Punjab Small Industries Corporation (PSIC) Diagnostic study of industrial and handicrafts clusters in Punjab

ACKNOWLEDGEMENTS

This diagnostic study has been carried out for the Punjab Small Industries Corporation (PSIC) by GAT Consulting (Pvt) Ltd (GAT). We are especially thankful to the MD PSIC Mr. Bilal Butt and the PSIC Administrative and Technical staff from Lahore and regions for their kind support and guidance during all stages of preparation of this diagnostic study.

GAT is also thankful to the Sialkot Chamber of Commerce and Industry (SCCI) for their cooperation in the preparation of this study. Furthermore, we also extend our thanks to the Trade Associations and individuals from small, medium and large scale industry who participated in the surveys and focus group discussions regarding issues confronting this cluster and helping to identify possible solutions to these problems being faced by this industrial cluster in Sialkot.

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Punjab Small Industries Corporation (PSIC) Diagnostic study of industrial and handicrafts clusters in Punjab

DISCLAIMER This research document has been prepared for PSIC regarding issues confronting the industrial clusters in the Sialkot region. This report contains correct information provided by the cluster actors; however, GAT and/or PSIC do not bear any legal responsibility for the correctness and usefulness of the information contents of this study at the individual or industry level. The information contents of this report may vary considerably at the small, medium and large-scale industry level and might not be suitable for further references as an authentic source.

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Punjab Small Industries Corporation (PSIC) Diagnostic study of industrial and handicrafts clusters in Punjab

TABLE OF CONTENTS 1.1 Introduction ………………………………………………………………………………………………… 5 1.1.1 Background and Objectives of the Study …………………………………………………………… 5 1.1.2 Literature Review and Global Experiences…………………………………………………………… 5 1.2 Methodology…………………………………………………………………………………………………. 6 1.2.1 Methodology of the Study…………………………………………………………....………………… 6 1.3 Data Analysis………………………………………………………………………………………………… 8 1.3.1 Data Entry, Data Cleaning and Processing………………………………………………………… 8 1.4 Porter's Five Force Model………………………………………………………………………………. 8 1.5 Description of Cluster……………………………………………………………………………………… 9 1.5.1 History of the Cluster……………………………………………………………………………………… 9 1.5.2 Geographical location……………………………………………………………………………………. 11 1.5.3 Main Products of the cluster…………………………………………………………………………… 11 1.5.4 Core & other cluster Actors analysis………………………………………………………………… 13 1.5.5 Raw Materials and Intermediate Goods…………………………………………………………… 14 1.5.6 National, International Scenario of Cluster……………………………………………………… 16 1.5.7 Socio economic dynamics of cluster…………………………………………………………………. 21 1.6 Analysis of Business Operations ………………………………………………………………………. 21 1.6.1 Cluster Production Operations…………………………………………………………………………. 21 1.6.2 Markets and Marketing strategies…………………………………………………………………….. 22 1.6.3 Value chain analysis………………………………………………………………………………………. 24 1.6.4 Technology used and Output……………………………………………………………………………. 24 1.6.5 Human Resource and training issues………………………………………………………………….. 26 1.6.6 Credit constraint and related issues…………………………………………………………………… 27 1.6.7 Legal issues faced by cluster…………………………………………………………………………….. 27 1.7 Institutional framework for cluster development activity……………………………………….. 28 1.7.1 Government & Semi-government Organizations………………………………………………… 28 1.7.2 Local Bodies/Chambers/Association………………………………………………………………. 28 1.8 SWOT Analysis of Cluster……………………………………………………………………………….. 30 1.9 Porter's Five Factors……………………………………………………………………………………… 31 1.9.1 Suppliers Power…………………………………………………………………………………………… 32 1.9.2 Buyer Power…………………………………………………………………………………………………. 32 1.9.3 Competitive Rivalry…………………………………………………………………………………………. 32 1.9.4 Threat of Substitution……………………………………………………………………………………… 32 1.9.5 Threat of New Entry………………………………………………………………………………………… 32 1.10 Major Issues and Policy Recommendations……………………………………………………… 33 1.11 Future vision………………………………………………………………………………………………… 34 1.12 Action Plan…………………………………………………………………………………………………… 38

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Punjab Small Industries Corporation (PSIC) Diagnostic study of industrial and handicrafts clusters in Punjab

1.1 INTRODUCTION

1.1.2 Background and Objectives of the Study

Punjab Small Industries Corporation (PSIC) has been working for the development of small-scale industry and the handicrafts sector in various parts of the Punjab. PSIC intended to carry out a diagnostic study of Industrial and Handicrafts Clusters in Gujranwala, Gujrat, Mandi Bahauddin and Sialkot districts of the Gujranwala Division to prepare cluster profiles, diagnosing cluster issues and making policy recommendations for cluster based development with special focus on export oriented clusters.

The objective of the consultancy is to prepare a roadmap and policy guidelines for future interventions in the area to facilitate growth through cluster based industrial development. The major objectives of the study are:

 Profiling and Mapping of Clusters in Punjab  Identification of Issues Confronting these Clusters  Policy Planning of Interventions for Uplift of the Clusters

Consequently, GAT has been hired by PSIC through a competitive bidding process to carry out a Diagnostic Study of Industrial & Handicrafts Clusters in in the Punjab. During the inception phase, we maintained active liaison with the PSIC team to develop a shared understanding of the task requirements. We visited PSIC offices a number of times in order to hold meetings to clarify certain observations and collect relevant information/data and documents and reports.

1.1.3 Literature Review and Global Experiences

Over the past three decades, development research has focused on the importance of industrial clusters in the development process. In the United States (US), many states have designed and implemented cluster based development strategies. In 1999 the National Association of State Development Agencies and State Science and Technology Institute held a one-day workshop to analyze cluster based development strategies in the US.

Enright (1996, 1998) and Feser (1998) noted that concept of cluster based survey is widely accepted by the development planners because it has the benefit of contributing towards understanding regional economy. There are also questions about the abilities of the policy makers to exploit the strengths of the clusters to make them a driving force for the economy and turn them into successful industry.

Rabellotti (1995) explained that cluster is a group of firms located in the same geographical area, where there are a significant number of firms specializing in the production of inputs and for manufacturing the same type of goods. In an industrial cluster there are numbers of firms that are engaged in the production process of a commodity. Textile sector is an example of this manufacturing model. The research goes on to cite the Sinos Valley cluster in Brazil, Agra in India and Guadalajara and Leon in Mexico for the production of footwear and further mentions the surgical goods cluster in Sialkot, .

The current era of trade liberalization has highlighted the dire need of joint and synchronized action among the cluster members to address new commercial pressures as the Indian and Mexican clusters have faced problems in the past decade. Furthermore, Pakistani and Indian clusters have faced issues related to quality and environmental standards as a result of trade liberalization. Trade liberalization often leads to increased global competition and loss of traditional markets. In the light of current threats to the domestic industrial clusters there is a need for joint action to maximize market share.

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Punjab Small Industries Corporation (PSIC) Diagnostic study of industrial and handicrafts clusters in Punjab

In the surgical industrial cluster of Sialkot, Pakistan, there are around 220 producers with around 1,500 subcontractors who are producing goods valuing around $124 million for the US and Western European markets since 2000-2001. This sector came under pressure in the first decade of 21st century when issue of sterilization of the surgical instruments was raised. Subsequently, there was a major shift in the US policy to import surgical instruments from Pakistan. They removed third party purchasing and direct selling to the hospitals evolved.

After the collapse of the Soviet Union, the woollen knitwear cluster in Ludhiana, Tewari lost their traditional market. However, exploring alternative markets in Europe led to a swift revival. The firms in the woollen knitwear cluster upgraded their brands to a higher quality for their domestic as well as foreign buyers. This experience highlighted the importance of the domestic market in the process of innovation and learning opportunities for any cluster.

Rabellotti (1995, 1999) studied shoe-producing clusters in Mexico and Italy and the initial study conducted in 1995 compared the Guadalajara and Leon shoe clusters from Mexico and Italy. The study found that initially the relationship between suppliers and manufacturers was stronger in Italy as compared to Mexico while shoe clusters in both Italy and Mexico, exhibited weak forward linkages, i.e., marketing and commercialization. This study highlighted the importance of informal relationships that was greater in the case of Mexican clusters. Rabellotti (1999) again studied the Guadalajara cluster and studied the effects of trade liberalization on the inter-firm relationships within the industrial cluster. The study found that through positive cooperation with their suppliers’ performance improved for the majority of the firms.

In Sialkot, Pakistan, firms from the surgical instruments cluster prefer to take initiatives in those areas where they have some prior experience of marketing and lower opportunity cost. Thompson (2005a) highlighted these firm level characteristics that enhance its inter-cluster cooperation to the market. Thompson (2005b) discussed relational contraction theory highlighted by Macaulay (1963), North (1990) Gereffi (1999), and Kranton (1996) and found that informal relationships could substitute for formal contracts through the judicial system.

In the light of above-mentioned definitions of clusters and case studies it is evident that industrial clusters have become an important policy tool for development. In developing countries, industrial clusters provide jobs to a large number of people. Case studies have highlighted the success of these clusters to become leading exporters of a country. Studies also show that social network based relationships in clusters hinders growth. Ilias (2001) and Banerjee &Munshi (2000) brought forward a precautionary note to this discussion that cluster development policies should consider the benefits and drawbacks of clustering.

1.2 METHODOLOGY

1.2.1 Methodology of the Study

 Sampling Design and Approach

The firms in surgical instruments clusters exhibit different properties. The size of firms differs from each other. There are small, medium and large size firms involved in manufacturing and export. Their distance from the basic infrastructure might cause differences in their joint dependence and rivalry. Having this issue at hand, a representative sample of 57 firms was selected through systematic random sampling technique out of total

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Punjab Small Industries Corporation (PSIC) Diagnostic study of industrial and handicrafts clusters in Punjab

17361 small medium and large firms. Total 80 firms were contacted and we have received response from 57 firms. The response rate was 71%.

In addition to these surveyed firms, 15 other members of the surgical instrument cluster were also interviewed and their opinion was sought for the purpose of this study.

 Development of Questionnaire

With the consent of stakeholders a detailed list of possible issue was developed and then survey instrument was designed in the light of those issues.

An integral part of the study depends upon a structured survey instrument, which was to be administered to the firms during the course of this study. Since, the questionnaire was to be developed by the contractor, we developed the questionnaire in coordination with Ernest and Young, PSIC and other stakeholders.

We adopted two-step approach to probe into the cluster issues. We designed two separate survey instruments for firms and for Association of the cluster. Each item in the questionnaire was designed according to the sensitivity and the nature of information asked. To do this, questions were designed with structured, semi structured and unstructured manners to obtain accurate information. The basic implementation of SWOT analysis and Porter's Five Forces (discussed in next section) requires structured questions while owners of the firm or an expert opinion will be asked through semi structured and unstructured questions in the questionnaire.

The main issues covered in the questionnaire and group discussions were diagnosis of social, economic & value chain dynamics of cluster, existing level of factors of production, issues and knowledge of Value chain diagnosis, existing resources in terms of Tools & Technology, issues and provision of Raw Materials, Human resource, Institutional support, Marketing facilities, Infrastructural facilities etc and current & future requirements and policy interventions required.

Furthermore we have also designed questions on the Assessment of existing skill set of various agents in the cluster and assess any scope for the up gradation to make it more competitive in the world market. The information asked through Questionnaire also focused on the issues related to financial constraints and legal aspects of the cluster.

 Training of Enumerators

Two days training at Sialkot was imparted to the field and QA staff, for the field survey phase. Test was conducted to evaluate the understanding of the staff, at the end of training session. The project manager and the Team Leader trained the enumerators. The field teams were trained in the basics of the Survey requirements, the data collection protocols, and simple problem handling techniques.

After the training session, field test was also carried out in 20 firms of Musical Instrument cluster to check possible issues with the questionnaire and corrected. The activity also helped to test the understanding level of enumerators. The post pilot discussion session highlighted the practical difficulties and the level of preparedness of the staff. It also addressed the practicality issues with respect to the tools and instruments.

1 Though number of firms in this cluster is greater than 1736 but sample selection was done only from those firms registered with the Association.

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Punjab Small Industries Corporation (PSIC) Diagnostic study of industrial and handicrafts clusters in Punjab

1.3 DATA ANALYSIS:

1.3.1 Data Entry, Data Cleaning and Processing

The process of data entry needs careful assessment of the filled questionnaires. There were three-step validation processes for the check of validity of the filled questionnaire. The field supervisor rechecked the collected data from survey in first stage. In the second step desk team re-evaluated questionnaires and finally sent to data entry team. The Information System was developed to check any further inconsistency in the data by applying various logical and other checks to maintain the quality of data. Major part of the questionnaires are closed ended questions, so simple check boxes, drop down menus were programmed in such a manner that it reduced a great chunk of errors at the stage of data entry. Thus overall quality of data was maintained at this step.

Using the clean data, the analysis was carried out in the following steps:

 Descriptive analysis:

Descriptive analysis enabled us to extract some vital statistics from the survey data to explain the key issues of the cluster.

 SWOT analysis:

SWOT analysis is an important tool to identify firm's strategic position in a business environment2. SWOT is a combination of four factors Strengths, Weaknesses, Opportunities and threats. It helps analysts to identify best possible strategies for the firm by using its resources and capabilities according to prevailing business environment. It covers all factors (positive and Negative) that can affect firm's success. In this study, we intend to find out those factors that help firms in an industrial cluster to flourish and with the help of those factors we forecast the changing trends that would be helpful for the policy makers in the process of decision making.

1.4 PORTER'S FIVE FORCE MODEL:

Porter's five force model helps the entrepreneur to understand and deal with competition in the market (Porter, M., 1979 and Porter, M. 2008). Porter argues that factors that affect competition in an industry are almost common across industries. Porter identified five forces to study and deal with the competition in an industry. These forces are

 Industry Rivalry (Competition among existing competitors)  Bargaining Power of the customers  Bargaining power of suppliers  Threats of substitute products  Threat of new entrants.

2 Osita, Christian; Onyebuchi, Idoko; Justina, Nzekwe (2014) and Humphrey, Albert ( 2005)

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Punjab Small Industries Corporation (PSIC) Diagnostic study of industrial and handicrafts clusters in Punjab

1.5 DESCRIPTION OF CLUSTER

1.5.1 History of the Cluster

Sialkot is renowned for its world-class surgical products. The production of surgical instruments from Pakistan is mainly attributed to Sialkot as almost 99%3 of the production of surgical instruments takes place in Sialkot. Manufacturing units are spread in and around Sialkot city. This industrial cluster consists of large, medium and small firms engaged in the production of surgical instruments. Small- scale producers generally produce for the medium or large size firms or sell their production to exporters.

Surgical tools can be defined as the devices or tools that are used to perform cutting, holding, grasping, retracting or suturing. The basic material used in the manufacturing process of surgical instruments is steel. Along-with steel, radium, titanium, chromium and molybdenum are also used in the production process of surgical instruments. With the introduction of new medical fields, surgical instruments have become more complicated. The nature of surgical instruments has advanced to inclusion of computerized components in them. This hi-tech era and the use of advanced technology have changed the design and prerequisites of production of surgical equipment.

The annual export value of surgical instruments from Sialkot in 2013-14 was around USD 335 Million4. As this industrial cluster produces surgical instruments for international producers on their demand with special type of designs so around 99% of its production is exported.

Sialkot is a city of skilled workers. They produce world-class products and receive business share from the world. The history of surgical instruments spans over 100 years. The journey of this skill started from the making of traditional knives and other iron traditional weapons to the current modern world class complicated surgical instruments making industry. 1930s was the time when this city stepped into international market. To strengthen the institutional setup of this cluster, in 1941, British government established Metal Industries Development Centre (MIDC). It helped this industry to upgrade from production of basic metal items to complicated high-class surgical instruments. At the time of independence there were 17 registered surgical firms operating in Sialkot5.

With the passage of time and increasing worldwide recognitions, it has grown up to around 2500 small, medium and large size registered enterprises. Surgical Instrument Manufacturing Association of Pakistan (SIMAP) was formed in 1958 to promote and safeguard the interests of this cluster.

1960s was the period of incentives and government regulated support for the surgical instrument industry as government provided subsidies and credit incentive schemes to this cluster during this period. As a result of these incentives, this cluster has seen a technological boost along with increase in quality and productivity in 1960s. During 1970s, this cluster faced a number of challenges. Labor laws and related issues caused panic in the labor and industrialists simultaneously. This conflict resulted in a major policy shift in the production process as firms started outsourcing their work to local vendors and reduced the number of full time employed labor at firm.

1980's and 1990s was the period of high demand and regulations for surgical instrument industry. Restrictions were imposed by US Food and Drug Administration (FDA) on Pakistani surgical goods and made it mandatory to get certification like ISO, CE and GMP6 after improving its management and

3 Sialkot Chamber of Commerce and Industry "Surgical Industry at a Glance" pp1 4 Surgical Instruments Manufacturing Association of Pakistan (SIMAP) 5 Surgical industry at a glance by Rawalpindi Chamber of commerce and industry 6 Good Manufacturing Practice (GMP), Certificate of Europe (CE), International Organization for Standardization (ISO) GAT CONSULTING (PVT) LTD 9

Punjab Small Industries Corporation (PSIC) Diagnostic study of industrial and handicrafts clusters in Punjab

manufacturing system. Surgical industry also made necessary arrangements and overcame these hurdles and continues to show its presence at international markets.

Since then, the Sialkot Surgical goods industry is growing and contributing to the GDP of Pakistan significantly. In Pakistan, main production area for these surgical instruments is Sialkot where almost 99% production of these surgical instruments is taking place. Currently, there are around 10,000 different types of instruments being produced and exported from Pakistan to different destinations in the world. There are around 2500 companies operating in the vicinity of Sialkot in which the number of large scale manufacturers is around 20. These companies have worldwide presence and have their offices in the importing countries. Around 50 medium size units are also operating in Sialkot and some of them also have their offices in the importing countries. Remaining number of firms constitute small scale firms which includes outsourced part of production process, vendors segments etc.

The classification of the market on the basis of number of employees, investment in plant and machinery etc is very difficult because clear information on these indicators is not available. The reason for non-availability of this data is high degree of rivalness among cluster members. So the studies on this cluster generally classify these firms on the basis of sales turnover as the sales volume more likely indicates the firm size7.

The surgical instruments produced at Sialkot are mainly exported to different countries around the world. Major importer of surgical instrument from Pakistan is USA that imported 24% of the total exports of disposable surgical instruments from Pakistan in 2013.

The top ten buyers of Surgical Goods from Pakistan in 2013 are given as under:

Table1: Country wise trade share of Pakistani exports of Surgical Instruments No. Country Percentage of Imports from Pakistan 1 United States 24% 2 United Kingdom 10% 3 Italy 4.45% 4 Japan 2.35% 5 Mexico 2.22% 6 Germany 1.5% 7 France 4.82% 8 UAE 3.60% 9 Brazil 2.24% 10 Russian Federation 1.90% Source: Sialkot Chamber of commerce and industry SSCI

7 Surgical Instruments Industry, Structure, Issues/Problems & Recommendations: by Rawalpindi Chamber of Commerce and Industry GAT CONSULTING (PVT) LTD 10

Punjab Small Industries Corporation (PSIC) Diagnostic study of industrial and handicrafts clusters in Punjab

1.5.2 Geographical location

Mainly, this cluster is located in the urban areas of Sialkot city. The major production units are in the city center with the spread of 0-15 sq Km of range. The main area where the manufacturing is done is mostly in and around Commissioner Road, Air Port Road, , Kulluwal Road, Jinnah Park Colony, Roras road, and Muslim street. A detailed analysis of geographical spread of the firms in Sialkot is presented in Appendix “A”.

1.5.3 Main Products of the cluster

The majority of surgical companies operating in Sialkot are certified with ISO-9002 standards of certification. These companies produce world-class surgical instruments but they are not entitled to design equipment. There are more than 300 companies in Sialkot that have ISO-9002 certification while around 250 companies have good manufacturing (GM) certification. These standards enable these manufacturing units to trade worldwide. The production network of this cluster primarily follows the international brands to produce certain item according to their needs. The first step of designing takes place at the importers end and according to the nature of the designed product, the order is placed. These companies have long list of designs of surgical instruments being produced at this surgical industrial cluster.

Following is the range of major equipment being produced at Sialkot surgical cluster.

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Punjab Small Industries Corporation (PSIC) Diagnostic study of industrial and handicrafts clusters in Punjab

The production of these surgical instruments is very complex procedure. Not all the firms produce all the instruments. It depends on the nature of expertise of the firm that how many instruments are being produced. The ISO-9002 certification enables this cluster to export its product to international buyer but restrict them from designing their own models for international market. This aspect bounds the manufacturing firms to produce for international buyers and only follow the instructions of main importer. Not all the firms produce all the surgical items. There is need to change this track and adopt aggressive approach in international market by introducing its own brands and models to trade directly with end user.

There is variety of surgical instruments being demanded and produced in the field of medical. Main types of surgical instruments can be outlined as follows8:

Table 2: Products produced at Sialkot Surgical instrument industrial cluster Graspers, such as forceps Clamps and occludes for blood vessels and other organs

8 TDAP-I Report on Surgical & Medical Instruments Industry in Pakistan

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Punjab Small Industries Corporation (PSIC) Diagnostic study of industrial and handicrafts clusters in Punjab

Retractors, used to spread open skin, ribs Distracters, positioners and stereotactic devices and other tissue Mechanical cutters (scalpels, lancets, Dilators and specula, for access to narrow drill bits, rasps, trocars, ligature, etc) passages or incisions Suction tips and tubes, for removal of Sealing devices, such as surgical staplers bodily fluids Irrigation and injection needles, tips and Tyndale's, to help “wedge” open damaged tubs, for introducing fluid issues in the brain Powered devices, such as drills, Scopes and probes, including fiber optic dermatomes endoscopes and tactile probes Carriers and appliers for optical, Ultrasound tissue disruptors, cryotomes and electronic and mechanical devices cutting laser guides Measurement devices, such as rulers and clippers

1.5.4 Core & other cluster Actors analysis

This industrial cluster is a mix of traditional and dynamic production firms. The actors in the production process can be traced in four different categories. From production point of view large scale manufacturing production units, it includes around 10% of the cluster firms and produces the major share of the total production (50%) and export activity with relative less labor employed (15%). The medium scale firms constitute 40% of the cluster; have 40% employment share with significant production activity (35%). Rest of the production and employment is at small scale and vending sectors of this cluster.

The surgical instrument cluster can be classified on the basis of revenues of the firms. It would result in four type of firms in the cluster, high sales firms, medium sales firms and low sales firms and vendors present in the market. These firms can be identified as large size, medium size and small size firms respectively with vendor segment in the market. This classification provides us with 20 units as large firms with annual turnover around 60-100 million and with average employment of 250-350 employees in each firm. While medium size segment in the market, there are around 50 firms with Rs. 10-60 million revenues annually giving firm wise average employment opportunities to 100-250 laborers. Third part of this cluster consists of 150 small-scale firms with annual sales between Rs. 1-10 million per annum giving employment opportunities to 30-50 persons.

The fourth part of this cluster consists of vendors. There are around 2000 registered vendors in the cluster. These vendor firms generally specialize in one or two processes of instrument making. The revenue of such firms ranges 1-1.5 million annually.

As most of the production process is outsourced to large and medium firms, the role of traders is widespread in this cluster. Traders support the process of manufacturing in this cluster. These traders are not part of production process of the cluster but they are active members in the international market of surgical instruments. In Sialkot there are more than 900 traders involved in the trade of surgical instruments along with trade of other products being produced at Sialkot9.

Type of Firms/Organizations

There are multiple types of organizations working in surgical instrument cluster in Sialkot. Survey indicates that most of the firms operating in this industry are partnership owned (52.7%) followed by public company (Listed)(29.1%).

9 Surgical Instruments Industry by SCCI GAT CONSULTING (PVT) LTD 13

Punjab Small Industries Corporation (PSIC) Diagnostic study of industrial and handicrafts clusters in Punjab

The organizational structure of the firms regarding international business indicates that

Is your organization ISO most of the firms at Surgical instrument clusterSialkot are not registered with ISO certification. Only 47.3% certified? of of surveyed firms were registered with ISO certification while around 50.8% firms were not registered. Rest of the firms did not provided No information regarding this question.

Yes

44 46 48 50 52 How the business was acquired? The main trend in this sector to get business or establish a set up/firm to do business, especially at small and medium size of the business is shown in the dig. Majority of the business owners are self- Purchased a running … established and they are in this business since long. Passed on by family The trend of new entrants who purchased a running business is negligible. There is also small numbers Self-Established of businesses passed on by family members. This trend of business establishment indicates that this 0 50 100 cluster is operating in a typical enviornment in which majority of the self established business owners are on the derivig seat to control trends of the business in this cluster.

Most of the owners of the business are not technically trained. The survey results indicate that around 59% owners of the business owners did not possess any technical training. Out of 41% of the trained owners of the firms, majority of the owners possess traditional training. To make these firms upto mark and compatible in international market, there is dire need to provide these owners with the training and awareness regarding trends in international market and latest technology being used for the products being produced at international markets.

