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Last Name
Urbano
First Name
Benjie
Middle Name
M
Birthdate
February 3, 1989
Age
35
Street
6772 Adalia st
Barangay
Guada Viejo
City
Makati
Country
Philippines
Zip Code
123
Contact number
09173190203
Procedure
01/11/25 NITI 14 U/L install of brace MBT 0.22 slot cast analysis photo analysis free small filling cleaning done 02/14/25 14 NITI U/L RW #43 03/08/25 adj 16 NITI lower 04/05/25 16 NITI L observe #25,26 05/03/25 class lll - fox same wire to observe 06/04/25 adj 18 niti U/L class III elastic fox 07/04/25 same wire class III elastic rabbit 3oz reattached #34 07/15/25 Reattached #45 07/18/25 reattached #45 08/02/25 16 SS U/L loop #42/32 (D) class III elastic fox 3.5 oz 08/30/25 SAME WIRE CLASS III ELASTIC RABBIT 3OZ 09/11/25 adj same wire same elastic 10/03/25 adj same wire elastic rabbit 5oz. 11/7/25 adjustment same wire elastic rabbit 5oz 12/09/25 18 ss U/L with loop on lower ant elastic rabbit 5oz class III 01/07/26 Adj. #18 SS U/L Lower w/ loop class lll - chipmunk 5oz 02/21/26 Adjustment Rabbit 5oz
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Retain Record
Yes