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ALTEN Calsoft Labs -

Healthcare Practice Overview

Healthcare Engineering Services Connected Solutions for a Connected World

Content

Corporate Overview and BUs

Healthcare Practice

Technology Centers of Excellence

Success Stories

Why Calsoft Labs

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ALTEN Group Overview

Over 25 years of Operations

Strong Product Engineering Focus – 85%

Revenue from Engineering

Services

Over 16,000 employees

Global Presence –

Operations in 16 countries

Group Revenues of $1.5 Billion

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Calsoft Labs, An ALTEN Group Company

• Head quartered in Silicon Valley, USA

• Global Engineering Centers at: • Waltham, MA, USA • Bangalore, Chennai &

Mysore, India • Ability to provide end to

end solutions (“Chip to Cloud”) and Services (“Complete Product Life cycle Services”)

• Enabled Product

Companies to develop best of the breed products

• Lead by people with strong product engineering expertise

• Ranked amongst the top global R&D Service providers by Zinnov Management Consulting Pvt. Ltd

Product Engineering DNA

• More “specialists” than “generalists”

• Workforce distribution

similar to Captive centers

• 85 – 90% Lateral hires

• Higher utilization levels – Low overheads

• Higher Productivity (“small + efficient + agile”)

Expert Workforce

Long-term Relationship

Key Customers

17 Years

12 Years

12 Years

12 Years

11 Years

8 Years

6 Years

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Software Engineering Practice

Healthcare

Education

Enterprise ISV

• Solutions • Connected Healthcare (HL7,

DICOM Integration) • Connected Education (LMS,

Analytics, Portals) • Payments Solutions • SaaS, Cloud & Mobility

Enablement • Portals & Content

Management Solutions

• Services • Product Development &

Maintenance • Sustenance Engineering • Independent Testing • Legacy Modernization • SaaS Enablement • ADMS • UX Engineering

• Platform • Microsoft Platform: .NET, C#,

VB.NET, MS SQL Server, MS SharePoint

• Java & Open Source: J2EE, JSP, Struts, Spring, Hibernate

• LAMP, WAMP • Silverlight, Flash/Flex, HTML5 • Android, iOS and Windows

Mobile • Jquery, AJAX, XML, JBoss

• Partnerships • Amazon Web Services • Azure Circle • Cloudera • Eucalyptus • Google App Engine • Rackspace • Adobe

Services & Solutions Technology Focus Industry Focus

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Hardware and Embedded Systems

Embedded Systems

• PCB / FPGA design • Low level drivers • BSP / BIOS • Device drivers • DSP • Multimedia frameworks • Embedded applications

- Linux / Android - RTOS - Proprietary kernels

Control Software

• Control system modelling • Control algorithm

development • Verification &Validation • Software Porting to

Microcontroller / DSP • DA systems • Embedded controller

development

Networking

• Connectivity (USB, WiFi, Bluetooth, Zigbee etc.)

• 2G/3G/4G • Wide Area Networks • M2M communications • Network management • Network Security & QoS • Switching & Routing • VoIP & Storage • Virtualization

Application Development Services

• Embedded Application development

• Mobile Application

development • Cloud Application

development

Quality Assurance & Certification Services

UI Engineering & Usability

Usability Analysis IA & UI Design Technology selection Prototyping UI implementation

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Corporate Overview and BUs

Healthcare Practice

Technology Centers of Excellence

Success Stories

Why Calsoft Labs

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Healthcare Practice Overview 8

Overview

• Service delivery of over 100 product releases

• Rated among ‘Top 10’ promising healthcare solution providers by CIO Review Magazine

• 20 years of strong healthcare IT/product engineering experience

• Involved in product life cycle activities of leading Health Informatics, Diagnostic imaging, and Life Sciences products

• Have 1000+ person years of experience

• Strong Expertise in Healthcare & Medical Devices standards & compliances like HIPPA, DICOM, HL7

