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Patient Info

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Last Name
Lacerna
First Name
Iruel Victor
Middle Name
Bejasa
Birthdate
January 15, 1994
Age
31
Street
715 Teachers Bliss,
Barangay
City
Pasay
Country
Zip Code
Contact number
09567062060
Procedure
04/25/25 consultation 05/08/25 1st RCT #21 18.5mm formocresol bal.6,666 05/17/25 Obturate #21 18.5mm one fill w/ fiber post Alumina crown Bal. 15k shade A3 and A3.5 05/21/25 OP installed alumina crown #21
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Retain Record
Yes