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Patient Info

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Last Name
Cua
First Name
Terence
Middle Name
.
Birthdate
August 26, 1979
Age
39
Street
Pasong Balite
Barangay
San Miguel Heights
City
Valenzuela
Country
Philippines
Zip Code
1551
Contact number
09663392246
Procedure
01/16/20 ICF #16 - Lingual #47 - Ca0H LC Complete (dep for obturate #47 - xray 11-23-2018 > #46 - OCC +CAOH = 800 > #38 -PINPOINT - OCC 3/17/2023- EXO #28 Xray /CGF /PRF
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Retain Record
Yes