Complete the patient admission form with the missing information. Two words are extra. Patient Name: Steve Smith Date of Birth: 03/09 Marital Status: Chief Complaint: pain and Medical History: a patient had removed when he was ten and broke both when he was 15. Allergies:

Задание

Complete the patient admission form with the missing information. Two words are extra.

Patient Name: Steve Smith
Date of Birth: 03/09
Marital Status: ...

Chief Complaint: ... pain and ...

Medical History: a patient had ... removed when he was ten and broke both ... when he was 15.

Allergies: ...