Online Photo Consultation Cosmetique Lahore Pakistan


Online Photo Conslutation


If you would like to have a photo consultation with our doctors please complete the form, and upload photo or email us.

 

Tell us how to get in touch with you:

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Age At Which Your Hair Loss Began:    

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Current Age:

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Relevant Medical History Or One That Might Affect Hair Transplant Surgery ( Such As Diabetes ):

Previous Hair Transplant Procedures Or Other Types Of Their Restoration Surgery. Please Indicate Type Of Procedures And Date (If Known).

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Attach Photos (Front View, Side Views, Back View)

 ( All Photos Must Be in .jpg or gif Format )
Attach File:
Valid Attachment Types: .zip, .rar, .txt, .doc, .jpg, .png, .gif, .odt, .xml
Max size per file: 1024 kb.
Max combined file size: 2048 kb.

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Gulberg Branch   |  Institute Cosmetique DHA  |  Johar Town Branch |  by Prof. Dr. Azim Jahangir Khan  | 

 

Prof. Dr. Azim Jahangir Khan, serving Ohio, New Jersey, Lahore, Karachi, Islamabad and all surrounding areas in Pakistan.

New Jersey  | 182 - South Street | Morristown | NJ 07960 |

Ohio  | 650 - Shawan Falls Drive | Dublin | OH 43017-2100 |

Lahore: ๐Ÿ“DHA Flagship Clinic: 190 DD, next to Jamia Mosque, DHA Phase 4 Block, Commercial Area DHA, Lahore, 54000 | Pakistan | Tel โ˜Ž๏ธ: +92-42-3589-4211 | 3589-4212 | 3569-4221 | 3569-4222

Lahore: ๐Ÿ“Ground Floor, 34 MM Alam Rd, Block B1 Gulberg III, Lahore, Punjab 54600 |Pakistan |Tel โ˜Ž๏ธ: 0313-477-0006 | 3589-4222 | 3569-4221 | 3569-4222

Lahore: ๐Ÿ“ 445 Main Blvd, Block G4 Phase 2 Johar Town, Lahore, Punjab 54782 | Near Khokhar Chowk | Lahore | Pakistan |Tel โ˜Ž๏ธ: +92-42-3546-3885 | 35463886-4222 | 3530-0069 | 3530-0070

UAN โ˜Ž๏ธ 03-111-077-111. | Mobile โ˜Ž๏ธ: +92-300-477-0006 | โ˜Ž๏ธ: +92-301-477-0006โ˜Ž๏ธ: +92-303-477-0006

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