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Patient Info

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Last Name
MANIBO
First Name
ULYSSES
Middle Name
L
Birthdate
September 29, 1992
Age
26
Street
Barangay
City
Country
PHILIPPINES
Zip Code
Contact number
09351820238
Procedure
09-04-2019 > OP = 800 ORAHEX = 200 > FOR LC #23 = 1,500 # 14 = FREE #44 = 1,000
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Retain Record
Yes