SYNGAMY · FRONT OFFICE

New patient registration

One connected journey. Four simple steps.

◈ Interactive design preview · All people and records are fictional. Changes are not saved.

1
ClassificationType & referral
2
Patient detailsIdentity & contact
3
Visitor markingPurpose & doctor
4
BillingServices & payment

Let’s start with the patient type

Choose the profile that best describes this registration.

♡CoupleOne linked couple profile♀Female donorFemale donor registration♂Male donorMale donor registration◉IndividualSingle-patient profile⌂CampCamp-linked registration

Referral source *

Branch / location

UHID will be assigned after activation. Donor prefixes and the shared Couple / Camp numbering policy are awaiting confirmation.

Bring the visit together

Preview the bill and payment details. No financial transaction will occur.

SERVICE	QTY	RATE (₹)	AMOUNT
Service details			₹0

Discount request

Discount type

Requested value

Discount reason

Pending discount requests do not reduce the payable amount.

Payment collection

Split and partial payment layouts are shown for review.

ModeAmount (₹)Reference

New patient registration

Let’s start with the patient type

The person behind the profile

Patient information

Upload Aadhaar document

Spouse / partner information

What brings them in today?

Bring the visit together

Discount request

Payment collection

Your design walkthrough is complete

Preview

New patient registration

Let’s start with the patient type

The person behind the profile

Patient information

Upload Aadhaar document

Spouse / partner information

What brings them in today?

Bring the visit together

Services & consultation

Discount request

Payment collection

Your design walkthrough is complete