Body Measurement Chart Custom Made Pressure Garments
All measurements in Centimeters

HAND
  Left Right
Left
Right
_1 Little Finger
9
_2 Ring Finger
10
_3 Middle Finger
11
_4 Index Finger
12
_5 Thumb
13
_6 Wrist
-
-
-
_7 Palm
-
-
-
_8 M.T.
-
-
-
           
_19 Wrist to
Little & Ring Finger
  
_20 Wrist to
Middle & Ring Finger
  
_21 Wrist to
Index & Middle Finger
  
_22 Wrist to
Index & Thumb
 

Please fill in information bellow
Field Marked with * is mandatory

Name :
*
Address :


Country:
*
Pincode :
*

Tel. with Country code + area code:
 
*

Fax  with Country code + area code:

Mobile :


Sex :
*
Age :
*

Date :


Product :


 
Measured by :


Specialty :

 
Doctors Name :
*
Doctor's Tel. :
Country Code + City Code  
*

Doctor's Email :

Other Details :


Email :
*