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Patient Info

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Last Name
Bautista
First Name
Krsitine Vernadette
Middle Name
Lomibao
Birthdate
December 21, 1992
Age
26
Street
Barangay
City
Dagupan City
Country
Philippines
Zip Code
Contact number
Procedure
11/14/21- 11, 12, 21, 22- zirconia crown shade A3, B2 RCT 12- 19mm/ RCT 22- 21mm eugenol
File
kristine_bautista.rtf
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Retain Record
Yes