Online Registration Process
*Visiting Department *Available Visit Date
Note: You must allow POP-UP window of your browser to get Available Visit Date.
Patient Details
*First Name Last Name
*Age DOB
pick a date
*Gender
Marital Status *Father's Name
Spouse's Name Mother's Name
*Nationality Religion
Monthly Income Patient Occupation
Father Occupation Spouse Occupation
Aadhar Number
Address Details
* Country
*State
H.No. Street
Location
*District
*City/Village Pin Code
*Mobile No Email ID
Area Category
*
Note: You must fill all boxes marked with a *.
         This facility is only for Online Pre-Registration and not for Online Appointment for a specific Consultant/Unit. For more information regarding Consultant/Unit you are requested to see the OPD          schedule available on PGIMER Web Portal