Specialist Medical Supplies, Australia

Specialist Medical Supplies, Australia SELECT * from AgedLocations Where LocationID = #CareLocID#

#DayofWeekAsString(DayOfWeek(Now()))#, #DateFormat(Now(),"dd mmm yyyy")#

Home Health Care Order Form


To:	Specialist Medical Supplies
	Unit 2, 1 Talaverra Rd North Ryde, NSW, Australia 2113
	Ph: 02 9889-2533 Fax: 02 9889-1780

From:	Name:
	Delivery Address:


	Contact Phone No:
Order No.	(iif applicable)
Order Date:

PAYMENT DETAILS I wish to pay for this order by: VISA MASTERCARD

Code	Product Description	Unit	Qty	Price ($)
GHCWB004	CREPE BANDAGE 10CM	EA		00.90
JAJ16100	DAYLEE TOWELS (100)	BOX		18.00
SAN5999003	EXUDRY 7.5CM	EA		6.00
BDF2037	FIXOMULL 10CM	ROLL		23.00
BDF2036	FIXOMULL 5CM	ROLL		18.00
GHCGS001	GAUZE SWABS 7.5CM	PKT/100		1.75
SAN71443-1	HYPAFIX 10CM	ROLL		23.00
SAN1443-2	HYPAFIX 5CM	ROLL		18.00
JAJP10951	INADINE 9.5CMX9.5CM	EA		3.00
SAN66051340	IODOSORB 10GM (8CM X 6CM)	EA		28.00
SAN66051330	IODOSORB 5GM (6CM X 4CM)	EA		18.50
SAN66051240	IODOSORB OINTMENT 10GM	EA		28.00
SAN7450	JELONET 10CMX10CM	EA		2.00
CON1682F-7	KALTOSTAT 7.5CMX12CM	EA		10.20
SET311000	MEFIX 10CMX10CM	ROLL		15.00
SAN66974941	MELOLIN 10CMX10CM	EA		00.90
SS292200	MEPILEX LITE 7.5CMX7.5CM	EA		8.50
SS295300	MEPILEX BORDER 10CMX10CM	EA		10.00
SS295200	MEPILEX BORDER 7.5CMX7.5CM	EA		9.00
SS287110	MEPILEX AG 10X10	EA		24.80
SS294100	MEPILEX 10CMX10CM	EA		8.00
SET677001	MEPITEL 7.5CMX10CM	EA		18.00
SET677001	MESORB 10CMX10CM	EA		1.25
SET677401	MESORB 10CMX20CM	EA		2.10
3M1530-0/1	MICROPORE TAPE 12MM	ROLL		1.00
3M1530-1/1	MICROPORE TAPE 25MM	ROLL		1.50
3M1530-2	MICROPORE TAPE 50MM	ROLL		2.50
JAJ60088	MICROSHIELD ANTI MICRO GEL	BTL		18.20
JAJ61117	MICROSHIELD MOIST LOTION 500ML	BTL		10.00
SAN7224	SOFBAN 10CM	ROLL		3.00
PM8000	STERILE WATER AMPOULES			19.60
SET3610	STERIPASTE 10CM	ROLL		25.00
3M1626W/1	TEGADERM 10CMX12CM	EA		1.50
3M1624W/1	TEGADERM 6CMX7XCM	EA		00.95
JAJMT2440	TIELLE 11CMX11CM	EA		10.50
SET2438	TUBIFAST BLUE	ROLL		36.00
SET2436	TUBIFAST GREEN	ROLL		34.00
SET1450	TUBIGRIP D	EA		34.00
PHM931-680	VENO 4	EA		38.00
SAN66974941	MELOLIN 10CMX10CM	EA		00.90
SS292200	MEPILEX LITE 7.5CMX7.5CM	EA		8.50
SS295300	MEPILEX BORDER 10CMX10CM	EA		10.00
SS295200	MEPILEX BORDER 7.5CMX7.5CM	EA		9.00
SS287110	MEPILEX AG 10X10	EA		24.80
SS294100	MEPILEX 10CMX10CM	EA		8.00
SET677001	MEPITEL 7.5CMX10CM	EA		18.00
SET677001	MESORB 10CMX10CM	EA		1.25
SET677401	MESORB 10CMX20CM	EA		2.10
3M1530-0/1	MICROPORE TAPE 12MM	ROLL		1.00
3M1530-1/1	MICROPORE TAPE 25MM	ROLL		1.50
3M1530-2	MICROPORE TAPE 50MM	ROLL		2.50
JAJ60088	MICROSHIELD ANTI MICRO GEL	BTL		18.20
JAJ61117	MICROSHIELD MOIST LOTION 500ML	BTL		10.00
SAN7224	SOFBAN 10CM	ROLL		3.00
PM8000	STERILE WATER AMPOULES			19.60
SET3610	STERIPASTE 10CM	ROLL		25.00
3M1626W/1	TEGADERM 10CMX12CM	EA		1.50
3M1624W/1	TEGADERM 6CMX7XCM	EA		00.95
JAJMT2440	TIELLE 11CMX11CM	EA		10.50
SET2438	TUBIFAST BLUE	ROLL		36.00
SET2436	TUBIFAST GREEN	ROLL		34.00
SET1450	TUBIGRIP D	EA		34.00
PHM931-680	VENO 4	EA		38.00

PH413710	ZETUVIT PLUS 10CMX10CM	BOX(10)		12.00
PH413711	ZETUVIT PLUS 10CMX20CM	BOX(10)		18.00

Home Health Care Order Form