• Extended ecosystem of practitioners, researchers, and industry experts

Expertise

• Health Informatics

• Hospital Information System

• Payments Systems

• EHR/EMR, LIMS, RIS/PACS

• Digital Health

• Compliance

• Connected Healthcare

• Medical Devices

• Control Systems

• Imaging Systems

• HIS/DICOM/HL7 Integration

• RIS/PACS Integration

• Compliance Testing

• Connected Devices

• Life Sciences

• Cloud Engineering, BIG Data Analytics

• LIMS for R&D Labs

Key customers

Our Focus Areas 9

EHR/EMR

• Consulting

• Application Development & Maintenance

• Integration & Customization

• Reengineering

mHealth

• Mobility Strategy Consulting

• Mobile application development

• RIA/UI development(HTML5)

Digital Health

• Connectivity Solutions

• Engineering Design

• Medical Device Management

• Device Integration

• Chip to Cloud

RIS/PACS

• Application Development/ Integration

• Cloud enablement

• Workflow automation

Interoperability

• HL7 interface development

• Legacy modernization and migration services

• Development of interfaces

• ICD 10 transition framework

Cloud Computing

• Cloud strategy development

• Cloud app development

• Cloud infrastructure management

User Experience

• Consulting & Evaluation

• Usability Engineering

• UX Design & Branding

• UX Testing

Health Analytics

• Data Warehouse & Reporting

• Image Analysis & Reporting

• Big Data Solutions

Standards and Compliance - HIPAA & HL7

HIPAA

• Transactions • 837 – Healthcare Claims • 835 – Payment & Remittance • 276/277 – Claim Status • 485 – Home Health Plan of Care

• Code Sets

• ICD-9, CPT-4, NDC

• Security • Role-based Security • Biometric Authentication • Audit Trails

HL-7 Interfacing

• Messaging • ADT - Admission, Discharge &

Transfer • DFT – Detail Financial Transaction • ORM – General Order Message • ORU – Observation Results • RDE – Pharmacy/Treatment

Encoded Order Message • MFN – Master File Notification

• Miscellaneous

• Federal/State Reporting • Home Health OASIS • UB04 and HCFA 1500

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Hospital Information System –Functional Expertise

Executive Information System

User Administration/Security/Licensing

Patient Management

Patient Scheduling

Patient Registration

Print Engines Medical Transcription Scheduler Messaging

Support Modules

Long Term Care - PR

Care Management

Assessment

Flow Sheet

Care Plan

Order Management

Intake/Output

Vital Sign

Charting & Doc. MAR

Utilization Management

Quality Assurance

Infection Control

Laboratory Radiology Pharmacy Departmental Modules

Long Term Care Mgmt

Financials

Home Health

Materials Management

General Ledger

Payroll

Medical Records

Billing

Insurance Processing

Accounts Receivable

Accounts Payable

Long Term Care - Financials

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ALTEN Calsoft Labs’ Solutions for Healthcare ISVs

• Fully integrated HIS for healthcare providers

• Patient Registration, Scheduling, Clinical Management & Financials

• Departmental Modules: Laboratory, Radiology, Pharmacy Hospital Information System

• Web based electronic clinical trials for pharmaceutical research

• Solution to collect and distribute clinical trials data online

• Handheld for data collection and synchronization

Clinical Trials

Data Management System

• Laboratory Information Management System for medical and biotech research data generation and mining

• Solution to acquire, analyze and manage complex genetic data

Laboratory Information

Management System

• Clearing house transaction processing hub automating electronic bills and attachments processing

• Solution consisted of bill validation, notification of incomplete bills and processing valid bills Electronic Clearing House

• Patient referral, evaluations & assessments, plan of care & physician orders, order management, OASIS, discharge & transfer

• Traveling nurse solution

Home Health Patient Care and Billing Management

• Self-service portal solution for patients, physicians & hospital staff

• Patient registration &scheduling, online billing & payments, lab results, patient education, notifications & messaging etc.

