Buy Respiration Pulmonary Plan Registration Form

Please Fill Your Details

RESPIRATION & PULMONARY PLAN

Name *

Mobile *

Date Of Birth *

Gender *

Male Female

Email *

Pincode *

Address1 *

Address2

State *

City *

Select Plan Validity

Click to Upgrade Plan

Monthly

Rs. 2300

when purchased
for 6 months

Yearly

Approx. 28% Off

Rs. 27600

Rs. 20000

Special Price (Rs.): Approx. 28% Off
2300/month x 12 months = ~~27600~~
2300/month x 12 months = 20000

IGST @18% (Rs.):

Grand Total (Rs.):

Click to Apply Coupon

Coupon Code

How Did You Connect

Consultant Code

Please Fill Your Details

RESPIRATION & PULMONARY PLAN

Select Plan Validity

Click to Upgrade Plan

Rs. 2300

when purchased
for 6 months

Approx. 28% Off

Rs. 27600

Rs. 20000

Click to Add Extra Features

Click to Apply Coupon

Yes, I have read and understood OXXY Terms & Conditions and I agree with them.

Please Fill Your Details

RESPIRATION & PULMONARY PLAN

Select Plan Validity

Click to Upgrade Plan

Rs. 2300

when purchased for 6 months

Approx. 28% Off

Rs. 27600

Rs. 20000

Click to Add Extra Features

Click to Apply Coupon

Yes, I have read and understood OXXY Terms & Conditions and I agree with them.

when purchased
for 6 months