| Name | Description | Type | Additional information |
|---|---|---|---|
| InnovID | integer |
None. |
|
| InsuranceNumber | string |
None. |
|
| PreviousEmployeeCodeNumber | string |
None. |
|
| DispensaryName | string |
None. |
|
| DoYouHaveAnOldESICNo | string |
None. |
|
| ExistESICNo | string |
None. |
|
| BranchOfficeName | string |
None. |
|
| status | string |
None. |
|
| Message | string |
None. |