Exclusive Vaccination for Cooporate Employees and Family Members

Vaccination Registration

Demographics of Employee:

Name:
Age:
Gender:	Male Female
Mobile:
Email:
Vaccine:	For family Select this option to register only family members but not yourself.
Dose:	First Second

+ Add Family Member

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Booking Confirmation

Demographics of Employee:
Name:
Age:
Gender:
Mobile:
Email:
Vaccine:
Dose:

Select Slot:

City:
Office:
Date:
Slot:

Grand Total: