value="RYHL029" class=" ">REM-YEMSHOSPITALLTD</option>
<option value="LH080" class=" ">LOBELHOSPITAL</option>
<option value="JEFF078" class=" ">JEFISSPECIALISTHOSPITAL</option>
<option value="GSH019" class=" ">GODFREYSPECIALISTHOSPITAL</option>
<option value="LA034" class=" ">GLORIAHOSPITALLTD</option>
<option value="LA086" class=" ">TINCANHOSPITALGROUP</option>
<option value="ONMC038" class=" ">OBISESANNAVALMEDICALCENTRE,APAPA</option>
<option value="AMH048" class=" ">AKANBIMEMORIALHOSPITAL</option>
<option value="LA084SP" class=" ">THEGREATPHYSICIANHOSPITAL</option>
<option value="CGH029" class=" ">CAREGIVERHOSPITAL,AJARA</option>
<option value="ALTH028" class=" ">ADEBAYOLIVINGTOWERHOSPITAL,IMEKE</option>
<option value="TRI0088" class=" ">THEROYALINFIRMARYHOSPITAL</option>
<option value="LA075SP" class=" ">R-JOLADHOSPITAL</option>
<option value="LA015SP" class=" ">CRYSTALSPECIALISTHOSPITAL</option>
<option value="SHMC086" class=" ">STONEHILLMEDICALCENTRE</option>
<option value="HWH082" class=" ">HOPEWELLHOSPITALLIMITED</option>
<option value="LA061" class=" ">MOUNTSINAIHOSPITALGROUP,EBUTE-METTA</option>
<option value="LA031" class=" ">FEDERALMEDICALCENTRE,EBUTE-METTA</option>
<option value="LA161" class=" ">CAREPOINTCLINICEGBEDALIMITED</option>
<option value="LA231" class=" ">STWILLIAMSHOSPITAL</option>
<option value="LHMH021" class=" ">LIGHTHOSPITALANDMATERNITYHOMELTD</option>
<option value="TCMH060" class=" ">TRUECAREMODELHOSPITAL</option>
<option value="GHE048" class=" ">GENERALHOSPITAL,EPE</option>
<option value="LA013" class=" ">CEDARHOSPITAL</option>
<option value="LA026SP" class=" ">EMELHOSPITAL</option>
<option value="LA035" class=" ">GOLDENCROSSINFIRMARY,FESTAC</option>
<option value="LA078" class=" ">SHEPHERDSPECIALISTHOSPITAL</option>
<option value="LA197SP" class=" ">AFRIMEDOGPSPECIALISTHOSPITAL</option>
<option value="LA009" class=" ">ANIYUNHOSPITALLIMITED</option>
<option value="PRSH012" class=" ">PRIMROSESPECIALISTHOSPITAL</option>
<option value="MH056" class=" ">MAKOGHOSPITALS</option>
<option value="LA083" class=" ">SUBOLHOSPITAL</option>
<option value="LA219" class=" ">STTHOMASHOSPITAL</option>
<option value="LA049" class=" ">LONGINGMEDICALCENTRE</option>
<option value="LA018" class=" ">DENEWAIYETOROMEDICALCENTRE</option>
<option value="AHML034" class=" ">ADEMOLAHOSPITAL&MATERNITYLTD</option>
<option value="LA069" class=" ">OSUNTUYIMEDICALCENTRE</option>
<option value="LA011" class=" ">BLUECROSSHOSPITAL</option>
<option value="LA022SP" class=" ">EKOHOSPITALPLC,IKEJA</option>
<option value="LA039" class=" ">HOLYTRINITYHOSPITAL</option>
<option value="LA058SP" class=" ">MOTAYOHOSPITAL</option>
<option value="LA188SP" class=" ">STMARYSSPECIALISTHOSPITAL,IKEJA</option>
<option value="LA020" class=" ">DONASHOSPITAL</option>
<option value="LA216" class=" ">JOBIHOSPITAL</option>
<option value="LA213" class=" ">OAKHOSPITALS</option>
<option value="LA225" class=" ">REALHOPEHOSPITAL</option>
<option value="SMC085" class=" ">SHANUMEDICALCENTRE</option>
<option value="LA228S" class=" ">M-CREDHOSPITALSLIMITED</option>
<option value="LA012" class=" ">BROADHOSPITAL&MATERNITY</option>
<option value="LA059" class=" ">MOUNTPISGAHHOSPITALLTD</option>
<option value="LA060" class=" ">MOUNTSINAIHOSPITAL,EGBE</option>
<option value="LA014SP" class=" ">CITIZENMEDICALCENTRE</option>
<option value="LA019" class=" ">DIVINEMEDICALCENTRE</option>
<option value="BCH059" class=" ">BESTCAREHOSPITAL</option>
<option value="LA142SP" class=" ">LAGOONHOSPITALHOSPITAL,IKOYI</option>
<option value="LA054" class=" ">MAYCLINICSLTD</option>
<option value="GCH091" class=" ">GODCURESHOSPITAL</option>
<option value="LA053" class=" ">MAYCLINICSLTD(Annex)</option>
<option value="LA090" class=" ">ULTIMAMEDICARE</option>
<option value="SMC085" class=" ">SHANUMEDICALCENTRE</option>
<option value="LA209" class=" ">G.ESTATECLINICCONSORTIUM</option>
<option value="LA141" class=" ">SOLADMEDICALCENTRE</option>
<option value="LA233" class=" ">SPARKVIEWHOSPITAL</option>
<option value="LA037" class=" ">HEALSSPECIALISTCLINIC</option>
<option value="LA080" class=" ">STEMMANUELHOSPITAL</option>
<option value="LA193SP" class=" ">KROWNHOSPITAL</option>
<option value="LA232" class=" ">MUCASHOSPITAL</option>
<option value="LA091" class=" ">VETAHOSPITALLTD</option>
<option value="YHMH086" class=" ">YOMBOHOSPITALANDMATERNITYHOMELIMITED</option>
<option value="DMC079" class=" ">DAFEMEDICALCENTRE</option>
<option value="THL045" class=" ">THEOHOSPITALLIMITED</option>
<option value="LA051" class=" ">AVONMEDICALSERVICESLTD(CLINIC)</option>
<option value="BC0089" class=" ">BERNICECLINIC</option>
<option value="LA032" class=" ">FIRSTCITYDIAGNOSISLTD</option>
<option value="LHL049" class=" ">LOUISMEDHOSPITALLIMITED</option>
<option value="LA215SP" class=" ">RAINBOWSPECIALISTMEDICALCENTRE</option>
<option value="LA088" class=" ">UDECOMEDICALCENTRE</option>
<option value="GHL020" class=" ">GERMAINEHOSPITAL,LEKKI</option>
<option value="" class=" ">KUPACENTERCENTER</option>
<option value="JEH019" class=" ">JERICHOHOSPITAL</option>
<option value="LA072SP" class=" ">PINECRESTSPECIALISTHOSPITAL</option>
<option value="LA211" class=" ">MAGODOSPECIALISTHOSPITAL</option>
<option value="FIH0091" class=" ">FIRSTHERITAGEHOSPITAL</option>
<option value="LA106H" class=" ">HILLSTARCLINICS(NIGERIA)LTD</option>
<option value="LA070" class=" ">OSUNTUYIMEDICALCENTRE(ANNEX)</option>
<option value="LA029SP" class=" ">FANIMEDHOSPITAL</option>
<option value="LA044SP" class=" ">ISALUHOSPITALLIMITED</option>
<option value="LA055SP" class=" ">MED-INSPECIALISTHOSPITAL</option>
<option value="LA194" class=" ">NIMBUSMEDICALCENTRE</option>
<option value="LA077" class=" ">ALHERIHOSPITAL,LAGOS</option>
<option value="LA214" class=" ">SOLIDROCKHOSPITALLTD</option>
<option value="HCH051" class=" ">HOREBCONSULTHOSPITAL</option>
<option value="CCHO51S" class=" ">CHILDKIDCHILDRENHOSPITAL</option>
<option value="LA189" class=" ">SIKEOYEHOPECLINIC</option>
<option value="LA004" class=" ">AKINBOLADESPECIALISTHOSPITAL</option>
<option value="LA025" class=" ">ELPHYSPECIALISTHOSPITAL</option>
<option value="LA047" class=" ">KILADEJOHOSPITAL&SPECIALISTCLINICS</option>
<option value="LA081" class=" ">STANTHONYMEDICALCENTRE&MATERNITYHOMELTD</option>
<option value="LA082" class=" ">STRAPHAELSHOSPITALLTD</option>
<option value="NEHL221" class=" ">NEWEVOLUTIONHOSPITALLTD</option>
<option value="LA067" class=" ">OMNIMEDICALCENTRE,ONIKAN</option>
<option value="DSMC048" class=" ">DIALYZERSPECIALISTMEDICALCENTRE</option>
<option value="GMC044" class=" ">GOODNESSMEDICALCENTRE</option>
<option value="MMC065" class=" ">MAZAFMEDICALCENTRE</option>
<option value="GCH091" class=" ">GODCURESHOSPITAL</option>
<option value="RTMC006" class=" ">RHOWILTOTAL-CAREMEDICALCENTRE</option>
<option value="LA030" class=" ">FASANMICLINIC&MATERNITYHOMELTD</option>
<option value="LA230" class=" ">IGBOLOGUNMEDICALCENTRE</option>
<option value="LA001" class=" ">ABSPECIALISTHOSPITAL</option>
<option value="LA052SP" class=" ">AVONMEDICALSERVICESLTD(HOSPITAL)</option>
<option value="LA016" class=" ">DAN-EGERTONHOSPITAL</option>
<option value="LA017" class=" ">DAN-EGERTONHOSPITAL</option>
<option value="LA023" class=" ">EKOHOSPITALPLC,SURULERE</option>
<option value="LA056" class=" ">MERCY-THOMASOREDUGBAMEDICALCENTRE</option>
<option value="LA057" class=" ">MEZONELHOSPITAL</option>
<option value="LA062" class=" ">NEWDAYSPECIALISTCLINIC</option>
<option value="LA065SP" class=" ">OLANIBAMEMORIALHOSPITAL</option>
<option value="LA073SP" class=" ">PROVIDENCEHOSPITALLTD,SURULERE</option>
<option value="LA087" class=" ">TOPAZCLINC</option>
<option value="LA205" class=" ">TUNRAYOHOSPITAL</option>
<option value="NMC019" class=" ">NAVALMEDICALCENTRE</option>
<option value="NA005" class=" ">NAGARIALLAHMAGANIHOSPITAL</option>
<option value="NA011" class=" ">JAMAAMEDICALCENTRE</option>
<option value="NA009" class=" ">AGUHOSPITAL</option>
<option value="NA003" class=" ">HENADMEDICALCENTRE</option>
<option value="NA007" class=" ">SAUKIHOSPITAL,LAFIA</option>
<option value="NA004" class=" ">KINGSCAREHOSPITALLTD,MARARABA</option>
<option value="NG014" class=" ">NASARACLINIC&MATERNITYHOSPITAL</option>
<option value="NG015" class=" ">RAINBOWCLINIC&MATERNITY</option>
<option value="NG002" class=" ">BAYSPECIALISTHOSPITAL</option>
<option value="NG010" class=" ">GREATFAITHMEDICALCENTRE</option>
<option value="NG017" class=" ">TOPMEDICALCLINIC</option>
<option value="SHDS056" class=" ">STANDARDHOSPITAL&DIAGNOSTICSERVICES</option>
<option value="NG012" class=" ">KAINJIMEDICALCENTRE</option>
<option value="NG004" class=" ">FARYGROUPCLINIC</option>
<option value="CHL017" class=" ">CHARLESHEALTHCARELTD</option>
<option value="SMC090" class=" ">SUZANMEMORIALCLINIC</option>
<option value="OG007" class=" ">FIRSTALPHAMEDICALCENTRE</option>
<option value="OG009" class=" ">MERCYGROUPCLINICS</option>
<option value="OG012" class=" ">SACREDHEARTHOSPITAL</option>
<option value="AESH041" class=" ">ANGEL&EAGLESPECIALISTHOSPITAL</option>
<option value="OG021SP" class=" ">JOSEPHANDCHRISTIANAHSPECIALISTHOSPITAL</option>
<option value="SSH030" class=" ">SOLAMEKSPECIALISTHOSPITAL</option>
<option value="OG024S" class=" ">BEACHLANDSPECIALISTHOSPITAL</option>
<option value="LH059" class=" ">LABITRIXHOSPITAL</option>
<option value="OG001" class=" ">AKOBISPECIALISTHOSPITAL</option>
<option value="OG019SP" class=" ">LAFIAKOWAHOSPITAL</option>
<option value="OG020" class=" ">PETERSONMEDICALCENTRE</option>
<option value="OG026" class=" ">ST.MICHAEL-ISRAELSPECIALISTHOSPITALLTD.</option>
<option value="SLCH018" class=" ">STANDARDLIFECAREHOSPITAL</option>
<option value="OG015B" class=" ">BROADLANDHOSPITALSERVICESLTD</option>
<option value="TRHC076" class=" ">REDEEMERHEALTHCENTRE</option>
<option value="ALH059" class=" ">ABUNDANTLIFEHSOPITAL</option>
<option value="MPH011" class=" ">MEDICPLUSHOSPITAL</option>
<option value="OG014" class=" ">OTUNBATUWASENATIONALPAEDIATRICCENTRE</option>
<option value="OG008" class=" ">ACEMEDICARECLINICS</option>
<option value="OG23S" class=" ">FARAMEDCLINICS</option>
<option value="OG025" class=" ">IDERAHEALTHSERVICESLIMITED</option>
<option value="ISHS59" class=" ">IMPERIALSPECIALISTHOSPITALSERVICES</option>
<option value="PMC083" class=" ">PROMISEMEDICALCENTRE</option>
<option value="FMS049" class=" ">FAMEMEDICALSERVICES</option>
<option value="SC050" class=" ">SHIRISHCLINIC</option>
<option value="HMC028" class=" ">HETTAMEDICALCENTRE</option>
<option value="SSMC035" class=" ">ST.SHILOHMEDICALCENTRE</option>
<option value="ON003" class=" ">FIRSTMERCYSPECIALISTHOSPITAL</option>
<option value="ON011" class=" ">TIMUNITYSPECIALISTHOSPITAL</option>
<option value="LHI095" class=" ">LULIHOSPITAL</option>
<option value="IMC" class=" ">INLANDMEDICALCENTRE</option>
<option value="ON007" class=" ">IBUKUN-OLUHOSPITALS</option>
<option value="SSH094" class=" ">STATESPECIALISTHOSPITAL</option>
<option value="ON001" class=" ">BABALOLAMEDICALCENTRE</option>
<option value="AMD" class=" ">ARIFMEDICALCENTRE</option>
<option value="PHM" class=" ">PIMAHOSPITALANDMATERNITY</option>
<option value="OS006SP" class=" ">OAUTHCOMPLEX</option>
<option value="OS007SP" class=" ">ST.VICTORIASPECIALISTHOSPITAL</option>
<option value="AMC057" class=" ">APEXMEDICALCENTRE</option>
<option value="OS005" class=" ">ADENLEMEMORIALHOSPITAL</option>
<option value="LPMC049" class=" ">LIVINGPETALSMEDICALCENTRE</option>
<option value="OS009" class=" ">EMMANUELMEDICALCENTRE</option>
<option value="OS001" class=" ">ABAKEMEDICALCENTRE</option>
<option value="OS002" class=" ">BIKETMEDICALCENTRE</option>
<option value="OS003" class=" ">ONWARDSPECIALISTHOSPITAL</option>
<option value="OS004" class=" ">OROKISPECIALISTHOSPITAL</option>
<option value="OY001" class=" ">ALAFIAHOSPITAL</option>
<option value="OY002" class=" ">BADEJOKOMEMORIALHOSP&MATERNITY</option>
<option value="OY003" class=" ">BANBYSPECIALISTHOSPITAL</option>
<option value="OY005" class=" ">FELEWAHOSPITALXXX</option>
<option value="OY007" class=" ">JOLAMADESPECIALISTHOSPITAL</option>
<option value="OY008" class=" ">J-RAPHACLINICS&HOSPITAL,IBADAN</option>
<option value="OY020" class=" ">LANARKSPECIALISTHOSPITAL</option>
<option value="OY009" class=" ">MEDICALPRACTITIONERSLTD</option>
<option value="OY010" class=" ">MOLLYSPECIALISTHOSPITAL</option>
<option value="OY015" class=" ">TEJUSPECIALISTHOSPITAL</option>
<option value="OY022S" class=" ">THEVINEHOSPITAL&MATERNITYCENTRE</option>
<option value="TMC018" class=" ">TOBIMEDICALCENTRELTD</option>
<option value="ZSMH033" class=" ">ZOESPECIALISTMISSIONHOSPITAL</option>
<option value="OY006" class=" ">IRETI-OLUHOSPITAL</option>
<option value="OY013" class=" ">SHEKINAHMEDICALCENTRE</option>
<option value="OY011" class=" ">MOMOHMEMORIALHOSPITAL</option>
<option value="OY012" class=" ">BAPTISTMEDICALCENTRE,SAKI</option>
<option value="PL002" class=" ">FOCUSHOSPITAL</option>
<option value="KSH0078" class=" ">KAUNASPECIALISTHOSPITAL</option>
<option value="MSH0076" class=" ">MARYSOLSPECIALISTHOSPITAL</option>
<option value="PL005" class=" ">SAUKIGROUPOFCLINICSANDMATERNITY,JOS</option>
<option value="FGH029" class=" ">FERTILEGROUNDHOSPITALLTD</option>
<option value="PL003" class=" ">MAYHOSPITAL,SHENDAM</option>
<option value="RI007" class=" ">GBEYEHOSPITAL</option>
<option value="RI002" class=" ">DELTASPECIALISTHOSPITAL</option>
<option value="MCE049" class=" ">MUJECLINIC</option>
<option value="RI006" class=" ">FOUNDATIONCLINIC</option>
<option value="RI007" class=" ">GBEYEHOSPITAL</option>
<option value="QPHM020" class=" ">QUEENOFPEACEHOSPITAL&MATERNITY</option>
<option value="PH0045" class=" ">EL-ROISPECIALISTCLINIC</option>
<option value="HC013" class=" ">HILTONCLINIC</option>
<option value="PHSMC006" class=" ">SOPHIKEMEDICALCENTRE</option>
<option value="GCMC029" class=" ">GREENCAREMEDICALCONSULTANTS</option>
<option value="PH0050" class=" ">MILITARYHOSPITAL</option>
<option value="NHC0041" class=" ">NEWHEIGHTSCONSULTANTSHOSPITALS</option>
<option value="RI012" class=" ">PRINCESSMEDICALCENTRE</option>
<option value="RI013" class=" ">PROVIDENCECLINIC&MATERNITYLTD,PORTHARCOURT</option>
<option value="RI030" class=" ">STPATRICK'SHOSPITALLTD</option>
<option value="NHCH0040" class=" ">NEWMILEONEHOSPITAL</option>
<option value="RI029" class=" ">MORNINGSTARHOSPITALLTD</option>
<option value="WHH060" class=" ">WESTHILLHOSPITAL</option>
<option value="BMH085" class=" ">BONMARIAHOSPITALLTD.</option>
<option value="PTMC013" class=" ">POTTERSTOUCHMEDICALCONSULTANT</option>
<option value="R1007" class=" ">GBEYEHOSPITAL</option>
<option value="PH0046" class=" ">PRESTIGEHOSPITAL</option>
<option value="ESH030" class=" ">EL-SPECIALISTHOSPITAL</option>
<option value="LCL059" class=" ">LIFECARECENTRELTD</option>
<option value="SSH049" class=" ">SHIELDSPECIALISTSHOSPITAL</option>
<option value="CMC059" class=" ">CUMIMEDICALCENTRE</option>
<option value="SO001" class=" ">SAHELSPECIALISTCLINIC</option>
<option value="SO002" class=" ">SOKOTOCLINIC</option>
<option value="TA002" class=" ">MAMBILLABAPTISTHOSPITAL</option>
<option value="YO001" class=" ">AJIKOMEDICALCENTRE</option>
<option value="YO002" class=" ">CITYMEDICALCENTRE,YOBE</option>
<option value="YO003" class=" ">POTISKUMMEDICALCENTRE</option>
<option value="ZA001" class=" ">DAULAHOSPITAL&MATERNITYHOME</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field21" data-index="17" style="width: 67%; display: none;"
class="even form-element form-element-field21 options-false index-false form-element-17 default-true form-element-type-dropdown is-required-false -handle state-hidden">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Preferred Hospital ECOBANK Plan</span></span><span class="sub-label"><span>Preferred
Hospital!</span></span></span>
<div><span class="error"></span><select data-is-required="false" class="validation-lenient" data-field-id="field21" name="field21" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Select Preferred Hospital ECOBANK Plan</option>
<option value="AB008" class=" ">CHRIST THE KING HOSPITAL, ABA</option>
<option value="AB012SP" class=" ">EKEOMA MEMORIAL HOSPITAL</option>
<option value="AB003" class=" ">LIFE CARE CLINICS LTD</option>
<option value="AB004" class=" ">LIVING WORD MISSION HOSPITAL</option>
<option value="AB005" class=" ">NEW ERA HOSPITAL, ABA</option>
<option value="TNC074" class=" ">THE NAZARETH CLINIC</option>
<option value="AB002" class=" ">FEDERAL MEDICAL CENTRE, UMUAHIA</option>
<option value="PSC101" class=" ">PRIMECARE SPECIALIST CLINICS</option>
<option value="FC022S" class=" ">ALLIANCE HOSPITAL, ABUJA</option>
<option value="FC001" class=" ">DARA MEDICAL CENTRE</option>
<option value="FC012" class=" ">FEDERAL STAFF HOSPITAL, GWARINPA</option>
<option value="FC002" class=" ">FEREPROD MEDICAL CENTRE</option>
<option value="FC003" class=" ">KINGS CARE HOSPITAL LTD, WUSE ZONE 4</option>
<option value="FC004" class=" ">LIMI HOSPITAL & MATERNITY LTD, ABUJA</option>
<option value="FC008" class=" ">PISION HOSPITAL</option>
<option value="FC020" class=" ">RUZ MEDICAL CENTRE</option>
<option value="LPH025" class=" ">LOUIS PASTEUR HOSPITAL</option>
<option value="SON0079" class=" ">SISTERS OF THE NATIVITY HOSPITAL</option>
<option value="FC009" class=" ">QUEENS CLINIC LTD, ABUJA</option>
<option value="FC024" class=" ">EXCEL SPECIALIST HOSPITAL</option>
<option value="SS052" class=" ">SOFTSHELL SPECIALIST HOSPITAL LTD</option>
<option value="SCH055" class=" ">SPRINGBLOOM COUNTY HOSPITAL</option>
<option value="JMCCH093" class=" ">JOYLAND MEDICAL CENTRE AND CHILDREN'S HOSPITAL</option>
<option value="FC023SP" class=" ">FAMILY CARE MULTICLINICS LTD</option>
<option value="FC005" class=" ">LIVINGSTREAM SPECIALIST MEDICAL CENTRE</option>
<option value="FC010" class=" ">ST MARY'S HOSPITAL, GWAGWALADA</option>
<option value="FC011" class=" ">UNIVERSITY OF ABUJA TEACHING HOSPITAL</option>
<option value="TMTC078" class=" ">TRAUMA & MULTISPECIALTY CENTER</option>
<option value="FC018" class=" ">KINGS CARE HOSPITAL LTD, Kubwa</option>
<option value="ACK077" class=" ">ALLISON CLINIC KUJE</option>
<option value="ASMC020" class=" ">ALFAD SPECIALIST MEDICAL CENTRE</option>
<option value="AD004" class=" ">SAUKI MEDICAL CENTRE, YOLA</option>
<option value="AD003" class=" ">PEACE HOSPITAL</option>
<option value="CMC156" class=" ">CALEB MEDICAL CENTER</option>
<option value="AK010" class=" ">VEDDYSON HOSPITAL</option>
<option value="AK003" class=" ">IHA FOUNDATION MEDICAL CENTRE</option>
<option value="AK017" class=" ">TOTAL CARE CLINIC AND MATERNITY</option>
<option value="AK014" class=" ">CHRIST VICTORY MEDICAL CENTRE</option>
<option value="AK005" class=" ">MOUNT OLIVE MEDICAL CENTRE</option>
<option value="AK009" class=" ">UBONG ABASI SPECIALIST HOSPITAL</option>
<option value="AK015" class=" ">DOMINGO SPECIALIST HOSPITALS</option>
<option value="SDH049" class=" ">SAN DOMINIQUE HOSPITAL</option>
<option value="PH0047" class=" ">OUR LADY OF LOURDES</option>
<option value="AN012" class=" ">SEFTON SPECIALIST MEDICAL CENTRE</option>
<option value="AN012SP" class=" ">IFEBI MEDICAL CENTER</option>
<option value="LIH048" class=" ">LIFE INTERNATIONAL HOSPITAL, AWKA</option>
<option value="AN014" class=" ">CHIBUZOR HOSPITAL & MATERNITY</option>
<option value="AN006" class=" ">FELIX OKOLO MEMORIAL HOSPITAL, NNEWI</option>
<option value="AN009" class=" ">LIFE SPECIALIST HOSPITAL</option>
<option value="JHM083" class=" ">JESUS IS LORD ROYAL HOSPITAL AND MATERNITY</option>
<option value="AN010" class=" ">MERCY SPECIALIST HOSPITAL & MATERNITY, ONITSHA</option>
<option value="SCBH060" class=" ">ST CHARLSE BORROMEO HOSPITAL</option>
<option value="KMC084" class=" ">KATAGUM MEDICAL CENTER</option>
<option value="BA002" class=" ">NIIMA CONSULTANTS HOSPITAL</option>
<option value="DE020S" class=" ">REMEE (RIMI) CLINIC</option>
<option value="BA003" class=" ">NINGI CLINIC & MATERNITY</option>
<option value="BY005" class=" ">CREST CONSULTANT CLINIC</option>
<option value="BY001" class=" ">FEDERAL MEDICAL CENTRE, YENAGOA</option>
<option value="BY004" class=" ">ST PETERS HOSPITAL</option>
<option value="BE001" class=" ">BAKI CLINIC AND MATERNITY</option>
<option value="BE004" class=" ">NKST HOSPITAL</option>
<option value="BE011FC" class=" ">FAMILY PRACTICE HOSPITAL</option>
<option value="BE010" class=" ">HOPE HOSPITAL</option>
<option value="BE003" class=" ">MADONNA HOSPITAL</option>
<option value="BE006" class=" ">PAMPAS HOSPITAL & MATERNITY</option>
<option value="BE007" class=" ">QUEENS CLINIC LTD, MAKURDI</option>
<option value="BE005" class=" ">OTIA CLINIC</option>
<option value="BE008" class=" ">ST ANTHONY HOSPITAL</option>
<option value="BO001" class=" ">ABBOTT CLINIC</option>
<option value="BO002" class=" ">NAKOWA SPECIALIST HOSPITAL</option>
<option value="BO003" class=" ">BORNO MEDICAL CENTRE</option>
<option value="BO004" class=" ">KANEM HOSPITAL & MATERNITY</option>
<option value="BO006" class=" ">UNIVERSITY OF MAIDUGURI TEACHING HOSPITAL</option>
<option value="CR015" class=" ">SANTA MARIA CLINIC & MATERNITY</option>
<option value="CR001" class=" ">BAKOR MEDICAL CENTRE</option>
<option value="CR003" class=" ">CITY CLINIC, CALABAR</option>
<option value="CR005" class=" ">FAITH FOUNDATION SPECIALIST CLINIC</option>
<option value="CR009" class=" ">IKPEME MEDICAL CENTRE</option>
<option value="CR010" class=" ">MEVOM SPECIALIST CLINIC</option>
<option value="CR048" class=" ">AMADO MEDICAL CENTRE</option>
<option value="CR008" class=" ">HOLY FAMILY CATHOLIC HOSPITAL, IKOM</option>
<option value="BMCI055" class=" ">BAKOR MEDICAL CENTRE</option>
<option value="DE003" class=" ">ANIOMA HOSPITAL</option>
<option value="DE028" class=" ">FEDERAL MEDICAL CENTRE, ASABA</option>
<option value="DE008" class=" ">GOOD SAMARITAN HOSPITAL COMPLEX</option>
<option value="SRSH057" class=" ">ST. REBECCA SPECIALIST HOSPITAL</option>
<option value="ECH034" class=" ">EL-COMFORT HOSPITAL</option>
<option value="DELSUTH" class=" ">DELTA STATE UNIVERSITY TEACHING HOSPITAL</option>
<option value="OLNCO48" class=" ">OUR LADY OF NIGERIA CATHOLIC HOSPITAL</option>
<option value="LH044" class=" ">LANA HOSPITAL</option>
<option value="DE017" class=" ">OBULE MEDICAL CENTRE</option>
<option value="DE031" class=" ">KOWA CLINIC, UGHELLI</option>
<option value="DE007" class=" ">CAPITOL HILL CLINIC/HOSPITAL</option>
<option value="DE025" class=" ">VERTIMON MEDICAL CENTRE</option>
<option value="FVH013" class=" ">FAIRVIEW HOSPITAL</option>
<option value="DE024" class=" ">B.U CLINIC/HOSPITAL LTD</option>
<option value="RC082" class=" ">REGAL CLINIC</option>
<option value="DSC083" class=" ">DAYSPRING CLINIC</option>
<option value="DE018" class=" ">LILY HOSPITAL LIMITED WARRI</option>
<option value="EB003" class=" ">FELIX MEMORIAL HOSPITAL, ABAKALIKI</option>
<option value="CKHM022" class=" ">CHRIST THE KING HOSPITAL AND MATERNITY</option>
<option value="ED005" class=" ">FATE MEDICAL CENTRE</option>
<option value="ED004" class=" ">FAITH MEDICAL CENTRE</option>
<option value="ED007" class=" ">MODIC MEDICAL CENTRE</option>
<option value="ED008" class=" ">MOUNT GILEAD HOSPITAL</option>
<option value="ED013" class=" ">ST PHILOMENA CATHOLIC HOSPITAL</option>
<option value="ED014" class=" ">THE ROCK HOSPITAL</option>
<option value="ED019" class=" ">EDI INTERNATIONAL HOSPITAL LTD</option>
<option value="ED041" class=" ">RAHI HOSPITALS LIMITED</option>
<option value="SAMC049" class=" ">ST AUGUSTINE MEDICAL CENTRE</option>
<option value="ED022" class=" ">IRRUA SPECIALIST TEACHING HOSPITAL </option>
<option value="LHL061" class=" ">LILLY HOSPITAL LIITED</option>
<option value="EK004" class=" ">EKITI STATE UNIVERSITY TEACHING HOSPITAL, ADO - EKITI</option>
<option value="EK001" class=" ">FEDERAL TEACHING HOSPITAL, IDO-EKITI</option>
<option value="EN003" class=" ">CHRIST THE KING, ENUGU</option>
<option value="MCSH010" class=" ">MOTHER OF CHRIST SPECIALIST HOSPITAL</option>
<option value="EN005" class=" ">PEENOK MEDICAL CENTRE</option>
<option value="EN006" class=" ">RISTELLA HOSPITAL</option>
<option value="EN008" class=" ">ST MARY'S HOSPITAL & MATERNITY, ENUGU</option>
<option value="EN012" class=" ">LIVINGSTON SPECIALIST HOSPITAL</option>
<option value="EN013" class=" ">ST DANIEL CONSOLATA HOSPITAL</option>
<option value="EN009" class=" ">UNIVERSITY MEDICAL CENTRE</option>
<option value="AMH078" class=" ">AKULUE MEMORIAL HOSPITAL</option>
<option value="GO002" class=" ">FEDERAL MEDICAL CENTRE, GOMBE</option>
<option value="GO003" class=" ">MIYETTI HOSPITAL</option>
<option value="GO004" class=" ">METRO CONSULTANTS CLINIC</option>
<option value="ICOO5" class=" ">IVORY CLINIC</option>
<option value="SMCCH004" class=" ">ST MARY CHILDREN AND COMMUNITY UMUOWA, ORLU</option>
<option value="IMUTH006" class=" ">IMO STATE UNIVERSITY TEACHING HOSPITAL, ORLU</option>
<option value="IM002" class=" ">EZEM MEDICAL CENTRE</option>
<option value="IM011" class=" ">FEDERAL MEDICAL CENTRE, OWERRI</option>
<option value="FCH0042" class=" ">FIRST CONCEPT HOSPITAL, OWERRI</option>
<option value="IM010" class=" ">IKENEGBU HOSPITAL, MATERNITY & LABORATORY </option>
<option value="IM003" class=" ">INTERNATIONAL CHRISTIAN HOSPITAL</option>
<option value="IM007" class=" ">LIFESPRING SPECIALIST HOSPITAL</option>
<option value="IM005" class=" ">SALVATION HOSPITAL & MATERNITY</option>
<option value="SEHM0043" class=" ">ST. ELIZABETH HOSPITAL AND MATERNITY</option>
<option value="WHM001" class=" ">WINNIES HOSPITAL AND MATERNITY</option>
<option value="IM044" class=" ">CHAPEL GROUP SPECIALISTS HOSPITAL</option>
<option value="A0077" class=" ">ALBARKA CLINIC</option>
<option value="HHLO23" class=" ">HARMONY HOSPITAL LIMITED</option>
<option value="KA001" class=" ">ALBARKA HOSPITAL & MATERNITY</option>
<option value="KA003" class=" ">AMINA HOSPITAL</option>
<option value="KA004" class=" ">CHASEL HOSPITAL</option>
<option value="KA005" class=" ">GIWA HOSPITAL LTD</option>
<option value="KA008" class=" ">JOWAKO HOSPITAL</option>
<option value="KA010" class=" ">MANEKS HOSPITAL</option>
<option value="KA012" class=" ">MENDS SPECIALIST HOSPITAL</option>
<option value="KA021S" class=" ">MULTICLINIC SPECIALIST HOSPITAL</option>
<option value="KA013" class=" ">SEFA HOSPITAL</option>
<option value="KA014" class=" ">TIM UNITY SPECIALIST HOSPITAL</option>
<option value="SMC003" class=" ">SALEM MEDICAL CENTRE</option>
<option value="KA002" class=" ">ALMADINA CLINIC</option>
<option value="KA009" class=" ">LIMI HOSPITAL & MATERNITY LTD, ZARIA</option>
<option value="KA011" class=" ">MAYFAIR CLINICS NIG LTD</option>
<option value="KN001" class=" ">AMINU KANO TEACHING HOSPITAL</option>
<option value="KN002" class=" ">IDEAL HOSPITAL & MATERNITY LTD</option>
<option value="KN003" class=" ">INTERNATIONAL CLINICS & HOSPITALS</option>
<option value="KN004" class=" ">PREMIER CLINIC, KANO</option>
<option value="KT003" class=" ">BISTIT HOSPITAL LTD</option>
<option value="KT009" class=" ">AMFANI CLINIC AND MATERNITY</option>
<option value="KT008" class=" ">FEDERAL MEDICAL CENTRE, KATSINA</option>
<option value="KB001" class=" ">FEDERAL MEDICAL CENTRE, KEBBI</option>
<option value="KMSH099" class=" ">KEBBI MULTI-SPECIALIST HOSPITAL</option>
<option value="EHL208" class=" ">EQUITY HOSPITAL LIMITED</option>
<option value="DD094" class=" ">DDG MEDICAL CENTRE</option>
<option value="KG001" class=" ">DURO SOLEYE HOSPITAL</option>
<option value="KG006" class=" ">TOWNSHIP CLINIC</option>
<option value="KG009" class=" ">MARIA GORETTI HOSPITAL</option>
<option value="KG010" class=" ">NEIGHBOUR MULTICARE HOSPITAL & WOMEN WELLFARE CENTRE LTD.</option>
<option value="KG002" class=" ">ECWA HOSPITAL</option>
<option value="KG007" class=" ">ODOMA CLINICS</option>
<option value="KG008" class=" ">ST.JOHN'S CATHOLIC HOSPITAL</option>
<option value="KG003" class=" ">FEDERAL MEDICAL CENTRE, KOGI</option>
<option value="KG004" class=" ">NIGER HOSPITAL</option>
<option value="KG005" class=" ">POLY CLINIC HOSPITAL & MATERNITY</option>
<option value="CSHFC203" class=" ">CARECREST SPECIALIST HOSPITAL & FERTILITY CENTRE</option>
<option value="KW011S" class=" ">OGO-OLUWA HOSPITAL</option>
<option value="KW002 " class=" ">ANCHORMED HOSPITAL</option>
<option value="KW012" class=" ">BALM HOSPITAL LTD</option>
<option value="KW185D" class=" ">DELNIK HOSPITAL</option>
<option value="KW182K" class=" ">KIDDIZ MEDICAL CENTRE</option>
<option value="KW003" class=" ">OLA OLU HOSPITAL</option>
<option value="KW004" class=" ">OLANREWAJU HOSPITAL LTD</option>
<option value="KW005" class=" ">OMOLOLA HOSPITAL</option>
<option value="KW183M" class=" ">SURULERE MEDICAL CENTRE </option>
<option value="KW007" class=" ">ROLAKIM CLINIC & MATERNITY</option>
<option value="DMC098" class=" ">DANDY MEDICAL CENTRE</option>
<option value="SLCH018" class=" ">STANDARD LIFE CARE HOSPITAL</option>
<option value="PGMC049" class=" ">P&G MEDICAL CENTRE</option>
<option value="LA076" class=" ">ROPHE HOSPITAL</option>
<option value="LA006" class=" ">ALL SOULS INFIRMARY, AGEGE</option>
<option value="LA200" class=" ">BETTA HOSPITAL</option>
<option value="PMC084" class=" ">PROMISE MEDICAL CENTRE</option>
<option value="BUDO1" class=" ">BUDO SPECIALIST HOSPITAL</option>
<option value="LA021SP" class=" ">DOREN SPECIALIST HOSPITAL</option>
<option value="LA045SP" class=" ">J-RAPHA CLINICS & HOSPITAL, AJAH</option>
<option value="LA233S" class=" ">ST EDWARD SPECIALIST HOSPITAL & CARDIAC CENTRE</option>
<option value="DHHS088" class=" ">DOVE HOSPITAL & HEALTHCARE SERVICES LTD.</option>
<option value="LH055" class=" ">LENNOX HOSPITAL</option>
<option value="LA036SP" class=" ">HEALING FIELD HOSPITAL</option>
<option value="HH024" class=" ">HEDA HOSPITAL</option>
<option value="RSH059" class=" ">RIVET SPECIALIST HOSPITAL</option>
<option value="ICH028" class=" ">ILOGBO CENTRAL HOSPITAL</option>
<option value="LA005" class=" ">ALL SOULS CLINICS, AJEGUNLE</option>
<option value="KAAFM" class=" ">KAAF MATERNITY AND CHILD CARE CENTRE</option>
<option value="LA135" class=" ">BEE HESS HOSPITAL</option>
<option value="RYHL029" class=" ">REM-YEMS HOSPITAL LTD</option>
<option value="LH080" class=" ">LOBEL HOSPITAL</option>
<option value="JEFF078" class=" ">JEFIS SPECIALIST HOSPITAL</option>
<option value="GSH019" class=" ">GODFREY SPECIALIST HOSPITAL</option>
<option value="LA034" class=" ">GLORIA HOSPITAL LTD</option>
<option value="LA086" class=" ">TINCAN HOSPITAL GROUP</option>
<option value="ONMC038" class=" ">OBISESAN NAVAL MEDICAL CENTRE, APAPA</option>
<option value="AMH048" class=" ">AKANBI MEMORIAL HOSPITAL</option>
<option value="LA084SP" class=" ">THE GREAT PHYSICIAN HOSPITAL</option>
<option value="CGH029" class=" ">CARE GIVER HOSPITAL, AJARA</option>
<option value="ALTH028" class=" ">ADEBAYO LIVING TOWER HOSPITAL, IMEKE</option>
<option value="TRI0088" class=" ">THE ROYAL INFIRMARY HOSPITAL</option>
<option value="LA075SP" class=" ">R - JOLAD HOSPITAL</option>
<option value="LA015SP" class=" ">CRYSTAL SPECIALIST HOSPITAL</option>
<option value="SHMC086" class=" ">STONE HILL MEDICAL CENTRE</option>
<option value="HWH082" class=" ">HOPEWELL HOSPITAL LIMITED</option>
<option value="LA061" class=" ">MOUNT SINAI HOSPITAL GROUP, EBUTE-METTA</option>
<option value="LA031" class=" ">FEDERAL MEDICAL CENTRE, EBUTE-METTA</option>
<option value="LA161" class=" ">CAREPOINT CLINIC EGBEDA LIMITED</option>
<option value="LHMH021" class=" ">LIGHT HOSPITAL AND MATERNITY HOME LTD</option>
<option value="TCMH060" class=" ">TRUECARE MODEL HOSPITAL</option>
<option value="GHE048" class=" ">GENERAL HOSPITAL, EPE</option>
<option value="LA013" class=" ">CEDAR HOSPITAL</option>
<option value="LA026SP" class=" ">EMEL HOSPITAL</option>
<option value="LA035" class=" ">GOLDEN CROSS INFIRMARY, FESTAC</option>
<option value="LA078" class=" ">SHEPHERD SPECIALIST HOSPITAL</option>
<option value="LA197SP" class=" ">AFRIMED OGP SPECIALIST HOSPITAL</option>
<option value="LA009" class=" ">ANIYUN HOSPITAL LIMITED</option>
<option value="PRSH012" class=" ">PRIMROSE SPECIALIST HOSPITAL</option>
<option value="MH056" class=" ">MAKOG HOSPITALS</option>
<option value="LA083" class=" ">SUBOL HOSPITAL</option>
<option value="LA219" class=" ">ST THOMAS HOSPITAL</option>
<option value="LA049" class=" ">LONGING MEDICAL CENTRE</option>
<option value="LA018" class=" ">DE NEW AIYETORO MEDICAL CENTRE</option>
<option value="AHML034" class=" ">ADEMOLA HOSPITAL & MATERNITY LTD</option>
<option value="LA069" class=" ">OSUNTUYI MEDICAL CENTRE</option>
<option value="LA011" class=" ">BLUE CROSS HOSPITAL</option>
<option value="LA022SP" class=" ">EKO HOSPITAL PLC, IKEJA</option>
<option value="LA039" class=" ">HOLY TRINITY HOSPITAL</option>
<option value="LA058SP" class=" ">MOTAYO HOSPITAL</option>
<option value="LA188SP" class=" ">ST MARYS SPECIALIST HOSPITAL, IKEJA</option>
<option value="LA020" class=" ">DONAS HOSPITAL</option>
<option value="LA216" class=" ">JOBI HOSPITAL</option>
<option value="LA213" class=" ">OAK HOSPITALS</option>
<option value="SMC085" class=" ">SHANU MEDICAL CENTRE</option>
<option value="LA228S" class=" ">M-CRED HOSPITALS LIMITED</option>
<option value="LA012" class=" ">BROAD HOSPITAL & MATERNITY</option>
<option value="LA059" class=" ">MOUNT PISGAH HOSPITAL LTD</option>
<option value="LA060" class=" ">MOUNT SINAI HOSPITAL, EGBE</option>
<option value="LA014SP" class=" ">CITIZEN MEDICAL CENTRE</option>
<option value="LA019" class=" ">DIVINE MEDICAL CENTRE</option>
<option value="BCH059" class=" ">BEST CARE HOSPITAL</option>
<option value="LA142SP" class=" ">LAGOON HOSPITAL HOSPITAL, IKOYI</option>
<option value="LA054" class=" ">MAY CLINICS LTD</option>
<option value="GCH091" class=" ">GOD CURES HOSPITAL</option>
<option value="LA053" class=" ">MAY CLINICS LTD (Annex)</option>
<option value="LA090" class=" ">ULTIMA MEDICARE</option>
<option value="SMC085" class=" ">SHANU MEDICAL CENTRE</option>
<option value="LA209" class=" ">G.ESTATE CLINIC CONSORTIUM</option>
<option value="LA141" class=" ">SOLAD MEDICAL CENTRE</option>
<option value="LA233" class=" ">SPARK VIEW HOSPITAL</option>
<option value="LA037" class=" ">HEALS SPECIALIST CLINIC</option>
<option value="LA080" class=" ">ST EMMANUEL HOSPITAL</option>
<option value="LA193SP" class=" ">KROWN HOSPITAL</option>
<option value="LA232" class=" ">MUCAS HOSPITAL</option>
<option value="LA091" class=" ">VETA HOSPITAL LTD</option>
<option value="DMC079" class=" ">DAFE MEDICAL CENTRE</option>
<option value="THL045" class=" ">THEO HOSPITAL LIMITED</option>
<option value="LA051" class=" ">AVON MEDICAL SERVICES LTD (CLINIC)</option>
<option value="BC0089" class=" ">BERNICE CLINIC</option>
<option value="LA032" class=" ">FIRST CITY DIAGNOSIS LTD</option>
<option value="LHL049" class=" ">LOUISMED HOSPITAL LIMITED</option>
<option value="LA215SP" class=" ">RAINBOW SPECIALIST MEDICAL CENTRE</option>
<option value="LA088" class=" ">UDECO MEDICAL CENTRE</option>
<option value="GHL020" class=" ">GERMAINE HOSPITAL, LEKKI</option>
<option value="FCH049" class=" ">FIRST CITY HOSPITAL</option>
<option value="JEH019" class=" ">JERICHO HOSPITAL</option>
<option value="LA072SP" class=" ">PINECREST SPECIALIST HOSPITAL</option>
<option value="LA211" class=" ">MAGODO SPECIALIST HOSPITAL</option>
<option value="FIH0091" class=" ">FIRST HERITAGE HOSPITAL</option>
<option value="LA106H" class=" ">HILLSTAR CLINICS (NIGERIA) LTD</option>
<option value="LA070" class=" ">OSUNTUYI MEDICAL CENTRE(ANNEX)</option>
<option value="LA029SP" class=" ">FANIMED HOSPITAL</option>
<option value="LA044SP" class=" ">ISALU HOSPITAL LIMITED</option>
<option value="LA055SP" class=" ">MED-IN SPECIALIST HOSPITAL</option>
<option value="LA194" class=" ">NIMBUS MEDICAL CENTRE </option>
<option value="LA077" class=" ">ALHERI HOSPITAL, LAGOS</option>
<option value="LA214" class=" ">SOLID ROCK HOSPITAL LTD</option>
<option value="HCH051" class=" ">HOREB CONSULT HOSPITAL</option>
<option value="CCHO51S" class=" ">CHILDKID CHILDREN HOSPITAL</option>
<option value="LA189" class=" ">SIKEOYE HOPE CLINIC</option>
<option value="LA004" class=" ">AKINBOLADE SPECIALIST HOSPITAL</option>
<option value="LA025" class=" ">ELPHY SPECIALIST HOSPITAL</option>
<option value="LA047" class=" ">KILADEJO HOSPITAL & SPECIALIST CLINICS</option>
<option value="LA081" class=" ">ST ANTHONY MEDICAL CENTRE & MATERNITY HOME LTD</option>
<option value="LA082" class=" ">ST RAPHAELS HOSPITAL LTD</option>
<option value="NEHL221" class=" ">NEW EVOLUTION HOSPITAL LTD</option>
<option value="LA067" class=" ">OMNI MEDICAL CENTRE, ONIKAN</option>
<option value="DSMC048" class=" ">DIALYZER SPECIALIST MEDICAL CENTRE</option>
<option value="GMC044" class=" ">GOODNESS MEDICAL CENTRE</option>
<option value="MMC065" class=" ">MAZAF MEDICAL CENTRE</option>
<option value="GCH091" class=" ">GOD CURES HOSPITAL</option>
<option value="RTMC006" class=" ">RHOWIL TOTAL-CARE MEDICAL CENTRE</option>
<option value="LA030" class=" ">FASANMI CLINIC & MATERNITY HOME LTD</option>
<option value="LA230" class=" ">IGBOLOGUN MEDICAL CENTRE</option>
<option value="LA001" class=" ">AB SPECIALIST HOSPITAL</option>
<option value="LA052SP" class=" ">AVON MEDICAL SERVICES LTD (HOSPITAL)</option>
<option value="LA016" class=" ">DAN-EGERTON HOSPITAL</option>
<option value="LA017" class=" ">DAN-EGERTON HOSPITAL</option>
<option value="LA023" class=" ">EKO HOSPITAL PLC, SURULERE</option>
<option value="LA056" class=" ">MERCY-THOMAS OREDUGBA MEDICAL CENTRE </option>
<option value="LA057" class=" ">MEZONEL HOSPITAL</option>
<option value="LA062" class=" ">NEWDAY SPECIALIST CLINIC</option>
<option value="LA065SP" class=" ">OLANIBA MEMORIAL HOSPITAL</option>
<option value="LA073SP" class=" ">PROVIDENCE HOSPITAL LTD, SURULERE</option>
<option value="LA087" class=" ">TOPAZ CLINC</option>
<option value="LA205 " class=" ">TUNRAYO HOSPITAL </option>
<option value="NMC019" class=" ">NAVAL MEDICAL CENTRE</option>
<option value="NA010" class=" ">OUR LADY OF APOSTLES HOSPITAL</option>
<option value="NA002" class=" ">FEDERAL MEDICAL CENTRE, KEFFI</option>
<option value="NA005" class=" ">NAGARI ALLAH MAGANI HOSPITAL</option>
<option value="NA011" class=" ">JAMAA MEDICAL CENTRE</option>
<option value="NA009" class=" ">AGU HOSPITAL</option>
<option value="NA001" class=" ">DALHATU ARAF SPECIALIST HOSPITAL</option>
<option value="NA007" class=" ">SAUKI HOSPITAL, LAFIA</option>
<option value="NA004" class=" ">KINGS CARE HOSPITAL LTD, MARARABA</option>
<option value="NG005" class=" ">FEDERAL MEDICAL CENTRE, BIDA</option>
<option value="NG014" class=" ">NASARA CLINIC & MATERNITY HOSPITAL</option>
<option value="NG015" class=" ">RAINBOW CLINIC & MATERNITY</option>
<option value="NG002" class=" ">BAY SPECIALIST HOSPITAL</option>
<option value="NG010" class=" ">GREAT FAITH MEDICAL CENTRE</option>
<option value="NG017" class=" ">TOP MEDICAL CLINIC</option>
<option value="SHDS056" class=" ">STANDARD HOSPITAL & DIAGNOSTIC SERVICES</option>
<option value="NG012" class=" ">KAINJI MEDICAL CENTRE</option>
<option value="NG004" class=" ">FARY GROUP CLINIC</option>
<option value="CHL017" class=" ">CHARLES HEALTHCARE LTD</option>
<option value="SMC090" class=" ">SUZAN MEMORIAL CLINIC</option>
<option value="OG005" class=" ">FEDERAL MEDICAL CENTRE, ABEOKUTA</option>
<option value="OG009" class=" ">MERCY GROUP CLINICS</option>
<option value="OG012" class=" ">SACRED HEART HOSPITAL</option>
<option value="AESH041" class=" ">ANGEL & EAGLE SPECIALIST HOSPITAL</option>
<option value="OG021SP" class=" ">JOSEPH AND CHRISTIANAH SPECIALIST HOSPITAL</option>
<option value="SSH030" class=" ">SOLAMEK SPECIALIST HOSPITAL</option>
<option value="OG024S" class=" ">BEACHLAND SPECIALIST HOSPITAL</option>
<option value="LH059" class=" ">LABITRIX HOSPITAL</option>
<option value="OG001" class=" ">AKOBI SPECIALIST HOSPITAL</option>
<option value="OG019SP" class=" ">LAFIA KOWA HOSPITAL</option>
<option value="OG020" class=" ">PETERSON MEDICAL CENTRE</option>
<option value="OG026" class=" ">ST. MICHAEL - ISRAEL SPECIALIST HOSPITAL LTD.</option>
<option value="SLCH018" class=" ">STANDARD LIFE CARE HOSPITAL</option>
<option value="OG015B" class=" ">BROADLAND HOSPITAL SERVICES LTD</option>
<option value="TRHC076" class=" ">REDEEMER HEALTH CENTRE</option>
<option value="ALH059" class=" ">ABUNDANT LIFE HSOPITAL</option>
<option value="MPH011" class=" ">MEDIC PLUS HOSPITAL</option>
<option value="OG014" class=" ">OTUNBA TUWASE NATIONAL PAEDIATRIC CENTRE</option>
<option value="OG008" class=" ">ACE MEDICARE CLINICS</option>
<option value="OG23S" class=" ">FARAMED CLINICS</option>
<option value="OG025" class=" ">IDERA HEALTH SERVICES LIMITED</option>
<option value="ISHS59" class=" ">IMPERIAL SPECIALIST HOSPITAL SERVICES</option>
<option value="OG024T" class=" ">OLABISI ONABANJO UNIVERSITY TEACHING HOSPITAL</option>
<option value="PMC083" class=" ">PROMISE MEDICAL CENTRE</option>
<option value="FMS049" class=" ">FAME MEDICAL SERVICES</option>
<option value="SC050" class=" ">SHIRISH CLINIC</option>
<option value="HMC028" class=" ">HETTA MEDICAL CENTRE</option>
<option value="SSMC035" class=" ">ST. SHILOH MEDICAL CENTRE</option>
<option value="ON003" class=" ">FIRST MERCY SPECIALIST HOSPITAL</option>
<option value="ON011" class=" ">TIM UNITY SPECIALIST HOSPITAL</option>
<option value="LHI095" class=" ">LULI HOSPITAL</option>
<option value="IMC" class=" ">INLAND MEDICAL CENTRE</option>
<option value="ON007" class=" ">IBUKUN-OLU HOSPITALS</option>
<option value="SSH094" class=" ">STATE SPECIALIST HOSPITAL</option>
<option value="ON001" class=" ">BABALOLA MEDICAL CENTRE</option>
<option value="AMD" class=" ">ARIF MEDICAL CENTRE</option>
<option value="PHM" class=" ">PIMA HOSPITAL AND MATERNITY </option>
<option value="OS006SP" class=" ">OAUTH COMPLEX</option>
<option value="OS007SP" class=" ">ST. VICTORIA SPECIALIST HOSPITAL </option>
<option value="AMC057" class=" ">APEX MEDICAL CENTRE</option>
<option value="OS005" class=" ">ADENLE MEMORIAL HOSPITAL</option>
<option value="LPMC049" class=" ">LIVING PETALS MEDICAL CENTRE</option>
<option value="OS009" class=" ">EMMANUEL MEDICAL CENTRE</option>
<option value="OS001" class=" ">ABAKE MEDICAL CENTRE</option>
<option value="OS002" class=" ">BIKET MEDICAL CENTRE</option>
<option value="OS003" class=" ">ONWARD SPECIALIST HOSPITAL</option>
<option value="OS004" class=" ">OROKI SPECIALIST HOSPITAL </option>
<option value="OY001" class=" ">ALAFIA HOSPITAL</option>
<option value="OY002" class=" ">BADEJOKO MEMORIAL HOSP & MATERNITY</option>
<option value="OY003" class=" ">BANBY SPECIALIST HOSPITAL</option>
<option value="OY005" class=" ">FELEWA HOSPITAL XXX</option>
<option value="OY007" class=" ">JOLAMADE SPECIALIST HOSPITAL</option>
<option value="OY008" class=" ">J-RAPHA CLINICS & HOSPITAL, IBADAN</option>
<option value="OY020" class=" ">LANARK SPECIALIST HOSPITAL</option>
<option value="OY009" class=" ">MEDICAL PRACTITIONERS LTD</option>
<option value="OY010" class=" ">MOLLY SPECIALIST HOSPITAL</option>
<option value="OY015" class=" ">TEJU SPECIALIST HOSPITAL</option>
<option value="OY022S" class=" ">THE VINE HOSPITAL & MATERNITY CENTRE</option>
<option value="TMC018" class=" ">TOBI MEDICAL CENTRE LTD</option>
<option value="ZSMH033" class=" ">ZOE SPECIALIST MISSION HOSPITAL</option>
<option value="OY004" class=" ">BOWEN UNIVERSITY TEACHING HOSPITAL</option>
<option value="OY006" class=" ">IRETI-OLU HOSPITAL</option>
<option value="OY011" class=" ">MOMOH MEMORIAL HOSPITAL</option>
<option value="OY012" class=" ">BAPTIST MEDICAL CENTRE, SAKI</option>
<option value="PL002" class=" ">FOCUS HOSPITAL</option>
<option value="KSH0078" class=" ">KAUNA SPECIALIST HOSPITAL</option>
<option value="MSH0076" class=" ">MARYSOL SPECIALIST HOSPITAL</option>
<option value="PL005" class=" ">SAUKI GROUP OF CLINICS AND MATERNITY, JOS</option>
<option value="FGH029" class=" ">FERTILE GROUND HOSPITAL LTD</option>
<option value="PL003" class=" ">MAY HOSPITAL, SHENDAM</option>
<option value="RI007" class=" ">GBEYE HOSPITAL</option>
<option value="RI002" class=" ">DELTA SPECIALIST HOSPITAL</option>
<option value="MCE049" class=" ">MUJE CLINIC</option>
<option value="RI006" class=" ">FOUNDATION CLINIC</option>
<option value="RI007" class=" ">GBEYE HOSPITAL</option>
<option value="QPHM020" class=" ">QUEEN OF PEACE HOSPITAL & MATERNITY</option>
<option value="PH0045" class=" ">EL-ROI SPECIALIST CLINIC</option>
<option value="HC013" class=" ">HILTON CLINIC</option>
<option value="GCMC029" class=" ">GREEN CARE MEDICAL CONSULTANTS</option>
<option value="PH0050" class=" ">MILITARY HOSPITAL</option>
<option value="NHC0041" class=" ">NEW HEIGHTS CONSULTANTS HOSPITALS</option>
<option value="RI012" class=" ">PRINCESS MEDICAL CENTRE</option>
<option value="RI013" class=" ">PROVIDENCE CLINIC & MATERNITY LTD, PORTHARCOURT</option>
<option value="RI030" class=" ">ST PATRICK'S HOSPITAL LTD</option>
<option value="NHCH0040" class=" ">NEW MILE ONE HOSPITAL</option>
<option value="RI029" class=" ">MORNING STAR HOSPITAL LTD</option>
<option value="WHH060" class=" ">WESTHILL HOSPITAL</option>
<option value="BMH085" class=" ">BONMARIA HOSPITAL LTD.</option>
<option value="PTMC013" class=" ">POTTERS TOUCH MEDICAL CONSULTANT</option>
<option value="R1007" class=" ">GBEYE HOSPITAL</option>
<option value="PH0046" class=" ">PRESTIGE HOSPITAL</option>
<option value="ESH030" class=" ">EL-SPECIALIST HOSPITAL</option>
<option value="LCL059" class=" ">LIFECARE CENTRE LTD</option>
<option value="SSH049" class=" ">SHIELD SPECIALISTS HOSPITAL</option>
<option value="DMC058" class=" ">DATTA MEDICAL CENTRE</option>
<option value="OMC048" class=" ">OLUNWA MEDICAL CENTRE</option>
<option value="RI051" class=" ">NEW ORLINS HOSPITAL</option>
<option value="SHSL049" class=" ">STANDARDCARE HEALTH SOLUTIONS LIMITED</option>
<option value="CMC059" class=" ">CUMI MEDICAL CENTRE</option>
<option value="SO001" class=" ">SAHEL SPECIALIST CLINIC</option>
<option value="SO002" class=" ">SOKOTO CLINIC</option>
<option value="SO003" class=" ">USMAN DAN FODIO TEACHING HOSPITAL</option>
<option value="TA003" class=" ">GENERAL HOSPITAL</option>
<option value="TA002" class=" ">MAMBILLA BAPTIST HOSPITAL</option>
<option value="TA001" class=" ">FEDERAL MEDICAL CENTRE, JALINGO</option>
<option value="YO001" class=" ">AJIKO MEDICAL CENTRE</option>
<option value="YO002" class=" ">CITY MEDICAL CENTRE, YOBE</option>
<option value="YO003" class=" ">POTISKUM MEDICAL CENTRE</option>
<option value="ZA001" class=" ">DAULA HOSPITAL & MATERNITY HOME</option>
<option value="ZA002" class=" ">FEDERAL MEDICAL CENTRE, GUSAU</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field84" data-index="18" style="width: 67%; display: none;"
class="form-element form-element-field84 options-false index-false form-element-18 default-true form-element-type-dropdown is-required-false odd -handle state-hidden">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Preferred Advanced Basic Plan Hospital Advanced Basic Plan</span></span><span
class="sub-label"><span>Preferred Advanced Basic Plan Hospital!</span></span></span>
<div><span class="error"></span><select data-is-required="false" class="validation-lenient" data-field-id="field84" name="field84" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Select Preferred Hospital Advanced Basic Plan</option>
<option value="AB008" class=" ">CHRISTTHEKINGHOSPITAL,ABA</option>
<option value="AB012SP" class=" ">EKEOMAMEMORIALHOSPITAL</option>
<option value="AB003" class=" ">LIFECARECLINICSLTD</option>
<option value="AB004" class=" ">LIVINGWORDMISSIONHOSPITAL</option>
<option value="AB005" class=" ">NEWERAHOSPITAL,ABA</option>
<option value="TNC074" class=" ">THENAZARETHCLINIC</option>
<option value="AB002" class=" ">FEDERALMEDICALCENTRE,UMUAHIA</option>
<option value="FC022S" class=" ">ALLIANCEHOSPITAL,ABUJA</option>
<option value="FC001" class=" ">DARAMEDICALCENTRE</option>
<option value="FC012" class=" ">FEDERALSTAFFHOSPITAL,GWARINPA</option>
<option value="FC002" class=" ">FEREPRODMEDICALCENTRE</option>
<option value="FC003" class=" ">KINGSCAREHOSPITALLTD,WUSEZONE4</option>
<option value="FC004" class=" ">LIMIHOSPITAL&MATERNITYLTD,ABUJA</option>
<option value="FC008" class=" ">PISIONHOSPITAL</option>
<option value="FC020" class=" ">RUZMEDICALCENTRE</option>
<option value="LPH025" class=" ">LOUISPASTEURHOSPITAL</option>
<option value="SON0079" class=" ">SISTERSOFTHENATIVITYHOSPITAL</option>
<option value="FC009" class=" ">QUEENSCLINICLTD,ABUJA</option>
<option value="FC024" class=" ">EXCELSPECIALISTHOSPITAL</option>
<option value="SS052" class=" ">SOFTSHELLSPECIALISTHOSPITALLTD</option>
<option value="SCH055" class=" ">SPRINGBLOOMCOUNTYHOSPITAL</option>
<option value="JMCCH093" class=" ">JOYLANDMEDICALCENTREANDCHILDREN'SHOSPITAL</option>
<option value="FC023SP" class=" ">FAMILYCAREMULTICLINICSLTD</option>
<option value="FC005" class=" ">LIVINGSTREAMSPECIALISTMEDICALCENTRE</option>
<option value="FC010" class=" ">STMARY'SHOSPITAL,GWAGWALADA</option>
<option value="TMTC078" class=" ">TRAUMA&MULTISPECIALTYCENTER</option>
<option value="FC018" class=" ">KINGSCAREHOSPITALLTD,Kubwa</option>
<option value="ACK077" class=" ">ALLISONCLINICKUJE</option>
<option value="ASMC020" class=" ">ALFADSPECIALISTMEDICALCENTRE</option>
<option value="AD004" class=" ">SAUKIMEDICALCENTRE,YOLA</option>
<option value="AD003" class=" ">PEACEHOSPITAL</option>
<option value="CMC156" class=" ">CALEBMEDICALCENTER</option>
<option value="AK010" class=" ">VEDDYSONHOSPITAL</option>
<option value="AK003" class=" ">IHAFOUNDATIONMEDICALCENTRE</option>
<option value="AK017" class=" ">TOTALCARECLINICANDMATERNITY</option>
<option value="AK014" class=" ">CHRISTVICTORYMEDICALCENTRE</option>
<option value="AK005" class=" ">MOUNTOLIVEMEDICALCENTRE</option>
<option value="AK009" class=" ">UBONGABASISPECIALISTHOSPITAL</option>
<option value="AK015" class=" ">DOMINGOSPECIALISTHOSPITALS</option>
<option value="AN005" class=" ">DIVINEHOSPITALANDMATERNITY,AWKA</option>
<option value="PH0047" class=" ">OURLADYOFLOURDES</option>
<option value="AN012" class=" ">SEFTONSPECIALISTMEDICALCENTRE</option>
<option value="AN014" class=" ">CHIBUZORHOSPITAL&MATERNITY</option>
<option value="AN006" class=" ">FELIXOKOLOMEMORIALHOSPITAL,NNEWI</option>
<option value="AN009" class=" ">LIFESPECIALISTHOSPITAL</option>
<option value="JHM083" class=" ">JESUSISLORDROYALHOSPITALANDMATERNITY</option>
<option value="AN010" class=" ">MERCYSPECIALISTHOSPITAL&MATERNITY,ONITSHA</option>
<option value="KMC084" class=" ">KATAGUMMEDICALCENTER</option>
<option value="BA002" class=" ">NIIMACONSULTANTSHOSPITAL</option>
<option value="DE020S" class=" ">REMEE(RIMI)CLINIC</option>
<option value="BA003" class=" ">NINGICLINIC&MATERNITY</option>
<option value="BY005" class=" ">CRESTCONSULTANTCLINIC</option>
<option value="BY001" class=" ">FEDERALMEDICALCENTRE,YENAGOA</option>
<option value="BY004" class=" ">STPETERSHOSPITAL</option>
<option value="BE001" class=" ">BAKICLINICANDMATERNITY</option>
<option value="BE004" class=" ">NKSTHOSPITAL</option>
<option value="BE011FC" class=" ">FAMILYPRACTICEHOSPITAL</option>
<option value="BE010" class=" ">HOPEHOSPITAL</option>
<option value="BE003" class=" ">MADONNAHOSPITAL</option>
<option value="BE006" class=" ">PAMPASHOSPITAL&MATERNITY</option>
<option value="BE007" class=" ">QUEENSCLINICLTD,MAKURDI</option>
<option value="BE005" class=" ">OTIACLINIC</option>
<option value="BE008" class=" ">STANTHONYHOSPITAL</option>
<option value="BO001" class=" ">ABBOTTCLINIC</option>
<option value="BO002" class=" ">NAKOWASPECIALISTHOSPITAL</option>
<option value="BO003" class=" ">BORNOMEDICALCENTRE</option>
<option value="BO004" class=" ">KANEMHOSPITAL&MATERNITY</option>
<option value="CR015" class=" ">SANTAMARIACLINIC&MATERNITY</option>
<option value="CR001" class=" ">BAKORMEDICALCENTRE</option>
<option value="CR003" class=" ">CITYCLINIC,CALABAR</option>
<option value="CR005" class=" ">FAITHFOUNDATIONSPECIALISTCLINIC</option>
<option value="CR009" class=" ">IKPEMEMEDICALCENTRE</option>
<option value="ASH062" class=" ">ARUBAHSPECIALISTHOSPITAL,CALABAR</option>
<option value="UCTH063" class=" ">UNIVERSITYOFCALABARTEACHINGHOSPITAL</option>
<option value="CWH065" class=" ">CALABARWOMEN&CHILDRENHOSPITAL</option>
<option value="II066" class=" ">IMMANUELINFIRMARYCALABAR</option>
<option value="LMSH008" class=" ">LUCIAMAMEMORIALSPECIALISTHOSPITAL</option>
<option value="CR010" class=" ">MEVOMSPECIALISTCLINIC</option>
<option value="CR048" class=" ">AMADOMEDICALCENTRE</option>
<option value="CR008" class=" ">HOLYFAMILYCATHOLICHOSPITAL,IKOM</option>
<option value="BMCI055" class=" ">BAKORMEDICALCENTRE</option>
<option value="DE003" class=" ">ANIOMAHOSPITAL</option>
<option value="DE008" class=" ">GOODSAMARITANHOSPITALCOMPLEX</option>
<option value="SRSH057" class=" ">ST.REBECCASPECIALISTHOSPITAL</option>
<option value="ECH034" class=" ">EL-COMFORTHOSPITAL</option>
<option value="DELSUTH" class=" ">DELTASTATEUNIVERSITYTEACHINGHOSPITAL</option>
<option value="OLNCO48" class=" ">OURLADYOFNIGERIACATHOLICHOSPITAL</option>
<option value="LH044" class=" ">LANAHOSPITAL</option>
<option value="DE017" class=" ">OBULEMEDICALCENTRE</option>
<option value="DE007" class=" ">CAPITOLHILLCLINIC/HOSPITAL</option>
<option value="DE025" class=" ">VERTIMONMEDICALCENTRE</option>
<option value="FVH013" class=" ">FAIRVIEWHOSPITAL</option>
<option value="DE024" class=" ">B.UCLINIC/HOSPITALLTD</option>
<option value="RC082" class=" ">REGALCLINIC</option>
<option value="DSC083" class=" ">DAYSPRINGCLINIC</option>
<option value="EB003" class=" ">FELIXMEMORIALHOSPITAL,ABAKALIKI</option>
<option value="ED005" class=" ">FATEMEDICALCENTRE</option>
<option value="ED004" class=" ">FAITHMEDICALCENTRE</option>
<option value="ED007" class=" ">MODICMEDICALCENTRE</option>
<option value="ED008" class=" ">MOUNTGILEADHOSPITAL</option>
<option value="ED013" class=" ">STPHILOMENACATHOLICHOSPITAL</option>
<option value="ED014" class=" ">THEROCKHOSPITAL</option>
<option value="ED019" class=" ">EDIINTERNATIONALHOSPITALLTD</option>
<option value="ED041" class=" ">RAHIHOSPITALSLIMITED</option>
<option value="ED022" class=" ">IRRUASPECIALISTTEACHINGHOSPITAL</option>
<option value="EN003" class=" ">CHRISTTHEKING,ENUGU</option>
<option value="MCSH010" class=" ">MOTHEROFCHRISTSPECIALISTHOSPITAL</option>
<option value="EN005" class=" ">PEENOKMEDICALCENTRE</option>
<option value="EN006" class=" ">RISTELLAHOSPITAL</option>
<option value="EN008" class=" ">STMARY'SHOSPITAL&MATERNITY,ENUGU</option>
<option value="EN012" class=" ">LIVINGSTONSPECIALISTHOSPITAL</option>
<option value="EN013" class=" ">STDANIELCONSOLATAHOSPITAL</option>
<option value="EN009" class=" ">UNIVERSITYMEDICALCENTRE</option>
<option value="AMH078" class=" ">AKULUEMEMORIALHOSPITAL</option>
<option value="GO002" class=" ">FEDERALMEDICALCENTRE,GOMBE</option>
<option value="GO003" class=" ">MIYETTIHOSPITAL</option>
<option value="GO004" class=" ">METROCONSULTANTSCLINIC</option>
<option value="ICOO5" class=" ">IVORYCLINIC</option>
<option value="SMCCH004" class=" ">STMARYCHILDRENANDCOMMUNITYUMUOWA,ORLU</option>
<option value="IMUTH006" class=" ">IMOSTATEUNIVERSITYTEACHINGHOSPITAL,ORLU</option>
<option value="IM002" class=" ">EZEMMEDICALCENTRE</option>
<option value="IM011" class=" ">FEDERALMEDICALCENTRE,OWERRI</option>
<option value="FCH0042" class=" ">FIRSTCONCEPTHOSPITAL,OWERRI</option>
<option value="IM010" class=" ">IKENEGBUHOSPITAL,MATERNITY&LABORATORY</option>
<option value="IM003" class=" ">INTERNATIONALCHRISTIANHOSPITAL</option>
<option value="IM007" class=" ">LIFESPRINGSPECIALISTHOSPITAL</option>
<option value="IM005" class=" ">SALVATIONHOSPITAL&MATERNITY</option>
<option value="SEHM0043" class=" ">ST.ELIZABETHHOSPITALANDMATERNITY</option>
<option value="WHM001" class=" ">WINNIESHOSPITALANDMATERNITY</option>
<option value="A0077" class=" ">ALBARKACLINIC</option>
<option value="HHLO23" class=" ">HARMONYHOSPITALLIMITED</option>
<option value="KA001" class=" ">ALBARKAHOSPITAL&MATERNITY</option>
<option value="KA003" class=" ">AMINAHOSPITAL</option>
<option value="KA004" class=" ">CHASELHOSPITAL</option>
<option value="KA005" class=" ">GIWAHOSPITALLTD</option>
<option value="KA006" class=" ">ISHAKUHOSPITAL</option>
<option value="KA008" class=" ">JOWAKOHOSPITAL</option>
<option value="KA010" class=" ">MANEKSHOSPITAL</option>
<option value="KA012" class=" ">MENDSSPECIALISTHOSPITAL</option>
<option value="KA021S" class=" ">MULTICLINICSPECIALISTHOSPITAL</option>
<option value="KA013" class=" ">SEFAHOSPITAL</option>
<option value="KA014" class=" ">TIMUNITYSPECIALISTHOSPITAL</option>
<option value="SMC003" class=" ">SALEMMEDICALCENTRE</option>
<option value="KA002" class=" ">ALMADINACLINIC</option>
<option value="KA007" class=" ">JAMA'AHOSPITAL</option>
<option value="KA009" class=" ">LIMIHOSPITAL&MATERNITYLTD,ZARIA</option>
<option value="KA011" class=" ">MAYFAIRCLINICSNIGLTD</option>
<option value="KA016" class=" ">ST.LOUISHOSPITAL</option>
<option value="KN002" class=" ">IDEALHOSPITAL&MATERNITYLTD</option>
<option value="KN003" class=" ">INTERNATIONALCLINICS&HOSPITALS</option>
<option value="KN004" class=" ">PREMIERCLINIC,KANO</option>
<option value="KT003" class=" ">BISTITHOSPITALLTD</option>
<option value="KT007" class=" ">KHADIJAHMEDIPHARMCO.LTD</option>
<option value="KT009" class=" ">AMFANICLINICANDMATERNITY</option>
<option value="KT006" class=" ">KATSINANURSINGHOMELTD</option>
<option value="KMSH099" class=" ">KEBBIMULTI-SPECIALISTHOSPITAL</option>
<option value="EHL208" class=" ">EQUITYHOSPITALLIMITED</option>
<option value="DD094" class=" ">DDGMEDICALCENTRE</option>
<option value="KG001" class=" ">DUROSOLEYEHOSPITAL</option>
<option value="KG006" class=" ">TOWNSHIPCLINIC</option>
<option value="KG009" class=" ">MARIAGORETTIHOSPITAL</option>
<option value="KG010" class=" ">NEIGHBOURMULTICAREHOSPITAL&WOMENWELLFARECENTRELTD.</option>
<option value="KG002" class=" ">ECWAHOSPITAL</option>
<option value="KG007" class=" ">ODOMACLINICS</option>
<option value="KG008" class=" ">ST.JOHN'SCATHOLICHOSPITAL</option>
<option value="KG004" class=" ">NIGERHOSPITAL</option>
<option value="KG005" class=" ">POLYCLINICHOSPITAL&MATERNITY</option>
<option value="CSHFC203" class=" ">CARECRESTSPECIALISTHOSPITAL&FERTILITYCENTRE</option>
<option value="KW011S" class=" ">OGO-OLUWAHOSPITAL</option>
<option value="KW002" class=" ">ANCHORMEDHOSPITAL</option>
<option value="KW012" class=" ">BALMHOSPITALLTD</option>
<option value="KW185D" class=" ">DELNIKHOSPITAL</option>
<option value="KW182K" class=" ">KIDDIZMEDICALCENTRE</option>
<option value="KW003" class=" ">OLAOLUHOSPITAL</option>
<option value="KW004" class=" ">OLANREWAJUHOSPITALLTD</option>
<option value="KW005" class=" ">OMOLOLAHOSPITAL</option>
<option value="KW184M" class=" ">SADIKUHOSPITAL</option>
<option value="KW183M" class=" ">SURULEREMEDICALCENTRE</option>
<option value="KW007" class=" ">ROLAKIMCLINIC&MATERNITY</option>
<option value="DMC098" class=" ">DANDYMEDICALCENTRE</option>
<option value="SLCH018" class=" ">STANDARDLIFECAREHOSPITAL</option>
<option value="PGMC049" class=" ">P&GMEDICALCENTRE</option>
<option value="LA076" class=" ">ROPHEHOSPITAL</option>
<option value="LA006" class=" ">ALLSOULSINFIRMARY,AGEGE</option>
<option value="LA200" class=" ">BETTAHOSPITAL</option>
<option value="PMC084" class=" ">PROMISEMEDICALCENTRE</option>
<option value="BUDO1" class=" ">BUDOSPECIALISTHOSPITAL</option>
<option value="LA021SP" class=" ">DORENSPECIALISTHOSPITAL</option>
<option value="LA045SP" class=" ">J-RAPHACLINICS&HOSPITAL,AJAH</option>
<option value="LA233S" class=" ">STEDWARDSPECIALISTHOSPITAL&CARDIACCENTRE</option>
<option value="DHHS088" class=" ">DOVEHOSPITAL&HEALTHCARESERVICESLTD.</option>
<option value="LH055" class=" ">LENNOXHOSPITAL</option>
<option value="LA036SP" class=" ">HEALINGFIELDHOSPITAL</option>
<option value="HH024" class=" ">HEDAHOSPITAL</option>
<option value="RSH059" class=" ">RIVETSPECIALISTHOSPITAL</option>
<option value="ICH028" class=" ">ILOGBOCENTRALHOSPITAL</option>
<option value="LA005" class=" ">ALLSOULSCLINICS,AJEGUNLE</option>
<option value="KAAFM" class=" ">KAAFMATERNITYANDCHILDCARECENTRE</option>
<option value="LA135" class=" ">BEEHESSHOSPITAL</option>
<option value="RYHL029" class=" ">REM-YEMSHOSPITALLTD</option>
<option value="LH080" class=" ">LOBELHOSPITAL</option>
<option value="JEFF078" class=" ">JEFISSPECIALISTHOSPITAL</option>
<option value="GSH019" class=" ">GODFREYSPECIALISTHOSPITAL</option>
<option value="LA034" class=" ">GLORIAHOSPITALLTD</option>
<option value="LA086" class=" ">TINCANHOSPITALGROUP</option>
<option value="ONMC038" class=" ">OBISESANNAVALMEDICALCENTRE,APAPA</option>
<option value="AMH048" class=" ">AKANBIMEMORIALHOSPITAL</option>
<option value="LA084SP" class=" ">THEGREATPHYSICIANHOSPITAL</option>
<option value="CGH029" class=" ">CAREGIVERHOSPITAL,AJARA</option>
<option value="ALTH028" class=" ">ADEBAYOLIVINGTOWERHOSPITAL,IMEKE</option>
<option value="TRI0088" class=" ">THEROYALINFIRMARYHOSPITAL</option>
<option value="LA075SP" class=" ">R-JOLADHOSPITAL</option>
<option value="LA015SP" class=" ">CRYSTALSPECIALISTHOSPITAL</option>
<option value="SHMC086" class=" ">STONEHILLMEDICALCENTRE</option>
<option value="HWH082" class=" ">HOPEWELLHOSPITALLIMITED</option>
<option value="LA061" class=" ">MOUNTSINAIHOSPITALGROUP,EBUTE-METTA</option>
<option value="LA031" class=" ">FEDERALMEDICALCENTRE,EBUTE-METTA</option>
<option value="LA161" class=" ">CAREPOINTCLINICEGBEDALIMITED</option>
<option value="LA231" class=" ">STWILLIAMSHOSPITAL</option>
<option value="LHMH021" class=" ">LIGHTHOSPITALANDMATERNITYHOMELTD</option>
<option value="TCMH060" class=" ">TRUECAREMODELHOSPITAL</option>
<option value="GHE048" class=" ">GENERALHOSPITAL,EPE</option>
<option value="LA013" class=" ">CEDARHOSPITAL</option>
<option value="LA026SP" class=" ">EMELHOSPITAL</option>
<option value="LA035" class=" ">GOLDENCROSSINFIRMARY,FESTAC</option>
<option value="LA078" class=" ">SHEPHERDSPECIALISTHOSPITAL</option>
<option value="LA197SP" class=" ">AFRIMEDOGPSPECIALISTHOSPITAL</option>
<option value="LA009" class=" ">ANIYUNHOSPITALLIMITED</option>
<option value="PRSH012" class=" ">PRIMROSESPECIALISTHOSPITAL</option>
<option value="MH056" class=" ">MAKOGHOSPITALS</option>
<option value="LA083" class=" ">SUBOLHOSPITAL</option>
<option value="LA219" class=" ">STTHOMASHOSPITAL</option>
<option value="LA049" class=" ">LONGINGMEDICALCENTRE</option>
<option value="LA018" class=" ">DENEWAIYETOROMEDICALCENTRE</option>
<option value="AHML034" class=" ">ADEMOLAHOSPITAL&MATERNITYLTD</option>
<option value="LA069" class=" ">OSUNTUYIMEDICALCENTRE</option>
<option value="LA011" class=" ">BLUECROSSHOSPITAL</option>
<option value="LA022SP" class=" ">EKOHOSPITALPLC,IKEJA</option>
<option value="LA039" class=" ">HOLYTRINITYHOSPITAL</option>
<option value="LA058SP" class=" ">MOTAYOHOSPITAL</option>
<option value="LA188SP" class=" ">STMARYSSPECIALISTHOSPITAL,IKEJA</option>
<option value="LA020" class=" ">DONASHOSPITAL</option>
<option value="LA216" class=" ">JOBIHOSPITAL</option>
<option value="LA213" class=" ">OAKHOSPITALS</option>
<option value="LA225" class=" ">REALHOPEHOSPITAL</option>
<option value="SMC085" class=" ">SHANUMEDICALCENTRE</option>
<option value="LA228S" class=" ">M-CREDHOSPITALSLIMITED</option>
<option value="LA012" class=" ">BROADHOSPITAL&MATERNITY</option>
<option value="LA059" class=" ">MOUNTPISGAHHOSPITALLTD</option>
<option value="LA060" class=" ">MOUNTSINAIHOSPITAL,EGBE</option>
<option value="LA014SP" class=" ">CITIZENMEDICALCENTRE</option>
<option value="LA019" class=" ">DIVINEMEDICALCENTRE</option>
<option value="BCH059" class=" ">BESTCAREHOSPITAL</option>
<option value="LA142SP" class=" ">LAGOONHOSPITALHOSPITAL,IKOYI</option>
<option value="LA054" class=" ">MAYCLINICSLTD</option>
<option value="GCH091" class=" ">GODCURESHOSPITAL</option>
<option value="LA053" class=" ">MAYCLINICSLTD(Annex)</option>
<option value="LA090" class=" ">ULTIMAMEDICARE</option>
<option value="SMC085" class=" ">SHANUMEDICALCENTRE</option>
<option value="LA209" class=" ">G.ESTATECLINICCONSORTIUM</option>
<option value="LA141" class=" ">SOLADMEDICALCENTRE</option>
<option value="LA233" class=" ">SPARKVIEWHOSPITAL</option>
<option value="LA037" class=" ">HEALSSPECIALISTCLINIC</option>
<option value="LA080" class=" ">STEMMANUELHOSPITAL</option>
<option value="LA193SP" class=" ">KROWNHOSPITAL</option>
<option value="LA232" class=" ">MUCASHOSPITAL</option>
<option value="LA091" class=" ">VETAHOSPITALLTD</option>
<option value="YHMH086" class=" ">YOMBOHOSPITALANDMATERNITYHOMELIMITED</option>
<option value="DMC079" class=" ">DAFEMEDICALCENTRE</option>
<option value="THL045" class=" ">THEOHOSPITALLIMITED</option>
<option value="LA051" class=" ">AVONMEDICALSERVICESLTD(CLINIC)</option>
<option value="BC0089" class=" ">BERNICECLINIC</option>
<option value="LA032" class=" ">FIRSTCITYDIAGNOSISLTD</option>
<option value="LHL049" class=" ">LOUISMEDHOSPITALLIMITED</option>
<option value="LA215SP" class=" ">RAINBOWSPECIALISTMEDICALCENTRE</option>
<option value="LA088" class=" ">UDECOMEDICALCENTRE</option>
<option value="GHL020" class=" ">GERMAINEHOSPITAL,LEKKI</option>
<option value="" class=" ">KUPACENTERCENTER</option>
<option value="JEH019" class=" ">JERICHOHOSPITAL</option>
<option value="LA072SP" class=" ">PINECRESTSPECIALISTHOSPITAL</option>
<option value="LA211" class=" ">MAGODOSPECIALISTHOSPITAL</option>
<option value="FIH0091" class=" ">FIRSTHERITAGEHOSPITAL</option>
<option value="LA106H" class=" ">HILLSTARCLINICS(NIGERIA)LTD</option>
<option value="LA070" class=" ">OSUNTUYIMEDICALCENTRE(ANNEX)</option>
<option value="LA029SP" class=" ">FANIMEDHOSPITAL</option>
<option value="LA044SP" class=" ">ISALUHOSPITALLIMITED</option>
<option value="LA055SP" class=" ">MED-INSPECIALISTHOSPITAL</option>
<option value="LA194" class=" ">NIMBUSMEDICALCENTRE</option>
<option value="LA077" class=" ">ALHERIHOSPITAL,LAGOS</option>
<option value="LA214" class=" ">SOLIDROCKHOSPITALLTD</option>
<option value="HCH051" class=" ">HOREBCONSULTHOSPITAL</option>
<option value="CCHO51S" class=" ">CHILDKIDCHILDRENHOSPITAL</option>
<option value="LA189" class=" ">SIKEOYEHOPECLINIC</option>
<option value="LA004" class=" ">AKINBOLADESPECIALISTHOSPITAL</option>
<option value="LA025" class=" ">ELPHYSPECIALISTHOSPITAL</option>
<option value="LA047" class=" ">KILADEJOHOSPITAL&SPECIALISTCLINICS</option>
<option value="LA081" class=" ">STANTHONYMEDICALCENTRE&MATERNITYHOMELTD</option>
<option value="LA082" class=" ">STRAPHAELSHOSPITALLTD</option>
<option value="NEHL221" class=" ">NEWEVOLUTIONHOSPITALLTD</option>
<option value="LA067" class=" ">OMNIMEDICALCENTRE,ONIKAN</option>
<option value="DSMC048" class=" ">DIALYZERSPECIALISTMEDICALCENTRE</option>
