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Last Name
Metiam
First Name
Alyssa Joy
Middle Name
Escudero
Birthdate
June 6, 1998
Age
28
Street
Waling Waling Street
Barangay
San Vicente
City
Tarlac City
Country
Philippines
Zip Code
2300
Contact number
09942146651
Procedure
07/25/26 Consultation for DCV (upper - 8units) Intraoral scan - AI diagnosis Xray (all upper ant-PM) Oral prophylaxis LC #11D LC #12M LC #22M Shade A2D for resto: 17 - O, L 15 - D 14 - B 11 - M 21 - M 22 - D 24 - filled, O,B 25 - filled, O 27 - O 37 - O, D 35 - O 34 - O 45 - filled, O 47 - O, D 08/01/26 DCV - Forma #14 to 24 - 8 units A2D/A1B/INC w/ free veneer protector with purple case - PAID
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Retain Record
Yes