{{model.PatientId ? 'Update SSU Patient':'New SSU Patient Registration'}}

Patient Information

First Name is required First Name must be less than 30 characters
Middle Name must be less than 30 characters
Last Name is required Last Name must be less than 30 characters
Age is required
Gender is required
Primary Phone is not proper Primary Phone is required
Country is required
{{GeneralFieldLabel.DistrictState}} is required

SSU Information

Target Group is required