What are the types of raw 1.5.5 Raw Materials and Intermediate material being used? Goods

The quality of the production being produced Local at Sialkot surgical cluster is mainly an Both imported outsourced production activity. International Local and brands have outsourced their production to Imported the skilled companies in Sialkot. To ensure the optimal level of quality, the international buyers demand stringent quality standards from Pakistani firms leading to the use

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Punjab Small Industries Corporation (PSIC) Diagnostic study of industrial and handicrafts clusters in Punjab

standard material by firms in Sialkot. Large-scale firms engaged in the production activities at surgical instruments, use imported stainless steel and other raw materials to produce surgical instruments. Some small and medium scale firms use mix of local and imported raw material. Generally firms that manufacture disposable surgical instruments use mix of imported and local raw material. But large firms that are engaged with the international brands use only imported raw material10. According to industry sources there are around 50 domestic suppliers in Sialkot and allied cities for the supply of domestic and imported raw material to production firms.

Fig: General ingredients in the production of Surgical Instrument

Stainless steel

Titanium Surgical Brass instrument

Aluminum

A notable fact is that, in Pakistan no industrial setup is producing stainless steel as raw material to supply surgical instrument cluster despite the fact that this could be a huge market. Pakistan Steel has tried to start supply of steel to this cluster in 1990's but due to unknown reason this project failed. Still this is a huge market for quality stainless steel raw material.

The detailed inputs used for the production of surgical instruments can be outlined as follows:

Table 3: Detailed list of inputs used in the Production of surgical instruments: 1. Stainless Steel Sheets and Strips (AISI 410 & 2. Hot Rolled Stainless Steel Bars 420) 3. Compositions and Salts 4. Grinding Belts 5. Emery Powder 6. Trichloroethylene 7. Felt Mops 8. Satin Finishing Wheels 9. Granules and Flakes from Gloss Powder 10.Grinding Wheels 11.Electroplating Polishes 12.Emery Grains 13.Electropolishing Chemicals

10 In some cases firm/company producing surgical instruments bound by the international buyer to use raw material prescribed by them. GAT CONSULTING (PVT) LTD 15

Punjab Small Industries Corporation (PSIC) Diagnostic study of industrial and handicrafts clusters in Punjab

1.5.6 National, International Scenario of Cluster

The main production clusters of surgical instruments in the world started to establish in early 20th century. These were Solingen and Tuttlingen in Germany, Nogent-sur-Martin in France and Sheffield in England. Presently, these clusters do not exist in the manufacturing of surgical instruments field except Tuttlingen in Germany. In recent past Pakistan has emerged as a leading manufacturer of conventional instruments for surgical and medical field. Presently, there are a number of countries producing surgical instruments but Pakistan is producing high quality at remarkably low prices in the world market. Only China is close competitor to Pakistan with lower price than Pakistan11.

The journey of surgical instrument cluster, from repair of ordinary scalpels and scissors to the manufacturing of complicated surgical instruments, is remarkable. The companies in this industry produce around 40,000 different instruments and equipment over different eras12. Currently there are around 10,000 different surgical goods used in different medical procedures being produced.

Around the world, there is no significant competition for the surgical instrument being produced at Sialkot industrial cluster as no other country is producing such quality of surgical instruments in this price range.

Multinational companies from all over the world are making joint ventures with Pakistani firms to produce complicated surgical instruments. This shows the confidence of international companies in the local skill. Despite all the good repute and quality production there is no local brand working internationally with its own accepted brand name except in Middle East and UK where they got limited success. There is dire need to channelize the efforts to brand internationally the products of this cluster.

Despite the lack of indigenous Pakistan/Sialkot brand name, Pakistan is still faring well globally. Following table shows the export trend of surgical equipment13 to the top ten trade destinations in the world. The table shows that US is major importer of surgical instrument from Pakistan followed by Germany and UK. Out of the total share of Pakistan's exports, almost 30 percent is exported to US as compared to 13.2 percent for Germany and 10.5 percent for UK. US is the top importer of surgical instruments from the world. During last five years, the growth rate of Pakistan's exports to US was 6 percent per annum followed by 2 percent to Germany and 6 percent to United Kingdom.

Table4: Pakistan trade indicators with top 10 importing countries of surgical instruments (90)

Trade Indicators Tariff (estimated) faced

Total import growth

by Pakistan (%)

Trade balance 2015

2011 2011 2014 2011

Exported growth in Exported growth in Exported growth in

countries between

Ranking of partner

Share in Pakistan's

in value partner of

countries in world countries in world

Exported quantity

quantity between

Share of partner

(USD thousand)

Exported value

Importers value between value between

Quantity unit

imports (%)

exports (%)

(USD/unit)

2015 (USD

thousand)

Unit value

- - - -

2015 (%, p.a.) 2015 (%, p.a.) 201 2015 (%, p.a.)

imports

2015

5 (%, p.a.)

No USA 95722 81926 30.2 Qty 9 17 1 19.7 6 0 Germany 41890 11401 13.2 780 Tons 53705 3 9 -3 2 7.7 2 0 UK 33113 28157 10.5 1190 Tons 27826 5 4 -7 7 3.9 6 0 No Mexico 30640 30565 9.7 Qty 14 23 10 2.5 8 4.7 France 12512 9620 4 0 Mixed 3 -12 8 3.9 -1 0

11 TDAP-I Report on Surgical & Medical Instruments Industry in Pakistan 12 SCCI 2014

13 Under Product code 9018

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Punjab Small Industries Corporation (PSIC) Diagnostic study of industrial and handicrafts clusters in Punjab

Czech Republic 7239 6946 2.3 363 Tons 19942 23 24 19 31 0.5 1 0 Brazil 7080 6711 2.2 195 Tons 36308 6 3 -25 18 1.3 3 9.3 Japan 6438 -9458 2 85 Tons 75741 8 7 -5 6 5 -2 0 Italy 6405 -617 2 143 Tons 44790 3 0 -8 9 2.7 -1 0 Source: UN comrade statistics 2016

It is worth mentioning that during the last two years, the value of the export growth to USA, Mexico and Czech Republic is positive while its value is negative for rest of the countries that shows decreasing revenues from rest of the markets in the above table. There is need to focus on the negative growth aspect of trade growth to ensure steady growth in business with existing international markets for surgical instruments of Pakistan.

On the issue of trade barriers, there are no significant trade restrictions imposed by these top 10 importers except Mexico and Brazil who have imposed tariff rate of 4.7% and 9.3% respectively. It shows a relatively supporting environment for Pakistani surgical instrument in these top 10 importing countries from Pakistan.

Pakistan enjoys diversified market conditions for its surgical instrument industry as a whole. But as far as volume of trade is concerned, it is focused on limited number of countries. The following picture explains the diversification of trade by destination and volume of trade.

The above chart shows that all the importers of surgical instruments from Pakistan are also importing from the world. They all diversify their choice in the world market. In the above chart it is evident that during the period of last five years, four countries' (Austria, Singapore, UK and India) imports of surgical instrument from Pakistan are decreasing as compared to their imports of surgical instrument from the world. Over the same time period of time import share of Germany and USA increased as compared to their imports from the world. This market situation demands an immediate probe into the situation that why some of the top importers have reduced their imports from Pakistan despite the fact

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that Pakistan has an advantage over the other countries in low price and high skills. If Pakistan is losing ground because of price competitiveness, it implies that surgical instrument cluster requires government institutional support that might be in terms of reduction of tariff on import of raw material or competitive rebate on exports so that they can remain in competition with international firms. On the other hand, if this cluster is losing its trade share because of quality standards then it has more serious implications for the market. In that case there would be need of immediate policy intervention to support this industry with latest technology and investment in R&D to compete world market.

Bold lines on the chart indicate strong share in exports of surgical instruments from Pakistan and Partner country. The diagram indicates that surgical instrument cluster is not diversifying its trade destinations as compared to its potential. The skill set possessed by labor at Sialkot surgical industrial cluster is unique and they can compete all over the world but they are not diversifying despite the fact that this cluster is underutilizing its production capacity. The reason could be the weak grounds of the production process and certification of its products. By weak grounds we mean that they are working for international buyer and not designing their own products. These firms are not entitled to provide after sale service and designing rights14. Due to this reason, the firms in this industrial cluster compete with each other domestically to capture international orders at low price. This could be the reason in case of Sialkot surgical industrial cluster that they are competing with each other at manufacturing levels and not focusing on other markets to diversify their product and market.

The item wise export performance of Sialkot surgical cluster to its major importing country USA is given in the following table. The major exports to US are comprised of Electro-medical apparatus (electro-cardiographs, infra-red ray app), which covers 30 percent of Pakistan’s exports of surgical instruments and around 19 percent of world imports. Over the period of last five years highest growth is seen in the value of automatic regulating or controlling instruments and apparatus (58%) followed by Instruments, apparatus & models, designed for demonstrational purposes (52%) in US.

Negative growth is also seen in orthopedic appliance (crutch/surgical belts & trusse) (-7%), Hydrometers & similar floating instruments, thermometers (-1%), etc

14 This is allowed with ISO-9001 certification

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There is need to focus trade strategies on the fast growing demand for surgical instruments in US as this is one of the world's major importing countries of disposable surgical instruments. Table 5: Pakistan's Exports Trends to US (major importing county of surgical instruments) Pakistan's exports to United States of America

Product Code Product Annual Annual growth Share growth in Product Label Value in Share in Value in in value in value 2015, USD Pakistan's 2015, USD between world between thousand exports, % thousand 2011- import 2011-2015, 2015, %, s, % %, p.a. p.a. Electro-medical apparatus (electro- '9018 cardiographs, infra-red ray app, sy 95722 9 30.2 20547407 6 19.7 Spectacles, goggles and the like, '9004 corrective, protective or other 714 69.9 2236579 7 24.5 Optical fiber, cables; sheets & plate of '9001 polarizing mat 218 90.8 2082906 6 7.8 Instruments, apparatus & models, '9023 designed for demonstrational purposes 145 52 58 512919 6 20.5 Automatic regulating or controlling '9032 instruments and apparatus 133 58 20.4 4785494 2 14.2 Mechano-therapy appliance (artif resp, '9019 massage app, ozon/oxygen) 77 22 7.8 2965920 8 28.2 Drawing, marking-out / mathematical '9017 calculating inst 39 -12 12.1 309192 5 13.8 '9031 Measuring or checking machines, nes 37 24 12.8 4906644 7 12.2 Instruments for physical/chemical '9027 analysis;inst for viscosity, heat, etc 20 5 7.1 5753989 3 14.6 Oscilloscope/ spectrum analyzers; instr '9030 for measuring ionising rad 19 19 3.3 3219349 -1 14 Orthopedic appliance (crutche/surgical '9021 belts & trusse) 17 -7 1 10012830 3 19.1 Instruments for measuring/checking '9026 the flow/level/pressure of liq/gase 16 5.3 3075414 5 14.7 Direction finding compasses; other '9014 navigational instruments & appliance 16 5 1533873 8 19.6 Frames & mountings for spectacles, '9003 goggles 15 30 75 1062261 3 18.5 Gas/ liquid/ electricity '9028 supply/production meter 13 2.1 1004221 3 16.2 Apparatus based on the use of X- '9022 rays/of alpha, beta/gamma radiations 11 5.9 3964792 0 19.1 Machines for testing the hardnes '9024 /strength 5 5 168820 5 7.8 Hydrometers &similar floating inst, '9025 thermometers, etc 3 -1 0.6 846811 7 15.8 Liquid crystal devices; lasers; other '9013 optical appl & instruments nes 3 3.9 2703697 4 3.6

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Surveying, hydrographic, oceanographic, meteorological '9015 instruments 3 0.7 1205135 -3 12.8 Source: UN Comtrade statistics

Different policies regarding different markets are needed to capitalize in short period of time in the world market. Country wise targeted intervention is required keeping in view the country wise import trend and analyze the gap in their imports to capture maximum share out of that market. General fit-to-all policy regarding export promotion might not help the export performance of this cluster. Commodity wise micro level policy intervention is required to boost weaker areas of exports in this cluster.

Issues in the Export of Surgical Instruments:

Despite the billion dollar exports to the world, Pakistani exports make only small share in the world trade of surgical instruments. Due to high level of diversification in surgical instruments, Pakistan has developed some special skill sets in four HS codes category (9018, 9004, 9001, and 9023) of surgical instruments mentioned in the first column of above-mentioned table. Pakistan is currently competing markets of developed countries like France, USA, and Germany etc. The price of exported surgical instrument at Sialkot ranges between $1.5-2.515 as compared to US$ 0.35 in China. Despite this fact, the price comparison of disposable surgical instruments of Pakistan shows that the prices of Pakistan- made disposable surgical instruments are much lower than the prices of Germany and France. The only problem with this cluster is the lack of innovation and diversification in the production process and products. Furthermore this cluster needs to shift from low value instruments to high-tech instruments to extend its share in the international market.

The international scenario for the trade of surgical instruments flows mostly from developing world to developed world. Cheap labor and low cost of raw material are main attractions for the buyers and manufacturers in the developing countries. Many commodities are produced at developing countries and sold at developed world after the stamp of international brand on it. This is like a sale of a skill at low cost due to poor market information and opportunities. Generally, innovations take place at developed world and they sell those newly innovated commodities to third world at very high price. Trade flows from less developed to developed countries at low price and reversal of this takes place at very high price.

In case of Pakistan, many issues were raised against surgical instrument industry. The major blow was the trade restrictions imposed on the surgical instrument cluster on the basis of child labor. ILO and Surgical instrument manufacturer Association of Pakistan handled this situation by introducing a comprehensive program to eradicate child labor from this industry. Currently as a result of this program there is no child labor in the surgical instrument manufacturing units in Sialkot. Initially when issue of child labor was raised by US agencies; SCCI and UNIDO made joint group to monitor this problem on regular basis. This working group is still operational at Sialkot chamber of Commerce and Industry effectively and has managed to remove Child Labor from Industry in Sialkot.

15 Note: this price is only for some disposable items, there are many other items that sell for much higher rate. Source: SCCI and http://trtapakistan.org/

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1.5.7 Socio economic dynamics of cluster

The production of Sialkot surgical cluster has many significant effects on the local economy of Sialkot. The per capita income of Sialkot district is highest in Pakistan. It has manifold effects on the socio economic horizons of the area. The production activity of this cluster has a spread of at least 15 square miles and providing employment to the people through small medium and large size production units. The outsourcing strategy adopted by cluster actors in 1970's had broadened the network of opportunities for this area and home industry flourished that ultimately brought people to work. This cluster is providing employment opportunities to almost 150,000 people with their subordinating network of around 200,000-250,000 people. This has translated into enhanced living standards for the people engaged in this cluster belonging to this region.

The industrialists from Sialkot have developed their own airport and a separate dry port. The SCCI has invested in local infrastructure up gradation and development of basic infrastructure.

There is need to enhance social indicators of the city as literacy rate of Sialkot (76%)16 is less than Lahore. Public health facilities cover around 65% of the population and unemployment rate of Sialkot is 8 percent. There is need to develop educational setup at this city in such a manners that it supports vocational trainings so that literate labor with basic skill can be provided to the manufacturing units in Sialkot.

The training need of the industry is fulfilled by SIMTL and SMDC but due to lack of initiative at aggregate level the main aim of these institutions is lacking behind its targets. Recently, TEVTA has also developed setup at Sialkot for the provision of training to the unskilled labor in the fields of die and mould making, Matching, heat treatment, plasma coating quality control, milling and turner etc. The main problem is to create conducive environment for the new entrants to the market. There should be scholarships for the unskilled, semiskilled and traditionally skilled youth to get fresh knowledge of their trade. These trainings should also focus on the training of foremen, managers, engineers, technical workers and quality enhancement staff.

1.6 ANALYSIS OF BUSINESS OPERATIONS

1.6.1 Cluster Production Operations

The production process of a surgical instrument is a detailed and complex process in which mix of human and mechanical effort is involved. The process of making of a scissor involves almost 150 steps to reach the final stage. As this production cluster is ISO-9002 certified so they can neither design nor provide after sale service but they can produce and sell in the world market.

The market of surgical goods making in Sialkot is very dynamic. As producers from all around the globe approach this market for the making of their proposed designs, so local manufacturers have to be up to date with the changing trends of the world.

The manufacturers in this cluster generally hire labor on permanent basis. There are small medium and large-scale manufacturers operating in surgical goods cluster. Due to seasonal impact there is break of 30-40 days in the production process annually.

The raw material used in the process of making of surgical instruments requires quality material. As most of the producers use mix of imported and domestic raw material to produce quality products, so the local market and importers of the raw material need to be more efficient. The raw material is

16 Multiple Indicator Cluster Survey (MICS); Punjab 2007-08

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generally available for the local producers but they were found complaining about the quality of both imported and local raw materials.

Following diagram explains the process of making of generic surgical instruments:

1.6.2 Markets and Marketing strategies

The nature of business at Sialkot industrial cluster is demand driven. The production process at surgical instrument cluster is generally a response to the supply orders from the international buyers. The supply of these surgical instruments in the local market is limited. The main target of the domestic producer is the export market. Major importers from USA, UK, EU countries, and Germany order their desired designs of the surgical instruments at their own will.

Despite all the recognition and appraise from all around the world, surgical instrument cluster is still working as a supporting organization for international brands. There is no Pakistani international brand working anywhere in the world with its own name. No collective initiatives been taken by the cluster organizations to do so. By registering their own logo, producers from this cluster will be able to participate in international trade exhibitions and create their own identity. It will further upgrade status of the industry.

The technology used in this cluster is not at par with the international technology. This cluster is making semi final products but for the finishing touch they are lacking latest machines17. There are several reasons for this phenomenon. Firstly, after the labor strike and unrest in 1970's most of the production processes were outsourced to small industrial units. This change in the production strategy developed specializations at small scale. These industrial units mainly do not aspire to adopt latest innovations in the production process and hence remain producing using old technology. Secondly, the skilled workers in this cluster are not very much educated and they find it difficult to switch to the latest technologies.

17 Details discussed in technology section of this cluster in this document.

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The marketing strategy adopted by surgical instrument cluster is almost similar in nature. Some large scale manufacturers have their offices in importing countries to get business and remain in touch with the international importers. This practice is limited within this cluster. There is need to adopt this strategy more by cluster members because it will not only enhance their knowledge about the market but also they will also remain in touch with the current changes occurring in the medical instrument making.

Personal contacts and visits is another way to get business and market their product. In Surgical instrument cluster this is most widely used practice. Most of the visits of Pakistani producers are to Germany because of its expertise in Operating Room (OR) type of instruments. These frequent visits to other countries enable them to introduce their commodities and also help to build confidence in business. This can bring long term relationship between importers and manufacturers.

Trade fairs and exhibitions are another important source of marketing for surgical equipment cluster. Large and medium scale producers generally attend these exhibitions. The affordability problem also arises here as small- scale segment of the market cannot invest large amount in the international exhibitions so they remain at the market share of outsourced orders from the local market. The actors in the market also use electronic media and telephonic sources to contact international buyers and get orders from international market.

Sales channel is an important part of a business. What are the Sales Channels? As surgical cluster is an export-oriented cluster so Whole Sellers its reliance on international sources is obvious. 15% The survey results shows that around 50% of the firms are exporting to international buyers Distribut Exporters through exporters, while 31% of the firms ors 50% directly sales in the market. The number of firms Direct 4% Sales 31% What are your marketing channels? Social others Broachers Media 11% 22% 9% Print using wholesalers and distributers is limited in surgical Media instrument cluster. 2% To attract buyers from around the world most of the firms in surgical cluster use electronic media/exhibitions (56%). Broachers and social media are other most used channels Electronic for the marketing of the products among the surveyed Media/ex firms. These results indicate that most of the business in hibitions this cluster is mainly marketed by Electronic 56%

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media/exhibitions and Broachers.

1.6.3 Value chain analysis of 5.5 Inch Forceps

The process of making of standard forceps passes many technical steps. Following are the steps and their cost involve in each step:

 Raw material 40%  Forging and Shaping 6.6%  Milling and machining 7.9%  Rough grinding and tempering and other costs 11.5%  Profit margin 35%

After the production of forceps, the international profit margins as compared to local ex-factory margins are very much different. At local levels, profit margin is around estimated value of 35% while at international levels this margin is around 200-300% more than the local prices. If a production cost of a standard forceps is Rs. 120 then after profit margin, the price would be around Rs.164. However, the importer margin for this commodity might be around 50%-60% and the retail price of one forceps reach is around Rs. 600-800.

This value chain analysis of a standard forceps clearly indicates the significant margin of profit goes to international importer and the local producer is doing business at very low margins as compared to international prices.

1.6.4 Technology used and Output

The technology employed in the production process of surgical instruments comprises of mixture of local and imported equipment. Most of the companies use local made reverse engineered equipment to upgrade their machinery18. The workers in this cluster are mostly satisfied with the technology being used in the production process. There is a unique mindset in this cluster that majority of producers do not feel any significant pressure from producers all around the world and think that they have no competitors. The point that they have in mind that the designs and quality that they are producing at this lowest price none other can produce. So this market is competing in the world market not only because of the unique product but also because of its price competitiveness.

The output from surgical industrial cluster is mainly produced with the help of machinery that has been discarded by western companies and importers of equipment import these machines at low cost and sell them to local producers. They replace their existing equipment with this second hand machines. This cannot bring any change in the quality of the product for international competition. There is dire need to assist this sector of the economy, financially or government should intervene by establishing common facility centers (CFC) at Sialkot to overcome this gap in technology.

The mechanization process in surgical industry started in 1960's. Local producers adapted new technology quickly and with the passage of time, production process shifted from handmade to machine-made processes. The traditional skilled labor in this cluster was master of reverse engineering and they started to produce these equipment locally and gradually this industry shifted to mechanical processes.

In 1980s surgical industry shifted from manual forging to Drop Forging hammer. Later, this forging hammer was designed and locally produced and provided to the local industry to improve their production process. The equipment used in the production process at surgical instrument cluster is

18 Drop Forging hammer locally produced and used by the industry in 1980's

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undocumented as there are frequent changes in the instrument making tools, designs and requirements of importers.

The quality standards are always the concerns of the importers. They impose strict conditions regarding quality standards. There are many restrictions on the importers as well to ensure improvements in management, technology and labor. To meet these issues surgical instruments cluster adopted general standard quality checks to fulfill the requirements by the importer.

Food and Drug Administration of United States (FDA) first raised the issue of quality standards about the usage of poor quality steel in the production of surgical instruments imported from Pakistan. The steel used in the production of surgical instruments was not up to the standards of FDA. Initially FDA gave warning to the manufacturers and in 1994 and took serious steps by imposing complete ban on the imports from Pakistan. A more recent restriction included that for every product exported to US, the product must adhere to ‘GOOD Manufacturing Practice’ (GMP) certification. This method ensures quality system and good implementation of designing, labeling, installing, and servicing of surgical and medical devices produced for human use.

After GMP the importer firms from Europe also implemented restrictions on Pakistani exporters to have ISO certification before exporting to European Union. To help firms in attaining ISO certification government of Pakistan provided every firm with subsidy of Rs. 200,00019.

Chemical composition certificate for steel is another issue faced by the exporters to US. Certificate of Europe (CE) is another quality assurance system for medical devices. The first deadline to meet the standards of CE was 1998. The exports from Pakistan to EU were prohibited without the CE certification20.

19 Surgical instrument manufacturing association Pakistan

20Surgical Instruments Industry by SCCI

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The provision of latest technology especially in the production of hi-tech medical instruments is necessary. There is big gap between the technological standards being followed at international levels and at Sialkot surgical According to SCCI sources from 2012 Surgical industrial cluster. This cluster uses labor- Association is presently pursuing some of the intensive traditional methods to produce surgical following major projects / schemes with instruments. Old or outdated technology causes different Government Departments: an increase in the cost of production and produce relatively poor quality products. In order to make this industrial cluster more competitive, there is •Efforts for approval of 8% financial support need to upgrade technology. In 2015, an for Brand Development for Surgical Sector. agreement was signed between SIMAP and •Increase of duty drawback rate for Surgical PCSIR to build common facility center Sector. comprising of material and quality testing lab and latest machinery. The following machines are in high demand for the surgical industry. •Establishment of a comprehensive Surgical

Training Institute. •Launch of short training courses in trades of grinding, filing, polishing  Scissor blade and edge & fitting at Apprentices Training Centre grinding machine (ATC). This machine enhances quality of scissors used in surgical processes

•Collaboration with NAVTEC for vocational  NANO coating machine training needs of surgical sector. For value addition to dental/surgical/orthopedic implants and manicure instruments, this unit has a

major role in improving quality and value of the •Up-gradation and re-activation of Metal product. Industries Development Centre (MIDC).  ICE tempering machine •Up-gradation of Sialkot Material Testing The machine is used for value addition in barber Laboratory (SIMTEL). scissors and cutting instruments and the use of this machine enhances the product standards to international standards. •Promotion of Cluster Development,

Networking concept and techniques in liaison  with TDAP. Insulation unit for electro surgical instruments Electro surgery instruments have good demand in •Affiliation of Surgical Association with international market. The installation of this unit various International healthcare related will increase demand for electro medical organizations instruments.

Source: Taken from Sialkot Chamber of commerce and Industry Website. 1.6.5 Human Resource and Training issues

Most of the human resource employed in the surgical instrument cluster is semi-literate. The skill possessed by these less educated workers is remarkable. They produce very complicated instruments with ease. This ability of this semi-educated, skilled worker makes them prominent around the world.

The main characteristic of this labor force is their ability to understand and execute the requirements of the importer. There are training facilities available under the Training program by TEVTA and

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surgical instrument associations but very limited numbers of workers opt for training due to the reason that they feel comfortable with their traditional equipment and techniques. At large scale manufacturing units, these technical trainings are making some differences in designing, quality enhancement, and efficiency of labor and output of the workers.

In 1962, through an ordinance, an Apprenticeship training programs was implemented to provide skill to the unskilled labor force. Training cost was mutually born by firm and the government with different ratios. As this was three-year training program firm share for the training was 50%, 60% and 70%21 of the labor wages during year 1, 2 and 3 respectively.

