Doctor Registration

First Name*
Surname*
Upload Profile Image
Sex*
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Date Of Birth*
Work Address*
State*
City*
Locality*
Landmark
Postal Code*
Working Days
Working Time
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Map
Please choose your exact location on the map by placing the pin at the appropriate place. Kindly ensure that the location is accurate as the patient will be displayed this map, which will guide him to you

Mobile Number*
Landline Number
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Email ID*
Medical Qualification
I am Qualified to Treat
Drugs Alcohol Smoking Other
Medical Registration No
State where registered
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Password Confirmation*
Current consultation fee
Rs. INR
How did you discover this service?*

Would you like to be trained in treating drug / Alcohol / Smoking / Other dependent patients?
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Treatment Locator