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Patient Info

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Last Name
Cruz
First Name
Clark Allen
Middle Name
Birthdate
May 17, 1994
Age
25
Street
Barangay
UPS2 East Service Road
City
Paranaque City
Country
PHILIPPINES
Zip Code
Contact number
09399277827
Procedure
09-28-2019 > OP W//STAIN =800 > #36 - O & M B = 1,500 > #16 - O & LINGUAL = 1,000
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Retain Record
Yes