Doctor's
Registration Form

Join Gujarat's Largest Network of
Home Visiting Doctors

I am a

Name

Registration No. (Govt. Gujarat)

Degree

Total Experience ( Minimum 1 Year Experience Required )

Home Visit Time

Home Visit Charge ( Do Not Write : ₹ 200 To ₹ 350 )

City

Home Visit Area (s)

Mobile

Professional Photo (only jpg, jpeg, png file)
તમારો પ્રોફેશનલ ફોટો જ મોકલવો. જેમાં તમારો આખો ચહેરો દેખાતો હોવો જોઈએ જેથી પેશન્ટ તમને ઓળખી શકે.

Registration Certificate OR Degree Certificate

Reel (Optional) (Max 60 Sec - To reach more patients)

Portal Charge : Rs. 5,000/- (For 1 Year)
DSD Discount : - Rs. 5,000/-
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Total Payable Amount : Rs. 00/- (For 1 Year)
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I want to join DSD. Please add my details for 1 Year.

ફોર્મ ભરતી વખતે જો કોઈ પ્રોબ્લેમ આવે કે કોઈ પ્રશ્ન હોય તો તરત જ 8511 00 3339 સંપર્ક કરવો.

Doctor's Registration Form

Join Gujarat's Largest Network of Home Visiting Doctors

Doctor's
Registration Form

Join Gujarat's Largest Network of
Home Visiting Doctors