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Last Name: Carmona

First Name: Josh

Middle Name: Buyser

Birthdate: October 1, 1991

Age: 19

Street: 35 Opal St.

Barangay: Severina Diamobd Subdivision

City: Paranaque city

Country

Zip Code

Contact number: 09499966603

Email

Procedure: 09-06-2019 > OP - 1,000 > LC #11 INC = 1,500 > SEALANT #36 = 800 > #46 = 800 ORAHEX = 200 03-11-2020 > OP = 1,000 02/17/24 OP 09/28/24 check up 10/08/24 Odontectomy #28 and #38 10/15/24 check up suture removal

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Retain Record: Yes