{"id":1075,"date":"2026-05-20T06:23:33","date_gmt":"2026-05-20T06:23:33","guid":{"rendered":"https:\/\/dymmedicalclinic.id\/in\/?page_id=1075"},"modified":"2026-05-20T07:27:04","modified_gmt":"2026-05-20T07:27:04","slug":"booking-confirm","status":"publish","type":"page","link":"https:\/\/dymmedicalclinic.id\/in\/mcu\/booking-confirm\/","title":{"rendered":"booking-confirm"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1073-o1\" lang=\"ja\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/in\/wp-json\/wp\/v2\/pages\/1075#wpcf7-f1073-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"\u30b3\u30f3\u30bf\u30af\u30c8\u30d5\u30a9\u30fc\u30e0\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"1073\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.9.8\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"ja\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1073-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<div class=\"formpart\">\n\t<div class=\"formname\">\n\t\t<div class=\"name\">\n\t\t\t<p>Jenis kelamin\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"require\">\n\t\t\t<p>Wajib\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"forminput\">\n\t\t<p>[multiform sex]\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"formpart\">\n\t<div class=\"formname\">\n\t\t<div class=\"name\">\n\t\t\t<p>Nama\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"require\">\n\t\t\t<p>Wajib\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"forminput\">\n\t\t<p>[multiform familyname]&nbsp;[multiform firstname]\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"formpart\">\n\t<div class=\"formname\">\n\t\t<div class=\"name\">\n\t\t\t<p>Tanggal lahir\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"require\">\n\t\t\t<p>Wajib\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"forminput birthday_box\">\n\t\t<p>[multiform birth_year]\/[multiform birth_month]\/[multiform birth_day]\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"formpart\">\n\t<div class=\"formname\">\n\t\t<div class=\"name\">\n\t\t\t<p>Nomor telepon seluler\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"require\">\n\t\t\t<p>Wajib\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"forminput\">\n\t\t<p>[multiform tel]\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"formpart\">\n\t<div class=\"formname\">\n\t\t<div class=\"name\">\n\t\t\t<p>Alamat email\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"require\">\n\t\t\t<p>Wajib\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"forminput\">\n\t\t<p>[multiform email]\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"formpart\">\n\t<div class=\"formname\">\n\t\t<div class=\"name\">\n\t\t\t<p>Alamat email (konfirmasi)\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"require\">\n\t\t\t<p>Wajib\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"forminput\">\n\t\t<p>[multiform email_confirm]\n\t\t<\/p>\n\t\t<div class=\"error-message\" id=\"email-error\">\n\t\t\t<p>Alamat email tidak sama.\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"formpart\">\n\t<div class=\"formname\">\n\t\t<div class=\"name\">\n\t\t\t<p>Tanggal dan waktu janji temu yang diinginkan\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"require\">\n\t\t\t<p>Wajib\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"forminput hopeday_box\">\n\t\t<div>\n\t\t\t<p>Pilihan pertama\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p>[multiform kibou1]\u3000[multiform kibou1-2]\n\t\t<\/p>\n\t\t<div>\n\t\t\t<p>Pilihan kedua\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p>[multiform kibou2]\u3000[multiform kibou2-2]\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"formpart\">\n\t<div class=\"formname\">\n\t\t<div class=\"name\">\n\t\t\t<p>Paket\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"require\">\n\t\t\t<p>Wajib\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"forminput brelement checks no-breaks\">\n\t\t<p>[multiform plan]\n\t\t<\/p>\n\t\t<p>[multiform plan2]\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"formpart\">\n\t<div class=\"formname\">\n\t\t<div class=\"name\">\n\t\t\t<p>Pemeriksaan tambahan\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"require nini\">\n\t\t\t<p>Opsional\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"forminput brelement checks\">\n\t\t<p>[multiform option]\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"formpart\">\n\t<div class=\"formname\">\n\t\t<div class=\"name\">\n\t\t\t<p>Riwayat kunjungan di klinik kami\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"require\">\n\t\t\t<p>Wajib\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"forminput\">\n\t\t<p>[multiform