M/S.PURUHOOTHIKA SOFTCONDUCTOR SERVICES HEVS INDUSTRIES.      (PURUHOOTHIKA TECHNOLOGIES LIMITED). HOSPITAL INFORMATION MANAGEMENT SOFTWARE(HIMS) DESIGNED AND DEVELOPED.            THIS HIMS ALL RIGHTS ARE RESERVED BY PURUHOOTHIKA.

SUPPLIER RELATIONSHIP MANAGEMENT(SRM)

Hospital SRM - Supplier Registration & Evaluation

Please complete this form to register as an authorized medical or general vendor/supplier.

1. Company Profile

Registered Company Name *

Tax ID / Business Registration No. *

Corporate Address *

Website URL

Supplier Type * -- Select Option -- Manufacturer Authorized Distributor Wholesaler Service Provider

2. Primary Contact Details

Full Name *

Job Title *

Email Address *

Phone Number *

3. Supply Categories

Select all product/service categories you provide: *

Medical Devices & Equipment Pharmaceuticals & Vaccines Surgical & Lab Supplies PPE & Consumables Healthcare IT & Software Facilities & Biomedical Maintenance

4. Quality & Compliance Compliance

Does your company hold valid healthcare regulatory certifications (FDA, CE, ISO 13485)? *

Yes, all applicable Partial / In Progress No

Do you have a cold chain monitoring system? (For Pharma / Lab suppliers only)

Yes No Not Applicable

Upload Quality Certifications / Business License (PDF format)

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