| Name | Description | Type | Additional information |
|---|---|---|---|
| PtName | string |
None. |
|
| Mobile | string |
None. |
|
| txtDate | string |
None. |
|
| TM | string |
None. |
|
| ddDoctor | string |
None. |
|
| ddClinic | string |
None. |
|
| TM2 | string |
None. |
|
| TM3 | string |
None. |