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Patient Info

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Last Name
Himmiwat
First Name
Ryan
Middle Name
lamadrid
Birthdate
January 22, 1984
Age
35
Street
manling creek
Barangay
Lower Bicutan
City
taguig city
Country
Zip Code
Contact number
09953271578
Procedure
10-27-2019 > EXTRACTION # 28 = 1,000
File
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Retain Record
Yes