{"id":5483,"date":"2024-05-14T23:46:22","date_gmt":"2024-05-14T23:46:22","guid":{"rendered":"https:\/\/mycetoma.edu.sd\/?page_id=5483"},"modified":"2024-05-15T23:03:20","modified_gmt":"2024-05-15T23:03:20","slug":"medical-consultation","status":"publish","type":"page","link":"https:\/\/mycetoma.edu.sd\/?page_id=5483","title":{"rendered":"Medical Consultation"},"content":{"rendered":"<h1 style=\"text-align: left;\"><span style=\"color: #800000;\">Medical Consultation<\/span><\/h1>\n<div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-5520\"><form id=\"wpforms-form-5520\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"5520\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F5483&#038;wpforms_form_id=5520\" data-token=\"37624f6237872fa6b9b8aac1e7627752\" data-token-time=\"1777299768\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-hidden\" id=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-5520-field_10-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"10\"><div id=\"wpforms-5520-field_10\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-5520-field_10-error\"><h4>For Health and Medical Professionals:<\/h4>\n<p>Please Fill your Information Below<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-5520-field_1-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-5520-field_1\">Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-5520-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" aria-errormessage=\"wpforms-5520-field_1-error\" required><\/div><div id=\"wpforms-5520-field_2-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-5520-field_2\">Institute <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-5520-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" aria-errormessage=\"wpforms-5520-field_2-error\" required><\/div><div id=\"wpforms-5520-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-5520-field_3\">Position <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-5520-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" aria-errormessage=\"wpforms-5520-field_3-error\" required><\/div><div id=\"wpforms-5520-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-5520-field_4\">Country <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-5520-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" aria-errormessage=\"wpforms-5520-field_4-error\" required><\/div><div id=\"wpforms-5520-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-5520-field_5\">City <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-5520-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" aria-errormessage=\"wpforms-5520-field_5-error\" required><\/div><div id=\"wpforms-5520-field_11-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-5520-field_11\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-5520-field_11\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" spellcheck=\"false\" aria-errormessage=\"wpforms-5520-field_11-error\" required><\/div><div id=\"wpforms-5520-field_13-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"13\"><div id=\"wpforms-5520-field_13\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-5520-field_13-error\"><h4 style=\"text-align: left\"><span style=\"color: #800000\">Patient information:<\/span><\/h4>\n<p>Please Fill Patient Information Below<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-5520-field_14-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-5520-field_14\">Age <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" id=\"wpforms-5520-field_14\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][14]\" aria-errormessage=\"wpforms-5520-field_14-error\" required><\/div><div id=\"wpforms-5520-field_15-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-5520-field_15\">Gander <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-5520-field_15\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][15]\" required=\"required\"><option value=\"Male\" >Male<\/option><option value=\"Female\" >Female<\/option><\/select><\/div><div id=\"wpforms-5520-field_16-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-5520-field_16\">Occupation<\/label><input type=\"text\" id=\"wpforms-5520-field_16\" class=\"wpforms-field-medium\" name=\"wpforms[fields][16]\" aria-errormessage=\"wpforms-5520-field_16-error\" ><\/div><div id=\"wpforms-5520-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-5520-field_17\">Residence \u2013Country <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-5520-field_17\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][17]\" aria-errormessage=\"wpforms-5520-field_17-error\" required><\/div><div id=\"wpforms-5520-field_24-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-5520-field_24\">History Summary <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><textarea