{"id":34,"date":"2021-11-24T03:53:51","date_gmt":"2021-11-24T03:53:51","guid":{"rendered":"https:\/\/new-rafflesmedical.jaysoft.asia\/?page_id=34"},"modified":"2025-09-06T20:18:16","modified_gmt":"2025-09-06T13:18:16","slug":"appointment","status":"publish","type":"page","link":"https:\/\/rafflesmedical.vn\/vi\/appointment\/","title":{"rendered":"\u0110\u1eb6T H\u1eb8N"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"34\" class=\"elementor elementor-34\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-dc0c3c5 banner-destop elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"dc0c3c5\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e10f469\" data-id=\"e10f469\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1436922 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1436922\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ada006d\" data-id=\"ada006d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c9fe36e elementor-widget elementor-widget-heading\" data-id=\"c9fe36e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">\u0110\u1eb7t h\u1eb9n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-36aa296 elementor-widget elementor-widget-text-editor\" data-id=\"36aa296\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Raffles Medical khuy\u1ebfn kh\u00edch kh\u00e1ch h\u00e0ng \u0111\u1eb7t h\u1eb9n tr\u01b0\u1edbc khi \u0111\u1ebfn s\u1eed d\u1ee5ng d\u1ecbch v\u1ee5, \u0111\u1eb7c bi\u1ec7t \u0111\u1ed1i v\u1edbi m\u1ed9t s\u1ed1 d\u1ecbch v\u1ee5 nh\u01b0 kh\u00e1m s\u1ee9c kh\u1ecfe th\u01b0\u1eddng ni\u00ean, kh\u00e1m s\u1ee9c kh\u1ecfe xin gi\u1ea5y ph\u00e9p lao \u0111\u1ed9ng, v\u00e0 kh\u00e1m s\u1ee9c kh\u1ecfe xin th\u1ecb th\u1ef1c. \u0110\u1ec3 \u0111\u1eb7t h\u1eb9n, kh\u00e1ch h\u00e0ng c\u00f3 th\u1ec3 ch\u1ecdn m\u1ed9t trong hai c\u00e1ch th\u1ee9c sau:<\/p><p><strong><span style=\"color: #187f6b;\">\u0110\u1eb7t H\u1eb9n Qua \u0110i\u1ec7n Tho\u1ea1i<\/span><\/strong><\/p><ul><li><strong>Raffles Medical H\u1ed3 Ch\u00ed Minh<\/strong><br \/>285B \u0110i\u1ec7n Bi\u00ean Ph\u1ee7, Ph\u01b0\u1eddng Xu\u00e2n H\u00f2a, TP. H\u1ed3 Ch\u00ed Minh\u00a0 <br \/>\u0110i\u1ec7n tho\u1ea1i: <a href=\"tel:02838240777\"><span style=\"color: #ff0000;\">(028) 3824 0777<\/span><\/a>\u00a0 | Zalo &amp; WhatsApp: 0903133541<br \/>E-mail: <a href=\"mailto:frontdesk_hcmc@rafflesmedical.com\"><span style=\"font-weight: 400;\">frontdesk_hcmc@rafflesmedical.com<\/span><\/a><\/li><li><strong>Raffles Medical H\u00e0 N\u1ed9i<\/strong> <br \/>51 Xu\u00e2n Di\u1ec7u, Ph\u01b0\u1eddng T\u00e2y H\u1ed3, TP. H\u00e0 N\u1ed9i <br \/>\u0110i\u1ec7n tho\u1ea1i: <a href=\"tel:02436762222\"><span style=\"color: #ff0000;\">(024) 3676 2222<\/span><\/a> <span style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">|\u00a0 <a href=\"tel:02439340666\"><span style=\"color: #ff0000;\">(024) 3934 0666<\/span><\/a><br \/>Zalo, Viber &amp; WhatsApp: 090 3469 366<br \/>E-mail: <\/span><\/span><a href=\"mailto:frontdesk_hanoi@rafflesmedical.com\">frontdesk_hanoi@rafflesmedical.com<\/a><\/li><li><b><em>\u0110\u01b0\u1eddng d\u00e2y n\u00f3ng Nh\u1eadt B\u1ea3n<\/em><i>:<\/i><\/b><span style=\"font-weight: 400;\"><span style=\"color: #ff0000;\"><a style=\"color: #ff0000;\" href=\"tel:19005456503\"> 1900 5456 503<\/a><\/span>\u00a0 | \u0110\u01b0\u1eddng d\u00e2y: 090 3401 346<\/span><\/li><li><strong>Raffles Medical V\u0169ng T\u00e0u<\/strong><br \/>Ph\u00f2ng 116, T\u1ea7ng tr\u1ec7t, T\u00f2a nh\u00e0 PetroVietnam, 08 Ho\u00e0ng Di\u1ec7u, Ph\u01b0\u1eddng V\u0169ng T\u00e0u, TP. H\u1ed3 Ch\u00ed Minh<br \/>\u0110i\u1ec7n tho\u1ea1i: <a href=\"http:\/\/02543858776\" target=\"_blank\"><span style=\"color: #ff0000;\">(0254) 385 8776<\/span><\/a><br \/>E-mail: <a href=\"mailto:frontdesk_vungtau@rafflesmedical.com\"><span style=\"font-weight: 400;\">frontdesk_vungtau@rafflesmedical.com<\/span><\/a><\/li><\/ul><p><strong><span style=\"color: #187f6b;\">\u0110\u1eb7t H\u1eb9n Tr\u1ef1c Tuy\u1ebfn<\/span><\/strong><\/p><p><span style=\"font-weight: 400;\">\u0110\u1ec3 s\u1eed d\u1ee5ng d\u1ecbch v\u1ee5 \u0110\u1eb7t h\u1eb9n tr\u1ef1c tuy\u1ebfn, xin vui l\u00f2ng cung c\u1ea5p \u0111\u1ea7y \u0111\u1ee7 c\u00e1c th\u00f4ng tin v\u00e0o Phi\u1ebfu y\u00eau c\u1ea7u \u0111\u1eb7t h\u1eb9n tr\u1ef1c tuy\u1ebfn \u1edf b\u00ean d\u01b0\u1edbi. Nh\u00e2n vi\u00ean Ch\u0103m s\u00f3c kh\u00e1ch h\u00e0ng c\u1ee7a Raffles Medical s\u1ebd li\u00ean l\u1ea1c v\u1edbi qu\u00fd kh\u00e1ch h\u00e0ng trong v\u00f2ng 4 gi\u1edd l\u00e0m vi\u1ec7c \u0111\u1ec3 X\u00c1C NH\u1eacN L\u1ecaCH H\u1eb8N v\u1edbi qu\u00fd kh\u00e1ch h\u00e0ng.<\/span><\/p><div class=\"btn-bubble-icon\">\u00a0<\/div><div class=\"btn-bubble-icon\">\u00a0<\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0e8d63b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0e8d63b\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-96f5632\" data-id=\"96f5632\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-362a755 elementor-widget elementor-widget-shortcode\" data-id=\"362a755\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><style type=\"text\/css\">#ipt_fsqm_form_wrap_6 .ipt_fsqm_form_logo img,\n\t#ipt_fsqm_form_wrap_6 .ipt-eform-width-restrain,\n\t#ipt_fsqm_form_wrap_6 .ipt_fsqm_form_message_restore,\n\t#ipt_fsqm_form_wrap_6 .ipt_fsqm_form_message_success,\n\t#ipt_fsqm_form_wrap_6 .ipt_fsqm_form_message_error,\n\t#ipt_fsqm_form_wrap_6 .ipt_fsqm_form_message_process,\n\t#ipt_fsqm_form_wrap_6 .ipt_fsqm_form_validation_error,\n\t#ipt_fsqm_form_wrap_6 .eform-ui-estimator {\n\t\tmax-width: 980px;\n\t\tmin-width: 240px;\n\t}\n\n\t\/**\/<\/style><div\nid=\"ipt_fsqm_form_wrap_6\"\nclass=\"ipt_uif_front ipt_uif_common ipt_fsqm_form type_2 ui-front eform-ltr eform-override-element-material eform-override-alignment-inherit\"\ndata-fsqmsayt=\"{&quot;auto_save&quot;:false,&quot;show_restore&quot;:true,&quot;restore&quot;:false,&quot;admin_override&quot;:false,&quot;user_update&quot;:false,&quot;interval_save&quot;:false,&quot;interval&quot;:&quot;30&quot;}\"\ndata-ui-type=\"2\"\ndata-ui-theme=\"[&quot;https:\\\/\\\/rafflesmedical.vn\\\/wp-content\\\/plugins\\\/wp-fsqm-pro\\\/static\\\/front\\\/css\\\/material-themes\\\/light-themes\\\/teal.css?ver=4.17.0&quot;]\"\ndata-ui-theme-id=\"material-default\"\ndata-eformanim=\"1\"\ndata-fsqmga=\"{&quot;enabled&quot;:false,&quot;manual_load&quot;:false,&quot;tracking_id&quot;:&quot;&quot;,&quot;cookie&quot;:&quot;auto&quot;,&quot;user_update&quot;:false,&quot;name&quot;:&quot;Make An Appointment&quot;,&quot;form_id&quot;:&quot;6&quot;}\"\ndata-fsqmreset=\"{&quot;reset&quot;:false,&quot;delay&quot;:10}\"\ndata-eformreg=\"{&quot;enabled&quot;:false,&quot;username_id&quot;:&quot;ipt_fsqm_form_6_pinfo_&quot;,&quot;password_id&quot;:&quot;ipt_fsqm_form_6_pinfo_&quot;,&quot;hide_pinfo&quot;:false,&quot;hide_meta&quot;:false,&quot;meta&quot;:[]}\"\ndata-eformscroll=\"{&quot;progress&quot;:true,&quot;message&quot;:true,&quot;offset&quot;:&quot;0&quot;,&quot;scrollOnError&quot;:true}\"\ndata-eform-cookie=\"0\"\ndata-subscription-form=\"false\"\ndata-instant-subscription=\"{&quot;doable&quot;:true,&quot;config&quot;:{&quot;enabled&quot;:false,&quot;min_tab&quot;:&quot;&quot;,&quot;debounce&quot;:&quot;3000&quot;},&quot;nonce&quot;:&quot;7c77f47553&quot;}\"\n><link\nrel=\"stylesheet\" type=\"text\/css\" href=\"\/\/fonts.googleapis.com\/css?family=Lato:400,400italic,700,700italic|Lato:400,400italic,700,700italic\" \/><style type=\"text\/css\">\/*==============================================================================\n\t * Font Family\n\t *============================================================================*\/\n\tbody #ipt_fsqm_form_wrap_6,\n\tbody #ipt_fsqm_form_wrap_6.ipt_uif_common,\n\tbody #ipt_fsqm_form_wrap_6.ipt_uif_common .ui-widget,\n\tbody #ipt_fsqm_form_wrap_6.ipt_uif_tabs.ui-tabs .ui-tabs-nav li a span,\n\tbody #ipt_fsqm_form_wrap_6.ipt_uif_common .ui-widget input,\n\tbody #ipt_fsqm_form_wrap_6.ipt_uif_common .ui-widget select,\n\tbody #ipt_fsqm_form_wrap_6.ipt_uif_common .ui-widget textarea,\n\tbody #ipt_fsqm_form_wrap_6.ipt_uif_common .ui-widget button,\n\tbody #ipt_fsqm_form_wrap_6.ipt_uif_common .ipt_uif_divider span.ipt_uif_divider_text span.subtitle {\n\t\tfont-family: 'Lato', sans-serif;\n\t}\n\tbody #ipt_fsqm_form_wrap_6 h1,\n\tbody #ipt_fsqm_form_wrap_6 h2,\n\tbody #ipt_fsqm_form_wrap_6 h3,\n\tbody #ipt_fsqm_form_wrap_6 h4,\n\tbody #ipt_fsqm_form_wrap_6 h5,\n\tbody #ipt_fsqm_form_wrap_6 h6,\n\tbody .ipt_fsqm_form_tabs .ui-tabs-nav,\n\t#ipt_fsqm_form_wrap_6 .ipt_uif_matrix thead,\n\t#ipt_fsqm_form_wrap_6 .ipt_uif_matrix th,\n\tbody .ipt_fsqm_form_sda .ipt_fsqm_form_sda_head,\n\tbody .ui-dialog .ui-dialog-title,\n\tbody #ipt_fsqm_form_wrap_6 ul.ipt_fsqm_form_ul_menu li a,\n\tbody #ipt_fsqm_form_wrap_6 .ipt_fsqm_form_message,\n\tbody #ipt_fsqm_form_wrap_6 .ipt_uif_tabs.ui-tabs .ui-tabs-nav li,\n\tbody #ipt_fsqm_form_wrap_6 .ipt_uif_question .ipt_uif_question_label .ipt_uif_question_title,\n\tbody #ipt_fsqm_form_wrap_6 .ipt_uif_divider {\n\t\tfont-family: 'Lato', sans-serif;\n\t\tfont-weight: bold;\n\t\tfont-style: normal;\n\t}\n\n\tbody #ipt_fsqm_form_wrap_6 {\n\t\tfont-size: 15px;\n\t}\n\/**\/<\/style><style type=\"text\/css\">.ipt_uif_column{\nmargin-bottom: 5px !important;\n}\/**\/<\/style><noscript><div\nclass=\"ipt_fsqm_form_message_noscript ui-widget ui-widget-content ui-corner-all\"><div\nclass=\"ui-helper-reset ui-helper-clearfix ui-widget-header ui-corner-all\"><div>Javascript b\u1ecb v\u00f4 hi\u1ec7u h\u00f3a<\/div><\/div><div\nclass=\"ui-widget-content ui-corner-bottom\"><p>Tr\u00ecnh duy\u1ec7t c\u1ee7a b\u1ea1n \u0111\u00e3 t\u1eaft Javascript. Vui l\u00f2ng b\u1eadt Javascript \u0111\u1ec3 s\u1eed d\u1ee5ng bi\u1ec3u m\u1eabu n\u00e0y.<\/p><\/div><\/div>\n<\/noscript><style type=\"text\/css\">.ipt_uif_ajax_loader,\n\t\t\t.ipt_uif_ajax_loader *,\n\t\t\tipt_uif_ajax_loader *::before,\n\t\t\tipt_uif_ajax_loader *::after {\n\t\t\t\tbox-sizing: border-box;\n\t\t\t}<\/style><div\nclass=\"ipt_uif_init_loader ipt-eform-preloader-inline ipt_uif_ajax_loader\"><div\nclass=\"ipt-eform-preloader-inner\"><div\nclass=\"ipt-eform-preloader-circle\"><div\nclass=\"preloader-wrapper active\"><div\nclass=\"spinner-layer spinner-blue\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-red\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-yellow\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-green\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><\/div><\/div><div\nclass=\"ipt-eform-preloader-text\"><div\nclass=\"ipt-eform-preloader-text-inner ipt_uif_ajax_loader_text\">\u0110ang t\u1ea3i<\/div><\/div><div\nclass=\"clear\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude class=\"ipt_uif_conditional_logic\" id=\"ipt_uif_conditional_logic_6\" value=\"{&quot;logics&quot;:{&quot;ipt_fsqm_form_6_tab_1_control_li&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;9&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Ho Chi Minh&quot;,&quot;rel&quot;:&quot;and&quot;}},&quot;type&quot;:&quot;tab&quot;,&quot;m_type&quot;:&quot;layout&quot;},&quot;ipt_fsqm_form_6_tab_2_control_li&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;9&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Hanoi&quot;,&quot;rel&quot;:&quot;and&quot;}},&quot;type&quot;:&quot;tab&quot;,&quot;m_type&quot;:&quot;layout&quot;},&quot;ipt_fsqm_form_6_tab_3_control_li&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;9&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Vung Tau&quot;,&quot;rel&quot;:&quot;and&quot;}},&quot;type&quot;:&quot;tab&quot;,&quot;m_type&quot;:&quot;layout&quot;},&quot;ipt_fsqm_form_6_design_41&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;21&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;See a doctor&quot;,&quot;rel&quot;:&quot;and&quot;}},&quot;type&quot;:&quot;blank_container&quot;,&quot;m_type&quot;:&quot;design&quot;},&quot;ipt_fsqm_form_6_design_69&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;21&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Teleconsultation&quot;,&quot;rel&quot;:&quot;and&quot;}},&quot;type&quot;:&quot;blank_container&quot;,&quot;m_type&quot;:&quot;design&quot;},&quot;ipt_fsqm_form_6_design_42&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;21&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Corporate Health Check&quot;,&quot;rel&quot;:&quot;and&quot;}},&quot;type&quot;:&quot;blank_container&quot;,&quot;m_type&quot;:&quot;design&quot;},&quot;ipt_fsqm_form_6_design_43&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;21&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;School Enrollment Health Check&quot;,&quot;rel&quot;:&quot;and&quot;}},&quot;type&quot;:&quot;blank_container&quot;,&quot;m_type&quot;:&quot;design&quot;},&quot;ipt_fsqm_form_6_design_44&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;21&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Vaccinations&quot;,&quot;rel&quot;:&quot;and&quot;}},&quot;type&quot;:&quot;blank_container&quot;,&quot;m_type&quot;:&quot;design&quot;},&quot;ipt_fsqm_form_6_design_45&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;21&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Australia Visa Check Up&quot;,&quot;rel&quot;:&quot;and&quot;}},&quot;type&quot;:&quot;blank_container&quot;,&quot;m_type&quot;:&quot;design&quot;},&quot;ipt_fsqm_form_6_design_57&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;21&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;See a Doctor&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;1&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;21&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Vaccinations&quot;,&quot;rel&quot;:&quot;or&quot;}},&quot;type&quot;:&quot;blank_container&quot;,&quot;m_type&quot;:&quot;design&quot;},&quot;ipt_fsqm_form_6_design_49&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;21&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Australia Visa Check Up&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;1&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;21&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Corporate Health Check&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;2&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;21&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;OGUK