\(P=\dfrac{x-9-x+3\sqrt{x}}{x-9}:\dfrac{9-x+x-9-x+4\sqrt{x}-4}{\left(\sqrt{x}+3\right)\left(\sqrt{x}-2\right)}\)
\(=\dfrac{3\left(\sqrt{x}-3\right)}{x-9}\cdot\dfrac{\left(\sqrt{x}+3\right)\left(\sqrt{x}-2\right)}{-\left(\sqrt{x}-2\right)^2}\)
\(=-\dfrac{3}{\sqrt{x}-2}\)