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Last Name
Gilbert
First Name
Nicky
Middle Name
Kathleen
Birthdate
April 13, 2001
Age
24
Street
505 almat st buenavida homes
Barangay
merville
City
paranaque
Country
philippines
Zip Code
1709
Contact number
09153669267
Procedure
11/8/25 Consultation for Cleaning/Pasta/Veneers/Whitening 11/11/25 Teeth Whitening initial shade: upper a1 lower a2 after Tx: upper B1/ lower a1 12-11-21-22 for emax veneers 25k less 20%= 20k per unit total of 80k 11/25/25 prep for indirect veneer - emax tooth #12 to #22 paid 40k balance 40k 12/4/25 Installation of indirect veneers #22, 21, 11, 12 Paid bal. = 40k 03/04/26 OP Veneers Polished #12-22
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Retain Record
Yes