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Last Name: Baluga

First Name: Precious Dansel

Middle Name: Visitacion

Birthdate: July 2, 2013

Age: 11

Street: NCRPO, CBD

Barangay: Bicutan

City: Taguig

Country: Phippines

Zip Code

Contact number: 09175545723

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Procedure: 06-11-2018 > UPPER B LEFT, UPPER A LEFT,UPPER A RIGHT - EXO =900 09-08-2018 > LOWER A RIGHT,LOWER A LEFT,LOWER B LEFT- EXO =FREE 09-22-2018 > LOWEER C LEFT AND UPPER B RIGHT - EXO = 600 10-05-2019 > EXO LOWER 2 LEFT = 300 > FILLING #16 = 600 02-04-2020 > CHECK UP 05/21/22- OP+ Fluo 06/14/25 OP (mild) with fluoride LC #46 mesial, #16 occ, #26 occ + caoh, #36 occ +caoh

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Retain Record: Yes