CHC ~ Online Order Form

Theatre Products & Surgical Dressings

Gauze Rolls

CODE	DESCRIPTION	ADDITIONAL DETAILS	PACK SIZE	ORDER QTY
CHC 001	90cm x 1m	PLAIN	DOZEN ROLLS
CHC 002	90cm x 5m	PLAIN	DOZEN ROLLS
CHC 003	90cm x 10m	PLAIN	1 ROLL
CHC 004	90cm x 50m	PLAIN	1 ROLL
CHC 005	90cm x 100m	PLAIN	1 ROLL

CHC 010	90cm x 1m	X-RAY	DOZEN ROLLS
CHC 011	90cm x 5m	X-RAY	DOZEN ROLLS
CHC 012	90cm x 10m	X-RAY	1 ROLL
CHC 013	90cm x 50m	X-RAY	1 ROLL
CHC 014	90cm x 100m	X-RAY	1 ROLL

Gauze Swabs

CODE	DESCRIPTION	ADDITIONAL DETAILS	PACK SIZE	ORDER QTY
CHC 020	75mm x 75mm x 8ply	PLAIN	100 Units
CHC 021	100mm x 100mm x 8ply	PLAIN	100 Units
CHC 022	75mm x 75mm x 12ply	FILMATED	100 Units
CHC 023	100mm x 100mm x 12ply	FILMATED	100 Units

CHC 030	75mm x 75mm x 8ply	X-RAY	100 Units
CHC 031	100mm x 100mm x 8ply	X-RAY	100 Units
CHC 032	75mm x 75mm x 12ply	X-RAY FILMATED	100 Units
CHC 033	100mm x 100mm x 12ply	X-RAY FILMATED	100 Units

CHC 040	75mm x 75mm x 8ply	STERILE	5 Units
CHC 041	100mm x 100mm x 8ply	STERILE	5 Units
CHC 042	75mm x 75mm x 12ply	STERILE FILMATED	5 Units
CHC 043	100mm x 100mm x 12ply	STERILE FILMATED	5 Units

CHC 050	75mm x 75mm x 8ply	X-RAY STERILE	5 Units
CHC 051	100mm x 100mm x 8ply	X-RAY STERILE	5 Units
CHC 052	75mm x 75mm x 12ply	X-RAY STERILE FILMATED	5 Units
CHC 053	100mm x 100mm x 12ply	X-RAY STERILE FILMATED	5 Units

Cleansing Swabs

CODE	DESCRIPTION	ADDITIONAL DETAILS	PACK SIZE	ORDER QTY
CHC 060	30mm	PLAIN	100
CHC 064	30mm	PLAIN	5
CHC 065	Carton of 20 packets of CHC060	PLAIN	1

CHC 061	50mm	PLAIN	100
CHC 066	Carton of 10 packets of CHC061	PLAIN	1

CHC 062	65mm	PLAIN	100
CHC 067	Carton of 8 packets of CHC062	PLAIN	1

CHC 070	30mm	X-RAY	100
CHC 071	50mm	X-RAY	100
CHC 072	65mm	X-RAY	100

Abdominal Swabs

CODE	DESCRIPTION	ADDITIONAL DETAILS	PACK SIZE	ORDER QTY
CHC 100	170mm x 200mm x 4ply	PLAIN	25
CHC 105	Carton of 30 packets of CHC100	PLAIN	1
CHC 101	450mm x 270mm x 4ply	PLAIN	25
CHC 106	Carton of 8 packets of CHC101	PLAIN	1
CHC 102	450mm x 370mm x 6ply	PLAIN	25
CHC 103	450mm x 370mm x 4ply	PLAIN	25
CHC 107	Carton of 6 packets of CHC102	PLAIN	1

CHC 120	170mm x 200mm x 4ply	STERILE	5
CHC 121	450mm x 270mm x 4ply	STERILE	5
CHC 122	450mm x 370mm x 6ply	STERILE	5

CHC 130	170mm x 200mm x 4ply	STERILE INSERT	5
CHC 131	450mm x 270mm x 4ply	STERILE INSERT	5
CHC 132	450mm x 370mm x 4ply	STERILE INSERT	5

STUMP DRESSINGS

CODE	DESCRIPTION	ADDITIONAL DETAILS	PACK SIZE	ORDER QTY
CHC 140	450mm x 370mm x 4ply	PLAIN	25
CHC 145	450mm x 370mm x 4ply	INSERT	25
CHC 150	450mm x 370mm x 6ply	PLAIN, STERILE	5
CHC 155	450mm x 370mm x 4ply	INSERT, STERILE	5

DISSECTING SWABS

CODE	DESCRIPTION	ADDITIONAL DETAILS	PACK SIZE	ORDER QTY
CHC 160	10mm	X-RAY, 100% COTTON	100
CHC 165	Carton of 100 packets of CHC 160	X-RAY, 100% COTTON	1

EYE PADS

CODE	DESCRIPTION	ADDITIONAL DETAILS	PACK SIZE	ORDER QTY
CHC 190	Standard , Disposable	100% COTTON	100

FOLEY CATHETERS

CODE	DESCRIPTION	SIZE	PACK SIZE	ORDER QTY
CHC 695	PVC NELATON, MALE, 40CM	FG06	100 UNITS
CHC 696	PVC NELATON, MALE, 40CM	FG08	100 UNITS
CHC 697	PVC NELATON, MALE, 40CM	FG10	100 UNITS
CHC 698	PVC NELATON, MALE, 40CM	FG12	100 UNITS
CHC 699	PVC NELATON, MALE, 40CM	FG14	100 UNITS
CHC 700	PVC NELATON, MALE, 40CM	FG16	100 UNITS
CHC 701	PVC NELATON, MALE, 40CM	FG18	100 UNITS
CHC 702	PVC NELATON, MALE, 40CM	FG20	100 UNITS
CHC 703	PVC NELATON, MALE, 40CM	FG22	100 UNITS
CHC 704	PVC NELATON, MALE, 40CM	FG24	100 UNITS

CHC 705	PVC NELATON, FEMALE, 20CM	FG06	100 UNITS
CHC 706	PVC NELATON, FEMALE, 20CM	FG08	100 UNITS
CHC 707	PVC NELATON, FEMALE, 20CM	FG10	100 UNITS
CHC 708	PVC NELATON, FEMALE, 20CM	FG12	100 UNITS
CHC 709	PVC NELATON, FEMALE, 20CM	FG14	100 UNITS
CHC 710	PVC NELATON, FEMALE, 20CM	FG16	100 UNITS

CHC 712	RED RUBBER NELATON	FG06	100 UNITS
CHC 713	RED RUBBER NELATON	FG08	100 UNITS
CHC 714	RED RUBBER NELATON	FG10	100 UNITS
CHC 715	RED RUBBER NELATON	FG12	100 UNITS
CHC 716	RED RUBBER NELATON	FG14	100 UNITS
CHC 717	RED RUBBER NELATON	FG16	100 UNITS
CHC 718	RED RUBBER NELATON	FG18	100 UNITS
CHC 719	RED RUBBER NELATON	FG22	100 UNITS

YOUR DETAILS

	Existing Customer
	First Time Customer
	Company Name
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	(This may cause a slight delay in delivery time)
	Immediate Order Processing Password
(Buyers can fill in a password they supply to us. This authorises us to process orders as soon as they are received and greatly speeds up delivery time)
	Name
	E-Mail
	Telephone
	Cellphone
	Delivery Address
	Have items delivered
	Collect Items
	Urgency of order
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	Comments or Notes