Amount to be paid: Rs.500/-
Account Name : Dr LAVANYA G
Bank: Axis Bank, Indiranagar, Bengaluru-38.
A/C NO 914020005325852
IFSC CODE: UTIB0000114
Treatment mode* Online ConsultationClinic Visit
Tentative date*
Name*
Email*
Phone*
Address
Gender* MaleFemaleOther
Age*
Problem in Brief*