Booking Form

Diagnostic Lab Test Booking

Full Name:

Email Address:

Phone Number:

Date of Birth:

Gender:
MaleFemaleOther

Select Test(s):
MRI
CT Scan
X-Ray
Ultrasound
Blood Test
Liver Test

Additional Notes:

Preferred Date:

Preferred Time Slot:
MorningAfternoonEvening

Home Sample Collection:

Address (if Home Collection selected):

Preferred Contact Method:
CallWhatsAppEmail

Payment Method:
Online PaymentPay at LabPay on Sample Collection

I agree to the Terms & Conditions

Submit