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Patient Info

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Last Name
Hipe
First Name
Sairelle
Middle Name
Rubenecia
Birthdate
November 20, 1999
Age
26
Street
Rodriguez Ave
Barangay
Bangkal
City
Makati
Country
Philippines
Zip Code
1233
Contact number
09692065407
Procedure
04/07/26 OP Xray 04/09/26 12 series check up 04/15/26 EXO #24 Install SLB (14 niti U/L) note: EXO #46, #15 LC #36, #14 06/27/26 adjustment adjust lower only 07/04/26 16 niti U/L adjust upper spring bet. tooth #16 and #14 to create space for exo #15 (near the sinus) re attach #14 LC #11 M, D (CIII) -anesth 1st Q: 17 - O 16 - LC 15 exo 14 - O,M 13 - D 12 - La 2nd Q: 21 - M 26 - O, Li 27 - O 3rd Q: 37 - O, B 4th Q: 47 - LC 46 - exo 45 - O 07/10/26 Re-attached #12 & #14
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Retain Record
Yes