{"id":965,"date":"2025-01-27T00:36:36","date_gmt":"2025-01-27T00:36:36","guid":{"rendered":"https:\/\/dymmedicalclinic.id\/in\/?page_id=965"},"modified":"2025-01-29T04:09:17","modified_gmt":"2025-01-29T04:09:17","slug":"lp","status":"publish","type":"page","link":"https:\/\/dymmedicalclinic.id\/in\/lp\/","title":{"rendered":"Pemeriksaan Kesehatan"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f967-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\/965#wpcf7-f967-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"967\" \/>\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-f967-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>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><span class=\"wpcf7-form-control-wrap\" data-name=\"name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Budi Santoso\" value=\"\" type=\"text\" name=\"name\" \/><\/span>\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\">\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><span class=\"wpcf7-form-control-wrap\" data-name=\"company-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"PT AAA\" value=\"\" type=\"text\" name=\"company-name\" \/><\/span>\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>Jumlah karyawan\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><span class=\"wpcf7-form-control-wrap\" data-name=\"how-many\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"how-many\"><option value=\"Silakan pilih\">Silakan pilih<\/option><option value=\"0-10\">0-10<\/option><option value=\"11-30\">11-30<\/option><option value=\"31-50\">31-50<\/option><option value=\"51-100\">51-100<\/option><option value=\"101-300\">101-300<\/option><option value=\"lebih dari 300\">lebih dari 300<\/option><\/select><\/span>\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>Bulan MCU\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><span class=\"wpcf7-form-control-wrap\" data-name=\"month\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"month\"><option value=\"Silakan pilih\">Silakan pilih<\/option><option value=\"Januari\">Januari<\/option><option value=\"Februari\">Februari<\/option><option value=\"Maret\">Maret<\/option><option value=\"April\">April<\/option><option value=\"Mei\">Mei<\/option><option value=\"Juni\">Juni<\/option><option value=\"Juli\">Juli<\/option><option value=\"Agustus\">Agustus<\/option><option value=\"September\">September<\/option><option value=\"Oktober\">Oktober<\/option><option value=\"November\">November<\/option><option value=\"Desember\">Desember<\/option><\/select><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"formpart radio\">\n\t<div class=\"formname\">\n\t\t<div class=\"name\">\n\t\t\t<p>Jenis MCU\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><span class=\"wpcf7-form-control-wrap\" data-name=\"type\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"type\" value=\"Cek Kesehatan di Klinik\" \/><span class=\"wpcf7-list-item-label\">Cek Kesehatan di Klinik<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"type\" value=\"Cek Kesehatan di Lokasi\" \/><span class=\"wpcf7-list-item-label\">Cek Kesehatan di Lokasi<\/span><\/label><\/span><\/span><\/span>\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>WA\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><span class=\"wpcf7-form-control-wrap\" data-name=\"wa\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"021-1111-2222\" value=\"\" type=\"tel\" name=\"wa\" \/><\/span>\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>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><span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"124@aaa.co.id\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\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>Jalur kontak\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><span class=\"wpcf7-form-control-wrap\" data-name=\"way\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"way\" value=\"E-mail\" \/><span class=\"wpcf7-list-item-label\">E-mail<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"way\" value=\"WA\" \/><span class=\"wpcf7-list-item-label\">WA<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"way\" value=\"Keduanya\" \/><span class=\"wpcf7-list-item-label\">Keduanya<\/span><\/label><\/span><\/span><\/span>\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>Lampirkan daftar pemeriksaan\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><span class=\"wpcf7-form-control-wrap\" data-name=\"file\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".jpg,.jpeg,.png,.pdf\" aria-invalid=\"false\" type=\"file\" name=\"file\" \/><\/span><br \/>\n<img decoding=\"async\" id=\"filePreview\" src=\"#\" alt=\"Pratinjau File\" style=\"display:none; width:200px; height:auto;\" \/>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"formpart last\">\n\t<div class=\"formname\">\n\t\t<div class=\"name\">\n\t\t\t<p>Lainnya\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><span class=\"wpcf7-form-control-wrap\" data-name=\"others\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Jika Anda memiliki pertanyaan atau permintaan, silakan isi di sini.\" name=\"others\"><\/textarea><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"policy\">\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"agree\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"agree\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Saya setuju dengan <a href=\"http:\/\/indnesia.local\/privacypolicy\/\" target=\"_blank\">Kebijakan Privasi<\/a><\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n<\/div>\n<div class=\"submit\">\n\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Kirim\" \/>\n\t<\/p>\n<\/div><div class=\"wpcf7-response-output\" 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