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Home / Custom Made / Vest with Sleeves
Note :
  1. Please Fill All Required Fields .
  2. All Measurements To Be Taken In Centimetres
  3. Means this field is Not Required !!
  4. Please Fill Left or Right or both as per your Requirement
  5. Click on the image to fill the measurements

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Only For Female Patients

BRA SIZE IN CMS

Note:- All the fields below are required to be filled. order form will not be submitted if left blank

Select the Fabric Colour *

Select the Thread Colour *

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Silicone Gel Sheet
( Optional )
Upload Image of the burn/scar area