Online Order Form

Contact name: Contact email:
Contact phone:
Clinic name: Clinic address:


Description Units Order Quantity
Histology Jars (10% Formalin) - 70 ml Pack/10
Histology Jars (10% Formalin) - 25 ml Pack/24
Scalpel Blades - Size 10 Box/100
Scalpel Blades - Size 11 Box/100
Scalpel Blades - Size 15 Box/100
Punch Biopsy Kits - 2mm WITHOUT Plunger Box/20
Punch Biopsy Kits - 2mm WITH Plunger Box/20
Punch Biopsy Kits - 3mm WITHOUT Plunger Box/20
Punch Biopsy Kits - 3mm WITH Plunger Box/20
Punch Biopsy Kits - 4mm WITHOUT Plunger Box/20
Punch Biopsy Kits - 4mm WITH Plunger Box/20
Punch Biopsy Kits - 5mm Box/20
Punch Biopsy Kits - 6mm Box/20
Punch Biopsy Kits - 8mm Box/20
Dermal curette - 4mm Box/20
Dermal curette - 7mm Box/20
Request Forms with labels - A4 size Ream/100
Specimen Bags - clear Pack/50

Others: