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Hospital & NGO Requirements

This form is for hospitals and healthcare institutions to submit official maternity pad requirements.

All submissions are verified before being listed publicly.

Hospital Information

Hospital / Institution Name *

Hospital Registration Number *

Contact Person Name

Contact Phone Number *

Official Hospital Email ID *

Hospital Location (Address, City, State) *

Product Type *

Select Bundle Type *

Total Quantity Required

Additional Notes (Optional)

Upload Official Request Letter OR Hospital ID Document *

Click to upload or drag and drop

PDF, JPG, PNG files only. Max 10MB

Documents are used only for verification purposes.

I confirm that the above request is submitted on behalf of the mentioned hospital and the information provided is accurate.

Approved requests will appear on the Donation page after review.

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