BRAIN BOOSTER PROGRAM - Inquiry Form
Welcome to KANAKAVEDA AYURVEDA ! Please fill up this inquiry form to get information from our team & book your appointment as per availability.
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Child's Name
*
First
Middle
Last
Age
*
Age limit for this treatment is 18 years.
would detail Program
City / Town
*
Mobile Number
*
You want to consult Dr. Ashish Gaikwad
*
Mumbai
Online
I would like to take appoint for
1st Sunday / 3rd Sunday
2nd Saturday / 4th Saturday
Please Select A Program from below, according you will get detail information. ( This is just for your information, after consultation you can pay in cash / online)
*
6 Months Program (Rs. 36000/-)
12 Months Program (Rs. 66000/-)
First Consultation - Rs. 2000/-
Submit
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