DATE

    COMPANY NAME

    LOCATION

    Email

    CAT. NO

    DESCRIPTION OF ITEMS

    QUANTITY

    BLOOD COLLECTION TUBE

    BT 8001

    BT 8001

    BT 8002

    BT 8003

    BT 8003

    BT 8004

    BT 8005

    BT 8006

    CAT. NO

    DESCRIPTION OF ITEMS

    QUANTITY

    SC 8001

    SC 8002

    SC 8002

    LH 8001

    LH 8002

    LH 8003

    LH 8004

    LH 8005

    LH 8006

    COMMENT

    PLEASE FILL YOUR VALUABLE ORDER QUANTITY IN QUANTITY COLUMN