Enquiry Form

Cardiology Devices

Medical Equipments

Neurology Devices

Contact Us
Office 1/45, Gokhale Vihar Marg, Lucknow- 226 001 Phone: 0522-4016951 Fax: 0522-2204429 Email: techno_medicals@rediffmail.com	Factory Cum Office A-42, Talkatora Industrial Estate, Lucknow- 226 011 Phone: 0522-2661774, Fax: 91-522-2204429 Email: universalsurgicalsuppliers@rediffmail.com

Let Us Know YourRequirement!

Fields marked with asterisk (*) are mandatory

* Products looking for:

Estimated Quantity:


	Please mention the name of the product that you are looking for.


	Please mention quantity required.

* Describe Your
Buying Requirements
in detail:

Add Your Contact Details: (The following information will help us to contact you)

* Contact Name:


	Name of the person to whom we shall revert back with reply.

Company Name:


	Please provide company name. If you are an individual buyer, enter individual.

* Country:

* Phone Number:

Country Code	Area Code	Phone Number


	Please enter your complete phone number, Eg. 91-120-XXXXXXXX.

City/State:

STATE	CITY

* Enter the code
shown on image:


	Please enter the code shown on image.