<option value="GMC044" class=" ">GOODNESSMEDICALCENTRE</option>
<option value="MMC065" class=" ">MAZAFMEDICALCENTRE</option>
<option value="GCH091" class=" ">GODCURESHOSPITAL</option>
<option value="RTMC006" class=" ">RHOWILTOTAL-CAREMEDICALCENTRE</option>
<option value="LA030" class=" ">FASANMICLINIC&MATERNITYHOMELTD</option>
<option value="LA230" class=" ">IGBOLOGUNMEDICALCENTRE</option>
<option value="LA001" class=" ">ABSPECIALISTHOSPITAL</option>
<option value="LA052SP" class=" ">AVONMEDICALSERVICESLTD(HOSPITAL)</option>
<option value="LA016" class=" ">DAN-EGERTONHOSPITAL</option>
<option value="LA017" class=" ">DAN-EGERTONHOSPITAL</option>
<option value="LA023" class=" ">EKOHOSPITALPLC,SURULERE</option>
<option value="LA056" class=" ">MERCY-THOMASOREDUGBAMEDICALCENTRE</option>
<option value="LA057" class=" ">MEZONELHOSPITAL</option>
<option value="LA062" class=" ">NEWDAYSPECIALISTCLINIC</option>
<option value="LA065SP" class=" ">OLANIBAMEMORIALHOSPITAL</option>
<option value="LA073SP" class=" ">PROVIDENCEHOSPITALLTD,SURULERE</option>
<option value="LA087" class=" ">TOPAZCLINC</option>
<option value="LA205" class=" ">TUNRAYOHOSPITAL</option>
<option value="NMC019" class=" ">NAVALMEDICALCENTRE</option>
<option value="NA005" class=" ">NAGARIALLAHMAGANIHOSPITAL</option>
<option value="NA011" class=" ">JAMAAMEDICALCENTRE</option>
<option value="NA009" class=" ">AGUHOSPITAL</option>
<option value="NA003" class=" ">HENADMEDICALCENTRE</option>
<option value="NA007" class=" ">SAUKIHOSPITAL,LAFIA</option>
<option value="NA004" class=" ">KINGSCAREHOSPITALLTD,MARARABA</option>
<option value="NG014" class=" ">NASARACLINIC&MATERNITYHOSPITAL</option>
<option value="NG015" class=" ">RAINBOWCLINIC&MATERNITY</option>
<option value="NG002" class=" ">BAYSPECIALISTHOSPITAL</option>
<option value="NG010" class=" ">GREATFAITHMEDICALCENTRE</option>
<option value="NG017" class=" ">TOPMEDICALCLINIC</option>
<option value="SHDS056" class=" ">STANDARDHOSPITAL&DIAGNOSTICSERVICES</option>
<option value="NG012" class=" ">KAINJIMEDICALCENTRE</option>
<option value="NG004" class=" ">FARYGROUPCLINIC</option>
<option value="CHL017" class=" ">CHARLESHEALTHCARELTD</option>
<option value="SMC090" class=" ">SUZANMEMORIALCLINIC</option>
<option value="OG007" class=" ">FIRSTALPHAMEDICALCENTRE</option>
<option value="OG009" class=" ">MERCYGROUPCLINICS</option>
<option value="OG012" class=" ">SACREDHEARTHOSPITAL</option>
<option value="AESH041" class=" ">ANGEL&EAGLESPECIALISTHOSPITAL</option>
<option value="OG021SP" class=" ">JOSEPHANDCHRISTIANAHSPECIALISTHOSPITAL</option>
<option value="SSH030" class=" ">SOLAMEKSPECIALISTHOSPITAL</option>
<option value="OG024S" class=" ">BEACHLANDSPECIALISTHOSPITAL</option>
<option value="LH059" class=" ">LABITRIXHOSPITAL</option>
<option value="OG001" class=" ">AKOBISPECIALISTHOSPITAL</option>
<option value="OG019SP" class=" ">LAFIAKOWAHOSPITAL</option>
<option value="OG020" class=" ">PETERSONMEDICALCENTRE</option>
<option value="OG026" class=" ">ST.MICHAEL-ISRAELSPECIALISTHOSPITALLTD.</option>
<option value="SLCH018" class=" ">STANDARDLIFECAREHOSPITAL</option>
<option value="OG015B" class=" ">BROADLANDHOSPITALSERVICESLTD</option>
<option value="TRHC076" class=" ">REDEEMERHEALTHCENTRE</option>
<option value="ALH059" class=" ">ABUNDANTLIFEHSOPITAL</option>
<option value="MPH011" class=" ">MEDICPLUSHOSPITAL</option>
<option value="OG014" class=" ">OTUNBATUWASENATIONALPAEDIATRICCENTRE</option>
<option value="OG008" class=" ">ACEMEDICARECLINICS</option>
<option value="OG23S" class=" ">FARAMEDCLINICS</option>
<option value="OG025" class=" ">IDERAHEALTHSERVICESLIMITED</option>
<option value="ISHS59" class=" ">IMPERIALSPECIALISTHOSPITALSERVICES</option>
<option value="PMC083" class=" ">PROMISEMEDICALCENTRE</option>
<option value="FMS049" class=" ">FAMEMEDICALSERVICES</option>
<option value="SC050" class=" ">SHIRISHCLINIC</option>
<option value="HMC028" class=" ">HETTAMEDICALCENTRE</option>
<option value="SSMC035" class=" ">ST.SHILOHMEDICALCENTRE</option>
<option value="ON003" class=" ">FIRSTMERCYSPECIALISTHOSPITAL</option>
<option value="ON011" class=" ">TIMUNITYSPECIALISTHOSPITAL</option>
<option value="LHI095" class=" ">LULIHOSPITAL</option>
<option value="IMC" class=" ">INLANDMEDICALCENTRE</option>
<option value="ON007" class=" ">IBUKUN-OLUHOSPITALS</option>
<option value="SSH094" class=" ">STATESPECIALISTHOSPITAL</option>
<option value="ON001" class=" ">BABALOLAMEDICALCENTRE</option>
<option value="AMD" class=" ">ARIFMEDICALCENTRE</option>
<option value="PHM" class=" ">PIMAHOSPITALANDMATERNITY</option>
<option value="OS006SP" class=" ">OAUTHCOMPLEX</option>
<option value="OS007SP" class=" ">ST.VICTORIASPECIALISTHOSPITAL</option>
<option value="AMC057" class=" ">APEXMEDICALCENTRE</option>
<option value="OS005" class=" ">ADENLEMEMORIALHOSPITAL</option>
<option value="LPMC049" class=" ">LIVINGPETALSMEDICALCENTRE</option>
<option value="OS009" class=" ">EMMANUELMEDICALCENTRE</option>
<option value="OS001" class=" ">ABAKEMEDICALCENTRE</option>
<option value="OS002" class=" ">BIKETMEDICALCENTRE</option>
<option value="OS003" class=" ">ONWARDSPECIALISTHOSPITAL</option>
<option value="OS004" class=" ">OROKISPECIALISTHOSPITAL</option>
<option value="OY001" class=" ">ALAFIAHOSPITAL</option>
<option value="OY002" class=" ">BADEJOKOMEMORIALHOSP&MATERNITY</option>
<option value="OY003" class=" ">BANBYSPECIALISTHOSPITAL</option>
<option value="OY005" class=" ">FELEWAHOSPITALXXX</option>
<option value="OY007" class=" ">JOLAMADESPECIALISTHOSPITAL</option>
<option value="OY008" class=" ">J-RAPHACLINICS&HOSPITAL,IBADAN</option>
<option value="OY020" class=" ">LANARKSPECIALISTHOSPITAL</option>
<option value="OY009" class=" ">MEDICALPRACTITIONERSLTD</option>
<option value="OY010" class=" ">MOLLYSPECIALISTHOSPITAL</option>
<option value="OY015" class=" ">TEJUSPECIALISTHOSPITAL</option>
<option value="OY022S" class=" ">THEVINEHOSPITAL&MATERNITYCENTRE</option>
<option value="TMC018" class=" ">TOBIMEDICALCENTRELTD</option>
<option value="ZSMH033" class=" ">ZOESPECIALISTMISSIONHOSPITAL</option>
<option value="OY006" class=" ">IRETI-OLUHOSPITAL</option>
<option value="OY013" class=" ">SHEKINAHMEDICALCENTRE</option>
<option value="OY011" class=" ">MOMOHMEMORIALHOSPITAL</option>
<option value="OY012" class=" ">BAPTISTMEDICALCENTRE,SAKI</option>
<option value="PL002" class=" ">FOCUSHOSPITAL</option>
<option value="KSH0078" class=" ">KAUNASPECIALISTHOSPITAL</option>
<option value="MSH0076" class=" ">MARYSOLSPECIALISTHOSPITAL</option>
<option value="PL005" class=" ">SAUKIGROUPOFCLINICSANDMATERNITY,JOS</option>
<option value="FGH029" class=" ">FERTILEGROUNDHOSPITALLTD</option>
<option value="PL003" class=" ">MAYHOSPITAL,SHENDAM</option>
<option value="RI007" class=" ">GBEYEHOSPITAL</option>
<option value="RI002" class=" ">DELTASPECIALISTHOSPITAL</option>
<option value="MCE049" class=" ">MUJECLINIC</option>
<option value="RI006" class=" ">FOUNDATIONCLINIC</option>
<option value="RI007" class=" ">GBEYEHOSPITAL</option>
<option value="QPHM020" class=" ">QUEENOFPEACEHOSPITAL&MATERNITY</option>
<option value="PH0045" class=" ">EL-ROISPECIALISTCLINIC</option>
<option value="HC013" class=" ">HILTONCLINIC</option>
<option value="PHSMC006" class=" ">SOPHIKEMEDICALCENTRE</option>
<option value="GCMC029" class=" ">GREENCAREMEDICALCONSULTANTS</option>
<option value="PH0050" class=" ">MILITARYHOSPITAL</option>
<option value="NHC0041" class=" ">NEWHEIGHTSCONSULTANTSHOSPITALS</option>
<option value="RI012" class=" ">PRINCESSMEDICALCENTRE</option>
<option value="RI013" class=" ">PROVIDENCECLINIC&MATERNITYLTD,PORTHARCOURT</option>
<option value="RI030" class=" ">STPATRICK'SHOSPITALLTD</option>
<option value="NHCH0040" class=" ">NEWMILEONEHOSPITAL</option>
<option value="RI029" class=" ">MORNINGSTARHOSPITALLTD</option>
<option value="WHH060" class=" ">WESTHILLHOSPITAL</option>
<option value="BMH085" class=" ">BONMARIAHOSPITALLTD.</option>
<option value="PTMC013" class=" ">POTTERSTOUCHMEDICALCONSULTANT</option>
<option value="R1007" class=" ">GBEYEHOSPITAL</option>
<option value="PH0046" class=" ">PRESTIGEHOSPITAL</option>
<option value="ESH030" class=" ">EL-SPECIALISTHOSPITAL</option>
<option value="LCL059" class=" ">LIFECARECENTRELTD</option>
<option value="SSH049" class=" ">SHIELDSPECIALISTSHOSPITAL</option>
<option value="CMC059" class=" ">CUMIMEDICALCENTRE</option>
<option value="SO001" class=" ">SAHELSPECIALISTCLINIC</option>
<option value="SO002" class=" ">SOKOTOCLINIC</option>
<option value="TA002" class=" ">MAMBILLABAPTISTHOSPITAL</option>
<option value="YO001" class=" ">AJIKOMEDICALCENTRE</option>
<option value="YO002" class=" ">CITYMEDICALCENTRE,YOBE</option>
<option value="YO003" class=" ">POTISKUMMEDICALCENTRE</option>
<option value="ZA001" class=" ">DAULAHOSPITAL&MATERNITYHOME</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field83" data-index="19" style="width: 67%; display: none;"
class="even form-element form-element-field83 options-false index-false form-element-19 default-true form-element-type-dropdown is-required-false -handle state-hidden">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Preferred Basic Plus Plan Hospital Plan</span></span><span class="sub-label"><span>Preferred Basic Plus
Plan Hospital!</span></span></span>
<div><span class="error"></span><select data-is-required="false" class="validation-lenient" data-field-id="field83" name="field83" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Select Preferred Hospital Basic Plus Plan</option>
<option value="AB008" class=" ">CHRISTTHEKINGHOSPITAL,ABA</option>
<option value="AB012SP" class=" ">EKEOMAMEMORIALHOSPITAL</option>
<option value="AB003" class=" ">LIFECARECLINICSLTD</option>
<option value="AB004" class=" ">LIVINGWORDMISSIONHOSPITAL</option>
<option value="AB005" class=" ">NEWERAHOSPITAL,ABA</option>
<option value="TNC074" class=" ">THENAZARETHCLINIC</option>
<option value="AB002" class=" ">FEDERALMEDICALCENTRE,UMUAHIA</option>
<option value="FC022S" class=" ">ALLIANCEHOSPITAL,ABUJA</option>
<option value="FC001" class=" ">DARAMEDICALCENTRE</option>
<option value="FC012" class=" ">FEDERALSTAFFHOSPITAL,GWARINPA</option>
<option value="FC002" class=" ">FEREPRODMEDICALCENTRE</option>
<option value="FC003" class=" ">KINGSCAREHOSPITALLTD,WUSEZONE4</option>
<option value="FC004" class=" ">LIMIHOSPITAL&MATERNITYLTD,ABUJA</option>
<option value="FC008" class=" ">PISIONHOSPITAL</option>
<option value="FC020" class=" ">RUZMEDICALCENTRE</option>
<option value="LPH025" class=" ">LOUISPASTEURHOSPITAL</option>
<option value="SON0079" class=" ">SISTERSOFTHENATIVITYHOSPITAL</option>
<option value="FC009" class=" ">QUEENSCLINICLTD,ABUJA</option>
<option value="FC024" class=" ">EXCELSPECIALISTHOSPITAL</option>
<option value="SS052" class=" ">SOFTSHELLSPECIALISTHOSPITALLTD</option>
<option value="SCH055" class=" ">SPRINGBLOOMCOUNTYHOSPITAL</option>
<option value="JMCCH093" class=" ">JOYLANDMEDICALCENTREANDCHILDREN'SHOSPITAL</option>
<option value="FC023SP" class=" ">FAMILYCAREMULTICLINICSLTD</option>
<option value="FC005" class=" ">LIVINGSTREAMSPECIALISTMEDICALCENTRE</option>
<option value="FC010" class=" ">STMARY'SHOSPITAL,GWAGWALADA</option>
<option value="TMTC078" class=" ">TRAUMA&MULTISPECIALTYCENTER</option>
<option value="FC018" class=" ">KINGSCAREHOSPITALLTD,Kubwa</option>
<option value="ACK077" class=" ">ALLISONCLINICKUJE</option>
<option value="ASMC020" class=" ">ALFADSPECIALISTMEDICALCENTRE</option>
<option value="AD004" class=" ">SAUKIMEDICALCENTRE,YOLA</option>
<option value="AD003" class=" ">PEACEHOSPITAL</option>
<option value="CMC156" class=" ">CALEBMEDICALCENTER</option>
<option value="AK010" class=" ">VEDDYSONHOSPITAL</option>
<option value="AK003" class=" ">IHAFOUNDATIONMEDICALCENTRE</option>
<option value="AK017" class=" ">TOTALCARECLINICANDMATERNITY</option>
<option value="AK014" class=" ">CHRISTVICTORYMEDICALCENTRE</option>
<option value="AK005" class=" ">MOUNTOLIVEMEDICALCENTRE</option>
<option value="AK009" class=" ">UBONGABASISPECIALISTHOSPITAL</option>
<option value="AK015" class=" ">DOMINGOSPECIALISTHOSPITALS</option>
<option value="AN005" class=" ">DIVINEHOSPITALANDMATERNITY,AWKA</option>
<option value="PH0047" class=" ">OURLADYOFLOURDES</option>
<option value="AN012" class=" ">SEFTONSPECIALISTMEDICALCENTRE</option>
<option value="AN014" class=" ">CHIBUZORHOSPITAL&MATERNITY</option>
<option value="AN006" class=" ">FELIXOKOLOMEMORIALHOSPITAL,NNEWI</option>
<option value="AN009" class=" ">LIFESPECIALISTHOSPITAL</option>
<option value="JHM083" class=" ">JESUSISLORDROYALHOSPITALANDMATERNITY</option>
<option value="AN010" class=" ">MERCYSPECIALISTHOSPITAL&MATERNITY,ONITSHA</option>
<option value="KMC084" class=" ">KATAGUMMEDICALCENTER</option>
<option value="BA002" class=" ">NIIMACONSULTANTSHOSPITAL</option>
<option value="DE020S" class=" ">REMEE(RIMI)CLINIC</option>
<option value="BA003" class=" ">NINGICLINIC&MATERNITY</option>
<option value="BY005" class=" ">CRESTCONSULTANTCLINIC</option>
<option value="BY001" class=" ">FEDERALMEDICALCENTRE,YENAGOA</option>
<option value="BY004" class=" ">STPETERSHOSPITAL</option>
<option value="BE001" class=" ">BAKICLINICANDMATERNITY</option>
<option value="BE004" class=" ">NKSTHOSPITAL</option>
<option value="BE011FC" class=" ">FAMILYPRACTICEHOSPITAL</option>
<option value="BE010" class=" ">HOPEHOSPITAL</option>
<option value="BE003" class=" ">MADONNAHOSPITAL</option>
<option value="BE006" class=" ">PAMPASHOSPITAL&MATERNITY</option>
<option value="BE007" class=" ">QUEENSCLINICLTD,MAKURDI</option>
<option value="BE005" class=" ">OTIACLINIC</option>
<option value="BE008" class=" ">STANTHONYHOSPITAL</option>
<option value="BO001" class=" ">ABBOTTCLINIC</option>
<option value="BO002" class=" ">NAKOWASPECIALISTHOSPITAL</option>
<option value="BO003" class=" ">BORNOMEDICALCENTRE</option>
<option value="BO004" class=" ">KANEMHOSPITAL&MATERNITY</option>
<option value="CR015" class=" ">SANTAMARIACLINIC&MATERNITY</option>
<option value="CR001" class=" ">BAKORMEDICALCENTRE</option>
<option value="CR003" class=" ">CITYCLINIC,CALABAR</option>
<option value="CR005" class=" ">FAITHFOUNDATIONSPECIALISTCLINIC</option>
<option value="CR009" class=" ">IKPEMEMEDICALCENTRE</option>
<option value="ASH062" class=" ">ARUBAHSPECIALISTHOSPITAL,CALABAR</option>
<option value="UCTH063" class=" ">UNIVERSITYOFCALABARTEACHINGHOSPITAL</option>
<option value="CWH065" class=" ">CALABARWOMEN&CHILDRENHOSPITAL</option>
<option value="II066" class=" ">IMMANUELINFIRMARYCALABAR</option>
<option value="LMSH008" class=" ">LUCIAMAMEMORIALSPECIALISTHOSPITAL</option>
<option value="CR010" class=" ">MEVOMSPECIALISTCLINIC</option>
<option value="CR048" class=" ">AMADOMEDICALCENTRE</option>
<option value="CR008" class=" ">HOLYFAMILYCATHOLICHOSPITAL,IKOM</option>
<option value="BMCI055" class=" ">BAKORMEDICALCENTRE</option>
<option value="DE003" class=" ">ANIOMAHOSPITAL</option>
<option value="DE008" class=" ">GOODSAMARITANHOSPITALCOMPLEX</option>
<option value="SRSH057" class=" ">ST.REBECCASPECIALISTHOSPITAL</option>
<option value="ECH034" class=" ">EL-COMFORTHOSPITAL</option>
<option value="DELSUTH" class=" ">DELTASTATEUNIVERSITYTEACHINGHOSPITAL</option>
<option value="OLNCO48" class=" ">OURLADYOFNIGERIACATHOLICHOSPITAL</option>
<option value="LH044" class=" ">LANAHOSPITAL</option>
<option value="DE017" class=" ">OBULEMEDICALCENTRE</option>
<option value="DE007" class=" ">CAPITOLHILLCLINIC/HOSPITAL</option>
<option value="DE025" class=" ">VERTIMONMEDICALCENTRE</option>
<option value="FVH013" class=" ">FAIRVIEWHOSPITAL</option>
<option value="DE024" class=" ">B.UCLINIC/HOSPITALLTD</option>
<option value="RC082" class=" ">REGALCLINIC</option>
<option value="DSC083" class=" ">DAYSPRINGCLINIC</option>
<option value="EB003" class=" ">FELIXMEMORIALHOSPITAL,ABAKALIKI</option>
<option value="ED005" class=" ">FATEMEDICALCENTRE</option>
<option value="ED004" class=" ">FAITHMEDICALCENTRE</option>
<option value="ED007" class=" ">MODICMEDICALCENTRE</option>
<option value="ED008" class=" ">MOUNTGILEADHOSPITAL</option>
<option value="ED013" class=" ">STPHILOMENACATHOLICHOSPITAL</option>
<option value="ED014" class=" ">THEROCKHOSPITAL</option>
<option value="ED019" class=" ">EDIINTERNATIONALHOSPITALLTD</option>
<option value="ED041" class=" ">RAHIHOSPITALSLIMITED</option>
<option value="ED022" class=" ">IRRUASPECIALISTTEACHINGHOSPITAL</option>
<option value="EN003" class=" ">CHRISTTHEKING,ENUGU</option>
<option value="MCSH010" class=" ">MOTHEROFCHRISTSPECIALISTHOSPITAL</option>
<option value="EN005" class=" ">PEENOKMEDICALCENTRE</option>
<option value="EN006" class=" ">RISTELLAHOSPITAL</option>
<option value="EN008" class=" ">STMARY'SHOSPITAL&MATERNITY,ENUGU</option>
<option value="EN012" class=" ">LIVINGSTONSPECIALISTHOSPITAL</option>
<option value="EN013" class=" ">STDANIELCONSOLATAHOSPITAL</option>
<option value="EN009" class=" ">UNIVERSITYMEDICALCENTRE</option>
<option value="AMH078" class=" ">AKULUEMEMORIALHOSPITAL</option>
<option value="GO002" class=" ">FEDERALMEDICALCENTRE,GOMBE</option>
<option value="GO003" class=" ">MIYETTIHOSPITAL</option>
<option value="GO004" class=" ">METROCONSULTANTSCLINIC</option>
<option value="ICOO5" class=" ">IVORYCLINIC</option>
<option value="SMCCH004" class=" ">STMARYCHILDRENANDCOMMUNITYUMUOWA,ORLU</option>
<option value="IMUTH006" class=" ">IMOSTATEUNIVERSITYTEACHINGHOSPITAL,ORLU</option>
<option value="IM002" class=" ">EZEMMEDICALCENTRE</option>
<option value="IM011" class=" ">FEDERALMEDICALCENTRE,OWERRI</option>
<option value="FCH0042" class=" ">FIRSTCONCEPTHOSPITAL,OWERRI</option>
<option value="IM010" class=" ">IKENEGBUHOSPITAL,MATERNITY&LABORATORY</option>
<option value="IM003" class=" ">INTERNATIONALCHRISTIANHOSPITAL</option>
<option value="IM007" class=" ">LIFESPRINGSPECIALISTHOSPITAL</option>
<option value="IM005" class=" ">SALVATIONHOSPITAL&MATERNITY</option>
<option value="SEHM0043" class=" ">ST.ELIZABETHHOSPITALANDMATERNITY</option>
<option value="WHM001" class=" ">WINNIESHOSPITALANDMATERNITY</option>
<option value="A0077" class=" ">ALBARKACLINIC</option>
<option value="HHLO23" class=" ">HARMONYHOSPITALLIMITED</option>
<option value="KA001" class=" ">ALBARKAHOSPITAL&MATERNITY</option>
<option value="KA003" class=" ">AMINAHOSPITAL</option>
<option value="KA004" class=" ">CHASELHOSPITAL</option>
<option value="KA005" class=" ">GIWAHOSPITALLTD</option>
<option value="KA006" class=" ">ISHAKUHOSPITAL</option>
<option value="KA008" class=" ">JOWAKOHOSPITAL</option>
<option value="KA010" class=" ">MANEKSHOSPITAL</option>
<option value="KA012" class=" ">MENDSSPECIALISTHOSPITAL</option>
<option value="KA021S" class=" ">MULTICLINICSPECIALISTHOSPITAL</option>
<option value="KA013" class=" ">SEFAHOSPITAL</option>
<option value="KA014" class=" ">TIMUNITYSPECIALISTHOSPITAL</option>
<option value="SMC003" class=" ">SALEMMEDICALCENTRE</option>
<option value="KA002" class=" ">ALMADINACLINIC</option>
<option value="KA007" class=" ">JAMA'AHOSPITAL</option>
<option value="KA009" class=" ">LIMIHOSPITAL&MATERNITYLTD,ZARIA</option>
<option value="KA011" class=" ">MAYFAIRCLINICSNIGLTD</option>
<option value="KA016" class=" ">ST.LOUISHOSPITAL</option>
<option value="KN002" class=" ">IDEALHOSPITAL&MATERNITYLTD</option>
<option value="KN003" class=" ">INTERNATIONALCLINICS&HOSPITALS</option>
<option value="KN004" class=" ">PREMIERCLINIC,KANO</option>
<option value="KT003" class=" ">BISTITHOSPITALLTD</option>
<option value="KT007" class=" ">KHADIJAHMEDIPHARMCO.LTD</option>
<option value="KT009" class=" ">AMFANICLINICANDMATERNITY</option>
<option value="KT006" class=" ">KATSINANURSINGHOMELTD</option>
<option value="KMSH099" class=" ">KEBBIMULTI-SPECIALISTHOSPITAL</option>
<option value="EHL208" class=" ">EQUITYHOSPITALLIMITED</option>
<option value="DD094" class=" ">DDGMEDICALCENTRE</option>
<option value="KG001" class=" ">DUROSOLEYEHOSPITAL</option>
<option value="KG006" class=" ">TOWNSHIPCLINIC</option>
<option value="KG009" class=" ">MARIAGORETTIHOSPITAL</option>
<option value="KG010" class=" ">NEIGHBOURMULTICAREHOSPITAL&WOMENWELLFARECENTRELTD.</option>
<option value="KG002" class=" ">ECWAHOSPITAL</option>
<option value="KG007" class=" ">ODOMACLINICS</option>
<option value="KG008" class=" ">ST.JOHN'SCATHOLICHOSPITAL</option>
<option value="KG004" class=" ">NIGERHOSPITAL</option>
<option value="KG005" class=" ">POLYCLINICHOSPITAL&MATERNITY</option>
<option value="CSHFC203" class=" ">CARECRESTSPECIALISTHOSPITAL&FERTILITYCENTRE</option>
<option value="KW011S" class=" ">OGO-OLUWAHOSPITAL</option>
<option value="KW002" class=" ">ANCHORMEDHOSPITAL</option>
<option value="KW012" class=" ">BALMHOSPITALLTD</option>
<option value="KW185D" class=" ">DELNIKHOSPITAL</option>
<option value="KW182K" class=" ">KIDDIZMEDICALCENTRE</option>
<option value="KW003" class=" ">OLAOLUHOSPITAL</option>
<option value="KW004" class=" ">OLANREWAJUHOSPITALLTD</option>
<option value="KW005" class=" ">OMOLOLAHOSPITAL</option>
<option value="KW184M" class=" ">SADIKUHOSPITAL</option>
<option value="KW183M" class=" ">SURULEREMEDICALCENTRE</option>
<option value="KW007" class=" ">ROLAKIMCLINIC&MATERNITY</option>
<option value="DMC098" class=" ">DANDYMEDICALCENTRE</option>
<option value="SLCH018" class=" ">STANDARDLIFECAREHOSPITAL</option>
<option value="PGMC049" class=" ">P&GMEDICALCENTRE</option>
<option value="LA076" class=" ">ROPHEHOSPITAL</option>
<option value="LA006" class=" ">ALLSOULSINFIRMARY,AGEGE</option>
<option value="LA200" class=" ">BETTAHOSPITAL</option>
<option value="PMC084" class=" ">PROMISEMEDICALCENTRE</option>
<option value="BUDO1" class=" ">BUDOSPECIALISTHOSPITAL</option>
<option value="LA021SP" class=" ">DORENSPECIALISTHOSPITAL</option>
<option value="LA045SP" class=" ">J-RAPHACLINICS&HOSPITAL,AJAH</option>
<option value="LA233S" class=" ">STEDWARDSPECIALISTHOSPITAL&CARDIACCENTRE</option>
<option value="DHHS088" class=" ">DOVEHOSPITAL&HEALTHCARESERVICESLTD.</option>
<option value="LH055" class=" ">LENNOXHOSPITAL</option>
<option value="LA036SP" class=" ">HEALINGFIELDHOSPITAL</option>
<option value="HH024" class=" ">HEDAHOSPITAL</option>
<option value="RSH059" class=" ">RIVETSPECIALISTHOSPITAL</option>
<option value="ICH028" class=" ">ILOGBOCENTRALHOSPITAL</option>
<option value="LA005" class=" ">ALLSOULSCLINICS,AJEGUNLE</option>
<option value="KAAFM" class=" ">KAAFMATERNITYANDCHILDCARECENTRE</option>
<option value="LA135" class=" ">BEEHESSHOSPITAL</option>
<option value="RYHL029" class=" ">REM-YEMSHOSPITALLTD</option>
<option value="LH080" class=" ">LOBELHOSPITAL</option>
<option value="JEFF078" class=" ">JEFISSPECIALISTHOSPITAL</option>
<option value="GSH019" class=" ">GODFREYSPECIALISTHOSPITAL</option>
<option value="LA034" class=" ">GLORIAHOSPITALLTD</option>
<option value="LA086" class=" ">TINCANHOSPITALGROUP</option>
<option value="ONMC038" class=" ">OBISESANNAVALMEDICALCENTRE,APAPA</option>
<option value="AMH048" class=" ">AKANBIMEMORIALHOSPITAL</option>
<option value="LA084SP" class=" ">THEGREATPHYSICIANHOSPITAL</option>
<option value="CGH029" class=" ">CAREGIVERHOSPITAL,AJARA</option>
<option value="ALTH028" class=" ">ADEBAYOLIVINGTOWERHOSPITAL,IMEKE</option>
<option value="TRI0088" class=" ">THEROYALINFIRMARYHOSPITAL</option>
<option value="LA075SP" class=" ">R-JOLADHOSPITAL</option>
<option value="LA015SP" class=" ">CRYSTALSPECIALISTHOSPITAL</option>
<option value="SHMC086" class=" ">STONEHILLMEDICALCENTRE</option>
<option value="HWH082" class=" ">HOPEWELLHOSPITALLIMITED</option>
<option value="LA061" class=" ">MOUNTSINAIHOSPITALGROUP,EBUTE-METTA</option>
<option value="LA031" class=" ">FEDERALMEDICALCENTRE,EBUTE-METTA</option>
<option value="LA161" class=" ">CAREPOINTCLINICEGBEDALIMITED</option>
<option value="LA231" class=" ">STWILLIAMSHOSPITAL</option>
<option value="LHMH021" class=" ">LIGHTHOSPITALANDMATERNITYHOMELTD</option>
<option value="TCMH060" class=" ">TRUECAREMODELHOSPITAL</option>
<option value="GHE048" class=" ">GENERALHOSPITAL,EPE</option>
<option value="LA013" class=" ">CEDARHOSPITAL</option>
<option value="LA026SP" class=" ">EMELHOSPITAL</option>
<option value="LA035" class=" ">GOLDENCROSSINFIRMARY,FESTAC</option>
<option value="LA078" class=" ">SHEPHERDSPECIALISTHOSPITAL</option>
<option value="LA197SP" class=" ">AFRIMEDOGPSPECIALISTHOSPITAL</option>
<option value="LA009" class=" ">ANIYUNHOSPITALLIMITED</option>
<option value="PRSH012" class=" ">PRIMROSESPECIALISTHOSPITAL</option>
<option value="MH056" class=" ">MAKOGHOSPITALS</option>
<option value="LA083" class=" ">SUBOLHOSPITAL</option>
<option value="LA219" class=" ">STTHOMASHOSPITAL</option>
<option value="LA049" class=" ">LONGINGMEDICALCENTRE</option>
<option value="LA018" class=" ">DENEWAIYETOROMEDICALCENTRE</option>
<option value="AHML034" class=" ">ADEMOLAHOSPITAL&MATERNITYLTD</option>
<option value="LA069" class=" ">OSUNTUYIMEDICALCENTRE</option>
<option value="LA011" class=" ">BLUECROSSHOSPITAL</option>
<option value="LA022SP" class=" ">EKOHOSPITALPLC,IKEJA</option>
<option value="LA039" class=" ">HOLYTRINITYHOSPITAL</option>
<option value="LA058SP" class=" ">MOTAYOHOSPITAL</option>
<option value="LA188SP" class=" ">STMARYSSPECIALISTHOSPITAL,IKEJA</option>
<option value="LA020" class=" ">DONASHOSPITAL</option>
<option value="LA216" class=" ">JOBIHOSPITAL</option>
<option value="LA213" class=" ">OAKHOSPITALS</option>
<option value="LA225" class=" ">REALHOPEHOSPITAL</option>
<option value="SMC085" class=" ">SHANUMEDICALCENTRE</option>
<option value="LA228S" class=" ">M-CREDHOSPITALSLIMITED</option>
<option value="LA012" class=" ">BROADHOSPITAL&MATERNITY</option>
<option value="LA059" class=" ">MOUNTPISGAHHOSPITALLTD</option>
<option value="LA060" class=" ">MOUNTSINAIHOSPITAL,EGBE</option>
<option value="LA014SP" class=" ">CITIZENMEDICALCENTRE</option>
<option value="LA019" class=" ">DIVINEMEDICALCENTRE</option>
<option value="BCH059" class=" ">BESTCAREHOSPITAL</option>
<option value="LA142SP" class=" ">LAGOONHOSPITALHOSPITAL,IKOYI</option>
<option value="LA054" class=" ">MAYCLINICSLTD</option>
<option value="GCH091" class=" ">GODCURESHOSPITAL</option>
<option value="LA053" class=" ">MAYCLINICSLTD(Annex)</option>
<option value="LA090" class=" ">ULTIMAMEDICARE</option>
<option value="SMC085" class=" ">SHANUMEDICALCENTRE</option>
<option value="LA209" class=" ">G.ESTATECLINICCONSORTIUM</option>
<option value="LA141" class=" ">SOLADMEDICALCENTRE</option>
<option value="LA233" class=" ">SPARKVIEWHOSPITAL</option>
<option value="LA037" class=" ">HEALSSPECIALISTCLINIC</option>
<option value="LA080" class=" ">STEMMANUELHOSPITAL</option>
<option value="LA193SP" class=" ">KROWNHOSPITAL</option>
<option value="LA232" class=" ">MUCASHOSPITAL</option>
<option value="LA091" class=" ">VETAHOSPITALLTD</option>
<option value="YHMH086" class=" ">YOMBOHOSPITALANDMATERNITYHOMELIMITED</option>
<option value="DMC079" class=" ">DAFEMEDICALCENTRE</option>
<option value="THL045" class=" ">THEOHOSPITALLIMITED</option>
<option value="LA051" class=" ">AVONMEDICALSERVICESLTD(CLINIC)</option>
<option value="BC0089" class=" ">BERNICECLINIC</option>
<option value="LA032" class=" ">FIRSTCITYDIAGNOSISLTD</option>
<option value="LHL049" class=" ">LOUISMEDHOSPITALLIMITED</option>
<option value="LA215SP" class=" ">RAINBOWSPECIALISTMEDICALCENTRE</option>
<option value="LA088" class=" ">UDECOMEDICALCENTRE</option>
<option value="GHL020" class=" ">GERMAINEHOSPITAL,LEKKI</option>
<option value="" class=" ">KUPACENTERCENTER</option>
<option value="JEH019" class=" ">JERICHOHOSPITAL</option>
<option value="LA072SP" class=" ">PINECRESTSPECIALISTHOSPITAL</option>
<option value="LA211" class=" ">MAGODOSPECIALISTHOSPITAL</option>
<option value="FIH0091" class=" ">FIRSTHERITAGEHOSPITAL</option>
<option value="LA106H" class=" ">HILLSTARCLINICS(NIGERIA)LTD</option>
<option value="LA070" class=" ">OSUNTUYIMEDICALCENTRE(ANNEX)</option>
<option value="LA029SP" class=" ">FANIMEDHOSPITAL</option>
<option value="LA044SP" class=" ">ISALUHOSPITALLIMITED</option>
<option value="LA055SP" class=" ">MED-INSPECIALISTHOSPITAL</option>
<option value="LA194" class=" ">NIMBUSMEDICALCENTRE</option>
<option value="LA077" class=" ">ALHERIHOSPITAL,LAGOS</option>
<option value="LA214" class=" ">SOLIDROCKHOSPITALLTD</option>
<option value="HCH051" class=" ">HOREBCONSULTHOSPITAL</option>
<option value="CCHO51S" class=" ">CHILDKIDCHILDRENHOSPITAL</option>
<option value="LA189" class=" ">SIKEOYEHOPECLINIC</option>
<option value="LA004" class=" ">AKINBOLADESPECIALISTHOSPITAL</option>
<option value="LA025" class=" ">ELPHYSPECIALISTHOSPITAL</option>
<option value="LA047" class=" ">KILADEJOHOSPITAL&SPECIALISTCLINICS</option>
<option value="LA081" class=" ">STANTHONYMEDICALCENTRE&MATERNITYHOMELTD</option>
<option value="LA082" class=" ">STRAPHAELSHOSPITALLTD</option>
<option value="NEHL221" class=" ">NEWEVOLUTIONHOSPITALLTD</option>
<option value="LA067" class=" ">OMNIMEDICALCENTRE,ONIKAN</option>
<option value="DSMC048" class=" ">DIALYZERSPECIALISTMEDICALCENTRE</option>
<option value="GMC044" class=" ">GOODNESSMEDICALCENTRE</option>
<option value="MMC065" class=" ">MAZAFMEDICALCENTRE</option>
<option value="GCH091" class=" ">GODCURESHOSPITAL</option>
<option value="RTMC006" class=" ">RHOWILTOTAL-CAREMEDICALCENTRE</option>
<option value="LA030" class=" ">FASANMICLINIC&MATERNITYHOMELTD</option>
<option value="LA230" class=" ">IGBOLOGUNMEDICALCENTRE</option>
<option value="LA001" class=" ">ABSPECIALISTHOSPITAL</option>
<option value="LA052SP" class=" ">AVONMEDICALSERVICESLTD(HOSPITAL)</option>
<option value="LA016" class=" ">DAN-EGERTONHOSPITAL</option>
<option value="LA017" class=" ">DAN-EGERTONHOSPITAL</option>
<option value="LA023" class=" ">EKOHOSPITALPLC,SURULERE</option>
<option value="LA056" class=" ">MERCY-THOMASOREDUGBAMEDICALCENTRE</option>
<option value="LA057" class=" ">MEZONELHOSPITAL</option>
<option value="LA062" class=" ">NEWDAYSPECIALISTCLINIC</option>
<option value="LA065SP" class=" ">OLANIBAMEMORIALHOSPITAL</option>
<option value="LA073SP" class=" ">PROVIDENCEHOSPITALLTD,SURULERE</option>
<option value="LA087" class=" ">TOPAZCLINC</option>
<option value="LA205" class=" ">TUNRAYOHOSPITAL</option>
<option value="NMC019" class=" ">NAVALMEDICALCENTRE</option>
<option value="NA005" class=" ">NAGARIALLAHMAGANIHOSPITAL</option>
<option value="NA011" class=" ">JAMAAMEDICALCENTRE</option>
<option value="NA009" class=" ">AGUHOSPITAL</option>
<option value="NA003" class=" ">HENADMEDICALCENTRE</option>
<option value="NA007" class=" ">SAUKIHOSPITAL,LAFIA</option>
<option value="NA004" class=" ">KINGSCAREHOSPITALLTD,MARARABA</option>
<option value="NG014" class=" ">NASARACLINIC&MATERNITYHOSPITAL</option>
<option value="NG015" class=" ">RAINBOWCLINIC&MATERNITY</option>
<option value="NG002" class=" ">BAYSPECIALISTHOSPITAL</option>
<option value="NG010" class=" ">GREATFAITHMEDICALCENTRE</option>
<option value="NG017" class=" ">TOPMEDICALCLINIC</option>
<option value="SHDS056" class=" ">STANDARDHOSPITAL&DIAGNOSTICSERVICES</option>
<option value="NG012" class=" ">KAINJIMEDICALCENTRE</option>
<option value="NG004" class=" ">FARYGROUPCLINIC</option>
<option value="CHL017" class=" ">CHARLESHEALTHCARELTD</option>
<option value="SMC090" class=" ">SUZANMEMORIALCLINIC</option>
<option value="OG007" class=" ">FIRSTALPHAMEDICALCENTRE</option>
<option value="OG009" class=" ">MERCYGROUPCLINICS</option>
<option value="OG012" class=" ">SACREDHEARTHOSPITAL</option>
<option value="AESH041" class=" ">ANGEL&EAGLESPECIALISTHOSPITAL</option>
<option value="OG021SP" class=" ">JOSEPHANDCHRISTIANAHSPECIALISTHOSPITAL</option>
<option value="SSH030" class=" ">SOLAMEKSPECIALISTHOSPITAL</option>
<option value="OG024S" class=" ">BEACHLANDSPECIALISTHOSPITAL</option>
<option value="LH059" class=" ">LABITRIXHOSPITAL</option>
<option value="OG001" class=" ">AKOBISPECIALISTHOSPITAL</option>
<option value="OG019SP" class=" ">LAFIAKOWAHOSPITAL</option>
<option value="OG020" class=" ">PETERSONMEDICALCENTRE</option>
<option value="OG026" class=" ">ST.MICHAEL-ISRAELSPECIALISTHOSPITALLTD.</option>
<option value="SLCH018" class=" ">STANDARDLIFECAREHOSPITAL</option>
<option value="OG015B" class=" ">BROADLANDHOSPITALSERVICESLTD</option>
<option value="TRHC076" class=" ">REDEEMERHEALTHCENTRE</option>
<option value="ALH059" class=" ">ABUNDANTLIFEHSOPITAL</option>
<option value="MPH011" class=" ">MEDICPLUSHOSPITAL</option>
<option value="OG014" class=" ">OTUNBATUWASENATIONALPAEDIATRICCENTRE</option>
<option value="OG008" class=" ">ACEMEDICARECLINICS</option>
<option value="OG23S" class=" ">FARAMEDCLINICS</option>
<option value="OG025" class=" ">IDERAHEALTHSERVICESLIMITED</option>
<option value="ISHS59" class=" ">IMPERIALSPECIALISTHOSPITALSERVICES</option>
<option value="PMC083" class=" ">PROMISEMEDICALCENTRE</option>
<option value="FMS049" class=" ">FAMEMEDICALSERVICES</option>
<option value="SC050" class=" ">SHIRISHCLINIC</option>
<option value="HMC028" class=" ">HETTAMEDICALCENTRE</option>
<option value="SSMC035" class=" ">ST.SHILOHMEDICALCENTRE</option>
<option value="ON003" class=" ">FIRSTMERCYSPECIALISTHOSPITAL</option>
<option value="ON011" class=" ">TIMUNITYSPECIALISTHOSPITAL</option>
<option value="LHI095" class=" ">LULIHOSPITAL</option>
<option value="IMC" class=" ">INLANDMEDICALCENTRE</option>
<option value="ON007" class=" ">IBUKUN-OLUHOSPITALS</option>
<option value="SSH094" class=" ">STATESPECIALISTHOSPITAL</option>
<option value="ON001" class=" ">BABALOLAMEDICALCENTRE</option>
<option value="AMD" class=" ">ARIFMEDICALCENTRE</option>
<option value="PHM" class=" ">PIMAHOSPITALANDMATERNITY</option>
<option value="OS006SP" class=" ">OAUTHCOMPLEX</option>
<option value="OS007SP" class=" ">ST.VICTORIASPECIALISTHOSPITAL</option>
<option value="AMC057" class=" ">APEXMEDICALCENTRE</option>
<option value="OS005" class=" ">ADENLEMEMORIALHOSPITAL</option>
<option value="LPMC049" class=" ">LIVINGPETALSMEDICALCENTRE</option>
<option value="OS009" class=" ">EMMANUELMEDICALCENTRE</option>
<option value="OS001" class=" ">ABAKEMEDICALCENTRE</option>
<option value="OS002" class=" ">BIKETMEDICALCENTRE</option>
<option value="OS003" class=" ">ONWARDSPECIALISTHOSPITAL</option>
<option value="OS004" class=" ">OROKISPECIALISTHOSPITAL</option>
<option value="OY001" class=" ">ALAFIAHOSPITAL</option>
<option value="OY002" class=" ">BADEJOKOMEMORIALHOSP&MATERNITY</option>
<option value="OY003" class=" ">BANBYSPECIALISTHOSPITAL</option>
<option value="OY005" class=" ">FELEWAHOSPITALXXX</option>
<option value="OY007" class=" ">JOLAMADESPECIALISTHOSPITAL</option>
<option value="OY008" class=" ">J-RAPHACLINICS&HOSPITAL,IBADAN</option>
<option value="OY020" class=" ">LANARKSPECIALISTHOSPITAL</option>
<option value="OY009" class=" ">MEDICALPRACTITIONERSLTD</option>
<option value="OY010" class=" ">MOLLYSPECIALISTHOSPITAL</option>
<option value="OY015" class=" ">TEJUSPECIALISTHOSPITAL</option>
<option value="OY022S" class=" ">THEVINEHOSPITAL&MATERNITYCENTRE</option>
<option value="TMC018" class=" ">TOBIMEDICALCENTRELTD</option>
<option value="ZSMH033" class=" ">ZOESPECIALISTMISSIONHOSPITAL</option>
<option value="OY006" class=" ">IRETI-OLUHOSPITAL</option>
<option value="OY013" class=" ">SHEKINAHMEDICALCENTRE</option>
<option value="OY011" class=" ">MOMOHMEMORIALHOSPITAL</option>
<option value="OY012" class=" ">BAPTISTMEDICALCENTRE,SAKI</option>
<option value="PL002" class=" ">FOCUSHOSPITAL</option>
<option value="KSH0078" class=" ">KAUNASPECIALISTHOSPITAL</option>
<option value="MSH0076" class=" ">MARYSOLSPECIALISTHOSPITAL</option>
<option value="PL005" class=" ">SAUKIGROUPOFCLINICSANDMATERNITY,JOS</option>
<option value="FGH029" class=" ">FERTILEGROUNDHOSPITALLTD</option>
<option value="PL003" class=" ">MAYHOSPITAL,SHENDAM</option>
<option value="RI007" class=" ">GBEYEHOSPITAL</option>
<option value="RI002" class=" ">DELTASPECIALISTHOSPITAL</option>
<option value="MCE049" class=" ">MUJECLINIC</option>
<option value="RI006" class=" ">FOUNDATIONCLINIC</option>
<option value="RI007" class=" ">GBEYEHOSPITAL</option>
<option value="QPHM020" class=" ">QUEENOFPEACEHOSPITAL&MATERNITY</option>
<option value="PH0045" class=" ">EL-ROISPECIALISTCLINIC</option>
<option value="HC013" class=" ">HILTONCLINIC</option>
<option value="PHSMC006" class=" ">SOPHIKEMEDICALCENTRE</option>
<option value="GCMC029" class=" ">GREENCAREMEDICALCONSULTANTS</option>
<option value="PH0050" class=" ">MILITARYHOSPITAL</option>
<option value="NHC0041" class=" ">NEWHEIGHTSCONSULTANTSHOSPITALS</option>
<option value="RI012" class=" ">PRINCESSMEDICALCENTRE</option>
<option value="RI013" class=" ">PROVIDENCECLINIC&MATERNITYLTD,PORTHARCOURT</option>
<option value="RI030" class=" ">STPATRICK'SHOSPITALLTD</option>
<option value="NHCH0040" class=" ">NEWMILEONEHOSPITAL</option>
<option value="RI029" class=" ">MORNINGSTARHOSPITALLTD</option>
<option value="WHH060" class=" ">WESTHILLHOSPITAL</option>
<option value="BMH085" class=" ">BONMARIAHOSPITALLTD.</option>
<option value="PTMC013" class=" ">POTTERSTOUCHMEDICALCONSULTANT</option>
<option value="R1007" class=" ">GBEYEHOSPITAL</option>
<option value="PH0046" class=" ">PRESTIGEHOSPITAL</option>
<option value="ESH030" class=" ">EL-SPECIALISTHOSPITAL</option>
<option value="LCL059" class=" ">LIFECARECENTRELTD</option>
<option value="SSH049" class=" ">SHIELDSPECIALISTSHOSPITAL</option>
<option value="CMC059" class=" ">CUMIMEDICALCENTRE</option>
<option value="SO001" class=" ">SAHELSPECIALISTCLINIC</option>
<option value="SO002" class=" ">SOKOTOCLINIC</option>
<option value="TA002" class=" ">MAMBILLABAPTISTHOSPITAL</option>
<option value="YO001" class=" ">AJIKOMEDICALCENTRE</option>
<option value="YO002" class=" ">CITYMEDICALCENTRE,YOBE</option>
<option value="YO003" class=" ">POTISKUMMEDICALCENTRE</option>
<option value="ZA001" class=" ">DAULAHOSPITAL&MATERNITYHOME</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field82" data-index="20" style="width: 67%; display: none;"
class="form-element form-element-field82 options-false index-false form-element-20 default-true form-element-type-dropdown is-required-false odd -handle state-hidden">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Preferred Advanced Basic plus Hospital</span></span><span class="sub-label"><span>Preferred Advanced
Basic plus Hospital!</span></span></span>
<div><span class="error"></span><select data-is-required="false" class="validation-lenient" data-field-id="field82" name="field82" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Select Preferred Hospital Advanced Basic plus</option>
<option value="AB008" class=" ">CHRISTTHEKINGHOSPITAL,ABA</option>
<option value="AB012SP" class=" ">EKEOMAMEMORIALHOSPITAL</option>
<option value="AB003" class=" ">LIFECARECLINICSLTD</option>
<option value="AB004" class=" ">LIVINGWORDMISSIONHOSPITAL</option>
<option value="AB005" class=" ">NEWERAHOSPITAL,ABA</option>
<option value="TNC074" class=" ">THENAZARETHCLINIC</option>
<option value="AB002" class=" ">FEDERALMEDICALCENTRE,UMUAHIA</option>
<option value="FC022S" class=" ">ALLIANCEHOSPITAL,ABUJA</option>
<option value="FC001" class=" ">DARAMEDICALCENTRE</option>
<option value="FC012" class=" ">FEDERALSTAFFHOSPITAL,GWARINPA</option>
<option value="FC002" class=" ">FEREPRODMEDICALCENTRE</option>
<option value="FC003" class=" ">KINGSCAREHOSPITALLTD,WUSEZONE4</option>
<option value="FC004" class=" ">LIMIHOSPITAL&MATERNITYLTD,ABUJA</option>
<option value="FC008" class=" ">PISIONHOSPITAL</option>
<option value="FC020" class=" ">RUZMEDICALCENTRE</option>
<option value="LPH025" class=" ">LOUISPASTEURHOSPITAL</option>
<option value="SON0079" class=" ">SISTERSOFTHENATIVITYHOSPITAL</option>
<option value="FC009" class=" ">QUEENSCLINICLTD,ABUJA</option>
<option value="FC024" class=" ">EXCELSPECIALISTHOSPITAL</option>
<option value="SS052" class=" ">SOFTSHELLSPECIALISTHOSPITALLTD</option>
<option value="SCH055" class=" ">SPRINGBLOOMCOUNTYHOSPITAL</option>
<option value="JMCCH093" class=" ">JOYLANDMEDICALCENTREANDCHILDREN'SHOSPITAL</option>
<option value="FC023SP" class=" ">FAMILYCAREMULTICLINICSLTD</option>
<option value="FC005" class=" ">LIVINGSTREAMSPECIALISTMEDICALCENTRE</option>
<option value="FC010" class=" ">STMARY'SHOSPITAL,GWAGWALADA</option>
<option value="TMTC078" class=" ">TRAUMA&MULTISPECIALTYCENTER</option>
<option value="FC018" class=" ">KINGSCAREHOSPITALLTD,Kubwa</option>
<option value="ACK077" class=" ">ALLISONCLINICKUJE</option>
<option value="ASMC020" class=" ">ALFADSPECIALISTMEDICALCENTRE</option>
<option value="AD004" class=" ">SAUKIMEDICALCENTRE,YOLA</option>
<option value="AD003" class=" ">PEACEHOSPITAL</option>
<option value="CMC156" class=" ">CALEBMEDICALCENTER</option>
<option value="AK010" class=" ">VEDDYSONHOSPITAL</option>
<option value="AK003" class=" ">IHAFOUNDATIONMEDICALCENTRE</option>
<option value="AK017" class=" ">TOTALCARECLINICANDMATERNITY</option>
<option value="AK014" class=" ">CHRISTVICTORYMEDICALCENTRE</option>
<option value="AK005" class=" ">MOUNTOLIVEMEDICALCENTRE</option>
<option value="AK009" class=" ">UBONGABASISPECIALISTHOSPITAL</option>
<option value="AK015" class=" ">DOMINGOSPECIALISTHOSPITALS</option>
<option value="AN005" class=" ">DIVINEHOSPITALANDMATERNITY,AWKA</option>
<option value="PH0047" class=" ">OURLADYOFLOURDES</option>
<option value="AN012" class=" ">SEFTONSPECIALISTMEDICALCENTRE</option>
<option value="AN014" class=" ">CHIBUZORHOSPITAL&MATERNITY</option>
<option value="AN006" class=" ">FELIXOKOLOMEMORIALHOSPITAL,NNEWI</option>
<option value="AN009" class=" ">LIFESPECIALISTHOSPITAL</option>
<option value="JHM083" class=" ">JESUSISLORDROYALHOSPITALANDMATERNITY</option>
<option value="AN010" class=" ">MERCYSPECIALISTHOSPITAL&MATERNITY,ONITSHA</option>
<option value="KMC084" class=" ">KATAGUMMEDICALCENTER</option>
<option value="BA002" class=" ">NIIMACONSULTANTSHOSPITAL</option>
<option value="DE020S" class=" ">REMEE(RIMI)CLINIC</option>
<option value="BA003" class=" ">NINGICLINIC&MATERNITY</option>
<option value="BY005" class=" ">CRESTCONSULTANTCLINIC</option>
<option value="BY001" class=" ">FEDERALMEDICALCENTRE,YENAGOA</option>
<option value="BY004" class=" ">STPETERSHOSPITAL</option>
<option value="BE001" class=" ">BAKICLINICANDMATERNITY</option>
<option value="BE004" class=" ">NKSTHOSPITAL</option>
<option value="BE011FC" class=" ">FAMILYPRACTICEHOSPITAL</option>
<option value="BE010" class=" ">HOPEHOSPITAL</option>
<option value="BE003" class=" ">MADONNAHOSPITAL</option>
<option value="BE006" class=" ">PAMPASHOSPITAL&MATERNITY</option>
<option value="BE007" class=" ">QUEENSCLINICLTD,MAKURDI</option>
<option value="BE005" class=" ">OTIACLINIC</option>
<option value="BE008" class=" ">STANTHONYHOSPITAL</option>
<option value="BO001" class=" ">ABBOTTCLINIC</option>
<option value="BO002" class=" ">NAKOWASPECIALISTHOSPITAL</option>
<option value="BO003" class=" ">BORNOMEDICALCENTRE</option>
<option value="BO004" class=" ">KANEMHOSPITAL&MATERNITY</option>
<option value="CR015" class=" ">SANTAMARIACLINIC&MATERNITY</option>
<option value="CR001" class=" ">BAKORMEDICALCENTRE</option>
<option value="CR003" class=" ">CITYCLINIC,CALABAR</option>
<option value="CR005" class=" ">FAITHFOUNDATIONSPECIALISTCLINIC</option>
<option value="CR009" class=" ">IKPEMEMEDICALCENTRE</option>
<option value="ASH062" class=" ">ARUBAHSPECIALISTHOSPITAL,CALABAR</option>
<option value="UCTH063" class=" ">UNIVERSITYOFCALABARTEACHINGHOSPITAL</option>
<option value="CWH065" class=" ">CALABARWOMEN&CHILDRENHOSPITAL</option>
<option value="II066" class=" ">IMMANUELINFIRMARYCALABAR</option>
<option value="LMSH008" class=" ">LUCIAMAMEMORIALSPECIALISTHOSPITAL</option>
<option value="CR010" class=" ">MEVOMSPECIALISTCLINIC</option>
<option value="CR048" class=" ">AMADOMEDICALCENTRE</option>
<option value="CR008" class=" ">HOLYFAMILYCATHOLICHOSPITAL,IKOM</option>
<option value="BMCI055" class=" ">BAKORMEDICALCENTRE</option>
<option value="DE003" class=" ">ANIOMAHOSPITAL</option>
<option value="DE008" class=" ">GOODSAMARITANHOSPITALCOMPLEX</option>
<option value="SRSH057" class=" ">ST.REBECCASPECIALISTHOSPITAL</option>
<option value="ECH034" class=" ">EL-COMFORTHOSPITAL</option>
<option value="DELSUTH" class=" ">DELTASTATEUNIVERSITYTEACHINGHOSPITAL</option>
<option value="OLNCO48" class=" ">OURLADYOFNIGERIACATHOLICHOSPITAL</option>
<option value="LH044" class=" ">LANAHOSPITAL</option>
<option value="DE017" class=" ">OBULEMEDICALCENTRE</option>
<option value="DE007" class=" ">CAPITOLHILLCLINIC/HOSPITAL</option>
<option value="DE025" class=" ">VERTIMONMEDICALCENTRE</option>
<option value="FVH013" class=" ">FAIRVIEWHOSPITAL</option>
<option value="DE024" class=" ">B.UCLINIC/HOSPITALLTD</option>
<option value="RC082" class=" ">REGALCLINIC</option>
<option value="DSC083" class=" ">DAYSPRINGCLINIC</option>
<option value="EB003" class=" ">FELIXMEMORIALHOSPITAL,ABAKALIKI</option>
<option value="ED005" class=" ">FATEMEDICALCENTRE</option>
<option value="ED004" class=" ">FAITHMEDICALCENTRE</option>
<option value="ED007" class=" ">MODICMEDICALCENTRE</option>
<option value="ED008" class=" ">MOUNTGILEADHOSPITAL</option>
<option value="ED013" class=" ">STPHILOMENACATHOLICHOSPITAL</option>
<option value="ED014" class=" ">THEROCKHOSPITAL</option>
<option value="ED019" class=" ">EDIINTERNATIONALHOSPITALLTD</option>
<option value="ED041" class=" ">RAHIHOSPITALSLIMITED</option>
<option value="ED022" class=" ">IRRUASPECIALISTTEACHINGHOSPITAL</option>
<option value="EN003" class=" ">CHRISTTHEKING,ENUGU</option>
<option value="MCSH010" class=" ">MOTHEROFCHRISTSPECIALISTHOSPITAL</option>
<option value="EN005" class=" ">PEENOKMEDICALCENTRE</option>
<option value="EN006" class=" ">RISTELLAHOSPITAL</option>
<option value="EN008" class=" ">STMARY'SHOSPITAL&MATERNITY,ENUGU</option>
<option value="EN012" class=" ">LIVINGSTONSPECIALISTHOSPITAL</option>
<option value="EN013" class=" ">STDANIELCONSOLATAHOSPITAL</option>
<option value="EN009" class=" ">UNIVERSITYMEDICALCENTRE</option>
<option value="AMH078" class=" ">AKULUEMEMORIALHOSPITAL</option>
<option value="GO002" class=" ">FEDERALMEDICALCENTRE,GOMBE</option>
<option value="GO003" class=" ">MIYETTIHOSPITAL</option>
<option value="GO004" class=" ">METROCONSULTANTSCLINIC</option>
<option value="ICOO5" class=" ">IVORYCLINIC</option>
<option value="SMCCH004" class=" ">STMARYCHILDRENANDCOMMUNITYUMUOWA,ORLU</option>
<option value="IMUTH006" class=" ">IMOSTATEUNIVERSITYTEACHINGHOSPITAL,ORLU</option>
<option value="IM002" class=" ">EZEMMEDICALCENTRE</option>
<option value="IM011" class=" ">FEDERALMEDICALCENTRE,OWERRI</option>
<option value="FCH0042" class=" ">FIRSTCONCEPTHOSPITAL,OWERRI</option>
<option value="IM010" class=" ">IKENEGBUHOSPITAL,MATERNITY&LABORATORY</option>
<option value="IM003" class=" ">INTERNATIONALCHRISTIANHOSPITAL</option>
<option value="IM007" class=" ">LIFESPRINGSPECIALISTHOSPITAL</option>
<option value="IM005" class=" ">SALVATIONHOSPITAL&MATERNITY</option>
<option value="SEHM0043" class=" ">ST.ELIZABETHHOSPITALANDMATERNITY</option>
<option value="WHM001" class=" ">WINNIESHOSPITALANDMATERNITY</option>
<option value="A0077" class=" ">ALBARKACLINIC</option>
<option value="HHLO23" class=" ">HARMONYHOSPITALLIMITED</option>
<option value="KA001" class=" ">ALBARKAHOSPITAL&MATERNITY</option>
<option value="KA003" class=" ">AMINAHOSPITAL</option>
<option value="KA004" class=" ">CHASELHOSPITAL</option>
<option value="KA005" class=" ">GIWAHOSPITALLTD</option>
<option value="KA006" class=" ">ISHAKUHOSPITAL</option>
<option value="KA008" class=" ">JOWAKOHOSPITAL</option>
<option value="KA010" class=" ">MANEKSHOSPITAL</option>
<option value="KA012" class=" ">MENDSSPECIALISTHOSPITAL</option>
<option value="KA021S" class=" ">MULTICLINICSPECIALISTHOSPITAL</option>
<option value="KA013" class=" ">SEFAHOSPITAL</option>
<option value="KA014" class=" ">TIMUNITYSPECIALISTHOSPITAL</option>
<option value="SMC003" class=" ">SALEMMEDICALCENTRE</option>
<option value="KA002" class=" ">ALMADINACLINIC</option>
<option value="KA007" class=" ">JAMA'AHOSPITAL</option>
<option value="KA009" class=" ">LIMIHOSPITAL&MATERNITYLTD,ZARIA</option>
<option value="KA011" class=" ">MAYFAIRCLINICSNIGLTD</option>
<option value="KA016" class=" ">ST.LOUISHOSPITAL</option>
<option value="KN002" class=" ">IDEALHOSPITAL&MATERNITYLTD</option>
<option value="KN003" class=" ">INTERNATIONALCLINICS&HOSPITALS</option>
<option value="KN004" class=" ">PREMIERCLINIC,KANO</option>
<option value="KT003" class=" ">BISTITHOSPITALLTD</option>
<option value="KT007" class=" ">KHADIJAHMEDIPHARMCO.LTD</option>
<option value="KT009" class=" ">AMFANICLINICANDMATERNITY</option>
<option value="KT006" class=" ">KATSINANURSINGHOMELTD</option>
<option value="KMSH099" class=" ">KEBBIMULTI-SPECIALISTHOSPITAL</option>
<option value="EHL208" class=" ">EQUITYHOSPITALLIMITED</option>
<option value="DD094" class=" ">DDGMEDICALCENTRE</option>
<option value="KG001" class=" ">DUROSOLEYEHOSPITAL</option>
<option value="KG006" class=" ">TOWNSHIPCLINIC</option>
<option value="KG009" class=" ">MARIAGORETTIHOSPITAL</option>
<option value="KG010" class=" ">NEIGHBOURMULTICAREHOSPITAL&WOMENWELLFARECENTRELTD.</option>
<option value="KG002" class=" ">ECWAHOSPITAL</option>
<option value="KG007" class=" ">ODOMACLINICS</option>
<option value="KG008" class=" ">ST.JOHN'SCATHOLICHOSPITAL</option>
<option value="KG004" class=" ">NIGERHOSPITAL</option>
<option value="KG005" class=" ">POLYCLINICHOSPITAL&MATERNITY</option>
<option value="CSHFC203" class=" ">CARECRESTSPECIALISTHOSPITAL&FERTILITYCENTRE</option>
<option value="KW011S" class=" ">OGO-OLUWAHOSPITAL</option>
<option value="KW002" class=" ">ANCHORMEDHOSPITAL</option>
<option value="KW012" class=" ">BALMHOSPITALLTD</option>
<option value="KW185D" class=" ">DELNIKHOSPITAL</option>
<option value="KW182K" class=" ">KIDDIZMEDICALCENTRE</option>
<option value="KW003" class=" ">OLAOLUHOSPITAL</option>
<option value="KW004" class=" ">OLANREWAJUHOSPITALLTD</option>
<option value="KW005" class=" ">OMOLOLAHOSPITAL</option>
<option value="KW184M" class=" ">SADIKUHOSPITAL</option>
<option value="KW183M" class=" ">SURULEREMEDICALCENTRE</option>
<option value="KW007" class=" ">ROLAKIMCLINIC&MATERNITY</option>
<option value="DMC098" class=" ">DANDYMEDICALCENTRE</option>
<option value="SLCH018" class=" ">STANDARDLIFECAREHOSPITAL</option>
<option value="PGMC049" class=" ">P&GMEDICALCENTRE</option>
<option value="LA076" class=" ">ROPHEHOSPITAL</option>
<option value="LA006" class=" ">ALLSOULSINFIRMARY,AGEGE</option>
<option value="LA200" class=" ">BETTAHOSPITAL</option>
<option value="PMC084" class=" ">PROMISEMEDICALCENTRE</option>
<option value="BUDO1" class=" ">BUDOSPECIALISTHOSPITAL</option>
<option value="LA021SP" class=" ">DORENSPECIALISTHOSPITAL</option>
<option value="LA045SP" class=" ">J-RAPHACLINICS&HOSPITAL,AJAH</option>
<option value="LA233S" class=" ">STEDWARDSPECIALISTHOSPITAL&CARDIACCENTRE</option>
<option value="DHHS088" class=" ">DOVEHOSPITAL&HEALTHCARESERVICESLTD.</option>
<option value="LH055" class=" ">LENNOXHOSPITAL</option>
<option value="LA036SP" class=" ">HEALINGFIELDHOSPITAL</option>
<option value="HH024" class=" ">HEDAHOSPITAL</option>
<option value="RSH059" class=" ">RIVETSPECIALISTHOSPITAL</option>
<option value="ICH028" class=" ">ILOGBOCENTRALHOSPITAL</option>
<option value="LA005" class=" ">ALLSOULSCLINICS,AJEGUNLE</option>
<option value="KAAFM" class=" ">KAAFMATERNITYANDCHILDCARECENTRE</option>
<option value="LA135" class=" ">BEEHESSHOSPITAL</option>
<option value="RYHL029" class=" ">REM-YEMSHOSPITALLTD</option>
<option value="LH080" class=" ">LOBELHOSPITAL</option>
<option value="JEFF078" class=" ">JEFISSPECIALISTHOSPITAL</option>
<option value="GSH019" class=" ">GODFREYSPECIALISTHOSPITAL</option>
<option value="LA034" class=" ">GLORIAHOSPITALLTD</option>
<option value="LA086" class=" ">TINCANHOSPITALGROUP</option>
<option value="ONMC038" class=" ">OBISESANNAVALMEDICALCENTRE,APAPA</option>
<option value="AMH048" class=" ">AKANBIMEMORIALHOSPITAL</option>
<option value="LA084SP" class=" ">THEGREATPHYSICIANHOSPITAL</option>
<option value="CGH029" class=" ">CAREGIVERHOSPITAL,AJARA</option>
<option value="ALTH028" class=" ">ADEBAYOLIVINGTOWERHOSPITAL,IMEKE</option>
<option value="TRI0088" class=" ">THEROYALINFIRMARYHOSPITAL</option>
<option value="LA075SP" class=" ">R-JOLADHOSPITAL</option>
<option value="LA015SP" class=" ">CRYSTALSPECIALISTHOSPITAL</option>
<option value="SHMC086" class=" ">STONEHILLMEDICALCENTRE</option>
<option value="HWH082" class=" ">HOPEWELLHOSPITALLIMITED</option>
<option value="LA061" class=" ">MOUNTSINAIHOSPITALGROUP,EBUTE-METTA</option>
<option value="LA031" class=" ">FEDERALMEDICALCENTRE,EBUTE-METTA</option>
<option value="LA161" class=" ">CAREPOINTCLINICEGBEDALIMITED</option>
<option value="LA231" class=" ">STWILLIAMSHOSPITAL</option>
<option value="LHMH021" class=" ">LIGHTHOSPITALANDMATERNITYHOMELTD</option>
<option value="TCMH060" class=" ">TRUECAREMODELHOSPITAL</option>
<option value="GHE048" class=" ">GENERALHOSPITAL,EPE</option>
<option value="LA013" class=" ">CEDARHOSPITAL</option>
<option value="LA026SP" class=" ">EMELHOSPITAL</option>
<option value="LA035" class=" ">GOLDENCROSSINFIRMARY,FESTAC</option>
<option value="LA078" class=" ">SHEPHERDSPECIALISTHOSPITAL</option>
<option value="LA197SP" class=" ">AFRIMEDOGPSPECIALISTHOSPITAL</option>
<option value="LA009" class=" ">ANIYUNHOSPITALLIMITED</option>
<option value="PRSH012" class=" ">PRIMROSESPECIALISTHOSPITAL</option>
<option value="MH056" class=" ">MAKOGHOSPITALS</option>
<option value="LA083" class=" ">SUBOLHOSPITAL</option>
<option value="LA219" class=" ">STTHOMASHOSPITAL</option>
<option value="LA049" class=" ">LONGINGMEDICALCENTRE</option>
<option value="LA018" class=" ">DENEWAIYETOROMEDICALCENTRE</option>
<option value="AHML034" class=" ">ADEMOLAHOSPITAL&MATERNITYLTD</option>
<option value="LA069" class=" ">OSUNTUYIMEDICALCENTRE</option>
<option value="LA011" class=" ">BLUECROSSHOSPITAL</option>
<option value="LA022SP" class=" ">EKOHOSPITALPLC,IKEJA</option>
<option value="LA039" class=" ">HOLYTRINITYHOSPITAL</option>
<option value="LA058SP" class=" ">MOTAYOHOSPITAL</option>
<option value="LA188SP" class=" ">STMARYSSPECIALISTHOSPITAL,IKEJA</option>
<option value="LA020" class=" ">DONASHOSPITAL</option>
<option value="LA216" class=" ">JOBIHOSPITAL</option>
<option value="LA213" class=" ">OAKHOSPITALS</option>
<option value="LA225" class=" ">REALHOPEHOSPITAL</option>
<option value="SMC085" class=" ">SHANUMEDICALCENTRE</option>
<option value="LA228S" class=" ">M-CREDHOSPITALSLIMITED</option>
<option value="LA012" class=" ">BROADHOSPITAL&MATERNITY</option>
<option value="LA059" class=" ">MOUNTPISGAHHOSPITALLTD</option>
<option value="LA060" class=" ">MOUNTSINAIHOSPITAL,EGBE</option>
<option value="LA014SP" class=" ">CITIZENMEDICALCENTRE</option>
<option value="LA019" class=" ">DIVINEMEDICALCENTRE</option>
<option value="BCH059" class=" ">BESTCAREHOSPITAL</option>
<option value="LA142SP" class=" ">LAGOONHOSPITALHOSPITAL,IKOYI</option>
<option value="LA054" class=" ">MAYCLINICSLTD</option>
<option value="GCH091" class=" ">GODCURESHOSPITAL</option>
<option value="LA053" class=" ">MAYCLINICSLTD(Annex)</option>
<option value="LA090" class=" ">ULTIMAMEDICARE</option>
<option value="SMC085" class=" ">SHANUMEDICALCENTRE</option>
<option value="LA209" class=" ">G.ESTATECLINICCONSORTIUM</option>
<option value="LA141" class=" ">SOLADMEDICALCENTRE</option>
<option value="LA233" class=" ">SPARKVIEWHOSPITAL</option>
<option value="LA037" class=" ">HEALSSPECIALISTCLINIC</option>
<option value="LA080" class=" ">STEMMANUELHOSPITAL</option>
<option value="LA193SP" class=" ">KROWNHOSPITAL</option>
<option value="LA232" class=" ">MUCASHOSPITAL</option>
<option value="LA091" class=" ">VETAHOSPITALLTD</option>
<option value="YHMH086" class=" ">YOMBOHOSPITALANDMATERNITYHOMELIMITED</option>
<option value="DMC079" class=" ">DAFEMEDICALCENTRE</option>
<option value="THL045" class=" ">THEOHOSPITALLIMITED</option>
<option value="LA051" class=" ">AVONMEDICALSERVICESLTD(CLINIC)</option>
<option value="BC0089" class=" ">BERNICECLINIC</option>
<option value="LA032" class=" ">FIRSTCITYDIAGNOSISLTD</option>
<option value="LHL049" class=" ">LOUISMEDHOSPITALLIMITED</option>
<option value="LA215SP" class=" ">RAINBOWSPECIALISTMEDICALCENTRE</option>
<option value="LA088" class=" ">UDECOMEDICALCENTRE</option>
<option value="GHL020" class=" ">GERMAINEHOSPITAL,LEKKI</option>
<option value="" class=" ">KUPACENTERCENTER</option>
<option value="JEH019" class=" ">JERICHOHOSPITAL</option>
<option value="LA072SP" class=" ">PINECRESTSPECIALISTHOSPITAL</option>
<option value="LA211" class=" ">MAGODOSPECIALISTHOSPITAL</option>
<option value="FIH0091" class=" ">FIRSTHERITAGEHOSPITAL</option>
<option value="LA106H" class=" ">HILLSTARCLINICS(NIGERIA)LTD</option>
<option value="LA070" class=" ">OSUNTUYIMEDICALCENTRE(ANNEX)</option>
<option value="LA029SP" class=" ">FANIMEDHOSPITAL</option>
<option value="LA044SP" class=" ">ISALUHOSPITALLIMITED</option>
<option value="LA055SP" class=" ">MED-INSPECIALISTHOSPITAL</option>
<option value="LA194" class=" ">NIMBUSMEDICALCENTRE</option>
<option value="LA077" class=" ">ALHERIHOSPITAL,LAGOS</option>
<option value="LA214" class=" ">SOLIDROCKHOSPITALLTD</option>
<option value="HCH051" class=" ">HOREBCONSULTHOSPITAL</option>
<option value="CCHO51S" class=" ">CHILDKIDCHILDRENHOSPITAL</option>
<option value="LA189" class=" ">SIKEOYEHOPECLINIC</option>
<option value="LA004" class=" ">AKINBOLADESPECIALISTHOSPITAL</option>
<option value="LA025" class=" ">ELPHYSPECIALISTHOSPITAL</option>
<option value="LA047" class=" ">KILADEJOHOSPITAL&SPECIALISTCLINICS</option>
<option value="LA081" class=" ">STANTHONYMEDICALCENTRE&MATERNITYHOMELTD</option>
<option value="LA082" class=" ">STRAPHAELSHOSPITALLTD</option>
<option value="NEHL221" class=" ">NEWEVOLUTIONHOSPITALLTD</option>
<option value="LA067" class=" ">OMNIMEDICALCENTRE,ONIKAN</option>
<option value="DSMC048" class=" ">DIALYZERSPECIALISTMEDICALCENTRE</option>
<option value="GMC044" class=" ">GOODNESSMEDICALCENTRE</option>
<option value="MMC065" class=" ">MAZAFMEDICALCENTRE</option>
<option value="GCH091" class=" ">GODCURESHOSPITAL</option>
<option value="RTMC006" class=" ">RHOWILTOTAL-CAREMEDICALCENTRE</option>
<option value="LA030" class=" ">FASANMICLINIC&MATERNITYHOMELTD</option>
<option value="LA230" class=" ">IGBOLOGUNMEDICALCENTRE</option>
<option value="LA001" class=" ">ABSPECIALISTHOSPITAL</option>
<option value="LA052SP" class=" ">AVONMEDICALSERVICESLTD(HOSPITAL)</option>
<option value="LA016" class=" ">DAN-EGERTONHOSPITAL</option>
<option value="LA017" class=" ">DAN-EGERTONHOSPITAL</option>
<option value="LA023" class=" ">EKOHOSPITALPLC,SURULERE</option>
<option value="LA056" class=" ">MERCY-THOMASOREDUGBAMEDICALCENTRE</option>
<option value="LA057" class=" ">MEZONELHOSPITAL</option>
<option value="LA062" class=" ">NEWDAYSPECIALISTCLINIC</option>
<option value="LA065SP" class=" ">OLANIBAMEMORIALHOSPITAL</option>
<option value="LA073SP" class=" ">PROVIDENCEHOSPITALLTD,SURULERE</option>
<option value="LA087" class=" ">TOPAZCLINC</option>
<option value="LA205" class=" ">TUNRAYOHOSPITAL</option>
<option value="NMC019" class=" ">NAVALMEDICALCENTRE</option>
<option value="NA005" class=" ">NAGARIALLAHMAGANIHOSPITAL</option>
<option value="NA011" class=" ">JAMAAMEDICALCENTRE</option>
<option value="NA009" class=" ">AGUHOSPITAL</option>
<option value="NA003" class=" ">HENADMEDICALCENTRE</option>
<option value="NA007" class=" ">SAUKIHOSPITAL,LAFIA</option>
<option value="NA004" class=" ">KINGSCAREHOSPITALLTD,MARARABA</option>
<option value="NG014" class=" ">NASARACLINIC&MATERNITYHOSPITAL</option>
<option value="NG015" class=" ">RAINBOWCLINIC&MATERNITY</option>
<option value="NG002" class=" ">BAYSPECIALISTHOSPITAL</option>
<option value="NG010" class=" ">GREATFAITHMEDICALCENTRE</option>
<option value="NG017" class=" ">TOPMEDICALCLINIC</option>
<option value="SHDS056" class=" ">STANDARDHOSPITAL&DIAGNOSTICSERVICES</option>
<option value="NG012" class=" ">KAINJIMEDICALCENTRE</option>
<option value="NG004" class=" ">FARYGROUPCLINIC</option>
<option value="CHL017" class=" ">CHARLESHEALTHCARELTD</option>
<option value="SMC090" class=" ">SUZANMEMORIALCLINIC</option>
<option value="OG007" class=" ">FIRSTALPHAMEDICALCENTRE</option>
<option value="OG009" class=" ">MERCYGROUPCLINICS</option>
<option value="OG012" class=" ">SACREDHEARTHOSPITAL</option>
<option value="AESH041" class=" ">ANGEL&EAGLESPECIALISTHOSPITAL</option>
<option value="OG021SP" class=" ">JOSEPHANDCHRISTIANAHSPECIALISTHOSPITAL</option>
<option value="SSH030" class=" ">SOLAMEKSPECIALISTHOSPITAL</option>
<option value="OG024S" class=" ">BEACHLANDSPECIALISTHOSPITAL</option>
<option value="LH059" class=" ">LABITRIXHOSPITAL</option>
<option value="OG001" class=" ">AKOBISPECIALISTHOSPITAL</option>
<option value="OG019SP" class=" ">LAFIAKOWAHOSPITAL</option>
<option value="OG020" class=" ">PETERSONMEDICALCENTRE</option>
<option value="OG026" class=" ">ST.MICHAEL-ISRAELSPECIALISTHOSPITALLTD.</option>
<option value="SLCH018" class=" ">STANDARDLIFECAREHOSPITAL</option>
<option value="OG015B" class=" ">BROADLANDHOSPITALSERVICESLTD</option>
<option value="TRHC076" class=" ">REDEEMERHEALTHCENTRE</option>
<option value="ALH059" class=" ">ABUNDANTLIFEHSOPITAL</option>
<option value="MPH011" class=" ">MEDICPLUSHOSPITAL</option>
<option value="OG014" class=" ">OTUNBATUWASENATIONALPAEDIATRICCENTRE</option>
<option value="OG008" class=" ">ACEMEDICARECLINICS</option>
<option value="OG23S" class=" ">FARAMEDCLINICS</option>
<option value="OG025" class=" ">IDERAHEALTHSERVICESLIMITED</option>
<option value="ISHS59" class=" ">IMPERIALSPECIALISTHOSPITALSERVICES</option>
<option value="PMC083" class=" ">PROMISEMEDICALCENTRE</option>
<option value="FMS049" class=" ">FAMEMEDICALSERVICES</option>
<option value="SC050" class=" ">SHIRISHCLINIC</option>
<option value="HMC028" class=" ">HETTAMEDICALCENTRE</option>
<option value="SSMC035" class=" ">ST.SHILOHMEDICALCENTRE</option>
<option value="ON003" class=" ">FIRSTMERCYSPECIALISTHOSPITAL</option>
<option value="ON011" class=" ">TIMUNITYSPECIALISTHOSPITAL</option>
<option value="LHI095" class=" ">LULIHOSPITAL</option>
<option value="IMC" class=" ">INLANDMEDICALCENTRE</option>
<option value="ON007" class=" ">IBUKUN-OLUHOSPITALS</option>
<option value="SSH094" class=" ">STATESPECIALISTHOSPITAL</option>
<option value="ON001" class=" ">BABALOLAMEDICALCENTRE</option>
<option value="AMD" class=" ">ARIFMEDICALCENTRE</option>
<option value="PHM" class=" ">PIMAHOSPITALANDMATERNITY</option>
<option value="OS006SP" class=" ">OAUTHCOMPLEX</option>
<option value="OS007SP" class=" ">ST.VICTORIASPECIALISTHOSPITAL</option>
<option value="AMC057" class=" ">APEXMEDICALCENTRE</option>
<option value="OS005" class=" ">ADENLEMEMORIALHOSPITAL</option>
<option value="LPMC049" class=" ">LIVINGPETALSMEDICALCENTRE</option>
<option value="OS009" class=" ">EMMANUELMEDICALCENTRE</option>
<option value="OS001" class=" ">ABAKEMEDICALCENTRE</option>
<option value="OS002" class=" ">BIKETMEDICALCENTRE</option>
<option value="OS003" class=" ">ONWARDSPECIALISTHOSPITAL</option>
<option value="OS004" class=" ">OROKISPECIALISTHOSPITAL</option>
<option value="OY001" class=" ">ALAFIAHOSPITAL</option>
<option value="OY002" class=" ">BADEJOKOMEMORIALHOSP&MATERNITY</option>
<option value="OY003" class=" ">BANBYSPECIALISTHOSPITAL</option>
<option value="OY005" class=" ">FELEWAHOSPITALXXX</option>
<option value="OY007" class=" ">JOLAMADESPECIALISTHOSPITAL</option>
<option value="OY008" class=" ">J-RAPHACLINICS&HOSPITAL,IBADAN</option>
<option value="OY020" class=" ">LANARKSPECIALISTHOSPITAL</option>
<option value="OY009" class=" ">MEDICALPRACTITIONERSLTD</option>
<option value="OY010" class=" ">MOLLYSPECIALISTHOSPITAL</option>
<option value="OY015" class=" ">TEJUSPECIALISTHOSPITAL</option>
<option value="OY022S" class=" ">THEVINEHOSPITAL&MATERNITYCENTRE</option>
<option value="TMC018" class=" ">TOBIMEDICALCENTRELTD</option>
<option value="ZSMH033" class=" ">ZOESPECIALISTMISSIONHOSPITAL</option>
<option value="OY006" class=" ">IRETI-OLUHOSPITAL</option>
<option value="OY013" class=" ">SHEKINAHMEDICALCENTRE</option>
<option value="OY011" class=" ">MOMOHMEMORIALHOSPITAL</option>
<option value="OY012" class=" ">BAPTISTMEDICALCENTRE,SAKI</option>
<option value="PL002" class=" ">FOCUSHOSPITAL</option>
<option value="KSH0078" class=" ">KAUNASPECIALISTHOSPITAL</option>
<option value="MSH0076" class=" ">MARYSOLSPECIALISTHOSPITAL</option>
<option value="PL005" class=" ">SAUKIGROUPOFCLINICSANDMATERNITY,JOS</option>
<option value="FGH029" class=" ">FERTILEGROUNDHOSPITALLTD</option>
<option value="PL003" class=" ">MAYHOSPITAL,SHENDAM</option>
<option value="RI007" class=" ">GBEYEHOSPITAL</option>
<option value="RI002" class=" ">DELTASPECIALISTHOSPITAL</option>
<option value="MCE049" class=" ">MUJECLINIC</option>
<option value="RI006" class=" ">FOUNDATIONCLINIC</option>
<option value="RI007" class=" ">GBEYEHOSPITAL</option>
<option value="QPHM020" class=" ">QUEENOFPEACEHOSPITAL&MATERNITY</option>
<option value="PH0045" class=" ">EL-ROISPECIALISTCLINIC</option>
<option value="HC013" class=" ">HILTONCLINIC</option>
<option value="PHSMC006" class=" ">SOPHIKEMEDICALCENTRE</option>
<option value="GCMC029" class=" ">GREENCAREMEDICALCONSULTANTS</option>
<option value="PH0050" class=" ">MILITARYHOSPITAL</option>
<option value="NHC0041" class=" ">NEWHEIGHTSCONSULTANTSHOSPITALS</option>
<option value="RI012" class=" ">PRINCESSMEDICALCENTRE</option>
<option value="RI013" class=" ">PROVIDENCECLINIC&MATERNITYLTD,PORTHARCOURT</option>
<option value="RI030" class=" ">STPATRICK'SHOSPITALLTD</option>
<option value="NHCH0040" class=" ">NEWMILEONEHOSPITAL</option>
<option value="RI029" class=" ">MORNINGSTARHOSPITALLTD</option>
<option value="WHH060" class=" ">WESTHILLHOSPITAL</option>
<option value="BMH085" class=" ">BONMARIAHOSPITALLTD.</option>
<option value="PTMC013" class=" ">POTTERSTOUCHMEDICALCONSULTANT</option>
<option value="R1007" class=" ">GBEYEHOSPITAL</option>
<option value="PH0046" class=" ">PRESTIGEHOSPITAL</option>
<option value="ESH030" class=" ">EL-SPECIALISTHOSPITAL</option>
<option value="LCL059" class=" ">LIFECARECENTRELTD</option>
<option value="SSH049" class=" ">SHIELDSPECIALISTSHOSPITAL</option>
<option value="CMC059" class=" ">CUMIMEDICALCENTRE</option>
<option value="SO001" class=" ">SAHELSPECIALISTCLINIC</option>
<option value="SO002" class=" ">SOKOTOCLINIC</option>
<option value="TA002" class=" ">MAMBILLABAPTISTHOSPITAL</option>
<option value="YO001" class=" ">AJIKOMEDICALCENTRE</option>
<option value="YO002" class=" ">CITYMEDICALCENTRE,YOBE</option>
<option value="YO003" class=" ">POTISKUMMEDICALCENTRE</option>
