Oxxy Healthcare

Registration Form

Oxxy Health Plans Registration

Name *

Mobile *

Date Of Birth *

Gender *

Male Female

Email *

Pincode *

Address1 *

Address2

State *

City *

Purchase For:

Special Price (Rs.):
1300/month x 12 months = 15600

IGST @18% (Rs.):

Grand Total (Rs.):

Coupon Code

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