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Patient Info

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Last Name
Agustino
First Name
Grace
Middle Name
Birthdate
March 26, 1988
Age
30
Street
UP Cruz St.
Barangay
Purok 5 Lower Bicutan
City
Taguig City
Country
Philippines
Zip Code
Contact number
09306297962
Procedure
01-23-2019 > ORAL PROPHYLAXIS (MODERATE) = 800 >FL TX (FREE) > SUGGEST RESTO ON #11,12,1 (CLASS III) AND ODONTECT ON #38 & 28
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Retain Record
Yes