{"id":3516,"date":"2022-09-14T21:25:26","date_gmt":"2022-09-14T21:25:26","guid":{"rendered":"https:\/\/bmedica.com.mx\/?page_id=3516"},"modified":"2023-04-14T08:14:25","modified_gmt":"2023-04-14T14:14:25","slug":"evaluacion-online","status":"publish","type":"page","link":"https:\/\/bmedica.com.mx\/evaluacion-online\/","title":{"rendered":"Evaluaci\u00f3n Online"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3516\" class=\"elementor elementor-3516\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-cdc0ec5 elementor-section-height-min-height elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"cdc0ec5\" data-element_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-e2d78f0\" data-id=\"e2d78f0\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-8e2ad14 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8e2ad14\" data-element_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-inner-column elementor-element elementor-element-7d596c2\" data-id=\"7d596c2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div data-pafe-form-abandonment=\"\" class=\"elementor-element elementor-element-686bf93 elementor-widget elementor-widget-pafe-multi-step-form\" data-id=\"686bf93\" data-element_type=\"widget\" data-widget_type=\"pafe-multi-step-form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t<div class=\"pafe-multi-step-form\">\n\t\t\t\t<div class=\"pafe-multi-step-form__progressbar \">\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"pafe-multi-step-form__progressbar-item active\">\n\t\t\t\t\t\t\t<div class=\"pafe-multi-step-form__progressbar-item-step-number\">\n\t\t\t\t\t\t\t\t<div class=\"pafe-multi-step-form__progressbar-item-step\">1<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pafe-multi-step-form__progressbar-item-title   \">Consideraciones<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"pafe-multi-step-form__progressbar-item\">\n\t\t\t\t\t\t\t<div class=\"pafe-multi-step-form__progressbar-item-step-number\">\n\t\t\t\t\t\t\t\t<div class=\"pafe-multi-step-form__progressbar-item-step\">2<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pafe-multi-step-form__progressbar-item-title   \">Datos Personales<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"pafe-multi-step-form__progressbar-item\">\n\t\t\t\t\t\t\t<div class=\"pafe-multi-step-form__progressbar-item-step-number\">\n\t\t\t\t\t\t\t\t<div class=\"pafe-multi-step-form__progressbar-item-step\">3<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pafe-multi-step-form__progressbar-item-title   \">Historial M\u00e9dico<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"pafe-multi-step-form__progressbar-item\">\n\t\t\t\t\t\t\t<div class=\"pafe-multi-step-form__progressbar-item-step-number\">\n\t\t\t\t\t\t\t\t<div class=\"pafe-multi-step-form__progressbar-item-step\">4<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pafe-multi-step-form__progressbar-item-title   \">Pago<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"pafe-multi-step-form__content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pafe-multi-step-form__content-item active\" data-pafe-form-builder-step-item-id=\"3418\">\n\t\t\t\t\t\t\t<div class=\"pafe-multi-step-form__content-item-shortcode\">\n\t\t\t\t\t\t\t\t\t\t<div data-elementor-type=\"page\" data-elementor-id=\"3418\" class=\"elementor elementor-3418\" data-elementor-post-type=\"elementor_library\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4143a17 elementor-section-height-min-height elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"4143a17\" data-element_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-0b76af9\" data-id=\"0b76af9\" data-element_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-30c3866 elementor-widget elementor-widget-text-editor\" data-id=\"30c3866\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.21.0 - 15-04-2024 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p>CONSIDERACIONES<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-13063f5 elementor-widget elementor-widget-text-editor\" data-id=\"13063f5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><strong>COSTO DE LA CONSULTA $500 MXN<\/strong><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a960faf elementor-widget elementor-widget-text-editor\" data-id=\"a960faf\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p style=\"text-align: center;\">Obtienes un informe m&eacute;dico y un presupuesto por parte de la <a href=\"https:\/\/bmedica.com.mx\/dra-perla-becerril-ramirez\/\"><strong><span style=\"color: #5079c8;\">Dra. Perla Becerril.<\/span><\/strong><\/a><\/p>\n<p style=\"text-align: center;\">La evaluaci&oacute;n online te permite enviar toda la informaci&oacute;n que se requiere (incluyendo fotograf&iacute;as) para estudiar tu caso, obtener un diagn&oacute;stico y presupuesto acorde a tu necesidad est&eacute;tica y funcional; desde la comodidad de tu computadora recibes toda la informaci&oacute;n en tu correo electr&oacute;nico.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-08721f7 elementor-widget elementor-widget-text-editor\" data-id=\"08721f7\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p style=\"text-align: center;\"><strong>Nota importante:<\/strong> Es necesario terminar de llenar el formulario, esperar a que se env\u00ede la informaci\u00f3n y al finalizar, proceder al pago<\/p>\t\t\t\t\t\t<\/div>\n\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>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pafe-multi-step-form__content-item-buttons\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pafe-multi-step-form__content-item-button\">\n\t\t\t\t\t\t\t\t\t\t<button class=\"elementor-button pafe-form-builder-button elementor-size-sm\" role=\"button\" data-pafe-form-builder-required-text=\"This field is required.\" data-pafe-form-builder-nav-form-id=\"CONSULTA\" data-pafe-form-builder-nav=\"next\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Siguiente<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<\/button>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div id=\"pafe-form-builder-trigger-success-CONSULTA\" data-pafe-form-builder-trigger-success=\"CONSULTA\" style=\"display: none\"><\/div>\n\t\t\t\t\t\t\t<div id=\"pafe-form-builder-trigger-failed-CONSULTA\" data-pafe-form-builder-trigger-failed=\"CONSULTA\" style=\"display: none\"><\/div>\n\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"pafe-multi-step-form__content-item\" data-pafe-form-builder-step-item-id=\"3472\">\n\t\t\t\t\t\t\t<div class=\"pafe-multi-step-form__content-item-shortcode\">\n\t\t\t\t\t\t\t\t\t\t<div data-elementor-type=\"page\" data-elementor-id=\"3472\" class=\"elementor elementor-3472\" data-elementor-post-type=\"elementor_library\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-938af15 elementor-section-height-min-height elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"938af15\" data-element_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-e4a37fe\" data-id=\"e4a37fe\" data-element_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-47e7e06 elementor-widget elementor-widget-text-editor\" data-id=\"47e7e06\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>DATOS PERSONALES<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1770d76 elementor-widget elementor-widget-text-editor\" data-id=\"1770d76\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>En este paso deber\u00e1s proporcionar tus datos personales.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-665e986 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"665e986\" data-element_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-inner-column elementor-element elementor-element-6603d82\" data-id=\"6603d82\" data-element_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-62430ec elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"62430ec\" data-element_type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-nombre elementor-col-100 elementor-field-required\">\r\n\t\t\t\t<div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\"><input size=\"1\" class=\"elementor-field elementor-size- \" type=\"text\" name=\"form_fields[nombre]\" id=\"form-field-nombre\" placeholder=\"Nombre\" autocomplete=\"on\" data-pafe-form-builder-default-value=\"\" required=\"required\" aria-required=\"true\" data-pafe-form-builder-form-id=\"CONSULTA\"><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-580ca0b elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"580ca0b\" data-element_type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-apellido elementor-col-100 elementor-field-required\">\r\n\t\t\t\t<div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\"><input size=\"1\" class=\"elementor-field elementor-size- \" type=\"text\" name=\"form_fields[apellido]\" id=\"form-field-apellido\" placeholder=\"Apellido\" autocomplete=\"on\" data-pafe-form-builder-default-value=\"\" required=\"required\" aria-required=\"true\" data-pafe-form-builder-form-id=\"CONSULTA\"><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-55ceced elementor-widget__width-initial elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"55ceced\" data-element_type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-select_autocomplete elementor-field-group elementor-column elementor-field-group-sexo elementor-col-100 elementor-field-required\">\r\n\t\t\t\t<div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\">\t\t<div class=\"elementor-field elementor-select-wrapper  \">\r\n\t\t\t<select name=\"form_fields[sexo]\" id=\"form-field-sexo\" class=\"elementor-field-textual elementor-size-\" data-pafe-field-type=\"select\" required=\"required\" aria-required=\"true\" data-pafe-form-builder-select-autocomplete=\"\" data-pafe-form-builder-form-id=\"CONSULTA\" data-pafe-form-builder-default-value=\"\" data-options='[\"\",\"Masculino\",\"Femenino\",\"Otro\"]'  placeholder = Sexo >\r\n\t\t\t\t<option value=\"\" selected=\"selected\">Sexo<\/option><option value=\"\" selected=\"selected\"><\/option><option value=\"Masculino\">Masculino<\/option><option value=\"Femenino\">Femenino<\/option><option value=\"Otro\">Otro<\/option>\t\t\t<\/select>\r\n\t\t<\/div>\r\n\t\t<\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2e5d5c4 elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"2e5d5c4\" data-element_type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-e_mail elementor-col-100 elementor-field-required\">\r\n\t\t\t\t<div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\"><input size=\"1\" class=\"elementor-field elementor-size- \" type=\"email\" name=\"form_fields[e_mail]\" id=\"form-field-e_mail\" placeholder=\"Correo