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Patient Info

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Last Name
Mariposque
First Name
Katherine
Middle Name
Magdalita
Birthdate
October 5, 1985
Age
38
Street
38Navy RD.South Signal
Barangay
City
Taguig City
Country
Zip Code
Contact number
09266410226
Procedure
08-01-2019 > OP = 800 > LC # 21 - LINGUAL DISTAL = 1,500 08-31-2019 > # 17 + COAH+LC - O/L = 1,000 #26 LC + LC - O/L = 1,000 #36 + COAH + LC - O DEEP SEATED - OBSERVE = 1,500
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Retain Record
Yes