diff --git a/app/components/app/summary-medic/entry.vue b/app/components/app/summary-medic/entry.vue
index 53dae0d0..f75e918e 100644
--- a/app/components/app/summary-medic/entry.vue
+++ b/app/components/app/summary-medic/entry.vue
@@ -36,13 +36,20 @@ const {
watch(values, (val) => emit('update:modelValue', val), { deep: true })
// Define form fields
-const [relatives, relativesAttrs] = defineField('relatives')
-const [responsibleName, responsibleNameAttrs] = defineField('responsibleName')
-const [responsiblePhone, responsiblePhoneAttrs] = defineField('responsiblePhone')
-const [informant, informantAttrs] = defineField('informant')
-const [witness1, witness1Attrs] = defineField('witness1')
-const [witness2, witness2Attrs] = defineField('witness2')
-const [tanggal, tanggalAttrs] = defineField('tanggal')
+// const [relatives, relativesAttrs] = defineField('relatives')
+const [date, dateAttrs] = defineField('date')
+const [doctor, doctorAttrs] = defineField('doctor')
+const [diagnosis, diagnosisAttrs] = defineField('diagnosis')
+const [essay, essayAttrs] = defineField('essay')
+const [plan, planAttrs] = defineField('plan')
+const [note, noteAttrs] = defineField('note')
+
+const tanggal = ref('')
+const tanggalAttrs = ref({
+ type: 'date',
+ required: true,
+ disabled: props.isReadonly,
+})
// Relatives list handling
const addRelative = () => {
@@ -77,9 +84,9 @@ const isExcluded = (key: string) => props.excludeFields?.includes(key)
@@ -87,9 +94,8 @@ const isExcluded = (key: string) => props.excludeFields?.includes(key)
@@ -99,9 +105,8 @@ const isExcluded = (key: string) => props.excludeFields?.includes(key)
@@ -109,9 +114,8 @@ const isExcluded = (key: string) => props.excludeFields?.includes(key)
@@ -121,9 +125,8 @@ const isExcluded = (key: string) => props.excludeFields?.includes(key)
@@ -131,9 +134,8 @@ const isExcluded = (key: string) => props.excludeFields?.includes(key)
diff --git a/app/components/content/summary-medic/form.vue b/app/components/content/summary-medic/form.vue
index 511d2510..998270d9 100644
--- a/app/components/content/summary-medic/form.vue
+++ b/app/components/content/summary-medic/form.vue
@@ -1,13 +1,12 @@