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Patient Info

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Last Name
Valmores
First Name
Ellaine
Middle Name
Birthdate
November 15, 1996
Age
27
Street
179-Q 22nd Ave.East Rembo
Barangay
City
Taguig
Country
Zip Code
Contact number
09770141133
Procedure
DCV #14 to 24 premuim w/op package A1/A02/A3 1st RCT- camphenol 07/16/25 RCT #12-25mm File 30 calcuim paste bal.2,666
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File 14
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File 20
Retain Record
Yes