This intervention was planned as different syllabus was also designed for the trainings but the outcome was only 10-12 skilled workers annually in surgical instrument section. This was disturbing as demand for the industry was much more than produced from his training program. This gap still prevails and there is shortage of skilled labor in surgical instrument industry. This cluster is lacking skilled labor especially in the field of grinding and polishing. Further areas in which training can be initiated are given as follows:

 Milling machine operators  Lath machine operators  CNC machine programmers

The technical training in the above-mentioned fields is available at this industrial cluster but the overall attitude of the labor towards training is very weak. Lack of skilled labor is causing productivity slow down and quality issues at surgical instrument cluster in Sialkot. The training facilities at Sialkot need to be divided into some basic levels:

 Specialized training programs for new entrants in the market  Trainings for the traditionally skilled segments of labor force and  Hi-tech international training programs

To accomplish this task PSIC, TEVTA, SMEDA etc. can be assigned task to arrange awareness seminars for unskilled labor about the fruits of training.

1.6.6 Credit Constraint and Related Issues

The most of the manufacturing units in this cluster are working at small scale and hence have little investments and their financial need for further investment is low. But the medium and large scale producers and suppliers in this cluster generally need finance to meet their international orders. The branches of almost all the commercial banks are present in Sialkot. So the access to the financial resource is relatively easy for the companies in the cluster. There are number of firms that avoid interest based banking due to religious reasons.

1.6.7 Legal Issues Faced by Cluster

There are some serious concerns among the cluster members regarding slow process of sales tax refund policy. This tax on exports was imposed in 2014. All the members view that this policy is blocking their liquidity and hence adversely affecting the growth in the cluster. Market sources reveal that they are waiting for the tax refund for the last three years but still they are not certain about its repayment. This issue is more problematic for small firms that they already have limited amount of capital.

21Surgical Instruments Industry by SCCI

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Government should take immediate steps to resolve these issues to support business especially at small and medium scale of production. In budget for FY 2016-17, government has abolished this tax.

Due to the nature of employment in this cluster (contractual and daily basis workers) there is no social security framework for these workers. There is need to design some rules to safeguard these workers with social security laws. The large firms generally outsource their production process at medium and small scale firms and they have minimum number of permanent employees. Due to this production structure, most of the labor in surgical instrument cluster is vulnerable to any accident or other mishap. There is need to provide this skilled labor a cover to secure them financially, physically and socially in case of any accident.

The areas of intervention to improve competativeness of the surgical cluster

The importance of technology cannot be ignored when competing internationally. There are some key areas that drive the production quality and innovations in the production process. Following are the survey results regarding the need of techonology upgradiation in each area ranked by the firms. The survey resulta indicates that firms perceive serioud lags in the technology in the production process (65%). Quality control is another area that needs attention of the government and association (45%). Standardization is at third place as mentioned by the firms. The most important area R&D is given as least attention by the firms.

The areas where improvement in technology is required

R&D

Production process

Standardization

Quality control

0 10 20 30 40 50 60 70

1.7 Institutional Framework for Cluster Development Activity

1.7.1 Government & Semi-Government Organizations

Without the support from Government institution it is not possible for the exporters to expand their business effectively and create new markets quickly. Unfortunately there is lack of coordination among government and semi government institutions for the provision of business services in Sialkot region to help and guide investors to expand exports. 1.7.2 Local Bodies/Chambers/Association

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After SCCI the institutional set up of this cluster that help the businessmen to regulate business can be outlined as below:

 Trade Association Surgical Instruments Manufacturers Association of Pakistan (SIMAP)

 Technical Support Institution Sialkot Material testing Laboratory

 Technical Training Apprentices Training Centre

Despite these institutions there is very low trend in the cluster members to utilize training facilities at these centers. There is need to develop professional culture among the cluster members and motivate them to utilize these facilities for the innovation and up-gradation of their products. These facilities not only help in increasing the total productivity of labor but also in generation of the cost efficient production processes.

Institutional Support to the Surgical Instruments Industry

Following are the institutions that are supporting surgical instrument business in Sialkot:

a) Metal Industries Development Center (MIDC) British government in 1943 in Sialkot developed this center. The main aim of this center was to support local industry and to fulfill local needs of surgical instruments.

From 1947-48, this center has been providing technical support to the local industry. This center was providing following services to the local market.

 Foreign Assistance  Common Facility Services  Testing Facilities  Technical Training and Technology Transfer  Other Services

Unfortunately this centre is not functional for the last 10 years and there is strong demand from SIMAP to revive this centre to help surgical instrument cluster with latest technology and skilled labor force.

b) Sialkot Dry Port Trust (SDPT) Before 1980 most of the businesses from Sialkot export their shipment from Karachi and Lahore. This was time taking process and caused delays in the supply of orders. SDTP was established in 1984 to resolve these issues of the local exporters.

c) Surgical Instruments Manufacturer Association (SIMAP) In 1958, to safeguard interests of the surgical instruments industry SIMAP was established. At that time initial membership of the Association was 478. This association is still working actively to manage issues of the cluster members.

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Level of Satiesfaction from services provided to the firms at Surgical cluster

Satisfied Not satisfied

Business management support 10.9 87.3 Legal support 1.8 98.2 Research and Development 40 58.2 Skill improvement support 14.5 83.6 Technical support 25.5 72.7

During the survey, firms were also asked to provide their response against each facility provided at this cluster by govt. Institutions or by Association. The above dig shows their response against each of these categories. As shown by the above chart, general dissatisfaction prevails for all the categories mentioned above. Most dissatisfaction recorded against the legal support provided to the firms while research and development support was considered comparatively satisfactory as compared with other support services.

1.8 SWOT Analysis of Cluster

The following are the findings of the SWOT analysis: Strength Weaknesses

Experience of personnel Struggling industry

Established industry Inefficient management staff Efficient management staff Unskilled Labor Skilled labor Poor geographical Location

Better HR development Expensive raw material availability

Imported raw material on cheap Prices Imported raw material on high prices

Quality of raw material Bad quality of raw material

Timely availability of raw material Timely unavailability of raw material

Advance Technology No access to international market

Access to international market Inefficient marketing of products

Strong presence in local market Low quality standards

Efficient marketing of products Inefficient Complaint Resolution mechanism

Well organized sales channels Lack of R&D

Brand name/Consumer loyalty Lack of new models/Innovations

Quality standards Unable to meet consumer demands

Efficient Complaint Resolution Mechanism Unaffordable prices

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Investment on R&D Loss making goods

Capacity to meet consumer demands

Affordable prices

Opportunities Threats Linkage with suppliers at national and Power /Energy Shortages international level Linkage with other brands at national and Lack of availability of skilled labor international levels Standardization of products Government Regulations/Policies

R&D at industry level Expensive credit facilities

Training institutes at industry level Legal Issues

Innovative marketing techniques Increase Tariff/Taxes

Changes in technology and markets on abroad Lack of support from business associations

Changes in government policy related to my field Lack of support from chamber of commerce

Changes in social patterns, population profiles, Lack of technological upgrades lifestyle changes etc. Easy entry for new entrants

1.9 Porter's Five Factors

Suppliers Power What is number of suppliers?(Specify Number) (6-10) What is the size of suppliers Medium How strong is the position of suppliers Strong What is the credit period provided by suppliers? (10-20 Days) What is the company’s ability to substitute the Supplier Moderate What is cost of changing the supplier? Medium Buying Power What is the number of customers? (6-10) What is the size of buyer? Medium How strong is the position of buyer in the market? Strong What is the credit period provided to customers? (30-40 days) What is the size of each order generally Medium size What is the price sensitivity of product for the customer Strong What is the customer’s ability to substitute the product? Moderate What is the cost of changing the customer Medium Competitive Rivalry What is the number of competitors 80 What is the degree of rivalry in your cluster among firms? Very high What is level of Quality differences in your product and High difference competitors

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What is level of customer loyalty with your brand than your Same as competitors competitor? Threat of substitution Is there any Substitute available for your product or service? Yes What is the quality of substitute available Same as our product service What is the price competitiveness of a substitute available Same as our product /Service Threats of New Entry How easy or difficult for a new entrant to start to compete your Difficult business? What is the time and cost required for a new entry to start a new Large time and Investment business What are the barriers for the new entry? Customer loyalty

1.9.1 Suppliers Power

Porter’s analysis for the surgical goods industrial cluster indicates that overall the supplier power in this cluster is moderate. It shows that suppliers in this cluster have less ability to influence on the price of the producer. As this is a large exporting sector, it has good number of suppliers that weakens the power of the supplier to dictate its terms.

1.9.2 Buying Power

The buying power of the customer is between medium and strong range as they have influence on the market as buyer and also as importer though they cannot effectively influence the prices. Each firm in this cluster is dealing with limited number of clients that makes them each other's need. In this regard, they focus on the expertise that their supplier possess and continue to do business on the existing terms. Any fluctuation from buyer regarding basic terms of business can cause reduction in the business due to high price sensitivity in the market.

1.9.3 Competitive Rivalry

The situation of rivalry in the surgical instrument cluster is very high. Due to rivalry, firms think that they can improve their business only by producing unique product with high quality. The market situation also depicts that this rivalry is proving to be good for the business in such a manners that producers in this cluster focus on the innovations and compete with each other on the uniqueness of the product. The aspect of rivalry may also cause reduction in the profit margins of the competitors.

1.9.4 Threat of substitution

The threat of substitute is also very high in surgical instrument cluster that further intensify the situation of the quality competition. As these substitutes are close to each other in terms of quality and price so there is less room available for the firms in the competition to change price but they can focus only on the quality enhancement.

1.9.5 Threats of New Entry

The entry for the new entrants is very much difficult due to the fact that this cluster requires a unique skill set for this kind of business. The risk factor in the decision to enter this market is also very high just because of the presence of loyal customer and high cost. The surgical instrument market is skill driven market. Market structure and nature of the product makes it more difficult to enter in this market. GAT CONSULTING (PVT) LTD 32

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1.10 Major Issues and Recommendations

The performance of surgical instrument cluster at Sialkot is showing positive trends. If we look at the trade trends in the international market it is clearly evident that because of the possession of a vital skill, competition in the international market is increasing. There is need to focus on some of the following issues in the current international scenario of the surgical instruments market.

 Maintaining the market share

The market of disposable surgical instrument is not very much diversified as more than 90% exports goes to USA. In this situation this market is vulnerable to any future possible restriction by USA as it had been the case in the past. There is need to diversify the target markets. The European region is another big market that can be focused for the exports of surgical instruments. The reason for not being diversified may be due to the fact that almost all the exporting firms in surgical cluster are producing for international brands/buyers, not for international markets, so they can not deviate much from their requirements.

 Lack of latest Technology The provision of latest technology especially in the production of hi-tech medical instruments is necessary. There is big gap between the technological standards being followed at international levels and at Sialkot surgical industrial cluster. This cluster uses labor intensive traditional methods to produce surgical instruments. Old or outdated technology causes an increase in the cost of production and produce relatively poor quality products. In order to make this industrial cluster more competitive, there is need to upgrade technology. In 2015, an agreement was signed between SIMAP and PCSIR to build common facility center comprising of material and quality testing lab and latest machinery. The following machines are in high demand for the surgical industry.

a) Scissor blade and edge grinding machine (i.e LP2 Grinding Machines) This machine will enhance quality of scissors used in surgical processes

b) NANO coating machine (i.e JCJX-5000A High Speed CopperCoating Machine) For value addition to dental/surgical/orthopedic implants and manicure instruments, this unit has a major role in improving quality and value of the product.

c) ICE tempering machine (i.e T35 tempering machine) The machine is used for value addition in barber scissors and cutting instruments and the use of this machine enhances the product standards to international standards.

d) Insulation unit for electro surgical instruments (i.e Electro-surgical instrument and fabrication method, US 5827275 A)

Electro surgery instruments have good demand in international market. The installation of this unit will increase demand for electro medical instruments.

The market sources emphasize that there are number of different kind of equipment that they need to enhance production and quality. Due to its high price and lack of trained labor for these machines, firms are reluctant to import these machines. So not only import of these machines is important but also comprehensive training program to operate these equipment is also required.

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 Lack of skilled labor This cluster is lacking skilled labor especially in the field of grinding and polishing. Further areas in which training can be initiated are given as follows:

a) Milling machine operators b) Lath machine operators c) CNC machine programmers

The technical training in the above-mentioned fields is available at this industrial cluster but the overall attitude of the labor towards training is very weak. Lack of skilled labor is causing productivity slow down and quality issues at surgical instrument cluster in Sialkot. The training facilities at Sialkot need to be divided into some basic levels:

a) Specialized training programs for new entrants in the market b) Trainings for the traditionally skilled segments of labor force and c) Hi-tech international training programs

To accomplish this task PSIC, TEVTA, SMEDA etc. can be assigned task to arrange awareness seminars for unskilled labor about the fruits of training.

 Market development

The target markets for surgical instruments is very much scattered in numbers but focused in terms of exports. More than 50% of exports go to the international brands from top five importer countries from Pakistan. But they still import very limited number from Pakistan as compared to their domestic need. On the other hand, production capacity of the industry is underutilized. It shows that there is a gap available at international market but producers are not catching up with the situation. For the sake of expansion of business international seminars and exhibitions and corner meeting can be initiated under the umbrella of Government embassies in different countries especially in Europe, Middle East, Russia and Africa to introduce these instruments to these markets.  Tax procedures The businessmen in this cluster were of the view that tax is not a problem but government should simplify the process of taxation. There are many complications in the tax forms and also in the types of taxes (commercial import duty, sales tax, income tax etc.). The stakeholders were of the view that government should develop mechanism to combine all taxes and charge them under one simple heading for the business men so that they can easily understand and submit tax.

 Situation of business associations/ Chamber of Commerce and Industry.

Sialkot chamber of commerce and industry and SIMAP regulating the issues of the surgical instrument cluster since long. There is need to enhance the role of SIMAP to increase the international business relations of small and medium scale business firms. As business at this cluster is mainly outsourced by international companies, the association should focus on the groups producing similar products in the cluster and support them with legal, technical and R&D support to enhance production and quality at small level of groups of producers.

1.11 Future vision

The performance of surgical instrument industry has seen many highs and lows in the past. Sometimes issues of internal unrest and laws have adversely affected the industry and sometimes the international regulations have put this industry under pressure. GAT CONSULTING (PVT) LTD 34

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In the current world scenario this industry has bright future. The following are the key issues as well as opportunities for the surgical instrument cluster in Sialkot:

 There is need of some serious efforts to synchronize the production efforts within the cluster. As the business in this cluster is mainly on the self-efforts and individual approaches, so even small firms are also exporting to middle man at low prices to get market share. This leads to decrease in the quality of production. Any decline in the quality standards would lead to loss of market as a whole. So there is dire need to set minimum selling price for the export commodities so that competition on quality product can be assured. The role of the government is very important in this step. With the help of representatives of small, medium and large scale producers, government can identify common regions and products being produced at surgical cluster Sialkot and then develop some basic standards for the production of these commodities with lower bar for the price level. Government should announce incentives for small, medium and large firms who are willing to work in a proposed group. These incentives can be tax free imports of raw material for specific period of time, electricity at fixed or subsidized rate etc. This process will identify different groups in the industry with different specializations i.e forging, polishing, etc. This step can help to identify and promote specialization within the cluster. By promoting these specializations at each step of the production process, better efficiency and quality of the product can be assured to compete in the world market.

 Import of latest technology to the cluster production process is another issue. The quality product needs quality inputs and efficient machinery. There is dire need to overcome this issue by making common facility centre (CFC) to make technology accessible to all segments of the market (small, medium and large firms). The following machines are in high demand for the surgical industry:

a) Scissor blade and edge grinding machine (i.e. LP2 Grinding Machines) b) NANO coating machine (i.e. JCJX-5000A High Speed CopperCoating Machine) c) ICE tempering machine (i.e. T35 tempering machine) d) Insulation unit for electro surgical instruments (i.e Electro-surgical instrument and fabrication method, US 5827275 A)

 All the cluster firms are spending on R&D but still there are no output seen on the front. There should be common pool for the R&D expenditure to hold joint research in the specific areas of the surgical cluster to enhance its production processes with improved quality. This can be done making a joint working group comprising of representatives of small, medium and large size firms and focus on the important gaps in R&D and recommend interventions with the help of government institutions.

 The electricity costs is another big threat to the industry as use of generator in the production process doubles the cost of input as compared to production from electricity.

 The shortage of skilled worker in the industry is another area of concern. There is need to focus on this issue by focusing and encouraging labor to get training from the available resources. As the up-gradation in the manufacturing technology takes place there emerges the need of a skilled labor also but it is hard to find efficient labor with required skill set. So this area also needs attention of the concerned authorities (SIMAP, TEVTA, PSIC etc) to estimate future gap in the demand and supply of skilled labor and design their future plan accordingly. Also there is need to identify key future skill set required for the production of hi-tech equipment and arrange resources for future endeavors.

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 There is need to utilize market up to its potential. This cluster is utilizing its 60% production capacity. The reasons behind this underutilization of production capacity are shortage of energy and lack of orders from international market. There is need to explore new markets for the surgical instruments. For this purpose government can activate its offices abroad (Embassies, commercial attaches etc) to identify potential markets for the quality products of this cluster.

 This cluster is producing for the world market for almost 100 years but still independent identity of the product being produced at this industrial cluster is missing. There is need to develop new brands to in the existing markets to get better share from the world market. The market is missing initiative to compete in the world market. There is need to make joint efforts (government and Local producers) to establish world class research center for the sake of development of new brands in the field of surgical instruments. The making of a brand is like making of an identity so without participation of senior and professional minds in the process this is not possible to develop a world-class design. To do this Pakistani medical experts from all over the world can be invited to help and support in the process of designing of latest medical equipments. As mentioned above in the BOX above at pp 29, that since 2012 SIMAP is pursuing brand development efforts but due to shortage of funds they are still far behind in making any significant progress in this field.

 Diversification of the product is necessary for the better and secure business. If diversification stops, the threat in the market increases. This diversification can be at small scale for example an increase in the quality of raw material etc used in the production process. World market is very dynamic and in the world, there are continuous developments in the process of making and trade patterns. Hence, diversification in product (introduction of new equipments, enhanced quality, different designs etc.) and marketing, both are required to remain in the world trade business. The major issue with this cluster is the lack of innovation and diversification in the production process and products. Furthermore this cluster needs to shift from low value instruments to high-tech instruments to extend its share in the international market.

 Quality consultancy services to local businessmen are necessary to get better market for their business. The education level of most of the small and medium size firms’ owners is mostly semi-literate or illiterate. In such state of affairs, they can only get business with their personal interaction at local evels and their access to international levels is blocked. In such situation importance of business consultants is worthwhile. There is need to encourage and develop consultancy services to the small and medium level business owners to expand their business internationally. In this situation, the role of PSIC and SMEDA has become vital in the recognition of issues of small-scale firms and provide them guidance according to market situation. Seminars and awareness sessions can be organized on regular basis to convey them with latest information regarding market trends and future needs of the market.

 The firms in the industrial cluster should adapt the latest marketing strategies. As this is an era of information technology and use of it can bring so many fruits for the business very quickly. The issue of literacy is again causing hurdles for the systematic promotions of the commodities being produced at surgical instrument cluster of Sialkot. There is need of professional setups for the professional marketing of these instruments to get business directly from international market. There is need to hire professional marketing agencies by SIMAP for the promotion of surgical instruments as an industry.

 There should be comprehensive plan of action regarding technological up-gradation of this industrial cluster by engaging financial sector into framework. As need of the technical equipment is different at different levels of industry (Small, medium and Large scale), so multistage policies should be introduced for small, medium and large-scale firms in the

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cluster. The output from surgical industrial cluster is mainly produced with the help of machinery that has been discarded by western companies and importers of equipment import these machines at low cost and sell them to local producers. They replace their existing equipment with this second hand machines. This cannot bring any change in the quality of the product for international competition. This issue can be resolved by setting up common facility centre with latest equipment and material testing lab.

 Comparative study of similar cluster around the world and their marketing strategies with special focus on the differences in their level of technology being used can also be launched to study regional dynamics of the cluster.

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1.12 Action Plan: The time line for the proposed activities is two years from July 2016 to June 2018. Activity Problem Objective Specific intervention Implementer Beneficiary Outcome 1 Technology up The firms in this To provide latest Provision of latest PSIC, SIMAP Member firms Increase in efficiency, gradation and cluster lacks technology with equipment/machinery of SIMAP quality of the product training latest technology training at CFC proposed by cluster actors and exports and technical e.g. trainings a) Scissor blade and edge grinding machine (i.e LP2 Grinding Machines) b) NANO coating machine (i.e JCJX- 5000A High Speed Copper Coating Machine) c) ICE tempering machine(i.e T35 tempering machine) d) Insulation unit for electro surgical instruments (i.e Electro-surgical instrument and fabrication method, US 5827275 A) e) Swaging Machine (to enhance the quality of dental instruments 2 Creation of Inability of small To provide all the Establishment of raw SIMAP, PSIC Surgical Increase in output Raw Material firms to import firms in the cluster material bank instruments especially from small bank small with raw material cluster firms installments due immediately at to high cost reasonable price. 3 Brand Absence of local To introduce local Establish common network SIMAP, PSIC Surgical Increase in revenue development Brand in the product in for brand development instruments and production Punjab Small Industries Corporation (PSIC) Diagnostic study of industrial and handicrafts clusters in Punjab

market international cluster market with its own name 4 Training (labor, Lack of training To increase quality Set up specific training PSIC, SMEDA All actors in Increase in output and entrepreneurs causing low and marketing programs regarding SIMAP leather cluster quality of the product. etc) quality techniques 1. Milling machine production and operators marketing 2. Lath machine operators 3. CNC machine programmers 4. Development of Information system for member firms to convey latest developments in the field of training and marketing. 5 Common This cluster lacks To provide this Provision of latest technical PSIC,SIMAP Surgical Increase in quality, testing lab the hi tech facility to lab with trained staff Instruments and exports quality testing overcome this cluster lab deficiency 6 Creation of There are so To bring these To identify areas where SIMAP, Small scale Increase in efficiency, groups with many skilled persons under one these individuals are located PSIC firms at Surgical quality and specialized persons doing umbrella to and then provide them with instruments productivity production area job develop the intervention (Common cluster independently. specialized groups working area with basic There is need to with provision of facilities) bring them into basic facilities to mainstream enhance productivity and quality 7 Study of New Exports of the Market Study tour and seminars and PSIC,SMEDA Small and Increase in markets products are diversification with international exhibitions medium output/exports/employ limited to a increased enterprises ment opportunities small group of opportunities countries

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8 Joint forum for Inability of small To increase share Develop common website TDAP, SIMAP Small and Increase in exports marketing and medium of export from for the cluster for Marketing medium firms to bear small and medium of the products enterprises advertisement firms of the cluster cost 9 Creation of Access to To make Develop common facility PSIC, SIMAP All Cluster Increase in quality of technology Pool technology is technology centre (CFC) with latest actors production and its limited for most accessible to each machines market value of the firms in cluster actor cluster 10 Common R&D R&D situation is Improve R&D Common R&D facility for PSIC, SMEDA, Surgical Bring innovations, facility very poor at this situation at this all the firms will resolve this PLGMEA instruments quality enhancement cluster cluster with special issue. It will also help in cluster and reduce production benefit for small designing new designs for cost and medium firms new markets at common to enhance their financial support. product quality and capacity. 11 Future gap of Shortage of establishing It will help to bridge future PSIC, SMEDA, Surgical Availability of local Skilled Labor Skilled labor SIMAP schools gap in supply and demand PLGMEA instruments skilled labor at low (On the Job for skilled labor at this cluster cost. Training) cluster.

