Form Type |
Date |
Patient Name |
Age |
Gender |
Phone No. |
Email |
Address |
Pincode |
Doctor Name |
Address |
Pincode |
Indicated For |
Other Indication |
FORM H |
01/08/2022 |
Aakash Poonia |
24 |
Male |
7017645778 |
srishtisingh2327@gmail.com |
H 304,Kings Park,Omega 1, Greater Noida,U.P. |
201310 |
G.S Kalra |
Mahaveer Nagar, Jaipur,Rajasthan. |
|
Post incision jaw support. |
|
FORM A |
31/07/2022 |
Gulab chand yadav |
57 |
Male |
9560887783 |
|
Quarter No 82, Postal Colony, Opposite Royal Enfield Bullet Showroom, Maqbool Alam Road, Near Varanasi Trade Centre, Khajuri, Varanasi, |
221002 |
|
|
|
Legs |
|
FORM A |
23/06/2022 |
|
|
Select |
|
|
|
|
|
|
|
|
|
FORM B1 |
08/05/2022 |
Vandana |
42 |
Female |
9465105147 |
vbansalasmi@gmail.com |
Ram basti
Sangrur
Sangrur |
148001 |
|
|
|
Lymphedema |
|
FORM B1 |
08/05/2022 |
Vandana |
42 |
Female |
9465105147 |
vbansalasmi@gmail.com |
Ram basti
Sangrur
Sangrur |
148001 |
|
|
|
Lymphedema |
|
FORM B1 |
08/05/2022 |
Vandana |
42 |
Female |
9465105147 |
vbansalasmi@gmail.com |
Ram basti
Sangrur
Sangrur |
148001 |
|
|
|
Lymphedema |
|
FORM B1 |
07/05/2022 |
Vandana |
42 |
Female |
9465105147 |
vbansalasmi@gmail.com |
Ram basti street no 8 hareri road
Sangrur
Sangrur |
148001 |
|
|
|
Lymphedema |
|
FORM B1 |
07/05/2022 |
Vandana |
42 |
Female |
9465105147 |
vbansalasmi@gmail.com |
Ram basti street no 8 hareri road
Sangrur
Sangrur |
148001 |
|
|
|
Lymphedema |
|
FORM A |
26/01/2022 |
Rinky Jain |
37 |
Female |
9829334287 |
er.nitin.skit@gmail.com |
1127-A R.K. Puram,
behind medical College,KOTA (RAJ) |
324010 |
|
|
|
Varicose veins |
|
FORM A |
26/01/2022 |
Rinky Jain |
37 |
Female |
9829334287 |
er.nitin.skit@gmail.com |
1127-A R.K. Puram,
behind medical College,KOTA (RAJ) |
324010 |
|
|
|
Varicose veins |
|
FORM A |
26/01/2022 |
Rinky Jain |
37 |
Female |
9829334287 |
nitin.jain.engg@gmail.com |
1127-A, R.K. Puram, behind medical COLLEGE, KOTA (RAJ) |
324010 |
|
|
|
Varicose veins |
|
FORM A |
26/01/2022 |
Rinky Jain |
37 |
Female |
9829334287 |
nitin.jain.engg@gmail.com |
1127-A, R.K. Puram, behind medical COLLEGE, KOTA (RAJ) |
324010 |
|
|
|
Varicose veins |
|
FORM A |
26/01/2022 |
Rinky Jain |
37 |
Female |
9829334287 |
nitin.jain.engg@gmail.com |
1127-A, R.K. Puram, behind medical College, KOTA (RAJ) |
324010 |
|
|
|
Varicose veins |
|
FORM A |
26/01/2022 |
Rinky Jain |
37 |
Female |
9829334287 |
nitin.jain.engg@gmail.com |
1127-A, R.K. Puram, behind medical College, KOTA (RAJ) |
324010 |
|
|
|
Varicose veins |
|
FORM G |
20/03/2021 |
ordestden |
|
Female |
|
neinits@ahmail.xyz |
http://ponlinecialisk.com/ - buy real cialis online |
|
ordestden |
http://ponlinecialisk.com/ - buy real cialis online |
|
|
|
FORM A |
18/03/2021 |
ordestden |
|
Female |
|
neinits@ahmail.xyz |
http://vslevitrav.com/ - levitra plus |
|
ordestden |
http://vslevitrav.com/ - levitra plus |
|
|
|
FORM G |
09/10/2020 |
Arti Varma |
57 |
Female |
9849003003 |
asimvarma@hotmail.com |
1-2-90/5, Street No. 1, Kakatiya Nagar, Habsiguda, HYDERABAD – 500007. (Near Saibaba temple) |
500007 |
|
|
|
Abdominal Hernia |
|
FORM G |
09/10/2020 |
Arti Varma |
57 |
Female |
9849003003 |
asimvarma@hotmail.com |
1-2-90/5, Road No. 1, Near Saibaba temple, Kakatiya Nagar, Habsiguda, Hyderabad - 500007 |
500007 |
|
|
|
Abdominal Hernia |
|
FORM G |
09/10/2020 |
Arti Varma |
57 |
Female |
9849003003 |
asimvarma@hotmail.com |
1-2-90/5, Road No. 1, Near Saibaba temple, Kakatiya Nagar, Habsiguda, Hyderabad |
