A FORM to take Client data
Example Name
More Name
More Name
More Name
| Name: | Example | Name |
| Date of Birth: | 23/09/1873 | |
| Email Address: | exaname@blabla.zu | |
| Phone: | +64 419 46321 | |
| Address: | 19 Mormon Road, Burkina ZIP: 12343M | Somecountry |
Anamnesis:
Here comes the Amanmesis…
A form that allows to edit Client Data