Registration For Doctors / Patients

Type *

Upload Certificate * (Maximum file upload size 25mb)

Logo

(Maximum file upload size 25MB)

Upload Signature (Maximum file upload size 25mb)

Qualification *

Clinic Pics

(Maximum file upload size 25mb)

Upload More

Clinic Timing

TO

(press ctrl key and select for multiple selection)

TO

By appointment only

Patient Inspection Time

Diagnosis

Treatment

Charges

Upload Certificate * (Maximum file upload size 25mb)

Category1*

(Enter 10 digit cell no.)

Category2*

No. of Consulting Rooms *

Qualification *

Pharmacy name *

Clinic name *

No. of Consulting Rooms *

Clinic name *

First Name *

Last Name *

ISD Code *

Mobile No. *

ISD Code *

Mobile No. *

Regn. No.

Email *

Gender *

Date Of Birth *

Address *

Pin Code *

City *

State *

Country

GST Number

Password *

Confirm Password *

Membership	Doctor Indian	Subscription	Tax	Total
	Annual membership	1200	216	1416
	Annual membership + SMS	2000	360	2360

Membership	Doctor	Total
	Annual Membership	30 US$

Membership	Medical Student	Subscription	Tax	Total
	Annual membership	1000	180	1180

Membership	Medical Student	Total
	Annual Membership	25 US$

I have read and agree to Terms and Condtions & Privacy Policy

Please prove you are human by selecting the Plane.

eSynapse

Digital platform offering bouquet of services for Healthcare partners like Doctors, Patients, Pharmacies and Pathology Labs. By creating an account you’ll have 24/7 access to a wide range of information to help you take an active role in your Practice / health care.

Terms of Use

Privacy Policy

Cookies Policy

Sitemap

Subscribe Us

Email us on mitrasinfotech@gmail.com to receive our latest updates

Secured Site

Copyright © 2019 eSynapse.in All rights reserved. Maintained by Mitra's Infotech LLP.