First and last

This is the first and last time I'm doing this.

Hi, Yes, I'm here to register as a new primary care patient. OK, I'll have you fill out a form on this digital tablet, but first I need your first and last, date of birth, and the last four of your social [the ending digits of an identification number].

He is a gentleman, first and last.

I had been a cad, a scoundrel, first and last. Sofia had been courageous in her misfortune; she had never wished to be a burden on me; she had hidden nothing from me as regards her past; I had sworn that her past no longer mattered, and then I had beaten her nearly to death.