Gansu Mt.Emey orthopedic rehabilitation products Co.Ltd  Online order system
Account:
Password :

Order number:
Contacts:
Buyer:
Delivery to:
Address: Province(area) city county
Address: Province(area) city county
Zip:
Zip:
Tel: Fax:
Tel: Fax:
Express:
Cell-phone number: QQ:
Name of the patient:
include shoes/boots:
Sex:
Date Of Birth :
Weight:kg Height:cm
Shoe/boot number: left: Right:
structure:
Width:

诊断针对:
:

Diabetic foot
Hammer toe
cocoon
Overlap toes
ulcer
toe amputation
Heel bone spur
Metatarsal pain
Charcot feet/foot
Plantar fasciitis
Pain of the toes
Foot/shoe detail requirements:
Quantity:(L) (R)
Material Science:
Choice :
compound :
hardness
Heel depth

Inner wall :
Lateral wall :
Horizontal arch cushion :
Longitudinal pantograph :
Broken toe supplement: (L)
Broken toe supplement: (R)
Negative position :

Right foot shoes
Left foot shoes
Forehand arch
Special wear-resistant bottom
Internal and external deviation :
mm ; mm
Mild palmar arch
Half hook
External deviation:
mm ; mm
Total palmar arch
Full hook
Inset deviation :
mm ; mm
Strong forehand arch
Slope heel
Inset deviation :
mm ; mm
Double Bow
Cushioning soft heel
Heel elevation :
mm ; mm
Palmar arch
Composite toecap
Raise height before and after :
mm ; mm
Diagonal palmar arch
Reinforced back wall

Other requirements :
Attachment: (compressing files into a file upload. Upload files should not exceed 50MB)

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