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Last Name
Reyes
First Name
Pauline Nichole
Middle Name
Lopez
Birthdate
May 31, 1994
Age
28
Street
Barangay
City
Country
Zip Code
Contact number
09065353575
Procedure
4/15/23-Check up #15 for RCT 10/21/23- LC #47- Buccal/Occlusal, #16- Lingual/Occlusal, X-RAY 10/28/23- 17 extraction with ozone and gel foam fully paid 8999 package
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Retain Record
Yes