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Patient Info

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Last Name
Hautea
First Name
Jera Marie
Middle Name
Fernandez
Birthdate
March 5, 2003
Age
23
Street
Gil puyat
Barangay
Palanan
City
Makati
Country
Philippines
Zip Code
1233
Contact number
09668877629
Procedure
03/25/26 12 series 03/27/26 Adjustment Buccal #17| #46 | #26 | #37 LC #12-M | #11D,M | #21-M,D |#22-M For next resto #24- O,D, L #45- D #25- M 04/08/26 LC #24- O, D #45- O, D #25- M MTA on #24 05/08/26 adjustment re-attached #33|#43 Fox 3.5oz 07/23/26 adjustment 16x16 NiTi U 16x16 SS L chain #43-44 NV: for re-attachment of #45 07/30/26 Re-attached #45 Gingivectomy Meds: Prednisone 10 08/06/26 Recall 08/20/26 Check up
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Retain Record
Yes