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Please fill out the form below to
register your name in our records. On successful completion of the registration
process, you will be able to utilise our Services for consultation with our
physicians, Room booking, Medicine order etc.
Please note the following points
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Fields marked *
are compulsory
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Please do not start your name with initials or salutations like Mr, Mrs, Dr, Ms
etc.
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You should mention the patient name against the column “Patient name” and not
the name of the guardian or name of the person who is communicating with Arya
Vaidya Sala
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Choose a user name that can contain up to 10 characters and should not contain
spaces
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Choose a password not exceeding 15 characters and should not contain spaces.
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The password is case sensitive.
Already a member?
If you have already registered through our website,
Click Here to log-in.
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