OXYGEN CONCENTRATOR VERIFICATION
VOLUNTEER WHO VERIFIED SHOULD WRITE NAME IN THE FIRST BOX GIVEN BELOW
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NAME OF THE VOLUNTEER WHO VERIFIED ? *
ORGANIZATION NAME *
ORGANIZATION CONTACT *
PRICE OF EACH CONCENTRATOR *
Is there any warranty available ? *
SALE OR RENT ? *
PAYMENT MODE ? *
DELIVERY ? *
OXYGEN CONCENTRATORS LTRS AVAILABLE ? *
Required
LOCATION OF THE PROVIDER *
Additional Notes provided by the provider or volunteer *
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