Skip to main content
Her Form
Her Form Custom Lab Panel
Lab Test Package

Custom Lab Panel (24 biomarkers)

Rp 16.023.000(≈ $910 USD · A$1,260)

Prices shown in IDR — USD/AUD are rough estimates; your local-currency total is confirmed at checkout.

Custom Lab Panel — 24 biomarkers selected on the Her Form custom builder.

Included biomarkers (24):

  • HbA1C (204005) — Rp 296.000
  • HOMA-IR (Fasting Glucose + Fasting Insulin) (303011) — Rp 833.000
  • TSH (305005) — Rp 451.000
  • Free T3 (305001) — Rp 700.000
  • Triglycerides (203004) — Rp 93.000
  • HDL Cholesterol (203002) — Rp 117.000
  • ALT (SGPT) (202002) — Rp 92.000
  • Total Testosterone (307014) — Rp 743.000
  • SHBG (307012) — Rp 4.404.000
  • DHEA-S (306022) — Rp 1.318.000
  • LH (Luteinizing Hormone) (307002) — Rp 663.000
  • FSH (Follicle Stimulating Hormone) (307003) — Rp 684.000
  • Prolactin (307009) — Rp 617.000
  • Cholesterol Total (203001) — Rp 88.000
  • LDL Cholesterol (203003) — Rp 173.000
  • Apolipoprotein B (203022) — Rp 489.000
  • Lipoprotein(a) (203008) — Rp 1.394.000
  • hs-CRP (201004) — Rp 455.000
  • Homocysteine (340001) — Rp 989.000
  • Complete Blood Count (CBC) (111002) — Rp 187.000
  • AST (SGOT) (202001) — Rp 92.000
  • Creatinine/eGFR (206007) — Rp 102.000
  • Ferritin (316001) — Rp 466.000
  • Vitamin D 25-OH (210003) — Rp 577.000

Total: Rp 16.023.000

HbA1C, HOMA-IR (Fasting Glucose + Fasting Insulin), TSH, Free T3, Triglycerides, HDL Cholesterol, ALT (SGPT), Total Testosterone, SHBG, DHEA-S, LH (Luteinizing Hormone), FSH (Follicle Stimulating Hormone), Prolactin, Cholesterol Total, LDL Cholesterol, Apolipoprotein B, Lipoprotein(a), hs-CRP, Homocysteine, Complete Blood Count (CBC), AST (SGOT), Creatinine/eGFR, Ferritin, Vitamin D 25-OH

Reviewed by Her Form's health specialists. Optional 1:1 consults with Robyn available on request. A 2% service fee is added at checkout.

Custom Lab Panel (24 biomarkers)
Rp 16.023.000(≈ $910 USD · A$1,260)