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Patient Info

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Last Name
Plata
First Name
Ana Mae
Middle Name
Gesite
Birthdate
December 10, 1994
Age
23
Street
Sta. Ana Sun Valley
Barangay
City
Parañaque
Country
Philippines
Zip Code
Contact number
916953402
Procedure
08-04-2018 > OP = FREE (HEAVY) = 300 08-18-2018 > EXO #36 = 800 09-01-2018 > EXO #25 = FREE ORAHEX
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Retain Record
Yes