| Name | Description | Type | Additional information |
|---|---|---|---|
| FormId | integer |
None. |
|
| DelegateId | integer |
None. |
|
| DelegateName | string |
None. |
|
| HealthCenterId | integer |
None. |
|
| HealthCenterName | string |
None. |
|
| DateOfVisit | date |
None. |
|
| ClientNumber | string |
None. |
|
| FormStatus | FormStatuses |
None. |
|
| DateOfSubmission | date |
None. |