Patient Registration - Register to Book Online Appointment, Uplaod Personal Health Record, Online Consultation.

This is a demo site

+91 9830351445

Please contact nearest remote care center or TRXi support for registration

First Name*

Middle Name

Last Name*

Gender*

Male Female Others

Date of Birth*

Age in Years

*If date of birth is not remembered then enter age

Email ID

Mobile Number*

+91

Preffered Language*

Address*

Country*

State*

District*

City/Town

Pin Code*

Aadhar Card Number

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