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Last Name
Perez
First Name
Carmelle
Middle Name
R
Birthdate
December 12, 2012
Age
9
Street
B2 lot15
Barangay
Weste Wing Residences Talipapa
City
Quezon City
Country
Philippines
Zip Code
Contact number
9088982314
Procedure
11/28/23- consultation for Braces, OP, X-ray 12/02/23- LC #36 Buccal, #46 Buccal, #34 Buccal Upper Installation of PSL- 14 Thermal NiTi 12/19/23- Installation of Lower Brackets note: No Bracket Installed in #36, #35 02/24/24 OP 1st Adj 16niti -L #36 and #46 for molar band #45 lingual mitton 05/07/24 #36 installed #46 installed button on #35 14 NITI U/L Occclusal pads on #36/46 07/04/24 adj laser canine 09/13/24 adj 01/18/25 adj 18 NITI lower 03/22/25 elastic fox U45 to 5 L(R) U45 to 5 L (L) xray #23/35 activate open coil spring 07/12/25 #23 for retraction(L) chipmunk #23 to #34, #24 to #35 11/15/25 adjustment gingivectomy on #23 placement of bracket on #23 01/21/26 #1 re-attached #45 #18 niti u chipmunks elastic 3.5oz #23 to #34-33 02/25/26 Reattached #45
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Retain Record
Yes