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Patient Info

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Last Name
Aragon
First Name
Mia Angela Emmanuelle
Middle Name
Martinez
Birthdate
May 28, 2011
Age
13
Street
N/A
Barangay
n/a
City
Paranaque
Country
Philippines
Zip Code
Contact number
09913498107
Procedure
06-08-2018 > FLOURIDE = 500 > CLEANING = 500 > #6 SEALANT = 500 06-22-2019 > UPPER D LEFT - EXO = 550 05/29/24 OP cast analyse intra/extra oral photos 12 series PA 06/08/24 NITI 14 U MBT slot 0.22 06/12/24 check up 06/22/24 Exo #24 gel foam 07/13/24 Adj 16 NITI U Exo #25 08/10/24 instal L 14 Niti upper 16SS U 09/07/24 Adj 16 NITI L3rd hook upper 10/05/24 same wire IPR #44-34 11/09/24 Adj 18SS U/L 12/07/24 Adj reattached #34 01/11/25 same wire U/L reattached #16 closing space on 25-26 02/08/25 lost BT #26 reattached BT #16 18 SS U 18 NITI L chain U-PM to PM 03/08/25 3rd hook to upper 2nd hook lower rabbit 3 oz chain upper new buccal tube #26 04/05/25 new buccal tube #16 class II elastic rabbit 5oz closing coil spring 16 to 13,26 to 23 05/03/25 adj class ll elastic rabbit 5oz 06/07/25 same wire rabbit 5oz 16 to 43, 23 to 36 07/07/25 Adj rabbit 5 oz class II elastic 08/02/25 Adj 16x22 SS U 16x16 SS L new buccal tube #46 08/30/25 SAME WIRE CROSS ELASTIC RABBIT 5oz 09/27/25 same wire elastic rabbit 5oz 10/11/25 reattached #16 10/25/25 same wire elastic: rabbit 5oz, penguin for removal next month 11/22/25 brace removal 12/6/25 Filling #11 - Mesial #21 - Mesial #12 - Mesial and Distal #13 - Mesial #22 - Mesial #23 Mesial
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Retain Record
Yes