SURAJ EYE INSTITUTE
Gold Loyalty Card
⭐ Gold Member Registration ⭐Your Partner in Long-Term Eye Health — fill in your details to generate your card
🏅
Who is eligible?
All patients who have undergone surgery in one or both eyes at Suraj Eye Institute are eligible for the Gold Loyalty Card.
Benefits apply to the cardholder and up to 4 listed immediate family members — all receiving the same reduced charges.
Benefits apply to the cardholder and up to 4 listed immediate family members — all receiving the same reduced charges.
👤 Patient Information
👨👩👧👦 Family Members (Optional — up to 4)
Add up to 4 immediate family members — they receive the same reduced charges as the primary cardholder
Generating on behalf of a patient?
Check this if a staff member is filling the form for the patient
Card activates instantly. Patient shows it on mobile at the reception counter.
✦ Activated
SURAJ EYE INSTITUTE
Suraj
EYE INST.
GOLD-000000
⭐ Gold Member ⭐
Patient Loyalty Program
Your Partner in Long-Term Eye Health
Patient Name
—
SEI No.
—
Program Start Date
—
Valid For 5 Years Until
—
Your Gold Loyalty Benefits
Consultation
Reduced Charges
Retina OCT
Reduced Charges
Visual Fields
Reduced Charges
Ant. Segment OCT
Reduced Charges
Laser Treatment
Reduced Charges
Anti-VEGF Injection
Reduced Charges
Cataract · Glaucoma · Retina · Vitreous Surgery · Squint Surgery & Corneal Surgery
Reduced Charges on all of the above
Terms & Conditions
- Please present this card at every visit to avail benefits.
- This card is valid for 5 years from the program start date.
- Discounts apply only when payment is made partially or fully out-of-pocket by the patient.
- Benefits do not apply if the full cost is covered by insurance, corporate, or other health schemes.
- All listed immediate family members receive the same reduced charges as the primary cardholder.
- Non-transferable; for exclusive use of the named cardholder and listed immediate family members.
- Program benefits and terms are subject to change. Please check with the clinic for latest details.
📍 Suraj Eye Institute — MIHAN
Plot No 6, Opp. Indian Institute of Management,
MIHAN, Nagpur.
📞 8007455004 | 8007100126
📍 Suraj Eye Institute — New Colony
559, New Colony, Near Byramji Town,
Nagpur – 440 001.
📞 8007230004 | 8007100126
🌐 http://www.surajeyeinstitute.org | facebook.com/surajeyeinstitute
📱 Show this card on your mobile at the reception counter to avail your Gold benefits.