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Patient Info

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Last Name
Rey
First Name
Ronald
Middle Name
Birthdate
Age
37
Street
Barangay
City
Country
Zip Code
Contact number
09859422124
Procedure
02/28/24 -check up 03/08/24 -Exo #11,21 with gel foam #16 #26 04-05-24 5,000 stay plate shade A3 for trial wax on April 13 for LC #22/12 (M) DP-2,500 04/13/24 trial 04/26/24 LC #21 m #12 m clasp
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Retain Record
Yes