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Patient Info

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Last Name
Gonzales
First Name
Luis Manuel
Middle Name
Ortega
Birthdate
December 9, 1992
Age
33
Street
0986
Barangay
San Roque
City
Santos Tomas
Country
Philippines
Zip Code
4234
Contact number
09182330754
Procedure
06/05/26 LC #16-O,L,D #15-O,M,D | MTA + GI #14-O,D | caoH + GI OP Xray For LC 17- O 11- M 21-M 27-O 07/10/26 px w/ fluorosis - white & yellow A3B/A2D/fiber on #24 pulpal floor/inc. biomimetic restoration #24 note: 24 is root canal treated LC #11 - M #21 - M #17 - O +CaOH #27 - O +CaOH xray
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Retain Record
Yes