Physician/Patient Portal

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Healthcare Technology Expertise in Health Informatics

Generic Technology

• Biometric Authentication

• Digital Signature

• Barcode Read and Write

• MICR Checks

• Audit Trail/Field Level Security

Functional Products

• Conflict Checking: Medispan MDDB

• Coders: IRP, 3M, HSS

• Pharmacy Vending Machines: Omnicell, Accudose, Pharmpro-Rx, Hanns On

• PACS: Dynamic PACS, Aspyra, Mitra Broker

Miscellaneous

• Medical Dictionary: NIC NOC NANDA, Medispan, Stedman, SpelleX

• Document Management: FileBound, ChartOne

• Lab Equipment Interface: Dawning ResultNet+ Interface, Custom Developed RS232 Interface

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Our Connected Health Framework 14

Our Connected Healthcare Solutions 15

Corporate Overview and BUs

Healthcare Practice

Technology Centers of Excellence

Success Stories

Why Calsoft Labs

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Centers of Excellence 17

• 150+ certified professionals • Strong and Proven expertise across MS

technology stack • Agile driven application and product

development practices/frameworks to enhance quality, reduce cycle time and promise assured delivery

• Microsoft Partner Network(MPN) and Azure Circle member

• 200+ certified professionals • Strong and Proven expertise across

JAVA/Opensource technologies • Expertise in creating best in class

JAVA/J2EE solutions using Struts, Hibernate, GWT, AJAX, and Jquery etc.

• Reusable components, assets and frameworks that can be used across projects

• 20+ strong team of mobile developers • Strategy Consulting, Application

Development & Testing, Analytics and SaaS enablement

• Cross Platform Application Development: PhoneGap, IBM Worklight, and Sybase

• Native mobile and Web Application Development : iOS, Android, Windows 8, HTML5 and jQuery mobile framework

• 150+ strong team of testing professional • Core Offerings: Test Consulting, Strategy

& Planning, Execution, Automation and set up Test CoE

• Specialized Test Offerings: SaaS/Cloud, Performance, Security, Business Process Testing, Mobility and Localization

• Healthcare specific automation framework for faster cycle time

• 10+ UX design and development professionals

• UX Consulting, Strategy and roadmap definition

• Design and Usability services • Creative Design and Branding • RIA and UI Development • Information Architecture and UI

Development

• Consulting, Architecture assessment & Reengineering, Design & Development, Testing and Certification (WinQual/ WHQL)

• Audio/Video drivers • Printer drivers • Custom Interface Drivers • Storage class drivers • Wireless modem drivers

Our Expertise in Different Mobile Technologies…

Native App Development

Mobile Web Development

Cross Platform Mobile App Development

MEAP, Integration, Management & Testing

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mHealth Solutions –Improving Efficiency & Affordable Care

Need for Mobile Healthcare • Access to critical data, Fragmented health information. • Escalating healthcare costs –Tightening of budgets. • Scarcity of human resources –Ever increasing patient

volumes. • Changing care giving processes –Higher patient

expectations. • Technical hurdles.

Patient–Physician Applications • Registration/Admission • Appointment Scheduling • Medical Records –PHR/EHRs • Physician Access/Referral • E-Prescribing • Mobile Charge Capture • Alerts for Health Maintenance

Enterprise Hospital Applications • Patient monitoring and

management • Hospital Bed Management • Workflow Management • Lab results and clinical assistant • Pharmacy and Billing Systems • Asset Management

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UX Design Services 20

Usability &

Development

Creative Design & Branding

UI Architecture UX Design Services

Functionality (Technology)

Sense/Style (Form/Feeling)

Calsoft Labs Engineering expertise coupled with UI design experience fuels both

dimensions of Innovation, when it comes to Design Management

People Needs Dimensions of Innovation

Meanings = Symbolic / Emotional meaning

Cloud Enabled Connected Healthcare

IT Delivered Via Cloud (Private, Hybrid, Public)

Semi / Fully Automated Services within Enterprise

Harvest the Economics Savings (TCO vs ROI)

Improved IT / Datacentre Operational Efficiency

Impacts to our healthcare customers with

Faster Collaboration

•Increased collaboration among Care Professionals, Patients, Payers, Regulatory bodies through seamless information exchange

•Enables faster access to important information for services providers and their patients

