Material Order

NOTE : The Order shall be subjected to the Admin's approval after the form submission. The Order shall be confirmed via emal & sms after the Payment has been received in our Account.
Select The Zone *
Select The Institution / Hospital *
Membership ID
Address
Mobile No. ** to receive the confirmation SMS
* Mandatory Fields
MaterialQuantityRate per Pcs.GST %Tot. Amt (Rs.)
Net Payable Amount
Confirm Order
Confirm & Pay Online