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Supplier Registration





Is existing supplier?:* Yes  No    
Supplier Name:* username:*
  Password:*
Address:* Fax Number :
Contact Person Name:* Phone Number:*
Email ID:* Web site :
PAN Number:* Drug License No.:* Yes  NO
Service Tax Number: Quilty Management System :
Organisation Type:* Contact Person Designation
Vendor Type:* Major Clients NO.1:
Name
    Phone:
TIN Number :   Major Clients NO.2:
Name
    Phone
Is Authorized Dealer?:* Yes   NO Has any Criminal Cases Pending?:* Yes   NO
Certifications :
Opt. for online transfer:* Yes No
Cash Recipient NO.*:
   
       
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Drugs and Medicines
Surgical Disposables Goods
LAB Reagents
Glass Ware
X-ray and Imaging Products
Sutures
I.V. Fluds
Surgical Instruments
Radioactive Products
Computer and Peripherals
General stationery
Printed Forms and Stationery
Houskeeping Chemicals and Consumables
Hospital And General Linen
Electrical Items
Maintenance Store Items
Miscellaneous
Medical Gases