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Last Name
Tabora
First Name
Carmelo
Middle Name
Birthdate
Age
Street
Barangay
City
Country
Philippines
Zip Code
Contact number
09179495155
Procedure
10-26-2018 > LASER W/ORA-AID = 1,000 RX; SELCOSYL > DENTURE REPAIR = FREE ORAHEX =170
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Retain Record
Yes