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Patient Info

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Last Name
Calumpiano
First Name
Marivic
Middle Name
Lacadin
Birthdate
July 15, 1995
Age
23
Street
70 G Town Homes
Barangay
Sta Ana Drive Sun Valley
City
Parañaque
Country
Philippines
Zip Code
Contact number
9169002928
Procedure
09-25-21- upper 16 x 22 ss/ lower 18niti /s cure elastic # 45 to # 14 - Fox 11/24/21- adj 16*16 ssUL chipmunk- closing of posterior *for removal on first q\ 2/4/22- chain upper/ ind lower 16*22 UL ss ***for resto: 22/21/13 (1500 each) ***laser gingivectomy -3000 05/214/22- 16x 22 UL chipmnk 13 to 44/ 23 to 44 for Removel September 6/25/22- same wire/ chain upper *** gingivectomy upper 06/10/23- Informed consent Redo chipped part of incisal restoration #11 Impression upper
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Retain Record
Yes