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Last Name: Torquator

First Name: Rachel Anne

Middle Name: Rufila

Birthdate: August 19, 1992

Age: 31

Street: Maya Ext

Barangay: Brgy Rizal

City: Makati City

Country: Philippines

Zip Code: 1218

Contact number: 09291735500

Email: raych_rtorquator@yahoo.com

Procedure: 01/16/24 EXO #16 xray #14 for RCT - 2 canals 01/23/24 initial RCT tooth # 24 mb canals dressing: Eugenol 01/26/24- tooth #24 formocresol Lingual: 22mm buccal: 19mm 02/02/24 tooth #24 dressing; CaOh 02/07/24 obturation for filling 02/12/24- veneers from 14 to 24 shade A2, A3 #14 with fiber thread 02/15/25 OP air polisher polisher veneer repair#12 D repair #22 M 12/02/2025 OP mild air polisher PA xray #27 EXO #27 w/ suture, w/ gel foam Cleaning Repair Veneer #12 Distal

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Retain Record: Yes