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Last Name
Panila
First Name
Alvin
Middle Name
latonio
Birthdate
December 4, 1991
Age
31
Street
Barangay
City
San Pedro laguna
Country
philippines
Zip Code
Contact number
09393850171
Procedure
08/24/2023- OP with stain removal ***incepient caries 14/ 48 08/25/23- #37 - DO
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Retain Record
Yes