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Patient Info

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Last Name
Carmona
First Name
donne Alilei
Middle Name
Buyser
Birthdate
May 28, 2002
Age
16
Street
NA
Barangay
NA
City
Paranaque City
Country
NA
Zip Code
Contact number
09399058705
Procedure
05-25-2019 > OP = 800 > LC #36 TF = 500 > LC #37 CAOH LC (O) = 800 > LC #26 CAOH LC (OC) = 800 07-05-2019 > #36 LC +CAOH- OCC =1,000 > #17 LC + CAOH- OCC+L = 1,000 > #26 LC +CAOH - OCC+L = 1,000 2/26/22- OP **for resto: 11/22/21 47/28 3/26/22- LC 11 MD- lingual, 21 Labio distal. 22 labiomesial, 02/28/26 OP Xray
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Retain Record
Yes