<option value="ZA001" class=" ">DAULAHOSPITAL&MATERNITYHOME</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field81" data-index="21" style="width: 67%; display: none;"
class="even form-element form-element-field81 options-false index-false form-element-21 default-true form-element-type-dropdown is-required-false -handle state-hidden">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Preferred Premiun Plan Hospital</span></span><span class="sub-label"><span>Preferred Premiun Plan
Hospital!</span></span></span>
<div><span class="error"></span><select data-is-required="false" class="validation-lenient" data-field-id="field81" name="field81" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Select Preferred Hospital Premiun Plan</option>
<option value="AB008" class=" ">CHRISTTHEKINGHOSPITAL,ABA</option>
<option value="AB012SP" class=" ">EKEOMAMEMORIALHOSPITAL</option>
<option value="AB003" class=" ">LIFECARECLINICSLTD</option>
<option value="AB004" class=" ">LIVINGWORDMISSIONHOSPITAL</option>
<option value="AB005" class=" ">NEWERAHOSPITAL,ABA</option>
<option value="TNC074" class=" ">THENAZARETHCLINIC</option>
<option value="AB002" class=" ">FEDERALMEDICALCENTRE,UMUAHIA</option>
<option value="FC022S" class=" ">ALLIANCEHOSPITAL,ABUJA</option>
<option value="FC001" class=" ">DARAMEDICALCENTRE</option>
<option value="FC012" class=" ">FEDERALSTAFFHOSPITAL,GWARINPA</option>
<option value="FC002" class=" ">FEREPRODMEDICALCENTRE</option>
<option value="FC003" class=" ">KINGSCAREHOSPITALLTD,WUSEZONE4</option>
<option value="FC004" class=" ">LIMIHOSPITAL&MATERNITYLTD,ABUJA</option>
<option value="FC008" class=" ">PISIONHOSPITAL</option>
<option value="FC020" class=" ">RUZMEDICALCENTRE</option>
<option value="LPH025" class=" ">LOUISPASTEURHOSPITAL</option>
<option value="SON0079" class=" ">SISTERSOFTHENATIVITYHOSPITAL</option>
<option value="FC009" class=" ">QUEENSCLINICLTD,ABUJA</option>
<option value="FC024" class=" ">EXCELSPECIALISTHOSPITAL</option>
<option value="SS052" class=" ">SOFTSHELLSPECIALISTHOSPITALLTD</option>
<option value="SCH055" class=" ">SPRINGBLOOMCOUNTYHOSPITAL</option>
<option value="JMCCH093" class=" ">JOYLANDMEDICALCENTREANDCHILDREN'SHOSPITAL</option>
<option value="FC023SP" class=" ">FAMILYCAREMULTICLINICSLTD</option>
<option value="FC005" class=" ">LIVINGSTREAMSPECIALISTMEDICALCENTRE</option>
<option value="FC010" class=" ">STMARY'SHOSPITAL,GWAGWALADA</option>
<option value="TMTC078" class=" ">TRAUMA&MULTISPECIALTYCENTER</option>
<option value="FC018" class=" ">KINGSCAREHOSPITALLTD,Kubwa</option>
<option value="ACK077" class=" ">ALLISONCLINICKUJE</option>
<option value="ASMC020" class=" ">ALFADSPECIALISTMEDICALCENTRE</option>
<option value="AD004" class=" ">SAUKIMEDICALCENTRE,YOLA</option>
<option value="AD003" class=" ">PEACEHOSPITAL</option>
<option value="CMC156" class=" ">CALEBMEDICALCENTER</option>
<option value="AK010" class=" ">VEDDYSONHOSPITAL</option>
<option value="AK003" class=" ">IHAFOUNDATIONMEDICALCENTRE</option>
<option value="AK017" class=" ">TOTALCARECLINICANDMATERNITY</option>
<option value="AK014" class=" ">CHRISTVICTORYMEDICALCENTRE</option>
<option value="AK005" class=" ">MOUNTOLIVEMEDICALCENTRE</option>
<option value="AK009" class=" ">UBONGABASISPECIALISTHOSPITAL</option>
<option value="AK015" class=" ">DOMINGOSPECIALISTHOSPITALS</option>
<option value="AN005" class=" ">DIVINEHOSPITALANDMATERNITY,AWKA</option>
<option value="PH0047" class=" ">OURLADYOFLOURDES</option>
<option value="AN012" class=" ">SEFTONSPECIALISTMEDICALCENTRE</option>
<option value="AN014" class=" ">CHIBUZORHOSPITAL&MATERNITY</option>
<option value="AN006" class=" ">FELIXOKOLOMEMORIALHOSPITAL,NNEWI</option>
<option value="AN009" class=" ">LIFESPECIALISTHOSPITAL</option>
<option value="JHM083" class=" ">JESUSISLORDROYALHOSPITALANDMATERNITY</option>
<option value="AN010" class=" ">MERCYSPECIALISTHOSPITAL&MATERNITY,ONITSHA</option>
<option value="KMC084" class=" ">KATAGUMMEDICALCENTER</option>
<option value="BA002" class=" ">NIIMACONSULTANTSHOSPITAL</option>
<option value="DE020S" class=" ">REMEE(RIMI)CLINIC</option>
<option value="BA003" class=" ">NINGICLINIC&MATERNITY</option>
<option value="BY005" class=" ">CRESTCONSULTANTCLINIC</option>
<option value="BY001" class=" ">FEDERALMEDICALCENTRE,YENAGOA</option>
<option value="BY004" class=" ">STPETERSHOSPITAL</option>
<option value="BE001" class=" ">BAKICLINICANDMATERNITY</option>
<option value="BE004" class=" ">NKSTHOSPITAL</option>
<option value="BE011FC" class=" ">FAMILYPRACTICEHOSPITAL</option>
<option value="BE010" class=" ">HOPEHOSPITAL</option>
<option value="BE003" class=" ">MADONNAHOSPITAL</option>
<option value="BE006" class=" ">PAMPASHOSPITAL&MATERNITY</option>
<option value="BE007" class=" ">QUEENSCLINICLTD,MAKURDI</option>
<option value="BE005" class=" ">OTIACLINIC</option>
<option value="BE008" class=" ">STANTHONYHOSPITAL</option>
<option value="BO001" class=" ">ABBOTTCLINIC</option>
<option value="BO002" class=" ">NAKOWASPECIALISTHOSPITAL</option>
<option value="BO003" class=" ">BORNOMEDICALCENTRE</option>
<option value="BO004" class=" ">KANEMHOSPITAL&MATERNITY</option>
<option value="CR015" class=" ">SANTAMARIACLINIC&MATERNITY</option>
<option value="CR001" class=" ">BAKORMEDICALCENTRE</option>
<option value="CR003" class=" ">CITYCLINIC,CALABAR</option>
<option value="CR005" class=" ">FAITHFOUNDATIONSPECIALISTCLINIC</option>
<option value="CR009" class=" ">IKPEMEMEDICALCENTRE</option>
<option value="ASH062" class=" ">ARUBAHSPECIALISTHOSPITAL,CALABAR</option>
<option value="UCTH063" class=" ">UNIVERSITYOFCALABARTEACHINGHOSPITAL</option>
<option value="CWH065" class=" ">CALABARWOMEN&CHILDRENHOSPITAL</option>
<option value="II066" class=" ">IMMANUELINFIRMARYCALABAR</option>
<option value="LMSH008" class=" ">LUCIAMAMEMORIALSPECIALISTHOSPITAL</option>
<option value="CR010" class=" ">MEVOMSPECIALISTCLINIC</option>
<option value="CR048" class=" ">AMADOMEDICALCENTRE</option>
<option value="CR008" class=" ">HOLYFAMILYCATHOLICHOSPITAL,IKOM</option>
<option value="BMCI055" class=" ">BAKORMEDICALCENTRE</option>
<option value="DE003" class=" ">ANIOMAHOSPITAL</option>
<option value="DE008" class=" ">GOODSAMARITANHOSPITALCOMPLEX</option>
<option value="SRSH057" class=" ">ST.REBECCASPECIALISTHOSPITAL</option>
<option value="ECH034" class=" ">EL-COMFORTHOSPITAL</option>
<option value="DELSUTH" class=" ">DELTASTATEUNIVERSITYTEACHINGHOSPITAL</option>
<option value="OLNCO48" class=" ">OURLADYOFNIGERIACATHOLICHOSPITAL</option>
<option value="LH044" class=" ">LANAHOSPITAL</option>
<option value="DE017" class=" ">OBULEMEDICALCENTRE</option>
<option value="DE007" class=" ">CAPITOLHILLCLINIC/HOSPITAL</option>
<option value="DE025" class=" ">VERTIMONMEDICALCENTRE</option>
<option value="FVH013" class=" ">FAIRVIEWHOSPITAL</option>
<option value="DE024" class=" ">B.UCLINIC/HOSPITALLTD</option>
<option value="RC082" class=" ">REGALCLINIC</option>
<option value="DSC083" class=" ">DAYSPRINGCLINIC</option>
<option value="EB003" class=" ">FELIXMEMORIALHOSPITAL,ABAKALIKI</option>
<option value="ED005" class=" ">FATEMEDICALCENTRE</option>
<option value="ED004" class=" ">FAITHMEDICALCENTRE</option>
<option value="ED007" class=" ">MODICMEDICALCENTRE</option>
<option value="ED008" class=" ">MOUNTGILEADHOSPITAL</option>
<option value="ED013" class=" ">STPHILOMENACATHOLICHOSPITAL</option>
<option value="ED014" class=" ">THEROCKHOSPITAL</option>
<option value="ED019" class=" ">EDIINTERNATIONALHOSPITALLTD</option>
<option value="ED041" class=" ">RAHIHOSPITALSLIMITED</option>
<option value="ED022" class=" ">IRRUASPECIALISTTEACHINGHOSPITAL</option>
<option value="EN003" class=" ">CHRISTTHEKING,ENUGU</option>
<option value="MCSH010" class=" ">MOTHEROFCHRISTSPECIALISTHOSPITAL</option>
<option value="EN005" class=" ">PEENOKMEDICALCENTRE</option>
<option value="EN006" class=" ">RISTELLAHOSPITAL</option>
<option value="EN008" class=" ">STMARY'SHOSPITAL&MATERNITY,ENUGU</option>
<option value="EN012" class=" ">LIVINGSTONSPECIALISTHOSPITAL</option>
<option value="EN013" class=" ">STDANIELCONSOLATAHOSPITAL</option>
<option value="EN009" class=" ">UNIVERSITYMEDICALCENTRE</option>
<option value="AMH078" class=" ">AKULUEMEMORIALHOSPITAL</option>
<option value="GO002" class=" ">FEDERALMEDICALCENTRE,GOMBE</option>
<option value="GO003" class=" ">MIYETTIHOSPITAL</option>
<option value="GO004" class=" ">METROCONSULTANTSCLINIC</option>
<option value="ICOO5" class=" ">IVORYCLINIC</option>
<option value="SMCCH004" class=" ">STMARYCHILDRENANDCOMMUNITYUMUOWA,ORLU</option>
<option value="IMUTH006" class=" ">IMOSTATEUNIVERSITYTEACHINGHOSPITAL,ORLU</option>
<option value="IM002" class=" ">EZEMMEDICALCENTRE</option>
<option value="IM011" class=" ">FEDERALMEDICALCENTRE,OWERRI</option>
<option value="FCH0042" class=" ">FIRSTCONCEPTHOSPITAL,OWERRI</option>
<option value="IM010" class=" ">IKENEGBUHOSPITAL,MATERNITY&LABORATORY</option>
<option value="IM003" class=" ">INTERNATIONALCHRISTIANHOSPITAL</option>
<option value="IM007" class=" ">LIFESPRINGSPECIALISTHOSPITAL</option>
<option value="IM005" class=" ">SALVATIONHOSPITAL&MATERNITY</option>
<option value="SEHM0043" class=" ">ST.ELIZABETHHOSPITALANDMATERNITY</option>
<option value="WHM001" class=" ">WINNIESHOSPITALANDMATERNITY</option>
<option value="A0077" class=" ">ALBARKACLINIC</option>
<option value="HHLO23" class=" ">HARMONYHOSPITALLIMITED</option>
<option value="KA001" class=" ">ALBARKAHOSPITAL&MATERNITY</option>
<option value="KA003" class=" ">AMINAHOSPITAL</option>
<option value="KA004" class=" ">CHASELHOSPITAL</option>
<option value="KA005" class=" ">GIWAHOSPITALLTD</option>
<option value="KA006" class=" ">ISHAKUHOSPITAL</option>
<option value="KA008" class=" ">JOWAKOHOSPITAL</option>
<option value="KA010" class=" ">MANEKSHOSPITAL</option>
<option value="KA012" class=" ">MENDSSPECIALISTHOSPITAL</option>
<option value="KA021S" class=" ">MULTICLINICSPECIALISTHOSPITAL</option>
<option value="KA013" class=" ">SEFAHOSPITAL</option>
<option value="KA014" class=" ">TIMUNITYSPECIALISTHOSPITAL</option>
<option value="SMC003" class=" ">SALEMMEDICALCENTRE</option>
<option value="KA002" class=" ">ALMADINACLINIC</option>
<option value="KA007" class=" ">JAMA'AHOSPITAL</option>
<option value="KA009" class=" ">LIMIHOSPITAL&MATERNITYLTD,ZARIA</option>
<option value="KA011" class=" ">MAYFAIRCLINICSNIGLTD</option>
<option value="KA016" class=" ">ST.LOUISHOSPITAL</option>
<option value="KN002" class=" ">IDEALHOSPITAL&MATERNITYLTD</option>
<option value="KN003" class=" ">INTERNATIONALCLINICS&HOSPITALS</option>
<option value="KN004" class=" ">PREMIERCLINIC,KANO</option>
<option value="KT003" class=" ">BISTITHOSPITALLTD</option>
<option value="KT007" class=" ">KHADIJAHMEDIPHARMCO.LTD</option>
<option value="KT009" class=" ">AMFANICLINICANDMATERNITY</option>
<option value="KT006" class=" ">KATSINANURSINGHOMELTD</option>
<option value="KMSH099" class=" ">KEBBIMULTI-SPECIALISTHOSPITAL</option>
<option value="EHL208" class=" ">EQUITYHOSPITALLIMITED</option>
<option value="DD094" class=" ">DDGMEDICALCENTRE</option>
<option value="KG001" class=" ">DUROSOLEYEHOSPITAL</option>
<option value="KG006" class=" ">TOWNSHIPCLINIC</option>
<option value="KG009" class=" ">MARIAGORETTIHOSPITAL</option>
<option value="KG010" class=" ">NEIGHBOURMULTICAREHOSPITAL&WOMENWELLFARECENTRELTD.</option>
<option value="KG002" class=" ">ECWAHOSPITAL</option>
<option value="KG007" class=" ">ODOMACLINICS</option>
<option value="KG008" class=" ">ST.JOHN'SCATHOLICHOSPITAL</option>
<option value="KG004" class=" ">NIGERHOSPITAL</option>
<option value="KG005" class=" ">POLYCLINICHOSPITAL&MATERNITY</option>
<option value="CSHFC203" class=" ">CARECRESTSPECIALISTHOSPITAL&FERTILITYCENTRE</option>
<option value="KW011S" class=" ">OGO-OLUWAHOSPITAL</option>
<option value="KW002" class=" ">ANCHORMEDHOSPITAL</option>
<option value="KW012" class=" ">BALMHOSPITALLTD</option>
<option value="KW185D" class=" ">DELNIKHOSPITAL</option>
<option value="KW182K" class=" ">KIDDIZMEDICALCENTRE</option>
<option value="KW003" class=" ">OLAOLUHOSPITAL</option>
<option value="KW004" class=" ">OLANREWAJUHOSPITALLTD</option>
<option value="KW005" class=" ">OMOLOLAHOSPITAL</option>
<option value="KW184M" class=" ">SADIKUHOSPITAL</option>
<option value="KW183M" class=" ">SURULEREMEDICALCENTRE</option>
<option value="KW007" class=" ">ROLAKIMCLINIC&MATERNITY</option>
<option value="DMC098" class=" ">DANDYMEDICALCENTRE</option>
<option value="SLCH018" class=" ">STANDARDLIFECAREHOSPITAL</option>
<option value="PGMC049" class=" ">P&GMEDICALCENTRE</option>
<option value="LA076" class=" ">ROPHEHOSPITAL</option>
<option value="LA006" class=" ">ALLSOULSINFIRMARY,AGEGE</option>
<option value="LA200" class=" ">BETTAHOSPITAL</option>
<option value="PMC084" class=" ">PROMISEMEDICALCENTRE</option>
<option value="BUDO1" class=" ">BUDOSPECIALISTHOSPITAL</option>
<option value="LA021SP" class=" ">DORENSPECIALISTHOSPITAL</option>
<option value="LA045SP" class=" ">J-RAPHACLINICS&HOSPITAL,AJAH</option>
<option value="LA233S" class=" ">STEDWARDSPECIALISTHOSPITAL&CARDIACCENTRE</option>
<option value="DHHS088" class=" ">DOVEHOSPITAL&HEALTHCARESERVICESLTD.</option>
<option value="LH055" class=" ">LENNOXHOSPITAL</option>
<option value="LA036SP" class=" ">HEALINGFIELDHOSPITAL</option>
<option value="HH024" class=" ">HEDAHOSPITAL</option>
<option value="RSH059" class=" ">RIVETSPECIALISTHOSPITAL</option>
<option value="ICH028" class=" ">ILOGBOCENTRALHOSPITAL</option>
<option value="LA005" class=" ">ALLSOULSCLINICS,AJEGUNLE</option>
<option value="KAAFM" class=" ">KAAFMATERNITYANDCHILDCARECENTRE</option>
<option value="LA135" class=" ">BEEHESSHOSPITAL</option>
<option value="RYHL029" class=" ">REM-YEMSHOSPITALLTD</option>
<option value="LH080" class=" ">LOBELHOSPITAL</option>
<option value="JEFF078" class=" ">JEFISSPECIALISTHOSPITAL</option>
<option value="GSH019" class=" ">GODFREYSPECIALISTHOSPITAL</option>
<option value="LA034" class=" ">GLORIAHOSPITALLTD</option>
<option value="LA086" class=" ">TINCANHOSPITALGROUP</option>
<option value="ONMC038" class=" ">OBISESANNAVALMEDICALCENTRE,APAPA</option>
<option value="AMH048" class=" ">AKANBIMEMORIALHOSPITAL</option>
<option value="LA084SP" class=" ">THEGREATPHYSICIANHOSPITAL</option>
<option value="CGH029" class=" ">CAREGIVERHOSPITAL,AJARA</option>
<option value="ALTH028" class=" ">ADEBAYOLIVINGTOWERHOSPITAL,IMEKE</option>
<option value="TRI0088" class=" ">THEROYALINFIRMARYHOSPITAL</option>
<option value="LA075SP" class=" ">R-JOLADHOSPITAL</option>
<option value="LA015SP" class=" ">CRYSTALSPECIALISTHOSPITAL</option>
<option value="SHMC086" class=" ">STONEHILLMEDICALCENTRE</option>
<option value="HWH082" class=" ">HOPEWELLHOSPITALLIMITED</option>
<option value="LA061" class=" ">MOUNTSINAIHOSPITALGROUP,EBUTE-METTA</option>
<option value="LA031" class=" ">FEDERALMEDICALCENTRE,EBUTE-METTA</option>
<option value="LA161" class=" ">CAREPOINTCLINICEGBEDALIMITED</option>
<option value="LA231" class=" ">STWILLIAMSHOSPITAL</option>
<option value="LHMH021" class=" ">LIGHTHOSPITALANDMATERNITYHOMELTD</option>
<option value="TCMH060" class=" ">TRUECAREMODELHOSPITAL</option>
<option value="GHE048" class=" ">GENERALHOSPITAL,EPE</option>
<option value="LA013" class=" ">CEDARHOSPITAL</option>
<option value="LA026SP" class=" ">EMELHOSPITAL</option>
<option value="LA035" class=" ">GOLDENCROSSINFIRMARY,FESTAC</option>
<option value="LA078" class=" ">SHEPHERDSPECIALISTHOSPITAL</option>
<option value="LA197SP" class=" ">AFRIMEDOGPSPECIALISTHOSPITAL</option>
<option value="LA009" class=" ">ANIYUNHOSPITALLIMITED</option>
<option value="PRSH012" class=" ">PRIMROSESPECIALISTHOSPITAL</option>
<option value="MH056" class=" ">MAKOGHOSPITALS</option>
<option value="LA083" class=" ">SUBOLHOSPITAL</option>
<option value="LA219" class=" ">STTHOMASHOSPITAL</option>
<option value="LA049" class=" ">LONGINGMEDICALCENTRE</option>
<option value="LA018" class=" ">DENEWAIYETOROMEDICALCENTRE</option>
<option value="AHML034" class=" ">ADEMOLAHOSPITAL&MATERNITYLTD</option>
<option value="LA069" class=" ">OSUNTUYIMEDICALCENTRE</option>
<option value="LA011" class=" ">BLUECROSSHOSPITAL</option>
<option value="LA022SP" class=" ">EKOHOSPITALPLC,IKEJA</option>
<option value="LA039" class=" ">HOLYTRINITYHOSPITAL</option>
<option value="LA058SP" class=" ">MOTAYOHOSPITAL</option>
<option value="LA188SP" class=" ">STMARYSSPECIALISTHOSPITAL,IKEJA</option>
<option value="LA020" class=" ">DONASHOSPITAL</option>
<option value="LA216" class=" ">JOBIHOSPITAL</option>
<option value="LA213" class=" ">OAKHOSPITALS</option>
<option value="LA225" class=" ">REALHOPEHOSPITAL</option>
<option value="SMC085" class=" ">SHANUMEDICALCENTRE</option>
<option value="LA228S" class=" ">M-CREDHOSPITALSLIMITED</option>
<option value="LA012" class=" ">BROADHOSPITAL&MATERNITY</option>
<option value="LA059" class=" ">MOUNTPISGAHHOSPITALLTD</option>
<option value="LA060" class=" ">MOUNTSINAIHOSPITAL,EGBE</option>
<option value="LA014SP" class=" ">CITIZENMEDICALCENTRE</option>
<option value="LA019" class=" ">DIVINEMEDICALCENTRE</option>
<option value="BCH059" class=" ">BESTCAREHOSPITAL</option>
<option value="LA142SP" class=" ">LAGOONHOSPITALHOSPITAL,IKOYI</option>
<option value="LA054" class=" ">MAYCLINICSLTD</option>
<option value="GCH091" class=" ">GODCURESHOSPITAL</option>
<option value="LA053" class=" ">MAYCLINICSLTD(Annex)</option>
<option value="LA090" class=" ">ULTIMAMEDICARE</option>
<option value="SMC085" class=" ">SHANUMEDICALCENTRE</option>
<option value="LA209" class=" ">G.ESTATECLINICCONSORTIUM</option>
<option value="LA141" class=" ">SOLADMEDICALCENTRE</option>
<option value="LA233" class=" ">SPARKVIEWHOSPITAL</option>
<option value="LA037" class=" ">HEALSSPECIALISTCLINIC</option>
<option value="LA080" class=" ">STEMMANUELHOSPITAL</option>
<option value="LA193SP" class=" ">KROWNHOSPITAL</option>
<option value="LA232" class=" ">MUCASHOSPITAL</option>
<option value="LA091" class=" ">VETAHOSPITALLTD</option>
<option value="YHMH086" class=" ">YOMBOHOSPITALANDMATERNITYHOMELIMITED</option>
<option value="DMC079" class=" ">DAFEMEDICALCENTRE</option>
<option value="THL045" class=" ">THEOHOSPITALLIMITED</option>
<option value="LA051" class=" ">AVONMEDICALSERVICESLTD(CLINIC)</option>
<option value="BC0089" class=" ">BERNICECLINIC</option>
<option value="LA032" class=" ">FIRSTCITYDIAGNOSISLTD</option>
<option value="LHL049" class=" ">LOUISMEDHOSPITALLIMITED</option>
<option value="LA215SP" class=" ">RAINBOWSPECIALISTMEDICALCENTRE</option>
<option value="LA088" class=" ">UDECOMEDICALCENTRE</option>
<option value="GHL020" class=" ">GERMAINEHOSPITAL,LEKKI</option>
<option value="" class=" ">KUPACENTERCENTER</option>
<option value="JEH019" class=" ">JERICHOHOSPITAL</option>
<option value="LA072SP" class=" ">PINECRESTSPECIALISTHOSPITAL</option>
<option value="LA211" class=" ">MAGODOSPECIALISTHOSPITAL</option>
<option value="FIH0091" class=" ">FIRSTHERITAGEHOSPITAL</option>
<option value="LA106H" class=" ">HILLSTARCLINICS(NIGERIA)LTD</option>
<option value="LA070" class=" ">OSUNTUYIMEDICALCENTRE(ANNEX)</option>
<option value="LA029SP" class=" ">FANIMEDHOSPITAL</option>
<option value="LA044SP" class=" ">ISALUHOSPITALLIMITED</option>
<option value="LA055SP" class=" ">MED-INSPECIALISTHOSPITAL</option>
<option value="LA194" class=" ">NIMBUSMEDICALCENTRE</option>
<option value="LA077" class=" ">ALHERIHOSPITAL,LAGOS</option>
<option value="LA214" class=" ">SOLIDROCKHOSPITALLTD</option>
<option value="HCH051" class=" ">HOREBCONSULTHOSPITAL</option>
<option value="CCHO51S" class=" ">CHILDKIDCHILDRENHOSPITAL</option>
<option value="LA189" class=" ">SIKEOYEHOPECLINIC</option>
<option value="LA004" class=" ">AKINBOLADESPECIALISTHOSPITAL</option>
<option value="LA025" class=" ">ELPHYSPECIALISTHOSPITAL</option>
<option value="LA047" class=" ">KILADEJOHOSPITAL&SPECIALISTCLINICS</option>
<option value="LA081" class=" ">STANTHONYMEDICALCENTRE&MATERNITYHOMELTD</option>
<option value="LA082" class=" ">STRAPHAELSHOSPITALLTD</option>
<option value="NEHL221" class=" ">NEWEVOLUTIONHOSPITALLTD</option>
<option value="LA067" class=" ">OMNIMEDICALCENTRE,ONIKAN</option>
<option value="DSMC048" class=" ">DIALYZERSPECIALISTMEDICALCENTRE</option>
<option value="GMC044" class=" ">GOODNESSMEDICALCENTRE</option>
<option value="MMC065" class=" ">MAZAFMEDICALCENTRE</option>
<option value="GCH091" class=" ">GODCURESHOSPITAL</option>
<option value="RTMC006" class=" ">RHOWILTOTAL-CAREMEDICALCENTRE</option>
<option value="LA030" class=" ">FASANMICLINIC&MATERNITYHOMELTD</option>
<option value="LA230" class=" ">IGBOLOGUNMEDICALCENTRE</option>
<option value="LA001" class=" ">ABSPECIALISTHOSPITAL</option>
<option value="LA052SP" class=" ">AVONMEDICALSERVICESLTD(HOSPITAL)</option>
<option value="LA016" class=" ">DAN-EGERTONHOSPITAL</option>
<option value="LA017" class=" ">DAN-EGERTONHOSPITAL</option>
<option value="LA023" class=" ">EKOHOSPITALPLC,SURULERE</option>
<option value="LA056" class=" ">MERCY-THOMASOREDUGBAMEDICALCENTRE</option>
<option value="LA057" class=" ">MEZONELHOSPITAL</option>
<option value="LA062" class=" ">NEWDAYSPECIALISTCLINIC</option>
<option value="LA065SP" class=" ">OLANIBAMEMORIALHOSPITAL</option>
<option value="LA073SP" class=" ">PROVIDENCEHOSPITALLTD,SURULERE</option>
<option value="LA087" class=" ">TOPAZCLINC</option>
<option value="LA205" class=" ">TUNRAYOHOSPITAL</option>
<option value="NMC019" class=" ">NAVALMEDICALCENTRE</option>
<option value="NA005" class=" ">NAGARIALLAHMAGANIHOSPITAL</option>
<option value="NA011" class=" ">JAMAAMEDICALCENTRE</option>
<option value="NA009" class=" ">AGUHOSPITAL</option>
<option value="NA003" class=" ">HENADMEDICALCENTRE</option>
<option value="NA007" class=" ">SAUKIHOSPITAL,LAFIA</option>
<option value="NA004" class=" ">KINGSCAREHOSPITALLTD,MARARABA</option>
<option value="NG014" class=" ">NASARACLINIC&MATERNITYHOSPITAL</option>
<option value="NG015" class=" ">RAINBOWCLINIC&MATERNITY</option>
<option value="NG002" class=" ">BAYSPECIALISTHOSPITAL</option>
<option value="NG010" class=" ">GREATFAITHMEDICALCENTRE</option>
<option value="NG017" class=" ">TOPMEDICALCLINIC</option>
<option value="SHDS056" class=" ">STANDARDHOSPITAL&DIAGNOSTICSERVICES</option>
<option value="NG012" class=" ">KAINJIMEDICALCENTRE</option>
<option value="NG004" class=" ">FARYGROUPCLINIC</option>
<option value="CHL017" class=" ">CHARLESHEALTHCARELTD</option>
<option value="SMC090" class=" ">SUZANMEMORIALCLINIC</option>
<option value="OG007" class=" ">FIRSTALPHAMEDICALCENTRE</option>
<option value="OG009" class=" ">MERCYGROUPCLINICS</option>
<option value="OG012" class=" ">SACREDHEARTHOSPITAL</option>
<option value="AESH041" class=" ">ANGEL&EAGLESPECIALISTHOSPITAL</option>
<option value="OG021SP" class=" ">JOSEPHANDCHRISTIANAHSPECIALISTHOSPITAL</option>
<option value="SSH030" class=" ">SOLAMEKSPECIALISTHOSPITAL</option>
<option value="OG024S" class=" ">BEACHLANDSPECIALISTHOSPITAL</option>
<option value="LH059" class=" ">LABITRIXHOSPITAL</option>
<option value="OG001" class=" ">AKOBISPECIALISTHOSPITAL</option>
<option value="OG019SP" class=" ">LAFIAKOWAHOSPITAL</option>
<option value="OG020" class=" ">PETERSONMEDICALCENTRE</option>
<option value="OG026" class=" ">ST.MICHAEL-ISRAELSPECIALISTHOSPITALLTD.</option>
<option value="SLCH018" class=" ">STANDARDLIFECAREHOSPITAL</option>
<option value="OG015B" class=" ">BROADLANDHOSPITALSERVICESLTD</option>
<option value="TRHC076" class=" ">REDEEMERHEALTHCENTRE</option>
<option value="ALH059" class=" ">ABUNDANTLIFEHSOPITAL</option>
<option value="MPH011" class=" ">MEDICPLUSHOSPITAL</option>
<option value="OG014" class=" ">OTUNBATUWASENATIONALPAEDIATRICCENTRE</option>
<option value="OG008" class=" ">ACEMEDICARECLINICS</option>
<option value="OG23S" class=" ">FARAMEDCLINICS</option>
<option value="OG025" class=" ">IDERAHEALTHSERVICESLIMITED</option>
<option value="ISHS59" class=" ">IMPERIALSPECIALISTHOSPITALSERVICES</option>
<option value="PMC083" class=" ">PROMISEMEDICALCENTRE</option>
<option value="FMS049" class=" ">FAMEMEDICALSERVICES</option>
<option value="SC050" class=" ">SHIRISHCLINIC</option>
<option value="HMC028" class=" ">HETTAMEDICALCENTRE</option>
<option value="SSMC035" class=" ">ST.SHILOHMEDICALCENTRE</option>
<option value="ON003" class=" ">FIRSTMERCYSPECIALISTHOSPITAL</option>
<option value="ON011" class=" ">TIMUNITYSPECIALISTHOSPITAL</option>
<option value="LHI095" class=" ">LULIHOSPITAL</option>
<option value="IMC" class=" ">INLANDMEDICALCENTRE</option>
<option value="ON007" class=" ">IBUKUN-OLUHOSPITALS</option>
<option value="SSH094" class=" ">STATESPECIALISTHOSPITAL</option>
<option value="ON001" class=" ">BABALOLAMEDICALCENTRE</option>
<option value="AMD" class=" ">ARIFMEDICALCENTRE</option>
<option value="PHM" class=" ">PIMAHOSPITALANDMATERNITY</option>
<option value="OS006SP" class=" ">OAUTHCOMPLEX</option>
<option value="OS007SP" class=" ">ST.VICTORIASPECIALISTHOSPITAL</option>
<option value="AMC057" class=" ">APEXMEDICALCENTRE</option>
<option value="OS005" class=" ">ADENLEMEMORIALHOSPITAL</option>
<option value="LPMC049" class=" ">LIVINGPETALSMEDICALCENTRE</option>
<option value="OS009" class=" ">EMMANUELMEDICALCENTRE</option>
<option value="OS001" class=" ">ABAKEMEDICALCENTRE</option>
<option value="OS002" class=" ">BIKETMEDICALCENTRE</option>
<option value="OS003" class=" ">ONWARDSPECIALISTHOSPITAL</option>
<option value="OS004" class=" ">OROKISPECIALISTHOSPITAL</option>
<option value="OY001" class=" ">ALAFIAHOSPITAL</option>
<option value="OY002" class=" ">BADEJOKOMEMORIALHOSP&MATERNITY</option>
<option value="OY003" class=" ">BANBYSPECIALISTHOSPITAL</option>
<option value="OY005" class=" ">FELEWAHOSPITALXXX</option>
<option value="OY007" class=" ">JOLAMADESPECIALISTHOSPITAL</option>
<option value="OY008" class=" ">J-RAPHACLINICS&HOSPITAL,IBADAN</option>
<option value="OY020" class=" ">LANARKSPECIALISTHOSPITAL</option>
<option value="OY009" class=" ">MEDICALPRACTITIONERSLTD</option>
<option value="OY010" class=" ">MOLLYSPECIALISTHOSPITAL</option>
<option value="OY015" class=" ">TEJUSPECIALISTHOSPITAL</option>
<option value="OY022S" class=" ">THEVINEHOSPITAL&MATERNITYCENTRE</option>
<option value="TMC018" class=" ">TOBIMEDICALCENTRELTD</option>
<option value="ZSMH033" class=" ">ZOESPECIALISTMISSIONHOSPITAL</option>
<option value="OY006" class=" ">IRETI-OLUHOSPITAL</option>
<option value="OY013" class=" ">SHEKINAHMEDICALCENTRE</option>
<option value="OY011" class=" ">MOMOHMEMORIALHOSPITAL</option>
<option value="OY012" class=" ">BAPTISTMEDICALCENTRE,SAKI</option>
<option value="PL002" class=" ">FOCUSHOSPITAL</option>
<option value="KSH0078" class=" ">KAUNASPECIALISTHOSPITAL</option>
<option value="MSH0076" class=" ">MARYSOLSPECIALISTHOSPITAL</option>
<option value="PL005" class=" ">SAUKIGROUPOFCLINICSANDMATERNITY,JOS</option>
<option value="FGH029" class=" ">FERTILEGROUNDHOSPITALLTD</option>
<option value="PL003" class=" ">MAYHOSPITAL,SHENDAM</option>
<option value="RI007" class=" ">GBEYEHOSPITAL</option>
<option value="RI002" class=" ">DELTASPECIALISTHOSPITAL</option>
<option value="MCE049" class=" ">MUJECLINIC</option>
<option value="RI006" class=" ">FOUNDATIONCLINIC</option>
<option value="RI007" class=" ">GBEYEHOSPITAL</option>
<option value="QPHM020" class=" ">QUEENOFPEACEHOSPITAL&MATERNITY</option>
<option value="PH0045" class=" ">EL-ROISPECIALISTCLINIC</option>
<option value="HC013" class=" ">HILTONCLINIC</option>
<option value="PHSMC006" class=" ">SOPHIKEMEDICALCENTRE</option>
<option value="GCMC029" class=" ">GREENCAREMEDICALCONSULTANTS</option>
<option value="PH0050" class=" ">MILITARYHOSPITAL</option>
<option value="NHC0041" class=" ">NEWHEIGHTSCONSULTANTSHOSPITALS</option>
<option value="RI012" class=" ">PRINCESSMEDICALCENTRE</option>
<option value="RI013" class=" ">PROVIDENCECLINIC&MATERNITYLTD,PORTHARCOURT</option>
<option value="RI030" class=" ">STPATRICK'SHOSPITALLTD</option>
<option value="NHCH0040" class=" ">NEWMILEONEHOSPITAL</option>
<option value="RI029" class=" ">MORNINGSTARHOSPITALLTD</option>
<option value="WHH060" class=" ">WESTHILLHOSPITAL</option>
<option value="BMH085" class=" ">BONMARIAHOSPITALLTD.</option>
<option value="PTMC013" class=" ">POTTERSTOUCHMEDICALCONSULTANT</option>
<option value="R1007" class=" ">GBEYEHOSPITAL</option>
<option value="PH0046" class=" ">PRESTIGEHOSPITAL</option>
<option value="ESH030" class=" ">EL-SPECIALISTHOSPITAL</option>
<option value="LCL059" class=" ">LIFECARECENTRELTD</option>
<option value="SSH049" class=" ">SHIELDSPECIALISTSHOSPITAL</option>
<option value="CMC059" class=" ">CUMIMEDICALCENTRE</option>
<option value="SO001" class=" ">SAHELSPECIALISTCLINIC</option>
<option value="SO002" class=" ">SOKOTOCLINIC</option>
<option value="TA002" class=" ">MAMBILLABAPTISTHOSPITAL</option>
<option value="YO001" class=" ">AJIKOMEDICALCENTRE</option>
<option value="YO002" class=" ">CITYMEDICALCENTRE,YOBE</option>
<option value="YO003" class=" ">POTISKUMMEDICALCENTRE</option>
<option value="ZA001" class=" ">DAULAHOSPITAL&MATERNITYHOME</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field85" data-index="22" style="width: 67%; display: none;"
class="form-element form-element-field85 options-false index-false form-element-22 default-true form-element-type-dropdown is-required-false odd -handle state-hidden">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Preferred Ultimate Hospital</span></span><span class="sub-label"><span>Preferred Ultimate
Hospital!</span></span></span>
<div><span class="error"></span><select data-is-required="false" class="validation-lenient" data-field-id="field85" name="field85" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Select Preferred Hospital Ultimate</option>
<option value="AB008" class=" ">CHRISTTHEKINGHOSPITAL,ABA</option>
<option value="AB012SP" class=" ">EKEOMAMEMORIALHOSPITAL</option>
<option value="AB003" class=" ">LIFECARECLINICSLTD</option>
<option value="AB004" class=" ">LIVINGWORDMISSIONHOSPITAL</option>
<option value="AB005" class=" ">NEWERAHOSPITAL,ABA</option>
<option value="TNC074" class=" ">THENAZARETHCLINIC</option>
<option value="AB002" class=" ">FEDERALMEDICALCENTRE,UMUAHIA</option>
<option value="FC022S" class=" ">ALLIANCEHOSPITAL,ABUJA</option>
<option value="FC001" class=" ">DARAMEDICALCENTRE</option>
<option value="FC012" class=" ">FEDERALSTAFFHOSPITAL,GWARINPA</option>
<option value="FC002" class=" ">FEREPRODMEDICALCENTRE</option>
<option value="FC003" class=" ">KINGSCAREHOSPITALLTD,WUSEZONE4</option>
<option value="FC004" class=" ">LIMIHOSPITAL&MATERNITYLTD,ABUJA</option>
<option value="FC008" class=" ">PISIONHOSPITAL</option>
<option value="FC020" class=" ">RUZMEDICALCENTRE</option>
<option value="LPH025" class=" ">LOUISPASTEURHOSPITAL</option>
<option value="SON0079" class=" ">SISTERSOFTHENATIVITYHOSPITAL</option>
<option value="FC009" class=" ">QUEENSCLINICLTD,ABUJA</option>
<option value="FC024" class=" ">EXCELSPECIALISTHOSPITAL</option>
<option value="SS052" class=" ">SOFTSHELLSPECIALISTHOSPITALLTD</option>
<option value="SCH055" class=" ">SPRINGBLOOMCOUNTYHOSPITAL</option>
<option value="JMCCH093" class=" ">JOYLANDMEDICALCENTREANDCHILDREN'SHOSPITAL</option>
<option value="FC023SP" class=" ">FAMILYCAREMULTICLINICSLTD</option>
<option value="FC005" class=" ">LIVINGSTREAMSPECIALISTMEDICALCENTRE</option>
<option value="FC010" class=" ">STMARY'SHOSPITAL,GWAGWALADA</option>
<option value="TMTC078" class=" ">TRAUMA&MULTISPECIALTYCENTER</option>
<option value="FC018" class=" ">KINGSCAREHOSPITALLTD,Kubwa</option>
<option value="ACK077" class=" ">ALLISONCLINICKUJE</option>
<option value="ASMC020" class=" ">ALFADSPECIALISTMEDICALCENTRE</option>
<option value="AD004" class=" ">SAUKIMEDICALCENTRE,YOLA</option>
<option value="AD003" class=" ">PEACEHOSPITAL</option>
<option value="CMC156" class=" ">CALEBMEDICALCENTER</option>
<option value="AK010" class=" ">VEDDYSONHOSPITAL</option>
<option value="AK003" class=" ">IHAFOUNDATIONMEDICALCENTRE</option>
<option value="AK017" class=" ">TOTALCARECLINICANDMATERNITY</option>
<option value="AK014" class=" ">CHRISTVICTORYMEDICALCENTRE</option>
<option value="AK005" class=" ">MOUNTOLIVEMEDICALCENTRE</option>
<option value="AK009" class=" ">UBONGABASISPECIALISTHOSPITAL</option>
<option value="AK015" class=" ">DOMINGOSPECIALISTHOSPITALS</option>
<option value="AN005" class=" ">DIVINEHOSPITALANDMATERNITY,AWKA</option>
<option value="PH0047" class=" ">OURLADYOFLOURDES</option>
<option value="AN012" class=" ">SEFTONSPECIALISTMEDICALCENTRE</option>
<option value="AN014" class=" ">CHIBUZORHOSPITAL&MATERNITY</option>
<option value="AN006" class=" ">FELIXOKOLOMEMORIALHOSPITAL,NNEWI</option>
<option value="AN009" class=" ">LIFESPECIALISTHOSPITAL</option>
<option value="JHM083" class=" ">JESUSISLORDROYALHOSPITALANDMATERNITY</option>
<option value="AN010" class=" ">MERCYSPECIALISTHOSPITAL&MATERNITY,ONITSHA</option>
<option value="KMC084" class=" ">KATAGUMMEDICALCENTER</option>
<option value="BA002" class=" ">NIIMACONSULTANTSHOSPITAL</option>
<option value="DE020S" class=" ">REMEE(RIMI)CLINIC</option>
<option value="BA003" class=" ">NINGICLINIC&MATERNITY</option>
<option value="BY005" class=" ">CRESTCONSULTANTCLINIC</option>
<option value="BY001" class=" ">FEDERALMEDICALCENTRE,YENAGOA</option>
<option value="BY004" class=" ">STPETERSHOSPITAL</option>
<option value="BE001" class=" ">BAKICLINICANDMATERNITY</option>
<option value="BE004" class=" ">NKSTHOSPITAL</option>
<option value="BE011FC" class=" ">FAMILYPRACTICEHOSPITAL</option>
<option value="BE010" class=" ">HOPEHOSPITAL</option>
<option value="BE003" class=" ">MADONNAHOSPITAL</option>
<option value="BE006" class=" ">PAMPASHOSPITAL&MATERNITY</option>
<option value="BE007" class=" ">QUEENSCLINICLTD,MAKURDI</option>
<option value="BE005" class=" ">OTIACLINIC</option>
<option value="BE008" class=" ">STANTHONYHOSPITAL</option>
<option value="BO001" class=" ">ABBOTTCLINIC</option>
<option value="BO002" class=" ">NAKOWASPECIALISTHOSPITAL</option>
<option value="BO003" class=" ">BORNOMEDICALCENTRE</option>
<option value="BO004" class=" ">KANEMHOSPITAL&MATERNITY</option>
<option value="CR015" class=" ">SANTAMARIACLINIC&MATERNITY</option>
<option value="CR001" class=" ">BAKORMEDICALCENTRE</option>
<option value="CR003" class=" ">CITYCLINIC,CALABAR</option>
<option value="CR005" class=" ">FAITHFOUNDATIONSPECIALISTCLINIC</option>
<option value="CR009" class=" ">IKPEMEMEDICALCENTRE</option>
<option value="ASH062" class=" ">ARUBAHSPECIALISTHOSPITAL,CALABAR</option>
<option value="UCTH063" class=" ">UNIVERSITYOFCALABARTEACHINGHOSPITAL</option>
<option value="CWH065" class=" ">CALABARWOMEN&CHILDRENHOSPITAL</option>
<option value="II066" class=" ">IMMANUELINFIRMARYCALABAR</option>
<option value="LMSH008" class=" ">LUCIAMAMEMORIALSPECIALISTHOSPITAL</option>
<option value="CR010" class=" ">MEVOMSPECIALISTCLINIC</option>
<option value="CR048" class=" ">AMADOMEDICALCENTRE</option>
<option value="CR008" class=" ">HOLYFAMILYCATHOLICHOSPITAL,IKOM</option>
<option value="BMCI055" class=" ">BAKORMEDICALCENTRE</option>
<option value="DE003" class=" ">ANIOMAHOSPITAL</option>
<option value="DE008" class=" ">GOODSAMARITANHOSPITALCOMPLEX</option>
<option value="SRSH057" class=" ">ST.REBECCASPECIALISTHOSPITAL</option>
<option value="ECH034" class=" ">EL-COMFORTHOSPITAL</option>
<option value="DELSUTH" class=" ">DELTASTATEUNIVERSITYTEACHINGHOSPITAL</option>
<option value="OLNCO48" class=" ">OURLADYOFNIGERIACATHOLICHOSPITAL</option>
<option value="LH044" class=" ">LANAHOSPITAL</option>
<option value="DE017" class=" ">OBULEMEDICALCENTRE</option>
<option value="DE007" class=" ">CAPITOLHILLCLINIC/HOSPITAL</option>
<option value="DE025" class=" ">VERTIMONMEDICALCENTRE</option>
<option value="FVH013" class=" ">FAIRVIEWHOSPITAL</option>
<option value="DE024" class=" ">B.UCLINIC/HOSPITALLTD</option>
<option value="RC082" class=" ">REGALCLINIC</option>
<option value="DSC083" class=" ">DAYSPRINGCLINIC</option>
<option value="EB003" class=" ">FELIXMEMORIALHOSPITAL,ABAKALIKI</option>
<option value="ED005" class=" ">FATEMEDICALCENTRE</option>
<option value="ED004" class=" ">FAITHMEDICALCENTRE</option>
<option value="ED007" class=" ">MODICMEDICALCENTRE</option>
<option value="ED008" class=" ">MOUNTGILEADHOSPITAL</option>
<option value="ED013" class=" ">STPHILOMENACATHOLICHOSPITAL</option>
<option value="ED014" class=" ">THEROCKHOSPITAL</option>
<option value="ED019" class=" ">EDIINTERNATIONALHOSPITALLTD</option>
<option value="ED041" class=" ">RAHIHOSPITALSLIMITED</option>
<option value="ED022" class=" ">IRRUASPECIALISTTEACHINGHOSPITAL</option>
<option value="EN003" class=" ">CHRISTTHEKING,ENUGU</option>
<option value="MCSH010" class=" ">MOTHEROFCHRISTSPECIALISTHOSPITAL</option>
<option value="EN005" class=" ">PEENOKMEDICALCENTRE</option>
<option value="EN006" class=" ">RISTELLAHOSPITAL</option>
<option value="EN008" class=" ">STMARY'SHOSPITAL&MATERNITY,ENUGU</option>
<option value="EN012" class=" ">LIVINGSTONSPECIALISTHOSPITAL</option>
<option value="EN013" class=" ">STDANIELCONSOLATAHOSPITAL</option>
<option value="EN009" class=" ">UNIVERSITYMEDICALCENTRE</option>
<option value="AMH078" class=" ">AKULUEMEMORIALHOSPITAL</option>
<option value="GO002" class=" ">FEDERALMEDICALCENTRE,GOMBE</option>
<option value="GO003" class=" ">MIYETTIHOSPITAL</option>
<option value="GO004" class=" ">METROCONSULTANTSCLINIC</option>
<option value="ICOO5" class=" ">IVORYCLINIC</option>
<option value="SMCCH004" class=" ">STMARYCHILDRENANDCOMMUNITYUMUOWA,ORLU</option>
<option value="IMUTH006" class=" ">IMOSTATEUNIVERSITYTEACHINGHOSPITAL,ORLU</option>
<option value="IM002" class=" ">EZEMMEDICALCENTRE</option>
<option value="IM011" class=" ">FEDERALMEDICALCENTRE,OWERRI</option>
<option value="FCH0042" class=" ">FIRSTCONCEPTHOSPITAL,OWERRI</option>
<option value="IM010" class=" ">IKENEGBUHOSPITAL,MATERNITY&LABORATORY</option>
<option value="IM003" class=" ">INTERNATIONALCHRISTIANHOSPITAL</option>
<option value="IM007" class=" ">LIFESPRINGSPECIALISTHOSPITAL</option>
<option value="IM005" class=" ">SALVATIONHOSPITAL&MATERNITY</option>
<option value="SEHM0043" class=" ">ST.ELIZABETHHOSPITALANDMATERNITY</option>
<option value="WHM001" class=" ">WINNIESHOSPITALANDMATERNITY</option>
<option value="A0077" class=" ">ALBARKACLINIC</option>
<option value="HHLO23" class=" ">HARMONYHOSPITALLIMITED</option>
<option value="KA001" class=" ">ALBARKAHOSPITAL&MATERNITY</option>
<option value="KA003" class=" ">AMINAHOSPITAL</option>
<option value="KA004" class=" ">CHASELHOSPITAL</option>
<option value="KA005" class=" ">GIWAHOSPITALLTD</option>
<option value="KA006" class=" ">ISHAKUHOSPITAL</option>
<option value="KA008" class=" ">JOWAKOHOSPITAL</option>
<option value="KA010" class=" ">MANEKSHOSPITAL</option>
<option value="KA012" class=" ">MENDSSPECIALISTHOSPITAL</option>
<option value="KA021S" class=" ">MULTICLINICSPECIALISTHOSPITAL</option>
<option value="KA013" class=" ">SEFAHOSPITAL</option>
<option value="KA014" class=" ">TIMUNITYSPECIALISTHOSPITAL</option>
<option value="SMC003" class=" ">SALEMMEDICALCENTRE</option>
<option value="KA002" class=" ">ALMADINACLINIC</option>
<option value="KA007" class=" ">JAMA'AHOSPITAL</option>
<option value="KA009" class=" ">LIMIHOSPITAL&MATERNITYLTD,ZARIA</option>
<option value="KA011" class=" ">MAYFAIRCLINICSNIGLTD</option>
<option value="KA016" class=" ">ST.LOUISHOSPITAL</option>
<option value="KN002" class=" ">IDEALHOSPITAL&MATERNITYLTD</option>
<option value="KN003" class=" ">INTERNATIONALCLINICS&HOSPITALS</option>
<option value="KN004" class=" ">PREMIERCLINIC,KANO</option>
<option value="KT003" class=" ">BISTITHOSPITALLTD</option>
<option value="KT007" class=" ">KHADIJAHMEDIPHARMCO.LTD</option>
<option value="KT009" class=" ">AMFANICLINICANDMATERNITY</option>
<option value="KT006" class=" ">KATSINANURSINGHOMELTD</option>
<option value="KMSH099" class=" ">KEBBIMULTI-SPECIALISTHOSPITAL</option>
<option value="EHL208" class=" ">EQUITYHOSPITALLIMITED</option>
<option value="DD094" class=" ">DDGMEDICALCENTRE</option>
<option value="KG001" class=" ">DUROSOLEYEHOSPITAL</option>
<option value="KG006" class=" ">TOWNSHIPCLINIC</option>
<option value="KG009" class=" ">MARIAGORETTIHOSPITAL</option>
<option value="KG010" class=" ">NEIGHBOURMULTICAREHOSPITAL&WOMENWELLFARECENTRELTD.</option>
<option value="KG002" class=" ">ECWAHOSPITAL</option>
<option value="KG007" class=" ">ODOMACLINICS</option>
<option value="KG008" class=" ">ST.JOHN'SCATHOLICHOSPITAL</option>
<option value="KG004" class=" ">NIGERHOSPITAL</option>
<option value="KG005" class=" ">POLYCLINICHOSPITAL&MATERNITY</option>
<option value="CSHFC203" class=" ">CARECRESTSPECIALISTHOSPITAL&FERTILITYCENTRE</option>
<option value="KW011S" class=" ">OGO-OLUWAHOSPITAL</option>
<option value="KW002" class=" ">ANCHORMEDHOSPITAL</option>
<option value="KW012" class=" ">BALMHOSPITALLTD</option>
<option value="KW185D" class=" ">DELNIKHOSPITAL</option>
<option value="KW182K" class=" ">KIDDIZMEDICALCENTRE</option>
<option value="KW003" class=" ">OLAOLUHOSPITAL</option>
<option value="KW004" class=" ">OLANREWAJUHOSPITALLTD</option>
<option value="KW005" class=" ">OMOLOLAHOSPITAL</option>
<option value="KW184M" class=" ">SADIKUHOSPITAL</option>
<option value="KW183M" class=" ">SURULEREMEDICALCENTRE</option>
<option value="KW007" class=" ">ROLAKIMCLINIC&MATERNITY</option>
<option value="DMC098" class=" ">DANDYMEDICALCENTRE</option>
<option value="SLCH018" class=" ">STANDARDLIFECAREHOSPITAL</option>
<option value="PGMC049" class=" ">P&GMEDICALCENTRE</option>
<option value="LA076" class=" ">ROPHEHOSPITAL</option>
<option value="LA006" class=" ">ALLSOULSINFIRMARY,AGEGE</option>
<option value="LA200" class=" ">BETTAHOSPITAL</option>
<option value="PMC084" class=" ">PROMISEMEDICALCENTRE</option>
<option value="BUDO1" class=" ">BUDOSPECIALISTHOSPITAL</option>
<option value="LA021SP" class=" ">DORENSPECIALISTHOSPITAL</option>
<option value="LA045SP" class=" ">J-RAPHACLINICS&HOSPITAL,AJAH</option>
<option value="LA233S" class=" ">STEDWARDSPECIALISTHOSPITAL&CARDIACCENTRE</option>
<option value="DHHS088" class=" ">DOVEHOSPITAL&HEALTHCARESERVICESLTD.</option>
<option value="LH055" class=" ">LENNOXHOSPITAL</option>
<option value="LA036SP" class=" ">HEALINGFIELDHOSPITAL</option>
<option value="HH024" class=" ">HEDAHOSPITAL</option>
<option value="RSH059" class=" ">RIVETSPECIALISTHOSPITAL</option>
<option value="ICH028" class=" ">ILOGBOCENTRALHOSPITAL</option>
<option value="LA005" class=" ">ALLSOULSCLINICS,AJEGUNLE</option>
<option value="KAAFM" class=" ">KAAFMATERNITYANDCHILDCARECENTRE</option>
<option value="LA135" class=" ">BEEHESSHOSPITAL</option>
<option value="RYHL029" class=" ">REM-YEMSHOSPITALLTD</option>
<option value="LH080" class=" ">LOBELHOSPITAL</option>
<option value="JEFF078" class=" ">JEFISSPECIALISTHOSPITAL</option>
<option value="GSH019" class=" ">GODFREYSPECIALISTHOSPITAL</option>
<option value="LA034" class=" ">GLORIAHOSPITALLTD</option>
<option value="LA086" class=" ">TINCANHOSPITALGROUP</option>
<option value="ONMC038" class=" ">OBISESANNAVALMEDICALCENTRE,APAPA</option>
<option value="AMH048" class=" ">AKANBIMEMORIALHOSPITAL</option>
<option value="LA084SP" class=" ">THEGREATPHYSICIANHOSPITAL</option>
<option value="CGH029" class=" ">CAREGIVERHOSPITAL,AJARA</option>
<option value="ALTH028" class=" ">ADEBAYOLIVINGTOWERHOSPITAL,IMEKE</option>
<option value="TRI0088" class=" ">THEROYALINFIRMARYHOSPITAL</option>
<option value="LA075SP" class=" ">R-JOLADHOSPITAL</option>
<option value="LA015SP" class=" ">CRYSTALSPECIALISTHOSPITAL</option>
<option value="SHMC086" class=" ">STONEHILLMEDICALCENTRE</option>
<option value="HWH082" class=" ">HOPEWELLHOSPITALLIMITED</option>
<option value="LA061" class=" ">MOUNTSINAIHOSPITALGROUP,EBUTE-METTA</option>
<option value="LA031" class=" ">FEDERALMEDICALCENTRE,EBUTE-METTA</option>
<option value="LA161" class=" ">CAREPOINTCLINICEGBEDALIMITED</option>
<option value="LA231" class=" ">STWILLIAMSHOSPITAL</option>
<option value="LHMH021" class=" ">LIGHTHOSPITALANDMATERNITYHOMELTD</option>
<option value="TCMH060" class=" ">TRUECAREMODELHOSPITAL</option>
<option value="GHE048" class=" ">GENERALHOSPITAL,EPE</option>
<option value="LA013" class=" ">CEDARHOSPITAL</option>
<option value="LA026SP" class=" ">EMELHOSPITAL</option>
<option value="LA035" class=" ">GOLDENCROSSINFIRMARY,FESTAC</option>
<option value="LA078" class=" ">SHEPHERDSPECIALISTHOSPITAL</option>
<option value="LA197SP" class=" ">AFRIMEDOGPSPECIALISTHOSPITAL</option>
<option value="LA009" class=" ">ANIYUNHOSPITALLIMITED</option>
<option value="PRSH012" class=" ">PRIMROSESPECIALISTHOSPITAL</option>
<option value="MH056" class=" ">MAKOGHOSPITALS</option>
<option value="LA083" class=" ">SUBOLHOSPITAL</option>
<option value="LA219" class=" ">STTHOMASHOSPITAL</option>
<option value="LA049" class=" ">LONGINGMEDICALCENTRE</option>
<option value="LA018" class=" ">DENEWAIYETOROMEDICALCENTRE</option>
<option value="AHML034" class=" ">ADEMOLAHOSPITAL&MATERNITYLTD</option>
<option value="LA069" class=" ">OSUNTUYIMEDICALCENTRE</option>
<option value="LA011" class=" ">BLUECROSSHOSPITAL</option>
<option value="LA022SP" class=" ">EKOHOSPITALPLC,IKEJA</option>
<option value="LA039" class=" ">HOLYTRINITYHOSPITAL</option>
<option value="LA058SP" class=" ">MOTAYOHOSPITAL</option>
<option value="LA188SP" class=" ">STMARYSSPECIALISTHOSPITAL,IKEJA</option>
<option value="LA020" class=" ">DONASHOSPITAL</option>
<option value="LA216" class=" ">JOBIHOSPITAL</option>
<option value="LA213" class=" ">OAKHOSPITALS</option>
<option value="LA225" class=" ">REALHOPEHOSPITAL</option>
<option value="SMC085" class=" ">SHANUMEDICALCENTRE</option>
<option value="LA228S" class=" ">M-CREDHOSPITALSLIMITED</option>
<option value="LA012" class=" ">BROADHOSPITAL&MATERNITY</option>
<option value="LA059" class=" ">MOUNTPISGAHHOSPITALLTD</option>
<option value="LA060" class=" ">MOUNTSINAIHOSPITAL,EGBE</option>
<option value="LA014SP" class=" ">CITIZENMEDICALCENTRE</option>
<option value="LA019" class=" ">DIVINEMEDICALCENTRE</option>
<option value="BCH059" class=" ">BESTCAREHOSPITAL</option>
<option value="LA142SP" class=" ">LAGOONHOSPITALHOSPITAL,IKOYI</option>
<option value="LA054" class=" ">MAYCLINICSLTD</option>
<option value="GCH091" class=" ">GODCURESHOSPITAL</option>
<option value="LA053" class=" ">MAYCLINICSLTD(Annex)</option>
<option value="LA090" class=" ">ULTIMAMEDICARE</option>
<option value="SMC085" class=" ">SHANUMEDICALCENTRE</option>
<option value="LA209" class=" ">G.ESTATECLINICCONSORTIUM</option>
<option value="LA141" class=" ">SOLADMEDICALCENTRE</option>
<option value="LA233" class=" ">SPARKVIEWHOSPITAL</option>
<option value="LA037" class=" ">HEALSSPECIALISTCLINIC</option>
<option value="LA080" class=" ">STEMMANUELHOSPITAL</option>
<option value="LA193SP" class=" ">KROWNHOSPITAL</option>
<option value="LA232" class=" ">MUCASHOSPITAL</option>
<option value="LA091" class=" ">VETAHOSPITALLTD</option>
<option value="YHMH086" class=" ">YOMBOHOSPITALANDMATERNITYHOMELIMITED</option>
<option value="DMC079" class=" ">DAFEMEDICALCENTRE</option>
<option value="THL045" class=" ">THEOHOSPITALLIMITED</option>
<option value="LA051" class=" ">AVONMEDICALSERVICESLTD(CLINIC)</option>
<option value="BC0089" class=" ">BERNICECLINIC</option>
<option value="LA032" class=" ">FIRSTCITYDIAGNOSISLTD</option>
<option value="LHL049" class=" ">LOUISMEDHOSPITALLIMITED</option>
<option value="LA215SP" class=" ">RAINBOWSPECIALISTMEDICALCENTRE</option>
<option value="LA088" class=" ">UDECOMEDICALCENTRE</option>
<option value="GHL020" class=" ">GERMAINEHOSPITAL,LEKKI</option>
<option value="" class=" ">KUPACENTERCENTER</option>
<option value="JEH019" class=" ">JERICHOHOSPITAL</option>
<option value="LA072SP" class=" ">PINECRESTSPECIALISTHOSPITAL</option>
<option value="LA211" class=" ">MAGODOSPECIALISTHOSPITAL</option>
<option value="FIH0091" class=" ">FIRSTHERITAGEHOSPITAL</option>
<option value="LA106H" class=" ">HILLSTARCLINICS(NIGERIA)LTD</option>
<option value="LA070" class=" ">OSUNTUYIMEDICALCENTRE(ANNEX)</option>
<option value="LA029SP" class=" ">FANIMEDHOSPITAL</option>
<option value="LA044SP" class=" ">ISALUHOSPITALLIMITED</option>
<option value="LA055SP" class=" ">MED-INSPECIALISTHOSPITAL</option>
<option value="LA194" class=" ">NIMBUSMEDICALCENTRE</option>
<option value="LA077" class=" ">ALHERIHOSPITAL,LAGOS</option>
<option value="LA214" class=" ">SOLIDROCKHOSPITALLTD</option>
<option value="HCH051" class=" ">HOREBCONSULTHOSPITAL</option>
<option value="CCHO51S" class=" ">CHILDKIDCHILDRENHOSPITAL</option>
<option value="LA189" class=" ">SIKEOYEHOPECLINIC</option>
<option value="LA004" class=" ">AKINBOLADESPECIALISTHOSPITAL</option>
<option value="LA025" class=" ">ELPHYSPECIALISTHOSPITAL</option>
<option value="LA047" class=" ">KILADEJOHOSPITAL&SPECIALISTCLINICS</option>
<option value="LA081" class=" ">STANTHONYMEDICALCENTRE&MATERNITYHOMELTD</option>
<option value="LA082" class=" ">STRAPHAELSHOSPITALLTD</option>
<option value="NEHL221" class=" ">NEWEVOLUTIONHOSPITALLTD</option>
<option value="LA067" class=" ">OMNIMEDICALCENTRE,ONIKAN</option>
<option value="DSMC048" class=" ">DIALYZERSPECIALISTMEDICALCENTRE</option>
<option value="GMC044" class=" ">GOODNESSMEDICALCENTRE</option>
<option value="MMC065" class=" ">MAZAFMEDICALCENTRE</option>
<option value="GCH091" class=" ">GODCURESHOSPITAL</option>
<option value="RTMC006" class=" ">RHOWILTOTAL-CAREMEDICALCENTRE</option>
<option value="LA030" class=" ">FASANMICLINIC&MATERNITYHOMELTD</option>
<option value="LA230" class=" ">IGBOLOGUNMEDICALCENTRE</option>
<option value="LA001" class=" ">ABSPECIALISTHOSPITAL</option>
<option value="LA052SP" class=" ">AVONMEDICALSERVICESLTD(HOSPITAL)</option>
<option value="LA016" class=" ">DAN-EGERTONHOSPITAL</option>
<option value="LA017" class=" ">DAN-EGERTONHOSPITAL</option>
<option value="LA023" class=" ">EKOHOSPITALPLC,SURULERE</option>
<option value="LA056" class=" ">MERCY-THOMASOREDUGBAMEDICALCENTRE</option>
<option value="LA057" class=" ">MEZONELHOSPITAL</option>
<option value="LA062" class=" ">NEWDAYSPECIALISTCLINIC</option>
<option value="LA065SP" class=" ">OLANIBAMEMORIALHOSPITAL</option>
<option value="LA073SP" class=" ">PROVIDENCEHOSPITALLTD,SURULERE</option>
<option value="LA087" class=" ">TOPAZCLINC</option>
<option value="LA205" class=" ">TUNRAYOHOSPITAL</option>
<option value="NMC019" class=" ">NAVALMEDICALCENTRE</option>
<option value="NA005" class=" ">NAGARIALLAHMAGANIHOSPITAL</option>
<option value="NA011" class=" ">JAMAAMEDICALCENTRE</option>
<option value="NA009" class=" ">AGUHOSPITAL</option>
<option value="NA003" class=" ">HENADMEDICALCENTRE</option>
<option value="NA007" class=" ">SAUKIHOSPITAL,LAFIA</option>
<option value="NA004" class=" ">KINGSCAREHOSPITALLTD,MARARABA</option>
<option value="NG014" class=" ">NASARACLINIC&MATERNITYHOSPITAL</option>
<option value="NG015" class=" ">RAINBOWCLINIC&MATERNITY</option>
<option value="NG002" class=" ">BAYSPECIALISTHOSPITAL</option>
<option value="NG010" class=" ">GREATFAITHMEDICALCENTRE</option>
<option value="NG017" class=" ">TOPMEDICALCLINIC</option>
<option value="SHDS056" class=" ">STANDARDHOSPITAL&DIAGNOSTICSERVICES</option>
<option value="NG012" class=" ">KAINJIMEDICALCENTRE</option>
<option value="NG004" class=" ">FARYGROUPCLINIC</option>
<option value="CHL017" class=" ">CHARLESHEALTHCARELTD</option>
<option value="SMC090" class=" ">SUZANMEMORIALCLINIC</option>
<option value="OG007" class=" ">FIRSTALPHAMEDICALCENTRE</option>
<option value="OG009" class=" ">MERCYGROUPCLINICS</option>
<option value="OG012" class=" ">SACREDHEARTHOSPITAL</option>
<option value="AESH041" class=" ">ANGEL&EAGLESPECIALISTHOSPITAL</option>
<option value="OG021SP" class=" ">JOSEPHANDCHRISTIANAHSPECIALISTHOSPITAL</option>
<option value="SSH030" class=" ">SOLAMEKSPECIALISTHOSPITAL</option>
<option value="OG024S" class=" ">BEACHLANDSPECIALISTHOSPITAL</option>
<option value="LH059" class=" ">LABITRIXHOSPITAL</option>
<option value="OG001" class=" ">AKOBISPECIALISTHOSPITAL</option>
<option value="OG019SP" class=" ">LAFIAKOWAHOSPITAL</option>
<option value="OG020" class=" ">PETERSONMEDICALCENTRE</option>
<option value="OG026" class=" ">ST.MICHAEL-ISRAELSPECIALISTHOSPITALLTD.</option>
<option value="SLCH018" class=" ">STANDARDLIFECAREHOSPITAL</option>
<option value="OG015B" class=" ">BROADLANDHOSPITALSERVICESLTD</option>
<option value="TRHC076" class=" ">REDEEMERHEALTHCENTRE</option>
<option value="ALH059" class=" ">ABUNDANTLIFEHSOPITAL</option>
<option value="MPH011" class=" ">MEDICPLUSHOSPITAL</option>
<option value="OG014" class=" ">OTUNBATUWASENATIONALPAEDIATRICCENTRE</option>
<option value="OG008" class=" ">ACEMEDICARECLINICS</option>
<option value="OG23S" class=" ">FARAMEDCLINICS</option>
<option value="OG025" class=" ">IDERAHEALTHSERVICESLIMITED</option>
<option value="ISHS59" class=" ">IMPERIALSPECIALISTHOSPITALSERVICES</option>
<option value="PMC083" class=" ">PROMISEMEDICALCENTRE</option>
<option value="FMS049" class=" ">FAMEMEDICALSERVICES</option>
<option value="SC050" class=" ">SHIRISHCLINIC</option>
<option value="HMC028" class=" ">HETTAMEDICALCENTRE</option>
<option value="SSMC035" class=" ">ST.SHILOHMEDICALCENTRE</option>
<option value="ON003" class=" ">FIRSTMERCYSPECIALISTHOSPITAL</option>
<option value="ON011" class=" ">TIMUNITYSPECIALISTHOSPITAL</option>
<option value="LHI095" class=" ">LULIHOSPITAL</option>
<option value="IMC" class=" ">INLANDMEDICALCENTRE</option>
<option value="ON007" class=" ">IBUKUN-OLUHOSPITALS</option>
<option value="SSH094" class=" ">STATESPECIALISTHOSPITAL</option>
<option value="ON001" class=" ">BABALOLAMEDICALCENTRE</option>
<option value="AMD" class=" ">ARIFMEDICALCENTRE</option>
<option value="PHM" class=" ">PIMAHOSPITALANDMATERNITY</option>
<option value="OS006SP" class=" ">OAUTHCOMPLEX</option>
<option value="OS007SP" class=" ">ST.VICTORIASPECIALISTHOSPITAL</option>
<option value="AMC057" class=" ">APEXMEDICALCENTRE</option>
<option value="OS005" class=" ">ADENLEMEMORIALHOSPITAL</option>
<option value="LPMC049" class=" ">LIVINGPETALSMEDICALCENTRE</option>
<option value="OS009" class=" ">EMMANUELMEDICALCENTRE</option>
<option value="OS001" class=" ">ABAKEMEDICALCENTRE</option>
<option value="OS002" class=" ">BIKETMEDICALCENTRE</option>
<option value="OS003" class=" ">ONWARDSPECIALISTHOSPITAL</option>
<option value="OS004" class=" ">OROKISPECIALISTHOSPITAL</option>
<option value="OY001" class=" ">ALAFIAHOSPITAL</option>
<option value="OY002" class=" ">BADEJOKOMEMORIALHOSP&MATERNITY</option>
<option value="OY003" class=" ">BANBYSPECIALISTHOSPITAL</option>
<option value="OY005" class=" ">FELEWAHOSPITALXXX</option>
<option value="OY007" class=" ">JOLAMADESPECIALISTHOSPITAL</option>
<option value="OY008" class=" ">J-RAPHACLINICS&HOSPITAL,IBADAN</option>
<option value="OY020" class=" ">LANARKSPECIALISTHOSPITAL</option>
<option value="OY009" class=" ">MEDICALPRACTITIONERSLTD</option>
<option value="OY010" class=" ">MOLLYSPECIALISTHOSPITAL</option>
<option value="OY015" class=" ">TEJUSPECIALISTHOSPITAL</option>
<option value="OY022S" class=" ">THEVINEHOSPITAL&MATERNITYCENTRE</option>
<option value="TMC018" class=" ">TOBIMEDICALCENTRELTD</option>
<option value="ZSMH033" class=" ">ZOESPECIALISTMISSIONHOSPITAL</option>
<option value="OY006" class=" ">IRETI-OLUHOSPITAL</option>
<option value="OY013" class=" ">SHEKINAHMEDICALCENTRE</option>
<option value="OY011" class=" ">MOMOHMEMORIALHOSPITAL</option>
<option value="OY012" class=" ">BAPTISTMEDICALCENTRE,SAKI</option>
<option value="PL002" class=" ">FOCUSHOSPITAL</option>
<option value="KSH0078" class=" ">KAUNASPECIALISTHOSPITAL</option>
<option value="MSH0076" class=" ">MARYSOLSPECIALISTHOSPITAL</option>
<option value="PL005" class=" ">SAUKIGROUPOFCLINICSANDMATERNITY,JOS</option>
<option value="FGH029" class=" ">FERTILEGROUNDHOSPITALLTD</option>
<option value="PL003" class=" ">MAYHOSPITAL,SHENDAM</option>
<option value="RI007" class=" ">GBEYEHOSPITAL</option>
<option value="RI002" class=" ">DELTASPECIALISTHOSPITAL</option>
<option value="MCE049" class=" ">MUJECLINIC</option>
<option value="RI006" class=" ">FOUNDATIONCLINIC</option>
<option value="RI007" class=" ">GBEYEHOSPITAL</option>
<option value="QPHM020" class=" ">QUEENOFPEACEHOSPITAL&MATERNITY</option>
<option value="PH0045" class=" ">EL-ROISPECIALISTCLINIC</option>
<option value="HC013" class=" ">HILTONCLINIC</option>
<option value="PHSMC006" class=" ">SOPHIKEMEDICALCENTRE</option>
<option value="GCMC029" class=" ">GREENCAREMEDICALCONSULTANTS</option>
<option value="PH0050" class=" ">MILITARYHOSPITAL</option>
<option value="NHC0041" class=" ">NEWHEIGHTSCONSULTANTSHOSPITALS</option>
<option value="RI012" class=" ">PRINCESSMEDICALCENTRE</option>
<option value="RI013" class=" ">PROVIDENCECLINIC&MATERNITYLTD,PORTHARCOURT</option>
<option value="RI030" class=" ">STPATRICK'SHOSPITALLTD</option>
<option value="NHCH0040" class=" ">NEWMILEONEHOSPITAL</option>
<option value="RI029" class=" ">MORNINGSTARHOSPITALLTD</option>
<option value="WHH060" class=" ">WESTHILLHOSPITAL</option>
<option value="BMH085" class=" ">BONMARIAHOSPITALLTD.</option>
<option value="PTMC013" class=" ">POTTERSTOUCHMEDICALCONSULTANT</option>
<option value="R1007" class=" ">GBEYEHOSPITAL</option>
<option value="PH0046" class=" ">PRESTIGEHOSPITAL</option>
<option value="ESH030" class=" ">EL-SPECIALISTHOSPITAL</option>
<option value="LCL059" class=" ">LIFECARECENTRELTD</option>
<option value="SSH049" class=" ">SHIELDSPECIALISTSHOSPITAL</option>
<option value="CMC059" class=" ">CUMIMEDICALCENTRE</option>
<option value="SO001" class=" ">SAHELSPECIALISTCLINIC</option>
<option value="SO002" class=" ">SOKOTOCLINIC</option>
<option value="TA002" class=" ">MAMBILLABAPTISTHOSPITAL</option>
<option value="YO001" class=" ">AJIKOMEDICALCENTRE</option>
<option value="YO002" class=" ">CITYMEDICALCENTRE,YOBE</option>
<option value="YO003" class=" ">POTISKUMMEDICALCENTRE</option>
<option value="ZA001" class=" ">DAULAHOSPITAL&MATERNITYHOME</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field80" data-index="23" style="width: 67%; display: none;"
class="even form-element form-element-field80 options-false index-false form-element-23 default-true form-element-type-dropdown is-required-false -handle state-hidden">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Preferred Others Hospital</span></span><span class="sub-label"><span>Preferred Others
Hospital!</span></span></span>
<div><span class="error"></span><select data-is-required="false" class="validation-lenient" data-field-id="field80" name="field80" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Select Preferred Hospital Others</option>
<option value="AB008" class=" ">CHRISTTHEKINGHOSPITAL,ABA</option>
<option value="AB012SP" class=" ">EKEOMAMEMORIALHOSPITAL</option>
<option value="AB003" class=" ">LIFECARECLINICSLTD</option>
<option value="AB004" class=" ">LIVINGWORDMISSIONHOSPITAL</option>
<option value="AB005" class=" ">NEWERAHOSPITAL,ABA</option>
<option value="TNC074" class=" ">THENAZARETHCLINIC</option>
<option value="AB002" class=" ">FEDERALMEDICALCENTRE,UMUAHIA</option>
<option value="FC022S" class=" ">ALLIANCEHOSPITAL,ABUJA</option>
<option value="FC001" class=" ">DARAMEDICALCENTRE</option>
<option value="FC012" class=" ">FEDERALSTAFFHOSPITAL,GWARINPA</option>
<option value="FC002" class=" ">FEREPRODMEDICALCENTRE</option>
<option value="FC003" class=" ">KINGSCAREHOSPITALLTD,WUSEZONE4</option>
<option value="FC004" class=" ">LIMIHOSPITAL&MATERNITYLTD,ABUJA</option>
<option value="FC008" class=" ">PISIONHOSPITAL</option>
<option value="FC020" class=" ">RUZMEDICALCENTRE</option>
<option value="LPH025" class=" ">LOUISPASTEURHOSPITAL</option>
<option value="SON0079" class=" ">SISTERSOFTHENATIVITYHOSPITAL</option>
<option value="FC009" class=" ">QUEENSCLINICLTD,ABUJA</option>
<option value="FC024" class=" ">EXCELSPECIALISTHOSPITAL</option>
<option value="SS052" class=" ">SOFTSHELLSPECIALISTHOSPITALLTD</option>
<option value="SCH055" class=" ">SPRINGBLOOMCOUNTYHOSPITAL</option>
<option value="JMCCH093" class=" ">JOYLANDMEDICALCENTREANDCHILDREN'SHOSPITAL</option>
<option value="FC023SP" class=" ">FAMILYCAREMULTICLINICSLTD</option>
<option value="FC005" class=" ">LIVINGSTREAMSPECIALISTMEDICALCENTRE</option>
<option value="FC010" class=" ">STMARY'SHOSPITAL,GWAGWALADA</option>
<option value="TMTC078" class=" ">TRAUMA&MULTISPECIALTYCENTER</option>
<option value="FC018" class=" ">KINGSCAREHOSPITALLTD,Kubwa</option>
<option value="ACK077" class=" ">ALLISONCLINICKUJE</option>
<option value="ASMC020" class=" ">ALFADSPECIALISTMEDICALCENTRE</option>
<option value="AD004" class=" ">SAUKIMEDICALCENTRE,YOLA</option>
<option value="AD003" class=" ">PEACEHOSPITAL</option>
<option value="CMC156" class=" ">CALEBMEDICALCENTER</option>
<option value="AK010" class=" ">VEDDYSONHOSPITAL</option>
<option value="AK003" class=" ">IHAFOUNDATIONMEDICALCENTRE</option>
<option value="AK017" class=" ">TOTALCARECLINICANDMATERNITY</option>
<option value="AK014" class=" ">CHRISTVICTORYMEDICALCENTRE</option>
<option value="AK005" class=" ">MOUNTOLIVEMEDICALCENTRE</option>
<option value="AK009" class=" ">UBONGABASISPECIALISTHOSPITAL</option>
<option value="AK015" class=" ">DOMINGOSPECIALISTHOSPITALS</option>
<option value="AN005" class=" ">DIVINEHOSPITALANDMATERNITY,AWKA</option>
<option value="PH0047" class=" ">OURLADYOFLOURDES</option>
<option value="AN012" class=" ">SEFTONSPECIALISTMEDICALCENTRE</option>
<option value="AN014" class=" ">CHIBUZORHOSPITAL&MATERNITY</option>
<option value="AN006" class=" ">FELIXOKOLOMEMORIALHOSPITAL,NNEWI</option>
<option value="AN009" class=" ">LIFESPECIALISTHOSPITAL</option>
<option value="JHM083" class=" ">JESUSISLORDROYALHOSPITALANDMATERNITY</option>
<option value="AN010" class=" ">MERCYSPECIALISTHOSPITAL&MATERNITY,ONITSHA</option>
<option value="KMC084" class=" ">KATAGUMMEDICALCENTER</option>
<option value="BA002" class=" ">NIIMACONSULTANTSHOSPITAL</option>
<option value="DE020S" class=" ">REMEE(RIMI)CLINIC</option>
<option value="BA003" class=" ">NINGICLINIC&MATERNITY</option>
<option value="BY005" class=" ">CRESTCONSULTANTCLINIC</option>
<option value="BY001" class=" ">FEDERALMEDICALCENTRE,YENAGOA</option>
<option value="BY004" class=" ">STPETERSHOSPITAL</option>
<option value="BE001" class=" ">BAKICLINICANDMATERNITY</option>
<option value="BE004" class=" ">NKSTHOSPITAL</option>
<option value="BE011FC" class=" ">FAMILYPRACTICEHOSPITAL</option>
<option value="BE010" class=" ">HOPEHOSPITAL</option>
<option value="BE003" class=" ">MADONNAHOSPITAL</option>
<option value="BE006" class=" ">PAMPASHOSPITAL&MATERNITY</option>
<option value="BE007" class=" ">QUEENSCLINICLTD,MAKURDI</option>
<option value="BE005" class=" ">OTIACLINIC</option>
<option value="BE008" class=" ">STANTHONYHOSPITAL</option>
<option value="BO001" class=" ">ABBOTTCLINIC</option>
<option value="BO002" class=" ">NAKOWASPECIALISTHOSPITAL</option>
<option value="BO003" class=" ">BORNOMEDICALCENTRE</option>
<option value="BO004" class=" ">KANEMHOSPITAL&MATERNITY</option>
<option value="CR015" class=" ">SANTAMARIACLINIC&MATERNITY</option>
<option value="CR001" class=" ">BAKORMEDICALCENTRE</option>
<option value="CR003" class=" ">CITYCLINIC,CALABAR</option>
<option value="CR005" class=" ">FAITHFOUNDATIONSPECIALISTCLINIC</option>
<option value="CR009" class=" ">IKPEMEMEDICALCENTRE</option>
<option value="ASH062" class=" ">ARUBAHSPECIALISTHOSPITAL,CALABAR</option>
<option value="UCTH063" class=" ">UNIVERSITYOFCALABARTEACHINGHOSPITAL</option>
<option value="CWH065" class=" ">CALABARWOMEN&CHILDRENHOSPITAL</option>
<option value="II066" class=" ">IMMANUELINFIRMARYCALABAR</option>
<option value="LMSH008" class=" ">LUCIAMAMEMORIALSPECIALISTHOSPITAL</option>
<option value="CR010" class=" ">MEVOMSPECIALISTCLINIC</option>
<option value="CR048" class=" ">AMADOMEDICALCENTRE</option>
<option value="CR008" class=" ">HOLYFAMILYCATHOLICHOSPITAL,IKOM</option>
<option value="BMCI055" class=" ">BAKORMEDICALCENTRE</option>
<option value="DE003" class=" ">ANIOMAHOSPITAL</option>
<option value="DE008" class=" ">GOODSAMARITANHOSPITALCOMPLEX</option>
<option value="SRSH057" class=" ">ST.REBECCASPECIALISTHOSPITAL</option>
<option value="ECH034" class=" ">EL-COMFORTHOSPITAL</option>
<option value="DELSUTH" class=" ">DELTASTATEUNIVERSITYTEACHINGHOSPITAL</option>
<option value="OLNCO48" class=" ">OURLADYOFNIGERIACATHOLICHOSPITAL</option>
<option value="LH044" class=" ">LANAHOSPITAL</option>
<option value="DE017" class=" ">OBULEMEDICALCENTRE</option>
<option value="DE007" class=" ">CAPITOLHILLCLINIC/HOSPITAL</option>
<option value="DE025" class=" ">VERTIMONMEDICALCENTRE</option>
<option value="FVH013" class=" ">FAIRVIEWHOSPITAL</option>
<option value="DE024" class=" ">B.UCLINIC/HOSPITALLTD</option>
<option value="RC082" class=" ">REGALCLINIC</option>
<option value="DSC083" class=" ">DAYSPRINGCLINIC</option>
<option value="EB003" class=" ">FELIXMEMORIALHOSPITAL,ABAKALIKI</option>
<option value="ED005" class=" ">FATEMEDICALCENTRE</option>
<option value="ED004" class=" ">FAITHMEDICALCENTRE</option>
<option value="ED007" class=" ">MODICMEDICALCENTRE</option>
<option value="ED008" class=" ">MOUNTGILEADHOSPITAL</option>
<option value="ED013" class=" ">STPHILOMENACATHOLICHOSPITAL</option>
<option value="ED014" class=" ">THEROCKHOSPITAL</option>
<option value="ED019" class=" ">EDIINTERNATIONALHOSPITALLTD</option>
<option value="ED041" class=" ">RAHIHOSPITALSLIMITED</option>
<option value="ED022" class=" ">IRRUASPECIALISTTEACHINGHOSPITAL</option>
<option value="EN003" class=" ">CHRISTTHEKING,ENUGU</option>
<option value="MCSH010" class=" ">MOTHEROFCHRISTSPECIALISTHOSPITAL</option>
<option value="EN005" class=" ">PEENOKMEDICALCENTRE</option>
<option value="EN006" class=" ">RISTELLAHOSPITAL</option>
<option value="EN008" class=" ">STMARY'SHOSPITAL&MATERNITY,ENUGU</option>
<option value="EN012" class=" ">LIVINGSTONSPECIALISTHOSPITAL</option>
<option value="EN013" class=" ">STDANIELCONSOLATAHOSPITAL</option>
<option value="EN009" class=" ">UNIVERSITYMEDICALCENTRE</option>
<option value="AMH078" class=" ">AKULUEMEMORIALHOSPITAL</option>
<option value="GO002" class=" ">FEDERALMEDICALCENTRE,GOMBE</option>
<option value="GO003" class=" ">MIYETTIHOSPITAL</option>
<option value="GO004" class=" ">METROCONSULTANTSCLINIC</option>
<option value="ICOO5" class=" ">IVORYCLINIC</option>
<option value="SMCCH004" class=" ">STMARYCHILDRENANDCOMMUNITYUMUOWA,ORLU</option>
<option value="IMUTH006" class=" ">IMOSTATEUNIVERSITYTEACHINGHOSPITAL,ORLU</option>
<option value="IM002" class=" ">EZEMMEDICALCENTRE</option>
<option value="IM011" class=" ">FEDERALMEDICALCENTRE,OWERRI</option>
<option value="FCH0042" class=" ">FIRSTCONCEPTHOSPITAL,OWERRI</option>
<option value="IM010" class=" ">IKENEGBUHOSPITAL,MATERNITY&LABORATORY</option>
