Personal Details

 The USER has to fill up the patient’s details in the Personal Details form by clicking on ‘New Registration’ from the ‘Registration’ Module in the menu. 

  • The page will be redirected to the ‘Personal Details Form’ page 
  • The Patient Details form contains the following sub-modules to be filled 

              1. Basic Details 

              2. Contact Details 

              3. Referral Details 

  • Basic Details (Fields with asterisk * are mandatory) 
  • Profile Picture-Upon Clicking allows the user to upload the picture of the patient via taking a picture or uploading a picture from the Device. 
  • Title * – Select a title from the drop-down list shown. 
  • First name * – Enter the First Name of the patient. 
  • Middle Name -Enter the First Name of the patient. 
  • Last Name – Enter the Last Name of the patient. 
  • Gender * – Select the gender of the patient from the drop-down list shown. 
  • Date of Birth – Select the DOB of the patient from the calendar, which pops up upon clicking the field. 
  • Years/Month/Age – Enter the age of the patient years, month, and day-wise. 
  • Birthplace /Birth Time– Enter the Birthplace and Birth Time (For newborn babies if needed) 
  • Mobile * – Enter the mobile number of the patient. 
  • Email Address– Enter the email address of the patient.
  • Alternate Mobile– Enter the alternate mobile number of the patient if needed. 
  • Relation– Select any one of the C/o from the drop-down list. 
  • Relation Name– Enter the Name of the selected C/o given in the previous field.      
  • Contact Details 
  • Door No/Street Name– Enter the house no and street name of the patient’s Residential address. 
  • Address 1– Enter the address of the patient. 
  • Address 2– Enter the second line of the address of the patient. 
  • City– Enter the City name of the patient’s residential address. 
  • Pin code-Enter the Pin code of the city. 
  • Select District- Select the district of the patient’s city from the drop-down list. 
  • Select State– Upon selecting the city, State gets automatically updated. 
  • Select Country– Upon selecting the city, the Country gets automatically updated. 
  • Email– Enter the email address of the patient. 
  • Ayushman Bharat Health Code– Enter the Ayushman Bharat Health Code of the patient if needed. 
  • Aadhar Number– Enter the Aadhar number of the patient 
  • Driving License Number– Enter the license number of the patient.
  • How do you know about us? – Select any one of the options available if required 
  • Referral Details 
  • Select Referral – Select any options available in the drop-down list. 
  • Selecting the Referral type will show the respective field to select the Name of the Referral. 
  • Select the name of the referral from the displayed list. 

After entering the details as mentioned above, the following buttons will be available to continue, 

  • Save 
  • Save and Continue 
  • Save and Make an Appointment 
  • Cancel 
  • Reset 
  • Save Button – Upon clicking the “Save” button, the patient’s details entered in the current page will be saved in the Ezovion HMS and redirected to the Ezovion HMS home page. 
  • Save and Continue Button – Upon clicking this button, the details of the patients will be saved in the Ezovion HMS and moved to the next tab, “Demographics.” 
  • Save and Make Appointment Button – Upon clicking this button, the details of the patients will be saved in the Ezovion HMS and redirected to the “Appointment” page. 
  • Cancel Button– Upon clicking cancel, it redirects to the Ezovion HMS home page. 
  • Reset Button– Upon clicking Reset, the details entered will be cleared, and a new page will be displayed. 

3.1. Registration page (Personal Details- Basic Details and Contact Details) 

3.2. Registration page (Personal Details –Referral Details) 

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