TREATING 36% OF ALL EYE PATIENTS IN PAKISTAN

02 TREATING 36% OF ALL EYE PATIENTS IN PAKISTAN

Zakat appeal in Ramzan We are deeply grateful to all our donors and supporters for making our Zakat Appeal Campaign in the month of Ramzan a huge success. It means a lot to us that we have been surrounded by such love and support by friends, donors, media and even strangers. The campaign was launched on July 20, 2012 designed and executed by Prestige Communications for which we are deeply grateful to their entire team. Based on heart touching true stories of our male/ female patients with special focus on women the objective was to make people realize what losing sight means and how their support in the form of Zakat & donations could save millions from blindness enabling them to remain productive, dignified and income generating members of society. We are particularly thankful to the following for their support during the month of Ramzan: Aab Pharma, Aaj TV,Ary One World, Business Plus, Daily Times, Dawn News, Express 2, Express, Hum TV, Express News, Express Daily, FM 107, Friday Times, Kashish, KTN, KTN News, Masala, News Line, News One, P&G, Ravi, Samaa, She, Sign Source,The Cricketer, TV One, Unilever, Vatan Urdu, Vatan Magazine, Waseb, Womenís Own, Zamana and all others who supported us in order to maximise our coverage. This year we also received a great response on Facebook where over 19,000 people were added as fans. To become a fan, log on to www.facebook.com/lrbt.pakistan LRBT Song Mr. Anwar Maqsood and Suroor Band join hands with LRBT to create awareness about blindness and raise funds for the trust. A song Hum Bhi Dekh Saktay Hain' with lyrics by Mr. Maqsood and sung by Suroor Band was put on air. Suroor also appeared on morning shows of various TV channels promoting the cause and supporting it on their own Facebook page. We are grateful to all for their kindness and generosity. Mr. Anwar Maqsood and Suroor Band join hands with LRBT TREATING 36% OF ALL EYE PATIENTS IN PAKISTAN 03

Coping with the ever-growing patient volume LRBT Hospital, Khanewal LRBT Hospital, Arifwala In an effort to make rural posting attractive to doctors, additional residential accommodation is under construction which is expected to be ready by December 2012. This will help in attracting doctors to serve at this hospital LRBT satellite clinics at rural health centers LRBT Hospital in Khanewal Our Hospital at Khanewal was originally opened in 2006 in a donated bungalow which had been modified for it. Consequently it did not provide a smooth flow for movement of patients. This made their visit more time consuming. The new OPD/Surgical complex provides a comfortable waiting area with proper facilities, screening, refraction, consultant rooms, a new major and minor operation theatre, biometry and a dispensary all under one roof. It is expected that the new Complex will be ready to receive patients by end December this year. LRBT Hospital, Odigram Construction of the new purpose built 40 bed Hospital is progressing well with the first level slab laid and the ground floor columns /block masonry work of the doctor's residences underway. The Hospital is expected to be ready by September 2013. We will then be able to move from rented premises in Saidu Sharif where we are currently housed LRBT Hospital in Odigram In a new initiative, LRBT through a Memorandum of Understanding with the District Administration of District Chakwal and Rawalpindi launched four new Satellite clinics in the periphery of our Mandra Hospital. Under the programme, a qualified team of mid level ophthalmic professionals visit four RHC's on designated days of the week to examine patients. The response has been overwhelming especially from women, children and older people. In order to enhance the coverage, LRBT, in the near future plans to train the Lady Health Workers for diagnosing common eye problems and referring them to these clinics based at the RHC's. Seeing is believing - visits to LRBT Karachi Mr. Steve Atkinson Group Head of Corporate Affairs, Standard Chartered Bank along with the SCB Team visited LRBT Korangi Hospital on September 27, 2012. His remarks were Inspirational! Take back an even greater desire to raise funds. Rotary Club Sharqi signed a MOU with LRBT at the Central Office on July 14, 2012 for a project to carry out 1970 cataract surgeries at our North Karachi Hospital beginning from 1st October 2012. The cheque handing over ceremony is planned to take place on the 13th of October at the Tertiary Hospital, Korangi. Ms. Catherine Pierce, Grants Administrator, U.S. Agency for International Development along with Ms. Cate Johnson visited LRBT Central Office for a detailed briefing and presentation on LRBT on July 13, 2012. Mr. Richard Bowcott, Regional Head of Brand Management & Sustainability. MENAP, Standard Chartered Bank, Dubai along with SCB team visited LRBT Korangi hospital on July 5, 2012. His comments were, An inspirational place to visit. Such great people dedicating their time for such a fantastic reason. Proud to be part of the team supporting LRBT. 04 TREATING 36% OF ALL EYE PATIENTS IN PAKISTAN

