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Patient Info

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Last Name
Pacusum
First Name
Bai Ameena
Middle Name
Lucman
Birthdate
March 5, 1991
Age
35
Street
N/A
Barangay
NA
City
Makati
Country
ph
Zip Code
1133
Contact number
09286026783
Procedure
07/09/26 check up - for removal braces next visit - rest for 2 months - for cephalometric & panoramic before braces 07/14/26 Braces removal 07/14/26 Perio assessment Full mouth radiograph Generalized Periodontitis Stage III Grade A with Class I furcation involvement
File
bai_pacusum.docx
File 2
bai_pacusum_perio_chart.pdf
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Retain Record
Yes