Online Skin Consultation Skin consultation with Dr Rajeev Consultation fee ₹ 500 Please 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 RajeevNameSubmit Payment mode details Consultation fee ₹ 500 QR Code Scan Paytm 9810521212 Online Bank Transfer Rajeev R SrivastavHDFC Bank Current A/C 50200028100250 IFSC: HDFC0001662