id=\"wpforms-5520-field_24\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][24]\" aria-errormessage=\"wpforms-5520-field_24-error\" required><\/textarea><\/div><div id=\"wpforms-5520-field_18-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-5520-field_18\">Clinical Examination<\/label><input type=\"text\" id=\"wpforms-5520-field_18\" class=\"wpforms-field-medium\" name=\"wpforms[fields][18]\" aria-errormessage=\"wpforms-5520-field_18-error\" ><\/div><div id=\"wpforms-5520-field_19-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-5520-field_19\">Laboratory Investigations<\/label><input type=\"text\" id=\"wpforms-5520-field_19\" class=\"wpforms-field-medium\" name=\"wpforms[fields][19]\" aria-errormessage=\"wpforms-5520-field_19-error\" ><\/div><div id=\"wpforms-5520-field_21-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-5520-field_21\">Current Treatment<\/label><input type=\"text\" id=\"wpforms-5520-field_21\" class=\"wpforms-field-medium\" name=\"wpforms[fields][21]\" aria-errormessage=\"wpforms-5520-field_21-error\" ><\/div><div id=\"wpforms-5520-field_20-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-5520-field_20\">Imaging Result<\/label><input type=\"text\" id=\"wpforms-5520-field_20\" class=\"wpforms-field-medium\" name=\"wpforms[fields][20]\" aria-errormessage=\"wpforms-5520-field_20-error\" ><\/div><div id=\"wpforms-5520-field_12-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-5520-field_12\">File Upload<\/label><div\n\t\tclass=\"wpforms-uploader\"\n\t\tdata-field-id=\"12\"\n\t\tdata-form-id=\"5520\"\n\t\tdata-input-name=\"wpforms_5520_12\"\n\t\tdata-extensions=\"png,gif,jpg,doc,xls,ppt,pdf\"\n\t\tdata-max-size=\"4194304\"\n\t\tdata-max-file-number=\"6\"\n\t\tdata-post-max-size=\"268435456\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg viewBox=\"0 0 1024 1024\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z\"><\/path>\n\t\t<\/svg>\n\t\t<span class=\"modern-title\">Click or drag files to this area to upload.<\/span>\n\n\t\t\t\t\t<span class=\"modern-hint\">You can upload up to 6 files.<\/span>\n\t\t\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-5520-field_12\"\n\t\tname=\"wpforms_5520_12\" \t\tvalue=\"\">\n<div id=\"wpforms-5520-field_12-description\" class=\"wpforms-field-description\">Kindly attach Images, photos, and documents.<\/div><\/div><div id=\"wpforms-5520-field_8-container\" class=\"wpforms-field wpforms-field-captcha\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-5520-field_8\">Custom Captcha <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label>\t\t\t<div class=\"wpforms-captcha-math\">\n\t\t\t\t<span id=\"wpforms-5520-field_8-question\" class=\"wpforms-captcha-equation\">\n\t\t\t\t\t<span class=\"n1\">4<\/span>\n\t\t\t\t\t\t\t<span class=\"cal\">*<\/span>\n\t\t\t\t\t\t\t<span class=\"n2\">14<\/span>\t\t\t\t\t<span class=\"e\">=<\/span>\n\t\t\t\t<\/span>\n\t\t\t\t<input type=\"text\" id=\"wpforms-5520-field_8\" class=\"wpforms-field-medium wpforms-field-required a\" data-rule-wpf-captcha=\"math\" data-is-wrapped-field=\"1\" name=\"wpforms[fields][8][a]\" aria-errormessage=\"wpforms-5520-field_8-error\" aria-describedby=\"wpforms-5520-field_8-question\" required>\t\t\t\t<input type=\"hidden\" name=\"wpforms[fields][8][cal]\" class=\"cal\">\n\t\t\t\t<input type=\"hidden\" name=\"wpforms[fields][8][n2]\" class=\"n2\">\n\t\t\t\t<input type=\"hidden\" name=\"wpforms[fields][8][n1]\" class=\"n1\">\n\t\t\t<\/div>\n\t\t\t<\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"5520\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/mycetoma.edu.sd\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F5483\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-5520\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/mycetoma.edu.sd\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n<hr class=\"bs-divider full large\" \/>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Medical Consultation &nbsp;<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-5483","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/mycetoma.edu.sd\/index.php?rest_route=\/wp\/v2\/pages\/5483","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mycetoma.edu.sd\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mycetoma.edu.sd\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mycetoma.edu.sd\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/mycetoma.edu.sd\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=5483"}],"version-history":[{"count":5,"href":"https:\/\/mycetoma.edu.sd\/index.php?rest_route=\/wp\/v2\/pages\/5483\/revisions"}],"predecessor-version":[{"id":5563,"href":"https:\/\/mycetoma.edu.sd\/index.php?rest_route=\/wp\/v2\/pages\/5483\/revisions\/5563"}],"wp:attachment":[{"href":"https:\/\/mycetoma.edu.sd\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5483"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}