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Patient History Format: / / NAME:Birthdate: / / Last First M. I. Age: Sex: FM How did you hear about this clinic? Describe briefly your present symptoms:Please list the names of other practitioners
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Age, sex, female, male
Any individual or organization gathering demographic information.
Provide the age and sex of individuals, specify whether they are female or male.
To collect demographic data for analysis and decision making.
Age and sex of individuals, specifying if female or male.
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