{"id":1896,"date":"2023-07-31T22:50:20","date_gmt":"2023-07-31T16:50:20","guid":{"rendered":"https:\/\/patientpointbd.com\/?page_id=1896"},"modified":"2025-11-05T22:36:04","modified_gmt":"2025-11-05T16:36:04","slug":"registration","status":"publish","type":"page","link":"https:\/\/patientpointbd24.com\/?page_id=1896","title":{"rendered":"Registration"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1896\" class=\"elementor elementor-1896\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b97be0b e-flex e-con-boxed e-con e-parent\" data-id=\"b97be0b\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-35441b6 exad-sticky-section-no exad-glass-effect-no elementor-widget elementor-widget-text-editor\" data-id=\"35441b6\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4><img decoding=\"async\" class=\"alignnone size-medium wp-image-1773\" src=\"https:\/\/patientpointbd.com\/wp-content\/uploads\/2023\/07\/Logo-File-PNG-1-300x74.png\" alt=\"\" width=\"300\" height=\"74\" srcset=\"https:\/\/patientpointbd24.com\/wp-content\/uploads\/2023\/07\/Logo-File-PNG-1-300x74.png 300w, https:\/\/patientpointbd24.com\/wp-content\/uploads\/2023\/07\/Logo-File-PNG-1-1024x253.png 1024w, https:\/\/patientpointbd24.com\/wp-content\/uploads\/2023\/07\/Logo-File-PNG-1-768x190.png 768w, https:\/\/patientpointbd24.com\/wp-content\/uploads\/2023\/07\/Logo-File-PNG-1-200x49.png 200w, https:\/\/patientpointbd24.com\/wp-content\/uploads\/2023\/07\/Logo-File-PNG-1-600x148.png 600w, https:\/\/patientpointbd24.com\/wp-content\/uploads\/2023\/07\/Logo-File-PNG-1.png 1270w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 Online Registration<\/h4>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6d66709 e-flex e-con-boxed e-con e-parent\" data-id=\"6d66709\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-e9f8f46 e-con-full e-flex e-con e-child\" data-id=\"e9f8f46\" data-element_type=\"container\">\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-cab3cc9 e-con-full e-flex e-con e-child\" data-id=\"cab3cc9\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2dfe46c elementor-button-align-stretch exad-sticky-section-no exad-glass-effect-no elementor-widget elementor-widget-form\" data-id=\"2dfe46c\" data-element_type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"Register\" aria-label=\"Register\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"1896\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"2dfe46c\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Registration - PatientPointbd24\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"1896\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_9402789 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_9402789\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tName\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_9402789]\" id=\"form-field-field_9402789\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Your Full Name\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-name elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tJob position\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Your Jov position\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_65161e3 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_65161e3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCompany\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_65161e3]\" id=\"form-field-field_65161e3\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Your Company\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_73771b6 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_73771b6\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPhone Number\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[field_73771b6]\" id=\"form-field-field_73771b6\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Your Phone Number\" required=\"required\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_71d1521 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_71d1521\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEmergency Contact Number\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[field_71d1521]\" id=\"form-field-field_71d1521\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Your Emergency Contact Number\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-field_9378304 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_9378304\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEmail\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[field_9378304]\" id=\"form-field-field_9378304\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Your Email Adress\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_9378304 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_9378304\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhatsApp\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[field_9378304]\" id=\"form-field-field_9378304\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Your WhatsApp no\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_7aeddcc elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_7aeddcc\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tJob\/Address\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_7aeddcc]\" id=\"form-field-field_7aeddcc\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Holding no- \/ Village \" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_63c7224 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_63c7224\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPost Code\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_63c7224]\" id=\"form-field-field_63c7224\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Post Code\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_2b01c39 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2b01c39\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tThana\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_2b01c39]\" id=\"form-field-field_2b01c39\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"Select your Thana\">Select your Thana<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Alfadanga Upazila\">Alfadanga Upazila<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Baliakandi Upazila\">Baliakandi Upazila<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Bhanga Upazila\">Bhanga Upazila<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Bhedarganj  Upazila\">Bhedarganj  Upazila<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Boalmari Upazila\">Boalmari Upazila<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Charbhadrasan Upazila\">Charbhadrasan Upazila<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Damudya  Upazila\">Damudya  Upazila<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Dasar Upazila\">Dasar Upazila<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Faridpur Sadar Upazila\">Faridpur Sadar Upazila<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Goalanda Upazila\">Goalanda Upazila<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Gopalganj Sadar Upazila\">Gopalganj Sadar Upazila<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Kalkini Upazila\">Kalkini Upazila<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Kalukhali Upazila\">Kalukhali Upazila<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Kashiani Upazila\">Kashiani Upazila<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Kotalipara Upazila\">Kotalipara Upazila<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Madhukhali Upazila\">Madhukhali Upazila<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Madaripur Sadar Upazila\">Madaripur Sadar Upazila<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Magura Sadar Upazila\">Magura Sadar Upazila<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Mohammadpur Upazila\">Mohammadpur Upazila<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Muksudpur Upazila\">Muksudpur Upazila<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Nagarkanda Upazila\">Nagarkanda Upazila<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Naria  Upazila\">Naria  Upazila<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Pangsha Upazila\">Pangsha Upazila<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Rajbari Sadar Upazila\">Rajbari Sadar Upazila<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Rajoir Upazila\">Rajoir Upazila<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Sadarpur Upazila\">Sadarpur Upazila<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Saltha Upazila\">Saltha Upazila<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Shalikha Upazila\">Shalikha Upazila<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Shibchar Upazila\">Shibchar Upazila<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Shariatpur Sadar  Upazila\">Shariatpur Sadar  Upazila<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Sreepur Upazila\">Sreepur Upazila<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Tungipara Upazila\">Tungipara Upazila<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Zajira Upazila\">Zajira Upazila<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_1a988c5 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_1a988c5\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDistrict\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_1a988c5]\" id=\"form-field-field_1a988c5\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"Select your District\">Select your District<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Faridpur\">Faridpur<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Rajbari\">Rajbari<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Magura\">Magura<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Madaripur\">Madaripur<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Gopalgonj\">Gopalgonj<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Shariatpur\">Shariatpur<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_063c155 elementor-col-30\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_063c155\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tBlood group\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_063c155]\" id=\"form-field-field_063c155\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"Select Blood group\">Select Blood group<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"AB+\">AB+<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"AB-\">AB-<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"A+\">A+<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"A-\">A-<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"B+\">B+<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"B-\">B-<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"O+\">O+<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"O-\">O-<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_2a080fe elementor-col-30 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2a080fe\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDate of birth\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_2a080fe]\" id=\"form-field-field_2a080fe\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" placeholder=\"Date of birth\" required=\"required\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_36d2d94 elementor-col-40 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_36d2d94\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGender\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Male\" id=\"form-field-field_36d2d94-0\" name=\"form_fields[field_36d2d94]\" required=\"required\"> <label 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