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Patient Info

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Last Name
Busilacan
First Name
Althea May
Middle Name
Tabog
Birthdate
May 22, 2005
Age
20
Street
Sampaloc
Barangay
583
City
Manila
Country
ph
Zip Code
1233
Contact number
09692618590
Procedure
04/09/26 check up xray note: for RCT #21 for removal of lower braces for change of crown #11|#21
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Retain Record
Yes