1065 - Tim

Batch: 5

Date:

Orthotic
Type
EVA - Standard
Template
US W8/M9
Width
Standard
Material
EVA
Medium
Thickness
2mm - Left 2mm - Right
Digital Corrections
Left
Right
Shell profile
Standard
Standard
Shell Width
Standard
Standard
Shell Thickness
2mm
2mm
MLA Height
25mm
25mm
MLA Position
Standard
Standard
Heel Cup Width
Standard
Standard
MLA Position
Standard
Standard
Finishing
Left
Right
Shell profile
Standard
Standard
Shell Width
Standard
Standard
Shell Thickness
2mm
2mm
MLA Height
25mm
25mm
MLA Position
Standard
Standard
Heel Cup Width
Standard
Standard
MLA Position
Standard
Standard
Notes
Custom podiatrist notes go here