Jadwal Kedatangan
Form Jadwal Kedatangan
{"tahu_klinik":{"display_mode":"show","fire_action":"All","file_types":"png","logic_data":[{"cfef_logic_field_id":"pasien","cfef_logic_field_is":"==","cfef_logic_compare_value":"Pasien Baru","_id":"917c888"}]},"tahu_lainnya":{"display_mode":"show","fire_action":"All","file_types":"png","logic_data":[{"cfef_logic_field_id":"tahu_klinik","cfef_logic_field_is":"==","cfef_logic_compare_value":"Lainnya","_id":"917c888"}]},"no_ktp":{"display_mode":"show","fire_action":"All","file_types":"png","logic_data":[{"cfef_logic_field_id":"pasien","cfef_logic_field_is":"==","cfef_logic_compare_value":"Pasien Lama","_id":"917c888"}]},"ktp":{"display_mode":"show","fire_action":"All","file_types":"png","logic_data":[{"cfef_logic_field_id":"pembiayaan","cfef_logic_field_is":"==","cfef_logic_compare_value":"Pribadi","_id":"917c888"}]},"BPJSKIS":{"display_mode":"show","fire_action":"All","file_types":"png","logic_data":[{"cfef_logic_field_id":"pembiayaan","cfef_logic_field_is":"==","cfef_logic_compare_value":"BPJS\/KIS","_id":"917c888"}]},"field_cc2500c":{"display_mode":"show","fire_action":"All","file_types":"png","logic_data":[{"cfef_logic_field_id":"pembiayaan","cfef_logic_field_is":"==","cfef_logic_compare_value":"BPJS\/KIS","_id":"9627a57"}]},"no_polisi":{"display_mode":"show","fire_action":"All","file_types":"png","logic_data":[{"cfef_logic_field_id":"pembiayaan","cfef_logic_field_is":"==","cfef_logic_compare_value":"Asuransi","_id":"917c888"}]},"field_e4852af":{"display_mode":"show","fire_action":"All","file_types":"png","logic_data":[{"cfef_logic_field_id":"pembiayaan","cfef_logic_field_is":"==","cfef_logic_compare_value":"Lainnya","_id":"917c888"}]}}
Catatan :
Mohon pastikan nomor handphone yang anda masukkan aktif. Tim kami akan melakukan konfirmasi penjadwalan anda melalui nomor handphone yang terdaftar.