Home
Spectacles
Rejected Fundus
Rejected Spectacles
Returned Spectacles
Status
Reopen Fundus Images
Devices
Profile
1860 500 7140
- , -
0
0
Home
General Details
Title
Title
Dr.
Mr.
Ms.
Mrs.
Prof.
First Name *
Last Name
Gender *
Choose
Male
Female
TransGender
So/Do/Wo *
Choose
SON OF
DAUGHTER OF
WIFE OF
NOT GIVEN
SON OF *
Email
Mobile (+91) *
Phone
Blood Group
Choose
A+
A-
B+
B-
AB+
AB-
O+
O-
OTHERS
Date Of Birth
Age *
Mother Name *
Aadhaar Number
Martial Status
Choose
MARRIED
NEVER_MARRIED
WIDOWED
SEPERATED
DIVORCED
NOT_APPLICABLE
Education and Professional Details
Education
Select
SCHOOL
COLLEGE
VOCATIONAL
SPECIAL INSTITUTION FOR DISABLED
LITERACY CENTER
OTHER INSTITUTION
LITERATE
ILLITERATE
Occupation
Select
WORKING IN PRIVATE COMPANY
WORKING IN GOVERNMENT
SELF EMPLOYED/OWN BUSINESS
AGRICULTURE
STUDENT
MANUAL LABOUR
NOT WORKING
Income Group
Select
BELLOW POVERTY LINE
LOWER CLASS
LOWER MIDDLE CLASS
MIDDLE CLASS
UPPER MIDDLE CLASS
UPPER CLASS
RICH
ELITE
Present Address
Address Line1 *
State
Select State
ANDHRA PRADESH
TELANGANA
Others
Other State
District
Select
ANANTAPUR
CHITTOOR
EAST GODAVARI
GUNTUR
KRISHNA
KURNOOL
PRAKASAM
SPSR NELLORE
SRIKAKULAM
VISAKHAPATANAM
VIZIANAGARAM
WEST GODAVARI
YSR KDAPA
District
Mandal
Select
Mandal
Village
Select
Village
Country
Select
INDIA
Country
Pincode
Permanent Address
Address Line1 *
State
Select
Others
Other State
District
Select
District
Mandal
Select
Mandal
Village
Select
Village
Country
Select
INDIA
Country
Pincode
cancel
Save