Hospital Patient Registration System

Patient Registration Dashboard

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Total Patients

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Today's Registrations

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Active Appointments

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Emergency Cases

Register New Patient

Add a new patient to the system

View Patient Records

Browse and manage existing patients

Export Data

Download patient records

Patient Registration Form

Personal Information

Full Name *

Please provide a valid full name.

Age

Gender *

Please select a gender.

Date of Birth

Phone Number

Address

Medical Information

Blood Group

Height (cm)

Weight (kg)

BMI

Allergies

Current Medications

Medical History

Emergency Contact

Contact Name *

Please provide emergency contact name.

Relationship

Emergency Phone

Insurance Details

Insurance Provider

Policy Number

Coverage Type

Visit Information

Department *

Please select a department.

Doctor Preference

Visit Type

Appointment Date & Time

Patient Management

Patient ID	Name	Age	Gender	Phone	Department	Registration Date	Actions

Patient Registration Dashboard

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Register New Patient

View Patient Records

Export Data

Personal Information

Medical Information

Emergency Contact

Insurance Details

Visit Information

No patients found

Patient Details

Edit Patient Information

Personal Information

Confirm Deletion