フィットノートのフォーム編集

Edit the form text. Change patient name from 'Nicusor Robert Tana' to 'Catalin Dan Leopa'. Change 'I assessed your case on' date to '30/10/2026'. Change the dates '28/09/2026' and '02/10/2026' to '30/10/2026' and '03/11/2026'. Under Your Details: Surname 'Leopa', Other Names 'Catalin Dan', Address '49 chalforde gardens, London', Postcode 'RM2 6BU', Date of Birth '28/01/1978'.