Health Check&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;3&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;21&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;School Enrollment Health Check&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;4&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;21&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Others Visa Check Up&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;5&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;21&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Work Permit Health Check&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;6&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;21&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Personal Health Check&quot;,&quot;rel&quot;:&quot;or&quot;}},&quot;type&quot;:&quot;blank_container&quot;,&quot;m_type&quot;:&quot;design&quot;},&quot;ipt_fsqm_form_6_design_46&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;21&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Teleconsultation&quot;,&quot;rel&quot;:&quot;and&quot;}},&quot;type&quot;:&quot;blank_container&quot;,&quot;m_type&quot;:&quot;design&quot;},&quot;ipt_fsqm_form_6_design_15&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;11&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;See a doctor&quot;,&quot;rel&quot;:&quot;and&quot;}},&quot;type&quot;:&quot;blank_container&quot;,&quot;m_type&quot;:&quot;design&quot;},&quot;ipt_fsqm_form_6_design_70&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;11&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Teleconsultation&quot;,&quot;rel&quot;:&quot;and&quot;}},&quot;type&quot;:&quot;blank_container&quot;,&quot;m_type&quot;:&quot;design&quot;},&quot;ipt_fsqm_form_6_design_16&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;11&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Corporate Health Check&quot;,&quot;rel&quot;:&quot;and&quot;}},&quot;type&quot;:&quot;blank_container&quot;,&quot;m_type&quot;:&quot;design&quot;},&quot;ipt_fsqm_form_6_design_17&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;11&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;School Enrollment Health Check&quot;,&quot;rel&quot;:&quot;and&quot;}},&quot;type&quot;:&quot;blank_container&quot;,&quot;m_type&quot;:&quot;design&quot;},&quot;ipt_fsqm_form_6_design_18&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;11&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Vaccinations&quot;,&quot;rel&quot;:&quot;and&quot;}},&quot;type&quot;:&quot;blank_container&quot;,&quot;m_type&quot;:&quot;design&quot;},&quot;ipt_fsqm_form_6_design_19&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;11&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Australia Visa Check Up&quot;,&quot;rel&quot;:&quot;and&quot;}},&quot;type&quot;:&quot;blank_container&quot;,&quot;m_type&quot;:&quot;design&quot;},&quot;ipt_fsqm_form_6_design_20&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;11&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Teleconsultation&quot;,&quot;rel&quot;:&quot;or&quot;}},&quot;type&quot;:&quot;blank_container&quot;,&quot;m_type&quot;:&quot;design&quot;},&quot;ipt_fsqm_form_6_design_23&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;11&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;See a Doctor&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;1&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;11&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Vaccinations&quot;,&quot;rel&quot;:&quot;or&quot;}},&quot;type&quot;:&quot;blank_container&quot;,&quot;m_type&quot;:&quot;design&quot;},&quot;ipt_fsqm_form_6_design_61&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;11&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Personal Health Check&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;1&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;11&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Others Visa Check Up&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;2&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;11&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;OGUK Health Check&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;3&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;11&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;School Enrollment Health Check&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;4&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;11&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Work Permit Health Check&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;5&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;11&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Corporate Health Check&quot;,&quot;rel&quot;:&quot;or&quot;}},&quot;type&quot;:&quot;blank_container&quot;,&quot;m_type&quot;:&quot;design&quot;},&quot;ipt_fsqm_form_6_design_28&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;16&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;See a doctor&quot;,&quot;rel&quot;:&quot;and&quot;}},&quot;type&quot;:&quot;blank_container&quot;,&quot;m_type&quot;:&quot;design&quot;},&quot;ipt_fsqm_form_6_design_29&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;16&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Corporate Health Check&quot;,&quot;rel&quot;:&quot;and&quot;}},&quot;type&quot;:&quot;blank_container&quot;,&quot;m_type&quot;:&quot;design&quot;},&quot;ipt_fsqm_form_6_design_30&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;1&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;School Enrollment Health Check&quot;,&quot;rel&quot;:&quot;and&quot;}},&quot;type&quot;:&quot;blank_container&quot;,&quot;m_type&quot;:&quot;design&quot;},&quot;ipt_fsqm_form_6_design_31&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;16&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Vaccinations&quot;,&quot;rel&quot;:&quot;and&quot;}},&quot;type&quot;:&quot;blank_container&quot;,&quot;m_type&quot;:&quot;design&quot;},&quot;ipt_fsqm_form_6_design_32&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;16&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Australia Visa Check Up&quot;,&quot;rel&quot;:&quot;and&quot;}},&quot;type&quot;:&quot;blank_container&quot;,&quot;m_type&quot;:&quot;design&quot;},&quot;ipt_fsqm_form_6_design_33&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{},&quot;type&quot;:&quot;blank_container&quot;,&quot;m_type&quot;:&quot;design&quot;},&quot;ipt_fsqm_form_6_design_36&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;16&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Australia Visa Check Up&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;1&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;16&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Others Visa Check Up&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;2&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;16&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Corporate Health Check&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;3&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;16&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;OGUK Health Check&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;4&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;16&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;School Enrollment Health Check&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;5&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;16&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Annual Health Check&quot;,&quot;rel&quot;:&quot;or&quot;}},&quot;type&quot;:&quot;blank_container&quot;,&quot;m_type&quot;:&quot;design&quot;},&quot;ipt_fsqm_form_6_design_65&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;16&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;See a Doctor&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;1&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;16&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Vaccinations&quot;,&quot;rel&quot;:&quot;or&quot;}},&quot;type&quot;:&quot;blank_container&quot;,&quot;m_type&quot;:&quot;design&quot;}},&quot;indexes&quot;:{&quot;ipt_fsqm_form_6_mcq_9&quot;:[&quot;ipt_fsqm_form_6_tab_1_control_li&quot;,&quot;ipt_fsqm_form_6_tab_2_control_li&quot;,&quot;ipt_fsqm_form_6_tab_3_control_li&quot;],&quot;ipt_fsqm_form_6_mcq_21&quot;:[&quot;ipt_fsqm_form_6_design_41&quot;,&quot;ipt_fsqm_form_6_design_69&quot;,&quot;ipt_fsqm_form_6_design_42&quot;,&quot;ipt_fsqm_form_6_design_43&quot;,&quot;ipt_fsqm_form_6_design_44&quot;,&quot;ipt_fsqm_form_6_design_45&quot;,&quot;ipt_fsqm_form_6_design_57&quot;,&quot;ipt_fsqm_form_6_design_57&quot;,&quot;ipt_fsqm_form_6_design_49&quot;,&quot;ipt_fsqm_form_6_design_49&quot;,&quot;ipt_fsqm_form_6_design_49&quot;,&quot;ipt_fsqm_form_6_design_49&quot;,&quot;ipt_fsqm_form_6_design_49&quot;,&quot;ipt_fsqm_form_6_design_49&quot;,&quot;ipt_fsqm_form_6_design_49&quot;,&quot;ipt_fsqm_form_6_design_46&quot;],&quot;ipt_fsqm_form_6_mcq_11&quot;:[&quot;ipt_fsqm_form_6_design_15&quot;,&quot;ipt_fsqm_form_6_design_70&quot;,&quot;ipt_fsqm_form_6_design_16&quot;,&quot;ipt_fsqm_form_6_design_17&quot;,&quot;ipt_fsqm_form_6_design_18&quot;,&quot;ipt_fsqm_form_6_design_19&quot;,&quot;ipt_fsqm_form_6_design_20&quot;,&quot;ipt_fsqm_form_6_design_23&quot;,&quot;ipt_fsqm_form_6_design_23&quot;,&quot;ipt_fsqm_form_6_design_61&quot;,&quot;ipt_fsqm_form_6_design_61&quot;,&quot;ipt_fsqm_form_6_design_61&quot;,&quot;ipt_fsqm_form_6_design_61&quot;,&quot;ipt_fsqm_form_6_design_61&quot;,&quot;ipt_fsqm_form_6_design_61&quot;],&quot;ipt_fsqm_form_6_mcq_16&quot;:[&quot;ipt_fsqm_form_6_design_28&quot;,&quot;ipt_fsqm_form_6_design_29&quot;,&quot;ipt_fsqm_form_6_design_31&quot;,&quot;ipt_fsqm_form_6_design_32&quot;,&quot;ipt_fsqm_form_6_design_36&quot;,&quot;ipt_fsqm_form_6_design_36&quot;,&quot;ipt_fsqm_form_6_design_36&quot;,&quot;ipt_fsqm_form_6_design_36&quot;,&quot;ipt_fsqm_form_6_design_36&quot;,&quot;ipt_fsqm_form_6_design_36&quot;,&quot;ipt_fsqm_form_6_design_65&quot;,&quot;ipt_fsqm_form_6_design_65&quot;],&quot;ipt_fsqm_form_6_mcq_1&quot;:[&quot;ipt_fsqm_form_6_design_30&quot;]},&quot;base&quot;:&quot;6&quot;}\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude class=\"ipt_fsqm_timer_data\" id=\"ipt_fsqm_timer_data_6\" value=\"{&quot;type&quot;:&quot;none&quot;}\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude class=\"ipt_fsqm_epoc_data\" id=\"ipt_fsqm_epoc_data_6\" value=\"{&quot;CURRENTYEAR&quot;:2026,&quot;CURRENTDATE&quot;:1776436496000,&quot;CURRENTDAY&quot;:17,&quot;CURRENTMONTH&quot;:4,&quot;CURRENTHOUR&quot;:14,&quot;CURRENTMINUTE&quot;:34,&quot;CURRENTSECOND&quot;:56,&quot;CURRENTWEEK&quot;:16,&quot;CURRENTEPOC&quot;:20560}\" \/><div\nstyle=\"display: none;\" class=\"ipt_uif_hidden_init\"><form\nmethod=\"post\" action=\"\" class=\"ipt_uif_validate_form ipt_fsqm_main_form\" id=\"ipt_fsqm_form_6\" autocomplete=\"on\" data-trp-original-action=\"\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"action\" id=\"action\" value=\"ipt_fsqm_save_form\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_epoc\" class=\"eform-epoc-value\" value=\"1776436496\" \/>\n<input\ntype=\"hidden\" class=\"ipt_fsqm_form_tab_pos\" name=\"fsqm_form6_tab_pos\" value=\"0\" id=\"fsqm_form6_tab_pos\" \/>\n<input\ntype=\"hidden\" id=\"ipt_fsqm_form_data_save\" name=\"ipt_fsqm_form_data_save\" value=\"561e36f37a\" data-sayt-exclude \/>\t\t\t<input\ntype=\"hidden\" name=\"_wp_http_referer\" value=\"\/vi\/wp-json\/wp\/v2\/pages\/34\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"form_id\" value=\"6\" \/><div\nclass=\"ipt-eform-width-restrain\"><div\nclass=\"ipt-eform-content\"><div\nclass=\"ipt_fsqm_main_pb eform-mainpb-top ipt_uif_progress_bar\" data-start=\"0\" data-decimals=\"2\" id=\"ipt_fsqm_form_6_progressbar\"><div\nclass=\"ipt_uif_progress_value\"><span\nclass=\"eform-progress-value-span\"><\/span><\/div><\/div><div\ndata-settings=\"{&quot;can_previous&quot;:false,&quot;show_progress_bar&quot;:true,&quot;progress_bar_bottom&quot;:false,&quot;block_previous&quot;:false,&quot;any_tab&quot;:false,&quot;type&quot;:&quot;2&quot;,&quot;scroll&quot;:true,&quot;decimal_point&quot;:2,&quot;auto_progress&quot;:true,&quot;auto_progress_delay&quot;:&quot;500&quot;,&quot;auto_submit&quot;:false,&quot;hidden_buttons&quot;:false,&quot;scroll_on_error&quot;:true}\" class=\"ipt_fsqm_main_tab ipt_uif_tabs horizontal\"><div\nclass=\"ipt-eform-tab-nav-wrap\"><ul><li\nid=\"ipt_fsqm_form_6_tab_0_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_6_tab_0\"><span\nclass=\"eform-tab-labels\">Ph\u00f2ng kh\u00e1m \u01b0a th\u00edch <\/span><\/a><\/li><li\nid=\"ipt_fsqm_form_6_tab_1_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_6_tab_1\"><span\nclass=\"eform-tab-labels\">B\u1ec7nh vi\u1ec7n Raffles Medical - TP.HCM <\/span><\/a><\/li><li\nid=\"ipt_fsqm_form_6_tab_2_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_6_tab_2\"><span\nclass=\"eform-tab-labels\">Raffles Medical - H\u00e0 N\u1ed9i <\/span><\/a><\/li><li\nid=\"ipt_fsqm_form_6_tab_3_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_6_tab_3\"><span\nclass=\"eform-tab-labels\">Raffles Medical - V\u0169ng T\u00e0u <\/span><\/a><\/li><li\nid=\"ipt_fsqm_form_6_tab_4_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_6_tab_4\"><span\nclass=\"eform-tab-labels\">Th\u00f4ng tin li\u00ean l\u1ea1c <\/span><\/a><\/li><\/ul>\n<i\nclass=\"eform-tab-nav eform-tab-nav-right ipt-icomoon-angle-right disabled eform-ripple\"><\/i>\n<i\nclass=\"eform-tab-nav eform-tab-nav-left ipt-icomoon-angle-left disabled eform-ripple\"><\/i>\n<span\nclass=\"eform-tab-passive-notifier\"><\/span>\n<span\nclass=\"eform-tab-active-notifier\"><\/span><\/div><div\nid=\"ipt_fsqm_form_6_tab_0\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_6_layout_0_inner\" class=\"ipt-eform-layout-wrapper\"><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_main_heading_column\"><div\nclass=\"ipt_uif_column_inner\"><h3 class=\"ipt_fsqm_main_heading ipt_uif_heading ipt_uif_divider ipt_uif_align_left ipt_uif_divider_no_icon ipt_uif_divider_icon_no_bg\">\n<span\nclass=\"ipt_uif_divider_text\">\n<span\nclass=\"ipt_uif_divider_text_inner\">\nPh\u00f2ng kh\u00e1m \u01b0a th\u00edch<span\nclass=\"subtitle\"><\/span>\t\t\t\t<\/span>\n<\/span><\/h3><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[mcq][9][m_type]\" id=\"ipt_fsqm_form_6_mcq_9_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[mcq][9][type]\" id=\"ipt_fsqm_form_6_mcq_9_type\" value=\"select\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_select\" id=\"ipt_fsqm_form_6_mcq_9\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\">\n<select\nclass=\"check_me validate[required] ipt_uif_select\" name=\"ipt_fsqm_form_6[mcq][9][options][]\" id=\"ipt_fsqm_form_6_mcq_9_options_\" data-placeholder=\"Preferred Clinic\" data-allow-clear=\"true\" data-theme=\"eform-material\"><option\nvalue=\"\">Ph\u00f2ng kh\u00e1m \u01b0a th\u00edch<\/option><option\nvalue=\"3\" selected=\"selected\" data-num=\"\">Ph\u00f2ng kh\u00e1m \u01b0a th\u00edch<\/option><option\nvalue=\"0\" data-num=\"\">H\u1ed3 Ch\u00ed Minh<\/option><option\nvalue=\"1\" data-num=\"\">H\u00e0 N\u1ed9i<\/option><option\nvalue=\"4\" data-num=\"\">V\u0169ng T\u00e0u<\/option>\n<\/select><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][72][m_type]\" id=\"ipt_fsqm_form_6_design_72_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][72][type]\" id=\"ipt_fsqm_form_6_design_72_type\" value=\"heading\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_heading\" id=\"ipt_fsqm_form_6_design_72\"><div\nclass=\"ipt_uif_column_inner\"><h4 class=\"ipt_uif_heading ipt_uif_divider ipt_uif_align_left ipt_uif_divider_no_icon\">\n<span\nclass=\"ipt_uif_divider_text\">\n<span\nclass=\"ipt_uif_divider_text_inner\">\n<strong>Ghi ch\u00fa:<br>T\u1ea5t c\u1ea3 c\u00e1c tr\u01b0\u1eddng c\u00f3 d\u1ea5u * l\u00e0 b\u1eaft bu\u1ed9c.