In this photograph provided by the Sparsh Hospital, Poonam (R) holds her daughter Lakshmi inside a ward of the Sparsha Hospital in Bangalore, India, November 13, 2007. Nearly a week after surgeons removed the extra limbs from the Indian girl born with four arms and four legs, the bright-eyed 2-year-old made her first public appearance Tuesday after leaving the hospital's intensive care unit. [Agencies]