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Status Please Select -- Status -- Completed – Contacted the requester Completed – Did not contact the requester Irrelevant Request Under Investigation

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Type Please Select -- Case Type -- Administrative Legal Proffesional

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Case Received Channel Please Select -- Case Received Channel -- Tawasul Social Media Administration Office in Health Centers Complaints Box Other Channels

Case Description <p style="direction: rtl;">أرجو تطوير هذه الاستمارة بحيث تكون أكثر تحديدا بدلا من الصياغة العامة لأن عند تحليلها لا تكون بمصداقية كبيرة&nbsp;</p>

Category Please Select -- Case Category -- Complaint Enquiry Suggestion Appreciation

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Section Please Select -- Concerned Section -- Administration Reception Oral and Dental Radiology Doctors Social Worker Nursing Care Unit Medical Records Pharmacy Physiotherapy Laboratory Mother and Child Care

Priority Please Select -- Priority -- High Medium Low

Admin Comments <p>تم التواصل مع المريض عدة&nbsp; مرات و بأوقات مختلفة و لم يتم الرد&nbsp;</p>