Account Information
Dr. {{docAcInfo[1]}} {{docAcInfo[2]}} {{docAcInfo[3]}}
Email:
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Mobile No.
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Created On
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Update Profile Details
Upload Photo
First Name
*
First Name is required.
First Name has to be less than 24 characters long.
Only character.
Middle Name
Middle Name is required.
Middle Name has to be less than 1 characters long.
Only character.
Last Name
*
Last Name is required.
Last Namee has to be less than 24 characters long.
Only character.
Email Id
*
Email Id is required.
Email Id has to be less than 30 characters long.
Mobile No.
*
Mobile No is required.
Mobile No has to be less than 13 characters long.
DOB(YYYY-MM-DD)
*
Date of Birth is required.
Registration Number
*
Registration Number is required.
Organization Name
Practice in year
*
Practice in year is required.
Invalid format.
Gender
Male
Female
Others
This field is required
Address1
*
Address is required.
Address has to be less than 120 characters long
Latitude
Longitude
City
*
City is required.
Invalid format.
State
*
State is required.
Invalid format.
COUNTRY
*
Pincode
*
Pincode is required.
Number only.
Pincode has to be less than 6 digits long
Address2
Address is required.
Address has to be less than 120 characters long.
Latitude
Longitude
City
City is required.
Invalid format.
State
State is required.
Invalid format.
COUNTRY
Pincode
Pincode is required.
Number only.
Pincode has to be less than 6 digits long
About
*
Description is required.
Description has to be less than 500 characters long.
Specialization
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This field is required
Invalid format.
Speciality Name has to be less than 200 characters long.
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Education
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Degree
Degree is required.
Invalid format.
Degree Name has to be less than 64 characters long.
Institute
University is required.
Invalid format.
Degree Name has to be less than 64 characters long.
Year
Year is required.
Year has to be less than 4 characters long.
Year has to be 4 digit.
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Language
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This field is required
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How to get paid
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Account Name -
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Phone Number -
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Email -
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Recipient Name -
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Account Name -
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Phone Number -
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Email -
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Account Name -
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Phone Number -
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Email -
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Account Name -
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Phone Number -
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Email -
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Do you make it default?
Yes
Yes
Paypal
Paytm
Google Pay
Apple Pay
Direct (Comming Soon)
Set for paypal payment
Name
*
Name is required.
Phone Number
*
+91
+1
+880
Prefix is required.
Paypal Phone Number is required.
Must be a valid 10 digit phone number
Invalid.
Email
*
Email is required.
Invalid:This is not a valid email.
Recipient Name
*
Recipient Name is required.
Set for paytm payment
Name
*
Name is required.
Phone Number
*
+91
+1
+880
Prefix is required.
Paytm Phone Number is required.
Must be a valid 10 digit phone number
Email
*
Email is required.
Invalid:This is not a valid email.
Set for Google Pay Account
Name
*
Name is required.
Phone Number
*
+91
+1
+880
Prefix is required.
Google Pay Phone Number is required.
Must be a valid 10 digit phone number
Email
*
Email is required.
Invalid:This is not a valid email.
Set for Apple Pay Account
Name
*
Name is required.
Phone Number
*
+91
+1
+880
Prefix is required.
Apple Pay Phone Number is required.
Must be a valid 10 digit phone number
Email
*
Email is required.
Invalid:This is not a valid email.
Set for Direct Payment
Deposit
Cheque/Check
Account holder Name
*
Holder Name is required.
Account Number
*
Account Number is required.
Retype Account Number
*
Re-enter Account Number is required.
Account number do not match
Do not match your account number.
Bank Name
*
Bank name is required.
IFSC Code/Rounting
*
IFSC Code is required.
PAYEE NAME
*
Payee Name is required.
ADDRESS
*
Address is required.
City
*
City is required.
Invalid format.
State
*
State is required.
Invalid format.
COUNTRY
*
Zipcode/Pincode
*
Pincode is required.
Number only.
Pincode has to be less than 6 digits long
Social Media Site
{{elemnt[3]}} - {{elemnt[2]}}
Social Site
Page Link
Link is required.
Invalid format.
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