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Last Name
Las Piñas
First Name
John Ruzzel
Middle Name
Pagdunzolan
Birthdate
February 5, 2006
Age
12
Street
Lapu- Lapu
Barangay
Upper Bicutan
City
Taguig
Country
Philippines
Zip Code
Contact number
9123895199
Procedure
08-15-2018 > XRAY #16 = 580
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Retain Record
Yes