MEDMARG HEALTH SERVICES

Billing details

Add new address

Select from saved address

Patient name*

Contact*

Address*

City*

State*

Pincode*

Payment method

Pay via Cash/UPI on Sample pickup

Sample collection

Select sample colection date

Select sample collection slot

Upload doctor's given prescription

If your order contains any medicine that requires prescription, please upload it here.
GENERAL RULES:

1. Don't crop out any part of the image
2. Avoid blurred image
3. Include detail of doctor and patient + clinic visit date
4. Medicines will dispensed as per perscription
5. Supported file type: jpeg, jpg, png
6. Maximum allowed file size: 2MB