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Patient Info

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Last Name
Rivera
First Name
Jed Elijah
Middle Name
Laquindanum
Birthdate
November 8, 2008
Age
10
Street
2458 Samapaloc St.
Barangay
UNITED HILLS
City
Paranaque City
Country
PHILIPPINES
Zip Code
Contact number
8233243
Procedure
07-20-2019 > OP+ PROPLY = 1,000 > FLORIDE 07-27-2019 > SEALANT #36 & #46 = 1,600 08-03-2019 > SEALANT #16 & #26 = 1,600 08-31-2019 >LC LEFT - EXO = 500 02-08-2020 > LC RIGHT - EXO = 500 06/22/24 OP 12/27/25 OP
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Retain Record
Yes