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Patient Info

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Last Name
Balmes
First Name
Christopher
Middle Name
Payot
Birthdate
November 12, 1995
Age
22
Street
Bood
Barangay
Ubay
City
Bohol
Country
Philippines
Zip Code
Contact number
9455960220
Procedure
10-30-2018 > PX: HISTORY OF LOCK JAW > HARD ON OPENING > HISTORY OF BRIXISM > UNBALANCED BITE ON BOTH POSTERIOR TEETH > ANTERIOR 10-30-2018 > NIGHT GUARD FOR BRIXISM =3,500 11-06-2018 > NIGHT GUARD INSTALLED +CARE 100+1,500 = 1,600
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Retain Record
Yes