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Patient Info

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Last Name
Regli
First Name
Dave
Middle Name
Agustin
Birthdate
December 10, 1987
Age
30
Street
14 Reyes Gate
Barangay
Fourth Estate
City
Parañaque
Country
Philippines
Zip Code
Contact number
09453513740
Procedure
11-19-2018 > OP = 800 > X RAY - OTHER PROCEDURE = 500 > #17 O/L = 800 > #37 O B = 800 > #46 - OB =800 11-23-2018 > #26 - EXO = 1,000 ORAHEX =170
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Retain Record
Yes