{"id":16632,"date":"2023-05-21T17:28:41","date_gmt":"2023-05-21T10:28:41","guid":{"rendered":"https:\/\/beta2.abdiwaluyo.com\/?page_id=16632"},"modified":"2023-07-05T03:38:19","modified_gmt":"2023-07-04T20:38:19","slug":"doctor-appointment-request","status":"publish","type":"page","link":"https:\/\/abdiwaluyo.com\/en\/contact-us\/doctor-appointment-request\/","title":{"rendered":"Doctor Appointment Request"},"content":{"rendered":"<div id=\"quform-0b43b1\" class=\"quform quform-16 quform-theme-underlined quform-support-page-caching\"><form id=\"quform-form-0b43b1\" class=\"quform-form quform-form-16\" action=\"\/en\/wp-json\/wp\/v2\/pages\/16632#quform-0b43b1\" method=\"post\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" 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MICROBIOLOGY&quot;}]},&quot;32&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;26&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;5&quot;,&quot;value&quot;:&quot;CLINICAL NUTRITION&quot;}]},&quot;33&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;26&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;6&quot;,&quot;value&quot;:&quot;CLINICAL PATHOLOGY&quot;}]},&quot;37&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;26&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;7&quot;,&quot;value&quot;:&quot;DENTAL CONSERVATION&quot;}]},&quot;36&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;26&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;8&quot;,&quot;value&quot;:&quot;DENTAL MEDICINE&quot;}]},&quot;38&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;26&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;9&quot;,&quot;value&quot;:&quot;DERMATO-VENEREOLOGY&quot;}]},&quot;39&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;26&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;10&quot;,&quot;value&quot;:&quot;HEMATOLOGY - MEDICAL 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Hypertension&quot;}]},&quot;43&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;40&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;3&quot;,&quot;value&quot;:&quot;Allergy Immunology&quot;}]},&quot;44&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;40&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;4&quot;,&quot;value&quot;:&quot;Endocrinology, Metabolism, &amp; Diabetes&quot;}]},&quot;45&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;40&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;5&quot;,&quot;value&quot;:&quot;Neurology, 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GYNECOLOGY&quot;}]},&quot;51&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;26&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;16&quot;,&quot;value&quot;:&quot;OPHTHALMOLOGY&quot;}]},&quot;52&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;26&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;17&quot;,&quot;value&quot;:&quot;ORTHOPEDICS&quot;}]},&quot;53&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;26&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;18&quot;,&quot;value&quot;:&quot;OTOLARYNGOLOGY - HEAD &amp; NECK 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and maxillofacial surgery&quot;}]},&quot;66&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;60&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;6&quot;,&quot;value&quot;:&quot;Pediatric Surgery&quot;}]},&quot;67&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;60&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;7&quot;,&quot;value&quot;:&quot;Plastic 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qtip-shadow&quot;,&quot;tooltipMy&quot;:&quot;left center&quot;,&quot;tooltipAt&quot;:&quot;right center&quot;,&quot;isRtl&quot;:false,&quot;scrollOffset&quot;:-50,&quot;scrollSpeed&quot;:800}\"><button class=\"quform-default-submit\" name=\"quform_submit\" type=\"submit\" value=\"submit\" aria-hidden=\"true\" tabindex=\"-1\"><\/button><div class=\"quform-form-inner quform-form-inner-16\"><input type=\"hidden\" name=\"quform_form_id\" value=\"16\" \/><input type=\"hidden\" name=\"quform_form_uid\" value=\"0b43b1\" \/><input type=\"hidden\" name=\"quform_count\" value=\"1\" \/><input type=\"hidden\" name=\"form_url\" value=\"https:\/\/abdiwaluyo.com\/en\/wp-json\/wp\/v2\/pages\/16632\" \/><input type=\"hidden\" name=\"referring_url\" value=\"\" \/><input type=\"hidden\" name=\"post_id\" value=\"\" \/><input type=\"hidden\" name=\"post_title\" value=\"\" \/><input type=\"hidden\" name=\"quform_current_page_id\" value=\"1\" \/><input type=\"hidden\" name=\"quform_csrf_token\" value=\"9LfggjwJDjB1dU8pdUNoaCoRP0npnuzJhZH6V2Rd\" \/><div class=\"quform-elements quform-elements-16 quform-cf quform-responsive-elements-phone-landscape\"><div class=\"quform-element quform-element-page quform-page-1 quform-page-16_1 quform-cf quform-group-style-plain quform-first-page quform-last-page quform-current-page\"><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-html quform-element-16_23 quform-cf\"><div class=\"quform-spacer\">Fill in consultation form request below to arrange schedule for a consultation session with dr. of your choice.<br \/>\n<br \/>\nOur administration staff will get back to you within 24 hours to arrange the schedule.