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Patient Info

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Last Name
Brugada
First Name
Izzy
Middle Name
Labado
Birthdate
February 16, 2005
Age
19
Street
1565 Mahogany St.
Barangay
City
Makati
Country
Zip Code
Contact number
09539484284
Procedure
01/30/25 check up/ xray
File
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File 20
Retain Record
Yes