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Patient Info

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Last Name
Velasco
First Name
Eliseo
Middle Name
S.
Birthdate
June 14, 2064
Age
54
Street
Barangay
Lower Bicutan
City
Taguig
Country
Philippines
Zip Code
Contact number
9472269761
Procedure
10-13-2018 > OP / CONSULTATION 10-15-2018 > X RAY =500 X RAY RELEASED 05-11-2018 > #11 AND 21 MESIAL = 2,000
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Retain Record
Yes