FORM - T
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
(A) Waist Circumference(in cms.)
(B) Height From (A) To Shoulder Blade (in cms.)