Lab and Diagnostics Package Booking

On-Site Package Booking and Payment (#9)

First Name

Last Name

Phone/Mobile

Address

Address Line

Closest landmark

City

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Preferred Sample Collection Date

Preferred Sample Collection Time

Test Package Options

Onsite Sample Collection and Diagnostics

Price: ₦35,000.00

Item	Price	Qty	Line Total
Test Package Options - Serology Test	₦25,500.00	1	₦25,500.00
Onsite Sample Collection and Diagnostics	₦35,000.00	1	₦35,000.00
Total			₦60,500.00