Ms. Catherine Pierce visiting the LRBT Central Office Charles R.A. Lyddane and George R. Camp of Rotary Club, USA along with their local team visited LRBT Lahore Hospital on September 13, 2012. Their remarks about LRBT are, Charles RA Lyddane, Rotary West Chester PA USA wrote, Wonderful Hospital-great work good charity. Praise God! Past District Governor, George R. Camp, Rotary District 7230-USA-N.Y. City commented, I am very impressed with the excellent care provided at no charges to the poor and needy of Pakistan. I am in Awe! Lahore Mr. Shujaat Wasty from RS Foundation, Canada visited LRBT Lahore Hospital on September 15,.2012. His remarks in visitor's book were Came with high expectations and I am happy to say that the work being done here has met them all. It was a pleasure. Please keep up the great work! To all who work here and for all they do, may God bring all that is needed to continue your work. When my wife and I get back to Canada, we will work with Rotary District for raising funds to assist to your work. Our big hearted supporters The Shirin Sultan Dossa Foundation Endowment Fund 23,471,713.50 Mr. M. J. Chaudhry 1,000,000.00 ANONYMOUS DONORS - KARACHI 19,491,085.54 Sheikh Mahmood Ahmed 1,000,000.00 Graham Layton Trust 17,549,753.50 Anonymous 959,500.00 Small Grants & Ambassadors Fund Programme (NRSP-SGAFP) 7,342,050.00 Shalimar Resin Industries (Pvt.) Ltd. 917,000.00 Sight Savers International 7,238,224.00 Hamza Foundation 825,000.00 The Fred Hollows Foundation 5,982,000.00 Mr. Mohammad Nasir Zaman Khan 800,000.00 Mr. Sajjad Ahmad 3,999,420.00 Mr. & Mrs. Mahmood Hussain 748,558.09 Mr. Mohammed Amin Nathani 3,500,000.00 English Biscuit Manufactures (Pvt) Ltd 612,000.00 TREATING 36% OF ALL EYE PATIENTS IN PAKISTAN 05

Subhan Food Industries 3,347,432.00 Dr. Salim P. Shaikh 569,600.00 Begum Khalida Shah 3,113,974.96 Boxes Donations 567,398.00 Mr. Farrukh Seer 3,000,000.00 Dr. Muhammad Zaeem Nawaz MD, PA 564,000.00 The British Asian Trust 2,246,551.32 Mr. Javed Ahmed 525,000.00 Shell Pakistan Ltd. 2,000,000.00 Pakistan State Oil Company Ltd 500,000.00 Premier Dairies Pvt. Limited 2,000,000.00 Richa Leathers 500,000.00 Anonymous Donor 1,501,000.00 Mr. Abdul Kadir Adam 500,000.00 Mr. Khawar Masood Butt 1,500,000.00 Ms. Zeenat Towfiq Chinoy 500,000.00 Human Concern International 1,356,770.14 Haji Abdul Hameed Khokar 500,000.00 Mr. Azhar Zafar 1,265,822.78 Mr. Nouman Farrukh 500,000.00 Mr. Salman Ahmed (Bahrain) 1,254,500.00 Mr. S.M.Pervez 500,000.00 Mr. & Mrs Shaheen Amin 1,103,960.00 Mr. S.M.Tariq 500,000.00 Punjab Welfare Trust For The Disabled 1,102,000.00 Mr. Arif Hashwani 500,000.00 PAK - ARAB REFINERY LTD 1,083,450.00 Mr. Altaf Hussain 500,000.00 Mrs. Jamila Rauf 1,005,000.00 Mr. Saleem Paracha 500,000.00 Ms. Khurshid Bhaimia 1,000,000.00 Mr. Kashif Aftab 500,000.00 Mr. Riyaz Ali Towfiq Chinoy 1,000,000.00 Hascol Petroleum Limited 500,000.00 Mr. Tahir Mehmood Khan 1,000,000.00 Hayaat Trust UK 500,000.00 Liberty Mills Limited 1,000,000.00 Chaudhry Zulfiqar Sons 500,000.00 ARY Communications Limited 1,000,000.00 Mr. Fazal Jilani Khan 500,000.00 Asiatics Group 500,000.00 Total 138,042,763.83 06 TREATING 36% OF ALL EYE PATIENTS IN PAKISTAN

