Data Calon Pelanggan eClinic by Infokes

Mohon untuk mengisi form di bawah ini secara detail & lengkap. Data-data ini akan digunakan untuk melengkapi Kontrak Berlangganan eClinic antara Infokes dan Pelanggan.

{"yes":{"display_mode":"show","fire_action":"All","logic_data":[{"cfef_logic_field_id":"cabang","cfef_logic_field_is":"==","cfef_logic_compare_value":"YA","_id":"92bebbd"}]},"field_e2de511":{"display_mode":"show","fire_action":"All","logic_data":[{"cfef_logic_field_id":"yes","cfef_logic_field_is":"&gt;","cfef_logic_compare_value":"1","_id":"99cd1d2"}]},"field_229b44d":{"display_mode":"show","fire_action":"All","logic_data":[{"cfef_logic_field_id":"akunAdmin","cfef_logic_field_is":"==","cfef_logic_compare_value":"TIDAK","_id":"58d6f28"}]},"field_eeca0f6":{"display_mode":"show","fire_action":"All","logic_data":[{"cfef_logic_field_id":"akunAdmin","cfef_logic_field_is":"==","cfef_logic_compare_value":"TIDAK","_id":"58d6f28"}]},"namaAdmin":{"display_mode":"show","fire_action":"All","logic_data":[{"cfef_logic_field_id":"akunAdmin","cfef_logic_field_is":"==","cfef_logic_compare_value":"TIDAK","_id":"ed22e6b"}]},"emailAdmin":{"display_mode":"show","fire_action":"All","logic_data":[{"cfef_logic_field_id":"akunAdmin","cfef_logic_field_is":"==","cfef_logic_compare_value":"TIDAK","_id":"f27e830"}]},"telpAdmin":{"display_mode":"show","fire_action":"All","logic_data":[{"cfef_logic_field_id":"akunAdmin","cfef_logic_field_is":"==","cfef_logic_compare_value":"TIDAK","_id":"9bc36f0"}]},"field_36f9987":{"display_mode":"show","fire_action":"All","logic_data":[{"cfef_logic_field_id":"keuangan","cfef_logic_field_is":"==","cfef_logic_compare_value":"TIDAK","_id":"58d6f28"}]},"field_f2b6052":{"display_mode":"show","fire_action":"All","logic_data":[{"cfef_logic_field_id":"keuangan","cfef_logic_field_is":"==","cfef_logic_compare_value":"TIDAK","_id":"58d6f28"}]},"namaKeuangan":{"display_mode":"show","fire_action":"All","logic_data":[{"cfef_logic_field_id":"keuangan","cfef_logic_field_is":"==","cfef_logic_compare_value":"TIDAK","_id":"ed22e6b"}]},"emailKeuangan":{"display_mode":"show","fire_action":"All","logic_data":[{"cfef_logic_field_id":"keuangan","cfef_logic_field_is":"==","cfef_logic_compare_value":"TIDAK","_id":"f27e830"}]},"telpKeuangan":{"display_mode":"show","fire_action":"All","logic_data":[{"cfef_logic_field_id":"keuangan","cfef_logic_field_is":"==","cfef_logic_compare_value":"TIDAK","_id":"9bc36f0"}]},"waktuBerlangganan":{"display_mode":"show","fire_action":"All","logic_data":[{"cfef_logic_field_id":"komitmen","cfef_logic_field_is":"==","cfef_logic_compare_value":"Tahunan","_id":"9b162f6"}]},"checklistData":{"display_mode":"show","fire_action":"All","logic_data":[{"cfef_logic_field_id":"migrasiData","cfef_logic_field_is":"==","cfef_logic_compare_value":"YA","_id":"b967026"}]},"field_64521a9":{"display_mode":"show","fire_action":"All","logic_data":[{"cfef_logic_field_id":"migrasiData","cfef_logic_field_is":"==","cfef_logic_compare_value":"YA","_id":"92bebbd"}]}}

PT Infokes Indonesia

Jalan Prof. Surya Sumantri No. 8-D, Sukawarna, Kec. Sukajadi, Bandung, 40164

(022) 32097053

Data Calon Pelanggan eClinic by Infokes

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Data Penanggung Jawab Fasyankes

Penanggung Jawab Admin

Penanggung Jawab Keuangan

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