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Appendix “A”

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SURGICAL GOODS CLUSTER

Sr # COMPANY NAME ADDRESS Latitude Longitude 19-C, Nishter Road, S.I.E,Sialkot 19-C, Nishter Road, S.I.E,Sialkot 32.425221 74.518216 A & E INTERNATIONAL 32.503128 74.502747 COMPANY LATIF ABAD KASHMIR ROAD SIALKOTSIALKOT A & Z CNC International ( 32.4859 74.512485 Muhammad Zaid ) 90-B, Tipu Road, Opp: Rajex Factory, S.I.E,Sialkot A.A.S Impex ( Amjad Jamil 32.502879 74524100 Chaudhry ) II-Model Town, Khadim Ali Road, P.o.box: 1293,Sialkot A.Hussain Surgical Corporation ( 32.478092 74.511575 Sajid Ali ) Defence Road, Fateh Garh, Sialkot A.HUSSAIN SURGICAL 32.478092 74.517575 CORPORATION. P.O.BOX 2237, DEFENCE ROAD,FATEH GARH CHOWK, SIALKOT

A.I.Z & Company ( Iftikhar Ahmed ) New Miana Pura, Opp: S.I.E,Sialkot 32.490999 74.509954 A.L.M Surgicare ( Syed Fiaz Bukhari 32.485216 74.513434 ) 143/C, Fatima Jinnah Road, S.I.E,Sialkot A.L.M. SURGICARE, P.O.BOX:295, 143-C, FATIMA JINNAHROAD S.I.E, SIALKOT. 32.485216 74.513434 A.M Neelam Corporation ( Salman 32.503166 74548820 Amjad ) Islamia College Road, Sialkot A.M.NEELAM CORPORATION. ISLAMIA COLLEGE ROAD,SIALKOT. 32.498653 74.516113 A.N.A Amity Impex ( Anjum Latif 32.521344 74.499744 Ch ) A.N.A Square, Air Port Road, Murad Pur, Sialkot A.N.A. AMITY IMPEX A.N.A.SQUERE AIRPORT ROAD,MURADPUR,SIALKOT-51360 32.521344 74.499744 A.N.H.I Industries ( Imran Arif ) Commissioner Road, Muhammad Pura,Sialkot 32.501308 74.544255 A.N.W. INC AL-MUMTAZ PLAZA,MUJAHID ROADSIALKOT. 32.496024 74.536533 A.ONE SURGICO (PVT) LTD. CHAH IMAM DIN MUHAMMAD PURA SIALKOT51310 PAKISTAN 32.501482 74.544555 A.R Industries ( Asif Mahmood ) Abbas Chowk, Hussaini Road Link Roras Road, Muzaffar Pur, Sialkot 32.488818 74.499851 A.S.TEMPER CENTRE S.I.E.NR.WATER TANK,SIALKOT 32.486187 74.516678 A.Z Surgical ( Muhammad Arshad 32.511157 74.514752 Mughal ) New Muslim Town, Gohad Pur, Kotli Behram,Sialkot AAymed Instruments ( Irfan Chughtai Kotli Behram, School Street, Sialkot 32.507464 74.518599

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) Access Dental ( Muteeb Ahmed ) liaqat Ali Shaheed Road Street # 4, Camp Pacca Gharah Sialkot 32.510074 74.514298 Accompany Surgical ( Muhammad 32.481944 74.468228 Jehangir ) Vill: Dhattal, Road, Sialkot ACCOMPANY SURGICAL (PVT) 32.481837 74.468587 LTD. VILLAGE:DHATTAL UGOKI ROAD,SIALKOT ACCURAY SURGICAL LTD 71-A,S.I.E,SIALKOT 32.484249 74.512611 Accuray Surgicals Ltd ( Zafaryab Ali 32.484265 74.512567 Shah ) 71-A, S.I.E,Sialkot Achillean Industries ( Malik Nasir 32.483057 74.556737 Mahmood ) Neka Pura, Mohallah Shuja Abad,Sialkot Acme Commercial Ways (Pvt) Ltd ( 32.493082 74.486045 Muhammad Ahmed ) Roras Road, Noul Chowk, P.o.box: 1092, Sialkot ACME COMMERCIAL WAYS 32.486536 74.519389 (PVT) LTD, RORAS ROAD,NOWL CHOWK,P.O.BOX:1092,SIALKOT. ACME SURGICAL P.O.BOX:261, 12-A,SMALL INDUSTRIESESTATE NO 1 SIALKOT- 32.486536 74.519084 INDUSTRIES(Pvt)Ltd. 51310 PAKISTAN ADA World International ( Abudl 32.492735 74.493439 Rauf ) Roras Road, Near Peer Harra,Sialkot Adam s Aid Corporation ( Adnan 32 29'10"N 74 31'12.8"E Safdar ) 14-A, Small Industrial Estate,Sialkot

Adas Instruments ( Adnan Rauf ) New Town, P.o. Chitti Sheikhan, 32.525847 74.489816 ADVENT SURGICAL INDUSTRIAL ESTATE SHAHAB PURAROAD SIALKOT 32.477237 74.506024 Advent Surgical ( Sofia Waqar ) Shahab Pura Road, Industrial Estate, Sialkot 32.477337 74.506024 Aemco Z.E (Pvt) Ltd ( Imtiaz Elahi ) Kashmir Road, Sialkot 32.503922 74.503479 AEMCO z.e (Pvt)Ltd. WAZIRABAD ROAD,SIALKOT-3. 32.485911 74.517235 AERO ENTERPRISES RAHMAN PURA FATEH GARH SIALKOT 32.481586 74.222055 Afan Surgico ( Muhammad Ishaq ) Roras Road, Near Dollar Factory, Opp. LongLink,Sialkot 32.492305 74.493209 STREET NO 32, NEW MIANA PURA (WEST)RORAS ROAD SIALKOT- 32.491191 74.510146 AGILE INDUSTRIES 21310 Agile Industries ( Muhammad Saleem 32.491191 74.510146 ) Street No.32, New Miana Pura (West), Roras Road, Sialkot AHMED PAK IMPEX AHMED BUILDING,SAMINAR ROADNEKA PURA SIALKOT 32.482562 74.55128

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Ahmed Pak Impex ( Abdul Rauf 32.482562 74.55128 Ahmed ) Ahmed Building, Saminar Road, Neka Pura, Sialkot Ahmed Sons Corporation ( M.Asghar 32.495678 74.548209 Bhutta College Road,Sialkot Ainee Enterprises ( Sarfraz Ahmed 32.499301 74.519286 Rana ) Zainab Street, Capital Road, Sialkot

Akshan Impex ( Sohaib Shahid ) Mustafa Town, Opp: Sultani Masjid, S.I.E,Sialkot 32.483312 74.512957

Alamdar Intenational ( Ali Raza ) Street No.18 Mughal Street Roras Road New Miana Pura East Sialkot 32.490999 74.509954 Al-e-Ahmed Surgical Company ( 32.50876 74.51269 Shabbir Ahmad ) P.o.Kotli Behram, Liaqat Ali Shaheed Road, St # 6, ALFRAMED RORAS ROAD, NOUL CHOWK, SIALKOT. 32.492634 74.488913

Al-Framed ( Qasim Amjad ) Roras Road, Noul Chowk,Sialkot 32.492634 74.488913 Alibro Engineering Company ( Ali 32.508690 74.518785 Iftikhar ) Nizam Street, Kotli Behram,Sialkot AL-KHUDI INTERNATIONAL 78-C-1/1,MODEL TOWN, UGOKI,SIALKOT 32.471978 74.443386 All Merciful Enterprises ( Khurram 32.489616 74.515970 Nawaz ) Awan Street, Ugoki Road, Shahab Pura, Sialkot ALL SEAS TRADING CO, 12 SAEED MANZIL MUJAHID ROAD SIALKO 32.400662 74.442493

All Seas Trading Co. ( Imran Afzal ) 12 Saeed Manzil, Mujahid Road,Sialkot 32.400662 74.442493 All World Trading Corporation ( 32.499578 74.518985 Muhammad Akram ) P.o.box # 61, Deen Pura, Capital Road, Sialkot Allen Surgical Company (Pvt) Ltd ( 32.485027 74.519691 Imtiaz Ahmed ) 18-A, S.I.E, P.o.box: 643 ALLIANCE INTERNATIONAL MUSTAFA TOWN, DEFENCE ROAD, SIALKOT 32.483992 74.512117 ALPHAMED INTERNATIONAL P.O.BOX 922, DEFENCE ROAD,S.I.E.SIALKOT. 32.47782 74.514596 ALPHONSO CORPORATION STREET NO 01, NEAR RAILWAY CROSSINGDEFENCE ROAD, 32.48853 74.505727 (PVT) LTD SIALKOT-51310 Alphonso Corporation (Pvt) Ltd ( 32.488530 74.505727 Muhammad Atif Mushtaq ) Sreet # 1, Near Railway Crossing, Defence Road, Sialkot AL-RIAZ & CO (PAK) (PVT) LTD, P.O.BOX:184, A-14, S.I.E,SIALKOT-4. 32.485995 74.519472 Al-Riaz & Company (Pvt) Ltd ( 32 29'09.4"N 74 31'105"E Salman Ahmed ) A-14, Small Industrial Estate, Sialkot

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Punjab Small Industries Corporation (PSIC) Diagnostic study of industrial and handicrafts clusters in Punjab

Al-Yaqoob Enterprises ( Muhammad 32 29'304"N 74 29'37.4"E Yaqoob ) P.o.box: 2864, Roras Road, Nowl, Sialkot AM.G & Company ( Muhammad 32.485578 74.520741 Munir ) Qadoos Street, Kacha ShahabPura Road, S.I.E, Sialkot Amaax International ( Tariq Bashir ) Marala Road, Muradpur Feroz Colony. Near Masjid Taiba, Sialkot 32.514167 74.491626 AMER TRADERS REGD P.O.B:696, UGOKI ROAD, UGOKISIALKOT 32.68119 74.464202 Amer Traders Regd ( Adil Mahmood 32.48119 74.464202 Rana ) P.o.box: 696, Ugoki Road, Ugoki,Sialkot AMICUS ENTERPRISES P.O.BOX:1745,MUHAMMAD PURA,SIALKOT. 32.502419 74.543372 Amicus Enterprises ( Jehangeer Babar 32.502419 74.543372 Bajwa ) Amicus Street, Muhammad Pura,Sialkot Amident Intsruments ( Mrs. Shama 32.502574 74.543415 Jehangeer ) Amicus Street, Muhammad Pura, Sialkot Amigo Commercial Ways ( 32.49448 74.486057 Muhammad Zubair ) P.o.box: 271, Karim Pura,Sialkot AMIN YOUSAF SURGICAL CO RAHIMPURA(NEAR UGOKI) WAZIRABADROAD, SIALKOT 32.479113 74.437547 Amin Yousaf Surgical Company ( 32.479113 74.437547 Muhammad Amin ) P.o.box:1644, Rahimpur, Near Ugoki, Wazirabad Road, Sialkot

Amrina Trading Company ( Faisal ) Nasri Street # 9, Fateh Garh, Sialkot 32.483724 74.520878 ANEX MFG.CO JAMMU ROAD SONY GALI SIALKOT 32.49788 74.554811 ANTELOPE BUSINESS 32.488183 74.516934 CONNECTION. 10/B,S.I.E.SIALKOT A-One Scissors Company ( Abdul 32.487950 74.516620 Islam ) Shahab Pura, Ugoki Road, Sialkot A-One Surgico (Pvt) Ltd ( Omer 32.501482 74.544558 Farooq ) Chah Imam Din, Muhammad Pura, Sialkot Apex Surgical Indusry ( Mudasser 32.499276 74.53453 Arshad ) 2/15 Abbot Road,Sialkot AQSA SURGICAL INDUSTRIES MUZAFFARPUR, RORAS ROAD, SIALKOT 32.491899 74.4977 AQWA MEDICA 19-A (N) INDUSTRIAL ESTATE SIALKOT 32.484752 74.519807 AR INSTRUMED AIRPORT ROAD, NEAR FATIMA HOSPITALGOHADPUR, SIALKOT. 32.516846 74.509888 AR Instrumed ( Ahsan Rafique ) Airport Road, Gohad Pur, Near Fatima Hospital, Sialkot 32.516846 74.509888

Araaz Orthodonic Specialist ( Wazirabad Road, Liaqat Ali Shaheed Road, Street #5, Sialkot 32.509049 74.513329

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Punjab Small Industries Corporation (PSIC) Diagnostic study of industrial and handicrafts clusters in Punjab

Muhammad Arshad )

ARAIN & SONS JINNAH TOWN PACCA GARHA SIALKOT 32.503796 74.516112

Arain & Sons ( Junaid Ahmad ) Jinnah Town, Pacca Garah, Sialkot 32.503796 74.516112 CHOWK AKBARABD, MOH.PIR NOOR SHAH,DEFENCE ROAD, 32.455338 74.530899 ARDENT INDUSTRIES SIALKOT Ardent Industries ( Abdul Khalique ) P.o.box: 2937, Sialkot 32.455338 74.530899

Aright Ally ( Shoukat Ali ) Amanat Pura, Jammu Road, Sialkot 32.498939 74.556458 ARIKBRO INDUSTRIES AWAIS STREET, NASIR ROAD, CHAHPISWAN, SIALKOT 32.501282 74.528843 Arkay Pak Instruments (Pvt) Ltd ( 32.517873 74.518874 MALIK HASSAN DIN ) MUSLIM STREET, NEAR CHURCH, HUNTERPURA Sialkot ARKAY PAK 32.517873 74.518874 INSTRUMENTS(PVT) LTD. MUSLIM STREET, NEAR CHURCH, HUNTERPURA, SIALKOT ARKON ( Iftikhar Humayun Bajwa ) S.I.E, Kacha Shahab Pura Road, Sialkot 32.486269 74.519901 INSARI STREET RAHIM PURA SHAHABPURA,P.O.BOX 1393, 32.48336 74.511938 AROMA SURGICAL CO SIALKOT

Aroma Surgical Co. ( Ghiyas Ul Din ) P.o.box: 1393, Small Industrial Estate, Sialkot 32.483156 74.511911 Aroma Surgical Co. ( Ghiyas Ul Din ) P.o.box: 1393, Small Industrial Estate, Sialkot 32.485156 74.511911 ASAY INTERNATIONAL 53-C, NISHATAR ROAD, S.I.E.SIALKOT 32.484726 74.514514 ASMAT CORPORATION 52-B,INDUSTRIAL ESTATE,SIALKOT 32.486694 74.515439

Asmat Corporation ( Abdul Ghafoor ) House # 89/7, Quaid e Azam Road,Sialkot- Cantt 32.486694 74.515439 ASN SPECIALITY PRODUCTS H.NO.3/222,STREET NO.01,PURAN NAGARSIALKOT 32.501153 74.539342 ASN Speciality Products ( Arslam 32.501153 74.539342 Tariq ) House No 3/222, Paris Road, Puran Nagar, Sialkot, Pakistan Assay Beauty ( Assay Beauty ) New Miana Pura, West Roras Road, Street # 18, Sialkot 32.492274 74.514607 Associated Products Company ( 32.483992 74.512117 Muhammad Arif ) P.o.box: 1802, Mustafa Town, S.I.E,Sialkot ASSOCIATED PRODUCTS 32.483992 74.512117 COMPANY. S.I.E, MUSTAFA TOWN, P.O.BOX, 1802SIALKOT. KHADIM ALI ROAD NEAR RAILWAYCROSSING MUBARIK PURA 32.495878 74.528744 ATHLE INTERNATIONAL SIALKOT

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Punjab Small Industries Corporation (PSIC) Diagnostic study of industrial and handicrafts clusters in Punjab

ATHLE SURGICO KHADIM ALI ROAD,MUBARIK PURA,SIALKOT. 32.492798 74.4877033 Athle Surgico ( Daud Suleman Sheikh 32.495878 74.528744 ) Khadim Ali Road, Sialkot ATLANTIC ENTERPRISES AIR PORT ROAD, GOHAD PUR, SIALKOT 32.514713 74.514448 Atlantic Enterprises ( Aftab Akhter ) Near Petrol Pump, Kulluwal Road, P.o. Gohad Pur, Sialkot 32.51967 74.54447 AURIGA INTERNATIONAL P.O.BOX:1176, UGOKI ROAD,S.I.E. SIALKOT 32.490183 74.510843

Auriga International ( Junaid Ahmed ) S.I.E, Near Gepco Colony, Ugoki Road, Sialkot 32.490183 74.52084 AWAN INSTRUMENTS AWAN STREET RORAS ROAD, MUZAFFARPURSIALKOT 32.492767 74.494863 Awan Instruments ( Muhammad 32.492744 74.494705 khalid Awan ) Awan Street,Roras Road,Muzafar pur sialkot AWARD INDUSTRIES P.O.BOX.3007, UGOKI ROAD, SIALKOT 32.489616 74.515970 Award Industries ( Tahir Hameed ) St # 11, Shahabpura, Ugoki Road, P.o.box: 3007,Sialkot 32.489597 74.515946

B.A.K Industry ( Muhammad Arif ) Sublime Chowk, Wazirabad Road, P.o. Gohad Pur, Sialkot 32.499496 74.495659 B.A.K.INDUSTRY. SUBLIME CHOWK,WAZIRABAD ROAD,SIALKOT 32.499496 74.495659 Banzai Corporation (Pvt) Ltd ( Abdul 32.478561 74.52333 Razzaq ) Road, Feroze Saleem Street, BANZAI CORPORATION (PVT) 32.478561 74.52333 LTD. DASKA ROAD,FEROZE SALEEM STREET,SIALKOT. BARBREEN CORPORATION P.O.BOX 2593, HARRAR RORAS ROADSIALKOT 32.492218 74.492931 Basharat Ali & Company ( Basharar 32.495391 74.596482 Ali ) 22/289, Badar Street, College Road, Sialkot BASHIR JAMIL & BROS (PVT) 32.488119 74.5117724 LTD. P.O.BOX:7,KHADIM ALI ROAD,SIALKOT. Bashir Jamil & Brothers (Pvt) Ltd ( 32.502541 74.5242 Muhamad Latif Chaudhry ) P.o.box: 7, Khadim Ali Road, Sialkot Bashir Jamil & Brothers (Pvt) Ltd ( 32.502541 74.52252 Muhamad Latif Chaudhry ) P.o.box: 7, Khadim Ali Road, Sialkot Beau Metal ( Muhammad Arshad ) Defence Road, Fateh Garh, Hashim Pura, Sialkot 32.475283 74.517286 DEFENCE ROAD,P.O.FATEH GARH,MOH:HASHIM 32.478092 74.517286 BEAUMETAL PURA,DISTT:SIALKOT

Beau-Tek ( Arshad Hussain ) 1st Floor, Bishmillah Center, Kashmir Road,Sialkot 32.509828 74.518208

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Punjab Small Industries Corporation (PSIC) Diagnostic study of industrial and handicrafts clusters in Punjab

Beauty Star Enterprises ( Qaiser 32.484227 74.516121 Anwar Sheikh ) 94-C Ghalib Road Industrial Estate, Sialkot Beauty Teck International ( Faisal 32 31’25.6”N 74 30’06.9”E Shahzad ) Airport Road, Gohad Pur, Sialkot Beauty Way Corporation ( 32.486423 74.513000 Muhammad Asif ) Near Saba Corgo, Shahab Pura,Sialkot BELGIUM SURGICAL CO. P.O.BOX:1725,ABBOT ROAD,SIALKOT. 32.496666 74.533052 Belgium Surgical Company ( Amjad 32.496666 74.533052 Javed ) P.o.box: 1725, Abbot Road,Sialkot BEST BROW INDUSTRIES UGGOKI ROAD, SIALKOT-4 32.489972 74.518827 Best Deals ( Muhammad Arshad ) 1km Head Marala Road, Gohad Pur Chowk, Sialkot 32.532513 74.502944 BEST SURGI COMET HOUSE NASIR ROAD SIALKOT 32.499767 74.529767 BEYOND WAY INTERNATIONAL AIMAN ABAD ROAD MAHR TOWN ,P.O.BOX 744 SIALKOT 32.478236 74.538076 Bhalli Brothers ( Faisal Mushtaq 32.511597 74.515429 Bhalli ) Bhalli House, Muslim Town, Kotli Behram, Sialkot BHINDER SURGICAL COMPANY P.O.BOX NO. 1961, NOWL MORE, RORASSTREET, WAZIRABAD 32.493022 74.866138 (PVT)LIMITED. ROAD SIALKOT Bhinder Surgical Compnay (Pvt) Ltd ( 32.493022 74.866138 Aamir Riaz Bhinder ) P.O.Box 1961 Roras Street Nowl More Wazirabad Road Sialkot BIA IMPEX P # 58 A,UGOKI MODEL TOWN SIALKOT 32.476127 74.446418 BILAL TRADING CO. 57-A, S.I.E. SIALKOT 32.484563 74.519851 Bilal Trading Company ( Bilal Amin ) 57-A, S.I.E, Sialkot 32.484563 74.519851 Bisma International ( Muhammad 32.492866 74.491634 Amjad ) Roras Road, Near Muzafar Pur, Hamer Street,Sialkot BISMARCK INSTRUMENTS SHAHAB PURA ROAD MIAN SHAFI STREETSIALKOT 32.490738 74.518807 Bismarck Instruments ( Naeem Javaid 32.490738 74.518807 ) Shahab Pura Road, Shafi Street, Sialkot Bizztrex International ( Dr. Qammar Rchna Center, Dr. Razi ENT Clinic Near Railway Crossing, Commissioner 32.500629 74.547479 Sohail ) Road, Sialkot Blue Star Corporation ( Muhammad 32.492655 74.49626 Saleem Tahir ) Roras Road, Muzaffar Pur,Sialkot BM Corporation ( Mrs. Hina Naveed ) 68.70-C Ghalib Road, Industries Estate-1, Sialkot 32.484779 74.518648 Bop Medi-Tek & Beau-Tek 32.493022 74.866138 Engineering ( Aatif Bilal Bhinder ) P.o.box: 587, Roras Road, Sialkot

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Punjab Small Industries Corporation (PSIC) Diagnostic study of industrial and handicrafts clusters in Punjab

BRAVO IMPEX AIRPORT ROAD, GOHADPUR, OPP. 101 RADIO, SIALKOT. 32.516555 74.511775 BRISTAL ENTERPRISES P.O.BOX:2560,HAJIPURA BUN,SOLEHRI STREET,SIALKOT 32.487037 74.531512

Bristal Enterprises ( Fizan Akbar ) Haji Pura Bun, Solehri Street, Sialkot 32.482014 74.53151 HAKEEM STREET,RAHIMPUR KHICHIAN,POST OFFICE 32.487175 74.51853 BROMED SURGICAL(PVT) LTD. BHARTH,SIALKOT Bullan Surgical Co. ( Iftikhar Ahmad 32.490492 74.51618 ) New Miana Pura (East) Sialkot Bullan Surgical Co. ( Iftikhar Ahmad 32.490492 74.51618 ) New Miana Pura (East) Sialkot BULLAN SURGICAL COMPANY NEW MIANAPURA(EAST)SIALKOT. 32.490492 74516180 Buraq Surgical Corporation ( Syed 32.484913 74.519066 Zulfiqar Ali Shah ) P.o.box: 929 59-C, S.I.E, Sialkot BURAQ SURGICAL 32.486155 74.518008 CORPORATION. P.O.BOX:929,59-C,S.I.E.SIALKOT CAPRICORN INTERNATIONAL NEAR BYPASS, SILAKOT ROAD,DASKA SILAKOT. 32.339993 74.379286 Capricorn International ( Akmal Jamil 32.339993 74.379286 ) Near Pasrur Bypas, Sialkot Road, Daska Cardic Instruments ( Muhammad 32.507801 74.538811 Afzal Chaudhry ) P.o.box: 147, Nishat Park, Sialkot CARE & CURE SURGICO P.O.BOX:919,KARIMPURA ROAD,SIALKOT 32 29'34.0"N 74 29'22.0"E Care & Cure Surgico ( Tahir Ashfaq ) Noul More, Roras Road, Sialkot 32.422605 74.489432 Carl Martin International Co ( 32.484432 74.517323 Muhammad Azhar ) 81-C, Ghalib Road, Sialkot

Caronia Surgical ( Amjad Ali ) Commissioner Road, Chah Raggian Street, Sialkot 32.505042 74.546158 CASIS INTERNATIONAL NEW MUSLIM TOWN KULUWAL ROADKOTLI BEHRAM SIALKOT 32.508852 74.518641 Central Beauty Care ( Naveed Hassan 32.509506 74.507882 ) Bonken Road, Pacca Garah, Sialkot Central Surgical Co ( Shahmail 32.509506 74.507882 Hassan ) Bounken Road, Pacca Garah, Sialkot CHAMAN ENTERPRISES KASHMIR CHOWK,MUBARIK PURA, SIALKOT 32.492708 74.527696 Chandjee Mfg Company ( Rahat 32.502946 74.549187 Chand ) Jinnah Islamia College Road,Sialkot CIMPAX INSTRUMENTS DEFENCE ROAD,STREET NO.3,NOORABADSIALKOT. 32.478561 74.52333

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Punjab Small Industries Corporation (PSIC) Diagnostic study of industrial and handicrafts clusters in Punjab

CLIFF TRADING CO(PVT) LTD P.O.BOX:438,KHADIM ALI ROAD,NEARMACCI MASJID, SIALKOT. 32.504978 74.523346 Cliff Trading Comapny (Pvt) Ltd ( 32.504978 74.523246 Zahid Hameed ) P.o.box: 438, Khadim Ali Road, Sialkot MUSTAFA TOWN, SMALL INDUSTRIESESTATE P.O.BOX 2535 32.483992 74.512117 COLLECTIVE CASCADE IMPEX SIALKOT-4 Collective Cascade Impex ( Bilal 32.483992 74.512117 Ahmed Janjua ) P.o.box: 2535, Mustafa Town, S.I.E, Sialkot COMLINES INTERNATIONAL LATIF MANZIL FATEH GARH SIALKOT 32.451419 74.522719 Comlines International ( Irfan Latif 32.481419 74.522719 Mir ) Latif Manzil, P.o. Fateh Garh, Sialkot COMMIC SURGICO RORAS ROAD NAUL CHOWK SIALKOT 32.490716 74.483315 Commic Surgico ( Muhammad Tariq 32.490717 74.483316 ) Commissioner Road, Muhammad Pura, Confident Instruments ( Abdul 32.48261 74.528933 Rehman ) Ansari Colony Haji Pura, Daska Road Conqueror Medical (Pvt) Ltd ( Rehan 32.484896 74.515750 Khalid ) 46-C, Nishter Road, S.I.E,Sialkot CONQUEROR MEDICAL 32.484896 74.51575 (PVT)LTD. 46-C, NISHTAR ROAD, S.I.E.SIALKOT Conqueror Surgical (Pvt) Ltd ( Rehan 32.490717 74.483316 Khalid ) 46-C, Nishter Road, S.I.E,Sialkot CONQUEROR 32.484848 74.515778 SURGICAL(PVT)LTD 46-SMALL INDUSTRIAL ESTATESIALKOT Coral Instruments Company ( Shahid 32.489571 74.515863 Mahmood ) Ugoki Road, Opp: P.o S.I.E, P.o.box : 2598,Sialkot Credible Surgical (Pvt) Ltd ( Ch. 32.494465 74.486104 Khalid Mahmood ) 368 Aurangzaib Road, Model Town, Sialkot CREDIBLE SURGICAL(PVT) LTD P.O.BOX:475,SIALKOT. 32.494488 74.486068 Crescent Surgical ( Muhammad 32 29'13"N 74 31'09.8"E Saddique ) Kotli Loharan (West) Sialkot DADDY D PRO BANGLA NO. 24, PLOT NO. 9, AIBAKROAD, SIALKOT-CANTT. 32.462176 74.512209

