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Patient Info

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Last Name
Rivera
First Name
Johan Eliam
Middle Name
Laquidanum
Birthdate
October 30, 2012
Age
6
Street
2458 Samapaloc st.
Barangay
United Hills
City
Paranaque City
Country
PHILIPPINES
Zip Code
Contact number
09669710906
Procedure
07-20-2019 > OP + PROPLY BRUSH = 1,000 07-27-2019 > EXO UP LEFT A / UP RIGHT A= 1,000 08-03-2019 > OPERCULECTOMY = 2,500 08-17-2019 > #46 AND 36 SEALANT = 1,600 08-31-2019 > #6 AND 26 SELANT = 1,600 12-28-2019 > UP LEFT B- EXO - 500 02-05-2020 > UP RIGHT B - EXO = 500 06/22/24 OP Expo #53 #16/26/46/36/37/47 12/27/25 OP
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Retain Record
Yes