Kindly describe your eye ailment along with personal details like, Name Gender, Age, Medical Record Number (in case of review patients), address including name of the city, District State, Country, Pincode as well as Phone/Mobile Number etc.
In case of referral patients or patients coming for second opinion, please attach your previous medical records.
Diva would love to give second opinion for any of your eye problems.
You may send in your queries / request to Mrs Viral Christian. email@example.com