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Last Name: Chan

First Name: Angelica

Middle Name: Miguel

Birthdate: January 8, 1997

Age: 27

Street: 415 Mapagkalinga St.

Barangay: Capipisa

City: Pasay

Country: Philippines

Zip Code: 4108

Contact number: 09158978763

Email: gelicachan@gmail.com

Procedure: 10/29/24 check up and xray 11/09/24 RCT #24 vital 2 canals #14 vital 2 canals LC #25 build up with CAoh LC #15 build up with Caoh 12/10/24 check up 07/18/26 OP Xray LC #41 -D #42 - M,D #43- M

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Retain Record: Yes