Estar NETHRALAYA, Medical Research Foundation Phone: 2827 1616, 4227 1500 Fax. 91 44 2825 4180, Email : information@snmail org, appointment @snmail.org y« aN Website: hit:hwww sankaranethalaya.org cm gents PSC ‘SURGERY SCHEDULE wee MRO Number 3658230 Name. SAPTASREE DAs ‘Ago 10¥ Sex FEMALE (Your permanent number io be quoted in all correspondence inthe future) DPSPM 112 SSCFORM. Surgery Advised SQUINT CORRECTION /EMR} ge OU pashan SG Your Surgeon KAVITHA KALAIVANI NATARALAN Prperative Appointment with Surgeon pr $2017 at Main Remarks. seen “ Laboratory Investigation a 57 at MAIN. Remarks. 980 (Report to Cincal Lab exact 1 1/2 hs, aftr lunch for dabetic paints) DBR a Remarks. Physical Fitness Test ‘Apr 6 2017 11:00AM at MAIN Remarks. sooace Bazerxnon ADVANCE TO BE DEPOSITED ON THE DAY OF PHYSICAL FITNESS TEST: Rs 4000.00 Largetmed fo my. Bel 1 waisted ~ Date of Entry into Wait List: ] ‘Admission Date ‘Ape 72017 Sen MA alk Segoe pa ‘Surgery Scheduled jor 82017 Report for admission at MEDICAL RESEARCH FOUNDATION Na (Old No 8) College Road, NugambatamChena600 006 anil Nad, Inia ‘Antcpated Duration of Stayin tho Hospital 2 ays) Pre-operative eye drops tobe used App 1. 3 1 crops 4 Ses inthe from EI Romans frome on: sgr nora Bp SURGERY SCHEDULING CENTRE Encl. Hospitaliston Booklet (er)