Adhering to Compliance

•Helps to comply with MU Stage 1 & Stage 2, standards through better integration, faster access, and improved analysis & reporting

Increased Mobility & Agility

•By storing data and computing power in the cloud, helps health care services providers enable their staff to have access to information anywhere and anytime

Complying with Security and privacy norms

•Partnering with HIPAA compliant cloud services provider for complying with security & privacy norms

Decreased costs

•Reduced total cost of ownership by converting CAPEX to OPEX and leveraging existing infrastructure

To all our customers

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Connected Devices Expertise

• Connectivity

o Wired/RF technologies expertise: USB, BT, RFID, NFC etc.

o Device drivers for wireless interfaces: WiFi (802.11 a/b/g/n/ac), Bluetooth (v1.2, v2.0), NFC, GPS, ZigBee, GPRS/3G/LTE etc.

• Embedded RTOS & Softwares

o Firmware/Driver/BSP development for Embedded RTOS

o BIOS development/porting & UEFI application development

• Mobility & Cloud

o HTML5 based medical device control & administration apps

o Cloud services enablement – Healthcare as a Service

• Medical Device Management

o Device discovery & management

o Data collection, reporting & alerts

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Healthcare Analytics Services

Operational Reporting Predictive Modeling

Clinical R&D Provider Payer • Clinical Decision

Systems & Outcomes • Track and improve

patient performance • Provide Length of Stay

Analysis & Minimize Patient Length of Stay

• Maximize Clinical Financial Performance

• Remote patient monitoring

• Telehealth • Federal Reporting

• Clinical Patterns & Registries

• Clinical Trials • Genomic data analysis • Predictive modeling &

what-if analysis • Mobile enabled

BI/Reporting, Analytics • Improve clinical

development processes • Actionable insights for

growth and improve baseline

• Improve, Optimize

Planning & Scheduling

• Reduce patient waiting

time

• Maximize Bed Usage

• Optimize and improve

pharmacy, radiology

operations

• Improve and Optimize

Demand Planning

• Full P&L Analysis by

Service Line

• Workforce Management

• Claims & Provider

network analysis

• Analyze risks associated

with patient & care

provider

• Predictive modeling to

improve wellness,

preventive care, fraud

prevention, Sentiment

analysis

• Payer-provider

collaboration portals

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Corporate Overview and BUs

Healthcare Practice

Technology Centers of Excellence

Success Stories

Why Calsoft Labs

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Case Study - Hospital Information System

Development of an end-to-end Hospital Information System

Development Environment: Microsoft .NET

Test Environment: TestPartner, QATraQ, Mantis

ENV

IRO

NM

ENT

Collection module for bad debt recovery.

Laboratory application that works for internal lab tests and also interfaces with external labs.

Pharmacy module completely integrated with Order management and Billing

Radiology and medical transcription module

Image and document capturing features across Registration and order management.

Emergency department module

Financial modules - 5010 and MDS 3.0 compliant.

KEY

MO

DU

LES Streamline processes within hospital; reduce patient waiting time & improve efficiency

Reduce administrative times & duplication of information

The team from Calsoft Labs consisting of Product Specialists, Quality Analysts &

Automation Engineers took complete ownership of the product including estimation,

project planning, design and testing

The solution is an end to end ERP encompassing the clinical, financial and supporting

applications required for a hospital

Key features include:

HL-7 interfaces across all modules that facilitate standards conformance

Information in a central repository. Seamless flow of the financial data to the

payer modules

Executive information system (EIS) that graphically displays the data for the

management reviews.

Clinical data is translated to charges flows into financial system. The billing,

insurance processing modules effectively process this information.