<option value="IM003" class=" ">INTERNATIONALCHRISTIANHOSPITAL</option>
<option value="IM007" class=" ">LIFESPRINGSPECIALISTHOSPITAL</option>
<option value="IM005" class=" ">SALVATIONHOSPITAL&MATERNITY</option>
<option value="SEHM0043" class=" ">ST.ELIZABETHHOSPITALANDMATERNITY</option>
<option value="WHM001" class=" ">WINNIESHOSPITALANDMATERNITY</option>
<option value="A0077" class=" ">ALBARKACLINIC</option>
<option value="HHLO23" class=" ">HARMONYHOSPITALLIMITED</option>
<option value="KA001" class=" ">ALBARKAHOSPITAL&MATERNITY</option>
<option value="KA003" class=" ">AMINAHOSPITAL</option>
<option value="KA004" class=" ">CHASELHOSPITAL</option>
<option value="KA005" class=" ">GIWAHOSPITALLTD</option>
<option value="KA006" class=" ">ISHAKUHOSPITAL</option>
<option value="KA008" class=" ">JOWAKOHOSPITAL</option>
<option value="KA010" class=" ">MANEKSHOSPITAL</option>
<option value="KA012" class=" ">MENDSSPECIALISTHOSPITAL</option>
<option value="KA021S" class=" ">MULTICLINICSPECIALISTHOSPITAL</option>
<option value="KA013" class=" ">SEFAHOSPITAL</option>
<option value="KA014" class=" ">TIMUNITYSPECIALISTHOSPITAL</option>
<option value="SMC003" class=" ">SALEMMEDICALCENTRE</option>
<option value="KA002" class=" ">ALMADINACLINIC</option>
<option value="KA007" class=" ">JAMA'AHOSPITAL</option>
<option value="KA009" class=" ">LIMIHOSPITAL&MATERNITYLTD,ZARIA</option>
<option value="KA011" class=" ">MAYFAIRCLINICSNIGLTD</option>
<option value="KA016" class=" ">ST.LOUISHOSPITAL</option>
<option value="KN002" class=" ">IDEALHOSPITAL&MATERNITYLTD</option>
<option value="KN003" class=" ">INTERNATIONALCLINICS&HOSPITALS</option>
<option value="KN004" class=" ">PREMIERCLINIC,KANO</option>
<option value="KT003" class=" ">BISTITHOSPITALLTD</option>
<option value="KT007" class=" ">KHADIJAHMEDIPHARMCO.LTD</option>
<option value="KT009" class=" ">AMFANICLINICANDMATERNITY</option>
<option value="KT006" class=" ">KATSINANURSINGHOMELTD</option>
<option value="KMSH099" class=" ">KEBBIMULTI-SPECIALISTHOSPITAL</option>
<option value="EHL208" class=" ">EQUITYHOSPITALLIMITED</option>
<option value="DD094" class=" ">DDGMEDICALCENTRE</option>
<option value="KG001" class=" ">DUROSOLEYEHOSPITAL</option>
<option value="KG006" class=" ">TOWNSHIPCLINIC</option>
<option value="KG009" class=" ">MARIAGORETTIHOSPITAL</option>
<option value="KG010" class=" ">NEIGHBOURMULTICAREHOSPITAL&WOMENWELLFARECENTRELTD.</option>
<option value="KG002" class=" ">ECWAHOSPITAL</option>
<option value="KG007" class=" ">ODOMACLINICS</option>
<option value="KG008" class=" ">ST.JOHN'SCATHOLICHOSPITAL</option>
<option value="KG004" class=" ">NIGERHOSPITAL</option>
<option value="KG005" class=" ">POLYCLINICHOSPITAL&MATERNITY</option>
<option value="CSHFC203" class=" ">CARECRESTSPECIALISTHOSPITAL&FERTILITYCENTRE</option>
<option value="KW011S" class=" ">OGO-OLUWAHOSPITAL</option>
<option value="KW002" class=" ">ANCHORMEDHOSPITAL</option>
<option value="KW012" class=" ">BALMHOSPITALLTD</option>
<option value="KW185D" class=" ">DELNIKHOSPITAL</option>
<option value="KW182K" class=" ">KIDDIZMEDICALCENTRE</option>
<option value="KW003" class=" ">OLAOLUHOSPITAL</option>
<option value="KW004" class=" ">OLANREWAJUHOSPITALLTD</option>
<option value="KW005" class=" ">OMOLOLAHOSPITAL</option>
<option value="KW184M" class=" ">SADIKUHOSPITAL</option>
<option value="KW183M" class=" ">SURULEREMEDICALCENTRE</option>
<option value="KW007" class=" ">ROLAKIMCLINIC&MATERNITY</option>
<option value="DMC098" class=" ">DANDYMEDICALCENTRE</option>
<option value="SLCH018" class=" ">STANDARDLIFECAREHOSPITAL</option>
<option value="PGMC049" class=" ">P&GMEDICALCENTRE</option>
<option value="LA076" class=" ">ROPHEHOSPITAL</option>
<option value="LA006" class=" ">ALLSOULSINFIRMARY,AGEGE</option>
<option value="LA200" class=" ">BETTAHOSPITAL</option>
<option value="PMC084" class=" ">PROMISEMEDICALCENTRE</option>
<option value="BUDO1" class=" ">BUDOSPECIALISTHOSPITAL</option>
<option value="LA021SP" class=" ">DORENSPECIALISTHOSPITAL</option>
<option value="LA045SP" class=" ">J-RAPHACLINICS&HOSPITAL,AJAH</option>
<option value="LA233S" class=" ">STEDWARDSPECIALISTHOSPITAL&CARDIACCENTRE</option>
<option value="DHHS088" class=" ">DOVEHOSPITAL&HEALTHCARESERVICESLTD.</option>
<option value="LH055" class=" ">LENNOXHOSPITAL</option>
<option value="LA036SP" class=" ">HEALINGFIELDHOSPITAL</option>
<option value="HH024" class=" ">HEDAHOSPITAL</option>
<option value="RSH059" class=" ">RIVETSPECIALISTHOSPITAL</option>
<option value="ICH028" class=" ">ILOGBOCENTRALHOSPITAL</option>
<option value="LA005" class=" ">ALLSOULSCLINICS,AJEGUNLE</option>
<option value="KAAFM" class=" ">KAAFMATERNITYANDCHILDCARECENTRE</option>
<option value="LA135" class=" ">BEEHESSHOSPITAL</option>
<option value="RYHL029" class=" ">REM-YEMSHOSPITALLTD</option>
<option value="LH080" class=" ">LOBELHOSPITAL</option>
<option value="JEFF078" class=" ">JEFISSPECIALISTHOSPITAL</option>
<option value="GSH019" class=" ">GODFREYSPECIALISTHOSPITAL</option>
<option value="LA034" class=" ">GLORIAHOSPITALLTD</option>
<option value="LA086" class=" ">TINCANHOSPITALGROUP</option>
<option value="ONMC038" class=" ">OBISESANNAVALMEDICALCENTRE,APAPA</option>
<option value="AMH048" class=" ">AKANBIMEMORIALHOSPITAL</option>
<option value="LA084SP" class=" ">THEGREATPHYSICIANHOSPITAL</option>
<option value="CGH029" class=" ">CAREGIVERHOSPITAL,AJARA</option>
<option value="ALTH028" class=" ">ADEBAYOLIVINGTOWERHOSPITAL,IMEKE</option>
<option value="TRI0088" class=" ">THEROYALINFIRMARYHOSPITAL</option>
<option value="LA075SP" class=" ">R-JOLADHOSPITAL</option>
<option value="LA015SP" class=" ">CRYSTALSPECIALISTHOSPITAL</option>
<option value="SHMC086" class=" ">STONEHILLMEDICALCENTRE</option>
<option value="HWH082" class=" ">HOPEWELLHOSPITALLIMITED</option>
<option value="LA061" class=" ">MOUNTSINAIHOSPITALGROUP,EBUTE-METTA</option>
<option value="LA031" class=" ">FEDERALMEDICALCENTRE,EBUTE-METTA</option>
<option value="LA161" class=" ">CAREPOINTCLINICEGBEDALIMITED</option>
<option value="LA231" class=" ">STWILLIAMSHOSPITAL</option>
<option value="LHMH021" class=" ">LIGHTHOSPITALANDMATERNITYHOMELTD</option>
<option value="TCMH060" class=" ">TRUECAREMODELHOSPITAL</option>
<option value="GHE048" class=" ">GENERALHOSPITAL,EPE</option>
<option value="LA013" class=" ">CEDARHOSPITAL</option>
<option value="LA026SP" class=" ">EMELHOSPITAL</option>
<option value="LA035" class=" ">GOLDENCROSSINFIRMARY,FESTAC</option>
<option value="LA078" class=" ">SHEPHERDSPECIALISTHOSPITAL</option>
<option value="LA197SP" class=" ">AFRIMEDOGPSPECIALISTHOSPITAL</option>
<option value="LA009" class=" ">ANIYUNHOSPITALLIMITED</option>
<option value="PRSH012" class=" ">PRIMROSESPECIALISTHOSPITAL</option>
<option value="MH056" class=" ">MAKOGHOSPITALS</option>
<option value="LA083" class=" ">SUBOLHOSPITAL</option>
<option value="LA219" class=" ">STTHOMASHOSPITAL</option>
<option value="LA049" class=" ">LONGINGMEDICALCENTRE</option>
<option value="LA018" class=" ">DENEWAIYETOROMEDICALCENTRE</option>
<option value="AHML034" class=" ">ADEMOLAHOSPITAL&MATERNITYLTD</option>
<option value="LA069" class=" ">OSUNTUYIMEDICALCENTRE</option>
<option value="LA011" class=" ">BLUECROSSHOSPITAL</option>
<option value="LA022SP" class=" ">EKOHOSPITALPLC,IKEJA</option>
<option value="LA039" class=" ">HOLYTRINITYHOSPITAL</option>
<option value="LA058SP" class=" ">MOTAYOHOSPITAL</option>
<option value="LA188SP" class=" ">STMARYSSPECIALISTHOSPITAL,IKEJA</option>
<option value="LA020" class=" ">DONASHOSPITAL</option>
<option value="LA216" class=" ">JOBIHOSPITAL</option>
<option value="LA213" class=" ">OAKHOSPITALS</option>
<option value="LA225" class=" ">REALHOPEHOSPITAL</option>
<option value="SMC085" class=" ">SHANUMEDICALCENTRE</option>
<option value="LA228S" class=" ">M-CREDHOSPITALSLIMITED</option>
<option value="LA012" class=" ">BROADHOSPITAL&MATERNITY</option>
<option value="LA059" class=" ">MOUNTPISGAHHOSPITALLTD</option>
<option value="LA060" class=" ">MOUNTSINAIHOSPITAL,EGBE</option>
<option value="LA014SP" class=" ">CITIZENMEDICALCENTRE</option>
<option value="LA019" class=" ">DIVINEMEDICALCENTRE</option>
<option value="BCH059" class=" ">BESTCAREHOSPITAL</option>
<option value="LA142SP" class=" ">LAGOONHOSPITALHOSPITAL,IKOYI</option>
<option value="LA054" class=" ">MAYCLINICSLTD</option>
<option value="GCH091" class=" ">GODCURESHOSPITAL</option>
<option value="LA053" class=" ">MAYCLINICSLTD(Annex)</option>
<option value="LA090" class=" ">ULTIMAMEDICARE</option>
<option value="SMC085" class=" ">SHANUMEDICALCENTRE</option>
<option value="LA209" class=" ">G.ESTATECLINICCONSORTIUM</option>
<option value="LA141" class=" ">SOLADMEDICALCENTRE</option>
<option value="LA233" class=" ">SPARKVIEWHOSPITAL</option>
<option value="LA037" class=" ">HEALSSPECIALISTCLINIC</option>
<option value="LA080" class=" ">STEMMANUELHOSPITAL</option>
<option value="LA193SP" class=" ">KROWNHOSPITAL</option>
<option value="LA232" class=" ">MUCASHOSPITAL</option>
<option value="LA091" class=" ">VETAHOSPITALLTD</option>
<option value="YHMH086" class=" ">YOMBOHOSPITALANDMATERNITYHOMELIMITED</option>
<option value="DMC079" class=" ">DAFEMEDICALCENTRE</option>
<option value="THL045" class=" ">THEOHOSPITALLIMITED</option>
<option value="LA051" class=" ">AVONMEDICALSERVICESLTD(CLINIC)</option>
<option value="BC0089" class=" ">BERNICECLINIC</option>
<option value="LA032" class=" ">FIRSTCITYDIAGNOSISLTD</option>
<option value="LHL049" class=" ">LOUISMEDHOSPITALLIMITED</option>
<option value="LA215SP" class=" ">RAINBOWSPECIALISTMEDICALCENTRE</option>
<option value="LA088" class=" ">UDECOMEDICALCENTRE</option>
<option value="GHL020" class=" ">GERMAINEHOSPITAL,LEKKI</option>
<option value="" class=" ">KUPACENTERCENTER</option>
<option value="JEH019" class=" ">JERICHOHOSPITAL</option>
<option value="LA072SP" class=" ">PINECRESTSPECIALISTHOSPITAL</option>
<option value="LA211" class=" ">MAGODOSPECIALISTHOSPITAL</option>
<option value="FIH0091" class=" ">FIRSTHERITAGEHOSPITAL</option>
<option value="LA106H" class=" ">HILLSTARCLINICS(NIGERIA)LTD</option>
<option value="LA070" class=" ">OSUNTUYIMEDICALCENTRE(ANNEX)</option>
<option value="LA029SP" class=" ">FANIMEDHOSPITAL</option>
<option value="LA044SP" class=" ">ISALUHOSPITALLIMITED</option>
<option value="LA055SP" class=" ">MED-INSPECIALISTHOSPITAL</option>
<option value="LA194" class=" ">NIMBUSMEDICALCENTRE</option>
<option value="LA077" class=" ">ALHERIHOSPITAL,LAGOS</option>
<option value="LA214" class=" ">SOLIDROCKHOSPITALLTD</option>
<option value="HCH051" class=" ">HOREBCONSULTHOSPITAL</option>
<option value="CCHO51S" class=" ">CHILDKIDCHILDRENHOSPITAL</option>
<option value="LA189" class=" ">SIKEOYEHOPECLINIC</option>
<option value="LA004" class=" ">AKINBOLADESPECIALISTHOSPITAL</option>
<option value="LA025" class=" ">ELPHYSPECIALISTHOSPITAL</option>
<option value="LA047" class=" ">KILADEJOHOSPITAL&SPECIALISTCLINICS</option>
<option value="LA081" class=" ">STANTHONYMEDICALCENTRE&MATERNITYHOMELTD</option>
<option value="LA082" class=" ">STRAPHAELSHOSPITALLTD</option>
<option value="NEHL221" class=" ">NEWEVOLUTIONHOSPITALLTD</option>
<option value="LA067" class=" ">OMNIMEDICALCENTRE,ONIKAN</option>
<option value="DSMC048" class=" ">DIALYZERSPECIALISTMEDICALCENTRE</option>
<option value="GMC044" class=" ">GOODNESSMEDICALCENTRE</option>
<option value="MMC065" class=" ">MAZAFMEDICALCENTRE</option>
<option value="GCH091" class=" ">GODCURESHOSPITAL</option>
<option value="RTMC006" class=" ">RHOWILTOTAL-CAREMEDICALCENTRE</option>
<option value="LA030" class=" ">FASANMICLINIC&MATERNITYHOMELTD</option>
<option value="LA230" class=" ">IGBOLOGUNMEDICALCENTRE</option>
<option value="LA001" class=" ">ABSPECIALISTHOSPITAL</option>
<option value="LA052SP" class=" ">AVONMEDICALSERVICESLTD(HOSPITAL)</option>
<option value="LA016" class=" ">DAN-EGERTONHOSPITAL</option>
<option value="LA017" class=" ">DAN-EGERTONHOSPITAL</option>
<option value="LA023" class=" ">EKOHOSPITALPLC,SURULERE</option>
<option value="LA056" class=" ">MERCY-THOMASOREDUGBAMEDICALCENTRE</option>
<option value="LA057" class=" ">MEZONELHOSPITAL</option>
<option value="LA062" class=" ">NEWDAYSPECIALISTCLINIC</option>
<option value="LA065SP" class=" ">OLANIBAMEMORIALHOSPITAL</option>
<option value="LA073SP" class=" ">PROVIDENCEHOSPITALLTD,SURULERE</option>
<option value="LA087" class=" ">TOPAZCLINC</option>
<option value="LA205" class=" ">TUNRAYOHOSPITAL</option>
<option value="NMC019" class=" ">NAVALMEDICALCENTRE</option>
<option value="NA005" class=" ">NAGARIALLAHMAGANIHOSPITAL</option>
<option value="NA011" class=" ">JAMAAMEDICALCENTRE</option>
<option value="NA009" class=" ">AGUHOSPITAL</option>
<option value="NA003" class=" ">HENADMEDICALCENTRE</option>
<option value="NA007" class=" ">SAUKIHOSPITAL,LAFIA</option>
<option value="NA004" class=" ">KINGSCAREHOSPITALLTD,MARARABA</option>
<option value="NG014" class=" ">NASARACLINIC&MATERNITYHOSPITAL</option>
<option value="NG015" class=" ">RAINBOWCLINIC&MATERNITY</option>
<option value="NG002" class=" ">BAYSPECIALISTHOSPITAL</option>
<option value="NG010" class=" ">GREATFAITHMEDICALCENTRE</option>
<option value="NG017" class=" ">TOPMEDICALCLINIC</option>
<option value="SHDS056" class=" ">STANDARDHOSPITAL&DIAGNOSTICSERVICES</option>
<option value="NG012" class=" ">KAINJIMEDICALCENTRE</option>
<option value="NG004" class=" ">FARYGROUPCLINIC</option>
<option value="CHL017" class=" ">CHARLESHEALTHCARELTD</option>
<option value="SMC090" class=" ">SUZANMEMORIALCLINIC</option>
<option value="OG007" class=" ">FIRSTALPHAMEDICALCENTRE</option>
<option value="OG009" class=" ">MERCYGROUPCLINICS</option>
<option value="OG012" class=" ">SACREDHEARTHOSPITAL</option>
<option value="AESH041" class=" ">ANGEL&EAGLESPECIALISTHOSPITAL</option>
<option value="OG021SP" class=" ">JOSEPHANDCHRISTIANAHSPECIALISTHOSPITAL</option>
<option value="SSH030" class=" ">SOLAMEKSPECIALISTHOSPITAL</option>
<option value="OG024S" class=" ">BEACHLANDSPECIALISTHOSPITAL</option>
<option value="LH059" class=" ">LABITRIXHOSPITAL</option>
<option value="OG001" class=" ">AKOBISPECIALISTHOSPITAL</option>
<option value="OG019SP" class=" ">LAFIAKOWAHOSPITAL</option>
<option value="OG020" class=" ">PETERSONMEDICALCENTRE</option>
<option value="OG026" class=" ">ST.MICHAEL-ISRAELSPECIALISTHOSPITALLTD.</option>
<option value="SLCH018" class=" ">STANDARDLIFECAREHOSPITAL</option>
<option value="OG015B" class=" ">BROADLANDHOSPITALSERVICESLTD</option>
<option value="TRHC076" class=" ">REDEEMERHEALTHCENTRE</option>
<option value="ALH059" class=" ">ABUNDANTLIFEHSOPITAL</option>
<option value="MPH011" class=" ">MEDICPLUSHOSPITAL</option>
<option value="OG014" class=" ">OTUNBATUWASENATIONALPAEDIATRICCENTRE</option>
<option value="OG008" class=" ">ACEMEDICARECLINICS</option>
<option value="OG23S" class=" ">FARAMEDCLINICS</option>
<option value="OG025" class=" ">IDERAHEALTHSERVICESLIMITED</option>
<option value="ISHS59" class=" ">IMPERIALSPECIALISTHOSPITALSERVICES</option>
<option value="PMC083" class=" ">PROMISEMEDICALCENTRE</option>
<option value="FMS049" class=" ">FAMEMEDICALSERVICES</option>
<option value="SC050" class=" ">SHIRISHCLINIC</option>
<option value="HMC028" class=" ">HETTAMEDICALCENTRE</option>
<option value="SSMC035" class=" ">ST.SHILOHMEDICALCENTRE</option>
<option value="ON003" class=" ">FIRSTMERCYSPECIALISTHOSPITAL</option>
<option value="ON011" class=" ">TIMUNITYSPECIALISTHOSPITAL</option>
<option value="LHI095" class=" ">LULIHOSPITAL</option>
<option value="IMC" class=" ">INLANDMEDICALCENTRE</option>
<option value="ON007" class=" ">IBUKUN-OLUHOSPITALS</option>
<option value="SSH094" class=" ">STATESPECIALISTHOSPITAL</option>
<option value="ON001" class=" ">BABALOLAMEDICALCENTRE</option>
<option value="AMD" class=" ">ARIFMEDICALCENTRE</option>
<option value="PHM" class=" ">PIMAHOSPITALANDMATERNITY</option>
<option value="OS006SP" class=" ">OAUTHCOMPLEX</option>
<option value="OS007SP" class=" ">ST.VICTORIASPECIALISTHOSPITAL</option>
<option value="AMC057" class=" ">APEXMEDICALCENTRE</option>
<option value="OS005" class=" ">ADENLEMEMORIALHOSPITAL</option>
<option value="LPMC049" class=" ">LIVINGPETALSMEDICALCENTRE</option>
<option value="OS009" class=" ">EMMANUELMEDICALCENTRE</option>
<option value="OS001" class=" ">ABAKEMEDICALCENTRE</option>
<option value="OS002" class=" ">BIKETMEDICALCENTRE</option>
<option value="OS003" class=" ">ONWARDSPECIALISTHOSPITAL</option>
<option value="OS004" class=" ">OROKISPECIALISTHOSPITAL</option>
<option value="OY001" class=" ">ALAFIAHOSPITAL</option>
<option value="OY002" class=" ">BADEJOKOMEMORIALHOSP&MATERNITY</option>
<option value="OY003" class=" ">BANBYSPECIALISTHOSPITAL</option>
<option value="OY005" class=" ">FELEWAHOSPITALXXX</option>
<option value="OY007" class=" ">JOLAMADESPECIALISTHOSPITAL</option>
<option value="OY008" class=" ">J-RAPHACLINICS&HOSPITAL,IBADAN</option>
<option value="OY020" class=" ">LANARKSPECIALISTHOSPITAL</option>
<option value="OY009" class=" ">MEDICALPRACTITIONERSLTD</option>
<option value="OY010" class=" ">MOLLYSPECIALISTHOSPITAL</option>
<option value="OY015" class=" ">TEJUSPECIALISTHOSPITAL</option>
<option value="OY022S" class=" ">THEVINEHOSPITAL&MATERNITYCENTRE</option>
<option value="TMC018" class=" ">TOBIMEDICALCENTRELTD</option>
<option value="ZSMH033" class=" ">ZOESPECIALISTMISSIONHOSPITAL</option>
<option value="OY006" class=" ">IRETI-OLUHOSPITAL</option>
<option value="OY013" class=" ">SHEKINAHMEDICALCENTRE</option>
<option value="OY011" class=" ">MOMOHMEMORIALHOSPITAL</option>
<option value="OY012" class=" ">BAPTISTMEDICALCENTRE,SAKI</option>
<option value="PL002" class=" ">FOCUSHOSPITAL</option>
<option value="KSH0078" class=" ">KAUNASPECIALISTHOSPITAL</option>
<option value="MSH0076" class=" ">MARYSOLSPECIALISTHOSPITAL</option>
<option value="PL005" class=" ">SAUKIGROUPOFCLINICSANDMATERNITY,JOS</option>
<option value="FGH029" class=" ">FERTILEGROUNDHOSPITALLTD</option>
<option value="PL003" class=" ">MAYHOSPITAL,SHENDAM</option>
<option value="RI007" class=" ">GBEYEHOSPITAL</option>
<option value="RI002" class=" ">DELTASPECIALISTHOSPITAL</option>
<option value="MCE049" class=" ">MUJECLINIC</option>
<option value="RI006" class=" ">FOUNDATIONCLINIC</option>
<option value="RI007" class=" ">GBEYEHOSPITAL</option>
<option value="QPHM020" class=" ">QUEENOFPEACEHOSPITAL&MATERNITY</option>
<option value="PH0045" class=" ">EL-ROISPECIALISTCLINIC</option>
<option value="HC013" class=" ">HILTONCLINIC</option>
<option value="PHSMC006" class=" ">SOPHIKEMEDICALCENTRE</option>
<option value="GCMC029" class=" ">GREENCAREMEDICALCONSULTANTS</option>
<option value="PH0050" class=" ">MILITARYHOSPITAL</option>
<option value="NHC0041" class=" ">NEWHEIGHTSCONSULTANTSHOSPITALS</option>
<option value="RI012" class=" ">PRINCESSMEDICALCENTRE</option>
<option value="RI013" class=" ">PROVIDENCECLINIC&MATERNITYLTD,PORTHARCOURT</option>
<option value="RI030" class=" ">STPATRICK'SHOSPITALLTD</option>
<option value="NHCH0040" class=" ">NEWMILEONEHOSPITAL</option>
<option value="RI029" class=" ">MORNINGSTARHOSPITALLTD</option>
<option value="WHH060" class=" ">WESTHILLHOSPITAL</option>
<option value="BMH085" class=" ">BONMARIAHOSPITALLTD.</option>
<option value="PTMC013" class=" ">POTTERSTOUCHMEDICALCONSULTANT</option>
<option value="R1007" class=" ">GBEYEHOSPITAL</option>
<option value="PH0046" class=" ">PRESTIGEHOSPITAL</option>
<option value="ESH030" class=" ">EL-SPECIALISTHOSPITAL</option>
<option value="LCL059" class=" ">LIFECARECENTRELTD</option>
<option value="SSH049" class=" ">SHIELDSPECIALISTSHOSPITAL</option>
<option value="CMC059" class=" ">CUMIMEDICALCENTRE</option>
<option value="SO001" class=" ">SAHELSPECIALISTCLINIC</option>
<option value="SO002" class=" ">SOKOTOCLINIC</option>
<option value="TA002" class=" ">MAMBILLABAPTISTHOSPITAL</option>
<option value="YO001" class=" ">AJIKOMEDICALCENTRE</option>
<option value="YO002" class=" ">CITYMEDICALCENTRE,YOBE</option>
<option value="YO003" class=" ">POTISKUMMEDICALCENTRE</option>
<option value="ZA001" class=" ">DAULAHOSPITAL&MATERNITYHOME</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
</div>
</div>
<div class="form-page form-page-1" data-index="1">
<div class="form-page-content ">
<div data-identifier="field25" data-index="0" style="width: 50%" class=" form-element form-element-field25 options-false index-false form-element-0 default-false form-element-type-oneLineText is-required-true odd -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>Surname</span></span><span class="sub-label"><span>Surname</span></span></span>
<div><span class="error"></span><input type="text" placeholder="Surname" make-read-only="false" data-field-id="field25" name="field25[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="true"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field26" data-index="1" style="width: 50%" class=" even form-element form-element-field26 options-false index-false form-element-1 default-false form-element-type-oneLineText is-required-true -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>First Name</span></span><span class="sub-label"><span>First Name</span></span></span>
<div><span class="error"></span><input type="text" placeholder="First Name" make-read-only="false" data-field-id="field26" name="field26[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="true"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field27" data-index="2" style="width: 50%" class=" form-element form-element-field27 options-false index-false form-element-2 default-false form-element-type-oneLineText is-required-true odd -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>Other Names</span></span><span class="sub-label"><span>Other Names</span></span></span>
<div><span class="error"></span><input type="text" placeholder="Other Names" make-read-only="false" data-field-id="field27" name="field27[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="true"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field28" data-index="3" style="width: 50%" class=" even form-element form-element-field28 options-false index-false form-element-3 default-false form-element-type-oneLineText is-required-false -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>Phone Number</span></span><span class="sub-label"><span>Phone Number</span></span></span>
<div><span class="error"></span><input type="text" placeholder="Phone Number" make-read-only="false" data-field-id="field28" name="field28[]" data-min-char="" data-max-char="" data-val-type="numbers" data-regexp=""
data-is-required="false" data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder=""
data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field29" data-index="4" style="width: 50%" class=" form-element form-element-field29 options-false index-false form-element-4 default-false form-element-type-oneLineText is-required-false odd -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>Alternative Phone Number</span></span><span class="sub-label"><span>Alternative Phone Number</span></span></span>
<div><span class="error"></span><input type="text" placeholder="Alternative Phone Number" make-read-only="false" data-field-id="field29" name="field29[]" data-min-char="" data-max-char="" data-val-type="numbers" data-regexp=""
data-is-required="false" data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder=""
data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field40" data-index="5" style="width: 50%" class=" even form-element form-element-field40 options-false index-false form-element-5 default-false form-element-type-oneLineText is-required-false -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>Home or Office Address</span></span><span class="sub-label"><span>Home or Office Address</span></span></span>
<div><span class="error"></span><input type="text" placeholder="Home or Office Address" make-read-only="false" data-field-id="field40" name="field40[]" data-min-char="" data-max-char="" data-val-type="" data-regexp=""
data-is-required="false" data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder=""
data-original-title=""></div>
</label></div>
</div>
</div>
</div>
</div>
<div class="form-page form-page-2" data-index="2">
<div class="form-page-content ">
<div data-identifier="field32" data-index="0" style="width: 50%" class=" form-element form-element-field32 options-false index-false form-element-0 default-false form-element-type-oneLineText is-required-false odd -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>Surname</span></span><span class="sub-label"><span>Surname</span></span></span>
<div><span class="error"></span><input type="text" placeholder="Surname" make-read-only="false" data-field-id="field32" name="field32[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="false"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field36" data-index="1" style="width: 50%" class=" even form-element form-element-field36 options-false index-false form-element-1 default-false form-element-type-oneLineText is-required-false -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>First Name</span></span><span class="sub-label"><span>First Name</span></span></span>
<div><span class="error"></span><input type="text" placeholder="First Name" make-read-only="false" data-field-id="field36" name="field36[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="false"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field35" data-index="2" style="width: 50%" class=" form-element form-element-field35 options-false index-false form-element-2 default-false form-element-type-oneLineText is-required-false odd -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>Other Names</span></span><span class="sub-label"><span>Other Names</span></span></span>
<div><span class="error"></span><input type="text" placeholder="Other Names" make-read-only="false" data-field-id="field35" name="field35[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="false"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field37" data-index="3" style="width: 50%" class=" even form-element form-element-field37 options-false index-false form-element-3 default-false form-element-type-dropdown is-required-false -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Gender*</span></span><span class="sub-label"><span>Gender!</span></span></span>
<div><span class="error"></span><select data-is-required="false" class="validation-lenient" data-field-id="field37" name="field37" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Select Gender</option>
<option value="Male" class=" ">Male</option>
<option value="Female" class=" ">Female</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field38" data-index="4" style="width: 50%" class=" form-element form-element-field38 options-false index-false form-element-4 default-false form-element-type-datepicker is-required-true odd -handle">
<div class="form-element-html">
<div><label class="datepicker-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>Date of Birth*</span></span><span class="sub-label"><span>Date of Birth</span></span></span>
<div><span class="error"></span><input autocomplete="off" data-field-id="field38" placeholder="Date of Birth*" type="text" class="validation-lenient hasDatepicker" data-is-required="true" datepicker="" data-date-min-range=""
data-date-format="dd/mm/yy" data-date-days="{"0":true,"1":true,"2":true,"3":true,"4":true,"5":true,"6":true}" data-date-min="" data-date-min-alt=""
data-date-max-alt="" data-date-max="" data-date-lang="en" name="field38" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-original-title=""
id="dp1634721563827"><i class="formcraft-icon">date_range</i></div>
</label></div>
</div>
</div>
<div data-identifier="field86" data-index="5" style="width: 33%" class=" even form-element form-element-field86 options-false index-false form-element-5 default-false form-element-type-fileupload is-required-false -handle">
<div class="form-element-html">
<div><label class="wide- fileupload-cover field-cover"><span class="sub-label-"><span class="main-label"><span>Upload Passport</span></span><span class="sub-label"><span>upload</span></span></span>
<div><span class="error"></span>
<div class="button button-file fileupload-button" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true" data-original-title="">
<i class="icon-upload-cloud formcraft-icon">cloud_upload</i><span>Upload Spouse Passport Photograph</span><input type="file" data-name-list="field86" name="files" multiple="multiple" data-allow-extensions="jpg,png" data-min-files=""
data-max-files="" data-max-size=""></div>
</div>
</label></div>
</div>
</div>
<div data-identifier="field87" data-index="6" style="width: 33%" class=" form-element form-element-field87 options-false index-false form-element-6 default-false form-element-type-dropdown is-required-true odd -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Plan Type</span></span><span class="sub-label"><span>pick one!</span></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field87" name="field87" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="Select A Plan Type" class=" ">Select A Plan Type</option>
<option value="ECOBANK Plan" class=" ">ECOBANK Plan</option>
<option value="Basic Plan" class=" ">Basic Plan</option>
<option value="Advanced Basic Plan" class=" ">Advanced Basic Plan</option>
<option value="Basic Plus Plan" class=" ">Basic Plus Plan</option>
<option value="Advanced Basic plus Plan" class=" ">Advanced Basic plus Plan</option>
<option value="Premiun Plan" class=" ">Premiun Plan</option>
<option value="Ultimate" class=" ">Ultimate</option>
<option value="Others" class=" ">Others</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field88" data-index="7" style="width: 67%; display: none;"
class="even form-element form-element-field88 options-false index-false form-element-7 default-true form-element-type-dropdown is-required-false -handle state-hidden">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Basic Preferred Hospital Basic Plan</span></span><span class="sub-label"><span>Basic Preferred
Hospital!</span></span></span>
<div><span class="error"></span><select data-is-required="false" class="validation-lenient" data-field-id="field88" name="field88" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Select Preferred Hospital Basic Plan</option>
<option value="AB008" class=" ">CHRISTTHEKINGHOSPITAL,ABA</option>
<option value="AB012SP" class=" ">EKEOMAMEMORIALHOSPITAL</option>
<option value="AB003" class=" ">LIFECARECLINICSLTD</option>
<option value="AB004" class=" ">LIVINGWORDMISSIONHOSPITAL</option>
<option value="AB005" class=" ">NEWERAHOSPITAL,ABA</option>
<option value="TNC074" class=" ">THENAZARETHCLINIC</option>
<option value="AB002" class=" ">FEDERALMEDICALCENTRE,UMUAHIA</option>
<option value="FC022S" class=" ">ALLIANCEHOSPITAL,ABUJA</option>
<option value="FC001" class=" ">DARAMEDICALCENTRE</option>
<option value="FC012" class=" ">FEDERALSTAFFHOSPITAL,GWARINPA</option>
<option value="FC002" class=" ">FEREPRODMEDICALCENTRE</option>
<option value="FC003" class=" ">KINGSCAREHOSPITALLTD,WUSEZONE4</option>
<option value="FC004" class=" ">LIMIHOSPITAL&MATERNITYLTD,ABUJA</option>
<option value="FC008" class=" ">PISIONHOSPITAL</option>
<option value="FC020" class=" ">RUZMEDICALCENTRE</option>
<option value="LPH025" class=" ">LOUISPASTEURHOSPITAL</option>
<option value="SON0079" class=" ">SISTERSOFTHENATIVITYHOSPITAL</option>
<option value="FC009" class=" ">QUEENSCLINICLTD,ABUJA</option>
<option value="FC024" class=" ">EXCELSPECIALISTHOSPITAL</option>
<option value="SS052" class=" ">SOFTSHELLSPECIALISTHOSPITALLTD</option>
<option value="SCH055" class=" ">SPRINGBLOOMCOUNTYHOSPITAL</option>
<option value="JMCCH093" class=" ">JOYLANDMEDICALCENTREANDCHILDREN'SHOSPITAL</option>
<option value="FC023SP" class=" ">FAMILYCAREMULTICLINICSLTD</option>
<option value="FC005" class=" ">LIVINGSTREAMSPECIALISTMEDICALCENTRE</option>
<option value="FC010" class=" ">STMARY'SHOSPITAL,GWAGWALADA</option>
<option value="TMTC078" class=" ">TRAUMA&MULTISPECIALTYCENTER</option>
<option value="FC018" class=" ">KINGSCAREHOSPITALLTD,Kubwa</option>
<option value="ACK077" class=" ">ALLISONCLINICKUJE</option>
<option value="ASMC020" class=" ">ALFADSPECIALISTMEDICALCENTRE</option>
<option value="AD004" class=" ">SAUKIMEDICALCENTRE,YOLA</option>
<option value="AD003" class=" ">PEACEHOSPITAL</option>
<option value="CMC156" class=" ">CALEBMEDICALCENTER</option>
<option value="AK010" class=" ">VEDDYSONHOSPITAL</option>
<option value="AK003" class=" ">IHAFOUNDATIONMEDICALCENTRE</option>
<option value="AK017" class=" ">TOTALCARECLINICANDMATERNITY</option>
<option value="AK014" class=" ">CHRISTVICTORYMEDICALCENTRE</option>
<option value="AK005" class=" ">MOUNTOLIVEMEDICALCENTRE</option>
<option value="AK009" class=" ">UBONGABASISPECIALISTHOSPITAL</option>
<option value="AK015" class=" ">DOMINGOSPECIALISTHOSPITALS</option>
<option value="AN005" class=" ">DIVINEHOSPITALANDMATERNITY,AWKA</option>
<option value="PH0047" class=" ">OURLADYOFLOURDES</option>
<option value="AN012" class=" ">SEFTONSPECIALISTMEDICALCENTRE</option>
<option value="AN014" class=" ">CHIBUZORHOSPITAL&MATERNITY</option>
<option value="AN006" class=" ">FELIXOKOLOMEMORIALHOSPITAL,NNEWI</option>
<option value="AN009" class=" ">LIFESPECIALISTHOSPITAL</option>
<option value="JHM083" class=" ">JESUSISLORDROYALHOSPITALANDMATERNITY</option>
<option value="AN010" class=" ">MERCYSPECIALISTHOSPITAL&MATERNITY,ONITSHA</option>
<option value="KMC084" class=" ">KATAGUMMEDICALCENTER</option>
<option value="BA002" class=" ">NIIMACONSULTANTSHOSPITAL</option>
<option value="DE020S" class=" ">REMEE(RIMI)CLINIC</option>
<option value="BA003" class=" ">NINGICLINIC&MATERNITY</option>
<option value="BY005" class=" ">CRESTCONSULTANTCLINIC</option>
<option value="BY001" class=" ">FEDERALMEDICALCENTRE,YENAGOA</option>
<option value="BY004" class=" ">STPETERSHOSPITAL</option>
<option value="BE001" class=" ">BAKICLINICANDMATERNITY</option>
<option value="BE004" class=" ">NKSTHOSPITAL</option>
<option value="BE011FC" class=" ">FAMILYPRACTICEHOSPITAL</option>
<option value="BE010" class=" ">HOPEHOSPITAL</option>
<option value="BE003" class=" ">MADONNAHOSPITAL</option>
<option value="BE006" class=" ">PAMPASHOSPITAL&MATERNITY</option>
<option value="BE007" class=" ">QUEENSCLINICLTD,MAKURDI</option>
<option value="BE005" class=" ">OTIACLINIC</option>
<option value="BE008" class=" ">STANTHONYHOSPITAL</option>
<option value="BO001" class=" ">ABBOTTCLINIC</option>
<option value="BO002" class=" ">NAKOWASPECIALISTHOSPITAL</option>
<option value="BO003" class=" ">BORNOMEDICALCENTRE</option>
<option value="BO004" class=" ">KANEMHOSPITAL&MATERNITY</option>
<option value="CR015" class=" ">SANTAMARIACLINIC&MATERNITY</option>
<option value="CR001" class=" ">BAKORMEDICALCENTRE</option>
<option value="CR003" class=" ">CITYCLINIC,CALABAR</option>
<option value="CR005" class=" ">FAITHFOUNDATIONSPECIALISTCLINIC</option>
<option value="CR009" class=" ">IKPEMEMEDICALCENTRE</option>
<option value="ASH062" class=" ">ARUBAHSPECIALISTHOSPITAL,CALABAR</option>
<option value="UCTH063" class=" ">UNIVERSITYOFCALABARTEACHINGHOSPITAL</option>
<option value="CWH065" class=" ">CALABARWOMEN&CHILDRENHOSPITAL</option>
<option value="II066" class=" ">IMMANUELINFIRMARYCALABAR</option>
<option value="LMSH008" class=" ">LUCIAMAMEMORIALSPECIALISTHOSPITAL</option>
<option value="CR010" class=" ">MEVOMSPECIALISTCLINIC</option>
<option value="CR048" class=" ">AMADOMEDICALCENTRE</option>
<option value="CR008" class=" ">HOLYFAMILYCATHOLICHOSPITAL,IKOM</option>
<option value="BMCI055" class=" ">BAKORMEDICALCENTRE</option>
<option value="DE003" class=" ">ANIOMAHOSPITAL</option>
<option value="DE008" class=" ">GOODSAMARITANHOSPITALCOMPLEX</option>
<option value="SRSH057" class=" ">ST.REBECCASPECIALISTHOSPITAL</option>
<option value="ECH034" class=" ">EL-COMFORTHOSPITAL</option>
<option value="DELSUTH" class=" ">DELTASTATEUNIVERSITYTEACHINGHOSPITAL</option>
<option value="OLNCO48" class=" ">OURLADYOFNIGERIACATHOLICHOSPITAL</option>
<option value="LH044" class=" ">LANAHOSPITAL</option>
<option value="DE017" class=" ">OBULEMEDICALCENTRE</option>
<option value="DE007" class=" ">CAPITOLHILLCLINIC/HOSPITAL</option>
<option value="DE025" class=" ">VERTIMONMEDICALCENTRE</option>
<option value="FVH013" class=" ">FAIRVIEWHOSPITAL</option>
<option value="DE024" class=" ">B.UCLINIC/HOSPITALLTD</option>
<option value="RC082" class=" ">REGALCLINIC</option>
<option value="DSC083" class=" ">DAYSPRINGCLINIC</option>
<option value="EB003" class=" ">FELIXMEMORIALHOSPITAL,ABAKALIKI</option>
<option value="ED005" class=" ">FATEMEDICALCENTRE</option>
<option value="ED004" class=" ">FAITHMEDICALCENTRE</option>
<option value="ED007" class=" ">MODICMEDICALCENTRE</option>
<option value="ED008" class=" ">MOUNTGILEADHOSPITAL</option>
<option value="ED013" class=" ">STPHILOMENACATHOLICHOSPITAL</option>
<option value="ED014" class=" ">THEROCKHOSPITAL</option>
<option value="ED019" class=" ">EDIINTERNATIONALHOSPITALLTD</option>
<option value="ED041" class=" ">RAHIHOSPITALSLIMITED</option>
<option value="ED022" class=" ">IRRUASPECIALISTTEACHINGHOSPITAL</option>
<option value="EN003" class=" ">CHRISTTHEKING,ENUGU</option>
<option value="MCSH010" class=" ">MOTHEROFCHRISTSPECIALISTHOSPITAL</option>
<option value="EN005" class=" ">PEENOKMEDICALCENTRE</option>
<option value="EN006" class=" ">RISTELLAHOSPITAL</option>
<option value="EN008" class=" ">STMARY'SHOSPITAL&MATERNITY,ENUGU</option>
<option value="EN012" class=" ">LIVINGSTONSPECIALISTHOSPITAL</option>
<option value="EN013" class=" ">STDANIELCONSOLATAHOSPITAL</option>
<option value="EN009" class=" ">UNIVERSITYMEDICALCENTRE</option>
<option value="AMH078" class=" ">AKULUEMEMORIALHOSPITAL</option>
<option value="GO002" class=" ">FEDERALMEDICALCENTRE,GOMBE</option>
<option value="GO003" class=" ">MIYETTIHOSPITAL</option>
<option value="GO004" class=" ">METROCONSULTANTSCLINIC</option>
<option value="ICOO5" class=" ">IVORYCLINIC</option>
<option value="SMCCH004" class=" ">STMARYCHILDRENANDCOMMUNITYUMUOWA,ORLU</option>
<option value="IMUTH006" class=" ">IMOSTATEUNIVERSITYTEACHINGHOSPITAL,ORLU</option>
<option value="IM002" class=" ">EZEMMEDICALCENTRE</option>
<option value="IM011" class=" ">FEDERALMEDICALCENTRE,OWERRI</option>
<option value="FCH0042" class=" ">FIRSTCONCEPTHOSPITAL,OWERRI</option>
<option value="IM010" class=" ">IKENEGBUHOSPITAL,MATERNITY&LABORATORY</option>
<option value="IM003" class=" ">INTERNATIONALCHRISTIANHOSPITAL</option>
<option value="IM007" class=" ">LIFESPRINGSPECIALISTHOSPITAL</option>
<option value="IM005" class=" ">SALVATIONHOSPITAL&MATERNITY</option>
<option value="SEHM0043" class=" ">ST.ELIZABETHHOSPITALANDMATERNITY</option>
<option value="WHM001" class=" ">WINNIESHOSPITALANDMATERNITY</option>
<option value="A0077" class=" ">ALBARKACLINIC</option>
<option value="HHLO23" class=" ">HARMONYHOSPITALLIMITED</option>
<option value="KA001" class=" ">ALBARKAHOSPITAL&MATERNITY</option>
<option value="KA003" class=" ">AMINAHOSPITAL</option>
<option value="KA004" class=" ">CHASELHOSPITAL</option>
<option value="KA005" class=" ">GIWAHOSPITALLTD</option>
<option value="KA006" class=" ">ISHAKUHOSPITAL</option>
<option value="KA008" class=" ">JOWAKOHOSPITAL</option>
<option value="KA010" class=" ">MANEKSHOSPITAL</option>
<option value="KA012" class=" ">MENDSSPECIALISTHOSPITAL</option>
<option value="KA021S" class=" ">MULTICLINICSPECIALISTHOSPITAL</option>
<option value="KA013" class=" ">SEFAHOSPITAL</option>
<option value="KA014" class=" ">TIMUNITYSPECIALISTHOSPITAL</option>
<option value="SMC003" class=" ">SALEMMEDICALCENTRE</option>
<option value="KA002" class=" ">ALMADINACLINIC</option>
<option value="KA007" class=" ">JAMA'AHOSPITAL</option>
<option value="KA009" class=" ">LIMIHOSPITAL&MATERNITYLTD,ZARIA</option>
<option value="KA011" class=" ">MAYFAIRCLINICSNIGLTD</option>
<option value="KA016" class=" ">ST.LOUISHOSPITAL</option>
<option value="KN002" class=" ">IDEALHOSPITAL&MATERNITYLTD</option>
<option value="KN003" class=" ">INTERNATIONALCLINICS&HOSPITALS</option>
<option value="KN004" class=" ">PREMIERCLINIC,KANO</option>
<option value="KT003" class=" ">BISTITHOSPITALLTD</option>
<option value="KT007" class=" ">KHADIJAHMEDIPHARMCO.LTD</option>
<option value="KT009" class=" ">AMFANICLINICANDMATERNITY</option>
<option value="KT006" class=" ">KATSINANURSINGHOMELTD</option>
<option value="KMSH099" class=" ">KEBBIMULTI-SPECIALISTHOSPITAL</option>
<option value="EHL208" class=" ">EQUITYHOSPITALLIMITED</option>
<option value="DD094" class=" ">DDGMEDICALCENTRE</option>
<option value="KG001" class=" ">DUROSOLEYEHOSPITAL</option>
<option value="KG006" class=" ">TOWNSHIPCLINIC</option>
<option value="KG009" class=" ">MARIAGORETTIHOSPITAL</option>
<option value="KG010" class=" ">NEIGHBOURMULTICAREHOSPITAL&WOMENWELLFARECENTRELTD.</option>
<option value="KG002" class=" ">ECWAHOSPITAL</option>
<option value="KG007" class=" ">ODOMACLINICS</option>
<option value="KG008" class=" ">ST.JOHN'SCATHOLICHOSPITAL</option>
<option value="KG004" class=" ">NIGERHOSPITAL</option>
<option value="KG005" class=" ">POLYCLINICHOSPITAL&MATERNITY</option>
<option value="CSHFC203" class=" ">CARECRESTSPECIALISTHOSPITAL&FERTILITYCENTRE</option>
<option value="KW011S" class=" ">OGO-OLUWAHOSPITAL</option>
<option value="KW002" class=" ">ANCHORMEDHOSPITAL</option>
<option value="KW012" class=" ">BALMHOSPITALLTD</option>
<option value="KW185D" class=" ">DELNIKHOSPITAL</option>
<option value="KW182K" class=" ">KIDDIZMEDICALCENTRE</option>
<option value="KW003" class=" ">OLAOLUHOSPITAL</option>
<option value="KW004" class=" ">OLANREWAJUHOSPITALLTD</option>
<option value="KW005" class=" ">OMOLOLAHOSPITAL</option>
<option value="KW184M" class=" ">SADIKUHOSPITAL</option>
<option value="KW183M" class=" ">SURULEREMEDICALCENTRE</option>
<option value="KW007" class=" ">ROLAKIMCLINIC&MATERNITY</option>
<option value="DMC098" class=" ">DANDYMEDICALCENTRE</option>
<option value="SLCH018" class=" ">STANDARDLIFECAREHOSPITAL</option>
<option value="PGMC049" class=" ">P&GMEDICALCENTRE</option>
<option value="LA076" class=" ">ROPHEHOSPITAL</option>
<option value="LA006" class=" ">ALLSOULSINFIRMARY,AGEGE</option>
<option value="LA200" class=" ">BETTAHOSPITAL</option>
<option value="PMC084" class=" ">PROMISEMEDICALCENTRE</option>
<option value="BUDO1" class=" ">BUDOSPECIALISTHOSPITAL</option>
<option value="LA021SP" class=" ">DORENSPECIALISTHOSPITAL</option>
<option value="LA045SP" class=" ">J-RAPHACLINICS&HOSPITAL,AJAH</option>
<option value="LA233S" class=" ">STEDWARDSPECIALISTHOSPITAL&CARDIACCENTRE</option>
<option value="DHHS088" class=" ">DOVEHOSPITAL&HEALTHCARESERVICESLTD.</option>
<option value="LH055" class=" ">LENNOXHOSPITAL</option>
<option value="LA036SP" class=" ">HEALINGFIELDHOSPITAL</option>
<option value="HH024" class=" ">HEDAHOSPITAL</option>
<option value="RSH059" class=" ">RIVETSPECIALISTHOSPITAL</option>
<option value="ICH028" class=" ">ILOGBOCENTRALHOSPITAL</option>
<option value="LA005" class=" ">ALLSOULSCLINICS,AJEGUNLE</option>
<option value="KAAFM" class=" ">KAAFMATERNITYANDCHILDCARECENTRE</option>
<option value="LA135" class=" ">BEEHESSHOSPITAL</option>
<option value="RYHL029" class=" ">REM-YEMSHOSPITALLTD</option>
<option value="LH080" class=" ">LOBELHOSPITAL</option>
<option value="JEFF078" class=" ">JEFISSPECIALISTHOSPITAL</option>
<option value="GSH019" class=" ">GODFREYSPECIALISTHOSPITAL</option>
<option value="LA034" class=" ">GLORIAHOSPITALLTD</option>
<option value="LA086" class=" ">TINCANHOSPITALGROUP</option>
<option value="ONMC038" class=" ">OBISESANNAVALMEDICALCENTRE,APAPA</option>
<option value="AMH048" class=" ">AKANBIMEMORIALHOSPITAL</option>
<option value="LA084SP" class=" ">THEGREATPHYSICIANHOSPITAL</option>
<option value="CGH029" class=" ">CAREGIVERHOSPITAL,AJARA</option>
<option value="ALTH028" class=" ">ADEBAYOLIVINGTOWERHOSPITAL,IMEKE</option>
<option value="TRI0088" class=" ">THEROYALINFIRMARYHOSPITAL</option>
<option value="LA075SP" class=" ">R-JOLADHOSPITAL</option>
<option value="LA015SP" class=" ">CRYSTALSPECIALISTHOSPITAL</option>
<option value="SHMC086" class=" ">STONEHILLMEDICALCENTRE</option>
<option value="HWH082" class=" ">HOPEWELLHOSPITALLIMITED</option>
<option value="LA061" class=" ">MOUNTSINAIHOSPITALGROUP,EBUTE-METTA</option>
<option value="LA031" class=" ">FEDERALMEDICALCENTRE,EBUTE-METTA</option>
<option value="LA161" class=" ">CAREPOINTCLINICEGBEDALIMITED</option>
<option value="LA231" class=" ">STWILLIAMSHOSPITAL</option>
<option value="LHMH021" class=" ">LIGHTHOSPITALANDMATERNITYHOMELTD</option>
<option value="TCMH060" class=" ">TRUECAREMODELHOSPITAL</option>
<option value="GHE048" class=" ">GENERALHOSPITAL,EPE</option>
<option value="LA013" class=" ">CEDARHOSPITAL</option>
<option value="LA026SP" class=" ">EMELHOSPITAL</option>
<option value="LA035" class=" ">GOLDENCROSSINFIRMARY,FESTAC</option>
<option value="LA078" class=" ">SHEPHERDSPECIALISTHOSPITAL</option>
<option value="LA197SP" class=" ">AFRIMEDOGPSPECIALISTHOSPITAL</option>
<option value="LA009" class=" ">ANIYUNHOSPITALLIMITED</option>
<option value="PRSH012" class=" ">PRIMROSESPECIALISTHOSPITAL</option>
<option value="MH056" class=" ">MAKOGHOSPITALS</option>
<option value="LA083" class=" ">SUBOLHOSPITAL</option>
<option value="LA219" class=" ">STTHOMASHOSPITAL</option>
<option value="LA049" class=" ">LONGINGMEDICALCENTRE</option>
<option value="LA018" class=" ">DENEWAIYETOROMEDICALCENTRE</option>
<option value="AHML034" class=" ">ADEMOLAHOSPITAL&MATERNITYLTD</option>
<option value="LA069" class=" ">OSUNTUYIMEDICALCENTRE</option>
<option value="LA011" class=" ">BLUECROSSHOSPITAL</option>
<option value="LA022SP" class=" ">EKOHOSPITALPLC,IKEJA</option>
<option value="LA039" class=" ">HOLYTRINITYHOSPITAL</option>
<option value="LA058SP" class=" ">MOTAYOHOSPITAL</option>
<option value="LA188SP" class=" ">STMARYSSPECIALISTHOSPITAL,IKEJA</option>
<option value="LA020" class=" ">DONASHOSPITAL</option>
<option value="LA216" class=" ">JOBIHOSPITAL</option>
<option value="LA213" class=" ">OAKHOSPITALS</option>
<option value="LA225" class=" ">REALHOPEHOSPITAL</option>
<option value="SMC085" class=" ">SHANUMEDICALCENTRE</option>
<option value="LA228S" class=" ">M-CREDHOSPITALSLIMITED</option>
<option value="LA012" class=" ">BROADHOSPITAL&MATERNITY</option>
<option value="LA059" class=" ">MOUNTPISGAHHOSPITALLTD</option>
<option value="LA060" class=" ">MOUNTSINAIHOSPITAL,EGBE</option>
<option value="LA014SP" class=" ">CITIZENMEDICALCENTRE</option>
<option value="LA019" class=" ">DIVINEMEDICALCENTRE</option>
<option value="BCH059" class=" ">BESTCAREHOSPITAL</option>
<option value="LA142SP" class=" ">LAGOONHOSPITALHOSPITAL,IKOYI</option>
<option value="LA054" class=" ">MAYCLINICSLTD</option>
<option value="GCH091" class=" ">GODCURESHOSPITAL</option>
<option value="LA053" class=" ">MAYCLINICSLTD(Annex)</option>
<option value="LA090" class=" ">ULTIMAMEDICARE</option>
<option value="SMC085" class=" ">SHANUMEDICALCENTRE</option>
<option value="LA209" class=" ">G.ESTATECLINICCONSORTIUM</option>
<option value="LA141" class=" ">SOLADMEDICALCENTRE</option>
<option value="LA233" class=" ">SPARKVIEWHOSPITAL</option>
<option value="LA037" class=" ">HEALSSPECIALISTCLINIC</option>
<option value="LA080" class=" ">STEMMANUELHOSPITAL</option>
<option value="LA193SP" class=" ">KROWNHOSPITAL</option>
<option value="LA232" class=" ">MUCASHOSPITAL</option>
<option value="LA091" class=" ">VETAHOSPITALLTD</option>
<option value="YHMH086" class=" ">YOMBOHOSPITALANDMATERNITYHOMELIMITED</option>
<option value="DMC079" class=" ">DAFEMEDICALCENTRE</option>
<option value="THL045" class=" ">THEOHOSPITALLIMITED</option>
<option value="LA051" class=" ">AVONMEDICALSERVICESLTD(CLINIC)</option>
<option value="BC0089" class=" ">BERNICECLINIC</option>
<option value="LA032" class=" ">FIRSTCITYDIAGNOSISLTD</option>
<option value="LHL049" class=" ">LOUISMEDHOSPITALLIMITED</option>
<option value="LA215SP" class=" ">RAINBOWSPECIALISTMEDICALCENTRE</option>
<option value="LA088" class=" ">UDECOMEDICALCENTRE</option>
<option value="GHL020" class=" ">GERMAINEHOSPITAL,LEKKI</option>
<option value="" class=" ">KUPACENTERCENTER</option>
<option value="JEH019" class=" ">JERICHOHOSPITAL</option>
<option value="LA072SP" class=" ">PINECRESTSPECIALISTHOSPITAL</option>
<option value="LA211" class=" ">MAGODOSPECIALISTHOSPITAL</option>
<option value="FIH0091" class=" ">FIRSTHERITAGEHOSPITAL</option>
<option value="LA106H" class=" ">HILLSTARCLINICS(NIGERIA)LTD</option>
<option value="LA070" class=" ">OSUNTUYIMEDICALCENTRE(ANNEX)</option>
<option value="LA029SP" class=" ">FANIMEDHOSPITAL</option>
<option value="LA044SP" class=" ">ISALUHOSPITALLIMITED</option>
<option value="LA055SP" class=" ">MED-INSPECIALISTHOSPITAL</option>
<option value="LA194" class=" ">NIMBUSMEDICALCENTRE</option>
<option value="LA077" class=" ">ALHERIHOSPITAL,LAGOS</option>
<option value="LA214" class=" ">SOLIDROCKHOSPITALLTD</option>
<option value="HCH051" class=" ">HOREBCONSULTHOSPITAL</option>
<option value="CCHO51S" class=" ">CHILDKIDCHILDRENHOSPITAL</option>
<option value="LA189" class=" ">SIKEOYEHOPECLINIC</option>
<option value="LA004" class=" ">AKINBOLADESPECIALISTHOSPITAL</option>
<option value="LA025" class=" ">ELPHYSPECIALISTHOSPITAL</option>
<option value="LA047" class=" ">KILADEJOHOSPITAL&SPECIALISTCLINICS</option>
<option value="LA081" class=" ">STANTHONYMEDICALCENTRE&MATERNITYHOMELTD</option>
<option value="LA082" class=" ">STRAPHAELSHOSPITALLTD</option>
<option value="NEHL221" class=" ">NEWEVOLUTIONHOSPITALLTD</option>
<option value="LA067" class=" ">OMNIMEDICALCENTRE,ONIKAN</option>
<option value="DSMC048" class=" ">DIALYZERSPECIALISTMEDICALCENTRE</option>
<option value="GMC044" class=" ">GOODNESSMEDICALCENTRE</option>
<option value="MMC065" class=" ">MAZAFMEDICALCENTRE</option>
<option value="GCH091" class=" ">GODCURESHOSPITAL</option>
<option value="RTMC006" class=" ">RHOWILTOTAL-CAREMEDICALCENTRE</option>
<option value="LA030" class=" ">FASANMICLINIC&MATERNITYHOMELTD</option>
<option value="LA230" class=" ">IGBOLOGUNMEDICALCENTRE</option>
<option value="LA001" class=" ">ABSPECIALISTHOSPITAL</option>
<option value="LA052SP" class=" ">AVONMEDICALSERVICESLTD(HOSPITAL)</option>
<option value="LA016" class=" ">DAN-EGERTONHOSPITAL</option>
<option value="LA017" class=" ">DAN-EGERTONHOSPITAL</option>
<option value="LA023" class=" ">EKOHOSPITALPLC,SURULERE</option>
<option value="LA056" class=" ">MERCY-THOMASOREDUGBAMEDICALCENTRE</option>
<option value="LA057" class=" ">MEZONELHOSPITAL</option>
<option value="LA062" class=" ">NEWDAYSPECIALISTCLINIC</option>
<option value="LA065SP" class=" ">OLANIBAMEMORIALHOSPITAL</option>
<option value="LA073SP" class=" ">PROVIDENCEHOSPITALLTD,SURULERE</option>
<option value="LA087" class=" ">TOPAZCLINC</option>
<option value="LA205" class=" ">TUNRAYOHOSPITAL</option>
<option value="NMC019" class=" ">NAVALMEDICALCENTRE</option>
<option value="NA005" class=" ">NAGARIALLAHMAGANIHOSPITAL</option>
<option value="NA011" class=" ">JAMAAMEDICALCENTRE</option>
<option value="NA009" class=" ">AGUHOSPITAL</option>
<option value="NA003" class=" ">HENADMEDICALCENTRE</option>
<option value="NA007" class=" ">SAUKIHOSPITAL,LAFIA</option>
<option value="NA004" class=" ">KINGSCAREHOSPITALLTD,MARARABA</option>
<option value="NG014" class=" ">NASARACLINIC&MATERNITYHOSPITAL</option>
<option value="NG015" class=" ">RAINBOWCLINIC&MATERNITY</option>
<option value="NG002" class=" ">BAYSPECIALISTHOSPITAL</option>
<option value="NG010" class=" ">GREATFAITHMEDICALCENTRE</option>
<option value="NG017" class=" ">TOPMEDICALCLINIC</option>
<option value="SHDS056" class=" ">STANDARDHOSPITAL&DIAGNOSTICSERVICES</option>
<option value="NG012" class=" ">KAINJIMEDICALCENTRE</option>
<option value="NG004" class=" ">FARYGROUPCLINIC</option>
<option value="CHL017" class=" ">CHARLESHEALTHCARELTD</option>
<option value="SMC090" class=" ">SUZANMEMORIALCLINIC</option>
<option value="OG007" class=" ">FIRSTALPHAMEDICALCENTRE</option>
<option value="OG009" class=" ">MERCYGROUPCLINICS</option>
<option value="OG012" class=" ">SACREDHEARTHOSPITAL</option>
<option value="AESH041" class=" ">ANGEL&EAGLESPECIALISTHOSPITAL</option>
<option value="OG021SP" class=" ">JOSEPHANDCHRISTIANAHSPECIALISTHOSPITAL</option>
<option value="SSH030" class=" ">SOLAMEKSPECIALISTHOSPITAL</option>
<option value="OG024S" class=" ">BEACHLANDSPECIALISTHOSPITAL</option>
<option value="LH059" class=" ">LABITRIXHOSPITAL</option>
<option value="OG001" class=" ">AKOBISPECIALISTHOSPITAL</option>
<option value="OG019SP" class=" ">LAFIAKOWAHOSPITAL</option>
<option value="OG020" class=" ">PETERSONMEDICALCENTRE</option>
<option value="OG026" class=" ">ST.MICHAEL-ISRAELSPECIALISTHOSPITALLTD.</option>
<option value="SLCH018" class=" ">STANDARDLIFECAREHOSPITAL</option>
<option value="OG015B" class=" ">BROADLANDHOSPITALSERVICESLTD</option>
<option value="TRHC076" class=" ">REDEEMERHEALTHCENTRE</option>
<option value="ALH059" class=" ">ABUNDANTLIFEHSOPITAL</option>
<option value="MPH011" class=" ">MEDICPLUSHOSPITAL</option>
<option value="OG014" class=" ">OTUNBATUWASENATIONALPAEDIATRICCENTRE</option>
<option value="OG008" class=" ">ACEMEDICARECLINICS</option>
<option value="OG23S" class=" ">FARAMEDCLINICS</option>
<option value="OG025" class=" ">IDERAHEALTHSERVICESLIMITED</option>
<option value="ISHS59" class=" ">IMPERIALSPECIALISTHOSPITALSERVICES</option>
<option value="PMC083" class=" ">PROMISEMEDICALCENTRE</option>
<option value="FMS049" class=" ">FAMEMEDICALSERVICES</option>
<option value="SC050" class=" ">SHIRISHCLINIC</option>
<option value="HMC028" class=" ">HETTAMEDICALCENTRE</option>
<option value="SSMC035" class=" ">ST.SHILOHMEDICALCENTRE</option>
<option value="ON003" class=" ">FIRSTMERCYSPECIALISTHOSPITAL</option>
<option value="ON011" class=" ">TIMUNITYSPECIALISTHOSPITAL</option>
<option value="LHI095" class=" ">LULIHOSPITAL</option>
<option value="IMC" class=" ">INLANDMEDICALCENTRE</option>
<option value="ON007" class=" ">IBUKUN-OLUHOSPITALS</option>
<option value="SSH094" class=" ">STATESPECIALISTHOSPITAL</option>
<option value="ON001" class=" ">BABALOLAMEDICALCENTRE</option>
<option value="AMD" class=" ">ARIFMEDICALCENTRE</option>
<option value="PHM" class=" ">PIMAHOSPITALANDMATERNITY</option>
<option value="OS006SP" class=" ">OAUTHCOMPLEX</option>
<option value="OS007SP" class=" ">ST.VICTORIASPECIALISTHOSPITAL</option>
<option value="AMC057" class=" ">APEXMEDICALCENTRE</option>
<option value="OS005" class=" ">ADENLEMEMORIALHOSPITAL</option>
<option value="LPMC049" class=" ">LIVINGPETALSMEDICALCENTRE</option>
<option value="OS009" class=" ">EMMANUELMEDICALCENTRE</option>
<option value="OS001" class=" ">ABAKEMEDICALCENTRE</option>
<option value="OS002" class=" ">BIKETMEDICALCENTRE</option>
<option value="OS003" class=" ">ONWARDSPECIALISTHOSPITAL</option>
<option value="OS004" class=" ">OROKISPECIALISTHOSPITAL</option>
<option value="OY001" class=" ">ALAFIAHOSPITAL</option>
<option value="OY002" class=" ">BADEJOKOMEMORIALHOSP&MATERNITY</option>
<option value="OY003" class=" ">BANBYSPECIALISTHOSPITAL</option>
<option value="OY005" class=" ">FELEWAHOSPITALXXX</option>
<option value="OY007" class=" ">JOLAMADESPECIALISTHOSPITAL</option>
<option value="OY008" class=" ">J-RAPHACLINICS&HOSPITAL,IBADAN</option>
<option value="OY020" class=" ">LANARKSPECIALISTHOSPITAL</option>
<option value="OY009" class=" ">MEDICALPRACTITIONERSLTD</option>
<option value="OY010" class=" ">MOLLYSPECIALISTHOSPITAL</option>
<option value="OY015" class=" ">TEJUSPECIALISTHOSPITAL</option>
<option value="OY022S" class=" ">THEVINEHOSPITAL&MATERNITYCENTRE</option>
<option value="TMC018" class=" ">TOBIMEDICALCENTRELTD</option>
<option value="ZSMH033" class=" ">ZOESPECIALISTMISSIONHOSPITAL</option>
<option value="OY006" class=" ">IRETI-OLUHOSPITAL</option>
<option value="OY013" class=" ">SHEKINAHMEDICALCENTRE</option>
<option value="OY011" class=" ">MOMOHMEMORIALHOSPITAL</option>
<option value="OY012" class=" ">BAPTISTMEDICALCENTRE,SAKI</option>
<option value="PL002" class=" ">FOCUSHOSPITAL</option>
<option value="KSH0078" class=" ">KAUNASPECIALISTHOSPITAL</option>
<option value="MSH0076" class=" ">MARYSOLSPECIALISTHOSPITAL</option>
<option value="PL005" class=" ">SAUKIGROUPOFCLINICSANDMATERNITY,JOS</option>
<option value="FGH029" class=" ">FERTILEGROUNDHOSPITALLTD</option>
<option value="PL003" class=" ">MAYHOSPITAL,SHENDAM</option>
<option value="RI007" class=" ">GBEYEHOSPITAL</option>
<option value="RI002" class=" ">DELTASPECIALISTHOSPITAL</option>
<option value="MCE049" class=" ">MUJECLINIC</option>
<option value="RI006" class=" ">FOUNDATIONCLINIC</option>
<option value="RI007" class=" ">GBEYEHOSPITAL</option>
<option value="QPHM020" class=" ">QUEENOFPEACEHOSPITAL&MATERNITY</option>
<option value="PH0045" class=" ">EL-ROISPECIALISTCLINIC</option>
<option value="HC013" class=" ">HILTONCLINIC</option>
<option value="PHSMC006" class=" ">SOPHIKEMEDICALCENTRE</option>
<option value="GCMC029" class=" ">GREENCAREMEDICALCONSULTANTS</option>
<option value="PH0050" class=" ">MILITARYHOSPITAL</option>
<option value="NHC0041" class=" ">NEWHEIGHTSCONSULTANTSHOSPITALS</option>
<option value="RI012" class=" ">PRINCESSMEDICALCENTRE</option>
<option value="RI013" class=" ">PROVIDENCECLINIC&MATERNITYLTD,PORTHARCOURT</option>
<option value="RI030" class=" ">STPATRICK'SHOSPITALLTD</option>
<option value="NHCH0040" class=" ">NEWMILEONEHOSPITAL</option>
<option value="RI029" class=" ">MORNINGSTARHOSPITALLTD</option>
<option value="WHH060" class=" ">WESTHILLHOSPITAL</option>
<option value="BMH085" class=" ">BONMARIAHOSPITALLTD.</option>
<option value="PTMC013" class=" ">POTTERSTOUCHMEDICALCONSULTANT</option>
<option value="R1007" class=" ">GBEYEHOSPITAL</option>
<option value="PH0046" class=" ">PRESTIGEHOSPITAL</option>
<option value="ESH030" class=" ">EL-SPECIALISTHOSPITAL</option>
<option value="LCL059" class=" ">LIFECARECENTRELTD</option>
<option value="SSH049" class=" ">SHIELDSPECIALISTSHOSPITAL</option>
<option value="CMC059" class=" ">CUMIMEDICALCENTRE</option>
<option value="SO001" class=" ">SAHELSPECIALISTCLINIC</option>
<option value="SO002" class=" ">SOKOTOCLINIC</option>
<option value="TA002" class=" ">MAMBILLABAPTISTHOSPITAL</option>
<option value="YO001" class=" ">AJIKOMEDICALCENTRE</option>
<option value="YO002" class=" ">CITYMEDICALCENTRE,YOBE</option>
<option value="YO003" class=" ">POTISKUMMEDICALCENTRE</option>
<option value="ZA001" class=" ">DAULAHOSPITAL&MATERNITYHOME</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field91" data-index="8" style="width: 67%" class=" form-element form-element-field91 options-false index-false form-element-8 default-false form-element-type-dropdown is-required-false odd -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Preferred Hospital ECOBANK Plan</span></span><span class="sub-label"><span>Preferred
Hospital!</span></span></span>
<div><span class="error"></span><select data-is-required="false" class="validation-lenient" data-field-id="field91" name="field91" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Select Preferred Hospital ECOBANK Plan</option>
<option value="AB008" class=" ">CHRIST THE KING HOSPITAL, ABA</option>
<option value="AB012SP" class=" ">EKEOMA MEMORIAL HOSPITAL</option>
<option value="AB003" class=" ">LIFE CARE CLINICS LTD</option>
<option value="AB004" class=" ">LIVING WORD MISSION HOSPITAL</option>
<option value="AB005" class=" ">NEW ERA HOSPITAL, ABA</option>
<option value="TNC074" class=" ">THE NAZARETH CLINIC</option>
<option value="AB002" class=" ">FEDERAL MEDICAL CENTRE, UMUAHIA</option>
<option value="PSC101" class=" ">PRIMECARE SPECIALIST CLINICS</option>
<option value="FC022S" class=" ">ALLIANCE HOSPITAL, ABUJA</option>
<option value="FC001" class=" ">DARA MEDICAL CENTRE</option>
<option value="FC012" class=" ">FEDERAL STAFF HOSPITAL, GWARINPA</option>
<option value="FC002" class=" ">FEREPROD MEDICAL CENTRE</option>
<option value="FC003" class=" ">KINGS CARE HOSPITAL LTD, WUSE ZONE 4</option>
<option value="FC004" class=" ">LIMI HOSPITAL & MATERNITY LTD, ABUJA</option>
<option value="FC008" class=" ">PISION HOSPITAL</option>
<option value="FC020" class=" ">RUZ MEDICAL CENTRE</option>
<option value="LPH025" class=" ">LOUIS PASTEUR HOSPITAL</option>
<option value="SON0079" class=" ">SISTERS OF THE NATIVITY HOSPITAL</option>
<option value="FC009" class=" ">QUEENS CLINIC LTD, ABUJA</option>
<option value="FC024" class=" ">EXCEL SPECIALIST HOSPITAL</option>
<option value="SS052" class=" ">SOFTSHELL SPECIALIST HOSPITAL LTD</option>
<option value="SCH055" class=" ">SPRINGBLOOM COUNTY HOSPITAL</option>
<option value="JMCCH093" class=" ">JOYLAND MEDICAL CENTRE AND CHILDREN'S HOSPITAL</option>
<option value="FC023SP" class=" ">FAMILY CARE MULTICLINICS LTD</option>
<option value="FC005" class=" ">LIVINGSTREAM SPECIALIST MEDICAL CENTRE</option>
<option value="FC010" class=" ">ST MARY'S HOSPITAL, GWAGWALADA</option>
<option value="FC011" class=" ">UNIVERSITY OF ABUJA TEACHING HOSPITAL</option>
<option value="TMTC078" class=" ">TRAUMA & MULTISPECIALTY CENTER</option>
<option value="FC018" class=" ">KINGS CARE HOSPITAL LTD, Kubwa</option>
<option value="ACK077" class=" ">ALLISON CLINIC KUJE</option>
<option value="ASMC020" class=" ">ALFAD SPECIALIST MEDICAL CENTRE</option>
<option value="AD004" class=" ">SAUKI MEDICAL CENTRE, YOLA</option>
<option value="AD003" class=" ">PEACE HOSPITAL</option>
<option value="CMC156" class=" ">CALEB MEDICAL CENTER</option>
<option value="AK010" class=" ">VEDDYSON HOSPITAL</option>
<option value="AK003" class=" ">IHA FOUNDATION MEDICAL CENTRE</option>
<option value="AK017" class=" ">TOTAL CARE CLINIC AND MATERNITY</option>
<option value="AK014" class=" ">CHRIST VICTORY MEDICAL CENTRE</option>
<option value="AK005" class=" ">MOUNT OLIVE MEDICAL CENTRE</option>
<option value="AK009" class=" ">UBONG ABASI SPECIALIST HOSPITAL</option>
<option value="AK015" class=" ">DOMINGO SPECIALIST HOSPITALS</option>
<option value="SDH049" class=" ">SAN DOMINIQUE HOSPITAL</option>
<option value="PH0047" class=" ">OUR LADY OF LOURDES</option>
<option value="AN012" class=" ">SEFTON SPECIALIST MEDICAL CENTRE</option>
<option value="AN012SP" class=" ">IFEBI MEDICAL CENTER</option>
<option value="LIH048" class=" ">LIFE INTERNATIONAL HOSPITAL, AWKA</option>
<option value="AN014" class=" ">CHIBUZOR HOSPITAL & MATERNITY</option>
<option value="AN006" class=" ">FELIX OKOLO MEMORIAL HOSPITAL, NNEWI</option>
<option value="AN009" class=" ">LIFE SPECIALIST HOSPITAL</option>
<option value="JHM083" class=" ">JESUS IS LORD ROYAL HOSPITAL AND MATERNITY</option>
<option value="AN010" class=" ">MERCY SPECIALIST HOSPITAL & MATERNITY, ONITSHA</option>
<option value="SCBH060" class=" ">ST CHARLSE BORROMEO HOSPITAL</option>
<option value="KMC084" class=" ">KATAGUM MEDICAL CENTER</option>
<option value="BA002" class=" ">NIIMA CONSULTANTS HOSPITAL</option>
<option value="DE020S" class=" ">REMEE (RIMI) CLINIC</option>
<option value="BA003" class=" ">NINGI CLINIC & MATERNITY</option>
<option value="BY005" class=" ">CREST CONSULTANT CLINIC</option>
<option value="BY001" class=" ">FEDERAL MEDICAL CENTRE, YENAGOA</option>
<option value="BY004" class=" ">ST PETERS HOSPITAL</option>
<option value="BE001" class=" ">BAKI CLINIC AND MATERNITY</option>
<option value="BE004" class=" ">NKST HOSPITAL</option>
<option value="BE011FC" class=" ">FAMILY PRACTICE HOSPITAL</option>
<option value="BE010" class=" ">HOPE HOSPITAL</option>
<option value="BE003" class=" ">MADONNA HOSPITAL</option>
<option value="BE006" class=" ">PAMPAS HOSPITAL & MATERNITY</option>
<option value="BE007" class=" ">QUEENS CLINIC LTD, MAKURDI</option>
<option value="BE005" class=" ">OTIA CLINIC</option>
<option value="BE008" class=" ">ST ANTHONY HOSPITAL</option>
<option value="BO001" class=" ">ABBOTT CLINIC</option>
<option value="BO002" class=" ">NAKOWA SPECIALIST HOSPITAL</option>
<option value="BO003" class=" ">BORNO MEDICAL CENTRE</option>
<option value="BO004" class=" ">KANEM HOSPITAL & MATERNITY</option>
<option value="BO006" class=" ">UNIVERSITY OF MAIDUGURI TEACHING HOSPITAL</option>
<option value="CR015" class=" ">SANTA MARIA CLINIC & MATERNITY</option>
<option value="CR001" class=" ">BAKOR MEDICAL CENTRE</option>
<option value="CR003" class=" ">CITY CLINIC, CALABAR</option>
<option value="CR005" class=" ">FAITH FOUNDATION SPECIALIST CLINIC</option>
<option value="CR009" class=" ">IKPEME MEDICAL CENTRE</option>
<option value="CR010" class=" ">MEVOM SPECIALIST CLINIC</option>
<option value="CR048" class=" ">AMADO MEDICAL CENTRE</option>
<option value="CR008" class=" ">HOLY FAMILY CATHOLIC HOSPITAL, IKOM</option>
<option value="BMCI055" class=" ">BAKOR MEDICAL CENTRE</option>
<option value="DE003" class=" ">ANIOMA HOSPITAL</option>
<option value="DE028" class=" ">FEDERAL MEDICAL CENTRE, ASABA</option>
<option value="DE008" class=" ">GOOD SAMARITAN HOSPITAL COMPLEX</option>
<option value="SRSH057" class=" ">ST. REBECCA SPECIALIST HOSPITAL</option>
<option value="ECH034" class=" ">EL-COMFORT HOSPITAL</option>
<option value="DELSUTH" class=" ">DELTA STATE UNIVERSITY TEACHING HOSPITAL</option>
<option value="OLNCO48" class=" ">OUR LADY OF NIGERIA CATHOLIC HOSPITAL</option>
<option value="LH044" class=" ">LANA HOSPITAL</option>
<option value="DE017" class=" ">OBULE MEDICAL CENTRE</option>
<option value="DE031" class=" ">KOWA CLINIC, UGHELLI</option>
<option value="DE007" class=" ">CAPITOL HILL CLINIC/HOSPITAL</option>
<option value="DE025" class=" ">VERTIMON MEDICAL CENTRE</option>
<option value="FVH013" class=" ">FAIRVIEW HOSPITAL</option>
<option value="DE024" class=" ">B.U CLINIC/HOSPITAL LTD</option>
<option value="RC082" class=" ">REGAL CLINIC</option>
<option value="DSC083" class=" ">DAYSPRING CLINIC</option>
<option value="DE018" class=" ">LILY HOSPITAL LIMITED WARRI</option>
<option value="EB003" class=" ">FELIX MEMORIAL HOSPITAL, ABAKALIKI</option>
<option value="CKHM022" class=" ">CHRIST THE KING HOSPITAL AND MATERNITY</option>
<option value="ED005" class=" ">FATE MEDICAL CENTRE</option>
<option value="ED004" class=" ">FAITH MEDICAL CENTRE</option>
<option value="ED007" class=" ">MODIC MEDICAL CENTRE</option>
<option value="ED008" class=" ">MOUNT GILEAD HOSPITAL</option>
<option value="ED013" class=" ">ST PHILOMENA CATHOLIC HOSPITAL</option>
<option value="ED014" class=" ">THE ROCK HOSPITAL</option>
<option value="ED019" class=" ">EDI INTERNATIONAL HOSPITAL LTD</option>
<option value="ED041" class=" ">RAHI HOSPITALS LIMITED</option>
<option value="SAMC049" class=" ">ST AUGUSTINE MEDICAL CENTRE</option>
