Lab Test Request Patient's Name *Phone *0 / 10Age *Gender *Please select genderMaleFemaleOthersUpload you prescriptionChoose FileNo file chosenDelete uploaded filePlease upload your prescription or choose test manually belowChoose one or more testsBharatFit 1- Fasting Glucose, Lipid Profile, Liver+Kidney Function, Thyroid Profile TotalBharatFit 2- Fasting Glucose, Lipid Profile, Liver+Kidney Function, Thyroid Profile Total, Urine RM, CBC, HbA1cBharatFit 3- Fasting Glucose, Lipid Profile, Liver+Kidney Function, Thyroid Profile Total, Urine RM, CBC, ESR, Vit B12BharatFit 4- Fasting Glucose, Lipid Profile, Liver+Kidney Function, Thyroid Profile Total, Urine RM, CBC, ESR, Vit DBharatFit 5- Fasting Glucose, Lipid Profile, Liver+Kidney Function, Thyroid Profile Total, Urine RM, CBC, ESR, HbA1c, Vit D+B12+Iron StudiesFasting GlucoseGlucose PPLipid ProfileLiver Function Test LFTKidney Function Test KFTThyroid Profile TotalUrine RMUrine CultureCBC(Complete Blood Count)ESRHbA1cVit DVit B12Iron StudiesCRP Test (C Reactive Protein Test)Creatinine TestWIDAL(Test by slide agglutination)Hemoglobin Test HbUric Acid TestChoose one or more testsChoose the date for sample collection *Choose your time for sample collection *Hours-120102030405060708091011Minutes-000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859AMPMCould not find your tests in the list? Please type in hereStreet AddressCityPermission and agreement *I agree and give my permission.I give smartmeds.in permission to contact me by phone or email regarding my appointment pursuant to all terms and regulations that apply.Book my tests
