DR. D. Y. PATIL MEDICAL COLLEGE, HOSPITAL AND RESEARCH CENTRE, Pimpri, Pune - 411018 ORGANISED BY : DEPARTMENT OF UROLOGY ADVANCED LIVE OPERATIVE WORKSHOP ON UPPER TRACT STONE MANAGEMENT DATE : 1 ST AND 2 ND OF APRIL ,2017 DEPARTMENT OF UROLOGY DR. D.Y. PATIL MEDICAL COLLGE, HOSPITAL AND RESEARCH CENTRE, PIMPRI, PUNE - 411 018. VENUE : MEDICAL COLLEGE AUDITORIUM ORGANISING COMMITTEE REGISTRATION FORM CHIEF PATRON Dr. P. D. PATIL (Chancellor) PATRONS Mrs. BHAGYASHREE PATIL (Vice Chairperson) Dr.(Brig)AMARJEET SINGH (Principal Director & CEO) Dr. SOMNATH PATIL (Secretary) Dr. P. N. RAZDAN (Vice-Chancellor) Dr.JITENDRA BHAWALKAR (Dean) Dr. KANDARP PARIKH (Hon. Secretary WZ-USI) Dr. VIJAY RAGHOJI (President WZ-USI) Dr. PANKAJ N. MAHESHWARI (Treasurer WZ-USI) ORGANISING CHAIRMAN Prof. Dr. S.P. KANKLIA (H.O.D. Urology) ORGANISING SECRETARY Prof. Dr. V.P. SABALE JOINT ORGANISING SECRETARY Dr. V. P. SATAV (Asso. Prof.) TREASURER Dr. D. A. MANE (Asst. Prof.) & Dr. S. M.MHASKE (Asst. Prof.) ORGANISING COMMITTEE Dr. A. R. MULAY (Asst. Prof.) & Dr. A. B. PATIL (Asst. Prof.) SCIENTIFIC COMMITTEE Dr. J. DATE Dr. B. KASHYAPI RECEPTION Dr. M. SINGH Dr. A. KANDARI Dr. S. SHARMA Dr. N. CHAUDHARI Dr. P. PRAMANIK Contact : DR. ASHWANI KANDARI (8007032027) DR. PRASUN PRAMANIK (9637422505) [email protected] NAME: USI MEMBERSHIP NO.: REGISTRATION NO.: ADDRESS: HOSPITAL: DESIGNATION: CITY : PIN CODE: MOBILE NO: EMAIL: DATE & SIGNATURE: PAYMENT DETAILS: BANK DETAILS: IFSC CODE: ACC NO: REGISTRATION FEES Rs. 3500/- ON THE SPOT Rs. 4500/- For Residents Rs. 2500/- Modes of payment 1) Bank Transfer by NEFT /RTGS 2) Cheque / DD drawn in favor of “Dean, Dr. D. Y. Patil Medical College”, Payable at Pimpri, Pune Bank Details: Name Of Account : Dean, Dr. D. Y. Patil Medical College, Pimpri 18. Current A/c No. : 111711011000038, IFSC Code : ANDB0001117, Swift Code : ANDBINBBPUN Andhra Bank, Pimpri, Pune. We Welcome paperless transactions. Filled up form can be sent by e-mail. Please e-mail detail of transaction Please direct Forms / DD/ Cheque / E-mails to ORGANISING SECRETARY DEPARTMENT OF UROLOGY Dr. D. Y. Patil Medical College, Sant Tukaram Nagar, Pimpri, Pune – 411018. Email : [email protected] Contact : DR. ASHWANI KANDARI (8007032027) DR. PRASUN PRAMANIK (9637422505) MMC Credit Hours Applied for
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DR. D. Y. PATIL MEDICAL COLLEGE, HOSPITAL AND RESEARCH CENTRE,
Pimpri, Pune - 411018
ORGANISED BY :
DEPARTMENT OF UROLOGY
ADVANCED LIVE OPERATIVE WORKSHOP ON UPPER
TRACT STONE MANAGEMENTDATE : 1ST AND 2ND OF APRIL ,2017
DEPARTMENT OF UROLOGYDR. D.Y. PATIL MEDICAL COLLGE,
HOSPITAL AND RESEARCH CENTRE,PIMPRI, PUNE - 411 018.
