Health Card — Dhanvantari Health & Social Welfare Organization

Plans & Rates

Choose Plan

वार्षिक स्वास्थ्य कार्ड

₹365.00 / 12 Months

Scan QR to transfer the fee. Mention details in application form.

Please complete the form accurately. Fields marked with * are required.

Select Health Scheme *

Card Holder Full Name *

Father's / Husband's Name *

Contact Mobile Number *

WhatsApp Number

Email Address

Date of Birth *

Gender *

Blood Group *

Holder Profile Photo *

JPG, PNG or WebP only (Max 2MB)

Aadhar Card Upload * (PDF/JPG/PNG)

PDF, JPG, PNG only (Max 2MB)

Complete Permanent Address *

City *

State *

Pincode *

Nominee Name *

Relation *

Nominee Phone *

Referral Code

If you were referred by an existing member, enter their referral code here.

Fee Amount (₹)

Payment Mode *

Txn / Payment ID *