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Dr Bilquees Zafar
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Cornea Transplant Form
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Post-Surgery Cornea Transplant Record Form
Name of Patient
*
Date / Time
*
Layout City Layout
City
*
Province
*
Province
Punjab
Sindh
Balochistan
Khyber Pakhtunkhwa (KPK)
Azad Jamu & Kashmir
Islamabad (Capital territory)
Gilgit-Baltistan
Medical Condition
Surgery Performed By
*
Comments / Details (If any)
Submit
Zafar Mir Foundation
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