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To,

The Concern Authority


ECHS Polyclinic Fatehgarh,
Farukkhabad,

Subject : Approval For Surgery.

Respected Sir/Madam,

It is brought to your kind notice that 54 yrs old patient Mr. Sita Ram was referred to our side on
26.05.2017 as a case of Acute Abdomen associated with DOE Patient was thoroughly evaluated
and managed accordingly. In view of Acute cholecystitis with Multiple GBS(Average size
17.4mm),with persistent abdominal pain (Right Hypochondrium). A general Surgeon Dr.
Ashutosh Gupta MS was consulted and he advised Laproscopic cholecystectomy. As such, Kindly
facilitate the approval for The Surgery.

Thanking You.

Date 30.05.2017 clinician Incharge

The Gastro Liver Hospital

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