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 08-17-2019 > OP + FLOURIDE = 1,000 08-24-2019 > SEALANT #16 = 800 #26 = 800 08-31-2019 > #36 - GI RESTO = 800 #46 - GI RESTO = 800 02-29-2020 > OP = 600 > SEALANT = 800 > #65 LOWER =800 12/15/21- OP\ 6/25/22- op 12/3/22- op/fluoride/ sealant x 3 06/28/23- Informed Consent & Ortho Agreement Ortho Installation MBT .022 UL - NiTi-14 Buccal Tube #16, #26, #35 #22 for reshaping 07/27/23- intra oral scanning EF line myofunctional braces Deep bite Class II 08/12/23- installation of EF line Class 2- standard 12/02/23- OP 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