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