Online Skin Consultation Skin consultation with Dr RajeevConsultation fee ₹ 500Please enable JavaScript in your browser to complete this form.Name *Mobile Number for digital consultation *Age *GenderMaleFemaleOtherEmailYour Primary Concern *Skin EruptionsDark PatchWhite PatchAnti-AgeingHair FallSTD / EDOthersAssociated SymptomsItchingPainBurningDrynessWrinklesLoose SkinOthersBody Parts Involved *FaceScalpHairNailsBackChestTummyArmsLegsBottomGroinGenitalsOthersHow long have you had this Condition *Few DaysFew WeeksFew MonthsFew YearsDescribe your concernMode of Payment *PaytmQR Code ScanOnline Bank TransferNoneTransaction ID of PaymentCheck below *I consent for tele-consultation with Dr RajeevWebsiteSubmit Payment mode detailsConsultation fee ₹ 500 QR Code Scan Paytm9810521212 Online Bank TransferRajeev R SrivastavHDFC Bank Current A/C 50200028100250 IFSC: HDFC0001662
