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Patient Info

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Last Name
Delos Reyes
First Name
Richard
Middle Name
Guminiguin
Birthdate
November 17, 1991
Age
17
Street
Pamayanang Diego Silang
Barangay
Ususan
City
Taguig City
Country
Philippines
Zip Code
Contact number
09097250035
Procedure
12-11-2018 #11 M-D =1,000 # 21 M = 1,000 FOR XRAY - 500 - 30% = 350 EXO - 1,000 - 30% = 700
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Retain Record
Yes