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Patient Info

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Last Name
Juntilla
First Name
Seth Rafael
Middle Name
Pedregosa
Birthdate
June 22, 2008
Age
10
Street
324 libis Ext. Zone 3
Barangay
Signal Village
City
taguig city
Country
Philíppines
Zip Code
Contact number
09954787057
Procedure
02-16-2019 UPPER C EXO = 300
File
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Retain Record
Yes