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Patient Info

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Last Name
Padulip
First Name
Rosario
Middle Name
Balisi
Birthdate
March 7, 1986
Age
32
Street
28 A. Flores Street
Barangay
Bagong Ilog
City
Pasig City
Country
Philippines
Zip Code
Contact number
09354625163
Procedure
01-20-2019 > OP = 800 > #46 - TF + CAOH + PULPDENT = 300 > #16 - LC (OCC) =800 01-27-2019 > #46 - O+B = 1,500 > #27 - O+B = 800 > #28 - O = 800
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Retain Record
Yes