New Patient Registration
Update Details
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Patient Information
First Name
:
Middle Name
:
Last Name
:
Gender
:
--select--
Male
Female
Other
Gender is required.
Age
:
Years
Months
Days
Contact Number
:
Primary Phone is not proper
Primary Phone is required
Country
:
{{cont.CountryName}}
Country is required
{{GeneralFieldLabel.DistrictState}}
:
{{GeneralFieldLabel.DistrictState}} is required
Address
:
Maternity Information
Husband's Name
*
:
First Name is required.
Patient Height(in cm)
*
:
Height is required.
Patient Weight(in kg)
*
:
Weight is required.
1
st
dayOf Last Menstruation
*
:
Expected Date of Delivery
*
:
OBS history
:
Register
Update Details