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Last Name
Quizon
First Name
Racquel
Middle Name
Fernando
Birthdate
January 23, 1971
Age
54
Street
Georgetown St. Southfields Executive Villa
Barangay
Salitran
City
Dasmarinas
Country
Philippines
Zip Code
1234
Contact number
09177050123
Procedure
10/07/25 RCT #11-18MM W/CAOH-6,000 DP 3,000 VENEER #12,13,21,22 SHADE:A02/A2/INC. PHP 10,000 ALUMINA CROWN SHADE A2 CEERVICAL BODY B2 PHP 12,000 DP 6,000 FLEXITE PHP 12,800 DP 6,400 TOTAL 40,800 DP 25,400 LESS CF BAL. 15,400 10/10/25 EXO #14 with gel foam bal. for extraction 2500 10/14/25 obturate #11 denture trial redo of alumina crown #11 10/21/25 installation of crown #11 10/24/25 installation of flexite denture
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Retain Record
Yes