National Corneal Transplant
Database
Hospital Name
Recorder
Section 1
Section 1
Patient Demographic Data
1.1 Name
*
1.2 Age
*
1.3 Gender
*
1.4 National ID
*
Section 2
Section 2
Clinical Details
2.1 Medical Record Number (MRN)
*
2.2 Diagnosis
*
2.3 Procedure
*
2.4 Procedure Site
*
National ID & Related Clinical Reports
*
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