Request Medical Supplies Name of the Hospital*Name of the person in charge*Email*Phone*WhatsApp Number (to receive updates)Country*Street Address1*Street Address2City*State / Province*Pin Code*Website URLPlease choose from the following supplies and mention the quantity you need*3 Ply face mask (with meltblown filter and maximum penetration. Box of 50 each)PPE kitsNitrile GlovesProtective Face ShieldN95 or KN95 MasksPlease provide us with as much as information about your hospitals.How many healthcare professionals in your organization are currently fighting the Covid-19 crisis.?*What difficulty is your hospital currently going through with the lack of PPE kits.Submit Error occured. Please confirm your data and submit again: