Diagnostic Center Registration

HITAISHI HEALTHCARE

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Please fill in all required information to register your diagnostic center

Email Address

Verification Code

Password

Center Name

Owner Name

Center Type

Registration Number

Phone Number

Alternate Phone

WhatsApp Number

Full Address

City

State

Pincode

Google Maps Location URL

GST Number

Home Sample Collection

Opening Time

Closing Time

Services Offered

Upload Documents

PAN/Aadhaar Document JPEG or PNG (Max 2MB)

License Copy JPEG or PNG (Max 2MB)

Account Holder Name

Bank Name

Account Number

IFSC Code

UPI ID

UPI QR Code

Upload UPI QR Code JPEG or PNG (Max 2MB)