| Name | Description | Type | Additional information |
|---|---|---|---|
| strClientID | string |
None. |
|
| strPolicyNo | string |
None. |
|
| height | integer |
None. |
|
| weight | integer |
None. |
|
| WeightRemark | string |
None. |
|
| occupation | string |
None. |
|
| strFilename | string |
None. |
|
| Reason_of_weightChange | string |
None. |
|
| question1 | string |
None. |
|
| question2 | string |
None. |
|
| A_Heart_problems | string |
None. |
|
| A_Heart_stroke | string |
None. |
|
| A_High_blood_pressure | string |
None. |
|
| A_Rheumatic_fever | string |
None. |
|
| A_Arteries_and_veins_diseases | string |
None. |
|
| B_Tuberculosis | string |
None. |
|
| B_Asthma | string |
None. |
|
| B_Persistent_cough | string |
None. |
|
| C_Kidney_diseases | string |
None. |
|
| C_Kidney_stones | string |
None. |
|
| C_Urinary_infection | string |
None. |
|
| C_Venereal_diseases | string |
None. |
|
| D_Liver_diseases | string |
None. |
|
| D_Hepatitis_B | string |
None. |
|
| D_Gastric_or_duodenal_ulcer | string |
None. |
|
| D_Digestive_Disorder | string |
None. |
|
| D_Gall_bladder_disorder | string |
None. |
|
| E_Psychiatric_disorder | string |
None. |
|
| E_Depression | string |
None. |
|
| E_Epilepsy | string |
None. |
|
| E_Fits_or_fainting_attacks | string |
None. |
|
| E_Frequent_headaches | string |
None. |
|
| E_Nervous_breakdown | string |
None. |
|
| F_Diabetes | string |
None. |
|
| F_Cancer | string |
None. |
|
| F_Any_diseases | string |
None. |
|
| G_night_sweats | string |
None. |
|
| G_Weight_loss | string |
None. |
|
| G_Persistent_fever | string |
None. |
|
| G_Chronic | string |
None. |
|
| G_infections | string |
None. |
|
| G_Swollen_glands | string |
None. |
|
| question3 | string |
None. |
|
| Question3_Remark | string |
None. |
|
| question4 | string |
None. |
|
| Q4_Name_of_illness | string |
None. |
|
| Q4_Name_of_medication | string |
None. |
|
| Q4_Date_of_Hospitalization | string |
None. |
|
| Q4_examination | string |
None. |
|
| Q4_Consultation | string |
None. |
|
| Q4_Hospitalization | string |
None. |
|
| Q4_Surgery | string |
None. |
|
| question5 | string |
None. |
|
| question5_Remark | string |
None. |
|
| question6 | string |
None. |
|
| Q6_Name_of_illness | string |
None. |
|
| Q6_Name_of_medication | string |
None. |
|
| Q6_Date_of_Hospitalization | string |
None. |
|
| Q6_examination | string |
None. |
|
| Q6_Consultation | string |
None. |
|
| Q6_Hospitalization | string |
None. |
|
| Q6_Surgery | string |
None. |
|
| question7 | string |
None. |
|
| question7_remarks | string |
None. |
|
| question8 | string |
None. |
|
| receive_Communiction | string |
None. |
|
| declaration | string |
None. |
|
| B_Pneumonia | string |
None. |
|
| question8_remark | string |
None. |
|
| srnumber | string |
None. |
|
| reinstatementkey | string |
None. |
|
| servicemessage | string |
None. |
|
| OPTIN_STATUS | string |
None. |
|
| OPTINID | string |
None. |
|
| PaymentMode | string |
None. |
|
| varquestion9 | string |
None. |
|
| varquestion9_remarks | string |
None. |
|
| varquestion10 | string |
None. |
|
| varquestion10_remarks | string |
None. |
|
| varquestion11 | string |
None. |
|
| varquestion12 | string |
None. |
|
| varquestion12_remarks | string |
None. |
|
| varquestion13 | string |
None. |
|
| varquestion13_remarks | string |
None. |
|
| varquestion14a | string |
None. |
|
| varquestion14b | string |
None. |
|
| varquestion14c | string |
None. |
|
| varAny_fever | string |
None. |
|
| varCough | string |
None. |
|
| varShortness_of_breath | string |
None. |
|
| varMalaise | string |
None. |
|
| varRhinorrhea | string |
None. |
|
| varSore_throat | string |
None. |
|
| varGastro | string |
None. |
|
| varCountry14a | string |
None. |
|
| varCity14a | string |
None. |
|
| varDateoftravel14a | string |
None. |
|
| varIntendedDuration14a | string |
None. |
|
| varCountry14b | string |
None. |
|
| varCity14b | string |
None. |
|
| varDateoftravel14b | string |
None. |
|
| varIntendedDuration14b | string |
None. |
|
| varCountry14c | string |
None. |
|
| varCity14c | string |
None. |
|
| varDateoftravel14c | string |
None. |
|
| varIntendedDuration14c | string |
None. |
|
| varQues16 | string |
None. |
|
| varDateofadminoffirstdose | string |
None. |
|
| varDateofadminofSeconddoses | string |
None. |
|
| varQue16NameofVaccine | string |
None. |
|
| varQues16Vacc | string |
None. |
|
| varenterDetailsQuestion16 | string |
None. |