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Last Name
Evangelista
First Name
Marry Joy
Middle Name
Birthdate
April 22, 1992
Age
Street
Barangay
South Signal
City
Taguig
Country
Zip Code
Contact number
09613141322
Procedure
01/28/24 RCT XRAY 02/04/24 #21 - 21mm #11 - 22mm dressing; camphenol 02/14/24 RCT #21, 11 dressing: camphenol 02/24/24 tooth #11-Formocresol #21-Caoh w/ barium 03/06/24 -RCT #11 obturated 21 + CAoH #11-sealed w/Bio C-sealer -night guard protector -shade A3 B2 INC 03/20/24 obturate 21-mastercane 35 sealer B C-sealer 03/27/24 pt accidentally bite #12 fracture at incisal area to distal part- Php 1000 08/06/24 Op w/air polisher 02/15/25 LC #15 O,D Caoh LC #16 Occ,Mesial,lingual repair veneer op w/ air polisher
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Retain Record
Yes