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Her Form
Her Form Custom Lab Panel
Lab Test Package

Custom Lab Panel (19 biomarkers)

Rp 6.863.000(≈ $420 USD · A$650)

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

Custom Lab Panel — 19 biomarkers selected on the Her Form custom builder.

Included biomarkers (19):

  • 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 D 25-OH (210003) — Rp 577.000
  • Cortisol (306021) — Rp 923.000
  • Homocysteine (340001) — Rp 989.000
  • Fasting Glucose (204001) — Rp 57.000
  • HbA1C (204005) — Rp 296.000
  • Cholesterol Total (203001) — Rp 88.000
  • HDL Cholesterol (203002) — Rp 117.000
  • LDL Cholesterol (203003) — Rp 173.000
  • Triglycerides (203004) — Rp 93.000
  • ALT (SGPT) (202002) — Rp 92.000
  • AST (SGOT) (202001) — Rp 92.000
  • Creatinine/eGFR (206007) — Rp 102.000

Total: Rp 6.863.000

Complete Blood Count (CBC), Ferritin, Iron (SI), TIBC, TSH, Free T4, Free T3, Vitamin D 25-OH, Cortisol, Homocysteine, Fasting Glucose, HbA1C, Cholesterol Total, HDL Cholesterol, LDL Cholesterol, Triglycerides, ALT (SGPT), AST (SGOT), Creatinine/eGFR

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 (19 biomarkers)
Rp 6.863.000(≈ $420 USD · A$650)