ISA Web Register Form

ISA Social Outreach

To promote and project ISA at all levels, ISA NHQ shall have active Social outreach.

Coordinator: Dr Ashok V Deshpande & Dr Surajit Giri

1

BASIC INFO

ISA No. *

Name *

DR.

Age *

Gender * MaleFemale

Mobile No *

Email Id *

State *

City *

Name of Hospital/Private Practitioner *

Areas of Interest *

2

REMARKS

Remarks

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Sno.	ISA No	Name	Age	Gender	Hospital Name	Remark	City/State
1	R1324	Rajneendra Sharma	50	Male	AIIMS Udaipur		UDAIPUR / RAJASTHAN
2	G1155	GAURAV AGARWAL	35	Male	CARE HOSPITALS, BHUBANESWAR	Need to understand what is this cell intending to do	CUTTACK / ODISHA
3	A0590	ABDUL RASHEED KHAN		Male	PRIVATE PRACTITIONER	NEED TO KNOW ABOUT CELL WANTS FROM ME	THANE / MAHARASHTRA
4	A2475	ANUDEEP K	30	Male	Citizens hospital		HYDERABAD / TELANGANA
5				Male			--SELECT-- / --SELECT--
6	K2162/A		28	Female	Sushila tiwari hospital		NAINITAL / UTTARAKHAND
7	K2162/A		28	Female	Sushila tiwari hospital		NAINITAL / UTTARAKHAND
8	P2556/A	Priyanka Chourasia	32	Female	Susheela Tiwari Hospital Haldw		NAINITAL / UTTARAKHAND
9	L0224	Lata D Shetty	42	Female	KBN medical College and hospit	What are cells interest s?	GULBARGA / KARNATAKA
10	D1133	DHRUV BIBRA	38	Male	DELHI PAIN MANAGEMENT CENTRE		NEW DELHI / DELHI NCR
11	M0154	Milon V Mitragotri	36	Male	Kims Hubballi		DHARWAD / KARNATAKA
12	NO938	nivedhyaa srinivasaraghavan	35	Female	Cancer institute		CHENNAI / TAMIL NADU
13	LM11074	Chashamjot Bawa	30	Female	Maharishi Markandeshwar Univ.		AMBALA / HARYANA
14	A3031	G. Anjana Purnima	31	Female	Private practitioner	Very much interested in spreading awareness about Anaesthesia	ALLAHABAD / UTTAR PRADESH
15	S6152	Shibu Sasidharan	37	Male	Army Hospital	Presently serving on deputation to the UN & WHO as HOD, Anaesthesia and Trauma Services, Level 3 Hospital, Goma, DRC.	PANCHKULA / HARYANA
16	P2758/A	PRAKASH CHANDRA	33	Male	aiims,rishikesh		HARIDWAR / UTTARAKHAND
17	A0831	ATUL JAYANTILAL GANDHI	51	Male	PRIVATE PRACTICE		AHMEDABAD / GUJARAT
18	M2234	Chilaka Murali	44	Male	M G M Hospital warangal		WARANGAL / TELANGANA