- "Nama Penuh" is a required field.
- "Jantina" is a required field.
- "No Kad Pengenalan" is a required field.
- "Alamat Surat Menyurat" is a required field.
- "Nombor Telefon" is a required field.
- "Emel" is a required field.
- "Pekerjaan" is a required field.
- "Berat Badan" is a required field.
- "Tinggi" is a required field.
- "Penyakit Yang Dihadapi (jika ada)" is a required field.
- "No Telefon Individu Jika Ada Kecemasan" is a required field.
- "" is a required field.
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