Electr\u00f3nico\" autocomplete=\"on\" data-pafe-form-builder-default-value=\"\" required=\"required\" aria-required=\"true\" data-pafe-form-builder-form-id=\"CONSULTA\"><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-88dd6df elementor-widget__width-inherit elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"88dd6df\" data-element_type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-select_autocomplete elementor-field-group elementor-column elementor-field-group-pais elementor-col-100 elementor-field-required\">\r\n\t\t\t\t<div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\">\t\t<div class=\"elementor-field elementor-select-wrapper  \">\r\n\t\t\t<select name=\"form_fields[pais]\" id=\"form-field-pais\" class=\"elementor-field-textual elementor-size-\" data-pafe-field-type=\"select\" required=\"required\" aria-required=\"true\" data-pafe-form-builder-select-autocomplete=\"\" data-pafe-form-builder-form-id=\"CONSULTA\" data-pafe-form-builder-default-value=\"\" data-options='[\"Afganist\\u00e1n\",\"Albania\",\"Alemania\",\"Andorra\",\"Angola\",\"Antigua y Barbuda\",\"Arabia Saudita\",\"Argelia\",\"Argentina\",\"Armenia\",\"Australia\",\"Austria\",\"Azerbaiy\\u00e1n\",\"Bahamas\",\"Banglad\\u00e9s\",\"Barbados\",\"Bar\\u00e9in\",\"B\\u00e9lgica\",\"Belice\",\"Ben\\u00edn\",\"Bielorrusia\",\"Birmania\",\"Bolivia\",\"Bosnia-Herzegovina\",\"Botsuana\",\"Brasil\",\"Brun\\u00e9i\",\"Bulgaria\",\"Burkina Faso\",\"Burundi\",\"But\\u00e1n\",\"Cabo Verde\",\"Camboya\",\"Camer\\u00fan\",\"Canad\\u00e1\",\"Catar\",\"Chad\",\"Chile\",\"China\",\"Chipre\",\"Colombia\",\"Comoras\",\"Congo\",\"Corea del Norte\",\"Corea del Sur\",\"Costa de Marfil\",\"Costa Rica\",\"Croacia\",\"Cuba\",\"Dinamarca\",\"Dominica\",\"Ecuador\",\"Egipto\",\"El Salvador\",\"Emiratos \\u00c1rabes Unidos\",\"Eritrea\",\"Eslovaquia\",\"Eslovenia\",\"Espa\\u00f1a\",\"Estados Unidos\",\"Estonia\",\"Esuatini\",\"Etiop\\u00eda\",\"Filipinas\",\"Finlandia\",\"Fiyi\",\"Francia\",\"Gab\\u00f3n\",\"Gambia\",\"Georgia\",\"Ghana\",\"Granada\",\"Grecia\",\"Guatemala\",\"Guinea\",\"Guinea Ecuatorial\",\"Guinea-Bis\\u00e1u\",\"Guyana\",\"Hait\\u00ed\",\"Honduras\",\"Hungr\\u00eda\",\"India\",\"Indonesia\",\"Irak\",\"Ir\\u00e1n\",\"Irlanda\",\"Islandia\",\"Islas Marshall\",\"Islas Salom\\u00f3n\",\"Israel\",\"Italia\",\"Jamaica\",\"Jap\\u00f3n\",\"Jordania\",\"Kazajist\\u00e1n\",\"Kenia\",\"Kirguist\\u00e1n\",\"Kiribati\",\"Kosovo\",\"Kuwait\",\"Laos\",\"Lesoto\",\"Letonia\",\"L\\u00edbano\",\"Liberia\",\"Libia\",\"Liechtenstein\",\"Lituania\",\"Luxemburgo\",\"Macedonia del Norte\",\"Madagascar\",\"Malasia\",\"Malaui\",\"Maldivas\",\"Mal\\u00ed\",\"Malta\",\"Marruecos\",\"Mauricio\",\"Mauritania\",\"M\\u00e9xico\",\"Micronesia\",\"Moldavia\",\"M\\u00f3naco\",\"Mongolia\",\"Montenegro\",\"Mozambique\",\"Namibia\",\"Nauru\",\"Nepal\",\"Nicaragua\",\"N\\u00edger\",\"Nigeria\",\"Noruega\",\"Nueva Zelanda\",\"Om\\u00e1n\",\"Pa\\u00edses Bajos\",\"Pakist\\u00e1n\",\"Palaos\",\"Palestina\",\"Panam\\u00e1\",\"Pap\\u00faa Nueva Guinea\",\"Paraguay\",\"Per\\u00fa\",\"Polonia\",\"Portugal\",\"Reino Unido\",\"Rep\\u00fablica Centroafricana\",\"Rep\\u00fablica Checa\",\"Rep\\u00fablica Democr\\u00e1tica del Congo\",\"Rep\\u00fablica Dominicana\",\"Ruanda\",\"Rumania\",\"Rusia\",\"Samoa\",\"San Crist\\u00f3bal y Nieves\",\"San Marino\",\"San Vicente y las Granadinas\",\"Santa Luc\\u00eda\",\"Santo Tom\\u00e9 y Pr\\u00edncipe\",\"Senegal\",\"Serbia\",\"Seychelles\",\"Sierra Leona\",\"Singapur\",\"Siria\",\"Somalia\",\"Sri Lanka\",\"Sud\\u00e1frica\",\"Sud\\u00e1n\",\"Sud\\u00e1n del Sur\",\"Suecia\",\"Suiza\",\"Surinam\",\"Tailandia\",\"Taiw\\u00e1n\",\"Tanzania\",\"Tayikist\\u00e1n\",\"Timor Oriental\",\"Togo\",\"Tonga\",\"Trinidad y Tobago\",\"T\\u00fanez\",\"Turkmenist\\u00e1n\",\"Turqu\\u00eda\",\"Tuvalu\",\"Ucrania\",\"Uganda\",\"Uruguay\",\"Uzbekist\\u00e1n\",\"Vanuatu\",\"Vaticano\",\"Venezuela\",\"Vietnam\",\"Yemen\",\"Yibuti\",\"Zambia\",\"Zimbabue\"]'  placeholder = Pa\u00eds >\r\n\t\t\t\t<option value=\"\" selected=\"selected\">Pa\u00eds<\/option><option value=\"Afganist\u00e1n\">Afganist\u00e1n<\/option><option value=\"Albania\">Albania<\/option><option value=\"Alemania\">Alemania<\/option><option value=\"Andorra\">Andorra<\/option><option value=\"Angola\">Angola<\/option><option value=\"Antigua y Barbuda\">Antigua y Barbuda<\/option><option value=\"Arabia Saudita\">Arabia Saudita<\/option><option value=\"Argelia\">Argelia<\/option><option value=\"Argentina\">Argentina<\/option><option value=\"Armenia\">Armenia<\/option><option value=\"Australia\">Australia<\/option><option value=\"Austria\">Austria<\/option><option value=\"Azerbaiy\u00e1n\">Azerbaiy\u00e1n<\/option><option value=\"Bahamas\">Bahamas<\/option><option value=\"Banglad\u00e9s\">Banglad\u00e9s<\/option><option value=\"Barbados\">Barbados<\/option><option value=\"Bar\u00e9in\">Bar\u00e9in<\/option><option value=\"B\u00e9lgica\">B\u00e9lgica<\/option><option value=\"Belice\">Belice<\/option><option value=\"Ben\u00edn\">Ben\u00edn<\/option><option value=\"Bielorrusia\">Bielorrusia<\/option><option value=\"Birmania\">Birmania<\/option><option value=\"Bolivia\">Bolivia<\/option><option value=\"Bosnia-Herzegovina\">Bosnia-Herzegovina<\/option><option value=\"Botsuana\">Botsuana<\/option><option value=\"Brasil\">Brasil<\/option><option value=\"Brun\u00e9i\">Brun\u00e9i<\/option><option value=\"Bulgaria\">Bulgaria<\/option><option value=\"Burkina Faso\">Burkina Faso<\/option><option value=\"Burundi\">Burundi<\/option><option value=\"But\u00e1n\">But\u00e1n<\/option><option value=\"Cabo Verde\">Cabo Verde<\/option><option value=\"Camboya\">Camboya<\/option><option value=\"Camer\u00fan\">Camer\u00fan<\/option><option value=\"Canad\u00e1\">Canad\u00e1<\/option><option value=\"Catar\">Catar<\/option><option value=\"Chad\">Chad<\/option><option value=\"Chile\">Chile<\/option><option value=\"China\">China<\/option><option value=\"Chipre\">Chipre<\/option><option value=\"Colombia\">Colombia<\/option><option value=\"Comoras\">Comoras<\/option><option value=\"Congo\">Congo<\/option><option value=\"Corea del Norte\">Corea del Norte<\/option><option value=\"Corea del Sur\">Corea del Sur<\/option><option value=\"Costa de Marfil\">Costa de Marfil<\/option><option value=\"Costa Rica\">Costa Rica<\/option><option value=\"Croacia\">Croacia<\/option><option value=\"Cuba\">Cuba<\/option><option value=\"Dinamarca\">Dinamarca<\/option><option value=\"Dominica\">Dominica<\/option><option value=\"Ecuador\">Ecuador<\/option><option value=\"Egipto\">Egipto<\/option><option value=\"El Salvador\">El Salvador<\/option><option value=\"Emiratos \u00c1rabes Unidos\">Emiratos \u00c1rabes Unidos<\/option><option value=\"Eritrea\">Eritrea<\/option><option value=\"Eslovaquia\">Eslovaquia<\/option><option value=\"Eslovenia\">Eslovenia<\/option><option value=\"Espa\u00f1a\">Espa\u00f1a<\/option><option value=\"Estados Unidos\">Estados Unidos<\/option><option value=\"Estonia\">Estonia<\/option><option value=\"Esuatini\">Esuatini<\/option><option value=\"Etiop\u00eda\">Etiop\u00eda<\/option><option value=\"Filipinas\">Filipinas<\/option><option value=\"Finlandia\">Finlandia<\/option><option value=\"Fiyi\">Fiyi<\/option><option value=\"Francia\">Francia<\/option><option value=\"Gab\u00f3n\">Gab\u00f3n<\/option><option value=\"Gambia\">Gambia<\/option><option value=\"Georgia\">Georgia<\/option><option value=\"Ghana\">Ghana<\/option><option value=\"Granada\">Granada<\/option><option value=\"Grecia\">Grecia<\/option><option value=\"Guatemala\">Guatemala<\/option><option value=\"Guinea\">Guinea<\/option><option value=\"Guinea Ecuatorial\">Guinea Ecuatorial<\/option><option value=\"Guinea-Bis\u00e1u\">Guinea-Bis\u00e1u<\/option><option value=\"Guyana\">Guyana<\/option><option value=\"Hait\u00ed\">Hait\u00ed<\/option><option value=\"Honduras\">Honduras<\/option><option value=\"Hungr\u00eda\">Hungr\u00eda<\/option><option value=\"India\">India<\/option><option value=\"Indonesia\">Indonesia<\/option><option value=\"Irak\">Irak<\/option><option value=\"Ir\u00e1n\">Ir\u00e1n<\/option><option value=\"Irlanda\">Irlanda<\/option><option value=\"Islandia\">Islandia<\/option><option value=\"Islas Marshall\">Islas Marshall<\/option><option value=\"Islas Salom\u00f3n\">Islas Salom\u00f3n<\/option><option value=\"Israel\">Israel<\/option><option value=\"Italia\">Italia<\/option><option value=\"Jamaica\">Jamaica<\/option><option value=\"Jap\u00f3n\">Jap\u00f3n<\/option><option value=\"Jordania\">Jordania<\/option><option value=\"Kazajist\u00e1n\">Kazajist\u00e1n<\/option><option value=\"Kenia\">Kenia<\/option><option value=\"Kirguist\u00e1n\">Kirguist\u00e1n<\/option><option value=\"Kiribati\">Kiribati<\/option><option value=\"Kosovo\">Kosovo<\/option><option value=\"Kuwait\">Kuwait<\/option><option value=\"Laos\">Laos<\/option><option value=\"Lesoto\">Lesoto<\/option><option value=\"Letonia\">Letonia<\/option><option value=\"L\u00edbano\">L\u00edbano<\/option><option value=\"Liberia\">Liberia<\/option><option value=\"Libia\">Libia<\/option><option value=\"Liechtenstein\">Liechtenstein<\/option><option value=\"Lituania\">Lituania<\/option><option value=\"Luxemburgo\">Luxemburgo<\/option><option value=\"Macedonia del Norte\">Macedonia del Norte<\/option><option value=\"Madagascar\">Madagascar<\/option><option value=\"Malasia\">Malasia<\/option><option value=\"Malaui\">Malaui<\/option><option value=\"Maldivas\">Maldivas<\/option><option value=\"Mal\u00ed\">Mal\u00ed<\/option><option value=\"Malta\">Malta<\/option><option value=\"Marruecos\">Marruecos<\/option><option value=\"Mauricio\">Mauricio<\/option><option value=\"Mauritania\">Mauritania<\/option><option value=\"M\u00e9xico\">M\u00e9xico<\/option><option value=\"Micronesia\">Micronesia<\/option><option value=\"Moldavia\">Moldavia<\/option><option value=\"M\u00f3naco\">M\u00f3naco<\/option><option value=\"Mongolia\">Mongolia<\/option><option value=\"Montenegro\">Montenegro<\/option><option value=\"Mozambique\">Mozambique<\/option><option value=\"Namibia\">Namibia<\/option><option value=\"Nauru\">Nauru<\/option><option value=\"Nepal\">Nepal<\/option><option value=\"Nicaragua\">Nicaragua<\/option><option value=\"N\u00edger\">N\u00edger<\/option><option value=\"Nigeria\">Nigeria<\/option><option value=\"Noruega\">Noruega<\/option><option value=\"Nueva Zelanda\">Nueva Zelanda<\/option><option value=\"Om\u00e1n\">Om\u00e1n<\/option><option value=\"Pa\u00edses Bajos\">Pa\u00edses Bajos<\/option><option value=\"Pakist\u00e1n\">Pakist\u00e1n<\/option><option value=\"Palaos\">Palaos<\/option><option value=\"Palestina\">Palestina<\/option><option value=\"Panam\u00e1\">Panam\u00e1<\/option><option value=\"Pap\u00faa Nueva Guinea\">Pap\u00faa Nueva Guinea<\/option><option value=\"Paraguay\">Paraguay<\/option><option