Home
District Wise Client
Hospital And Clinics
Office Info
Board Of Directors
Management
Services
Health Plan
Health Product
Pages
Photo Gallery
Social Videos
FAQ
Pricing Plan
Testimonials
Terms of Service
Privacy Policy
About Us
Contact Us
Profile
Admin Login
Officers login
Customer Login
Profile
Admin Login
Officers login
Customer Login
Student Educare Health Card -2
2700 TK
/Yearly
Payment Method
Bkash
Proceed to Payment
Nagad
Proceed to Payment
×
Payment Details
Payment Account
*
Payment TRX
*
Sender Account
*
Sales Officer Username
*
Personal Information
Full Name
*
Father's Name
*
Mother's Name
*
Phone Number
*
Email Address
Gender
*
Male
Female
Religion
*
Islam
Hindu
Date of Birth
*
Profile Photo
*
Identity Type
*
NID
Birth Certificate
NID Number
*
NID Front Side
*
NID Back Side
*
Birth Certificate Number
*
Birth Certificate Image
*
Full Address
*
Nominee Information
Nominee Name
*
Nominee Gender
*
Male
Female
Nominee Phone
*
Relation to Nominee
*
Nominee Identity Type
*
NID
Birth Certificate
Birth Certificate Number
*
Birth Certificate Image
*
NID Number
*
NID Front Side
*
NID Back Side
*
Nominee Profile Photo
*
Nominee Date of Birth
*
