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.):
7500/month x 12 months = 90000

IGST @18% (Rs.):

Grand Total (Rs.):

Coupon Code

How Did You Connect