value=\"Per\u00fa\">Per\u00fa<\/option><option value=\"Polonia\">Polonia<\/option><option value=\"Portugal\">Portugal<\/option><option value=\"Reino Unido\">Reino Unido<\/option><option value=\"Rep\u00fablica Centroafricana\">Rep\u00fablica Centroafricana<\/option><option value=\"Rep\u00fablica Checa\">Rep\u00fablica Checa<\/option><option value=\"Rep\u00fablica Democr\u00e1tica del Congo\">Rep\u00fablica Democr\u00e1tica del Congo<\/option><option value=\"Rep\u00fablica Dominicana\">Rep\u00fablica Dominicana<\/option><option value=\"Ruanda\">Ruanda<\/option><option value=\"Rumania\">Rumania<\/option><option value=\"Rusia\">Rusia<\/option><option value=\"Samoa\">Samoa<\/option><option value=\"San Crist\u00f3bal y Nieves\">San Crist\u00f3bal y Nieves<\/option><option value=\"San Marino\">San Marino<\/option><option value=\"San Vicente y las Granadinas\">San Vicente y las Granadinas<\/option><option value=\"Santa Luc\u00eda\">Santa Luc\u00eda<\/option><option value=\"Santo Tom\u00e9 y Pr\u00edncipe\">Santo Tom\u00e9 y Pr\u00edncipe<\/option><option value=\"Senegal\">Senegal<\/option><option value=\"Serbia\">Serbia<\/option><option value=\"Seychelles\">Seychelles<\/option><option value=\"Sierra Leona\">Sierra Leona<\/option><option value=\"Singapur\">Singapur<\/option><option value=\"Siria\">Siria<\/option><option value=\"Somalia\">Somalia<\/option><option value=\"Sri Lanka\">Sri Lanka<\/option><option value=\"Sud\u00e1frica\">Sud\u00e1frica<\/option><option value=\"Sud\u00e1n\">Sud\u00e1n<\/option><option value=\"Sud\u00e1n del Sur\">Sud\u00e1n del Sur<\/option><option value=\"Suecia\">Suecia<\/option><option value=\"Suiza\">Suiza<\/option><option value=\"Surinam\">Surinam<\/option><option value=\"Tailandia\">Tailandia<\/option><option value=\"Taiw\u00e1n\">Taiw\u00e1n<\/option><option value=\"Tanzania\">Tanzania<\/option><option value=\"Tayikist\u00e1n\">Tayikist\u00e1n<\/option><option value=\"Timor Oriental\">Timor Oriental<\/option><option value=\"Togo\">Togo<\/option><option value=\"Tonga\">Tonga<\/option><option value=\"Trinidad y Tobago\">Trinidad y Tobago<\/option><option value=\"T\u00fanez\">T\u00fanez<\/option><option value=\"Turkmenist\u00e1n\">Turkmenist\u00e1n<\/option><option value=\"Turqu\u00eda\">Turqu\u00eda<\/option><option value=\"Tuvalu\">Tuvalu<\/option><option value=\"Ucrania\">Ucrania<\/option><option value=\"Uganda\">Uganda<\/option><option value=\"Uruguay\">Uruguay<\/option><option value=\"Uzbekist\u00e1n\">Uzbekist\u00e1n<\/option><option value=\"Vanuatu\">Vanuatu<\/option><option value=\"Vaticano\">Vaticano<\/option><option value=\"Venezuela\">Venezuela<\/option><option value=\"Vietnam\">Vietnam<\/option><option value=\"Yemen\">Yemen<\/option><option value=\"Yibuti\">Yibuti<\/option><option value=\"Zambia\">Zambia<\/option><option value=\"Zimbabue\">Zimbabue<\/option>\t\t\t<\/select>\r\n\t\t<\/div>\r\n\t\t<\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fd70337 elementor-widget__width-inherit elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"fd70337\" data-element_type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-select_autocomplete elementor-field-group elementor-column elementor-field-group-estado elementor-col-100 elementor-field-required\" data-pafe-form-builder-conditional-logic=\"[{&quot;_id&quot;:&quot;66380c6&quot;,&quot;pafe_conditional_logic_form_if&quot;:&quot;pais&quot;,&quot;pafe_conditional_logic_form_comparison_operators&quot;:&quot;=&quot;,&quot;pafe_conditional_logic_form_value&quot;:&quot;M\\u00e9xico&quot;,&quot;pafe_conditional_logic_form_action&quot;:[&quot;show&quot;],&quot;pafe_conditional_logic_form_set_value&quot;:null,&quot;pafe_conditional_logic_form_set_value_for&quot;:null,&quot;pafe_conditional_logic_form_type&quot;:&quot;string&quot;,&quot;pafe_conditional_logic_form_and_or_operators&quot;:&quot;or&quot;}]\" data-pafe-form-builder-conditional-logic-speed=\"400\" data-pafe-form-builder-conditional-logic-easing=\"swing\">\r\n\t\t\t\t<div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\">\t\t<div class=\"elementor-field elementor-select-wrapper  \">\r\n\t\t\t<select name=\"form_fields[estado]\" id=\"form-field-estado\" class=\"elementor-field-textual elementor-size-\" data-pafe-field-type=\"select\" required=\"required\" aria-required=\"true\" data-pafe-form-builder-select-autocomplete=\"\" data-pafe-form-builder-form-id=\"CONSULTA\" data-pafe-form-builder-default-value=\"\" data-options='[\"\",\"Aguascalientes\",\"Baja California\",\"Baja California Sur\",\"Campeche \",\"Chiapas\",\"Chihuahua\",\"Ciudad de M\\u00e9xico\",\"Coahuila\",\"Colima \",\"Durango \",\"Estado de M\\u00e9xico \",\"Guanajuato \",\"Guerrero \",\"Hidalgo\",\"Jalisco\",\"Michoac\\u00e1n\",\"Morelos\",\"Nayarit\",\"Nuevo Le\\u00f3n\",\"Oaxaca\",\"Puebla\",\"Quer\\u00e9taro\",\"Quintana Roo\",\"San Luis Potos\\u00ed\",\"Sinaloa\",\"Sonora\",\"Tabasco\",\"Tamaulipas\",\"Tlaxcala\",\"Veracruz\",\"Yucat\\u00e1n\",\"Zacatecas\"]'  placeholder = Estado >\r\n\t\t\t\t<option value=\"\" selected=\"selected\">Estado<\/option><option value=\"\" selected=\"selected\"><\/option><option value=\"Aguascalientes\">Aguascalientes<\/option><option value=\"Baja California\">Baja California<\/option><option value=\"Baja California Sur\">Baja California Sur<\/option><option value=\"Campeche \">Campeche <\/option><option value=\"Chiapas\">Chiapas<\/option><option value=\"Chihuahua\">Chihuahua<\/option><option value=\"Ciudad de M\u00e9xico\">Ciudad de M\u00e9xico<\/option><option value=\"Coahuila\">Coahuila<\/option><option value=\"Colima \">Colima <\/option><option value=\"Durango \">Durango <\/option><option value=\"Estado de M\u00e9xico \">Estado de M\u00e9xico <\/option><option value=\"Guanajuato \">Guanajuato <\/option><option value=\"Guerrero \">Guerrero <\/option><option value=\"Hidalgo\">Hidalgo<\/option><option value=\"Jalisco\">Jalisco<\/option><option value=\"Michoac\u00e1n\">Michoac\u00e1n<\/option><option value=\"Morelos\">Morelos<\/option><option value=\"Nayarit\">Nayarit<\/option><option value=\"Nuevo Le\u00f3n\">Nuevo Le\u00f3n<\/option><option value=\"Oaxaca\">Oaxaca<\/option><option value=\"Puebla\">Puebla<\/option><option value=\"Quer\u00e9taro\">Quer\u00e9taro<\/option><option value=\"Quintana Roo\">Quintana Roo<\/option><option value=\"San Luis Potos\u00ed\">San Luis Potos\u00ed<\/option><option value=\"Sinaloa\">Sinaloa<\/option><option value=\"Sonora\">Sonora<\/option><option value=\"Tabasco\">Tabasco<\/option><option value=\"Tamaulipas\">Tamaulipas<\/option><option value=\"Tlaxcala\">Tlaxcala<\/option><option value=\"Veracruz\">Veracruz<\/option><option value=\"Yucat\u00e1n\">Yucat\u00e1n<\/option><option value=\"Zacatecas\">Zacatecas<\/option>\t\t\t<\/select>\r\n\t\t<\/div>\r\n\t\t<\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-06a84e3 elementor-widget elementor-widget-text-editor\" data-id=\"06a84e3\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><i>Indique un correo electr\u00f3nico que use con frecuencia, todas las notificaciones ser\u00e1n enviadas al mismo.<\/i><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-31541ba elementor-widget elementor-widget-text-editor\" data-id=\"31541ba\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>FECHA DE NACIMIENTO<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9b9d73d elementor-widget__width-initial elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"9b9d73d\" data-element_type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-d\u00eda elementor-col-100\">\r\n\t\t\t\t<div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\"><input class=\"elementor-field elementor-size-  elementor-field-textual\" type=\"number\" name=\"form_fields[d\u00eda]\" id=\"form-field-d\u00eda\" placeholder=\"D\u00eda\" autocomplete=\"on\" data-pafe-form-builder-default-value=\"\" data-pafe-form-builder-form-id=\"CONSULTA\" step=\"any\" data-pafe-remove-value=\"false\" min=\"1\" max=\"31\"><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7af9934 elementor-widget__width-initial elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"7af9934\" data-element_type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-mes elementor-col-100\">\r\n\t\t\t\t<div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\"><input size=\"1\" class=\"elementor-field elementor-size- \" type=\"text\" name=\"form_fields[mes]\" id=\"form-field-mes\" placeholder=\"Mes\" autocomplete=\"on\" data-pafe-form-builder-default-value=\"\" data-pafe-form-builder-form-id=\"CONSULTA\"><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6605b10 elementor-widget__width-initial elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"6605b10\" data-element_type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-select_autocomplete elementor-field-group elementor-column elementor-field-group-anio elementor-col-100 elementor-field-required\">\r\n\t\t\t\t<div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\">\t\t<div class=\"elementor-field elementor-select-wrapper  \">\r\n\t\t\t<select name=\"form_fields[anio]\" id=\"form-field-anio\" class=\"elementor-field-textual elementor-size-\" data-pafe-field-type=\"select\" required=\"required\" aria-required=\"true\" data-pafe-form-builder-select-autocomplete=\"\" data-pafe-form-builder-form-id=\"CONSULTA\" data-pafe-form-builder-default-value=\"\" data-options='[\"1942\",\"1943\",\"1944\",\"1945\",\"1946\",\"1947\",\"1948\",\"1949\",\"1950\",\"1951\",\"1952\",\"1953\",\"1954\",\"1955\",\"1956\",\"1957\",\"1958\",\"1959\",\"1960\",\"1961\",\"1962\",\"1963\",\"1964\",\"1965\",\"1966\",\"1967\",\"1968\",\"1969\",\"1970\",\"1971\",\"1972\",\"1973\",\"1974\",\"1975\",\"1976\",\"1977\",\"1978\",\"1979\",\"1980\",\"1981\",\"1982\",\"1983\",\"1984\",\"1985\",\"1986\",\"1987\",\"1988\",\"1989\",\"1990\",\"1991\",\"1992\",\"1993\",\"1994\",\"1995\",\"1996\",\"1997\",\"1998\",\"1999\",\"2000\",\"2001\",\"2002\",\"2003\",\"2004\",\"2005\",\"2006\",\"2007\",\"2008\"]'  placeholder = A\u00f1o >\r\n\t\t\t\t<option value=\"\" selected=\"selected\">A\u00f1o<\/option><option value=\"1942\">1942<\/option><option value=\"1943\">1943<\/option><option value=\"1944\">1944<\/option><option value=\"1945\">1945<\/option><option value=\"1946\">1946<\/option><option value=\"1947\">1947<\/option><option value=\"1948\">1948<\/option><option value=\"1949\">1949<\/option><option value=\"1950\">1950<\/option><option value=\"1951\">1951<\/option><option value=\"1952\">1952<\/option><option value=\"1953\">1953<\/option><option value=\"1954\">1954<\/option><option value=\"1955\">1955<\/option><option value=\"1956\">1956<\/option><option value=\"1957\">1957<\/option><option value=\"1958\">1958<\/option><option value=\"1959\">1959<\/option><option value=\"1960\">1960<\/option><option