Daddy D Pro ( Suhail Salim ) Union Cousil, St # 4, Pakki Kotli, Daska Road, Sialkot 32.462176 74.512209 DAFFODILS INTERNATIONAL ZAFARWAL ROAD NIZAM ABAD MOHALLAHNEKA PURA SIALKOT 32.48358 74.562639 DAI ICHI CORPORATION RORAS ROADP.O.BOX:1084,SIALKOT. 32.4905 74.516177

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Punjab Small Industries Corporation (PSIC) Diagnostic study of industrial and handicrafts clusters in Punjab

Dai Ichi Corporation ( Muhammad 32.491802 74.519386 Iqbal ) Roras Road, New Miana Pura (Eastern) P.O.Box: 1084,Sialkot DAR EXPO 146-C FATIMA JINNAH ROAD,S.I.E.SIALKOT 32.484867 74.5136

Dar Expo ( Zumer Ejaz Dar ) 146-C, Fatima Jinnah Road, S.I.E, 32.484867 74.513600 DARLEYS SURGICAL CO. 2-A, KUTCHERY ROAD SIALKOT 32.500425 74.535826 Darleys Surgical Company ( Qasim 32.500425 74.535826 Idrees Dodhy ) P.o.box: 84, 2-A, Kutchery Road, Sialkot Daud Jee Mfg & Company ( Dawood 32.507992 74.538971 Shahid ) Nishat Park, Paris Road, Sialkot DAUD JEE MFG.CO GULSHAN STREET NO.1, NISHAT PARKPARIS ROAD SIALKOT 32.507992 74.538971 Defined International ( Muhammad 32.481944 74.468228 Alamgir ) Mubarik Pura, Nai Abadi,Sialkot Deft-Technik Industries ( Tariq 32.498553 74.534155 Mahmood ) 18/337 Abbot Road, Sialkot

Dental Devices ( Waseem Yousaf ) Harrar, Roras Road, P.o.box: 2442 32.492564 74.48957 P.O.BOX 2759,OPP: ELEMED INDUSTRIESHARRAR RORAS ROAD , 32.492634 74.488829 DENTAL FORT SIALKOT. Dental Fort ( Imran Yousaf ) Opp: Elmed, Harrar, Roras Road, Sialkot 32.492622 74.488832 DENTART INSTRUMENT MFG 32.484069 74.513522 CO. FATIMA JINNAH ROAD PLOT 128-C S.I.ESIALKOT Dentech Surgical Industry ( Atta ur 32.486074 74.513449 Rehman Suddle ) 126-C, Small Industrial Estate, Sialkot DENTORIUM CORPORATION P.O.BOX: 2762, DOUBURJI ARIAN,MIAN ILAM DIN ROAD, SIALKOT 32.477301 74.553059 DENTREX SURGICAL COMPANY FAIZ ABAD KASHMIR ROAD PACCA GARHASIALKOT 32.506321 74.508955 Detech Industries ( Nadeem Anwar ) Green Wood Street, Miana Pura, Sialkot 32.493965 74.535649 Diligent Medical Services ( Rashed 32.491026 74.483297 Ali ) Noul Mor, Roras Road, Sialkot DITT INSTRUMENT 32.485829 74.519543 CORPORATION(PVT)LTD. P.O.BOX:2168,S.I.E.SIALKOT. Ditt Instruments (Pvt) Ltd ( Malik 32.484840 74.513441 Muhammad Jamil ) P.o.box: 2168, S.I.E, Sialkot

Ditta Industries ( Shahbaz Rafique ) P.o.box: 1036, Muhammad Pura,Sialkot 32.502494 74.543187

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Punjab Small Industries Corporation (PSIC) Diagnostic study of industrial and handicrafts clusters in Punjab

UGOKI ROAD,MUZAFFARPUR,NEARKASHMIR RICE 32.499718 74.514816 DO GOOD TRADING CO MILLS,SIALKOT DOCTOR AND DOCTOR PAKI KOTLI OPP. SOCIAL SECURITYOFFICE DASKA ROAD 32.466099 74.513629 INTERNATIONAL SIALKOT DOCTOR'S SURGICAL P.O.BOX:189,KARIMPURA ROAD,SIALKOT 32.494438 74.486038 Dr. Frigz International (Pvt) Ltd ( 32.518055 74.509064 Muhammad Rehan ) Air Port Road, Gohad Pur, Sialkot

Dr. Quillel Surgical ( Bilal Ghafoor ) Moh Ahmad Abad, Gohad Pur, Head Marala Road, Sialkot 32.527057 74.502338 DR.FRIGZ ELECTROSURGICAL 32.517746 74.509309 INSTRUMENTS GOHADPUR, AIRPORT ROAD,SIALKOT DR.FRIGZ 32.518055 74.509664 INTERNATIONAL(PVT)LTD, AIRPORT ROAD GOHAD PUR SIALKOT DURABLE HOSPITAL SUPPLIES NOUL MORRE, RORAS ROAD, SIALKOT. 32.490627 74.483382 DURRANI & COMPANY NAUL WAZIRABAD ROAD, SIALKOT 32.492172 74.479715 Durrani & Company (Pvt) Limited ( 32.492173 74.479681 Muhammad Arshad Durrani ) Durrani International, Naul, Wazirabad Road,Sialkot Durrani International ( Anila Durrani 32.492199 74.479633 ) Durrani International, Naul, Wazirabad Road, Sialkot Dynamic Surgical (Pvt) Ltd ( Salman 32.479149 74.443878 Zahid Khan ) Wazirabad Road, Ugoki, P.O.BOX:1919,UGOKI INDUSTRIALAREA WAZIRABAD 32.479149 74.483578 DYNAMIC SURGICAL (PVT)LTD ROAD,SIALKOT. EJAZ JAVAID & BROS CAPITAL ROAD, LINK MEHAR ROAD,DINPURA,SIALKOT. 32.499547 74.518277 Elahi & Jaffer (Pvt) Ltd ( Sheraz 32.487964 74.516224 Safdar ) Small Industrial Estate, Sialkot ELAHI AND JAFFAR (PVT) LTD, 11-KM, DASKA ROAD, SIALKOT 32.407034 74.449822 Electro Surgicals ( Shoaib 32.495336 74.518928 Muhammad ) Baitul -ul Fazal ,Dean Pura Capital road, Sialkot Elmed Instruments (Pvt) Ltd ( Babar 32.492634 74.488913 Iqbal ) Roras Road, Noul Chowk,Sialkot ELMED 32.492638 74.488969 INSTRUMENTS(PVT)LTD. P.O.BOX:1656,RORAS ROAD,NOUL,SIALKOT Eltek Instruments (Pvt) Ltd ( Mian 32.478435 74.427341 Humayun Iqbal ) Roras Road, Noul Chowk,Sialkot

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Punjab Small Industries Corporation (PSIC) Diagnostic study of industrial and handicrafts clusters in Punjab

ELTEK INSTRUMENTS(PVT)LTD. 10 KM WAZIRABAD ROAD RAYPUR SIALKOT 32.478457 74.427616 Emerald Instruments ( Ahmed 32.491868 74.52053 Sheraz) Factory Roras Road, P.O.Box: 766, Sialkot EMZ INTERNATIONAL CHAH AJRIAN MOHALLAH MUBARIK PURASIALKOT 32.492767 74.524991 EMZ International ( Ejaz Ahmed ) Mubarik Pura, Chah ajrian Nai Abdi, Sialkot 32.492767 74.524991 Endo Tech Surgical Co ( Abdul 32.50764 74.507139 Ghafar ) Ghatto Rora, Aiman Abad Road, P.o.Ladhar, P.o.box 963, Sialkot ENDO TECH SURGICAL CO. P.O.BOX 963, GHTTO RORA P.O.LADHAR TEH & DIST. SIALKOT 32.507641 74.507139 Enika Corporation ( Saleem Ahmed ) P.O.Box: 150,Muhammad Pura, Shahab Colony, Sialkot 32.501488 74.542402 Enika Surgical Manufacturing 32.50198 74.54541 Company ( Mudassar Ahmed ) Jinnah Islamia College Road, P.o.box: 229, Sialkot ENIKA SURGICAL MFG CO P.O.BOX 229, JINNAH ISLAMIA COLLEGEROAD SIALKOT 32.50198 74.54541 ENIKA TRADING CO. P.O.229,JINNAH ISLAMIA COLLEGE ROADSIALKOT 32.50198 74.54541 Enika Trading Company ( Mudassar 32.50198 74.54541 Ahmed ) Jinnah Islamia College Road,Sialkot EPISURG Group of Industries ( 32.509424 74.504981 Faisal Luqman ) Awaisia Gohria Street, Islam Nagar, Pacca Ghara, Sialkot Erika Surgical Corporation ( Khurram 32.50198 74.54541 Manawar ) P.o.box: 1154, Sialkot ESPAK INTERNATIONAL (PVT) 32.486637 74.515111 LTD P.O.BOX:1075,31-B,JAMIA MASJID ROADSIE,SIALKOT Espak International (Pvt) Ltd ( Adil 32.486637 74.515111 Hafeez ) 17/4, Zafar Ali Road, Sialkot-Cantt ETURNUS KASHMIR ROAD NEAR M.A.ARAIN & BROS(PVT)LTD SIALKOT 32.505011 74.506814 Eunicare Instruments ( Farhan Eunice 32.485373 74.512673 ) 160-C, Tipu Road, S.I.E, EURO HIDE 31/11, DASKA ROAD,BOGHRAH SIALKOT 32.475704 74.523658 EUROLEAD TRADERS AMBAN WALI CHAPRI MOH JEVENPURASIALKOT 32.488406 74.527558 EUROMED INDUSTRIES PLOT NO. 56,-A, S.I.E. SIALKOT-4 32.484479 74.517985 Euromed Industries ( Muhammad 32.486692 74.515525 Younas ) Plot # 56-A, S.I.E, Sialkot EVERBEST TRADING CO. DEFENCE ROAD, NEAR KHAN SPALLSIALKOT 32.486054 74.512425 Exclusive Med ( Masood ul Hassan ) Roras Road, Noul Chowk, Sialkot 32.492963 74.486483

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Punjab Small Industries Corporation (PSIC) Diagnostic study of industrial and handicrafts clusters in Punjab

Exlin (Pvt) Ltd ( Shahid Hameed ) Nasir Road Near Classico Chowk,Sialkot 32.505041 74.523456 EXLIN (PVT) LTD. P.O.BOX 748,NASIR ROAD NEARCLASSICO CHOWK SIALKOT 32.505041 74.523451 Expert International ( Syed Shabir ur 32.467837 74.51401 Hassan ) Chowk Doburji Mallian, Daska Road, Sialkot

Export Gate ( Sofia Waqar ) 26-C, Nishtar Road, S.I.E, Sialkot 32.477337 74.506024 F.A Najmmy Industries ( Farzand Ali 32.480937 74.459948 ) P.O Box:1470 136-C Fatima Jinnah Road, S.I.E, Sialkot

32.48546 74.51352 F.A.NAJMMY INDUSTRIES P.O.BOX 1470,AL-MUSTFA TOWN, S.I.E.SIALKOT.

F.I.Nazir Industries ( Nazir Ahmed ) 7-C. Small Industrial Estate, 32.485556 74.51898 Fairmount Industries (Pvt) Ltd. ( 32.492736 74.48779 Khurshid Anwar Janjua ) Nizam Street Kotli Behram, Sialkot FAIRMOUNT 32.510996 74.518125 INDUSTRIES(PVT)LTD. KOTLI BEHRAM,SIALKOT-3. FALCON SURGICAL CO.(PVT) 32.485282 74.463719 LTD, P.O.BOX:134,WAZIRABAD ROAD VILLAGEGOLOPHALA SIALKOT. Fambro Trading Corp. ( Khurram 32.509047 74.518653 Masud Janjua ) Kotli Behram, FAMBRO TRADING 32.509922 74.518138 CORPORATION. NIZAM STREET,KOTLI BEHRAM SIALKOT51310 FANO CO, P.O. NO 1011,NASIR ROAD,SIALKOT. 32.497478 74.532941 Farhan Surgical ( Muhammad Zahid ) Airport Road Chaudary Allah Ditta, Gohad Pur Road, Sialkot 32 31’05.4”N 74 30’09.9”E Farico Enterprises ( Amir Hameed 32.480937 74.459948 Bhatti ) Ugoki Road, Near Mazar Mulk Shah Wali, Ugoki, Sialkot Farooq Ahmad Partnership ( Farooq 32.500233 74.529353 Ahmad ) Sakina House Nasir Road, Sialkot FAULAD INDUSTRIES MUSTAFA TOWN, S.I.E.SIALKOT 32.482984 74.512113 Felsen Smith ( Faisal ) Street No.37, Durrani Town New Miana Pura west, Sialkot 32.492054 74.506423 KOTLI BEHRAM, MECCA MADINA MARKETNEAR SULTAN PHOTO 32.511050 74.518960 FERI BROTHERS ESTATE,SIALKOT. Makka Madina Market, Near Sultan Photo Estate, Kotli Behram, Kashmir 32.511050 74.518960 Feri Brothers ( Hassan Ali ) Road, Sialkot FIDA INTERNATIONAL AMIR STREET, ALI UL HAQ ROAD, MODELTOWN, SIALKOT. 32.48526 74.5178

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Fine Art Engineering Company ( 32.521103 74.501125 Shafiq ur Rehman ) Marala Road Murad Pur, FIT DENT COMET HOUSE NASIR ROAD, SIALKOT 32.499718 74.529709 FLAPLIGHT COMPANY 41-RC MODEL TOWN, WAZIRABAD ROAD,UGOKI. 32.479371 74.441273 FORTUNE CLIPPER P.O.BOX.347,LIAQAT ALI SHAHEED ROADSTREET NO.4, PACCA 32.510043 74.514558 ENTERPRISES GARHA, SIALKOT. Fortune Clipper Enterprises ( Ali 32.510043 74.514558 Shahbaz ) Liaqat Ali Shaheed Road, Street 4 Pacca Garha, Sialkot FRANKO SHEHZAD SURGICO 32.504612 74.506962 (PVT) LTD P.O.BOX:613,2-4C, S.I.E,SIALKOT. Franko Shehzad Surgico (Pvt) Ltd. ( 32.48569 74.519404 Shehzad Islam Malik ) 2C-4C, S.I.E, Sialkot Fridays Instruments ( Umer Farooq ) Liaqat Ali Road, Link M.A Jinnah Road, Sialkot 32.485811 74.516173 Friends Surgico (Pvt) Ltd. ( 32.484651 74.515097 Muhammad Yasin ) P.O Box: 289 55-C Nishtar Road, S.I.E Sialkot FRIENDS SURGICO(PVT)LTD, P.O.BOX:289, 53-55(C), S.I.E,SIALKOT. 32.484804 74.514929 FRIENFA INDUSTRIES KHOKHAR STREET NO.7, FATECH GARHSIALKOT 32.477217 74.508654 FROLIC INTERNATIONAL P.O.BOX:2939,RAM GARHA,AEMANABADROAD,SIALKOT. 32.471152 74.53478

Frolic International ( Rashid Ahmed ) P.O Box # 2939 Ram Garha Aimnabad Road, Sialkot 32.471152 74.53478 Frontline Surgical ( Wahab ul Hassan 32.485937 74.516569 ) P.O Box: 1595 Liaqat Ali Road, St # 06 Pacca Ghara, Sialkot G.I.R Brothers International ( 32.491306 74.509545 Muhammad Razzaq ) P.o.box: 504, Miana Pura (East),Sialkot G.I.R.BROTHERS 32.491306 74.509545 INTERNATIONAL P.O.BOX 504, RORAS ROAD NIA MIANAPURA(East) SIALKOT G14 SURGICAL SUPPLY MUSTAFA TOWN FATEH GARH S.I.ESIALKOT 32.483992 74.512117 Gallant (Pvt) Ltd ( Arfan Elahi ) Elahi Abad, Kashmir Road,Sialkot 32.503922 74.503479 GARANA DENTAL C/O. GARANA INDUSTRIES, CHIRISTIANTOWN, SIALKOT. 32.513922 74.519921 Garana Industries (Pvt) Ltd ( Mohsin 32.513922 74.519921 Raza ) P.O.Box: 785, Christian Town, Sialkot GARANA INDUSTRIES (PVT)LTD. KHADIM ALI ROAD, KOTLY BEHRAM,NIZAM STREET, SIALKOT 32.513922 74.519921 SHAHABPURA ROAD, QASAR-E-JAHAN ARAMIAN SHAFI 32.490738 74.518807 GENERAL HOSPITAL SUPPLY STREET,P.O.BOX 2531,

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General Hospital Supply ( Naeem Shahab Pura Road, P.O.Box: 2531, Qasr-e-Jahan Ara, Mian Shafi Street, 32.490738 74.518807 Javaid ) Sialkot GERMAN HEALTH CARE 32.485126 74.512817 INDUSTRIES (PVT)LTD JINNAH TOWN NEAR MASJID AL-HABIBDEFENCE ROAD SIALKOT German Healthcare Industries (Pvt) 32.485126 74.512817 Ltd ( Muhammad Mohsin ) Jinnah Town, Masjid Al-Habib,Sialkot GIASK SURGICAL 32.503717 74.507136 CORPORATION KASHMIR ROAD,NEAR BETHANIA HOSPITALSIALKOT. Gilani International ( Sajid Hussain 32 29’17.6”N 74 31’07.8”E Gilani ) Roras Road,Adalat Gargh New Sialkot GLOBAL INSTRUMED S.I.E,UGOKI ROAD, P.O.BOX 3007,SIALKOT. 32.489616 74.515970 Global Instrumed ( Khalil ur Rehman 32.489597 74.518946 Athar ) Shahab Pura, Ugoki Road, P.o.box: 3007, Sialkot UNIT # 48, SMALL INDUSTRY ESTATE, OPP. HALIFAX & CO (PVT) 32.487600 74.516080 GLOMED DEVICES LTD, SIALKOT Glorious Mercantile Corporation (Pvt) 32.4858 74.51959 Ltd ( Muhammad Ibrahim ) 15-A, Small Industrial Estate, Sialkot GOLD STAR MEDICAL 32.506437 74.521313 INSTRUMENTS. KHADIM ALI ROAD, KOTLY BEHRAM,NIZAM STREET, SIALKOT GOLD TIER MEDICAL 32.484839 74.526368 INSTRUMENTS COMPANY NAWAZ SAYAL STREET HAJI PURA FATEHGARH SIALKOT Gold Tier MIC ( Adeel Ahmed ) Nawaz Sayal Street Haji Pura Fateh Garh Road Sialkot 32.4848392 74.526368 GOLDEN SURGICAL 32.48808 74.517471 INTERNATIONAL KATCHA SHAHAB PURA OPP MASJIDREHMANIA S.I.E.SIALKOT Golden Surgical International ( Bilal 32.486853 74.52097 Ahmed ) Kacha Shahab Pura, Rehman Pura, Opp: Masjid Rehmania, S.I.E,Sialkot Gommos International ( Muhammad 32.519103 74.498787 Nawaz ) P.o.Gohad Pur, Head Marala Road,Sialkot Grace Dental Company ( Hassan Ali ) 85/A Ugoki Model Town, Sialkot 32.47627 74.444832 Grayrocks Enterprises ( Humayun 32.490807 74.534856 Pervez Mughal ) Shah Saydan, Sialkot P.O.BOX 2363,HOUSE NO 203,BLOCK AMAG TOWN KASHMIR ROAD 32.497422 74.504073 GREAT CARE INSTRUMENTS SIALKOT GREAT WAYS INTERNATIONAL H.NO.26/51,TIBBA STREET,SIALKOT 32.469955 74.547 Gulfam Coporation ( Meer Hamza ) Moh. Haji Pura, Daska Road, Sialkot 32.482735 74.528564

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GULMAG INTERNATIONAL KULLUWAL ROAD, P.O.GOHADPUR,SIALKOT 32.514713 74.514448 Gulmag International ( Muhammad 32.51967 74.54447 Shahbaz Akhtar ) Moh: Sharif Pura, Kulluwal Road, Gohad Pur, Sialkot Gynamed Instruments ( Waqas 32.484848 74.523852 Ahmed ) S.I.E, Ghounse Pura, Kacha Shahab Pura, Sialkot SMALL INDUSTRIAL ESTATE GHOUSEPURA P.O.BOX:1714 32.484548 74.523852 GYNAMED INSTRUMENTS. SIALKOT

H.Allah Din Surgical ( Ibrar Younis ) Jinnah Town, Chah Lalarian, Kotli Behram, Sialkot 32.505176 74.516535 HAFEEZ IMPEX 32.491495 74.519089 INTERNATIONAL P.O.BOX NO 527, NEW MIANA PURA RORAS ROAD SIALKOT HAG Universal Industries ( Rahat 32.498088 74.530999 Habib ) Nasir Road, Sialkot HAG UNIVERSAL INDUSTRIES. P.O.BOX:1005,NASIR ROAD,SIALKOT. 32.498003 74.530865 Hallmark Surgico ( Nadeem Aftab ) Islam Street, Noor Pura, Khadim Ali Road,Sialkot 32.500476 74.527002 Hammerco ( Muhammad Tayyab ) Mubarik Pura, Sialkot 32.494765 74.528465 HAMMERCO. MUBARIKPURA,SIALKOT. 32.494765 74.528465 Hamza Corporation ( Muhammmad 32 26’500”N 74 29’37.2”E Arshad ) Muhammad Arshad S/O Ali Muhammmad, New Adalat Gharah, Sialkot Hawrazi Enterprises ( Arfan Hanif ) 64/10 Street # 2, Puran Nagar, Sialkot 32.50115 74.542165 HAWRAZI ENTERPRISES. 64/10 STREET NO 2 PURAN NAGAR SIALKOT 32.50115 74.542165 STREET NO 32, HAYAT BUILDING NEWMIANAPURA (WEST) 32.492081 74.508471 HAYAT INOX MED RORAS ROAD SIALKOT HAYMED TALHA STREET, MUZAFFAR PUR, RORASROAD, SIALKOT. 32.49134 74.497971

Haymed ( Umair Asmat ) Talha Street, Muzaffarpur, Roras Road,Sialkot 32.491340 74.497971 Haymed ( Umair Asmat ) Talha Street, Muzaffarpur, Roras Road,Sialkot 32.491405 74.497947 HB Meditech Pvt Ltd ( Kamran 32.486353 74.518853 Ashraf ) Health Mission Instruments ( Amir 32.491003 74.49784 Shehzad ) Muzafar Pur, Roras Road, Sialkot Herbert Instruments ( Muhammad 32.493274 74.490164 Yaqoob ) Roras Road, Near Khawaja Industries, Harrar,Sialkot Hico International (Pvt) Ltd ( Hassan 32.492639 74.48341 Ali Malik ) Noul, Wazirabad Road,Sialkot

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Hico Surgical (Pvt) Ltd ( Nasar Iqbal 32.4928 74.481069 Malik ) P.o.box: 2141, Noul, Wazirabad Road, Sialkot HICO SURGICAL(PVT)LTD P.O.BOX:2141, NAUL, WAZAIRABADROAD, SIALKOT 32.492832 74.481045 HIGH STEEL INSTRUMENTS QASIM STREET, DEFENCE ROAD,NOORABAD SIALKOT 32.478561 74.52333 High Steel Instruments ( Salman 32.478561 74.52333 Mushtaq ) Defence Road, Qasim Street, Noor Abad, Sialkot

Hilbro (Pvt) Ltd ( Kamran Ashraf ) 11km, Daska Road, P.o.box:22, Sialkot 32.510942 74.518034 Hilbro Instruments (Pvt) Ltd ( Ayaz 32.487179 74.518222 Masood ) S.I.E, Sialkot HILBRO INSTRUMENTS (PVT) 32.488874 74.815944 LTD. S.I.E.SIALKOT. Hilbro International (Pvt) Ltd ( M. 32.510942 74.518034 Shakir Iqbal ) 12 km, Daska Road,Sialkot HILBRO INTERNATIONAL 32.510996 74.518125 (PVT)LTD, P.O.BOX:250,12 KM DASKA ROAD,GHUANKI,SIALKOT HILBRO(PVT) LIMITED. P.O.BOX:22, 11 KM, DASKA ROAD,SIALKOT 32.510996 74.518125

Hilux Enterprises ( Kamran Ejaz ) 18/350, Abbot Road, 32.497845 74.533497 Hi-Med Industries ( Muhammad 32.491467 74.503841 Amjad ) 15-Roras Road, Chowk Muzaffar Pur, Sialkot HI-MED INDUSTRIES. 15- RORAS ROAD CHOWK MUZAFAR PURSIALKOT 32.491467 74.503891 HIROSE CORPORATION PACCA GARHA,ISLAM NAGAR,WAZIRABAD ROAD, SIALKOT. 32.508038 74.503074 Hirose Corporation ( Shabbir Hussain 32.508638 74.503074 ) Pacca Garha, Wazirabad Road, Islam Nagar, Sialkot Hive International (Pvt) Ltd. ( Tallat 32.506711 74.521359 Rashid ) Rai Pur, Ugoki, Wazirabad Road, Sialkot HIVE 32.506711 74.521359 INTERNATIONAL(PVT)LTD. P.O.BOX;2311, KHADIM ALI ROAD,SIALKOT. HMNGB Crocomed Technik Inc ( 32.482954 74.513850 Muhammad Azeem Mughal ) Mustafa Town, S.I.E,Sialkot HOBRI INTERNATIONAL. DEFENCE ROAD,FATEH GARH,SIALKOT. 32.478005 74.515094 HOSPIDENT INTERNATIONAL P.O.BOX 1624, KUTCHERY ROAD 2/382 EWATER WORKS SIALKOT 32.501482 74.544558