<\/strong>\t\t\t\t<\/span>\n<\/span><\/h4><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][75][m_type]\" id=\"ipt_fsqm_form_6_design_75_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][75][type]\" id=\"ipt_fsqm_form_6_design_75_type\" value=\"richtext\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional\" id=\"ipt_fsqm_form_6_design_75\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_richtext\"><p>Vui l\u00f2ng \u0111\u1eb7t l\u1ecbch h\u1eb9n tr\u1ef1c tuy\u1ebfn tr\u01b0\u1edbc 24 gi\u1edd. \u0110\u1ed1i v\u1edbi l\u1ecbch h\u1eb9n trong ng\u00e0y\/kh\u1ea9n c\u1ea5p, vui l\u00f2ng g\u1ecdi tr\u1ef1c ti\u1ebfp \u0111\u1ebfn ph\u00f2ng kh\u00e1m.<\/p><p><span\nstyle=\"box-sizing: border-box; font-family: inherit; margin: 0px; padding: 0px; outline: none; box-shadow: none; border: 0px; background: none transparent; vertical-align: baseline; font-variant-numeric: normal; font-variant-east-asian: normal; color: #ff0000;\">\u0110\u1ed1i v\u1edbi t\u01b0 v\u1ea5n tr\u1ef1c tuy\u1ebfn qua livestream, vui l\u00f2ng cho bi\u1ebft ng\u00e0y gi\u1edd mong mu\u1ed1n, sau \u0111\u00f3 ch\u00fang t\u00f4i s\u1ebd li\u00ean h\u1ec7 l\u1ea1i v\u1edbi b\u1ea1n \u0111\u1ec3 x\u00e1c nh\u1eadn. Ch\u00fang t\u00f4i s\u1ebd th\u00f4ng b\u00e1o chi ph\u00ed khi cu\u1ed9c h\u1eb9n \u0111\u01b0\u1ee3c x\u00e1c nh\u1eadn.<\/span><\/p><p>Cu\u1ed9c h\u1eb9n b\u1ea1n y\u00eau c\u1ea7u c\u00f3 th\u1ec3 thay \u0111\u1ed5i t\u00f9y thu\u1ed9c v\u00e0o l\u1ecbch tr\u00ecnh c\u1ee7a b\u00e1c s\u0129 v\u00e0 ng\u00e0y l\u1ec5.<\/p><p>B\u1ed9 ph\u1eadn Ki\u1ec3m tra Th\u1ecb th\u1ef1c, Ki\u1ec3m tra Doanh nghi\u1ec7p v\u00e0 Ki\u1ec3m tra Gi\u1ea5y ph\u00e9p Lao \u0111\u1ed9ng l\u00e0m vi\u1ec7c t\u1eeb 8:00 \u2013 17:00, Th\u1ee9 Hai \u2013 Th\u1ee9 S\u00e1u. N\u1ebfu qu\u00fd kh\u00e1ch \u0111\u1eb7t l\u1ecbch h\u1eb9n sau 17:00, ch\u00fang t\u00f4i s\u1ebd x\u1eed l\u00fd \u0111\u1ec3 x\u00e1c nh\u1eadn l\u1ecbch h\u1eb9n v\u00e0o ng\u00e0y l\u00e0m vi\u1ec7c ti\u1ebfp theo.<\/p><div\nclass=\"btn-bubble-icon\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><div\nid=\"ipt_fsqm_form_6_tab_1\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_6_layout_1_inner\" class=\"ipt-eform-layout-wrapper\"><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_main_heading_column\"><div\nclass=\"ipt_uif_column_inner\"><h3 class=\"ipt_fsqm_main_heading ipt_uif_heading ipt_uif_divider ipt_uif_align_left ipt_uif_divider_no_icon ipt_uif_divider_icon_no_bg\">\n<span\nclass=\"ipt_uif_divider_text\">\n<span\nclass=\"ipt_uif_divider_text_inner\">\nB\u1ec7nh vi\u1ec7n Raffles Medical - TP.HCM<span\nclass=\"subtitle\"><\/span>\t\t\t\t<\/span>\n<\/span><\/h3><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[mcq][21][m_type]\" id=\"ipt_fsqm_form_6_mcq_21_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[mcq][21][type]\" id=\"ipt_fsqm_form_6_mcq_21_type\" value=\"select\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_select\" id=\"ipt_fsqm_form_6_mcq_21\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\">\n<select\nclass=\"check_me validate[required] ipt_uif_select\" name=\"ipt_fsqm_form_6[mcq][21][options][]\" id=\"ipt_fsqm_form_6_mcq_21_options_\" data-placeholder=\"Reason for visit\" data-allow-clear=\"true\" data-theme=\"eform-material\"><option\nvalue=\"\">L\u00fd do \u0111\u1ebfn th\u0103m<\/option><option\nvalue=\"3\" data-num=\"\">L\u00fd do \u0111\u1ebfn th\u0103m<\/option><option\nvalue=\"12\" data-num=\"\">T\u01b0 v\u1ea5n t\u1eeb xa<\/option><option\nvalue=\"0\" data-num=\"\">\u0110i kh\u00e1m b\u00e1c s\u0129<\/option><option\nvalue=\"1\" data-num=\"\">Ki\u1ec3m tra th\u1ecb th\u1ef1c \u00dac<\/option><option\nvalue=\"4\" data-num=\"\">Ki\u1ec3m tra th\u1ecb th\u1ef1c kh\u00e1c<\/option><option\nvalue=\"5\" data-num=\"\">Ki\u1ec3m tra s\u1ee9c kh\u1ecfe doanh nghi\u1ec7p<\/option><option\nvalue=\"6\" data-num=\"\">Ki\u1ec3m tra s\u1ee9c kh\u1ecfe OGUK<\/option><option\nvalue=\"9\" data-num=\"\">Ki\u1ec3m tra s\u1ee9c kh\u1ecfe tuy\u1ec3n sinh v\u00e0o tr\u01b0\u1eddng<\/option><option\nvalue=\"7\" data-num=\"\">Ki\u1ec3m tra s\u1ee9c kh\u1ecfe c\u00e1 nh\u00e2n<\/option><option\nvalue=\"8\" data-num=\"\">Ti\u00eam ch\u1ee7ng<\/option><option\nvalue=\"10\" data-num=\"\">Ki\u1ec3m tra s\u1ee9c kh\u1ecfe gi\u1ea5y ph\u00e9p lao \u0111\u1ed9ng<\/option>\n<\/select><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][41][m_type]\" id=\"ipt_fsqm_form_6_design_41_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][41][type]\" id=\"ipt_fsqm_form_6_design_41_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_6_design_41\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[mcq][22][m_type]\" id=\"ipt_fsqm_form_6_mcq_22_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[mcq][22][type]\" id=\"ipt_fsqm_form_6_mcq_22_type\" value=\"select\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_select\" id=\"ipt_fsqm_form_6_mcq_22\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\">\n<select\nclass=\"check_me validate[required] ipt_uif_select\" name=\"ipt_fsqm_form_6[mcq][22][options][]\" id=\"ipt_fsqm_form_6_mcq_22_options_\" data-placeholder=\"Preferred Doctor\" data-allow-clear=\"true\" data-theme=\"eform-material\"><option\nvalue=\"\">B\u00e1c s\u0129 \u01b0a th\u00edch<\/option><option\nvalue=\"3\" data-num=\"\">B\u00e1c s\u0129 \u01b0a th\u00edch<\/option><option\nvalue=\"0\" data-num=\"\">B\u00e1c s\u0129 \u0111a khoa\/Y h\u1ecdc gia \u0111\u00ecnh<\/option><option\nvalue=\"1\" data-num=\"\">B\u00e1c s\u0129 nhi khoa<\/option><option\nvalue=\"2\" data-num=\"\">B\u00e1c s\u0129 s\u1ea3n ph\u1ee5 khoa<\/option><option\nvalue=\"4\" data-num=\"\">Nha s\u0129<\/option><option\nvalue=\"5\" data-num=\"\">B\u00e1c s\u0129 Tai M\u0169i H\u1ecdng<\/option><option\nvalue=\"6\" data-num=\"\">B\u00e1c s\u0129 da li\u1ec5u<\/option><option\nvalue=\"8\" data-num=\"\">B\u00e1c s\u0129 tim m\u1ea1ch<\/option><option\nvalue=\"9\" data-num=\"\">Chuy\u00ean gia v\u1eadt l\u00fd tr\u1ecb li\u1ec7u<\/option><option\nvalue=\"10\" data-num=\"\">B\u00e1c s\u0129 ch\u1ec9nh h\u00ecnh<\/option><option\nvalue=\"11\" data-num=\"\">Nh\u00e0 t\u00e2m l\u00fd h\u1ecdc<\/option><option\nvalue=\"12\" data-num=\"\">B\u00e1c s\u0129 chuy\u00ean khoa ph\u1ed5i<\/option>\n<\/select><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[freetype][16][m_type]\" id=\"ipt_fsqm_form_6_freetype_16_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[freetype][16][type]\" id=\"ipt_fsqm_form_6_freetype_16_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_6_freetype_16\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field\">\n<input\nclass=\"check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_6[freetype][16][value]\"\nid=\"ipt_fsqm_form_6_freetype_16_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<label\nfor=\"ipt_fsqm_form_6_freetype_16_value\">Nh\u1eadp t\u00ean b\u00e1c s\u0129 \u1edf \u0111\u00e2y (kh\u00f4ng b\u1eaft bu\u1ed9c)<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][69][m_type]\" id=\"ipt_fsqm_form_6_design_69_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][69][type]\" id=\"ipt_fsqm_form_6_design_69_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_6_design_69\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[freetype][19][m_type]\" id=\"ipt_fsqm_form_6_freetype_19_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[freetype][19][type]\" id=\"ipt_fsqm_form_6_freetype_19_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_6_freetype_19\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field\">\n<input\nclass=\"check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_6[freetype][19][value]\"\nid=\"ipt_fsqm_form_6_freetype_19_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<label\nfor=\"ipt_fsqm_form_6_freetype_19_value\">Nh\u1eadp t\u00ean b\u00e1c s\u0129 \u1edf \u0111\u00e2y (kh\u00f4ng b\u1eaft bu\u1ed9c)<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][42][m_type]\" id=\"ipt_fsqm_form_6_design_42_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][42][type]\" id=\"ipt_fsqm_form_6_design_42_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_6_design_42\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[freetype][12][m_type]\" id=\"ipt_fsqm_form_6_freetype_12_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[freetype][12][type]\" id=\"ipt_fsqm_form_6_freetype_12_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_6_freetype_12\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\"check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_6[freetype][12][value]\"\nid=\"ipt_fsqm_form_6_freetype_12_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\"ipticm prefix\" data-ipt-icomoon=\"&#xf0f7;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_6_freetype_12_value\">T\u00ean c\u00f4ng ty<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][43][m_type]\" id=\"ipt_fsqm_form_6_design_43_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][43][type]\" id=\"ipt_fsqm_form_6_design_43_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_6_design_43\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[freetype][13][m_type]\" id=\"ipt_fsqm_form_6_freetype_13_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[freetype][13][type]\" id=\"ipt_fsqm_form_6_freetype_13_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_6_freetype_13\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\"check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_6[freetype][13][value]\"\nid=\"ipt_fsqm_form_6_freetype_13_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\"ipticm prefix\" data-ipt-icomoon=\"&#xe80c;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_6_freetype_13_value\">T\u00ean tr\u01b0\u1eddng<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][44][m_type]\" id=\"ipt_fsqm_form_6_design_44_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][44][type]\" id=\"ipt_fsqm_form_6_design_44_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_6_design_44\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[freetype][14][m_type]\" id=\"ipt_fsqm_form_6_freetype_14_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[freetype][14][type]\" id=\"ipt_fsqm_form_6_freetype_14_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_6_freetype_14\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\"check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_6[freetype][14][value]\"\nid=\"ipt_fsqm_form_6_freetype_14_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\"ipticm prefix\" data-ipt-icomoon=\"&#xe118;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_6_freetype_14_value\">V\u1eafc-xin \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][45][m_type]\" id=\"ipt_fsqm_form_6_design_45_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][45][type]\" id=\"ipt_fsqm_form_6_design_45_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_6_design_45\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[freetype][15][m_type]\" id=\"ipt_fsqm_form_6_freetype_15_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[freetype][15][type]\" id=\"ipt_fsqm_form_6_freetype_15_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_6_freetype_15\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\"check_me validate[required] ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_6[freetype][15][value]\"\nid=\"ipt_fsqm_form_6_freetype_15_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\"ipticm prefix\" data-ipt-icomoon=\"&#xf0f0;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_6_freetype_15_value\">S\u1ed1 ID HAP Ch\u1ec9 d\u00e0nh cho Ki\u1ec3m tra s\u1ee9c kh\u1ecfe Visa *<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][57][m_type]\" id=\"ipt_fsqm_form_6_design_57_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][57][type]\" id=\"ipt_fsqm_form_6_design_57_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_6_design_57\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][58][m_type]\" id=\"ipt_fsqm_form_6_design_58_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][58][type]\" id=\"ipt_fsqm_form_6_design_58_type\" value=\"col_half\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_half ipt_uif_conditional ipt_uif_column_custom