Cognivia

Appointment Booking Form
Book Your Appointment
Fill in your details below to schedule a session
Appointment Fee: ₹1500 (Pay via UPI after booking)
Your appointment has been booked successfully!
Please enter your full name
Please enter a valid age
Please select your gender
Please enter a valid 10-digit phone number
Please select a service
Please select a date
Please select a time slot
Please describe your reason
Pay ₹1500 via UPI

Pay after booking confirmation

UPI QR - ₹1500 Click to Pay ₹1500
UPI ID: payaljaiswal169@oksbi
Scan or Click → Pay → Success Popup
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