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Susrut Eye Foundation & Research Salt Lake
HB-36/A/1 602/N/99 23580201
Mrs. SIPRA GUPTA 71GIN 10600026214 100701/48/08/850000011
SAMAYITA GUPTA25337449
12.03.09
Package 18000/-DAY CAREGENERAL
Dr. R.C.PAUL23580201
STAMP
Dr. R.C.PAUL
45012
MBBS DOMS
20.02.09 Dr. R.C.PAUL
DIMNESS OF VISION L/E 1 YEAR
D.V L/E
CATARACT L/E
D.V L/E DUE TO CATARACT
CATARACT L/E
PHACOEMULSIFICATION L/E WITH FOLDABLE IOL
1Year
ARTHRITIS 2 YEAR
Sm. Sipra Gupta
Self
3CA0052194G
SUDIP KR. MANDAL 32975309
MONARAMA MANDAL
69
Dr. R.C.PAUL 23580201MBBS DOMS MS 45012 HB-36/A/1 ……
Susrut Eye Foundation & Research Centre
23580201602/N/99 HB-36/A/1, SALT LAKE, KOL-106
D/V IN RE LAST 5 MONTHS
CATARACT RE
D/V IN RE LAST 5 MONTHS DUE TO CATARACT
PPBS, B/O, SP, SYRINGING, RE DONE
RE CATARACT SURGERYPHACO EMULSIFICATION WITH FOLDABLE IOL
RE
10 YEARS
23.03.2009 1 DAY
20,600/- CABIN
1500/- 6000/-
LENS – 6600/- MEDICINE 2500
20,000/- OT - 4000/-
United India Insurence
SIGN SUDIP KUMAR MANDAL
ANANDAMOY MANDAL
71
OT - 4000/-
M 9830547928
122200/48/09/3443 0556770028ICNCLD/V IN LE DUE TO CATARACT
LE
LAST 2 MONTHSCATARACT LE
BP, B10, SP.Syringing, BS done
CATARACT LE
CATARACT LE SURGERY
PHACO EMULSIFICATION WITH FOLDABLE IOL LE
LOCAL
06.03.200906.03.2009
SUSRUT EYE FOUNDATION & R.C. SALT ALKE 23340651DR. R.C. PAUL 23580201 45012
20.03.20091 DAY CABIN
20,000/- PACKAGE
20,000/-
STAMP STAMP
STGN
ANANDAMOY MONDAL
JK/KOL/1195/10308889635410046078500000303
SUBROTO DAS 23584487
SUBROTO DAS 43 M 23584487
Susrut Eye ……………
602/N/99
S.DAS
23580201 NIC (EMCA HOUSE)
D/V IN B/E
CATARACT LE
1 YEAR9 Months
3years
9 monthsKidney transplant
2005
Catatact LEBP, PPBS, Bio, Syr, LE Done
ok.24.06.08 1 DAYCATARACT LE
SURGERY19000/- Package
DO --------- Phaco with foldable IOL(Alcon)
1200/-
______OT_
3500/ 5000/- 7500/- (19000)
6600/-
45012
23580201Dr. R.C.Paul & SIGN
STAMP
PUN-CM-AO587-000-0000342C
MANJU SAHA
63
F
5369 Atlas COPCO(India) Ltd.
sign
DIMNESS OF VISION RE
6 MONTHS
CATARACT RE
CATARACT SURGERY RE
PHACOEMULSIFICATION WITH FOLDABLE IOL RE
23580201
23340651
SUSRUT EYE FOUNDATION & RESEARCH CENTRE,HB 36/A/1,SEC –III ….
SUVENDU DAS
12.03.09
NO
1 DAY
CABIN
19000/-
MANDATORY
STAMP
SIGN
TARA DEVI GUPTA
16 03 2009
63
Dr. R.C.Paul
5/0200/34/08/11/00000600
MBBS DOMS MS 45012
Dimness of vision RE Last year
CATARACT RE
Cataract Surgery RE
Phaco Emulification RE with Foldable IOL with Hy……
D/V IN RE DUE TO CATARACT LAST 1 YEAR
SUSRUT EYE FOUNDATION & R.C. 13.03.0
914.03.09
KOLKATA
(033)23340651 CABIN
21,000/-
21,000/-
SIGN SIGN 9334110121
PARITOSH MITRA 69HHSI,0101332149 100400/48/08/85000026343NO, DESH BANDHU ROAD KOL-35
25779076
R.C. PAUL 23580201 EYE SUSRUT EYE FOUNDATION & RESEARCH CENTREHB-36/A/1 SEC-III, SALT LAKE, KOLKATA-
106DIMNESS OF VISON LE 1 YEAR DV LE DUE TO
CATARACT
CATARACT SURGERY LE (PHACO EMULSIFICATION LE WITH FOLDABLE IOL WITH HY13.02.0
9
2 MONTHS
14.03.09
DAY CARE
CABIN15000/-
STAMPSIGN
STAMP
Tilottama Dutta
FatherSIGN
GOURI BHATTACHARJEE
65
23628797
R.C.PAULSUSRUT EYE FOUNDATION……….
