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Last Name
Cruz
First Name
Elaine
Middle Name
Guevarra
Birthdate
December 20, 1998
Age
26
Street
213 E. Manuel St.
Barangay
San Jose,Rodriguez
City
Rizal
Country
Philippines
Zip Code
123
Contact number
09167833854
Procedure
02/06/25 MBT 0.22 slot 14 NITI U/L no BT on #26 free cleaning & free #34 O 03/11/25 Adj reattached #11,13,15,34 04/10/25 adj reattach #15 RW #41, #12 05/10/25 Adj same wire IPR #41-42,32 06/10/25 adj same wire L 16 NITI U reattached #45 07/15/25 Adj same wire 16 SS U 16 NITI L Reattached #11 08/22/25 Odontectomy #48 09/04/25 Suture removal 09/24/25 coil spring (open) on tooth #12-11 and 21-22 ligature wire #11-21 same wire Reattached #44 10/30/25 adjustment same wire chain #12 to #22 11/28/2025 Odontectomy #38 Suture 12/02/2025 Suture Removal Irrigate w/ Saline BlueM Gel PA xray 12/26/25 Adjustment 16 SS U/L class III fox 3.5oz chain all lower 01/21/26 Adjustment 18 SS upper w/ loop 16 SS lower 3/5/26 adj same wire
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Retain Record
Yes