VaidyaSathi - Doctor Appointment Portal - Doctor Appointment Portal

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Doctor Self Registration - VaidyaSathi

🩺 Doctor Self Registration Portal

Join our healthcare platform by completing the self-registration form below.

Primary Identity & Professional Info

First Name *

Last Name *

Qualification *

Experience *

Overall Specialization / Department(s) * (Multiple Choice Dropdown)

Medical Reg. No *

Care of (C/O) *

Date of Birth *

Mobile Number *

Email Address *

Permanent Address Details

VTC *

Post Office (P.O.) *

Police Station (P.S.) *

District *

PIN Code *

Country *

Physical Chambers, Specializations, Token Limits & Fees

Chamber Venue #1

State *

District *

Chamber / Clinic Name *

Address Line 1 *

Address Line 2

VTC *

Post Office (P.O.) *

Police Station (P.S.) *

PIN Code *

Chamber Contact Phone *

Consultation Fee (₹) *

Start Time *

End Time *

Specializations Available in This Chamber *

Available Days & Token Limit per Day *

Sunday

Token / Slot Limit:

Monday

Token / Slot Limit:

Tuesday

Token / Slot Limit:

Wednesday

Token / Slot Limit:

Thursday

Token / Slot Limit:

Friday

Token / Slot Limit:

Saturday

Token / Slot Limit:

KYC & Verification Documents (Passport Photo, Signature & Certificates)

Passport Photo * (< 100KB)

Doctor Signature * (< 50KB)

National ID / Doc * (< 500KB)

Voter ID Doc * (< 500KB)

Medical Reg. Cert * (< 500KB)

🩺 Doctor Self Registration Portal

Primary Identity & Professional Info

🔐 Enter 6-Digit OTP

Permanent Address Details

Physical Chambers, Specializations, Token Limits & Fees

Chamber Venue #1

KYC & Verification Documents (Passport Photo, Signature & Certificates)