We can send you free measuring tapes if you contact us
NAME OF PERSON | |
ADDRESS | |
REFD BY (DOCTOR) | |
DIAGNOSIS | |
Side | |
Number of garments | |
Payment by | |
Draft/Cheque Details |
Use this Measure chart if the tape is not available else the tape can be sent
Site Position in Cm From Ankle Turn (Use -
for foot) |
AFFECTED SIDE (Left if Both) Circumference
in Cm |
NORMAL SIDE (Right if Both) Circumference in
Cm |
- |
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- |
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- |
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- |
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- |
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- |
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0 |
||
5 |
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10 |
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15 |
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20 |
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25 |
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30 |
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35 |
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40 |
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45 |
||
50 |
||
55 |
||
65 |
||
70 |
||
75 |
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How to measure :
Charges:
Rs 875/ per pair for lymphoedema stocking (Below Knee)
Rs 1050/- per pair for lymphoedema stocking (Above Knee)
Rs 1300 - per pair for lymphoedema stocking (Full leg)
Single pieces at 2/3 rd of Pair cost.
Add Rs 100/- as packing /postage per order. (2 pairs or less)
Send the order by E mail
Send the draft favoring AMLA MEDIQUIP in New Delhi.
Stockings will be dispatched within 2 working days of receipt of order
by courier.
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