Apply for Cashback - Laxmishree

Applying as a public user. Login if you are an admin.

Health Card Application ID *

Patient Type *

Patient Name *

Gender *

Age *

Father/Husband Name *

Email *

Phone *

Address *

Gram Panchayat *

Block Name *

District *

State *

Pincode *

Prescription * Accepted formats: PDF, JPG, JPEG, PNG

Check-up Report * Accepted formats: PDF, JPG, JPEG, PNG

Bill * Accepted formats: PDF, JPG, JPEG, PNG

Bank Passbook * Accepted formats: PDF, JPG, JPEG, PNG

Apply for 20% to 50% Cashback