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Last Name
Ambos
First Name
Adelfa
Middle Name
Macay
Birthdate
May 2, 1999
Age
24
Street
6 taytay brgy.169 Malibay
Barangay
brgy 169
City
Pasay
Country
Philippines
Zip Code
1004
Contact number
09185609937
Procedure
03/08/24 -OP mild -EXo #47 #37 #46 #36 with gelfoam 03/23/24 Lc 11 26 MD 27 OD 24 O 04/06/24 LC #16 occlusal mesial #47 occl #37 occl fiber 06/21/24 install of brace upper 07/20/24 install lower brace 14 NITI U/L 08/17/24 Adj LC #21 M 09/14/24 Adj same wire 10/12/24 ADJ coil spring #44, 45 elastic rabbit 3.5 10/19/24 reattached #16 11/09/24 16 NITI U 12/07/24 16 NITI L open spring 35-34 01/11/25 16 NITI L coil spring #34-33 03/01/25 adj same wire RW #32 rotate #41 w/ lingual button #42 04/05/25 Adj class II elastic rabbit 5oz same wire 05/10/25 adj 16 SS U 18 NITI L IPR #11/21 M chain #11/21 06/14/25 18 SS UPPER 16 SS LOWER CLASS II ELASTIC - RABBIT 3.5OZ WITH LOOPS ON MESIAL OF 11/12 07/18/25 adj 08/15/25 same wire 09/13/25 same wire class II elastic chipmunk 5oz 10/11/25 same wire class II elastic rabbit 5oz. 11/13/25 adj 16x22 ss U/ 18 ss lower 11 distal- C. hook/ 21 distal- C.hook class II elastic rabbit 5 oz mesial 21 bend 42 mesial bend 12/13/25 adjustment 16x22 SS Upper 18 SS Lower refill elastic rabbit 5oz 01/10/26 adjustment 16x22 SS Upper 18 SS Lower kobayashi wire chipmunk 3.5oz 03/04/26 Removal of braces
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Retain Record
Yes