ipt_fsqm_container_col_half\" id=\"ipt_fsqm_form_6_design_58\"><div\nclass=\"ipt_uif_column_inner\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[pinfo][28][m_type]\" id=\"ipt_fsqm_form_6_pinfo_28_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[pinfo][28][type]\" id=\"ipt_fsqm_form_6_pinfo_28_type\" value=\"datetime\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_datetime\" id=\"ipt_fsqm_form_6_pinfo_28\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field eform-dp-input-field has-icon\">\n<input\nclass=\"datepicker ipt_uif_datepicker  check_me validate[required,future[2026-04-17]] is-empty ipt_uif_text\"\ndata-dateformat=\"yy-mm-dd\" data-timeformat=\"HH:mm:ss\" data-future=\"2026-04-17\" data-year_range=\"50\"\t\ttype=\"text\"\nreadonly=\"readonly\"\nname=\"ipt_fsqm_form_6[pinfo][28][value]\"\nid=\"ipt_fsqm_form_6_pinfo_28_value\"\nmaxlength=\"524288\"\nvalue=\"\" \/>\n<i\ntitle=\"\" class=\"ipt-icomoon-calendar ipticm prefix\"><\/i>\n<label\nfor=\"ipt_fsqm_form_6_pinfo_28_value\">Ch\u1ecdn ng\u00e0y (T\u1eaft v\u00e0o cu\u1ed1i tu\u1ea7n)<\/label>\n<a\nhref=\"javascript:;\" class=\"eform-dp-clear\" title=\"Th\u00f4ng tho\u00e1ng\">\u00d7<\/a><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][59][m_type]\" id=\"ipt_fsqm_form_6_design_59_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][59][type]\" id=\"ipt_fsqm_form_6_design_59_type\" value=\"embed\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_embed\" id=\"ipt_fsqm_form_6_design_59\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_fsqm_embed\"> <script type=\"text\/javascript\">jQuery(document).on( 'completedUI.eform', function() {\n    jQuery('#ipt_fsqm_form_52_pinfo_28_value').datepicker( 'option', 'beforeShowDay', jQuery.datepicker.noWeekends );\n} );<\/script><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][60][m_type]\" id=\"ipt_fsqm_form_6_design_60_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][60][type]\" id=\"ipt_fsqm_form_6_design_60_type\" value=\"col_half\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_half ipt_uif_conditional ipt_uif_column_custom ipt_fsqm_container_col_half\" id=\"ipt_fsqm_form_6_design_60\"><div\nclass=\"ipt_uif_column_inner\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[mcq][25][m_type]\" id=\"ipt_fsqm_form_6_mcq_25_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[mcq][25][type]\" id=\"ipt_fsqm_form_6_mcq_25_type\" value=\"select\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_select\" id=\"ipt_fsqm_form_6_mcq_25\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\">\n<select\nclass=\"check_me validate[required] ipt_uif_select\" name=\"ipt_fsqm_form_6[mcq][25][options][]\" id=\"ipt_fsqm_form_6_mcq_25_options_\" data-placeholder=\"Choose time\" data-allow-clear=\"true\" data-theme=\"eform-material\"><option\nvalue=\"\">Ch\u1ecdn th\u1eddi gian<\/option><option\nvalue=\"3\" data-num=\"\">Ch\u1ecdn th\u1eddi gian<\/option><option\nvalue=\"0\" data-num=\"\">8:00 - 8:30<\/option><option\nvalue=\"1\" data-num=\"\">8:30 - 9:00<\/option><option\nvalue=\"2\" data-num=\"\">9:30 - 10:00<\/option><option\nvalue=\"5\" data-num=\"\">10:30 - 11:00<\/option><option\nvalue=\"6\" data-num=\"\">11:00 - 11:30<\/option><option\nvalue=\"7\" data-num=\"\">11:30 - 12h:00<\/option><option\nvalue=\"8\" data-num=\"\">12:00 - 12:30<\/option><option\nvalue=\"9\" data-num=\"\">12:30 - 13:00<\/option><option\nvalue=\"10\" data-num=\"\">13:00 - 13:30<\/option><option\nvalue=\"11\" data-num=\"\">13:30 - 14:00<\/option><option\nvalue=\"12\" data-num=\"\">14:00 - 14:30<\/option><option\nvalue=\"13\" data-num=\"\">14:30 - 15:00<\/option><option\nvalue=\"14\" data-num=\"\">15:00 - 15:30<\/option><option\nvalue=\"15\" data-num=\"\">15:30 - 16:00<\/option><option\nvalue=\"16\" data-num=\"\">16:00 - 16:30<\/option><option\nvalue=\"17\" data-num=\"\">16:30 - 17:00<\/option><option\nvalue=\"18\" data-num=\"\">17:00 - 17:30<\/option><option\nvalue=\"19\" data-num=\"\">17:30 - 18:00<\/option><option\nvalue=\"20\" data-num=\"\">18:00 - 18:30<\/option><option\nvalue=\"24\" data-num=\"\">18:30 - 19:00<\/option>\n<\/select><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][49][m_type]\" id=\"ipt_fsqm_form_6_design_49_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][49][type]\" id=\"ipt_fsqm_form_6_design_49_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_6_design_49\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][50][m_type]\" id=\"ipt_fsqm_form_6_design_50_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][50][type]\" id=\"ipt_fsqm_form_6_design_50_type\" value=\"col_half\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_half ipt_uif_conditional ipt_uif_column_custom ipt_fsqm_container_col_half\" id=\"ipt_fsqm_form_6_design_50\"><div\nclass=\"ipt_uif_column_inner\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[pinfo][21][m_type]\" id=\"ipt_fsqm_form_6_pinfo_21_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[pinfo][21][type]\" id=\"ipt_fsqm_form_6_pinfo_21_type\" value=\"datetime\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_datetime\" id=\"ipt_fsqm_form_6_pinfo_21\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field eform-dp-input-field has-icon\">\n<input\nclass=\"datepicker ipt_uif_datepicker  check_me validate[required,future[2026-04-17]] is-empty ipt_uif_text\"\ndata-dateformat=\"yy-mm-dd\" data-timeformat=\"HH:mm:ss\" data-future=\"2026-04-17\" data-year_range=\"50\"\t\ttype=\"text\"\nreadonly=\"readonly\"\nname=\"ipt_fsqm_form_6[pinfo][21][value]\"\nid=\"ipt_fsqm_form_6_pinfo_21_value\"\nmaxlength=\"524288\"\nvalue=\"\" \/>\n<i\ntitle=\"\" class=\"ipt-icomoon-calendar ipticm prefix\"><\/i>\n<label\nfor=\"ipt_fsqm_form_6_pinfo_21_value\">Ch\u1ecdn ng\u00e0y (T\u1eaft v\u00e0o cu\u1ed1i tu\u1ea7n)<\/label>\n<a\nhref=\"javascript:;\" class=\"eform-dp-clear\" title=\"Th\u00f4ng tho\u00e1ng\">\u00d7<\/a><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][51][m_type]\" id=\"ipt_fsqm_form_6_design_51_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][51][type]\" id=\"ipt_fsqm_form_6_design_51_type\" value=\"embed\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_embed\" id=\"ipt_fsqm_form_6_design_51\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_fsqm_embed\"> <script type=\"text\/javascript\">jQuery(document).on( 'completedUI.eform', function() {\n    jQuery('#ipt_fsqm_form_52_pinfo_21_value').datepicker( 'option', 'beforeShowDay', jQuery.datepicker.noWeekends );\n} );<\/script><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][52][m_type]\" id=\"ipt_fsqm_form_6_design_52_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][52][type]\" id=\"ipt_fsqm_form_6_design_52_type\" value=\"col_half\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_half ipt_uif_conditional ipt_uif_column_custom ipt_fsqm_container_col_half\" id=\"ipt_fsqm_form_6_design_52\"><div\nclass=\"ipt_uif_column_inner\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[mcq][24][m_type]\" id=\"ipt_fsqm_form_6_mcq_24_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[mcq][24][type]\" id=\"ipt_fsqm_form_6_mcq_24_type\" value=\"select\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_select\" id=\"ipt_fsqm_form_6_mcq_24\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\">\n<select\nclass=\"check_me validate[required] ipt_uif_select\" name=\"ipt_fsqm_form_6[mcq][24][options][]\" id=\"ipt_fsqm_form_6_mcq_24_options_\" data-placeholder=\"Choose time\" data-allow-clear=\"true\" data-theme=\"eform-material\"><option\nvalue=\"\">Ch\u1ecdn th\u1eddi gian<\/option><option\nvalue=\"3\" data-num=\"\">Ch\u1ecdn th\u1eddi gian<\/option><option\nvalue=\"0\" data-num=\"\">8:00 - 8:30<\/option><option\nvalue=\"1\" data-num=\"\">8:30 - 9:00<\/option><option\nvalue=\"2\" data-num=\"\">9:30 - 10:00<\/option><option\nvalue=\"5\" data-num=\"\">10:30 - 11:00<\/option><option\nvalue=\"6\" data-num=\"\">11:00 - 11:30<\/option><option\nvalue=\"7\" data-num=\"\">11:30 - 12h:00<\/option><option\nvalue=\"8\" data-num=\"\">12:00 - 12:30<\/option><option\nvalue=\"9\" data-num=\"\">12:30 - 13:00<\/option><option\nvalue=\"10\" data-num=\"\">13:00 - 13:30<\/option><option\nvalue=\"11\" data-num=\"\">13:30 - 14:00<\/option><option\nvalue=\"12\" data-num=\"\">14:00 - 14:30<\/option><option\nvalue=\"13\" data-num=\"\">14:30 - 15:00<\/option><option\nvalue=\"14\" data-num=\"\">15:00 - 15:30<\/option><option\nvalue=\"15\" data-num=\"\">15:30 - 16:00<\/option><option\nvalue=\"16\" data-num=\"\">16:00 - 16:30<\/option>\n<\/select><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][46][m_type]\" id=\"ipt_fsqm_form_6_design_46_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][46][type]\" id=\"ipt_fsqm_form_6_design_46_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_6_design_46\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][47][m_type]\" id=\"ipt_fsqm_form_6_design_47_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][47][type]\" id=\"ipt_fsqm_form_6_design_47_type\" value=\"col_half\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_half ipt_uif_conditional ipt_uif_column_custom ipt_fsqm_container_col_half\" id=\"ipt_fsqm_form_6_design_47\"><div\nclass=\"ipt_uif_column_inner\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[pinfo][20][m_type]\" id=\"ipt_fsqm_form_6_pinfo_20_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[pinfo][20][type]\" id=\"ipt_fsqm_form_6_pinfo_20_type\" value=\"datetime\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_datetime\" id=\"ipt_fsqm_form_6_pinfo_20\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field eform-dp-input-field has-icon\">\n<input\nclass=\"datepicker ipt_uif_datepicker  check_me validate[future[2026-04-17]] is-empty ipt_uif_text\"\ndata-dateformat=\"yy-mm-dd\" data-timeformat=\"HH:mm:ss\" data-future=\"2026-04-17\" data-year_range=\"70\"\t\ttype=\"text\"\nreadonly=\"readonly\"\nname=\"ipt_fsqm_form_6[pinfo][20][value]\"\nid=\"ipt_fsqm_form_6_pinfo_20_value\"\nmaxlength=\"524288\"\nvalue=\"\" \/>\n<i\ntitle=\"\" class=\"ipt-icomoon-calendar ipticm prefix\"><\/i>\n<label\nfor=\"ipt_fsqm_form_6_pinfo_20_value\">Ch\u1ecdn ng\u00e0y<\/label>\n<a\nhref=\"javascript:;\" class=\"eform-dp-clear\" title=\"Th\u00f4ng tho\u00e1ng\">\u00d7<\/a><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][48][m_type]\" id=\"ipt_fsqm_form_6_design_48_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][48][type]\" id=\"ipt_fsqm_form_6_design_48_type\" value=\"col_half\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_half ipt_uif_conditional ipt_uif_column_custom ipt_fsqm_container_col_half\" id=\"ipt_fsqm_form_6_design_48\"><div\nclass=\"ipt_uif_column_inner\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[mcq][23][m_type]\" id=\"ipt_fsqm_form_6_mcq_23_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[mcq][23][type]\" id=\"ipt_fsqm_form_6_mcq_23_type\" value=\"select\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_select\" id=\"ipt_fsqm_form_6_mcq_23\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\">\n<select\nclass=\"check_me validate[required] ipt_uif_select\" name=\"ipt_fsqm_form_6[mcq][23][options][]\" id=\"ipt_fsqm_form_6_mcq_23_options_\" data-placeholder=\"Choose time\" data-allow-clear=\"true\" data-theme=\"eform-material\"><option\nvalue=\"\">Ch\u1ecdn th\u1eddi gian<\/option><option\nvalue=\"3\" data-num=\"\">Ch\u1ecdn th\u1eddi gian<\/option><option\nvalue=\"0\" data-num=\"\">8:00 - 8:30<\/option><option\nvalue=\"1\" data-num=\"\">8:30 - 9:00<\/option><option\nvalue=\"2\" data-num=\"\">9:30 - 10:00<\/option><option\nvalue=\"5\" data-num=\"\">10:30 - 11:00<\/option><option\nvalue=\"6\" data-num=\"\">11:00 - 11:30<\/option><option\nvalue=\"7\" data-num=\"\">11:30 - 12h:00<\/option><option\nvalue=\"8\" data-num=\"\">12:00 - 12:30<\/option><option\nvalue=\"9\" data-num=\"\">12:30 - 13:00<\/option><option\nvalue=\"10\" data-num=\"\">13:00 - 13:30<\/option><option\nvalue=\"11\" data-num=\"\">13:30 - 14:00<\/option><option\nvalue=\"12\" data-num=\"\">14:00 - 14:30<\/option><option\nvalue=\"13\" data-num=\"\">14:30 - 15:00<\/option><option\nvalue=\"14\" data-num=\"\">15:00 - 15:30<\/option><option\nvalue=\"15\" data-num=\"\">15:30 - 16:00<\/option><option\nvalue=\"16\" data-num=\"\">16:00 - 16:30<\/option>\n<\/select><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><div\nid=\"ipt_fsqm_form_6_tab_2\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_6_layout_2_inner\" class=\"ipt-eform-layout-wrapper\"><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_main_heading_column\"><div\nclass=\"ipt_uif_column_inner\"><h3 class=\"ipt_fsqm_main_heading ipt_uif_heading ipt_uif_divider ipt_uif_align_left ipt_uif_divider_no_icon ipt_uif_divider_icon_no_bg\">\n<span\nclass=\"ipt_uif_divider_text\">\n<span\nclass=\"ipt_uif_divider_text_inner\">\nRaffles Medical - H\u00e0 N\u1ed9i<span\nclass=\"subtitle\"><\/span>\t\t\t\t<\/span>\n<\/span><\/h3><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[mcq][11][m_type]\" id=\"ipt_fsqm_form_6_mcq_11_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[mcq][11][type]\" id=\"ipt_fsqm_form_6_mcq_11_type\" value=\"select\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_select\" id=\"ipt_fsqm_form_6_mcq_11\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\">\n<select\nclass=\"check_me validate[required] ipt_uif_select\" name=\"ipt_fsqm_form_6[mcq][11][options][]\" id=\"ipt_fsqm_form_6_mcq_11_options_\" data-placeholder=\"Reason for visit\" data-allow-clear=\"true\" data-theme=\"eform-material\"><option\nvalue=\"\">L\u00fd do \u0111\u1ebfn th\u0103m<\/option><option\nvalue=\"3\" data-num=\"\">L\u00fd do \u0111\u1ebfn th\u0103m<\/option><option\nvalue=\"11\" data-num=\"\">T\u01b0 v\u1ea5n t\u1eeb xa<\/option><option\nvalue=\"0\" data-num=\"\">\u0110i kh\u00e1m b\u00e1c s\u0129<\/option><option\nvalue=\"4\" data-num=\"\">Ki\u1ec3m tra th\u1ecb th\u1ef1c kh\u00e1c<\/option><option\nvalue=\"5\" data-num=\"\">Ki\u1ec3m tra s\u1ee9c kh\u1ecfe doanh nghi\u1ec7p<\/option><option\nvalue=\"6\" data-num=\"\">Ki\u1ec3m tra s\u1ee9c kh\u1ecfe OGUK<\/option><option\nvalue=\"9\" data-num=\"\">Ki\u1ec3m tra s\u1ee9c kh\u1ecfe tuy\u1ec3n sinh v\u00e0o tr\u01b0\u1eddng<\/option><option\nvalue=\"7\" data-num=\"\">Ki\u1ec3m tra s\u1ee9c kh\u1ecfe c\u00e1 nh\u00e2n<\/option><option\nvalue=\"8\" data-num=\"\">Ti\u00eam ch\u1ee7ng<\/option><option\nvalue=\"10\" data-num=\"\">Ki\u1ec3m tra s\u1ee9c kh\u1ecfe gi\u1ea5y ph\u00e9p lao \u0111\u1ed9ng<\/option>\n<\/select><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][15][m_type]\" id=\"ipt_fsqm_form_6_design_15_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][15][type]\" id=\"ipt_fsqm_form_6_design_15_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_6_design_15\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[mcq][12][m_type]\" id=\"ipt_fsqm_form_6_mcq_12_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[mcq][12][type]\" id=\"ipt_fsqm_form_6_mcq_12_type\" value=\"select\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_select\" id=\"ipt_fsqm_form_6_mcq_12\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\">\n<select\nclass=\"check_me validate[required] ipt_uif_select\" name=\"ipt_fsqm_form_6[mcq][12][options][]\" id=\"ipt_fsqm_form_6_mcq_12_options_\" data-placeholder=\"Preferred Doctor\" data-allow-clear=\"true\" data-theme=\"eform-material\"><option\nvalue=\"\">B\u00e1c s\u0129 \u01b0a th\u00edch<\/option><option\nvalue=\"3\" data-num=\"\">B\u00e1c s\u0129 \u01b0a th\u00edch<\/option><option\nvalue=\"0\" data-num=\"\">B\u00e1c s\u0129 \u0111a khoa\/Y h\u1ecdc gia \u0111\u00ecnh<\/option><option\nvalue=\"1\" data-num=\"\">B\u00e1c s\u0129 nhi khoa<\/option><option\nvalue=\"2\" data-num=\"\">B\u00e1c s\u0129 s\u1ea3n ph\u1ee5 khoa<\/option><option\nvalue=\"4\" data-num=\"\">Nha s\u0129<\/option><option\nvalue=\"5\" data-num=\"\">B\u00e1c s\u0129 Tai M\u0169i H\u1ecdng<\/option><option\nvalue=\"6\" data-num=\"\">B\u00e1c s\u0129 da li\u1ec5u<\/option><option\nvalue=\"7\" data-num=\"\">B\u00e1c s\u0129 tim m\u1ea1ch<\/option><option\nvalue=\"8\" data-num=\"\">Chuy\u00ean gia v\u1eadt l\u00fd tr\u1ecb li\u1ec7u<\/option><option\nvalue=\"9\" data-num=\"\">B\u00e1c s\u0129 ch\u1ec9nh h\u00ecnh<\/option><option\nvalue=\"10\" data-num=\"\">Nh\u00e0 t\u00e2m l\u00fd h\u1ecdc<\/option><option\nvalue=\"11\" data-num=\"\">B\u00e1c s\u0129 chuy\u00ean khoa ph\u1ed5i<\/option>\n<\/select><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[freetype][17][m_type]\" id=\"ipt_fsqm_form_6_freetype_17_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[freetype][17][type]\" id=\"ipt_fsqm_form_6_freetype_17_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_6_freetype_17\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field\">\n<input\nclass=\"check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_6[freetype][17][value]\"\nid=\"ipt_fsqm_form_6_freetype_17_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<label\nfor=\"ipt_fsqm_form_6_freetype_17_value\">Nh\u1eadp t\u00ean b\u00e1c s\u0129 \u1edf \u0111\u00e2y (kh\u00f4ng b\u1eaft bu\u1ed9c)<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][70][m_type]\" id=\"ipt_fsqm_form_6_design_70_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][70][type]\" id=\"ipt_fsqm_form_6_design_70_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_6_design_70\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[freetype][20][m_type]\" id=\"ipt_fsqm_form_6_freetype_20_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[freetype][20][type]\" id=\"ipt_fsqm_form_6_freetype_20_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_6_freetype_20\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field\">\n<input\nclass=\"check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_6[freetype][20][value]\"\nid=\"ipt_fsqm_form_6_freetype_20_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<label\nfor=\"ipt_fsqm_form_6_freetype_20_value\">Nh\u1eadp t\u00ean b\u00e1c s\u0129 \u1edf \u0111\u00e2y (kh\u00f4ng b\u1eaft bu\u1ed9c)<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][16][m_type]\" id=\"ipt_fsqm_form_6_design_16_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][16][type]\" id=\"ipt_fsqm_form_6_design_16_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_6_design_16\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[freetype][4][m_type]\" id=\"ipt_fsqm_form_6_freetype_4_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[freetype][4][type]\" id=\"ipt_fsqm_form_6_freetype_4_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_6_freetype_4\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\"check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_6[freetype][4][value]\"\nid=\"ipt_fsqm_form_6_freetype_4_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\"ipticm prefix\" data-ipt-icomoon=\"&#xf0f7;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_6_freetype_4_value\">T\u00ean c\u00f4ng ty<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][17][m_type]\" id=\"ipt_fsqm_form_6_design_17_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][17][type]\" id=\"ipt_fsqm_form_6_design_17_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_6_design_17\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[freetype][5][m_type]\" id=\"ipt_fsqm_form_6_freetype_5_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[freetype][5][type]\" id=\"ipt_fsqm_form_6_freetype_5_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_6_freetype_5\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\"check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_6[freetype][5][value]\"\nid=\"ipt_fsqm_form_6_freetype_5_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\"ipticm prefix\" data-ipt-icomoon=\"&#xe80c;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_6_freetype_5_value\">T\u00ean tr\u01b0\u1eddng<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][18][m_type]\" id=\"ipt_fsqm_form_6_design_18_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][18][type]\" id=\"ipt_fsqm_form_6_design_18_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_6_design_18\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[freetype][6][m_type]\" id=\"ipt_fsqm_form_6_freetype_6_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[freetype][6][type]\" id=\"ipt_fsqm_form_6_freetype_6_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_6_freetype_6\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\"check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_6[freetype][6][value]\"\nid=\"ipt_fsqm_form_6_freetype_6_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\"ipticm prefix\" data-ipt-icomoon=\"&#xe118;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_6_freetype_6_value\">V\u1eafc-xin \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][19][m_type]\" id=\"ipt_fsqm_form_6_design_19_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][19][type]\" id=\"ipt_fsqm_form_6_design_19_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_6_design_19\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[freetype][7][m_type]\" id=\"ipt_fsqm_form_6_freetype_7_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[freetype][7][type]\" id=\"ipt_fsqm_form_6_freetype_7_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_6_freetype_7\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\"check_me validate[required] ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_6[freetype][7][value]\"\nid=\"ipt_fsqm_form_6_freetype_7_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\"ipticm prefix\" data-ipt-icomoon=\"&#xf0f0;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_6_freetype_7_value\">S\u1ed1 ID HAP Ch\u1ec9 d\u00e0nh cho Ki\u1ec3m tra s\u1ee9c kh\u1ecfe Visa *<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][20][m_type]\" id=\"ipt_fsqm_form_6_design_20_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][20][type]\" id=\"ipt_fsqm_form_6_design_20_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_6_design_20\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][21][m_type]\" id=\"ipt_fsqm_form_6_design_21_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][21][type]\" id=\"ipt_fsqm_form_6_design_21_type\" value=\"col_half\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_half ipt_uif_conditional ipt_uif_column_custom ipt_fsqm_container_col_half\" id=\"ipt_fsqm_form_6_design_21\"><div\nclass=\"ipt_uif_column_inner\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[pinfo][10][m_type]\" id=\"ipt_fsqm_form_6_pinfo_10_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[pinfo][10][type]\" id=\"ipt_fsqm_form_6_pinfo_10_type\" value=\"datetime\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_datetime\" id=\"ipt_fsqm_form_6_pinfo_10\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field eform-dp-input-field has-icon\">\n<input\nclass=\"datepicker ipt_uif_datepicker  check_me validate[future[2026-04-17]] is-empty ipt_uif_text\"\ndata-dateformat=\"yy-mm-dd\" data-timeformat=\"HH:mm:ss\" data-future=\"2026-04-17\" data-year_range=\"70\"\t\ttype=\"text\"\nreadonly=\"readonly\"\nname=\"ipt_fsqm_form_6[pinfo][10][value]\"\nid=\"ipt_fsqm_form_6_pinfo_10_value\"\nmaxlength=\"524288\"\nvalue=\"\" \/>\n<i\ntitle=\"\" class=\"ipt-icomoon-calendar ipticm prefix\"><\/i>\n<label\nfor=\"ipt_fsqm_form_6_pinfo_10_value\">Ch\u1ecdn ng\u00e0y<\/label>\n<a\nhref=\"javascript:;\" class=\"eform-dp-clear\" title=\"Th\u00f4ng tho\u00e1ng\">\u00d7<\/a><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][22][m_type]\" id=\"ipt_fsqm_form_6_design_22_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][22][type]\" id=\"ipt_fsqm_form_6_design_22_type\" value=\"col_half\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_half ipt_uif_conditional ipt_uif_column_custom ipt_fsqm_container_col_half\" id=\"ipt_fsqm_form_6_design_22\"><div\nclass=\"ipt_uif_column_inner\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[mcq][13][m_type]\" id=\"ipt_fsqm_form_6_mcq_13_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[mcq][13][type]\" id=\"ipt_fsqm_form_6_mcq_13_type\" value=\"select\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_select\" id=\"ipt_fsqm_form_6_mcq_13\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\">\n<select\nclass=\"check_me validate[required] ipt_uif_select\" name=\"ipt_fsqm_form_6[mcq][13][options][]\" id=\"ipt_fsqm_form_6_mcq_13_options_\" data-placeholder=\"Choose time\" data-allow-clear=\"true\" data-theme=\"eform-material\"><option\nvalue=\"\">Ch\u1ecdn th\u1eddi gian<\/option><option\nvalue=\"3\" data-num=\"\">Ch\u1ecdn th\u1eddi gian<\/option><option\nvalue=\"0\" data-num=\"\">8:00 - 8:30<\/option><option\nvalue=\"1\" data-num=\"\">8:30 - 9:00<\/option><option\nvalue=\"2\" data-num=\"\">9:30 - 10:00<\/option><option\nvalue=\"5\" data-num=\"\">10:30 - 11:00<\/option><option\nvalue=\"6\" data-num=\"\">11:00 - 11:30<\/option><option\nvalue=\"7\" data-num=\"\">11:30 - 12h:00<\/option><option\nvalue=\"8\" data-num=\"\">12:00 - 12:30<\/option><option\nvalue=\"9\" data-num=\"\">12:30 - 13:00<\/option><option\nvalue=\"10\" data-num=\"\">13:00 - 13:30<\/option><option\nvalue=\"11\" data-num=\"\">13:30 - 14:00<\/option><option\nvalue=\"12\" data-num=\"\">14:00 - 14:30<\/option><option\nvalue=\"13\" data-num=\"\">14:30 - 15:00<\/option><option\nvalue=\"14\" data-num=\"\">15:00 - 15:30<\/option><option\nvalue=\"15\" data-num=\"\">15:30 - 16:00<\/option><option\nvalue=\"16\" data-num=\"\">16:00 - 16:30<\/option>\n<\/select><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][23][m_type]\" id=\"ipt_fsqm_form_6_design_23_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][23][type]\" id=\"ipt_fsqm_form_6_design_23_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_6_design_23\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][24][m_type]\" id=\"ipt_fsqm_form_6_design_24_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][24][type]\" id=\"ipt_fsqm_form_6_design_24_type\" value=\"col_half\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_half ipt_uif_conditional ipt_uif_column_custom ipt_fsqm_container_col_half\" id=\"ipt_fsqm_form_6_design_24\"><div\nclass=\"ipt_uif_column_inner\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[pinfo][11][m_type]\" id=\"ipt_fsqm_form_6_pinfo_11_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[pinfo][11][type]\" id=\"ipt_fsqm_form_6_pinfo_11_type\" value=\"datetime\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_datetime\" id=\"ipt_fsqm_form_6_pinfo_11\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field eform-dp-input-field has-icon\">\n<input\nclass=\"datepicker ipt_uif_datepicker  check_me validate[required,future[2026-04-17]] is-empty ipt_uif_text\"\ndata-dateformat=\"yy-mm-dd\" data-timeformat=\"HH:mm:ss\" data-future=\"2026-04-17\" data-year_range=\"70\"\t\ttype=\"text\"\nreadonly=\"readonly\"\nname=\"ipt_fsqm_form_6[pinfo][11][value]\"\nid=\"ipt_fsqm_form_6_pinfo_11_value\"\nmaxlength=\"524288\"\nvalue=\"\" \/>\n<i\ntitle=\"\" class=\"ipt-icomoon-calendar ipticm prefix\"><\/i>\n<label\nfor=\"ipt_fsqm_form_6_pinfo_11_value\">Ch\u1ecdn ng\u00e0y (T\u1eaft v\u00e0o cu\u1ed1i tu\u1ea7n)<\/label>\n<a\nhref=\"javascript:;\" class=\"eform-dp-clear\" title=\"Th\u00f4ng tho\u00e1ng\">\u00d7<\/a><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][25][m_type]\" id=\"ipt_fsqm_form_6_design_25_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][25][type]\" id=\"ipt_fsqm_form_6_design_25_type\" value=\"embed\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_embed\" id=\"ipt_fsqm_form_6_design_25\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_fsqm_embed\"> <script type=\"text\/javascript\">jQuery(document).on( 'completedUI.eform', function() {\n    jQuery('#ipt_fsqm_form_52_pinfo_11_value').datepicker( 'option', 'beforeShowDay', jQuery.datepicker.noWeekends );\n} );<\/script><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][26][m_type]\" id=\"ipt_fsqm_form_6_design_26_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][26][type]\" id=\"ipt_fsqm_form_6_design_26_type\" value=\"col_half\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_half ipt_uif_conditional ipt_uif_column_custom ipt_fsqm_container_col_half\" id=\"ipt_fsqm_form_6_design_26\"><div\nclass=\"ipt_uif_column_inner\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[mcq][14][m_type]\" id=\"ipt_fsqm_form_6_mcq_14_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[mcq][14][type]\" id=\"ipt_fsqm_form_6_mcq_14_type\" value=\"select\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_select\" id=\"ipt_fsqm_form_6_mcq_14\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\">\n<select\nclass=\"check_me