<\/div><\/div><div class=\"quform-element quform-element-group quform-element-16_11 quform-cf quform-group-style-plain\"><div class=\"quform-spacer\"><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-16_4 quform-3-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-16_5\"><div class=\"quform-element quform-element-text quform-element-16_3 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_3\"><label class=\"quform-label-text\" for=\"quform_16_3_0b43b1\">Name<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-16_3\"><div class=\"quform-input quform-input-text quform-input-16_3 quform-cf\"><input type=\"text\" id=\"quform_16_3_0b43b1\" name=\"quform_16_3\" class=\"quform-field quform-field-text quform-field-16_3\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-16_6\"><div class=\"quform-element quform-element-text quform-element-16_7 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_7\"><label class=\"quform-label-text\" for=\"quform_16_7_0b43b1\">Mobile Number<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-16_7\"><div class=\"quform-input quform-input-text quform-input-16_7 quform-cf\"><input type=\"text\" id=\"quform_16_7_0b43b1\" name=\"quform_16_7\" class=\"quform-field quform-field-text quform-field-16_7\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-16_8\"><div class=\"quform-element quform-element-email quform-element-16_10 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_10\"><label class=\"quform-label-text\" for=\"quform_16_10_0b43b1\">Email address<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-email quform-inner-16_10\"><div class=\"quform-input quform-input-email quform-input-16_10 quform-cf\"><input type=\"email\" id=\"quform_16_10_0b43b1\" name=\"quform_16_10\" class=\"quform-field quform-field-email quform-field-16_10\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-16_12 quform-cf quform-group-style-plain\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h3 class=\"quform-group-title\">Appointment Data<\/h3><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-html quform-element-16_20 quform-cf\"><div class=\"quform-spacer\">Time preferred for consultation with <\/div><\/div><div class=\"quform-element quform-element-row quform-element-row-16_13 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-16_14\"><div class=\"quform-element quform-element-select quform-element-16_26 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_26\"><label class=\"quform-label-text\" for=\"quform_16_26_0b43b1\">Dr Speciality<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_26\"><div class=\"quform-input quform-input-select quform-input-16_26 quform-cf\"><select id=\"quform_16_26_0b43b1\" name=\"quform_16_26\" class=\"quform-field quform-field-select quform-field-16_26\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"ACUPUNCTURE\">ACUPUNCTURE<\/option><option value=\"ANESTHESIOLOGY\">ANESTHESIOLOGY<\/option><option value=\"CARDIOLOGY\">CARDIOLOGY<\/option><option value=\"CLINICAL MICROBIOLOGY\">CLINICAL MICROBIOLOGY<\/option><option value=\"CLINICAL NUTRITION\">CLINICAL NUTRITION<\/option><option value=\"CLINICAL PATHOLOGY\">CLINICAL PATHOLOGY<\/option><option value=\"DENTAL CONSERVATION\">DENTAL CONSERVATION<\/option><option value=\"DENTAL MEDICINE\">DENTAL MEDICINE<\/option><option value=\"DERMATO-VENEREOLOGY\">DERMATO-VENEREOLOGY<\/option><option value=\"HEMATOLOGY - MEDICAL ONCOLOGY\">HEMATOLOGY - MEDICAL ONCOLOGY<\/option><option value=\"INTERNAL MEDICINE\">INTERNAL MEDICINE<\/option><option value=\"INTERNAL MEDICINE\/CARDIOLOGY\">INTERNAL MEDICINE\/CARDIOLOGY<\/option><option value=\"NEUROLOGY\">NEUROLOGY<\/option><option value=\"NUCLEAR MEDICINE\">NUCLEAR MEDICINE<\/option><option value=\"OBSTETRICS AND GYNECOLOGY\">OBSTETRICS AND GYNECOLOGY<\/option><option value=\"OPHTHALMOLOGY\">OPHTHALMOLOGY<\/option><option value=\"ORTHOPEDICS\">ORTHOPEDICS<\/option><option value=\"OTOLARYNGOLOGY - HEAD &amp; NECK SURGERY\">OTOLARYNGOLOGY - HEAD &amp; NECK SURGERY<\/option><option value=\"PEDIATRICS\">PEDIATRICS<\/option><option value=\"PHYSICAL AND REHABILITATION\">PHYSICAL AND REHABILITATION<\/option><option value=\"PSYCHIATRY\">PSYCHIATRY<\/option><option value=\"PULMONOLOGY\">PULMONOLOGY<\/option><option value=\"RADIOLOGY\">RADIOLOGY<\/option><option value=\"REUMATOLOGY\">REUMATOLOGY<\/option><option value=\"SURGERY\">SURGERY<\/option><option value=\"UROLOGY\">UROLOGY<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_28 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_28\"><label class=\"quform-label-text\" for=\"quform_16_28_0b43b1\">ACUPUNCTURE DOCTOR<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_28\"><div class=\"quform-input quform-input-select quform-input-16_28 quform-cf\"><select id=\"quform_16_28_0b43b1\" name=\"quform_16_28\" class=\"quform-field quform-field-select quform-field-16_28\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"dr. Anindita Prabaswari R H, Sp.Ak\">dr. Anindita Prabaswari R H, Sp.Ak<\/option><option value=\"dr. Christina Simadibrata, M.Kes, Sp.Ak, SubSp.AK-AA(K)\">dr. Christina Simadibrata, M.Kes, Sp.Ak, SubSp.AK-AA(K)<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_29 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_29\"><label