@csrf {{ __('patient/register.form.title') }}

{{ __('patient/register.form.member') }} {{ __('patient/register.form.login') }}

{{ __('patient/register.form.full_name') }}

{{ __('patient/register.form.first_name') }}

{{ __('patient/register.form.last_name') }}

{{ __('patient/register.form.contact_info') }}

{{ __('patient/register.form.mobile') }}

{{ __('patient/register.form.region') }}

{{ __('patient/register.form.dob_title') }}

{{ __('patient/register.form.dob') }}

{{ __('patient/register.form.gender') }}

{{ __('patient/register.form.account_info') }}

{{ __('patient/register.form.password') }}

{{ __('patient/register.form.credibility') }}

or sign up with

@section('scripts') @endsection