<option value="ED022" class=" ">IRRUA SPECIALIST TEACHING HOSPITAL </option>
<option value="LHL061" class=" ">LILLY HOSPITAL LIITED</option>
<option value="EK004" class=" ">EKITI STATE UNIVERSITY TEACHING HOSPITAL, ADO - EKITI</option>
<option value="EK001" class=" ">FEDERAL TEACHING HOSPITAL, IDO-EKITI</option>
<option value="EN003" class=" ">CHRIST THE KING, ENUGU</option>
<option value="MCSH010" class=" ">MOTHER OF CHRIST SPECIALIST HOSPITAL</option>
<option value="EN005" class=" ">PEENOK MEDICAL CENTRE</option>
<option value="EN006" class=" ">RISTELLA HOSPITAL</option>
<option value="EN008" class=" ">ST MARY'S HOSPITAL & MATERNITY, ENUGU</option>
<option value="EN012" class=" ">LIVINGSTON SPECIALIST HOSPITAL</option>
<option value="EN013" class=" ">ST DANIEL CONSOLATA HOSPITAL</option>
<option value="EN009" class=" ">UNIVERSITY MEDICAL CENTRE</option>
<option value="AMH078" class=" ">AKULUE MEMORIAL HOSPITAL</option>
<option value="GO002" class=" ">FEDERAL MEDICAL CENTRE, GOMBE</option>
<option value="GO003" class=" ">MIYETTI HOSPITAL</option>
<option value="GO004" class=" ">METRO CONSULTANTS CLINIC</option>
<option value="ICOO5" class=" ">IVORY CLINIC</option>
<option value="SMCCH004" class=" ">ST MARY CHILDREN AND COMMUNITY UMUOWA, ORLU</option>
<option value="IMUTH006" class=" ">IMO STATE UNIVERSITY TEACHING HOSPITAL, ORLU</option>
<option value="IM002" class=" ">EZEM MEDICAL CENTRE</option>
<option value="IM011" class=" ">FEDERAL MEDICAL CENTRE, OWERRI</option>
<option value="FCH0042" class=" ">FIRST CONCEPT HOSPITAL, OWERRI</option>
<option value="IM010" class=" ">IKENEGBU HOSPITAL, MATERNITY & LABORATORY </option>
<option value="IM003" class=" ">INTERNATIONAL CHRISTIAN HOSPITAL</option>
<option value="IM007" class=" ">LIFESPRING SPECIALIST HOSPITAL</option>
<option value="IM005" class=" ">SALVATION HOSPITAL & MATERNITY</option>
<option value="SEHM0043" class=" ">ST. ELIZABETH HOSPITAL AND MATERNITY</option>
<option value="WHM001" class=" ">WINNIES HOSPITAL AND MATERNITY</option>
<option value="IM044" class=" ">CHAPEL GROUP SPECIALISTS HOSPITAL</option>
<option value="A0077" class=" ">ALBARKA CLINIC</option>
<option value="HHLO23" class=" ">HARMONY HOSPITAL LIMITED</option>
<option value="KA001" class=" ">ALBARKA HOSPITAL & MATERNITY</option>
<option value="KA003" class=" ">AMINA HOSPITAL</option>
<option value="KA004" class=" ">CHASEL HOSPITAL</option>
<option value="KA005" class=" ">GIWA HOSPITAL LTD</option>
<option value="KA008" class=" ">JOWAKO HOSPITAL</option>
<option value="KA010" class=" ">MANEKS HOSPITAL</option>
<option value="KA012" class=" ">MENDS SPECIALIST HOSPITAL</option>
<option value="KA021S" class=" ">MULTICLINIC SPECIALIST HOSPITAL</option>
<option value="KA013" class=" ">SEFA HOSPITAL</option>
<option value="KA014" class=" ">TIM UNITY SPECIALIST HOSPITAL</option>
<option value="SMC003" class=" ">SALEM MEDICAL CENTRE</option>
<option value="KA002" class=" ">ALMADINA CLINIC</option>
<option value="KA009" class=" ">LIMI HOSPITAL & MATERNITY LTD, ZARIA</option>
<option value="KA011" class=" ">MAYFAIR CLINICS NIG LTD</option>
<option value="KN001" class=" ">AMINU KANO TEACHING HOSPITAL</option>
<option value="KN002" class=" ">IDEAL HOSPITAL & MATERNITY LTD</option>
<option value="KN003" class=" ">INTERNATIONAL CLINICS & HOSPITALS</option>
<option value="KN004" class=" ">PREMIER CLINIC, KANO</option>
<option value="KT003" class=" ">BISTIT HOSPITAL LTD</option>
<option value="KT009" class=" ">AMFANI CLINIC AND MATERNITY</option>
<option value="KT008" class=" ">FEDERAL MEDICAL CENTRE, KATSINA</option>
<option value="KB001" class=" ">FEDERAL MEDICAL CENTRE, KEBBI</option>
<option value="KMSH099" class=" ">KEBBI MULTI-SPECIALIST HOSPITAL</option>
<option value="EHL208" class=" ">EQUITY HOSPITAL LIMITED</option>
<option value="DD094" class=" ">DDG MEDICAL CENTRE</option>
<option value="KG001" class=" ">DURO SOLEYE HOSPITAL</option>
<option value="KG006" class=" ">TOWNSHIP CLINIC</option>
<option value="KG009" class=" ">MARIA GORETTI HOSPITAL</option>
<option value="KG010" class=" ">NEIGHBOUR MULTICARE HOSPITAL & WOMEN WELLFARE CENTRE LTD.</option>
<option value="KG002" class=" ">ECWA HOSPITAL</option>
<option value="KG007" class=" ">ODOMA CLINICS</option>
<option value="KG008" class=" ">ST.JOHN'S CATHOLIC HOSPITAL</option>
<option value="KG003" class=" ">FEDERAL MEDICAL CENTRE, KOGI</option>
<option value="KG004" class=" ">NIGER HOSPITAL</option>
<option value="KG005" class=" ">POLY CLINIC HOSPITAL & MATERNITY</option>
<option value="CSHFC203" class=" ">CARECREST SPECIALIST HOSPITAL & FERTILITY CENTRE</option>
<option value="KW011S" class=" ">OGO-OLUWA HOSPITAL</option>
<option value="KW002 " class=" ">ANCHORMED HOSPITAL</option>
<option value="KW012" class=" ">BALM HOSPITAL LTD</option>
<option value="KW185D" class=" ">DELNIK HOSPITAL</option>
<option value="KW182K" class=" ">KIDDIZ MEDICAL CENTRE</option>
<option value="KW003" class=" ">OLA OLU HOSPITAL</option>
<option value="KW004" class=" ">OLANREWAJU HOSPITAL LTD</option>
<option value="KW005" class=" ">OMOLOLA HOSPITAL</option>
<option value="KW183M" class=" ">SURULERE MEDICAL CENTRE </option>
<option value="KW007" class=" ">ROLAKIM CLINIC & MATERNITY</option>
<option value="DMC098" class=" ">DANDY MEDICAL CENTRE</option>
<option value="SLCH018" class=" ">STANDARD LIFE CARE HOSPITAL</option>
<option value="PGMC049" class=" ">P&G MEDICAL CENTRE</option>
<option value="LA076" class=" ">ROPHE HOSPITAL</option>
<option value="LA006" class=" ">ALL SOULS INFIRMARY, AGEGE</option>
<option value="LA200" class=" ">BETTA HOSPITAL</option>
<option value="PMC084" class=" ">PROMISE MEDICAL CENTRE</option>
<option value="BUDO1" class=" ">BUDO SPECIALIST HOSPITAL</option>
<option value="LA021SP" class=" ">DOREN SPECIALIST HOSPITAL</option>
<option value="LA045SP" class=" ">J-RAPHA CLINICS & HOSPITAL, AJAH</option>
<option value="LA233S" class=" ">ST EDWARD SPECIALIST HOSPITAL & CARDIAC CENTRE</option>
<option value="DHHS088" class=" ">DOVE HOSPITAL & HEALTHCARE SERVICES LTD.</option>
<option value="LH055" class=" ">LENNOX HOSPITAL</option>
<option value="LA036SP" class=" ">HEALING FIELD HOSPITAL</option>
<option value="HH024" class=" ">HEDA HOSPITAL</option>
<option value="RSH059" class=" ">RIVET SPECIALIST HOSPITAL</option>
<option value="ICH028" class=" ">ILOGBO CENTRAL HOSPITAL</option>
<option value="LA005" class=" ">ALL SOULS CLINICS, AJEGUNLE</option>
<option value="KAAFM" class=" ">KAAF MATERNITY AND CHILD CARE CENTRE</option>
<option value="LA135" class=" ">BEE HESS HOSPITAL</option>
<option value="RYHL029" class=" ">REM-YEMS HOSPITAL LTD</option>
<option value="LH080" class=" ">LOBEL HOSPITAL</option>
<option value="JEFF078" class=" ">JEFIS SPECIALIST HOSPITAL</option>
<option value="GSH019" class=" ">GODFREY SPECIALIST HOSPITAL</option>
<option value="LA034" class=" ">GLORIA HOSPITAL LTD</option>
<option value="LA086" class=" ">TINCAN HOSPITAL GROUP</option>
<option value="ONMC038" class=" ">OBISESAN NAVAL MEDICAL CENTRE, APAPA</option>
<option value="AMH048" class=" ">AKANBI MEMORIAL HOSPITAL</option>
<option value="LA084SP" class=" ">THE GREAT PHYSICIAN HOSPITAL</option>
<option value="CGH029" class=" ">CARE GIVER HOSPITAL, AJARA</option>
<option value="ALTH028" class=" ">ADEBAYO LIVING TOWER HOSPITAL, IMEKE</option>
<option value="TRI0088" class=" ">THE ROYAL INFIRMARY HOSPITAL</option>
<option value="LA075SP" class=" ">R - JOLAD HOSPITAL</option>
<option value="LA015SP" class=" ">CRYSTAL SPECIALIST HOSPITAL</option>
<option value="SHMC086" class=" ">STONE HILL MEDICAL CENTRE</option>
<option value="HWH082" class=" ">HOPEWELL HOSPITAL LIMITED</option>
<option value="LA061" class=" ">MOUNT SINAI HOSPITAL GROUP, EBUTE-METTA</option>
<option value="LA031" class=" ">FEDERAL MEDICAL CENTRE, EBUTE-METTA</option>
<option value="LA161" class=" ">CAREPOINT CLINIC EGBEDA LIMITED</option>
<option value="LHMH021" class=" ">LIGHT HOSPITAL AND MATERNITY HOME LTD</option>
<option value="TCMH060" class=" ">TRUECARE MODEL HOSPITAL</option>
<option value="GHE048" class=" ">GENERAL HOSPITAL, EPE</option>
<option value="LA013" class=" ">CEDAR HOSPITAL</option>
<option value="LA026SP" class=" ">EMEL HOSPITAL</option>
<option value="LA035" class=" ">GOLDEN CROSS INFIRMARY, FESTAC</option>
<option value="LA078" class=" ">SHEPHERD SPECIALIST HOSPITAL</option>
<option value="LA197SP" class=" ">AFRIMED OGP SPECIALIST HOSPITAL</option>
<option value="LA009" class=" ">ANIYUN HOSPITAL LIMITED</option>
<option value="PRSH012" class=" ">PRIMROSE SPECIALIST HOSPITAL</option>
<option value="MH056" class=" ">MAKOG HOSPITALS</option>
<option value="LA083" class=" ">SUBOL HOSPITAL</option>
<option value="LA219" class=" ">ST THOMAS HOSPITAL</option>
<option value="LA049" class=" ">LONGING MEDICAL CENTRE</option>
<option value="LA018" class=" ">DE NEW AIYETORO MEDICAL CENTRE</option>
<option value="AHML034" class=" ">ADEMOLA HOSPITAL & MATERNITY LTD</option>
<option value="LA069" class=" ">OSUNTUYI MEDICAL CENTRE</option>
<option value="LA011" class=" ">BLUE CROSS HOSPITAL</option>
<option value="LA022SP" class=" ">EKO HOSPITAL PLC, IKEJA</option>
<option value="LA039" class=" ">HOLY TRINITY HOSPITAL</option>
<option value="LA058SP" class=" ">MOTAYO HOSPITAL</option>
<option value="LA188SP" class=" ">ST MARYS SPECIALIST HOSPITAL, IKEJA</option>
<option value="LA020" class=" ">DONAS HOSPITAL</option>
<option value="LA216" class=" ">JOBI HOSPITAL</option>
<option value="LA213" class=" ">OAK HOSPITALS</option>
<option value="SMC085" class=" ">SHANU MEDICAL CENTRE</option>
<option value="LA228S" class=" ">M-CRED HOSPITALS LIMITED</option>
<option value="LA012" class=" ">BROAD HOSPITAL & MATERNITY</option>
<option value="LA059" class=" ">MOUNT PISGAH HOSPITAL LTD</option>
<option value="LA060" class=" ">MOUNT SINAI HOSPITAL, EGBE</option>
<option value="LA014SP" class=" ">CITIZEN MEDICAL CENTRE</option>
<option value="LA019" class=" ">DIVINE MEDICAL CENTRE</option>
<option value="BCH059" class=" ">BEST CARE HOSPITAL</option>
<option value="LA142SP" class=" ">LAGOON HOSPITAL HOSPITAL, IKOYI</option>
<option value="LA054" class=" ">MAY CLINICS LTD</option>
<option value="GCH091" class=" ">GOD CURES HOSPITAL</option>
<option value="LA053" class=" ">MAY CLINICS LTD (Annex)</option>
<option value="LA090" class=" ">ULTIMA MEDICARE</option>
<option value="SMC085" class=" ">SHANU MEDICAL CENTRE</option>
<option value="LA209" class=" ">G.ESTATE CLINIC CONSORTIUM</option>
<option value="LA141" class=" ">SOLAD MEDICAL CENTRE</option>
<option value="LA233" class=" ">SPARK VIEW HOSPITAL</option>
<option value="LA037" class=" ">HEALS SPECIALIST CLINIC</option>
<option value="LA080" class=" ">ST EMMANUEL HOSPITAL</option>
<option value="LA193SP" class=" ">KROWN HOSPITAL</option>
<option value="LA232" class=" ">MUCAS HOSPITAL</option>
<option value="LA091" class=" ">VETA HOSPITAL LTD</option>
<option value="DMC079" class=" ">DAFE MEDICAL CENTRE</option>
<option value="THL045" class=" ">THEO HOSPITAL LIMITED</option>
<option value="LA051" class=" ">AVON MEDICAL SERVICES LTD (CLINIC)</option>
<option value="BC0089" class=" ">BERNICE CLINIC</option>
<option value="LA032" class=" ">FIRST CITY DIAGNOSIS LTD</option>
<option value="LHL049" class=" ">LOUISMED HOSPITAL LIMITED</option>
<option value="LA215SP" class=" ">RAINBOW SPECIALIST MEDICAL CENTRE</option>
<option value="LA088" class=" ">UDECO MEDICAL CENTRE</option>
<option value="GHL020" class=" ">GERMAINE HOSPITAL, LEKKI</option>
<option value="FCH049" class=" ">FIRST CITY HOSPITAL</option>
<option value="JEH019" class=" ">JERICHO HOSPITAL</option>
<option value="LA072SP" class=" ">PINECREST SPECIALIST HOSPITAL</option>
<option value="LA211" class=" ">MAGODO SPECIALIST HOSPITAL</option>
<option value="FIH0091" class=" ">FIRST HERITAGE HOSPITAL</option>
<option value="LA106H" class=" ">HILLSTAR CLINICS (NIGERIA) LTD</option>
<option value="LA070" class=" ">OSUNTUYI MEDICAL CENTRE(ANNEX)</option>
<option value="LA029SP" class=" ">FANIMED HOSPITAL</option>
<option value="LA044SP" class=" ">ISALU HOSPITAL LIMITED</option>
<option value="LA055SP" class=" ">MED-IN SPECIALIST HOSPITAL</option>
<option value="LA194" class=" ">NIMBUS MEDICAL CENTRE </option>
<option value="LA077" class=" ">ALHERI HOSPITAL, LAGOS</option>
<option value="LA214" class=" ">SOLID ROCK HOSPITAL LTD</option>
<option value="HCH051" class=" ">HOREB CONSULT HOSPITAL</option>
<option value="CCHO51S" class=" ">CHILDKID CHILDREN HOSPITAL</option>
<option value="LA189" class=" ">SIKEOYE HOPE CLINIC</option>
<option value="LA004" class=" ">AKINBOLADE SPECIALIST HOSPITAL</option>
<option value="LA025" class=" ">ELPHY SPECIALIST HOSPITAL</option>
<option value="LA047" class=" ">KILADEJO HOSPITAL & SPECIALIST CLINICS</option>
<option value="LA081" class=" ">ST ANTHONY MEDICAL CENTRE & MATERNITY HOME LTD</option>
<option value="LA082" class=" ">ST RAPHAELS HOSPITAL LTD</option>
<option value="NEHL221" class=" ">NEW EVOLUTION HOSPITAL LTD</option>
<option value="LA067" class=" ">OMNI MEDICAL CENTRE, ONIKAN</option>
<option value="DSMC048" class=" ">DIALYZER SPECIALIST MEDICAL CENTRE</option>
<option value="GMC044" class=" ">GOODNESS MEDICAL CENTRE</option>
<option value="MMC065" class=" ">MAZAF MEDICAL CENTRE</option>
<option value="GCH091" class=" ">GOD CURES HOSPITAL</option>
<option value="RTMC006" class=" ">RHOWIL TOTAL-CARE MEDICAL CENTRE</option>
<option value="LA030" class=" ">FASANMI CLINIC & MATERNITY HOME LTD</option>
<option value="LA230" class=" ">IGBOLOGUN MEDICAL CENTRE</option>
<option value="LA001" class=" ">AB SPECIALIST HOSPITAL</option>
<option value="LA052SP" class=" ">AVON MEDICAL SERVICES LTD (HOSPITAL)</option>
<option value="LA016" class=" ">DAN-EGERTON HOSPITAL</option>
<option value="LA017" class=" ">DAN-EGERTON HOSPITAL</option>
<option value="LA023" class=" ">EKO HOSPITAL PLC, SURULERE</option>
<option value="LA056" class=" ">MERCY-THOMAS OREDUGBA MEDICAL CENTRE </option>
<option value="LA057" class=" ">MEZONEL HOSPITAL</option>
<option value="LA062" class=" ">NEWDAY SPECIALIST CLINIC</option>
<option value="LA065SP" class=" ">OLANIBA MEMORIAL HOSPITAL</option>
<option value="LA073SP" class=" ">PROVIDENCE HOSPITAL LTD, SURULERE</option>
<option value="LA087" class=" ">TOPAZ CLINC</option>
<option value="LA205 " class=" ">TUNRAYO HOSPITAL </option>
<option value="NMC019" class=" ">NAVAL MEDICAL CENTRE</option>
<option value="NA010" class=" ">OUR LADY OF APOSTLES HOSPITAL</option>
<option value="NA002" class=" ">FEDERAL MEDICAL CENTRE, KEFFI</option>
<option value="NA005" class=" ">NAGARI ALLAH MAGANI HOSPITAL</option>
<option value="NA011" class=" ">JAMAA MEDICAL CENTRE</option>
<option value="NA009" class=" ">AGU HOSPITAL</option>
<option value="NA001" class=" ">DALHATU ARAF SPECIALIST HOSPITAL</option>
<option value="NA007" class=" ">SAUKI HOSPITAL, LAFIA</option>
<option value="NA004" class=" ">KINGS CARE HOSPITAL LTD, MARARABA</option>
<option value="NG005" class=" ">FEDERAL MEDICAL CENTRE, BIDA</option>
<option value="NG014" class=" ">NASARA CLINIC & MATERNITY HOSPITAL</option>
<option value="NG015" class=" ">RAINBOW CLINIC & MATERNITY</option>
<option value="NG002" class=" ">BAY SPECIALIST HOSPITAL</option>
<option value="NG010" class=" ">GREAT FAITH MEDICAL CENTRE</option>
<option value="NG017" class=" ">TOP MEDICAL CLINIC</option>
<option value="SHDS056" class=" ">STANDARD HOSPITAL & DIAGNOSTIC SERVICES</option>
<option value="NG012" class=" ">KAINJI MEDICAL CENTRE</option>
<option value="NG004" class=" ">FARY GROUP CLINIC</option>
<option value="CHL017" class=" ">CHARLES HEALTHCARE LTD</option>
<option value="SMC090" class=" ">SUZAN MEMORIAL CLINIC</option>
<option value="OG005" class=" ">FEDERAL MEDICAL CENTRE, ABEOKUTA</option>
<option value="OG009" class=" ">MERCY GROUP CLINICS</option>
<option value="OG012" class=" ">SACRED HEART HOSPITAL</option>
<option value="AESH041" class=" ">ANGEL & EAGLE SPECIALIST HOSPITAL</option>
<option value="OG021SP" class=" ">JOSEPH AND CHRISTIANAH SPECIALIST HOSPITAL</option>
<option value="SSH030" class=" ">SOLAMEK SPECIALIST HOSPITAL</option>
<option value="OG024S" class=" ">BEACHLAND SPECIALIST HOSPITAL</option>
<option value="LH059" class=" ">LABITRIX HOSPITAL</option>
<option value="OG001" class=" ">AKOBI SPECIALIST HOSPITAL</option>
<option value="OG019SP" class=" ">LAFIA KOWA HOSPITAL</option>
<option value="OG020" class=" ">PETERSON MEDICAL CENTRE</option>
<option value="OG026" class=" ">ST. MICHAEL - ISRAEL SPECIALIST HOSPITAL LTD.</option>
<option value="SLCH018" class=" ">STANDARD LIFE CARE HOSPITAL</option>
<option value="OG015B" class=" ">BROADLAND HOSPITAL SERVICES LTD</option>
<option value="TRHC076" class=" ">REDEEMER HEALTH CENTRE</option>
<option value="ALH059" class=" ">ABUNDANT LIFE HSOPITAL</option>
<option value="MPH011" class=" ">MEDIC PLUS HOSPITAL</option>
<option value="OG014" class=" ">OTUNBA TUWASE NATIONAL PAEDIATRIC CENTRE</option>
<option value="OG008" class=" ">ACE MEDICARE CLINICS</option>
<option value="OG23S" class=" ">FARAMED CLINICS</option>
<option value="OG025" class=" ">IDERA HEALTH SERVICES LIMITED</option>
<option value="ISHS59" class=" ">IMPERIAL SPECIALIST HOSPITAL SERVICES</option>
<option value="OG024T" class=" ">OLABISI ONABANJO UNIVERSITY TEACHING HOSPITAL</option>
<option value="PMC083" class=" ">PROMISE MEDICAL CENTRE</option>
<option value="FMS049" class=" ">FAME MEDICAL SERVICES</option>
<option value="SC050" class=" ">SHIRISH CLINIC</option>
<option value="HMC028" class=" ">HETTA MEDICAL CENTRE</option>
<option value="SSMC035" class=" ">ST. SHILOH MEDICAL CENTRE</option>
<option value="ON003" class=" ">FIRST MERCY SPECIALIST HOSPITAL</option>
<option value="ON011" class=" ">TIM UNITY SPECIALIST HOSPITAL</option>
<option value="LHI095" class=" ">LULI HOSPITAL</option>
<option value="IMC" class=" ">INLAND MEDICAL CENTRE</option>
<option value="ON007" class=" ">IBUKUN-OLU HOSPITALS</option>
<option value="SSH094" class=" ">STATE SPECIALIST HOSPITAL</option>
<option value="ON001" class=" ">BABALOLA MEDICAL CENTRE</option>
<option value="AMD" class=" ">ARIF MEDICAL CENTRE</option>
<option value="PHM" class=" ">PIMA HOSPITAL AND MATERNITY </option>
<option value="OS006SP" class=" ">OAUTH COMPLEX</option>
<option value="OS007SP" class=" ">ST. VICTORIA SPECIALIST HOSPITAL </option>
<option value="AMC057" class=" ">APEX MEDICAL CENTRE</option>
<option value="OS005" class=" ">ADENLE MEMORIAL HOSPITAL</option>
<option value="LPMC049" class=" ">LIVING PETALS MEDICAL CENTRE</option>
<option value="OS009" class=" ">EMMANUEL MEDICAL CENTRE</option>
<option value="OS001" class=" ">ABAKE MEDICAL CENTRE</option>
<option value="OS002" class=" ">BIKET MEDICAL CENTRE</option>
<option value="OS003" class=" ">ONWARD SPECIALIST HOSPITAL</option>
<option value="OS004" class=" ">OROKI SPECIALIST HOSPITAL </option>
<option value="OY001" class=" ">ALAFIA HOSPITAL</option>
<option value="OY002" class=" ">BADEJOKO MEMORIAL HOSP & MATERNITY</option>
<option value="OY003" class=" ">BANBY SPECIALIST HOSPITAL</option>
<option value="OY005" class=" ">FELEWA HOSPITAL XXX</option>
<option value="OY007" class=" ">JOLAMADE SPECIALIST HOSPITAL</option>
<option value="OY008" class=" ">J-RAPHA CLINICS & HOSPITAL, IBADAN</option>
<option value="OY020" class=" ">LANARK SPECIALIST HOSPITAL</option>
<option value="OY009" class=" ">MEDICAL PRACTITIONERS LTD</option>
<option value="OY010" class=" ">MOLLY SPECIALIST HOSPITAL</option>
<option value="OY015" class=" ">TEJU SPECIALIST HOSPITAL</option>
<option value="OY022S" class=" ">THE VINE HOSPITAL & MATERNITY CENTRE</option>
<option value="TMC018" class=" ">TOBI MEDICAL CENTRE LTD</option>
<option value="ZSMH033" class=" ">ZOE SPECIALIST MISSION HOSPITAL</option>
<option value="OY004" class=" ">BOWEN UNIVERSITY TEACHING HOSPITAL</option>
<option value="OY006" class=" ">IRETI-OLU HOSPITAL</option>
<option value="OY011" class=" ">MOMOH MEMORIAL HOSPITAL</option>
<option value="OY012" class=" ">BAPTIST MEDICAL CENTRE, SAKI</option>
<option value="PL002" class=" ">FOCUS HOSPITAL</option>
<option value="KSH0078" class=" ">KAUNA SPECIALIST HOSPITAL</option>
<option value="MSH0076" class=" ">MARYSOL SPECIALIST HOSPITAL</option>
<option value="PL005" class=" ">SAUKI GROUP OF CLINICS AND MATERNITY, JOS</option>
<option value="FGH029" class=" ">FERTILE GROUND HOSPITAL LTD</option>
<option value="PL003" class=" ">MAY HOSPITAL, SHENDAM</option>
<option value="RI007" class=" ">GBEYE HOSPITAL</option>
<option value="RI002" class=" ">DELTA SPECIALIST HOSPITAL</option>
<option value="MCE049" class=" ">MUJE CLINIC</option>
<option value="RI006" class=" ">FOUNDATION CLINIC</option>
<option value="RI007" class=" ">GBEYE HOSPITAL</option>
<option value="QPHM020" class=" ">QUEEN OF PEACE HOSPITAL & MATERNITY</option>
<option value="PH0045" class=" ">EL-ROI SPECIALIST CLINIC</option>
<option value="HC013" class=" ">HILTON CLINIC</option>
<option value="GCMC029" class=" ">GREEN CARE MEDICAL CONSULTANTS</option>
<option value="PH0050" class=" ">MILITARY HOSPITAL</option>
<option value="NHC0041" class=" ">NEW HEIGHTS CONSULTANTS HOSPITALS</option>
<option value="RI012" class=" ">PRINCESS MEDICAL CENTRE</option>
<option value="RI013" class=" ">PROVIDENCE CLINIC & MATERNITY LTD, PORTHARCOURT</option>
<option value="RI030" class=" ">ST PATRICK'S HOSPITAL LTD</option>
<option value="NHCH0040" class=" ">NEW MILE ONE HOSPITAL</option>
<option value="RI029" class=" ">MORNING STAR HOSPITAL LTD</option>
<option value="WHH060" class=" ">WESTHILL HOSPITAL</option>
<option value="BMH085" class=" ">BONMARIA HOSPITAL LTD.</option>
<option value="PTMC013" class=" ">POTTERS TOUCH MEDICAL CONSULTANT</option>
<option value="R1007" class=" ">GBEYE HOSPITAL</option>
<option value="PH0046" class=" ">PRESTIGE HOSPITAL</option>
<option value="ESH030" class=" ">EL-SPECIALIST HOSPITAL</option>
<option value="LCL059" class=" ">LIFECARE CENTRE LTD</option>
<option value="SSH049" class=" ">SHIELD SPECIALISTS HOSPITAL</option>
<option value="DMC058" class=" ">DATTA MEDICAL CENTRE</option>
<option value="OMC048" class=" ">OLUNWA MEDICAL CENTRE</option>
<option value="RI051" class=" ">NEW ORLINS HOSPITAL</option>
<option value="SHSL049" class=" ">STANDARDCARE HEALTH SOLUTIONS LIMITED</option>
<option value="CMC059" class=" ">CUMI MEDICAL CENTRE</option>
<option value="SO001" class=" ">SAHEL SPECIALIST CLINIC</option>
<option value="SO002" class=" ">SOKOTO CLINIC</option>
<option value="SO003" class=" ">USMAN DAN FODIO TEACHING HOSPITAL</option>
<option value="TA003" class=" ">GENERAL HOSPITAL</option>
<option value="TA002" class=" ">MAMBILLA BAPTIST HOSPITAL</option>
<option value="TA001" class=" ">FEDERAL MEDICAL CENTRE, JALINGO</option>
<option value="YO001" class=" ">AJIKO MEDICAL CENTRE</option>
<option value="YO002" class=" ">CITY MEDICAL CENTRE, YOBE</option>
<option value="YO003" class=" ">POTISKUM MEDICAL CENTRE</option>
<option value="ZA001" class=" ">DAULA HOSPITAL & MATERNITY HOME</option>
<option value="ZA002" class=" ">FEDERAL MEDICAL CENTRE, GUSAU</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
</div>
</div>
<div class="form-page form-page-3" data-index="3">
<div class="form-page-content ">
<div data-identifier="field58" data-index="0" style="width: 100%" class=" form-element form-element-field58 options-false index-false form-element-0 default-false form-element-type-heading is-required-false odd -handle">
<div class="form-element-html">
<div>
<div style="background-color:" class="heading-cover field-cover ">
<div style="text-align: left; font-size: 1.7000000000000002em; padding-top: ; padding-bottom: ; color: #1e73be" class="bold-true"><span>Child 1 Details</span></div><input type="hidden" data-field-id="field58" name="field58[]"
value="Child 1 Details">
</div>
</div>
</div>
</div>
<div data-identifier="field51" data-index="1" style="width: 50%" class=" even form-element form-element-field51 options-false index-false form-element-1 default-false form-element-type-oneLineText is-required-false -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>Surname</span></span><span class="sub-label"><span>Surname</span></span></span>
<div><span class="error"></span><input type="text" placeholder="Surname" make-read-only="false" data-field-id="field51" name="field51[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="false"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field52" data-index="2" style="width: 50%" class=" form-element form-element-field52 options-false index-false form-element-2 default-false form-element-type-oneLineText is-required-false odd -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>First Name</span></span><span class="sub-label"><span>First Name</span></span></span>
<div><span class="error"></span><input type="text" placeholder="First Name" make-read-only="false" data-field-id="field52" name="field52[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="false"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field44" data-index="3" style="width: 33%" class=" even form-element form-element-field44 options-false index-false form-element-3 default-false form-element-type-fileupload is-required-false -handle">
<div class="form-element-html">
<div><label class="wide- fileupload-cover field-cover"><span class="sub-label-"><span class="main-label"><span>Upload Passport</span></span><span class="sub-label"><span>upload</span></span></span>
<div><span class="error"></span>
<div class="button button-file fileupload-button" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true" data-original-title="">
<i class="icon-upload-cloud formcraft-icon">cloud_upload</i><span>Upload Child One Passport Photograph</span><input type="file" data-name-list="field44" name="files" multiple="multiple" data-allow-extensions="jpg,png"
data-min-files="" data-max-files="" data-max-size=""></div>
</div>
</label></div>
</div>
</div>
<div data-identifier="field53" data-index="4" style="width: 50%" class=" form-element form-element-field53 options-false index-false form-element-4 default-false form-element-type-oneLineText is-required-false odd -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>Other Names</span></span><span class="sub-label"><span>Other Names</span></span></span>
<div><span class="error"></span><input type="text" placeholder="Other Names" make-read-only="false" data-field-id="field53" name="field53[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="false"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field45" data-index="5" style="width: 50%" class=" even form-element form-element-field45 options-false index-false form-element-5 default-false form-element-type-dropdown is-required-false -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Gender*</span></span><span class="sub-label"><span>Gender!</span></span></span>
<div><span class="error"></span><select data-is-required="false" class="validation-lenient" data-field-id="field45" name="field45" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Select Gender</option>
<option value="Male" class=" ">Male</option>
<option value="Female" class=" ">Female</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field55" data-index="6" style="width: 35%" class=" form-element form-element-field55 options-false index-false form-element-6 default-false form-element-type-datepicker is-required-false odd -handle">
<div class="form-element-html">
<div><label class="datepicker-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>Date of Birth</span></span><span class="sub-label"><span>Date of Birth</span></span></span>
<div><span class="error"></span><input autocomplete="off" data-field-id="field55" placeholder="Date of Birth" type="text" class="validation-lenient hasDatepicker" data-is-required="false" datepicker="" data-date-min-range=""
data-date-format="dd/mm/yy" data-date-days="{"0":true,"1":true,"2":true,"3":true,"4":true,"5":true,"6":true}" data-date-min="" data-date-min-alt=""
data-date-max-alt="" data-date-max="" data-date-lang="en" name="field55" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-original-title=""
id="dp1634721563828"><i class="formcraft-icon">date_range</i></div>
</label></div>
</div>
</div>
<div data-identifier="field90" data-index="7" style="width: 33%" class=" even form-element form-element-field90 options-false index-false form-element-7 default-false form-element-type-dropdown is-required-true -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Plan Type</span></span><span class="sub-label"><span>pick one!</span></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field90" name="field90" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="Select A Plan Type" class=" ">Select A Plan Type</option>
<option value="ECOBANK Plan" class=" ">ECOBANK Plan</option>
<option value="Basic Plan" class=" ">Basic Plan</option>
<option value="Advanced Basic Plan" class=" ">Advanced Basic Plan</option>
<option value="Basic Plus Plan" class=" ">Basic Plus Plan</option>
<option value="Advanced Basic plus Plan" class=" ">Advanced Basic plus Plan</option>
<option value="Premiun Plan" class=" ">Premiun Plan</option>
<option value="Ultimate" class=" ">Ultimate</option>
<option value="Others" class=" ">Others</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field89" data-index="8" style="width: 67%" class=" form-element form-element-field89 options-false index-false form-element-8 default-false form-element-type-dropdown is-required-false odd -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Preferred Hospital ECOBANK Plan</span></span><span class="sub-label"><span>Preferred
Hospital!</span></span></span>
<div><span class="error"></span><select data-is-required="false" class="validation-lenient" data-field-id="field89" name="field89" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Select Preferred Hospital ECOBANK Plan</option>
<option value="AB008" class=" ">CHRIST THE KING HOSPITAL, ABA</option>
<option value="AB012SP" class=" ">EKEOMA MEMORIAL HOSPITAL</option>
<option value="AB003" class=" ">LIFE CARE CLINICS LTD</option>
<option value="AB004" class=" ">LIVING WORD MISSION HOSPITAL</option>
<option value="AB005" class=" ">NEW ERA HOSPITAL, ABA</option>
<option value="TNC074" class=" ">THE NAZARETH CLINIC</option>
<option value="AB002" class=" ">FEDERAL MEDICAL CENTRE, UMUAHIA</option>
<option value="PSC101" class=" ">PRIMECARE SPECIALIST CLINICS</option>
<option value="FC022S" class=" ">ALLIANCE HOSPITAL, ABUJA</option>
<option value="FC001" class=" ">DARA MEDICAL CENTRE</option>
<option value="FC012" class=" ">FEDERAL STAFF HOSPITAL, GWARINPA</option>
<option value="FC002" class=" ">FEREPROD MEDICAL CENTRE</option>
<option value="FC003" class=" ">KINGS CARE HOSPITAL LTD, WUSE ZONE 4</option>
<option value="FC004" class=" ">LIMI HOSPITAL & MATERNITY LTD, ABUJA</option>
<option value="FC008" class=" ">PISION HOSPITAL</option>
<option value="FC020" class=" ">RUZ MEDICAL CENTRE</option>
<option value="LPH025" class=" ">LOUIS PASTEUR HOSPITAL</option>
<option value="SON0079" class=" ">SISTERS OF THE NATIVITY HOSPITAL</option>
<option value="FC009" class=" ">QUEENS CLINIC LTD, ABUJA</option>
<option value="FC024" class=" ">EXCEL SPECIALIST HOSPITAL</option>
<option value="SS052" class=" ">SOFTSHELL SPECIALIST HOSPITAL LTD</option>
<option value="SCH055" class=" ">SPRINGBLOOM COUNTY HOSPITAL</option>
<option value="JMCCH093" class=" ">JOYLAND MEDICAL CENTRE AND CHILDREN'S HOSPITAL</option>
<option value="FC023SP" class=" ">FAMILY CARE MULTICLINICS LTD</option>
<option value="FC005" class=" ">LIVINGSTREAM SPECIALIST MEDICAL CENTRE</option>
<option value="FC010" class=" ">ST MARY'S HOSPITAL, GWAGWALADA</option>
<option value="FC011" class=" ">UNIVERSITY OF ABUJA TEACHING HOSPITAL</option>
<option value="TMTC078" class=" ">TRAUMA & MULTISPECIALTY CENTER</option>
<option value="FC018" class=" ">KINGS CARE HOSPITAL LTD, Kubwa</option>
<option value="ACK077" class=" ">ALLISON CLINIC KUJE</option>
<option value="ASMC020" class=" ">ALFAD SPECIALIST MEDICAL CENTRE</option>
<option value="AD004" class=" ">SAUKI MEDICAL CENTRE, YOLA</option>
<option value="AD003" class=" ">PEACE HOSPITAL</option>
<option value="CMC156" class=" ">CALEB MEDICAL CENTER</option>
<option value="AK010" class=" ">VEDDYSON HOSPITAL</option>
<option value="AK003" class=" ">IHA FOUNDATION MEDICAL CENTRE</option>
<option value="AK017" class=" ">TOTAL CARE CLINIC AND MATERNITY</option>
<option value="AK014" class=" ">CHRIST VICTORY MEDICAL CENTRE</option>
<option value="AK005" class=" ">MOUNT OLIVE MEDICAL CENTRE</option>
<option value="AK009" class=" ">UBONG ABASI SPECIALIST HOSPITAL</option>
<option value="AK015" class=" ">DOMINGO SPECIALIST HOSPITALS</option>
<option value="SDH049" class=" ">SAN DOMINIQUE HOSPITAL</option>
<option value="PH0047" class=" ">OUR LADY OF LOURDES</option>
<option value="AN012" class=" ">SEFTON SPECIALIST MEDICAL CENTRE</option>
<option value="AN012SP" class=" ">IFEBI MEDICAL CENTER</option>
<option value="LIH048" class=" ">LIFE INTERNATIONAL HOSPITAL, AWKA</option>
<option value="AN014" class=" ">CHIBUZOR HOSPITAL & MATERNITY</option>
<option value="AN006" class=" ">FELIX OKOLO MEMORIAL HOSPITAL, NNEWI</option>
<option value="AN009" class=" ">LIFE SPECIALIST HOSPITAL</option>
<option value="JHM083" class=" ">JESUS IS LORD ROYAL HOSPITAL AND MATERNITY</option>
<option value="AN010" class=" ">MERCY SPECIALIST HOSPITAL & MATERNITY, ONITSHA</option>
<option value="SCBH060" class=" ">ST CHARLSE BORROMEO HOSPITAL</option>
<option value="KMC084" class=" ">KATAGUM MEDICAL CENTER</option>
<option value="BA002" class=" ">NIIMA CONSULTANTS HOSPITAL</option>
<option value="DE020S" class=" ">REMEE (RIMI) CLINIC</option>
<option value="BA003" class=" ">NINGI CLINIC & MATERNITY</option>
<option value="BY005" class=" ">CREST CONSULTANT CLINIC</option>
<option value="BY001" class=" ">FEDERAL MEDICAL CENTRE, YENAGOA</option>
<option value="BY004" class=" ">ST PETERS HOSPITAL</option>
<option value="BE001" class=" ">BAKI CLINIC AND MATERNITY</option>
<option value="BE004" class=" ">NKST HOSPITAL</option>
<option value="BE011FC" class=" ">FAMILY PRACTICE HOSPITAL</option>
<option value="BE010" class=" ">HOPE HOSPITAL</option>
<option value="BE003" class=" ">MADONNA HOSPITAL</option>
<option value="BE006" class=" ">PAMPAS HOSPITAL & MATERNITY</option>
<option value="BE007" class=" ">QUEENS CLINIC LTD, MAKURDI</option>
<option value="BE005" class=" ">OTIA CLINIC</option>
<option value="BE008" class=" ">ST ANTHONY HOSPITAL</option>
<option value="BO001" class=" ">ABBOTT CLINIC</option>
<option value="BO002" class=" ">NAKOWA SPECIALIST HOSPITAL</option>
<option value="BO003" class=" ">BORNO MEDICAL CENTRE</option>
<option value="BO004" class=" ">KANEM HOSPITAL & MATERNITY</option>
<option value="BO006" class=" ">UNIVERSITY OF MAIDUGURI TEACHING HOSPITAL</option>
<option value="CR015" class=" ">SANTA MARIA CLINIC & MATERNITY</option>
<option value="CR001" class=" ">BAKOR MEDICAL CENTRE</option>
<option value="CR003" class=" ">CITY CLINIC, CALABAR</option>
<option value="CR005" class=" ">FAITH FOUNDATION SPECIALIST CLINIC</option>
<option value="CR009" class=" ">IKPEME MEDICAL CENTRE</option>
<option value="CR010" class=" ">MEVOM SPECIALIST CLINIC</option>
<option value="CR048" class=" ">AMADO MEDICAL CENTRE</option>
<option value="CR008" class=" ">HOLY FAMILY CATHOLIC HOSPITAL, IKOM</option>
<option value="BMCI055" class=" ">BAKOR MEDICAL CENTRE</option>
<option value="DE003" class=" ">ANIOMA HOSPITAL</option>
<option value="DE028" class=" ">FEDERAL MEDICAL CENTRE, ASABA</option>
<option value="DE008" class=" ">GOOD SAMARITAN HOSPITAL COMPLEX</option>
<option value="SRSH057" class=" ">ST. REBECCA SPECIALIST HOSPITAL</option>
<option value="ECH034" class=" ">EL-COMFORT HOSPITAL</option>
<option value="DELSUTH" class=" ">DELTA STATE UNIVERSITY TEACHING HOSPITAL</option>
<option value="OLNCO48" class=" ">OUR LADY OF NIGERIA CATHOLIC HOSPITAL</option>
<option value="LH044" class=" ">LANA HOSPITAL</option>
<option value="DE017" class=" ">OBULE MEDICAL CENTRE</option>
<option value="DE031" class=" ">KOWA CLINIC, UGHELLI</option>
<option value="DE007" class=" ">CAPITOL HILL CLINIC/HOSPITAL</option>
<option value="DE025" class=" ">VERTIMON MEDICAL CENTRE</option>
<option value="FVH013" class=" ">FAIRVIEW HOSPITAL</option>
<option value="DE024" class=" ">B.U CLINIC/HOSPITAL LTD</option>
<option value="RC082" class=" ">REGAL CLINIC</option>
<option value="DSC083" class=" ">DAYSPRING CLINIC</option>
<option value="DE018" class=" ">LILY HOSPITAL LIMITED WARRI</option>
<option value="EB003" class=" ">FELIX MEMORIAL HOSPITAL, ABAKALIKI</option>
<option value="CKHM022" class=" ">CHRIST THE KING HOSPITAL AND MATERNITY</option>
<option value="ED005" class=" ">FATE MEDICAL CENTRE</option>
<option value="ED004" class=" ">FAITH MEDICAL CENTRE</option>
<option value="ED007" class=" ">MODIC MEDICAL CENTRE</option>
<option value="ED008" class=" ">MOUNT GILEAD HOSPITAL</option>
<option value="ED013" class=" ">ST PHILOMENA CATHOLIC HOSPITAL</option>
<option value="ED014" class=" ">THE ROCK HOSPITAL</option>
<option value="ED019" class=" ">EDI INTERNATIONAL HOSPITAL LTD</option>
<option value="ED041" class=" ">RAHI HOSPITALS LIMITED</option>
<option value="SAMC049" class=" ">ST AUGUSTINE MEDICAL CENTRE</option>
<option value="ED022" class=" ">IRRUA SPECIALIST TEACHING HOSPITAL </option>
<option value="LHL061" class=" ">LILLY HOSPITAL LIITED</option>
<option value="EK004" class=" ">EKITI STATE UNIVERSITY TEACHING HOSPITAL, ADO - EKITI</option>
<option value="EK001" class=" ">FEDERAL TEACHING HOSPITAL, IDO-EKITI</option>
<option value="EN003" class=" ">CHRIST THE KING, ENUGU</option>
<option value="MCSH010" class=" ">MOTHER OF CHRIST SPECIALIST HOSPITAL</option>
<option value="EN005" class=" ">PEENOK MEDICAL CENTRE</option>
<option value="EN006" class=" ">RISTELLA HOSPITAL</option>
<option value="EN008" class=" ">ST MARY'S HOSPITAL & MATERNITY, ENUGU</option>
<option value="EN012" class=" ">LIVINGSTON SPECIALIST HOSPITAL</option>
<option value="EN013" class=" ">ST DANIEL CONSOLATA HOSPITAL</option>
<option value="EN009" class=" ">UNIVERSITY MEDICAL CENTRE</option>
<option value="AMH078" class=" ">AKULUE MEMORIAL HOSPITAL</option>
<option value="GO002" class=" ">FEDERAL MEDICAL CENTRE, GOMBE</option>
<option value="GO003" class=" ">MIYETTI HOSPITAL</option>
<option value="GO004" class=" ">METRO CONSULTANTS CLINIC</option>
<option value="ICOO5" class=" ">IVORY CLINIC</option>
<option value="SMCCH004" class=" ">ST MARY CHILDREN AND COMMUNITY UMUOWA, ORLU</option>
<option value="IMUTH006" class=" ">IMO STATE UNIVERSITY TEACHING HOSPITAL, ORLU</option>
<option value="IM002" class=" ">EZEM MEDICAL CENTRE</option>
<option value="IM011" class=" ">FEDERAL MEDICAL CENTRE, OWERRI</option>
<option value="FCH0042" class=" ">FIRST CONCEPT HOSPITAL, OWERRI</option>
<option value="IM010" class=" ">IKENEGBU HOSPITAL, MATERNITY & LABORATORY </option>
<option value="IM003" class=" ">INTERNATIONAL CHRISTIAN HOSPITAL</option>
<option value="IM007" class=" ">LIFESPRING SPECIALIST HOSPITAL</option>
<option value="IM005" class=" ">SALVATION HOSPITAL & MATERNITY</option>
<option value="SEHM0043" class=" ">ST. ELIZABETH HOSPITAL AND MATERNITY</option>
<option value="WHM001" class=" ">WINNIES HOSPITAL AND MATERNITY</option>
<option value="IM044" class=" ">CHAPEL GROUP SPECIALISTS HOSPITAL</option>
<option value="A0077" class=" ">ALBARKA CLINIC</option>
<option value="HHLO23" class=" ">HARMONY HOSPITAL LIMITED</option>
<option value="KA001" class=" ">ALBARKA HOSPITAL & MATERNITY</option>
<option value="KA003" class=" ">AMINA HOSPITAL</option>
<option value="KA004" class=" ">CHASEL HOSPITAL</option>
<option value="KA005" class=" ">GIWA HOSPITAL LTD</option>
<option value="KA008" class=" ">JOWAKO HOSPITAL</option>
<option value="KA010" class=" ">MANEKS HOSPITAL</option>
<option value="KA012" class=" ">MENDS SPECIALIST HOSPITAL</option>
<option value="KA021S" class=" ">MULTICLINIC SPECIALIST HOSPITAL</option>
<option value="KA013" class=" ">SEFA HOSPITAL</option>
<option value="KA014" class=" ">TIM UNITY SPECIALIST HOSPITAL</option>
<option value="SMC003" class=" ">SALEM MEDICAL CENTRE</option>
<option value="KA002" class=" ">ALMADINA CLINIC</option>
<option value="KA009" class=" ">LIMI HOSPITAL & MATERNITY LTD, ZARIA</option>
<option value="KA011" class=" ">MAYFAIR CLINICS NIG LTD</option>
<option value="KN001" class=" ">AMINU KANO TEACHING HOSPITAL</option>
<option value="KN002" class=" ">IDEAL HOSPITAL & MATERNITY LTD</option>
<option value="KN003" class=" ">INTERNATIONAL CLINICS & HOSPITALS</option>
<option value="KN004" class=" ">PREMIER CLINIC, KANO</option>
<option value="KT003" class=" ">BISTIT HOSPITAL LTD</option>
<option value="KT009" class=" ">AMFANI CLINIC AND MATERNITY</option>
<option value="KT008" class=" ">FEDERAL MEDICAL CENTRE, KATSINA</option>
<option value="KB001" class=" ">FEDERAL MEDICAL CENTRE, KEBBI</option>
<option value="KMSH099" class=" ">KEBBI MULTI-SPECIALIST HOSPITAL</option>
<option value="EHL208" class=" ">EQUITY HOSPITAL LIMITED</option>
<option value="DD094" class=" ">DDG MEDICAL CENTRE</option>
<option value="KG001" class=" ">DURO SOLEYE HOSPITAL</option>
<option value="KG006" class=" ">TOWNSHIP CLINIC</option>
<option value="KG009" class=" ">MARIA GORETTI HOSPITAL</option>
<option value="KG010" class=" ">NEIGHBOUR MULTICARE HOSPITAL & WOMEN WELLFARE CENTRE LTD.</option>
<option value="KG002" class=" ">ECWA HOSPITAL</option>
<option value="KG007" class=" ">ODOMA CLINICS</option>
<option value="KG008" class=" ">ST.JOHN'S CATHOLIC HOSPITAL</option>
<option value="KG003" class=" ">FEDERAL MEDICAL CENTRE, KOGI</option>
<option value="KG004" class=" ">NIGER HOSPITAL</option>
<option value="KG005" class=" ">POLY CLINIC HOSPITAL & MATERNITY</option>
<option value="CSHFC203" class=" ">CARECREST SPECIALIST HOSPITAL & FERTILITY CENTRE</option>
<option value="KW011S" class=" ">OGO-OLUWA HOSPITAL</option>
<option value="KW002 " class=" ">ANCHORMED HOSPITAL</option>
<option value="KW012" class=" ">BALM HOSPITAL LTD</option>
<option value="KW185D" class=" ">DELNIK HOSPITAL</option>
<option value="KW182K" class=" ">KIDDIZ MEDICAL CENTRE</option>
<option value="KW003" class=" ">OLA OLU HOSPITAL</option>
<option value="KW004" class=" ">OLANREWAJU HOSPITAL LTD</option>
<option value="KW005" class=" ">OMOLOLA HOSPITAL</option>
<option value="KW183M" class=" ">SURULERE MEDICAL CENTRE </option>
<option value="KW007" class=" ">ROLAKIM CLINIC & MATERNITY</option>
<option value="DMC098" class=" ">DANDY MEDICAL CENTRE</option>
<option value="SLCH018" class=" ">STANDARD LIFE CARE HOSPITAL</option>
<option value="PGMC049" class=" ">P&G MEDICAL CENTRE</option>
<option value="LA076" class=" ">ROPHE HOSPITAL</option>
<option value="LA006" class=" ">ALL SOULS INFIRMARY, AGEGE</option>
<option value="LA200" class=" ">BETTA HOSPITAL</option>
<option value="PMC084" class=" ">PROMISE MEDICAL CENTRE</option>
<option value="BUDO1" class=" ">BUDO SPECIALIST HOSPITAL</option>
<option value="LA021SP" class=" ">DOREN SPECIALIST HOSPITAL</option>
<option value="LA045SP" class=" ">J-RAPHA CLINICS & HOSPITAL, AJAH</option>
<option value="LA233S" class=" ">ST EDWARD SPECIALIST HOSPITAL & CARDIAC CENTRE</option>
<option value="DHHS088" class=" ">DOVE HOSPITAL & HEALTHCARE SERVICES LTD.</option>
<option value="LH055" class=" ">LENNOX HOSPITAL</option>
<option value="LA036SP" class=" ">HEALING FIELD HOSPITAL</option>
<option value="HH024" class=" ">HEDA HOSPITAL</option>
<option value="RSH059" class=" ">RIVET SPECIALIST HOSPITAL</option>
<option value="ICH028" class=" ">ILOGBO CENTRAL HOSPITAL</option>
<option value="LA005" class=" ">ALL SOULS CLINICS, AJEGUNLE</option>
<option value="KAAFM" class=" ">KAAF MATERNITY AND CHILD CARE CENTRE</option>
<option value="LA135" class=" ">BEE HESS HOSPITAL</option>
<option value="RYHL029" class=" ">REM-YEMS HOSPITAL LTD</option>
<option value="LH080" class=" ">LOBEL HOSPITAL</option>
<option value="JEFF078" class=" ">JEFIS SPECIALIST HOSPITAL</option>
<option value="GSH019" class=" ">GODFREY SPECIALIST HOSPITAL</option>
<option value="LA034" class=" ">GLORIA HOSPITAL LTD</option>
<option value="LA086" class=" ">TINCAN HOSPITAL GROUP</option>
<option value="ONMC038" class=" ">OBISESAN NAVAL MEDICAL CENTRE, APAPA</option>
<option value="AMH048" class=" ">AKANBI MEMORIAL HOSPITAL</option>
<option value="LA084SP" class=" ">THE GREAT PHYSICIAN HOSPITAL</option>
<option value="CGH029" class=" ">CARE GIVER HOSPITAL, AJARA</option>
<option value="ALTH028" class=" ">ADEBAYO LIVING TOWER HOSPITAL, IMEKE</option>
<option value="TRI0088" class=" ">THE ROYAL INFIRMARY HOSPITAL</option>
<option value="LA075SP" class=" ">R - JOLAD HOSPITAL</option>
<option value="LA015SP" class=" ">CRYSTAL SPECIALIST HOSPITAL</option>
<option value="SHMC086" class=" ">STONE HILL MEDICAL CENTRE</option>
<option value="HWH082" class=" ">HOPEWELL HOSPITAL LIMITED</option>
<option value="LA061" class=" ">MOUNT SINAI HOSPITAL GROUP, EBUTE-METTA</option>
<option value="LA031" class=" ">FEDERAL MEDICAL CENTRE, EBUTE-METTA</option>
<option value="LA161" class=" ">CAREPOINT CLINIC EGBEDA LIMITED</option>
<option value="LHMH021" class=" ">LIGHT HOSPITAL AND MATERNITY HOME LTD</option>
<option value="TCMH060" class=" ">TRUECARE MODEL HOSPITAL</option>
<option value="GHE048" class=" ">GENERAL HOSPITAL, EPE</option>
<option value="LA013" class=" ">CEDAR HOSPITAL</option>
<option value="LA026SP" class=" ">EMEL HOSPITAL</option>
<option value="LA035" class=" ">GOLDEN CROSS INFIRMARY, FESTAC</option>
<option value="LA078" class=" ">SHEPHERD SPECIALIST HOSPITAL</option>
<option value="LA197SP" class=" ">AFRIMED OGP SPECIALIST HOSPITAL</option>
<option value="LA009" class=" ">ANIYUN HOSPITAL LIMITED</option>
<option value="PRSH012" class=" ">PRIMROSE SPECIALIST HOSPITAL</option>
<option value="MH056" class=" ">MAKOG HOSPITALS</option>
<option value="LA083" class=" ">SUBOL HOSPITAL</option>
<option value="LA219" class=" ">ST THOMAS HOSPITAL</option>
<option value="LA049" class=" ">LONGING MEDICAL CENTRE</option>
<option value="LA018" class=" ">DE NEW AIYETORO MEDICAL CENTRE</option>
<option value="AHML034" class=" ">ADEMOLA HOSPITAL & MATERNITY LTD</option>
<option value="LA069" class=" ">OSUNTUYI MEDICAL CENTRE</option>
<option value="LA011" class=" ">BLUE CROSS HOSPITAL</option>
<option value="LA022SP" class=" ">EKO HOSPITAL PLC, IKEJA</option>
<option value="LA039" class=" ">HOLY TRINITY HOSPITAL</option>
<option value="LA058SP" class=" ">MOTAYO HOSPITAL</option>
<option value="LA188SP" class=" ">ST MARYS SPECIALIST HOSPITAL, IKEJA</option>
<option value="LA020" class=" ">DONAS HOSPITAL</option>
<option value="LA216" class=" ">JOBI HOSPITAL</option>
<option value="LA213" class=" ">OAK HOSPITALS</option>
<option value="SMC085" class=" ">SHANU MEDICAL CENTRE</option>
<option value="LA228S" class=" ">M-CRED HOSPITALS LIMITED</option>
<option value="LA012" class=" ">BROAD HOSPITAL & MATERNITY</option>
<option value="LA059" class=" ">MOUNT PISGAH HOSPITAL LTD</option>
<option value="LA060" class=" ">MOUNT SINAI HOSPITAL, EGBE</option>
<option value="LA014SP" class=" ">CITIZEN MEDICAL CENTRE</option>
<option value="LA019" class=" ">DIVINE MEDICAL CENTRE</option>
<option value="BCH059" class=" ">BEST CARE HOSPITAL</option>
<option value="LA142SP" class=" ">LAGOON HOSPITAL HOSPITAL, IKOYI</option>
<option value="LA054" class=" ">MAY CLINICS LTD</option>
<option value="GCH091" class=" ">GOD CURES HOSPITAL</option>
<option value="LA053" class=" ">MAY CLINICS LTD (Annex)</option>
<option value="LA090" class=" ">ULTIMA MEDICARE</option>
<option value="SMC085" class=" ">SHANU MEDICAL CENTRE</option>
<option value="LA209" class=" ">G.ESTATE CLINIC CONSORTIUM</option>
<option value="LA141" class=" ">SOLAD MEDICAL CENTRE</option>
<option value="LA233" class=" ">SPARK VIEW HOSPITAL</option>
<option value="LA037" class=" ">HEALS SPECIALIST CLINIC</option>
<option value="LA080" class=" ">ST EMMANUEL HOSPITAL</option>
<option value="LA193SP" class=" ">KROWN HOSPITAL</option>
<option value="LA232" class=" ">MUCAS HOSPITAL</option>
<option value="LA091" class=" ">VETA HOSPITAL LTD</option>
<option value="DMC079" class=" ">DAFE MEDICAL CENTRE</option>
<option value="THL045" class=" ">THEO HOSPITAL LIMITED</option>
<option value="LA051" class=" ">AVON MEDICAL SERVICES LTD (CLINIC)</option>
<option value="BC0089" class=" ">BERNICE CLINIC</option>
<option value="LA032" class=" ">FIRST CITY DIAGNOSIS LTD</option>
<option value="LHL049" class=" ">LOUISMED HOSPITAL LIMITED</option>
<option value="LA215SP" class=" ">RAINBOW SPECIALIST MEDICAL CENTRE</option>
<option value="LA088" class=" ">UDECO MEDICAL CENTRE</option>
<option value="GHL020" class=" ">GERMAINE HOSPITAL, LEKKI</option>
<option value="FCH049" class=" ">FIRST CITY HOSPITAL</option>
<option value="JEH019" class=" ">JERICHO HOSPITAL</option>
<option value="LA072SP" class=" ">PINECREST SPECIALIST HOSPITAL</option>
<option value="LA211" class=" ">MAGODO SPECIALIST HOSPITAL</option>
<option value="FIH0091" class=" ">FIRST HERITAGE HOSPITAL</option>
<option value="LA106H" class=" ">HILLSTAR CLINICS (NIGERIA) LTD</option>
<option value="LA070" class=" ">OSUNTUYI MEDICAL CENTRE(ANNEX)</option>
<option value="LA029SP" class=" ">FANIMED HOSPITAL</option>
<option value="LA044SP" class=" ">ISALU HOSPITAL LIMITED</option>
<option value="LA055SP" class=" ">MED-IN SPECIALIST HOSPITAL</option>
<option value="LA194" class=" ">NIMBUS MEDICAL CENTRE </option>
<option value="LA077" class=" ">ALHERI HOSPITAL, LAGOS</option>
<option value="LA214" class=" ">SOLID ROCK HOSPITAL LTD</option>
<option value="HCH051" class=" ">HOREB CONSULT HOSPITAL</option>
<option value="CCHO51S" class=" ">CHILDKID CHILDREN HOSPITAL</option>
<option value="LA189" class=" ">SIKEOYE HOPE CLINIC</option>
<option value="LA004" class=" ">AKINBOLADE SPECIALIST HOSPITAL</option>
<option value="LA025" class=" ">ELPHY SPECIALIST HOSPITAL</option>
<option value="LA047" class=" ">KILADEJO HOSPITAL & SPECIALIST CLINICS</option>
<option value="LA081" class=" ">ST ANTHONY MEDICAL CENTRE & MATERNITY HOME LTD</option>
<option value="LA082" class=" ">ST RAPHAELS HOSPITAL LTD</option>
<option value="NEHL221" class=" ">NEW EVOLUTION HOSPITAL LTD</option>
<option value="LA067" class=" ">OMNI MEDICAL CENTRE, ONIKAN</option>
<option value="DSMC048" class=" ">DIALYZER SPECIALIST MEDICAL CENTRE</option>
<option value="GMC044" class=" ">GOODNESS MEDICAL CENTRE</option>
<option value="MMC065" class=" ">MAZAF MEDICAL CENTRE</option>
<option value="GCH091" class=" ">GOD CURES HOSPITAL</option>
<option value="RTMC006" class=" ">RHOWIL TOTAL-CARE MEDICAL CENTRE</option>
<option value="LA030" class=" ">FASANMI CLINIC & MATERNITY HOME LTD</option>
<option value="LA230" class=" ">IGBOLOGUN MEDICAL CENTRE</option>
<option value="LA001" class=" ">AB SPECIALIST HOSPITAL</option>
<option value="LA052SP" class=" ">AVON MEDICAL SERVICES LTD (HOSPITAL)</option>
<option value="LA016" class=" ">DAN-EGERTON HOSPITAL</option>
<option value="LA017" class=" ">DAN-EGERTON HOSPITAL</option>
<option value="LA023" class=" ">EKO HOSPITAL PLC, SURULERE</option>
<option value="LA056" class=" ">MERCY-THOMAS OREDUGBA MEDICAL CENTRE </option>
<option value="LA057" class=" ">MEZONEL HOSPITAL</option>
<option value="LA062" class=" ">NEWDAY SPECIALIST CLINIC</option>
<option value="LA065SP" class=" ">OLANIBA MEMORIAL HOSPITAL</option>
<option value="LA073SP" class=" ">PROVIDENCE HOSPITAL LTD, SURULERE</option>
<option value="LA087" class=" ">TOPAZ CLINC</option>
<option value="LA205 " class=" ">TUNRAYO HOSPITAL </option>
<option value="NMC019" class=" ">NAVAL MEDICAL CENTRE</option>
<option value="NA010" class=" ">OUR LADY OF APOSTLES HOSPITAL</option>
<option value="NA002" class=" ">FEDERAL MEDICAL CENTRE, KEFFI</option>
<option value="NA005" class=" ">NAGARI ALLAH MAGANI HOSPITAL</option>
<option value="NA011" class=" ">JAMAA MEDICAL CENTRE</option>
<option value="NA009" class=" ">AGU HOSPITAL</option>
<option value="NA001" class=" ">DALHATU ARAF SPECIALIST HOSPITAL</option>
<option value="NA007" class=" ">SAUKI HOSPITAL, LAFIA</option>
<option value="NA004" class=" ">KINGS CARE HOSPITAL LTD, MARARABA</option>
<option value="NG005" class=" ">FEDERAL MEDICAL CENTRE, BIDA</option>
<option value="NG014" class=" ">NASARA CLINIC & MATERNITY HOSPITAL</option>
<option value="NG015" class=" ">RAINBOW CLINIC & MATERNITY</option>
<option value="NG002" class=" ">BAY SPECIALIST HOSPITAL</option>
<option value="NG010" class=" ">GREAT FAITH MEDICAL CENTRE</option>
<option value="NG017" class=" ">TOP MEDICAL CLINIC</option>
<option value="SHDS056" class=" ">STANDARD HOSPITAL & DIAGNOSTIC SERVICES</option>
<option value="NG012" class=" ">KAINJI MEDICAL CENTRE</option>
<option value="NG004" class=" ">FARY GROUP CLINIC</option>
<option value="CHL017" class=" ">CHARLES HEALTHCARE LTD</option>
<option value="SMC090" class=" ">SUZAN MEMORIAL CLINIC</option>
<option value="OG005" class=" ">FEDERAL MEDICAL CENTRE, ABEOKUTA</option>
<option value="OG009" class=" ">MERCY GROUP CLINICS</option>
<option value="OG012" class=" ">SACRED HEART HOSPITAL</option>
<option value="AESH041" class=" ">ANGEL & EAGLE SPECIALIST HOSPITAL</option>
<option value="OG021SP" class=" ">JOSEPH AND CHRISTIANAH SPECIALIST HOSPITAL</option>
<option value="SSH030" class=" ">SOLAMEK SPECIALIST HOSPITAL</option>
<option value="OG024S" class=" ">BEACHLAND SPECIALIST HOSPITAL</option>
<option value="LH059" class=" ">LABITRIX HOSPITAL</option>
<option value="OG001" class=" ">AKOBI SPECIALIST HOSPITAL</option>
<option value="OG019SP" class=" ">LAFIA KOWA HOSPITAL</option>
<option value="OG020" class=" ">PETERSON MEDICAL CENTRE</option>
<option value="OG026" class=" ">ST. MICHAEL - ISRAEL SPECIALIST HOSPITAL LTD.</option>
<option value="SLCH018" class=" ">STANDARD LIFE CARE HOSPITAL</option>
<option value="OG015B" class=" ">BROADLAND HOSPITAL SERVICES LTD</option>
<option value="TRHC076" class=" ">REDEEMER HEALTH CENTRE</option>
<option value="ALH059" class=" ">ABUNDANT LIFE HSOPITAL</option>
<option value="MPH011" class=" ">MEDIC PLUS HOSPITAL</option>
<option value="OG014" class=" ">OTUNBA TUWASE NATIONAL PAEDIATRIC CENTRE</option>
<option value="OG008" class=" ">ACE MEDICARE CLINICS</option>
<option value="OG23S" class=" ">FARAMED CLINICS</option>
<option value="OG025" class=" ">IDERA HEALTH SERVICES LIMITED</option>
<option value="ISHS59" class=" ">IMPERIAL SPECIALIST HOSPITAL SERVICES</option>
<option value="OG024T" class=" ">OLABISI ONABANJO UNIVERSITY TEACHING HOSPITAL</option>
<option value="PMC083" class=" ">PROMISE MEDICAL CENTRE</option>
<option value="FMS049" class=" ">FAME MEDICAL SERVICES</option>
<option value="SC050" class=" ">SHIRISH CLINIC</option>
<option value="HMC028" class=" ">HETTA MEDICAL CENTRE</option>
<option value="SSMC035" class=" ">ST. SHILOH MEDICAL CENTRE</option>
<option value="ON003" class=" ">FIRST MERCY SPECIALIST HOSPITAL</option>
<option value="ON011" class=" ">TIM UNITY SPECIALIST HOSPITAL</option>
<option value="LHI095" class=" ">LULI HOSPITAL</option>
<option value="IMC" class=" ">INLAND MEDICAL CENTRE</option>
<option value="ON007" class=" ">IBUKUN-OLU HOSPITALS</option>
<option value="SSH094" class=" ">STATE SPECIALIST HOSPITAL</option>
<option value="ON001" class=" ">BABALOLA MEDICAL CENTRE</option>
<option value="AMD" class=" ">ARIF MEDICAL CENTRE</option>
<option value="PHM" class=" ">PIMA HOSPITAL AND MATERNITY </option>
<option value="OS006SP" class=" ">OAUTH COMPLEX</option>
<option value="OS007SP" class=" ">ST. VICTORIA SPECIALIST HOSPITAL </option>
<option value="AMC057" class=" ">APEX MEDICAL CENTRE</option>
<option value="OS005" class=" ">ADENLE MEMORIAL HOSPITAL</option>
<option value="LPMC049" class=" ">LIVING PETALS MEDICAL CENTRE</option>
<option value="OS009" class=" ">EMMANUEL MEDICAL CENTRE</option>
<option value="OS001" class=" ">ABAKE MEDICAL CENTRE</option>
<option value="OS002" class=" ">BIKET MEDICAL CENTRE</option>
<option value="OS003" class=" ">ONWARD SPECIALIST HOSPITAL</option>
<option value="OS004" class=" ">OROKI SPECIALIST HOSPITAL </option>
<option value="OY001" class=" ">ALAFIA HOSPITAL</option>
<option value="OY002" class=" ">BADEJOKO MEMORIAL HOSP & MATERNITY</option>
<option value="OY003" class=" ">BANBY SPECIALIST HOSPITAL</option>
<option value="OY005" class=" ">FELEWA HOSPITAL XXX</option>
<option value="OY007" class=" ">JOLAMADE SPECIALIST HOSPITAL</option>
<option value="OY008" class=" ">J-RAPHA CLINICS & HOSPITAL, IBADAN</option>
<option value="OY020" class=" ">LANARK SPECIALIST HOSPITAL</option>
<option value="OY009" class=" ">MEDICAL PRACTITIONERS LTD</option>
<option value="OY010" class=" ">MOLLY SPECIALIST HOSPITAL</option>
<option value="OY015" class=" ">TEJU SPECIALIST HOSPITAL</option>
<option value="OY022S" class=" ">THE VINE HOSPITAL & MATERNITY CENTRE</option>
<option value="TMC018" class=" ">TOBI MEDICAL CENTRE LTD</option>
<option value="ZSMH033" class=" ">ZOE SPECIALIST MISSION HOSPITAL</option>
<option value="OY004" class=" ">BOWEN UNIVERSITY TEACHING HOSPITAL</option>
<option value="OY006" class=" ">IRETI-OLU HOSPITAL</option>
<option value="OY011" class=" ">MOMOH MEMORIAL HOSPITAL</option>
<option value="OY012" class=" ">BAPTIST MEDICAL CENTRE, SAKI</option>
<option value="PL002" class=" ">FOCUS HOSPITAL</option>
<option value="KSH0078" class=" ">KAUNA SPECIALIST HOSPITAL</option>
<option value="MSH0076" class=" ">MARYSOL SPECIALIST HOSPITAL</option>
<option value="PL005" class=" ">SAUKI GROUP OF CLINICS AND MATERNITY, JOS</option>
<option value="FGH029" class=" ">FERTILE GROUND HOSPITAL LTD</option>
<option value="PL003" class=" ">MAY HOSPITAL, SHENDAM</option>
<option value="RI007" class=" ">GBEYE HOSPITAL</option>
<option value="RI002" class=" ">DELTA SPECIALIST HOSPITAL</option>
<option value="MCE049" class=" ">MUJE CLINIC</option>
<option value="RI006" class=" ">FOUNDATION CLINIC</option>
<option value="RI007" class=" ">GBEYE HOSPITAL</option>
<option value="QPHM020" class=" ">QUEEN OF PEACE HOSPITAL & MATERNITY</option>
<option value="PH0045" class=" ">EL-ROI SPECIALIST CLINIC</option>
<option value="HC013" class=" ">HILTON CLINIC</option>
<option value="GCMC029" class=" ">GREEN CARE MEDICAL CONSULTANTS</option>
<option value="PH0050" class=" ">MILITARY HOSPITAL</option>
<option value="NHC0041" class=" ">NEW HEIGHTS CONSULTANTS HOSPITALS</option>
<option value="RI012" class=" ">PRINCESS MEDICAL CENTRE</option>
<option value="RI013" class=" ">PROVIDENCE CLINIC & MATERNITY LTD, PORTHARCOURT</option>
<option value="RI030" class=" ">ST PATRICK'S HOSPITAL LTD</option>
<option value="NHCH0040" class=" ">NEW MILE ONE HOSPITAL</option>
<option value="RI029" class=" ">MORNING STAR HOSPITAL LTD</option>
<option value="WHH060" class=" ">WESTHILL HOSPITAL</option>
<option value="BMH085" class=" ">BONMARIA HOSPITAL LTD.</option>
<option value="PTMC013" class=" ">POTTERS TOUCH MEDICAL CONSULTANT</option>
<option value="R1007" class=" ">GBEYE HOSPITAL</option>
<option value="PH0046" class=" ">PRESTIGE HOSPITAL</option>
<option value="ESH030" class=" ">EL-SPECIALIST HOSPITAL</option>
<option value="LCL059" class=" ">LIFECARE CENTRE LTD</option>
<option value="SSH049" class=" ">SHIELD SPECIALISTS HOSPITAL</option>
<option value="DMC058" class=" ">DATTA MEDICAL CENTRE</option>
<option value="OMC048" class=" ">OLUNWA MEDICAL CENTRE</option>
<option value="RI051" class=" ">NEW ORLINS HOSPITAL</option>
<option value="SHSL049" class=" ">STANDARDCARE HEALTH SOLUTIONS LIMITED</option>
<option value="CMC059" class=" ">CUMI MEDICAL CENTRE</option>
<option value="SO001" class=" ">SAHEL SPECIALIST CLINIC</option>
<option value="SO002" class=" ">SOKOTO CLINIC</option>
<option value="SO003" class=" ">USMAN DAN FODIO TEACHING HOSPITAL</option>
<option value="TA003" class=" ">GENERAL HOSPITAL</option>
<option value="TA002" class=" ">MAMBILLA BAPTIST HOSPITAL</option>
<option value="TA001" class=" ">FEDERAL MEDICAL CENTRE, JALINGO</option>
<option value="YO001" class=" ">AJIKO MEDICAL CENTRE</option>
<option value="YO002" class=" ">CITY MEDICAL CENTRE, YOBE</option>
<option value="YO003" class=" ">POTISKUM MEDICAL CENTRE</option>
<option value="ZA001" class=" ">DAULA HOSPITAL & MATERNITY HOME</option>
<option value="ZA002" class=" ">FEDERAL MEDICAL CENTRE, GUSAU</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field59" data-index="9" style="width: 100%" class=" even form-element form-element-field59 options-false index-false form-element-9 default-false form-element-type-heading is-required-false -handle">
<div class="form-element-html">
<div>
<div style="background-color:" class="heading-cover field-cover ">
<div style="text-align: left; font-size: 1.6em; padding-top: ; padding-bottom: ; color: #1e73be" class="bold-true"><span>Child 2 Details</span></div><input type="hidden" data-field-id="field59" name="field59[]" value="Child 2 Details">
</div>
</div>
</div>
</div>
<div data-identifier="field70" data-index="10" style="width: 50%" class=" form-element form-element-field70 options-false index-false form-element-10 default-false form-element-type-oneLineText is-required-false odd -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>Surname</span></span><span class="sub-label"><span>Surname</span></span></span>
<div><span class="error"></span><input type="text" placeholder="Surname" make-read-only="false" data-field-id="field70" name="field70[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="false"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field43" data-index="11" style="width: 50%" class=" even form-element form-element-field43 options-false index-false form-element-11 default-false form-element-type-oneLineText is-required-false -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>First Name</span></span><span class="sub-label"><span>First Name</span></span></span>
<div><span class="error"></span><input type="text" placeholder="First Name" make-read-only="false" data-field-id="field43" name="field43[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="false"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field63" data-index="12" style="width: 50%" class=" form-element form-element-field63 options-false index-false form-element-12 default-false form-element-type-oneLineText is-required-false odd -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>Other Names</span></span><span class="sub-label"><span>Other Names</span></span></span>
<div><span class="error"></span><input type="text" placeholder="Other Names" make-read-only="false" data-field-id="field63" name="field63[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="false"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field54" data-index="13" style="width: 50%" class=" even form-element form-element-field54 options-false index-false form-element-13 default-false form-element-type-dropdown is-required-false -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Gender*</span></span><span class="sub-label"><span>Gender!</span></span></span>
<div><span class="error"></span><select data-is-required="false" class="validation-lenient" data-field-id="field54" name="field54" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Select Gender</option>
<option value="Male" class=" ">Male</option>
<option value="Female" class=" ">Female</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field65" data-index="14" style="width: 35%" class=" form-element form-element-field65 options-false index-false form-element-14 default-false form-element-type-datepicker is-required-false odd -handle">
<div class="form-element-html">
<div><label class="datepicker-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>Date of Birth</span></span><span class="sub-label"><span>Date of Birth</span></span></span>
<div><span class="error"></span><input autocomplete="off" data-field-id="field65" placeholder="Date of Birth" type="text" class="validation-lenient hasDatepicker" data-is-required="false" datepicker="" data-date-min-range=""
data-date-format="dd/mm/yy" data-date-days="{"0":true,"1":true,"2":true,"3":true,"4":true,"5":true,"6":true}" data-date-min="" data-date-min-alt=""
data-date-max-alt="" data-date-max="" data-date-lang="en" name="field65" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-original-title=""
id="dp1634721563829"><i class="formcraft-icon">date_range</i></div>
</label></div>
</div>
</div>
<div data-identifier="field57" data-index="15" style="width: 33%" class=" even form-element form-element-field57 options-false index-false form-element-15 default-false form-element-type-fileupload is-required-false -handle">
<div class="form-element-html">
<div><label class="wide- fileupload-cover field-cover"><span class="sub-label-"><span class="main-label"><span>Upload Passport</span></span><span class="sub-label"><span>upload</span></span></span>
<div><span class="error"></span>
<div class="button button-file fileupload-button" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true" data-original-title="">
<i class="icon-upload-cloud formcraft-icon">cloud_upload</i><span>Upload Child Two Passport Photograph</span><input type="file" data-name-list="field57" name="files" multiple="multiple" data-allow-extensions="jpg,png"
data-min-files="" data-max-files="" data-max-size=""></div>
</div>
</label></div>
</div>
</div>
<div data-identifier="field92" data-index="16" style="width: 33%" class=" form-element form-element-field92 options-false index-false form-element-16 default-false form-element-type-dropdown is-required-true odd -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Plan Type</span></span><span class="sub-label"><span>pick one!</span></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field92" name="field92" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="Select A Plan Type" class=" ">Select A Plan Type</option>
<option value="ECOBANK Plan" class=" ">ECOBANK Plan</option>
<option value="Basic Plan" class=" ">Basic Plan</option>
<option value="Advanced Basic Plan" class=" ">Advanced Basic Plan</option>
<option value="Basic Plus Plan" class=" ">Basic Plus Plan</option>
<option value="Advanced Basic plus Plan" class=" ">Advanced Basic plus Plan</option>
<option value="Premiun Plan" class=" ">Premiun Plan</option>
<option value="Ultimate" class=" ">Ultimate</option>
<option value="Others" class=" ">Others</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field93" data-index="17" style="width: 67%" class=" even form-element form-element-field93 options-false index-false form-element-17 default-false form-element-type-dropdown is-required-false -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Preferred Hospital ECOBANK Plan</span></span><span class="sub-label"><span>Preferred
