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Last Name
Fajota
First Name
Jasmin
Middle Name
Dorotayo
Birthdate
December 23, 2001
Age
24
Street
Nicanor st.
Barangay
Bel-air
City
Makati
Country
Philippines
Zip Code
1209
Contact number
09686426774
Procedure
05/30/26 removal of brace 12 series of xray fluoride rest for 1 month before ortho
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Retain Record
Yes