| Name | Description | Type | Additional information | 
|---|---|---|---|
| InnovID | integer | None. | |
| InsuranceNo | string | None. | |
| DoYouHaveAnOldESICNo | string | None. | |
| ESICNo | string | None. | |
| EmpCode | string | None. | |
| BranchOfficeName | string | None. | |
| DispensaryName | string | None. |