500007 |
|
|
|
Abdominal Hernia |
|
FORM T |
03/07/2019 |
Kanwar singh |
65 |
Male |
9873313373 |
Sameertuteja@yahoo.co.in |
6 A masjid lane jungpura Bhogal |
110014 |
Dr kuldeep sharma |
Male |
110014 |
Spine metastasis |
|
FORM T |
03/07/2019 |
Kanwar singh |
65 |
Male |
9873313373 |
Sameertuteja@yahoo.co.in |
6 A masjid lane jungpura Bhogal |
110014 |
Dr kuldeep sharma |
Male |
110014 |
Spine metastasis |
|
FORM H |
25/12/2018 |
RAVINDER NATH KHANNA |
79 |
Male |
9810075278 |
rattan.kashyap@cselectric.co.in |
222 OKHLA INDUSTRIAL ESTATE
PHASE 3, NEW DELHI 110020 |
110020 |
|
|
|
NOT GETTING |
|
FORM B1 |
11/08/2018 |
Vandana |
38 |
Female |
9465105147 |
vbansalasmi@gmail.com |
House no.233, street no 5,Prem basti,sangrur |
148001 |
|
|
|
Lymphedema |
|
FORM B1 |
11/08/2018 |
Vandana |
38 |
Female |
9465105147 |
vbansalasmi@gmail.com |
House no.233, street no 5,Prem basti,sangrur |
148001 |
|
|
|
Lymphedema |
|
FORM B1 |
10/08/2018 |
Vandana |
38 |
Female |
9465105147 |
vbansalasmi@gmail.com |
House no.233, street no.5,Prem basti,
Sangrur
Sangrur |
148001 |
|
|
|
Lymphedema |
|
FORM B1 |
10/08/2018 |
Vandana |
38 |
Female |
9465105147 |
vbansalasmi@gmail.com |
House no.233, street no.5,Prem basti,
Sangrur
Sangrur |
148001 |
|
|
|
Lymphedema |
|
FORM A |
30/12/2017 |
Vinod Kumar Saxena |
72 |
Male |
9839991606 |
jingle_1163@yahoo.com |
E 1163 Rajajipuram Behind SKD Academy Lucknow |
226017 |
|
|
|
Peripheral Neuropathy |
|
FORM H |
19/09/2017 |
A K Sachdeva |
67 |
Male |
9969137073 |
ashwini911@gmail.com |
E603, Lloyds Estate, near Sangam Nagar, Wadala East, Mumbai |
400037 |
Dr Sameer Kumta |
Jaslok Hospital Mumbai |
400026 |
Reconstruction |
|
FORM B1 |
16/07/2017 |
Ms. Leela Goyal |
77 |
Female |
8700810004 |
support@icancare.in |
D 162
Ramprastha Colony
Ghaziabad 201011 |
201011 |
|
|
|
MRM Patient |
|
FORM H |
26/04/2017 |
Satendra Kumar |
59 |
Male |
9899481469 |
|
B-173 Alpha 1 Greater Noida |
201308 |
|
|
|
Not getting |
|
FORM H |
26/04/2017 |
Satendra Kumar |
59 |
Male |
9899481469 |
|
B-173 Alpha 1 Greater Noida |
201308 |
|
|
|
Not getting |
|
FORM H |
22/04/2017 |
Satish Kumar |
59 |
Male |
8527193706 |
satishvashisht.56@gmail.com |
House no. 32, Lane no. 6, Bank Colony, Mandoli |
110093 |
Dr. Pawan Gupta |
Jaypee hospital |
110093 |
Neck |
|
FORM B1 |
14/04/2017 |
Chandrasekhar Aggarwal |
63 |
Female |
8882612140 |
Mihiraggarwal2000@gmail.com |
4177 3rd floor street ahiran Pahari dhiraj Delhi 6 |
110006 |
|
|
|
Compression |
|
FORM A |
25/12/2016 |
Rohit Mishra |
28 |
Male |
9767677766 |
irohitmishra@yahoo.in |
Flat 2, Building F, Citadel Society, B T Kawade Road, Pune |
411001 |
|
|
|
DVT Prophylaxis |
|
FORM B1 |
10/12/2016 |
Vandana Garg |
38 |
Female |
9463016422 |
hitesh.garg@gmail.com |
233, Street Number 5, Prem Basti Sangrur |
148001 |
|
|
|
Swelling in Left Arm |
|
FORM B1 |
09/08/2016 |
Vandana Garg |
38 |
Female |
9465105147 |
hitesh.garg@gmail.com |
233, Street Number 5, Prem Basti Sangrur |
148001 |
Gopinath |
|
|
Swelling |
|
FORM A |
15/07/2016 |
Muralidhar A.N |
M |
Male |
9916024479 |
Anmuralidharkolar@gmail.com |
Neeladri mansion, #11 F-1, 4th Main 6th Cross Vivekananda Nagar, 3rd Stage BSK, 560085 |
560085 |
|
|
|
Varicose veins |
|
FORM A |
26/06/2016 |
SUMER KANWAR |
38 |
Female |
7600841404 |
s.shekhawat0302@gmail.com |
C 201 HAMPTON PARK
OPP AAGAM ARCADE
NR JOLLY RESIDENCY
VESU SURAT |
395008 |
DINESH KOTHARI |
G 170 SHASTRI NAGAR JODHPUR RAJASTHAN 342003 |
342003 |
vein |
|