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Her Form Online Custom Package
Lab Test Package

Custom Lab Panel (11 biomarkers)

Rp 6.544.000(≈ $360 USD · A$510)

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

Custom Lab Panel — 11 biomarkers selected on the Her Form custom builder.

Included biomarkers (11):

  • AST (SGOT) (AST (SGOT)) — Rp 92.000
  • ALT (SGPT) (ALT (SGPT)) — Rp 92.000
  • Progesterone (Progesterone) — Rp 834.000
  • Estradiol (E2) (Estradiol (E2)) — Rp 793.000
  • Total Testosterone (Total Testosterone) — Rp 743.000
  • Complete Blood Count (CBC) include ESR (Complete Blood Count (CBC) include ESR) — Rp 187.000
  • TSH (TSH) — Rp 451.000
  • Free T4 (Thyroxine) (Free T4 (Thyroxine)) — Rp 585.000
  • Free T3 (Triiodothyronine) (Free T3 (Triiodothyronine)) — Rp 700.000
  • CA 15-3 (CA 15-3) — Rp 1.036.000
  • CA 125 (CA 125) — Rp 1.031.000

Total: Rp 6.544.000

AST (SGOT), ALT (SGPT), Progesterone, Estradiol (E2), Total Testosterone, Complete Blood Count (CBC) include ESR, TSH, Free T4 (Thyroxine), Free T3 (Triiodothyronine), CA 15-3, CA 125

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 (11 biomarkers)
Rp 6.544.000(≈ $360 USD · A$510)
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