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Patient Info

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Last Name
Chiu
First Name
Keena
Middle Name
Poblete
Birthdate
September 4, 2015
Age
11
Street
Acacia street
Barangay
Ususan
City
Taguig
Country
Philippines
Zip Code
1640
Contact number
09176510345
Procedure
07/28/26 Full mouth radiograph intraoral & extraoral pictures full mouth 3D scan for diagnosis for exo - #84 07/31/26 Oral prophylaxis exo #84 strap up SLB (upper only) wire sleeves (2nd Q) spring between 12-14, 14-16
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Retain Record
Yes