Offline Booking Health Checkup Package/ Tests Booking Form :Fill the below form to book your slot for Home CollectionPIN Code (Home Collection) *Email Address *Mobile No. *Sample Collection Address *Beneficiary Name *Age (Years) *Gender *MaleFemaleTotal No. of Beneficiary *Additional Beneficiary Details (Name/ Age/ Gender)Health Package/ Test Details *Discussed on Chat/ Call (No need to write)As per Doctor's Prescription (Upload)Mention Package/ Tests Name (Write)Write Specific Health Package/ TestsUpload your Doctor's PrescriptionChoose FileNo file chosenDelete uploaded fileSample Collection Date *Selected Date will confirm, subject to availability of slot at the time of BookingSample Collection TimeHours000102030405060708091011121314151617181920212223Minutes0030Note :- There may be change of 30 min after/ before as per availability. Relax...We will take your consent before booking if any changes required !!Hard Copy of Report Required *YESNOWe provide Verified e-Reports through mail only. If you required Hard Copy of your reports, then you have to declare & Pay additional Rs.75/- as courier charge.Additional Instructions for us (if any)Submit NowPlease do not fill in this field.