Assuming you know how to weld it's no problem. You'll have to hog out the holes a bit so the metal is flat, looks like it's pulled out a bit. Cut a little patch and use a small magnet to hold it in place, do a couple tacks, cool with air if you have a compressor and slowly close the tacks.
I will be doing the same thing shortly, hate those massive arms bolted to the door, looks awful and always damages the door skin.
^^^ Basically this
Body work the panel to the correct shape first
Cut the hole slightly larger to remove the jagged edges
Cut a repair piece from a donor piece of steel
Adjust (file, grind, bend and shape) your patch panel until it fits perfect and matches the profile of the body
Weld it up or have it welded up
Note:
As the piece gets tacked in plan to adjust it before each tack to get the patch as flush with the body panel as possible
Your small patch will be pretty much locked in place after 2 or 3 tacks
You can push/pull from the backside, if it's in a spot that has no access to the backside, thin screwdrivers, picks or pocketknives can be used to pry the patch panel where it needs to be.
Never use overlap joints for patching body panels, they're near impossible to do any shaping or bodywork on
Paint, rust or anything besides bare clean steel can make welding a real PIA
Remove the paint back 1/4" or more from the edges of your hole and patch panel
Clean the backside of the sheet metal at least 1/4" also
Here's an example of the tacking in a patch on my hood, between each of these tacks I had to either pry up or tap down my patch so it was flush. Once I got to this point the patch was locked in place and could not get out of adjustment, I just skipped around the perimeter tacking and letting it cool until fully welded.
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Here is after grinding, filing and a little body work but before body filler.
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