VENUE : MEDICAL COLLEGE AUDITORIUM
ORGANISING COMMITTEEREGISTRATION FORM
CHIEF PATRONDr. P. D. PATIL (Chancellor)
PATRONSMrs. BHAGYASHREE PATIL
(Vice Chairperson)
Dr.(Brig)AMARJEET SINGH(Principal Director & CEO)
Dr. SOMNATH PATIL(Secretary)
Dr. P. N. RAZDAN (Vice-Chancellor)
Dr.JITENDRA BHAWALKAR (Dean)
Dr. KANDARP PARIKH(Hon. Secretary WZ-USI)
Dr. VIJAY RAGHOJI (President WZ-USI)
Dr. PANKAJ N. MAHESHWARI(Treasurer WZ-USI)
ORGANISING CHAIRMAN Prof. Dr. S.P. KANKLIA (H.O.D. Urology)
ORGANISING SECRETARYProf. Dr. V.P. SABALE
JOINT ORGANISING SECRETARY Dr. V. P. SATAV (Asso. Prof.)
TREASURERDr. D. A. MANE (Asst. Prof.) & Dr. S. M.MHASKE (Asst. Prof.)
ORGANISING COMMITTEEDr. A. R. MULAY (Asst. Prof.) & Dr. A. B. PATIL (Asst. Prof.)
SCIENTIFIC COMMITTEEDr. J. DATE Dr. B. KASHYAPI
RECEPTIONDr. M. SINGH Dr. A. KANDARI
Dr. S. SHARMA Dr. N. CHAUDHARIDr. P. PRAMANIK
Contact :DR. ASHWANI KANDARI (8007032027)DR. PRASUN PRAMANIK (9637422505)
NAME:
USI MEMBERSHIP NO.:
REGISTRATION NO.:
ADDRESS:
HOSPITAL:
DESIGNATION:
CITY :
PIN CODE:
MOBILE NO:
EMAIL:
DATE & SIGNATURE:
PAYMENT DETAILS:
BANK DETAILS:
IFSC CODE:
ACC NO:
REGISTRATION FEES Rs. 3500/- ON THE SPOT Rs. 4500/-For Residents Rs. 2500/-
Modes of payment1) Bank Transfer by NEFT /RTGS2) Cheque / DD drawn in favor of “Dean, Dr. D. Y. Patil Medical College”, Payable at Pimpri, Pune
Bank Details: Name Of Account : Dean, Dr. D. Y. Patil Medical College, Pimpri 18.Current A/c No. : 111711011000038,IFSC Code : ANDB0001117,Swift Code : ANDBINBBPUN Andhra Bank, Pimpri, Pune.
We Welcome paperless transactions.Filled up form can be sent by e-mail.
Please e-mail detail of transactionPlease direct Forms / DD/ Cheque / E-mails to
ORGANISING SECRETARY DEPARTMENT OF UROLOGY
Dr. D. Y. Patil Medical College,Sant Tukaram Nagar, Pimpri, Pune – 411018.
Email : [email protected] :
DR. ASHWANI KANDARI (8007032027)DR. PRASUN PRAMANIK (9637422505)
MMC
Credit
Hours
Applied fo
r
ORGANISING CHAIRMANProf. Dr. S. P. KANKALIA
(HOD Dept. of Urology)
UROLOGY SOCIETY OF PUNE
Dr. SATISH TEMBE (President)
Dr. KETAN VARTAK (Secretary)
Dr. RAJIV CHAUDHARI (Treasurer)
ORGANISING SECRETARYProf.Dr.V.P.SABALE
ORGANISING JT. SECRETARYAsso.Prof.Dr.V.P.SATAV
REGISTRATION FORM
SEASONS GREETINGS !WARM WELCOME FROM DEPT OF UROLOGY, DR D.Y.PATIL MEDICAL COLLEGE, HOSPITAL AND RESEARCH CENTRE, PIMPRI, PUNE - 18
DEAR FRIENDS!The Depatment of Urology, D.Y. Patil Medical College under the auspices of D. Y. Patil University, West Zone Urological Society of India, Urology Society of Pune takes great pride in arranging
“ADVANCED LIVE OPERATIVE WORKSHOP ON UPPER TRACT
STONE MANAGEMENT”This will include plethora of surgical modalities being used for UPPER TRACT STONE DISEASE. The workshop will give excellent opportunity to witness most recent variations with use of various advanced technologies perfomed by national level renowned faculties. There will be different lectures relevant to the topic simultaneously.
Interested delegates will also get opportunity of hands on experience with PCNL and RIRS simulators.
We cordially invite you to take part in this academic-surgical feast.
-: CONTACT :-80070320179637422505
Tentative surgeriesSupine PCNL
Upper Calyx PunctureLAP Guided PCNL
RIRSCombined RIRS-PCNL
USG Guided PCNLPCNL in Ectopic Kidney
Mini/Ultra mini pcnl
!!!Hands on experience in simulator!!!
Save the date
1st and 2nd April
Hotel Name
Approximate Rate
Distance From Venue
Contact Number
HotelKalasagar
Hotel Citrus
HotelKeys
2800
3700
4500
1.75 km
3.2 km
3.8 km
020 30004000
020 27112461
020 39441000
BANQUET ON 1ST APRIL 8.00 PM ONWARDS
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