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Patient Info

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Last Name
Goc
First Name
Lheizelle Chariz
Middle Name
Atienza
Birthdate
October 18, 2005
Age
12
Street
Bonifacio
Barangay
Central Bicutan
City
Taguig
Country
Philippines
Zip Code
Contact number
Procedure
08-17-2018 > OP = FREE > #46 - O B- 800 > #47 - O+CAOH = 800 08-28-2018 > #36 - O = 800 > #37 - O +CAOH = 800 09-04-2018 > #16 -OCCLUSAL+LINGUAL= 800 > #26 =FREE - LINGUAL -FREE 09-11-2018 > FLOURIDE = FREE
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Retain Record
Yes