value=\"1961\">1961<\/option><option value=\"1962\">1962<\/option><option value=\"1963\">1963<\/option><option value=\"1964\">1964<\/option><option value=\"1965\">1965<\/option><option value=\"1966\">1966<\/option><option value=\"1967\">1967<\/option><option value=\"1968\">1968<\/option><option value=\"1969\">1969<\/option><option value=\"1970\">1970<\/option><option value=\"1971\">1971<\/option><option value=\"1972\">1972<\/option><option value=\"1973\">1973<\/option><option value=\"1974\">1974<\/option><option value=\"1975\">1975<\/option><option value=\"1976\">1976<\/option><option value=\"1977\">1977<\/option><option value=\"1978\">1978<\/option><option value=\"1979\">1979<\/option><option value=\"1980\">1980<\/option><option value=\"1981\">1981<\/option><option value=\"1982\">1982<\/option><option value=\"1983\">1983<\/option><option value=\"1984\">1984<\/option><option value=\"1985\">1985<\/option><option value=\"1986\">1986<\/option><option value=\"1987\">1987<\/option><option value=\"1988\">1988<\/option><option value=\"1989\">1989<\/option><option value=\"1990\">1990<\/option><option value=\"1991\">1991<\/option><option value=\"1992\">1992<\/option><option value=\"1993\">1993<\/option><option value=\"1994\">1994<\/option><option value=\"1995\">1995<\/option><option value=\"1996\">1996<\/option><option value=\"1997\">1997<\/option><option value=\"1998\">1998<\/option><option value=\"1999\">1999<\/option><option value=\"2000\">2000<\/option><option value=\"2001\">2001<\/option><option value=\"2002\">2002<\/option><option value=\"2003\">2003<\/option><option value=\"2004\">2004<\/option><option value=\"2005\">2005<\/option><option value=\"2006\">2006<\/option><option value=\"2007\">2007<\/option><option value=\"2008\">2008<\/option>\t\t\t<\/select>\r\n\t\t<\/div>\r\n\t\t<\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t<\/div>\n\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\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pafe-multi-step-form__content-item-buttons\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pafe-multi-step-form__content-item-button\">\n\t\t\t\t\t\t\t\t\t\t<button class=\"elementor-button pafe-form-builder-button elementor-size-sm\" role=\"button\" data-pafe-form-builder-required-text=\"This field is required.\" data-pafe-form-builder-nav-form-id=\"CONSULTA\" data-pafe-form-builder-nav=\"prev\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Anterior<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<\/button>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pafe-multi-step-form__content-item-button\">\n\t\t\t\t\t\t\t\t\t\t<button class=\"elementor-button pafe-form-builder-button elementor-size-sm\" role=\"button\" data-pafe-form-builder-required-text=\"This field is required.\" data-pafe-form-builder-nav-form-id=\"CONSULTA\" data-pafe-form-builder-nav=\"next\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Siguiente<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<\/button>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div id=\"pafe-form-builder-trigger-success-CONSULTA\" data-pafe-form-builder-trigger-success=\"CONSULTA\" style=\"display: none\"><\/div>\n\t\t\t\t\t\t\t<div id=\"pafe-form-builder-trigger-failed-CONSULTA\" data-pafe-form-builder-trigger-failed=\"CONSULTA\" style=\"display: none\"><\/div>\n\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"pafe-multi-step-form__content-item\" data-pafe-form-builder-step-item-id=\"3475\">\n\t\t\t\t\t\t\t<div class=\"pafe-multi-step-form__content-item-shortcode\">\n\t\t\t\t\t\t\t\t\t\t<div data-elementor-type=\"page\" data-elementor-id=\"3475\" class=\"elementor elementor-3475\" data-elementor-post-type=\"elementor_library\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e70f3a5 elementor-section-height-min-height elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"e70f3a5\" data-element_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-3be0415\" data-id=\"3be0415\" data-element_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-5b33610 elementor-widget__width-inherit elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"5b33610\" data-element_type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-select_autocomplete elementor-field-group elementor-column elementor-field-group-enfermedad elementor-col-100 elementor-field-required\">\r\n\t\t\t\t<label for=\"form-field-enfermedad\" class=\"elementor-field-label pafe-label-inline\">\u00bfPadeces alguna enfermedad?<\/label><div class=\"pafe-field-container pafe-field-inline\">\t\t<div class=\"elementor-field elementor-select-wrapper  \">\r\n\t\t\t<select name=\"form_fields[enfermedad]\" id=\"form-field-enfermedad\" class=\"elementor-field-textual elementor-size-\" data-pafe-field-type=\"select\" required=\"required\" aria-required=\"true\" data-pafe-form-builder-select-autocomplete=\"\" data-pafe-form-builder-form-id=\"CONSULTA\" data-pafe-form-builder-default-value=\"\" data-options='[\"\",\"SI\",\"NO\"]'  >\r\n\t\t\t\t<option value=\"\" selected=\"selected\"><\/option><option value=\"SI\">SI<\/option><option value=\"NO\">NO<\/option>\t\t\t<\/select>\r\n\t\t<\/div>\r\n\t\t<\/div><div data-pafe-form-builder-required><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d4517f6 elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"d4517f6\" data-element_type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-especificar_enfermedad elementor-col-100\" data-pafe-form-builder-conditional-logic=\"[{&quot;_id&quot;:&quot;9fb03f2&quot;,&quot;pafe_conditional_logic_form_if&quot;:&quot;enfermedad&quot;,&quot;pafe_conditional_logic_form_comparison_operators&quot;:&quot;=&quot;,&quot;pafe_conditional_logic_form_value&quot;:&quot;SI&quot;,&quot;pafe_conditional_logic_form_action&quot;:[&quot;show&quot;],&quot;pafe_conditional_logic_form_set_value&quot;:null,&quot;pafe_conditional_logic_form_set_value_for&quot;:null,&quot;pafe_conditional_logic_form_type&quot;:&quot;string&quot;,&quot;pafe_conditional_logic_form_and_or_operators&quot;:&quot;or&quot;}]\" data-pafe-form-builder-conditional-logic-speed=\"400\" data-pafe-form-builder-conditional-logic-easing=\"swing\">\r\n\t\t\t\t<div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\"><input size=\"1\" class=\"elementor-field elementor-size- \" type=\"text\" name=\"form_fields[especificar_enfermedad]\" id=\"form-field-especificar_enfermedad\" placeholder=\"Especificar\" autocomplete=\"on\" data-pafe-form-builder-default-value=\"\" data-pafe-form-builder-form-id=\"CONSULTA\"><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4403559 elementor-widget__width-inherit elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"4403559\" data-element_type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-select_autocomplete elementor-field-group elementor-column elementor-field-group-medicamento elementor-col-100 elementor-field-required\">\r\n\t\t\t\t<label for=\"form-field-medicamento\" class=\"elementor-field-label pafe-label-inline\">\u00bfEst\u00e1s tomando alg\u00fan medicamento?<\/label><div class=\"pafe-field-container pafe-field-inline\">\t\t<div class=\"elementor-field elementor-select-wrapper  \">\r\n\t\t\t<select name=\"form_fields[medicamento]\" id=\"form-field-medicamento\" class=\"elementor-field-textual elementor-size-\" data-pafe-field-type=\"select\" required=\"required\" aria-required=\"true\" data-pafe-form-builder-select-autocomplete=\"\" data-pafe-form-builder-form-id=\"CONSULTA\" data-pafe-form-builder-default-value=\"\" data-options='[\"\",\"SI\",\"NO\"]'  >\r\n\t\t\t\t<option value=\"\" selected=\"selected\"><\/option><option value=\"SI\">SI<\/option><option value=\"NO\">NO<\/option>\t\t\t<\/select>\r\n\t\t<\/div>\r\n\t\t<\/div><div data-pafe-form-builder-required><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cecadab elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"cecadab\" data-element_type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-especificar_medicamento elementor-col-100\" data-pafe-form-builder-conditional-logic=\"[{&quot;_id&quot;:&quot;9fb03f2&quot;,&quot;pafe_conditional_logic_form_if&quot;:&quot;medicamento&quot;,&quot;pafe_conditional_logic_form_comparison_operators&quot;:&quot;=&quot;,&quot;pafe_conditional_logic_form_value&quot;:&quot;SI&quot;,&quot;pafe_conditional_logic_form_action&quot;:[&quot;show&quot;],&quot;pafe_conditional_logic_form_set_value&quot;:null,&quot;pafe_conditional_logic_form_set_value_for&quot;:null,&quot;pafe_conditional_logic_form_type&quot;:&quot;string&quot;,&quot;pafe_conditional_logic_form_and_or_operators&quot;:&quot;or&quot;}]\" data-pafe-form-builder-conditional-logic-speed=\"400\" data-pafe-form-builder-conditional-logic-easing=\"swing\">\r\n\t\t\t\t<div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\"><input size=\"1\" class=\"elementor-field elementor-size- \" type=\"text\" name=\"form_fields[especificar_medicamento]\" id=\"form-field-especificar_medicamento\" placeholder=\"Especificar\" autocomplete=\"on\" data-pafe-form-builder-default-value=\"\" data-pafe-form-builder-form-id=\"CONSULTA\"><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8c94fa0 elementor-widget__width-inherit elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"8c94fa0\" data-element_type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-select_autocomplete elementor-field-group elementor-column elementor-field-group-golpe_en_nariz elementor-col-100 elementor-field-required\">\r\n\t\t\t\t<label for=\"form-field-golpe_en_nariz\" class=\"elementor-field-label pafe-label-inline\">\u00bfHas recibido un golpe en la nariz?<\/label><div class=\"pafe-field-container pafe-field-inline\">\t\t<div class=\"elementor-field elementor-select-wrapper  \">\r\n\t\t\t<select name=\"form_fields[golpe_en_nariz]\" id=\"form-field-golpe_en_nariz\" class=\"elementor-field-textual elementor-size-\" data-pafe-field-type=\"select\" required=\"required\" aria-required=\"true\" data-pafe-form-builder-select-autocomplete=\"\" data-pafe-form-builder-form-id=\"CONSULTA\" data-pafe-form-builder-default-value=\"\" data-options='[\"\",\"SI\",\"NO\"]'  >\r\n\t\t\t\t<option value=\"\" selected=\"selected\"><\/option><option value=\"SI\">SI<\/option><option value=\"NO\">NO<\/option>\t\t\t<\/select>\r\n\t\t<\/div>\r\n\t\t<\/div><div data-pafe-form-builder-required><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8cf0b99 elementor-widget__width-inherit elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"8cf0b99\" data-element_type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-select_autocomplete elementor-field-group elementor-column elementor-field-group-tratamiento_en_nariz elementor-col-100 elementor-field-required\">\r\n\t\t\t\t<label for=\"form-field-tratamiento_en_nariz\" class=\"elementor-field-label pafe-label-inline\">\u00bfTe has realizado alg\u00fan procedimiento en la nariz?