class=\"quform-label-text\" for=\"quform_16_29_0b43b1\">ANESTHESIOLOGY Doctor<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_29\"><div class=\"quform-input quform-input-select quform-input-16_29 quform-cf\"><select id=\"quform_16_29_0b43b1\" name=\"quform_16_29\" class=\"quform-field quform-field-select quform-field-16_29\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"dr. Dina Natalia Ikawari, Sp.AN\">dr. Dina Natalia Ikawari, Sp.AN<\/option><option value=\"dr. Rizal Fauzi, Sp.An\">dr. Rizal Fauzi, Sp.An<\/option><option value=\"dr. Syahrizal Kamaruzaman, Sp.An\">dr. Syahrizal Kamaruzaman, Sp.An<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_30 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_30\"><label class=\"quform-label-text\" for=\"quform_16_30_0b43b1\">CARDIOLOGY DOCTOR<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_30\"><div class=\"quform-input quform-input-select quform-input-16_30 quform-cf\"><select id=\"quform_16_30_0b43b1\" name=\"quform_16_30\" class=\"quform-field quform-field-select quform-field-16_30\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"dr. Prasetyo Andriono, Sp.JP, FSCCT\">dr. Prasetyo Andriono, Sp.JP, FSCCT<\/option><option value=\"dr. Adhantoro Rahadyan, Sp.JP, FIHA\">dr. Adhantoro Rahadyan, Sp.JP, FIHA<\/option><option value=\"dr. Ardhestiro, Sp.JP, FIHA, FAPSC\">dr. Ardhestiro, Sp.JP, FIHA, FAPSC<\/option><option value=\"dr. Taofan, Sp.JP(K), FIHA\">dr. Taofan, Sp.JP(K), FIHA<\/option><option value=\"dr. Vireza Pratama, Sp.JP(K), FIHA, FAsCC, FSCAI\">dr. Vireza Pratama, Sp.JP(K), FIHA, FAsCC, FSCAI<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_31 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_31\"><label class=\"quform-label-text\" for=\"quform_16_31_0b43b1\">CLINICAL MICROBIOLOGY DOCTOR<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_31\"><div class=\"quform-input quform-input-select quform-input-16_31 quform-cf\"><select id=\"quform_16_31_0b43b1\" name=\"quform_16_31\" class=\"quform-field quform-field-select quform-field-16_31\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"dr. Ade Dharmawan, Sp.MK\">dr. Ade Dharmawan, Sp.MK<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_32 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_32\"><label class=\"quform-label-text\" for=\"quform_16_32_0b43b1\">CLINICAL NUTRITION DOCTOR<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_32\"><div class=\"quform-input quform-input-select quform-input-16_32 quform-cf\"><select id=\"quform_16_32_0b43b1\" name=\"quform_16_32\" class=\"quform-field quform-field-select quform-field-16_32\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"dr. Rosnah Pinontoan, MGizi, SpGK, AIFO-K\">dr. Rosnah Pinontoan, MGizi, SpGK, AIFO-K<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_33 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_33\"><label class=\"quform-label-text\" for=\"quform_16_33_0b43b1\">CLINICAL PATHOLOGY DOCTOR<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_33\"><div class=\"quform-input quform-input-select quform-input-16_33 quform-cf\"><select id=\"quform_16_33_0b43b1\" name=\"quform_16_33\" class=\"quform-field quform-field-select quform-field-16_33\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"dr. Jullyanny Waty Wijaya, Sp.PK, M.Biomed\">dr. Jullyanny Waty Wijaya, Sp.PK, M.Biomed<\/option><option value=\"Prof. Dr. dr.Pusparini, Sp.PK\">Prof. Dr. dr.Pusparini, Sp.PK<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_37 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_37\"><label class=\"quform-label-text\" for=\"quform_16_37_0b43b1\">DENTAL CONSERVATION DOCTOR<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_37\"><div class=\"quform-input quform-input-select quform-input-16_37 quform-cf\"><select id=\"quform_16_37_0b43b1\" name=\"quform_16_37\" class=\"quform-field quform-field-select quform-field-16_37\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"drg. Turisiana Ellysetyawati, Sp.KG\">drg. Turisiana Ellysetyawati, Sp.KG<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_36 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_36\"><label class=\"quform-label-text\" for=\"quform_16_36_0b43b1\">DENTAL MEDICINE DOCTOR<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_36\"><div class=\"quform-input quform-input-select quform-input-16_36 quform-cf\"><select id=\"quform_16_36_0b43b1\" name=\"quform_16_36\" class=\"quform-field quform-field-select quform-field-16_36\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"drg. Antonius Kevin Arlen\">drg. Antonius Kevin Arlen<\/option><option value=\"drg. Audrey Achmadsyah\">drg. Audrey Achmadsyah<\/option><option value=\"drg. Dominica Clarissa Simadibrata\">drg. Dominica Clarissa Simadibrata<\/option><option value=\"drg. Jimi B Achmadsyah\">drg. Jimi B Achmadsyah<\/option><option value=\"drg. Karina Natalie Kuntjoro\">drg. Karina Natalie Kuntjoro<\/option><option value=\"drg. Maja Christina Pangabdi\">drg. Maja Christina Pangabdi<\/option><option value=\"drg. Nani Hendrawan\">drg. Nani Hendrawan<\/option><option value=\"drg. Shinta Saraswati\">drg. Shinta Saraswati<\/option><option value=\"dr. Evan Hendra, Sp.K.G\">dr. Evan Hendra, Sp.K.G<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_38 