PROJECT

CHALLENGES

SOLUTION

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Case Study – HL7 Interface Development

Customer Details

A Healthcare Technology Vendor serving 900+ hospitals in the US and providing quality care to 60+ million patients annually

Business Problem

Solution provided

The solution proposed by Calsoft Labs conformed to HL7 2.x & 3 and facilitated interoperability across all modules in a HIS. The team Implemented inbound/outbound messages for the following: 1. Admission, Discharge and Transfer 2. Detail Financial Transaction 3. General Order Message, Observation Results 4. Pharmacy/Treatment Encoded Order Message 5. Master File Notification

1. Support for HL7 2.x and 3

2. Streamline processes within the hospital, reduce patient waiting time and improve the efficiency

3. Support HL7 messages to share health information in the areas viz., Patient demographics, accounting, insurance, diagnostics, registration, admission, discharge & transfer, CMS, Billing etc.

Benefits 1. The solution helped in connecting people, processes, and applications within and between healthcare organizations, thus providing a "connected healthcare enterprise"

2. Greater business efficiency achieved with faster HL7 messaging and rapid integration

Environment .NET, SQL Server,

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Customer : A Leading Healthcare Technology Vendor • Healthcare IT solutions provider for 900+ hospitals in the US • More than 15,000 patients receive affordable, quality care leveraging our

connected healthcare solutions daily

Challenge : Reduce manual errors in administering medication to patients Build a RFID enabled bar code administration solution to improve patient care with highest precision

Solution

Business Benefits

• Calsoft Labs built a “Barcode Medication Administration(BCMA)” solution • BCMA validates right patient, right medication, right route and time • Nurse scans medication and the system alerts when medication is incorrect

for scenarios like Invalid barcode, expired medication, no orders placed, incorrect route and no-schedules left

• Ability to track medication supply and use • Reduced medication errors, Increased staff productivity and patient satisfaction • Automated pharmacy kit and medication solution

Case Study - RFID enabled Medication Administration 27

Case Study - Remote Patient Care

Colour Legend

Missed Appointment

Appointment Attended

Upcoming Appointment

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Case Study – iGlucoCheck(Diabetes Management) 29

Case Study- Electronic Clinic Trials for a Pharma Research Company

Customer Details:

Business Problem:

Solutions provided / Offered:

Benefits:

The customer is recognized as the fastest growing companies in the Electronic Data Capture (EDC) and eClinical marketplace today and features in Deloitte’s Technology Fast 500

The challenge for the customer was to collect and analyze remote patient data with less cost and maximum security for clinical trials purpose and wanted to build a clinical trials automation solution

An integrated clinical trials solution with patient recruitment, data collection, analysis and tracking. The data for analysis used to come from different sources viz., online forms, hand-held devices like tablet PCs and Pocket PCs. Online reports generated are used by the certified research assistants, laboratories / Independent 3rd party vendors for further analysis.

• Faster volunteer recruitment • Flexible screening questionnaires • Direct data capture (DDC/eSource)) • Work flow automation and modern data processing

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Case Study – Dashboard and Reports Development for a Healthcare Payment Solutions Vendor

Customer Details

The customer is a leading provider of secure electronic payment processing solutions and self-service patient payment portals for hospitals and physician groups.

Business Problem

The customer envisaged to build a dashboard and reporting tool capturing transactions, ePlan enrolments, customer utilization and revenue.

Solution provided

Calsoft Labs’ solution included a three pronged approach “Manage - Analyse - Report”. 1. ETL Tool(SSIS) * Extracting Data from multiple customer DBs * Transforming and Cleansing the data * Loading data into data warehouse Tables 2. SSAS is used for slice, dice and drill down analysis 3. SSRS and SpagoBI are used to create the Static, Drill down reports, Dashboards Tableau is used for Slicing and Dicing and to represent the data in graphical format

Benefits 1. The detailed reports helped the customer streamline its business operations and provide quality patient care

2. Improved cash flow and reduced delay in accounts receivable

Environment Reporting Tools : SSRS, SSIS, SPagoBI, Tableau

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Case Study – Genomic Dashboard(mutation viewer) for targeted cancer therapy

Customer Details

The customer is considered to be the founder of Bio-Tech industry and is a multi-billion dollar company with 11,000+ employees. They are 2nd most innovative among Bio Tech companies in the world.

Business Problem

The customer wanted to build an integrated reporting and analysis portal to understand mutations happening in a gene sequence by analysing huge genomic data sets in real time.

