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Patient Info

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Last Name
Plomantes
First Name
Janica
Middle Name
Doble
Birthdate
July 15, 1998
Age
28
Street
LP Leviste
Barangay
Bel Air
City
Makati
Country
Philippines
Zip Code
1233
Contact number
09774959941
Procedure
07/25/26 OP xray #47, 48 18 - O 17 - O,L 16 - L,O 15 - O 14 - O 11 - M 21 - M,D 22 - incipient Li carries 24 - O 25 - O 26 - missing 27 - O 34 - O 36 - LC, O, Recurrent 37 - O, B 45 - O 46 - Amalgam, O, B 47 - O, B, D 48 - impacted 07/25/26 LC #15-occlusal | A2B OP Xray
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Retain Record
Yes