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Patient Info

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Last Name
Fermill
First Name
Hazel
Middle Name
Tirao
Birthdate
October 9, 1988
Age
37
Street
247 Tebeng
Barangay
N/A
City
Dagupan
Country
Philippines
Zip Code
Contact number
09260494973
Procedure
11-26-2018 >OP =800 > XRAY = 1,000 06/08/24 OP 08/21/25 OP PFZ #21-22 ind. crown #12-body-B2 cervical-A3 #22-body-A2 cervical-A3 bal. 60,000 08/30/25 install of ZFP crown #21,22
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Retain Record
Yes