Edit this medical document form. Change the hospital name from 'Kiran ct scan' to 'SHARATH EYE HOSPITAL'. Change the patient name to 'Gayithri K' and age to '17yrs/F'. Change the date to '15-09-2026'. Change 'Referred by' to 'DR S T CHAYAPATHY'. Change the address at the bottom to 'N H 206, near Prajna school, Tangli, kadur - 577548'. Remove any blue colored content or markings from the document. Keep all other text and layout exactly the same.