validate[required] ipt_uif_select\" name=\"ipt_fsqm_form_6[mcq][14][options][]\" id=\"ipt_fsqm_form_6_mcq_14_options_\" data-placeholder=\"Choose time \" data-allow-clear=\"true\" data-theme=\"eform-material\"><option\nvalue=\"\">Ch\u1ecdn th\u1eddi gian<\/option><option\nvalue=\"3\" data-num=\"\">Ch\u1ecdn th\u1eddi gian<\/option><option\nvalue=\"0\" data-num=\"\">8:00 - 8:30<\/option><option\nvalue=\"1\" data-num=\"\">8:30 - 9:00<\/option><option\nvalue=\"2\" data-num=\"\">9:30 - 10:00<\/option><option\nvalue=\"5\" data-num=\"\">10:30 - 11:00<\/option><option\nvalue=\"6\" data-num=\"\">11:00 - 11:30<\/option><option\nvalue=\"7\" data-num=\"\">11:30 - 12h:00<\/option><option\nvalue=\"8\" data-num=\"\">12:00 - 12:30<\/option><option\nvalue=\"9\" data-num=\"\">12:30 - 13:00<\/option><option\nvalue=\"10\" data-num=\"\">13:00 - 13:30<\/option><option\nvalue=\"11\" data-num=\"\">13:30 - 14:00<\/option><option\nvalue=\"12\" data-num=\"\">14:00 - 14:30<\/option><option\nvalue=\"13\" data-num=\"\">14:30 - 15:00<\/option><option\nvalue=\"14\" data-num=\"\">15:00 - 15:30<\/option><option\nvalue=\"15\" data-num=\"\">15:30 - 16:00<\/option><option\nvalue=\"16\" data-num=\"\">16:00 - 16:30<\/option><option\nvalue=\"17\" data-num=\"\">16:30 - 17:00<\/option><option\nvalue=\"18\" data-num=\"\">17:00 - 17:30<\/option><option\nvalue=\"19\" data-num=\"\">17:30 - 18:00<\/option><option\nvalue=\"20\" data-num=\"\">18:00 - 18:30<\/option><option\nvalue=\"21\" data-num=\"\">18:30 - 19:00<\/option>\n<\/select><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][61][m_type]\" id=\"ipt_fsqm_form_6_design_61_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][61][type]\" id=\"ipt_fsqm_form_6_design_61_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_6_design_61\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][62][m_type]\" id=\"ipt_fsqm_form_6_design_62_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][62][type]\" id=\"ipt_fsqm_form_6_design_62_type\" value=\"col_half\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_half ipt_uif_conditional ipt_uif_column_custom ipt_fsqm_container_col_half\" id=\"ipt_fsqm_form_6_design_62\"><div\nclass=\"ipt_uif_column_inner\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[pinfo][29][m_type]\" id=\"ipt_fsqm_form_6_pinfo_29_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[pinfo][29][type]\" id=\"ipt_fsqm_form_6_pinfo_29_type\" value=\"datetime\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_datetime\" id=\"ipt_fsqm_form_6_pinfo_29\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field eform-dp-input-field has-icon\">\n<input\nclass=\"datepicker ipt_uif_datepicker  check_me validate[required,future[2026-04-17]] is-empty ipt_uif_text\"\ndata-dateformat=\"yy-mm-dd\" data-timeformat=\"HH:mm:ss\" data-future=\"2026-04-17\" data-year_range=\"70\"\t\ttype=\"text\"\nreadonly=\"readonly\"\nname=\"ipt_fsqm_form_6[pinfo][29][value]\"\nid=\"ipt_fsqm_form_6_pinfo_29_value\"\nmaxlength=\"524288\"\nvalue=\"\" \/>\n<i\ntitle=\"\" class=\"ipt-icomoon-calendar ipticm prefix\"><\/i>\n<label\nfor=\"ipt_fsqm_form_6_pinfo_29_value\">Ch\u1ecdn ng\u00e0y (T\u1eaft v\u00e0o cu\u1ed1i tu\u1ea7n)<\/label>\n<a\nhref=\"javascript:;\" class=\"eform-dp-clear\" title=\"Th\u00f4ng tho\u00e1ng\">\u00d7<\/a><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][63][m_type]\" id=\"ipt_fsqm_form_6_design_63_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][63][type]\" id=\"ipt_fsqm_form_6_design_63_type\" value=\"embed\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_embed\" id=\"ipt_fsqm_form_6_design_63\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_fsqm_embed\"> <script type=\"text\/javascript\">jQuery(document).on( 'completedUI.eform', function() {\n    jQuery('#ipt_fsqm_form_52_pinfo_29_value').datepicker( 'option', 'beforeShowDay', jQuery.datepicker.noWeekends );\n} );<\/script><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][64][m_type]\" id=\"ipt_fsqm_form_6_design_64_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][64][type]\" id=\"ipt_fsqm_form_6_design_64_type\" value=\"col_half\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_half ipt_uif_conditional ipt_uif_column_custom ipt_fsqm_container_col_half\" id=\"ipt_fsqm_form_6_design_64\"><div\nclass=\"ipt_uif_column_inner\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[mcq][26][m_type]\" id=\"ipt_fsqm_form_6_mcq_26_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[mcq][26][type]\" id=\"ipt_fsqm_form_6_mcq_26_type\" value=\"select\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_select\" id=\"ipt_fsqm_form_6_mcq_26\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\">\n<select\nclass=\"check_me validate[required] ipt_uif_select\" name=\"ipt_fsqm_form_6[mcq][26][options][]\" id=\"ipt_fsqm_form_6_mcq_26_options_\" data-placeholder=\"Choose time \" data-allow-clear=\"true\" data-theme=\"eform-material\"><option\nvalue=\"\">Ch\u1ecdn th\u1eddi gian<\/option><option\nvalue=\"3\" data-num=\"\">Ch\u1ecdn th\u1eddi gian<\/option><option\nvalue=\"0\" data-num=\"\">8:00 - 8:30<\/option><option\nvalue=\"1\" data-num=\"\">8:30 - 9:00<\/option><option\nvalue=\"2\" data-num=\"\">9:30 - 10:00<\/option><option\nvalue=\"5\" data-num=\"\">10:30 - 11:00<\/option><option\nvalue=\"6\" data-num=\"\">11:00 - 11:30<\/option><option\nvalue=\"7\" data-num=\"\">11:30 - 12h:00<\/option><option\nvalue=\"8\" data-num=\"\">12:00 - 12:30<\/option><option\nvalue=\"9\" data-num=\"\">12:30 - 13:00<\/option><option\nvalue=\"10\" data-num=\"\">13:00 - 13:30<\/option><option\nvalue=\"11\" data-num=\"\">13:30 - 14:00<\/option><option\nvalue=\"12\" data-num=\"\">14:00 - 14:30<\/option><option\nvalue=\"13\" data-num=\"\">14:30 - 15:00<\/option><option\nvalue=\"14\" data-num=\"\">15:00 - 15:30<\/option><option\nvalue=\"15\" data-num=\"\">15:30 - 16:00<\/option><option\nvalue=\"16\" data-num=\"\">16:00 - 16:30<\/option>\n<\/select><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><div\nid=\"ipt_fsqm_form_6_tab_3\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_6_layout_3_inner\" class=\"ipt-eform-layout-wrapper\"><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_main_heading_column\"><div\nclass=\"ipt_uif_column_inner\"><h3 class=\"ipt_fsqm_main_heading ipt_uif_heading ipt_uif_divider ipt_uif_align_left ipt_uif_divider_no_icon ipt_uif_divider_icon_no_bg\">\n<span\nclass=\"ipt_uif_divider_text\">\n<span\nclass=\"ipt_uif_divider_text_inner\">\nRaffles Medical - V\u0169ng T\u00e0u<span\nclass=\"subtitle\"><\/span>\t\t\t\t<\/span>\n<\/span><\/h3><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[mcq][16][m_type]\" id=\"ipt_fsqm_form_6_mcq_16_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[mcq][16][type]\" id=\"ipt_fsqm_form_6_mcq_16_type\" value=\"select\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_select\" id=\"ipt_fsqm_form_6_mcq_16\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\">\n<select\nclass=\"check_me validate[required] ipt_uif_select\" name=\"ipt_fsqm_form_6[mcq][16][options][]\" id=\"ipt_fsqm_form_6_mcq_16_options_\" data-placeholder=\"Reason for visit\" data-allow-clear=\"true\" data-theme=\"eform-material\"><option\nvalue=\"\">L\u00fd do \u0111\u1ebfn th\u0103m<\/option><option\nvalue=\"3\" data-num=\"\">L\u00fd do \u0111\u1ebfn th\u0103m<\/option><option\nvalue=\"0\" data-num=\"\">\u0110i kh\u00e1m b\u00e1c s\u0129<\/option><option\nvalue=\"1\" data-num=\"\">Ki\u1ec3m tra th\u1ecb th\u1ef1c \u00dac<\/option><option\nvalue=\"4\" data-num=\"\">Ki\u1ec3m tra th\u1ecb th\u1ef1c kh\u00e1c<\/option><option\nvalue=\"5\" data-num=\"\">Ki\u1ec3m tra s\u1ee9c kh\u1ecfe doanh nghi\u1ec7p<\/option><option\nvalue=\"6\" data-num=\"\">Ki\u1ec3m tra s\u1ee9c kh\u1ecfe OGUK<\/option><option\nvalue=\"9\" data-num=\"\">Ki\u1ec3m tra s\u1ee9c kh\u1ecfe tuy\u1ec3n sinh v\u00e0o tr\u01b0\u1eddng<\/option><option\nvalue=\"7\" data-num=\"\">Ki\u1ec3m tra s\u1ee9c kh\u1ecfe h\u00e0ng n\u0103m<\/option><option\nvalue=\"8\" data-num=\"\">Ti\u00eam ch\u1ee7ng<\/option>\n<\/select><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][28][m_type]\" id=\"ipt_fsqm_form_6_design_28_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][28][type]\" id=\"ipt_fsqm_form_6_design_28_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_6_design_28\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[mcq][17][m_type]\" id=\"ipt_fsqm_form_6_mcq_17_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[mcq][17][type]\" id=\"ipt_fsqm_form_6_mcq_17_type\" value=\"select\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_select\" id=\"ipt_fsqm_form_6_mcq_17\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\">\n<select\nclass=\"check_me validate[required] ipt_uif_select\" name=\"ipt_fsqm_form_6[mcq][17][options][]\" id=\"ipt_fsqm_form_6_mcq_17_options_\" data-placeholder=\"Preferred Doctor\" data-allow-clear=\"true\" data-theme=\"eform-material\"><option\nvalue=\"\">B\u00e1c s\u0129 \u01b0a th\u00edch<\/option><option\nvalue=\"3\" data-num=\"\">B\u00e1c s\u0129 \u01b0a th\u00edch<\/option><option\nvalue=\"0\" data-num=\"\">B\u00e1c s\u0129 \u0111a khoa\/Y h\u1ecdc gia \u0111\u00ecnh<\/option><option\nvalue=\"4\" data-num=\"\">B\u00e1c s\u0129 nhi khoa<\/option><option\nvalue=\"5\" data-num=\"\">B\u00e1c s\u0129 s\u1ea3n ph\u1ee5 khoa<\/option><option\nvalue=\"6\" data-num=\"\">Nha s\u0129<\/option><option\nvalue=\"7\" data-num=\"\">B\u00e1c s\u0129 Tai M\u0169i H\u1ecdng<\/option><option\nvalue=\"8\" data-num=\"\">B\u00e1c s\u0129 da li\u1ec5u<\/option><option\nvalue=\"9\" data-num=\"\">B\u00e1c s\u0129 tim m\u1ea1ch<\/option><option\nvalue=\"10\" data-num=\"\">Chuy\u00ean gia v\u1eadt l\u00fd tr\u1ecb li\u1ec7u<\/option><option\nvalue=\"11\" data-num=\"\">B\u00e1c s\u0129 ch\u1ec9nh h\u00ecnh<\/option><option\nvalue=\"12\" data-num=\"\">Nh\u00e0 t\u00e2m l\u00fd h\u1ecdc<\/option><option\nvalue=\"13\" data-num=\"\">B\u00e1c s\u0129 chuy\u00ean khoa ph\u1ed5i<\/option>\n<\/select><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[freetype][18][m_type]\" id=\"ipt_fsqm_form_6_freetype_18_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[freetype][18][type]\" id=\"ipt_fsqm_form_6_freetype_18_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_6_freetype_18\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field\">\n<input\nclass=\"check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_6[freetype][18][value]\"\nid=\"ipt_fsqm_form_6_freetype_18_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<label\nfor=\"ipt_fsqm_form_6_freetype_18_value\">Nh\u1eadp t\u00ean b\u00e1c s\u0129 \u1edf \u0111\u00e2y (kh\u00f4ng b\u1eaft bu\u1ed9c)<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][29][m_type]\" id=\"ipt_fsqm_form_6_design_29_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][29][type]\" id=\"ipt_fsqm_form_6_design_29_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_6_design_29\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[freetype][8][m_type]\" id=\"ipt_fsqm_form_6_freetype_8_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[freetype][8][type]\" id=\"ipt_fsqm_form_6_freetype_8_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_6_freetype_8\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\"check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_6[freetype][8][value]\"\nid=\"ipt_fsqm_form_6_freetype_8_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\"ipticm prefix\" data-ipt-icomoon=\"&#xf0f7;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_6_freetype_8_value\">T\u00ean c\u00f4ng ty<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][30][m_type]\" id=\"ipt_fsqm_form_6_design_30_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][30][type]\" id=\"ipt_fsqm_form_6_design_30_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_6_design_30\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[freetype][9][m_type]\" id=\"ipt_fsqm_form_6_freetype_9_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[freetype][9][type]\" id=\"ipt_fsqm_form_6_freetype_9_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_6_freetype_9\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\"check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_6[freetype][9][value]\"\nid=\"ipt_fsqm_form_6_freetype_9_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\"ipticm prefix\" data-ipt-icomoon=\"&#xe80c;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_6_freetype_9_value\">T\u00ean tr\u01b0\u1eddng<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][31][m_type]\" id=\"ipt_fsqm_form_6_design_31_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][31][type]\" id=\"ipt_fsqm_form_6_design_31_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_6_design_31\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[freetype][10][m_type]\" id=\"ipt_fsqm_form_6_freetype_10_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[freetype][10][type]\" id=\"ipt_fsqm_form_6_freetype_10_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_6_freetype_10\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\"check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_6[freetype][10][value]\"\nid=\"ipt_fsqm_form_6_freetype_10_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\"ipticm prefix\" data-ipt-icomoon=\"&#xe118;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_6_freetype_10_value\">V\u1eafc-xin \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][32][m_type]\" id=\"ipt_fsqm_form_6_design_32_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][32][type]\" id=\"ipt_fsqm_form_6_design_32_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_6_design_32\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[freetype][11][m_type]\" id=\"ipt_fsqm_form_6_freetype_11_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[freetype][11][type]\" id=\"ipt_fsqm_form_6_freetype_11_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_6_freetype_11\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\"check_me validate[required] ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_6[freetype][11][value]\"\nid=\"ipt_fsqm_form_6_freetype_11_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\"ipticm prefix\" data-ipt-icomoon=\"&#xf0f0;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_6_freetype_11_value\">S\u1ed1 