Request

Request form

Complete this form.

Company Name*
Your Name*
E-mail Address*
E-mail Address(Retype)*
Zip Code	( ex：999-9999 )
Country
Address1*
Address2
Telephone*	( ex：03-9999-9999 )
Fax	( ex：03-9999-9999 )
Mobile phone
Code	18791
Name	Color Doppler
Brand	HITACHI
Model	Hi Vision Avius
Endorsement number
Status	Sold
Price
Comment	General/OB/GYN/cardiac/vascular/small parts application
Specification & Options	Options Enabled: Elastography Dicom Transfer, Storage Print, Worklist Software *Network Interface Unit We can configure additional CW doppler, 4D options.
Configuration	*Linear x 2 pcs
Condition	Patient ready
inquiry*	(1000characters)