Partnership Agreements National Rural Support Programme- Small Grants and Ambassadors program (NRSP-SGAFP)/US AID's Small Grants Program Congratulations on completing eye care training programs 1. Human resource development: Doctors qualifications Under the partnership agreement, LRBT is required to carry out eye sight restoring cataract surgery on 11,417 poor females at seven of our Hospitals. The project is progressing well and is expected to complete on schedule. We have, till the 30th of September, successfully carried out 4,755 Phaco emulsification cataract surgeries of females. SGAFP approved a grant of Rs.21.7 million for this project of which Rs.11.1 million have been received so far. Sindh Government Private-Public Partnership Agreement The partnership agreement between LRBT & Community Development Program Government of Sindh which commenced on the 19th April 2012 for a period of one year to conduct 12,381 cataract surgeries has so far resulted in restoring vision of 6,837 poor blind people in Sindh. In this project the Government of Sindh has committed to provide Rs.29.99 million to LRBT for performing these surgeries in four of our Sindh Hospitals. The first tranche of Rs.11.99 million was received in April 2012. The project is progressing smoothly and according to schedule, to the satisfaction of both the parties. International Centre for Eyecare Education: Under an agreement, International Centre for Eyecare Education has agreed to provide infrastructure and equipment support for setting up of state of the art low vision clinics at LRBT hospitals in Rashidabad, Tando Bago, Gambat, Quetta, Khanewal, Arifwala, Pasrur and Mansehra and upgrading the clinics at our two tertiary hospitals in Karachi and Lahore. Two state of the art low vision clinics have already been set up at Quetta and Mansehra which are now operational. Three more clinics will be set up in the near future at Gambat, Rashidabad and Pasrur. For this project they have donated Rs.1.7 Million so far. 1. Dr. Waqar ud Din Durrani - FCPS 2. Dr. Bilal Zaheer Qureshi - FCPS 3. Dr. M. Yahya Farooq - FCPS 4. Dr. Masood Ahmed - FCPS 5. Dr. Muhammad Azeem - MRCS 6. Dr. Rafay Amin Baig - MCPS 7. Dr. Saleem Javed - MCPS At present 30 FCPS and 9 MCPS trainees are undergoing postgraduate training. Microsurgical training at lahore hospital Dr. Shwan Jalal Abid Kadare - UK attended the microsurgical training at our Lahore Hospital: Training & development LRBT School of Ophthalmic Paramedicine Accreditation of two years diploma in Ophthalmic Technology for our School of Ophthalmic Paramedicine is in process. Sindh Medical Faculty has established a committee for preparation of curriculum and given scope for this diploma. B.Sc. (Vision Science) Mr. Arshad Ali Bhatti from our Korangi Hospital has qualified in the B.Sc. Vision Science Course from Allama Iqbal Open University. Refresher Courses Refresher Courses for our existing staff are planned at Korangi and Mandra Hospitals. Preparatory work with regard to accommodation, class rooms, equipment, books etc. is underway. Refresher courses for Refractionists, Ophthalmic Technicians and O. T. Technicians were conducted in the holy month of Ramzan at our Korangi and Mandra Hospitals. 16 paramedic staff from our various hospitals attended these courses. ASP-LUMS Training Mr. Abdul Sattar, Store Officer of our Korangi Hospital and Mr. Kundan Narayan, HR Assistant of Central Office TREATING 36% OF ALL EYE PATIENTS IN PAKISTAN 07

