医療フォームの手書き編集

Change the handwritten name 'J lakshmi' to 'J sreedevi', change age '35' to '25', change date to '2/10/2026', change address to 'thimmana gari palem', and change mobile number to '9490969126'. Keep the exact same handwriting style, same ink color, same position on the form. Do not alter the printed text, logo, or illustration. Only modify the handwritten entries.