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_38\"><label class=\"quform-label-text\" for=\"quform_16_38_0b43b1\">DERMATO-VENEREOLOGY DOCTOR<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_38\"><div class=\"quform-input quform-input-select quform-input-16_38 quform-cf\"><select id=\"quform_16_38_0b43b1\" name=\"quform_16_38\" class=\"quform-field quform-field-select quform-field-16_38\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"dr. Arini Astasari Widodo, Sp.KK\">dr. Arini Astasari Widodo, Sp.KK<\/option><option value=\"dr. Carolina Kurniawati, Sp.DV\">dr. Carolina Kurniawati, Sp.DV<\/option><option value=\"dr. Eunice Gunawan, Sp.DV\">dr. Eunice Gunawan, Sp.DV<\/option><option value=\"Dr. dr. Linda Yulianti W, Sp.KK, FINSDV, FAADV\">Dr. dr. Linda Yulianti W, Sp.KK, FINSDV, FAADV<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_39 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_39\"><label class=\"quform-label-text\" for=\"quform_16_39_0b43b1\">HEMATOLOGY - MEDICAL ONCOLOGY DOCTOR<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_39\"><div class=\"quform-input quform-input-select quform-input-16_39 quform-cf\"><select id=\"quform_16_39_0b43b1\" name=\"quform_16_39\" class=\"quform-field quform-field-select quform-field-16_39\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"dr. Inolyn Pandjaitan, Sp.PD-KHOM\">dr. Inolyn Pandjaitan, Sp.PD-KHOM<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_40 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_40\"><label class=\"quform-label-text\" for=\"quform_16_40_0b43b1\">Internal Medicine Sub Specialization<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_40\"><div class=\"quform-input quform-input-select quform-input-16_40 quform-cf\"><select id=\"quform_16_40_0b43b1\" name=\"quform_16_40\" class=\"quform-field quform-field-select quform-field-16_40\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"Gastroentero-hepatology\">Gastroentero-hepatology<\/option><option value=\"Kidney &amp; Hypertension\">Kidney &amp; Hypertension<\/option><option value=\"Allergy Immunology\">Allergy Immunology<\/option><option value=\"Endocrinology, Metabolism, &amp; Diabetes\">Endocrinology, Metabolism, &amp; Diabetes<\/option><option value=\"Neurology, Neurointervention\">Neurology, Neurointervention<\/option><option value=\"Tropical Infection\">Tropical Infection<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_41 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_41\"><label class=\"quform-label-text\" for=\"quform_16_41_0b43b1\">Gastroentero-hepatology Doctor<\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_41\"><div class=\"quform-input quform-input-select quform-input-16_41 quform-cf\"><select id=\"quform_16_41_0b43b1\" name=\"quform_16_41\" class=\"quform-field quform-field-select quform-field-16_41\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"Dr. dr.  Juferdy Kurniawan, SpPD, KGEH, FINASIM\">Dr. dr.  Juferdy Kurniawan, SpPD, KGEH, FINASIM<\/option><option value=\"Prof. Dr. Marcellus Simadibrata, PhD, SpPD, KGEH, FACG, FINASIM\">Prof. Dr. Marcellus Simadibrata, PhD, SpPD, KGEH, FACG, FINASIM<\/option><option value=\"Prof. dr. Nurul Akbar, Sp.PD, KGEH, FINASIM\">Prof. dr. Nurul Akbar, Sp.PD, KGEH, FINASIM<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_42 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_42\"><label class=\"quform-label-text\" for=\"quform_16_42_0b43b1\">Kidney &amp; Hypertension Doctor<\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_42\"><div class=\"quform-input quform-input-select quform-input-16_42 quform-cf\"><select id=\"quform_16_42_0b43b1\" name=\"quform_16_42\" class=\"quform-field quform-field-select quform-field-16_42\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"dr. Januar Widodo S, Sp.PD-KGH, FINASIM\">dr. Januar Widodo S, Sp.PD-KGH, FINASIM<\/option><option value=\"dr. Rita Naya, Sp.PD-KGH,FINASIM\">dr. Rita Naya, Sp.PD-KGH,FINASIM<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_43 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_43\"><label class=\"quform-label-text\" for=\"quform_16_43_0b43b1\">Allergy Immunology Doctor<\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_43\"><div class=\"quform-input quform-input-select quform-input-16_43 quform-cf\"><select id=\"quform_16_43_0b43b1\" name=\"quform_16_43\" class=\"quform-field quform-field-select quform-field-16_43\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"dr. Suzy Maria, Sp.PD-KAI\">dr. Suzy Maria, Sp.PD-KAI<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_44 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_44\"><label class=\"quform-label-text\" for=\"quform_16_44_0b43b1\">Endocrinology, Metabolism, &amp; Diabetes Doctor<\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_44\"><div class=\"quform-input quform-input-select quform-input-16_44 quform-cf\"><select id=\"quform_16_44_0b43b1\" name=\"quform_16_44\" class=\"quform-field quform-field-select quform-field-16_44\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"Dr. dr. Dyah Purnamasari S, Sp.PD, K-EMD\">Dr. dr. Dyah Purnamasari S, Sp.PD, K-EMD<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_45 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_45\"><label