Medicine Request

Medicine Request

Members from remote areas, who are not able to come to clinic but need medicines through courier, need to fill this form to get the medicine couriered.

For more details please contact us at

+0416 – 2225444 / +9180 2315 3875 / +91 99447 33223

We will send medicines straightaway to your Home.

*Please attach the copy of Deposit Counter Foil or Bank Transfer Snapshot need to be attached.

Please transfer the amount to the following Bank Account

Bank – Indian Overseas Bank
Branch – Allapuram
A/c Name – VR. Sudhakar
A/c No – 063401000020449