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Last Name
Abogado
First Name
Audrey Kirsten
Middle Name
Manfuerte
Birthdate
March 13, 2010
Age
15
Street
4-A General Santos Ave.
Barangay
Lower Bicutan
City
Taguig City
Country
Philippines
Zip Code
123
Contact number
09669572124
Procedure
8/20/22- OP / RESTO #26 Oclusal & Disto lingual surface; #26 Occlusal & buccal pit/ EXO #65RF #46 10/19/22 - Ints of braces 50,000 less 3,999 (10,000) 11/19/22-ADJ 12/27/22-adj 01/22/23-ADJ 06/29/23-exo 14 *13 to extrude for laser/same wire 07/08/23- EXO #24 07/19/23- 14 NITI U/Lingual button #13/#13 extrude/16 Niti L 08/19/23- Extrude 13,same wire 09/16/23- same wire/ elastic Fox 13 to 43 to 44/18NiTi Lower 10/18/23- 14 NITI UPPER/ #13 BRACKET INSTALLED/ 18niti lower coil spring 44-45 ***request cbct 11/25/23- 16 NiTi U, 14 NiTi L #23 Observe all Lower towards right 12/22/23- 16 niti U/ 16 ss lower all lower move to right 01/27/24 ADJ reattachment 44 same wire adjustment all lower to the right 02/24/24 Adj-same wire chain lower reattachment #44 03/23/24 Adj reattachment #45 same wire class III elastic rabbit 04/20/24 Adj same wire chain lower 05/25/24 reattached #44 class III elastic penguin 18 SS lower w/ loop 06/20/24 #23 odontectomy near sinus 07/04/24 OP suture removal same wire class III elastic w/ loop rabbit .5 oz. 08/17/24 Reattached #44 #45 bite block 45/35 16 SS L class III elastic Q1/Q1v penguin 09/14/24 same wire 10/19/24 same wire reattached #15 11/16/24 same wire class III elastic rabbit 3oz 12/21/24 same wire chain L cross elastic Q IV to Q II 01/25/25 adj same wire reattached #35 slant elastic penguin 03/01/25 elastic slant penguin 18 SS L #35 reattached 04/09/25 elastic penguin 05/24/25 left class II rabbit right class II fox new bracket #35 reattached #11,#42 06/21/25 18 nITI U 16 SS L class III elastic chipmunk reattached #11,42 09/27/25 same wire reattached #32,15 11/15/25 Adjustment reattach #31, 32, 34 LC #34 - mesial #33 - mesial, distal #32 - mesial, distal #31 - mesial, distal #41 - mesial #42 - mesial #43 - cervical #44 - mesial 18 NITI lower Elastics- Rabbit 5oz QII-QIII class 3 12/27/25 Adjustment 02/07/26 18 SS lower Reattach #14 w/ class III Rabbit 5oz
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Retain Record
Yes