Sahajeevanam Health Care Application

Hi user, please enter your details here for registration.


Required. Enter valid First Name


Required. Enter valid Last Name


Required. Enter valid age


Required. Select Gender type


Required. Enter valid Contact Number (10 Digits [0-9])


Required. Inform a valid email address.



Required. Enter valid Blood Group


Required. Enter valid Height


Required. Enter valid Weight


  • Your password can't be too similar to your other personal information.
  • Your password must contain at least 8 characters.
  • Your password can't be a commonly used password.
  • Your password can't be entirely numeric.


Enter the same password as before, for verification.



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