Asad Medics

Choose the appropriate category for the patient registration:

Regular: For individual patients who are not part of any family or corporate plan. Regular patients pay for services directly and are not covered under any group or corporate scheme.
Family: For patients who are part of a family plan. The registrant under this category is considered the primary patient. Dependents (e.g., spouse, children) will be registered afterward under the primary patient's account.
Corporate: For patients who are covered under a corporate health plan. Corporate plans are typically sponsored by employers and provide healthcare benefits to employees and their dependents.

Patient Category*

First Name *

Other Names

Last Name *

Date of Birth *

Gender*

Male

Female

Blood Group*

Contact Address

Phone Number *

Email ID *

Password*

Confirm Password*

Registered with NHIS? *

Yes No

NHIS *

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