Outpatient Registration

Step 2: Communication & Residential Details

60% Complete

check_circle Personal Info

contact_mail Contact & Address

medical_information Medical Background

payment Review & Payment

phone_iphone

Primary Phone Number*

+254

Secondary Phone (Optional)

Email Address

Preferred Communication Methods

sms SMS mail Email chat WhatsApp

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County*

Sub-County*

Ward*

Village / Estate*

Physical Address / House No.

Postal Address (P.O Box)

Town / City