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Patient Info

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Last Name
Ballaran
First Name
Charles
Middle Name
De Luna
Birthdate
January 1, 1988
Age
31
Street
Iriga St.
Barangay
Western Bicutan
City
Taguig City
Country
Philippines
Zip Code
Contact number
09286550080
Procedure
12-14-2019 > LC #21 - DISTAL > FOR FIBER >SHADE B2
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Retain Record
Yes