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Patient Info

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Last Name
Fernando
First Name
Mariah Emmaneil Alyssa
Middle Name
Nollan
Birthdate
October 5, 1996
Age
29
Street
956 P. Ocampo
Barangay
730
City
Manila
Country
Philippines
Zip Code
1004
Contact number
09624462104
Procedure
08/21/26 cons xray #46, #15 oral prophylaxis LC #47 - O (mta, gi) for filling: 17-filled, O 16-filled, O,L 15-filled, O,M 14-filled, D 11-M 21-M 26-filled, O,L 27-filled, O 37-filled, O 36-filled, B 45-O 46-filled, for RCT 38-impacted 48-impacted
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Retain Record
Yes