Step 1/4: Personal Information
Full Name
Mobile Number
Email Address
Step 2/4: Address Information
Address
Landmark (optional)
City
State
Pincode
Step 3/4: Vaccination Information
Select preferred appointment date:
Select preferred appointment time slot:
Choose number of people:
No. of people:
- +
Vaccination Total: {{details.grand_total | price_format_with_currency}}
Step 4/4: Confirm Booking
Appointment Date: {{details.vaccine_date}}
Appointment Time Slot: {{metadata.selected_timeslot.timerange_string}}
No. of people: {{details.vaccine_quantity}}
Address: {{details.address}} ({{details.landmark}}), {{details.city}}, {{details.state}} {{details.pincode}}
Vaccination Total: {{details.grand_total | price_format_with_currency}}
Mention Medicine / Lab Tests details
Tell us the medicine or lab test required by entering them below:
Medicine / Lab Test Name Quantity Type
+ Add More
OR
Upload prescription
Simply upload your medical prescription to us. Once you submit your prescription, our team will get in touch with you within 1 hour of uploading your prescription
Report/Test Name Report/Test Date Report/Test Type Remove
x
OR
Choose from your uploaded documents
{{document_details.name}} Preview
2. Complete your details
3. Review and confirm your request
Select the sevices you want:
Any Remarks (optional):
Your Cart
Cart Total
{{cart.summary['product-total'] | price_format_with_currency}}
Your Savings
{{cart.summary['money_saved'] | price_format_with_currency}}
PLACE ORDER
Medicine Price
{{product_details.name}}
{{product_price_details['price-total'] | price_format_with_currency}} ({{product_price_details['quantity']}} x {{product_price_details['price-single'] | price_format_with_currency}})
Medicine Total {{cart.medicines.summary['product-total'] | price_format_with_currency}}
You haven't added any Medicine in cart yet
Lab Test Single Price
{{product_details['name']}}
{{product_details['price-single'] | price_format_with_currency}} per person
{{product_details['name']}}
{{product_details['price-single'] | price_format_with_currency}} per person
Lab Test Total {{cart.labs.summary['product-total'] | price_format_with_currency}}
You haven't added any Lab Tests in cart yet
PatientCare Service Price
{{product_details.name}}
{{product_price_details['price-total'] | price_format_with_currency}}
PatientCare Service Total {{cart['patientcare-services'].summary['product-total'] | price_format_with_currency}}
You haven't added any PatientCare Services in cart yet