R-Clinic — Sign in

01

Demography

Card and household identifiers — required to issue a Family ID.

Card No*

Family Id

Family Name*

Caste

Religion

Spoken Language

Mother Tongue

02

Drives Family Category and OPD discount eligibility.

Income Proof

YesNo

Family Income

Family Category*

Has Insurance

YesNo

Annual Medical Expense

INR

03

Used for last-mile outreach planning.

04

Address and reachability used for follow-ups and PHS sweeps.

Phone Number

Phone Type

Email Id

Address

Pincode

Country

State

City

Area

Sub Area

05

Capture the new member's first name, gender, and DOB then tap + to add. At least one member is required to proceed.

01

Member 1 · awaiting details

Provide first name, gender, and DOB

Add new member

First Name*

Last Name

Gender*

DOB*