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Passport Name *

Gender *

Date of birth(dd/mm/yy) *
Email *
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Surgery History *

Include the surgery history, allergy, Be as specific as possible. *
Date for Surgery(dd/mm/yy) *

Promotion Info

RUBY Plastic Surgery
Incision Ptosis correction+ Canthoplasty
$2,966 $4,195

Final Settlement Info

Price
4,195 $
Discout price
1,229 $
VATPrice
0 USD

The amount due
2,966 $