Dr. Shroff's Charity Eye Hospital

New Delhi  |  Gurgaon  | Alwar |  Rampur (Saharanpur distt.)  |  Meerut   
Dr. Shroff's Charity Eye Hospital

Ophthalmology Classes- August’10
Glaucoma CME - 7TH August
  Specialities
Cataract
Glaucoma
Cornea
Vitreo-Retina
Paediatric Ophthalmology & Strabismus (Squint)
Lasik
Vision Enhancement & Rehabilitation Center
ENT
Cochlear Implants
Oculoplasty
Contact lens
 
  Services
Insurance & Cashless Services
Eye Banking
 
Make a Donation
International Association
 
  Download
Archives
Annual Report 2008-09 - Part 01
Annual Report 2008-09 - Part 02
 		  
  Home > Eye donation > Pledge Your Eye For more details... 
Name of the Donor:
                             
Age: ___ Sex:    Male Female
Complete Postal Address:
                               
                               
Phone No: _________________________
Mobile No (if any): _________________________
E-mail Address (if any): _________________________
Your donor Cards will be despatched within 10-15 days of receiving your fully filled Pledge Forms.

Note: In case you or your family members require more forms, download the form.
 
 
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