@extends('layouts.master-without-nav') @section('title') @lang('translation.Register') @endsection @section('body') @endsection @section('content')

Get your free account now.

@if (session('success'))

{!! session('success') !!}

@endif

@csrf

Username / Email

Please Enter Username

Organization / Clinic Name

Please Enter Organization / Clinic Name

Address

Please Enter Address

Phone Number

Please Enter Phone Number

SSM Registration

Please Enter SSM Registration

By registering you agree to the HUKM Terms of Use

@endsection @section('script') @endsection