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NSN
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Medical Equipment
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Medical Tourism
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Home
About
Medical Equipment
Services
Medical Tourism
Contact us
ONLINE BOOKING
Book now!
Please fill out the form below
First Name
*
Last Name
*
Number
*
Age
Sex
Female
Male
weight
Patient's Diagnostic
[textarea PatientsDiagnostic placeholder "Patient's Diagnostic" x5]
Address
*
Doctor's Name
Hospital
Applications Request
Baby sitter
Guard
P.N.
R.N.
Shift
*
Day
Night
Starting Date
*
Period Of Care
Visit
*
6Hrs
*
8 Hrs
*
10 Hrs
*
12 Hrs
*
24 Hrs
*
E-mail
*
Equipment needed
Electric Bed
Wheel Chair
Manual Bed
Suction Machine
Bed Matress
Walker
Water Matress
Oxygen Generator
Tensiometer
Pulse Oxymeter
Other
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