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Last Name
chen
First Name
angelica
Middle Name
Birthdate
Age
Street
Barangay
City
Country
Zip Code
Contact number
Procedure
05/24/23- Ortho Intraoral and extraoral photos/Impression Radiograph/OP/REATTACH (new bracket) #26, #32, #43/UL : SS - 16 09/12/23- 18 ss UL ***22 for build up- peg shape lateral mesialize 14- closing space 12- tip buccally 10/18/23- 18ss U/L tied upper with ligature wire lower individual class III elastic fox next visit on December due to delivery date (pregnant)
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Retain Record
Yes