Please fill the form and Upload your prescription
A valid Prescription contains :
Doctor
Details
Date of Prescription
Patient Details
Dosage Details
Doctor
Details
Date of Prescription
Date of
Prescription
Patient
Details
Dosage
Details
Doctor
Details
Date of
Prescription
Patient
Details
Dosage
Details
Doctor
Details
Date of
Prescription
Patient
Details
Dosage
Details
Doctor
Details
Date of
Prescription
Patient
Details
Dosage
Details
Doctor
Details
Date of Prescription
Patient
Details
Dosage
Details
Do and Don't
- Upload Clear Image
Ensure picture is taken with clear visible handwriting/type. Place prescription on a flat surface to get better focus and clear image.
- No Pictures Of Medicines
- Do Not Crop the Image