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Her Form Online Custom Package
Lab Test Package

Custom Lab Panel (4 biomarkers)

Rp 1.793.000(≈ $99 USD · A$140)

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

Custom Lab Panel — 4 biomarkers selected on the Her Form custom builder.

Included biomarkers (4):

  • TSH (TSH) — Rp 451.000
  • Free T4 (Thyroxine) (Free T4 (Thyroxine)) — Rp 585.000
  • Free T3 (Triiodothyronine) (Free T3 (Triiodothyronine)) — Rp 700.000
  • Fasting Glucose (Fasting Glucose) — Rp 57.000

Total: Rp 1.793.000

TSH, Free T4 (Thyroxine), Free T3 (Triiodothyronine), Fasting Glucose

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 (4 biomarkers)
Rp 1.793.000(≈ $99 USD · A$140)
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