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Patient
Patient Registration
Nurse
Nurse Registration
Caregiver
Caregiver Registration
Full Name
Email Address
Phone Number
+91
Enter 10-digit Indian mobile number (e.g., 9876543210)
Date of Birth
Address
Pincode
*
Enter your 6-digit Indian pincode (e.g., 462001)
Password
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Full Name
Email Address
Phone Number
+91
Enter 10-digit Indian mobile number (e.g., 9876543210)
Date of Birth
Nursing Qualification
Select Qualification
GNM (General Nursing & Midwifery)
B.Sc Nursing
M.Sc Nursing
ANM (Auxiliary Nurse Midwife)
Other
Years of Experience
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0-1 years
1-3 years
3-5 years
5-10 years
10+ years
Pincode
*
Enter your 6-digit Indian pincode (e.g., 462001)
Password
Confirm Password
Address
I agree to the
Terms and Conditions
Register as Nurse
Full Name
Email Address
Phone Number
+91
Enter 10-digit Indian mobile number (e.g., 9876543210)
Date of Birth
Professional Qualification
Years of Experience
Select Experience
0-1 years
1-3 years
3-5 years
5+ years
Pincode
*
Enter your 6-digit Indian pincode (e.g., 462001)
Password
Confirm Password
Address
I agree to the
Terms and Conditions
Register as Caregiver
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