MP-MILAAP
User Registration
Select State Name
Select State
Madhya Pradesh
Select District Name *
Select District
Alirajpur
Anuppur
Ashoknagar
Barwani
Chhatarpur
Damoh
Dindori
Guna
Jhabua
Khandwa
Mandla
Rajgarh
Sagar
Satna
Shahdol
Sheopur
Sidhi
Singrauli
Tikamgarh
Umaria
Vidisha
Select Block Name *
Select Facility Type*
HWC-SHC
UPHC
Select Facility *
Please Select Facility
Enter NIN Number *
Please enter NIN
Enter Your Full Name *
Please enter Name
Select Gender *
Male
Female
Third Gender
Please Select Facility
Select Designation *
CHO
Enter E-Mail ID *
Please enter Email Id
Please enter valid email id format
Enter Password *
Please type Password
Password must be at least 8 characters long, contain both letters and numbers, and include special characters.
Retype Password *
Please retype Password
Password did not matched
Contact No (10 Digits Mobile Number) *
Please Enter Mobile
Qualification *
B Sc. Nursing
BAMS
BHMS
BUMS
GNM
M Sc. Nursing
Others, Please Specify
Date of Joining (In service)*
Enter Date of Joining