class=\"quform-label-text\" for=\"quform_16_45_0b43b1\">Neurology, Neurointervention Doctor<\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_45\"><div class=\"quform-input quform-input-select quform-input-16_45 quform-cf\"><select id=\"quform_16_45_0b43b1\" name=\"quform_16_45\" class=\"quform-field quform-field-select quform-field-16_45\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"dr. Erwin Joe, Sp.N, FINA\">dr. Erwin Joe, Sp.N, FINA<\/option><option value=\"dr. Yulius Seno Nugroho, Sp.BS\">dr. Yulius Seno Nugroho, Sp.BS<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_46 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_46\"><label class=\"quform-label-text\" for=\"quform_16_46_0b43b1\">Tropical Infection Doctor<\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_46\"><div class=\"quform-input quform-input-select quform-input-16_46 quform-cf\"><select id=\"quform_16_46_0b43b1\" name=\"quform_16_46\" class=\"quform-field quform-field-select quform-field-16_46\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"Prof. Dr. dr. Erni Juwita Nelwan, Ph.D, Sp.PD, K-PTI, FACP, FINASIM\">Prof. Dr. dr. Erni Juwita Nelwan, Ph.D, Sp.PD, K-PTI, FACP, FINASIM<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_47 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_47\"><label class=\"quform-label-text\" for=\"quform_16_47_0b43b1\"> INTERNAL MEDICINE\/CARDIOLOGY DOCTORS<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_47\"><div class=\"quform-input quform-input-select quform-input-16_47 quform-cf\"><select id=\"quform_16_47_0b43b1\" name=\"quform_16_47\" class=\"quform-field quform-field-select quform-field-16_47\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"dr. Prasetyo Andriono, Sp.JP, FSCCT\">dr. Prasetyo Andriono, Sp.JP, FSCCT<\/option><option value=\"dr. Sutrisno T. Subagyo, Sp.PD-JP\">dr. Sutrisno T. Subagyo, Sp.PD-JP<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_48 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_48\"><label class=\"quform-label-text\" for=\"quform_16_48_0b43b1\">NEUROLOGY DOCTORS<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_48\"><div class=\"quform-input quform-input-select quform-input-16_48 quform-cf\"><select id=\"quform_16_48_0b43b1\" name=\"quform_16_48\" class=\"quform-field quform-field-select quform-field-16_48\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"Dr. dr. Ahmad Yanuar S, SpS(K)\">Dr. dr. Ahmad Yanuar S, SpS(K)<\/option><option value=\"dr. Felix Adrian, B.med.Sci, Sp.N\">dr. Felix Adrian, B.med.Sci, Sp.N<\/option><option value=\"dr. Freddy Sitorus, Sp.S(K)\">dr. Freddy Sitorus, Sp.S(K)<\/option><option value=\"dr. Indah Aprianti Putri, Sp.S, MSc.\">dr. Indah Aprianti Putri, Sp.S, MSc.<\/option><option value=\"Prof. Dr. Jusuf Misbach, Sp.S(K), FAAN\">Prof. Dr. Jusuf Misbach, Sp.S(K), FAAN<\/option><option value=\"Prof. DR. dr. Salim Harris, Sp.S(K), FICA\">Prof. DR. dr. Salim Harris, Sp.S(K), FICA<\/option><option value=\"Prof. Dr. Teguh A.S Ranakusuma, Sp.S(K)\">Prof. Dr. Teguh A.S Ranakusuma, Sp.S(K)<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_49 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_49\"><label class=\"quform-label-text\" for=\"quform_16_49_0b43b1\">NUCLEAR MEDICINE DOCTOR<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_49\"><div class=\"quform-input quform-input-select quform-input-16_49 quform-cf\"><select id=\"quform_16_49_0b43b1\" name=\"quform_16_49\" class=\"quform-field quform-field-select quform-field-16_49\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"dr. Aulia Huda, Sp.KN-TM(K)\">dr. Aulia Huda, Sp.KN-TM(K)<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_50 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_50\"><label class=\"quform-label-text\" for=\"quform_16_50_0b43b1\">OBSTETRICS AND GYNECOLOGY DOCTOR<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_50\"><div class=\"quform-input quform-input-select quform-input-16_50 quform-cf\"><select id=\"quform_16_50_0b43b1\" name=\"quform_16_50\" class=\"quform-field quform-field-select quform-field-16_50\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"dr. Harianto Wijaya, Sp.OG-KFERm DMAS\">dr. Harianto Wijaya, Sp.OG-KFERm DMAS<\/option><option value=\"dr. Irmiya Rachmiyani, Sp.OG\">dr. Irmiya Rachmiyani, Sp.OG<\/option><option value=\"dr. Sigit Pramono, Sp.OG, FRANZCOG\">dr. Sigit Pramono, Sp.OG, FRANZCOG<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_51 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_51\"><label class=\"quform-label-text\" for=\"quform_16_51_0b43b1\">OPHTHALMOLOGY Doctor<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_51\"><div class=\"quform-input quform-input-select quform-input-16_51 quform-cf\"><select id=\"quform_16_51_0b43b1\" name=\"quform_16_51\" class=\"quform-field quform-field-select quform-field-16_51\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"Prof. Dr. dr. Harry H. B. Mailangkay, Sp.M(K)\">Prof. Dr. dr. Harry H. B. Mailangkay, Sp.M(K)<\/option><option value=\"dr. Nur Aisyah Rahmawati, Sp.M\">dr. Nur Aisyah Rahmawati, Sp.M<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_52 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_52\"><label class=\"quform-label-text\" for=\"quform_16_52_0b43b1\">ORTHOPEDICS DOCTOR<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_52\"><div class=\"quform-input quform-input-select quform-input-16_52 quform-cf\"><select id=\"quform_16_52_0b43b1\" name=\"quform_16_52\" class=\"quform-field quform-field-select quform-field-16_52\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"dr. Aldo Fransiskus Marsetio, B.Med.Sc, SpOT(K), AIFO-K\">dr. Aldo Fransiskus Marsetio, B.Med.Sc, SpOT(K), AIFO-K<\/option><option value=\"Dr. Carles Siagian, SpOT(K) Spine, AIFO-K\">Dr. Carles Siagian, SpOT(K) Spine, AIFO-K<\/option><option value=\"dr. Roger Leo, Sp.OT\">dr. Roger Leo, Sp.OT<\/option><option value=\"dr. I Gusti Made Febry Siswanto, SpOT(K)\">dr. I Gusti Made Febry Siswanto, SpOT(K)<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_53 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_53\"><label class=\"quform-label-text\" for=\"quform_16_53_0b43b1\">OTOLARYNGOLOGY - HEAD &amp; NECK SURGERY DOCTOR<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_53\"><div class=\"quform-input quform-input-select quform-input-16_53 quform-cf\"><select id=\"quform_16_53_0b43b1\" name=\"quform_16_53\" class=\"quform-field quform-field-select quform-field-16_53\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\" dr. Ayu Astria Sriyana, Sp.THT-KL\"> dr. Ayu Astria Sriyana, Sp.THT-KL<\/option><option value=\"dr. Erna Chrysantini, Sp.THT-KL\">dr. Erna Chrysantini, Sp.THT-KL<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_54 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_54\"><label class=\"quform-label-text\" for=\"quform_16_54_0b43b1\">PEDIATRICS DOCTOR<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_54\"><div class=\"quform-input quform-input-select quform-input-16_54 quform-cf\"><select id=\"quform_16_54_0b43b1\" name=\"quform_16_54\" class=\"quform-field quform-field-select quform-field-16_54\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"dr. Andy Japutra, Sp.A\">dr. Andy Japutra, Sp.A<\/option><option value=\"dr. Johnny Nurman, Sp. A\">dr. Johnny Nurman, Sp. A<\/option><option value=\"dr. Wiwi Gunawan, Sp.A\">dr. Wiwi Gunawan, Sp.A<\/option><option value=\"dr. Yvone Marthina, Sp.A\">dr. Yvone Marthina, Sp.A<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_55 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_55\"><label class=\"quform-label-text\" for=\"quform_16_55_0b43b1\">PHYSICAL AND REHABILITATION DOCTOR<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_55\"><div class=\"quform-input quform-input-select quform-input-16_55 quform-cf\"><select id=\"quform_16_55_0b43b1\" name=\"quform_16_55\" class=\"quform-field quform-field-select quform-field-16_55\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"dr. Kaleb Tjindarbumi, B.Med.Sc, Sp.KFR\">dr. Kaleb Tjindarbumi, B.Med.Sc, Sp.KFR<\/option><option value=\"dr. Rudy Rusli, Sp. KFR\">dr. Rudy Rusli, Sp. KFR<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_56 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_56\"><label class=\"quform-label-text\" for=\"quform_16_56_0b43b1\">PSYCHIATRY DOCTOR<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_56\"><div class=\"quform-input quform-input-select quform-input-16_56 quform-cf\"><select id=\"quform_16_56_0b43b1\" name=\"quform_16_56\" class=\"quform-field quform-field-select quform-field-16_56\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"dr. Richard Budiman, Sp.KJ(K)\">dr. Richard Budiman, Sp.KJ(K)<\/option><option value=\"dr. Sri Indrati Suraputra, Sp.KJ\">dr. Sri Indrati Suraputra, Sp.KJ<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_57 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_57\"><label class=\"quform-label-text\" for=\"quform_16_57_0b43b1\">PULMONOLOGY DOCTOR<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_57\"><div class=\"quform-input quform-input-select quform-input-16_57 quform-cf\"><select id=\"quform_16_57_0b43b1\" name=\"quform_16_57\" class=\"quform-field quform-field-select quform-field-16_57\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"dr. Arifin Nawas, Sp.P(K), MARS\">dr. Arifin Nawas, Sp.P(K), MARS<\/option><option value=\"dr. Ni Nyoman Priantini, Sp.P, FISR\">dr. Ni Nyoman Priantini, Sp.P, FISR<\/option><option value=\"dr. Samuel Sunarso, Sp.P, FPCP\">dr. Samuel Sunarso, Sp.P, FPCP<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_58 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_58\"><label class=\"quform-label-text\" for=\"quform_16_58_0b43b1\">RADIOLOGY DOCTOR<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_58\"><div class=\"quform-input quform-input-select quform-input-16_58 quform-cf\"><select id=\"quform_16_58_0b43b1\" name=\"quform_16_58\" class=\"quform-field quform-field-select quform-field-16_58\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"dr. Fredy Kastilany, B.Med.Sc, Sp.Rad\">dr. Fredy Kastilany, B.Med.Sc, Sp.Rad<\/option><option value=\"Dr. dr. Jacub Pandelaki, Sp.Rad(K)\">Dr. dr. Jacub Pandelaki, Sp.Rad(K)<\/option><option value=\"dr. Marcel Prasetyo, Sp.Rad (K)\">dr. Marcel Prasetyo, Sp.Rad (K)<\/option><option value=\"dr. Reyhan Eddy Yunus, Sp.Rad(K), M.Sc\">dr. Reyhan Eddy Yunus, Sp.Rad(K), M.Sc<\/option><option value=\"dr. Sahat Matondang, Sp.Rad(K)\">dr. Sahat Matondang, Sp.Rad(K)<\/option><option