MocDoc Customer Signup

Using Customer account, you can do following,

Using this account you can schedule appointment with doctors.

You can connect with doctors, hospitals or health articles/journals.

You can request for admin access. Once granted, you can manage entities like hospital/clinic,pharmacy,optical,lab,bloodbank.

*  (mandatory fields)
Personal Details
Your name
Your last name or Initials
Date of Birth dd/mm/yyyy format, for ex. 28/12/1988
Choose gender
Choose Bloodgroup (Choose A+ for A1+ or A2+ and Choose A- for A1- or A2-)
Contact Details
10 digit mobile number,ex:9999900000
Email is very important, you can't change once you provide it, it should be unique
Confirmation email, it should be same as the email field above
Password with combination of numbers, upper and lower case letters are considered strong
Same as above
Enter Text appear in image