Insurance Provider Name is required
Card Number is required
Insurance Number is required
{{GeneralFieldLabel.IMISCode}} is required
Insurance Current Balance is required
Wrong date is selected
{{insurance.InsuranceProviderName}} ({{insurance.CardNumber}})
Insurance ProviderName:
{{insurance.InsuranceProviderName}}
Insurance Name:
{{insurance.InsuranceName}}
Card Number:
{{insurance.CardNumber}}
Insurance Number:
{{insurance.InsuranceNumber}}
IMIS Code:
{{insurance.IMISCode}}
Initial Balance:
{{insurance.InitialBalance}}
Current Balance:
{{insurance.CurrentBalance}}
Subscriber Firstname:
{{insurance.SubscriberFirstName}}
Subscriber Lastname:
{{insurance.SubscriberLastName}}
Subscriber DOB:
{{insurance.SubscriberDOB}}
Subscriber Gender:
{{insurance.SubscriberGender}}
Subscriber IDCard Number:
{{insurance.SubscriberIDCardNumber}}
Subscriber IDCard Type:
{{insurance.SubscriberIDCardType}}