Hospimed Mfg ( Aamer Mahmood ) P.o.box: 1624, Muhammad Pura, Opp: Dr. Yasin Hospital, Sialkot 32.500332 74.544472

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HOSPIMED MFG. MUSLIM MOSQUE ST. KUTCHERY ROADSIALKOT 32.499185 74.536809 HOSSA INTERNATIONAL STREET NO. 20, NEW MIANAPURA WESTRORAS ROAD, SIALKOT. 32.49167 74.513208 Hossa International ( Muhammad 32.491293 74.50581 Younis ) New Miana Pura West Roras Road, Sialkot House of Surgical (Pvt) Ltd ( Sheikh 32.407034 74.449822 Saqib Saleem ) Kot Bhukran Stop, 13 km, Daska Road,Sialkot HOUSE OF SURGICAL (PVT)LTD P.O.BOX:105,13 KM DASKA ROADSIALKOT 32.407034 74.449822 Huk beauty Care Instruments ( 32.492744 74.494705 Muhammad khalid Awan ) Roras road Awan street Muzafar pur Sialkot HUK BEAUTYCARE 32.492767 74.494863 INSTRUMENTS AWAN STREET RORAS ROAD MUZAFARPURSIALKOT Hyssop Surgico ( Malik Zulfiqar Ali ) P.o.box:2421, Kacha Shahab Pura Road, Sialkot 32.486245 74.520166 HYSSOP SURGICO, P.O.BOX:2421, KACHA SHAHAB PURAROAD,S.I.E,SIALKOT 32.486245 74.520166 I.A.A Surgical Instruments ( Ikram ul 32.455696 74.502928 Haq ) Toor Abad, Daska Road, Sialkot IAA SURGICAL INSTRUMENTS 32.455715 74.502886 COMPANY TOORABAD, DASKA ROAD, SIALKOT. IDC Instruments Company ( Abdul 32.480183 74.516476 Waheed ) 23-C, S.I.E, Sialkot Ideas Instruments ( Muhammad Arif 32.506937 74.507624 Yousaf ) Moh. Habib Pura, Pacca Garrah, Sialkot IMPEX INDUSTRY S.I.E,SHAHAB PURA ROAD SIALKOT 32.490006 74.516474

Impex Industry ( Rehan Ahmed ) S.I.E, Ugoki Road, P.o.box: 1238, Sialkot 32.490096 74.516474 Inam Industries ( Muhammad Nawaz 32.524992 74.485719 ) Wazirabad Road, Pacca Ghara,Sialkot INAYAT TRADING CO, 2/504, WATER WORKS,SIALKOT. 32.497662 74.536684 P.O.Box 1264, Near Chah Ragian, Commissioner Road, Muhammad Pura, 32.505166 74.543789 Inexco ( Sarfraz Masud ) Sialkot-51310 Infodent International Company ( 32.507454 74.519092 Muhammad Iftikhar ) P.O.Box: 947, Kotli Behram, Khadim Ali Road, Sialkot C-76-78, NISHTAR ROAD SMALL INDUSTRIAL ESATE ,SIALKOT - 32.48526 74.5178 INSTROCON PAKISTAN

Instrocon ( Muhammad Jabbar ) C76-78 Nishtar Road, S.I.I, Sialkot 32.42516 74.5178

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Instrumed (Pvt) Ltd ( Mrs. 32.485911 74.517235 Rukhshanda Ejaz ) 65-B, Small Industrial Estate, P.o.Box -615 INSTRUMED (PVT) LTD. P.O.BOX:615,65-B,S.I.E.LIAQAT ALIROAD,SIALKOT. 32.485911 74.517235 Intrade International ( Muhammad 32.500935 74.54599 Aslam ) Commissioner Road, Pak Alam Street, Muhammad Pura, Sialkot IRIS IMPEX KATCHA SHAHAB ROAD,REHMANPURA,NEARS.I.E, SIALKOT 32.486267 74.519943 IRIS METAL INDUSTRIES 43-C SIE SIALKOT 32.484846 74.515866 Iris Metal Industries ( Muhammad 32.484803 74.515832 Ilyas ) 43-C, Nishter Road, S.I.E,Sialkot IRON ART GALI DR.SHOUKAT WALI NASIR ROADSIALKOT 32.499261 74.529549 ITBM ENTERPRISES DABURJI ARIAN NEAR MAZAAR HAJIABDUL NABI SIALKOT 32.47059 74.556776 J.F.U Industries ( M.Jamil ) Liaqat Ali Road, Link M.A Jinnah Road, Sialkot 32.485811 74.516173 J.R.BROTHERS P.O.BOX 1195, NEAR PEER HARA HARRARSIALKOT. 32.494396 74.493589 J.S.F.ENTERPRISES MUHAMMADI TOWN RORAS ROAD MUZAFFARPUR SIALKOT 32.169816 74.499057 J.S.W Surgical Company ( 32.52128 74.515355 Muhammad Saeed Janjua ) Hunter Pura, Bara Pathar, Sialkot J.V.TRADERS OPP:SABA CARGO,UGOKI ROAD,S.I.E,SIALKOT. 32.488688 74.514117 Jaffar Sons (Pvt) Ltd ( Pervaiz Iqbal ) Small Industrial Estate, Sialkot 32.487964 74.516224 JAGUAR INSTRUMENTS HOUSE # 2/25, ABBOT ROAD, SIALKOT 32.500412 74.535065

Jaguar Instruments ( Adeel Rehman ) 2/25 Abbot Road, Sialkot 32.500412 74.535065 Jamash Trader ( Waqas Ahmed ) New Miana Pura west Roras Road, Sialkot 32.491191 74.510146 JANJUA OVERSEAS 32 28'42.0"N 74 25'46.6"E CORPORATION 109, MODEL TOWN, SIALKOT JFU INDUSTRIES LIAQAT ALI ROAD LINK M.A. JINNAHROAD S.I.E. SIALKOT 32.485667 74.514764 JIMY BROTHERS GROUP STREET SAGA YARD, DASKA ROAD,SIALKOT 32.577187 74.508958 JOLLY & COMPANY P.O.BOX 1182, RORAS ROAD SILAKOT 32.49131 74.605489 Jolly & Company ( Munir Ahmed 32.491296 74.505451 Janjua ) P.O.Box: 1182, Roras Road, Sialkot JSW SURGICAL CO HUNTERPURA, BARA PATHER,SIALKOT 32.517873 74.518874 K.T Surgico ( Khalid Mehmood ) P.o.box: 1830, 40-B Small Industrial Estate, Sialkot 32.486289 74.51384

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K.T.SURGICO P.O.BOX:1830, 40B, SMALL INDUSTRIALESTATE, SIALKOT. 32.48648 74.513774 Kahkashan Surgical Company ( 32.506278 74.543054 Muhammad Arshad Awan ) Nishat Park , Paris Road, P.o.box: 801,Sialkot KASHMIR SURGICAL CO 21/277, MAHARAJA ROADNEAR PUNJAB COLLEGE OF COMMERCE 32.497827 74.543593 Kashmir Surgical Company ( Asad 32.497827 74.543593 Ali Butt ) 21 / 277, Maharaja Road Sialkot KAY-ZED SURGICO NIZAM STREET,KOTLI BEHRAMSIALKOT-51330 32.509118 74.518984 Kay-Zed Surgico ( Zaheer Anwer 32.509118 74.518984 Janjua ) Nizam Street, Kotli Behram, Sialkot Kopek International ( Tajamal 32.486447 74.520449 Hussain Bukhari ) Kacha Shahab Road, 13-A, East S.I.E, Sialkot KUMMAS CORPORATION 3 NISHTAR ROAD SMALL INDUSTRIALESTATE SIALKOT 32.484726 74.514529 LEONE ENTERPRISES. JAMMU ROAD,SOHNI STREET 51310SIALKOT. 32.498135 74.554915 P.O.BOX 578, WAZIRABAD ROAD NEARCALTEX PETROL PUMP 32.494478 74.486002 LEXER INTERNATIONAL SIALKOT-PAKISTAN Lexer International ( Muhammad 32.494478 74.486066 Saeed Bhatti ) Wazirabad Road, Near Caltex Pump,Sialkot Life Make Industries ( Sajjad ul 32.48995 74.492804 Hassan ) Mohammadi Town, Muzaffarpura, Roras Road, Sialkot LISTER SURGICAL CO NEW MIANAPURA WEST, EID GAH ROAD,STREET NO. 6, SIALKOT. 32.494569 74.510393 Lister Surgical Co ( Mian Zubair New Miana Pura (West), Moh: Sikander Pura, Street No. 6, Eid Gah Road, 32.494569 74.510393 Hussain ) Sialkot LIZMANN SURGICAL KARIM PURA, CHAH JATTAN,SIALKOT. 32.494475 74.486081 Lizmann Surgical ( Humaira Zubair ) Karim Pura, Chah Jattan, Sialkot 32.49448 74.486057 LONG LIFE SURGICAL 32.481484 74.519756 INDUSTRIES 16 ALLAMA IQBAL TOWN DEFENCE ROADP.O. BOX 49, SAILKOT. Long Life Surgical Industries ( Irfan 32.481484 74.519756 Aslam Arif ) Fateh Garh Agency, Rawail Garh, Defence Road, Sialkot Long Stone Internationa Co. ( Imran 32.491507 74.509632 Ahmed ) P.o.box: 747, New Miana Pura, Roras Road,Sialkot LSA INTERNATIONAL OFFICE NO 1 THRID FLOOR LUCID TOWERPARIS ROAD SIALKOT 32.504748 74.537838 LSA Surgical ( Sheraz Mehmood 32.504748 74.537838 Baig ) Lucid Tower, Paris Road,Sialkot

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Lucky Seven Industries (Pvt) Ltd ( 32.484818 74.462835 Zafar Iqbal ) Wazirabad Road, Golo Phala, Sialkot LUCKY SEVEN INDUSTRIES 32.484818 74.462834 (PVT)LTD. WAZIRABAD ROAD GOLO PHALA SIALKOT LUME INTERNATIONAL NEAR RAILWAY LINE, MUBARIK PURA,SIALKOT 32.494807 74.527999 M. Fazal Karim & Company ( Ijaz ul 32.485221 74.518216 Haq Mirza ) P.o.box: 242, 17-19/c S.I.E Sialkot M.A Arain & Brothers (Pvt) Ltd ( 32.504612 74.508962 Tariq Mehmood ) P.o.box: 432, Wazirabad Road, M.A.ARAIN & BROTHERS (PVT) 32.502541 74.5242 LTD P.O.BOX:432,WAZIRABAD ROAD,SIALKOT. M.A.ORTHODONTIC REHMAN PURA NEAR REHMANI MOSQUEKACHA SHAHAB PURA 32.487025 74.520868 INSTRUMENTS COMPANY ROAD SIALKOT M.FAZAL KARIM & CO 17-c NISHAR ROAD FACTORY AREA ESTATNO 1 SIALKOT 32.485221 74.518216 M.J Instruments Company (Pvt) Ltd ( 32.484535 74.517372 Yaqoob Ahmed Naz ) Small Industrial Estate, Sialkot M.J Instruments Company (Pvt) Ltd ( 32.486793 74.515525 Yaqoob Ahmed Naz ) Small Industrial Estate, Sialkot M.J.INSTRUMENTS CO LTD, SMALL INDUSTRIES ESTATE,SIALKOT-4. 32.503922 74.503479 P.O.BOX:383,VILL. CHIRIND,P.O.CHANNU 32.449453 74.535434 M.K.M.T.SURGICAL INDUSTRY MOOM,TEH&DISTT:SIALKOT M.Latif & Company (Pvt) Ltd. ( 32.502541 74.5242 Mohammad Latif Ch. ) 11 Model Town, Khadim Ali Road, Sialkot M.LATIF & COMPANY(PVT)LTD, 11-MODEL TOWN,KHADIM ALI ROAD,SIALKOT. 32.502541 74.5242 M.N.A BEAUTY SURGICAL 32.506392 74.509863 INDUSTRIES KASHMIR ROAD HASSAN PURA PACCAGARHA SIALKOT M.W.SURGICAL CO HUNTER PURA, BARA PATHER,SIALKOTNO.2 32.52128 74.515355 M.Y Manufacturing ( Muhammad 32.509312 74.504887 Yousaf ) Jamia Awaisia Street, Islam Nagar Pacca Garha,Sialkot MABS Industries ( Muhammad 32.490442 74.509694 Kashif Bajwa ) St# 01 Muzaffar Pur Near Railway Crossing, Defence Road, Sialkot MADONNA SURGICAL 32.496382 74.547112 CORPORATION P.O.BOX:540,COLLEGE ROAD,SIALKOT. Madonna Surgical Corporation ( 32.496382 74.547112 Mirza Muhammad Shahjahan Baig ) P.o.box: 504, Murray College Road,Sialkot

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Punjab Small Industries Corporation (PSIC) Diagnostic study of industrial and handicrafts clusters in Punjab

MAHBOOB BROTHERS 22/44 MURRAY COLLEGE ROAD,SIALKOT 32.497089 74.547555 Maisam Industries ( Muhammad 32.484655 74.51732 Azhar ) Block CI (1) M.A Jinnah Road, S.I.E, Malik Saleem Enterprises ( 32.495205 74.522085 Muhammad Yasin ) Capital Road, Gulshan Town, Sialkot

Mamoon Intertrade ( Jang Share Ali ) Malke Kalan Road, Near Sublime Tendery,Sialkot 32.493277 74.496271 DUBURJI ARAINAN ILAM DIN ROAD NEARGULSHAN-E-IQBAL 32.479748 74.550771 MAQSOOD INTERNATIONAL PARK P.O.BOX 218 Mark Instruments (Pvt) Ltd ( Shahbaz 32.517873 74.518874 Hassan ) Muslim Street, Near Church, Hunter Pura, Sialkot MARK INSTRUMENTS (PVT) 32.487950 74.516620 LTD. 26/4, ZAFAR ALI ROAD, SIALKOT Marvellous Overseas Corporation ( 32 28'49.8"N 74 28'007"E Haji Muhammad Munawar ) Village Dehtal, Near Rice Mill Rana Bunaid, Sialkot MOHALLAH BONKAN,BEHIND OMER 32.50944 74.505020 MATPHIL INDUSTRIES SHAEEDGRAVEYARD,P.O.GOHADPUR,SIALKOT. Maxcare International ( Mirza Fahad 32.502551 74.535877 Haroon ) Office No. 16, 2nd Floor, City Mall, Kutchery Road, Sialkot Mckenzie Surgical Co ( Tauqeer 32.505564 74.542767 Aslam Deura ) Chah Ragian, Muhammad Pura, Commissioner Road, Sialkot STREET NO:32,NEW MIANA PURA(WEST)RORAS ROAD,SIALKOT- 32.491715 74.519383 MED EXPERT 51310,PAKISTAN

Med Expert ( Muhammad Saleem ) Jinnah Town, Street No: 1 Defence Road Chowk Shahab Pura, Sialkot 32.491715 74.519383 Med Martel Instruments ( M.Amar 32.484608 74.512718 Khan ) 86-B, S.I.E, Sialko

Med Surg ( Tamseel Anwar ) 6-8C, S.I.E, Sialkot 32.485279 74.517835 MEDBRO PLOT NO. 10-A,S.I.E.SIALKOT. 32.488012 74.518784 MEDENTA INSTRUMENTS CO 52-56B S.I.E SIALKOT 32.486233 74.5186 Medenta Instruments Company ( 32.486233 74.518600 Zahid Rafique ) 52-56B, Industrial Estate, Sialkot Medentra Manufacturing ( Khurram 32.491044 74.499818 Shahid ) Jinnah Street, Roras Road, Sialkot MEDI PLUS AIRPORT ROAD, KOTLI BEHRAM SIALKOT 32.511360 74.517566

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Medi Plus ( Muhammad Rafique 32.511360 74.517566 Mughal ) Nizam Street, Kotli Behram, Sialkot MEDIC WARE SURGICAL CAPITAL ROAD, JINNAH TOWN,TOOR STREET,SIALKOT 32.498812 74.520148 MEDICA INTERNATIONAL 94-C, S.I.E.SIALKOT 32.484271 74.516466 Medica International ( Qasir Anwer 32.484271 74.516466 Sheikh ) 94-C, S.I.E, Sialkot MEDICAL + ENGINEERS KHADIM ALI ROAD NEAR AL-KHIDMATHOSPITAL SIALKOT 32.502541 74524200 MEDICAL DEVICES(PVT) LTD WAZIRABAD ROAD, UGOKISIALKOT 32.479554 74.440921 MEDICARE INDUSTRIES WHITE HOUSE RORAS ROAD NEAR RAILWAYCROSING SIALKOT 32.491565 74.516793 Medimax International ( Adil 32.509707 74.521675 Shahzad ) Dipu Street, Kotli Behram, Kashmir Road, Sialkot MEDIS INTERNATIONAL 2/25,ABBOT ROAD,SIALKOT. 32.507256 74.52417 Medis International ( Faisal Akram ) 2/25 Abbot Road, Sialkot 32.507256 74.52417 Medisize Surgical Company ( 32.499059 74.519718 Ghulam Murtaza Mehr ) 155-C, Capital Road,Sialkot MEDISPOREX (PVT) LTD. P.O.BOX:600,KHADIM ALI ROAD,SIALKOT. 32.507256 74.52417 Medisporex (Pvt) Ltd. ( Muhammad 32.507256 74.52417 Akram ) P.O Box: 600, Khadim Ali Road, Sialkot MEDPRO INSTRUMENTS 94-C SMALL INDUSTRIAL ESTATE SIALKOT 32.485279 74.0517835

Medpro Instruments ( Usman Ali ) 94-C, Small Industrial Estate, Sialkot 32.485279 74.517835 MEDUSA INTERNATIONAL MEER STREET HOUSE NO. 4, SIALKOT 32.507256 74.52417 Medusa International ( Muhammad 32.507256 74.52417 Akram ) Meer Street, Abbot Road, Sialkot Meed Skills Surgical ( Mirza Ehsan 32.483229 74.51474 Elahi ) Link Road, Fateh Garh, Near Mustafa Town, Sialkot MEGADEX INTERNATIONAL SHAHAB-UD-DIN PARK, IMAM SAHIBROAD SIALKOT 32.497179 74.541148 Megadex International ( Zaman Hanif 74.497179 74.541148 ) Shahab ud Din Park, Imam Sahib Road, Sialkot Mehria Group of Industries ( 32.509236 74.505027 Muhammad Zeeshan ) Kashmir Road, Pacca Garah Islam Nagar, Sialkot Mehrish Industries ( Muhammad 32.48465 74.512512 Amar Khan ) 86-B Tippu Road, S.I.E No. 1 Sialkot

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Meister Surgical Instruments ( Arshad 32.492649 74.510536 Ali ) Street # 26 , Roras Road New Maina Pura West Sialkot Melpex Beauty Instruments ( 32.495461 74.593158 Muhammad Imran ) Jammu Road, Sialkot 104/C, GHALIB ROAD SMALL INDUSTRYESTATE SIALKOT- 32.48426 74.515515 METAL MASTERS PAKISTAN Metech Instruments ( Mohammad 32.492825 74.525454 Munir ) Mubarik Pura, Muslim Street, Sialkot METRO DENT INSTRUMENTS RORAS ROAD, TALHA STREET NO. 11,MUZAFFARPUR, SIALKOT. 32.491365 74.498162 DAR UL RAFIQUE QUAID-E-AZAM ROAD15 JINNAH COLONY 32 29'14.8"N 74 30'47.9"E METRO MEDICAL CANTT SIALKOT Metro Medical ( Naveed Shahid ) 15-Jinnah Colony, Quaid- e- Azam Road, Sialkot- Cantt 32.487358 74.513412 Meylone Enterprises ( Muhammad 32.50259 74.543515 Asghar ) P.o.box: 1500, Muhammad Pura, MIAN SHAHID CORPORATION ST.NO.1, MAZZAFAR PUR, DEFENCE ROADSIALKOT 32.4861982 74.51867 OFFICE NO 19, 1ST FLOOR KASHMIRCENTER KUTCHERY ROAD 32.501394 74.536493 MIAN SHAMAS ENTERPRISES SIALKOT MICO INTERNATIONAL 16/585,SHAHABPURA,STREET MOLVICHIRAGH DIN,SIALKOT 32.485126 74.512817 Mico International ( Imran Ahsan ) 16/585 Shahab Pura Street, Molvi Charagh Din 32.455126 74.512817 MICROMECH INSTRUMENTS 787,MARALA ROAD,NAI ABADIMURAD PURA,P.O.BOX:816, 32.51181 74.496224 CORPORATION. SIALKOT MINA INTERNATIONAL FATEH GHAR KHAS,DASKA ROAD,SIALKOT 32.477821 74.514597 Mina International ( Syed Niaz 32.477821 74.514597 Hussain Shah ) Fateh Garh Khas, Daska Road MIRA SURGICAL KARIMPURA, CHAH JATTAN,SIALKOT. 32.494488 74.486068 Mira Surgical ( Humaira Zubair ) Karim Pura, Chah Jattan, Sialkot 32.49448 74.486057 Misas International ( Sohail Mukhtar ) Roras Road, Muzaffar Pur,Sialkot 32.492096 74.495198 MODMED INSTRUMENTS KASHMIR ROAD, PACCA GARHA, SIALKOT 32.504742 74.506322 MONARCH BUSINESS 32.488173 74.517679 CONNECTIONS 10-B,REHMAT ALI ROAD SMALLINDUSTRIES ESTATE SIALKOT MONARK INDUSTRIES. P.O.BOX:333,74-C,S.I.E.,SIALKOT-4 32.484626 74.518051 MONZA IMPEX (PVT) LIMITED P.O.BOX: 1874, 87-88/B, TIPU SULTANROAD,SIE,SIALKOT. 32.485497 74.512527 Monza Impex (Pvt) Ltd. ( Abdul 87/88 B, Tipu Sultan Road, S.I.E 32.485497 74.512527

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Qadeer Bhatti ) MOON INTERNATIONAL REHMAN PURA FATEH GARH SIALKOT 32.4803 74.520385

Moon Trading ( Shahbaz Ahmed ) New Miana Pura East, Roras Road, Near Lunda Phatak,Sialkot 32.491871 74.516757 MOSES ENTEPRISES 4/466,MURREY COLLEGE ROAD,SIALKOT 32.495933 74.547168 Moses Enterprises ( M. Asif Deura ) 4/466 College Road, Sialkot 32.495933 74.547168 H.NO 16/506-B, BAGH WALI GALI NEARAHLE HADIS MASJID 32 31'58.7"N 74 29'44.7"E MR SURGICAL MOHALLAH POWER MRU Instruments (HA) ( Adil 32.487012 74.526467 Majeed ) Jewanpura, Kacha Shahab Road, Sialkot MRU-INSTRUMENTS(HA) JEEVAN PURA SIALKOT 32.480983 74.526439 MTL Instruments (Pvt) Ltd. ( Mian 32.484509 74.516715 Imran Akbar ) C-89, S.I.E, Silalkot MTL INSTRUMENTS(PVT)LTD. C-89, S.I.E.SIALKOT 32.484376 74.516014 Multicrafts Corporation ( Muhammad 32.507454 74.519092 Ashraf Mirza ) Kotli Behram, Khadim Ali Road, P.o.box: 949, KOTALI BEHRAM,KHADIM ALI ROAD,P.OBOX NO.949,SIALKOT- 32.507454 74.519042 MULTICRAFTS CORPORATION. 51310 MULTILINE OVERSEAS 4/242,COLLEGE ROAD,SIALKOT 32.495677 74.548209 Multiplex Traders ( Hunyn Ashraf ) G627 Model Town, Ugoki, Sialkot 32.476713 74.440497 Munro International ( Sami Ullah Butt 32.485363 74.541959 ) New Abadi, Shahabudin Park, Imam Sahib Road, Sialkot Muzamal Surgical Corporation ( 32.485126 74.512817 Muhammad Iqbal ) P.o.box: 429, Defence Road, S.I.E, MUZAMAL SURGICAL 32.485126 74.212817 CORPORATION, P.O.BOX:429, DEFENCE ROAD, S.I.E,SIALKOT. MY INDUSTRY GREEN WOOD STREET MAIANA PURASIALKOT 32.494099 74.535154 My Industry ( Adeel Ahmed ) Green Wood Street, Miana Pura, Sialkot 32.494099 74.535154 P.O.BOX:756,HOUSE NO. 3 MAIN STREETKASHMIR ROAD PACCA 32.503383 74.507613 MYCO INSTRUMED GARHA SIALKOT N.D.SURGICAL INSDUSTRIES. 43-70 DHATTL UGOKI ROADP.O.BOX 1507,SIALKOT. 32 28'52.7"N 74 28'007"E N.J Surgical (Regd) ( Fouzia Jamil ) Roras Road, Nowl Chowk, Sialkot 32.492800 74.487819 Nab Tech Instruments (Pvt) Ltd ( Plot 55 / 57, S.I.E, Sialkot 32.486134 74.518479

