Supply Online Order Form

Sun, 12/05/2010 - 22:27 | by admin

Contact Person:

Email Address: *

Contact Number: *

Surgery: *

Tubes

SST-5mL-yellow top (each):

EDTA-4ml-purple-top (each):

Fluoride-2mL-grey top (glucose) (each):

Citrate -2.7mL-pale blue top (coag) (each):

Microtainers (infant bilirubin) (each):

Microtainers (infant EDTA) (each):

Needles

Vacutainer needle 21g-green (each):

Vacutainer needle 22g-black (each):

Vacutainer barrels (each):

Swabs

Cobas PCR swab for Chlamydia and gonorrhoea (each):

Herpes Simplex PCR Dry swabs (each):

Viral Transport Media swab for Influenza, Bordetella pertussis and Measles PCR (each):

Plain Amies swabs (each):

Urines

Urine containers (70mL) (each):

Urine containers 24 hour ACID (each):

Urine containers 24 hour PLAIN (each):

Cobas PCR urine kit for Chlamydia and gonorrhoea (each):

Paediatric urine bags (each):

Faeces

Faeces pots (culture) (each):

Faeces pots-PVA (each):

Formalin

70mL pottle (each):

1L container (each):

2L container (each):

4L container:

Histology Pots

70 mL (prefilled)-see Formalin above:

250 mL (each):

500 mL (each):

1L (each):

2L (each):

4L (each):

Punch Biopsy

2mm (each):

3mm (each):

4mm (each):

Cytology

SurePath LBC vial (each):

Broom (each):

Brush (each):

Spatulas (each):

Misc

Specimen bags (bundle):

Red urgent bags (bundle):

Mycology packs (each):

Other (please specify):

Laboratory request pads

Requestor Name:

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