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Patient Info

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Last Name
Lomibao
First Name
Donna Carla
Middle Name
B
Birthdate
June 12, 1993
Age
24
Street
Jacinta
Barangay
Villa Susana Caniogan
City
Pasig
Country
Philippines
Zip Code
Contact number
9156379598
Procedure
08/07/21- adj Uchain/L18ss 09/22/21 adj 16*16lower, 16*22 upper Observe 45 11/16/21- adj- 16*22 UL 45 premolar band 12/21/21 - adj. same wire/ rw 22/ elastic chipmnk- 24 to 34/ 25 to 35 02/04/22- same wire adjust. RPI 22 mesial chain upper 5/2/22 - ADJ same wire chain *remval of braces (JUNE) 09/30/22- braces removal/ impression Upper and lower Resto #25, #27, #47
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Retain Record
Yes