General & Administrative
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constitutional symptoms[textarea name="field_name" default="sample text"]
eyes [textarea name="field_name" default="sample text"]
Ears, Nose, Mouth and Throat [textarea name="field_name" default="sample text"]
Heart [textarea name="field_name" default="sample text"]
Respiratory [textarea name="field_name" default="sample text"]
Gastrointestinal[textarea name="field_name" default="sample text"]
Genitourinary [textarea name="field_name" default="sample text"]
musculoskeletal [textarea name="field_name" default="sample text"]
integumentary (skin or breast) [textarea name="field_name" default="sample text"]
neurological [textarea name="field_name" default="sample text"]
psychiatric [textarea name="field_name" default="sample text"]
endocrine [textarea name="field_name" default="sample text"]
hematologic/lymphatic [textarea name="field_name" default="sample text"]
allergic/immunologic [textarea name="field_name" default="sample text"]
constitutional symptoms
eyes
Ears, Nose, Mouth and Throat
Heart
Respiratory
Gastrointestinal
Genitourinary
musculoskeletal
integumentary (skin or breast)
neurological
psychiatric
endocrine
hematologic/lymphatic
allergic/immunologic
Result - Copy and paste this output: