We Deliver Your Medicine to Your Doorstep

Please send the details listed down

Name :

Address :

Mobile :

Contact No. (Please add all numbers you havein case we can’t get hold on the away to delivery):

Email :

Payment Method (Cash on Delivery / Bank Tranfer / Online :

Date items needed to be delivered :

List of Items ( Valid prescription to be sent by whatsapp to 0766 953 752 ) :