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Patient Info

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Last Name
Viloria
First Name
Ma Teresa
Middle Name
Birthdate
November 9, 1964
Age
Street
901 jakarta bldg. raya garden Merville
Barangay
City
Paranaque
Country
PH
Zip Code
Contact number
Procedure
12/3/23- impression UL flexite dentures shade A3 Dp of 5000 OP 12/12/23- trial wax with pontic retake impression UL- for die stone Dp of 5,000 12/22/23- Balance for Dentures 15,000 Paid LC#23- Distal-Labial, Mesial-Labial, CAOH 01/14/24 check up 02/24/24 filling #15 distal 03/19/24 OP denture cleaning
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Retain Record
Yes