Hospital!</span></span></span>
<div><span class="error"></span><select data-is-required="false" class="validation-lenient" data-field-id="field93" name="field93" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Select Preferred Hospital ECOBANK Plan</option>
<option value="AB008" class=" ">CHRIST THE KING HOSPITAL, ABA</option>
<option value="AB012SP" class=" ">EKEOMA MEMORIAL HOSPITAL</option>
<option value="AB003" class=" ">LIFE CARE CLINICS LTD</option>
<option value="AB004" class=" ">LIVING WORD MISSION HOSPITAL</option>
<option value="AB005" class=" ">NEW ERA HOSPITAL, ABA</option>
<option value="TNC074" class=" ">THE NAZARETH CLINIC</option>
<option value="AB002" class=" ">FEDERAL MEDICAL CENTRE, UMUAHIA</option>
<option value="PSC101" class=" ">PRIMECARE SPECIALIST CLINICS</option>
<option value="FC022S" class=" ">ALLIANCE HOSPITAL, ABUJA</option>
<option value="FC001" class=" ">DARA MEDICAL CENTRE</option>
<option value="FC012" class=" ">FEDERAL STAFF HOSPITAL, GWARINPA</option>
<option value="FC002" class=" ">FEREPROD MEDICAL CENTRE</option>
<option value="FC003" class=" ">KINGS CARE HOSPITAL LTD, WUSE ZONE 4</option>
<option value="FC004" class=" ">LIMI HOSPITAL & MATERNITY LTD, ABUJA</option>
<option value="FC008" class=" ">PISION HOSPITAL</option>
<option value="FC020" class=" ">RUZ MEDICAL CENTRE</option>
<option value="LPH025" class=" ">LOUIS PASTEUR HOSPITAL</option>
<option value="SON0079" class=" ">SISTERS OF THE NATIVITY HOSPITAL</option>
<option value="FC009" class=" ">QUEENS CLINIC LTD, ABUJA</option>
<option value="FC024" class=" ">EXCEL SPECIALIST HOSPITAL</option>
<option value="SS052" class=" ">SOFTSHELL SPECIALIST HOSPITAL LTD</option>
<option value="SCH055" class=" ">SPRINGBLOOM COUNTY HOSPITAL</option>
<option value="JMCCH093" class=" ">JOYLAND MEDICAL CENTRE AND CHILDREN'S HOSPITAL</option>
<option value="FC023SP" class=" ">FAMILY CARE MULTICLINICS LTD</option>
<option value="FC005" class=" ">LIVINGSTREAM SPECIALIST MEDICAL CENTRE</option>
<option value="FC010" class=" ">ST MARY'S HOSPITAL, GWAGWALADA</option>
<option value="FC011" class=" ">UNIVERSITY OF ABUJA TEACHING HOSPITAL</option>
<option value="TMTC078" class=" ">TRAUMA & MULTISPECIALTY CENTER</option>
<option value="FC018" class=" ">KINGS CARE HOSPITAL LTD, Kubwa</option>
<option value="ACK077" class=" ">ALLISON CLINIC KUJE</option>
<option value="ASMC020" class=" ">ALFAD SPECIALIST MEDICAL CENTRE</option>
<option value="AD004" class=" ">SAUKI MEDICAL CENTRE, YOLA</option>
<option value="AD003" class=" ">PEACE HOSPITAL</option>
<option value="CMC156" class=" ">CALEB MEDICAL CENTER</option>
<option value="AK010" class=" ">VEDDYSON HOSPITAL</option>
<option value="AK003" class=" ">IHA FOUNDATION MEDICAL CENTRE</option>
<option value="AK017" class=" ">TOTAL CARE CLINIC AND MATERNITY</option>
<option value="AK014" class=" ">CHRIST VICTORY MEDICAL CENTRE</option>
<option value="AK005" class=" ">MOUNT OLIVE MEDICAL CENTRE</option>
<option value="AK009" class=" ">UBONG ABASI SPECIALIST HOSPITAL</option>
<option value="AK015" class=" ">DOMINGO SPECIALIST HOSPITALS</option>
<option value="SDH049" class=" ">SAN DOMINIQUE HOSPITAL</option>
<option value="PH0047" class=" ">OUR LADY OF LOURDES</option>
<option value="AN012" class=" ">SEFTON SPECIALIST MEDICAL CENTRE</option>
<option value="AN012SP" class=" ">IFEBI MEDICAL CENTER</option>
<option value="LIH048" class=" ">LIFE INTERNATIONAL HOSPITAL, AWKA</option>
<option value="AN014" class=" ">CHIBUZOR HOSPITAL & MATERNITY</option>
<option value="AN006" class=" ">FELIX OKOLO MEMORIAL HOSPITAL, NNEWI</option>
<option value="AN009" class=" ">LIFE SPECIALIST HOSPITAL</option>
<option value="JHM083" class=" ">JESUS IS LORD ROYAL HOSPITAL AND MATERNITY</option>
<option value="AN010" class=" ">MERCY SPECIALIST HOSPITAL & MATERNITY, ONITSHA</option>
<option value="SCBH060" class=" ">ST CHARLSE BORROMEO HOSPITAL</option>
<option value="KMC084" class=" ">KATAGUM MEDICAL CENTER</option>
<option value="BA002" class=" ">NIIMA CONSULTANTS HOSPITAL</option>
<option value="DE020S" class=" ">REMEE (RIMI) CLINIC</option>
<option value="BA003" class=" ">NINGI CLINIC & MATERNITY</option>
<option value="BY005" class=" ">CREST CONSULTANT CLINIC</option>
<option value="BY001" class=" ">FEDERAL MEDICAL CENTRE, YENAGOA</option>
<option value="BY004" class=" ">ST PETERS HOSPITAL</option>
<option value="BE001" class=" ">BAKI CLINIC AND MATERNITY</option>
<option value="BE004" class=" ">NKST HOSPITAL</option>
<option value="BE011FC" class=" ">FAMILY PRACTICE HOSPITAL</option>
<option value="BE010" class=" ">HOPE HOSPITAL</option>
<option value="BE003" class=" ">MADONNA HOSPITAL</option>
<option value="BE006" class=" ">PAMPAS HOSPITAL & MATERNITY</option>
<option value="BE007" class=" ">QUEENS CLINIC LTD, MAKURDI</option>
<option value="BE005" class=" ">OTIA CLINIC</option>
<option value="BE008" class=" ">ST ANTHONY HOSPITAL</option>
<option value="BO001" class=" ">ABBOTT CLINIC</option>
<option value="BO002" class=" ">NAKOWA SPECIALIST HOSPITAL</option>
<option value="BO003" class=" ">BORNO MEDICAL CENTRE</option>
<option value="BO004" class=" ">KANEM HOSPITAL & MATERNITY</option>
<option value="BO006" class=" ">UNIVERSITY OF MAIDUGURI TEACHING HOSPITAL</option>
<option value="CR015" class=" ">SANTA MARIA CLINIC & MATERNITY</option>
<option value="CR001" class=" ">BAKOR MEDICAL CENTRE</option>
<option value="CR003" class=" ">CITY CLINIC, CALABAR</option>
<option value="CR005" class=" ">FAITH FOUNDATION SPECIALIST CLINIC</option>
<option value="CR009" class=" ">IKPEME MEDICAL CENTRE</option>
<option value="CR010" class=" ">MEVOM SPECIALIST CLINIC</option>
<option value="CR048" class=" ">AMADO MEDICAL CENTRE</option>
<option value="CR008" class=" ">HOLY FAMILY CATHOLIC HOSPITAL, IKOM</option>
<option value="BMCI055" class=" ">BAKOR MEDICAL CENTRE</option>
<option value="DE003" class=" ">ANIOMA HOSPITAL</option>
<option value="DE028" class=" ">FEDERAL MEDICAL CENTRE, ASABA</option>
<option value="DE008" class=" ">GOOD SAMARITAN HOSPITAL COMPLEX</option>
<option value="SRSH057" class=" ">ST. REBECCA SPECIALIST HOSPITAL</option>
<option value="ECH034" class=" ">EL-COMFORT HOSPITAL</option>
<option value="DELSUTH" class=" ">DELTA STATE UNIVERSITY TEACHING HOSPITAL</option>
<option value="OLNCO48" class=" ">OUR LADY OF NIGERIA CATHOLIC HOSPITAL</option>
<option value="LH044" class=" ">LANA HOSPITAL</option>
<option value="DE017" class=" ">OBULE MEDICAL CENTRE</option>
<option value="DE031" class=" ">KOWA CLINIC, UGHELLI</option>
<option value="DE007" class=" ">CAPITOL HILL CLINIC/HOSPITAL</option>
<option value="DE025" class=" ">VERTIMON MEDICAL CENTRE</option>
<option value="FVH013" class=" ">FAIRVIEW HOSPITAL</option>
<option value="DE024" class=" ">B.U CLINIC/HOSPITAL LTD</option>
<option value="RC082" class=" ">REGAL CLINIC</option>
<option value="DSC083" class=" ">DAYSPRING CLINIC</option>
<option value="DE018" class=" ">LILY HOSPITAL LIMITED WARRI</option>
<option value="EB003" class=" ">FELIX MEMORIAL HOSPITAL, ABAKALIKI</option>
<option value="CKHM022" class=" ">CHRIST THE KING HOSPITAL AND MATERNITY</option>
<option value="ED005" class=" ">FATE MEDICAL CENTRE</option>
<option value="ED004" class=" ">FAITH MEDICAL CENTRE</option>
<option value="ED007" class=" ">MODIC MEDICAL CENTRE</option>
<option value="ED008" class=" ">MOUNT GILEAD HOSPITAL</option>
<option value="ED013" class=" ">ST PHILOMENA CATHOLIC HOSPITAL</option>
<option value="ED014" class=" ">THE ROCK HOSPITAL</option>
<option value="ED019" class=" ">EDI INTERNATIONAL HOSPITAL LTD</option>
<option value="ED041" class=" ">RAHI HOSPITALS LIMITED</option>
<option value="SAMC049" class=" ">ST AUGUSTINE MEDICAL CENTRE</option>
<option value="ED022" class=" ">IRRUA SPECIALIST TEACHING HOSPITAL </option>
<option value="LHL061" class=" ">LILLY HOSPITAL LIITED</option>
<option value="EK004" class=" ">EKITI STATE UNIVERSITY TEACHING HOSPITAL, ADO - EKITI</option>
<option value="EK001" class=" ">FEDERAL TEACHING HOSPITAL, IDO-EKITI</option>
<option value="EN003" class=" ">CHRIST THE KING, ENUGU</option>
<option value="MCSH010" class=" ">MOTHER OF CHRIST SPECIALIST HOSPITAL</option>
<option value="EN005" class=" ">PEENOK MEDICAL CENTRE</option>
<option value="EN006" class=" ">RISTELLA HOSPITAL</option>
<option value="EN008" class=" ">ST MARY'S HOSPITAL & MATERNITY, ENUGU</option>
<option value="EN012" class=" ">LIVINGSTON SPECIALIST HOSPITAL</option>
<option value="EN013" class=" ">ST DANIEL CONSOLATA HOSPITAL</option>
<option value="EN009" class=" ">UNIVERSITY MEDICAL CENTRE</option>
<option value="AMH078" class=" ">AKULUE MEMORIAL HOSPITAL</option>
<option value="GO002" class=" ">FEDERAL MEDICAL CENTRE, GOMBE</option>
<option value="GO003" class=" ">MIYETTI HOSPITAL</option>
<option value="GO004" class=" ">METRO CONSULTANTS CLINIC</option>
<option value="ICOO5" class=" ">IVORY CLINIC</option>
<option value="SMCCH004" class=" ">ST MARY CHILDREN AND COMMUNITY UMUOWA, ORLU</option>
<option value="IMUTH006" class=" ">IMO STATE UNIVERSITY TEACHING HOSPITAL, ORLU</option>
<option value="IM002" class=" ">EZEM MEDICAL CENTRE</option>
<option value="IM011" class=" ">FEDERAL MEDICAL CENTRE, OWERRI</option>
<option value="FCH0042" class=" ">FIRST CONCEPT HOSPITAL, OWERRI</option>
<option value="IM010" class=" ">IKENEGBU HOSPITAL, MATERNITY & LABORATORY </option>
<option value="IM003" class=" ">INTERNATIONAL CHRISTIAN HOSPITAL</option>
<option value="IM007" class=" ">LIFESPRING SPECIALIST HOSPITAL</option>
<option value="IM005" class=" ">SALVATION HOSPITAL & MATERNITY</option>
<option value="SEHM0043" class=" ">ST. ELIZABETH HOSPITAL AND MATERNITY</option>
<option value="WHM001" class=" ">WINNIES HOSPITAL AND MATERNITY</option>
<option value="IM044" class=" ">CHAPEL GROUP SPECIALISTS HOSPITAL</option>
<option value="A0077" class=" ">ALBARKA CLINIC</option>
<option value="HHLO23" class=" ">HARMONY HOSPITAL LIMITED</option>
<option value="KA001" class=" ">ALBARKA HOSPITAL & MATERNITY</option>
<option value="KA003" class=" ">AMINA HOSPITAL</option>
<option value="KA004" class=" ">CHASEL HOSPITAL</option>
<option value="KA005" class=" ">GIWA HOSPITAL LTD</option>
<option value="KA008" class=" ">JOWAKO HOSPITAL</option>
<option value="KA010" class=" ">MANEKS HOSPITAL</option>
<option value="KA012" class=" ">MENDS SPECIALIST HOSPITAL</option>
<option value="KA021S" class=" ">MULTICLINIC SPECIALIST HOSPITAL</option>
<option value="KA013" class=" ">SEFA HOSPITAL</option>
<option value="KA014" class=" ">TIM UNITY SPECIALIST HOSPITAL</option>
<option value="SMC003" class=" ">SALEM MEDICAL CENTRE</option>
<option value="KA002" class=" ">ALMADINA CLINIC</option>
<option value="KA009" class=" ">LIMI HOSPITAL & MATERNITY LTD, ZARIA</option>
<option value="KA011" class=" ">MAYFAIR CLINICS NIG LTD</option>
<option value="KN001" class=" ">AMINU KANO TEACHING HOSPITAL</option>
<option value="KN002" class=" ">IDEAL HOSPITAL & MATERNITY LTD</option>
<option value="KN003" class=" ">INTERNATIONAL CLINICS & HOSPITALS</option>
<option value="KN004" class=" ">PREMIER CLINIC, KANO</option>
<option value="KT003" class=" ">BISTIT HOSPITAL LTD</option>
<option value="KT009" class=" ">AMFANI CLINIC AND MATERNITY</option>
<option value="KT008" class=" ">FEDERAL MEDICAL CENTRE, KATSINA</option>
<option value="KB001" class=" ">FEDERAL MEDICAL CENTRE, KEBBI</option>
<option value="KMSH099" class=" ">KEBBI MULTI-SPECIALIST HOSPITAL</option>
<option value="EHL208" class=" ">EQUITY HOSPITAL LIMITED</option>
<option value="DD094" class=" ">DDG MEDICAL CENTRE</option>
<option value="KG001" class=" ">DURO SOLEYE HOSPITAL</option>
<option value="KG006" class=" ">TOWNSHIP CLINIC</option>
<option value="KG009" class=" ">MARIA GORETTI HOSPITAL</option>
<option value="KG010" class=" ">NEIGHBOUR MULTICARE HOSPITAL & WOMEN WELLFARE CENTRE LTD.</option>
<option value="KG002" class=" ">ECWA HOSPITAL</option>
<option value="KG007" class=" ">ODOMA CLINICS</option>
<option value="KG008" class=" ">ST.JOHN'S CATHOLIC HOSPITAL</option>
<option value="KG003" class=" ">FEDERAL MEDICAL CENTRE, KOGI</option>
<option value="KG004" class=" ">NIGER HOSPITAL</option>
<option value="KG005" class=" ">POLY CLINIC HOSPITAL & MATERNITY</option>
<option value="CSHFC203" class=" ">CARECREST SPECIALIST HOSPITAL & FERTILITY CENTRE</option>
<option value="KW011S" class=" ">OGO-OLUWA HOSPITAL</option>
<option value="KW002 " class=" ">ANCHORMED HOSPITAL</option>
<option value="KW012" class=" ">BALM HOSPITAL LTD</option>
<option value="KW185D" class=" ">DELNIK HOSPITAL</option>
<option value="KW182K" class=" ">KIDDIZ MEDICAL CENTRE</option>
<option value="KW003" class=" ">OLA OLU HOSPITAL</option>
<option value="KW004" class=" ">OLANREWAJU HOSPITAL LTD</option>
<option value="KW005" class=" ">OMOLOLA HOSPITAL</option>
<option value="KW183M" class=" ">SURULERE MEDICAL CENTRE </option>
<option value="KW007" class=" ">ROLAKIM CLINIC & MATERNITY</option>
<option value="DMC098" class=" ">DANDY MEDICAL CENTRE</option>
<option value="SLCH018" class=" ">STANDARD LIFE CARE HOSPITAL</option>
<option value="PGMC049" class=" ">P&G MEDICAL CENTRE</option>
<option value="LA076" class=" ">ROPHE HOSPITAL</option>
<option value="LA006" class=" ">ALL SOULS INFIRMARY, AGEGE</option>
<option value="LA200" class=" ">BETTA HOSPITAL</option>
<option value="PMC084" class=" ">PROMISE MEDICAL CENTRE</option>
<option value="BUDO1" class=" ">BUDO SPECIALIST HOSPITAL</option>
<option value="LA021SP" class=" ">DOREN SPECIALIST HOSPITAL</option>
<option value="LA045SP" class=" ">J-RAPHA CLINICS & HOSPITAL, AJAH</option>
<option value="LA233S" class=" ">ST EDWARD SPECIALIST HOSPITAL & CARDIAC CENTRE</option>
<option value="DHHS088" class=" ">DOVE HOSPITAL & HEALTHCARE SERVICES LTD.</option>
<option value="LH055" class=" ">LENNOX HOSPITAL</option>
<option value="LA036SP" class=" ">HEALING FIELD HOSPITAL</option>
<option value="HH024" class=" ">HEDA HOSPITAL</option>
<option value="RSH059" class=" ">RIVET SPECIALIST HOSPITAL</option>
<option value="ICH028" class=" ">ILOGBO CENTRAL HOSPITAL</option>
<option value="LA005" class=" ">ALL SOULS CLINICS, AJEGUNLE</option>
<option value="KAAFM" class=" ">KAAF MATERNITY AND CHILD CARE CENTRE</option>
<option value="LA135" class=" ">BEE HESS HOSPITAL</option>
<option value="RYHL029" class=" ">REM-YEMS HOSPITAL LTD</option>
<option value="LH080" class=" ">LOBEL HOSPITAL</option>
<option value="JEFF078" class=" ">JEFIS SPECIALIST HOSPITAL</option>
<option value="GSH019" class=" ">GODFREY SPECIALIST HOSPITAL</option>
<option value="LA034" class=" ">GLORIA HOSPITAL LTD</option>
<option value="LA086" class=" ">TINCAN HOSPITAL GROUP</option>
<option value="ONMC038" class=" ">OBISESAN NAVAL MEDICAL CENTRE, APAPA</option>
<option value="AMH048" class=" ">AKANBI MEMORIAL HOSPITAL</option>
<option value="LA084SP" class=" ">THE GREAT PHYSICIAN HOSPITAL</option>
<option value="CGH029" class=" ">CARE GIVER HOSPITAL, AJARA</option>
<option value="ALTH028" class=" ">ADEBAYO LIVING TOWER HOSPITAL, IMEKE</option>
<option value="TRI0088" class=" ">THE ROYAL INFIRMARY HOSPITAL</option>
<option value="LA075SP" class=" ">R - JOLAD HOSPITAL</option>
<option value="LA015SP" class=" ">CRYSTAL SPECIALIST HOSPITAL</option>
<option value="SHMC086" class=" ">STONE HILL MEDICAL CENTRE</option>
<option value="HWH082" class=" ">HOPEWELL HOSPITAL LIMITED</option>
<option value="LA061" class=" ">MOUNT SINAI HOSPITAL GROUP, EBUTE-METTA</option>
<option value="LA031" class=" ">FEDERAL MEDICAL CENTRE, EBUTE-METTA</option>
<option value="LA161" class=" ">CAREPOINT CLINIC EGBEDA LIMITED</option>
<option value="LHMH021" class=" ">LIGHT HOSPITAL AND MATERNITY HOME LTD</option>
<option value="TCMH060" class=" ">TRUECARE MODEL HOSPITAL</option>
<option value="GHE048" class=" ">GENERAL HOSPITAL, EPE</option>
<option value="LA013" class=" ">CEDAR HOSPITAL</option>
<option value="LA026SP" class=" ">EMEL HOSPITAL</option>
<option value="LA035" class=" ">GOLDEN CROSS INFIRMARY, FESTAC</option>
<option value="LA078" class=" ">SHEPHERD SPECIALIST HOSPITAL</option>
<option value="LA197SP" class=" ">AFRIMED OGP SPECIALIST HOSPITAL</option>
<option value="LA009" class=" ">ANIYUN HOSPITAL LIMITED</option>
<option value="PRSH012" class=" ">PRIMROSE SPECIALIST HOSPITAL</option>
<option value="MH056" class=" ">MAKOG HOSPITALS</option>
<option value="LA083" class=" ">SUBOL HOSPITAL</option>
<option value="LA219" class=" ">ST THOMAS HOSPITAL</option>
<option value="LA049" class=" ">LONGING MEDICAL CENTRE</option>
<option value="LA018" class=" ">DE NEW AIYETORO MEDICAL CENTRE</option>
<option value="AHML034" class=" ">ADEMOLA HOSPITAL & MATERNITY LTD</option>
<option value="LA069" class=" ">OSUNTUYI MEDICAL CENTRE</option>
<option value="LA011" class=" ">BLUE CROSS HOSPITAL</option>
<option value="LA022SP" class=" ">EKO HOSPITAL PLC, IKEJA</option>
<option value="LA039" class=" ">HOLY TRINITY HOSPITAL</option>
<option value="LA058SP" class=" ">MOTAYO HOSPITAL</option>
<option value="LA188SP" class=" ">ST MARYS SPECIALIST HOSPITAL, IKEJA</option>
<option value="LA020" class=" ">DONAS HOSPITAL</option>
<option value="LA216" class=" ">JOBI HOSPITAL</option>
<option value="LA213" class=" ">OAK HOSPITALS</option>
<option value="SMC085" class=" ">SHANU MEDICAL CENTRE</option>
<option value="LA228S" class=" ">M-CRED HOSPITALS LIMITED</option>
<option value="LA012" class=" ">BROAD HOSPITAL & MATERNITY</option>
<option value="LA059" class=" ">MOUNT PISGAH HOSPITAL LTD</option>
<option value="LA060" class=" ">MOUNT SINAI HOSPITAL, EGBE</option>
<option value="LA014SP" class=" ">CITIZEN MEDICAL CENTRE</option>
<option value="LA019" class=" ">DIVINE MEDICAL CENTRE</option>
<option value="BCH059" class=" ">BEST CARE HOSPITAL</option>
<option value="LA142SP" class=" ">LAGOON HOSPITAL HOSPITAL, IKOYI</option>
<option value="LA054" class=" ">MAY CLINICS LTD</option>
<option value="GCH091" class=" ">GOD CURES HOSPITAL</option>
<option value="LA053" class=" ">MAY CLINICS LTD (Annex)</option>
<option value="LA090" class=" ">ULTIMA MEDICARE</option>
<option value="SMC085" class=" ">SHANU MEDICAL CENTRE</option>
<option value="LA209" class=" ">G.ESTATE CLINIC CONSORTIUM</option>
<option value="LA141" class=" ">SOLAD MEDICAL CENTRE</option>
<option value="LA233" class=" ">SPARK VIEW HOSPITAL</option>
<option value="LA037" class=" ">HEALS SPECIALIST CLINIC</option>
<option value="LA080" class=" ">ST EMMANUEL HOSPITAL</option>
<option value="LA193SP" class=" ">KROWN HOSPITAL</option>
<option value="LA232" class=" ">MUCAS HOSPITAL</option>
<option value="LA091" class=" ">VETA HOSPITAL LTD</option>
<option value="DMC079" class=" ">DAFE MEDICAL CENTRE</option>
<option value="THL045" class=" ">THEO HOSPITAL LIMITED</option>
<option value="LA051" class=" ">AVON MEDICAL SERVICES LTD (CLINIC)</option>
<option value="BC0089" class=" ">BERNICE CLINIC</option>
<option value="LA032" class=" ">FIRST CITY DIAGNOSIS LTD</option>
<option value="LHL049" class=" ">LOUISMED HOSPITAL LIMITED</option>
<option value="LA215SP" class=" ">RAINBOW SPECIALIST MEDICAL CENTRE</option>
<option value="LA088" class=" ">UDECO MEDICAL CENTRE</option>
<option value="GHL020" class=" ">GERMAINE HOSPITAL, LEKKI</option>
<option value="FCH049" class=" ">FIRST CITY HOSPITAL</option>
<option value="JEH019" class=" ">JERICHO HOSPITAL</option>
<option value="LA072SP" class=" ">PINECREST SPECIALIST HOSPITAL</option>
<option value="LA211" class=" ">MAGODO SPECIALIST HOSPITAL</option>
<option value="FIH0091" class=" ">FIRST HERITAGE HOSPITAL</option>
<option value="LA106H" class=" ">HILLSTAR CLINICS (NIGERIA) LTD</option>
<option value="LA070" class=" ">OSUNTUYI MEDICAL CENTRE(ANNEX)</option>
<option value="LA029SP" class=" ">FANIMED HOSPITAL</option>
<option value="LA044SP" class=" ">ISALU HOSPITAL LIMITED</option>
<option value="LA055SP" class=" ">MED-IN SPECIALIST HOSPITAL</option>
<option value="LA194" class=" ">NIMBUS MEDICAL CENTRE </option>
<option value="LA077" class=" ">ALHERI HOSPITAL, LAGOS</option>
<option value="LA214" class=" ">SOLID ROCK HOSPITAL LTD</option>
<option value="HCH051" class=" ">HOREB CONSULT HOSPITAL</option>
<option value="CCHO51S" class=" ">CHILDKID CHILDREN HOSPITAL</option>
<option value="LA189" class=" ">SIKEOYE HOPE CLINIC</option>
<option value="LA004" class=" ">AKINBOLADE SPECIALIST HOSPITAL</option>
<option value="LA025" class=" ">ELPHY SPECIALIST HOSPITAL</option>
<option value="LA047" class=" ">KILADEJO HOSPITAL & SPECIALIST CLINICS</option>
<option value="LA081" class=" ">ST ANTHONY MEDICAL CENTRE & MATERNITY HOME LTD</option>
<option value="LA082" class=" ">ST RAPHAELS HOSPITAL LTD</option>
<option value="NEHL221" class=" ">NEW EVOLUTION HOSPITAL LTD</option>
<option value="LA067" class=" ">OMNI MEDICAL CENTRE, ONIKAN</option>
<option value="DSMC048" class=" ">DIALYZER SPECIALIST MEDICAL CENTRE</option>
<option value="GMC044" class=" ">GOODNESS MEDICAL CENTRE</option>
<option value="MMC065" class=" ">MAZAF MEDICAL CENTRE</option>
<option value="GCH091" class=" ">GOD CURES HOSPITAL</option>
<option value="RTMC006" class=" ">RHOWIL TOTAL-CARE MEDICAL CENTRE</option>
<option value="LA030" class=" ">FASANMI CLINIC & MATERNITY HOME LTD</option>
<option value="LA230" class=" ">IGBOLOGUN MEDICAL CENTRE</option>
<option value="LA001" class=" ">AB SPECIALIST HOSPITAL</option>
<option value="LA052SP" class=" ">AVON MEDICAL SERVICES LTD (HOSPITAL)</option>
<option value="LA016" class=" ">DAN-EGERTON HOSPITAL</option>
<option value="LA017" class=" ">DAN-EGERTON HOSPITAL</option>
<option value="LA023" class=" ">EKO HOSPITAL PLC, SURULERE</option>
<option value="LA056" class=" ">MERCY-THOMAS OREDUGBA MEDICAL CENTRE </option>
<option value="LA057" class=" ">MEZONEL HOSPITAL</option>
<option value="LA062" class=" ">NEWDAY SPECIALIST CLINIC</option>
<option value="LA065SP" class=" ">OLANIBA MEMORIAL HOSPITAL</option>
<option value="LA073SP" class=" ">PROVIDENCE HOSPITAL LTD, SURULERE</option>
<option value="LA087" class=" ">TOPAZ CLINC</option>
<option value="LA205 " class=" ">TUNRAYO HOSPITAL </option>
<option value="NMC019" class=" ">NAVAL MEDICAL CENTRE</option>
<option value="NA010" class=" ">OUR LADY OF APOSTLES HOSPITAL</option>
<option value="NA002" class=" ">FEDERAL MEDICAL CENTRE, KEFFI</option>
<option value="NA005" class=" ">NAGARI ALLAH MAGANI HOSPITAL</option>
<option value="NA011" class=" ">JAMAA MEDICAL CENTRE</option>
<option value="NA009" class=" ">AGU HOSPITAL</option>
<option value="NA001" class=" ">DALHATU ARAF SPECIALIST HOSPITAL</option>
<option value="NA007" class=" ">SAUKI HOSPITAL, LAFIA</option>
<option value="NA004" class=" ">KINGS CARE HOSPITAL LTD, MARARABA</option>
<option value="NG005" class=" ">FEDERAL MEDICAL CENTRE, BIDA</option>
<option value="NG014" class=" ">NASARA CLINIC & MATERNITY HOSPITAL</option>
<option value="NG015" class=" ">RAINBOW CLINIC & MATERNITY</option>
<option value="NG002" class=" ">BAY SPECIALIST HOSPITAL</option>
<option value="NG010" class=" ">GREAT FAITH MEDICAL CENTRE</option>
<option value="NG017" class=" ">TOP MEDICAL CLINIC</option>
<option value="SHDS056" class=" ">STANDARD HOSPITAL & DIAGNOSTIC SERVICES</option>
<option value="NG012" class=" ">KAINJI MEDICAL CENTRE</option>
<option value="NG004" class=" ">FARY GROUP CLINIC</option>
<option value="CHL017" class=" ">CHARLES HEALTHCARE LTD</option>
<option value="SMC090" class=" ">SUZAN MEMORIAL CLINIC</option>
<option value="OG005" class=" ">FEDERAL MEDICAL CENTRE, ABEOKUTA</option>
<option value="OG009" class=" ">MERCY GROUP CLINICS</option>
<option value="OG012" class=" ">SACRED HEART HOSPITAL</option>
<option value="AESH041" class=" ">ANGEL & EAGLE SPECIALIST HOSPITAL</option>
<option value="OG021SP" class=" ">JOSEPH AND CHRISTIANAH SPECIALIST HOSPITAL</option>
<option value="SSH030" class=" ">SOLAMEK SPECIALIST HOSPITAL</option>
<option value="OG024S" class=" ">BEACHLAND SPECIALIST HOSPITAL</option>
<option value="LH059" class=" ">LABITRIX HOSPITAL</option>
<option value="OG001" class=" ">AKOBI SPECIALIST HOSPITAL</option>
<option value="OG019SP" class=" ">LAFIA KOWA HOSPITAL</option>
<option value="OG020" class=" ">PETERSON MEDICAL CENTRE</option>
<option value="OG026" class=" ">ST. MICHAEL - ISRAEL SPECIALIST HOSPITAL LTD.</option>
<option value="SLCH018" class=" ">STANDARD LIFE CARE HOSPITAL</option>
<option value="OG015B" class=" ">BROADLAND HOSPITAL SERVICES LTD</option>
<option value="TRHC076" class=" ">REDEEMER HEALTH CENTRE</option>
<option value="ALH059" class=" ">ABUNDANT LIFE HSOPITAL</option>
<option value="MPH011" class=" ">MEDIC PLUS HOSPITAL</option>
<option value="OG014" class=" ">OTUNBA TUWASE NATIONAL PAEDIATRIC CENTRE</option>
<option value="OG008" class=" ">ACE MEDICARE CLINICS</option>
<option value="OG23S" class=" ">FARAMED CLINICS</option>
<option value="OG025" class=" ">IDERA HEALTH SERVICES LIMITED</option>
<option value="ISHS59" class=" ">IMPERIAL SPECIALIST HOSPITAL SERVICES</option>
<option value="OG024T" class=" ">OLABISI ONABANJO UNIVERSITY TEACHING HOSPITAL</option>
<option value="PMC083" class=" ">PROMISE MEDICAL CENTRE</option>
<option value="FMS049" class=" ">FAME MEDICAL SERVICES</option>
<option value="SC050" class=" ">SHIRISH CLINIC</option>
<option value="HMC028" class=" ">HETTA MEDICAL CENTRE</option>
<option value="SSMC035" class=" ">ST. SHILOH MEDICAL CENTRE</option>
<option value="ON003" class=" ">FIRST MERCY SPECIALIST HOSPITAL</option>
<option value="ON011" class=" ">TIM UNITY SPECIALIST HOSPITAL</option>
<option value="LHI095" class=" ">LULI HOSPITAL</option>
<option value="IMC" class=" ">INLAND MEDICAL CENTRE</option>
<option value="ON007" class=" ">IBUKUN-OLU HOSPITALS</option>
<option value="SSH094" class=" ">STATE SPECIALIST HOSPITAL</option>
<option value="ON001" class=" ">BABALOLA MEDICAL CENTRE</option>
<option value="AMD" class=" ">ARIF MEDICAL CENTRE</option>
<option value="PHM" class=" ">PIMA HOSPITAL AND MATERNITY </option>
<option value="OS006SP" class=" ">OAUTH COMPLEX</option>
<option value="OS007SP" class=" ">ST. VICTORIA SPECIALIST HOSPITAL </option>
<option value="AMC057" class=" ">APEX MEDICAL CENTRE</option>
<option value="OS005" class=" ">ADENLE MEMORIAL HOSPITAL</option>
<option value="LPMC049" class=" ">LIVING PETALS MEDICAL CENTRE</option>
<option value="OS009" class=" ">EMMANUEL MEDICAL CENTRE</option>
<option value="OS001" class=" ">ABAKE MEDICAL CENTRE</option>
<option value="OS002" class=" ">BIKET MEDICAL CENTRE</option>
<option value="OS003" class=" ">ONWARD SPECIALIST HOSPITAL</option>
<option value="OS004" class=" ">OROKI SPECIALIST HOSPITAL </option>
<option value="OY001" class=" ">ALAFIA HOSPITAL</option>
<option value="OY002" class=" ">BADEJOKO MEMORIAL HOSP & MATERNITY</option>
<option value="OY003" class=" ">BANBY SPECIALIST HOSPITAL</option>
<option value="OY005" class=" ">FELEWA HOSPITAL XXX</option>
<option value="OY007" class=" ">JOLAMADE SPECIALIST HOSPITAL</option>
<option value="OY008" class=" ">J-RAPHA CLINICS & HOSPITAL, IBADAN</option>
<option value="OY020" class=" ">LANARK SPECIALIST HOSPITAL</option>
<option value="OY009" class=" ">MEDICAL PRACTITIONERS LTD</option>
<option value="OY010" class=" ">MOLLY SPECIALIST HOSPITAL</option>
<option value="OY015" class=" ">TEJU SPECIALIST HOSPITAL</option>
<option value="OY022S" class=" ">THE VINE HOSPITAL & MATERNITY CENTRE</option>
<option value="TMC018" class=" ">TOBI MEDICAL CENTRE LTD</option>
<option value="ZSMH033" class=" ">ZOE SPECIALIST MISSION HOSPITAL</option>
<option value="OY004" class=" ">BOWEN UNIVERSITY TEACHING HOSPITAL</option>
<option value="OY006" class=" ">IRETI-OLU HOSPITAL</option>
<option value="OY011" class=" ">MOMOH MEMORIAL HOSPITAL</option>
<option value="OY012" class=" ">BAPTIST MEDICAL CENTRE, SAKI</option>
<option value="PL002" class=" ">FOCUS HOSPITAL</option>
<option value="KSH0078" class=" ">KAUNA SPECIALIST HOSPITAL</option>
<option value="MSH0076" class=" ">MARYSOL SPECIALIST HOSPITAL</option>
<option value="PL005" class=" ">SAUKI GROUP OF CLINICS AND MATERNITY, JOS</option>
<option value="FGH029" class=" ">FERTILE GROUND HOSPITAL LTD</option>
<option value="PL003" class=" ">MAY HOSPITAL, SHENDAM</option>
<option value="RI007" class=" ">GBEYE HOSPITAL</option>
<option value="RI002" class=" ">DELTA SPECIALIST HOSPITAL</option>
<option value="MCE049" class=" ">MUJE CLINIC</option>
<option value="RI006" class=" ">FOUNDATION CLINIC</option>
<option value="RI007" class=" ">GBEYE HOSPITAL</option>
<option value="QPHM020" class=" ">QUEEN OF PEACE HOSPITAL & MATERNITY</option>
<option value="PH0045" class=" ">EL-ROI SPECIALIST CLINIC</option>
<option value="HC013" class=" ">HILTON CLINIC</option>
<option value="GCMC029" class=" ">GREEN CARE MEDICAL CONSULTANTS</option>
<option value="PH0050" class=" ">MILITARY HOSPITAL</option>
<option value="NHC0041" class=" ">NEW HEIGHTS CONSULTANTS HOSPITALS</option>
<option value="RI012" class=" ">PRINCESS MEDICAL CENTRE</option>
<option value="RI013" class=" ">PROVIDENCE CLINIC & MATERNITY LTD, PORTHARCOURT</option>
<option value="RI030" class=" ">ST PATRICK'S HOSPITAL LTD</option>
<option value="NHCH0040" class=" ">NEW MILE ONE HOSPITAL</option>
<option value="RI029" class=" ">MORNING STAR HOSPITAL LTD</option>
<option value="WHH060" class=" ">WESTHILL HOSPITAL</option>
<option value="BMH085" class=" ">BONMARIA HOSPITAL LTD.</option>
<option value="PTMC013" class=" ">POTTERS TOUCH MEDICAL CONSULTANT</option>
<option value="R1007" class=" ">GBEYE HOSPITAL</option>
<option value="PH0046" class=" ">PRESTIGE HOSPITAL</option>
<option value="ESH030" class=" ">EL-SPECIALIST HOSPITAL</option>
<option value="LCL059" class=" ">LIFECARE CENTRE LTD</option>
<option value="SSH049" class=" ">SHIELD SPECIALISTS HOSPITAL</option>
<option value="DMC058" class=" ">DATTA MEDICAL CENTRE</option>
<option value="OMC048" class=" ">OLUNWA MEDICAL CENTRE</option>
<option value="RI051" class=" ">NEW ORLINS HOSPITAL</option>
<option value="SHSL049" class=" ">STANDARDCARE HEALTH SOLUTIONS LIMITED</option>
<option value="CMC059" class=" ">CUMI MEDICAL CENTRE</option>
<option value="SO001" class=" ">SAHEL SPECIALIST CLINIC</option>
<option value="SO002" class=" ">SOKOTO CLINIC</option>
<option value="SO003" class=" ">USMAN DAN FODIO TEACHING HOSPITAL</option>
<option value="TA003" class=" ">GENERAL HOSPITAL</option>
<option value="TA002" class=" ">MAMBILLA BAPTIST HOSPITAL</option>
<option value="TA001" class=" ">FEDERAL MEDICAL CENTRE, JALINGO</option>
<option value="YO001" class=" ">AJIKO MEDICAL CENTRE</option>
<option value="YO002" class=" ">CITY MEDICAL CENTRE, YOBE</option>
<option value="YO003" class=" ">POTISKUM MEDICAL CENTRE</option>
<option value="ZA001" class=" ">DAULA HOSPITAL & MATERNITY HOME</option>
<option value="ZA002" class=" ">FEDERAL MEDICAL CENTRE, GUSAU</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field60" data-index="18" style="width: 100%" class=" form-element form-element-field60 options-false index-false form-element-18 default-false form-element-type-heading is-required-false odd -handle">
<div class="form-element-html">
<div>
<div style="background-color:" class="heading-cover field-cover ">
<div style="text-align: left; font-size: 1.6em; padding-top: ; padding-bottom: ; color: #1e73be" class="bold-true"><span>Child 3 Details</span></div><input type="hidden" data-field-id="field60" name="field60[]" value="Child 3 Details">
</div>
</div>
</div>
</div>
<div data-identifier="field71" data-index="19" style="width: 50%" class=" even form-element form-element-field71 options-false index-false form-element-19 default-false form-element-type-oneLineText is-required-false -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>Surname</span></span><span class="sub-label"><span>Surname</span></span></span>
<div><span class="error"></span><input type="text" placeholder="Surname" make-read-only="false" data-field-id="field71" name="field71[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="false"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field62" data-index="20" style="width: 50%" class=" form-element form-element-field62 options-false index-false form-element-20 default-false form-element-type-oneLineText is-required-false odd -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>First Name</span></span><span class="sub-label"><span>First Name</span></span></span>
<div><span class="error"></span><input type="text" placeholder="First Name" make-read-only="false" data-field-id="field62" name="field62[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="false"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field73" data-index="21" style="width: 50%" class=" even form-element form-element-field73 options-false index-false form-element-21 default-false form-element-type-oneLineText is-required-false -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>Other Names</span></span><span class="sub-label"><span>Other Names</span></span></span>
<div><span class="error"></span><input type="text" placeholder="Other Names" make-read-only="false" data-field-id="field73" name="field73[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="false"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field74" data-index="22" style="width: 50%" class=" form-element form-element-field74 options-false index-false form-element-22 default-false form-element-type-dropdown is-required-false odd -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Gender*</span></span><span class="sub-label"><span>Gender!</span></span></span>
<div><span class="error"></span><select data-is-required="false" class="validation-lenient" data-field-id="field74" name="field74" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Select Gender</option>
<option value="Male" class=" ">Male</option>
<option value="Female" class=" ">Female</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field46" data-index="23" style="width: 35%" class=" even form-element form-element-field46 options-false index-false form-element-23 default-false form-element-type-datepicker is-required-false -handle">
<div class="form-element-html">
<div><label class="datepicker-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>Date of Birth</span></span><span class="sub-label"><span>Date of Birth</span></span></span>
<div><span class="error"></span><input autocomplete="off" data-field-id="field46" placeholder="Date of Birth" type="text" class="validation-lenient hasDatepicker" data-is-required="false" datepicker="" data-date-min-range=""
data-date-format="dd/mm/yy" data-date-days="{"0":true,"1":true,"2":true,"3":true,"4":true,"5":true,"6":true}" data-date-min="" data-date-min-alt=""
data-date-max-alt="" data-date-max="" data-date-lang="en" name="field46" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-original-title=""
id="dp1634721563830"><i class="formcraft-icon">date_range</i></div>
</label></div>
</div>
</div>
<div data-identifier="field67" data-index="24" style="width: 33%" class=" form-element form-element-field67 options-false index-false form-element-24 default-false form-element-type-fileupload is-required-false odd -handle">
<div class="form-element-html">
<div><label class="wide- fileupload-cover field-cover"><span class="sub-label-"><span class="main-label"><span>Upload Passport</span></span><span class="sub-label"><span>upload</span></span></span>
<div><span class="error"></span>
<div class="button button-file fileupload-button" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true" data-original-title="">
<i class="icon-upload-cloud formcraft-icon">cloud_upload</i><span>Upload Child Three Passport Photograph</span><input type="file" data-name-list="field67" name="files" multiple="multiple" data-allow-extensions="jpg,png"
data-min-files="" data-max-files="" data-max-size=""></div>
</div>
</label></div>
</div>
</div>
<div data-identifier="field94" data-index="25" style="width: 33%" class=" even form-element form-element-field94 options-false index-false form-element-25 default-false form-element-type-dropdown is-required-true -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Plan Type</span></span><span class="sub-label"><span>pick one!</span></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field94" name="field94" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="Select A Plan Type" class=" ">Select A Plan Type</option>
<option value="ECOBANK Plan" class=" ">ECOBANK Plan</option>
<option value="Basic Plan" class=" ">Basic Plan</option>
<option value="Advanced Basic Plan" class=" ">Advanced Basic Plan</option>
<option value="Basic Plus Plan" class=" ">Basic Plus Plan</option>
<option value="Advanced Basic plus Plan" class=" ">Advanced Basic plus Plan</option>
<option value="Premiun Plan" class=" ">Premiun Plan</option>
<option value="Ultimate" class=" ">Ultimate</option>
<option value="Others" class=" ">Others</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field95" data-index="26" style="width: 67%" class=" form-element form-element-field95 options-false index-false form-element-26 default-false form-element-type-dropdown is-required-false odd -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Preferred Hospital ECOBANK Plan</span></span><span class="sub-label"><span>Preferred
Hospital!</span></span></span>
<div><span class="error"></span><select data-is-required="false" class="validation-lenient" data-field-id="field95" name="field95" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Select Preferred Hospital ECOBANK Plan</option>
<option value="AB008" class=" ">CHRIST THE KING HOSPITAL, ABA</option>
<option value="AB012SP" class=" ">EKEOMA MEMORIAL HOSPITAL</option>
<option value="AB003" class=" ">LIFE CARE CLINICS LTD</option>
<option value="AB004" class=" ">LIVING WORD MISSION HOSPITAL</option>
<option value="AB005" class=" ">NEW ERA HOSPITAL, ABA</option>
<option value="TNC074" class=" ">THE NAZARETH CLINIC</option>
<option value="AB002" class=" ">FEDERAL MEDICAL CENTRE, UMUAHIA</option>
<option value="PSC101" class=" ">PRIMECARE SPECIALIST CLINICS</option>
<option value="FC022S" class=" ">ALLIANCE HOSPITAL, ABUJA</option>
<option value="FC001" class=" ">DARA MEDICAL CENTRE</option>
<option value="FC012" class=" ">FEDERAL STAFF HOSPITAL, GWARINPA</option>
<option value="FC002" class=" ">FEREPROD MEDICAL CENTRE</option>
<option value="FC003" class=" ">KINGS CARE HOSPITAL LTD, WUSE ZONE 4</option>
<option value="FC004" class=" ">LIMI HOSPITAL & MATERNITY LTD, ABUJA</option>
<option value="FC008" class=" ">PISION HOSPITAL</option>
<option value="FC020" class=" ">RUZ MEDICAL CENTRE</option>
<option value="LPH025" class=" ">LOUIS PASTEUR HOSPITAL</option>
<option value="SON0079" class=" ">SISTERS OF THE NATIVITY HOSPITAL</option>
<option value="FC009" class=" ">QUEENS CLINIC LTD, ABUJA</option>
<option value="FC024" class=" ">EXCEL SPECIALIST HOSPITAL</option>
<option value="SS052" class=" ">SOFTSHELL SPECIALIST HOSPITAL LTD</option>
<option value="SCH055" class=" ">SPRINGBLOOM COUNTY HOSPITAL</option>
<option value="JMCCH093" class=" ">JOYLAND MEDICAL CENTRE AND CHILDREN'S HOSPITAL</option>
<option value="FC023SP" class=" ">FAMILY CARE MULTICLINICS LTD</option>
<option value="FC005" class=" ">LIVINGSTREAM SPECIALIST MEDICAL CENTRE</option>
<option value="FC010" class=" ">ST MARY'S HOSPITAL, GWAGWALADA</option>
<option value="FC011" class=" ">UNIVERSITY OF ABUJA TEACHING HOSPITAL</option>
<option value="TMTC078" class=" ">TRAUMA & MULTISPECIALTY CENTER</option>
<option value="FC018" class=" ">KINGS CARE HOSPITAL LTD, Kubwa</option>
<option value="ACK077" class=" ">ALLISON CLINIC KUJE</option>
<option value="ASMC020" class=" ">ALFAD SPECIALIST MEDICAL CENTRE</option>
<option value="AD004" class=" ">SAUKI MEDICAL CENTRE, YOLA</option>
<option value="AD003" class=" ">PEACE HOSPITAL</option>
<option value="CMC156" class=" ">CALEB MEDICAL CENTER</option>
<option value="AK010" class=" ">VEDDYSON HOSPITAL</option>
<option value="AK003" class=" ">IHA FOUNDATION MEDICAL CENTRE</option>
<option value="AK017" class=" ">TOTAL CARE CLINIC AND MATERNITY</option>
<option value="AK014" class=" ">CHRIST VICTORY MEDICAL CENTRE</option>
<option value="AK005" class=" ">MOUNT OLIVE MEDICAL CENTRE</option>
<option value="AK009" class=" ">UBONG ABASI SPECIALIST HOSPITAL</option>
<option value="AK015" class=" ">DOMINGO SPECIALIST HOSPITALS</option>
<option value="SDH049" class=" ">SAN DOMINIQUE HOSPITAL</option>
<option value="PH0047" class=" ">OUR LADY OF LOURDES</option>
<option value="AN012" class=" ">SEFTON SPECIALIST MEDICAL CENTRE</option>
<option value="AN012SP" class=" ">IFEBI MEDICAL CENTER</option>
<option value="LIH048" class=" ">LIFE INTERNATIONAL HOSPITAL, AWKA</option>
<option value="AN014" class=" ">CHIBUZOR HOSPITAL & MATERNITY</option>
<option value="AN006" class=" ">FELIX OKOLO MEMORIAL HOSPITAL, NNEWI</option>
<option value="AN009" class=" ">LIFE SPECIALIST HOSPITAL</option>
<option value="JHM083" class=" ">JESUS IS LORD ROYAL HOSPITAL AND MATERNITY</option>
<option value="AN010" class=" ">MERCY SPECIALIST HOSPITAL & MATERNITY, ONITSHA</option>
<option value="SCBH060" class=" ">ST CHARLSE BORROMEO HOSPITAL</option>
<option value="KMC084" class=" ">KATAGUM MEDICAL CENTER</option>
<option value="BA002" class=" ">NIIMA CONSULTANTS HOSPITAL</option>
<option value="DE020S" class=" ">REMEE (RIMI) CLINIC</option>
<option value="BA003" class=" ">NINGI CLINIC & MATERNITY</option>
<option value="BY005" class=" ">CREST CONSULTANT CLINIC</option>
<option value="BY001" class=" ">FEDERAL MEDICAL CENTRE, YENAGOA</option>
<option value="BY004" class=" ">ST PETERS HOSPITAL</option>
<option value="BE001" class=" ">BAKI CLINIC AND MATERNITY</option>
<option value="BE004" class=" ">NKST HOSPITAL</option>
<option value="BE011FC" class=" ">FAMILY PRACTICE HOSPITAL</option>
<option value="BE010" class=" ">HOPE HOSPITAL</option>
<option value="BE003" class=" ">MADONNA HOSPITAL</option>
<option value="BE006" class=" ">PAMPAS HOSPITAL & MATERNITY</option>
<option value="BE007" class=" ">QUEENS CLINIC LTD, MAKURDI</option>
<option value="BE005" class=" ">OTIA CLINIC</option>
<option value="BE008" class=" ">ST ANTHONY HOSPITAL</option>
<option value="BO001" class=" ">ABBOTT CLINIC</option>
<option value="BO002" class=" ">NAKOWA SPECIALIST HOSPITAL</option>
<option value="BO003" class=" ">BORNO MEDICAL CENTRE</option>
<option value="BO004" class=" ">KANEM HOSPITAL & MATERNITY</option>
<option value="BO006" class=" ">UNIVERSITY OF MAIDUGURI TEACHING HOSPITAL</option>
<option value="CR015" class=" ">SANTA MARIA CLINIC & MATERNITY</option>
<option value="CR001" class=" ">BAKOR MEDICAL CENTRE</option>
<option value="CR003" class=" ">CITY CLINIC, CALABAR</option>
<option value="CR005" class=" ">FAITH FOUNDATION SPECIALIST CLINIC</option>
<option value="CR009" class=" ">IKPEME MEDICAL CENTRE</option>
<option value="CR010" class=" ">MEVOM SPECIALIST CLINIC</option>
<option value="CR048" class=" ">AMADO MEDICAL CENTRE</option>
<option value="CR008" class=" ">HOLY FAMILY CATHOLIC HOSPITAL, IKOM</option>
<option value="BMCI055" class=" ">BAKOR MEDICAL CENTRE</option>
<option value="DE003" class=" ">ANIOMA HOSPITAL</option>
<option value="DE028" class=" ">FEDERAL MEDICAL CENTRE, ASABA</option>
<option value="DE008" class=" ">GOOD SAMARITAN HOSPITAL COMPLEX</option>
<option value="SRSH057" class=" ">ST. REBECCA SPECIALIST HOSPITAL</option>
<option value="ECH034" class=" ">EL-COMFORT HOSPITAL</option>
<option value="DELSUTH" class=" ">DELTA STATE UNIVERSITY TEACHING HOSPITAL</option>
<option value="OLNCO48" class=" ">OUR LADY OF NIGERIA CATHOLIC HOSPITAL</option>
<option value="LH044" class=" ">LANA HOSPITAL</option>
<option value="DE017" class=" ">OBULE MEDICAL CENTRE</option>
<option value="DE031" class=" ">KOWA CLINIC, UGHELLI</option>
<option value="DE007" class=" ">CAPITOL HILL CLINIC/HOSPITAL</option>
<option value="DE025" class=" ">VERTIMON MEDICAL CENTRE</option>
<option value="FVH013" class=" ">FAIRVIEW HOSPITAL</option>
<option value="DE024" class=" ">B.U CLINIC/HOSPITAL LTD</option>
<option value="RC082" class=" ">REGAL CLINIC</option>
<option value="DSC083" class=" ">DAYSPRING CLINIC</option>
<option value="DE018" class=" ">LILY HOSPITAL LIMITED WARRI</option>
<option value="EB003" class=" ">FELIX MEMORIAL HOSPITAL, ABAKALIKI</option>
<option value="CKHM022" class=" ">CHRIST THE KING HOSPITAL AND MATERNITY</option>
<option value="ED005" class=" ">FATE MEDICAL CENTRE</option>
<option value="ED004" class=" ">FAITH MEDICAL CENTRE</option>
<option value="ED007" class=" ">MODIC MEDICAL CENTRE</option>
<option value="ED008" class=" ">MOUNT GILEAD HOSPITAL</option>
<option value="ED013" class=" ">ST PHILOMENA CATHOLIC HOSPITAL</option>
<option value="ED014" class=" ">THE ROCK HOSPITAL</option>
<option value="ED019" class=" ">EDI INTERNATIONAL HOSPITAL LTD</option>
<option value="ED041" class=" ">RAHI HOSPITALS LIMITED</option>
<option value="SAMC049" class=" ">ST AUGUSTINE MEDICAL CENTRE</option>
<option value="ED022" class=" ">IRRUA SPECIALIST TEACHING HOSPITAL </option>
<option value="LHL061" class=" ">LILLY HOSPITAL LIITED</option>
<option value="EK004" class=" ">EKITI STATE UNIVERSITY TEACHING HOSPITAL, ADO - EKITI</option>
<option value="EK001" class=" ">FEDERAL TEACHING HOSPITAL, IDO-EKITI</option>
<option value="EN003" class=" ">CHRIST THE KING, ENUGU</option>
<option value="MCSH010" class=" ">MOTHER OF CHRIST SPECIALIST HOSPITAL</option>
<option value="EN005" class=" ">PEENOK MEDICAL CENTRE</option>
<option value="EN006" class=" ">RISTELLA HOSPITAL</option>
<option value="EN008" class=" ">ST MARY'S HOSPITAL & MATERNITY, ENUGU</option>
<option value="EN012" class=" ">LIVINGSTON SPECIALIST HOSPITAL</option>
<option value="EN013" class=" ">ST DANIEL CONSOLATA HOSPITAL</option>
<option value="EN009" class=" ">UNIVERSITY MEDICAL CENTRE</option>
<option value="AMH078" class=" ">AKULUE MEMORIAL HOSPITAL</option>
<option value="GO002" class=" ">FEDERAL MEDICAL CENTRE, GOMBE</option>
<option value="GO003" class=" ">MIYETTI HOSPITAL</option>
<option value="GO004" class=" ">METRO CONSULTANTS CLINIC</option>
<option value="ICOO5" class=" ">IVORY CLINIC</option>
<option value="SMCCH004" class=" ">ST MARY CHILDREN AND COMMUNITY UMUOWA, ORLU</option>
<option value="IMUTH006" class=" ">IMO STATE UNIVERSITY TEACHING HOSPITAL, ORLU</option>
<option value="IM002" class=" ">EZEM MEDICAL CENTRE</option>
<option value="IM011" class=" ">FEDERAL MEDICAL CENTRE, OWERRI</option>
<option value="FCH0042" class=" ">FIRST CONCEPT HOSPITAL, OWERRI</option>
<option value="IM010" class=" ">IKENEGBU HOSPITAL, MATERNITY & LABORATORY </option>
<option value="IM003" class=" ">INTERNATIONAL CHRISTIAN HOSPITAL</option>
<option value="IM007" class=" ">LIFESPRING SPECIALIST HOSPITAL</option>
<option value="IM005" class=" ">SALVATION HOSPITAL & MATERNITY</option>
<option value="SEHM0043" class=" ">ST. ELIZABETH HOSPITAL AND MATERNITY</option>
<option value="WHM001" class=" ">WINNIES HOSPITAL AND MATERNITY</option>
<option value="IM044" class=" ">CHAPEL GROUP SPECIALISTS HOSPITAL</option>
<option value="A0077" class=" ">ALBARKA CLINIC</option>
<option value="HHLO23" class=" ">HARMONY HOSPITAL LIMITED</option>
<option value="KA001" class=" ">ALBARKA HOSPITAL & MATERNITY</option>
<option value="KA003" class=" ">AMINA HOSPITAL</option>
<option value="KA004" class=" ">CHASEL HOSPITAL</option>
<option value="KA005" class=" ">GIWA HOSPITAL LTD</option>
<option value="KA008" class=" ">JOWAKO HOSPITAL</option>
<option value="KA010" class=" ">MANEKS HOSPITAL</option>
<option value="KA012" class=" ">MENDS SPECIALIST HOSPITAL</option>
<option value="KA021S" class=" ">MULTICLINIC SPECIALIST HOSPITAL</option>
<option value="KA013" class=" ">SEFA HOSPITAL</option>
<option value="KA014" class=" ">TIM UNITY SPECIALIST HOSPITAL</option>
<option value="SMC003" class=" ">SALEM MEDICAL CENTRE</option>
<option value="KA002" class=" ">ALMADINA CLINIC</option>
<option value="KA009" class=" ">LIMI HOSPITAL & MATERNITY LTD, ZARIA</option>
<option value="KA011" class=" ">MAYFAIR CLINICS NIG LTD</option>
<option value="KN001" class=" ">AMINU KANO TEACHING HOSPITAL</option>
<option value="KN002" class=" ">IDEAL HOSPITAL & MATERNITY LTD</option>
<option value="KN003" class=" ">INTERNATIONAL CLINICS & HOSPITALS</option>
<option value="KN004" class=" ">PREMIER CLINIC, KANO</option>
<option value="KT003" class=" ">BISTIT HOSPITAL LTD</option>
<option value="KT009" class=" ">AMFANI CLINIC AND MATERNITY</option>
<option value="KT008" class=" ">FEDERAL MEDICAL CENTRE, KATSINA</option>
<option value="KB001" class=" ">FEDERAL MEDICAL CENTRE, KEBBI</option>
<option value="KMSH099" class=" ">KEBBI MULTI-SPECIALIST HOSPITAL</option>
<option value="EHL208" class=" ">EQUITY HOSPITAL LIMITED</option>
<option value="DD094" class=" ">DDG MEDICAL CENTRE</option>
<option value="KG001" class=" ">DURO SOLEYE HOSPITAL</option>
<option value="KG006" class=" ">TOWNSHIP CLINIC</option>
<option value="KG009" class=" ">MARIA GORETTI HOSPITAL</option>
<option value="KG010" class=" ">NEIGHBOUR MULTICARE HOSPITAL & WOMEN WELLFARE CENTRE LTD.</option>
<option value="KG002" class=" ">ECWA HOSPITAL</option>
<option value="KG007" class=" ">ODOMA CLINICS</option>
<option value="KG008" class=" ">ST.JOHN'S CATHOLIC HOSPITAL</option>
<option value="KG003" class=" ">FEDERAL MEDICAL CENTRE, KOGI</option>
<option value="KG004" class=" ">NIGER HOSPITAL</option>
<option value="KG005" class=" ">POLY CLINIC HOSPITAL & MATERNITY</option>
<option value="CSHFC203" class=" ">CARECREST SPECIALIST HOSPITAL & FERTILITY CENTRE</option>
<option value="KW011S" class=" ">OGO-OLUWA HOSPITAL</option>
<option value="KW002 " class=" ">ANCHORMED HOSPITAL</option>
<option value="KW012" class=" ">BALM HOSPITAL LTD</option>
<option value="KW185D" class=" ">DELNIK HOSPITAL</option>
<option value="KW182K" class=" ">KIDDIZ MEDICAL CENTRE</option>
<option value="KW003" class=" ">OLA OLU HOSPITAL</option>
<option value="KW004" class=" ">OLANREWAJU HOSPITAL LTD</option>
<option value="KW005" class=" ">OMOLOLA HOSPITAL</option>
<option value="KW183M" class=" ">SURULERE MEDICAL CENTRE </option>
<option value="KW007" class=" ">ROLAKIM CLINIC & MATERNITY</option>
<option value="DMC098" class=" ">DANDY MEDICAL CENTRE</option>
<option value="SLCH018" class=" ">STANDARD LIFE CARE HOSPITAL</option>
<option value="PGMC049" class=" ">P&G MEDICAL CENTRE</option>
<option value="LA076" class=" ">ROPHE HOSPITAL</option>
<option value="LA006" class=" ">ALL SOULS INFIRMARY, AGEGE</option>
<option value="LA200" class=" ">BETTA HOSPITAL</option>
<option value="PMC084" class=" ">PROMISE MEDICAL CENTRE</option>
<option value="BUDO1" class=" ">BUDO SPECIALIST HOSPITAL</option>
<option value="LA021SP" class=" ">DOREN SPECIALIST HOSPITAL</option>
<option value="LA045SP" class=" ">J-RAPHA CLINICS & HOSPITAL, AJAH</option>
<option value="LA233S" class=" ">ST EDWARD SPECIALIST HOSPITAL & CARDIAC CENTRE</option>
<option value="DHHS088" class=" ">DOVE HOSPITAL & HEALTHCARE SERVICES LTD.</option>
<option value="LH055" class=" ">LENNOX HOSPITAL</option>
<option value="LA036SP" class=" ">HEALING FIELD HOSPITAL</option>
<option value="HH024" class=" ">HEDA HOSPITAL</option>
<option value="RSH059" class=" ">RIVET SPECIALIST HOSPITAL</option>
<option value="ICH028" class=" ">ILOGBO CENTRAL HOSPITAL</option>
<option value="LA005" class=" ">ALL SOULS CLINICS, AJEGUNLE</option>
<option value="KAAFM" class=" ">KAAF MATERNITY AND CHILD CARE CENTRE</option>
<option value="LA135" class=" ">BEE HESS HOSPITAL</option>
<option value="RYHL029" class=" ">REM-YEMS HOSPITAL LTD</option>
<option value="LH080" class=" ">LOBEL HOSPITAL</option>
<option value="JEFF078" class=" ">JEFIS SPECIALIST HOSPITAL</option>
<option value="GSH019" class=" ">GODFREY SPECIALIST HOSPITAL</option>
<option value="LA034" class=" ">GLORIA HOSPITAL LTD</option>
<option value="LA086" class=" ">TINCAN HOSPITAL GROUP</option>
<option value="ONMC038" class=" ">OBISESAN NAVAL MEDICAL CENTRE, APAPA</option>
<option value="AMH048" class=" ">AKANBI MEMORIAL HOSPITAL</option>
<option value="LA084SP" class=" ">THE GREAT PHYSICIAN HOSPITAL</option>
<option value="CGH029" class=" ">CARE GIVER HOSPITAL, AJARA</option>
<option value="ALTH028" class=" ">ADEBAYO LIVING TOWER HOSPITAL, IMEKE</option>
<option value="TRI0088" class=" ">THE ROYAL INFIRMARY HOSPITAL</option>
<option value="LA075SP" class=" ">R - JOLAD HOSPITAL</option>
<option value="LA015SP" class=" ">CRYSTAL SPECIALIST HOSPITAL</option>
<option value="SHMC086" class=" ">STONE HILL MEDICAL CENTRE</option>
<option value="HWH082" class=" ">HOPEWELL HOSPITAL LIMITED</option>
<option value="LA061" class=" ">MOUNT SINAI HOSPITAL GROUP, EBUTE-METTA</option>
<option value="LA031" class=" ">FEDERAL MEDICAL CENTRE, EBUTE-METTA</option>
<option value="LA161" class=" ">CAREPOINT CLINIC EGBEDA LIMITED</option>
<option value="LHMH021" class=" ">LIGHT HOSPITAL AND MATERNITY HOME LTD</option>
<option value="TCMH060" class=" ">TRUECARE MODEL HOSPITAL</option>
<option value="GHE048" class=" ">GENERAL HOSPITAL, EPE</option>
<option value="LA013" class=" ">CEDAR HOSPITAL</option>
<option value="LA026SP" class=" ">EMEL HOSPITAL</option>
<option value="LA035" class=" ">GOLDEN CROSS INFIRMARY, FESTAC</option>
<option value="LA078" class=" ">SHEPHERD SPECIALIST HOSPITAL</option>
<option value="LA197SP" class=" ">AFRIMED OGP SPECIALIST HOSPITAL</option>
<option value="LA009" class=" ">ANIYUN HOSPITAL LIMITED</option>
<option value="PRSH012" class=" ">PRIMROSE SPECIALIST HOSPITAL</option>
<option value="MH056" class=" ">MAKOG HOSPITALS</option>
<option value="LA083" class=" ">SUBOL HOSPITAL</option>
<option value="LA219" class=" ">ST THOMAS HOSPITAL</option>
<option value="LA049" class=" ">LONGING MEDICAL CENTRE</option>
<option value="LA018" class=" ">DE NEW AIYETORO MEDICAL CENTRE</option>
<option value="AHML034" class=" ">ADEMOLA HOSPITAL & MATERNITY LTD</option>
<option value="LA069" class=" ">OSUNTUYI MEDICAL CENTRE</option>
<option value="LA011" class=" ">BLUE CROSS HOSPITAL</option>
<option value="LA022SP" class=" ">EKO HOSPITAL PLC, IKEJA</option>
<option value="LA039" class=" ">HOLY TRINITY HOSPITAL</option>
<option value="LA058SP" class=" ">MOTAYO HOSPITAL</option>
<option value="LA188SP" class=" ">ST MARYS SPECIALIST HOSPITAL, IKEJA</option>
<option value="LA020" class=" ">DONAS HOSPITAL</option>
<option value="LA216" class=" ">JOBI HOSPITAL</option>
<option value="LA213" class=" ">OAK HOSPITALS</option>
<option value="SMC085" class=" ">SHANU MEDICAL CENTRE</option>
<option value="LA228S" class=" ">M-CRED HOSPITALS LIMITED</option>
<option value="LA012" class=" ">BROAD HOSPITAL & MATERNITY</option>
<option value="LA059" class=" ">MOUNT PISGAH HOSPITAL LTD</option>
<option value="LA060" class=" ">MOUNT SINAI HOSPITAL, EGBE</option>
<option value="LA014SP" class=" ">CITIZEN MEDICAL CENTRE</option>
<option value="LA019" class=" ">DIVINE MEDICAL CENTRE</option>
<option value="BCH059" class=" ">BEST CARE HOSPITAL</option>
<option value="LA142SP" class=" ">LAGOON HOSPITAL HOSPITAL, IKOYI</option>
<option value="LA054" class=" ">MAY CLINICS LTD</option>
<option value="GCH091" class=" ">GOD CURES HOSPITAL</option>
<option value="LA053" class=" ">MAY CLINICS LTD (Annex)</option>
<option value="LA090" class=" ">ULTIMA MEDICARE</option>
<option value="SMC085" class=" ">SHANU MEDICAL CENTRE</option>
<option value="LA209" class=" ">G.ESTATE CLINIC CONSORTIUM</option>
<option value="LA141" class=" ">SOLAD MEDICAL CENTRE</option>
<option value="LA233" class=" ">SPARK VIEW HOSPITAL</option>
<option value="LA037" class=" ">HEALS SPECIALIST CLINIC</option>
<option value="LA080" class=" ">ST EMMANUEL HOSPITAL</option>
<option value="LA193SP" class=" ">KROWN HOSPITAL</option>
<option value="LA232" class=" ">MUCAS HOSPITAL</option>
<option value="LA091" class=" ">VETA HOSPITAL LTD</option>
<option value="DMC079" class=" ">DAFE MEDICAL CENTRE</option>
<option value="THL045" class=" ">THEO HOSPITAL LIMITED</option>
<option value="LA051" class=" ">AVON MEDICAL SERVICES LTD (CLINIC)</option>
<option value="BC0089" class=" ">BERNICE CLINIC</option>
<option value="LA032" class=" ">FIRST CITY DIAGNOSIS LTD</option>
<option value="LHL049" class=" ">LOUISMED HOSPITAL LIMITED</option>
<option value="LA215SP" class=" ">RAINBOW SPECIALIST MEDICAL CENTRE</option>
<option value="LA088" class=" ">UDECO MEDICAL CENTRE</option>
<option value="GHL020" class=" ">GERMAINE HOSPITAL, LEKKI</option>
<option value="FCH049" class=" ">FIRST CITY HOSPITAL</option>
<option value="JEH019" class=" ">JERICHO HOSPITAL</option>
<option value="LA072SP" class=" ">PINECREST SPECIALIST HOSPITAL</option>
<option value="LA211" class=" ">MAGODO SPECIALIST HOSPITAL</option>
<option value="FIH0091" class=" ">FIRST HERITAGE HOSPITAL</option>
<option value="LA106H" class=" ">HILLSTAR CLINICS (NIGERIA) LTD</option>
<option value="LA070" class=" ">OSUNTUYI MEDICAL CENTRE(ANNEX)</option>
<option value="LA029SP" class=" ">FANIMED HOSPITAL</option>
<option value="LA044SP" class=" ">ISALU HOSPITAL LIMITED</option>
<option value="LA055SP" class=" ">MED-IN SPECIALIST HOSPITAL</option>
<option value="LA194" class=" ">NIMBUS MEDICAL CENTRE </option>
<option value="LA077" class=" ">ALHERI HOSPITAL, LAGOS</option>
<option value="LA214" class=" ">SOLID ROCK HOSPITAL LTD</option>
<option value="HCH051" class=" ">HOREB CONSULT HOSPITAL</option>
<option value="CCHO51S" class=" ">CHILDKID CHILDREN HOSPITAL</option>
<option value="LA189" class=" ">SIKEOYE HOPE CLINIC</option>
<option value="LA004" class=" ">AKINBOLADE SPECIALIST HOSPITAL</option>
<option value="LA025" class=" ">ELPHY SPECIALIST HOSPITAL</option>
<option value="LA047" class=" ">KILADEJO HOSPITAL & SPECIALIST CLINICS</option>
<option value="LA081" class=" ">ST ANTHONY MEDICAL CENTRE & MATERNITY HOME LTD</option>
<option value="LA082" class=" ">ST RAPHAELS HOSPITAL LTD</option>
<option value="NEHL221" class=" ">NEW EVOLUTION HOSPITAL LTD</option>
<option value="LA067" class=" ">OMNI MEDICAL CENTRE, ONIKAN</option>
<option value="DSMC048" class=" ">DIALYZER SPECIALIST MEDICAL CENTRE</option>
<option value="GMC044" class=" ">GOODNESS MEDICAL CENTRE</option>
<option value="MMC065" class=" ">MAZAF MEDICAL CENTRE</option>
<option value="GCH091" class=" ">GOD CURES HOSPITAL</option>
<option value="RTMC006" class=" ">RHOWIL TOTAL-CARE MEDICAL CENTRE</option>
<option value="LA030" class=" ">FASANMI CLINIC & MATERNITY HOME LTD</option>
<option value="LA230" class=" ">IGBOLOGUN MEDICAL CENTRE</option>
<option value="LA001" class=" ">AB SPECIALIST HOSPITAL</option>
<option value="LA052SP" class=" ">AVON MEDICAL SERVICES LTD (HOSPITAL)</option>
<option value="LA016" class=" ">DAN-EGERTON HOSPITAL</option>
<option value="LA017" class=" ">DAN-EGERTON HOSPITAL</option>
<option value="LA023" class=" ">EKO HOSPITAL PLC, SURULERE</option>
<option value="LA056" class=" ">MERCY-THOMAS OREDUGBA MEDICAL CENTRE </option>
<option value="LA057" class=" ">MEZONEL HOSPITAL</option>
<option value="LA062" class=" ">NEWDAY SPECIALIST CLINIC</option>
<option value="LA065SP" class=" ">OLANIBA MEMORIAL HOSPITAL</option>
<option value="LA073SP" class=" ">PROVIDENCE HOSPITAL LTD, SURULERE</option>
<option value="LA087" class=" ">TOPAZ CLINC</option>
<option value="LA205 " class=" ">TUNRAYO HOSPITAL </option>
<option value="NMC019" class=" ">NAVAL MEDICAL CENTRE</option>
<option value="NA010" class=" ">OUR LADY OF APOSTLES HOSPITAL</option>
<option value="NA002" class=" ">FEDERAL MEDICAL CENTRE, KEFFI</option>
<option value="NA005" class=" ">NAGARI ALLAH MAGANI HOSPITAL</option>
<option value="NA011" class=" ">JAMAA MEDICAL CENTRE</option>
<option value="NA009" class=" ">AGU HOSPITAL</option>
<option value="NA001" class=" ">DALHATU ARAF SPECIALIST HOSPITAL</option>
<option value="NA007" class=" ">SAUKI HOSPITAL, LAFIA</option>
<option value="NA004" class=" ">KINGS CARE HOSPITAL LTD, MARARABA</option>
<option value="NG005" class=" ">FEDERAL MEDICAL CENTRE, BIDA</option>
<option value="NG014" class=" ">NASARA CLINIC & MATERNITY HOSPITAL</option>
<option value="NG015" class=" ">RAINBOW CLINIC & MATERNITY</option>
<option value="NG002" class=" ">BAY SPECIALIST HOSPITAL</option>
<option value="NG010" class=" ">GREAT FAITH MEDICAL CENTRE</option>
<option value="NG017" class=" ">TOP MEDICAL CLINIC</option>
<option value="SHDS056" class=" ">STANDARD HOSPITAL & DIAGNOSTIC SERVICES</option>
<option value="NG012" class=" ">KAINJI MEDICAL CENTRE</option>
<option value="NG004" class=" ">FARY GROUP CLINIC</option>
<option value="CHL017" class=" ">CHARLES HEALTHCARE LTD</option>
<option value="SMC090" class=" ">SUZAN MEMORIAL CLINIC</option>
<option value="OG005" class=" ">FEDERAL MEDICAL CENTRE, ABEOKUTA</option>
<option value="OG009" class=" ">MERCY GROUP CLINICS</option>
<option value="OG012" class=" ">SACRED HEART HOSPITAL</option>
<option value="AESH041" class=" ">ANGEL & EAGLE SPECIALIST HOSPITAL</option>
<option value="OG021SP" class=" ">JOSEPH AND CHRISTIANAH SPECIALIST HOSPITAL</option>
<option value="SSH030" class=" ">SOLAMEK SPECIALIST HOSPITAL</option>
<option value="OG024S" class=" ">BEACHLAND SPECIALIST HOSPITAL</option>
<option value="LH059" class=" ">LABITRIX HOSPITAL</option>
<option value="OG001" class=" ">AKOBI SPECIALIST HOSPITAL</option>
<option value="OG019SP" class=" ">LAFIA KOWA HOSPITAL</option>
<option value="OG020" class=" ">PETERSON MEDICAL CENTRE</option>
<option value="OG026" class=" ">ST. MICHAEL - ISRAEL SPECIALIST HOSPITAL LTD.</option>
<option value="SLCH018" class=" ">STANDARD LIFE CARE HOSPITAL</option>
<option value="OG015B" class=" ">BROADLAND HOSPITAL SERVICES LTD</option>
<option value="TRHC076" class=" ">REDEEMER HEALTH CENTRE</option>
<option value="ALH059" class=" ">ABUNDANT LIFE HSOPITAL</option>
<option value="MPH011" class=" ">MEDIC PLUS HOSPITAL</option>
<option value="OG014" class=" ">OTUNBA TUWASE NATIONAL PAEDIATRIC CENTRE</option>
<option value="OG008" class=" ">ACE MEDICARE CLINICS</option>
<option value="OG23S" class=" ">FARAMED CLINICS</option>
<option value="OG025" class=" ">IDERA HEALTH SERVICES LIMITED</option>
<option value="ISHS59" class=" ">IMPERIAL SPECIALIST HOSPITAL SERVICES</option>
<option value="OG024T" class=" ">OLABISI ONABANJO UNIVERSITY TEACHING HOSPITAL</option>
<option value="PMC083" class=" ">PROMISE MEDICAL CENTRE</option>
<option value="FMS049" class=" ">FAME MEDICAL SERVICES</option>
<option value="SC050" class=" ">SHIRISH CLINIC</option>
<option value="HMC028" class=" ">HETTA MEDICAL CENTRE</option>
<option value="SSMC035" class=" ">ST. SHILOH MEDICAL CENTRE</option>
<option value="ON003" class=" ">FIRST MERCY SPECIALIST HOSPITAL</option>
<option value="ON011" class=" ">TIM UNITY SPECIALIST HOSPITAL</option>
<option value="LHI095" class=" ">LULI HOSPITAL</option>
<option value="IMC" class=" ">INLAND MEDICAL CENTRE</option>
<option value="ON007" class=" ">IBUKUN-OLU HOSPITALS</option>
<option value="SSH094" class=" ">STATE SPECIALIST HOSPITAL</option>
<option value="ON001" class=" ">BABALOLA MEDICAL CENTRE</option>
<option value="AMD" class=" ">ARIF MEDICAL CENTRE</option>
<option value="PHM" class=" ">PIMA HOSPITAL AND MATERNITY </option>
<option value="OS006SP" class=" ">OAUTH COMPLEX</option>
<option value="OS007SP" class=" ">ST. VICTORIA SPECIALIST HOSPITAL </option>
<option value="AMC057" class=" ">APEX MEDICAL CENTRE</option>
<option value="OS005" class=" ">ADENLE MEMORIAL HOSPITAL</option>
<option value="LPMC049" class=" ">LIVING PETALS MEDICAL CENTRE</option>
<option value="OS009" class=" ">EMMANUEL MEDICAL CENTRE</option>
<option value="OS001" class=" ">ABAKE MEDICAL CENTRE</option>
<option value="OS002" class=" ">BIKET MEDICAL CENTRE</option>
<option value="OS003" class=" ">ONWARD SPECIALIST HOSPITAL</option>
<option value="OS004" class=" ">OROKI SPECIALIST HOSPITAL </option>
<option value="OY001" class=" ">ALAFIA HOSPITAL</option>
<option value="OY002" class=" ">BADEJOKO MEMORIAL HOSP & MATERNITY</option>
<option value="OY003" class=" ">BANBY SPECIALIST HOSPITAL</option>
<option value="OY005" class=" ">FELEWA HOSPITAL XXX</option>
<option value="OY007" class=" ">JOLAMADE SPECIALIST HOSPITAL</option>
<option value="OY008" class=" ">J-RAPHA CLINICS & HOSPITAL, IBADAN</option>
<option value="OY020" class=" ">LANARK SPECIALIST HOSPITAL</option>
<option value="OY009" class=" ">MEDICAL PRACTITIONERS LTD</option>
<option value="OY010" class=" ">MOLLY SPECIALIST HOSPITAL</option>
<option value="OY015" class=" ">TEJU SPECIALIST HOSPITAL</option>
<option value="OY022S" class=" ">THE VINE HOSPITAL & MATERNITY CENTRE</option>
<option value="TMC018" class=" ">TOBI MEDICAL CENTRE LTD</option>
<option value="ZSMH033" class=" ">ZOE SPECIALIST MISSION HOSPITAL</option>
<option value="OY004" class=" ">BOWEN UNIVERSITY TEACHING HOSPITAL</option>
<option value="OY006" class=" ">IRETI-OLU HOSPITAL</option>
<option value="OY011" class=" ">MOMOH MEMORIAL HOSPITAL</option>
<option value="OY012" class=" ">BAPTIST MEDICAL CENTRE, SAKI</option>
<option value="PL002" class=" ">FOCUS HOSPITAL</option>
<option value="KSH0078" class=" ">KAUNA SPECIALIST HOSPITAL</option>
<option value="MSH0076" class=" ">MARYSOL SPECIALIST HOSPITAL</option>
<option value="PL005" class=" ">SAUKI GROUP OF CLINICS AND MATERNITY, JOS</option>
<option value="FGH029" class=" ">FERTILE GROUND HOSPITAL LTD</option>
<option value="PL003" class=" ">MAY HOSPITAL, SHENDAM</option>
<option value="RI007" class=" ">GBEYE HOSPITAL</option>
<option value="RI002" class=" ">DELTA SPECIALIST HOSPITAL</option>
<option value="MCE049" class=" ">MUJE CLINIC</option>
<option value="RI006" class=" ">FOUNDATION CLINIC</option>
<option value="RI007" class=" ">GBEYE HOSPITAL</option>
<option value="QPHM020" class=" ">QUEEN OF PEACE HOSPITAL & MATERNITY</option>
<option value="PH0045" class=" ">EL-ROI SPECIALIST CLINIC</option>
<option value="HC013" class=" ">HILTON CLINIC</option>
<option value="GCMC029" class=" ">GREEN CARE MEDICAL CONSULTANTS</option>
<option value="PH0050" class=" ">MILITARY HOSPITAL</option>
<option value="NHC0041" class=" ">NEW HEIGHTS CONSULTANTS HOSPITALS</option>
<option value="RI012" class=" ">PRINCESS MEDICAL CENTRE</option>
<option value="RI013" class=" ">PROVIDENCE CLINIC & MATERNITY LTD, PORTHARCOURT</option>
<option value="RI030" class=" ">ST PATRICK'S HOSPITAL LTD</option>
<option value="NHCH0040" class=" ">NEW MILE ONE HOSPITAL</option>
<option value="RI029" class=" ">MORNING STAR HOSPITAL LTD</option>
<option value="WHH060" class=" ">WESTHILL HOSPITAL</option>
