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Patient Info

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Last Name
Forte
First Name
Haydee Ann
Middle Name
Santos
Birthdate
June 8, 2000
Age
25
Street
San Lorenzo Place
Barangay
Bangkal
City
Makati City
Country
Philippines
Zip Code
1223
Contact number
09083167929
Procedure
03/31/26 Consultation 12 series scanned and intra oral and extra oral photo for resto 18- O 17- O, DL 26- pits, O, L 27- O 28- O 38- partially erupted 37- O, B 36- O, B 47- O, B 48- O 04/16/26 Install Metal Braces MBT - 0.22 wire 14 niti U/L w/OP LC #46 - O,B | #36- O, B + CaoH 05/09/26 LC #37- O,B Adjustment same wire U/L
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Retain Record
Yes