| Name | Description | Type | Additional information |
|---|---|---|---|
| INSUREDID | string |
None. |
|
| InsMobileno | string |
None. |
|
| DATEOFADM | string |
None. |
|
| SubmissionDt | string |
None. |
|
| IntimationDt | string |
None. |
|
| USERNAME | string |
None. |
|
| pid | string |
None. |
|
| IntiRef | string |
None. |
|
| Insemail | string |
None. |
|
| faxintime | string |
None. |
|
| INTIMATION | string |
None. |
|
| faxindate | string |
None. |
|
| Intimation_Diagnosys | string |
None. |
|
| Intimation_Hospid | string |
None. |
|
| ModeofReq | string |
None. |
|
| CCN | string |
None. |
|
| Pol | string |
None. |
|
| NoIntimation | string |
None. |