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Patient Info

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Last Name: Fumar

First Name: Cherry

Middle Name

Birthdate: September 5, 1992

Age: 27

Street

Barangay: United Parañaque II

City: Parañaque City

Country: Philippines

Zip Code

Contact number: 09208823254

Email

Procedure: 07-18-2019 > EXO #28 = 800 > ORAHEX =200

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Retain Record: Yes