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Patient Info

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Last Name
Dazo
First Name
Dividen Joy
Middle Name
N/A
Birthdate
August 16, 1985
Age
33
Street
Greatwoods Highland
Barangay
Bacoor Molino
City
Cavite
Country
PHILIPPINES
Zip Code
1551
Contact number
09503557768
Procedure
01/30/21 Chain 12 to 26 to Left upper Lingual button #16 and 15 (rotation) Lower individual Upper Lower 16 SS 09/18/21 - ADJ. 16*22u/16*16lower for restoration 21/24 10/16/21- 16*22 u/l ligature wire lower 24-23 chain 11/26/21- same wire/ #31 mesial out *25 for resto MOD 02/4/22- Same wire/for removal/ for resto 21/ 24/25 3/16/22- ADJ same wire/ for removal on May-june 4/23/22- same wire/ chain upper/ Lc MO # 24 5/28/22- same wire/ chain upper/ for removal anytime 7/2/22- Same Wire , Chain Upper 08/13/22- 22 reattcahed/ same wire/ for removal 9/17/22 - UL SAME WIRE/ CHAIN U , RW #41 12/07/22- removal of braces/ retainer case 06/28/24 OP
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Retain Record
Yes