Registration
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Owner/ Manager Mobile Number
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OTP
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Name of Clinic/Pharmacy/Lab*
Name of Owner/Manager*
Contact and Whatsapp no of Front desk/manager
Email Id of the Clinic/Lab/Pharmacy
Create Password
Confirm Password
House no., Building Name *
Pincode
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Current Location
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Type of Set up
Clinic
Pharmacy
Hospital
Labs/Diagnostics
Other
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