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Patient Info

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Last Name
Matanog
First Name
Haiqa
Middle Name
Bonsalagan
Birthdate
June 12, 2015
Age
9
Street
Rubi St
Barangay
Upper Bicutan
City
Taguig
Country
Philippines
Zip Code
Contact number
9173266595
Procedure
06-05-2018 > FOR FLOURIDE AND CLEANING / CHECK UP 06-16-2018 > FLOURDE & BRUSH = 800 02-01-2019 > GI UPPER (D) 03-01-2019 FLOURIDE AND BRUSH =800 06-02-2019 > OP = 500 07-06-2019 > upper (d) left = 400 > upper (d) right = 400 12-21-2019 > op = 500 03/12/22 Op/ Fluride 07/15/23- Air Flow/ 07/20/24 OP 01/25/25 OP 11/08/25 oral prophylaxis with air polish (moderate) 02/14/26 OP airpolisher Sealant #34 #36 #44
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Retain Record
Yes