Comprehensive 11 point examination that included hemoglobin, whole blood count, cholesterol (lipid) panel, blood pressure, fasting blood sugar, kidney function, liver function, electrolyte, blood group, body composition and A1C test if necessary.
Includes In-House visit fee!
Please fill out the the following details in order to help us expidite your service. The beneficiary is the person in Gambia who will be receiving the service.
Beneficiary Name
Beneficiary Phone Number
Beneficiary Town of Residence
Relationship (the beneficiary is my)
Who referred you? (you can leave this blank)
Is this a renewal of an existing subscription? Yes, this is a renewal of an existing subscription No, this is a new subscription
Notes/Comments
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