Date: {{$ActivityAssignDate}}

To,

Mr. Sandeep Sharma

Associate Vice President


Sun Pharma Laboratories Limited,
Sun House, Plot No. 201,B/1,
Western Express Highway,
Goregaon (E), Mumbai 400063

Subject: To understand diagnosis and management of dry eyes among ophthalmologists

In response to your letter dated 1st June, 2023 I agree to participate in the survey as outlined by you.


I understand that:


  • You will provide me with the copy of a questionnaire

  • Questionnaire would be used & the treatment would be prescribed as in my routine practice

  • The patient’s identity will not be disclosed in the DCF


My personal details are given below for accuracy of your records.

Name: {{$doctorName}}
Qualifications:
Speciality :
Postal Address:
PIN Code :
Clinic or hospital Contact No :
Residence telephone No. :

Yours sincerely,

[Signature]
{{$doctorName}}