EXHIBIT 10.23

                                ORTHOMETRIX, INC.
                            FORM 10-QSB JUNE 30, 2006

                   THIS NOTE HAS BEEN ACQUIRED FOR INVESTMENT
                      AND HAS NOT BEEN REGISTERED UNDER THE
                    SECURITIES ACT OF 1933 OR THE SECURITIES
                     LAWS OF ANY STATE. THIS NOTE MAY NOT BE
                   SOLD OR TRANSFERRED IN THE ABSENCE OF SUCH
                      REGISTRATION OR AN OPINION OF COUNSEL
                      SATISFACTORY TO THE ISSUER THAT SUCH
                    REGISTRATION IS NOT REQUIRED BY SAID ACT
                                 OR STATE LAWS,

                                ORTHOMETRIX, INC.

$250,000.00                                               White Plains, New York
                                                                   June 23, 2006

          ORTHOMETRIX, INC., a Delaware corporation (the "Company"), for value
received, promises to pay to PSILOS GROUP PARTNERS II-S, L.P. (the "Payee"), the
principal sum of Two Hundred and Fifty thousand U.S. Dollars ($250,000) on June
23, 2007 (the "Maturity Date"), except as otherwise provided herein, together
with interest on the outstanding principal amount of this Note at the rate of
twelve percent (12%) per annum. Interest shall be payable quarterly on the last
business day of each March, June, September and December, commencing June 30,
2006.

          1. Payments and Prepayments.

          1.1. Payments and prepayments of principal and interest on this Note
shall be made to Payee at 625 Avenue of the Americas, 4th Floor, New York, NY
10011.

          1.2. Payments and prepayments of principal and interest on this Note
shall be made in lawful money of the United States of America.

          1.3. If any payment on this Note becomes due and payable on a
Saturday, Sunday or other day an which commercial banks in New York City are
authorized or required by law to close, the maturity thereof shall be extended
to the next succeeding business day, and, with respect to payments of principal,
interest thereon shall be payable during such extension at the applicable rate.

          1.4. The Company shall be obligated to prepay the outstanding
principal amount of this Note within ten (10) days after such time as (i) the
Company receives net proceeds of at least $5,000,000 from any financing or
series of related financings, or (ii) the Company sells all or substantially all
of its assets. The Company shall have the right at any time and from time to
time to prepay this Note in whole or in part, together with interest on the
amount prepaid to the date of prepayment, without penalty or premium. Upon
payment of part of the principal amount



of this Note, the Company may require the holder to present this Note for
notation of such payment and, if this Note is paid in full, require the holder
to surrender this Note.

          1.5. Upon payment in full of all outstanding principal and interest
due under this Note, the Company's obligations in respect of payment of this
Note shall terminate and the holder shall return it to the Company.

          2. Events of Default and Remedies.

In the event that:

          (a) the Company defaults for more than five business days in making
          any payment required to be made on this Note; or

          (b) the Company hereafter makes an assignment for the benefit of
          creditors, or files a petition in bankruptcy as to itself, is
          adjudicated insolvent or bankrupt, petitions or applies to any
          tribunal for the appointment of any receiver of or any trustee for the
          Company or any substantial part of its property under any bankruptcy,
          reorganization, arrangement, readjustment of debt, dissolution or
          liquidation law or statute of any jurisdiction, whether now or
          hereafter in effect; or if there is hereafter commenced against the
          Company any such proceeding and an order approving the petition is
          entered or such proceeding remains undismissed for a period of 60
          days, or the Company by any act or omission to act indicates its
          consent to or approval of or acquiescence in any such proceeding or
          the appointment of any receiver of, or trustee for, the Company or any
          substantial part of its property, or suffers any such receivership or
          trusteeship to continue undischarged for a period of 60 days;.

          the holder of this Note may: (a) by notice to the Maker, declare the
principal of and accrued interest on this Note to be immediately due and payable
and/or (b) pursue any available remedy to collect the payment of interest,
principal or premium, if any, on this Note or to enforce any provision of this
Note. A delay or omission by the holder of this Note in exercising any right or
remedy accruing upon an event of default shall not impair the right or remedy or
constitute a waiver or acquiesce in the event of default. All remedies are
cumulative to the extent permitted by law.

          3. Investment Representation.

          3.1. The Payee hereby acknowledges that the Note is not being
registered (i) under the Securities Act of 1933, as amended (the "Act"), on the
ground that the issuance of the Note is exempt from registration under Section
4(2) of the Act as not involving any public offering or (ii) under any
applicable state securities law because the issuance of the Note does not
involve any public offering; and that the Company's reliance on the Section 4(2)
exemption of the Act and under applicable state securities laws is predicated in
part on the representations hereby made to the Company by the Payee that it is
acquiring the Note for investment for its own account, with no present intention
of dividing its participation with others or reselling or otherwise distributing
the same, subject, nevertheless, to any requirement of law that the disposition
of its property shall at all times be within its control.


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          4. Miscellaneous.

          4.1. Upon receipt of evidence reasonably satisfactory to the Company
of the loss, theft, destruction or mutilation of this Note and of a letter of
indemnity reasonably satisfactory to the Company, and upon reimbursement to the
Company of all reasonable expenses incident thereto, and upon surrender or
cancellation of the Note, if mutilated, the Company will make and deliver a new
Note of like tenor in lieu of such lost, stolen, destroyed or mutilated Note.

          4.2 The undersigned hereby waives presentment, demand for payment,
notice of dishonor, and any and all other notices or demands in connection with
the delivery, acceptance, performance, default or enforcement of this Note, and
hereby consents to any extensions of time, renewals, releases of any party to
this Note, waivers or modifications that may be granted or consented to by the
Payee in respect to the time of payment or any other provision of this Note.

          4.3 No course of dealing of Payee or another holder hereof nor any
failure or delay by Payee or any such holder to exercise any right, power,
privilege, remedy or discretion under this Note shall operate as a waiver
thereof on that occasion or any other occasion, and any single or partial
exercise of any such right, power, privilege, remedy or discretion shall not
preclude any later exercise thereof or any exercise of any other right, power,
privilege, remedy or discretion hereunder. No covenant, obligation or other
provision of this Note may be waived, and no consent contemplated hereby may be
given, other than in a writing signed by Payee or another holder waiving such
covenant, obligation or provision or giving such consent.

          4.4 Maker will pay on demand all reasonable costs and expenses
(including attorneys' reasonable fees and expenses) incurred by Payee in
connection with the enforcement of this Note and the preservation of Payee's
rights hereunder.

          4.5. Payee may not assign or transfer this Note in any manner
whatsoever without the prior written consent of the Maker. Notwithstanding any
other provision hereof, Payee or any other holder of this Note may assign or
transfer this Note without the consent of Maker or any other person to any
affiliate of such holder, including without limitation to any stockholder,
partner, member or other owner of such holder.

          4.6 This Note and the rights and obligations of the Company and each
holder hereunder shall be construed in accordance with and be governed by the
laws of the State of New York.

               IN WITNESS WHEREOF, the Company has executed this Note as of the
day and year first above written.

                                        ORTHOMETRIX, INC,


                                        By: Reynald Bonmati
                                        ----------------------------------------
                                        Name: Reynald Bonmati
                                        Title: President


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