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print("Hello world");
export const PatientsFormData = {
PatientInformation: {
PatientName: "John Doe",
DateOfBirth: "1980-05-15",
SubscriberID: "SUB123456",
SubscriberName: "John Doe",
TodaysDate: "2023-10-01",
DateOfService: "2023-10-01",
ZipCode: "12345",
InsuredRelation: "SELF",
{
"json": {
"patientInformation": {
"patientId": "123",
"firstName": "",
"lastName": "",
"dateOfBirth": "11/21/2024",
"ssn": "",
"zip": ""
},