1690s, "work composed of ill-sorted parts clumsily put together;" 1720s (though perhaps the older sense) "work composed of pieces of various colors or figures sewed together;" from patch (n.1) + work (n.). As an adjective, "made up of odds and ends," from 1713.
Pat
pat
Patagonia
patch
patchouli
patchwork
patchy
pate
patella
paten
patency