医療フォームの日付編集

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Reference
プロンプト

Edit this medical form. Change the date 6/10/26 to 25/9/26. Add 'high fever' and 'ankle sprain' to the diagnosis/symptoms section. In the advice/treatment section, add 'rest till 19 oct'. Keep all other handwritten text exactly the same. Use blue ink handwriting style matching the form.

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