value=\"dr. Sisyani Sunaryo, Sp.Rad\">dr. Sisyani Sunaryo, Sp.Rad<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_59 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_59\"><label class=\"quform-label-text\" for=\"quform_16_59_0b43b1\">REUMATOLOGY DOCTOR<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_59\"><div class=\"quform-input quform-input-select quform-input-16_59 quform-cf\"><select id=\"quform_16_59_0b43b1\" name=\"quform_16_59\" class=\"quform-field quform-field-select quform-field-16_59\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"dr. Faisal Parlindungan, Sp.PD-KR\">dr. Faisal Parlindungan, Sp.PD-KR<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_60 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_60\"><label class=\"quform-label-text\" for=\"quform_16_60_0b43b1\">Surgery Sub Specialization<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_60\"><div class=\"quform-input quform-input-select quform-input-16_60 quform-cf\"><select id=\"quform_16_60_0b43b1\" name=\"quform_16_60\" class=\"quform-field quform-field-select quform-field-16_60\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"General Surgery\">General Surgery<\/option><option value=\"Vascular Surgery\">Vascular Surgery<\/option><option value=\"Digestive Surgery\">Digestive Surgery<\/option><option value=\"Neurosurgery\">Neurosurgery<\/option><option value=\"Oral and maxillofacial surgery\">Oral and maxillofacial surgery<\/option><option value=\"Pediatric Surgery\">Pediatric Surgery<\/option><option value=\"Plastic Surgery\">Plastic Surgery<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_61 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_61\"><label class=\"quform-label-text\" for=\"quform_16_61_0b43b1\">General Surgery Doctor<\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_61\"><div class=\"quform-input quform-input-select quform-input-16_61 quform-cf\"><select id=\"quform_16_61_0b43b1\" name=\"quform_16_61\" class=\"quform-field quform-field-select quform-field-16_61\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"dr. Bramastha AR, M.Biomed Sp.B\">dr. Bramastha AR, M.Biomed Sp.B<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_62 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_62\"><label class=\"quform-label-text\" for=\"quform_16_62_0b43b1\">Vascular Surgery Doctor<\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_62\"><div class=\"quform-input quform-input-select quform-input-16_62 quform-cf\"><select id=\"quform_16_62_0b43b1\" name=\"quform_16_62\" class=\"quform-field quform-field-select quform-field-16_62\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"dr. Andrew Jackson Yang, Sp.B.Subsp.BVE(K), MARS\">dr. Andrew Jackson Yang, Sp.B.Subsp.BVE(K), MARS<\/option><option value=\"Prof. Dr. Med. dr. Rasjid Soeparwata, Sp.B(K), Sp.BTKV(K)\">Prof. Dr. Med. dr. Rasjid Soeparwata, Sp.B(K), Sp.BTKV(K)<\/option><option value=\"dr. Saleh Harris, Sp.B, Subsp.BVE(K)\">dr. Saleh Harris, Sp.B, Subsp.BVE(K)<\/option><option value=\"dr. Yanto Sandy Tjang, SpBTKV, Subsp. VE(K), PhD, FACC, FACS, FEBVS, FETCS, FICS\">dr. Yanto Sandy Tjang, SpBTKV, Subsp. VE(K), PhD, FACC, FACS, FEBVS, FETCS, FICS<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_63 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_63\"><label class=\"quform-label-text\" for=\"quform_16_63_0b43b1\">Digestive Surgery Doctor<\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_63\"><div class=\"quform-input quform-input-select quform-input-16_63 quform-cf\"><select id=\"quform_16_63_0b43b1\" name=\"quform_16_63\" class=\"quform-field quform-field-select quform-field-16_63\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"Prof. Dr. dr. Toar JM Lalisang, Sp.B, SubspBD(K)\">Prof. Dr. dr. Toar JM Lalisang, Sp.B, SubspBD(K)<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_64 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_64\"><label class=\"quform-label-text\" for=\"quform_16_64_0b43b1\">Neurosurgery Doctor<\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_64\"><div class=\"quform-input quform-input-select quform-input-16_64 quform-cf\"><select id=\"quform_16_64_0b43b1\" name=\"quform_16_64\" class=\"quform-field quform-field-select quform-field-16_64\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"dr. Heri Aminuddin, Sp.BS(K)\">dr. Heri Aminuddin, Sp.BS(K)<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_65 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_65\"><label class=\"quform-label-text\" for=\"quform_16_65_0b43b1\">Oral and maxillofacial surgery Doctor<\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_65\"><div class=\"quform-input quform-input-select quform-input-16_65 quform-cf\"><select id=\"quform_16_65_0b43b1\" name=\"quform_16_65\" class=\"quform-field quform-field-select quform-field-16_65\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"Dr. drg. C. Rini Suprapti, Sp.BM(K)\">Dr. drg. C. Rini Suprapti, Sp.BM(K)<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_66 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_66\"><label class=\"quform-label-text\" for=\"quform_16_66_0b43b1\">Pediatric Surgery Doctor<\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_66\"><div