Registration UHID(Free) Govt Hospital General, Maharishi Balmiki, HCare24-Demo

Registration UHID(Free)

Maharishi Balmiki, Govt Hospital

UHID + HSID + TOKEN

Title:( Gender )	Blood Group:
Your Name:	Father's Name:

Date of Birth :

Mobile:( WhatsApp )

UHID-Password:( 1MHeCjl6mH )

Email ID:
Occupation:

Designation:

Income :( Yearly )

Address:( Flats-no, Street-name )

Place:

State: ( Province )

Pin-code:

Country:

Aadhaar ID:

Passport ID:( Outside-INDIA Passport)

I Agree Terms & Policy

Maharishi Balmiki, Govt Hospital

UHID + HSID + TOKEN

UHID-Password:( 1MHeCjl6mH )

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