<\/label><div class=\"pafe-field-container pafe-field-inline\">\t\t<div class=\"elementor-field elementor-select-wrapper  \">\r\n\t\t\t<select name=\"form_fields[tratamiento_en_nariz]\" id=\"form-field-tratamiento_en_nariz\" class=\"elementor-field-textual elementor-size-\" data-pafe-field-type=\"select\" required=\"required\" aria-required=\"true\" data-pafe-form-builder-select-autocomplete=\"\" data-pafe-form-builder-form-id=\"CONSULTA\" data-pafe-form-builder-default-value=\"\" data-options='[\"\",\"Inyectable\",\"Biopol\\u00edmero\",\"Cirug\\u00eda funcional\",\"Cirug\\u00eda est\\u00e9tica\",\"Cirug\\u00eda funcional y est\\u00e9tica \",\"Otro\",\"No\"]'  >\r\n\t\t\t\t<option value=\"\" selected=\"selected\"><\/option><option value=\"Inyectable\">Inyectable<\/option><option value=\"Biopol\u00edmero\">Biopol\u00edmero<\/option><option value=\"Cirug\u00eda funcional\">Cirug\u00eda funcional<\/option><option value=\"Cirug\u00eda est\u00e9tica\">Cirug\u00eda est\u00e9tica<\/option><option value=\"Cirug\u00eda funcional y est\u00e9tica \">Cirug\u00eda funcional y est\u00e9tica <\/option><option value=\"Otro\">Otro<\/option><option value=\"No\">No<\/option>\t\t\t<\/select>\r\n\t\t<\/div>\r\n\t\t<\/div><div data-pafe-form-builder-required><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e6d77e9 elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"e6d77e9\" data-element_type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-especificar_procedimiento elementor-col-100\" data-pafe-form-builder-conditional-logic=\"[{&quot;_id&quot;:&quot;9fb03f2&quot;,&quot;pafe_conditional_logic_form_if&quot;:&quot;tratamiento_en_nariz&quot;,&quot;pafe_conditional_logic_form_comparison_operators&quot;:&quot;=&quot;,&quot;pafe_conditional_logic_form_value&quot;:&quot;Otro&quot;,&quot;pafe_conditional_logic_form_action&quot;:[&quot;show&quot;],&quot;pafe_conditional_logic_form_set_value&quot;:null,&quot;pafe_conditional_logic_form_set_value_for&quot;:null,&quot;pafe_conditional_logic_form_type&quot;:&quot;string&quot;,&quot;pafe_conditional_logic_form_and_or_operators&quot;:&quot;or&quot;}]\" data-pafe-form-builder-conditional-logic-speed=\"400\" data-pafe-form-builder-conditional-logic-easing=\"swing\">\r\n\t\t\t\t<div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\"><input size=\"1\" class=\"elementor-field elementor-size- \" type=\"text\" name=\"form_fields[especificar_procedimiento]\" id=\"form-field-especificar_procedimiento\" placeholder=\"Especificar\" autocomplete=\"on\" data-pafe-form-builder-default-value=\"\" data-pafe-form-builder-form-id=\"CONSULTA\"><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6ee5bcd elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"6ee5bcd\" data-element_type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-no_gusta_nariz elementor-col-100 elementor-field-required\">\r\n\t\t\t\t<div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\"><input size=\"1\" class=\"elementor-field elementor-size- \" type=\"text\" name=\"form_fields[no_gusta_nariz]\" id=\"form-field-no_gusta_nariz\" placeholder=\"\u00bfQu\u00e9 no te gusta de tu nariz?\" autocomplete=\"on\" data-pafe-form-builder-default-value=\"\" required=\"required\" aria-required=\"true\" data-pafe-form-builder-form-id=\"CONSULTA\"><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-9257d0e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"9257d0e\" data-element_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-inner-column elementor-element elementor-element-27ebe3b\" data-id=\"27ebe3b\" data-element_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-d281e0c elementor-widget elementor-widget-text-editor\" data-id=\"d281e0c\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>En este paso deber\u00e1s subir tus fotos para la evaluaci\u00f3n, aseg\u00farate que tengan\u00a0<b>buena iluminaci\u00f3n<\/b>,\u00a0<b>fondo blanco<\/b>\u00a0y\u00a0<b>una distancia acorde<\/b>. Tendr\u00e1s que tomar 5 fotos: una de frente, perfil derecho, perfil izquierdo, mirando hacia el suelo y de la base de la nariz (viendo al techo).<\/p>\t\t\t\t\t\t<\/div>\n\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-inner-section elementor-element elementor-element-69d3a8f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"69d3a8f\" data-element_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-20 elementor-inner-column elementor-element elementor-element-4a1f507\" data-id=\"4a1f507\" data-element_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-69bb2d5 elementor-widget elementor-widget-text-editor\" data-id=\"69bb2d5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Perfil izquierdo<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-920fbf5 elementor-widget elementor-widget-image\" data-id=\"920fbf5\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.21.0 - 15-04-2024 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"400\" height=\"400\" src=\"https:\/\/bmedica.com.mx\/wp-content\/uploads\/2022\/10\/Izquierda.png\" class=\"attachment-large size-large wp-image-4078\" alt=\"\" srcset=\"https:\/\/bmedica.com.mx\/wp-content\/uploads\/2022\/10\/Izquierda.png 400w, https:\/\/bmedica.com.mx\/wp-content\/uploads\/2022\/10\/Izquierda-300x300.png 300w, https:\/\/bmedica.com.mx\/wp-content\/uploads\/2022\/10\/Izquierda-150x150.png 150w\" sizes=\"(max-width: 400px) 100vw, 400px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-733c430 elementor-widget__width-inherit elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"733c430\" data-element_type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-upload elementor-field-group elementor-column elementor-field-group-imagenes_1 elementor-col-100 elementor-field-required\">\r\n\t\t\t\t<div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\"><form action='#' class='pafe-form-builder-upload' data-pafe-form-builder-upload enctype='multipart\/form-data'><input type=\"file\" class=\"elementor-field elementor-size- \" type=\"upload\" name=\"upload_field\" id=\"form-field-imagenes_1\" autocomplete=\"on\" data-pafe-form-builder-default-value=\"\" value=\"\" data-pafe-form-builder-value=\"\" required=\"required\" aria-required=\"true\" data-pafe-form-builder-form-id=\"CONSULTA\"><\/form><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-20 elementor-inner-column elementor-element elementor-element-655c70d\" data-id=\"655c70d\" data-element_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-c903802 elementor-widget elementor-widget-text-editor\" data-id=\"c903802\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Mirando al techo<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c36f074 elementor-widget elementor-widget-image\" data-id=\"c36f074\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"400\" height=\"400\" src=\"https:\/\/bmedica.com.mx\/wp-content\/uploads\/2022\/10\/Arriba.png\" class=\"attachment-large size-large wp-image-4081\" alt=\"\" srcset=\"https:\/\/bmedica.com.mx\/wp-content\/uploads\/2022\/10\/Arriba.png 400w, https:\/\/bmedica.com.mx\/wp-content\/uploads\/2022\/10\/Arriba-300x300.png 300w, https:\/\/bmedica.com.mx\/wp-content\/uploads\/2022\/10\/Arriba-150x150.png 150w\" sizes=\"(max-width: 400px) 100vw, 400px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d004c8e elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"d004c8e\" data-element_type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-upload elementor-field-group elementor-column elementor-field-group-imagenes_2 elementor-col-100 elementor-field-required\">\r\n\t\t\t\t<div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\"><form action='#' class='pafe-form-builder-upload' data-pafe-form-builder-upload enctype='multipart\/form-data'><input type=\"file\" class=\"elementor-field elementor-size- \" type=\"upload\" name=\"upload_field\" id=\"form-field-imagenes_2\" autocomplete=\"on\" data-pafe-form-builder-default-value=\"\" value=\"\" data-pafe-form-builder-value=\"\" required=\"required\" aria-required=\"true\" data-pafe-form-builder-form-id=\"CONSULTA\"><\/form><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-20 elementor-inner-column elementor-element elementor-element-a1d43e6\" data-id=\"a1d43e6\" data-element_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-015c9a2 elementor-widget elementor-widget-text-editor\" data-id=\"015c9a2\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Mirando al suelo<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7457cd4 elementor-widget elementor-widget-image\" data-id=\"7457cd4\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"400\" height=\"400\" src=\"https:\/\/bmedica.com.mx\/wp-content\/uploads\/2022\/10\/Abajo-1.png\" class=\"attachment-large size-large wp-image-4082\" alt=\"\" srcset=\"https:\/\/bmedica.com.mx\/wp-content\/uploads\/2022\/10\/Abajo-1.png 400w, https:\/\/bmedica.com.mx\/wp-content\/uploads\/2022\/10\/Abajo-1-300x300.png 300w, https:\/\/bmedica.com.mx\/wp-content\/uploads\/2022\/10\/Abajo-1-150x150.png 150w\" sizes=\"(max-width: 400px) 100vw, 400px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-73a153a elementor-widget__width-inherit elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"73a153a\" data-element_type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-upload elementor-field-group elementor-column elementor-field-group-imagenes_3 elementor-col-100 elementor-field-required\">\r\n\t\t\t\t<div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\"><form action='#' class='pafe-form-builder-upload' data-pafe-form-builder-upload enctype='multipart\/form-data'><input type=\"file\" class=\"elementor-field elementor-size- \" type=\"upload\" name=\"upload_field\" id=\"form-field-imagenes_3\" autocomplete=\"on\" data-pafe-form-builder-default-value=\"\" value=\"\" data-pafe-form-builder-value=\"\" required=\"required\" aria-required=\"true\" data-pafe-form-builder-form-id=\"CONSULTA\"><\/form><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-20 elementor-inner-column elementor-element elementor-element-96c6820\" data-id=\"96c6820\" data-element_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-6164557 elementor-widget elementor-widget-text-editor\" data-id=\"6164557\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Mirando al frente<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d6926bb elementor-widget elementor-widget-image\" data-id=\"d6926bb\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"400\" height=\"400\" src=\"https:\/\/bmedica.com.mx\/wp-content\/uploads\/2022\/10\/Frente.png\" class=\"attachment-large size-large