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Department of NeurologyPatient Referral Intake Form
L MRI/CT Labs. DIAGNOSIS TREATMENT/PLAN Thank you for your kind referral. Please call me for any questions or clarifications. Tel Fax AddressDate of Exam //2012 Dear Dr. Thank you for this excellent referral on your very pleasant patient for a Neuro Ophthalmic / Orbital consultation. The patient s Chief Complaint was hmgfmhg BEST CORRECTED VISION Right 20/Left 20/Rx mnvcm COLOR VISION Normal OU / R / mvnc L PUPILS Normal mm.Right mm. Left. Sincerely Swaraj Bose M. D. Attending Physician...Show details
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