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Her Form
Her Form Custom Lab Panel
Lab Test Package

Custom Lab Panel (18 biomarkers)

Rp 6.286.000(≈ $390 USD · A$590)

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

Custom Lab Panel — 18 biomarkers selected on the Her Form custom builder.

Included biomarkers (18):

  • 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
  • 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 6.286.000

Complete Blood Count (CBC), Ferritin, Iron (SI), TIBC, TSH, Free T4, Free T3, 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 (18 biomarkers)
Rp 6.286.000(≈ $390 USD · A$590)