Upload Your Prescription

Fill in your details, upload files, and choose how you'd like to proceed.

1 Customer Information

Full Name *

Mobile Number *

Email Address (optional — for confirmation)

Delivery Address *

City *

State *

PIN Code *

2 Upload Prescription Files

Accepted: JPG, JPEG, PNG, PDF · Max 10 MB per file · Multiple files allowed

Drag & drop files here

or browse from device

JPG, JPEG, PNG, PDF — up to 10 MB each

3 How would you like to proceed?

Order All Medicines

I want all medicines mentioned in my prescription.

Select Manually

I only want specific medicines from my prescription.

Call Me

I'd like a pharmacist to call me before placing my order.

4 Notes & Consent

Additional Notes (optional)

Your data is encrypted and stored securely.