book an appointment

Booking Form

Name

Contact

Email

Age of the patient

Profession/ Occupation

What problems are you facing currently?

Do you have family history of

Myopia

Glaucoma

Retinal Pathology

None

Others

Are you currently wearing any glasses or contact lenses?

Yes

No

Kindly, choose the day you want to book the appointment. (WE ARE CLOSED ON SUNDAYS)

Kindly, select the time for the appointment.

Kindly, select the centre for the appointment.

Barasat

Others