Book a Home Visit — Perfect Lab

Book Your Home Visit

Fill the form below. Fields marked * are required.

Patient Name *

Date of Birth *

Gender *

Mobile Number *

Preferred Date *

Time Slot *

Tests Needed * List tests separated by commas. Not sure? Write what your doctor recommended.

Special Notes

Prescription Upload

📎

Tap to upload prescription

JPG, PNG or PDF · max 5 MB

Optional. Doctor's prescription helps us prepare the right collection kit.

📍 Your Collection Address *

City *

Pincode * Map auto-locates once City + 6-digit Pincode are filled.

Building / Society

Landmark

Apartment / Room No *

Street / Area / Locality *

Enter City and Pincode — the map anchors automatically. Add Building / Society for a finer fix. Tap the map or drag the pin to set the exact pickup point. Red dots mark our branch labs.

How did you hear about us?

✅

Booking Confirmed!

Thank you. Our team will call you to confirm the exact time.

Please keep your phone available a day before your scheduled visit.

Booking Ref—

Patient—

Date—

Slot—

Branch—

Visit Fee—

📞 Questions? Call us: +91 00000 00000

Home Sample Collection

Booking Confirmed!