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Patient Info

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Last Name
Barra
First Name
King Israel
Middle Name
E
Birthdate
October 3, 1996
Age
17
Street
2776 L. Francisco St.
Barangay
N/A
City
Pasay
Country
Philippines
Zip Code
123
Contact number
09959841029
Procedure
08/09/24 -LC #44 O -intra/extra oral photos -impression -OP 08/16/24 Exo #74 RF #85 09/03/24 install U brace next meeting RCT #31 Exo 09/20/24 2nd RCT #31 13mm file 30 Caoh 09/27/24 Obturate LC build up 10/17/24 inst of lower adj upper 16SS U/L 11/21/24 adj same wire with sleeve 11/23/24 LC # 36,#46 Buccal 01/11/25 16 NITI L reattached #31 02/08/25 adj 14 NITI L 16 SS U installed #46/36/33 03/08/25 adj same wire 04-04-25 adj same wire LC #37 occ, bucc, CaOH 05/10/25 adj same wire RW #33 06/07/25 adj 18 SS U 18 NITI L chain upper ant. closing space canine #23 07/07/25 same wire 08/02/25 same wire 08/30/25 CLASS III ELASTIC RABBIT 3.5OZ SAME WIRE 09/27/25 18 SS U/L reattached #46 11/8/25 Adjustment same wire 12/13/25 Adjustment 18 SS Upper - chain #13 to 23 18 NiTi Lower New buccal #26 Class 2 elastic rabbit 3.5oz 1/17/26 adjustment same wire same elastics 02/26/26 Adjustment
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Retain Record
Yes