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Patient Info
- Profile picture

- Last Name
- Domantay
- First Name
- Jacklyn
- Middle Name
- B
- Birthdate
- June 22, 1992
- Age
- 26
- Street
- City
- Tarlac
- Country
- Philippines
- Zip Code
- Contact number
- 9173533098
- Procedure
- 07/27/21- RC 16niti UL 08/21/21- antigen swab test positive request for RT PCR 09/08/21 - 16*16ssU/18ssL canine to canine elastic chipmunk 10/08/21- adj 16*16 ssU/ 18niti lower chipmunk elastic canine upper to lower canine to pm IPR 22/21 Lc #16 occ with CAOH 11/12/21- IPR 11/12/22/21 lower double wire 18niti to 16x16ss 6 lower antrior teeth cinch out 12/03/21- same wires/elastic chipmnk 13-14 to 44/ 23 to 33/ 24 to 34 1/7/22- 16x16 U ss/ L 16x16 niti penguin 13 to 16 - 43/44/ 23 to 26 - 33-35 2/1/22- same wire upper/ RPI MD 13/23- distalize for canine guidance/ L 16x16ss/ penguin class 2 elastic 2/25/22- class 2 elastic- penguin/ upper chain. 05/06/22 - cross elastic on posterior- monkey/ elastic extra hook to 3's lower- chipmnk. same wire 06/18/22 - same wire/ posterior elstic penguin/ 3s' to hook chpmnk 08/06/22- same wire/ right Q- rabbit inverted triangle/ Left q-rabbit box elastic 09/24/22- same wire/ chipmunk 13-14 to 44/ 23-24 to 34 11/18/22-adj 1/7/23- Removal of Braces/Lingualretainer
- File
- domantay_16.jpg
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- 20230107_134447.jpg
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- Retain Record
- Yes