19.05.08 Dr. R.C.Paul 23580201D/V IN LE LAST 7 MONTHS
D/V IN LECATARACT LE
BP, PPBS, BIO, Sp, Syr,LE DONED/V IN LE
CATARACT SURGERY LE PHACO EMULSIFICATION WITH FOLDABLE IOL LE WITH
L/M--------
SIGN
14.01.09 19000/-
PACKAGE1 DAY
CABIN
R.C.PAUL
2334162845012
STAMP & SIGN
National Insurance Co. Ltd.
SIGN Madhumita Bhattacharya
SAILA KR. DAS 64 M5303060600252 A
157/1B Dharmotola Rd. Salkia ,Howrah
Dr. P.K.Chatterjee 25495MBBS DOMS MSSUSRUT EYE …….
602/N/9923580201 23340656
D/V IN LE LAST 1 YEARCATARACT
19.12.2008 19.12.08
12.01.09
1 DAY
PHACO EMULSIFICATION WITH FOLDABLE IOL LE
LA
1200/- 4500/-Lens
3000/-2470/-6600/-17770/-
Saila Kumar Das
Dr. P.K.Chatterjee
STAMP
RANJIT KUMAR MONDAL
150100/48/08/8500005554
54
DIMNESS OF VISION LE
2 years
Susrut Eye …………
Salt lake
CABIN
SIGN
Mandatory
SIGN STAMP
Hari Shankar Roy 53 Male
IT KOL 11609900 IND Dr. R.C.Paul 23580201
Susrut Eye Foundation & Research Centre
Dimness of vision LE (LAST 1 YEAR)D.V. LE LAST 1
YEARD.V.LE Due to Cataract last 1 yearCataract
Cataract LE B.P, RBS, Bio, Syr, SM LECataract Surgery LE Phaco Emulsification LE with Foldable
IOL
23.02.0915000/-
Day care
Cabin
Package
15000/-
Stamp & SIGN
Stamp & SIGN
IFFCO-TOKIO General Insurence
52096348
SIGN HARI SANKAR ROY
HWT-00001508-000-01 A156650 YNILRATAN KANJILAL 65 M 983067456
8
P.O.-RAJARHATBHATURIA,24 PGS(N)
FUTURE LOGISTIC SOLUTIONS RUDONIL KANJILAL
MANDATORY
DIMNESS OF VISION LE1 YEARCATARACT LED.V LE DUE TO CATARACT
Phaco Emulsification with Foldable TORIC PC IOL(LE)
Susrut Eye Foundation…………………..
23580201
23340651
31.03.09
4 years
Day careCABIN
1500/-
8000/- OT Charges 4000/-
17500/- OT Medicine 3000/-
34000/-
SIGN
ANIRBAN MAJUMDERASIS KUMAR MAJUMDER 63 Male24314314/9874195165
SUSRUT EYE FOUNDATION…………………..
DIMNESS OF VISION LELast 6 monthD.V. LE DUE TO
CATARACT
Cataract Surgery LE Phaco Emulsification LE with Foldable
IOL
13.03.091 DAY
20,000/-20,000/-
Dr. K.Barman SIGN
STAMP
11225126
THE ORIENTAL INSURANCE INDIA PVT. LTD.
Anirban Majumder ANIRBAN MAJUMDER
15430/48/08/8500002375 53031003000226 ADR. KISHORILAL
BANERJEE75 M
SUSRUT EYE ……
033-23580201HB
R.C.PAUL 40512 MBBS,DOMS,MS
Dimness of vision RE last 1 year
Cataract RE
Yes 10 yrs MedicineYes 5 yrs Medicine
Yes
1 yr____
D/V Due to cataract BE
Cataract REPhaco SICS with Foldable PC in RE or cataract
surgery RE
3/4/09 5.00 PM CABIN
20,000/-
SIGN
SUSRUT EYE……. SALT LAKE (1)
4003663032
DULAL CH. DAS 62 23350012
R.C.PAUL
D/V IN RE LAST 5 MONTHS
4.4.04
D/V IN RE LAST 5 MONTHSCATARACT RECATARACT SURGERY
RERE CATARACT SURGERY
PHACO EMULSIFICATION WITH FOLDABLE IOL
5000/-1500/-
OT 3500/-___________
8000/-OT Medication
20,500/-
Day care
Dr. R.C.Paul
23580201
MANDATORY