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Patient Info

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Last Name
Icalabis
First Name
Mark Anthony
Middle Name
Dela Pena
Birthdate
April 3, 1990
Age
28
Street
Tariwara Pandan Catanduanes
Barangay
City
Country
Philippines
Zip Code
Contact number
9394114946
Procedure
07/31/21 adj 16x22 UL 09/24/21- removal of lower braces exo 46/ upper adjustment chain 10/23/21- removal of braces upper and lower (for resto: 36/37/47 RCT #11- open canal 26mm= camphenol 11/3/21- 26mm yellow and white file apexcal composite veneer #11 11/08/21 - red file/ laser RCt tx for obturation next meeting 11/13/21 - obturation 26mm with restoration lingual pit 03/5/22- LC 26 Lingual pit, Occ/ Op
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Retain Record
Yes