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Her Form Online Custom Package
Lab Test Package

Custom Lab Panel (15 biomarkers)

Rp 7.106.000(≈ $400 USD · A$570)

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

Custom Lab Panel — 15 biomarkers selected on the Her Form custom builder.

Included biomarkers (15):

  • Vitamin B12 (cyanocobalamin) (Vitamin B12 (cyanocobalamin)) — Rp 1.647.000
  • Folic Acid (Vitamin B9) (folate) (Folic Acid (Vitamin B9) (folate)) — Rp 1.516.000
  • Vitamin D 25-OH (Vitamin D 25-OH) — Rp 450.000
  • AST (SGOT) (AST (SGOT)) — Rp 92.000
  • ALT (SGPT) (ALT (SGPT)) — Rp 92.000
  • Alkaline Phosphatase (ALP) (Alkaline Phosphatase (ALP)) — Rp 147.000
  • Gamma GT (GGT) (Gamma GT (GGT)) — Rp 168.000
  • Bilirubin Total (Bilirubin Total) — Rp 121.000
  • Albumin (Albumin) — Rp 139.000
  • Total Protein (Total Protein) — Rp 142.000
  • BUN (Blood Urea Nitrogen) (BUN (Blood Urea Nitrogen)) — Rp 92.000
  • Creatine Kinase (CK) (Creatine Kinase (CK)) — Rp 342.000
  • Electrolytes (Na, K, Cl) (Electrolytes (Na, K, Cl)) — Rp 695.000
  • Total Testosterone (Total Testosterone) — Rp 743.000
  • Fasting Insulin (Fasting Insulin) — Rp 720.000

Total: Rp 7.106.000

Vitamin B12 (cyanocobalamin), Folic Acid (Vitamin B9) (folate), Vitamin D 25-OH, AST (SGOT), ALT (SGPT), Alkaline Phosphatase (ALP), Gamma GT (GGT), Bilirubin Total, Albumin, Total Protein, BUN (Blood Urea Nitrogen), Creatine Kinase (CK), Electrolytes (Na, K, Cl), Total Testosterone, Fasting Insulin

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 (15 biomarkers)
Rp 7.106.000(≈ $400 USD · A$570)
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