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Patient's Details
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Doctor's Details
Doctorlist
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Indicated For
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ABDOMINAL SURGERY
BACK PAIN
BURNS - FRESH
BURNS - OLD
CABG
CELLULITIS
CERVICAL PAIN
CESAREAN SECTION
CONTRACTURE
D.V.T.
D.V.T. PROFLAXES
DIABETIC FOOT
FILARIAL LYMPHOEDEMA
GYNECOMASTIA
HEEL PAIN
HERNIA
HYSTERECTOMY
INGUINAL HERNIA
KELOIDS
KNEE PAIN
LAPAROTOMY
LYMPHOEDEMA
OTHER
P.B.H.S.
P.M.LYMPHOEDEMA
POST CAST OEDEMA
POST LIPO SUCTION
POST THR ODEMA
POST TKR ODEMA
POSTURAL HYPOTENTION
SKIN GRAFTING
SLIP DISK
SPINAL INJURY
SWELLING
VARICOSE VEINS
VENOUS INSUFFICIENCY
VENOUS ULCERS
Patient Diabetic ?
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No
Yes
Family Member Diabetic?
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No
Yes
Exp. Del. Date
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Order's Details
Design
Product
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(120000) NORMA THIGH SUPPORT
(120A00) NORMA THIGH SUPPORT WITH WAIST
Side
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Left
Right
Both
Qty.
Type
Form
Fabric
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CABG
Regular
Filarial
Curves-Beige
Curves-Black
Super Soft-White
Swift
Rate
Tax
MRP
Any Additional Information