Doctor Registration

info@ajesh.co.in

9454-741-317

Doctor Registration

Doctor Basic Details

Professional Category *

Specialization (optional)

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Doctor Photo

Please upload doctor photo (Max size: 3 MB)

Personal Details

Clinic / Practice Details

Clinic Weekly Schedule & Off Rules

Jis din normal timing se alag schedule ho (jaise sirf subah, sirf shaam ya full off), use configure karein:

Sunday:

Monday:

Tuesday:

Wednesday:

Thursday:

Friday:

Saturday:

Professional Details

Please upload qualification document (Max size: 3 MB)

Please upload registration certificate (Max size: 3 MB)

I hereby declare that all the information provided by me in this registration form is true, complete, and correct to the best of my knowledge. I understand that any false or misleading information may lead to rejection or cancellation of my registration without prior notice.