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Patient Info

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Last Name
Padernos
First Name
Romeo III
Middle Name
Gerardo
Birthdate
January 19, 2010
Age
8
Street
B4 U113 Centennial
Barangay
Western Bicutan
City
Taguig
Country
Philippines
Zip Code
Contact number
09193204945
Procedure
11-24-2018 > #36 - OCC LC + BUCCAL = 800 > #16 OCC + LINGUAL 04-27-2019 > #26 -SEALANT = 500 > OP = 800
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Retain Record
Yes