(a) Nombre completo, dirección, número de teléfono, edad y fecha de nacimiento del cliente;
(b) lugar del cuerpo donde se hizo la perforación;
(c) joyería u objetos utilizados;
(d) equipo utilizado;
(e) día en que se hizo el body piercing;
(f) nombre del body piercer que hizo la perforación, y
(g) firma del cliente.
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