Her✺Form
Her Form Custom Package
Lab Test Package

Custom Lab Panel (17 biomarkers)

Rp 13.22M(≈ $810 USD · A$1,250)

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

Custom Lab Panel — 17 biomarkers selected on the Her Form custom builder.

Included biomarkers (17):

  • 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
  • AMH (Anti-Mullerian Hormone) (307001) — Rp 1.182.000
  • FSH (Follicle Stimulating Hormone) (307003) — Rp 684.000
  • LH (Luteinizing Hormone) (307002) — Rp 663.000
  • Progesterone (307004) — Rp 834.000
  • Prolactin (307009) — Rp 617.000
  • Thyroperoxidase (TPO) Ab (305014) — Rp 1.318.000
  • Folic Acid (Vitamin B9) (370001) — Rp 1.516.000

Total: Rp 13.225.000

Complete Blood Count (CBC), Ferritin, Iron (SI), TIBC, TSH, Free T4, Free T3, Vitamin B12, Vitamin D 25-OH, Cortisol, AMH (Anti-Mullerian Hormone), FSH (Follicle Stimulating Hormone), LH (Luteinizing Hormone), Progesterone, Prolactin, Thyroperoxidase (TPO) Ab, Folic Acid (Vitamin B9)

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 (17 biomarkers)
Rp 13.22M(≈ $810 USD · A$1,250)