Payment Option:


Bank Details:


Beneficiary Name : ASSOCIATION OF OTOLARGYNGOLOGISTS OF LUCKNOW
Bank A/C Number. : 683220110000360
Name of the Bank : BANK OF INDIA
Branch Address : ALAMBAGH, LUCKNOW
IFSC Code : BKID0006832


Scan here to pay

: Merchant Name :
ASSOCIATION OF OTOLARYNGOLOGIST

Name*
EMAIL ADDRESS*
pHONE NUMBER*
Corresponding Address*
State*
Pincode*
Accompanying Person (Spouse/Child)*
Type*
Catagory*
Date with price*
Transaction ID *
Transaction Screenshot*