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Patient Info

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Last Name
Umbao
First Name
Rachell Ann
Middle Name
Tayoto
Birthdate
September 14, 1999
Age
24
Street
Florida
Barangay
Palanan
City
Makati
Country
Zip Code
Contact number
09053267280
Procedure
11/18/23- OP (moderate) -Class III Distal on 21>a3 Charisma >a2 Esthetica -Class III Mesial on 22> a3 Charisma >a2 esthetica Plus ***For Tooth Resto #21M, 11 M&D, 12M&D, 34, 41 class IV
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Retain Record
Yes