A Letter of Intent was signed here for a working arrangement between the Ohio-based Cleveland Clinic Foundation and the B.M. Birla Heart Research Centre for receiving technology, training and managerial systems in health care.Both the parties siagned the agreement for cooperation at the inauguration of an international seminar on hi-tech medical and surgical care, held under the joint auspices of the Cleveland Clinic Foundation and Rukmani Birla Hospital and Research Centre.