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Patient Info

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Last Name
Elauria
First Name
Elmar
Middle Name
Macalalad
Birthdate
December 6, 1994
Age
23
Street
Blue Isle
Barangay
Sta Maria
City
Sto. Tomas
Country
Philippines
Zip Code
Contact number
9455268038
Procedure
09-05-2018 > OP =800 > CONSULTATION > TMJ > LOCK JAW > CLASS III OCCLUSION
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Retain Record
Yes