MediScriptRx Pro
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MedScript Pro
Doctor Registration
Join our platform to create digital prescriptions
Full Name *
Email Address *
Phone Number *
Medical Registration Number *
Qualifications
Specialization
Clinic/Hospital Name
Clinic Address
Medical License Copy
Upload your medical license (PDF, JPG, PNG - Max 5MB)
Digital Signature
Upload your signature image (PNG, JPG - Transparent background recommended)
Clinic Logo (Optional)
Upload your clinic logo (PNG, JPG - Will be shown on prescriptions)
Consultation Validity Period
1 Day
2 Days
3 Days
7 Days
15 Days
30 Days
Prescriptions will be valid for free consultation within this period
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Minimum 6 characters
Confirm Password *
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