attended 3 & 5 days training on Procurement Management and HR Management & Administration respectively under Assessment and Strengthening Programme (ASP) sponsored by USAID at Lahore University of Management Science (LUMS). Mr. Umair M. Hanif, HR Assistant and Mr. M. Zeeshan Gul, Assistant Accountant of our Central Office attended 5 days training on IT Skills, Workplace Ethics and Code of Conduct from 2nd to 6th July 2012 under Assessment and Strengthening Programme (ASP) sponsored by USA AID at PC Hotel, Karachi. 2. Appointments/ workshops Dr. Syed Fawad Rizvi from our Korangi Hospital was appointed as External Examiner for FCPS-II (Ophthalmology) TOACS & Clinical Examination Jul-2012 at CPSP Karachi from 28th August - 1st September 2012. Dr. Farhat Fatima, Saif ur Rehman and Abdul Saboor attended skills development workshops at CPSP. 3. Conferences/seminars COO attended IAPB (International Agency for Prevention of Blindness) 9th General Assembly from Sep 17-20, 2012 at Hyderabad, India. Dr. Muhammad Tariq Khan of our Lahore Hospital was invited as Guest Speaker at a symposium in Bahawal Victoria Hospital, Bahawalpur on September 14, 2012. He also presented a topic on Advancement in Phaco Emulsification Technology. Dr. Syed Fawad Rizvi from our Korangi Hospital attended 'Congress of the ESCRS' (European Society of Cataract and Refractive Surgeons) from Sep 8-12, 2012 in Milan, Italy. The Ophthalmological Society of Pakistan (OSP) Lahore Branch held a monthly clinical meeting at Data Darbar Hospital Lahore on September 8, 2012, where various doctors from our Lahore Hospital attended this meeting. Dr. Nausherwan Adil of our Lahore Hospital attended ISER 2012 XX Biennial Meeting of the International Society for Eye Research from July 21 to 25, 2012 at Berlin, Germany and made poster presentation under the title Age is no Barrier to Successful Amblyopia Therapy. Mr. Najmus Saquib Hameed CEO and Mr. Umar Ghafoor Mr. Najmus Saquib Hameed and Mr. Umar Ghafoor at the IAPB 9th General Assembly 08 TREATING 36% OF ALL EYE PATIENTS IN PAKISTAN

Employees are recognized for their long service and performance at a Award Distribution Ceremony 4. Recognition On Independence Day, Government of Pakistan announced the award of Tamgha-i-Imtiaz for Dr. Zaheer uddin Aqil Qazi of our Lahore Hospital in recognition and acknowledgement of his services in the field of health services. 5. Award Distribution Ceremony 2011/12 In order to recognize the employees for their long service and best performance for FY 2011-12, an Award Distribution Ceremony was held on September 1, 2012 at LRBT Free Tertiary Eye Hospital, Korangi. TREATING 36% OF ALL EYE PATIENTS IN PAKISTAN 09

Best Person of The Year 2011/2012 Mr. Zubair R. Khan HR Officer LRBT Central Office Mr. Waseem Ahmed Optometrist LRBT Korangi Mr. Sanaullah Sabir Data Entry Operator LRBT Tando Bago Mr. Aman Ali Assistant Dispenser LRBT Rashidabad Mr. Waqar Ahmed Hospital Administrator LRBT Akora Khattak Mr. Anwar Ali Tunio Assistant O. T. Technician LRBT Gambat Mr. Saeed Akram Hospital Administrator LRBT Mandra Mr. Gul Rehman O. T. Technician LRBT Saidu Sharif Mr. Riaz Hussain Aid Nurse LRBT Lar, Multan Mr. Muhammad Amin Aid Nurse LRBT Quetta Mr. Muhammad Haroon Rizwan Tr. O. T. Technician LRBT Shahpur Mr. Mazhar Hussain OPD Attendant LRBT Khanewal 10 TREATING 36% OF ALL EYE PATIENTS IN PAKISTAN

Best Person of The Year 2011/2012 Mr. Javed Iqbal Aid Nurse LRBT Mansehra Mr. Najm-ul-Saqib Assistant Ophthalmic Technician LRBT Pasrur Mr. Muhammad Javed Tr. O. T. Technician LRBT Arifwala Mr. Muhammad Hanif Coordinator & Assistant Lecturer LRBT School of Ophthalmic Paramedicine Ms. Farheen Aid Nurse LRBT North Karachi Reaching the Unreached 47 Eye Screening Camps were conducted in Korangi, Lahore, Pasrur, Gambat, Lar-Multan, Akora Khattak, Shahpur, Mandra, Khanewal, Arifwala, Rashidabad, Mansehra, Saidu Sharif, with collaboration Shell Pakistan and APPNA. A total of 4,331 patients were examined, out of which 2,656 were medicated, 1,793 were refracted and 309 were referred to LRBT hospitals for detailed examination and for surgery. RESTORING SIGHT CHANGING LIVES Rs. 2,878 is the cost of 1 Sight Restoration Cataract Surgery with Intra-Ocular Lens Implant Rs. 28,710 is the cost of a Vitero Retinal Surgery Rs. 7,769 is the cost of 1 child s Sight Restoration Surgery The Layton Rahmatulla Benevolent Trust (LRBT) 37-C, Sunset Lane No. 4, Phase II Extension, DHA, Karachi-75500 Phones: 021-35396600-5 (6 lines) Fax: 021-35396606 Email: lrbt@cyber.net.pk Website: www.lrbt.org.pk www.facebook.com/lrbt.pakistan

