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Patient Info

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Last Name
Perez
First Name
Ranzie
Middle Name
ESPERANZA
Birthdate
November 13, 2064
Age
54
Street
Barangay
Afpovai
City
Taguig
Country
Philippines
Zip Code
Contact number
9171231388
Procedure
05-26-2018 > OP + LC #12 MESIAL = 500 06-02-2018 > #11 - INSTALLED PFM = 2,000 > #24 - lC - MESIAL 09-05-2019 >OP = 500 ORAHEX = 200
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Retain Record
Yes