Refer a Patient Help someone receive quality eye care at our state-of-the-art facility. Fill out the form below to refer a patient for free screening and treatment. Refer a Patient - Lok Sudhar👨⚕️ Referrer InformationYour Full NameYour Organization/ClinicYour Phone Number+92Your Email👨🎤 Patient InformationPatient Full NamePatient AgeGender- Select -MaleFemaleOtherPatient Phone NumberDistrictFull Address💊 Medical InformationEye Condition / SymptomsPreviously Diagnosed? Yes No UnknownPrevious Surgery? Yes No UnknownMedical ConditionsCurrent Medications⏩ Urgency & SubmissionUrgency Level- Select -RoutineUrgentEmergencyAdditional NotesSubmit Form 🩺 Patient Referral Form Please complete all required fields. Our team will contact the patient within 24-48 hours.