Ziffy Health

Select time slot

Add patient details

Select patient address

Mobile Number (OTP will be sent to this number)*

Enter OTP (Enter sending OTP on mobile number)*

Enter OPT number

Age *

Gender * Male Female

Patient's Name (Report will be generated with this name)

Email (Your report will be sent on this email address) *

Mobile No. (Will be used at the time of sample pick up) *

Email (Your report will be sent on this email address) *

House Address *

How would you like to pay* Cash On Delivery Online

(You can pay using paytm,card swap)