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content-disposition: form-data; name="_token"

7snBjjLspDDRKLCZBb43WNwdC7QZmAAhbQ1yD02U
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content-disposition: form-data; name="customer_id"

5485fa38-c269-4b93-9ddf-5e20ace923b9
------WebKitFormBoundaryBQnxsiWci0tnqJpH
content-disposition: form-data; name="date_of_injury"

05/14/2025
------WebKitFormBoundaryBQnxsiWci0tnqJpH
content-disposition: form-data; name="category_id"

10000
------WebKitFormBoundaryBQnxsiWci0tnqJpH--
