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Livehealth Supply Form
This is supply form if you want to buy diagnostic consumable material and SARS-CoV-2 Antibody Test.Livehealth is going to be an enabler for this transaction. We will make sure that there is quality of material and transparency in transaction.Below are the steps
1. Fill the form with details
2. Our team will call you for confirmation along with quantity and other details
3. You will get quotes for product
4. If you are happy with price then our team will place and order(Online payment only)
5. Our team will confirm on order
Personal details
Please enter all the relevant information
Enter your Name *
Enter your email address *
All communications and files will be sent to this email address
Enter your mobile number *
This will be used for communication
Lab details
Enter your Lab Name *
This will be used for formal communication, invoice etc.
Enter your Lab Address *
This will be used as delivery address while calculating logistics cost and for delivery.
Product details
We are trying to reach more number of suppliers. So product list will keep increasing. Please add products in other if not part of list
Choose the products that you want to buy
This will be used as delivery address while calculating logistics cost and delivery address
<10
10-100
100-500
500-1000
>1000
SARS-CoV-2 Antibody Test
Sanitizer
Head cover
Eye goggles
Gloves
Shoe protectors
Garbage bags
Infrared thermometer
PPE kit
3ply mask
N95 masks
Other product you want to buy but not in above list
Please add product name along with quantity
Submit
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