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*Name
{%if account_type=='doctor'%}
*Select Type:
{%for t in types%}
{{t}}
{%endfor%}
{%else%}
*Age:
*Blood Group:
A+
A-
B+
B-
O+
O-
AB+
AB-
{%endif%}
*Select Gender:
Male
Female
*Email
*Password
*Confirm Password
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}}){kind=logo}