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Patient Info

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Last Name
Chua
First Name
James
Middle Name
Alfonso
Birthdate
September 8, 2008
Age
17
Street
285 Pablo Ocampo St.
Barangay
La Paz
City
Makati
Country
Philippines
Zip Code
1204
Contact number
09173178827
Procedure
05/05/26 12 series
File
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Retain Record
Yes