Edit Record Check our patient data records. Add patient information Patient Info Profile picture Last Name First Name Middle Name Birthdate Age Street Barangay City Country Zip Code Contact number Email Procedure 11/8/25 Consultation for Cleaning/Pasta/Veneers/Whitening 11/11/25 Teeth Whitening initial shade: upper a1 lower a2 after Tx: upper B1/ lower a1 12-11-21-22 for emax veneers 25k less 20%= 20k per unit total of 80k 11/25/25 prep for indirect veneer - emax tooth #12 to #22 paid 40k balance 40k 12/4/25 Installation of indirect veneers #22, 21, 11, 12 Paid bal. = 40k 03/04/26 OP Veneers Polished #12-22 File File 2 File 3 File 4 File 5 File 6 File 7 File 8 File 9 File 10 File 11 File 12 File 13 File 14 File 15 File 16 File 17 File 18 File 19 File 20 Retain Record Retain Record Yes No Save Your Changes
