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Patient Info

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Last Name
Pelayo
First Name
Cerefino
Middle Name
Birthdate
Age
Street
Barangay
City
Country
Philippines
Zip Code
Contact number
09564775145
Procedure
02-25-2019 > JUST IMPRESSION UPPER AND LOWER = 1,000 03-02-2019 > OP = 600
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Retain Record
Yes