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Please Login or Register before you Send the Prescription under My Account. Refresh again Your Name: Your E-mail: Prescription information Patient Name : Patient Age : Contact No : Delivery: ---Collected from Union place - Colombo 02Colombo 02Colombo 03Colombo 04Colombo 05Colombo 06Colombo 07Colombo 08Colombo 09Colombo 10Colombo 11Colombo 12Colombo 13Colombo 14Colombo 15Ethul KotteNawalaNugegodaPita KotteRajagiriyaWelikadaDehiwalaKalubowilaKohuwalaMount-LaviniaNedimalaBattaramullaKolonnawaKoswatteKottawaMalabePannipitiyaPeliyagodaRagamaThalawathugodaWattalaOthers Please Complete Your Delivery Address under My Account Section Attach your Doctor’s Prescription : Your Message : Check here if you accept these Terms and Conditions TC Δdocument.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() );
