The doctor said to the patient, “I hope you are better now.” Change into Indirect Speech
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Indirect Speech: The doctor told the patient that he/she hoped he/she was better then.
Explanation: When the reporting verb is in the past (said) and the direct speech is in the present indefinite tense (simple present tense), then the indirect (reported) speech will change into the past indefinite tense.
Present Indefinite Tense > Past Indefinite Tense.
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