For Callcenter Support : 1800-200-0999
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My Health Mirror
ADVANCE INTIMATION FORM
All fields marked * are mandatory
*
Name
:
*
Phone
:
*
Email
:
*
Address
:
*
Drug Brand with Strength
:
*
Manufacturer's Name
:
*
Quantity
:
*
Type
:
Select Type
Tablets
Capsules
Syrup Bottle
Cream / Ointment
Gel
Vial
Injection
Other ( Please write details in remarks )
Remarks
:
PLEASE NOTE
You can order medicines through our Call Center 39410999 from 8 AM to 8 PM.
Payment will be accepted in Cash on Delivery (COD).
Orders received during the day will be delivered on the following working day.
Prescription of Doctor will be verified on Delivery for Scheduled Drugs or Medicines prescribed by Doctor.
Bill / Invoice will be provided for each order at the time of delivery.
Intimate the Call Center within 12 hours for any changes or cancellation of the order.
Orders will be delivered within the cities mentioned in
contact us
list.