HealthBooking | State-of-the-Art Healthcare Platform

Full Name

Gender

Date of Birth

Phone Number

Email Address

Profile Picture (Optional)

Password

Confirm Password

Ambulance Type: Select the type of ambulance you operate.

Please select an ambulance type.

Vehicle Registration No. E.g., MH12AB1234

Please enter a valid vehicle registration number.

Years of Experience Enter the total years of experience in this field.

Please enter your years of experience.

Vehicle Registration Document

Driving License

Bank Name

Account Number

IFSC Code

Account Holder Name

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