Critical Supplies & PPEs -
Form to be filled in for requirements of N95, PPE, 3 Ply & other critical supplies by Hospitals & Doctors
Email address *
Name of the Hospital *
State & UTs *
City/town *
Contact Person *
( Procurement Head/Decision Maker)
Contact Phone Number *
(Procurement Head/Decision Maker)
Govt or Private Hospital *
Number of Beds in the Hospital
No of Covid-19 Allocated Beds
Can pay/Can't pay *
[unless you cannot pay at all, even partially pls click Cannot pay]
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