| Name | Description | Type | Additional information |
|---|---|---|---|
| PatientName | string |
None. |
|
| EmailID | string |
None. |
|
| CountryCode | string |
None. |
|
| Phone | string |
None. |
|
| string |
None. |
||
| Gender | string |
None. |
|
| Age | integer |
None. |
|
| Nationality | string |
None. |
|
| TreatmentName | string |
None. |
|
| MedicalConcern | string |
None. |
|
| MedicalReport | string |
None. |
|
| LeadFrom | string |
None. |
|
| LeadUrl | string |
None. |