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Patient Info

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Last Name
Cu
First Name
Keisha Monica
Middle Name
Birthdate
April 10, 2005
Age
16
Street
-A Caliraya corner Lanao Lake, Marian Lakeview Park
Barangay
City
Country
Philippines
Zip Code
Contact number
09175217799
Procedure
07/31/21 adj 16*22UL 10/08/21- adj 16*22UL extra hook on 12/22- class 2 elastic- rabbit RPI- 11/21/22/12 *reattached 26 11/12-21 RPI 11/22/12/21 class 2- force2 reattched 26 *check panoramic- third molar 12/29/21- ADJ Penguin box elastic 02/11/22- adj/ rabbit elastic class 2 3/19/22- class 3 elastic - penguin box elastic fox= 11-13 to 43-44/ 21-23 to 33-34. same wire 4/19/22- cross elastics both RL/ same wire 05/24/22 - criss cross elastic penguin 14-15 to 44-45/ 24-25 to 34-35 class 2 elastic rabbit RPI 11/12/21/22 07/28/2022- change echain only(for close wire ligation) 09/03/22- bracket removal/ OP impression upper and lower lingual retainer installed upper LC build up 46/ with xray/ did not remove the CAOH.- Occlusal Buccal, extended to lingual LC 36 Buccal pit 02/03/23-- OP/ 10/28/23- OP LC- # 17 Occ + Lingual # 27 Occ + Lingual #25 Occlusal -----REMIND PATIENT ON MAY 2024 FOR OP 06/08/24 OP
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Retain Record
Yes