Solution provided

Calsoft Labs developed a web based interactive mutation viewer with deep genetic sequencing and project management systems used in developing targeted cancer therapy drugs. Some of the features are: * High performance, intuitive visualization solution for exploration of large genomic data sets * Mutation data represented in a more meaningful and graphical form * Visualize genomes with annotated data including gene prediction and structure, proteins, expression, regulation, variation, comparative analysis, etc. * Cloud/Mobile enabled delivery of genome analysis portal to support high performance, usability and scalability

Benefits 1. Enabled customer to understand various mutation combinations through rigorous research and combating deadly diseases

2. Provide better care at reduced cost and improving the lives of the people through safe and effective drugs

Environment J2EE, Spring, JSP, JSTL, Servlets, Dom4j, Oracle 10g, Flex 4.5, JavaScript, XHTML, CSS JBoss4

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Corporate Overview and BUs

Healthcare Practice

Technology Centers of Excellence

Success Stories

Why Calsoft Labs

33

Why Calsoft Labs 34

Value Engineering

Global Reach(16,000 people in 16

countries)

Partnering for Success with strong product engineering

expertise

Proprietary framework for

affordable, future proof, collaborative

care delivery

Proven Industry Experience,

Successful track record of Health IT

Engineering

In-depth technology Expertise

Mature Project Management(CMMi Level 3, TMMi and

ISO) practices

Thought Leadership

Healthcare Brochure

Connected Healthcare Framework

Mobile enabled Healthcare Apps

Digital Health

Mobile Health(mHealth)

Healthcare Cloud Services

Healthcare UX Services

Meaningful Use Compliance

HL7 Integration

SaaS Services

New Healthcare Mobility Solutions for Better Patient care

MedIndia Exclusive, March 2014

Alten Calsoft Labs to tap healthcare opportunities with proprietary framework

Connected Healthcare PharmaBiz, March 2014

Calsoft Labs featured in Global Services

100(GS100) Global Service Media, Dec, 2013

Calsoft Labs has been rated among the 10

Most Promising Healthcare Solution Providers

CIO Review Magazine, June, 2013

Calsoft Labs- Taking Healthcare to New Avenues

CIO Review Magazine, June, 2013

End to End Hospital Information Management System Development encompassing clinical, financial and

administrative modules

Meaningful Use Compliance for a Healthcare Organization

HL7 Interface and High Performing Messaging Service

Safety and Incident Management Solution for

Healthcare

Mobile Application for capturing patient vitals

Automation Testing Solution for Healthcare Technology Vendor

Physician Dashboard Development

Hospital Executive Dashboard

Case Studies In the Media Brochures

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Contact Us

Bangalore – Corporate & Development Centre 196, Bannerghatta Road, Bangalore 560 076. Phone: +91 80 4034 3000 Bangalore – Design and Development Centre 2 No.25, Level-5, Shankaranarayana Building, M.G. Road, Bangalore-560001 Phone: +91 (0)80 42 41 42 41 Chennai - Design and Development Center 3 1st & 2nd Floor, ESPEE IT Park, Plot No.5, Jawaharlal Nehru Road, Ekkatuthangal, Chennai - 600 032, Phone: +91 44 4595 9100/01/02/03 Mysore – Embbedded Engineering and Development Centre 64-C1, Hootagalli Industrial Area, Kasaba Hobli, Mysore - 570 018. Phone: +91 0821 2404 900

INDIA

40 avenue André Morizet, 92514 Boulogne-Billancourt, Phone : +33 (0)1 46 08 70 00

France

USA Head Office 2953, Bunker Hill Lane, Suite 203, Santa Clara, CA 95054. Phone: +1 (408) 755 3000 Fax : +1 (925) 249 3031 Design Centre 2 Clock Tower Place, Suite 430, Maynard, MA 01754, USA Phone: +1 (978) 938 4640

http://healthcare.calsoftlabs.com info@calsoftlabs.com in.linkedin.com/calsoftlabs in @Calsoft Labs

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124 Baker Street, London,

England W1U 6TY

United Kingdom

UK