<option value="BMH085" class=" ">BONMARIA HOSPITAL LTD.</option>
<option value="PTMC013" class=" ">POTTERS TOUCH MEDICAL CONSULTANT</option>
<option value="R1007" class=" ">GBEYE HOSPITAL</option>
<option value="PH0046" class=" ">PRESTIGE HOSPITAL</option>
<option value="ESH030" class=" ">EL-SPECIALIST HOSPITAL</option>
<option value="LCL059" class=" ">LIFECARE CENTRE LTD</option>
<option value="SSH049" class=" ">SHIELD SPECIALISTS HOSPITAL</option>
<option value="DMC058" class=" ">DATTA MEDICAL CENTRE</option>
<option value="OMC048" class=" ">OLUNWA MEDICAL CENTRE</option>
<option value="RI051" class=" ">NEW ORLINS HOSPITAL</option>
<option value="SHSL049" class=" ">STANDARDCARE HEALTH SOLUTIONS LIMITED</option>
<option value="CMC059" class=" ">CUMI MEDICAL CENTRE</option>
<option value="SO001" class=" ">SAHEL SPECIALIST CLINIC</option>
<option value="SO002" class=" ">SOKOTO CLINIC</option>
<option value="SO003" class=" ">USMAN DAN FODIO TEACHING HOSPITAL</option>
<option value="TA003" class=" ">GENERAL HOSPITAL</option>
<option value="TA002" class=" ">MAMBILLA BAPTIST HOSPITAL</option>
<option value="TA001" class=" ">FEDERAL MEDICAL CENTRE, JALINGO</option>
<option value="YO001" class=" ">AJIKO MEDICAL CENTRE</option>
<option value="YO002" class=" ">CITY MEDICAL CENTRE, YOBE</option>
<option value="YO003" class=" ">POTISKUM MEDICAL CENTRE</option>
<option value="ZA001" class=" ">DAULA HOSPITAL & MATERNITY HOME</option>
<option value="ZA002" class=" ">FEDERAL MEDICAL CENTRE, GUSAU</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field68" data-index="27" style="width: 100%" class=" even form-element form-element-field68 options-false index-false form-element-27 default-false form-element-type-heading is-required-false -handle">
<div class="form-element-html">
<div>
<div style="background-color:" class="heading-cover field-cover ">
<div style="text-align: left; font-size: 1.6em; padding-top: ; padding-bottom: ; color: #1e73be" class="bold-true"><span>Child 4 Details</span></div><input type="hidden" data-field-id="field68" name="field68[]" value="Child 4 Details">
</div>
</div>
</div>
</div>
<div data-identifier="field41" data-index="28" style="width: 50%" class=" form-element form-element-field41 options-false index-false form-element-28 default-false form-element-type-oneLineText is-required-false odd -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>Surname</span></span><span class="sub-label"><span>Surname</span></span></span>
<div><span class="error"></span><input type="text" placeholder="Surname" make-read-only="false" data-field-id="field41" name="field41[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="false"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field77" data-index="29" style="width: 33%" class=" even form-element form-element-field77 options-false index-false form-element-29 default-false form-element-type-fileupload is-required-false -handle">
<div class="form-element-html">
<div><label class="wide- fileupload-cover field-cover"><span class="sub-label-"><span class="main-label"><span>Upload Passport</span></span><span class="sub-label"><span>upload</span></span></span>
<div><span class="error"></span>
<div class="button button-file fileupload-button" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true" data-original-title="">
<i class="icon-upload-cloud formcraft-icon">cloud_upload</i><span>Upload Child Four Passport Photograph</span><input type="file" data-name-list="field77" name="files" multiple="multiple" data-allow-extensions="jpg,png"
data-min-files="" data-max-files="" data-max-size=""></div>
</div>
</label></div>
</div>
</div>
<div data-identifier="field72" data-index="30" style="width: 50%" class=" form-element form-element-field72 options-false index-false form-element-30 default-false form-element-type-oneLineText is-required-false odd -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>First Name</span></span><span class="sub-label"><span>First Name</span></span></span>
<div><span class="error"></span><input type="text" placeholder="First Name" make-read-only="false" data-field-id="field72" name="field72[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="false"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field42" data-index="31" style="width: 50%" class=" even form-element form-element-field42 options-false index-false form-element-31 default-false form-element-type-oneLineText is-required-false -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>Other Names</span></span><span class="sub-label"><span>Other Names</span></span></span>
<div><span class="error"></span><input type="text" placeholder="Other Names" make-read-only="false" data-field-id="field42" name="field42[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="false"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field64" data-index="32" style="width: 50%" class=" form-element form-element-field64 options-false index-false form-element-32 default-false form-element-type-dropdown is-required-false odd -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Gender*</span></span><span class="sub-label"><span>Gender!</span></span></span>
<div><span class="error"></span><select data-is-required="false" class="validation-lenient" data-field-id="field64" name="field64" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Select Gender</option>
<option value="Male" class=" ">Male</option>
<option value="Female" class=" ">Female</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field75" data-index="33" style="width: 35%" class=" even form-element form-element-field75 options-false index-false form-element-33 default-false form-element-type-datepicker is-required-false -handle">
<div class="form-element-html">
<div><label class="datepicker-cover field-cover has-input"><span class="sub-label-true"><span class="main-label"><span>Date of Birth</span></span><span class="sub-label"><span>Date of Birth</span></span></span>
<div><span class="error"></span><input autocomplete="off" data-field-id="field75" placeholder="Date of Birth" type="text" class="validation-lenient hasDatepicker" data-is-required="false" datepicker="" data-date-min-range=""
data-date-format="dd/mm/yy" data-date-days="{"0":true,"1":true,"2":true,"3":true,"4":true,"5":true,"6":true}" data-date-min="" data-date-min-alt=""
data-date-max-alt="" data-date-max="" data-date-lang="en" name="field75" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-original-title=""
id="dp1634721563831"><i class="formcraft-icon">date_range</i></div>
</label></div>
</div>
</div>
<div data-identifier="field96" data-index="34" style="width: 33%" class=" form-element form-element-field96 options-false index-false form-element-34 default-false form-element-type-dropdown is-required-true odd -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Plan Type</span></span><span class="sub-label"><span>pick one!</span></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field96" name="field96" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="Select A Plan Type" class=" ">Select A Plan Type</option>
<option value="ECOBANK Plan" class=" ">ECOBANK Plan</option>
<option value="Basic Plan" class=" ">Basic Plan</option>
<option value="Advanced Basic Plan" class=" ">Advanced Basic Plan</option>
<option value="Basic Plus Plan" class=" ">Basic Plus Plan</option>
<option value="Advanced Basic plus Plan" class=" ">Advanced Basic plus Plan</option>
<option value="Premiun Plan" class=" ">Premiun Plan</option>
<option value="Ultimate" class=" ">Ultimate</option>
<option value="Others" class=" ">Others</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field97" data-index="35" style="width: 67%" class=" even form-element form-element-field97 options-false index-false form-element-35 default-false form-element-type-dropdown is-required-false -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Preferred Hospital ECOBANK Plan</span></span><span class="sub-label"><span>Preferred
Hospital!</span></span></span>
<div><span class="error"></span><select data-is-required="false" class="validation-lenient" data-field-id="field97" name="field97" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Select Preferred Hospital ECOBANK Plan</option>
<option value="AB008" class=" ">CHRIST THE KING HOSPITAL, ABA</option>
<option value="AB012SP" class=" ">EKEOMA MEMORIAL HOSPITAL</option>
<option value="AB003" class=" ">LIFE CARE CLINICS LTD</option>
<option value="AB004" class=" ">LIVING WORD MISSION HOSPITAL</option>
<option value="AB005" class=" ">NEW ERA HOSPITAL, ABA</option>
<option value="TNC074" class=" ">THE NAZARETH CLINIC</option>
<option value="AB002" class=" ">FEDERAL MEDICAL CENTRE, UMUAHIA</option>
<option value="PSC101" class=" ">PRIMECARE SPECIALIST CLINICS</option>
<option value="FC022S" class=" ">ALLIANCE HOSPITAL, ABUJA</option>
<option value="FC001" class=" ">DARA MEDICAL CENTRE</option>
<option value="FC012" class=" ">FEDERAL STAFF HOSPITAL, GWARINPA</option>
<option value="FC002" class=" ">FEREPROD MEDICAL CENTRE</option>
<option value="FC003" class=" ">KINGS CARE HOSPITAL LTD, WUSE ZONE 4</option>
<option value="FC004" class=" ">LIMI HOSPITAL & MATERNITY LTD, ABUJA</option>
<option value="FC008" class=" ">PISION HOSPITAL</option>
<option value="FC020" class=" ">RUZ MEDICAL CENTRE</option>
<option value="LPH025" class=" ">LOUIS PASTEUR HOSPITAL</option>
<option value="SON0079" class=" ">SISTERS OF THE NATIVITY HOSPITAL</option>
<option value="FC009" class=" ">QUEENS CLINIC LTD, ABUJA</option>
<option value="FC024" class=" ">EXCEL SPECIALIST HOSPITAL</option>
<option value="SS052" class=" ">SOFTSHELL SPECIALIST HOSPITAL LTD</option>
<option value="SCH055" class=" ">SPRINGBLOOM COUNTY HOSPITAL</option>
<option value="JMCCH093" class=" ">JOYLAND MEDICAL CENTRE AND CHILDREN'S HOSPITAL</option>
<option value="FC023SP" class=" ">FAMILY CARE MULTICLINICS LTD</option>
<option value="FC005" class=" ">LIVINGSTREAM SPECIALIST MEDICAL CENTRE</option>
<option value="FC010" class=" ">ST MARY'S HOSPITAL, GWAGWALADA</option>
<option value="FC011" class=" ">UNIVERSITY OF ABUJA TEACHING HOSPITAL</option>
<option value="TMTC078" class=" ">TRAUMA & MULTISPECIALTY CENTER</option>
<option value="FC018" class=" ">KINGS CARE HOSPITAL LTD, Kubwa</option>
<option value="ACK077" class=" ">ALLISON CLINIC KUJE</option>
<option value="ASMC020" class=" ">ALFAD SPECIALIST MEDICAL CENTRE</option>
<option value="AD004" class=" ">SAUKI MEDICAL CENTRE, YOLA</option>
<option value="AD003" class=" ">PEACE HOSPITAL</option>
<option value="CMC156" class=" ">CALEB MEDICAL CENTER</option>
<option value="AK010" class=" ">VEDDYSON HOSPITAL</option>
<option value="AK003" class=" ">IHA FOUNDATION MEDICAL CENTRE</option>
<option value="AK017" class=" ">TOTAL CARE CLINIC AND MATERNITY</option>
<option value="AK014" class=" ">CHRIST VICTORY MEDICAL CENTRE</option>
<option value="AK005" class=" ">MOUNT OLIVE MEDICAL CENTRE</option>
<option value="AK009" class=" ">UBONG ABASI SPECIALIST HOSPITAL</option>
<option value="AK015" class=" ">DOMINGO SPECIALIST HOSPITALS</option>
<option value="SDH049" class=" ">SAN DOMINIQUE HOSPITAL</option>
<option value="PH0047" class=" ">OUR LADY OF LOURDES</option>
<option value="AN012" class=" ">SEFTON SPECIALIST MEDICAL CENTRE</option>
<option value="AN012SP" class=" ">IFEBI MEDICAL CENTER</option>
<option value="LIH048" class=" ">LIFE INTERNATIONAL HOSPITAL, AWKA</option>
<option value="AN014" class=" ">CHIBUZOR HOSPITAL & MATERNITY</option>
<option value="AN006" class=" ">FELIX OKOLO MEMORIAL HOSPITAL, NNEWI</option>
<option value="AN009" class=" ">LIFE SPECIALIST HOSPITAL</option>
<option value="JHM083" class=" ">JESUS IS LORD ROYAL HOSPITAL AND MATERNITY</option>
<option value="AN010" class=" ">MERCY SPECIALIST HOSPITAL & MATERNITY, ONITSHA</option>
<option value="SCBH060" class=" ">ST CHARLSE BORROMEO HOSPITAL</option>
<option value="KMC084" class=" ">KATAGUM MEDICAL CENTER</option>
<option value="BA002" class=" ">NIIMA CONSULTANTS HOSPITAL</option>
<option value="DE020S" class=" ">REMEE (RIMI) CLINIC</option>
<option value="BA003" class=" ">NINGI CLINIC & MATERNITY</option>
<option value="BY005" class=" ">CREST CONSULTANT CLINIC</option>
<option value="BY001" class=" ">FEDERAL MEDICAL CENTRE, YENAGOA</option>
<option value="BY004" class=" ">ST PETERS HOSPITAL</option>
<option value="BE001" class=" ">BAKI CLINIC AND MATERNITY</option>
<option value="BE004" class=" ">NKST HOSPITAL</option>
<option value="BE011FC" class=" ">FAMILY PRACTICE HOSPITAL</option>
<option value="BE010" class=" ">HOPE HOSPITAL</option>
<option value="BE003" class=" ">MADONNA HOSPITAL</option>
<option value="BE006" class=" ">PAMPAS HOSPITAL & MATERNITY</option>
<option value="BE007" class=" ">QUEENS CLINIC LTD, MAKURDI</option>
<option value="BE005" class=" ">OTIA CLINIC</option>
<option value="BE008" class=" ">ST ANTHONY HOSPITAL</option>
<option value="BO001" class=" ">ABBOTT CLINIC</option>
<option value="BO002" class=" ">NAKOWA SPECIALIST HOSPITAL</option>
<option value="BO003" class=" ">BORNO MEDICAL CENTRE</option>
<option value="BO004" class=" ">KANEM HOSPITAL & MATERNITY</option>
<option value="BO006" class=" ">UNIVERSITY OF MAIDUGURI TEACHING HOSPITAL</option>
<option value="CR015" class=" ">SANTA MARIA CLINIC & MATERNITY</option>
<option value="CR001" class=" ">BAKOR MEDICAL CENTRE</option>
<option value="CR003" class=" ">CITY CLINIC, CALABAR</option>
<option value="CR005" class=" ">FAITH FOUNDATION SPECIALIST CLINIC</option>
<option value="CR009" class=" ">IKPEME MEDICAL CENTRE</option>
<option value="CR010" class=" ">MEVOM SPECIALIST CLINIC</option>
<option value="CR048" class=" ">AMADO MEDICAL CENTRE</option>
<option value="CR008" class=" ">HOLY FAMILY CATHOLIC HOSPITAL, IKOM</option>
<option value="BMCI055" class=" ">BAKOR MEDICAL CENTRE</option>
<option value="DE003" class=" ">ANIOMA HOSPITAL</option>
<option value="DE028" class=" ">FEDERAL MEDICAL CENTRE, ASABA</option>
<option value="DE008" class=" ">GOOD SAMARITAN HOSPITAL COMPLEX</option>
<option value="SRSH057" class=" ">ST. REBECCA SPECIALIST HOSPITAL</option>
<option value="ECH034" class=" ">EL-COMFORT HOSPITAL</option>
<option value="DELSUTH" class=" ">DELTA STATE UNIVERSITY TEACHING HOSPITAL</option>
<option value="OLNCO48" class=" ">OUR LADY OF NIGERIA CATHOLIC HOSPITAL</option>
<option value="LH044" class=" ">LANA HOSPITAL</option>
<option value="DE017" class=" ">OBULE MEDICAL CENTRE</option>
<option value="DE031" class=" ">KOWA CLINIC, UGHELLI</option>
<option value="DE007" class=" ">CAPITOL HILL CLINIC/HOSPITAL</option>
<option value="DE025" class=" ">VERTIMON MEDICAL CENTRE</option>
<option value="FVH013" class=" ">FAIRVIEW HOSPITAL</option>
<option value="DE024" class=" ">B.U CLINIC/HOSPITAL LTD</option>
<option value="RC082" class=" ">REGAL CLINIC</option>
<option value="DSC083" class=" ">DAYSPRING CLINIC</option>
<option value="DE018" class=" ">LILY HOSPITAL LIMITED WARRI</option>
<option value="EB003" class=" ">FELIX MEMORIAL HOSPITAL, ABAKALIKI</option>
<option value="CKHM022" class=" ">CHRIST THE KING HOSPITAL AND MATERNITY</option>
<option value="ED005" class=" ">FATE MEDICAL CENTRE</option>
<option value="ED004" class=" ">FAITH MEDICAL CENTRE</option>
<option value="ED007" class=" ">MODIC MEDICAL CENTRE</option>
<option value="ED008" class=" ">MOUNT GILEAD HOSPITAL</option>
<option value="ED013" class=" ">ST PHILOMENA CATHOLIC HOSPITAL</option>
<option value="ED014" class=" ">THE ROCK HOSPITAL</option>
<option value="ED019" class=" ">EDI INTERNATIONAL HOSPITAL LTD</option>
<option value="ED041" class=" ">RAHI HOSPITALS LIMITED</option>
<option value="SAMC049" class=" ">ST AUGUSTINE MEDICAL CENTRE</option>
<option value="ED022" class=" ">IRRUA SPECIALIST TEACHING HOSPITAL </option>
<option value="LHL061" class=" ">LILLY HOSPITAL LIITED</option>
<option value="EK004" class=" ">EKITI STATE UNIVERSITY TEACHING HOSPITAL, ADO - EKITI</option>
<option value="EK001" class=" ">FEDERAL TEACHING HOSPITAL, IDO-EKITI</option>
<option value="EN003" class=" ">CHRIST THE KING, ENUGU</option>
<option value="MCSH010" class=" ">MOTHER OF CHRIST SPECIALIST HOSPITAL</option>
<option value="EN005" class=" ">PEENOK MEDICAL CENTRE</option>
<option value="EN006" class=" ">RISTELLA HOSPITAL</option>
<option value="EN008" class=" ">ST MARY'S HOSPITAL & MATERNITY, ENUGU</option>
<option value="EN012" class=" ">LIVINGSTON SPECIALIST HOSPITAL</option>
<option value="EN013" class=" ">ST DANIEL CONSOLATA HOSPITAL</option>
<option value="EN009" class=" ">UNIVERSITY MEDICAL CENTRE</option>
<option value="AMH078" class=" ">AKULUE MEMORIAL HOSPITAL</option>
<option value="GO002" class=" ">FEDERAL MEDICAL CENTRE, GOMBE</option>
<option value="GO003" class=" ">MIYETTI HOSPITAL</option>
<option value="GO004" class=" ">METRO CONSULTANTS CLINIC</option>
<option value="ICOO5" class=" ">IVORY CLINIC</option>
<option value="SMCCH004" class=" ">ST MARY CHILDREN AND COMMUNITY UMUOWA, ORLU</option>
<option value="IMUTH006" class=" ">IMO STATE UNIVERSITY TEACHING HOSPITAL, ORLU</option>
<option value="IM002" class=" ">EZEM MEDICAL CENTRE</option>
<option value="IM011" class=" ">FEDERAL MEDICAL CENTRE, OWERRI</option>
<option value="FCH0042" class=" ">FIRST CONCEPT HOSPITAL, OWERRI</option>
<option value="IM010" class=" ">IKENEGBU HOSPITAL, MATERNITY & LABORATORY </option>
<option value="IM003" class=" ">INTERNATIONAL CHRISTIAN HOSPITAL</option>
<option value="IM007" class=" ">LIFESPRING SPECIALIST HOSPITAL</option>
<option value="IM005" class=" ">SALVATION HOSPITAL & MATERNITY</option>
<option value="SEHM0043" class=" ">ST. ELIZABETH HOSPITAL AND MATERNITY</option>
<option value="WHM001" class=" ">WINNIES HOSPITAL AND MATERNITY</option>
<option value="IM044" class=" ">CHAPEL GROUP SPECIALISTS HOSPITAL</option>
<option value="A0077" class=" ">ALBARKA CLINIC</option>
<option value="HHLO23" class=" ">HARMONY HOSPITAL LIMITED</option>
<option value="KA001" class=" ">ALBARKA HOSPITAL & MATERNITY</option>
<option value="KA003" class=" ">AMINA HOSPITAL</option>
<option value="KA004" class=" ">CHASEL HOSPITAL</option>
<option value="KA005" class=" ">GIWA HOSPITAL LTD</option>
<option value="KA008" class=" ">JOWAKO HOSPITAL</option>
<option value="KA010" class=" ">MANEKS HOSPITAL</option>
<option value="KA012" class=" ">MENDS SPECIALIST HOSPITAL</option>
<option value="KA021S" class=" ">MULTICLINIC SPECIALIST HOSPITAL</option>
<option value="KA013" class=" ">SEFA HOSPITAL</option>
<option value="KA014" class=" ">TIM UNITY SPECIALIST HOSPITAL</option>
<option value="SMC003" class=" ">SALEM MEDICAL CENTRE</option>
<option value="KA002" class=" ">ALMADINA CLINIC</option>
<option value="KA009" class=" ">LIMI HOSPITAL & MATERNITY LTD, ZARIA</option>
<option value="KA011" class=" ">MAYFAIR CLINICS NIG LTD</option>
<option value="KN001" class=" ">AMINU KANO TEACHING HOSPITAL</option>
<option value="KN002" class=" ">IDEAL HOSPITAL & MATERNITY LTD</option>
<option value="KN003" class=" ">INTERNATIONAL CLINICS & HOSPITALS</option>
<option value="KN004" class=" ">PREMIER CLINIC, KANO</option>
<option value="KT003" class=" ">BISTIT HOSPITAL LTD</option>
<option value="KT009" class=" ">AMFANI CLINIC AND MATERNITY</option>
<option value="KT008" class=" ">FEDERAL MEDICAL CENTRE, KATSINA</option>
<option value="KB001" class=" ">FEDERAL MEDICAL CENTRE, KEBBI</option>
<option value="KMSH099" class=" ">KEBBI MULTI-SPECIALIST HOSPITAL</option>
<option value="EHL208" class=" ">EQUITY HOSPITAL LIMITED</option>
<option value="DD094" class=" ">DDG MEDICAL CENTRE</option>
<option value="KG001" class=" ">DURO SOLEYE HOSPITAL</option>
<option value="KG006" class=" ">TOWNSHIP CLINIC</option>
<option value="KG009" class=" ">MARIA GORETTI HOSPITAL</option>
<option value="KG010" class=" ">NEIGHBOUR MULTICARE HOSPITAL & WOMEN WELLFARE CENTRE LTD.</option>
<option value="KG002" class=" ">ECWA HOSPITAL</option>
<option value="KG007" class=" ">ODOMA CLINICS</option>
<option value="KG008" class=" ">ST.JOHN'S CATHOLIC HOSPITAL</option>
<option value="KG003" class=" ">FEDERAL MEDICAL CENTRE, KOGI</option>
<option value="KG004" class=" ">NIGER HOSPITAL</option>
<option value="KG005" class=" ">POLY CLINIC HOSPITAL & MATERNITY</option>
<option value="CSHFC203" class=" ">CARECREST SPECIALIST HOSPITAL & FERTILITY CENTRE</option>
<option value="KW011S" class=" ">OGO-OLUWA HOSPITAL</option>
<option value="KW002 " class=" ">ANCHORMED HOSPITAL</option>
<option value="KW012" class=" ">BALM HOSPITAL LTD</option>
<option value="KW185D" class=" ">DELNIK HOSPITAL</option>
<option value="KW182K" class=" ">KIDDIZ MEDICAL CENTRE</option>
<option value="KW003" class=" ">OLA OLU HOSPITAL</option>
<option value="KW004" class=" ">OLANREWAJU HOSPITAL LTD</option>
<option value="KW005" class=" ">OMOLOLA HOSPITAL</option>
<option value="KW183M" class=" ">SURULERE MEDICAL CENTRE </option>
<option value="KW007" class=" ">ROLAKIM CLINIC & MATERNITY</option>
<option value="DMC098" class=" ">DANDY MEDICAL CENTRE</option>
<option value="SLCH018" class=" ">STANDARD LIFE CARE HOSPITAL</option>
<option value="PGMC049" class=" ">P&G MEDICAL CENTRE</option>
<option value="LA076" class=" ">ROPHE HOSPITAL</option>
<option value="LA006" class=" ">ALL SOULS INFIRMARY, AGEGE</option>
<option value="LA200" class=" ">BETTA HOSPITAL</option>
<option value="PMC084" class=" ">PROMISE MEDICAL CENTRE</option>
<option value="BUDO1" class=" ">BUDO SPECIALIST HOSPITAL</option>
<option value="LA021SP" class=" ">DOREN SPECIALIST HOSPITAL</option>
<option value="LA045SP" class=" ">J-RAPHA CLINICS & HOSPITAL, AJAH</option>
<option value="LA233S" class=" ">ST EDWARD SPECIALIST HOSPITAL & CARDIAC CENTRE</option>
<option value="DHHS088" class=" ">DOVE HOSPITAL & HEALTHCARE SERVICES LTD.</option>
<option value="LH055" class=" ">LENNOX HOSPITAL</option>
<option value="LA036SP" class=" ">HEALING FIELD HOSPITAL</option>
<option value="HH024" class=" ">HEDA HOSPITAL</option>
<option value="RSH059" class=" ">RIVET SPECIALIST HOSPITAL</option>
<option value="ICH028" class=" ">ILOGBO CENTRAL HOSPITAL</option>
<option value="LA005" class=" ">ALL SOULS CLINICS, AJEGUNLE</option>
<option value="KAAFM" class=" ">KAAF MATERNITY AND CHILD CARE CENTRE</option>
<option value="LA135" class=" ">BEE HESS HOSPITAL</option>
<option value="RYHL029" class=" ">REM-YEMS HOSPITAL LTD</option>
<option value="LH080" class=" ">LOBEL HOSPITAL</option>
<option value="JEFF078" class=" ">JEFIS SPECIALIST HOSPITAL</option>
<option value="GSH019" class=" ">GODFREY SPECIALIST HOSPITAL</option>
<option value="LA034" class=" ">GLORIA HOSPITAL LTD</option>
<option value="LA086" class=" ">TINCAN HOSPITAL GROUP</option>
<option value="ONMC038" class=" ">OBISESAN NAVAL MEDICAL CENTRE, APAPA</option>
<option value="AMH048" class=" ">AKANBI MEMORIAL HOSPITAL</option>
<option value="LA084SP" class=" ">THE GREAT PHYSICIAN HOSPITAL</option>
<option value="CGH029" class=" ">CARE GIVER HOSPITAL, AJARA</option>
<option value="ALTH028" class=" ">ADEBAYO LIVING TOWER HOSPITAL, IMEKE</option>
<option value="TRI0088" class=" ">THE ROYAL INFIRMARY HOSPITAL</option>
<option value="LA075SP" class=" ">R - JOLAD HOSPITAL</option>
<option value="LA015SP" class=" ">CRYSTAL SPECIALIST HOSPITAL</option>
<option value="SHMC086" class=" ">STONE HILL MEDICAL CENTRE</option>
<option value="HWH082" class=" ">HOPEWELL HOSPITAL LIMITED</option>
<option value="LA061" class=" ">MOUNT SINAI HOSPITAL GROUP, EBUTE-METTA</option>
<option value="LA031" class=" ">FEDERAL MEDICAL CENTRE, EBUTE-METTA</option>
<option value="LA161" class=" ">CAREPOINT CLINIC EGBEDA LIMITED</option>
<option value="LHMH021" class=" ">LIGHT HOSPITAL AND MATERNITY HOME LTD</option>
<option value="TCMH060" class=" ">TRUECARE MODEL HOSPITAL</option>
<option value="GHE048" class=" ">GENERAL HOSPITAL, EPE</option>
<option value="LA013" class=" ">CEDAR HOSPITAL</option>
<option value="LA026SP" class=" ">EMEL HOSPITAL</option>
<option value="LA035" class=" ">GOLDEN CROSS INFIRMARY, FESTAC</option>
<option value="LA078" class=" ">SHEPHERD SPECIALIST HOSPITAL</option>
<option value="LA197SP" class=" ">AFRIMED OGP SPECIALIST HOSPITAL</option>
<option value="LA009" class=" ">ANIYUN HOSPITAL LIMITED</option>
<option value="PRSH012" class=" ">PRIMROSE SPECIALIST HOSPITAL</option>
<option value="MH056" class=" ">MAKOG HOSPITALS</option>
<option value="LA083" class=" ">SUBOL HOSPITAL</option>
<option value="LA219" class=" ">ST THOMAS HOSPITAL</option>
<option value="LA049" class=" ">LONGING MEDICAL CENTRE</option>
<option value="LA018" class=" ">DE NEW AIYETORO MEDICAL CENTRE</option>
<option value="AHML034" class=" ">ADEMOLA HOSPITAL & MATERNITY LTD</option>
<option value="LA069" class=" ">OSUNTUYI MEDICAL CENTRE</option>
<option value="LA011" class=" ">BLUE CROSS HOSPITAL</option>
<option value="LA022SP" class=" ">EKO HOSPITAL PLC, IKEJA</option>
<option value="LA039" class=" ">HOLY TRINITY HOSPITAL</option>
<option value="LA058SP" class=" ">MOTAYO HOSPITAL</option>
<option value="LA188SP" class=" ">ST MARYS SPECIALIST HOSPITAL, IKEJA</option>
<option value="LA020" class=" ">DONAS HOSPITAL</option>
<option value="LA216" class=" ">JOBI HOSPITAL</option>
<option value="LA213" class=" ">OAK HOSPITALS</option>
<option value="SMC085" class=" ">SHANU MEDICAL CENTRE</option>
<option value="LA228S" class=" ">M-CRED HOSPITALS LIMITED</option>
<option value="LA012" class=" ">BROAD HOSPITAL & MATERNITY</option>
<option value="LA059" class=" ">MOUNT PISGAH HOSPITAL LTD</option>
<option value="LA060" class=" ">MOUNT SINAI HOSPITAL, EGBE</option>
<option value="LA014SP" class=" ">CITIZEN MEDICAL CENTRE</option>
<option value="LA019" class=" ">DIVINE MEDICAL CENTRE</option>
<option value="BCH059" class=" ">BEST CARE HOSPITAL</option>
<option value="LA142SP" class=" ">LAGOON HOSPITAL HOSPITAL, IKOYI</option>
<option value="LA054" class=" ">MAY CLINICS LTD</option>
<option value="GCH091" class=" ">GOD CURES HOSPITAL</option>
<option value="LA053" class=" ">MAY CLINICS LTD (Annex)</option>
<option value="LA090" class=" ">ULTIMA MEDICARE</option>
<option value="SMC085" class=" ">SHANU MEDICAL CENTRE</option>
<option value="LA209" class=" ">G.ESTATE CLINIC CONSORTIUM</option>
<option value="LA141" class=" ">SOLAD MEDICAL CENTRE</option>
<option value="LA233" class=" ">SPARK VIEW HOSPITAL</option>
<option value="LA037" class=" ">HEALS SPECIALIST CLINIC</option>
<option value="LA080" class=" ">ST EMMANUEL HOSPITAL</option>
<option value="LA193SP" class=" ">KROWN HOSPITAL</option>
<option value="LA232" class=" ">MUCAS HOSPITAL</option>
<option value="LA091" class=" ">VETA HOSPITAL LTD</option>
<option value="DMC079" class=" ">DAFE MEDICAL CENTRE</option>
<option value="THL045" class=" ">THEO HOSPITAL LIMITED</option>
<option value="LA051" class=" ">AVON MEDICAL SERVICES LTD (CLINIC)</option>
<option value="BC0089" class=" ">BERNICE CLINIC</option>
<option value="LA032" class=" ">FIRST CITY DIAGNOSIS LTD</option>
<option value="LHL049" class=" ">LOUISMED HOSPITAL LIMITED</option>
<option value="LA215SP" class=" ">RAINBOW SPECIALIST MEDICAL CENTRE</option>
<option value="LA088" class=" ">UDECO MEDICAL CENTRE</option>
<option value="GHL020" class=" ">GERMAINE HOSPITAL, LEKKI</option>
<option value="FCH049" class=" ">FIRST CITY HOSPITAL</option>
<option value="JEH019" class=" ">JERICHO HOSPITAL</option>
<option value="LA072SP" class=" ">PINECREST SPECIALIST HOSPITAL</option>
<option value="LA211" class=" ">MAGODO SPECIALIST HOSPITAL</option>
<option value="FIH0091" class=" ">FIRST HERITAGE HOSPITAL</option>
<option value="LA106H" class=" ">HILLSTAR CLINICS (NIGERIA) LTD</option>
<option value="LA070" class=" ">OSUNTUYI MEDICAL CENTRE(ANNEX)</option>
<option value="LA029SP" class=" ">FANIMED HOSPITAL</option>
<option value="LA044SP" class=" ">ISALU HOSPITAL LIMITED</option>
<option value="LA055SP" class=" ">MED-IN SPECIALIST HOSPITAL</option>
<option value="LA194" class=" ">NIMBUS MEDICAL CENTRE </option>
<option value="LA077" class=" ">ALHERI HOSPITAL, LAGOS</option>
<option value="LA214" class=" ">SOLID ROCK HOSPITAL LTD</option>
<option value="HCH051" class=" ">HOREB CONSULT HOSPITAL</option>
<option value="CCHO51S" class=" ">CHILDKID CHILDREN HOSPITAL</option>
<option value="LA189" class=" ">SIKEOYE HOPE CLINIC</option>
<option value="LA004" class=" ">AKINBOLADE SPECIALIST HOSPITAL</option>
<option value="LA025" class=" ">ELPHY SPECIALIST HOSPITAL</option>
<option value="LA047" class=" ">KILADEJO HOSPITAL & SPECIALIST CLINICS</option>
<option value="LA081" class=" ">ST ANTHONY MEDICAL CENTRE & MATERNITY HOME LTD</option>
<option value="LA082" class=" ">ST RAPHAELS HOSPITAL LTD</option>
<option value="NEHL221" class=" ">NEW EVOLUTION HOSPITAL LTD</option>
<option value="LA067" class=" ">OMNI MEDICAL CENTRE, ONIKAN</option>
<option value="DSMC048" class=" ">DIALYZER SPECIALIST MEDICAL CENTRE</option>
<option value="GMC044" class=" ">GOODNESS MEDICAL CENTRE</option>
<option value="MMC065" class=" ">MAZAF MEDICAL CENTRE</option>
<option value="GCH091" class=" ">GOD CURES HOSPITAL</option>
<option value="RTMC006" class=" ">RHOWIL TOTAL-CARE MEDICAL CENTRE</option>
<option value="LA030" class=" ">FASANMI CLINIC & MATERNITY HOME LTD</option>
<option value="LA230" class=" ">IGBOLOGUN MEDICAL CENTRE</option>
<option value="LA001" class=" ">AB SPECIALIST HOSPITAL</option>
<option value="LA052SP" class=" ">AVON MEDICAL SERVICES LTD (HOSPITAL)</option>
<option value="LA016" class=" ">DAN-EGERTON HOSPITAL</option>
<option value="LA017" class=" ">DAN-EGERTON HOSPITAL</option>
<option value="LA023" class=" ">EKO HOSPITAL PLC, SURULERE</option>
<option value="LA056" class=" ">MERCY-THOMAS OREDUGBA MEDICAL CENTRE </option>
<option value="LA057" class=" ">MEZONEL HOSPITAL</option>
<option value="LA062" class=" ">NEWDAY SPECIALIST CLINIC</option>
<option value="LA065SP" class=" ">OLANIBA MEMORIAL HOSPITAL</option>
<option value="LA073SP" class=" ">PROVIDENCE HOSPITAL LTD, SURULERE</option>
<option value="LA087" class=" ">TOPAZ CLINC</option>
<option value="LA205 " class=" ">TUNRAYO HOSPITAL </option>
<option value="NMC019" class=" ">NAVAL MEDICAL CENTRE</option>
<option value="NA010" class=" ">OUR LADY OF APOSTLES HOSPITAL</option>
<option value="NA002" class=" ">FEDERAL MEDICAL CENTRE, KEFFI</option>
<option value="NA005" class=" ">NAGARI ALLAH MAGANI HOSPITAL</option>
<option value="NA011" class=" ">JAMAA MEDICAL CENTRE</option>
<option value="NA009" class=" ">AGU HOSPITAL</option>
<option value="NA001" class=" ">DALHATU ARAF SPECIALIST HOSPITAL</option>
<option value="NA007" class=" ">SAUKI HOSPITAL, LAFIA</option>
<option value="NA004" class=" ">KINGS CARE HOSPITAL LTD, MARARABA</option>
<option value="NG005" class=" ">FEDERAL MEDICAL CENTRE, BIDA</option>
<option value="NG014" class=" ">NASARA CLINIC & MATERNITY HOSPITAL</option>
<option value="NG015" class=" ">RAINBOW CLINIC & MATERNITY</option>
<option value="NG002" class=" ">BAY SPECIALIST HOSPITAL</option>
<option value="NG010" class=" ">GREAT FAITH MEDICAL CENTRE</option>
<option value="NG017" class=" ">TOP MEDICAL CLINIC</option>
<option value="SHDS056" class=" ">STANDARD HOSPITAL & DIAGNOSTIC SERVICES</option>
<option value="NG012" class=" ">KAINJI MEDICAL CENTRE</option>
<option value="NG004" class=" ">FARY GROUP CLINIC</option>
<option value="CHL017" class=" ">CHARLES HEALTHCARE LTD</option>
<option value="SMC090" class=" ">SUZAN MEMORIAL CLINIC</option>
<option value="OG005" class=" ">FEDERAL MEDICAL CENTRE, ABEOKUTA</option>
<option value="OG009" class=" ">MERCY GROUP CLINICS</option>
<option value="OG012" class=" ">SACRED HEART HOSPITAL</option>
<option value="AESH041" class=" ">ANGEL & EAGLE SPECIALIST HOSPITAL</option>
<option value="OG021SP" class=" ">JOSEPH AND CHRISTIANAH SPECIALIST HOSPITAL</option>
<option value="SSH030" class=" ">SOLAMEK SPECIALIST HOSPITAL</option>
<option value="OG024S" class=" ">BEACHLAND SPECIALIST HOSPITAL</option>
<option value="LH059" class=" ">LABITRIX HOSPITAL</option>
<option value="OG001" class=" ">AKOBI SPECIALIST HOSPITAL</option>
<option value="OG019SP" class=" ">LAFIA KOWA HOSPITAL</option>
<option value="OG020" class=" ">PETERSON MEDICAL CENTRE</option>
<option value="OG026" class=" ">ST. MICHAEL - ISRAEL SPECIALIST HOSPITAL LTD.</option>
<option value="SLCH018" class=" ">STANDARD LIFE CARE HOSPITAL</option>
<option value="OG015B" class=" ">BROADLAND HOSPITAL SERVICES LTD</option>
<option value="TRHC076" class=" ">REDEEMER HEALTH CENTRE</option>
<option value="ALH059" class=" ">ABUNDANT LIFE HSOPITAL</option>
<option value="MPH011" class=" ">MEDIC PLUS HOSPITAL</option>
<option value="OG014" class=" ">OTUNBA TUWASE NATIONAL PAEDIATRIC CENTRE</option>
<option value="OG008" class=" ">ACE MEDICARE CLINICS</option>
<option value="OG23S" class=" ">FARAMED CLINICS</option>
<option value="OG025" class=" ">IDERA HEALTH SERVICES LIMITED</option>
<option value="ISHS59" class=" ">IMPERIAL SPECIALIST HOSPITAL SERVICES</option>
<option value="OG024T" class=" ">OLABISI ONABANJO UNIVERSITY TEACHING HOSPITAL</option>
<option value="PMC083" class=" ">PROMISE MEDICAL CENTRE</option>
<option value="FMS049" class=" ">FAME MEDICAL SERVICES</option>
<option value="SC050" class=" ">SHIRISH CLINIC</option>
<option value="HMC028" class=" ">HETTA MEDICAL CENTRE</option>
<option value="SSMC035" class=" ">ST. SHILOH MEDICAL CENTRE</option>
<option value="ON003" class=" ">FIRST MERCY SPECIALIST HOSPITAL</option>
<option value="ON011" class=" ">TIM UNITY SPECIALIST HOSPITAL</option>
<option value="LHI095" class=" ">LULI HOSPITAL</option>
<option value="IMC" class=" ">INLAND MEDICAL CENTRE</option>
<option value="ON007" class=" ">IBUKUN-OLU HOSPITALS</option>
<option value="SSH094" class=" ">STATE SPECIALIST HOSPITAL</option>
<option value="ON001" class=" ">BABALOLA MEDICAL CENTRE</option>
<option value="AMD" class=" ">ARIF MEDICAL CENTRE</option>
<option value="PHM" class=" ">PIMA HOSPITAL AND MATERNITY </option>
<option value="OS006SP" class=" ">OAUTH COMPLEX</option>
<option value="OS007SP" class=" ">ST. VICTORIA SPECIALIST HOSPITAL </option>
<option value="AMC057" class=" ">APEX MEDICAL CENTRE</option>
<option value="OS005" class=" ">ADENLE MEMORIAL HOSPITAL</option>
<option value="LPMC049" class=" ">LIVING PETALS MEDICAL CENTRE</option>
<option value="OS009" class=" ">EMMANUEL MEDICAL CENTRE</option>
<option value="OS001" class=" ">ABAKE MEDICAL CENTRE</option>
<option value="OS002" class=" ">BIKET MEDICAL CENTRE</option>
<option value="OS003" class=" ">ONWARD SPECIALIST HOSPITAL</option>
<option value="OS004" class=" ">OROKI SPECIALIST HOSPITAL </option>
<option value="OY001" class=" ">ALAFIA HOSPITAL</option>
<option value="OY002" class=" ">BADEJOKO MEMORIAL HOSP & MATERNITY</option>
<option value="OY003" class=" ">BANBY SPECIALIST HOSPITAL</option>
<option value="OY005" class=" ">FELEWA HOSPITAL XXX</option>
<option value="OY007" class=" ">JOLAMADE SPECIALIST HOSPITAL</option>
<option value="OY008" class=" ">J-RAPHA CLINICS & HOSPITAL, IBADAN</option>
<option value="OY020" class=" ">LANARK SPECIALIST HOSPITAL</option>
<option value="OY009" class=" ">MEDICAL PRACTITIONERS LTD</option>
<option value="OY010" class=" ">MOLLY SPECIALIST HOSPITAL</option>
<option value="OY015" class=" ">TEJU SPECIALIST HOSPITAL</option>
<option value="OY022S" class=" ">THE VINE HOSPITAL & MATERNITY CENTRE</option>
<option value="TMC018" class=" ">TOBI MEDICAL CENTRE LTD</option>
<option value="ZSMH033" class=" ">ZOE SPECIALIST MISSION HOSPITAL</option>
<option value="OY004" class=" ">BOWEN UNIVERSITY TEACHING HOSPITAL</option>
<option value="OY006" class=" ">IRETI-OLU HOSPITAL</option>
<option value="OY011" class=" ">MOMOH MEMORIAL HOSPITAL</option>
<option value="OY012" class=" ">BAPTIST MEDICAL CENTRE, SAKI</option>
<option value="PL002" class=" ">FOCUS HOSPITAL</option>
<option value="KSH0078" class=" ">KAUNA SPECIALIST HOSPITAL</option>
<option value="MSH0076" class=" ">MARYSOL SPECIALIST HOSPITAL</option>
<option value="PL005" class=" ">SAUKI GROUP OF CLINICS AND MATERNITY, JOS</option>
<option value="FGH029" class=" ">FERTILE GROUND HOSPITAL LTD</option>
<option value="PL003" class=" ">MAY HOSPITAL, SHENDAM</option>
<option value="RI007" class=" ">GBEYE HOSPITAL</option>
<option value="RI002" class=" ">DELTA SPECIALIST HOSPITAL</option>
<option value="MCE049" class=" ">MUJE CLINIC</option>
<option value="RI006" class=" ">FOUNDATION CLINIC</option>
<option value="RI007" class=" ">GBEYE HOSPITAL</option>
<option value="QPHM020" class=" ">QUEEN OF PEACE HOSPITAL & MATERNITY</option>
<option value="PH0045" class=" ">EL-ROI SPECIALIST CLINIC</option>
<option value="HC013" class=" ">HILTON CLINIC</option>
<option value="GCMC029" class=" ">GREEN CARE MEDICAL CONSULTANTS</option>
<option value="PH0050" class=" ">MILITARY HOSPITAL</option>
<option value="NHC0041" class=" ">NEW HEIGHTS CONSULTANTS HOSPITALS</option>
<option value="RI012" class=" ">PRINCESS MEDICAL CENTRE</option>
<option value="RI013" class=" ">PROVIDENCE CLINIC & MATERNITY LTD, PORTHARCOURT</option>
<option value="RI030" class=" ">ST PATRICK'S HOSPITAL LTD</option>
<option value="NHCH0040" class=" ">NEW MILE ONE HOSPITAL</option>
<option value="RI029" class=" ">MORNING STAR HOSPITAL LTD</option>
<option value="WHH060" class=" ">WESTHILL HOSPITAL</option>
<option value="BMH085" class=" ">BONMARIA HOSPITAL LTD.</option>
<option value="PTMC013" class=" ">POTTERS TOUCH MEDICAL CONSULTANT</option>
<option value="R1007" class=" ">GBEYE HOSPITAL</option>
<option value="PH0046" class=" ">PRESTIGE HOSPITAL</option>
<option value="ESH030" class=" ">EL-SPECIALIST HOSPITAL</option>
<option value="LCL059" class=" ">LIFECARE CENTRE LTD</option>
<option value="SSH049" class=" ">SHIELD SPECIALISTS HOSPITAL</option>
<option value="DMC058" class=" ">DATTA MEDICAL CENTRE</option>
<option value="OMC048" class=" ">OLUNWA MEDICAL CENTRE</option>
<option value="RI051" class=" ">NEW ORLINS HOSPITAL</option>
<option value="SHSL049" class=" ">STANDARDCARE HEALTH SOLUTIONS LIMITED</option>
<option value="CMC059" class=" ">CUMI MEDICAL CENTRE</option>
<option value="SO001" class=" ">SAHEL SPECIALIST CLINIC</option>
<option value="SO002" class=" ">SOKOTO CLINIC</option>
<option value="SO003" class=" ">USMAN DAN FODIO TEACHING HOSPITAL</option>
<option value="TA003" class=" ">GENERAL HOSPITAL</option>
<option value="TA002" class=" ">MAMBILLA BAPTIST HOSPITAL</option>
<option value="TA001" class=" ">FEDERAL MEDICAL CENTRE, JALINGO</option>
<option value="YO001" class=" ">AJIKO MEDICAL CENTRE</option>
<option value="YO002" class=" ">CITY MEDICAL CENTRE, YOBE</option>
<option value="YO003" class=" ">POTISKUM MEDICAL CENTRE</option>
<option value="ZA001" class=" ">DAULA HOSPITAL & MATERNITY HOME</option>
<option value="ZA002" class=" ">FEDERAL MEDICAL CENTRE, GUSAU</option>
</select><input type="text"></div>
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PlanCHRISTTHEKINGHOSPITAL,ABAEKEOMAMEMORIALHOSPITALLIFECARECLINICSLTDLIVINGWORDMISSIONHOSPITALNEWERAHOSPITAL,ABATHENAZARETHCLINICFEDERALMEDICALCENTRE,UMUAHIAALLIANCEHOSPITAL,ABUJADARAMEDICALCENTREFEDERALSTAFFHOSPITAL,GWARINPAFEREPRODMEDICALCENTREKINGSCAREHOSPITALLTD,WUSEZONE4LIMIHOSPITAL&MATERNITYLTD,ABUJAPISIONHOSPITALRUZMEDICALCENTRELOUISPASTEURHOSPITALSISTERSOFTHENATIVITYHOSPITALQUEENSCLINICLTD,ABUJAEXCELSPECIALISTHOSPITALSOFTSHELLSPECIALISTHOSPITALLTDSPRINGBLOOMCOUNTYHOSPITALJOYLANDMEDICALCENTREANDCHILDREN'SHOSPITALFAMILYCAREMULTICLINICSLTDLIVINGSTREAMSPECIALISTMEDICALCENTRESTMARY'SHOSPITAL,GWAGWALADATRAUMA&MULTISPECIALTYCENTERKINGSCAREHOSPITALLTD,KubwaALLISONCLINICKUJEALFADSPECIALISTMEDICALCENTRESAUKIMEDICALCENTRE,YOLAPEACEHOSPITALCALEBMEDICALCENTERVEDDYSONHOSPITALIHAFOUNDATIONMEDICALCENTRETOTALCARECLINICANDMATERNITYCHRISTVICTORYMEDICALCENTREMOUNTOLIVEMEDICALCENTREUBONGABASISPECIALISTHOSPITALDOMINGOSPECIALISTHOSPITALSDIVINEHOSPITALANDMATERNITY,AWKAOURLADYOFLOURDESSEFTONSPECIALISTMEDICALCENTRECHIBUZORHOSPITAL&MATERNITYFELIXOKOLOMEMORIALHOSPITAL,NNEWILIFESPECIALISTHOSPITALJESUSISLORDROYALHOSPITALANDMATERNITYMERCYSPECIALISTHOSPITAL&MATERNITY,ONITSHAKATAGUMMEDICALCENTERNIIMACONSULTANTSHOSPITALREMEE(RIMI)CLINICNINGICLINIC&MATERNITYCRESTCONSULTANTCLINICFEDERALMEDICALCENTRE,YENAGOASTPETERSHOSPITALBAKICLINICANDMATERNITYNKSTHOSPITALFAMILYPRACTICEHOSPITALHOPEHOSPITALMADONNAHOSPITALPAMPASHOSPITAL&MATERNITYQUEENSCLINICLTD,MAKURDIOTIACLINICSTANTHONYHOSPITALABBOTTCLINICNAKOWASPECIALISTHOSPITALBORNOMEDICALCENTREKANEMHOSPITAL&MATERNITYSANTAMARIACLINIC&MATERNITYBAKORMEDICALCENTRECITYCLINIC,CALABARFAITHFOUNDATIONSPECIALISTCLINICIKPEMEMEDICALCENTREARUBAHSPECIALISTHOSPITAL,CALABARUNIVERSITYOFCALABARTEACHINGHOSPITALCALABARWOMEN&CHILDRENHOSPITALIMMANUELINFIRMARYCALABARLUCIAMAMEMORIALSPECIALISTHOSPITALMEVOMSPECIALISTCLINICAMADOMEDICALCENTREHOLYFAMILYCATHOLICHOSPITAL,IKOMBAKORMEDICALCENTREANIOMAHOSPITALGOODSAMARITANHOSPITALCOMPLEXST.REBECCASPECIALISTHOSPITALEL-COMFORTHOSPITALDELTASTATEUNIVERSITYTEACHINGHOSPITALOURLADYOFNIGERIACATHOLICHOSPITALLANAHOSPITALOBULEMEDICALCENTRECAPITOLHILLCLINIC/HOSPITALVERTIMONMEDICALCENTREFAIRVIEWHOSPITALB.UCLINIC/HOSPITALLTDREGALCLINICDAYSPRINGCLINICFELIXMEMORIALHOSPITAL,ABAKALIKIFATEMEDICALCENTREFAITHMEDICALCENTREMODICMEDICALCENTREMOUNTGILEADHOSPITALSTPHILOMENACATHOLICHOSPITALTHEROCKHOSPITALEDIINTERNATIONALHOSPITALLTDRAHIHOSPITALSLIMITEDIRRUASPECIALISTTEACHINGHOSPITALCHRISTTHEKING,ENUGUMOTHEROFCHRISTSPECIALISTHOSPITALPEENOKMEDICALCENTRERISTELLAHOSPITALSTMARY'SHOSPITAL&MATERNITY,ENUGULIVINGSTONSPECIALISTHOSPITALSTDANIELCONSOLATAHOSPITALUNIVERSITYMEDICALCENTREAKULUEMEMORIALHOSPITALFEDERALMEDICALCENTRE,GOMBEMIYETTIHOSPITALMETROCONSULTANTSCLINICIVORYCLINICSTMARYCHILDRENANDCOMMUNITYUMUOWA,ORLUIMOSTATEUNIVERSITYTEACHINGHOSPITAL,ORLUEZEMMEDICALCENTREFEDERALMEDICALCENTRE,OWERRIFIRSTCONCEPTHOSPITAL,OWERRIIKENEGBUHOSPITAL,MATERNITY&LABORATORYINTERNATIONALCHRISTIANHOSPITALLIFESPRINGSPECIALISTHOSPITALSALVATIONHOSPITAL&MATERNITYST.ELIZABETHHOSPITALANDMATERNITYWINNIESHOSPITALANDMATERNITYALBARKACLINICHARMONYHOSPITALLIMITEDALBARKAHOSPITAL&MATERNITYAMINAHOSPITALCHASELHOSPITALGIWAHOSPITALLTDISHAKUHOSPITALJOWAKOHOSPITALMANEKSHOSPITALMENDSSPECIALISTHOSPITALMULTICLINICSPECIALISTHOSPITALSEFAHOSPITALTIMUNITYSPECIALISTHOSPITALSALEMMEDICALCENTREALMADINACLINICJAMA'AHOSPITALLIMIHOSPITAL&MATERNITYLTD,ZARIAMAYFAIRCLINICSNIGLTDST.LOUISHOSPITALIDEALHOSPITAL&MATERNITYLTDINTERNATIONALCLINICS&HOSPITALSPREMIERCLINIC,KANOBISTITHOSPITALLTDKHADIJAHMEDIPHARMCO.LTDAMFANICLINICANDMATERNITYKATSINANURSINGHOMELTDKEBBIMULTI-SPECIALISTHOSPITALEQUITYHOSPITALLIMITEDDDGMEDICALCENTREDUROSOLEYEHOSPITALTOWNSHIPCLINICMARIAGORETTIHOSPITALNEIGHBOURMULTICAREHOSPITAL&WOMENWELLFARECENTRELTD.ECWAHOSPITALODOMACLINICSST.JOHN'SCATHOLICHOSPITALNIGERHOSPITALPOLYCLINICHOSPITAL&MATERNITYCARECRESTSPECIALISTHOSPITAL&FERTILITYCENTREOGO-OLUWAHOSPITALANCHORMEDHOSPITALBALMHOSPITALLTDDELNIKHOSPITALKIDDIZMEDICALCENTREOLAOLUHOSPITALOLANREWAJUHOSPITALLTDOMOLOLAHOSPITALSADIKUHOSPITALSURULEREMEDICALCENTREROLAKIMCLINIC&MATERNITYDANDYMEDICALCENTRESTANDARDLIFECAREHOSPITALP&GMEDICALCENTREROPHEHOSPITALALLSOULSINFIRMARY,AGEGEBETTAHOSPITALPROMISEMEDICALCENTREBUDOSPECIALISTHOSPITALDORENSPECIALISTHOSPITALJ-RAPHACLINICS&HOSPITAL,AJAHSTEDWARDSPECIALISTHOSPITAL&CARDIACCENTREDOVEHOSPITAL&HEALTHCARESERVICESLTD.LENNOXHOSPITALHEALINGFIELDHOSPITALHEDAHOSPITALRIVETSPECIALISTHOSPITALILOGBOCENTRALHOSPITALALLSOULSCLINICS,AJEGUNLEKAAFMATERNITYANDCHILDCARECENTREBEEHESSHOSPITALREM-YEMSHOSPITALLTDLOBELHOSPITALJEFISSPECIALISTHOSPITALGODFREYSPECIALISTHOSPITALGLORIAHOSPITALLTDTINCANHOSPITALGROUPOBISESANNAVALMEDICALCENTRE,APAPAAKANBIMEMORIALHOSPITALTHEGREATPHYSICIANHOSPITALCAREGIVERHOSPITAL,AJARAADEBAYOLIVINGTOWERHOSPITAL,IMEKETHEROYALINFIRMARYHOSPITALR-JOLADHOSPITALCRYSTALSPECIALISTHOSPITALSTONEHILLMEDICALCENTREHOPEWELLHOSPITALLIMITEDMOUNTSINAIHOSPITALGROUP,EBUTE-METTAFEDERALMEDICALCENTRE,EBUTE-METTACAREPOINTCLINICEGBEDALIMITEDSTWILLIAMSHOSPITALLIGHTHOSPITALANDMATERNITYHOMELTDTRUECAREMODELHOSPITALGENERALHOSPITAL,EPECEDARHOSPITALEMELHOSPITALGOLDENCROSSINFIRMARY,FESTACSHEPHERDSPECIALISTHOSPITALAFRIMEDOGPSPECIALISTHOSPITALANIYUNHOSPITALLIMITEDPRIMROSESPECIALISTHOSPITALMAKOGHOSPITALSSUBOLHOSPITALSTTHOMASHOSPITALLONGINGMEDICALCENTREDENEWAIYETOROMEDICALCENTREADEMOLAHOSPITAL&MATERNITYLTDOSUNTUYIMEDICALCENTREBLUECROSSHOSPITALEKOHOSPITALPLC,IKEJAHOLYTRINITYHOSPITALMOTAYOHOSPITALSTMARYSSPECIALISTHOSPITAL,IKEJADONASHOSPITALJOBIHOSPITALOAKHOSPITALSREALHOPEHOSPITALSHANUMEDICALCENTREM-CREDHOSPITALSLIMITEDBROADHOSPITAL&MATERNITYMOUNTPISGAHHOSPITALLTDMOUNTSINAIHOSPITAL,EGBECITIZENMEDICALCENTREDIVINEMEDICALCENTREBESTCAREHOSPITALLAGOONHOSPITALHOSPITAL,IKOYIMAYCLINICSLTDGODCURESHOSPITALMAYCLINICSLTD(Annex)ULTIMAMEDICARESHANUMEDICALCENTREG.ESTATECLINICCONSORTIUMSOLADMEDICALCENTRESPARKVIEWHOSPITALHEALSSPECIALISTCLINICSTEMMANUELHOSPITALKROWNHOSPITALMUCASHOSPITALVETAHOSPITALLTDYOMBOHOSPITALANDMATERNITYHOMELIMITEDDAFEMEDICALCENTRETHEOHOSPITALLIMITEDAVONMEDICALSERVICESLTD(CLINIC)BERNICECLINICFIRSTCITYDIAGNOSISLTDLOUISMEDHOSPITALLIMITEDRAINBOWSPECIALISTMEDICALCENTREUDECOMEDICALCENTREGERMAINEHOSPITAL,LEKKIKUPACENTERCENTERJERICHOHOSPITALPINECRESTSPECIALISTHOSPITALMAGODOSPECIALISTHOSPITALFIRSTHERITAGEHOSPITALHILLSTARCLINICS(NIGERIA)LTDOSUNTUYIMEDICALCENTRE(ANNEX)FANIMEDHOSPITALISALUHOSPITALLIMITEDMED-INSPECIALISTHOSPITALNIMBUSMEDICALCENTREALHERIHOSPITAL,LAGOSSOLIDROCKHOSPITALLTDHOREBCONSULTHOSPITALCHILDKIDCHILDRENHOSPITALSIKEOYEHOPECLINICAKINBOLADESPECIALISTHOSPITALELPHYSPECIALISTHOSPITALKILADEJOHOSPITAL&SPECIALISTCLINICSSTANTHONYMEDICALCENTRE&MATERNITYHOMELTDSTRAPHAELSHOSPITALLTDNEWEVOLUTIONHOSPITALLTDOMNIMEDICALCENTRE,ONIKANDIALYZERSPECIALISTMEDICALCENTREGOODNESSMEDICALCENTREMAZAFMEDICALCENTREGODCURESHOSPITALRHOWILTOTAL-CAREMEDICALCENTREFASANMICLINIC&MATERNITYHOMELTDIGBOLOGUNMEDICALCENTREABSPECIALISTHOSPITALAVONMEDICALSERVICESLTD(HOSPITAL)DAN-EGERTONHOSPITALDAN-EGERTONHOSPITALEKOHOSPITALPLC,SURULEREMERCY-THOMASOREDUGBAMEDICALCENTREMEZONELHOSPITALNEWDAYSPECIALISTCLINICOLANIBAMEMORIALHOSPITALPROVIDENCEHOSPITALLTD,SURULERETOPAZCLINCTUNRAYOHOSPITALNAVALMEDICALCENTRENAGARIALLAHMAGANIHOSPITALJAMAAMEDICALCENTREAGUHOSPITALHENADMEDICALCENTRESAUKIHOSPITAL,LAFIAKINGSCAREHOSPITALLTD,MARARABANASARACLINIC&MATERNITYHOSPITALRAINBOWCLINIC&MATERNITYBAYSPECIALISTHOSPITALGREATFAITHMEDICALCENTRETOPMEDICALCLINICSTANDARDHOSPITAL&DIAGNOSTICSERVICESKAINJIMEDICALCENTREFARYGROUPCLINICCHARLESHEALTHCARELTDSUZANMEMORIALCLINICFIRSTALPHAMEDICALCENTREMERCYGROUPCLINICSSACREDHEARTHOSPITALANGEL&EAGLESPECIALISTHOSPITALJOSEPHANDCHRISTIANAHSPECIALISTHOSPITALSOLAMEKSPECIALISTHOSPITALBEACHLANDSPECIALISTHOSPITALLABITRIXHOSPITALAKOBISPECIALISTHOSPITALLAFIAKOWAHOSPITALPETERSONMEDICALCENTREST.MICHAEL-ISRAELSPECIALISTHOSPITALLTD.STANDARDLIFECAREHOSPITALBROADLANDHOSPITALSERVICESLTDREDEEMERHEALTHCENTREABUNDANTLIFEHSOPITALMEDICPLUSHOSPITALOTUNBATUWASENATIONALPAEDIATRICCENTREACEMEDICARECLINICSFARAMEDCLINICSIDERAHEALTHSERVICESLIMITEDIMPERIALSPECIALISTHOSPITALSERVICESPROMISEMEDICALCENTREFAMEMEDICALSERVICESSHIRISHCLINICHETTAMEDICALCENTREST.SHILOHMEDICALCENTREFIRSTMERCYSPECIALISTHOSPITALTIMUNITYSPECIALISTHOSPITALLULIHOSPITALINLANDMEDICALCENTREIBUKUN-OLUHOSPITALSSTATESPECIALISTHOSPITALBABALOLAMEDICALCENTREARIFMEDICALCENTREPIMAHOSPITALANDMATERNITYOAUTHCOMPLEXST.VICTORIASPECIALISTHOSPITALAPEXMEDICALCENTREADENLEMEMORIALHOSPITALLIVINGPETALSMEDICALCENTREEMMANUELMEDICALCENTREABAKEMEDICALCENTREBIKETMEDICALCENTREONWARDSPECIALISTHOSPITALOROKISPECIALISTHOSPITALALAFIAHOSPITALBADEJOKOMEMORIALHOSP&MATERNITYBANBYSPECIALISTHOSPITALFELEWAHOSPITALXXXJOLAMADESPECIALISTHOSPITALJ-RAPHACLINICS&HOSPITAL,IBADANLANARKSPECIALISTHOSPITALMEDICALPRACTITIONERSLTDMOLLYSPECIALISTHOSPITALTEJUSPECIALISTHOSPITALTHEVINEHOSPITAL&MATERNITYCENTRETOBIMEDICALCENTRELTDZOESPECIALISTMISSIONHOSPITALIRETI-OLUHOSPITALSHEKINAHMEDICALCENTREMOMOHMEMORIALHOSPITALBAPTISTMEDICALCENTRE,SAKIFOCUSHOSPITALKAUNASPECIALISTHOSPITALMARYSOLSPECIALISTHOSPITALSAUKIGROUPOFCLINICSANDMATERNITY,JOSFERTILEGROUNDHOSPITALLTDMAYHOSPITAL,SHENDAMGBEYEHOSPITALDELTASPECIALISTHOSPITALMUJECLINICFOUNDATIONCLINICGBEYEHOSPITALQUEENOFPEACEHOSPITAL&MATERNITYEL-ROISPECIALISTCLINICHILTONCLINICSOPHIKEMEDICALCENTREGREENCAREMEDICALCONSULTANTSMILITARYHOSPITALNEWHEIGHTSCONSULTANTSHOSPITALSPRINCESSMEDICALCENTREPROVIDENCECLINIC&MATERNITYLTD,PORTHARCOURTSTPATRICK'SHOSPITALLTDNEWMILEONEHOSPITALMORNINGSTARHOSPITALLTDWESTHILLHOSPITALBONMARIAHOSPITALLTD.POTTERSTOUCHMEDICALCONSULTANTGBEYEHOSPITALPRESTIGEHOSPITALEL-SPECIALISTHOSPITALLIFECARECENTRELTDSHIELDSPECIALISTSHOSPITALCUMIMEDICALCENTRESAHELSPECIALISTCLINICSOKOTOCLINICMAMBILLABAPTISTHOSPITALAJIKOMEDICALCENTRECITYMEDICALCENTRE,YOBEPOTISKUMMEDICALCENTREDAULAHOSPITAL&MATERNITYHOME Preferred Hospital ECOBANK PlanPreferred Hospital! Select Preferred Hospital ECOBANK PlanCHRIST THE KING HOSPITAL, ABAEKEOMA MEMORIAL HOSPITALLIFE CARE CLINICS LTDLIVING WORD MISSION HOSPITALNEW ERA HOSPITAL, ABATHE NAZARETH CLINICFEDERAL MEDICAL CENTRE, UMUAHIAPRIMECARE SPECIALIST CLINICSALLIANCE HOSPITAL, ABUJADARA MEDICAL CENTREFEDERAL STAFF HOSPITAL, GWARINPAFEREPROD MEDICAL CENTREKINGS CARE HOSPITAL LTD, WUSE ZONE 4LIMI HOSPITAL & MATERNITY LTD, ABUJAPISION HOSPITALRUZ MEDICAL CENTRELOUIS PASTEUR HOSPITALSISTERS OF THE NATIVITY HOSPITALQUEENS CLINIC LTD, ABUJAEXCEL SPECIALIST HOSPITALSOFTSHELL SPECIALIST HOSPITAL LTDSPRINGBLOOM COUNTY HOSPITALJOYLAND MEDICAL CENTRE AND CHILDREN'S HOSPITALFAMILY CARE MULTICLINICS LTDLIVINGSTREAM SPECIALIST MEDICAL CENTREST MARY'S HOSPITAL, GWAGWALADAUNIVERSITY OF ABUJA TEACHING HOSPITALTRAUMA & MULTISPECIALTY CENTERKINGS CARE HOSPITAL LTD, KubwaALLISON CLINIC KUJEALFAD SPECIALIST MEDICAL CENTRESAUKI MEDICAL CENTRE, YOLAPEACE HOSPITALCALEB MEDICAL CENTERVEDDYSON HOSPITALIHA FOUNDATION MEDICAL CENTRETOTAL CARE CLINIC AND MATERNITYCHRIST VICTORY MEDICAL CENTREMOUNT OLIVE MEDICAL CENTREUBONG ABASI SPECIALIST HOSPITALDOMINGO SPECIALIST HOSPITALSSAN DOMINIQUE HOSPITALOUR LADY OF LOURDESSEFTON SPECIALIST MEDICAL CENTREIFEBI MEDICAL CENTERLIFE INTERNATIONAL HOSPITAL, AWKACHIBUZOR HOSPITAL & MATERNITYFELIX OKOLO MEMORIAL HOSPITAL, NNEWILIFE SPECIALIST HOSPITALJESUS IS LORD ROYAL HOSPITAL AND MATERNITYMERCY SPECIALIST HOSPITAL & MATERNITY, ONITSHAST CHARLSE BORROMEO HOSPITALKATAGUM MEDICAL CENTERNIIMA CONSULTANTS HOSPITALREMEE (RIMI) CLINICNINGI CLINIC & MATERNITYCREST CONSULTANT CLINICFEDERAL MEDICAL CENTRE, YENAGOAST PETERS HOSPITALBAKI CLINIC AND MATERNITYNKST HOSPITALFAMILY PRACTICE HOSPITALHOPE HOSPITALMADONNA HOSPITALPAMPAS HOSPITAL & MATERNITYQUEENS CLINIC LTD, MAKURDIOTIA CLINICST ANTHONY HOSPITALABBOTT CLINICNAKOWA SPECIALIST HOSPITALBORNO MEDICAL CENTREKANEM HOSPITAL & MATERNITYUNIVERSITY OF MAIDUGURI TEACHING HOSPITALSANTA MARIA CLINIC & MATERNITYBAKOR MEDICAL CENTRECITY CLINIC, CALABARFAITH FOUNDATION SPECIALIST CLINICIKPEME MEDICAL CENTREMEVOM SPECIALIST CLINICAMADO MEDICAL CENTREHOLY FAMILY CATHOLIC HOSPITAL, IKOMBAKOR MEDICAL CENTREANIOMA HOSPITALFEDERAL MEDICAL CENTRE, ASABAGOOD SAMARITAN HOSPITAL COMPLEXST. 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PlanCHRISTTHEKINGHOSPITAL,ABAEKEOMAMEMORIALHOSPITALLIFECARECLINICSLTDLIVINGWORDMISSIONHOSPITALNEWERAHOSPITAL,ABATHENAZARETHCLINICFEDERALMEDICALCENTRE,UMUAHIAALLIANCEHOSPITAL,ABUJADARAMEDICALCENTREFEDERALSTAFFHOSPITAL,GWARINPAFEREPRODMEDICALCENTREKINGSCAREHOSPITALLTD,WUSEZONE4LIMIHOSPITAL&MATERNITYLTD,ABUJAPISIONHOSPITALRUZMEDICALCENTRELOUISPASTEURHOSPITALSISTERSOFTHENATIVITYHOSPITALQUEENSCLINICLTD,ABUJAEXCELSPECIALISTHOSPITALSOFTSHELLSPECIALISTHOSPITALLTDSPRINGBLOOMCOUNTYHOSPITALJOYLANDMEDICALCENTREANDCHILDREN'SHOSPITALFAMILYCAREMULTICLINICSLTDLIVINGSTREAMSPECIALISTMEDICALCENTRESTMARY'SHOSPITAL,GWAGWALADATRAUMA&MULTISPECIALTYCENTERKINGSCAREHOSPITALLTD,KubwaALLISONCLINICKUJEALFADSPECIALISTMEDICALCENTRESAUKIMEDICALCENTRE,YOLAPEACEHOSPITALCALEBMEDICALCENTERVEDDYSONHOSPITALIHAFOUNDATIONMEDICALCENTRETOTALCARECLINICANDMATERNITYCHRISTVICTORYMEDICALCENTREMOUNTOLIVEMEDICALCENTREUBONGABASISPECIALISTHOSPITALDOMINGOSPECIALISTHOSPITALSDIVINEHOSPITALANDMATERNITY,AWKAOURLADYOFLOURDESSEFTONSPECIALISTMEDICALCENTRECHIBUZORHOSPITAL&MATERNITYFELIXOKOLOMEMORIALHOSPITAL,NNEWILIFESPECIALISTHOSPITALJESUSISLORDROYALHOSPITALANDMATERNITYMERCYSPECIALISTHOSPITAL&MATERNITY,ONITSHAKATAGUMMEDICALCENTERNIIMACONSULTANTSHOSPITALREMEE(RIMI)CLINICNINGICLINIC&MATERNITYCRESTCONSULTANTCLINICFEDERALMEDICALCENTRE,YENAGOASTPETERSHOSPITALBAKICLINICANDMATERNITYNKSTHOSPITALFAMILYPRACTICEHOSPITALHOPEHOSPITALMADONNAHOSPITALPAMPASHOSPITAL&MATERNITYQUEENSCLINICLTD,MAKURDIOTIACLINICSTANTHONYHOSPITALABBOTTCLINICNAKOWASPECIALISTHOSPITALBORNOMEDICALCENTREKANEMHOSPITAL&MATERNITYSANTAMARIACLINIC&MATERNITYBAKORMEDICALCENTRECITYCLINIC,CALABARFAITHFOUNDATIONSPECIALISTCLINICIKPEMEMEDICALCENTREARUBAHSPECIALISTHOSPITAL,CALABARUNIVERSITYOFCALABARTEACHINGHOSPITALCALABARWOMEN&CHILDRENHOSPITALIMMANUELINFIRMARYCALABARLUCIAMAMEMORIALSPECIALISTHOSPITALMEVOMSPECIALISTCLINICAMADOMEDICALCENTREHOLYFAMILYCATHOLICHOSPITAL,IKOMBAKORMEDICALCENTREANIOMAHOSPITALGOODSAMARITANHOSPITALCOMPLEXST.REBECCASPECIALISTHOSPITALEL-COMFORTHOSPITALDELTASTATEUNIVERSITYTEACHINGHOSPITALOURLADYOFNIGERIACATHOLICHOSPITALLANAHOSPITALOBULEMEDICALCENTRECAPITOLHILLCLINIC/HOSPITALVERTIMONMEDICALCENTREFAIRVIEWHOSPITALB.UCLINIC/HOSPITALLTDREGALCLINICDAYSPRINGCLINICFELIXMEMORIALHOSPITAL,ABAKALIKIFATEMEDICALCENTREFAITHMEDICALCENTREMODICMEDICALCENTREMOUNTGILEADHOSPITALSTPHILOMENACATHOLICHOSPITALTHEROCKHOSPITALEDIINTERNATIONALHOSPITALLTDRAHIHOSPITALSLIMITEDIRRUASPECIALISTTEACHINGHOSPITALCHRISTTHEKING,ENUGUMOTHEROFCHRISTSPECIALISTHOSPITALPEENOKMEDICALCENTRERISTELLAHOSPITALSTMARY'SHOSPITAL&MATERNITY,ENUGULIVINGSTONSPECIALISTHOSPITALSTDANIELCONSOLATAHOSPITALUNIVERSITYMEDICALCENTREAKULUEMEMORIALHOSPITALFEDERALMEDICALCENTRE,GOMBEMIYETTIHOSPITALMETROCONSULTANTSCLINICIVORYCLINICSTMARYCHILDRENANDCOMMUNITYUMUOWA,ORLUIMOSTATEUNIVERSITYTEACHINGHOSPITAL,ORLUEZEMMEDICALCENTREFEDERALMEDICALCENTRE,OWERRIFIRSTCONCEPTHOSPITAL,OWERRIIKENEGBUHOSPITAL,MATERNITY&LABORATORYINTERNATIONALCHRISTIANHOSPITALLIFESPRINGSPECIALISTHOSPITALSALVATIONHOSPITAL&MATERNITYST.ELIZABETHHOSPITALANDMATERNITYWINNIESHOSPITALANDMATERNITYALBARKACLINICHARMONYHOSPITALLIMITEDALBARKAHOSPITAL&MATERNITYAMINAHOSPITALCHASELHOSPITALGIWAHOSPITALLTDISHAKUHOSPITALJOWAKOHOSPITALMANEKSHOSPITALMENDSSPECIALISTHOSPITALMULTICLINICSPECIALISTHOSPITALSEFAHOSPITALTIMUNITYSPECIALISTHOSPITALSALEMMEDICALCENTREALMADINACLINICJAMA'AHOSPITALLIMIHOSPITAL&MATERNITYLTD,ZARIAMAYFAIRCLINICSNIGLTDST.LOUISHOSPITALIDEALHOSPITAL&MATERNITYLTDINTERNATIONALCLINICS&HOSPITALSPREMIERCLINIC,KANOBISTITHOSPITALLTDKHADIJAHMEDIPHARMCO.LTDAMFANICLINICANDMATERNITYKATSINANURSINGHOMELTDKEBBIMULTI-SPECIALISTHOSPITALEQUITYHOSPITALLIMITEDDDGMEDICALCENTREDUROSOLEYEHOSPITALTOWNSHIPCLINICMARIAGORETTIHOSPITALNEIGHBOURMULTICAREHOSPITAL&WOMENWELLFARECENTRELTD.ECWAHOSPITALODOMACLINICSST.JOHN'SCATHOLICHOSPITALNIGERHOSPITALPOLYCLINICHOSPITAL&MATERNITYCARECRESTSPECIALISTHOSPITAL&FERTILITYCENTREOGO-OLUWAHOSPITALANCHORMEDHOSPITALBALMHOSPITALLTDDELNIKHOSPITALKIDDIZMEDICALCENTREOLAOLUHOSPITALOLANREWAJUHOSPITALLTDOMOLOLAHOSPITALSADIKUHOSPITALSURULEREMEDICALCENTREROLAKIMCLINIC&MATERNITYDANDYMEDICALCENTRESTANDARDLIFECAREHOSPITALP&GMEDICALCENTREROPHEHOSPITALALLSOULSINFIRMARY,AGEGEBETTAHOSPITALPROMISEMEDICALCENTREBUDOSPECIALISTHOSPITALDORENSPECIALISTHOSPITALJ-RAPHACLINICS&HOSPITAL,AJAHSTEDWARDSPECIALISTHOSPITAL&CARDIACCENTREDOVEHOSPITAL&HEALTHCARESERVICESLTD.LENNOXHOSPITALHEALINGFIELDHOSPITALHEDAHOSPITALRIVETSPECIALISTHOSPITALILOGBOCENTRALHOSPITALALLSOULSCLINICS,AJEGUNLEKAAFMATERNITYANDCHILDCARECENTREBEEHESSHOSPITALREM-YEMSHOSPITALLTDLOBELHOSPITALJEFISSPECIALISTHOSPITALGODFREYSPECIALISTHOSPITALGLORIAHOSPITALLTDTINCANHOSPITALGROUPOBISESANNAVALMEDICALCENTRE,APAPAAKANBIMEMORIALHOSPITALTHEGREATPHYSICIANHOSPITALCAREGIVERHOSPITAL,AJARAADEBAYOLIVINGTOWERHOSPITAL,IMEKETHEROYALINFIRMARYHOSPITALR-JOLADHOSPITALCRYSTALSPECIALISTHOSPITALSTONEHILLMEDICALCENTREHOPEWELLHOSPITALLIMITEDMOUNTSINAIHOSPITALGROUP,EBUTE-METTAFEDERALMEDICALCENTRE,EBUTE-METTACAREPOINTCLINICEGBEDALIMITEDSTWILLIAMSHOSPITALLIGHTHOSPITALANDMATERNITYHOMELTDTRUECAREMODELHOSPITALGENERALHOSPITAL,EPECEDARHOSPITALEMELHOSPITALGOLDENCROSSINFIRMARY,FESTACSHEPHERDSPECIALISTHOSPITALAFRIMEDOGPSPECIALISTHOSPITALANIYUNHOSPITALLIMITEDPRIMROSESPECIALISTHOSPITALMAKOGHOSPITALSSUBOLHOSPITALSTTHOMASHOSPITALLONGINGMEDICALCENTREDENEWAIYETOROMEDICALCENTREADEMOLAHOSPITAL&MATERNITYLTDOSUNTUYIMEDICALCENTREBLUECROSSHOSPITALEKOHOSPITALPLC,IKEJAHOLYTRINITYHOSPITALMOTAYOHOSPITALSTMARYSSPECIALISTHOSPITAL,IKEJADONASHOSPITALJOBIHOSPITALOAKHOSPITALSREALHOPEHOSPITALSHANUMEDICALCENTREM-CREDHOSPITALSLIMITEDBROADHOSPITAL&MATERNITYMOUNTPISGAHHOSPITALLTDMOUNTSINAIHOSPITAL,EGBECITIZENMEDICALCENTREDIVINEMEDICALCENTREBESTCAREHOSPITALLAGOONHOSPITALHOSPITAL,IKOYIMAYCLINICSLTDGODCURESHOSPITALMAYCLINICSLTD(Annex)ULTIMAMEDICARESHANUMEDICALCENTREG.ESTATECLINICCONSORTIUMSOLADMEDICALCENTRESPARKVIEWHOSPITALHEALSSPECIALISTCLINICSTEMMANUELHOSPITALKROWNHOSPITALMUCASHOSPITALVETAHOSPITALLTDYOMBOHOSPITALANDMATERNITYHOMELIMITEDDAFEMEDICALCENTRETHEOHOSPITALLIMITEDAVONMEDICALSERVICESLTD(CLINIC)BERNICECLINICFIRSTCITYDIAGNOSISLTDLOUISMEDHOSPITALLIMITEDRAINBOWSPECIALISTMEDICALCENTREUDECOMEDICALCENTREGERMAINEHOSPITAL,LEKKIKUPACENTERCENTERJERICHOHOSPITALPINECRESTSPECIALISTHOSPITALMAGODOSPECIALISTHOSPITALFIRSTHERITAGEHOSPITALHILLSTARCLINICS(NIGERIA)LTDOSUNTUYIMEDICALCENTRE(ANNEX)FANIMEDHOSPITALISALUHOSPITALLIMITEDMED-INSPECIALISTHOSPITALNIMBUSMEDICALCENTREALHERIHOSPITAL,LAGOSSOLIDROCKHOSPITALLTDHOREBCONSULTHOSPITALCHILDKIDCHILDRENHOSPITALSIKEOYEHOPECLINICAKINBOLADESPECIALISTHOSPITALELPHYSPECIALISTHOSPITALKILADEJOHOSPITAL&SPECIALISTCLINICSSTANTHONYMEDICALCENTRE&MATERNITYHOMELTDSTRAPHAELSHOSPITALLTDNEWEVOLUTIONHOSPITALLTDOMNIMEDICALCENTRE,ONIKANDIALYZERSPECIALISTMEDICALCENTREGOODNESSMEDICALCENTREMAZAFMEDICALCENTREGODCURESHOSPITALRHOWILTOTAL-CAREMEDICALCENTREFASANMICLINIC&MATERNITYHOMELTDIGBOLOGUNMEDICALCENTREABSPECIALISTHOSPITALAVONMEDICALSERVICESLTD(HOSPITAL)DAN-EGERTONHOSPITALDAN-EGERTONHOSPITALEKOHOSPITALPLC,SURULEREMERCY-THOMASOREDUGBAMEDICALCENTREMEZONELHOSPITALNEWDAYSPECIALISTCLINICOLANIBAMEMORIALHOSPITALPROVIDENCEHOSPITALLTD,SURULERETOPAZCLINCTUNRAYOHOSPITALNAVALMEDICALCENTRENAGARIALLAHMAGANIHOSPITALJAMAAMEDICALCENTREAGUHOSPITALHENADMEDICALCENTRESAUKIHOSPITAL,LAFIAKINGSCAREHOSPITALLTD,MARARABANASARACLINIC&MATERNITYHOSPITALRAINBOWCLINIC&MATERNITYBAYSPECIALISTHOSPITALGREATFAITHMEDICALCENTRETOPMEDICALCLINICSTANDARDHOSPITAL&DIAGNOSTICSERVICESKAINJIMEDICALCENTREFARYGROUPCLINICCHARLESHEALTHCARELTDSUZANMEMORIALCLINICFIRSTALPHAMEDICALCENTREMERCYGROUPCLINICSSACREDHEARTHOSPITALANGEL&EAGLESPECIALISTHOSPITALJOSEPHANDCHRISTIANAHSPECIALISTHOSPITALSOLAMEKSPECIALISTHOSPITALBEACHLANDSPECIALISTHOSPITALLABITRIXHOSPITALAKOBISPECIALISTHOSPITALLAFIAKOWAHOSPITALPETERSONMEDICALCENTREST.MICHAEL-ISRAELSPECIALISTHOSPITALLTD.STANDARDLIFECAREHOSPITALBROADLANDHOSPITALSERVICESLTDREDEEMERHEALTHCENTREABUNDANTLIFEHSOPITALMEDICPLUSHOSPITALOTUNBATUWASENATIONALPAEDIATRICCENTREACEMEDICARECLINICSFARAMEDCLINICSIDERAHEALTHSERVICESLIMITEDIMPERIALSPECIALISTHOSPITALSERVICESPROMISEMEDICALCENTREFAMEMEDICALSERVICESSHIRISHCLINICHETTAMEDICALCENTREST.SHILOHMEDICALCENTREFIRSTMERCYSPECIALISTHOSPITALTIMUNITYSPECIALISTHOSPITALLULIHOSPITALINLANDMEDICALCENTREIBUKUN-OLUHOSPITALSSTATESPECIALISTHOSPITALBABALOLAMEDICALCENTREARIFMEDICALCENTREPIMAHOSPITALANDMATERNITYOAUTHCOMPLEXST.VICTORIASPECIALISTHOSPITALAPEXMEDICALCENTREADENLEMEMORIALHOSPITALLIVINGPETALSMEDICALCENTREEMMANUELMEDICALCENTREABAKEMEDICALCENTREBIKETMEDICALCENTREONWARDSPECIALISTHOSPITALOROKISPECIALISTHOSPITALALAFIAHOSPITALBADEJOKOMEMORIALHOSP&MATERNITYBANBYSPECIALISTHOSPITALFELEWAHOSPITALXXXJOLAMADESPECIALISTHOSPITALJ-RAPHACLINICS&HOSPITAL,IBADANLANARKSPECIALISTHOSPITALMEDICALPRACTITIONERSLTDMOLLYSPECIALISTHOSPITALTEJUSPECIALISTHOSPITALTHEVINEHOSPITAL&MATERNITYCENTRETOBIMEDICALCENTRELTDZOESPECIALISTMISSIONHOSPITALIRETI-OLUHOSPITALSHEKINAHMEDICALCENTREMOMOHMEMORIALHOSPITALBAPTISTMEDICALCENTRE,SAKIFOCUSHOSPITALKAUNASPECIALISTHOSPITALMARYSOLSPECIALISTHOSPITALSAUKIGROUPOFCLINICSANDMATERNITY,JOSFERTILEGROUNDHOSPITALLTDMAYHOSPITAL,SHENDAMGBEYEHOSPITALDELTASPECIALISTHOSPITALMUJECLINICFOUNDATIONCLINICGBEYEHOSPITALQUEENOFPEACEHOSPITAL&MATERNITYEL-ROISPECIALISTCLINICHILTONCLINICSOPHIKEMEDICALCENTREGREENCAREMEDICALCONSULTANTSMILITARYHOSPITALNEWHEIGHTSCONSULTANTSHOSPITALSPRINCESSMEDICALCENTREPROVIDENCECLINIC&MATERNITYLTD,PORTHARCOURTSTPATRICK'SHOSPITALLTDNEWMILEONEHOSPITALMORNINGSTARHOSPITALLTDWESTHILLHOSPITALBONMARIAHOSPITALLTD.POTTERSTOUCHMEDICALCONSULTANTGBEYEHOSPITALPRESTIGEHOSPITALEL-SPECIALISTHOSPITALLIFECARECENTRELTDSHIELDSPECIALISTSHOSPITALCUMIMEDICALCENTRESAHELSPECIALISTCLINICSOKOTOCLINICMAMBILLABAPTISTHOSPITALAJIKOMEDICALCENTRECITYMEDICALCENTRE,YOBEPOTISKUMMEDICALCENTREDAULAHOSPITAL&MATERNITYHOME Preferred Advanced Basic plus HospitalPreferred Advanced Basic plus Hospital! 