ID HAP Ch\u1ec9 d\u00e0nh cho Ki\u1ec3m tra s\u1ee9c kh\u1ecfe Visa *<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][33][m_type]\" id=\"ipt_fsqm_form_6_design_33_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][33][type]\" id=\"ipt_fsqm_form_6_design_33_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_6_design_33\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][34][m_type]\" id=\"ipt_fsqm_form_6_design_34_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][34][type]\" id=\"ipt_fsqm_form_6_design_34_type\" value=\"col_half\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_half ipt_uif_conditional ipt_uif_column_custom ipt_fsqm_container_col_half\" id=\"ipt_fsqm_form_6_design_34\"><div\nclass=\"ipt_uif_column_inner\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[pinfo][15][m_type]\" id=\"ipt_fsqm_form_6_pinfo_15_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[pinfo][15][type]\" id=\"ipt_fsqm_form_6_pinfo_15_type\" value=\"datetime\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_datetime\" id=\"ipt_fsqm_form_6_pinfo_15\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field eform-dp-input-field has-icon\">\n<input\nclass=\"datepicker ipt_uif_datepicker  check_me validate[future[2026-04-17]] is-empty ipt_uif_text\"\ndata-dateformat=\"yy-mm-dd\" data-timeformat=\"HH:mm:ss\" data-future=\"2026-04-17\" data-year_range=\"70\"\t\ttype=\"text\"\nreadonly=\"readonly\"\nname=\"ipt_fsqm_form_6[pinfo][15][value]\"\nid=\"ipt_fsqm_form_6_pinfo_15_value\"\nmaxlength=\"524288\"\nvalue=\"\" \/>\n<i\ntitle=\"\" class=\"ipt-icomoon-calendar ipticm prefix\"><\/i>\n<label\nfor=\"ipt_fsqm_form_6_pinfo_15_value\">Ch\u1ecdn ng\u00e0y<\/label>\n<a\nhref=\"javascript:;\" class=\"eform-dp-clear\" title=\"Th\u00f4ng tho\u00e1ng\">\u00d7<\/a><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][35][m_type]\" id=\"ipt_fsqm_form_6_design_35_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][35][type]\" id=\"ipt_fsqm_form_6_design_35_type\" value=\"col_half\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_half ipt_uif_conditional ipt_uif_column_custom ipt_fsqm_container_col_half\" id=\"ipt_fsqm_form_6_design_35\"><div\nclass=\"ipt_uif_column_inner\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[mcq][18][m_type]\" id=\"ipt_fsqm_form_6_mcq_18_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[mcq][18][type]\" id=\"ipt_fsqm_form_6_mcq_18_type\" value=\"select\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_select\" id=\"ipt_fsqm_form_6_mcq_18\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\">\n<select\nclass=\"check_me validate[required] ipt_uif_select\" name=\"ipt_fsqm_form_6[mcq][18][options][]\" id=\"ipt_fsqm_form_6_mcq_18_options_\" data-placeholder=\"Choose time\" data-allow-clear=\"true\" data-theme=\"eform-material\"><option\nvalue=\"\">Ch\u1ecdn th\u1eddi gian<\/option><option\nvalue=\"3\" data-num=\"\">Ch\u1ecdn th\u1eddi gian<\/option><option\nvalue=\"0\" data-num=\"\">8:00 - 8:30<\/option><option\nvalue=\"1\" data-num=\"\">8:30 - 9:00<\/option><option\nvalue=\"2\" data-num=\"\">9:30 - 10:00<\/option><option\nvalue=\"5\" data-num=\"\">10:30 - 11:00<\/option><option\nvalue=\"6\" data-num=\"\">11:00 - 11:30<\/option><option\nvalue=\"7\" data-num=\"\">11:30 - 12h:00<\/option><option\nvalue=\"8\" data-num=\"\">12:00 - 12:30<\/option><option\nvalue=\"9\" data-num=\"\">12:30 - 13:00<\/option><option\nvalue=\"10\" data-num=\"\">13:00 - 13:30<\/option><option\nvalue=\"11\" data-num=\"\">13:30 - 14:00<\/option><option\nvalue=\"12\" data-num=\"\">14:00 - 14:30<\/option><option\nvalue=\"13\" data-num=\"\">14:30 - 15:00<\/option><option\nvalue=\"14\" data-num=\"\">15:00 - 15:30<\/option><option\nvalue=\"15\" data-num=\"\">15:30 - 16:00<\/option><option\nvalue=\"16\" data-num=\"\">16:00 - 16:30<\/option><option\nvalue=\"17\" data-num=\"\">16:30 - 17:00<\/option><option\nvalue=\"18\" data-num=\"\">17:00 - 17:30<\/option><option\nvalue=\"19\" data-num=\"\">17:30 - 18:00<\/option><option\nvalue=\"20\" data-num=\"\">18:00 - 18:30<\/option><option\nvalue=\"21\" data-num=\"\">18:30 - 19:00<\/option>\n<\/select><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][36][m_type]\" id=\"ipt_fsqm_form_6_design_36_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][36][type]\" id=\"ipt_fsqm_form_6_design_36_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_6_design_36\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][37][m_type]\" id=\"ipt_fsqm_form_6_design_37_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][37][type]\" id=\"ipt_fsqm_form_6_design_37_type\" value=\"col_half\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_half ipt_uif_conditional ipt_uif_column_custom ipt_fsqm_container_col_half\" id=\"ipt_fsqm_form_6_design_37\"><div\nclass=\"ipt_uif_column_inner\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[pinfo][16][m_type]\" id=\"ipt_fsqm_form_6_pinfo_16_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[pinfo][16][type]\" id=\"ipt_fsqm_form_6_pinfo_16_type\" value=\"datetime\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_datetime\" id=\"ipt_fsqm_form_6_pinfo_16\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field eform-dp-input-field has-icon\">\n<input\nclass=\"datepicker ipt_uif_datepicker  check_me validate[required,future[2026-04-17]] is-empty ipt_uif_text\"\ndata-dateformat=\"yy-mm-dd\" data-timeformat=\"HH:mm:ss\" data-future=\"2026-04-17\" data-year_range=\"70\"\t\ttype=\"text\"\nreadonly=\"readonly\"\nname=\"ipt_fsqm_form_6[pinfo][16][value]\"\nid=\"ipt_fsqm_form_6_pinfo_16_value\"\nmaxlength=\"524288\"\nvalue=\"\" \/>\n<i\ntitle=\"\" class=\"ipt-icomoon-calendar ipticm prefix\"><\/i>\n<label\nfor=\"ipt_fsqm_form_6_pinfo_16_value\">Ch\u1ecdn ng\u00e0y (T\u1eaft v\u00e0o cu\u1ed1i tu\u1ea7n)<\/label>\n<a\nhref=\"javascript:;\" class=\"eform-dp-clear\" title=\"Th\u00f4ng tho\u00e1ng\">\u00d7<\/a><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][38][m_type]\" id=\"ipt_fsqm_form_6_design_38_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][38][type]\" id=\"ipt_fsqm_form_6_design_38_type\" value=\"embed\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_embed\" id=\"ipt_fsqm_form_6_design_38\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_fsqm_embed\"> <script type=\"text\/javascript\">jQuery(document).on( 'completedUI.eform', function() {\n    jQuery('#ipt_fsqm_form_52_pinfo_16_value').datepicker( 'option', 'beforeShowDay', jQuery.datepicker.noWeekends );\n} );<\/script><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][39][m_type]\" id=\"ipt_fsqm_form_6_design_39_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][39][type]\" id=\"ipt_fsqm_form_6_design_39_type\" value=\"col_half\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_half ipt_uif_conditional ipt_uif_column_custom ipt_fsqm_container_col_half\" id=\"ipt_fsqm_form_6_design_39\"><div\nclass=\"ipt_uif_column_inner\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[mcq][19][m_type]\" id=\"ipt_fsqm_form_6_mcq_19_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[mcq][19][type]\" id=\"ipt_fsqm_form_6_mcq_19_type\" value=\"select\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_select\" id=\"ipt_fsqm_form_6_mcq_19\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\">\n<select\nclass=\"check_me validate[required] ipt_uif_select\" name=\"ipt_fsqm_form_6[mcq][19][options][]\" id=\"ipt_fsqm_form_6_mcq_19_options_\" data-placeholder=\"Choose time \" data-allow-clear=\"true\" data-theme=\"eform-material\"><option\nvalue=\"\">Ch\u1ecdn th\u1eddi gian<\/option><option\nvalue=\"3\" data-num=\"\">Ch\u1ecdn th\u1eddi gian<\/option><option\nvalue=\"0\" data-num=\"\">8:00 - 8:30<\/option><option\nvalue=\"1\" data-num=\"\">8:30 - 9:00<\/option><option\nvalue=\"2\" data-num=\"\">9:30 - 10:00<\/option><option\nvalue=\"5\" data-num=\"\">10:30 - 11:00<\/option><option\nvalue=\"6\" data-num=\"\">11:00 - 11:30<\/option><option\nvalue=\"7\" data-num=\"\">11:30 - 12h:00<\/option><option\nvalue=\"8\" data-num=\"\">12:00 - 12:30<\/option><option\nvalue=\"9\" data-num=\"\">12:30 - 13:00<\/option><option\nvalue=\"10\" data-num=\"\">13:00 - 13:30<\/option><option\nvalue=\"11\" data-num=\"\">13:30 - 14:00<\/option><option\nvalue=\"12\" data-num=\"\">14:00 - 14:30<\/option><option\nvalue=\"13\" data-num=\"\">14:30 - 15:00<\/option><option\nvalue=\"14\" data-num=\"\">15:00 - 15:30<\/option><option\nvalue=\"15\" data-num=\"\">15:30 - 16:00<\/option><option\nvalue=\"16\" data-num=\"\">16:00 - 16:30<\/option>\n<\/select><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][65][m_type]\" id=\"ipt_fsqm_form_6_design_65_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][65][type]\" id=\"ipt_fsqm_form_6_design_65_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_6_design_65\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][66][m_type]\" id=\"ipt_fsqm_form_6_design_66_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][66][type]\" id=\"ipt_fsqm_form_6_design_66_type\" value=\"col_half\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_half ipt_uif_conditional ipt_uif_column_custom ipt_fsqm_container_col_half\" id=\"ipt_fsqm_form_6_design_66\"><div\nclass=\"ipt_uif_column_inner\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[pinfo][30][m_type]\" id=\"ipt_fsqm_form_6_pinfo_30_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[pinfo][30][type]\" id=\"ipt_fsqm_form_6_pinfo_30_type\" value=\"datetime\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_datetime\" id=\"ipt_fsqm_form_6_pinfo_30\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field eform-dp-input-field has-icon\">\n<input\nclass=\"datepicker ipt_uif_datepicker  check_me validate[required,future[2026-04-17]] is-empty ipt_uif_text\"\ndata-dateformat=\"yy-mm-dd\" data-timeformat=\"HH:mm:ss\" data-future=\"2026-04-17\" data-year_range=\"70\"\t\ttype=\"text\"\nreadonly=\"readonly\"\nname=\"ipt_fsqm_form_6[pinfo][30][value]\"\nid=\"ipt_fsqm_form_6_pinfo_30_value\"\nmaxlength=\"524288\"\nvalue=\"\" \/>\n<i\ntitle=\"\" class=\"ipt-icomoon-calendar ipticm prefix\"><\/i>\n<label\nfor=\"ipt_fsqm_form_6_pinfo_30_value\">Ch\u1ecdn ng\u00e0y (T\u1eaft v\u00e0o cu\u1ed1i tu\u1ea7n)<\/label>\n<a\nhref=\"javascript:;\" class=\"eform-dp-clear\" title=\"Th\u00f4ng tho\u00e1ng\">\u00d7<\/a><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][67][m_type]\" id=\"ipt_fsqm_form_6_design_67_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][67][type]\" id=\"ipt_fsqm_form_6_design_67_type\" value=\"embed\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_embed\" id=\"ipt_fsqm_form_6_design_67\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_fsqm_embed\"> <script type=\"text\/javascript\">jQuery(document).on( 'completedUI.eform', function() {\n    jQuery('#ipt_fsqm_form_52_pinfo_30_value').datepicker( 'option', 'beforeShowDay', jQuery.datepicker.noWeekends );\n} );<\/script><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][68][m_type]\" id=\"ipt_fsqm_form_6_design_68_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][68][type]\" id=\"ipt_fsqm_form_6_design_68_type\" value=\"col_half\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_half ipt_uif_conditional ipt_uif_column_custom ipt_fsqm_container_col_half\" id=\"ipt_fsqm_form_6_design_68\"><div\nclass=\"ipt_uif_column_inner\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[mcq][27][m_type]\" id=\"ipt_fsqm_form_6_mcq_27_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[mcq][27][type]\" id=\"ipt_fsqm_form_6_mcq_27_type\" value=\"select\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_select\" id=\"ipt_fsqm_form_6_mcq_27\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\">\n<select\nclass=\"check_me validate[required] ipt_uif_select\" name=\"ipt_fsqm_form_6[mcq][27][options][]\" id=\"ipt_fsqm_form_6_mcq_27_options_\" data-placeholder=\"Choose time \" data-allow-clear=\"true\" data-theme=\"eform-material\"><option\nvalue=\"\">Ch\u1ecdn th\u1eddi gian<\/option><option\nvalue=\"3\" data-num=\"\">Ch\u1ecdn th\u1eddi gian<\/option><option\nvalue=\"0\" data-num=\"\">8:00 - 8:30<\/option><option\nvalue=\"1\" data-num=\"\">8:30 - 9:00<\/option><option\nvalue=\"2\" data-num=\"\">9:30 - 10:00<\/option><option\nvalue=\"5\" data-num=\"\">10:30 - 11:00<\/option><option\nvalue=\"6\" data-num=\"\">11:00 - 11:30<\/option><option\nvalue=\"7\" data-num=\"\">11:30 - 12h:00<\/option><option\nvalue=\"8\" data-num=\"\">12:00 - 12:30<\/option><option\nvalue=\"9\" data-num=\"\">12:30 - 13:00<\/option><option\nvalue=\"10\" data-num=\"\">13:00 - 13:30<\/option><option\nvalue=\"11\" data-num=\"\">13:30 - 14:00<\/option><option\nvalue=\"12\" data-num=\"\">14:00 - 14:30<\/option><option\nvalue=\"13\" data-num=\"\">14:30 - 15:00<\/option><option\nvalue=\"14\" data-num=\"\">15:00 - 15:30<\/option><option\nvalue=\"15\" data-num=\"\">15:30 - 16:00<\/option><option\nvalue=\"16\" data-num=\"\">16:00 - 16:30<\/option><option\nvalue=\"17\" data-num=\"\">16:30 - 17:00<\/option><option\nvalue=\"18\" data-num=\"\">17:00 - 17:30<\/option><option\nvalue=\"19\" data-num=\"\">17:30 - 18:00<\/option><option\nvalue=\"20\" data-num=\"\">18:00 - 18:30<\/option><option\nvalue=\"21\" data-num=\"\">18;30 - 19:00<\/option>\n<\/select><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><div\nid=\"ipt_fsqm_form_6_tab_4\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_6_layout_4_inner\" class=\"ipt-eform-layout-wrapper\"><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_main_heading_column\"><div\nclass=\"ipt_uif_column_inner\"><h3 class=\"ipt_fsqm_main_heading ipt_uif_heading ipt_uif_divider ipt_uif_align_left ipt_uif_divider_no_icon ipt_uif_divider_icon_no_bg\">\n<span\nclass=\"ipt_uif_divider_text\">\n<span\nclass=\"ipt_uif_divider_text_inner\">\nTh\u00f4ng tin li\u00ean