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Patient Info

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Last Name
Asanza
First Name
Fatima
Middle Name
Llagas
Birthdate
March 5, 2005
Age
21
Street
N/A
Barangay
Sambat
City
Tanauan City
Country
Philippines
Zip Code
4232
Contact number
09667731186
Procedure
03/14/26 install self-ligating braces scanning LC #37-O,B #46- O,B caoH Q1 17-O,L 16- X (missing) 15 to 13- / 12- M 11- D Q2 21 to 23 - / 24- D 25- O,M 26- O,L 27- O, L, B 28- O Q3 38- / 37- O, B, L, M 36- X 35- D, O 34 to 31 - / Q4 41 to 45 - / 46 - O, B 47 - B, O 48 - partially erupted
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Retain Record
Yes