class=\"quform-input quform-input-select quform-input-16_66 quform-cf\"><select id=\"quform_16_66_0b43b1\" name=\"quform_16_66\" class=\"quform-field quform-field-select quform-field-16_66\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"dr. Luana Anastasia, Sp.BA\">dr. Luana Anastasia, Sp.BA<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_67 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_67\"><label class=\"quform-label-text\" for=\"quform_16_67_0b43b1\">Plastic Surgery Doctor<\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_67\"><div class=\"quform-input quform-input-select quform-input-16_67 quform-cf\"><select id=\"quform_16_67_0b43b1\" name=\"quform_16_67\" class=\"quform-field quform-field-select quform-field-16_67\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"dr. Vera Ikasari, Sp.BP-RE\">dr. Vera Ikasari, Sp.BP-RE<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-16_68 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_68\"><label class=\"quform-label-text\" for=\"quform_16_68_0b43b1\">UROLOGY DOCTOR<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-16_68\"><div class=\"quform-input quform-input-select quform-input-16_68 quform-cf\"><select id=\"quform_16_68_0b43b1\" name=\"quform_16_68\" class=\"quform-field quform-field-select quform-field-16_68\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"dr. Adistra Imam Satjakoesoemah, Sp.U, FICS\">dr. Adistra Imam Satjakoesoemah, Sp.U, FICS<\/option><option value=\"dr. Rochani, Sp.B, Sp.U(K)\">dr. Rochani, Sp.B, Sp.U(K)<\/option><option value=\"dr. Samycha Jusuf, Sp.U\">dr. Samycha Jusuf, Sp.U<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-16_16\"><div class=\"quform-element quform-element-date quform-element-16_21 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_21\"><label class=\"quform-label-text\" for=\"quform_16_21_0b43b1\">Date<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-date quform-inner-16_21\"><div class=\"quform-input quform-input-date quform-input-16_21 quform-cf quform-has-field-icon-right\"><input type=\"text\" id=\"quform_16_21_0b43b1\" name=\"quform_16_21\" class=\"quform-field quform-field-date quform-field-16_21\" placeholder=\"YYYY-MM-DD\" data-options=\"{&quot;format&quot;:&quot;yyyy-MM-dd&quot;,&quot;min&quot;:&quot;&quot;,&quot;max&quot;:&quot;&quot;,&quot;start&quot;:&quot;month&quot;,&quot;depth&quot;:&quot;month&quot;,&quot;showFooter&quot;:false,&quot;locale&quot;:&quot;en-ID&quot;,&quot;placeholder&quot;:&quot;&quot;,&quot;autoOpen&quot;:true,&quot;identifier&quot;:&quot;16_21&quot;}\" \/><span class=\"quform-field-icon quform-field-icon-right\"><i class=\"qicon-calendar\"><\/i><\/span><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-time quform-element-16_22 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-16_22\"><label class=\"quform-label-text\" for=\"quform_16_22_0b43b1\">Preferred Time<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-time quform-inner-16_22\"><div class=\"quform-input quform-input-time quform-input-16_22 quform-cf quform-has-field-icon-right\"><input type=\"text\" id=\"quform_16_22_0b43b1\" name=\"quform_16_22\" class=\"quform-field quform-field-time quform-field-16_22\" placeholder=\"HH:MM\" data-options=\"{&quot;min&quot;:&quot;07:00&quot;,&quot;max&quot;:&quot;21:00&quot;,&quot;interval&quot;:&quot;30&quot;,&quot;locale&quot;:&quot;en-ID&quot;,&quot;format&quot;:&quot;HH:mm&quot;,&quot;placeholder&quot;:&quot;&quot;,&quot;autoOpen&quot;:true,&quot;identifier&quot;:&quot;16_22&quot;}\" \/><span class=\"quform-field-icon quform-field-icon-right\"><i class=\"qicon-schedule\"><\/i><\/span><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-row quform-element-row-16_74 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-16_75\"><div class=\"quform-element quform-element-submit quform-element-16_2 quform-cf quform-button-style-theme quform-button-size-fat\"><div class=\"quform-button-submit quform-button-submit-default quform-button-submit-16_2\"><button name=\"quform_submit\" type=\"submit\" class=\"quform-submit\" value=\"submit\"><span class=\"quform-button-text quform-button-submit-text\">Send Booking Appointment<\/span><\/button><\/div><div class=\"quform-loading quform-loading-position-left quform-loading-type-spinner-1\"><div class=\"quform-loading-inner\"><div class=\"quform-loading-spinner\"><div class=\"quform-loading-spinner-inner\"><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-html quform-element-16_73 quform-cf\"><div class=\"quform-spacer\"><em><a class=\"reset-form\" href=\"#\">Click here to reset form<\/a><\/em><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-16_76\"><\/div><\/div><div class=\"quform-element-tree\"><label for=\"quform_16_0_0b43b1\">This field should be left blank<\/label><input type=\"text\" id=\"quform_16_0_0b43b1\" name=\"quform_16_0\" class=\"quform-field quform-field-tree quform-field-16_0\" tabindex=\"-1\" autocomplete=\"off\" \/><\/div><\/div><\/div><\/div><\/div><\/form><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":30,"menu_order":0,"comment_status":"open","ping_status":"closed","template":"_page-section-root.php","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.8.1 - 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