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Mirza Najeeb Ullah ) NAB-TECH 32.486295 74.518476 INSTRUMENTS(PVT)LTD, P.O.BOX:1553,55-57-B,S.I.E.SIALKOT. Nadeem Surgical Corporation (Pvt) 32.484898 74.516873 Ltd ( Nadeem Iqbal Sheikh ) P.o.box: 115, S.I.E, Sialkot NADEEM SURGICAL 32.484649 74.516991 CORPORATION(PVT)LTD. P.O.BOX:115,S.I.E.SIALKOT. UGOKI ROAD, SHAHABPURA, OPP:SMALLINDUSTRIAL ESTATE, 32.490080 74.516512 NADIR & CO SIALKOT Nadir & Company ( Muhammad 32.490080 74.516512 Qasim ) Ugoki Road, Opp: Small Industrial Estate, St Masjid Fazal Karim,Sialkot NAF ENGINEERING 32.477722 74.52003 CORPORATION REHMAN PURA, FATEH GARH, SIALKOT NAF Engineering Corporation ( 32.477978 74.519836 Muhammad Riaz Mughal ) Rehman Pura, Fateh Garah, P.o.Fateh Garah, Sialkot Naseer Surgical ( Jahangir Munir ) New Miana Pura East, Sialkot 32.922431 74.521292 NAUSHAHI SURGICO P.O.BOX;507, SIE,SIALKOT. 32.486801 74.515365 Naushahi Surgico ( Muhammad 32.486893 74.51532 Nadeem Akhter ) Small Industrial Estate, P.O.Box: 507, Silakot Navkam Enterprises ( M.Naveed Arif 32.484752 74.519807 ) Opp:Agriculture Lab Near Ghulshan-E- Iqbal Park Pasoor Road Sialkot NAWAZ AND SONS P.O.BOX 2246,RORAS ROAD,MUZAFARPUR SIALKOT 32.491085 74.494999 NAWAZ SURGICAL CO JAMMU ROAD, NEAR RAJPUT FOUNDRYSIALLKOT 32.498653 74.516113 Nawaz Surgical Company ( Ch. M. 32.486658 74.514773 Aslam Nawaz ) Jammu Road, Near Rajput Foundry, Sialkot Neeron International ( Adil Ashraf 32.514957 74.519264 Bhutta ) Kashmir Road, Christian Town, Sialkot NEERON INTERNATIONAL. KASHMIR ROAD, CHRISTIAN TOWN,SIALKOT. 32.514967 74.519264 NEW MARK INDUSTRIES (PVT) 32.510519 74.4946 LTD NEW MARK STREET, MARALA ROAD, MURADPUR, SIALKOT NEW WASEEM TRADING P.O.BOX NO 327, HAKIM KHADIM ALIROAD ISLAM STREET, NOOR 32.509476 74.527007 COMPANY PURA, New Waseem Trading Company ( 32.560476 74.527007 Khawaja Aleem Aftab ) P.o.box: 327, Islam Street, Noor Pura, Khadim Ali Road,Sialkot

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Nice Craft ( Amer Nadeem ) Shahab Pura Road, Khalid Street. Near NIB Bank,Sialkot 32.490378 74.518807 Nivico (Pvt) Ltd ( Gulam Mustafa ) P.O.Box: 194, Small Industrial Estate, Sialkot 32.485279 74.517835 Noman Surgical Company ( Barkat 32.498985 74.556377 Ali ) Jummo Road, Mehal Kukkar Near Jamia High School, Sialkot NORWESTE SURGICAL 32.4869 74.522378 INDUSTRIES KACHA SHAHAB PURA ROAD, S.I.E.,SIALKOT Norweste Surgical Industries ( Zahid 32.486806 74.522398 Maqbool Anjum ) P.o.box: 1364, Industrial Estate, Kacha Shahab Pura Road, Nurikon Interantional (Pvt) Ltd ( 32.478498 74.434147 Dr.Usman Ahmed ) Sakina House, Nasir Road, Sialkot OLTEN INSTRUMENTS SHAHAB UD DINSIALKOT 32.497179 74.541148 Olten Instruments ( Arfan Hanif ) Nai Abadi Shahab-ud-Din Park, Imam Sahib Road, Sialkot 32.50115 74.542165 One Way Surgical Works ( Rashida 32.501798 74.535675 Arif ) Abbot Road, Sialkot ONE WAY SURGICAL WORKS. ABBOT ROAD,SIALKOT. 32.501897 74.535675 One Wish Health Care ( Arslan Raza ) Islam Nagar Pacca Ghara Kashmir Road, Sialkot 32.50769 74.505545 Orthogent Engineering ( Ikram ul Haq 32.455696 74.502928 ) Toor Abad, Daska Road, Sialkot PAK DICKLAS IMPEX P.O.BOX: 1316 UGOKI ROAD,SIALKOT 32.49008 74.518671 Pak Dicklas Impex ( Nawaz Mughal ) P.o.box: 2889, Sialkot 32.49008 74.518671 PAK MARTIN INTERNATIONAL 295 TARIQ ROAD MODEL TOWN SIALKOT 32.494488 74.486068 PAK SADAF SURGICAL WORKS OPP:OLD SUI GAS OFFICE,UGOKIROAD,P.O.BOX:1511, SIALKOT 32.486423 74.513 Pak Sadaf Surgical Works ( 32.486423 74.513 Muhammad Asif ) Opp: Old Sui Gas Office, Ugoki Road, Shahab Pura, Sialkot PAK SMITH SURGICO, 68,70-C,GHALIB ROAD,INDUSTRIALESTATE-1,SIALKOT 51310 32.484809 74.518609 PAK SURGE MAANI INDUSTRIES STREET FATEH GARHGHOUS PURA SIALKOT 32.482886 74.52238 Pak Surge ( Naghman Iqbal ) Near Maani Industry, Fateh Garh, Moh: Ghous Pura 32.482886 74.52238 Pakistan Machine Tools (Pvt) Ltd ( 32.487964 74.516224 Raza Iqbal ) Small Industrial Estate, Sialkot PAKISTAN SCISSORS 32.490738 74.518807 INDUSTRIES P.O.BOX:726, SHAHAB PURA ROADSIALKOT Pakistan Scissors Industries ( Naeem 32.490738 74.518807 Javaid ) NIB Bank Street, Shahab Pura Road, P.o.box: 726, Sialkot

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PAKISTAN SURGICAL 32.500416 74.543945 INDUSTRIES(PVT)LTD P.O.BOX # 795,MUHAMMAD PURA SIALKOT Paksmith Surgico ( Naveed Akhtar ) 68,70-C Ghalib Road. S.I.E-1, Sialkot 32.484809 74.518609 Pano Surgical Solutions (Pvt) Limited 32.477287 74.440678 ( Muhammad Nawaz ) 713-G, Model Town, Ugoki, Sialkot DEFENCE ROAD, NEAR CHINA CHOWKGULSHAN IQBAL 32.469955 74.547 PANORAMA INTERNATIONAL PARK,SIALKOT. PAQISM INTERNATIONAL MOHALLAH WEST GOHADPUR , P.O.BOX51360 SIALKOT. 32.491715 74.519383 Paqism International ( Shams Islam ) Mohallah West Godhad Pur P.o.Box 51360,Sialkot 32.496107 74.546709 PARADISE EXPORT CO P.O.BOX:1631,ABBOT ROAD,SIALKOT 32.506931 74.521606 Paradise Export Company ( 32.496666 74.533052 Muhammad Siddique Ch ) P.o.box: 1631, Abbot Road, Sialkot Paradise Instruments Co. ( Aamir 32.506931 74.521606 Javed ) Kashmir Road, Near Allied Bank, Sialkot Passau Impex ( Malik Iftikhar 32.48526 74.5778 Hussain ) C21-23, Nishtar Road, S.I.E, Sialkot PASSAU IMPEX. C21-23, NISHTAR ROAD SMALL INDUSTRIAL ESTATE SIALKOT 32.485279 74.51783 PATWAL SURGICAL CO P.O.BOX:1680,10/277,RORAS ROAD HARRAR SIALKOT. 32.491954 74.490396 Patwal Surgical Company ( Shabbir 32.492018 74.490212 Hussain ) Roras Road, Harrar, P.o.box: 1680,Sialkot Phillips & Jones (Surgical) (Pvt) Ltd ( 32.487919 74.516674 Khalid Farooq ) 42-A, Small Industrial Estate,Sialkot Pik Pak Industries ( Arif Mehmood ) Pakka Peya, S.I.E, Defencce Road,Sialkot 32.483561 74.510951 PIK PAK INDUSTRIES. PAKKA PAYA, S.I.E.DEFENCE ROADSIALKOT 32.483561 74.510951 PISCES EYE INSTRUMENTS 32.486233 74.518600 COMPANY HOUSE NO. 256, BLOCK 2, KOTLILOHARAN WEST, SIAKOT. Pisces Eye Instruments Company ( 32.498885 74.519792 Tahir Mehmood ) P.o.box: 2261, Valana Street, Capital Road,Sialkot Pleasant Surgico ( Muhammad Boota 32.500401 74.543035 Qasir ) P.o.box: 1518, Muhammad Pura, POMEE CORPORATION P.O.BOX;489, SIALKOT. 32.477452 74.553137 Pomee Corporation ( Mohammad 32.477452 74.553137 Arshad ) Main Ilam Din Road Doburji Arainyan Sialkot PRAISE CORPORATION P.O.BOX 2765,MUSLIM TOWN, GOHAD PURROAD KOTLI BEHRAM, 32.511157 74.514752

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SIALKOT Praise Corporation ( Muhammad 32.511157 74.514752 Afzal ) P.o.box: 2765, Muslim Town, Airport Road, Kotli Behram,Sialkot PREMIUM SURGICAL CO. HAJI ABDULLAH STREET FATEH GARHSIALKOT 32.477842 74.515228 PRESTIGE INSTRUMENTS RORAS ROAD,NOWL CHOWK SIALKOT 32.492634 74.488913 Prestige Instruments ( Mian Baber 32.492634 74.488913 Iqbal ) Prestige Surgical Industries (Pvt) Ltd 32.492634 74.488913 ( Mian Baber Iqbal ) Roras Road, Near Nowl Chowk, Sialkot PRESTIGE SURGICAL 32.492634 74.488913 INSTRUMENTS(PVT)LTD, P.O.BOX:24,RORAS ROAD,NOWL CHOWKSIALKOT Prime Star Instruments ( Gohar Iqbal 32.486375 74.513803 ) 124-126-C, Small Industrial Estate,Sialkot PRIMESTAR INSTRUMENTS, P.O.BOX:1981, 124-126-C,S.I.E,SIALKOT 32.486375 74.513803 PROFESSIONAL HOSPITAL 32.484879 74.519867 FURNISHERS 19-A,(N) S.I.E, SHAHAB PURA ROAD,SIALKOT. Professional Hospital Furnishers ( 32.484752 74.519807 Syed Waseem Abbas ) 19-A (N) , S.I.E, Sialkot PROLINE INDUSTRIES (PVT) LTD PROLINE PARK, KASHMIR ROAD,SIALKOT 32.503922 74.503479 Proline Industries (Pvt) Ltd ( Ejaz 32.503922 74.503479 Elahi ) Kashmir Road, Sialkot Promed Instruments ( Muhammad 32.489345 74.514173 Qasim ) Ugoki Road, Opp: S.I.E, St # 7,Sialkot UGOKI ROAD, SHHAB PURA, STREET # 7,OPP. SMALL INDUSTRIAL 32.489345 74.514173 PROMED INSTRUMENTS. ESTATE, SIALK Prudential Surgical ( Muhammad 32.496179 74.537645 Faisal Maqsood Khan ) Office # 6, 1st Floor, Sethi Plaza, Allama Iqbal Chowk, Sialkot Q.S.A.SURGICAL (PVT) LIMITED, P.O.BOX: 1094, DASKA ROAD,SIALKOT. 32.422298 74.466472 Qais International ( Jamshaid Iqbal ) P.O>Box 2449, Kulluwal Road 32.49163 74.490024 QAMAR MEDICAL 32.491506 74.513308 INSTRUMENTS RORAS ROAD MUBARIK PURA STREET NO3 SIALKOT QAYUM & ELAHISONS 32.502541 74.5242 (PVT)LTD. WAZIRABAD ROAD,SIALKOT. Quality Concept (Pvt) Ltd ( P.o.box: 2424, 15-A, S.I.E, Sialkot 32.486656 74.515836

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Muhammad Ismail ) QUALITY CONCEPT(PVT) LTD P.O.BOX:2424, 15-A,S.I.E,SIALKOT. 32.486656 74.515836 QUICK SILVER INSTRUMENTS. P.O.BOX:1515,COMMISSIONER ROAD.SIALKOT. 32.501129 74.547066 Quicksilver Instruments ( Muhammad 32.501129 74.547066 Khalid Butt ) Commissioner Road, Sialkot QURESHI MFG CORPORATION 161/C, S.I.E, SIALKOT 32.484317 74.510454 Qureshi Mfg Corporation ( M.Inam 32.484317 74.510954 Ullah Qureshi ) P.O.Box: 1868, 161/C, S.I.E, Sialkot DEFENCE ROAD, KHOKHAR STREET,NEAR RORAS ROAD CHOWK, 32.491718 74.505338 QZA INTERNATIONAL SIALKOT QZA International ( Noshairwan Adil 32.491718 74.505338 ) Khokhar Street, Roras Road Chowk, Defence Road, Sialkot R.A Nazir Industries ( Nazir Ahmed ) Capital Road, Mohallah Din Pura, Miana Pura, Sialkot 32.499138 74.520841 CAPITAL ROAD MOHALLAH DIN PURANEAR ZAHID GENERAL 32.499718 74.514816 R.A.NAZIR INDUSTRIES. STORE MIANAPURA R.B Medikal Instruments ( Abdul 32.486556 74.520876 Rehman ) Kacha Shahab Pura Road, Rehman Pura, Near S.I.E, Sialkot RANA STREET BEHIND PSO PATROL PUMPPACCA GARHA 32.502516 74.504498 R.K.SURGICAL INSTRUMENTS KASHMIR ROAD SIALKOT R.K.Z Surgical (Pvt) Ltd ( 32.516773 74.509414 Muhammad Razzaq ) P.o.box: 638, Airport Road, Gohad Pur, Sialkot Raising Trade Corporation ( Ahmed 32.484317 74.516954 Hussain Khan ) C / 85-87 , Ghalib Road, S.I.E, Sialkot Raiz & Sajjad Surgical (Pvt) Ltd ( 32.45729 74.508919 Muhammad Sajjad Mughal ) Jail Road, P.O.Box 2947, Sialkot RAIZ AND SAJJAD SURGICAL 32.45729 74.508919 (PVT) LTD. P.O.BOX:2947,JAIL ROAD, SIALKOT. Raj Impex ( Abdul Razaaq ) Roras Road, Muzafar Pur, Sialkot 32.491395 74.497915 RAJPOOT MEDICAL CARE NEW MIANA PURA RORAS ROAD STREETNO:09,SIALKOT 32.922431 74.521292 Rajpoot Medical Care ( Tariq 32.922431 74.521292 Mahmood ) New Miana Pura, Roras Road, Street No.9, Sialkot RAZZAQ SURGICAL CO NEW MIANAPURA WEST, STREET NO. 28,RORAS ROAD, SIALKOT. 32.491108 74.510986 Razzaq Surgical co ( Muhammad 32.491108 74.510986 Razzaq ) New Miana Pura West, Roras Road, Sialkot

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Rehan Surgical Industry ( Muhammad 32.477885 74.515266 Ishaq ) Abdullah St,Defence Road,Fateh Garh Sialkot REHMAN DENTAL RORAS ROAD TALLAH STREET # 11,MUZAFFER PUR SIALKOT 32.491359 74.498133 Reliant Instruments ( Abdul Salam ) 38-b, Halli Road, S.I.E, Sialkot 32.487228 74.512874 Remei Beauty Care ( Farooq Ahmad ) Roras Road, Muzzaffarpur, Near Rani Marriage Hall, Sialkot 32.483654 74.51181 Remington Sports (Pvt) Ltd ( Pervez 32 25’34.4”N 74 28’36.6”E Iqbal Soni ) 10-Kilo Meter, Daska Road, Sialkot Rhein Enterprises (Pvt) Ltd ( Balal 32.484563 74.519851 Amin ) 19-A (South) S.I.E, Sialkot RHEIN ENTERPRISES(PVT)LTD, P.O.BOX:879, 19-A(SOUTH)S.I.E,SIALKOT. 32.484608 74.5199 RIDZ INTERNATIONAL CAPITAL ROAD, MODEL TOWN, NEARKHANGAH, SIALKOT. 32.494936 74.523657 RIND AMERICAN 32.492541 74.489703 INTERNATIONAL NEAR LAL MASJID GALI SULTAN SOAPKOTLI BEHRAM SIALKOT Rind American International ( 32.506833 74.511052 Tauseef Raza Khan Baloch ) Near Laal Masjid, Kotli Behram, Sialkot Rite Dent Mfg Company ( Irfan 32.486233 74.5186 Rafique ) 52-B, S.I.E, P.o.box: 557, Sialkot RIZWAN INDUSTRIAL P.O.BOX:2812,JINNAH TOWN CAPITAL ROAD PACCA GARHA 32.499663 74.518651 ENTERPRISES. SIALKOT 51310 PAKIST RKZ SURGICAL PVT LTD, P.O.BOX; 638,AIR PORT ROAD,GOHAD PUR, SIALKOT. 32.517675 74.509413 RMSON Surgico ( Zulfiqar Rafique ) P.o.box: 305, Muhammad Pura,Sialkot 32.502428 74.543202 Road Gear ( Muhammad Ashraf ) 1km Head Marala Road, Gohad Pur Chowk, Sialkot 32.532513 74.502944 ROCK DENT RORAS ROAD TALLAH STREET # 11MUZAFFAR PUR SIAKOT 32.491044 74.499818 Rock Dent ( Mohammad Yaseen ) Roras Road, Tallah Street No. 11 Muzaffarpur, Sialkot 32.490143 74.497821 ROMERO INTERNATIONAL SHAHAB PURA ROAD NEAR AMER TRADERSUGOKI SIALKOT 32.490096 74.516476 Rottman Medical Instruments 32.490738 74.518807 Corporation ( Saira Naeem ) Main Shafi Street, Shahab Pura Road, Near NIB Bank, Sialkot ROTTMANN MEDICAL QASR-E-JAHAN ARA MIAN SHAFI ST.SHAHAB PURA ROAD 32.490738 74.518807 INSTRUMENTS CORP. SIALKOT Royal Beauty (Pvt) Ltd ( Hamid 32.447564 74.493811 Mumtaz ) Addha, Daska Road, RUF n TUF Industries ( Khurram 32.486423 74.513000 Nawaz ) Shahab Road, Near Saba Cargo, Opp: S.I.E, Sialkot

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Rustam & Company Interantional ( 32 29'07.3"N 74 31'08.6"E Muhammad Arshad Nizami ) 58/60-b, Industrial Estate, Sialkot S.A Surgi-Dent ( Sarfraz Ahmed 32.484628 74.512718 Khan ) 86-B, .S.I.E, Sialkot S.G Manufacturers ( Esmat Ullah ) Roras Road, Muzafar Pur,Sialkot 32.491340 74.497971 S.G Manufacturers ( Esmat Ullah ) Roras Road, Muzafar Pur,Sialkot 32.491885 74.497928 RORAS ROAD, NEAR PLASTIC INDUSTRY,MUZAFFAR PUR 32.491885 74.497928 S.G.MANUFACTURERS. SIALKOT. S.M Surgical Industries ( Waheed 32.507454 74.519092 Ashraf ) Kotli Behram, Khadim Ali Road, P.O.Box: 1713, KOTALI BEHRAM KHADIM ALI ROADSCHOOL 32.507454 74.519092 S.M.SURGICAL INDUSTRIES STREET,MOHALLAH CHAH S.O.S.SURGICAL CO MUGHALPURA,GOHADPUR,SIALKOT 32.517725 74.506155 S.R.R Surgical Company ( 32.510826 74.517821 M.Rasheed Mughal ) Muslim Pura, Kotli Behram, Sialkot S.R.R.SURGICAL COMPANY KOTLI BEHRAM AIRPORT ROAD SIALKOT 32.510826 74.517821 S.S Medident International ( Saleem 32.492128 74.495136 Mahmoood ) Near Dental House, Roras Road, Sialkot S.S.MEDIDENT INTERNATIONAL NEAR DENTAL HOUSE, RORAS ROAD,SIALKOT 32.492128 74.495136 Sabri Industries ( Rizwan Mushtaq ) 144-C, Fatima Jinnah Road, S.I.E, Sialkot 32.484798 74.513552 P.O.BOX:2775,WHITE HOUSE NEARRAILWAY CROSSING,RORAS 32.491565 74.516793 SACO INTERNATIONAL ROAD, Sacred International ( Naeem Yousaf 32.492541 74.489703 ) Harrar, Roras Road, Sialkot SACRED INTERNATIONAL (PVT) 32.492541 74.489703 LTD HARRAR, RORAS ROAD, SIALKOT. Sacred International (Pvt) Ltd ( 32.492541 74.489703 Naeem Yousaf ) Harar, Roras Road, Sialkot Sacrosanct International ( Slah Ud 32.49511 74.520972 Din ) New Miana Pura West, S.I.E Roras Road, Sialkot SADDIQUE SURGICAL 32.492292 74.521364 INTERNATIONAL MEHAR STREET NEW MIANA PURA P.O.S.I.E.SIALKOT SAFFA MEDICAL CO P.O.BOX 1680,RORAS ROAD HARARSIALKOT 32.492243 74.493158 Saheeb Trading Company ( Abdul Chah Dodia, Abbot Road,Sialkot 32.497179 74.533154

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Saheeb ) Sahil Surgical (Pvt) Ltd ( Mian 32.492594 74.483391 Muhamamd Safdar ) Islam Nagar Road, Pacca Garha, Sialkot SAHIL SURGICAL(PVT) LTD, NOUR MORE, RORAS ROAD, SIALKOT 32.49259 74.483414 SAHIROUN (PVT) LTD P.O.BOX:2018, WAZIRABAD ROAD,UGOKI, SIALKOT 32.492081 74.508471 Saint Enterprises ( Mudassar Naseer ) Near Water Tank, St.masjid Ajle Hadees, Fateh Garah,Sialkot 32.479374 74.520244 SAIR INTERNATIONAL (PVT) 32.526757 74.478438 LTD P.O.BOX:50,KULLUWAL ROAD,GHANSAPURSIALKOT. Sair International (Pvt) Ltd ( Qamar- 32.526746 74.478422 u-Zaman Sair ) Kulluwal Road, Ghansar Pur, Sialkot SA-JK Surgical Corporation ( Shabbir 32.48843 74.506757 Ahmed ) Gali Kowlo Wali, Moh: New Miana Pura, Sialkot Sam Surgical ( Shazia Suleman ) Commissioner Road, Muhammad Pura Near Makki Masjid , Sialkot 32.502289 74.543834 SAMICO INDUSTRIES BOX.2853, SIE TIPPU ROAD SIALKOT 32.486034 74.512425 Sammar International ( Kaleem 32.478992 74.43564 Iftikhar ) 2nd Floor, Royal Medical Hall, Chowk Imam Sahib, Sialkot SAMS INDUSTRIES DEFENCE ROAD ABDULLAH STREETSIALKOT 32.477476 74.515449 SAMS Industries ( M Usman ) Haji Abdullah, Street, Fateh Garh,Sialkot 32.477476 74.515444 SAMURAI INTERNATIONAL MUSLIM STREET MUBARIK PURA SIALKOT 32.492934 74.525048 Samurai International ( Yasser 32.492934 74.525048 Rehman ) Muslim Street, Mubarik Pura, Sialkot SARAJ-UM-MUNIRA TRADING 32.481785 74.522474 CORPORATION NEAR B.B.C. CHOWK, CHOWK FATEH GARHSIALKOT Saraj-Um-Munira Trading 32.481785 74.522474 Corporation ( Shabbir Hussain ) Near, B.B.C Chowk, Fateh Garh, Sialkot Sarfraz Associate ( Mustafa Sarfraz ) Small Industrial Estate, 32.486971 74.519278 Satellite Industries ( Mian Javed ) Wahid Street, Industrial Park, Link Capital Road, Deen Pura,Sialkot 32.499718 74.514816 SATELLITE INDUSTRIES. INDUSTRIAL PARK WAHID STREET LINKCAPITAL ROAD SIALKOT 32.499718 74.514816 SATYAM SURGICAL PAKKI KOTLI, NEAR MICRO FURNITURES,P.O.KHAS, SIALKOT. 32.46223 74.510177 Schwabing Industries ( Tanveer 32.512328 74.494651 Mehmood Kuku ) Mehar Town, Salaim Pur, Link Road, Marala Road, Murad Pur, Sialkot Scientific Instruments Company ( 32.484725 74.515099 Muhammad Saleem ) 53-C, Nishter Road, S.I.E,Sialkot

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CHEEMA STREET,FATEH GARH AGENCY,DEFENCE ROAD, 32.477509 74.511123 SEA MOON INDUSTRIES SIALKOT. Sea Moon Industries ( Salman Arshad 32.477509 74.511123 ) Fateh Garh Agency, Cheema Street, Sialkot Sealord International ( Mohsin Iqbal ) Marala Road, West Murad Pur, Sialkto 32.514882 74.495249 Seasoned Surgical Products ( Ibrar 32.497286 74.53265 Asghar ) P.o.box: 1365, Abbot Road, Sialkot Seeisi International ( Muhammad 32.489265 74.507324 Tayyab ) 142-City Bazar, Near Zohra Hospital, Shahab pura Chowk Semza Traders ( Muhammad Afzal ) P.o.box: 1581, S.I.E,Sialkot 32.484371 74.516253 SEVEN BLUES INTERNATIONAL NIZAM STREET,KOTLI BEHRAM SIALKOT 32.508690 74.518785 Seven Blues International ( Moazzam 32.508690 74.518785 Waqar ) Nizam Street, Kotli Behram,Sialkot SGS EXPORT INTERNATIONAL P.O.BOX:1281,RORAS ROAD,MUJAHID PURA,SIALKOT 32.491891 74.520771 Shadab Enterprises ( Muhammad 32.506285 74.508493 Saleem ) P.o.box: 1334, Moh: Madina Masjid, Pacca Garah, Shadkam Enterprises ( Muhammad 32.48518 74.514937 Arshad Sheikh ) 68/ A, Liaqat Ali Road, S.I.E,Sialkot SHAHAB SURGICAL 32.490096 74.516476 INDUSTRIES SHAHAB ROAD, SIALKOT. Shahbaz Titan Products ( Mian 32.510521 74.522705 Bakhtiar Mehmood ) Moh. Gulberg Near Gulf Market Kotli Behram, Kashmir Road, Sialkot Shalatco ( Abdul Latif ) 69 A, Tipu Road, S.I.E,Sialkot 32.484746 74.512591 Shalatco (Pvt) Ltd ( Abdul Latif ) 68A-69A tipu Road Industrieal Street Sialkot 32.484508 74.512541 SHALATCO(PVT)LIMITED 68A-69A TIPU ROAD INDUSTRIAL ESTATESIALKOT 32.484508 74.512541 Shendu Pak ( Mirza Waheed Baig ) 22/29 Taj Street Murray College Road, Sialkot 32.496107 74.546709 SHERIMED KOT BHUKRAN,DASKA ROAD,SIALKOT 32.407036 74.449822 Sherimed ( Sh. Saqib Saleem ) Kot Bhukran, Daska Road, Sialkot 32.407036 74.449822 Shing Kong Sons ( Sheikh 32.47748 74.438789 Muhammad Shahbaz ) 724/2G, Model Town, Ugoki, Sialkot Sialkot Surgical Instruments (Pvt) Ltd 32.478217 74.427427 ( Shahzad Rashid ) P.o.box: 2311, Khadim Ali Road, Sialkot SIALKOT SURGICAL 32.478217 74.427437 INSTRUMENTS (PVT) LTD. P.O.BOX:2311,KHADIM ALI ROAD,SIALKOT.

