Step 1 of 4

Step 1: LABORATORY INFORMATION

Laboratory Name

Address

Phone Number

Email Address

Password

Confirm Password

Passwords do not match.

Next

Step 2: Clinic Information

Registration No.

Please enter a valid vehicle registration number.

Establishment Year Year of Establishment

Please enter Year of Establishment.

Previous Next

Step 3: Upload Documents

Registration Document

Medical License

Previous Next

Step 4: Bank Details

Bank Name

Account Number

IFSC Code

Account Holder Name

Previous Submit