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New Patient Registration Form Patient Information: NAME FirstMiddleLastCITYPROVPOSTAL HEADDRESS:DATE OF BIRTH / M / HYPHEN (ACH)SEEM / FELL PHONE:HOME PHONE: WORK PHONE: NEXT OF KIN/EMERGENCY CONTACT
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What is d m yy?
D M YY is a date format that represents day, month, and year.
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Anyone who needs to report information related to a specific date.
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You can fill out D M YY by entering the day, month, and year accurately in the specified format.
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The purpose of D M YY is to accurately record and report dates.
What information must be reported on d m yy?
The date in the format of day, month, and year.
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