Rooh Afza syrup is generally served mixed with cold milk and ice. The closest Western equivalent is strawberry milk. The concentrate can also be mixed with water, which is a common preparation in the hot summer. When mixed with water, the final drink is a type of Sharbat. Rooh Afza syrup is often mixed with Kulfi ice cream and vermicelli noodles to make the Indian version of the popular Iranian dessert Falooda.

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