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Sialkot Veterinary Corporation ( 32.486233 74.518600 Samia ) P.o.Box-52, Sialkot Sigal Medco ( Sarfraz Sohail ) Nasri Street # 9, Fateh Garh,Sialkot 32.483816 74.520919 Sikandar Spall Surgico ( Iqbal 32.502448 74.543397 Sikander Spall ) Muhammad Pura, Sialkot SIKANDER SPALL SURGICO, MUHAMMAD PURA,SIALKOT. 32.502448 74.543397 SILVER STATE 8-A, SMALL INDUSTRIAL ESTATE,SIALKOT. 32.478964 74.516224 Silver State ( Jamshaid Ullah Khan ) 8-A, Small Industrial Estate, Sialkot 32.478964 74.516224 Simrix Surgical Company ( Touqir 32.52104 74.500626 Ahmad ) Head Marala Road, Chowk Gohad Pur, P.o.Gohad Pur,Sialkot SINTRACO P.O.BOX:723,MAIN BAZAR,SIALKOT. 32.487550 74.516677 Sintraco ( Rizwan Pasha ) P.o.box: 723, 12/366 Aziz Shaheed Road,Sialkot 32.48755 74.516242 SITEC (Pvt) Ltd ( Irfan Farooq ) Barlas Street, Kashmir Road,Sialkot 32.478361 74.426499 SITEC PRIVATE LTD. RAI PUR, 10 KM WAZIRABAD ROAD, SIALKOT 32.47426 74.515515 SIX FLOWERS CORPORATION P.O.BOX 1519134-C FATIMA JINNAH ROAD S.I.E 32.484275 74.515826 Six Flowers Corporation ( Farzand 32.484275 74.515826 Ali ) P.o.box: 1519, 134-C, Fatima Jinnah Road, S.I.E, Sialkot SKINTECH INDUSTRIES P.O.BOX.805, DEFENCE ROAD TOHEEDTOWN SIALKOT 32.488183 74.516934 Sky Instruments ( Muhammad Sarfraz 32.522069 74.497285 ) Salamat Pura, Kur Pur, Airport Road, P.o.box: 2971, Sialkot Slough Surgical ( Suleman Ali 32.502289 74.543834 Mughal ) Commissioner Road, Muhammad Pura, Opp: Makki Masjid, Sialkot Smile International ( Irfan Ali ) Awan Street # 6, Shahab Pura, Ugoki Road, 32.484972 74.517827 Smith Surgical Company ( 32.478634 74.444086 Muhammad Arif ) Industrial Area Plot # 1-2, Model Town, Wazirabad Road, Ugoki, Sialkot Snag International ( Umer Farooq ) 19-A, (South) Small Industrial Estate, Sialkot 32.484752 74.519807 SNARES INSTRUMENTS REHMAN PURA,FATEH GARH SIALKOT 32.481915 74.522324 SOBYTEK INSTRUMENTS CO. RORAS ROAD MUZAFFAR PUR SIALKOT 32.490575 74.495317 Sobytek Instruments Company ( 32.490595 74.495318 Amjad Javaid ) Roras Road, Muzaffar Pur, Sialkot SOCIETE INSTRUMEDIC P.O.BOX:812, NISHAT PARK,PARIS ROAD, SIALKOT 32.506278 74.543054 Societe Instrumedic ( Ihtisham Nishat Park, Paris Road, P.o.box: 812, Sialkot 32.506278 74.543054

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Arshad ) SOHNA PAK INDUSTRIES P.O.BOX:155, SOHNA HOUSE,NASIR ROADSIALKOT 32.499911 74.529631 Solarians ( Adnan Asghar ) Haji Pura Road, Sialkot 32.484773 74.530987 Solatch Sons ( Adnan Azam Solatch ) Kashmir Road, Christian Town, Sialkot 32.512433 74.521261 SOLATCH SONS. P.O.BOX:1193,WAZIRABAD ROAD,SIALKOT. 32.512433 74.521261 Solatch Trading Co ( Irfan Azam 32.512433 74.521261 Solatch ) Christian Town, Sialkot SPANGLE INTERNATIONAL P.O.BOX:94,MIAN ILAM DIN ROAD,DOBURJI ARIAN,SIALKOT-1 32.477235 74.553151 Spectrum Surgical Supplies ( Sameer 32.494316 74.493418 Ahmed ) Near Peer Hara, Qabrastan China Chowk, Speed Bird Enterprises ( Shahid 32.484317 74.510954 Saleem Sani ) 161/C, S.I.E, Sialkot Sportial Industries ( Aamir Javed ) P.o.box: 577, Kashmir Road, Sialkot 32.506931 74.521606 Stable Surgical Works ( Muhammad 32.505519 74.539292 Siddique ) Jinnah Road, Nishat Park, Ch. Palace, Sialkot Stahlmann Pro ( Mohammad 32.484563 74.543202 Abdullah Amjad ) 57-A South S.I.E, Sialkot STAHLMANN PRO. 57-A,S.I.E.SIALKOT 32.484563 74.543202 Starmed Engineering (Pvt) Ltd ( 32.478209 74.427429 Tallat Rasheed ) Khadim Ali Road, P.o.box: 191, Sialkot STARMED ENGINEERING PVT 32.488217 74.427427 LTD P.O.BOX: 191, 94 AZIZ SHAHEEDROAD, SIALKOT-CANTT Stelco Surgical Industries ( Hassan 32.486399 74.520584 Saeed Khan ) Gondal Road, Bharth, Sialkot Su Medical Corporation ( Usman 32.505270 74.543384 Afzal ) Chah Ragian, Commissioner Road, Sialkot SUBAYYAN INSTRUMENTS MOHALLAH MUNSHIAN, MURADPUR,P.O.GOHADPUR,SIALKOT. 32.519337 74.50357 Subhan Beauty Instruments ( Aqeel 32.490853 74.519126 Hussain ) 11-A S.I.E, Sialkot SUDDLE GROUP OF INDUSTRIES P.O.BOX: 360,19.C, S.I.E. SIALKOT 32.485315 74.518191 P.O.BOX:1890,RORAS ROAD,RAILWAYCROSSING NEAR 32.491565 74.516793 SUFI TRADING CORPORATION, MIANAPURA,SIALKOT. SUNDAL IMPEX MUZAFFAR PUR RORAS ROAD,SIALKOT. 32.493136 74.496202

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Surgeon Surgical (Pvt) Ltd ( Yaqoob 32.484449 74.518037 Ahmed Naz ) Small Industrial Estate, Surgia Industries ( Muhammad 32.501021 74.529576 Usman ) 1/735, Nasir Road, Chah Piswan SURGIAID NAWAZ SAYAL STREET HAJIPURA FATEHGARH ROAD SIALKOT 32.4848392 74.526368 SURGICAL APPLIANCES. P.O.BOX:839,MUHAMMADPURA,SIALKOT. 32.501734 74.543211 Surgical Design (Pvt) Ltd ( 32.49133 74.503206 Muhammad Ishaq ) 15-A, S.I.E, Sialkot SURGICAL DESIGN (PVT) LTD, P.O.BOX: 2615, 15-A, S.I.E.SIALKOT. 32.491291 74.503175 Surgical Empire ( Wahab waseem ) Col. sher ali road,nishat park Sialkot 32.506228 74.541747 SURGICAL FIELD SOHNA HOUSE, MIAN JAHANGIR STREET,NASIR ROAD, SIALKOT 32.457417 74.506058 SURGICON (PVT) LIMITED P.O.BOX:244,KHADIM ALI ROAD,SIALKOT. 32.485487 74.519887 Surgicon (Pvt) Ltd ( Fazal Jilani ) P.O.Box:244,Khadim Ali Road Sialkot 32.506711 74.521379 Surgicrafts ( Amer Aslam ) P.o.box: 15, Muhammad Pura, Commissioner Road, Sialkot 32.501118 74.544075 SURGIKARE TOORABAD DASKA ROAD,BESIDE TAJMAHAL SPORTS,SIALKOT 32.457434 74.506053 Surgikare ( Khalid Pervez Mughal ) Toor Abad, Daska Road, 32.457417 74.506058 SURJEX P.O.BOX:252,KHADIM ALI ROAD,SIALKOT 32.506502 74.520981 Surjex ( Inam Ul Haq ) Khadim Ali Road, Near Utility Store, P.o.box: 252, Sialkot 32.507454 74.519092 T.I.G INTERNATIONAL 3/199, STREET NO: 1, PURAN NAGAR,PARIS ROAD, SIALKOT 32.500839 74.540037 T.I.G International ( Muhammad 32.500829 74.540037 Noman ) 3/199, Street # 1, Puran Nagar, Paris Road, Sialkot T.S.K Impex ( Sharaz Tanveer ) Mehar Town, Salaim Pur Link Road, Marala Road, Murad Pur, Sialkot 32.512328 74.494651 Tahir Group Of Industries ( Sheikh 32.491181 74.509965 Muhmaad Tahir Inam ) New Miana Pura East,Roras Road, P.O S.I.E,Sialkot Taj Cuttlery Works ( Shehzad Iqbal ) S.I.E, Sialkot 32.488013 74.516934 Tata Services ( Suleman Ali Mughal ) Commissioner Road, Muhammad Pura, Sialkot 32.502289 74.543834 P.O.BOX:1792,COMMISSIONER ROAD,MUHAMMAD 32.502289 74.543834 TATA SERVICES. PURA,OPP:MAKKI MUSJID, TaTa Surgical (Pvt) Ltd ( Suleman 32.502289 74.543834 Ali Mughal ) Mughal Street , Muhammad Pura,Commissioner Road,Sialkot MUGHAL STREET, MUHAMMAD PURA,COMMISSIONER ROAD, 32.502289 74.543834 TATA SURGICAL (PVT)LTD. SIALKOT.

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TECHNIMEN AGHA (PVT) 32.506245 74.51062 LIMITED, P.O.BOX; 241,WAZIRABAD ROAD,SIALKOT. Technimen Agha (Pvt) Ltd ( Bilal 32.504831 74.517821 Haider Agha ) Kashmir Road, Sialkot TECHNIMEN SKILLERS ABAD NAGAR,HAJIPURA,DASKAROAD,P.O.BOX:1164,SIALKOT 32.489972 74.518827 Technimen Skillers ( Shahid Ehsan ) S.I.E, Mustafa Town, P.o.box: 1164, 32.482954 74.513850 Technology Links (Pvt) Ltd ( Umer 32.485945 74.516677 Farooqui ) 4/11-12, Rimpa Plaza, M.A Jinnah Road, Karachi Technology Links (Pvt) Ltd ( Umer 32.485945 74.516677 Farooqui ) 4/11-12, Rimpa Plaza, M.A Jinnah Road, Karachi TECNO INSTRUMENTS (PVT) 32.483134 72.514889 LTD 316-C, S.I.E, SIALKOT. Tecno Instruments (Pvt) Ltd ( Haseeb 32.483147 74.514877 A Bhatti ) 316-C, Small Industrial Estate, Sialkot TEKA TRADING CORPORATION. MUHAMMAD PURA,SIALKOT. 32.500985 74.544831 Tenty Overseas Coporation ( Parvaiz 32.499718 74.514816 Akhtar ) P.o.box: 2115, Capital Road, Din Pura,Sialkot The Avion ( Muhammad Abbas ) Yasrab Street, Kotli Behram, Sialkot 32.508852 74.518614 The Khan Medizintechnik GmbH ( 32.485799 74.516461 Muhammad Jamil Khan ) New Miana Pura, Haji Nawab Din Street, S.I.E, Sialkot The Mughal Surgical (Pvt) Ltd ( 32.484247 74.515664 Shahid E Mughal ) C-95, Industrial Estate, Sialkot TINOPAL SURGICAL 32.486153 74.518199 CORPN(PVT) LTD P.O.BOX: 518, 55-57 B, LIAQAT ALIROAD, S.I.E., SIALKOT. Tinopal Surgical Corporation (Pvt) 32.486153 74.518199 Ltd ( Mirza Mudassir Najeeb ) 55/57-B, Liaquat Ali Road, S.I.E,Sialkot TOOLMEX INSTRUMENT 32.488045 74.516806 CORPORATION A-42,INDUSTRIAL ESTATE SIALKOT Toolmex Instruments ( Shahid Ehsan 32.488045 74.516806 ) A-42 Industial Estate, Sialkot Top Med International ( Abdul Khaliq 32.505568 74.543825 ) Umer Block, Nishat Park, Sialkot Towne Brothers (Pvt) Ltd ( Abdul 32.486284 74.519249 Ghafoor ) 52-56B, Industrial Estate, Sialkot TOWNE BROTHERS(PVT) LTD P.O.BOX:108,52-B,S.I.E, SIALKOT 32.488119 74.5117724

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TRACK OF SURGICAL COMMISSIONER ROAD,SIALKOT. 32.501129 74.547066 Track of Surgical ( Safdar Hussain 32.501129 74.547066 Butt ) Commissioner Road, Sialkot TRADE ART INTERNATIONAL NISHAT PARK, PARIS ROAD,SIALKOT 32.506532 74.334649 TRANS MEDICAL GREEN TOWN, DASKA ROAD,BOGHRA, SIALKOT 32.474644 74.524299 Transpak Industries ( Muhammad 32.485274 74.513455 Khalid ) P.o.box: 297, 138/C, Fatima Jinnah Road, S.I.E, Sialkot TRANS-PAK INDUSTRIES. P.O.BOX:297,138/C,FATIMA JINNAHROAD,S.I.E,SIALKOT 32.487783 74516080 TREPHINE INTERNATIONAL PLOT NO.283-G,MODEL TOWN, UGOKI,SIALKOT 32.474197 74.450103 Trephine International ( Mohsin 32.474197 74.450103 Hassan ) Wazirabad Road, Noul Morr, Sailkot TRIMED (PVT) LTD 31-A ZAFAR ALI ROAD SIALKOT CANTT 32.485529 74.513421 Trimed (Pvt) Ltd ( Shahzada Hassan 32.485586 74.51345 Iqbal ) 31-A, Zafar Ali Road,Sialkot Triune Trading Company ( Wajid 32.496517 74.53045 Pervaiz ) 1/423, Nasir Road, Lahori Shah,Sialkot Triune Trading Company ( Wajid 32.49663 74.530531 Pervaiz ) 1/423, Nasir Road, Lahori Shah,Sialkot Trola Enterprises ( Shoaib Ali ) Nasir Road, Street # 10, Sialkot 32.49799 74.52989 Truewin Indsutries ( Khurram 32.491085 74.51355 Shahzad ) Roras Road, New Mian Pura, Sialkot RORAS ROAD, NEW MAIANAPURA,NEARCITY PRIDE PUBLIC 32.491085 74.51355 TRUEWIN INDUSTRIES SCHOOL, SIALKOT GULSHAN STREET NO 1 NISHAT PARKPARIS ROAD OPP. SCCI 32.507992 74.538971 TRUMED INSTRUMENTS SIALKOT Trumed Instruments ( Imran Shahid ) Gulshin Street # 1, Nishat Park, Paris Road, Sialkot 32.507992 74.538971 Trust & True Corporation ( Akhlaq Fiaz Manzil, Moh: NewMuslim Town, Kotli Behram, Gohad Pur 32.512236 74.516368 Fiaz ) Road,Sialkot U.S.A Dental Instruments ( Naeem 32.490378 74.518807 Javaid ) Punjab Bak Street, S.I.E, Sialkot Uk.Pak International ( Muhammad 32.491639 74.497891 Aslam ) Roras Roras Road Tallha Street No 21, AIRPORT ROAD, GOHADPUR, MUGHAL PURANEAR EDAN GARDEN 32.517174 74.506904 UKPAK DENTAL SCHOOL SIALKOT

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Ultra Surgical (Pvt) Ltd ( Usman 32.493935 74.492869 Wahid ) Near Peer Hara Kabristan, Roras Road Harrar Sialkot UNICORN ENTERPRISES. SHAHEEN STREET KACHA SHAHAB ROADSIALKOT. 32.485945 74.523643 USMAN SURGICAL RORAS ROAD, NEAR AWAN STREET,MUZAFFAR PUR, SIALKOT 32.492128 74.495136 Usman Surgical ( Malik Muhammad 32.492215 74.494916 Aslam ) Roras Road Near Kilji Sports Muzaffar Pura Sialkot Uzam Enterprises ( Muazzam 32.49748 74.531924 Rehman ) P.o.box: 1541, Nasir Road, Sialkot VAN NUYS INTERNATIONAL RORAS ROAD, NOUL MORRE,SIALKOT. 32.491292 74.483311 VANDEX INTERNATIONAL P.O.BOX:728,DEEPU WALI GALI, PURANNAGAR, SIALKOT. 32.500981 74.542221 V-Carr Industries ( Muhammad Imran 32.492054 74.506423 ) Street No.37 Durrani Town New Miana Pura West, Sialkot Venerable Industries ( M.Yaseen ) Kacha Shahab Pura Road Sialkot 32.486269 74.520263 VERTEX INTERNATIONAL NIZAM STREET,KOTLI BEHRAM,P.O.BOX: 2892 SIALKOT-3 32.508852 74.51 Vertex International ( Muhammad 32.508852 74.518641 Idress ) P.o.box 2892, Nizam Street, Kotli Behram, Sialkot VESPECO INTERNATIONAL MOHALLAH: MUBARIK PURA,MUSLIM STREET, SIALKOT 32.492934 74.525048 Vespeco International ( Yasser 32.492934 74.525048 Rehman ) Muslim Street, Mubarik Pura, Sialkot Vesper Instruments Company ( 32.478005 74.55094 Muhammad Sarfraz ) P.o.box: 440, Muslim Street, Fateh Garh, Sialkot Vetco International ( Shahid Ehsan ) A-42, Industrial Estate, Sialkot 32.488045 74.516806 VITRA INTERNATIONAL MARALA ROAD 51360, SIALKOT 32.518519 74.496979 Vitra International ( Jawad Arshad ) Jawad Arshad S/O Arshad Iqbal Numberdar, Gohadpur,Sialkot 32.518519 74.496979 VIZRA MED TECHNIK JEWANPURA STREET NO 03,SIALKOT 32.487278 74.5261 Waliant International (Pvt) Ltd ( 32.492861 74.483359 Imran Jamil Butt ) Plot # 22-B, Mosque Road, S.I.E, WELBRO SURGICAL P.O.BOX:2421,KACHA SHAHABPURA ROAD,S.I.E.SIALKOT 32.486878 74.522859 Welbro Surgical ( Iftikhar Ahmed 32.486833 74.522845 Malik ) P.o.box: 2421, Kacha Shahab Pura Road, S.I.E, Sialkot Weldon Industries (Pvt) Ltd ( Waqar 32.477337 74.506024 Amin ) Shatab Garha Road, Near Agency Chowk, Sialkot WELDON INDUSTRIES(PVT)LTD P.O.BOX 584, SHATAB GHAR ROAD OPP.GREEN HILL FACTORY 32.477337 74.506024

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Punjab Small Industries Corporation (PSIC) Diagnostic study of industrial and handicrafts clusters in Punjab

SIALKOT.PAKISTAN WELDON INSTRUMENTS 62/24 GAZI ROAD SIALKT CANTT 32.477337 74.506024 Weldon Instruments ( Junaid Amin ) 66-C Ghalib Road, S.I.E,Sialkot 32.477337 74.506024 Welmed Instruments ( Rizwan Qaiser 32.496303 74.500329 ) Defence Road, Near Grid Station, Sialkot WELMED INSTRUMENTS 32.496303 74.500329 COMPANY DEFENCE ROAD, NEAR WAPDA GRIDSTATION,SIALKOT WIBI INSTRUMENTS FATEH GARH CHOWK, DEFENCE ROADSIALKOT. 32.479647 74.514546 Wibi Instruments ( Wahab Zulfiqar ) Defence Road, Chowk Feth Garh,Sialkot 32.479647 74.514546 WILD MADE SURGICAL RORAS ROAD, MUZAFFARPUR, P.O.S.I.ESIALKOT. 32.49403 74.504028 Wild Made Surgical ( Chufran Sabir ) Roras Road, Muzaffar Pur, P.O S.I.E, Sialkot 32.494030 74.504028 WILLKO MEDIDENT 104/c, GHALIB ROAD SMALL INDUATRYESTATE SIALKOT 32.484096 74.515335 Win Wings Corporation ( Zafar Iqbal 32.486301 74.514573 ) 33 B(South) Kh Nazim ud Din Road, S.I.E Sialkot Wisco Pvt Ltd ( Muhammad Junaid Plot No. 42/RC & 43/RC Near Medical Devices Pvt Ltd, Wazirabad Road, 32.479584 74.441079 Amjad ) Ugoki, Sialkot WISE MEDICAL CO KASHMIR ROAD, GULISTAN CINEMASIALKOT. 32.506667 74.510537 Wittex International ( Shahid 32.494519 74.485317 Mahmood ) Norgate Street, Jinnah Park, Colony # 2, Sialkot WRANGLER INSTRUMENTS P.O.BOX NO:2367,MARALA ROAD,NEARSUBLIME CHOWK SIALKOT 32.503285 74.495792 Wusqa International ( Mirza Imran 32.484752 74.519807 Baig ) Small Industrial Estate, Sialkot Xenamed Industries ( Asif Aslam ) Millat Street No. 10, New Miana Pura West, Sialkot 32.491871 74.516757 Y.Z Corporation ( Jamshaid Ullah 32.487273 74.519086 Khan ) Industrial Estate, Sialkot Y.Z.CORPORATION. P.O.BOX: 1295, A-8, SIE., SIALKOT 32.487496 74.519179 Yaza Surgical Industries ( M. Arif ) Moh: Habib Pura, Pacca Garah,Sialkot 32.506937 74.507624 YOUSAF IMPEX FATEH GARH AGENCY CHOWK NADIR TOWNSIALKOT PAKISAN 32.478071 74.513267 ZAG3 IMPEX RORAS ROAD MUZAFFAR PUR SIALKOT 32.492258 74.492926 ZARYAB INSTRUMENTS MOH. PIR SABZ HARRAR WAZIRABAD ROADSIALKOT 32.495096 74.493086 Zaryab Instruments ( Gulraiz Hassan ) Wazirabad Road, Harrar, Near Peer Hara Qabrastan,Sialkot 32.495096 74.493085

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Punjab Small Industries Corporation (PSIC) Diagnostic study of industrial and handicrafts clusters in Punjab

ZENITH TRADING COMPANY, 11-a, ALLAM IQBAL ROAD S.I.E.SIALKOT 32.486971 74.519278 Zimal Industries ( Tariq Nazir ) 9-c, Small Industries Estate 32.425221 74.518276 Zona Industries ( Muhammad Safdar ) Timber Market, Pasrur Road, Sialkot 32.478409 74.537594 ZONA INDUSTRIES. PUL AIK AMINABAD ROAD SIALKOT 51310PAKISTAN 32.478409 74.537594 Zulco Brothers ( Muhammad Saleem 32.490853 74.519126 ) Prince Cinema Street, Opp: S.I.E,Sialkot

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Punjab Small Industries Corporation (PSIC) Diagnostic study of industrial and handicrafts clusters in Punjab

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