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Patient Info

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Last Name
Samonte
First Name
Jastine May
Middle Name
Surban
Birthdate
Age
Street
Unit 4233 San Benissa Garden Villas
Barangay
City
Quezon City
Country
Zip Code
Contact number
09171039016
Procedure
01/31/24 check-up for veneers OP (heavy) xray 02/10/24 extraction #36 ozone suture xray 02/24/24 gingivectomy #13 to #23 laser gingivectomy #13-1mm #12-2mm #11-1mm-2mm #21-1mm-2mm #22-2mm #23-1mm 03/09/24 6 unit veneers -#13 to 23 DCV shade A2/B2 -10,124 -for mouth guard note: Patient has bruxixim attritim cusp on lower 4th quadrant clasds 3 edge on #rd Quadrant
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Retain Record
Yes