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Last Name
Casabar
First Name
Mary Grace
Middle Name
Pacaigue
Birthdate
December 21, 1984
Age
37
Street
Tindalo
Barangay
San Martin de Porres
City
Paranaque
Country
Philippines
Zip Code
1713
Contact number
09175411212
Procedure
04/02/22 - extraction 37 odontectomy 38 laser hemo 5 sutures- surgeons knot xray 04/09/22 - suture removal/ irrigate/ 5 sutures removed 11/05/24 EXO #18 & #28 11/13/24 Install of Ceramic brace U/L 60,000 dp 10,000 11/29/24 Reattached #35 12/13/24 Adj same wire 01/04/25 Adj same wire new buccal tube Reattached #45 02/07/25 Adj 16 NITI U/L IPR #12/32 03/11/25 Adj reattached #15 04/09/25 16 SS U 18NIti L chain 22-12 IPR-4 front teeth upper 05/16/25 adj w / flouride IPR lateral to lateral #12 L #11 M #21D #22 M for Resto 06/-7/25 IPR #12 M chain 4 ant. U reattached #22 07/09/25 18 SS U/L 08/02/25 same wire 09/20/25 same wire class II elastic rabbit 3.5oz (canine to lower molar) chain canine to canine 11/19/25 adjustment 12/20/25 adjustment rabbit 3.5oz 02/19/26 Adjustment Replace new bracket #45 Rabbit 3.5oz
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Retain Record
Yes