Customer - Registration Form

My Title {{ errors.first('my_title') }}

First Name {{ errors.first('first_name') }}

Last Name

Mobile Number {{ errors.first('phone_number') }}

Email {{ errors.first('email') }}

Clinic Name {{ errors.first('clinic_name') }}

Clinic Number

Clinic Address {{ errors.first('clinic_address') }}

Dental License Number {{ errors.first('dental_license_no') }}

Invite Code

Country {{ errors.first('country_id') }}

State {{ errors.first('state_id') }}

City {{ errors.first('city_id') }}

Pincode {{ errors.first('pin_code') }}

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