wp-image-4079\" alt=\"\" srcset=\"https:\/\/bmedica.com.mx\/wp-content\/uploads\/2022\/10\/Frente.png 400w, https:\/\/bmedica.com.mx\/wp-content\/uploads\/2022\/10\/Frente-300x300.png 300w, https:\/\/bmedica.com.mx\/wp-content\/uploads\/2022\/10\/Frente-150x150.png 150w\" sizes=\"(max-width: 400px) 100vw, 400px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-549771e elementor-widget__width-inherit elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"549771e\" data-element_type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-upload elementor-field-group elementor-column elementor-field-group-imagenes_4 elementor-col-100 elementor-field-required\">\r\n\t\t\t\t<div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\"><form action='#' class='pafe-form-builder-upload' data-pafe-form-builder-upload enctype='multipart\/form-data'><input type=\"file\" class=\"elementor-field elementor-size- \" type=\"upload\" name=\"upload_field\" id=\"form-field-imagenes_4\" autocomplete=\"on\" data-pafe-form-builder-default-value=\"\" value=\"\" data-pafe-form-builder-value=\"\" required=\"required\" aria-required=\"true\" data-pafe-form-builder-form-id=\"CONSULTA\"><\/form><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-20 elementor-inner-column elementor-element elementor-element-94b4245\" data-id=\"94b4245\" data-element_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-7f56928 elementor-widget elementor-widget-text-editor\" data-id=\"7f56928\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Perfil derecho<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ce9ec56 elementor-widget elementor-widget-image\" data-id=\"ce9ec56\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"400\" height=\"400\" src=\"https:\/\/bmedica.com.mx\/wp-content\/uploads\/2022\/10\/Derecha.png\" class=\"attachment-large size-large wp-image-4080\" alt=\"\" srcset=\"https:\/\/bmedica.com.mx\/wp-content\/uploads\/2022\/10\/Derecha.png 400w, https:\/\/bmedica.com.mx\/wp-content\/uploads\/2022\/10\/Derecha-300x300.png 300w, https:\/\/bmedica.com.mx\/wp-content\/uploads\/2022\/10\/Derecha-150x150.png 150w\" sizes=\"(max-width: 400px) 100vw, 400px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bc55628 elementor-widget__width-inherit elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"bc55628\" data-element_type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-upload elementor-field-group elementor-column elementor-field-group-imagenes_5 elementor-col-100 elementor-field-required\">\r\n\t\t\t\t<div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\"><form action='#' class='pafe-form-builder-upload' data-pafe-form-builder-upload enctype='multipart\/form-data'><input type=\"file\" class=\"elementor-field elementor-size- \" type=\"upload\" name=\"upload_field\" id=\"form-field-imagenes_5\" autocomplete=\"on\" data-pafe-form-builder-default-value=\"\" value=\"\" data-pafe-form-builder-value=\"\" required=\"required\" aria-required=\"true\" data-pafe-form-builder-form-id=\"CONSULTA\"><\/form><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t<\/div>\n\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\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pafe-multi-step-form__content-item-buttons\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pafe-multi-step-form__content-item-button\">\n\t\t\t\t\t\t\t\t\t\t<button class=\"elementor-button pafe-form-builder-button elementor-size-sm\" role=\"button\" data-pafe-form-builder-required-text=\"This field is required.\" data-pafe-form-builder-nav-form-id=\"CONSULTA\" data-pafe-form-builder-nav=\"prev\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Anterior<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<\/button>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pafe-multi-step-form__content-item-button\">\n\t\t\t\t\t\t\t\t\t\t<button class=\"elementor-button pafe-form-builder-button elementor-size-sm\" role=\"button\" data-pafe-form-builder-required-text=\"This field is required.\" data-pafe-form-builder-nav-form-id=\"CONSULTA\" data-pafe-form-builder-nav=\"next\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Siguiente<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<\/button>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div id=\"pafe-form-builder-trigger-success-CONSULTA\" data-pafe-form-builder-trigger-success=\"CONSULTA\" style=\"display: none\"><\/div>\n\t\t\t\t\t\t\t<div id=\"pafe-form-builder-trigger-failed-CONSULTA\" data-pafe-form-builder-trigger-failed=\"CONSULTA\" style=\"display: none\"><\/div>\n\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"pafe-multi-step-form__content-item\" data-pafe-form-builder-step-item-id=\"3486\">\n\t\t\t\t\t\t\t<div class=\"pafe-multi-step-form__content-item-shortcode\">\n\t\t\t\t\t\t\t\t\t\t<div data-elementor-type=\"page\" data-elementor-id=\"3486\" class=\"elementor elementor-3486\" data-elementor-post-type=\"elementor_library\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8a4c80d elementor-section-height-min-height elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"8a4c80d\" data-element_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-3319529\" data-id=\"3319529\" data-element_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-cae9e5f elementor-widget elementor-widget-text-editor\" data-id=\"cae9e5f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>FORMA DE PAGO<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3ad8fec elementor-widget elementor-widget-text-editor\" data-id=\"3ad8fec\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Con el pago de tu consulta en l\u00ednea tienes incluida la consulta presencial previa a tu cirug\u00eda.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-8f07576 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8f07576\" data-element_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-inner-column elementor-element elementor-element-1721852\" data-id=\"1721852\" data-element_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-e180fce elementor-widget elementor-widget-pafe-form-builder-submit\" data-id=\"e180fce\" data-element_type=\"widget\" data-widget_type=\"pafe-form-builder-submit.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"3516\" data-pafe-form-builder-hidden-form-id=\"CONSULTA\"\/>\r\n\t\t<input type=\"hidden\" name=\"form_id\" value=\"e180fce\" data-pafe-form-builder-hidden-form-id=\"CONSULTA\"\/>\r\n\t\t<input type=\"hidden\" name=\"remote_ip\" value=\"18.221.236.224\" data-pafe-form-builder-hidden-form-id=\"CONSULTA\"\/>\r\n\r\n\t\t\r\n\t\t\r\n\t\t\r\n\t\t\r\n\t\t<div class=\"elementor-button-wrapper\">\r\n\t\t\t<button class=\"elementor-button pafe-form-builder-button elementor-size-sm\" data-pafe-submit-keyboard=\"false\" data-pafe-submit-hide=\"false\" role=\"button\" data-pafe-form-builder-required-text=\"This field is required.\" data-pafe-form-builder-submit-form-id=\"CONSULTA\" data-pafe-form-builder-paypal-submit=\"\" data-pafe-form-builder-paypal-submit-enable=\"\">\r\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\r\n\t\t\t<span class=\"elementor-button-text elementor-form-spinner\"><i class=\"fa fa-spinner fa-spin\"><\/i><\/span>\r\n\t\t\t\t\t\t<span class=\"elementor-button-text\">Submit<\/span>\r\n\t\t<\/span>\r\n\t\t\t\t\t<\/button>\r\n\t\t<\/div>\r\n\r\n\t\t\r\n\t\t\t\t\t\t\t\t<div class=\"pafe-form-builder-paypal\">\r\n\t\t\t\t<!-- Set up a container element for the button -->\r\n\t\t\t    <div class=\"pafe-paypal-button\" id=\"pafe-paypal-button-container-CONSULTA\"><\/div>\r\n\t\t    <\/div>\r\n\r\n            \t\t    \r\n\t\t    <script>\r\n\t\t    \tfunction getFieldValue(fieldId) {\r\n\t\t    \t\tvar fieldName = 'form_fields[' + fieldId + ']',\r\n\t\t    \t\t\t$field = jQuery(document).find('[name=\"' + fieldName + '\"]'),\r\n\t\t    \t\t\tfieldType = $field.attr('type'),\r\n\t\t\t\t\t\tformID = $field.attr('data-pafe-form-builder-form-id');\r\n\r\n\t\t\t\t\tif (fieldType == 'radio' || fieldType == 'checkbox') {\r\n\t\t\t\t\t\tvar fieldValue = $field.closest('.elementor-element').find('input:checked').val();\r\n\t\t\t        } else {\r\n\t\t\t        \tvar fieldValue = $field.val();\r\n\t\t\t        }\r\n\r\n\t\t\t        if (fieldValue == '') {\r\n\t\t\t        \tvar fieldValue = 0;\r\n\t\t\t        }\r\n\r\n\t\t\t        return fieldValue;\r\n\t\t    \t}\r\n\r\n\t\t    \tfunction pafeValidateFormCONSULTA() {\r\n\t\t    \t\tvar formID = 'CONSULTA',\r\n\t\t    \t\t\t$ = jQuery,\r\n\t\t\t    \t\t$fields = $(document).find('[data-pafe-form-builder-form-id='+ formID +']'),\r\n\t\t\t    \t\t$submit = $(document).find('[data-pafe-form-builder-submit-form-id='+ formID +']'),\r\n\t\t\t    \t\trequiredText = $submit.data('pafe-form-builder-required-text'),\r\n\t\t\t    \t\terror = 0;\r\n\r\n\t\t\t\t\tvar $parent = $submit.closest('.elementor-element');\r\n\r\n\t\t\t\t\t$fields.each(function(){\r\n\t\t\t\t\t\tif ( $(this).data('pafe-form-builder-stripe') == undefined && $(this).data('pafe-form-builder-html') == undefined ) {\r\n\t\t\t\t\t\t\tvar $checkboxRequired = $(this).closest('.elementor-field-type-checkbox.elementor-field-required');\r\n\t\t\t\t\t\t\tvar checked = 0;\r\n\t\t\t\t\t\t\tif ($checkboxRequired.length > 0) {\r\n\t\t\t\t\t\t\t\tchecked = $checkboxRequired.find(\"input[type=checkbox]:checked\").length;\r\n\t\t\t\t\t\t\t}\r\n\r\n\t\t\t\t\t\t\tif ($(this).attr('oninvalid') != undefined) {\r\n\t\t\t\t\t\t\t\trequiredText = $(this).attr('oninvalid').replace(\"this.setCustomValidity('\",\"\").replace(\"')\",\"\");\r\n\t\t\t\t\t\t\t}\r\n\r\n                            var isValid = $(this)[0].checkValidity();\r\n                            var next_ele = $($(this)[0]).next()[0];\r\n                            if ($(next_ele).hasClass('flatpickr-mobile')) {\r\n                                isValid = next_ele.checkValidity();\r\n                            }\r\n\r\n\t\t\t\t\t\t\tif ( !isValid && $(this).closest('.elementor-widget').css('display') != 'none' && $(this).closest('[data-pafe-form-builder-conditional-logic]').css('display') != 'none' && $(this).data('pafe-form-builder-honeypot') == undefined &&  $(this).closest('[data-pafe-signature]').length == 0 || checked == 0 && $checkboxRequired.length > 0 && $(this).closest('.elementor-element').css('display') != 'none') {\r\n\t\t\t\t\t\t\t\tif ($(this).css('display') == 'none' || $(this).closest('div').css('display') == 'none' || $(this).data('pafe-form-builder-image-select') != undefined || $checkboxRequired.length > 0) {\r\n\t\t\t\t\t\t\t\t\t$(this).closest('.elementor-field-group').find('[data-pafe-form-builder-required]').html(requiredText);\r\n\t\t\t\t\t\t\t\t} else {\r\n\t\t\t\t\t\t\t\t\tif ($(this).data('pafe-form-builder-image-select') == undefined) {\r\n\t\t\t\t\t\t\t\t\t\t$(this)[0].reportValidity();\r\n\t\t\t\t\t\t\t\t\t}\r\n\t\t\t\t\t\t\t\t}\r\n\r\n\t\t\t\t\t\t\t\terror++;\r\n\t\t\t\t\t\t\t} else {\r\n\r\n\t\t\t\t\t\t\t\t$(this).closest('.elementor-field-group').find('[data-pafe-form-builder-required]').html('');\r\n\r\n\t\t\t\t\t\t\t\tif ($(this).closest('[data-pafe-signature]').length > 0) {\r\n\t\t\t\t\t\t\t\t\tvar $pafeSingature = $(this).closest('[data-pafe-signature]'),\r\n\t\t\t\t\t\t\t\t\t\t$exportButton = $pafeSingature.find('[data-pafe-signature-export]');\r\n\r\n\t\t\t\t\t\t\t\t\t$exportButton.trigger('click');\r\n\r\n\t\t\t\t\t\t\t\t\tif ($(this).val() == '' && $(this).closest('.elementor-widget').css('display') != 'none' && $(this).attr('required') != undefined) {\r\n\t\t\t\t\t\t\t\t\t\t$(this).closest('.elementor-field-group').find('[data-pafe-form-builder-required]').html(requiredText);\r\n\t\t\t\t\t\t\t\t\t\terror++;\r\n\t\t\t\t\t\t\t\t\t}\r\n\t\t\t\t\t\t\t\t}\r\n\t\t\t\t\t\t\t}\r\n\t\t\t\t\t\t}\r\n\t\t\t\t\t});\r\n\r\n\t\t\t\t\tif (error == 0) {\r\n\t\t\t\t\t\treturn true;\r\n\t\t\t\t\t} else {\r\n\t\t\t\t\t\treturn false;\r\n\t\t\t\t\t}\r\n\t\t    \t}\r\n\r\n\t\t        \/\/ Render the PayPal button into #paypal-button-container\r\n                jQuery('#script-pafe-paypal-CONSULTA-js').ready(function () {\r\n\t\t\t\t\tvar isFirefox = typeof InstallTrigger !