Personal Information
First Name
*
Last Name
*
Father’s Name
*
Date of birth
*
Mobile Number
*
Email
*
Address Details
Address
*
Area
*
Landmark
Pincode
*
State
*
City
*
Booking Details
Booking Date
*
Preferred Test
*
Select Test
BRCA1 & BRCA2 gene sequencing panel (Germline) @ Rs.5,800 only
BRCA1 & BRCA2 gene sequencing panel (Somatic) @ Rs.9,000 only
Homologous Recombination Repair gene panel (Germline) @ Rs.13,500 only
Homologous Recombination Repair gene panel (Somatic) @ Rs.13,500 only
Homologous Recombination Repair gene panel (Germline+Somatic) @ Rs.27,000 only
Homologous Recombination Deficiency Rs.62,000 only
you can select multiple options
Additional Information
Referred By
Self
Doctor
Doctor's Name
Attach Prescription
Attach Prescription
Hospital Name
Submit