No. 1 Names of Author/ Authors ( as you want them to 1.DR.BUDHI PRAKASH BHATIA appear in the journal) in the same order as in 2.DR.VINOD KUMAR copyright form 3.DR.JAIVEER SINGH SHEKHAWAT 4.DR.VINAY NAITHANI 2 Designation and affiliation of each of the authors 1. Second year Resident Mch, Department of Cardiothoracic & Vascular surgery,RNT Medical College,Udaipur, Rajasthan, India 2. Post Graduate Student, Department of General surgery, RNT Medical college, Udaipur, Rajasthan, India 3. Post Graduate Student, Department of General surgery, RNT Medical college, Udaipur, Rajasthan, India 4.Senior Professor and Head, Department of Cardiothoracic & Vascular surgery, RNT Medical College,Udaipur, Rajasthan, India 3 Institution to which the research is associated with RABINDRA NATH TAGORE (RNT) MEDICAL COLLEGE,UDAIPUR,RAJASTHAN
4 Corresponding author’s name and address Dr.Vinay Naithani,
Senior Professor and Head of Department, Cardiothoracic & Vascular surgery, 68, Adinathnagar, Jagat Mehta ki bari, Fatehpura, Udaipur,Rajasthan,India-313001 5 Corresponding author’s email id 1. drvinaynaithani@yahoo.co.in 2. binnu_yaddi@ymail.com 6 Contact number ( preferably mobile number) of the 09829114544 corresponding author 7 Title of the article FAMILIAL CROUZON’S SYNDROME WITH PATENT DUCTUS ARTERIOSUS – A RARE COINCIDENCE 8 Keywords Patent ductus arteriosus, Crouzon’s syndrome, Branchial arch syndrome, Genetic disorder. 9 MeSH terms ( optional but highly recommended)- to obtain MeSH terms go to the following URL - http://www.nlm.nih.gov/mesh/MBrowser.html 10 Total number of Tables and Figures TABLE-nil FIGURES- 6
11 Type of article- CASE REPORT
E.g.- original article/case report/review article/letter to the editor etc 12 Department CARDIO THORACIC & VASCULAR SURGERY