/04/2008                                       ······


               ADINATH
Dal
                                                  ·.··.··. ···· ···· ········


                                      B-102 A, ··· ·····, ·········, ··. ··. ··. ····· ·· ····, ·····                                                       25/4/23
                                                                      0141 - 4025444, 09667078399
                                                                                                                                                    Date ....

                                                                                     Sojear Kr
           Consultants List
                                                         Name :............

                 Lovelish Jain
                                                         Age .......... Sex ......... UHID ..
                 B.S ., M.S. (ENT
                acopy & Laser Surgeon                    Chief Complaints / History
                RO-OTOLOGIST
               3-Neck Cancer Specialist
               : Reg. 018381

               . B. Babu Pratap
                                                                                                                          2001
               B.S. DLO(ENT
               Consultant Ent &
                ical Superintendent
                 Hospital New Delhi
               Reg. 53580

             r. Ragnesh Jingar
              3.B.S ., M.S ENT
             IC Reg. 44083
                                                                                                      Superficial Ulceration
            r. Sazda Bano                                                                                                   RiCanelas

            B.B.S ., M.S. ENT
            MIC Reg. 35453/16978                    Foi/2

           ·r. Darshan Kayarkar
            B.B.S ., M.S. ENT
            AC Reg. 55685                                                                                                                                          ord
                                                        L-

                                                                                                                     no Trasera D
                                                                                                                                                                         xrd


                                                                                                                     - R. later D




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                                                                           ···· ··· ···· ········                                            10cl

                                                             ··········· ···· ·· ··· ··· ··. : 9667078399 ··· : 0141-4025444


                                                                                                                                                                Doctor's Signature

                                                                                                                   DISTRESS / PAIN - SCALE

                                                                                                                          4

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