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Name

NO Store Code Type Hospital Name First Name Second NameSurname


Eye Q Super Speciality Eye
Hospital
1 TLGT Hospital
AKHAND JYOTI EYE CLINIC &
SQUINT CNETRE
2 TLGT Hospital

Chandra Super Specialty Eye


Hospital
3 TLGT Hospital

TC Eye Centre
4 TLGT Hospital

Trinetra Advanced Eye Care


Centre-Eye
5 TLGT Hospital
6 TLGT Hospital Perfect Eye Care
7
8
9

All fields are mandatory


In C column (Type) - There is drop down to choose Doctor or Hospital
Based on Doctor or Hospital option further details needs to be filled
In case of Doctor - First name , second name and surname need to be mentioned
In case of Hospital - Name should be filled in Hospital name column
Stores to arrange required field in case not available to fill this form completely
Stores to update only top Doctor or Hospital from where receives maximum outside rx
Only top 9 Doctor and / or Hospital names need to be updated
Contact Details
Contact No. Email id Street Name

0522 496 0999 eyeqindia.com 3/299, Dr Akhilesh Das Gupta Marg

8358845848 www.dramityadav.com 2/211 vivek khand 2

0522 493 3333 chandraeyecarehospital.com CHANDRA TOWER

073888 88504 tceye1@yahoo.com  B-5/36, Railway Station Rd,

 097215 38808 NA Fims College Road, Vibhav Khand -4


5224004005 pccare002@gmail.com 3/36, Virat Khand 3
Address
Locality Landmark City Pincode

Vishal Khand, Gomti Nagar Lucknow 226010

Gomti Nagar Opp. Nidan Diagnostic centre Lucknow 226010

 Gomti Nagar Indira Gandhi Pratishthan Lucknow 226010

Gomti Nagar Vinay Khand 5 Lucknow 226010

Gomti Nagar Lucknow 226010


Gomti Nagar Lucknow 226010

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