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	19445
Name	Ultrasound
Brand	HITACHI
Model	Arietta 65
Endorsement number	230ABBZX00050000
Status	Recommend Sold
Price
Comment
Specification & Options	YOM2018 -CWD -DICOM -Auto IMT -Elastography(Mammo/Liver)
Configuration	-Convex -Linear -Linear -Sector
Condition	Patient ready
inquiry*	(1000characters)