history]\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"formpart\">\n\t<div class=\"formname\">\n\t\t<div class=\"name\">\n\t\t\t<p>Metode pembayaran (biaya paket)\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"require\">\n\t\t\t<p>Wajib\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"forminput checks\">\n\t\t<p>[multiform payment]\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"formpart\">\n\t<div class=\"formname\">\n\t\t<div class=\"name\">\n\t\t\t<p>Metode pembayaran (pemeriksaan tambahan)\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"require nini\">\n\t\t\t<p>Opsional\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"forminput checks\">\n\t\t<p>[multiform payment2]\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"formpart\">\n\t<div class=\"formname\">\n\t\t<div class=\"name\">\n\t\t\t<p>Nama perusahaan\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"require nini\">\n\t\t\t<p>Opsional\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"forminput\">\n\t\t<p>[multiform company]\n\t\t<\/p>\n\t\t<p class=\"chui_company\">Wajib diisi jika ditagihkan perusahaan.\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"formpart\">\n\t<div class=\"formname\">\n\t\t<div class=\"name\">\n\t\t\t<p>Alamat perusahaan\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"require nini\">\n\t\t\t<p>Opsional\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"forminput\">\n\t\t<p>[multiform company_address]\n\t\t<\/p>\n\t\t<p class=\"chui_company\">Wajib diisi jika ditagihkan perusahaan.\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"formpart\">\n\t<div class=\"formname\">\n\t\t<div class=\"name\">\n\t\t\t<p>Nama PIC akuntan Indonesia\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"require nini\">\n\t\t\t<p>Opsional\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"forminput\">\n\t\t<p>[multiform keiri_name]\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"formpart\">\n\t<div class=\"formname\">\n\t\t<div class=\"name\">\n\t\t\t<p>Nomor telepon PIC akuntan Indonesia\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"require nini\">\n\t\t\t<p>Opsional\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"forminput\">\n\t\t<p>[multiform keiri_tel]\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"formpart\">\n\t<div class=\"formname\">\n\t\t<div class=\"name\">\n\t\t\t<p>Alamat email PIC akuntan Indonesia\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"require nini\">\n\t\t\t<p>Opsional\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"forminput\">\n\t\t<p>[multiform keiri_mail]\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"formpart\">\n\t<div class=\"formname\">\n\t\t<div class=\"name\">\n\t\t\t<p>Catatan\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"require nini\">\n\t\t\t<p>Opsional\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"forminput\">\n\t\t<p>[multiform others]\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"submit\">\n\t<p>[multistep multistep-285 last_step send_email \"\/in\/mcu\/booking-thanks\/\"]<br \/>\n<input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Kirim\" \/><br \/>\n[previous \"Edit Data\"]\n\t<\/p>\n<\/div>\n<div class=\"last_chui\">\n\t<p>* Setelah formulir reservasi dikirim, staf kami akan mengirimkan email konfirmasi reservasi dalam waktu 3 hari kerja.<br \/>\nJika Anda tidak menerima email konfirmasi, kami mohon maaf atas ketidaknyamanan ini. Silakan hubungi <br class=\"pc\" \/>klinik kami di (<a href=\"tel:02186656830\">021-8665-6830<\/a>).\n\t<\/p>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":0,"parent":445,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"pages\/booking-confirm.php","meta":{"footnotes":""},"acf":[],"_links":{"self":[{"href":"https:\/\/dymmedicalclinic.id\/in\/wp-json\/wp\/v2\/pages\/1075"}],"collection":[{"href":"https:\/\/dymmedicalclinic.id\/in\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dymmedicalclinic.id\/in\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dymmedicalclinic.id\/in\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/dymmedicalclinic.id\/in\/wp-json\/wp\/v2\/comments?post=1075"}],"version-history":[{"count":6,"href":"https:\/\/dymmedicalclinic.id\/in\/wp-json\/wp\/v2\/pages\/1075\/revisions"}],"predecessor-version":[{"id":1083,"href":"https:\/\/dymmedicalclinic.id\/in\/wp-json\/wp\/v2\/pages\/1075\/revisions\/1083"}],"up":[{"embeddable":true,"href":"https:\/\/dymmedicalclinic.id\/in\/wp-json\/wp\/v2\/pages\/445"}],"wp:attachment":[{"href":"https:\/\/dymmedicalclinic.id\/in\/wp-json\/wp\/v2\/media?parent=1075"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}