Patient Registration
Full Name
*
Email Address
*
Password
*
Confirm Password
*
Phone
(Format: +254710123456 or 0710123456)
We'll automatically convert to +254 format for WhatsApp
Please enter a valid Kenyan phone number starting with +254 or 0
Birth Date
*
Address
Gender
*
Select Gender
Male
Female
Blood Group
Unknown
A+
A-
B+
B-
O+
O-
AB+
AB-
Patient Weight (kg)
Patient Height (cm)
Profile Image
Select Image to Upload
Create Patient Account
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