| Name | Description | Type | Additional information |
|---|---|---|---|
| treatmentDate | string |
None. |
|
| enrolleeNo | string |
None. |
|
| treatment | string |
None. |
|
| qty | integer |
None. |
|
| amount | decimal number |
None. |
|
| providerName | string |
None. |
|
| surname | string |
None. |
|
| firstName | string |
None. |
|
| otherName | string |
None. |
|
| phone_number | string |
None. |