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Title
Doctor Category	* Required Field.
First Name	* Required Field.
Sur Name	* Required Field.
Hospital Name	* Required Field.
Hospital Address	* Required Field.
Home Address
Country
	(International Code-Area Code-Phone Number)
Home Phone	* Required Field.
Work Phone
Fax No
Mobile No
Email	* Required Field. Invalid Email Address
User Name	* Required Field.
Password	* Required Field.
Re-Password	* Required Field.