Her✺Form
Her Form Custom Package
Lab Test Package

Custom Lab Panel (12 biomarkers)

Rp 7.87M(≈ $480 USD · A$740)

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

Custom Lab Panel — 12 biomarkers selected on the Her Form custom builder.

Included biomarkers (12):

  • Complete Blood Count (CBC) (111002) — Rp 187.000
  • Ferritin (316001) — Rp 466.000
  • Iron (SI) (209001) — Rp 285.000
  • TIBC (209002) — Rp 590.000
  • TSH (305005) — Rp 451.000
  • Free T4 (305002) — Rp 585.000
  • Free T3 (305001) — Rp 700.000
  • Vitamin B12 (370002) — Rp 1.647.000
  • Vitamin D 25-OH (210003) — Rp 577.000
  • Cortisol (306021) — Rp 923.000
  • Estradiol (E2) (307005) — Rp 793.000
  • LH (Luteinizing Hormone) (307002) — Rp 663.000

Total: Rp 7.867.000

Complete Blood Count (CBC), Ferritin, Iron (SI), TIBC, TSH, Free T4, Free T3, Vitamin B12, Vitamin D 25-OH, Cortisol, Estradiol (E2), LH (Luteinizing Hormone)

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 (12 biomarkers)
Rp 7.87M(≈ $480 USD · A$740)