Please Login or Register before you Send the Prescription under My Account. Refresh again Your Name: Your E-mail: Prescription informationPatient Name : Patient Age : Contact No : Delivery: —Please choose an option—Collected from Union place - Colombo 02Colombo 02Colombo 03Colombo 04Colombo 05Colombo 06Colombo 07Colombo 08Colombo 09Colombo 10Colombo 11Colombo 12Colombo 13Colombo 14Colombo 15Ethul KotteNawalaNugegodaPita KotteRajagiriyaWelikadaDehiwalaKalubowilaKohuwalaMount-LaviniaNedimalaBattaramullaKolonnawaKoswatteKottawaMalabePannipitiyaPeliyagodaRagamaThalawathugodaWattalaOthersPlease Complete Your Delivery Address under My Account SectionAttach your Doctor’s Prescription : Your Message : Check here if you accept these Terms and ConditionsTC