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Patient Info

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Last Name
De Vera
First Name
Jeffrey
Middle Name
M.
Birthdate
January 2, 1992
Age
22
Street
20 Adia
Barangay
Bagumbayan
City
Taguiig City
Country
Zip Code
Contact number
09391309111
Procedure
07-23-2019 > LC #35 = FREE 08-02-2019 > OP = FREE ORAHEX = 200
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Retain Record
Yes