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Patient Info
- Profile picture

- Last Name
- Canse
- First Name
- Roxan
- Middle Name
- De Pedro
- Birthdate
- September 17, 1983
- Age
- 35
- Street
- 24 Balagtas St.
- City
- Taguig City
- Country
- PHILIPPINES
- Zip Code
- Contact number
- 09669528104
- jeffrey.canse@benilde.edu.ph
- Procedure
- 10/26/21- ipr 11/21 mesial of 42/32 chain upper/ chain 4 ant lower/ 16*16ULss 12/21/21 - upper chain/ lower 42/41 rpi/ elastic cross- 23 to 43- penguin 02/05/22- same wire upper/ lower 16x16 niti/ upright 33/34- chipmunk to 23/24 3/19/22- samewire/ chipmunk 14/13 to 43-44/ 23-24 to 33-34 4/27/22- same wire/ upright 34 S-elastic fox ***47 for upright 06/10/22 - 18 ss L with 14 niti on 48/47/45 double wire/ chain upper 8/27/22 - SAME WIRE/ CHAIN U/IND L 10/1/22- U SAME WIRE;U CHAIN; L CHANGE TO 16niti 11/5/22-adj/reattached 12/15/22-adj/ 1 reattached 01/18/23- adj 09/01/23- Adj chain upper and lower FOR REMOVAL ***11/21 FOR DIRECT CO VENEERS 10/06/23- removal of braces upper and lower impression upper and lower for retainers
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- Retain Record
- Yes