Intake form Payload from frontend

Sent Intake form data:
{
    "patient": {
        "zip_code": "75202",
        "city": "Dallas",
        "state": "Texas",
        "address": "1412 Main St",
        "gender": "male",
        "dob": "03-01-2007",
        "cell_phone": "2485629791",
        "email": "xucamu@yopmail.com",
        "first_name": "Adena Peters"
    },
    "intake_form_data": {
        "service_id": "5",
        "2_past_treatment": {
            "answer": "yes",
            "additional": {
                "prevResult": "good",
                "furtherNeed": "no explanation",
                "reqTreatment": "I don't know"
            }
        },
        "3_physician_care": {
            "answer": "yes"
        },
        "4_dependent_provider_name": "Doctor Sumdany",
        "5_last_year_dermatologist_care": {
            "answer": "yes"
        },
        "6_dependent_provider_name": "Doctor Ziad",
        "7_prescribed_medicines": {
            "answer": "yes",
            "medicines": [
                {
                    "name": "Napa",
                    "dosage": "500",
                    "dosage_how_long": "1"
                },
                {
                    "name": "fexo",
                    "dosage": "120",
                    "dosage_how_long": "2"
                }
            ]
        },
        "8_prescribed_allergy_medicines": {
            "medicines": [
                {
                    "name": "Alatrol",
                    "dosage": 10,
                    "dosage_how_long": 3
                },
                {
                    "name": "Alcet",
                    "dosage": 20,
                    "dosage_how_long": 4
                }
            ],
            "medications": [
                {
                    "dosage": "10",
                    "dosage_how_long": "3"
                },
                {
                    "dosage": "20",
                    "dosage_how_long": "4"
                }
            ]
        },
        "9_circulatory_respiratory": {
            "checkValues": [
                "Asthma",
                "Dizziness"
            ]
        },
        "10_nervous_system": {
            "checkValues": [
                "Brain Tumor",
                "Forgetfulness"
            ]
        },
        "11_digestive": {
            "checkValues": [
                "Urinary Tract Infection",
                "Incontinence"
            ]
        },
        "12_urinary_system": {
            "checkValues": [
                "Overactive Bladder",
                "Gluten Intolerance"
            ]
        },
        "13_history_other": {
            "checkValues": [
                "Heartburn",
                "other"
            ],
            "others": "Shivvering"
        },
        "14_skin": {
            "checkValues": [
                "Hematuria",
                "Urinary Tract Infection"
            ]
        },
        "15_female_questions": {
            "pregnant": null,
            "want_to_be_pregnant": null,
            "breastfeeding": null,
            "taking_contraceptive": "no"
        },
        "16_stress_items": {
            "answer": "High",
            "smoke_vape": "never",
            "alcohol": "never",
            "recreational_drugs": "never",
            "19_caffeinated_product": "sometime",
            "do_u_follow_specific_diet": "sometime",
            "specific_diet": [
                "Low Carb",
                "Dairy Free"
            ],
            "daily_water_qty": "4",
            "22_surgical_history": "No"
        },
        "17_hygiene_cosmetics": {
            "permanent_cosmetics": "no",
            "sun_block": "no",
            "tanning_bed": "no",
            "tanning_cream": "no",
            "aha_bha_scrub": "no",
            "isotretinoin_last_year": "no",
            "cold_sores": "yes"
        },
        "18_usa_govt_identity": {
            "id_number": "Texas",
            "selected_state": "1231231231"
        },
        "typeOfAllergies": "yes",
        "19_caffeinated_product": {
            "19_caffeinated_product": "sometime"
        },
        "signature": 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"
    },
    "schedule": {
        "start": "2024-02-01 09:00:00",
        "end": "2024-02-01 09:30:00",
        "label": "09:00 AM to 09:30 AM"
    },
    "clinic": {
        "id": "213"
    }
}