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• Doctors' s Name*
• Clinic's Name
• Phone*
• Patients's Name
• Gender
  • Male
  • Female
• Age
• Order Date
  Date Format: MM slash DD slash YYYY
• Required Date
  Date Format: MM slash DD slash YYYY
• TOOTH NOTATION
• Shade
• Shade
  • Digital Photo
  • Email
  • Whatsapp
• Cervical
• Middle
• Cervical
• Discoloration (Gingiva Color)
  • Yes
  • No
• Contact
  • Broad
  • Point
  • Individual
  • Splinted (Joined)
• Tryin-
  • Wax
  • Coping
  • Bisque
• Implant Prosthesis
  • Cement Retained
  • Screw Retained
• PFM * Alloy used
  • Ni-Cr
  • Ni-Free
  • Ti-Alloy
  • Nexzr_Cad_Cam_PFM
• ZIRCONIA
  • NEXZR_PLUS_(10YR) (LAYERED)
  • NEXZR_BASIC_(8YR) (LAYERED)
  • NEXZR_T_(15YR) (MONOLITHIC)
  • NEXXSTAR_(15YR)( LAYERED/MONOLITHIC)
• TEMPORARIES
  • COLD_CURE TEMP
  • HEAT_CURE TEMP
  • MOCK UP
  • DIAGNOSTIC WAXUP
  • NEXZR CAD CAM TEMP
• PFM
  • Nexzr_Cad_Cam_PFM- 5YR
  • Nexzr_Cad_Cam_PFM- 10YR
  • PFM_CROWN/BRIDGE
  • FULL_METAL
  • BUCCAL_FACING
  • METAL_INLAY/ONLAY
  • MARYLAND BRIDGE
• ALLOY OPTIONS
  • Ni-Cr
  • Ni-Free
  • Ti-Alloy
• LAVA
  • LAVA_PREMIUM_(20YR) (L/M)
  • LAVA_TRANSLUCENT_(15YR) (L/M)
  • LAVA_MAX_(10YR) (M)
  • LAVA_ESSENTIAL_(10YR) (L/M)
  • LAVA_MONOLITHIC_(5YR) (M)
• E-MAX
  • CROWN
  • VENEER
  • INLAY/ONLAY
  • Nexzr_Cad_Cam_E-MAX (5YR)
• VACCUMED FORMES APPLIANCES
  • NIGHT GAURD
  • SOFT
  • HARD
  • 1MM
  • 2MM
  • 3MM
• VACCUMED FORMES APPLIANCES
  • BITE SPLINT
  • CLEAR_ORTHO_REYAINER
  • NEXZR_SMART_ALINGER
  • SMILE DESIGN
  • NEXZR_SURGICAL_DRILL_GUIDE
• DENTURE
  • LUCITONE 199
  • FLEXIBLE DENTURE
  • CAST_PARTIAL_DENTURE
  • PRECISION ATTACHMENT
  • SOFT RELIANING
  • HARD RELIANING
  • ACRYLIZATION Cast_Partial/HYBRID
  • INJECTION MODELING DENTURE
• OTHERS
  • NEXZR_CUSTOMIZED ABUTMENT
  • TIT-MILLED
  • CR-CO ABUTMENT
  • IMPLANT HYBRID
  • CR-CO
  • Tit-MILLED
  • TILITE
  • NEXZR_TITANIUM CROWN
  • NEXZR_PAULO_MALO
• NEXZR_PEEK
  • CAST_PARTIAL
  • HYBRID
  • TELESCOPIC_DENTURE
• Enclosures
  • Impression
  • Bite
  • Articulator
  • Shade Tab
  • Shade Tooth
  • Pre-Op Models
  • Additional Model
  • Model- with- Temporary- on
  • Old Work (Adjust/Remake)
  • Tray Enclosed
• Special Instructions

• In case any clarification. Please contact Dr.Contact No.

PRINT ADDRESS LABEL

PINKCITY CERAMIC DENTAL LAB
Plot no 17, Mohan Nagar,
Mohru Nagar, Manyawas, Jaipur
Rajasthan, India 302020
MOBILE: 8112273280 / 9414062448

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