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actim Fecal Blood beställningsformulär

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actim Fecal Blood beställningsformulär

Jag vill beställa provtagningsanvisningar för patient på följande språk:

Engelska ______ st

Finska ______ st

Tyska ______ st

Italienska ______ st

Spanska ______ st

Ryska ______ st

Arabiska ______ st

Bosniska/serbokroatiska ______ st

Turkiska ______ st

Kurdiska ______ st

Franska ______ st

Persiska ______ st

Svenska ______ block á 50 anvisningar

Produktinformationsblad på svenska ______ st Inplastad bruksanvisning (testutförande) ______ st

Jag vill ha det som fil

Jag vill ha det på papper

Namn: _______________________________________________

Arbetsplats: _______________________________________________

Adress: _______________________________________________

Postnr och ort _______________________________________________

Telenr: _______________________________________________

E-mail: _______________________________________________

Beställningen faxas till Orion Diagnostica AB på faxnr: 08-623 64 80

Orion Diagnostica AB actim Fecal Blood beställningsformulär Sid 1 (1)

Version 1.6 F-65 Datum: 2010-02-01

Alla våra provtagningsanvisningar finns att ladda ner på vår hemsida!

www.oriondiagnostica.se

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