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Patient Info

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Last Name
Cunanan
First Name
Jake Ryelie
Middle Name
D
Birthdate
April 11, 2012
Age
6
Street
103 Champaca
Barangay
Western Bicutan
City
Taguig
Country
Philippines
Zip Code
Contact number
Procedure
04-17-2018 > EXO = 300 > OP = 300 07-28-2018 > #72 EXO = 300 > #64 EXO = 400 08-17-2018 > #82 EXO = 300 ORAHEX = 170 09-13-2018 > SEALANT #36 = 500 > SEALANT # 46 = 500' > #11 EXO = 300 09-25-2018 > SEALANT #61 = 500 #26 = 500 07-18-2019 > OP = 500 > EXO LOWER B RIGHT = 500
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Retain Record
Yes