Prenatal Visits

[text name="variable_1" default="sample text"] year old female present to clinic for 
[text name="variable_2" default="sample text"] week prenatal visit.  The patient has no new health concerns at this time.  The patient denies[text name="variable_2" default="sample text"] fevers, headache, nausea, constipation, abdominal pain, vaginal bleeding, leaking of fluids, and contractions.
year old female present to clinic for
week prenatal visit. The patient has no new health concerns at this time. The patient denies fevers, headache, nausea, constipation, abdominal pain, vaginal bleeding, leaking of fluids, and contractions.

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0, 3 form elements, 36 boilerplate words, 3 text boxes, 3 total clicks
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