Express Diagnostics

ISO 9001:2008 Certifed Company

For Remote Reporting Services

Smart remote reporting for smart people...

Express Diagnostics provides 24x7 Remote Reporting Service on “Pay-Per-Use” basis for individual Doctors, Standalone Diagnostic Canters and Hospitals having their own equipments.

Remote Reporting form :

Personal Detail :
	Full Name:
	Address:
	Mobile Number:
	Email ID:
Center Details:
	Center Name:
	Ownership Type:
	Address of Center:
	Type of Internet Connectivity:
Reporting of Services Required (Name and Number per day)

ECG	HOLTER	AMBULATORY BP
X-RAY	PATHOLOGY TESTS	EEG
SLEEP STUDY	PFT	AUDIOMETRY
UROFLOWMETRY	TELE CLINIC	PRE-OP ASSESSMENT
HEALTH CHECK UP

Declaration:
I declare that the information contained in this application is complete and correct. I understand that if I have knowingly provided false information, I may be disqualified or dismissed after appointment.

Please check this box to consent to the use of this information as outlined above.