diff --git a/app/components/app/sep/entry-form.vue b/app/components/app/sep/entry-form.vue
index af48a6ac..93da9ef3 100644
--- a/app/components/app/sep/entry-form.vue
+++ b/app/components/app/sep/entry-form.vue
@@ -1,5 +1,5 @@
 <script setup lang="ts">
-// Components 
+// Components
 import Block from '~/components/pub/my-ui/doc-entry/block.vue'
 import Cell from '~/components/pub/my-ui/doc-entry/cell.vue'
 import Field from '~/components/pub/my-ui/doc-entry/field.vue'
@@ -13,7 +13,7 @@ import DatepickerSingle from '~/components/pub/my-ui/datepicker/datepicker-singl
 
 // Types
 import { IntegrationBpjsSchema, type IntegrationBpjsFormData } from '~/schemas/integration-bpjs.schema'
-import type { PatientEntity } from "~/models/patient"
+import type { PatientEntity } from '~/models/patient'
 
 // Helpers
 import { toTypedSchema } from '@vee-validate/zod'
@@ -22,7 +22,7 @@ import { useForm } from 'vee-validate'
 const props = defineProps<{
   isLoading?: boolean
   isReadonly?: boolean
-  patient?: PatientEntity | null
+  patient?: PatientEntity | null | undefined
   values?: any
 }>()
 
@@ -32,6 +32,7 @@ const emit = defineEmits<{
 
 const isLoading = props.isLoading !== undefined ? props.isLoading : false
 const isReadonly = props.isReadonly !== undefined ? props.isReadonly : false
+const patient = props.patient || ({} as PatientEntity)
 
 const items = [
   { value: 'item-1', label: 'Item 1' },
@@ -62,6 +63,14 @@ const [cataract, cataractAttrs] = defineField('cataract')
 const [procedureType, procedureTypeAttrs] = defineField('procedureType')
 const [supportCode, supportCodeAttrs] = defineField('supportCode')
 
+if (Object.keys(patient).length > 0) {
+  bpjsNumber.value = '-'
+  nationalId.value = patient?.person?.residentIdentityNumber || '-'
+  medicalRecordNumber.value = patient?.number || '-'
+  patientName.value = patient?.person?.name || '-'
+  phoneNumber.value = '-'
+}
+
 // Submit handler
 const onSubmit = handleSubmit((values) => {
   console.log('✅ Validated form values:', values)
@@ -119,6 +128,7 @@ const onSubmit = handleSubmit((values) => {
         <h3 class="text-lg font-semibold">Data Pasien</h3>
         <Button
           variant="outline"
+          type="button"
           class="h-[40px] rounded-md border-orange-400 text-orange-400 hover:bg-green-50"
           @click="emit('event', 'search-patient')"
         >
@@ -146,7 +156,7 @@ const onSubmit = handleSubmit((values) => {
               id="bpjsNumber"
               v-model="bpjsNumber"
               v-bind="bpjsNumberAttrs"
-              :disabled="isLoading || isReadonly"
+              :disabled="true"
             />
           </Field>
         </Cell>
@@ -160,7 +170,7 @@ const onSubmit = handleSubmit((values) => {
               id="nationalId"
               v-model="nationalId"
               v-bind="nationalIdAttrs"
-              :disabled="isLoading || isReadonly"
+              :disabled="true"
             />
           </Field>
         </Cell>
@@ -174,7 +184,7 @@ const onSubmit = handleSubmit((values) => {
               id="medicalRecordNumber"
               v-model="medicalRecordNumber"
               v-bind="medicalRecordNumberAttrs"
-              :disabled="isLoading || isReadonly"
+              :disabled="true"
             />
           </Field>
         </Cell>
@@ -188,7 +198,7 @@ const onSubmit = handleSubmit((values) => {
               id="patientName"
               v-model="patientName"
               v-bind="patientNameAttrs"
-              :disabled="isLoading || isReadonly"
+              :disabled="true"
             />
           </Field>
         </Cell>
@@ -202,7 +212,7 @@ const onSubmit = handleSubmit((values) => {
               id="phoneNumber"
               v-model="phoneNumber"
               v-bind="phoneNumberAttrs"
-              :disabled="isLoading || isReadonly"
+              :disabled="true"
             />
           </Field>
         </Cell>
@@ -360,7 +370,7 @@ const onSubmit = handleSubmit((values) => {
           </Field>
         </Cell>
 
-        <Cell> 
+        <Cell>
           <Label height="compact">
             COB
             <span class="text-red-500">*</span>