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Patient Info

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Last Name
Roque
First Name
Izn
Middle Name
Obdin
Birthdate
October 8, 2015
Age
7
Street
Espiritu
Barangay
751
City
Manila
Country
Philippines
Zip Code
1017
Contact number
09175106624
Procedure
08/08/23- sedation/LC #62,LC#73,83 Sealant 4, exo 4, OP/Gel Foam/Laser LC #62,73,83/ Sealant 4/ exo 4 Cleaning/gelfoam/laser 08/18/23- check up ***DECEMBER FOR CHECK UP
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Retain Record
Yes