Requisition Form

Requisition Form


B.T.KAWADE ROAD : All Below Mentioned
KEDGAON : Multislice CT Scan
VASCO DA GAMA : 16 Slice CT
1.5 TESLA MRI

BRAIN

SPINE
JOINT

SPECIAL STUDIES

16 SLICE CT SCAN
SONOGRAPHY (USG)
DOPPLER
Venous System
Arterial System
OTHERS
PATHOLOGY (Specify)
DIGITAL X-RAY (specify):