== 'undefined';\r\n                    setTimeout(function () {\r\n                        var paypal_button_container = jQuery(\"#pafe-paypal-button-container-CONSULTA\");\r\n                        var paypalPlanID = '';\r\n                        if (paypal_button_container.length > 0 && paypal_button_container.children().length === 0) {\r\n                            paypal.Buttons({\r\n                                onClick :  function(data, actions){\r\n                                    if(paypalPlanID.indexOf('[field id=\"') !== -1){\r\n\t\t\t\t\t\t\t\t\t\tpaypalFieldName = paypalPlanID.replace('[field id=\"', '').replace('\"]', '');\r\n\t\t\t\t\t\t\t\t\t\tpaypalPlanID = jQuery('[name=\"form_fields['+paypalFieldName+']\"][data-pafe-form-builder-form-id=\"CONSULTA\"]').val();\r\n\t\t\t\t\t\t\t\t\t}\r\n                                    if(!pafeValidateFormCONSULTA()){\r\n\t\t\t\t\t\t\t\t\t\tif(isFirefox){\r\n\t\t\t\t\t\t\t\t\t\t\tsetTimeout(() => {\r\n\t\t\t\t\t\t\t\t\t\t\t\tpafeValidateFormCONSULTA()\r\n\t\t\t\t\t\t\t\t\t\t\t}, 300)\r\n\t\t\t\t\t\t\t\t\t\t}\r\n                                        return false;\r\n                                    }else {\r\n                                        return true;\r\n                                    }\r\n                                },\r\n\r\n\t\t\t\t\t\t\t\t                                \/\/ Set up the transaction\r\n                                createOrder: function(data, actions) {\r\n                                    return actions.order.create({\r\n                                        purchase_units: [{\r\n                                            amount: {\r\n                                                                                                value: '500',\r\n                                                                                            },\r\n                                                                                        description: 'Evaluaci\u00f3n Online',\r\n                                                                                    }]\r\n                                    });\r\n                                },\r\n\t\t\t\t\t\t\t\t\/\/ Finalize the transaction\r\n\t\t\t\t\t\t\t\tonApprove: function(data, actions) {\r\n                                    return actions.order.capture().then(function(details) {\r\n                                        \/\/ Show a success message to the buyer\r\n                                        \/\/ alert('Transaction completed by ' + details.payer.name.given_name + '!');\r\n                                        var $submit = jQuery(document).find('[data-pafe-form-builder-submit-form-id=\"CONSULTA\"]'),\r\n                                        \t$parent = $submit.closest('.elementor-element');\r\n\r\n                                        $submit.attr('data-pafe-form-builder-paypal-submit-transaction-id', details.id);\r\n                                        $submit.trigger('click');\r\n                                        $parent.find('.elementor-message').removeClass('visible');\r\n                                        $parent.find('.pafe-form-builder-alert--paypal .elementor-message-success').addClass('visible');\r\n                                    });\r\n                                },\r\n                                \t\t\t\t\t            onError: function (err) {\r\n\t\t\t\t\t            \tvar $submit = jQuery(document).find('[data-pafe-form-builder-submit-form-id=\"CONSULTA\"]'),\r\n                            \t\t\t$parent = $submit.closest('.elementor-element');\r\n\r\n                                    $parent.find('.elementor-message').removeClass('visible');\r\n                                    $parent.find('.pafe-form-builder-alert--paypal .elementor-message-danger').addClass('visible');\r\n                                    $parent.find('[data-pafe-form-builder-trigger-failed]').trigger('click');\r\n\t\t\t\t\t\t\t\t}\r\n                            }).render('#pafe-paypal-button-container-CONSULTA');\r\n                        }\r\n                    }, 10);\r\n                });\r\n\t\t    <\/script>\r\n\t    \t\t\t\t\t\t\t\t\t<div class=\"pafe-form-builder-alert pafe-form-builder-alert--paypal\">\r\n\t\t\t\t<div class=\"elementor-message elementor-message-success\" role=\"alert\">Pago Aceptado<\/div>\r\n\t\t\t\t<div class=\"elementor-message elementor-message-danger\" role=\"alert\">Pago Rechazado<\/div>\r\n\t\t\t<\/div>\r\n\t\t\r\n        \r\n        \t\t<div id=\"pafe-form-builder-trigger-success-CONSULTA\" data-pafe-form-builder-trigger-success=\"CONSULTA\" style=\"display: none\"><\/div>\r\n\t\t<div id=\"pafe-form-builder-trigger-failed-CONSULTA\" data-pafe-form-builder-trigger-failed=\"CONSULTA\" style=\"display: none\"><\/div>\r\n\t\t<div class=\"pafe-form-builder-alert pafe-form-builder-alert--mail\">\r\n\t\t\t<div class=\"elementor-message elementor-message-success\" role=\"alert\" data-pafe-form-builder-message=\"Gracias por tu pago; en 48 horas recibir\u00e1s, en el correo electr\u00f3nico que  nos proporcionaste, tu diagn\u00f3stico y presupuesto para la cirug\u00eda, el cual  tiene una validez de 6 meses.\">Gracias por tu pago; en 48 horas recibir\u00e1s, en el correo electr\u00f3nico que  nos proporcionaste, tu diagn\u00f3stico y presupuesto para la cirug\u00eda, el cual  tiene una validez de 6 meses.<\/div>\r\n\t\t\t<div class=\"elementor-message elementor-message-danger\" role=\"alert\" data-pafe-form-builder-message=\"An error occured.\">An error occured.<\/div>\r\n\t\t\t<!-- <div class=\"elementor-message elementor-help-inline\" role=\"alert\">Server error. Form not sent.<\/div> -->\r\n\t\t<\/div>\r\n\t\t\t\t\t\t<\/div>\n\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\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pafe-multi-step-form__content-item-buttons\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pafe-multi-step-form__content-item-button\">\n\t\t\t\t\t\t\t\t\t\t<button class=\"elementor-button pafe-form-builder-button elementor-size-sm\" role=\"button\" data-pafe-form-builder-required-text=\"This field is required.\" data-pafe-form-builder-nav-form-id=\"CONSULTA\" data-pafe-form-builder-nav=\"prev\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Anterior<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<\/button>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"3516\" data-pafe-form-builder-hidden-form-id=\"CONSULTA\"\/>\n\t\t\t\t\t\t\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"686bf93\" data-pafe-form-builder-hidden-form-id=\"CONSULTA\"\/>\n\t\t\t\t\t\t\t\t\t<input type=\"hidden\" name=\"remote_ip\" value=\"18.221.236.224\" data-pafe-form-builder-hidden-form-id=\"CONSULTA\"\/>\n\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"pafe-multi-step-form__content-item-button\">\n\t\t\t\t\t\t\t\t\t\t<button class=\"elementor-button pafe-form-builder-button elementor-size-sm\" role=\"button\" data-pafe-form-builder-required-text=\"This field is required.\" data-pafe-form-builder-nav-form-id=\"CONSULTA\" data-pafe-form-builder-submit-form-id=\"CONSULTA\" data-pafe-submit-keyboard=\"false\" data-pafe-submit-hide=\"false\" data-pafe-form-builder-paypal-submit=\"\" data-pafe-form-builder-paypal-submit-enable=\"\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Enviar<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<\/button>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pafe-form-builder-paypal\">\n\t\t\t\t\t\t\t\t\t\t\t<!-- Set up a container element for the button -->\n\t\t\t\t\t\t\t\t\t\t    <div class=\"pafe-paypal-button\" id=\"pafe-paypal-button-container-CONSULTA\"><\/div>\n\t\t\t\t\t\t\t\t\t    <\/div>\n\n\t\t\t\t\t\t\t\t\t    <!-- Include the PayPal JavaScript SDK -->\n\t\t\t\t\t\t\t\t\t\t\t\t\t    \t\t\t\t\t\t<script src=\"https:\/\/www.paypal.com\/sdk\/js?client-id=AWYDPCzqL-g0mVm0-P0qxO0AIu0Z6n64OwSbrEDV4eVd5qNUULV8tfRl8MntyabrklCLyA2HhfRLr5Ag&currency=MXN\"><\/script>\n\n\t\t\t\t\t\t\t\t\t    <script>\n\t\t\t\t\t\t\t\t\t    \tfunction getFieldValue(fieldId) {\n\t\t\t\t\t\t\t\t\t    \t\tvar fieldName = 'form_fields[' + fieldId + ']',\n\t\t\t\t\t\t\t\t\t    \t\t\t$field = jQuery(document).find('[name=\"' + fieldName + '\"]'),\n\t\t\t\t\t\t\t\t\t    \t\t\tfieldType = $field.attr('type'),\n\t\t\t\t\t\t\t\t\t\t\t\t\tformID = $field.attr('data-pafe-form-builder-form-id');\n\n\t\t\t\t\t\t\t\t\t\t\t\tif (fieldType == 'radio' || fieldType == 'checkbox') {\n\t\t\t\t\t\t\t\t\t\t\t\t\tvar fieldValue = $field.closest('.elementor-element').find('input:checked').val();\n\t\t\t\t\t\t\t\t\t\t        } else {\n\t\t\t\t\t\t\t\t\t\t        \tvar fieldValue = $field.val();\n\t\t\t\t\t\t\t\t\t\t        }\n\n\t\t\t\t\t\t\t\t\t\t        if (fieldValue == '') {\n\t\t\t\t\t\t\t\t\t\t        \tvar fieldValue = 0;\n\t\t\t\t\t\t\t\t\t\t        }\n\n\t\t\t\t\t\t\t\t\t\t        return fieldValue;\n\t\t\t\t\t\t\t\t\t    \t}\n\n\t\t\t\t\t\t\t\t\t    \tfunction pafeValidateFormCONSULTA() {\n\t\t\t\t\t\t\t\t\t    \t\tvar formID = 'CONSULTA',\n\t\t\t\t\t\t\t\t\t    \t\t\t$ = jQuery,\n\t\t\t\t\t\t\t\t\t\t    \t\t$fields = $(document).find('[data-pafe-form-builder-form-id='+ formID +']'),\n\t\t\t\t\t\t\t\t\t\t    \t\t$submit = $(document).find('[data-pafe-form-builder-submit-form-id='+ formID +']'),\n\t\t\t\t\t\t\t\t\t\t    \t\trequiredText = $submit.data('pafe-form-builder-required-text'),\n\t\t\t\t\t\t\t\t\t\t    \t\terror = 0;\n\n\t\t\t\t\t\t\t\t\t\t\t\tvar $parent = $submit.closest('.elementor-element');\n\n\t\t\t\t\t\t\t\t\t\t\t\t$fields.each(function(){\n\t\t\t\t\t\t\t\t\t\t\t\t\tif ( $(this).data('pafe-form-builder-stripe') == undefined && $(this).data('pafe-form-builder-html') == undefined ) {\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tvar $checkboxRequired = $(this).closest('.elementor-field-type-checkbox.elementor-field-required');\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tvar checked = 0;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tif ($checkboxRequired.length > 0) {\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tchecked = $checkboxRequired.find(\"input[type=checkbox]:checked\").length;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t} \n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tif ($(this).attr('oninvalid') != undefined) {\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\trequiredText = $(this).attr('oninvalid').replace(\"this.setCustomValidity('\",\"\").replace(\"')\",\"\");\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t}\n\n                                                        var isValid = $(this)[0].checkValidity();\n                                                        var next_ele = $($(this)[0]).next()[0];\n                                                        if ($(next_ele).hasClass('flatpickr-mobile')) {\n                                                            isValid = next_ele.checkValidity();\n                                                        }\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tif ( !isValid && $(this).closest('.elementor-widget').css('display') != 'none' && $(this).closest('[data-pafe-form-builder-conditional-logic]').css('display') != 'none' && $(this).data('pafe-form-builder-honeypot') == undefined &&  $(this).closest('[data-pafe-signature]').length == 0 || checked == 0 && $checkboxRequired.length > 0 && $(this).closest('.elementor-element').css('display') != 'none') {\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tif ($(this).css('display') == 'none' || $(this).closest('div').css('display') == 'none' || $(this).data('pafe-form-builder-image-select') != undefined || $checkboxRequired.length > 0) {\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t$(this).closest('.elementor-field-group').find('[data-pafe-form-builder-required]').html(requiredText);\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t} else {\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tif ($(this).data('pafe-form-builder-image-select') == undefined) {\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t$(this)[0].reportValidity();\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t} \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t}\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\terror++;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t} else {\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t$(this).closest('.elementor-field-group').find('[data-pafe-form-builder-required]').html('');\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tif ($(this).closest('[data-pafe-signature]').length > 0) {\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tvar $pafeSingature = $(this).closest('[data-pafe-signature]'),\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t$exportButton = $pafeSingature.find('[data-pafe-signature-export]');\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t$exportButton.trigger('click');\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tif ($(this).val() == '' && $(this).closest('.elementor-widget').css('display') != 'none' && $(this).attr('required') != undefined) {\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t$(this).closest('.elementor-field-group').find('[data-pafe-form-builder-required]').html(requiredText);\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\terror++;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t} \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t}\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t}\n\t\t\t\t\t\t\t\t\t\t\t\t\t}\n\t\t\t\t\t\t\t\t\t\t\t\t});\n\n\t\t\t\t\t\t\t\t\t\t\t\tif (error == 0) {\n\t\t\t\t\t\t\t\t\t\t\t\t\treturn true;\n\t\t\t\t\t\t\t\t\t\t\t\t} else {\n\t\t\t\t\t\t\t\t\t\t\t\t\treturn false;\n\t\t\t\t\t\t\t\t\t\t\t\t}\n\t\t\t\t\t\t\t\t\t    \t}\n\t\t\t\t\t\t\t\t\t\t\tvar isFirefox = typeof InstallTrigger !== 'undefined';\n\t\t\t\t\t\t\t\t\t    \t\/\/ fix alert ]\n\t\t\t\t\t\t\t\t\t        \/\/ Render the PayPal button into #paypal-button-container\n\t\t\t\t\t\t\t\t\t        paypal.Buttons({\n\n\n\t\t\t\t\t\t\t\t                onClick :  function(data, actions){\n\t\t\t\t\t\t\t\t                    if(!pafeValidateFormCONSULTA()){\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tif(isFirefox){\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tsetTimeout(() => {\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tpafeValidateFormCONSULTA()\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t}, 300)\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t}\n\t\t\t\t\t\t\t\t                        return false;\n\t\t\t\t\t\t\t\t                    }else {\n\t\t\t\t\t\t\t\t                        return true;\n\t\t\t\t\t\t\t\t                    }\n\t\t\t\t\t\t\t\t                },\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t            \/\/ Set up the transaction\n\t\t\t\t\t\t\t\t\t            createOrder: function(data, actions) {\n\t\t\t\t\t\t\t\t\t                return actions.order.create({\n\t\t\t\t\t\t\t\t\t                    purchase_units: [{\n\t\t\t\t\t\t\t\t\t                        amount: {\n\t\t\t\t\t\t\t\t\t                        \t\t\t\t\t\t\t\t\t\t                            \tvalue: '500',\n\t\t\t\t\t\t\t\t\t\t                        \t\t\t\t\t\t\t\t\t                        },\n\t\t\t\t\t\t\t\t\t                        \t\t\t\t\t\t\t\t                            \tdescription: 'Evaluaci\u00f3n Online',\n\t\t\t\t\t\t\t\t\t                        \t\t\t\t\t\t\t\t\t                    }]\n\t\t\t\t\t\t\t\t\t                });\n\t\t\t\t\t\t\t\t\t            },\n\t\t\t\t\t\t\t\t\t\t\t\t \/\/ Finalize the transaction\n\t\t\t\t\t\t\t\t\t\t\t\tonApprove: function(data, actions) {\n\t\t\t\t\t\t\t\t\t                return actions.order.capture().then(function(details) {\n\t\t\t\t\t\t\t\t\t                    \/\/ Show a success message to the buyer\n\t\t\t\t\t\t\t\t\t                    \/\/ alert('Transaction completed by ' + details.payer.name.given_name + '!');\n\t\t\t\t\t\t\t\t\t                    var $submit = jQuery(document).find('[data-pafe-form-builder-submit-form-id=\"CONSULTA\"]');\n\t\t\t\t\t\t\t\t\t                    $submit.attr('data-pafe-form-builder-paypal-submit-transaction-id', details.id);\n\t\t\t\t\t\t\t\t\t                    $submit.trigger('click');\n\t\t\t\t\t\t\t\t\t                });\n\t\t\t\t\t\t\t\t\t            },\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tonError: function (err) {\n\t\t\t\t\t\t\t\t\t            \tvar $submit = jQuery(document).find('[data-pafe-form-builder-submit-form-id=\"\"]'),\n\t\t\t\t                            \t\t\t$parent = $submit.closest('.elementor-element');\n\n\t\t\t\t                                    $parent.find('.elementor-message').removeClass('visible');\n\t\t\t\t                                    $parent.find('.pafe-form-builder-alert--paypal .elementor-message-danger').addClass('visible');\n\t\t\t\t                                    $parent.find('[data-pafe-form-builder-trigger-failed]').trigger('click');\n\t\t\t\t\t\t\t\t\t\t\t\t}\n\n\t\t\t\t\t\t\t\t\t        }).render('#pafe-paypal-button-container-CONSULTA');\n\t\t\t\t\t\t\t\t\t    <\/script>\n\t\t\t\t\t\t\t\t    \t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pafe-form-builder-alert pafe-form-builder-alert--paypal\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-message elementor-message-success\" role=\"alert\">Pago Realizado<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-message elementor-message-danger\" role=\"alert\">Pago Incorrecto<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pafe-form-builder-alert pafe-form-builder-alert--mail\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-message elementor-message-success\" role=\"alert\">Gracias por tu pago; en 48 horas recibir\u00e1s, en el correo electr\u00f3nico que  nos proporcionaste, tu diagn\u00f3stico y presupuesto para la cirug\u00eda, el cual  tiene una validez de 6 meses.<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-message elementor-message-danger\" role=\"alert\">An error occured.<\/div>\n\t\t\t\t\t\t\t\t\t<!-- <div class=\"elementor-message elementor-help-inline\" role=\"alert\">Server error. Form not sent.<\/div> -->\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div id=\"pafe-form-builder-trigger-success-CONSULTA\" data-pafe-form-builder-trigger-success=\"CONSULTA\" style=\"display: none\"><\/div>\n\t\t\t\t\t\t\t<div id=\"pafe-form-builder-trigger-failed-CONSULTA\" data-pafe-form-builder-trigger-failed=\"CONSULTA\" style=\"display: none\"><\/div>\n\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-283b3ac elementor-align-center elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"283b3ac\" data-element_type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<link rel=\"stylesheet\" href=\"https:\/\/bmedica.com.mx\/wp-content\/plugins\/elementor\/assets\/css\/widget-icon-list.min.css\">\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/bmedica.com.mx\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-home\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Regresar al inicio <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t<\/div>\n\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\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"brizy-blank-template.php","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_joinchat":[],"footnotes":""},"_links":{"self":[{"href":"https:\/\/bmedica.com.mx\/wp-json\/wp\/v2\/pages\/3516"}],"collection":[{"href":"https:\/\/bmedica.com.mx\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bmedica.com.mx\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bmedica.com.mx\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/bmedica.com.mx\/wp-json\/wp\/v2\/comments?post=3516"}],"version-history":[{"count":30,"href":"https:\/\/bmedica.com.mx\/wp-json\/wp\/v2\/pages\/3516\/revisions"}],"predecessor-version":[{"id":6009,"href":"https:\/\/bmedica.com.mx\/wp-json\/wp\/v2\/pages\/3516\/revisions\/6009"}],"wp:attachment":[{"href":"https:\/\/bmedica.com.mx\/wp-json\/wp\/v2\/media?parent=3516"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}