Patient Name / Patient ID |
Apt. ID | Visit ID | Apt. Date / Apt. Time |
Contact No. / |
Evidence Type / Evidence ID |
Payment Type | |||
---|---|---|---|---|---|---|---|---|---|
![]() |
Luis Hall PID 681845 |
123456 | 123456 | 25-03-2019 16:45 |
+66 2 123 4567 jackdoe@email.com |
Passport EID 362547852325 |
1
Ins
2
C C
3
S S
4
S P
|
Verify |
|
![]() |
Clui Reed PID 921733 |
123456 | 123456 | 25-03-2019 16:45 |
+66 2 123 4567 jackdoe@email.com |
Driving License EID 254145658985 |
1
Ins
2
C C
3
S S
4
S P
|
Verify |
|
![]() |
Antonio Brluit PID 432970 |
123456 | 123456 | 25-03-2019 16:45 |
+66 2 123 4567 jackdoe@email.com |
Govt ID EID 985654125785 |
1
Ins
2
C C
3
S S
4
S P
|
Verify |
|
![]() |
Amanda Wrilui PID 893534 |
123456 | 123456 | 25-03-2019 16:45 |
+66 2 123 4567 jackdoe@email.com |
Passport EID 356958745214 |
1
Ins
2
C C
3
S S
4
S P
|
Verify |
|
![]() |
Tanya Stewart PID 261837 |
123456 | 123456 | 25-03-2019 16:45 |
+66 2 123 4567 jackdoe@email.com |
Passport EID 362547852325 |
1
Ins
2
C C
3
S S
4
S P
|
Verify |
|
Patient Name / Patient ID |
Apt. ID | Visit ID | Apt. Date / Apt. Time |
Contact No. / |
Evidence Type / Evidence ID |
Payment Type | Status | |||
---|---|---|---|---|---|---|---|---|---|---|
![]() |
Luis Hall PID 681845 |
123456 | 123456 | 25-03-2019 16:45 |
+66 2 123 4567 jackdoe@email.com |
Passport EID 362547852325 |
1
Ins
2
C C
3
S S
4
S P
|
Accepted | Edit |
|
![]() |
Clui Reed PID 921733 |
123456 | 123456 | 25-03-2019 16:45 |
+66 2 123 4567 jackdoe@email.com |
Driving License EID 362547852325 |
1
Ins
2
C C
3
S S
4
S P
|
Declined | Edit |
|
![]() |
Antonio Brluit PID 432970 |
123456 | 123456 | 25-03-2019 16:45 |
+66 2 123 4567 jackdoe@email.com |
Govt ID EID 362547852325 |
1
Ins
2
C C
3
S S
4
S P
|
Accepted | Edit |
|
![]() |
Amanda Wrilui PID 893534 |
123456 | 123456 | 25-03-2019 16:45 |
+66 2 123 4567 jackdoe@email.com |
Passport EID 362547852325 |
1
Ins
2
C C
3
S S
4
S P
|
Accepted | Edit |
|
![]() |
Tanya Stewart PID 261837 |
123456 | 123456 | 25-03-2019 16:45 |
+66 2 123 4567 jackdoe@email.com |
Passport EID 362547852325 |
1
Ins
2
C C
3
S S
4
S P
|
Accepted | Edit |
|