l\u1ea1c<span\nclass=\"subtitle\"><\/span>\t\t\t\t<\/span>\n<\/span><\/h3><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][40][m_type]\" id=\"ipt_fsqm_form_6_design_40_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][40][type]\" id=\"ipt_fsqm_form_6_design_40_type\" value=\"blank_container\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_blank_container\" id=\"ipt_fsqm_form_6_design_40\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"ipt_uif_blank_container\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[pinfo][25][m_type]\" id=\"ipt_fsqm_form_6_pinfo_25_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[pinfo][25][type]\" id=\"ipt_fsqm_form_6_pinfo_25_type\" value=\"f_name\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_f_name\" id=\"ipt_fsqm_form_6_pinfo_25\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\"check_me validate[required,custom[personName]] ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_6[pinfo][25][value]\"\nid=\"ipt_fsqm_form_6_pinfo_25_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\"ipticm prefix\" data-ipt-icomoon=\"&#xf007;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_6_pinfo_25_value\">T\u00ean<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[pinfo][26][m_type]\" id=\"ipt_fsqm_form_6_pinfo_26_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[pinfo][26][type]\" id=\"ipt_fsqm_form_6_pinfo_26_type\" value=\"email\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_email\" id=\"ipt_fsqm_form_6_pinfo_26\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\"check_me validate[required,custom[email]] ipt_uif_text\"\ntype=\"email\"\nname=\"ipt_fsqm_form_6[pinfo][26][value]\"\nid=\"ipt_fsqm_form_6_pinfo_26_value\"\nvalue=\"\" \/>\n<i\ntitle=\"\" class=\"ipticm prefix\" data-ipt-icomoon=\"&#xf0e0;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_6_pinfo_26_value\">\u0110\u1ecba ch\u1ec9 email<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[pinfo][27][m_type]\" id=\"ipt_fsqm_form_6_pinfo_27_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[pinfo][27][type]\" id=\"ipt_fsqm_form_6_pinfo_27_type\" value=\"phone\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_phone\" id=\"ipt_fsqm_form_6_pinfo_27\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\"check_me validate[required,custom[phone]] ipt_uif_text\"\ntype=\"tel\"\nname=\"ipt_fsqm_form_6[pinfo][27][value]\"\nid=\"ipt_fsqm_form_6_pinfo_27_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\"ipticm prefix\" data-ipt-icomoon=\"&#xe08c;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_6_pinfo_27_value\">\u0110i\u1ec7n tho\u1ea1i<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[pinfo][17][m_type]\" id=\"ipt_fsqm_form_6_pinfo_17_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[pinfo][17][type]\" id=\"ipt_fsqm_form_6_pinfo_17_type\" value=\"datetime\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_datetime\" id=\"ipt_fsqm_form_6_pinfo_17\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field eform-dp-input-field has-icon\">\n<input\nclass=\"datepicker ipt_uif_datepicker  check_me validate[required,past[2026-04-17]] is-empty ipt_uif_text\"\ndata-dateformat=\"yy-mm-dd\" data-timeformat=\"HH:mm:ss\" data-past=\"2026-04-17\" data-year_range=\"70\"\t\ttype=\"text\"\nreadonly=\"readonly\"\nname=\"ipt_fsqm_form_6[pinfo][17][value]\"\nid=\"ipt_fsqm_form_6_pinfo_17_value\"\nmaxlength=\"524288\"\nvalue=\"\" \/>\n<i\ntitle=\"\" class=\"ipt-icomoon-calendar ipticm prefix\"><\/i>\n<label\nfor=\"ipt_fsqm_form_6_pinfo_17_value\">Ch\u1ecdn ng\u00e0y sinh<\/label>\n<a\nhref=\"javascript:;\" class=\"eform-dp-clear\" title=\"Th\u00f4ng tho\u00e1ng\">\u00d7<\/a><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[pinfo][18][m_type]\" id=\"ipt_fsqm_form_6_pinfo_18_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[pinfo][18][type]\" id=\"ipt_fsqm_form_6_pinfo_18_type\" value=\"s_checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_s_checkbox\" id=\"ipt_fsqm_form_6_pinfo_18\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_label_column column_1\">\n<input\ntype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in  ipt_uif_s_checkbox\"\nname=\"ipt_fsqm_form_6[pinfo][18][value]\" id=\"ipt_fsqm_form_6_pinfo_18_value_1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_6_pinfo_18_value_1\" data-labelcon=\"&#xe18e;\">\nT\u00f4i \u0111\u1ed3ng \u00fd v\u1edbi c\u00e1c \u0110i\u1ec1u kho\u1ea3n v\u00e0 \u0110i\u1ec1u ki\u1ec7n s\u1eed d\u1ee5ng\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[pinfo][19][m_type]\" id=\"ipt_fsqm_form_6_pinfo_19_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[pinfo][19][type]\" id=\"ipt_fsqm_form_6_pinfo_19_type\" value=\"s_checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_s_checkbox\" id=\"ipt_fsqm_form_6_pinfo_19\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_label_column column_1\">\n<input\ntype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in  ipt_uif_s_checkbox\"\nname=\"ipt_fsqm_form_6[pinfo][19][value]\" id=\"ipt_fsqm_form_6_pinfo_19_value_1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_6_pinfo_19_value_1\" data-labelcon=\"&#xe18e;\">\nT\u00f4i \u0111\u1ed3ng \u00fd r\u1eb1ng Raffles Medical Vietnam c\u00f3 th\u1ec3 thu th\u1eadp, s\u1eed d\u1ee5ng v\u00e0 ti\u1ebft l\u1ed9 d\u1eef li\u1ec7u c\u00e1 nh\u00e2n c\u1ee7a t\u00f4i \u0111\u1ec3 li\u00ean h\u1ec7 v\u1edbi t\u00f4i theo ch\u00ednh s\u00e1ch b\u1ea3o v\u1ec7 d\u1eef li\u1ec7u c\u1ee7a RM.\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][55][m_type]\" id=\"ipt_fsqm_form_6_design_55_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_6[design][55][type]\" id=\"ipt_fsqm_form_6_design_55_type\" value=\"iconbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_iconbox\" id=\"ipt_fsqm_form_6_design_55\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt-eform-material-button-container align-center size-medium ipt_fsqm_form_button_container--flat eform-material-rounded-pb\"><div\nclass=\"eform-button-container-inner\">\n<a\nhref=\"#eform-submit\"  class=\"ipt_uif_button eform-material-button eform-ripple eform-manual-nav-button-submit\">\n<i\nclass=\"ipticm\" data-ipt-icomoon=\"&#xe28e;\"><\/i>\t\tN\u1ed9p\t<\/a><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear\"><\/div><div\nid=\"ipt_fsqm_form_6_button_container\" class=\"ipt_fsqm_form_button_container ipt_fsqm_form_button_container--flat eform-material-rounded-pb eform-progress-button-hidden ipt-eform-material-button-container\"><div\nclass=\"eform-button-container-inner\">\n<button\ntype=\"button\" class=\"ipt_uif_button eform-material-button eform-ripple ipt_fsqm_form_button_prev medium primary-button\" name=\"ipt_fsqm_form_6_button_prev\" id=\"ipt_fsqm_form_6_button_prev\"> Tr\u01b0\u1edbc<\/button>\n<button\ntype=\"submit\" class=\"ipt_uif_button eform-material-button eform-ripple ipt_fsqm_form_button_submit medium primary-button\" name=\"ipt_fsqm_form_6_button_submit\" id=\"ipt_fsqm_form_6_button_submit\"> N\u1ed9p<\/button>\n<button\ntype=\"button\" class=\"ipt_uif_button eform-material-button eform-ripple ipt_fsqm_form_button_next medium primary-button\" name=\"ipt_fsqm_form_6_button_next\" id=\"ipt_fsqm_form_6_button_next\"> K\u1ebf ti\u1ebfp<\/button><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><input type=\"hidden\" name=\"trp-form-language\" value=\"vi\"\/><\/form><\/div><div\nstyle=\"display: none;\" class=\"ipt_fsqm_form_message_success ui-widget ui-widget-content ui-corner-all ipt_uif_widget_box\"><div\nclass=\"ui-helper-reset ui-helper-clearfix ui-widget-header ui-corner-all\"><h3><i\ntitle=\"\" class=\"ipt-icomoon-checkmark-circle ipticm prefix\"><\/i>\nRaffles Medical Vi\u1ec7t Nam<\/h3><\/div><div\nclass=\"ui-widget-content ui-corner-all ipt_fsqm_success_wrap\"><p>C\u1ea3m \u01a1n b\u1ea1n \u0111\u00e3 s\u1eed d\u1ee5ng h\u1ec7 th\u1ed1ng \u0111\u1eb7t l\u1ecbch h\u1eb9n tr\u1ef1c tuy\u1ebfn c\u1ee7a ch\u00fang t\u00f4i. Sau khi \u0111\u0103ng k\u00fd th\u00e0nh c\u00f4ng, nh\u00e2n vi\u00ean c\u1ee7a ch\u00fang t\u00f4i s\u1ebd li\u00ean h\u1ec7 v\u1edbi b\u1ea1n \u0111\u1ec3 x\u00e1c nh\u1eadn l\u1ecbch h\u1eb9n trong v\u00f2ng b\u1ed1n <strong>(04) gi\u1edd l\u00e0m vi\u1ec7c.<\/strong> Trong tr\u01b0\u1eddng h\u1ee3p <strong><span\nstyle=\"color: #ff0000;\">KH\u1ea8N C\u1ea4P,<\/span><\/strong> vui l\u00f2ng \u0111\u1ebfn th\u0103m ph\u00f2ng kh\u00e1m c\u1ee7a ch\u00fang t\u00f4i ho\u1eb7c G\u1eccI:<\/p><ul><li><strong><span\nstyle=\"color: #009688;\">\u0110\u1ecba ch\u1ec9:<\/span><\/strong> 285B \u0110i\u1ec7n Bi\u00ean Ph\u1ee7, Ph\u01b0\u1eddng Xu\u00e2n H\u00f2a, TP. H\u1ed3 Ch\u00ed Minh<br\n\/>\n\u0110i\u1ec7n tho\u1ea1i: <span\nstyle=\"color: #ff0000;\">(028) 3824 0777<\/span><\/li><li><strong><span\nstyle=\"color: #009688;\">\u0110\u1ecba ch\u1ec9:<\/span><\/strong> 51 Xu\u00e2n Di\u1ec7u, Ph\u01b0\u1eddng T\u00e2y H\u1ed3, TP. H\u00e0 N\u1ed9i<br\n\/>\n\u0110i\u1ec7n tho\u1ea1i: <span\nstyle=\"color: #ff0000;\">(024) 3934 0666 - (024) 367 6222<\/span><\/li><li><strong><span\nstyle=\"color: #009688;\">\u0110\u1ecba ch\u1ec9:<\/span> <\/strong>01 L\u00ea Ng\u1ecdc H\u00e2n, TP. V\u0169ng T\u00e0u<br\n\/>\n\u0110i\u1ec7n tho\u1ea1i: <span\nstyle=\"color: #ff0000;\">(0254) 385 8776<\/span><\/li><\/ul><\/div><\/div><div\nstyle=\"display: none;\" class=\"ipt_fsqm_form_message_error ui-widget ui-widget-content ui-corner-all ipt_uif_widget_box\"><div\nclass=\"ui-helper-reset ui-helper-clearfix ui-widget-header ui-corner-all\"><div><i\ntitle=\"\" class=\"ipt-icomoon-laptop ipticm prefix\"><\/i>\nL\u1ed7i ph\u00eda m\u00e1y ch\u1ee7<\/div><\/div><div\nclass=\"ui-widget-content ui-corner-all\"><p>Ch\u00fang t\u00f4i g\u1eb7p s\u1ef1 c\u1ed1 khi k\u1ebft n\u1ed1i v\u1edbi m\u00e1y ch\u1ee7 ho\u1eb7c nh\u1eadn d\u1eef li\u1ec7u t\u1eeb m\u00e1y ch\u1ee7. Vui l\u00f2ng \u0111\u1ee3i v\u00e0i gi\u00e2y v\u00e0 th\u1eed l\u1ea1i.<\/p><p>N\u1ebfu s\u1ef1 c\u1ed1 v\u1eabn ti\u1ebfp di\u1ec5n, h\u00e3y ki\u1ec3m tra k\u1ebft n\u1ed1i internet c\u1ee7a b\u1ea1n. N\u1ebfu t\u1ea5t c\u1ea3 c\u00e1c trang web kh\u00e1c \u0111\u1ec1u m\u1edf b\u00ecnh th\u01b0\u1eddng, vui l\u00f2ng li\u00ean h\u1ec7 v\u1edbi qu\u1ea3n tr\u1ecb vi\u00ean c\u1ee7a trang web n\u00e0y k\u00e8m theo th\u00f4ng tin sau.<\/p><p\nclass=\"jqXHR\">\n<strong>Tr\u1ea1ng th\u00e1i v\u0103n b\u1ea3n: <\/strong><span\nclass=\"textStatus\">kh\u00f4ng x\u00e1c \u0111\u1ecbnh<\/span><br\n\/>\n<strong>L\u1ed7i HTTP: <\/strong><span\nclass=\"errorThrown\">kh\u00f4ng x\u00e1c \u0111\u1ecbnh<\/span><\/p><\/div><\/div><div\nstyle=\"display: none\" class=\"ipt_uif_widget_box ipt_fsqm_form_message_process\"><div\nclass=\"ui-widget ui-widget-header ui-corner-all\"><style type=\"text\/css\">.ipt_uif_ajax_loader,\n\t\t\t.ipt_uif_ajax_loader *,\n\t\t\tipt_uif_ajax_loader *::before,\n\t\t\tipt_uif_ajax_loader *::after {\n\t\t\t\tbox-sizing: border-box;\n\t\t\t}<\/style><div\nclass=\"ipt-eform-preloader-inline ipt_uif_ajax_loader\"><div\nclass=\"ipt-eform-preloader-inner\"><div\nclass=\"ipt-eform-preloader-circle\"><div\nclass=\"preloader-wrapper active\"><div\nclass=\"spinner-layer spinner-blue\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-red\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-yellow\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-green\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><\/div><\/div><div\nclass=\"ipt-eform-preloader-text\"><div\nclass=\"ipt-eform-preloader-text-inner ipt_uif_ajax_loader_text\">\u0110ang x\u1eed l\u00fd y\u00eau c\u1ea7u c\u1ee7a b\u1ea1n<\/div><\/div><div\nclass=\"clear\"><\/div><\/div><\/div><\/div><\/div><div\nstyle=\"display: none;\" class=\"ipt_fsqm_form_validation_error ui-widget ui-widget-content ui-corner-all ipt_uif_widget_box\"><div\nclass=\"ui-helper-reset ui-helper-clearfix ui-widget-header ui-corner-all\"><div><i\ntitle=\"\" class=\"ipt-icomoon-warning2 ipticm prefix\"><\/i>\n<span\nclass=\"fsqm_ve_text\">L\u1ed7i<\/span><\/div><\/div><div\nclass=\"ui-widget-content ui-corner-all\"><p\nclass=\"fsqm_ve_msg\">\u0110\u00e3 x\u1ea3y ra m\u1ed9t s\u1ed1 l\u1ed7i.<\/p><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>\u0110\u1eb7t l\u1ecbch h\u1eb9n \u0110\u1ec3 \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe t\u1ed1t nh\u1ea5t, vui l\u00f2ng \u0111\u1eb7t l\u1ecbch h\u1eb9n tr\u01b0\u1edbc khi \u0111\u1ebfn kh\u00e1m. Ch\u00fang t\u00f4i cung c\u1ea5p 2 c\u00e1ch thu\u1eadn ti\u1ec7n \u0111\u1ec3 \u0111\u1eb7t l\u1ecbch h\u1eb9n, thay \u0111\u1ed5i ho\u1eb7c h\u1ee7y l\u1ecbch h\u1eb9n. \u0110\u1eb7t l\u1ecbch h\u1eb9n qua \u0111i\u1ec7n tho\u1ea1i: Raffles Medical H\u1ed3 Ch\u00ed Minh, 285B \u0110i\u1ec7n Bi\u00ean Ph\u1ee7, Ph\u01b0\u1eddng Xu\u00e2n H\u00f2a, Th\u00e0nh ph\u1ed1 H\u1ed3 Ch\u00ed Minh, \u0110i\u1ec7n tho\u1ea1i: (028) 3824 0777 | Zalo &amp; WhatsApp: [\u2026]<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-34","page","type-page","status-publish","hentry"],"rankMath":{"parentDomain":"rafflesmedical.vn","noFollowDomains":[],"noFollowExcludeDomains":[],"noFollowExternalLinks":false,"featuredImageNotice":"H\u00ecnh \u1ea3nh n\u1ed5i b\u1eadt n\u00ean c\u00f3 k\u00edch th\u01b0\u1edbc \u00edt nh\u1ea5t 200 x 200 pixel \u0111\u1ec3 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ch\u1ecdn.","pluginReviewed":false,"postSettings":{"linkSuggestions":true,"useFocusKeyword":false},"frontEndScore":false,"postName":"appointment","permalinkFormat":"https:\/\/rafflesmedical.vn\/vi\/%pagename%\/","showLockModifiedDate":true,"assessor":{"focusKeywordLink":"https:\/\/rafflesmedical.vn\/wp-admin\/edit.php?focus_keyword=%focus_keyword%&post_type=%post_type%","hasTOCPlugin":true,"primaryTaxonomy":false,"serpData":{"title":"","description":"","focusKeywords":"","pillarContent":false,"canonicalUrl":"","breadcrumbTitle":"","advancedRobots":[],"facebookTitle":"","facebookDescription":"","facebookImage":"","facebookImageID":"","facebookHasOverlay":false,"facebookImageOverlay":"","facebookAuthor":"","twitterCardType":"","twitterUseFacebook":true,"twitterTitle":"","twitterDescription":"","twitterImage":"","twitterImageID":"","twitterHasOverlay":false,"twitterImageOverlay":"","twitterPlayerUrl":"","twitterPlayerSize":"","twitterPlayerStream":"","twitterPlayerStreamCtype":"","twitterAppDescription":"","twitterAppIphoneName":"","twitterAppIphoneID":"","twitterAppIphoneUrl":"","twitterAppIpadName":"","twitterAppIpadID":"","twitterAppIpadUrl":"","twitterAppGoogleplayName":"","twitterAppGoogleplayID":"","twitterAppGoogleplayUrl":"","twitterAppCountry":"","robots":{"index":true},"twitterAuthor":"t\u00ean 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