First Name *
Last Name *
Contact / Mobile Number *
Email Address *
Diagnostic Lab / Centre Name *
Lab Location / City *
Average Daily Patients * Less than 25 patients/day25 - 50 patients/day50 - 100 patients/day100+ patients/day
Required User/Computer Access * 1 User (Single PC)2 - 5 Users (LAN Network)6 - 10 Users10+ Multi-location / Enterprise
Analyzer Machines Needed for Interfacing (Uni-directional / Bi-directional) *
Hematology AnalyzerBiochemistry AnalyzerImmunology / HormonesElectrolyte AnalyzerUrine AnalyzerOther / None
Number of Machine Interfaces Required
Do you need a Custom Lab Website & Online Reports? Yes - RequiredNo - Software onlyAlready have one
Additional Add-ons Required:
WhatsApp / SMS Report Delivery APIReferral Doctor & Patient Mobile AppsE-Signatures & Barcode GenerationTPA & Billing Management
Preferred Demo Date
Suitable Callback Time Range * Morning (10:00 AM - 1:00 PM)Afternoon (1:00 PM - 4:00 PM)Evening (4:00 PM - 7:00 PM)
Specific Requirements / Existing LIMS / Message