Listen to the conversation twice. Fill in each blank space with no more than one word or numbers.

TOTAL HEALTH CLINIC

PATIENT DETAILS

               Personal In formation

 

                      Name:                                Julie Anne Garcia

                      * Contact phone:                 (6) _{……………………………..}

                      * Date of birth:                    (7) _{……………………………..} October 1992

                      * Occupation works as a:     (8) _{……………………………..}

                      * Insurance company:          (9) _{……………………………..}life insurance

               Details of the problem

                      * Type of problem:              pain in her left (10) _{……………………………..}

                      * When it began:                 (11) 3 _{……………………………..}ago

                      * Action already taken:        has taken pain killers and applied ice

               Other information

                      * Sports played:                   belongs to a (12) _{…………………………..}club

                                                                 goes (13) _{……………………………..}regularly

                      * Medical history:                injured her (14) _{…………………………..}last year

                                                                 no allergies

                               no regular medication apart from (15) _{……………………………}