Use this form to pay for services at Dentist On Wheels. Unique IDName(Required) First Last Email(Required) Phone Number(Required)Order ID/ Purpose of Payment(Required) Professional Fee (SAC: 999312)(Required) Note: Maximum amount of 1 Lakh per transaction only. Payment Gateway Transaction Fees (inclusive GST) would be added automatically.Payment Method UPI Credit & Debit Card Netbanking ZestEMI Lazypay Total HiddenPayment Date HiddenTransaction Type HiddenPayment Status HiddenTransaction ID
