Professional Registration

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Basic

Professional

Location

Availability

Verification

Payment

Basic Credentials

Profile Photo

JPG/PNG only, Max 2MB.

Full Name

Minimum 3 characters (alphabets only).

Email Address

Valid email required.

Phone Number *

Valid 10-digit Indian phone number is required.

Gender

Please select gender.

Account Password

Min 6 characters with 1 uppercase letter and 1 number.

Please complete all required fields above to continue.

Professional Expertise

Medical Registration Number

Registration number is required.

Years of Experience

Experience must be 0-50 years.

Primary Specialization

Select your specialization.

Qualification

Select your highest qualification.

Hospital / Clinic Name

Minimum 3 characters required.

Clinic Location

Detailed Practice Address

Detailed address is required.

City

City name (alphabets only).

State

State name (alphabets only).

Pincode

Valid 6-digit Indian pincode.

Practice Hours

Working Days

MON TUE WED THU FRI SAT SUN

Select at least one day.

Shift Start Time

Start time required.

Shift End Time

End time must be after start time.

Identity Verification

Medical License / Registration Proof (PDF/IMG)

Required: JPG, PNG or PDF (Max 2MB).

Government ID Proof (PDF/IMG)

Required: JPG, PNG or PDF (Max 2MB).

Highest Degree Certificate (PDF/IMG)

Required: JPG, PNG or PDF (Max 2MB).

Final Setup

Consultation Fee (₹)

Must be a positive amount.

UPI ID for Payouts

Invalid format (e.g., name@bank).