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Patient Info

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Last Name
Paña
First Name
Rochelle
Middle Name
Mariano
Birthdate
December 19, 1976
Age
46
Street
2303 Makata Street
Barangay
358
City
Sta Cruz Manila
Country
Philippines
Zip Code
Contact number
09682207225
Procedure
05/10/23- check up 05/13/23- RCT Access Prep #11, #21 Closed with eugenol 05/18/23- RCT - Cleaning & Shaping/#11 - 23.5mm closed w/ formocresol #21- 24mm closed w/ formocresol 05/24/23- RCT - Cleaning and Shaping #11 - 23.5mm closed with Camphenol #21 - 24mm closed with Formocresol 05/30/23- RCT - obturate and final restoration #11/ #21 Resto #21M Impression 07/11/2023- fully paid 30, 000 total
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Retain Record
Yes