Laravel - Register

MeD

Miracle Health Care

Create your account

Get healthcare services at your doorstep

Full Name

Email Address

Phone Number

Enter exactly 10 digits (e.g., 9876543210)

Date of Birth

Address

Password

Confirm Password

I agree to the Terms and Conditions

Licensed nursing professionals - Higher earning potential

Nurse Benefits:
• ₹2000/day (24h) • ₹1200/day (12h) • ₹800/day (8h)
• Licensed professional rates • Priority assignments

Full Name

Email Address

Phone Number

Enter exactly 10 digits (e.g., 9876543210)

Date of Birth

Nursing Qualification

Years of Experience

Address

Professional Documents

Upload nursing license, certificates, ID proof (PDF, JPG, PNG - Max 2MB each)

Password

Confirm Password

General support staff - Start your healthcare journey

Caregiver Benefits:
• ₹1500/day (24h) • ₹900/day (12h) • ₹700/day (8h)
• General support rates • Flexible assignments

Full Name

Email Address

Phone Number

Enter exactly 10 digits (e.g., 9876543210)

Date of Birth

Professional Qualification

Years of Experience

Address

Upload Documents

Upload your certificates, licenses, and ID documents (PDF, JPG, PNG)

Password

Confirm Password

I agree to the Terms and Conditions

Already have an account? Sign in here