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Patient Info

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Last Name
Bermas
First Name
Shella Marie
Middle Name
Bellen
Birthdate
December 10, 1991
Age
27
Street
Blk 9 Lt Ilang Ilang Valley
Barangay
UPS-4
City
Paranaque City
Country
Philippines
Zip Code
Contact number
09128529713
Procedure
10/22/21 - 35 bracket reattached 18niti upper/ 18ss lower elastic chipmunk- traingle 23 to 33 -34/ 35 to 24-25 11/30/21- reattcahed 35 18ss UL/ chipmunk- 13-43/ 23-24 *note; sensitivity lower ant teeth 02/25/22- 16x 16 ss UL/ chain upper/ triangle elastic chipmnk- 13 to 43-44/ 23 to 33-34 sensitivity on 24 4/8/22- same wire/ same elastic chipmnk 06/22/22- same wire/ chain upper left chipmnk- 23- 45 right penguin 13-15-16 to 44-45 08/16/22 - SAME WIRE, UPPER CHAIN, LOWER IND. EXC 33&34(CHAIN) 10/14/22- UL SAME WIRE, UPPER CHAIN, LOWER IND. EXC 33&34(CHAIN); FOX BOX ELASTICS #13,14-#43,44, #23,24-#33-34 11/22/22-ADJ 3/3/23- Removal of braces 3/28/23-LC #38
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Retain Record
Yes