diff --git a/Modules/HospitalPortal/Http/Controllers/Api/MemberController.php b/Modules/HospitalPortal/Http/Controllers/Api/MemberController.php
index 7e3de299..8f95823b 100644
--- a/Modules/HospitalPortal/Http/Controllers/Api/MemberController.php
+++ b/Modules/HospitalPortal/Http/Controllers/Api/MemberController.php
@@ -108,6 +108,17 @@ class MemberController extends Controller
 
                 $res_data['providers'] = $providers;
 
+                //company
+                $companies =  DB::table('corporates')
+                ->where('corporates.active', '=', 1)
+                ->select(
+                    'corporates.id',
+                    'corporates.name'
+                )
+                ->get();
+
+                $res_data['companies'] = $companies;
+
                 
                 return ApiResponse::apiResponse("Success", $res_data, trans('Message.success'), 200);
             }
diff --git a/Modules/HospitalPortal/Http/Controllers/Api/RequestLogController.php b/Modules/HospitalPortal/Http/Controllers/Api/RequestLogController.php
index 67c8e2a2..e531bdb6 100644
--- a/Modules/HospitalPortal/Http/Controllers/Api/RequestLogController.php
+++ b/Modules/HospitalPortal/Http/Controllers/Api/RequestLogController.php
@@ -29,6 +29,7 @@ class RequestLogController extends Controller
             'organization_name' => $request->organization_name,
             'address_provider' => $request->address_provider,
             'submission_date' => $request->submission_date,
+            'corporate_id_partner' => $request->corporate_id_partner,
         ];
         $validator = Validator::make($request->all(), [
             'member_id' => 'required',
@@ -83,6 +84,7 @@ class RequestLogController extends Controller
                             'name' => $request->organization_name,
                             'code' => $kodeOrganisasi,
                             'type' => 'hospital',
+                            'corporate_id_partner' => $request->corporate_id_partner ? implode(',', $request->corporate_id_partner) : null,
                             'created_at' => now(),
                             'created_by' => auth()->user()->id
                         ]);
diff --git a/frontend/hospital-portal/public/lang/en-US.json b/frontend/hospital-portal/public/lang/en-US.json
index c2240c3e..8791f8a0 100644
--- a/frontend/hospital-portal/public/lang/en-US.json
+++ b/frontend/hospital-portal/public/lang/en-US.json
@@ -49,5 +49,6 @@
   "txtUnm" : "unread messages",
   "txtNew" : "New",
   "txtBeforeThat" : "Before that",
-  "txtDischargeDate" : "Discharge Date"
+  "txtDischargeDate" : "Discharge Date",
+  "txtPatner" : "Patner"
 }
diff --git a/frontend/hospital-portal/public/lang/id-ID.json b/frontend/hospital-portal/public/lang/id-ID.json
index 4d9cca02..6f85bbb5 100644
--- a/frontend/hospital-portal/public/lang/id-ID.json
+++ b/frontend/hospital-portal/public/lang/id-ID.json
@@ -49,5 +49,6 @@
   "txtUnm" : "pesan yang belum dibaca",
   "txtNew" : "Baru",
   "txtBeforeThat" : "Sebelum",
-  "txtDischargeDate" : "Tanggal Keluar"
+  "txtDischargeDate" : "Tanggal Keluar",
+  "txtPatner" : "Rekanan"
 }
diff --git a/frontend/hospital-portal/src/sections/dashboard/FormRequestLog.tsx b/frontend/hospital-portal/src/sections/dashboard/FormRequestLog.tsx
index 19d5d8c2..70bb881a 100644
--- a/frontend/hospital-portal/src/sections/dashboard/FormRequestLog.tsx
+++ b/frontend/hospital-portal/src/sections/dashboard/FormRequestLog.tsx
@@ -12,7 +12,7 @@ import { Card } from '@mui/material';
 import { Stack, Typography } from '@mui/material';
 import axios from '@/utils/axios';
 import { enqueueSnackbar } from 'notistack';
-import { useRef, useState, useContext } from 'react';
+import { useRef, useState, useContext, useEffect } from 'react';
 import { makeFormData } from '@/utils/jsonToFormData';
 import { format } from 'date-fns';
 import { LanguageContext } from '@/contexts/LanguageContext';
@@ -27,6 +27,7 @@ interface MemberType {
     members: any;
     services: any;
     providers:any;
+    companies:any;
 }
 interface FormRequestClaimProps {
     member: MemberType;
@@ -40,6 +41,18 @@ export default function FormRequestClaim({ member, handleSubmitSuccess }: FormRe
     const [submissionDate, setSubmissionDate] = useState<string>(format(new Date(), "yyyy MMM d HH:mm:ss"));
 
     const [submitLoading, setSubmitLoading] = useState<boolean>(false);
+
+    const [corporate_id_partner, setCorporateIdPartner] = useState<any>([]);
+    useEffect(() => {
+        setCorporateIdPartner(member?.companies?.map((item: { id: any; name: any; }) => ({ value: item.id, label: item.name })));
+      }, []);
+    const [selectedCorporatID, setSelectedCorporateID] = useState<any>([]);
+ 
+    const handleSelectChangePatner = (event:any, selectedOptions:any) => {
+        const selectedValues = selectedOptions.map((option: { value: any; }) => option.value);
+        setSelectedCorporateID(selectedValues);
+    };
+
     function submitRequest() {
         if(!idProvider&& (name == '' || alamat == ''))
         {
@@ -63,7 +76,8 @@ export default function FormRequestClaim({ member, handleSubmitSuccess }: FormRe
             organization_id: idProvider,
             organization_name : name,
             address_provider: alamat,
-            submission_date: fPostFormat(submissionDate, 'yyyy-MM-dd HH:mm:ss')
+            submission_date: fPostFormat(submissionDate, 'yyyy-MM-dd HH:mm:ss'),
+            corporate_id_partner: selectedCorporatID
         };
         axios
         .post('/request-log', formData)
@@ -150,15 +164,28 @@ export default function FormRequestClaim({ member, handleSubmitSuccess }: FormRe
                     <Stack direction="column" spacing={1} padding={1}>
                         <Typography variant='body2'>{localeData.txtAddNew} *</Typography>
                         <TextField
+                        required={true}
                         label={localeData.txtName}
                         fullWidth
                         onChange={(e) => setName(e.target.value)}
                         />
                         <TextField
+                        required={true}
                         label={localeData.txtAddress}
                         fullWidth
                         onChange={(e) => setAlamat(e.target.value)}
                         />
+                        <Autocomplete
+                            id="corporate_id_partner"
+                            options={corporate_id_partner}
+                            getOptionLabel={(option:any) => option.label}
+                            value={corporate_id_partner.filter((option: { value: any; }) => selectedCorporatID.includes(option.value))}
+                            onChange={handleSelectChangePatner}
+                            multiple
+                            renderInput={(params) => (
+                            <TextField {...params} label={localeData.txtPatner} fullWidth />
+                            )}
+                        />
                     </Stack>
                 )}
                 <FormHelperText style={{ color: 'red' }}></FormHelperText>