You and your family may please sign this card as Eye Donors. Each Donor will enable 2 blind persons get eyesight. Kindly fill it up and hang it in the living room.

DECLARATION

I/We hereby declare that I/We have gifted my / our eyes to the nation for Sight Restoration purposes after our death. We have cast a responsibility on our relatives to invite a Doctor from the nearest Eye Bank within 6 hours of my / our death for removal of my / our eyes, to help me / us fulfill this Nobel desire.

Name Signature

1. ______

2. ______

3. ______

4. ______

Instructions:

  1. Tightly close the eyelids of the donor upon his/her death. This will prevent dust from settling in the eyes. Cover the eyes with a clean cloth dipped in cold water.
  2. If possible keep the forehead cool with ice wrapped in plastic bag.
  3. Keep a pillow under the head.
  4. Switch off fans in the room. If there is an Air-conditioner, switch it on.
  5. Call the nearest Eye-Bank as early as possible, preferably within 6 hours. This is to ensure the freshness of the donated eyes.
  6. The Eye-Bank will collect the eyes Day or Night, free of cost, without disfiguring the face. The whole process will not take more than 15 minutes.

No / Service / City / Phone
1 / E.D. Ankleshwarlya Central Eye Bank / Ahmedabad / 0792860314
2 / Gujarat Research & Medical Institute / Ahmedabad / 0797866311
0797866312
0797866313
3 / Lion Sharad Mehata Eye Bank / Ahmedabad / 0797540633
0797413333
4 / M & J Regional Institute of Ophthalmology / Ahmedabad / 0792880360
0792881010
5 / Nagri Eye Hospital / Ahmedabad / 0796466724
6 / Rajasthan Hospital / Ahmedabad / 0792863673
7 / Red Cross (Navrangpura) / Ahmedabad / 0795506977
8 / Red Cross (Paldi) / Ahmedabad / 0796643855
9 / Sadvichar Parivar Civil Hospital (Asrawa) / Ahmedabad / 0792860450
10 / Samaria International Red Cross Eye Bank / Ahmedabad / 0795505977
11 / Special Number for Eye Donation / Ahmedabad / 0791919
12 / Akola Netradan & Netraropan Sanshodhan Kendra / Akola / 0724434050
0724438679
13 / Smt.Annapurnadevi Agarwal Eye Bank / Akola / 0724437816
0724433500
14 / Eye Bank Gandhi Eye Hospital / Aligarh / 0571403962
0571409850
15 / Amravati Netradan Sansthan / Amravati / 072172096
16 / Sri Guru Ram Das Charitable Hospital / Amritsar / 0183559527
0183553668
0183553667
17 / Little Flower Hospital / Angamally / 0484452546
0484452547
0484452548
18 / Asansol Prevention of Blindness Society / Asansol / 0341255280
19 / Dr.Rajkumar Eye Bank / Bangalore / 0803325311
20 / Dr. Agarwal’s Eye Institute / Bangalore / 0802240736
0802240200
21 / P.D.Hinduja National Hospital and Medical Research Centre / Mumbai / 02224451515
02224452222
02224459199
22 / Arpan Eye Bank (Ghatkopar) / Mumbai / 02225147293
23 / Cooper Hospital (Vile Parle) / Mumbai / 02226207254
02226207256
02226207257
02226207258
24 / Eye Bank Co-ordination & Research Centre / Mumbai / 02223741343
02223741372
25 / Gokhale Eye Bank & Research Foundation / Mumbai / 02224221820
02224227425
26 / J.J. Hospital (Byculla) / Mumbai / 02223750102
02223735555
27 / Laxmi Eye Bank / Mumbai / 02227452228
02227453247
28 / Lions Club of Gateway Eye Bank / Mumbai / 02223071295
29 / Lions Club of Kopri Thane Eye Bank / Mumbai / 02225333455
02225420639
30 / LTMG Hospital (Sion) / Mumbai / 02224076381
02224093077
31 / Mulund KVO Samaj (Mulund) / Mumbai / 02225602133
32 / Pragati Hospital / Mumbai / 02225645278
33 / Rajawadi Hospital (Ghatkopar) / Mumbai / 02223735555
022331
34 / Sion Hospital (Sion) / Mumbai / 02224076381
35 / Sir Harkishandas Hospital (Opera House) / Mumbai / 02223855555
36 / Sri Hathibhai Kakalchand Eye Bank / Mumbai / 02223855555
37 / Sri Sathya Sai Eye Bank / Mumbai / 02223855555
38 / Trishna Eye Hospital / Mumbai / 02228624404
39 / Mysore Eye Bank & Research Centre / Mysore / 08125395
081489216
081482598
40 / Aaditya Eye Bank / Nagercoil / 0465230787
0465230657
41 / Nagercoil Eye Bank / Nagercoil / 04652231671
0465230570
42 / Gurunanak Eye Hospital Lions Eye Bank / Nagpur / 0712641065
0712641714
43 / Madhav Netrapedhi / Nagpur / 0712222058
44 / Mahatma Eye Bank & Eye Hospital / Nagpur / 0712234345
0712222556
45 / Dr.Bapaye Hospital Eye Bank / Nasik / 025376505
46 / Rotary Eye Institute Sant Punit Eye Bank / Navsari / 0263758920
0263758931
47 / Dr.Narula Eye Hospital / Neemuch / 0742324050
48 / Gomabhai Nethralaya & Research Centre / Neemuch / 0742321526
0742320122
49 / Lions Club Neemuch Central Eye Bank / Neemuch / 0742321515
0742326815