FORM - H
Please Read & Follow the few Guidelines before Filling the measurement form
- Fill in all the measurements in CENTIMETERS.
- Take all the measurements on bare skin (i.e. without the clothes).
- For Length measurements keep the limbs straight.
- Please enter 10 Digit Patient Mobile No.
- Please enter Landline No. with STD Code
* Are You a Diabetic Patient?
* Any Diabetic Patient in family?
*Select the Design, Qty & Left-Right Indication
*Qty
(A) Head Circumference(in cms.)
(B) Cross Circumference (in cms.)
(C) Neck Circumference (in cms.)
(D) Eye's Width (in cms.)
(E) Lip's Width (in cms.)
(F) Ear's Height (in cms.)
(G) Neck Height (in cms.)
(H) Forehead Height (in cms.)