ShebaOne

Doctor Registration Form

Fill in your professional details. Fields marked * are required.

Name *

Mobile no. * 11 digits, starting with 01. This will be your login number.

Email *

Image

Choose file

PNG, JPG or WEBP. Max size 5 MB.

Gender *

Specialization *

Sub Specialization

Education *

Degree

Institution

Passing Year

Experiences *

Period

Specialization

Hospital Name

Membership

Institution name

Award

Name

Services and Treatment

Name

BMDC No. * Your Bangladesh Medical & Dental Council registration number.

Consultation Fee (৳) *

Home Visit Fee (৳) *

Online Consultation Fee - Audio (৳) *

Online Consultation Fee - Video (৳) *

Chamber address *

City *

Area *

Specialization on organ *

Referral Code Leave blank if you don't have one.

By giving tick in the check box, I am agreeing with the Terms and Conditions