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Patient Registration

Patient Name
E-mail
Password
Verify Password
Mobile No.
Address
Pincode
Country	India
State	Andaman and Nicobar IslandsAndhra PradeshArunachal PradeshAssamAustralian Capital TerritoryBiharChandigarhChhattisgarhDadra and Nagar HaveliDaman and DiuDelhiGoaGujaratHaryanaHimachal PradeshJammu and KashmirJharkhandKarnatakaKeralaLakshadweepMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandNew South WalesNorthern TerritoryOrissaPuducherryPunjabQueenslandRajasthanSikkimSouth AustraliaTamil NaduTasmaniaTripuraUttar PradeshUttarakhandVictoriaWest BengalWestern Australia
City
BPL Card	1 MB max.
Aadhaar Card	1 MB max.
Patient photo	1 MB max.
Prescription	1 MB max.