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Last Name
Dela
First Name
Sophia Kyla Shayne
Middle Name
CALAPE
Birthdate
October 26, 2006
Age
12
Street
5 Jasmin St.
Barangay
Lower Bicutan
City
Taguig City
Country
Philippines
Zip Code
Contact number
09087390773
Procedure
07/31/21 class 2 elastic chimpmunk fluo applied 09/04/21- adj rpi-11/21 distal upper chain class II elastic 10/16/21 double chain power o upper- tipping of incisal upper 11/30/21- chain upper/ class 2 elastic chipmunk * for removal december 02/ 18/22- adj- RPI distal 12/22 chain upper 3/222- same wire- chain upper 05/14/22 removal of braces LC 12/11/22/23/43/42/41/32/33/34/38/ tf35 laser gingivectomy 33 fluoride retainer impression bal 11k 5/21/22- tooth 34 pulpotomy balance 3500
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Retain Record
Yes