填空题 Questions 1-5
Complete the information in the registration form.
Brent Street Clinic—Registration Form

Family name

Given name

1. 1

Pat

Address:Sreet

Town

Postcode

2. 2

Newtown

3. 3

Telephone number 4. 4
Date of birth 5. 5
  • 1、
  • 2、
  • 3、
  • 4、
  • 5、
【正确答案】 1、**unknown,    2、**unknown,    3、**unknown,    4、**unknown,    5、**unknown    
【答案解析】1st October 1988