Performance data 1,500,000 1,400,000 1,300,000 1,200,000 1,100,000 1,000,000 900,000 800,000 700,000 600,000 500,000 400,000 300,000 200,000 100,000 0 OPD Visits 1,600,000 110,000 July to Sep 12 Oct to Dec 12 Jan to Mar 13 Apr to Jun 13 YTD Last Year 444,600 444,600 Current Year 488,501 488,501 Major Surgeries 100,000 90,000 80,000 70,000 60,000 50,000 40,000 30,000 20,000 10,000 0 July to Sep 12 Oct to Dec 12 Jan to Mar 13 Apr to Jun 13 YTD Last Year 31,401 31,401 Current Year 34,117 34,117 70,000 60,000 50,000 Minor Surgeries Major Surgeries July 12 to Sep 2012 Total Major Surgeries 34,117 Total Cataract Surgeries 31,285 (91.70 of Total Major Surgeries) Cataract Surgeries with IOLs 30,727 (98.22% of Total Cataract Surgeries) 40,000 30,000 Cataract Phaco with IOL 16,244, 47.61% SICS with IOL 9,080, 26.61% 20,000 10,000 - July to Sep 12 Oct to Dec 12 Jan to Mar 13 Apr to Jun 13 YTD Last Year 11,791 11,791 Current Year 118,21 118,21 Cataract Phaco without IOL 92, 0.27% Secondary IOL, 116, 0.34% Others 2,832, 8.30% Cataract without IOL, 466, 1.37% ECCE/ICCE with IOL, 5,287, 15.50% CUMULATIVE SUMMARY SINCE INCEPTION TO 30 September 2012 Hospital KORANGI LAHORE Rashidabad (Tando Adam 01/02/87 to 01/06/08) TANDO BAGO GAMBAT LAR AKORA KHATTAK Bari Kot (Kala Kalay 25/05/93 to 28/07/08) QUETTA Shahpur Saddar ENT MANDRA MANSEHRA KHANEWAL Pasrur Arifwala North GAWADAR TURBAT SIBI KHEWRA Kaarchi (MALC) (MALC) (ICI) Surgeries TOTAL Commencement Date 26 Oct 1986 14 May 1987 02 June 2008 15 Nov 1985 20 Mar 1988 15 Feb 1999 20 Oct 1990 15-Dec-08 23 Oct 2000 5 Nov 2004 15 Mar 2005 8 Nov 2005 2 Jan 2006 17-Mar-08 15-Dec-08 2 Jan 2012 1 Jul 2003 May 1991 15 Nov 1985 15 Nov 1985 Total OPD Patients 4,451,877 4,995,741 1,314,126 1,453,410 1,248,265 1,149,081 1,349,321 1,069,790 909,596 712,204 521,342 371,607 448,176 296,061 312,611 40,776 105,439 30,710 14,892 137,033 20,932,058 Total Surgeries 542,880 426,028 183,186 143,372 193,575 146,305 148,545 159,759 80,368 106,998 85,354 39,501 50,693 41,126 30,035 3,008 7,262 3,389 1,400 13,273 2,406,057 Total 4,787,080 5,216,349 1,447,227 1,556,785 1,384,147 1,213,337 1,430,088 1,159,262 945,453 776,772 555,841 375,165 458,139 296,036 298,100 11,295 108,976 33,673 15,714 147,949 307 23,338,422 Name: Profession: Address: Telephone: Email: Amount Donated: Zakat / Fitrah / Sadqah etc. Fax: Pakistan: The Layton Rahmatulla Benevolent Trust (LRBT) 37-C, Sunset Lane No. 4, Phase II Extension, DHA, Karachi-75500 Phones: 021-35396600-5 (6 lines) Fax: 021-35396606 Email: lrbt@cyber.net.pk Website: www.lrbt.org.pk (Exempt under Section 61 of IT Ordinance 2001) United Kingdom: Graham Layton Trust 24 Bedford Row, London WC1R 4TQ, UK. Tel: 44 (0) 30 3040 1688 Email: enquiries@glt.org.uk Website: www.glt.org.uk (Registered Charity No. 290464). Canada: International Development and Relief Foundation (Account LRBT) 2 Berekely St., Suite 210 Toronto, ON M5A 4J5 Canada. (All donations are tax exempt) USA: LRBT Foundation: 4 Schindler Court, Boonton Township, NJ 07005 Tel: 973-335-2275, 917-453-8884 Email: fsanyc@gmail.com