History Form for Patients

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Madam/ Sir,

Please Download the attached History Form for the Patient

Kindly Follow the Instructions for Online Medical Checkup and Medicine Delivery

1. Fill this History Form
2. Send it to our E-mail Address
3. Attach Your Scanned Reports ( If you have )
4. Submit your Check-up Fee and Medicine Charges in the Bank

5. Send the Scanned Receipt of Paid Fee in Bank

6. Receive your Medicine via Courier Service

Bank Details for Fee Submission

Account Title : DR. ASIF MAHMOOD

Account No : 0044-0081-002147-01-0

Bank Name : Bank AL Habib Limited

Branch : Thokar Niaz Baig Branch

Lahore Pakistan