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ALGENERALHOSPITAL,EPECEDARHOSPITALEMELHOSPITALGOLDENCROSSINFIRMARY,FESTACSHEPHERDSPECIALISTHOSPITALAFRIMEDOGPSPECIALISTHOSPITALANIYUNHOSPITALLIMITEDPRIMROSESPECIALISTHOSPITALMAKOGHOSPITALSSUBOLHOSPITALSTTHOMASHOSPITALLONGINGMEDICALCENTREDENEWAIYETOROMEDICALCENTREADEMOLAHOSPITAL&MATERNITYLTDOSUNTUYIMEDICALCENTREBLUECROSSHOSPITALEKOHOSPITALPLC,IKEJAHOLYTRINITYHOSPITALMOTAYOHOSPITALSTMARYSSPECIALISTHOSPITAL,IKEJADONASHOSPITALJOBIHOSPITALOAKHOSPITALSREALHOPEHOSPITALSHANUMEDICALCENTREM-CREDHOSPITALSLIMITEDBROADHOSPITAL&MATERNITYMOUNTPISGAHHOSPITALLTDMOUNTSINAIHOSPITAL,EGBECITIZENMEDICALCENTREDIVINEMEDICALCENTREBESTCAREHOSPITALLAGOONHOSPITALHOSPITAL,IKOYIMAYCLINICSLTDGODCURESHOSPITALMAYCLINICSLTD(Annex)ULTIMAMEDICARESHANUMEDICALCENTREG.ESTATECLINICCONSORTIUMSOLADMEDICALCENTRESPARKVIEWHOSPITALHEALSSPECIALISTCLINICSTEMMANUELHOSPITALKROWNHOSPITALMUCASHOSPITALVETAHOSPITALLTDYOMBOHOSPITALANDMATERNITYHOMELIMITEDDAFEMEDICALCENTRETHEOHOSPITALLIMITEDAVONMEDICALSERVICESLTD(CLINIC)BERNICECLINICFIRSTCITYDIAGNOSISLTDLOUISMEDHOSPITALLIMITEDRAINBOWSPECIALISTMEDICALCENTREUDECOMEDICALCENTREGERMAINEHOSPITAL,LEKKIKUPACENTERCENTERJERICHOHOSPITALPINECRESTSPECIALISTHOSPITALMAGODOSPECIALISTHOSPITALFIRSTHERITAGEHOSPITALHILLSTARCLINICS(NIGERIA)LTDOSUNTUYIMEDICALCENTRE(ANNEX)FANIMEDHOSPITALISALUHOSPITALLIMITEDMED-INSPECIALISTHOSPITALNIMBUSMEDICALCENTREALHERIHOSPITAL,LAGOSSOLIDROCKHOSPITALLTDHOREBCONSULTHOSPITALCHILDKIDCHILDRENHOSPITALSIKEOYEHOPECLINICAKINBOLADESPECIALISTHOSPITALELPHYSPECIALISTHOSPITALKILADEJOHOSPITAL&SPECIALISTCLINICSSTANTHONYMEDICALCENTRE&MATERNITYHOMELTDSTRAPHAELSHOSPITALLTDNEWEVOLUTIONHOSPITALLTDOMNIMEDICALCENTRE,ONIKANDIALYZERSPECIALISTMEDICALCENTREGOODNESSMEDICALCENTREMAZAFMEDICALCENTREGODCURESHOSPITALRHOWILTOTAL-CAREMEDICALCENTREFASANMICLINIC&MATERNITYHOMELTDIGBOLOGUNMEDICALCENTREABSPECIALISTHOSPITALAVONMEDICALSERVICESLTD(HOSPITAL)DAN-EGERTONHOSPITALDAN-EGERTONHOSPITALEKOHOSPITALPLC,SURULEREMERCY-THOMASOREDUGBAMEDICALCENTREMEZONELHOSPITALNEWDAYSPECIALISTCLINICOLANIBAMEMORIALHOSPITALPROVIDENCEHOSPITALLTD,SURULERETOPAZCLINCTUNRAYOHOSPITALNAVALMEDICALCENTRENAGARIALLAHMAGANIHOSPITALJAMAAMEDICALCENTREAGUHOSPITALHENADMEDICALCENTRESAUKIHOSPITAL,LAFIAKINGSCAREHOSPITALLTD,MARARABANASARACLINIC&MATERNITYHOSPITALRAINBOWCLINIC&MATERNITYBAYSPECIALISTHOSPITALGREATFAITHMEDICALCENTRETOPMEDICALCLINICSTANDARDHOSPITAL&DIAGNOSTICSERVICESKAINJIMEDICALCENTREFARYGROUPCLINICCHARLESHEALTHCARELTDSUZANMEMORIALCLINICFIRSTALPHAMEDICALCENTREMERCYGROUPCLINICSSACREDHEARTHOSPITALANGEL&EAGLESPECIALISTHOSPITALJOSEPHANDCHRISTIANAHSPECIALISTHOSPITALSOLAMEKSPECIALISTHOSPITALBEACHLANDSPECIALISTHOSPITALLABITRIXHOSPITALAKOBISPECIALISTHOSPITALLAFIAKOWAHOSPITALPETERSONMEDICALCENTREST.MICHAEL-ISRAELSPECIALISTHOSPITALLTD.STANDARDLIFECAREHOSPITALBROADLANDHOSPITALSERVICESLTDREDEEMERHEALTHCENTREABUNDANTLIFEHSOPITALMEDICPLUSHOSPITALOTUNBATUWASENATIONALPAEDIATRICCENTREACEMEDICARECLINICSFARAMEDCLINICSIDERAHEALTHSERVICESLIMITEDIMPERIALSPECIALISTHOSPITALSERVICESPROMISEMEDICALCENTREFAMEMEDICALSERVICESSHIRISHCLINICHETTAMEDICALCENTREST.SHILOHMEDICALCENTREFIRSTMERCYSPECIALISTHOSPITALTIMUNITYSPECIALISTHOSPITALLULIHOSPITALINLANDMEDICALCENTREIBUKUN-OLUHOSPITALSSTATESPECIALISTHOSPITALBABALOLAMEDICALCENTREARIFMEDICALCENTREPIMAHOSPITALANDMATERNITYOAUTHCOMPLEXST.VICTORIASPECIALISTHOSPITALAPEXMEDICALCENTREADENLEMEMORIALHOSPITALLIVINGPETALSMEDICALCENTREEMMANUELMEDICALCENTREABAKEMEDICALCENTREBIKETMEDICALCENTREONWARDSPECIALISTHOSPITALOROKISPECIALISTHOSPITALALAFIAHOSPITALBADEJOKOMEMORIALHOSP&MATERNITYBANBYSPECIALISTHOSPITALFELEWAHOSPITALXXXJOLAMADESPECIALISTHOSPITALJ-RAPHACLINICS&HOSPITAL,IBADANLANARKSPECIALISTHOSPITALMEDICALPRACTITIONERSLTDMOLLYSPECIALISTHOSPITALTEJUSPECIALISTHOSPITALTHEVINEHOSPITAL&MATERNITYCENTRETOBIMEDICALCENTRELTDZOESPECIALISTMISSIONHOSPITALIRETI-OLUHOSPITALSHEKINAHMEDICALCENTREMOMOHMEMORIALHOSPITALBAPTISTMEDICALCENTRE,SAKIFOCUSHOSPITALKAUNASPECIALISTHOSPITALMARYSOLSPECIALISTHOSPITALSAUKIGROUPOFCLINICSANDMATERNITY,JOSFERTILEGROUNDHOSPITALLTDMAYHOSPITAL,SHENDAMGBEYEHOSPITALDELTASPECIALISTHOSPITALMUJECLINICFOUNDATIONCLINICGBEYEHOSPITALQUEENOFPEACEHOSPITAL&MATERNITYEL-ROISPECIALISTCLINICHILTONCLINICSOPHIKEMEDICALCENTREGREENCAREMEDICALCONSULTANTSMILITARYHOSPITALNEWHEIGHTSCONSULTANTSHOSPITALSPRINCESSMEDICALCENTREPROVIDENCECLINIC&MATERNITYLTD,PORTHARCOURTSTPATRICK'SHOSPITALLTDNEWMILEONEHOSPITALMORNINGSTARHOSPITALLTDWESTHILLHOSPITALBONMARIAHOSPITALLTD.POTTERSTOUCHMEDICALCONSULTANTGBEYEHOSPITALPRESTIGEHOSPITALEL-SPECIALISTHOSPITALLIFECARECENTRELTDSHIELDSPECIALISTSHOSPITALCUMIMEDICALCENTRESAHELSPECIALISTCLINICSOKOTOCLINICMAMBILLABAPTISTHOSPITALAJIKOMEDICALCENTRECITYMEDICALCENTRE,YOBEPOTISKUMMEDICALCENTREDAULAHOSPITAL&MATERNITYHOME 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PlanCHRISTTHEKINGHOSPITAL,ABAEKEOMAMEMORIALHOSPITALLIFECARECLINICSLTDLIVINGWORDMISSIONHOSPITALNEWERAHOSPITAL,ABATHENAZARETHCLINICFEDERALMEDICALCENTRE,UMUAHIAALLIANCEHOSPITAL,ABUJADARAMEDICALCENTREFEDERALSTAFFHOSPITAL,GWARINPAFEREPRODMEDICALCENTREKINGSCAREHOSPITALLTD,WUSEZONE4LIMIHOSPITAL&MATERNITYLTD,ABUJAPISIONHOSPITALRUZMEDICALCENTRELOUISPASTEURHOSPITALSISTERSOFTHENATIVITYHOSPITALQUEENSCLINICLTD,ABUJAEXCELSPECIALISTHOSPITALSOFTSHELLSPECIALISTHOSPITALLTDSPRINGBLOOMCOUNTYHOSPITALJOYLANDMEDICALCENTREANDCHILDREN'SHOSPITALFAMILYCAREMULTICLINICSLTDLIVINGSTREAMSPECIALISTMEDICALCENTRESTMARY'SHOSPITAL,GWAGWALADATRAUMA&MULTISPECIALTYCENTERKINGSCAREHOSPITALLTD,KubwaALLISONCLINICKUJEALFADSPECIALISTMEDICALCENTRESAUKIMEDICALCENTRE,YOLAPEACEHOSPITALCALEBMEDICALCENTERVEDDYSONHOSPITALIHAFOUNDATIONMEDICALCENTRETOTALCARECLINICANDMATERNITYCHRISTVICTORYMEDICALCENTREMOUNTOLIVEMEDICALCENTREUBONGABASISPECIALISTHOSPITALDOMINGOSPECIALISTHOSPITALSDIVINEHOSPITALANDMATERNITY,AWKAOURLADYOFLOURDESSEFTONSPECIALISTMEDICALCENTRECHIBUZORHOSPITAL&MATERNITYFELIXOKOLOMEMORIALHOSPITAL,NNEWILIFESPECIALISTHOSPITALJESUSISLORDROYALHOSPITALANDMATERNITYMERCYSPECIALISTHOSPITAL&MATERNITY,ONITSHAKATAGUMMEDICALCENTERNIIMACONSULTANTSHOSPITALREMEE(RIMI)CLINICNINGICLINIC&MATERNITYCRESTCONSULTANTCLINICFEDERALMEDICALCENTRE,YENAGOASTPETERSHOSPITALBAKICLINICANDMATERNITYNKSTHOSPITALFAMILYPRACTICEHOSPITALHOPEHOSPITALMADONNAHOSPITALPAMPASHOSPITAL&MATERNITYQUEENSCLINICLTD,MAKURDIOTIACLINICSTANTHONYHOSPITALABBOTTCLINICNAKOWASPECIALISTHOSPITALBORNOMEDICALCENTREKANEMHOSPITAL&MATERNITYSANTAMARIACLINIC&MATERNITYBAKORMEDICALCENTRECITYCLINIC,CALABARFAITHFOUNDATIONSPECIALISTCLINICIKPEMEMEDICALCENTREARUBAHSPECIALISTHOSPITAL,CALABARUNIVERSITYOFCALABARTEACHINGHOSPITALCALABARWOMEN&CHILDRENHOSPITALIMMANUELINFIRMARYCALABARLUCIAMAMEMORIALSPECIALISTHOSPITALMEVOMSPECIALISTCLINICAMADOMEDICALCENTREHOLYFAMILYCATHOLICHOSPITAL,IKOMBAKORMEDICALCENTREANIOMAHOSPITALGOODSAMARITANHOSPITALCOMPLEXST.REBECCASPECIALISTHOSPITALEL-COMFORTHOSPITALDELTASTATEUNIVERSITYTEACHINGHOSPITALOURLADYOFNIGERIACATHOLICHOSPITALLANAHOSPITALOBULEMEDICALCENTRECAPITOLHILLCLINIC/HOSPITALVERTIMONMEDICALCENTREFAIRVIEWHOSPITALB.UCLINIC/HOSPITALLTDREGALCLINICDAYSPRINGCLINICFELIXMEMORIALHOSPITAL,ABAKALIKIFATEMEDICALCENTREFAITHMEDICALCENTREMODICMEDICALCENTREMOUNTGILEADHOSPITALSTPHILOMENACATHOLICHOSPITALTHEROCKHOSPITALEDIINTERNATIONALHOSPITALLTDRAHIHOSPITALSLIMITEDIRRUASPECIALISTTEACHINGHOSPITALCHRISTTHEKING,ENUGUMOTHEROFCHRISTSPECIALISTHOSPITALPEENOKMEDICALCENTRERISTELLAHOSPITALSTMARY'SHOSPITAL&MATERNITY,ENUGULIVINGSTONSPECIALISTHOSPITALSTDANIELCONSOLATAHOSPITALUNIVERSITYMEDICALCENTREAKULUEMEMORIALHOSPITALFEDERALMEDICALCENTRE,GOMBEMIYETTIHOSPITALMETROCONSULTANTSCLINICIVORYCLINICSTMARYCHILDRENANDCOMMUNITYUMUOWA,ORLUIMOSTATEUNIVERSITYTEACHINGHOSPITAL,ORLUEZEMMEDICALCENTREFEDERALMEDICALCENTRE,OWERRIFIRSTCONCEPTHOSPITAL,OWERRIIKENEGBUHOSPITAL,MATERNITY&LABORATORYINTERNATIONALCHRISTIANHOSPITALLIFESPRINGSPECIALISTHOSPITALSALVATIONHOSPITAL&MATERNITYST.ELIZABETHHOSPITALANDMATERNITYWINNIESHOSPITALANDMATERNITYALBARKACLINICHARMONYHOSPITALLIMITEDALBARKAHOSPITAL&MATERNITYAMINAHOSPITALCHASELHOSPITALGIWAHOSPITALLTDISHAKUHOSPITALJOWAKOHOSPITALMANEKSHOSPITALMENDSSPECIALISTHOSPITALMULTICLINICSPECIALISTHOSPITALSEFAHOSPITALTIMUNITYSPECIALISTHOSPITALSALEMMEDICALCENTREALMADINACLINICJAMA'AHOSPITALLIMIHOSPITAL&MATERNITYLTD,ZARIAMAYFAIRCLINICSNIGLTDST.LOUISHOSPITALIDEALHOSPITAL&MATERNITYLTDINTERNATIONALCLINICS&HOSPITALSPREMIERCLINIC,KANOBISTITHOSPITALLTDKHADIJAHMEDIPHARMCO.LTDAMFANICLINICANDMATERNITYKATSINANURSINGHOMELTDKEBBIMULTI-SPECIALISTHOSPITALEQUITYHOSPITALLIMITEDDDGMEDICALCENTREDUROSOLEYEHOSPITALTOWNSHIPCLINICMARIAGORETTIHOSPITALNEIGHBOURMULTICAREHOSPITAL&WOMENWELLFARECENTRELTD.ECWAHOSPITALODOMACLINICSST.JOHN'SCATHOLICHOSPITALNIGERHOSPITALPOLYCLINICHOSPITAL&MATERNITYCARECRESTSPECIALISTHOSPITAL&FERTILITYCENTREOGO-OLUWAHOSPITALANCHORMEDHOSPITALBALMHOSPITALLTDDELNIKHOSPITALKIDDIZMEDICALCENTREOLAOLUHOSPITALOLANREWAJUHOSPITALLTDOMOLOLAHOSPITALSADIKUHOSPITALSURULEREMEDICALCENTREROLAKIMCLINIC&MATERNITYDANDYMEDICALCENTRESTANDARDLIFECAREHOSPITALP&GMEDICALCENTREROPHEHOSPITALALLSOULSINFIRMARY,AGEGEBETTAHOSPITALPROMISEMEDICALCENTREBUDOSPECIALISTHOSPITALDORENSPECIALISTHOSPITALJ-RAPHACLINICS&HOSPITAL,AJAHSTEDWARDSPECIALISTHOSPITAL&CARDIACCENTREDOVEHOSPITAL&HEALTHCARESERVICESLTD.LENNOXHOSPITALHEALINGFIELDHOSPITALHEDAHOSPITALRIVETSPECIALISTHOSPITALILOGBOCENTRALHOSPITALALLSOULSCLINICS,AJEGUNLEKAAFMATERNITYANDCHILDCARECENTREBEEHESSHOSPITALREM-YEMSHOSPITALLTDLOBELHOSPITALJEFISSPECIALISTHOSPITALGODFREYSPECIALISTHOSPITALGLORIAHOSPITALLTDTINCANHOSPITALGROUPOBISESANNAVALMEDICALCENTRE,APAPAAKANBIMEMORIALHOSPITALTHEGREATPHYSICIANHOSPITALCAREGIVERHOSPITAL,AJARAADEBAYOLIVINGTOWERHOSPITAL,IMEKETHEROYALINFIRMARYHOSPITALR-JOLADHOSPITALCRYSTALSPECIALISTHOSPITALSTONEHILLMEDICALCENTREHOPEWELLHOSPITALLIMITEDMOUNTSINAIHOSPITALGROUP,EBUTE-METTAFEDERALMEDICALCENTRE,EBUTE-METTACAREPOINTCLINICEGBEDALIMITEDSTWILLIAMSHOSPITALLIGHTHOSPITALANDMATERNITYHOMELTDTRUECAREMODELHOSPITALGENERALHOSPITAL,EPECEDARHOSPITALEMELHOSPITALGOLDENCROSSINFIRMARY,FESTACSHEPHERDSPECIALISTHOSPITALAFRIMEDOGPSPECIALISTHOSPITALANIYUNHOSPITALLIMITEDPRIMROSESPECIALISTHOSPITALMAKOGHOSPITALSSUBOLHOSPITALSTTHOMASHOSPITALLONGINGMEDICALCENTREDENEWAIYETOROMEDICALCENTREADEMOLAHOSPITAL&MATERNITYLTDOSUNTUYIMEDICALCENTREBLUECROSSHOSPITALEKOHOSPITALPLC,IKEJAHOLYTRINITYHOSPITALMOTAYOHOSPITALSTMARYSSPECIALISTHOSPITAL,IKEJADONASHOSPITALJOBIHOSPITALOAKHOSPITALSREALHOPEHOSPITALSHANUMEDICALCENTREM-CREDHOSPITALSLIMITEDBROADHOSPITAL&MATERNITYMOUNTPISGAHHOSPITALLTDMOUNTSINAIHOSPITAL,EGBECITIZENMEDICALCENTREDIVINEMEDICALCENTREBESTCAREHOSPITALLAGOONHOSPITALHOSPITAL,IKOYIMAYCLINICSLTDGODCURESHOSPITALMAYCLINICSLTD(Annex)ULTIMAMEDICARESHANUMEDICALCENTREG.ESTATECLINICCONSORTIUMSOLADMEDICALCENTRESPARKVIEWHOSPITALHEALSSPECIALISTCLINICSTEMMANUELHOSPITALKROWNHOSPITALMUCASHOSPITALVETAHOSPITALLTDYOMBOHOSPITALANDMATERNITYHOMELIMITEDDAFEMEDICALCENTRETHEOHOSPITALLIMITEDAVONMEDICALSERVICESLTD(CLINIC)BERNICECLINICFIRSTCITYDIAGNOSISLTDLOUISMEDHOSPITALLIMITEDRAINBOWSPECIALISTMEDICALCENTREUDECOMEDICALCENTREGERMAINEHOSPITAL,LEKKIKUPACENTERCENTERJERICHOHOSPITALPINECRESTSPECIALISTHOSPITALMAGODOSPECIALISTHOSPITALFIRSTHERITAGEHOSPITALHILLSTARCLINICS(NIGERIA)LTDOSUNTUYIMEDICALCENTRE(ANNEX)FANIMEDHOSPITALISALUHOSPITALLIMITEDMED-INSPECIALISTHOSPITALNIMBUSMEDICALCENTREALHERIHOSPITAL,LAGOSSOLIDROCKHOSPITALLTDHOREBCONSULTHOSPITALCHILDKIDCHILDRENHOSPITALSIKEOYEHOPECLINICAKINBOLADESPECIALISTHOSPITALELPHYSPECIALISTHOSPITALKILADEJOHOSPITAL&SPECIALISTCLINICSSTANTHONYMEDICALCENTRE&MATERNITYHOMELTDSTRAPHAELSHOSPITALLTDNEWEVOLUTIONHOSPITALLTDOMNIMEDICALCENTRE,ONIKANDIALYZERSPECIALISTMEDICALCENTREGOODNESSMEDICALCENTREMAZAFMEDICALCENTREGODCURESHOSPITALRHOWILTOTAL-CAREMEDICALCENTREFASANMICLINIC&MATERNITYHOMELTDIGBOLOGUNMEDICALCENTREABSPECIALISTHOSPITALAVONMEDICALSERVICESLTD(HOSPITAL)DAN-EGERTONHOSPITALDAN-EGERTONHOSPITALEKOHOSPITALPLC,SURULEREMERCY-THOMASOREDUGBAMEDICALCENTREMEZONELHOSPITALNEWDAYSPECIALISTCLINICOLANIBAMEMORIALHOSPITALPROVIDENCEHOSPITALLTD,SURULERETOPAZCLINCTUNRAYOHOSPITALNAVALMEDICALCENTRENAGARIALLAHMAGANIHOSPITALJAMAAMEDICALCENTREAGUHOSPITALHENADMEDICALCENTRESAUKIHOSPITAL,LAFIAKINGSCAREHOSPITALLTD,MARARABANASARACLINIC&MATERNITYHOSPITALRAINBOWCLINIC&MATERNITYBAYSPECIALISTHOSPITALGREATFAITHMEDICALCENTRETOPMEDICALCLINICSTANDARDHOSPITAL&DIAGNOSTICSERVICESKAINJIMEDICALCENTREFARYGROUPCLINICCHARLESHEALTHCARELTDSUZANMEMORIALCLINICFIRSTALPHAMEDICALCENTREMERCYGROUPCLINICSSACREDHEARTHOSPITALANGEL&EAGLESPECIALISTHOSPITALJOSEPHANDCHRISTIANAHSPECIALISTHOSPITALSOLAMEKSPECIALISTHOSPITALBEACHLANDSPECIALISTHOSPITALLABITRIXHOSPITALAKOBISPECIALISTHOSPITALLAFIAKOWAHOSPITALPETERSONMEDICALCENTREST.MICHAEL-ISRAELSPECIALISTHOSPITALLTD.STANDARDLIFECAREHOSPITALBROADLANDHOSPITALSERVICESLTDREDEEMERHEALTHCENTREABUNDANTLIFEHSOPITALMEDICPLUSHOSPITALOTUNBATUWASENATIONALPAEDIATRICCENTREACEMEDICARECLINICSFARAMEDCLINICSIDERAHEALTHSERVICESLIMITEDIMPERIALSPECIALISTHOSPITALSERVICESPROMISEMEDICALCENTREFAMEMEDICALSERVICESSHIRISHCLINICHETTAMEDICALCENTREST.SHILOHMEDICALCENTREFIRSTMERCYSPECIALISTHOSPITALTIMUNITYSPECIALISTHOSPITALLULIHOSPITALINLANDMEDICALCENTREIBUKUN-OLUHOSPITALSSTATESPECIALISTHOSPITALBABALOLAMEDICALCENTREARIFMEDICALCENTREPIMAHOSPITALANDMATERNITYOAUTHCOMPLEXST.VICTORIASPECIALISTHOSPITALAPEXMEDICALCENTREADENLEMEMORIALHOSPITALLIVINGPETALSMEDICALCENTREEMMANUELMEDICALCENTREABAKEMEDICALCENTREBIKETMEDICALCENTREONWARDSPECIALISTHOSPITALOROKISPECIALISTHOSPITALALAFIAHOSPITALBADEJOKOMEMORIALHOSP&MATERNITYBANBYSPECIALISTHOSPITALFELEWAHOSPITALXXXJOLAMADESPECIALISTHOSPITALJ-RAPHACLINICS&HOSPITAL,IBADANLANARKSPECIALISTHOSPITALMEDICALPRACTITIONERSLTDMOLLYSPECIALISTHOSPITALTEJUSPECIALISTHOSPITALTHEVINEHOSPITAL&MATERNITYCENTRETOBIMEDICALCENTRELTDZOESPECIALISTMISSIONHOSPITALIRETI-OLUHOSPITALSHEKINAHMEDICALCENTREMOMOHMEMORIALHOSPITALBAPTISTMEDICALCENTRE,SAKIFOCUSHOSPITALKAUNASPECIALISTHOSPITALMARYSOLSPECIALISTHOSPITALSAUKIGROUPOFCLINICSANDMATERNITY,JOSFERTILEGROUNDHOSPITALLTDMAYHOSPITAL,SHENDAMGBEYEHOSPITALDELTASPECIALISTHOSPITALMUJECLINICFOUNDATIONCLINICGBEYEHOSPITALQUEENOFPEACEHOSPITAL&MATERNITYEL-ROISPECIALISTCLINICHILTONCLINICSOPHIKEMEDICALCENTREGREENCAREMEDICALCONSULTANTSMILITARYHOSPITALNEWHEIGHTSCONSULTANTSHOSPITALSPRINCESSMEDICALCENTREPROVIDENCECLINIC&MATERNITYLTD,PORTHARCOURTSTPATRICK'SHOSPITALLTDNEWMILEONEHOSPITALMORNINGSTARHOSPITALLTDWESTHILLHOSPITALBONMARIAHOSPITALLTD.POTTERSTOUCHMEDICALCONSULTANTGBEYEHOSPITALPRESTIGEHOSPITALEL-SPECIALISTHOSPITALLIFECARECENTRELTDSHIELDSPECIALISTSHOSPITALCUMIMEDICALCENTRESAHELSPECIALISTCLINICSOKOTOCLINICMAMBILLABAPTISTHOSPITALAJIKOMEDICALCENTRECITYMEDICALCENTRE,YOBEPOTISKUMMEDICALCENTREDAULAHOSPITAL&MATERNITYHOME Preferred Hospital ECOBANK PlanPreferred Hospital! Select Preferred Hospital ECOBANK PlanCHRIST THE KING HOSPITAL, ABAEKEOMA MEMORIAL HOSPITALLIFE CARE CLINICS LTDLIVING WORD MISSION HOSPITALNEW ERA HOSPITAL, ABATHE NAZARETH CLINICFEDERAL MEDICAL CENTRE, UMUAHIAPRIMECARE SPECIALIST CLINICSALLIANCE HOSPITAL, ABUJADARA MEDICAL CENTREFEDERAL STAFF HOSPITAL, GWARINPAFEREPROD MEDICAL CENTREKINGS CARE HOSPITAL LTD, WUSE ZONE 4LIMI HOSPITAL & MATERNITY LTD, ABUJAPISION HOSPITALRUZ MEDICAL CENTRELOUIS PASTEUR HOSPITALSISTERS OF THE NATIVITY HOSPITALQUEENS CLINIC LTD, ABUJAEXCEL SPECIALIST HOSPITALSOFTSHELL SPECIALIST HOSPITAL LTDSPRINGBLOOM COUNTY HOSPITALJOYLAND MEDICAL CENTRE AND CHILDREN'S HOSPITALFAMILY CARE MULTICLINICS LTDLIVINGSTREAM SPECIALIST MEDICAL CENTREST MARY'S HOSPITAL, GWAGWALADAUNIVERSITY OF ABUJA TEACHING HOSPITALTRAUMA & MULTISPECIALTY CENTERKINGS CARE HOSPITAL LTD, KubwaALLISON CLINIC KUJEALFAD SPECIALIST MEDICAL CENTRESAUKI MEDICAL CENTRE, YOLAPEACE HOSPITALCALEB MEDICAL CENTERVEDDYSON HOSPITALIHA FOUNDATION MEDICAL CENTRETOTAL CARE CLINIC AND MATERNITYCHRIST VICTORY MEDICAL CENTREMOUNT OLIVE MEDICAL CENTREUBONG ABASI SPECIALIST HOSPITALDOMINGO SPECIALIST HOSPITALSSAN DOMINIQUE HOSPITALOUR LADY OF LOURDESSEFTON SPECIALIST MEDICAL CENTREIFEBI MEDICAL CENTERLIFE INTERNATIONAL HOSPITAL, AWKACHIBUZOR HOSPITAL & MATERNITYFELIX OKOLO MEMORIAL HOSPITAL, NNEWILIFE SPECIALIST HOSPITALJESUS IS LORD ROYAL HOSPITAL AND MATERNITYMERCY SPECIALIST HOSPITAL & MATERNITY, ONITSHAST CHARLSE BORROMEO HOSPITALKATAGUM MEDICAL CENTERNIIMA CONSULTANTS HOSPITALREMEE (RIMI) CLINICNINGI CLINIC & MATERNITYCREST CONSULTANT CLINICFEDERAL MEDICAL CENTRE, YENAGOAST PETERS HOSPITALBAKI CLINIC AND MATERNITYNKST HOSPITALFAMILY PRACTICE HOSPITALHOPE HOSPITALMADONNA HOSPITALPAMPAS HOSPITAL & MATERNITYQUEENS CLINIC LTD, MAKURDIOTIA CLINICST ANTHONY HOSPITALABBOTT CLINICNAKOWA SPECIALIST HOSPITALBORNO MEDICAL CENTREKANEM HOSPITAL & MATERNITYUNIVERSITY OF MAIDUGURI TEACHING HOSPITALSANTA MARIA CLINIC & MATERNITYBAKOR MEDICAL CENTRECITY CLINIC, CALABARFAITH FOUNDATION SPECIALIST CLINICIKPEME MEDICAL CENTREMEVOM SPECIALIST CLINICAMADO MEDICAL CENTREHOLY FAMILY CATHOLIC HOSPITAL, IKOMBAKOR MEDICAL CENTREANIOMA HOSPITALFEDERAL MEDICAL CENTRE, ASABAGOOD SAMARITAN HOSPITAL COMPLEXST. REBECCA SPECIALIST HOSPITALEL-COMFORT HOSPITALDELTA STATE UNIVERSITY TEACHING HOSPITALOUR LADY OF NIGERIA CATHOLIC HOSPITALLANA HOSPITALOBULE MEDICAL CENTREKOWA CLINIC, UGHELLICAPITOL HILL CLINIC/HOSPITALVERTIMON MEDICAL CENTREFAIRVIEW HOSPITALB.U CLINIC/HOSPITAL LTDREGAL CLINICDAYSPRING CLINICLILY HOSPITAL LIMITED WARRIFELIX MEMORIAL HOSPITAL, ABAKALIKICHRIST THE KING HOSPITAL AND MATERNITYFATE MEDICAL CENTREFAITH MEDICAL CENTREMODIC MEDICAL CENTREMOUNT GILEAD HOSPITALST PHILOMENA CATHOLIC HOSPITALTHE ROCK HOSPITALEDI INTERNATIONAL HOSPITAL LTDRAHI HOSPITALS LIMITEDST AUGUSTINE MEDICAL CENTREIRRUA SPECIALIST TEACHING HOSPITAL LILLY HOSPITAL LIITEDEKITI STATE UNIVERSITY TEACHING HOSPITAL, ADO - EKITIFEDERAL TEACHING HOSPITAL, IDO-EKITICHRIST THE KING, ENUGUMOTHER OF CHRIST SPECIALIST HOSPITALPEENOK MEDICAL CENTRERISTELLA HOSPITALST MARY'S HOSPITAL & MATERNITY, ENUGULIVINGSTON SPECIALIST HOSPITALST DANIEL CONSOLATA HOSPITALUNIVERSITY MEDICAL CENTREAKULUE MEMORIAL HOSPITALFEDERAL MEDICAL CENTRE, GOMBEMIYETTI HOSPITALMETRO CONSULTANTS CLINICIVORY CLINICST MARY CHILDREN AND COMMUNITY UMUOWA, ORLUIMO STATE UNIVERSITY TEACHING HOSPITAL, ORLUEZEM MEDICAL CENTREFEDERAL MEDICAL CENTRE, OWERRIFIRST CONCEPT HOSPITAL, OWERRIIKENEGBU HOSPITAL, MATERNITY & LABORATORY INTERNATIONAL CHRISTIAN HOSPITALLIFESPRING SPECIALIST HOSPITALSALVATION HOSPITAL & MATERNITYST. ELIZABETH HOSPITAL AND MATERNITYWINNIES HOSPITAL AND MATERNITYCHAPEL GROUP SPECIALISTS HOSPITALALBARKA CLINICHARMONY HOSPITAL LIMITEDALBARKA HOSPITAL & MATERNITYAMINA HOSPITALCHASEL HOSPITALGIWA HOSPITAL LTDJOWAKO HOSPITALMANEKS HOSPITALMENDS SPECIALIST HOSPITALMULTICLINIC SPECIALIST HOSPITALSEFA HOSPITALTIM UNITY SPECIALIST HOSPITALSALEM MEDICAL CENTREALMADINA CLINICLIMI HOSPITAL & MATERNITY LTD, ZARIAMAYFAIR CLINICS NIG LTDAMINU KANO TEACHING HOSPITALIDEAL HOSPITAL & MATERNITY LTDINTERNATIONAL CLINICS & HOSPITALSPREMIER CLINIC, KANOBISTIT HOSPITAL LTDAMFANI CLINIC AND MATERNITYFEDERAL MEDICAL CENTRE, KATSINAFEDERAL MEDICAL CENTRE, KEBBIKEBBI MULTI-SPECIALIST HOSPITALEQUITY HOSPITAL LIMITEDDDG MEDICAL CENTREDURO SOLEYE HOSPITALTOWNSHIP CLINICMARIA GORETTI HOSPITALNEIGHBOUR MULTICARE HOSPITAL & WOMEN WELLFARE CENTRE LTD.ECWA HOSPITALODOMA CLINICSST.JOHN'S CATHOLIC HOSPITALFEDERAL MEDICAL CENTRE, KOGINIGER HOSPITALPOLY CLINIC HOSPITAL & MATERNITYCARECREST SPECIALIST HOSPITAL & FERTILITY CENTREOGO-OLUWA HOSPITALANCHORMED HOSPITALBALM HOSPITAL LTDDELNIK HOSPITALKIDDIZ MEDICAL CENTREOLA OLU HOSPITALOLANREWAJU HOSPITAL LTDOMOLOLA HOSPITALSURULERE MEDICAL CENTRE ROLAKIM CLINIC & MATERNITYDANDY MEDICAL CENTRESTANDARD LIFE CARE HOSPITALP&G MEDICAL CENTREROPHE HOSPITALALL SOULS INFIRMARY, AGEGEBETTA HOSPITALPROMISE MEDICAL CENTREBUDO SPECIALIST HOSPITALDOREN SPECIALIST HOSPITALJ-RAPHA CLINICS & HOSPITAL, AJAHST EDWARD SPECIALIST HOSPITAL & CARDIAC CENTREDOVE HOSPITAL & HEALTHCARE SERVICES LTD.LENNOX HOSPITALHEALING FIELD HOSPITALHEDA HOSPITALRIVET SPECIALIST HOSPITALILOGBO CENTRAL HOSPITALALL SOULS CLINICS, AJEGUNLEKAAF MATERNITY AND CHILD CARE CENTREBEE HESS HOSPITALREM-YEMS HOSPITAL LTDLOBEL HOSPITALJEFIS SPECIALIST HOSPITALGODFREY SPECIALIST HOSPITALGLORIA HOSPITAL LTDTINCAN HOSPITAL GROUPOBISESAN NAVAL MEDICAL CENTRE, APAPAAKANBI MEMORIAL HOSPITALTHE GREAT PHYSICIAN HOSPITALCARE GIVER HOSPITAL, AJARAADEBAYO LIVING TOWER HOSPITAL, IMEKETHE ROYAL INFIRMARY HOSPITALR - JOLAD HOSPITALCRYSTAL SPECIALIST HOSPITALSTONE HILL MEDICAL CENTREHOPEWELL HOSPITAL LIMITEDMOUNT SINAI HOSPITAL GROUP, EBUTE-METTAFEDERAL MEDICAL CENTRE, EBUTE-METTACAREPOINT CLINIC EGBEDA LIMITEDLIGHT HOSPITAL AND MATERNITY HOME LTDTRUECARE MODEL HOSPITALGENERAL HOSPITAL, EPECEDAR HOSPITALEMEL HOSPITALGOLDEN CROSS INFIRMARY, FESTACSHEPHERD SPECIALIST HOSPITALAFRIMED OGP SPECIALIST HOSPITALANIYUN HOSPITAL LIMITEDPRIMROSE SPECIALIST HOSPITALMAKOG HOSPITALSSUBOL HOSPITALST THOMAS HOSPITALLONGING MEDICAL CENTREDE NEW AIYETORO MEDICAL CENTREADEMOLA HOSPITAL & MATERNITY LTDOSUNTUYI MEDICAL CENTREBLUE CROSS HOSPITALEKO HOSPITAL PLC, IKEJAHOLY TRINITY HOSPITALMOTAYO HOSPITALST MARYS SPECIALIST HOSPITAL, IKEJADONAS HOSPITALJOBI HOSPITALOAK HOSPITALSSHANU MEDICAL CENTREM-CRED HOSPITALS LIMITEDBROAD HOSPITAL & MATERNITYMOUNT PISGAH HOSPITAL LTDMOUNT SINAI HOSPITAL, EGBECITIZEN MEDICAL CENTREDIVINE MEDICAL CENTREBEST CARE HOSPITALLAGOON HOSPITAL HOSPITAL, IKOYIMAY CLINICS LTDGOD CURES HOSPITALMAY CLINICS LTD (Annex)ULTIMA MEDICARESHANU MEDICAL CENTREG.ESTATE CLINIC CONSORTIUMSOLAD MEDICAL CENTRESPARK VIEW HOSPITALHEALS SPECIALIST CLINICST EMMANUEL HOSPITALKROWN HOSPITALMUCAS HOSPITALVETA HOSPITAL LTDDAFE MEDICAL CENTRETHEO HOSPITAL LIMITEDAVON MEDICAL SERVICES LTD (CLINIC)BERNICE CLINICFIRST CITY DIAGNOSIS LTDLOUISMED HOSPITAL LIMITEDRAINBOW SPECIALIST MEDICAL CENTREUDECO MEDICAL CENTREGERMAINE HOSPITAL, LEKKIFIRST CITY HOSPITALJERICHO HOSPITALPINECREST SPECIALIST HOSPITALMAGODO SPECIALIST HOSPITALFIRST HERITAGE HOSPITALHILLSTAR CLINICS (NIGERIA) LTDOSUNTUYI MEDICAL CENTRE(ANNEX)FANIMED HOSPITALISALU HOSPITAL LIMITEDMED-IN SPECIALIST HOSPITALNIMBUS MEDICAL CENTRE ALHERI HOSPITAL, LAGOSSOLID ROCK HOSPITAL LTDHOREB CONSULT HOSPITALCHILDKID CHILDREN HOSPITALSIKEOYE HOPE CLINICAKINBOLADE SPECIALIST HOSPITALELPHY SPECIALIST HOSPITALKILADEJO HOSPITAL & SPECIALIST CLINICSST ANTHONY MEDICAL CENTRE & MATERNITY HOME LTDST RAPHAELS HOSPITAL LTDNEW EVOLUTION HOSPITAL LTDOMNI MEDICAL CENTRE, ONIKANDIALYZER SPECIALIST MEDICAL CENTREGOODNESS MEDICAL CENTREMAZAF MEDICAL CENTREGOD CURES HOSPITALRHOWIL TOTAL-CARE MEDICAL CENTREFASANMI CLINIC & MATERNITY HOME LTDIGBOLOGUN MEDICAL CENTREAB SPECIALIST HOSPITALAVON MEDICAL SERVICES LTD (HOSPITAL)DAN-EGERTON HOSPITALDAN-EGERTON HOSPITALEKO HOSPITAL PLC, SURULEREMERCY-THOMAS OREDUGBA MEDICAL CENTRE MEZONEL HOSPITALNEWDAY SPECIALIST CLINICOLANIBA MEMORIAL HOSPITALPROVIDENCE HOSPITAL LTD, SURULERETOPAZ CLINCTUNRAYO HOSPITAL NAVAL MEDICAL CENTREOUR LADY OF APOSTLES HOSPITALFEDERAL MEDICAL CENTRE, KEFFINAGARI ALLAH MAGANI HOSPITALJAMAA MEDICAL CENTREAGU HOSPITALDALHATU ARAF SPECIALIST HOSPITALSAUKI HOSPITAL, LAFIAKINGS CARE HOSPITAL LTD, MARARABAFEDERAL MEDICAL CENTRE, BIDANASARA CLINIC & MATERNITY HOSPITALRAINBOW CLINIC & MATERNITYBAY SPECIALIST HOSPITALGREAT FAITH MEDICAL CENTRETOP MEDICAL CLINICSTANDARD HOSPITAL & DIAGNOSTIC SERVICESKAINJI MEDICAL CENTREFARY GROUP CLINICCHARLES HEALTHCARE LTDSUZAN MEMORIAL CLINICFEDERAL MEDICAL CENTRE, ABEOKUTAMERCY GROUP CLINICSSACRED HEART HOSPITALANGEL & EAGLE SPECIALIST HOSPITALJOSEPH AND CHRISTIANAH SPECIALIST HOSPITALSOLAMEK SPECIALIST HOSPITALBEACHLAND SPECIALIST HOSPITALLABITRIX HOSPITALAKOBI SPECIALIST HOSPITALLAFIA KOWA HOSPITALPETERSON MEDICAL CENTREST. MICHAEL - ISRAEL SPECIALIST HOSPITAL LTD.STANDARD LIFE CARE HOSPITALBROADLAND HOSPITAL SERVICES LTDREDEEMER HEALTH CENTREABUNDANT LIFE HSOPITALMEDIC PLUS HOSPITALOTUNBA TUWASE NATIONAL PAEDIATRIC CENTREACE MEDICARE CLINICSFARAMED CLINICSIDERA HEALTH SERVICES LIMITEDIMPERIAL SPECIALIST HOSPITAL SERVICESOLABISI ONABANJO UNIVERSITY TEACHING HOSPITALPROMISE MEDICAL CENTREFAME MEDICAL SERVICESSHIRISH CLINICHETTA MEDICAL CENTREST. SHILOH MEDICAL CENTREFIRST MERCY SPECIALIST HOSPITALTIM UNITY SPECIALIST HOSPITALLULI HOSPITALINLAND MEDICAL CENTREIBUKUN-OLU HOSPITALSSTATE SPECIALIST HOSPITALBABALOLA MEDICAL CENTREARIF MEDICAL CENTREPIMA HOSPITAL AND MATERNITY OAUTH COMPLEXST. VICTORIA SPECIALIST HOSPITAL APEX MEDICAL CENTREADENLE MEMORIAL HOSPITALLIVING PETALS MEDICAL CENTREEMMANUEL MEDICAL CENTREABAKE MEDICAL CENTREBIKET MEDICAL CENTREONWARD SPECIALIST HOSPITALOROKI SPECIALIST HOSPITAL ALAFIA HOSPITALBADEJOKO MEMORIAL HOSP & MATERNITYBANBY SPECIALIST HOSPITALFELEWA HOSPITAL XXXJOLAMADE SPECIALIST HOSPITALJ-RAPHA CLINICS & HOSPITAL, IBADANLANARK SPECIALIST HOSPITALMEDICAL PRACTITIONERS LTDMOLLY SPECIALIST HOSPITALTEJU SPECIALIST HOSPITALTHE VINE HOSPITAL & MATERNITY CENTRETOBI MEDICAL CENTRE LTDZOE SPECIALIST MISSION HOSPITALBOWEN UNIVERSITY TEACHING HOSPITALIRETI-OLU HOSPITALMOMOH MEMORIAL HOSPITALBAPTIST MEDICAL CENTRE, SAKIFOCUS HOSPITALKAUNA SPECIALIST HOSPITALMARYSOL SPECIALIST HOSPITALSAUKI GROUP OF CLINICS AND MATERNITY, JOSFERTILE GROUND HOSPITAL LTDMAY HOSPITAL, SHENDAMGBEYE HOSPITALDELTA SPECIALIST HOSPITALMUJE CLINICFOUNDATION CLINICGBEYE HOSPITALQUEEN OF PEACE HOSPITAL & MATERNITYEL-ROI SPECIALIST CLINICHILTON CLINICGREEN CARE MEDICAL CONSULTANTSMILITARY HOSPITALNEW HEIGHTS CONSULTANTS HOSPITALSPRINCESS MEDICAL CENTREPROVIDENCE CLINIC & MATERNITY LTD, PORTHARCOURTST PATRICK'S HOSPITAL LTDNEW MILE ONE HOSPITALMORNING STAR HOSPITAL LTDWESTHILL HOSPITALBONMARIA HOSPITAL LTD.POTTERS TOUCH MEDICAL CONSULTANTGBEYE HOSPITALPRESTIGE HOSPITALEL-SPECIALIST HOSPITALLIFECARE CENTRE LTDSHIELD SPECIALISTS HOSPITALDATTA MEDICAL CENTREOLUNWA MEDICAL CENTRENEW ORLINS HOSPITALSTANDARDCARE HEALTH SOLUTIONS LIMITEDCUMI MEDICAL CENTRESAHEL SPECIALIST CLINICSOKOTO CLINICUSMAN DAN FODIO TEACHING HOSPITALGENERAL HOSPITALMAMBILLA BAPTIST HOSPITALFEDERAL MEDICAL CENTRE, JALINGOAJIKO MEDICAL CENTRECITY MEDICAL CENTRE, YOBEPOTISKUM MEDICAL CENTREDAULA HOSPITAL & MATERNITY HOMEFEDERAL MEDICAL CENTRE, GUSAU Child 1 Details SurnameSurname First NameFirst Name Upload Passportupload cloud_uploadUpload Child One Passport Photograph Other NamesOther Names Gender*Gender! Select GenderMaleFemale Date of BirthDate of Birth date_range Plan Typepick one! Select A Plan TypeECOBANK PlanBasic PlanAdvanced Basic PlanBasic Plus PlanAdvanced Basic plus PlanPremiun PlanUltimateOthers Preferred Hospital ECOBANK PlanPreferred Hospital! Select Preferred Hospital ECOBANK PlanCHRIST THE KING HOSPITAL, ABAEKEOMA MEMORIAL HOSPITALLIFE CARE CLINICS LTDLIVING WORD MISSION HOSPITALNEW ERA HOSPITAL, ABATHE NAZARETH CLINICFEDERAL MEDICAL CENTRE, UMUAHIAPRIMECARE SPECIALIST CLINICSALLIANCE HOSPITAL, ABUJADARA MEDICAL CENTREFEDERAL STAFF HOSPITAL, GWARINPAFEREPROD MEDICAL CENTREKINGS CARE HOSPITAL LTD, WUSE ZONE 4LIMI HOSPITAL & MATERNITY LTD, ABUJAPISION HOSPITALRUZ MEDICAL CENTRELOUIS PASTEUR HOSPITALSISTERS OF THE NATIVITY HOSPITALQUEENS CLINIC LTD, ABUJAEXCEL SPECIALIST HOSPITALSOFTSHELL SPECIALIST HOSPITAL LTDSPRINGBLOOM COUNTY HOSPITALJOYLAND MEDICAL CENTRE AND CHILDREN'S HOSPITALFAMILY CARE MULTICLINICS LTDLIVINGSTREAM SPECIALIST MEDICAL CENTREST MARY'S HOSPITAL, GWAGWALADAUNIVERSITY OF ABUJA TEACHING HOSPITALTRAUMA & MULTISPECIALTY CENTERKINGS CARE HOSPITAL LTD, KubwaALLISON CLINIC KUJEALFAD SPECIALIST MEDICAL CENTRESAUKI MEDICAL CENTRE, YOLAPEACE HOSPITALCALEB MEDICAL CENTERVEDDYSON HOSPITALIHA FOUNDATION MEDICAL CENTRETOTAL CARE CLINIC AND MATERNITYCHRIST VICTORY MEDICAL CENTREMOUNT OLIVE MEDICAL CENTREUBONG ABASI SPECIALIST HOSPITALDOMINGO SPECIALIST HOSPITALSSAN DOMINIQUE HOSPITALOUR LADY OF LOURDESSEFTON SPECIALIST MEDICAL CENTREIFEBI MEDICAL CENTERLIFE INTERNATIONAL HOSPITAL, AWKACHIBUZOR HOSPITAL & MATERNITYFELIX OKOLO MEMORIAL HOSPITAL, NNEWILIFE SPECIALIST HOSPITALJESUS IS LORD ROYAL HOSPITAL AND MATERNITYMERCY SPECIALIST HOSPITAL & MATERNITY, ONITSHAST CHARLSE BORROMEO HOSPITALKATAGUM MEDICAL CENTERNIIMA CONSULTANTS HOSPITALREMEE (RIMI) CLINICNINGI CLINIC & MATERNITYCREST CONSULTANT CLINICFEDERAL MEDICAL CENTRE, YENAGOAST PETERS HOSPITALBAKI CLINIC AND MATERNITYNKST HOSPITALFAMILY PRACTICE HOSPITALHOPE HOSPITALMADONNA HOSPITALPAMPAS HOSPITAL & MATERNITYQUEENS CLINIC LTD, MAKURDIOTIA CLINICST ANTHONY HOSPITALABBOTT CLINICNAKOWA SPECIALIST HOSPITALBORNO MEDICAL CENTREKANEM HOSPITAL & MATERNITYUNIVERSITY OF MAIDUGURI TEACHING HOSPITALSANTA MARIA CLINIC & MATERNITYBAKOR MEDICAL CENTRECITY CLINIC, CALABARFAITH FOUNDATION SPECIALIST CLINICIKPEME MEDICAL CENTREMEVOM SPECIALIST CLINICAMADO MEDICAL CENTREHOLY FAMILY CATHOLIC HOSPITAL, IKOMBAKOR MEDICAL CENTREANIOMA HOSPITALFEDERAL MEDICAL CENTRE, ASABAGOOD SAMARITAN HOSPITAL COMPLEXST. REBECCA SPECIALIST HOSPITALEL-COMFORT HOSPITALDELTA STATE UNIVERSITY TEACHING HOSPITALOUR LADY OF NIGERIA CATHOLIC HOSPITALLANA HOSPITALOBULE MEDICAL CENTREKOWA CLINIC, UGHELLICAPITOL HILL CLINIC/HOSPITALVERTIMON MEDICAL CENTREFAIRVIEW HOSPITALB.U CLINIC/HOSPITAL LTDREGAL CLINICDAYSPRING CLINICLILY HOSPITAL LIMITED WARRIFELIX MEMORIAL HOSPITAL, ABAKALIKICHRIST THE KING HOSPITAL AND MATERNITYFATE MEDICAL CENTREFAITH MEDICAL CENTREMODIC MEDICAL CENTREMOUNT GILEAD HOSPITALST PHILOMENA CATHOLIC HOSPITALTHE ROCK HOSPITALEDI INTERNATIONAL HOSPITAL LTDRAHI HOSPITALS LIMITEDST AUGUSTINE MEDICAL CENTREIRRUA SPECIALIST TEACHING HOSPITAL LILLY HOSPITAL LIITEDEKITI STATE UNIVERSITY TEACHING HOSPITAL, ADO - EKITIFEDERAL TEACHING HOSPITAL, IDO-EKITICHRIST THE KING, ENUGUMOTHER OF CHRIST SPECIALIST HOSPITALPEENOK MEDICAL CENTRERISTELLA HOSPITALST MARY'S HOSPITAL & MATERNITY, ENUGULIVINGSTON SPECIALIST HOSPITALST DANIEL CONSOLATA HOSPITALUNIVERSITY MEDICAL CENTREAKULUE MEMORIAL HOSPITALFEDERAL MEDICAL CENTRE, GOMBEMIYETTI HOSPITALMETRO CONSULTANTS CLINICIVORY CLINICST MARY CHILDREN AND COMMUNITY UMUOWA, ORLUIMO STATE UNIVERSITY TEACHING HOSPITAL, ORLUEZEM MEDICAL CENTREFEDERAL MEDICAL CENTRE, OWERRIFIRST CONCEPT HOSPITAL, OWERRIIKENEGBU HOSPITAL, MATERNITY & LABORATORY INTERNATIONAL CHRISTIAN HOSPITALLIFESPRING SPECIALIST HOSPITALSALVATION HOSPITAL & MATERNITYST. ELIZABETH HOSPITAL AND MATERNITYWINNIES HOSPITAL AND MATERNITYCHAPEL GROUP SPECIALISTS HOSPITALALBARKA CLINICHARMONY HOSPITAL LIMITEDALBARKA HOSPITAL & MATERNITYAMINA HOSPITALCHASEL HOSPITALGIWA HOSPITAL LTDJOWAKO HOSPITALMANEKS HOSPITALMENDS SPECIALIST HOSPITALMULTICLINIC SPECIALIST HOSPITALSEFA HOSPITALTIM UNITY SPECIALIST HOSPITALSALEM MEDICAL CENTREALMADINA CLINICLIMI HOSPITAL & MATERNITY LTD, ZARIAMAYFAIR CLINICS NIG LTDAMINU KANO TEACHING HOSPITALIDEAL HOSPITAL & MATERNITY LTDINTERNATIONAL CLINICS & HOSPITALSPREMIER CLINIC, KANOBISTIT HOSPITAL LTDAMFANI CLINIC AND MATERNITYFEDERAL MEDICAL CENTRE, KATSINAFEDERAL MEDICAL CENTRE, KEBBIKEBBI MULTI-SPECIALIST HOSPITALEQUITY HOSPITAL LIMITEDDDG MEDICAL CENTREDURO SOLEYE HOSPITALTOWNSHIP CLINICMARIA GORETTI HOSPITALNEIGHBOUR MULTICARE HOSPITAL & WOMEN WELLFARE CENTRE LTD.ECWA HOSPITALODOMA CLINICSST.JOHN'S CATHOLIC HOSPITALFEDERAL MEDICAL CENTRE, KOGINIGER HOSPITALPOLY CLINIC HOSPITAL & MATERNITYCARECREST SPECIALIST HOSPITAL & FERTILITY CENTREOGO-OLUWA HOSPITALANCHORMED HOSPITALBALM HOSPITAL LTDDELNIK HOSPITALKIDDIZ MEDICAL CENTREOLA OLU HOSPITALOLANREWAJU HOSPITAL LTDOMOLOLA HOSPITALSURULERE MEDICAL CENTRE ROLAKIM CLINIC & MATERNITYDANDY MEDICAL CENTRESTANDARD LIFE CARE HOSPITALP&G MEDICAL CENTREROPHE HOSPITALALL SOULS INFIRMARY, AGEGEBETTA HOSPITALPROMISE MEDICAL CENTREBUDO SPECIALIST HOSPITALDOREN SPECIALIST HOSPITALJ-RAPHA CLINICS & HOSPITAL, AJAHST EDWARD SPECIALIST HOSPITAL & CARDIAC CENTREDOVE HOSPITAL & HEALTHCARE SERVICES LTD.LENNOX HOSPITALHEALING FIELD HOSPITALHEDA HOSPITALRIVET SPECIALIST HOSPITALILOGBO CENTRAL HOSPITALALL SOULS CLINICS, AJEGUNLEKAAF MATERNITY AND CHILD CARE CENTREBEE HESS HOSPITALREM-YEMS HOSPITAL LTDLOBEL HOSPITALJEFIS SPECIALIST HOSPITALGODFREY SPECIALIST HOSPITALGLORIA HOSPITAL LTDTINCAN HOSPITAL GROUPOBISESAN NAVAL MEDICAL CENTRE, APAPAAKANBI MEMORIAL HOSPITALTHE GREAT PHYSICIAN HOSPITALCARE GIVER HOSPITAL, AJARAADEBAYO LIVING TOWER HOSPITAL, IMEKETHE ROYAL INFIRMARY HOSPITALR - JOLAD HOSPITALCRYSTAL SPECIALIST HOSPITALSTONE HILL MEDICAL CENTREHOPEWELL HOSPITAL LIMITEDMOUNT SINAI HOSPITAL GROUP, EBUTE-METTAFEDERAL MEDICAL CENTRE, EBUTE-METTACAREPOINT CLINIC EGBEDA LIMITEDLIGHT HOSPITAL AND MATERNITY HOME LTDTRUECARE MODEL HOSPITALGENERAL HOSPITAL, EPECEDAR HOSPITALEMEL HOSPITALGOLDEN CROSS INFIRMARY, FESTACSHEPHERD SPECIALIST HOSPITALAFRIMED OGP SPECIALIST HOSPITALANIYUN HOSPITAL LIMITEDPRIMROSE SPECIALIST HOSPITALMAKOG HOSPITALSSUBOL HOSPITALST THOMAS HOSPITALLONGING MEDICAL CENTREDE NEW AIYETORO MEDICAL CENTREADEMOLA HOSPITAL & MATERNITY LTDOSUNTUYI MEDICAL CENTREBLUE CROSS HOSPITALEKO HOSPITAL PLC, IKEJAHOLY TRINITY HOSPITALMOTAYO HOSPITALST MARYS SPECIALIST HOSPITAL, IKEJADONAS HOSPITALJOBI HOSPITALOAK HOSPITALSSHANU MEDICAL CENTREM-CRED HOSPITALS LIMITEDBROAD HOSPITAL & MATERNITYMOUNT PISGAH HOSPITAL LTDMOUNT SINAI HOSPITAL, EGBECITIZEN MEDICAL CENTREDIVINE MEDICAL CENTREBEST CARE HOSPITALLAGOON HOSPITAL HOSPITAL, IKOYIMAY CLINICS LTDGOD CURES HOSPITALMAY CLINICS LTD (Annex)ULTIMA MEDICARESHANU MEDICAL CENTREG.ESTATE CLINIC CONSORTIUMSOLAD MEDICAL CENTRESPARK VIEW HOSPITALHEALS SPECIALIST CLINICST EMMANUEL HOSPITALKROWN HOSPITALMUCAS HOSPITALVETA HOSPITAL LTDDAFE MEDICAL CENTRETHEO HOSPITAL LIMITEDAVON MEDICAL SERVICES LTD (CLINIC)BERNICE CLINICFIRST CITY DIAGNOSIS LTDLOUISMED HOSPITAL LIMITEDRAINBOW SPECIALIST MEDICAL CENTREUDECO MEDICAL CENTREGERMAINE HOSPITAL, LEKKIFIRST CITY HOSPITALJERICHO HOSPITALPINECREST SPECIALIST HOSPITALMAGODO SPECIALIST HOSPITALFIRST HERITAGE HOSPITALHILLSTAR CLINICS (NIGERIA) LTDOSUNTUYI MEDICAL CENTRE(ANNEX)FANIMED HOSPITALISALU HOSPITAL LIMITEDMED-IN SPECIALIST HOSPITALNIMBUS MEDICAL CENTRE ALHERI HOSPITAL, LAGOSSOLID ROCK HOSPITAL LTDHOREB CONSULT HOSPITALCHILDKID CHILDREN HOSPITALSIKEOYE HOPE CLINICAKINBOLADE SPECIALIST HOSPITALELPHY SPECIALIST HOSPITALKILADEJO HOSPITAL & SPECIALIST CLINICSST ANTHONY MEDICAL CENTRE & MATERNITY HOME LTDST RAPHAELS HOSPITAL LTDNEW EVOLUTION HOSPITAL LTDOMNI MEDICAL CENTRE, ONIKANDIALYZER SPECIALIST MEDICAL CENTREGOODNESS MEDICAL CENTREMAZAF MEDICAL CENTREGOD CURES HOSPITALRHOWIL TOTAL-CARE MEDICAL CENTREFASANMI CLINIC & MATERNITY HOME LTDIGBOLOGUN MEDICAL CENTREAB SPECIALIST HOSPITALAVON MEDICAL SERVICES LTD (HOSPITAL)DAN-EGERTON HOSPITALDAN-EGERTON HOSPITALEKO HOSPITAL PLC, SURULEREMERCY-THOMAS OREDUGBA MEDICAL CENTRE MEZONEL HOSPITALNEWDAY SPECIALIST CLINICOLANIBA MEMORIAL HOSPITALPROVIDENCE HOSPITAL LTD, SURULERETOPAZ CLINCTUNRAYO HOSPITAL NAVAL MEDICAL CENTREOUR LADY OF APOSTLES HOSPITALFEDERAL MEDICAL CENTRE, KEFFINAGARI ALLAH MAGANI HOSPITALJAMAA MEDICAL CENTREAGU HOSPITALDALHATU ARAF SPECIALIST HOSPITALSAUKI HOSPITAL, LAFIAKINGS CARE HOSPITAL LTD, MARARABAFEDERAL MEDICAL CENTRE, BIDANASARA CLINIC & MATERNITY HOSPITALRAINBOW CLINIC & MATERNITYBAY SPECIALIST HOSPITALGREAT FAITH MEDICAL CENTRETOP MEDICAL CLINICSTANDARD HOSPITAL & DIAGNOSTIC SERVICESKAINJI MEDICAL CENTREFARY GROUP CLINICCHARLES HEALTHCARE LTDSUZAN MEMORIAL CLINICFEDERAL MEDICAL CENTRE, ABEOKUTAMERCY GROUP CLINICSSACRED HEART HOSPITALANGEL & EAGLE SPECIALIST HOSPITALJOSEPH AND CHRISTIANAH SPECIALIST HOSPITALSOLAMEK SPECIALIST HOSPITALBEACHLAND SPECIALIST HOSPITALLABITRIX HOSPITALAKOBI SPECIALIST HOSPITALLAFIA KOWA HOSPITALPETERSON MEDICAL CENTREST. MICHAEL - ISRAEL SPECIALIST HOSPITAL LTD.STANDARD LIFE CARE HOSPITALBROADLAND HOSPITAL SERVICES LTDREDEEMER HEALTH CENTREABUNDANT LIFE HSOPITALMEDIC PLUS HOSPITALOTUNBA TUWASE NATIONAL PAEDIATRIC CENTREACE MEDICARE CLINICSFARAMED CLINICSIDERA HEALTH SERVICES LIMITEDIMPERIAL SPECIALIST HOSPITAL SERVICESOLABISI ONABANJO UNIVERSITY TEACHING HOSPITALPROMISE MEDICAL CENTREFAME MEDICAL SERVICESSHIRISH CLINICHETTA MEDICAL CENTREST. SHILOH MEDICAL CENTREFIRST MERCY SPECIALIST HOSPITALTIM UNITY SPECIALIST HOSPITALLULI HOSPITALINLAND MEDICAL CENTREIBUKUN-OLU HOSPITALSSTATE SPECIALIST HOSPITALBABALOLA MEDICAL CENTREARIF MEDICAL CENTREPIMA HOSPITAL AND MATERNITY OAUTH COMPLEXST. VICTORIA SPECIALIST HOSPITAL APEX MEDICAL CENTREADENLE MEMORIAL HOSPITALLIVING PETALS MEDICAL CENTREEMMANUEL MEDICAL CENTREABAKE MEDICAL CENTREBIKET MEDICAL CENTREONWARD SPECIALIST HOSPITALOROKI SPECIALIST HOSPITAL ALAFIA HOSPITALBADEJOKO MEMORIAL HOSP & MATERNITYBANBY SPECIALIST HOSPITALFELEWA HOSPITAL XXXJOLAMADE SPECIALIST HOSPITALJ-RAPHA CLINICS & HOSPITAL, IBADANLANARK SPECIALIST HOSPITALMEDICAL PRACTITIONERS LTDMOLLY SPECIALIST HOSPITALTEJU SPECIALIST HOSPITALTHE VINE HOSPITAL & MATERNITY CENTRETOBI MEDICAL CENTRE LTDZOE SPECIALIST MISSION HOSPITALBOWEN UNIVERSITY TEACHING HOSPITALIRETI-OLU HOSPITALMOMOH MEMORIAL HOSPITALBAPTIST MEDICAL CENTRE, SAKIFOCUS HOSPITALKAUNA SPECIALIST HOSPITALMARYSOL SPECIALIST HOSPITALSAUKI GROUP OF CLINICS AND MATERNITY, JOSFERTILE GROUND HOSPITAL LTDMAY HOSPITAL, SHENDAMGBEYE HOSPITALDELTA SPECIALIST HOSPITALMUJE CLINICFOUNDATION CLINICGBEYE HOSPITALQUEEN OF PEACE HOSPITAL & MATERNITYEL-ROI SPECIALIST CLINICHILTON CLINICGREEN CARE MEDICAL CONSULTANTSMILITARY HOSPITALNEW HEIGHTS CONSULTANTS HOSPITALSPRINCESS MEDICAL CENTREPROVIDENCE CLINIC & MATERNITY LTD, PORTHARCOURTST PATRICK'S HOSPITAL LTDNEW MILE ONE HOSPITALMORNING STAR HOSPITAL LTDWESTHILL HOSPITALBONMARIA HOSPITAL LTD.POTTERS TOUCH MEDICAL CONSULTANTGBEYE HOSPITALPRESTIGE HOSPITALEL-SPECIALIST HOSPITALLIFECARE CENTRE LTDSHIELD SPECIALISTS HOSPITALDATTA MEDICAL CENTREOLUNWA MEDICAL CENTRENEW ORLINS HOSPITALSTANDARDCARE HEALTH SOLUTIONS LIMITEDCUMI MEDICAL CENTRESAHEL SPECIALIST CLINICSOKOTO CLINICUSMAN DAN FODIO TEACHING HOSPITALGENERAL HOSPITALMAMBILLA BAPTIST HOSPITALFEDERAL MEDICAL CENTRE, JALINGOAJIKO MEDICAL CENTRECITY MEDICAL CENTRE, YOBEPOTISKUM MEDICAL CENTREDAULA HOSPITAL & MATERNITY HOMEFEDERAL MEDICAL CENTRE, GUSAU Child 2 Details SurnameSurname First NameFirst Name Other NamesOther Names Gender*Gender! Select GenderMaleFemale Date of BirthDate of Birth date_range Upload Passportupload cloud_uploadUpload Child Two Passport Photograph Plan Typepick one! Select A Plan TypeECOBANK PlanBasic PlanAdvanced Basic PlanBasic Plus PlanAdvanced Basic plus PlanPremiun PlanUltimateOthers Preferred Hospital ECOBANK PlanPreferred Hospital! Select Preferred Hospital ECOBANK PlanCHRIST THE KING HOSPITAL, ABAEKEOMA MEMORIAL HOSPITALLIFE CARE CLINICS LTDLIVING WORD MISSION HOSPITALNEW ERA HOSPITAL, ABATHE NAZARETH CLINICFEDERAL MEDICAL CENTRE, UMUAHIAPRIMECARE SPECIALIST CLINICSALLIANCE HOSPITAL, ABUJADARA MEDICAL CENTREFEDERAL STAFF HOSPITAL, GWARINPAFEREPROD MEDICAL CENTREKINGS CARE HOSPITAL LTD, WUSE ZONE 4LIMI HOSPITAL & MATERNITY LTD, ABUJAPISION HOSPITALRUZ MEDICAL CENTRELOUIS PASTEUR HOSPITALSISTERS OF THE NATIVITY HOSPITALQUEENS CLINIC LTD, ABUJAEXCEL SPECIALIST HOSPITALSOFTSHELL SPECIALIST HOSPITAL LTDSPRINGBLOOM COUNTY HOSPITALJOYLAND MEDICAL CENTRE AND CHILDREN'S HOSPITALFAMILY CARE MULTICLINICS LTDLIVINGSTREAM SPECIALIST MEDICAL CENTREST MARY'S HOSPITAL, GWAGWALADAUNIVERSITY OF ABUJA TEACHING HOSPITALTRAUMA & MULTISPECIALTY CENTERKINGS CARE HOSPITAL LTD, KubwaALLISON CLINIC KUJEALFAD SPECIALIST MEDICAL CENTRESAUKI MEDICAL CENTRE, YOLAPEACE HOSPITALCALEB MEDICAL CENTERVEDDYSON HOSPITALIHA FOUNDATION MEDICAL CENTRETOTAL CARE CLINIC AND MATERNITYCHRIST VICTORY MEDICAL CENTREMOUNT OLIVE MEDICAL CENTREUBONG ABASI SPECIALIST HOSPITALDOMINGO SPECIALIST HOSPITALSSAN DOMINIQUE HOSPITALOUR LADY OF LOURDESSEFTON SPECIALIST MEDICAL CENTREIFEBI MEDICAL CENTERLIFE INTERNATIONAL HOSPITAL, AWKACHIBUZOR HOSPITAL & MATERNITYFELIX OKOLO MEMORIAL HOSPITAL, NNEWILIFE SPECIALIST HOSPITALJESUS IS LORD ROYAL HOSPITAL AND MATERNITYMERCY SPECIALIST HOSPITAL & MATERNITY, ONITSHAST CHARLSE BORROMEO HOSPITALKATAGUM MEDICAL CENTERNIIMA CONSULTANTS HOSPITALREMEE (RIMI) CLINICNINGI CLINIC & MATERNITYCREST CONSULTANT CLINICFEDERAL MEDICAL CENTRE, YENAGOAST PETERS HOSPITALBAKI CLINIC AND MATERNITYNKST HOSPITALFAMILY PRACTICE HOSPITALHOPE HOSPITALMADONNA HOSPITALPAMPAS HOSPITAL & MATERNITYQUEENS CLINIC LTD, MAKURDIOTIA CLINICST ANTHONY HOSPITALABBOTT CLINICNAKOWA SPECIALIST HOSPITALBORNO MEDICAL CENTREKANEM HOSPITAL & MATERNITYUNIVERSITY OF MAIDUGURI TEACHING HOSPITALSANTA MARIA CLINIC & MATERNITYBAKOR MEDICAL CENTRECITY CLINIC, CALABARFAITH FOUNDATION SPECIALIST CLINICIKPEME MEDICAL CENTREMEVOM SPECIALIST CLINICAMADO MEDICAL CENTREHOLY FAMILY CATHOLIC HOSPITAL, IKOMBAKOR MEDICAL CENTREANIOMA HOSPITALFEDERAL MEDICAL CENTRE, ASABAGOOD SAMARITAN HOSPITAL COMPLEXST. REBECCA SPECIALIST HOSPITALEL-COMFORT HOSPITALDELTA STATE UNIVERSITY TEACHING HOSPITALOUR LADY OF NIGERIA CATHOLIC HOSPITALLANA HOSPITALOBULE MEDICAL CENTREKOWA CLINIC, UGHELLICAPITOL HILL CLINIC/HOSPITALVERTIMON MEDICAL CENTREFAIRVIEW HOSPITALB.U CLINIC/HOSPITAL LTDREGAL CLINICDAYSPRING CLINICLILY HOSPITAL LIMITED WARRIFELIX MEMORIAL HOSPITAL, ABAKALIKICHRIST THE KING HOSPITAL AND MATERNITYFATE MEDICAL CENTREFAITH MEDICAL CENTREMODIC MEDICAL CENTREMOUNT GILEAD HOSPITALST PHILOMENA CATHOLIC HOSPITALTHE ROCK HOSPITALEDI INTERNATIONAL HOSPITAL LTDRAHI HOSPITALS LIMITEDST AUGUSTINE MEDICAL CENTREIRRUA SPECIALIST TEACHING HOSPITAL LILLY HOSPITAL LIITEDEKITI STATE UNIVERSITY TEACHING HOSPITAL, ADO - EKITIFEDERAL TEACHING HOSPITAL, IDO-EKITICHRIST THE KING, ENUGUMOTHER OF CHRIST SPECIALIST HOSPITALPEENOK MEDICAL CENTRERISTELLA HOSPITALST MARY'S HOSPITAL & MATERNITY, ENUGULIVINGSTON SPECIALIST HOSPITALST DANIEL CONSOLATA HOSPITALUNIVERSITY MEDICAL CENTREAKULUE MEMORIAL HOSPITALFEDERAL MEDICAL CENTRE, GOMBEMIYETTI HOSPITALMETRO CONSULTANTS CLINICIVORY CLINICST MARY CHILDREN AND COMMUNITY UMUOWA, ORLUIMO STATE UNIVERSITY TEACHING HOSPITAL, ORLUEZEM MEDICAL CENTREFEDERAL MEDICAL CENTRE, OWERRIFIRST CONCEPT HOSPITAL, OWERRIIKENEGBU HOSPITAL, MATERNITY & LABORATORY INTERNATIONAL CHRISTIAN HOSPITALLIFESPRING SPECIALIST HOSPITALSALVATION HOSPITAL & MATERNITYST. ELIZABETH HOSPITAL AND MATERNITYWINNIES HOSPITAL AND MATERNITYCHAPEL GROUP SPECIALISTS HOSPITALALBARKA CLINICHARMONY HOSPITAL LIMITEDALBARKA HOSPITAL & MATERNITYAMINA HOSPITALCHASEL HOSPITALGIWA HOSPITAL LTDJOWAKO HOSPITALMANEKS HOSPITALMENDS SPECIALIST HOSPITALMULTICLINIC SPECIALIST HOSPITALSEFA HOSPITALTIM UNITY SPECIALIST HOSPITALSALEM MEDICAL CENTREALMADINA CLINICLIMI HOSPITAL & MATERNITY LTD, ZARIAMAYFAIR CLINICS NIG LTDAMINU KANO TEACHING HOSPITALIDEAL HOSPITAL & MATERNITY LTDINTERNATIONAL CLINICS & HOSPITALSPREMIER CLINIC, KANOBISTIT HOSPITAL LTDAMFANI CLINIC AND MATERNITYFEDERAL MEDICAL CENTRE, KATSINAFEDERAL MEDICAL CENTRE, KEBBIKEBBI MULTI-SPECIALIST HOSPITALEQUITY HOSPITAL LIMITEDDDG MEDICAL CENTREDURO SOLEYE HOSPITALTOWNSHIP CLINICMARIA GORETTI HOSPITALNEIGHBOUR MULTICARE HOSPITAL & WOMEN WELLFARE CENTRE LTD.ECWA HOSPITALODOMA CLINICSST.JOHN'S CATHOLIC HOSPITALFEDERAL MEDICAL CENTRE, KOGINIGER HOSPITALPOLY CLINIC HOSPITAL & MATERNITYCARECREST SPECIALIST HOSPITAL & FERTILITY CENTREOGO-OLUWA HOSPITALANCHORMED HOSPITALBALM HOSPITAL LTDDELNIK HOSPITALKIDDIZ MEDICAL CENTREOLA OLU HOSPITALOLANREWAJU HOSPITAL LTDOMOLOLA HOSPITALSURULERE MEDICAL CENTRE ROLAKIM CLINIC & MATERNITYDANDY MEDICAL CENTRESTANDARD LIFE CARE HOSPITALP&G MEDICAL CENTREROPHE HOSPITALALL SOULS INFIRMARY, AGEGEBETTA HOSPITALPROMISE MEDICAL CENTREBUDO SPECIALIST HOSPITALDOREN SPECIALIST HOSPITALJ-RAPHA CLINICS & HOSPITAL, AJAHST EDWARD SPECIALIST HOSPITAL & CARDIAC CENTREDOVE HOSPITAL & HEALTHCARE SERVICES LTD.LENNOX HOSPITALHEALING FIELD HOSPITALHEDA HOSPITALRIVET SPECIALIST HOSPITALILOGBO CENTRAL HOSPITALALL SOULS CLINICS, AJEGUNLEKAAF MATERNITY AND CHILD CARE CENTREBEE HESS HOSPITALREM-YEMS HOSPITAL LTDLOBEL HOSPITALJEFIS SPECIALIST HOSPITALGODFREY SPECIALIST HOSPITALGLORIA HOSPITAL LTDTINCAN HOSPITAL GROUPOBISESAN NAVAL MEDICAL CENTRE, APAPAAKANBI MEMORIAL HOSPITALTHE GREAT PHYSICIAN HOSPITALCARE GIVER HOSPITAL, AJARAADEBAYO LIVING TOWER HOSPITAL, IMEKETHE ROYAL INFIRMARY HOSPITALR - JOLAD HOSPITALCRYSTAL SPECIALIST HOSPITALSTONE HILL MEDICAL CENTREHOPEWELL HOSPITAL LIMITEDMOUNT SINAI HOSPITAL GROUP, EBUTE-METTAFEDERAL MEDICAL CENTRE, EBUTE-METTACAREPOINT CLINIC EGBEDA LIMITEDLIGHT HOSPITAL AND MATERNITY HOME LTDTRUECARE MODEL HOSPITALGENERAL HOSPITAL, EPECEDAR HOSPITALEMEL HOSPITALGOLDEN CROSS INFIRMARY, FESTACSHEPHERD SPECIALIST HOSPITALAFRIMED OGP SPECIALIST HOSPITALANIYUN HOSPITAL LIMITEDPRIMROSE SPECIALIST HOSPITALMAKOG HOSPITALSSUBOL HOSPITALST THOMAS HOSPITALLONGING MEDICAL CENTREDE NEW AIYETORO MEDICAL CENTREADEMOLA HOSPITAL & MATERNITY LTDOSUNTUYI MEDICAL CENTREBLUE CROSS HOSPITALEKO HOSPITAL PLC, IKEJAHOLY TRINITY HOSPITALMOTAYO HOSPITALST MARYS SPECIALIST HOSPITAL, IKEJADONAS HOSPITALJOBI HOSPITALOAK HOSPITALSSHANU MEDICAL CENTREM-CRED HOSPITALS LIMITEDBROAD HOSPITAL & MATERNITYMOUNT PISGAH HOSPITAL LTDMOUNT SINAI HOSPITAL, EGBECITIZEN MEDICAL CENTREDIVINE MEDICAL CENTREBEST CARE HOSPITALLAGOON HOSPITAL HOSPITAL, IKOYIMAY CLINICS LTDGOD CURES HOSPITALMAY CLINICS LTD (Annex)ULTIMA MEDICARESHANU MEDICAL CENTREG.ESTATE CLINIC CONSORTIUMSOLAD MEDICAL CENTRESPARK VIEW HOSPITALHEALS SPECIALIST CLINICST EMMANUEL HOSPITALKROWN HOSPITALMUCAS HOSPITALVETA HOSPITAL LTDDAFE MEDICAL CENTRETHEO HOSPITAL LIMITEDAVON MEDICAL SERVICES LTD (CLINIC)BERNICE CLINICFIRST CITY DIAGNOSIS LTDLOUISMED HOSPITAL LIMITEDRAINBOW SPECIALIST MEDICAL CENTREUDECO MEDICAL CENTREGERMAINE HOSPITAL, LEKKIFIRST CITY HOSPITALJERICHO HOSPITALPINECREST SPECIALIST HOSPITALMAGODO SPECIALIST HOSPITALFIRST HERITAGE HOSPITALHILLSTAR CLINICS (NIGERIA) LTDOSUNTUYI MEDICAL CENTRE(ANNEX)FANIMED HOSPITALISALU HOSPITAL LIMITEDMED-IN SPECIALIST HOSPITALNIMBUS MEDICAL CENTRE ALHERI HOSPITAL, LAGOSSOLID ROCK HOSPITAL LTDHOREB CONSULT HOSPITALCHILDKID CHILDREN HOSPITALSIKEOYE HOPE CLINICAKINBOLADE SPECIALIST HOSPITALELPHY SPECIALIST HOSPITALKILADEJO HOSPITAL & SPECIALIST CLINICSST ANTHONY MEDICAL CENTRE & MATERNITY HOME LTDST RAPHAELS HOSPITAL LTDNEW EVOLUTION HOSPITAL LTDOMNI MEDICAL CENTRE, ONIKANDIALYZER SPECIALIST MEDICAL CENTREGOODNESS MEDICAL CENTREMAZAF MEDICAL CENTREGOD CURES HOSPITALRHOWIL TOTAL-CARE MEDICAL CENTREFASANMI CLINIC & MATERNITY HOME LTDIGBOLOGUN MEDICAL CENTREAB SPECIALIST HOSPITALAVON MEDICAL SERVICES LTD (HOSPITAL)DAN-EGERTON HOSPITALDAN-EGERTON HOSPITALEKO HOSPITAL PLC, SURULEREMERCY-THOMAS OREDUGBA MEDICAL CENTRE MEZONEL HOSPITALNEWDAY SPECIALIST CLINICOLANIBA MEMORIAL HOSPITALPROVIDENCE HOSPITAL LTD, SURULERETOPAZ CLINCTUNRAYO HOSPITAL NAVAL MEDICAL CENTREOUR LADY OF APOSTLES HOSPITALFEDERAL MEDICAL CENTRE, KEFFINAGARI ALLAH MAGANI HOSPITALJAMAA MEDICAL CENTREAGU HOSPITALDALHATU ARAF SPECIALIST HOSPITALSAUKI HOSPITAL, LAFIAKINGS CARE HOSPITAL LTD, MARARABAFEDERAL MEDICAL CENTRE, BIDANASARA CLINIC & MATERNITY HOSPITALRAINBOW CLINIC & MATERNITYBAY SPECIALIST HOSPITALGREAT FAITH MEDICAL CENTRETOP MEDICAL CLINICSTANDARD HOSPITAL & DIAGNOSTIC SERVICESKAINJI MEDICAL CENTREFARY GROUP CLINICCHARLES HEALTHCARE LTDSUZAN MEMORIAL CLINICFEDERAL MEDICAL CENTRE, ABEOKUTAMERCY GROUP CLINICSSACRED HEART HOSPITALANGEL & EAGLE SPECIALIST HOSPITALJOSEPH AND CHRISTIANAH SPECIALIST HOSPITALSOLAMEK SPECIALIST HOSPITALBEACHLAND SPECIALIST HOSPITALLABITRIX HOSPITALAKOBI SPECIALIST HOSPITALLAFIA KOWA HOSPITALPETERSON MEDICAL CENTREST. MICHAEL - ISRAEL SPECIALIST HOSPITAL LTD.STANDARD LIFE CARE HOSPITALBROADLAND HOSPITAL SERVICES LTDREDEEMER HEALTH CENTREABUNDANT LIFE HSOPITALMEDIC PLUS HOSPITALOTUNBA TUWASE NATIONAL PAEDIATRIC CENTREACE MEDICARE CLINICSFARAMED CLINICSIDERA HEALTH SERVICES LIMITEDIMPERIAL SPECIALIST HOSPITAL SERVICESOLABISI ONABANJO UNIVERSITY TEACHING HOSPITALPROMISE MEDICAL CENTREFAME MEDICAL SERVICESSHIRISH CLINICHETTA MEDICAL CENTREST. SHILOH MEDICAL CENTREFIRST MERCY SPECIALIST HOSPITALTIM UNITY SPECIALIST HOSPITALLULI HOSPITALINLAND MEDICAL CENTREIBUKUN-OLU HOSPITALSSTATE SPECIALIST HOSPITALBABALOLA MEDICAL CENTREARIF MEDICAL CENTREPIMA HOSPITAL AND MATERNITY OAUTH COMPLEXST. VICTORIA SPECIALIST HOSPITAL APEX MEDICAL CENTREADENLE MEMORIAL HOSPITALLIVING PETALS MEDICAL CENTREEMMANUEL MEDICAL CENTREABAKE MEDICAL CENTREBIKET MEDICAL CENTREONWARD SPECIALIST HOSPITALOROKI SPECIALIST HOSPITAL ALAFIA HOSPITALBADEJOKO MEMORIAL HOSP & MATERNITYBANBY SPECIALIST HOSPITALFELEWA HOSPITAL XXXJOLAMADE SPECIALIST HOSPITALJ-RAPHA CLINICS & HOSPITAL, IBADANLANARK SPECIALIST HOSPITALMEDICAL PRACTITIONERS LTDMOLLY SPECIALIST HOSPITALTEJU SPECIALIST HOSPITALTHE VINE HOSPITAL & MATERNITY CENTRETOBI MEDICAL CENTRE LTDZOE SPECIALIST MISSION HOSPITALBOWEN UNIVERSITY TEACHING HOSPITALIRETI-OLU HOSPITALMOMOH MEMORIAL HOSPITALBAPTIST MEDICAL CENTRE, SAKIFOCUS HOSPITALKAUNA SPECIALIST HOSPITALMARYSOL SPECIALIST HOSPITALSAUKI GROUP OF CLINICS AND MATERNITY, JOSFERTILE GROUND HOSPITAL LTDMAY HOSPITAL, SHENDAMGBEYE HOSPITALDELTA SPECIALIST HOSPITALMUJE CLINICFOUNDATION CLINICGBEYE HOSPITALQUEEN OF PEACE HOSPITAL & MATERNITYEL-ROI SPECIALIST CLINICHILTON CLINICGREEN CARE MEDICAL CONSULTANTSMILITARY HOSPITALNEW HEIGHTS CONSULTANTS HOSPITALSPRINCESS MEDICAL CENTREPROVIDENCE CLINIC & MATERNITY LTD, PORTHARCOURTST PATRICK'S HOSPITAL LTDNEW MILE ONE HOSPITALMORNING STAR HOSPITAL LTDWESTHILL HOSPITALBONMARIA HOSPITAL LTD.POTTERS TOUCH MEDICAL CONSULTANTGBEYE HOSPITALPRESTIGE HOSPITALEL-SPECIALIST HOSPITALLIFECARE CENTRE LTDSHIELD SPECIALISTS HOSPITALDATTA MEDICAL CENTREOLUNWA MEDICAL CENTRENEW ORLINS HOSPITALSTANDARDCARE HEALTH SOLUTIONS LIMITEDCUMI MEDICAL CENTRESAHEL SPECIALIST CLINICSOKOTO CLINICUSMAN DAN FODIO TEACHING HOSPITALGENERAL HOSPITALMAMBILLA BAPTIST HOSPITALFEDERAL MEDICAL CENTRE, JALINGOAJIKO MEDICAL CENTRECITY MEDICAL CENTRE, YOBEPOTISKUM MEDICAL CENTREDAULA HOSPITAL & MATERNITY HOMEFEDERAL MEDICAL CENTRE, GUSAU Child 3 Details SurnameSurname First NameFirst Name Other NamesOther Names Gender*Gender! Select GenderMaleFemale Date of BirthDate of Birth date_range Upload Passportupload cloud_uploadUpload Child Three Passport Photograph Plan Typepick one! Select A Plan TypeECOBANK PlanBasic PlanAdvanced Basic PlanBasic Plus PlanAdvanced Basic plus PlanPremiun PlanUltimateOthers Preferred Hospital ECOBANK PlanPreferred Hospital! Select Preferred Hospital ECOBANK PlanCHRIST THE KING HOSPITAL, ABAEKEOMA MEMORIAL HOSPITALLIFE CARE CLINICS LTDLIVING WORD MISSION HOSPITALNEW ERA HOSPITAL, ABATHE NAZARETH CLINICFEDERAL MEDICAL CENTRE, UMUAHIAPRIMECARE SPECIALIST CLINICSALLIANCE HOSPITAL, ABUJADARA MEDICAL CENTREFEDERAL STAFF HOSPITAL, GWARINPAFEREPROD MEDICAL CENTREKINGS CARE HOSPITAL LTD, WUSE ZONE 4LIMI HOSPITAL & MATERNITY LTD, ABUJAPISION HOSPITALRUZ MEDICAL CENTRELOUIS PASTEUR HOSPITALSISTERS OF THE NATIVITY HOSPITALQUEENS CLINIC LTD, ABUJAEXCEL SPECIALIST HOSPITALSOFTSHELL SPECIALIST HOSPITAL LTDSPRINGBLOOM COUNTY HOSPITALJOYLAND MEDICAL CENTRE AND CHILDREN'S HOSPITALFAMILY CARE MULTICLINICS LTDLIVINGSTREAM SPECIALIST MEDICAL CENTREST MARY'S HOSPITAL, GWAGWALADAUNIVERSITY OF ABUJA TEACHING HOSPITALTRAUMA & MULTISPECIALTY CENTERKINGS CARE HOSPITAL LTD, KubwaALLISON CLINIC KUJEALFAD SPECIALIST MEDICAL CENTRESAUKI MEDICAL CENTRE, YOLAPEACE HOSPITALCALEB MEDICAL CENTERVEDDYSON HOSPITALIHA FOUNDATION MEDICAL CENTRETOTAL CARE CLINIC AND MATERNITYCHRIST VICTORY MEDICAL CENTREMOUNT OLIVE MEDICAL CENTREUBONG ABASI SPECIALIST HOSPITALDOMINGO SPECIALIST HOSPITALSSAN DOMINIQUE HOSPITALOUR LADY OF LOURDESSEFTON SPECIALIST MEDICAL CENTREIFEBI MEDICAL CENTERLIFE INTERNATIONAL HOSPITAL, AWKACHIBUZOR HOSPITAL & MATERNITYFELIX OKOLO MEMORIAL HOSPITAL, NNEWILIFE SPECIALIST HOSPITALJESUS IS LORD ROYAL HOSPITAL AND MATERNITYMERCY SPECIALIST HOSPITAL & MATERNITY, ONITSHAST CHARLSE BORROMEO HOSPITALKATAGUM MEDICAL CENTERNIIMA CONSULTANTS HOSPITALREMEE (RIMI) CLINICNINGI CLINIC & MATERNITYCREST CONSULTANT CLINICFEDERAL MEDICAL CENTRE, YENAGOAST PETERS HOSPITALBAKI CLINIC AND MATERNITYNKST HOSPITALFAMILY PRACTICE HOSPITALHOPE HOSPITALMADONNA HOSPITALPAMPAS HOSPITAL & MATERNITYQUEENS CLINIC LTD, MAKURDIOTIA CLINICST ANTHONY HOSPITALABBOTT CLINICNAKOWA SPECIALIST HOSPITALBORNO MEDICAL CENTREKANEM HOSPITAL & MATERNITYUNIVERSITY OF MAIDUGURI TEACHING HOSPITALSANTA MARIA CLINIC & MATERNITYBAKOR MEDICAL CENTRECITY CLINIC, CALABARFAITH FOUNDATION SPECIALIST CLINICIKPEME MEDICAL CENTREMEVOM SPECIALIST CLINICAMADO MEDICAL CENTREHOLY FAMILY CATHOLIC HOSPITAL, IKOMBAKOR MEDICAL CENTREANIOMA HOSPITALFEDERAL MEDICAL CENTRE, ASABAGOOD SAMARITAN HOSPITAL COMPLEXST. REBECCA SPECIALIST HOSPITALEL-COMFORT HOSPITALDELTA STATE UNIVERSITY TEACHING HOSPITALOUR LADY OF NIGERIA CATHOLIC HOSPITALLANA HOSPITALOBULE MEDICAL CENTREKOWA CLINIC, UGHELLICAPITOL HILL CLINIC/HOSPITALVERTIMON MEDICAL CENTREFAIRVIEW HOSPITALB.U CLINIC/HOSPITAL LTDREGAL CLINICDAYSPRING CLINICLILY HOSPITAL LIMITED WARRIFELIX MEMORIAL HOSPITAL, ABAKALIKICHRIST THE KING HOSPITAL AND MATERNITYFATE MEDICAL CENTREFAITH MEDICAL CENTREMODIC MEDICAL CENTREMOUNT GILEAD HOSPITALST PHILOMENA CATHOLIC HOSPITALTHE ROCK HOSPITALEDI INTERNATIONAL HOSPITAL LTDRAHI HOSPITALS LIMITEDST AUGUSTINE MEDICAL CENTREIRRUA SPECIALIST TEACHING HOSPITAL LILLY HOSPITAL LIITEDEKITI STATE UNIVERSITY TEACHING HOSPITAL, ADO - EKITIFEDERAL TEACHING HOSPITAL, IDO-EKITICHRIST THE KING, ENUGUMOTHER OF CHRIST SPECIALIST HOSPITALPEENOK MEDICAL CENTRERISTELLA HOSPITALST MARY'S HOSPITAL & MATERNITY, ENUGULIVINGSTON SPECIALIST HOSPITALST DANIEL CONSOLATA HOSPITALUNIVERSITY MEDICAL CENTREAKULUE MEMORIAL HOSPITALFEDERAL MEDICAL CENTRE, GOMBEMIYETTI HOSPITALMETRO CONSULTANTS CLINICIVORY CLINICST MARY CHILDREN AND COMMUNITY UMUOWA, ORLUIMO STATE UNIVERSITY TEACHING HOSPITAL, ORLUEZEM MEDICAL CENTREFEDERAL MEDICAL CENTRE, OWERRIFIRST CONCEPT HOSPITAL, OWERRIIKENEGBU HOSPITAL, MATERNITY & LABORATORY INTERNATIONAL CHRISTIAN HOSPITALLIFESPRING SPECIALIST HOSPITALSALVATION HOSPITAL & MATERNITYST. ELIZABETH HOSPITAL AND MATERNITYWINNIES HOSPITAL AND MATERNITYCHAPEL GROUP SPECIALISTS HOSPITALALBARKA CLINICHARMONY HOSPITAL LIMITEDALBARKA HOSPITAL & MATERNITYAMINA HOSPITALCHASEL HOSPITALGIWA HOSPITAL LTDJOWAKO HOSPITALMANEKS HOSPITALMENDS SPECIALIST HOSPITALMULTICLINIC SPECIALIST HOSPITALSEFA HOSPITALTIM UNITY SPECIALIST HOSPITALSALEM MEDICAL CENTREALMADINA CLINICLIMI HOSPITAL & MATERNITY LTD, ZARIAMAYFAIR CLINICS NIG LTDAMINU KANO TEACHING HOSPITALIDEAL HOSPITAL & MATERNITY LTDINTERNATIONAL CLINICS & HOSPITALSPREMIER CLINIC, KANOBISTIT HOSPITAL LTDAMFANI CLINIC AND MATERNITYFEDERAL MEDICAL CENTRE, KATSINAFEDERAL MEDICAL CENTRE, KEBBIKEBBI MULTI-SPECIALIST HOSPITALEQUITY HOSPITAL LIMITEDDDG MEDICAL CENTREDURO SOLEYE HOSPITALTOWNSHIP CLINICMARIA GORETTI HOSPITALNEIGHBOUR MULTICARE HOSPITAL & WOMEN WELLFARE CENTRE LTD.ECWA HOSPITALODOMA CLINICSST.JOHN'S CATHOLIC HOSPITALFEDERAL MEDICAL CENTRE, KOGINIGER HOSPITALPOLY CLINIC HOSPITAL & MATERNITYCARECREST SPECIALIST HOSPITAL & FERTILITY CENTREOGO-OLUWA HOSPITALANCHORMED HOSPITALBALM HOSPITAL LTDDELNIK HOSPITALKIDDIZ MEDICAL CENTREOLA OLU HOSPITALOLANREWAJU HOSPITAL LTDOMOLOLA HOSPITALSURULERE MEDICAL CENTRE ROLAKIM CLINIC & MATERNITYDANDY MEDICAL CENTRESTANDARD LIFE CARE HOSPITALP&G MEDICAL CENTREROPHE HOSPITALALL SOULS INFIRMARY, AGEGEBETTA HOSPITALPROMISE MEDICAL CENTREBUDO SPECIALIST HOSPITALDOREN SPECIALIST HOSPITALJ-RAPHA CLINICS & HOSPITAL, AJAHST EDWARD SPECIALIST HOSPITAL & CARDIAC CENTREDOVE HOSPITAL & HEALTHCARE SERVICES LTD.LENNOX HOSPITALHEALING FIELD HOSPITALHEDA HOSPITALRIVET SPECIALIST HOSPITALILOGBO CENTRAL HOSPITALALL SOULS CLINICS, AJEGUNLEKAAF MATERNITY AND CHILD CARE CENTREBEE HESS HOSPITALREM-YEMS HOSPITAL LTDLOBEL HOSPITALJEFIS SPECIALIST HOSPITALGODFREY SPECIALIST HOSPITALGLORIA HOSPITAL LTDTINCAN HOSPITAL GROUPOBISESAN NAVAL MEDICAL CENTRE, APAPAAKANBI MEMORIAL HOSPITALTHE GREAT PHYSICIAN HOSPITALCARE GIVER HOSPITAL, AJARAADEBAYO LIVING TOWER HOSPITAL, IMEKETHE ROYAL INFIRMARY HOSPITALR - JOLAD HOSPITALCRYSTAL SPECIALIST HOSPITALSTONE HILL MEDICAL CENTREHOPEWELL HOSPITAL LIMITEDMOUNT SINAI HOSPITAL GROUP, EBUTE-METTAFEDERAL MEDICAL CENTRE, EBUTE-METTACAREPOINT CLINIC EGBEDA LIMITEDLIGHT HOSPITAL AND MATERNITY HOME LTDTRUECARE MODEL HOSPITALGENERAL HOSPITAL, EPECEDAR HOSPITALEMEL HOSPITALGOLDEN CROSS INFIRMARY, FESTACSHEPHERD SPECIALIST HOSPITALAFRIMED OGP SPECIALIST HOSPITALANIYUN HOSPITAL LIMITEDPRIMROSE SPECIALIST HOSPITALMAKOG HOSPITALSSUBOL HOSPITALST THOMAS HOSPITALLONGING MEDICAL CENTREDE NEW AIYETORO MEDICAL CENTREADEMOLA HOSPITAL & MATERNITY LTDOSUNTUYI MEDICAL CENTREBLUE CROSS HOSPITALEKO HOSPITAL PLC, IKEJAHOLY TRINITY HOSPITALMOTAYO HOSPITALST MARYS SPECIALIST HOSPITAL, IKEJADONAS HOSPITALJOBI HOSPITALOAK HOSPITALSSHANU MEDICAL CENTREM-CRED HOSPITALS LIMITEDBROAD HOSPITAL & MATERNITYMOUNT PISGAH HOSPITAL LTDMOUNT SINAI HOSPITAL, EGBECITIZEN MEDICAL CENTREDIVINE MEDICAL CENTREBEST CARE HOSPITALLAGOON HOSPITAL HOSPITAL, IKOYIMAY CLINICS LTDGOD CURES HOSPITALMAY CLINICS LTD (Annex)ULTIMA MEDICARESHANU MEDICAL CENTREG.ESTATE CLINIC CONSORTIUMSOLAD MEDICAL CENTRESPARK VIEW HOSPITALHEALS SPECIALIST CLINICST EMMANUEL HOSPITALKROWN HOSPITALMUCAS HOSPITALVETA HOSPITAL LTDDAFE MEDICAL CENTRETHEO HOSPITAL LIMITEDAVON MEDICAL SERVICES LTD (CLINIC)BERNICE CLINICFIRST CITY DIAGNOSIS LTDLOUISMED HOSPITAL LIMITEDRAINBOW SPECIALIST MEDICAL CENTREUDECO MEDICAL CENTREGERMAINE HOSPITAL, LEKKIFIRST CITY HOSPITALJERICHO HOSPITALPINECREST SPECIALIST HOSPITALMAGODO SPECIALIST HOSPITALFIRST HERITAGE HOSPITALHILLSTAR CLINICS (NIGERIA) LTDOSUNTUYI MEDICAL CENTRE(ANNEX)FANIMED HOSPITALISALU HOSPITAL LIMITEDMED-IN SPECIALIST HOSPITALNIMBUS MEDICAL CENTRE ALHERI HOSPITAL, LAGOSSOLID ROCK HOSPITAL LTDHOREB CONSULT HOSPITALCHILDKID CHILDREN HOSPITALSIKEOYE HOPE CLINICAKINBOLADE SPECIALIST HOSPITALELPHY SPECIALIST HOSPITALKILADEJO HOSPITAL & SPECIALIST CLINICSST ANTHONY MEDICAL CENTRE & MATERNITY HOME LTDST RAPHAELS HOSPITAL LTDNEW EVOLUTION HOSPITAL LTDOMNI MEDICAL CENTRE, ONIKANDIALYZER SPECIALIST MEDICAL CENTREGOODNESS MEDICAL CENTREMAZAF MEDICAL CENTREGOD CURES HOSPITALRHOWIL TOTAL-CARE MEDICAL CENTREFASANMI CLINIC & MATERNITY HOME LTDIGBOLOGUN MEDICAL CENTREAB SPECIALIST HOSPITALAVON MEDICAL SERVICES LTD (HOSPITAL)DAN-EGERTON HOSPITALDAN-EGERTON HOSPITALEKO HOSPITAL PLC, SURULEREMERCY-THOMAS OREDUGBA MEDICAL CENTRE MEZONEL HOSPITALNEWDAY SPECIALIST CLINICOLANIBA MEMORIAL HOSPITALPROVIDENCE HOSPITAL LTD, SURULERETOPAZ CLINCTUNRAYO HOSPITAL NAVAL MEDICAL CENTREOUR LADY OF APOSTLES HOSPITALFEDERAL MEDICAL CENTRE, KEFFINAGARI ALLAH MAGANI HOSPITALJAMAA MEDICAL CENTREAGU HOSPITALDALHATU ARAF SPECIALIST HOSPITALSAUKI HOSPITAL, LAFIAKINGS CARE HOSPITAL LTD, MARARABAFEDERAL MEDICAL CENTRE, BIDANASARA CLINIC & MATERNITY HOSPITALRAINBOW CLINIC & MATERNITYBAY SPECIALIST HOSPITALGREAT FAITH MEDICAL CENTRETOP MEDICAL CLINICSTANDARD HOSPITAL & DIAGNOSTIC SERVICESKAINJI MEDICAL CENTREFARY GROUP CLINICCHARLES HEALTHCARE LTDSUZAN MEMORIAL CLINICFEDERAL MEDICAL CENTRE, ABEOKUTAMERCY GROUP CLINICSSACRED HEART HOSPITALANGEL & EAGLE SPECIALIST HOSPITALJOSEPH AND CHRISTIANAH SPECIALIST HOSPITALSOLAMEK SPECIALIST HOSPITALBEACHLAND SPECIALIST HOSPITALLABITRIX HOSPITALAKOBI SPECIALIST HOSPITALLAFIA KOWA HOSPITALPETERSON MEDICAL CENTREST. MICHAEL - ISRAEL SPECIALIST HOSPITAL LTD.STANDARD LIFE CARE HOSPITALBROADLAND HOSPITAL SERVICES LTDREDEEMER HEALTH CENTREABUNDANT LIFE HSOPITALMEDIC PLUS HOSPITALOTUNBA TUWASE NATIONAL PAEDIATRIC CENTREACE MEDICARE CLINICSFARAMED CLINICSIDERA HEALTH SERVICES LIMITEDIMPERIAL SPECIALIST HOSPITAL SERVICESOLABISI ONABANJO UNIVERSITY TEACHING HOSPITALPROMISE MEDICAL CENTREFAME MEDICAL SERVICESSHIRISH CLINICHETTA MEDICAL CENTREST. SHILOH MEDICAL CENTREFIRST MERCY SPECIALIST HOSPITALTIM UNITY SPECIALIST HOSPITALLULI HOSPITALINLAND MEDICAL CENTREIBUKUN-OLU HOSPITALSSTATE SPECIALIST HOSPITALBABALOLA MEDICAL CENTREARIF MEDICAL CENTREPIMA HOSPITAL AND MATERNITY OAUTH COMPLEXST. VICTORIA SPECIALIST HOSPITAL APEX MEDICAL CENTREADENLE MEMORIAL HOSPITALLIVING PETALS MEDICAL CENTREEMMANUEL MEDICAL CENTREABAKE MEDICAL CENTREBIKET MEDICAL CENTREONWARD SPECIALIST HOSPITALOROKI SPECIALIST HOSPITAL ALAFIA HOSPITALBADEJOKO MEMORIAL HOSP & MATERNITYBANBY SPECIALIST HOSPITALFELEWA HOSPITAL XXXJOLAMADE SPECIALIST HOSPITALJ-RAPHA CLINICS & HOSPITAL, IBADANLANARK SPECIALIST HOSPITALMEDICAL PRACTITIONERS LTDMOLLY SPECIALIST HOSPITALTEJU SPECIALIST HOSPITALTHE VINE HOSPITAL & MATERNITY CENTRETOBI MEDICAL CENTRE LTDZOE SPECIALIST MISSION HOSPITALBOWEN UNIVERSITY TEACHING HOSPITALIRETI-OLU HOSPITALMOMOH MEMORIAL HOSPITALBAPTIST MEDICAL CENTRE, SAKIFOCUS HOSPITALKAUNA SPECIALIST HOSPITALMARYSOL SPECIALIST HOSPITALSAUKI GROUP OF CLINICS AND MATERNITY, JOSFERTILE GROUND HOSPITAL LTDMAY HOSPITAL, SHENDAMGBEYE HOSPITALDELTA SPECIALIST HOSPITALMUJE CLINICFOUNDATION CLINICGBEYE HOSPITALQUEEN OF PEACE HOSPITAL & MATERNITYEL-ROI SPECIALIST CLINICHILTON CLINICGREEN CARE MEDICAL CONSULTANTSMILITARY HOSPITALNEW HEIGHTS CONSULTANTS HOSPITALSPRINCESS MEDICAL CENTREPROVIDENCE CLINIC & MATERNITY LTD, PORTHARCOURTST PATRICK'S HOSPITAL LTDNEW MILE ONE HOSPITALMORNING STAR HOSPITAL LTDWESTHILL HOSPITALBONMARIA HOSPITAL LTD.POTTERS TOUCH MEDICAL CONSULTANTGBEYE HOSPITALPRESTIGE HOSPITALEL-SPECIALIST HOSPITALLIFECARE CENTRE LTDSHIELD SPECIALISTS HOSPITALDATTA MEDICAL CENTREOLUNWA MEDICAL CENTRENEW ORLINS HOSPITALSTANDARDCARE HEALTH SOLUTIONS LIMITEDCUMI MEDICAL CENTRESAHEL SPECIALIST CLINICSOKOTO CLINICUSMAN DAN FODIO TEACHING HOSPITALGENERAL HOSPITALMAMBILLA BAPTIST HOSPITALFEDERAL MEDICAL CENTRE, JALINGOAJIKO MEDICAL CENTRECITY MEDICAL CENTRE, YOBEPOTISKUM MEDICAL CENTREDAULA HOSPITAL & MATERNITY HOMEFEDERAL MEDICAL CENTRE, GUSAU Child 4 Details SurnameSurname Upload Passportupload cloud_uploadUpload Child Four Passport Photograph First NameFirst Name Other NamesOther Names Gender*Gender! 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Select Preferred Hospital ECOBANK PlanCHRIST THE KING HOSPITAL, ABAEKEOMA MEMORIAL HOSPITALLIFE CARE CLINICS LTDLIVING WORD MISSION HOSPITALNEW ERA HOSPITAL, ABATHE NAZARETH CLINICFEDERAL MEDICAL CENTRE, UMUAHIAPRIMECARE SPECIALIST CLINICSALLIANCE HOSPITAL, ABUJADARA MEDICAL CENTREFEDERAL STAFF HOSPITAL, GWARINPAFEREPROD MEDICAL CENTREKINGS CARE HOSPITAL LTD, WUSE ZONE 4LIMI HOSPITAL & MATERNITY LTD, ABUJAPISION HOSPITALRUZ MEDICAL CENTRELOUIS PASTEUR HOSPITALSISTERS OF THE NATIVITY HOSPITALQUEENS CLINIC LTD, ABUJAEXCEL SPECIALIST HOSPITALSOFTSHELL SPECIALIST HOSPITAL LTDSPRINGBLOOM COUNTY HOSPITALJOYLAND MEDICAL CENTRE AND CHILDREN'S HOSPITALFAMILY CARE MULTICLINICS LTDLIVINGSTREAM SPECIALIST MEDICAL CENTREST MARY'S HOSPITAL, GWAGWALADAUNIVERSITY OF ABUJA TEACHING HOSPITALTRAUMA & MULTISPECIALTY CENTERKINGS CARE HOSPITAL LTD, KubwaALLISON CLINIC KUJEALFAD SPECIALIST MEDICAL CENTRESAUKI MEDICAL CENTRE, YOLAPEACE HOSPITALCALEB MEDICAL CENTERVEDDYSON HOSPITALIHA FOUNDATION MEDICAL CENTRETOTAL CARE CLINIC AND MATERNITYCHRIST VICTORY MEDICAL CENTREMOUNT OLIVE MEDICAL CENTREUBONG ABASI SPECIALIST HOSPITALDOMINGO SPECIALIST HOSPITALSSAN DOMINIQUE HOSPITALOUR LADY OF LOURDESSEFTON SPECIALIST MEDICAL CENTREIFEBI MEDICAL CENTERLIFE INTERNATIONAL HOSPITAL, AWKACHIBUZOR HOSPITAL & MATERNITYFELIX OKOLO MEMORIAL HOSPITAL, NNEWILIFE SPECIALIST HOSPITALJESUS IS LORD ROYAL HOSPITAL AND MATERNITYMERCY SPECIALIST HOSPITAL & MATERNITY, ONITSHAST CHARLSE BORROMEO HOSPITALKATAGUM MEDICAL CENTERNIIMA CONSULTANTS HOSPITALREMEE (RIMI) CLINICNINGI CLINIC & MATERNITYCREST CONSULTANT CLINICFEDERAL MEDICAL CENTRE, YENAGOAST PETERS HOSPITALBAKI CLINIC AND MATERNITYNKST HOSPITALFAMILY PRACTICE HOSPITALHOPE HOSPITALMADONNA HOSPITALPAMPAS HOSPITAL & MATERNITYQUEENS CLINIC LTD, MAKURDIOTIA CLINICST ANTHONY HOSPITALABBOTT CLINICNAKOWA SPECIALIST HOSPITALBORNO MEDICAL CENTREKANEM HOSPITAL & MATERNITYUNIVERSITY OF MAIDUGURI TEACHING HOSPITALSANTA MARIA CLINIC & MATERNITYBAKOR MEDICAL CENTRECITY CLINIC, CALABARFAITH FOUNDATION SPECIALIST CLINICIKPEME MEDICAL CENTREMEVOM SPECIALIST CLINICAMADO MEDICAL CENTREHOLY FAMILY CATHOLIC HOSPITAL, IKOMBAKOR MEDICAL CENTREANIOMA HOSPITALFEDERAL MEDICAL CENTRE, ASABAGOOD SAMARITAN HOSPITAL COMPLEXST. REBECCA SPECIALIST HOSPITALEL-COMFORT HOSPITALDELTA STATE UNIVERSITY TEACHING HOSPITALOUR LADY OF NIGERIA CATHOLIC HOSPITALLANA HOSPITALOBULE MEDICAL CENTREKOWA CLINIC, UGHELLICAPITOL HILL CLINIC/HOSPITALVERTIMON MEDICAL CENTREFAIRVIEW HOSPITALB.U CLINIC/HOSPITAL LTDREGAL CLINICDAYSPRING CLINICLILY HOSPITAL LIMITED WARRIFELIX MEMORIAL HOSPITAL, ABAKALIKICHRIST THE KING HOSPITAL AND MATERNITYFATE MEDICAL CENTREFAITH MEDICAL CENTREMODIC MEDICAL CENTREMOUNT GILEAD HOSPITALST PHILOMENA CATHOLIC HOSPITALTHE ROCK HOSPITALEDI INTERNATIONAL HOSPITAL LTDRAHI HOSPITALS LIMITEDST AUGUSTINE MEDICAL CENTREIRRUA SPECIALIST TEACHING HOSPITAL LILLY HOSPITAL LIITEDEKITI STATE UNIVERSITY TEACHING HOSPITAL, ADO - EKITIFEDERAL TEACHING HOSPITAL, IDO-EKITICHRIST THE KING, ENUGUMOTHER OF CHRIST SPECIALIST HOSPITALPEENOK MEDICAL CENTRERISTELLA HOSPITALST MARY'S HOSPITAL & MATERNITY, ENUGULIVINGSTON SPECIALIST HOSPITALST DANIEL CONSOLATA HOSPITALUNIVERSITY MEDICAL CENTREAKULUE MEMORIAL HOSPITALFEDERAL MEDICAL CENTRE, GOMBEMIYETTI HOSPITALMETRO CONSULTANTS CLINICIVORY CLINICST MARY CHILDREN AND COMMUNITY UMUOWA, ORLUIMO STATE UNIVERSITY TEACHING HOSPITAL, ORLUEZEM MEDICAL CENTREFEDERAL MEDICAL CENTRE, OWERRIFIRST CONCEPT HOSPITAL, OWERRIIKENEGBU HOSPITAL, MATERNITY & LABORATORY INTERNATIONAL CHRISTIAN HOSPITALLIFESPRING SPECIALIST HOSPITALSALVATION HOSPITAL & MATERNITYST. ELIZABETH HOSPITAL AND MATERNITYWINNIES HOSPITAL AND MATERNITYCHAPEL GROUP SPECIALISTS HOSPITALALBARKA CLINICHARMONY HOSPITAL LIMITEDALBARKA HOSPITAL & MATERNITYAMINA HOSPITALCHASEL HOSPITALGIWA HOSPITAL LTDJOWAKO HOSPITALMANEKS HOSPITALMENDS SPECIALIST HOSPITALMULTICLINIC SPECIALIST HOSPITALSEFA HOSPITALTIM UNITY SPECIALIST HOSPITALSALEM MEDICAL CENTREALMADINA CLINICLIMI HOSPITAL & MATERNITY LTD, ZARIAMAYFAIR CLINICS NIG LTDAMINU KANO TEACHING HOSPITALIDEAL HOSPITAL & MATERNITY LTDINTERNATIONAL CLINICS & HOSPITALSPREMIER CLINIC, KANOBISTIT HOSPITAL LTDAMFANI CLINIC AND MATERNITYFEDERAL MEDICAL CENTRE, KATSINAFEDERAL MEDICAL CENTRE, KEBBIKEBBI MULTI-SPECIALIST HOSPITALEQUITY HOSPITAL LIMITEDDDG MEDICAL CENTREDURO SOLEYE HOSPITALTOWNSHIP CLINICMARIA GORETTI HOSPITALNEIGHBOUR MULTICARE HOSPITAL & WOMEN WELLFARE CENTRE LTD.ECWA HOSPITALODOMA CLINICSST.JOHN'S CATHOLIC HOSPITALFEDERAL MEDICAL CENTRE, KOGINIGER HOSPITALPOLY CLINIC HOSPITAL & MATERNITYCARECREST SPECIALIST HOSPITAL & FERTILITY CENTREOGO-OLUWA HOSPITALANCHORMED HOSPITALBALM HOSPITAL LTDDELNIK HOSPITALKIDDIZ MEDICAL CENTREOLA OLU HOSPITALOLANREWAJU HOSPITAL LTDOMOLOLA HOSPITALSURULERE MEDICAL CENTRE ROLAKIM CLINIC & MATERNITYDANDY MEDICAL CENTRESTANDARD LIFE CARE HOSPITALP&G MEDICAL CENTREROPHE HOSPITALALL SOULS INFIRMARY, AGEGEBETTA HOSPITALPROMISE MEDICAL CENTREBUDO SPECIALIST HOSPITALDOREN SPECIALIST HOSPITALJ-RAPHA CLINICS & HOSPITAL, AJAHST EDWARD SPECIALIST HOSPITAL & CARDIAC CENTREDOVE HOSPITAL & HEALTHCARE SERVICES LTD.LENNOX HOSPITALHEALING FIELD HOSPITALHEDA HOSPITALRIVET SPECIALIST HOSPITALILOGBO CENTRAL HOSPITALALL SOULS CLINICS, AJEGUNLEKAAF MATERNITY AND CHILD CARE CENTREBEE HESS HOSPITALREM-YEMS HOSPITAL LTDLOBEL HOSPITALJEFIS SPECIALIST HOSPITALGODFREY SPECIALIST HOSPITALGLORIA HOSPITAL LTDTINCAN HOSPITAL GROUPOBISESAN NAVAL MEDICAL CENTRE, APAPAAKANBI MEMORIAL HOSPITALTHE GREAT PHYSICIAN HOSPITALCARE GIVER HOSPITAL, AJARAADEBAYO LIVING TOWER HOSPITAL, IMEKETHE ROYAL INFIRMARY HOSPITALR - JOLAD HOSPITALCRYSTAL SPECIALIST HOSPITALSTONE HILL MEDICAL CENTREHOPEWELL HOSPITAL LIMITEDMOUNT SINAI HOSPITAL GROUP, EBUTE-METTAFEDERAL MEDICAL CENTRE, EBUTE-METTACAREPOINT CLINIC EGBEDA LIMITEDLIGHT HOSPITAL AND MATERNITY HOME LTDTRUECARE MODEL HOSPITALGENERAL HOSPITAL, EPECEDAR HOSPITALEMEL HOSPITALGOLDEN CROSS INFIRMARY, FESTACSHEPHERD SPECIALIST HOSPITALAFRIMED OGP SPECIALIST HOSPITALANIYUN HOSPITAL LIMITEDPRIMROSE SPECIALIST HOSPITALMAKOG HOSPITALSSUBOL HOSPITALST THOMAS HOSPITALLONGING MEDICAL CENTREDE NEW AIYETORO MEDICAL CENTREADEMOLA HOSPITAL & MATERNITY LTDOSUNTUYI MEDICAL CENTREBLUE CROSS HOSPITALEKO HOSPITAL PLC, IKEJAHOLY TRINITY HOSPITALMOTAYO HOSPITALST MARYS SPECIALIST HOSPITAL, IKEJADONAS HOSPITALJOBI HOSPITALOAK HOSPITALSSHANU MEDICAL CENTREM-CRED HOSPITALS LIMITEDBROAD HOSPITAL & MATERNITYMOUNT PISGAH HOSPITAL LTDMOUNT SINAI HOSPITAL, EGBECITIZEN MEDICAL CENTREDIVINE MEDICAL CENTREBEST CARE HOSPITALLAGOON HOSPITAL HOSPITAL, IKOYIMAY CLINICS LTDGOD CURES HOSPITALMAY CLINICS LTD (Annex)ULTIMA MEDICARESHANU MEDICAL CENTREG.ESTATE CLINIC CONSORTIUMSOLAD MEDICAL CENTRESPARK VIEW HOSPITALHEALS SPECIALIST CLINICST EMMANUEL HOSPITALKROWN HOSPITALMUCAS HOSPITALVETA HOSPITAL LTDDAFE MEDICAL CENTRETHEO HOSPITAL LIMITEDAVON MEDICAL SERVICES LTD (CLINIC)BERNICE CLINICFIRST CITY DIAGNOSIS LTDLOUISMED HOSPITAL LIMITEDRAINBOW SPECIALIST MEDICAL CENTREUDECO MEDICAL CENTREGERMAINE HOSPITAL, LEKKIFIRST CITY HOSPITALJERICHO HOSPITALPINECREST SPECIALIST HOSPITALMAGODO SPECIALIST HOSPITALFIRST HERITAGE HOSPITALHILLSTAR CLINICS (NIGERIA) LTDOSUNTUYI MEDICAL CENTRE(ANNEX)FANIMED HOSPITALISALU HOSPITAL LIMITEDMED-IN SPECIALIST HOSPITALNIMBUS MEDICAL CENTRE ALHERI HOSPITAL, LAGOSSOLID ROCK HOSPITAL LTDHOREB CONSULT HOSPITALCHILDKID CHILDREN HOSPITALSIKEOYE HOPE CLINICAKINBOLADE SPECIALIST HOSPITALELPHY SPECIALIST HOSPITALKILADEJO HOSPITAL & SPECIALIST CLINICSST ANTHONY MEDICAL CENTRE & MATERNITY HOME LTDST RAPHAELS HOSPITAL LTDNEW EVOLUTION HOSPITAL LTDOMNI MEDICAL CENTRE, ONIKANDIALYZER SPECIALIST MEDICAL CENTREGOODNESS MEDICAL CENTREMAZAF MEDICAL CENTREGOD CURES HOSPITALRHOWIL TOTAL-CARE MEDICAL CENTREFASANMI CLINIC & MATERNITY HOME LTDIGBOLOGUN MEDICAL CENTREAB SPECIALIST HOSPITALAVON MEDICAL SERVICES LTD (HOSPITAL)DAN-EGERTON HOSPITALDAN-EGERTON HOSPITALEKO HOSPITAL PLC, SURULEREMERCY-THOMAS OREDUGBA MEDICAL CENTRE MEZONEL HOSPITALNEWDAY SPECIALIST CLINICOLANIBA MEMORIAL HOSPITALPROVIDENCE HOSPITAL LTD, SURULERETOPAZ CLINCTUNRAYO HOSPITAL NAVAL MEDICAL CENTREOUR LADY OF APOSTLES HOSPITALFEDERAL MEDICAL CENTRE, KEFFINAGARI ALLAH MAGANI HOSPITALJAMAA MEDICAL CENTREAGU HOSPITALDALHATU ARAF SPECIALIST HOSPITALSAUKI HOSPITAL, LAFIAKINGS CARE HOSPITAL LTD, MARARABAFEDERAL MEDICAL CENTRE, BIDANASARA CLINIC & MATERNITY HOSPITALRAINBOW CLINIC & MATERNITYBAY SPECIALIST HOSPITALGREAT FAITH MEDICAL CENTRETOP MEDICAL CLINICSTANDARD HOSPITAL & DIAGNOSTIC SERVICESKAINJI MEDICAL CENTREFARY GROUP CLINICCHARLES HEALTHCARE LTDSUZAN MEMORIAL CLINICFEDERAL MEDICAL CENTRE, ABEOKUTAMERCY GROUP CLINICSSACRED HEART HOSPITALANGEL & EAGLE SPECIALIST HOSPITALJOSEPH AND CHRISTIANAH SPECIALIST HOSPITALSOLAMEK SPECIALIST HOSPITALBEACHLAND SPECIALIST HOSPITALLABITRIX HOSPITALAKOBI SPECIALIST HOSPITALLAFIA KOWA HOSPITALPETERSON MEDICAL CENTREST. MICHAEL - ISRAEL SPECIALIST HOSPITAL LTD.STANDARD LIFE CARE HOSPITALBROADLAND HOSPITAL SERVICES LTDREDEEMER HEALTH CENTREABUNDANT LIFE HSOPITALMEDIC PLUS HOSPITALOTUNBA TUWASE NATIONAL PAEDIATRIC CENTREACE MEDICARE CLINICSFARAMED CLINICSIDERA HEALTH SERVICES LIMITEDIMPERIAL SPECIALIST HOSPITAL SERVICESOLABISI ONABANJO UNIVERSITY TEACHING HOSPITALPROMISE MEDICAL CENTREFAME MEDICAL SERVICESSHIRISH CLINICHETTA MEDICAL CENTREST. SHILOH MEDICAL CENTREFIRST MERCY SPECIALIST HOSPITALTIM UNITY SPECIALIST HOSPITALLULI HOSPITALINLAND MEDICAL CENTREIBUKUN-OLU HOSPITALSSTATE SPECIALIST HOSPITALBABALOLA MEDICAL CENTREARIF MEDICAL CENTREPIMA HOSPITAL AND MATERNITY OAUTH COMPLEXST. VICTORIA SPECIALIST HOSPITAL APEX MEDICAL CENTREADENLE MEMORIAL HOSPITALLIVING PETALS MEDICAL CENTREEMMANUEL MEDICAL CENTREABAKE MEDICAL CENTREBIKET MEDICAL CENTREONWARD SPECIALIST HOSPITALOROKI SPECIALIST HOSPITAL ALAFIA HOSPITALBADEJOKO MEMORIAL HOSP & MATERNITYBANBY SPECIALIST HOSPITALFELEWA HOSPITAL XXXJOLAMADE SPECIALIST HOSPITALJ-RAPHA CLINICS & HOSPITAL, IBADANLANARK SPECIALIST HOSPITALMEDICAL PRACTITIONERS LTDMOLLY SPECIALIST HOSPITALTEJU SPECIALIST HOSPITALTHE VINE HOSPITAL & MATERNITY CENTRETOBI MEDICAL CENTRE LTDZOE SPECIALIST MISSION HOSPITALBOWEN UNIVERSITY TEACHING HOSPITALIRETI-OLU HOSPITALMOMOH MEMORIAL HOSPITALBAPTIST MEDICAL CENTRE, SAKIFOCUS HOSPITALKAUNA SPECIALIST HOSPITALMARYSOL SPECIALIST HOSPITALSAUKI GROUP OF CLINICS AND MATERNITY, JOSFERTILE GROUND HOSPITAL LTDMAY HOSPITAL, SHENDAMGBEYE HOSPITALDELTA SPECIALIST HOSPITALMUJE CLINICFOUNDATION CLINICGBEYE HOSPITALQUEEN OF PEACE HOSPITAL & MATERNITYEL-ROI SPECIALIST CLINICHILTON CLINICGREEN CARE MEDICAL CONSULTANTSMILITARY HOSPITALNEW HEIGHTS CONSULTANTS HOSPITALSPRINCESS MEDICAL CENTREPROVIDENCE CLINIC & MATERNITY LTD, PORTHARCOURTST PATRICK'S HOSPITAL LTDNEW MILE ONE HOSPITALMORNING STAR HOSPITAL LTDWESTHILL HOSPITALBONMARIA HOSPITAL LTD.POTTERS TOUCH MEDICAL CONSULTANTGBEYE HOSPITALPRESTIGE HOSPITALEL-SPECIALIST HOSPITALLIFECARE CENTRE LTDSHIELD SPECIALISTS HOSPITALDATTA MEDICAL CENTREOLUNWA MEDICAL CENTRENEW ORLINS HOSPITALSTANDARDCARE HEALTH SOLUTIONS LIMITEDCUMI MEDICAL CENTRESAHEL SPECIALIST CLINICSOKOTO CLINICUSMAN DAN FODIO TEACHING HOSPITALGENERAL HOSPITALMAMBILLA BAPTIST HOSPITALFEDERAL MEDICAL CENTRE, JALINGOAJIKO MEDICAL CENTRECITY MEDICAL CENTRE, YOBEPOTISKUM MEDICAL CENTREDAULA HOSPITAL & MATERNITY HOMEFEDERAL MEDICAL CENTRE, GUSAU Submit Form keyboard_arrow_leftPrevious Nextkeyboard_arrow_right CONTACT Marina Medical Services (HMO) 5, Abeo Street, Western Avenue, Surulere, Lagos +2341 7612 3200 info@marinamedicalhmo.ng CALL CENTER +234-1-7612320 +234-1-7250329 +2348182318167 +2348120800791 0700MARINAHMO QUICK LINKS Staff Login Marina Medical Services Downloads FAQs Contact us NEWSLETTER Staff Login Marina Medical Services Downloads FAQs Contact us © Marina Medical Services (HMO) – All Right Reserved