| Name | Description | Type | Additional information |
|---|---|---|---|
| enrolleeNo | string |
None. |
|
| stateName | string |
None. |
|
| cityName | string |
None. |
|
| provider_id | integer |
None. |
|
| date | string |
None. |
|
| time | string |
None. |
|
| comment | string |
None. |
|
| notifyMe | string |
None. |