DigiCon

@if (isset(session()->get('doctor')['vCentralCode'])) {{ session()->get('doctor')['vCentralCode'] }} @endif

@if (isset(session()->get('doctor')['vCentralCode']))

Logout

@endif

@csrf

@if (isset(session()->get('doctor')['vCentralCode']))

Back

@else

@endif

(Kindly fill the relevant information or tick, as appropriate. )

@if(isset(session()->get('doctor')['vCentralCode']))

Name *

@else

Name *

@endif

Registration No. *

Qualification *

Speciality *

Hospital/Clinic Address *

City *

State *

Initials *

OPD/IPD Registration No

Gender *

Male Female

Age(in Years) *

City/Town *

State *

Pulse(Per minute)

Height(in cm) *

Weight(in Kg) *

Type of skin*

Normal Sensitive Acne prone

Acne vulgaris

If any other, please specify

Systemic anti acne drug given	Frequency of application	Duration in weeks
Minoz-OD	OD BID
Any other	OD BID